bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Jamu Cekok Terhadap Kenaikan Berat Badan Dan Jumlah Makanan Yang Dikonsumsi Mencit
Authors: Handajani Sih Rini , Widhiastuti KH Endah
Published: January 2020

Abstract Background: Javanese people, especially those living in the city of Solo, try to overcome the difficulty of eating children by providing special herbal medicine for children which is better known as jamu cekok. It’s believed to have efficacy as a child's appetite stimulant, as a herb that can kill irritating worms in the body of a child. This study aimed to determine the effect of herbal medicine on weight gain and the amount of food consumed by mice. Method: This research design usedpre clinicaltria in mice. The sample consisted of 60 mice divided into 3 groups, namely 20 control groups, 20 treatment groups I (given 0.25 ml slices) and Treatment Group II (given 0.5 ml of stress). Result: The time for conducting research January 2016 s.d. June 2016 at the GadjahMada University Pharmacy Laboratory Yogjakarta. The results of the analysis of herbal medicine had an effect on the weight gain with the results in the intervention group 1, the consumption of herbal medicine decreased the weight of rats by 24.3%. and in the intervention group 2 decreased the mouse rats by 0.1%. Choking affects the amount of food left over. Conclusion: The results showed that the mice given 0.25 ml less rest (amounting to 0.570 and this decrease occurred very significantly indicated by the p value <0.000) compared to those given 0.50 ml and control group.
Perbedaan Penurunan Tinggi Fundus Uteri Pada Ibu Nifas Yang Dilakukan Inisiasi Menyusui Dini (IMD) DAN IMD Dengan Diberikan Jus Nanas Di BPM Tias Susianah Lampung Utara Tahun 2018
Authors: Latifah Neneng Siti , Sunarsih Sunarsih , Susianah Tias
Published: January 2020

Abstract Background : Postpartum maternal health services are health services for postpartum mothers according to standards. Based on the results of the preliminary survey conducted at BPM Tias Susianah on average every month, the number of deliveries was 95 people and from the results of the prasurvey conducted on 25-27 February 2018 of 10 post partum mothers there were 7 post partum mothers who said mothers had not ever consumed pineapple juice both from pregnancy to the puerperium. The purpose of the study was to know the difference in the decline of Fundus Uteri height in postpartum mothers who performed Early Breastfeeding Initiation (IMD) and IMD and given Pineapple Juice at Tias Susianah BPM North Lampung in 2018. Method: This type of quantitative research with Quasi Experimental design is nonequivalent control group Design. The study population of all primiparous postpartum mothers was 946 postpartum mothers who gave birth normally with an average of 78 postpartum mothers per month, with a sample of 34 purposive sampling techniques. Data is taken with an observation sheet. Univariate data analysis and bivariate t test (t-test). Result: The results of the study showed a decrease in TFU before and after being given intervention in the case group with a significance value of P = 0.000 (<0.05) and t = 44.1. There was a decrease in TFU before and after the intervention was given to the control group with a significance value of P = 0,000 (<0,05) and t = 57,176. There was a difference in the difference in TFU reduction between the experimental and control groups as seen from the average difference in TFU decline in the two groups. The mean TFU reduction in the experimental group was 7.78 cm and the mean TFU reduction in the control group was 6.95cm with a mean value of 0.83 significance P = 0.000 so it can be concluded that there were differences in TFU reduction in the experimental group and the control group. Conclusion: It is expected that Puskesmas can participate in providing counseling to post partum mothers to consume pineapple juice as an alternative to accelerate the healing or recovery process and minimize consumption ofpharmacological drugs
Pengaruh Akupresur Terhadap Penurunan Nyeri Dysmenorhea
Authors: Rahmawati Diyah Tepi , Situmorang Ronalen Br , Yulianti Syami
Published: January 2020

Dysmenorrhea or menstrual pain is pain experienced by women of childbearing age due to the hormone prostaglandin which makes the uterus contract. Acupressure is known as one of the traditional Chinese therapeutic methods for healing dysmenorrhea by using finger massage techniques at the meridian points of certain body parts (acupuncture points). The purpose of this study was to determine the effect of acupressure in adolescent girls with complaints of menstrual pain or dysmenorrhoea. The method in this study is a quantitative bivariate with the type of research with the Quasy approach of pre-post one group design experiments, data analysis using T Pair test. Samples of 30 female teenagers were obtained by using purposive sampling technique. Research result. Empirically proven acupressure 100% can be an alternative non-pharmacological therapy that is able to overcome or minimize pain, a statistical test p value <0.001 which means that there is an effect of acupressure on decreasing dysmenorrhea pain in adolescent girls in the city of Bengkulu. With the use of the VAS (Visual Analaog Scale) in this study, the average pain reduction was 2.12. Suggestion. Acupressure is a therapy that is safe, easy, practical and needs to be applied independently and continuously to improve women's reproductive health. But further research is still needed for more valid and relevant results.
Identifikasi Antibodi Spesifik Toxoplasma gondii Pada Wanita Di Komunitas Pecinta Sugar Glider Indonesia (Kpsgi) Kota Makassar
Authors: Arwie Dzikra , Aryandi Rahmat
Published: January 2020

This research is motivated by quite a lot of public interest in maintaining pet animals such as sugar gliders but the negative effects of these animals can cause zoonotic diseases such as toxoplasmosis caused by the parasite Toxoplasma gondii. However, the presence of Toxoplasma gondii specific antibodies against sugar glider lovers is not known with certainty. This study aims to identify specific Toxoplasma gondii antibodies in women in the Makassar Sugar Glider Indonesia (KPSGI) Lovers community. The study was a laboratory observation with qualitative analysis techniques with the research subjects being women in the sugar glider (KPSGI) lover community in Makassar. Of the 10 samples taken by purposive sampling technique, 40% of female samples were obtained in the body with Toxoplasma gondii specific antibodies.
AGRICULTURA FAMILIAR EN URUGUAY:
Authors: Fernanda De Torres María , Arbeletche Pedro , Sabourin Eric
Published: January 2020

