bluuebunny/crossref_metadata_2025 huggingface dataset:
“You Cannot Hide Forever Luke”: Understanding the Strategic Use of Sustainability Disclosure in the Short and Long Term
Authors: Touboul Samuel , Kozan Asli
Published: March 2020

This study investigates the relationships among firms’ sustainability disclosure, sustainability performance, and financial performance. Based on legitimacy theory and signaling theory, it argues that sustainability disclosure participates in two distinct mechanisms: a conformity mechanism through which disclosure shows conformity to the norms and a revelation mechanism through which disclosure reveals or hides a firm’s achieved degree of sustainability. In an attempt to contrast and reconcile the two mechanisms, the study assesses their impact on financial performance in the short and long term. Hypotheses are tested using longitudinal data (2002–2010), which cover 10,814 observations of firms from major indexes of stock exchanges worldwide. The results show that the conformity mechanism is effective in both the short and long terms, whereas the revelation mechanism is only effective in the short term. As a consequence, firms with poor sustainability performance may hide their detrimental impact and achieve higher financial performance in the short term by limiting their disclosure but not in the long term in which their lack of conformity is punished. In the long term, only conformity to the norms of disclosure leads to higher financial performance, even in the case of poor sustainability results.
Editorial
Authors: Lorenzatti Marco
Published: March 2020

Córdoba Management School presenta el cuarto número de su revista Ciencias Empresariales. La buena acogida de los números previos, nos hace pensar que estamos cubriendo un espacio importante en la divulgación del conocimiento de las áreas de management y administración de organizaciones.
KINERJA DAN PROSPEK KETAHANAN PANGAN KOMODITAS BERAS DI KABUPATEN JEMBER
Authors: Hotima Siti Husnul
Published: March 2020

Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang mempengaruhi permintaan dan penawaran beras di Kabupaten Jember, untuk menganalisis ketahanan pangan pada beras di Kabupaten Jember tahun 2009 – 2013, untuk menganalisis kontribusi komoditas beras terhadap total komoditas tanaman pangan.Pangan merupakan kebutuhan dasar yang paling esensial bagi manusia untuk mempertahankan hidup dan kehidupan. Sebagai makhluk bernyawa, tanpa pangan manusia tidak mungkin dapat melangsungkan hidup dan kehidupannya untuk berkembang biak dan bermasyarakat. Untuk menilai keberhasilan kebijakan ketahanan pangan dapat dilakukan dengan mengukur tingkat ketahanan pangan di Kabupaten Jember.Untuk menjawab permasalahan Faktor-faktor apakah yang mempengaruhi permintaan dan penawaran beras di Kabupaten Jember, bagaimanakah ketahanan pangan pada beras di Kabupaten Jember tahun 2009 – 2013, bagaimanakah kontribusi komoditas beras terhadap total komoditas tanaman pangan, penulis menggunakan pendekatan kuantitatif. Metode analisis yang digunakan dalam penelitian ini menggunakan regresi linear berganda, Least Square Method dan kontribusi komoditas.Dari hasil penelitian menunjukkan bahwa variabel jumlah beras yang diminta pada tahun t -1 (Qdt-1), variabel harga beras pada tahun t –1 (Pt-1), variabel pendapatan per kapita penduduk pada tahun t (It) dan variabel jumlah penduduk pada tahun t (Popt) berpengaruh signifikan positif terhadap variabel jumlah beras yang diminta pada tahun t (Qdt); variabel jumlah beras yang ditawarkan pada tahun t -1 (Qst-1), harga beras pada tahun t –1 (Pt-1) tidak berpengaruh secara signifikan terhadap variabel jumlah beras yang ditawarkan pada tahun t (Qst); tren perkembangan produksi beras di Kabupaten Jember yang diperoleh pada tahun 2004 – 2013 mengalami peningkatan; tahun 2003 hingga 2008 kontribusi beras mengalami penurunan. Hal ini dapat disebabkan karena jumlah produksi tanaman pangan selain beras, yaitu jagung, kedelai, kacang tanah, ubi, sayur-sayuran sejak tahun 2003 sampai tahun 2008 mengalami peningkatan.
PENTINGNYA INFORMASI DI DALAM SISTEM KONTROL PERUSAHAAN
Authors: Hotima Siti Husnul
Published: March 2020