O artigo analisa a emergência da agricultura familiar no Uruguai como sujeito de política pública e os desenhos diretos e indiretos de políticas a favor dessa categoria desde 2005. Num contexto de expansão da agricultura industrial e da pressão sobre a terra, o governo desenvolveu uma série de políticas que criou varias instituições no meio rural, com o objetivo de corrigir as desigualdades da economia agrária. A agenda nacional está reforçada e estimulada pelo contexto regional, que serve de inspiração para a coordenação de agendas entre atores so- ciais e governo. Este trabalho foi realizado a partir de análise bibliográfica e de entrevistas com gestores do governo e beneficiários dessas políticas. As principais conclusões mostram a historicidade da agricultura familiar no imaginário nacional moderno como agente do desenvolvimento territorial rural, mas também a heterogeneidade da sua composição e a dificuldade de implementar uma política única e homogênea.
Penerapan Malcolm Baldrige Dalam Sistem Penilaian Kinerja Manajemen Bidang Kesehatan
Authors: Citra Wiguna
Published: January 2020

Rumah sakit dituntut untuk mampu meningkatkan mutu dan mempertahankan standar pelayanan yang memenuhi standar internasional secara keseluruhan. Dalam hal ini, diperlukan sebuah sistem penilaian kinerja manajemen bidang kesehatan untuk mendapatkan informasi mengenai level kinerja manajemen rumah sakit. Penelitian ini membangun suatu sistem penilaian kinerja manajemen bidang kesehatan dengan Malcolm Baldrige. Malcolm Baldrige merupakan kerangka kinerja yang sesuai dengan standar internasional dan digunakan dalam pengukuran kinerja manajemen rumah sakit. Indikator/kriteria dalam penelitian ini yaitu: kepemimpinan; perencanaan strategi; fokus pasien; pelanggan lain dan pasar; pengukuran analisis dan manajemen; fokus tenaga kerja; fokus operasi kerja dan hasil. Hasil penelitian ini berupa sistem penilaian kinerja manajemen rumah sakit yang dapat memberikan informasi level kinerja rumah sakit. Penelitian ini menunjukkan rumah sakit berada pada level “industry leader” dengan skor 677,20. Hal ini menunjukkan bahwa penerapan kerangka Malcolm Baldrige tepat diterapkan dalam sistem penilaian kinerja manajemen bidang kesehatan.
Penerapan Artificial Intelligence dalam Computer Aided Instructure(CAI)
Authors: Chanda Halim  , Hendri Prasetyo
Published: January 2020

Dengan perkembangan teknologi komputer dan informasi, Artificial Intelligence (AI) digunakan dalam teknik pendidikan, dan telah menjadi kecenderungan pengembangan pendidikan komputer. Makalah ini memperkenalkan sistem instruksi dibantu komputer dan aktualitasnya, dan membahas konsepsi, objek penelitian dan ruang lingkup AI, kemudian berurusan dengan instruksi dibantu komputer cerdas berdasarkan kecerdasan buatan, akhirnya mengusulkan beberapa jenis Computer Aided Instructure(CAI).
AI Based Financial System: The Way Financial Matrix Dan Braille Index Improve Financial Reporting
Authors: Tri Junarso
Published: January 2020

Perlu terobosan supaya akuntansi dapat diakses dengan mudah baik oleh akuntan maupun Non Akuntan. Penulis terinspirasi bagaimana seorang tunanetra mampu membaca, padahal mereka tidak dapat melihat apappun karena buta. Dengan huruf Braille, mata mereka “dijembatani” untuk membaca atau menulis.AI based accounting adalah sistem akuntansi yang memiliki senyawa kecerdasan buatan (artificial intelligence), yang dapat dioperasikan di segala waktu, cuaca dan tempat karena tersambung pada internet. Dengan AI, sistem akuntansi ini dilengkapi algoritma dan pemrograman yang memungkinkan seorang yang buta akuntansi dapat berprestasi seperti akuntan profesional. Akuntan pada level itu, biasanya mampu melakukan pembukuan dengan baik dan menerbitkan laporan keuangan. Dalam hal AI based accounting, pembukuan dan laporan keuangan telah di-preset (atur sebelumnya), baik kode pembukuan (GL code) maupun tabulasi untuk laporan financial statement.
AGI (Artificial General Intelligence): Peluang Indonesia Melompat Jauh ke Depan
Authors: Johanes B. Bunyamin
Published: January 2020

AGI (Artificial General Intelligence) adalah kecerdasan buatan yang setara dengan kecerdasan manusia, sehingga semua pekerjaan intelektual manusia bisa digantikan oleh perangkat AGI. Nilai komersialnya akan sangat tinggi di masa yang akan datang. Devisa yang diperoleh dari ekspor perangkat AGI bisa mencapai 10 triliun dolar per tahun. Indonesia memiliki peluang mengembangkan teknologi AGI dan mengkomersialkannya, sebab sampai saat ini belum ada satu ahli pun yang mengetahui cara kerja otak manusia secara lengkap yang bisa dijabarkan ke dalam algoritma AGI. Jadi, Indonesia tidak ketinggalan. Berdasarkan perkiraan paling optimis, AGI akan tercipta pada tahun 2029. Bila Indonesia menganggarkan dana untuk penelitian dan pengembangan AGI sebesar Rp 90 miliar total untuk 10 tahun, ada kemungkinan Indonesia berhasil menciptakan AGI. Biaya ini relatif kecil sebab strateginya adalah memanfaatkan sebanyak mungkin teknologi yang sudah dipublikasikan baik berupa open source maupun API (Application Programming Interface), dan menjadwalkan eksperimen sesuai dengan penurunan harga perangkat keras. Dalam makalah ini penulis mengusulkan Model Kecerdasan Berbasis Konsep atau CBIM (Concept Based Intelligence Model), yang dapat digunakan untuk menciptakan AGI. Model ini menggunakan pendekatan berdasarkan cara kerja otak manusia bukan hanya dari segi struktural otak melainkan juga pembelajaran dan perkembangannya secara evolusi. Secara teori, model ini masuk akal (plausible) karena bisa memberikan jawaban yang memuaskan terhadap masalah-masalah utama dalam menciptakan AGI. Namun, model ini hanya terbukti benar setelah dilakukan pengembangan. Karena kompleksitasnya dalam tingkat detail, diperkirakan butuh waktu 10 tahun untuk menyelesaikan pengembangannya, dimana targetnya adalah mendidik AGI sampai tingkat sarjana.  Keberhasilan pengembangan AGI memiliki nilai yang sangat strategis. Sebagaimana diilustrasikan dalam makalah ini, AGI bisa dimanfaatkan untuk mencerdaskan kehidupan bangsa, sesuai amanah UUD 45. Kemajuan akan mengalami percepatan di segala bidang termasuk di bidang ekonomi, kesehatan, pendidikan, budaya, sains, teknologi, dan militer, sehingga Indonesia akan menjadi negara termaju. Mengingat nilai strategisnya, sebaiknya pemerintah segera memulai proyek AGI.
Pengembangan Smart Village untuk Penguatan Smart City dan Smart Regency
Authors: Rini Rachmawati
Published: January 2020

Dewasa ini berbagai kota di Indonesia maupun di negara lain sedang giat menuju pencapaian Smart City. Pencapaian Smart City acapkali dilakukan secara general untuk dapat mencapai seluruh dimensi smart, baik itu smart governance, smart living, smart people, smart environment, smart economy dan lainnya. Sementara itu tidak seluruh wilayah memiliki karakteristik sebagai kota (city). Wilayah kabupaten (regency) terdiri atas kawasan perkotaan dan perdesaaan sehingga hanya bagian dari kawasan perkotaan saja yang dapat dikembangkan dengan menggunakan konsep Smart City. Sementara itu bagian kawasan perdesaan memiliki pendekatan yang berbeda untuk dapat dijadikan sebagai daerah yang smart. Lebih jauh paper ini akan mendiskusikan tentang komponen-komponen apa yang diperlukan didalam mengambangkan Smart Village sebagai penguatan dari Smart City dan Smart Regency.
ANALISIS DU PONT SYSTEM DALAM MENGUKUR KINERJA KEUANGAN PERUSAHAAN PADA PT FAST FOOD INDONESIA, Tbk YANG TERDAFTAR DI BURSA EFEK INDONESIA
Authors: Hutasoit Yuni Rezki , Siahaan Yansen , Putri Debi Eka , Grace Ernest
Published: January 2020

Dalam menganalisis kinerja keuangan perusahaan dapat dilakukan dengan menggunakan metode du pont system. Du pont system merupakan bagan yang dirancang untuk menunjukkan pengembalian atas aset yang diperoleh dari perkalian marjin laba dengan total perputaran total aset. Tujuan penelitian ini adalah: Untuk mengetahui gambaran kinerja keuangan dengan menggunakan metode du pont system dan untuk mengetahui faktor-faktor yang menyebabkan penurunan kinerja keuangan dengan menggunakan analisis du pont system pada PT Fast Food Indonesia, Tbk yang Terdaftar di Bursa Efek Indonesia. Penelitian ini dilakukan dengan metode analisis deskriptif kualitatif. Objek penelitian ini adalah laporan keuangan PT Fast Food Indonesia, Tbk  yang telah diaudit periode 2013 sampai 2017. Pengumpulan data dilakukan dengan metode dokumentasi. Teknik analisis yang digunakan adalah analisis deskriptif kualitatif dan analisis induktif. Hasil analisis dapat disimpulkan bahwa Net Profit Margin (NPM), Asset Turnover (ATO), Return On Asset (ROA) dan Return On Equity (ROE) mengalami penurunan sehingga kinerja keuangan perusahaan tersebut mengalami penurunan dan buruk. Equity Multiplier mengalami peningkatan. Faktor yang dominan menyebabkan penurunan kinerja perusahaan adalah beban pokok penjualan, beban penjualan dan distribusi, beban umum dan administrasi, beban operasi lainnya, meningkatnya beban pajak penghasilan, beban keuangan dan adanya pajak final atas penghasilan keuangan Hasil penelitian ini menyarankan sebaiknya perusahaan lebih memaksimalkan penggunaan aset, mengoptimalkan penjualan dan lebih meminimalkan beban beban.Kata kunci: Analisis Du pont System, Kinerja Keuangan
DAMPAK QUICK RATIO DAN DEBT TO EQUITY RATIO TERHADAP PRICE EARNING RATIO PADA PT MERCK, TBK
Authors: Fiorensia Fiorensia , Siregar Liper , Nainggolan Christine Dewi , Silitonga Hery Pandapotan
Published: January 2020

Tujuan dari penelitian ini adalah untuk mengetahui gambaran Quick Ratio, Debt to Equity Ratio dan Price Earning Ratio serta pengaruh Quick Ratio dan Debt to Equity Ratio terhadap Price Earning Ratio secara simultan maupun parsial pada PT Merck, Tbk periode 2010 - 2017. Penelitian ini dilakukan dengan menggunakan metode analisis deskriptif kualitatif dan analisis deskriptif kuantitatif. Pengumpulan data dilakukan dengan metode dokumentasi. Teknik analisis data yang digunakan adalah uji asumsi klasik, analisis linear berganda, koefisien korelasi, koefisien determinasi dan uji hipotesis. Hasil penelitian ini menunjukkan bahwa Quick Ratio (QR) mengalami fluktuasi dan cenderung menurun sedangkan  Debt to Equity Ratio (DER) dan  Price Earning Ratio (PER) mengalami fluktuasi dan cenderung meningkat. Untuk hasil pengujian hipotesis dapat disimpulkan bahwa Quick Ratio dan Debt to Equity Ratio berpengaruh tidak signifikan terhadap Price Earning Ratio pada PT Merck Indonesia, Tbk periode 2010-2017 baik secara simultan maupun parsial.Kata kunci: Quick Ratio (QR), Debt to Equity Ratio (DER) dan Price Earning Ratio (PER)
DAMPAK STRUKTUR ASET DAN UKURAN PERUSAHAAN TERHADAP STRUKTUR MODAL
Authors: Panggabeam Verda Desi Yolanda , Inrawan Ady , Silitonga Hery Pandapotan , Sembiring Lenny Dermawan
Published: January 2020