Informasi adalah data yang sangat penting karena sudah diolah dan memberikan masukan yang berguna. Informasi adalah data yang dicatat digolong-golongkan, disusun, dihubung-hubungkan atau ditafsiran untuk memberikan pengertian. Sistim bisa diartikan sebagai suatu kebulatan atau keseluruhan yang kompleks atau terorganisir, suatu himpunan atau perpaduan hal-hal atau bagian-bagian membentuk suatu kebulatan atau keseluruhan yang kompleks atau utuh. Dengan demikian kata sistim menunjukkan adanya input bisa berupa rencana, proses bisa berupa metode, urut-urutan, keteraturan dan out put. Sehingga suatu sistim dapat pula didefinisikan suatu gugus komponen yang dirancang untuk mencapai sasaran sesuai dengan rencana. Contoh sistim kontrol dari sebuah proyek ialah sesuatu yang berhubungan dengan rencana standar yang mengarahkan aktivitas pelaksanaan atau implementasinya tetap pada arah secara konsuisten mencapai tujuan yang sudah ditetapkan.
KUALITAS PELAYANANPROGRAM NASIONAL PEMBERDAYAAN MASYARAKAT (PNPM) MANDIRI HUBUNGANNYA DENGAN KEPUASAN MASYARAKAT DI KECAMATAN PANTI KABUPATEN JEMBER
Authors: Mustikawati Ida
Published: March 2020

Rumusan  masalah penelitian ini adalah adakah hubungan yang positif dan signifikan antara kualitas pelayanan PNPM Mandiri dengan kepuasan masyarakat desa di  Kecamatan Panti Kabupaten Jember. Selanjutnya penelitian ini bertujuan untuk mendiskripsikan hubungan antara kualitas pelayanan PNPM Mandiri  secara sistematis, faktual dan akurat mengenai fakta-fakta terhadap tingkat kepuasan masyarakat desa di  Kecamatan Panti Kabupaten Jember. Populasinya adalah seluruh penduduk yang ada di  desa-desa di Kecamatan Panti Kabupaten Jember,  sedangkan sampel yang diambil adalah sebanyak 47 (empat tujuh) Kepala Keluarga. Instrumen penelitian menggunakan kuesioner, yang disusun dengan modifikasi dalam skala likert dengan 5 (lima) kategori, untuk jawaban a diberi kreteria sangat baik dengan nilai 5 (lima), untuk jawaban e diberi kreteria sangat buruk dengan nilai 1 (satu). Teknik analisis yang digunakan adalah analisis deskriptif dan analisis Korelasi Product Moment Karl Pearson.Hasil penelitian menunjukkan terdapat hubungan yang positif dan signifikan antara kualitas pelayanan PNPM Mandiri dengan kepuasan masyarakat desa di Kecamatan Panti Kabupaten Jember.
EVALUASI KINERJA PENDAMPING PROGRAM KELUARGA HARAPAN DALAM MEWUJUDKAN KEBERHASILAN PROGRAM PEMBERDAYAAN MASYARAKAT DI KECAMATAN BANYUPUTIH KABUPATEN SITUBONDO TAHUN 2013
Authors: Priyantiningtyas Lailia
Published: March 2020

This research is going to describe and evaluate how actually work performance of the escorts of Program Keluarga Harapan is contributing to achieve successfully society empowerment programme held in Kecamatan Banyuputih Kabupaten Situbondo in 2013. Qualitative paradigm and descriptive research is used, which processing primary and secondary data. Techniques that I use to work on primary data are observation and interview, meanwhile I have documentating secondary data. From its evaluation I able to conclude that Program Keluarga Harapan held in Kecamatan Banyuputih Kabupaten Situbondo in 2013 have been contributed toward society empowerment programme.            Society empowerment concept is always upperhanded as final achievement of PKH. This means that even the programme ended people still able to recieve benefits from it. Health and education considered as the main indicator as a social modal to survive and make a betterment in the live of the society. With having strong body they able to strive and working hard, and with posessing education they have a chance to make bigger fortunes. Example of one successful PKH outcome is seen by increasing of number of working housewives as snack sellers or making a catering services. This efforts effect family economical condition, too. At last, implementation of Program Keluarga Harapan already make society to change their mindset in order to make a betterment for their lives.
KEMAMPUAN MENGELOLA KOPERASI DAN MOTIVASI PIMPINAN SEBAGAI UPAYA KEBERHASILAN USAHA PADA KOPERASI SEKAR KARTINI JEMBER
Authors: Setiono Sovia Anggraini
Published: March 2020

Penelitian ini dilakukan untuk mengetahui dan menguji variabelKemampuan Mengelola Koperasi (X1) dan Motivasi Pimpinan (X2) yangmemberi pengaruh pada variabel  Keberhasilan Usaha Koperasi (Y) baiksecara simultan maupun secara parsial pada Koperasi Sekar KartiniJember. Data yang diperoleh dianalisis menggunakan regresi linier bergandaberdasarkan kuesioner sebagai alat pengumpulan data. Variabel Keberhasilan UsahaKoperasi (Y) diperoleh thitung sebesar 1,997. Variabel Motivasi Pimpinan (X2)terhadap Keberhasilan Usaha Koperasi (Y) diperoleh thitung sebesar 1,997. Diketahuibahwa variabel Kemampuan Mengelola Koperasi (X1) dan MotivasiPimpinan (X2) yang memberi pengaruh yang sama pada variabel Keberhasilan Usaha Koperasi (Y).
PENGARUH CITRA PERUSAHAAN TERHADAP LOYALITAS PELANGGAN DENGAN VARIABEL INTERVENING KEPUASAN PELANGGAN PADA RESTORAN C’BEZT FRIED CHICKEN AMBULU
Authors: Suparto Hendri , Zain Mahmud Ali
Published: March 2020

Citra perusahaan merupakan strategi yang dilaksanakan oleh C’Bezt Fried Chicken Ambulu. Tujuan peneliti adalah ingin mengetahui pengaruh citra perusahaan terhadap loyalitas pelanggan dengan menggunakan kepuasan pelanggan sebagai variabel intervening. Jumlah sampel yang diambil oleh peneliti sebanyak 78 responden. Menggunakan teknik analisis regresi berganda dan analisis jalur. Hasil penelitian menunjukkan bahwa secara simultan variabel citra perusahaan dan kepuasan pelanggan berpengaruh positif dan signifikan terhadap loyalitas pelanggan dan analisis jalur menunjukkan bahwa citra perusahaan berpengaruh langsung dengan loyalitas pelanggan dengan hasil sebesar 0,185. Sedangkan pengaruh tidak langsung dari citra perusahaan terhadap loyalitas pelanggan melalui variabel intervening kepuasan pelanggan yaitu sebesar 0,255.
PENGARUH HUMAN RELATIONS TERHADAP PENINGKATAN KINERJA PEGAWAI NEGERI SIPIL DI KANTOR KECAMATAN PANTI KABUPATEN JEMBER
Authors: Mustikawati Ida , Hotimah Husnul
Published: March 2020

Penelitian ini bertujuan untuk mengetahui dan menganalisa sejauh mana pengaruh human relations terhadap peningkatan kinerja Pegawai Negeri Sipil di Kantor Kecamatan Panti Kabupaten Jember. Penelitian ini menggunakan paradigma kuantitatif. Sampel yang digunakan berjumlah 27 responden yang diambil dengan teknik sampling jenuh atau sensus. Dalam penelitian ini menggunakan analisis data Korelasi Product Moment dengan taraf signifikansi sebesar 5%. Dari hasil perhitungan diketahui nilai r hitung ≥  r tabel yaitu  0,630 ≥ 0,381 maka Ho ditolak dan Ha diterima. Hal ini berarti human relations berpengaruh cukup signifikan terhadap peningkatan kinerja Pegawai Negeri Sipil di Kantor Kecamatan Panti Kabupaten Jember.
DINAMIKA REKRUTMEN BURUH BAGIAN PRODUKSI PADA PERUSAHAAN ROKOK GAGAK HITAM BONDOWOSO
Authors: Nugraha Alifian , Poernomo Djoko , Puspitaningtyas Zarah
Published: March 2020