Tujuan penelitan ini untuk mengetahui pengaruh struktur aset dan ukuran perusahaan terhadap struktur modal. Metode yang digunakan analisis deskriptif kuantitatif. Analisis data digunakan uji asumsi klasik, regresi linier berganda, koefisien korelasi, determinasi, uji F dan uji t. objek pada Perusahaan Sub Sektor perkebunan yang terdaftar di Bursa Efek Indonesia untuk laporan keuangan periode 2011-2017. Hasil penelitian dapat disimpulkan sebagai berikut: 1. Hasil pengujian analisis regresi linear berganda diketahui bahwa struktur aset berpengaruh positif, sedangkan ukuran perusahaan berpengaruh negatif terhadap struktur modal. 2.Hasil koefisien korelasi menunjukkan bahwa hubungan struktur aset dan ukuran perusahaan terhadap struktur modal berada pada tingkat yang sedang, sedangkan koefesien determinasi sebesar 27,40% tinggi rendahnya struktur modal dapat dijelaskan oleh struktur aset dan ukuran perusahaan 3. Uji Hipotesis, untuk hasil uji F adalah struktur aset dan ukuran perusahaan berpengaruh signifikan terhadap struktur modal, dan uji t bahwa struktur aset berpengaruh signifikan terhadap struktur modal dan ukuran perusahaan berpengaruh tidak signifikan terhadap struktur modal.
A Study of the Observational Properties of Coronal Mass Ejection Flux Ropes near the Sun*
Authors: Sindhuja G. , Gopalswamy N.
Published: January 2020

We present the observational properties of coronal mass ejection (CME) flux ropes (FRs) near the Sun based on a set of 35 events from solar cycle 24 (2010–2017). We derived the CME FR properties using the Flux Rope from Eruption Data technique. According to this technique, the geometrical properties are obtained from a flux-rope fit to CMEs and the magnetic properties from the reconnected flux in the source region. In addition, we use the magnetic flux in the dimming region at the eruption site. Geometric properties like radius of the FR and the aspect ratio are derived from the FR fitting. The reconnected flux exhibits a positive correlation with flare fluence in soft X-rays (SXRs), peak flare intensity in SXRs, CME speed, and kinetic energy, with correlation coefficients (cc) 0.78, 0.6, 0.48, and 0.55, respectively. We found a moderate positive correlation between magnetic flux in the core dimming regions and the toroidal flux obtained from the Lundquist solution for a force-free FR (cc = 0.43). Furthermore, we correlate the core dimming flux and CME mass (cc = 0.34). The area of the core dimming region shows a moderate correlation with the radius of the FR (cc = 0.4). Thus, we infer that greater magnetic content (poloidal and toroidal fluxes) indicates a more energetic eruption in terms of flare size, CME speed, kinetic energy, mass, and radius of the FR, suggesting important implications for space weather predictions.
Ion–neutral Interactions and Nonequilibrium Ionization in the Solar Chromosphere
Authors: Martínez-Sykora Juan , Leenaarts Jorrit , De Pontieu Bart , Nóbrega-Siverio Daniel , Hansteen Viggo H. , Carlsson Mats , Szydlarski Mikolaj
Published: January 2020

The thermal structure of the chromosphere is regulated through a complex interaction of various heating processes, radiative cooling, and the ionization degree of the plasma. Here, we study the impact on the thermal properties of the chromosphere when including the combined action of nonequilibrium ionization (NEI) of hydrogen and helium and ion–neutral interaction effects. We have performed a 2.5D radiative magnetohydrodynamic simulation using the Bifrost code. This model includes ion–neutral interaction effects by solving the generalized Ohm’ s law (GOL) as well as NEI for hydrogen and helium. The GOL equation includes ambipolar diffusion and the Hall term. We compare this simulation with another simulation that computes the ionization in local thermodynamic equilibrium (LTE) including ion–neutral interaction effects. Our numerical models reveal substantial thermal differences in magneto-acoustic shocks, the wake behind the shocks, spicules, low-lying magnetic loops, and the transition region. In particular, we find that heating through ambipolar diffusion in shock wakes is substantially less efficient, while in the shock fronts themselves it is more efficient, under NEI conditions than when assuming LTE.
Evaluate the Results at Minimum 2-Years of Treating Rotator Cuff Tear by Arthroscopic Surgery
Authors: Trung Dung Tran , Anh Duc Nguyen , Duc Tuan Tran , Trung Van Nguyen , Chu Dinh Thien
Published: January 2020

BACKGROUND: Rotator cuff tear (RCT) is a common injury of the shoulder, especially middle-aged people. Nonoperative treatment, cortisone injections are only effective at an early stage. Open surgery causes postoperative atrophy of the deltoid muscle, so results are limited. Arthroscopic rotator cuff repair surgery has been performed in Vietnam for about ten years, with many advantages such as the ability to accurately assess the lesions and less invasive procedure. In order to have a clearer view, we performed a mid-term assessment of the effectiveness of this surgery.
AIM: Evaluate results over 2 years of patients with rotator cuff tears treated with arthroscopic surgery and their quality of life.
METHOD: A group of 30 patients were diagnosed with RCT and surgery by arthroscopy to treat at Hanoi Medical University Hospital and Saint Paul Hospital between Jun 2015 and April 2017. The results of the surgeries were assessed by the degree of pain, muscle power, motion of the shoulder joint according to UCLA shoulder score. Evaluate the quality of life through the Rotator Cuff-Quality of Life (RC-QoL) index.
RESULTS: The average age was 60.7 years. Female / male ratio was 1.3. Thirty-six months ± 6.41 was the average follow-up time (min 27 – max 50 months). The shoulder function is recorded according to UCLA has an average score of 30.9, therein good and excellent result were 90 %. The mean RC-QoL index was 91.5%.
CONCLUSION: Treatment of RCT by arthroscopic surgery that has been evaluated for a minimum of 2 years follow-up showed good results and high quality of patient’s life.
Quality of Life and Suitability with Vietnamese Harmonious Face Index in Class III Malocclusion Patients
Authors: Minh Nguyen Hoang , Dung Truong Manh , Ngoc Vo Truong Nhu , Tuan Pham Hoang , Ha Nguyen Hong , Son Le Van , Phuong Nguyen Thi Thu , Doi Hoang Thi , Thanh Vo Van , Dinh Thien Chu , Phuong Nguyen Thi , Chu Dinh Toi
Published: January 2020

BACKGROUND: Maxillary Lefort I osteotomy, mandibular bilateral sagittal split ramus was frequently used in correcting skeletal class III malocclusion. There was a lack of research on class III malocclusion patients’ quality of life (QoL) after bimaxillary osteotomy.
AIM: Class I Intermaxillary relationship was achieved, aesthetic was significantly improved. Significant improvement in Class III skeletal patients’ quality of life was acquired. The achievement of harmonious face would be beneficial to the facial aesthetics of patients, thus improving the quality of life.
METHODS: Harmonious face index is an effective criterion in assessing the surgery’s outcome. In this study was conducted on 30 patients at Hanoi National Hospital of Odontostomatology, Viet Duc Hospital, and Hong Ngoc Hospital from April 2017 to April 2018, and it was a quasi-experimental study with self-comparison, 12 months follow up.
RESULTS: Orthognathic surgery effectively corrected malocclusion crossbite, dental compensation, and helped to improve facial aesthetics. 100% of patients had the quality of life improved, good quality of life consisted of 86.7%. In comparison with a harmonious facial index of Kinh ethnic in Vietnam, 70% of patients achieved skeletal harmony, 63.3% of patients achieved dental harmony, 80% achieved soft tissue harmony.
CONCLUSIONS: Vietnamese harmonious facial index should be used in planning and pre-surgical simulation
Awareness of Diabetic Retinopathy Among Type II Diabetic Patients Attending at King Salman Armed Forced Hospital-Primary Health Care, Tabuk 2019
Authors: Albalawi Amal Mohammed , Khalil Tahani , Alimam Reham Abdalmajeed , Albalawi Ayah Suliman
Published: January 2020

BACKGROUND: Diabetic retinopathy refers to vascular disease of the retina that affects patients who have been diagnosed with type II diabetes mellitus. Information about DR must be spread the population, especially diabetic patients. Tools for DR screening are available and easy to access. No similar study was carried out in Tabuk to assess awareness of DR among type II diabetic patients up to our knowledge.
AIM: To assess awareness of diabetic retinopathy among type II diabetic patients.
METHODS: A cross-sectional study carried out in Tabuk city at King Salman Armed Forced Hospital-Primary Health Care Centers among type II diabetic patients attending at the period of study (n = 382) to assess their awareness about diabetic retinopathy.
RESULTS: Out of 382 diabetics patients, (41.4%) had DM less than 5 years, (34.8%) had DM more than 10 years, and (23.8%) had DM between 5-10 years, (30.1%) had university degree, (42.4%) considered having low income, (57.6%) were screened for DR in the past year, ( 18.1%) of participant think that Seeing optometrist is enough for DR diagnosis. The total knowledge score about DR with a mean Â± SD of 6.4 Â± 1.5, indicating poor knowledge level, where 180 (47.1%) had poor knowledge, 106 (27.7%) had moderate knowledge, and 96 (25.2%) had good knowledge.
CONCLUSION: Almost the Awareness of Type II Diabetic Patients Attending at king Salman Armed Forced Hospital-Primary Health Care centre regarding Diabetic Retinopathy needs to be improved.
A Review of Various Methods of Management of Risk in the Field of Emergency Medicine
Authors: Tavirani Majid Rezaei , Heidari Beigvand Hazhir
Published: January 2020

BACKGROUND: The main concept of risk management in the emergency department (ED) contains a broader meaning, so that; it's known as a sudden event or situation which would happen at an uncertain future that has some negative or positive impacts which could be called threat or opportunity respectively. However, the knowledge of risk management could cover the overall procedures involved with administering the planning of risk management, identification, investigation, monitoring and also step by step clinical examination. One of the main tools for preventing adversities is evaluating and management of possible risks.
AIM: One of the main objectives of the present study is recognising the most frequent types of the risk happening in the EDs. Moreover, the present study is trying to evaluate the possible risks which could happen among various ED sections.
METHODS: Six databases of EMBASE, HubMed, Cochrane Library, MEDLINE, PubMed, CHBD and Goggle scholar were chosen for discovering much-related articles from the year 2005 to 2019. A total number of 68 were chosen finally to be reviewed more precisely based on the main objective of the present study.
RESULTS: Precise planning, preparing sufficiently and conducting the process of continuous monitoring are needed for ensuring the fact that any possible risks could be managed through these planned strategies. On the other hand, by modifying the patients' beliefs, anticipations and the available social culture about the importance of risk management issue, the overall objective of the present study could be achieved at higher rates.
CONCLUSION: Moreover, because the potential of occurrence of risk in EDs is high and approximately more than half of them are fatal, more precise adequate systematic plans for management of them should result.
Comparing the Accuracy of Radiography and Sonography in Detection of Knee Osteoarthritis: A Diagnostic Study
Authors: Majidi Hadi , Niksolat Fatemeh , Anbari Khatereh
Published: January 2020

BACKGROUND: Knee osteoarthritis (OA) is the most common degenerative disorder occurring in elderly people. Radiography and sonography are convenient techniques to detect diverse pathological features of knee OA.
BACKGROUND: Knee osteoarthritis (OA) is the most common degenerative disorder occurring in older people. Radiography and sonography are convenient techniques to detect diverse pathological features of knee OA.
AIM: The aim of the present study was to evaluate the diagnostic efficacy of radiography and sonography in the detection of diverse features of knee OA.
METHODS: In a prospective cross-sectional diagnostic accuracy study, 50 consecutive patients with suspected knee OA (40 women and 10 men, mean age 41.2 Â± 6.1 years), referred to the rheumatology clinic of the Shohada Hospital of Khorramabad. All obtained magnetic resonance imaging (MRI), radiographic and sonography images were evaluated by two radiologists and rheumatologist with sufficient expertise in degenerative knee disorders. MRI has been considered as a gold standard test in evaluating other tests. The sensitivity, specificity, positive predictive values (PPV), negative predictive values (NPV) and accuracy with 95% confidence intervals of radiography and sonography in the diagnosis of knee OA were calculated.
RESULTS: Prevalence of the marginal osteophyte, geode and decreased joint thickness were significantly higher in patients with age > 40 years compared to â‰¤ 40 years (P Ë‚ 0.05). The incidence of diverse features of knee OA was not significantly different in terms of the patientâ€™s gender, except for decreased joint space. The specificity of radiography was higher than its sensitivity.
CONCLUSION: Our study showed that both radiography and sonography are useful imaging modalities, especially to diagnosis the positive cases of knee OA. The specificity of radiography is higher than to its sensitivity for all pathological features of knee OA. The sensitivity of sonography to detect some features of knee OA such as decreased joint thickness is considerably higher than radiography.
Copeptin as a Biomarker of Atherosclerosis in Type 1 Diabetic Patients
Authors: Abd El Dayem Soha M. , Battah Ahmed A. , El Bohy Abo El Magd , Yousef Rasha Nazih , Talaat Ahmed
Published: January 2020

AIM: To evaluate copeptin as an early marker of atherosclerosis in adolescent type 1 diabetics.
METHODS: Sixty-two type 1 diabetic patients and 50 healthy volunteers were enrolled in the study. Serum copeptin, glycosylated haemoglobin (HbA1c), lipid profile, oxidised low-density lipoprotein (OxLDL), urinary albumin/creatinine ratio, carotid intimal medial thickness (cIMT), aortic intimal medial thickness (aIMT) and resistivity index were assessed for all participant in the study.
RESULTS: HbA1, albumin/creatinine ratio, lipid profile, OxlDL, copeptin, cIMT and aIMT were significantly higher in diabetic patients. Copeptin was higher in patients with positive cIMT and aIMT. Copeptin correlated with cIMT and aIMT. Stepwise multiple regression analysis found that copeptin correlated with aIMT. ROC curve showed that copeptin had 100 % specificity with aIMT and cIMT and 95.2 and 60,7 sensitivity with aIMT and cIMT respectively.
CONCLUSION: Copeptin can be used as a marker for early detection of atherosclerosis of type 1 diabetic patients.
Comment l’intelligence artificielle peut répondre aux enjeux économiques de l’industrie de la gestion d’actifs
Authors: Faure Muriel
Published: January 2020

Les services financiers, dont la gestion d’actifs, comme tous les secteurs économiques, seront profondément transformés par l’adoption des technologies digitales à horizon 2025 au bénéfice des clients et des acteurs. L’industrie française de la gestion d’actifs est une industrie clé de l’économie car elle prend le relais, aux côtés des banques, dans le financement des différentes étapes de la vie des entreprises. Ces acteurs, les sociétés de gestion de portefeuilles, sont environ 650, gèrent plus de 4 000 Md€ et représentent près de 100 000 emplois. Elles sont confrontées à d’importants enjeux stratégiques qui ont un impact sur la croissance de leur chiffre d’affaires et sur leurs marges. Comment y répondre ? Investir dans les technologies digitales. Les outils d’intelligence artificielle permettent d’améliorer la performance des fonds, de mieux connaître ses clients ou d’en capter de nouveaux, d’améliorer les processus opérationnels, de réduire le nombre d’intermédiaires, etc. Leur pénétration nécessitera de repenser la gestion de la donnée ainsi que la gestion du capital humain. Classification JEL : G23, O33.
Les néobanques vont-elles bouleverser leur secteur d’activité ?
Authors: Clerc Laurent , Moraglia Arthur , Peyron Sylvain
Published: January 2020

Les néobanques rassemblent un ensemble hétéroclite de nouveaux intermédiaires financiers, offrant des services bancaires en ligne ou via des applications mobiles. Leurs caractéristiques ont évolué depuis leur apparition dans les années 2000 ainsi que la nature de leurs relations avec les banques traditionnelles. Toutefois, leurs objectifs de rentabilité n’ont jusqu’à présent guère été atteints, en partie en raison de la difficulté et du coût d’acquisition de nouveaux clients. La nouvelle génération de néobanques, 100 % digitale et principalement accessible par des applications mobiles, est-elle de nature à bouleverser le paysage bancaire ? Classification JEL : G18, G21, G28.
Fintech et intermédiation : les éclairages de l’analyse économique
Authors: Gazé Pierre , Pollin Jean-Paul
Published: January 2020

Cet article a pour objectif d’analyser les conséquences de l’émergence des Fintech sur les formes de l’intermédiation financière ainsi que sur le marché de la banque. L’idée selon laquelle les Fintech sont de nature à favoriser des types de financement décentralisés (à l’instar de ceux caractéristiques des marchés financiers) est discutée et relativisée. Par exemple, les plateformes de financement peuvent être analysées comme une forme de ré-intermédiation tant le rôle des banques y est important. Il est en outre montré que l’intermédiation de bilan conserve des spécificités telles que le développement des Fintech ne conduira pas à la disparition des modes d’intermédiation traditionnels. En revanche, les Fintech sont susceptibles de restructurer le marché de la banque en plaçant des firmes d’origine non bancaire – appelées Bigtech – dans une position concurrentielle privilégiée. Les Bigtech bénéficient de nouvelles économies d’envergure numériques liées à la production jointe de leurs activités de commerce électronique et de services bancaires. Enfin, les ressources des banques pour faire face à ces évolutions sont analysées. Classification JEL : G21, G22, G23, G24.
Utiliser les ressources secondaires de matériaux de construction : contraintes et pistes d’action pour des politiques territoriales
Authors: Augiseau Vincent
Published: January 2020

Les matériaux de construction constituent les matières les plus consommées par les villes après l’eau. L’utilisation des ressources secondaires, matériaux extraits lors de la démolition ou du renouvellement des ouvrages bâtis, pourrait engendrer une profonde transformation des métabolismes urbains. Or, si ces ressources sont abondamment extraites, elles restent peu utilisées dans la construction. Des démarches de planification régionales et des projets portés par des collectivités territoriales visent à développer cette utilisation. Ces initiatives se heurtent cependant à de fortes contraintes. L’analyse de ces contraintes selon la place de ces dernières dans la chaîne de circulation des matières ainsi que l’échelle d’action dont elles relèvent fait l’objet de cet article. Nous montrons que d’importantes limites se situent aux étapes de production et utilisation des matériaux, ainsi qu’aux échelles d’action nationale et européenne. Des pistes d’action pour des politiques territoriales portées par les DREAL, Régions et intercommunalités sont ensuite esquissées.
L’aventurier de la Fortune : naissance d’un type politique au XVII e siècle
Authors: Amstutz Delphine
Published: January 2020

Le terme aventurier se cantonne, jusqu’à la fin du XVI e  siècle, à une acception strictement militaire. Il acquiert, au cours du siècle suivant, une signification politique plus large, qui engage une nouvelle appréciation de certaines notions morales comme l’ambition et signale une évolution des structures institutionnelles et sociales. Romans, traités de cour et mémoires témoignent plus particulièrement de cette mutation historique.
Travailleurs transfrontaliers : étude de leurs trajectoires de carrière
Authors: Lutz Axelle , Wodociag Sophie , Bollecker Marc
Published: January 2020

Dans la Région du Rhin supérieur, beaucoup de français traversent la frontière suisse pour y trouver un emploi. Or, peu de recherches sur la gestion des carrières de ces individus ont été menées. L’enquête qualitative sur laquelle repose cet article, mobilisant le cadre théorique de Dahan et Dufour (2012) et réalisée auprès de 45 travailleurs transfrontaliers, permet de mieux appréhender la vision de la carrière qu’ils réalisent en Suisse alémanique, les éléments de succès qu’ils y associent et la trajectoire qu’ils décident de poursuivre.
Transformations énergétiques sous contrainte écologique forte
Authors: Nadaï Alain , Wallenborn Grégoire
Published: January 2020

L’idée d’une « transition » énergétique, processus pilotable dans un monde relativement stable et anticipable, semble arriver à son terme. Même le GIEC en appelle désormais à des « transformations » énergétiques rapides et radicales. Toutefois, malgré la prise de conscience de l’urgence climatique et de la perte dramatique de biodiversité, qui s’actualise notamment dans une série de manifestations et de luttes, la question du climat est trop rarement articulée à la question de l’énergie. Dans cette Majeure, nous explorons ce que pourraient vouloir dire ces transformations énergétiques et partons à la recherche des bonnes échelles pour agir et des récits pertinents pour inspirer les collectifs.
L’essor des coopératives énergétiques citoyennes
Authors: Fontaine Antoine
Published: January 2020

Au cours des années 2000, le développement de la filière photovoltaïque en France a essentiellement pris la forme de projets individuels et privés, organisés autour d’une quête de retour sur investissement suscitant débordements et controverses. A partir du cas des centrales villageoises, l’article souligne que l’essor actuel des coopératives énergétiques citoyennes porte un modèle politique alternatif pour le développement des renouvelables, davantage ouverts à des enjeux sociaux, territoriaux et écologiques.
Des génies accueillants au Laos
Authors: Selim Monique
Published: January 2020

Au Laos, pays majoritairement bouddhiste, toujours dirigé par un État-parti communiste rigide et répressif, les cultes aux génies continuent à se développer et se transforment, en réponse aux contraintes vécues par la population et à ses désirs d’y échapper. La dimension de refuge des cultes et en même temps, d’échappement imaginaire par le haut à des oppressions de toutes sortes, en est un trait récurrent, manifeste en particulier dans les années quatre-vingt-dix dans l’exaltation des figures royales, opposées aux cadres politiques rendus impuissants de l’État-parti communiste. Aujourd’hui les homosexuels masculins trouvent désormais dans les cultes aux génies, en perpétuel remaniement tant au plan des pratiques que des élaborations des personnages mythiques, une atmosphère accueillante, très séduisante en regard des barrières auxquels ils se heurtent dans la vie quotidienne. Les cérémonies se présentent alors, en résonance avec les images en provenance de Thaïlande, comme des dépassements possibles en phase avec un contexte de globalisation idéologique où les plateaux LGBT rayonnent de leurs potentialités libératoires.
La servante géante
Authors: Inandiak Elizabeth D.
Published: January 2020

Dans l’aube qui succéda à l’éruption du 26 octobre 2010, Bu Pujo succomba à ses brûlures. À cette nouvelle, le volcan disparut. Il ne restait plus, au nord, qu’un écran de nuages figés dans l’épouvante. Cela faisait un grand vide, un immense courant d’air froid dans lequel la montagne de feu avait été emportée. Au petit matin, le Merapi avait disparu parce que celle qui le portait était morte. Oui, Bu Pujo portait le volcan comme ces lourds paniers d’offrandes qu’elle chargeait sur son dos le jour de la procession. Elle en portait la responsabilité, comme son propre enfant, avec ses prodiges et ses tares. Voilà pourquoi Bu Pujo avait l’air d’une géante.
L’École internationale d’enseignement infirmier supérieur (1965-1995). Un lieu de production, de diffusion et de développement des savoirs des soins infirmiers en France dans la seconde moitié du XX ème siècle
Authors: Poisson Michel
Published: January 2020

L’histoire de la profession infirmière renvoie aussi à l’histoire des savoirs professionnels des infirmières, des conditions de leur production et de leur usage dans le système de santé et dans la cité. Dans ce qui apparaît comme un indéniable processus de développement et d’affirmation de ce groupe professionnel du fait de l’émergence de ces savoirs, la création de l’École internationale d’enseignement infirmier supérieur à Lyon en 1965 représente un tournant majeur pour les infirmières françaises, même si cette institution ne forma qu’une infime partie d’entre elles. Cet article se propose d’examiner, à partir de l’enracinement de ce mouvement de professionnalisation à la fin du XIX ème siècle, ce que cette École unique leur apporta collectivement jusqu’à sa fermeture en 1995. En entrant pour la première fois à l’Université, ce groupe professionnel jusqu’alors sous le joug des pouvoirs administratif, médical et religieux, s’émancipa par l’apprentissage rendu possible de l’autonomie et même de la désobéissance. Largement ouverte sur le monde, cette École établit aussi les bases d’une réflexion sur les conditions de possibilité d’un développement disciplinaire des soins infirmiers en France, même si son œuvre resta inachevée de ce point de vue, du fait de sa fermeture faute des moyens nécessaires au maintien de son activité.
La construction d’une problématique de recherche : de l’histoire d’une femme atteinte de sclérose en plaques à une recherche en sciences infirmières dans le domaine de la santé sexuelle
Authors: Lefebvre Sandrine , Jovic Ljiljana
Published: January 2020

La problématique, une étape essentielle du processus scientifique de recherche, comprend différentes composantes devant être articulées dans une même temporalité, d’où sa complexité. Les définitions ne font pas consensus et les modalités de construction sont relativement peu décrites dans la littérature. Le processus de problématisation est un travail intellectuel, réflexif, de questionnement, de documentation et de choix visant à passer d’une idée ou d’un sujet à une question de recherche précise à laquelle il faudra répondre. La construction de la problématique permet notamment de préciser l’orientation théorique, méthodologique et d’analyse de la recherche. Étape essentielle qui positionne la recherche dans un continuum de savoirs disciplinaires et en l’occurrence dans l’histoire des savoirs infirmiers. L’objectif de cet article est de montrer, à l’aide d’un exemple concret issu des soins infirmiers, comment l’analyse d’observations cliniques permet l’élaboration de la problématique de recherche d’un projet puis d’un programme de recherche. La situation clinique concerne la santé sexuelle de femmes atteintes de sclérose en plaques. Au-delà de l’expérience personnelle et de la narration d’une démarche singulière, réinterprétée, il s’agit d’illustrer concrètement, dans un double mouvement, à partir d’une situation et d’observations empiriques, des éléments abstraits et de les transformer avec l’appui de savoirs théoriques en informations communicables et transférables utiles à la construction de la problématique de recherche. L’exposé de l’histoire invisible de la construction de la problématique est intéressant pour l’enseignement. Il rend compte aussi du cadre conceptuel puisé dans les sciences infirmières et mobilisable dans un contexte de soins. L’exemple illustre la construction des savoirs infirmiers tant sur les aspects méthodologies de recherche que sur les modèles théoriques utiles pour les soins.
Les jardins familiaux franciliens entre urbanisation, végétalisation et agrarisation
Authors: Robert-Boeuf Camille
Published: January 2020

Les jardins familiaux sont une des formes les plus anciennes du jardinage urbain en France. Ces dernières années, ils entrent en concurrence et en complémentarité avec d’autres formes de jardinage plus récentes comme les jardins partagés ou potagers pédagogiques. En Île-de-France, ces jardins familiaux s’inscrivent dans la ville en articulant plusieurs échelles et différents types d’acteurs et révèlent certains enjeux d’aménagement urbain à lire dans la durée. Participant originellement à l’urbanisation des banlieues, ils en sont aujourd’hui les victimes. Cependant, plus qu’une végétalisation de la ville et une amélioration du cadre de vie des urbains comme les autres formes de jardinage, ils favorisent une agrarisation de la métropole aujourd’hui discutée.
Characterizations of Fuzzy Sublattices Based on Fuzzy Point
Authors: Jana Chiranjibe , Karaaslan Faruk
Published: January 2020

In a lattice 𝔏, the authors used the concept of belongingness and quasi-coincidence of fuzzy point to a fuzzy set, and by this notion, (∈,∈∨q)-fuzzy sublattice, (∈,∈∨q)-fuzzy ideal, cartesian product of (∈,∈∨q)-fuzzy sublattice, (∈,∈∨q)-fuzzy complemented sublattice, and cartesian product of (∈,∈∨q)-fuzzy complemented sublattice are introduced, and their properties are briefly studied. The relationship between fuzzy sublattice and (∈,∈∨q)-fuzzy sublattice, fuzzy ideal and (∈,∈∨q)-fuzzy ideal of L are established. The authors prove that the cartesian product of two (∈,∈∨q)-fuzzy ideals of a lattice is not necessarily a fuzzy ideal of a lattice. The theory of image and inverse image of an (∈,∈∨q)-fuzzy sublattice and (∈,∈∨q)-fuzzy ideal, an (∈,∈∨q)-fuzzy complemented sublattice, and (∈,∈∨q)-fuzzy complemented ideal of 𝔏 on the basis of homomorphism of lattices are also significantly established.
Uni-Hesitant Fuzzy Set Approach to the Ideal Theory of BCK-Algebras
Authors: Muhiuddin G.
Published: January 2020

In this chapter, the author studies the uni-hesitant fuzzy set-theoretical approach to the ideals of BCK-algebras. For a hesitant fuzzy set H on S and a subset of [0,1], the set L(H;ʎ):={x∈S|xH⊆ʎ}, is called the uni-hesitant level set of H. Moreover, the author discusses the relations between uni-hesitant fuzzy commutative ideals and uni-hesitant fuzzy ideals. Further, he considered the characterizations of uni-hesitant fuzzy commutative ideals in BCK-algebras. Finally, he proved some conditions for a uni-hesitant fuzzy ideal to be a uni-hesitant fuzzy commutative ideal.