Perusahaan Rokok Gagak Hitam Bondowoso merupakan salah satu perusahaan perseorangan yang bergerak dibidang industri rokok di Kabupaten Bondowoso. Salah satu kegiatan perusahaan adalah kegiatan produksi, dalam kegiatan produksinya tidak lepas dari kegiatan rekrutmen buruh bagian produksi. Rekrutmen bagi perusahaan merupakan proses mencari, menemukan dan menetapkan sejumlah orang dari dalam maupun dari luar perusahaan sebagai calon tenaga kerja dengan karakteristik tertentu dan tahapan-tahapan seleksi untuk mendapatkan calon tenaga kerja. Hasil studi menunjukkan bahwa dinamika rekrutmen buruh sesuai dengan prosedur yang ada yaitu mencari dan menseleksi calon buruh yang akan siap bekerja dengan beberapa ketentuan perusahaan, ada dua metode dalam merekrut calon buruh yaitu menggunakan pendekatan spoil system, namun tidak menutup kemungkinan menerima calon buruh melalui lamaran yang ada. Dalam kegiatan rekrutmen terdapat beberapa kendala-kendala yang terjadi sehingga menyulitkan perusahaan untuk berkomunikasi dengan baik. Selain itu, tingginya turnover buruh keluar dan masuk di dalam perusahaan terutama di gudang produksi yang mengakibatkan terganggunya kegiatan produksi, sehingga dalam kegiatan proses produksi mengakibatkan tidak tercapainya target produksi perusahaan dan banyaknya produksi cacat yang membuat perusahaan harus mengoptimalkan ulang dengan mengkaji permasalahan yang ada.
ANALISIS TERHADAP KEKUATAN IDE DALAM KEBIJAKAN KONVENSI CALON PRESIDEN PARTAI GOLKAR
Authors: Suryo Negoro Abul Haris
Published: March 2020

Partai mengorganisir partisipasi politik masyarakat dalam rangka memenuhi aspirasi. Stabilitas partai, kekuasaan partai dan sistem partai sangat bergantung pada tingkat institusi dan keikutsertaannya. Partisipasi luas yang dikolaborasikan oleh rendahnya tingkat lembaga partai politik akan menghasilkan partai anomik dan kekerasan. Kontras, partisipasi tingkat rendah cenderung membuat partai politik lemah berhadapan dengan peraturan politik dan jumlah kekuatan sosial lainnya. Konvensi menjadi strategi baru di Indonesia. Hal itu terjadi karena beberapa partai politik di Indonesia cenderung memberi peluang calon presiden kepada pimpinan mereka. Paradigma partai politik di Indonesia menunjukkan bahwa ketua adalah calon presiden. Respon dan antusiasme masyarakat terhadap konvensi sebagai gagasan baru yang berorientasi pada demokrasi. Hal ini dapat ditunjukkan oleh jumlah orang yang mendaftar sebagai peserta konvensi. Ini menggambarkan bahwa ide konvensi sukses dan memberdayakan partai untuk memenangkan pemilihan di tahun 2004.
PENGARUH MOTIVASI KERJA DAN INSENTIF TERHADAP KINERJA APARATUR PEMERINTAH KECAMATAN AMBULU KABUPATEN JEMBER
Authors: Tandri Rizc Ditya Purba , Sasongko Sasongko , Puspitaningtyas Zarah
Published: March 2020

Penelitian ini bertujuan mengetahui dan menjelaskan pengaruh motivasi kerja dan insentif  terhadap kinerja aparatur pemerintah kecamatan. Penelitian ini menggunakan desain penelitian kausalitas dan merupakan tipe penelitian hubungan atau asosiatif dengan menggunakan data kuantitatif. Teknik pengumpulan data yang digunakan adalah kuesioner, observasi, wawancara dan dokumentasi.. Populasi dalam penelitian ini adalah seluruh pegawai kecamatan  dan desa-desa di Wilayah Kecamatan Ambulu Kabupaten Jember sejumlah 113 orang. Teknik sampling dalam penelitian ini menggunakan sampel 53 orang. Analisis data yang digunakan untuk menjawab hipotesis yang diajukan adalah regresi linier berganda dengan bantuan paket software SPSS 16 For Windows. Hasil penelitian menunjukkan bahwa secara parsial motivasi kerja berpengaruh terhadap kinerja aparatur pemerintah kecamatan, sedangkan insentif tidak berpengaruh terhadap kinerja aparatur pemerintah kecamatan.
ORIENTASI PASAR DAN INOVASI PRODUK PENGARUHNYA TERHADAP KINERJA PEMASARAN DENGAN VARIABEL INTERVENING KEUNGGULAN BERSAING PADA UMKM KECAMATAN KALIWATES
Authors: Prabawati Achadyah , Handayani Melia
Published: March 2020

Penelitian ini menganalisis pengaruh orientasi pasar dan inovasi produk terhadap kinerja pemasaran dengan keunggulan bersaing sebagai variabel intervening. Objek penelitian dari penelitian ini adalah pengusaha UMKM yang berada di Kecamatan Kaliwates Kabupaten Jember terutama UMKM yang bergerak di bidang makanan khusunya UMKM yang melakukan inovasi produk. Populasi pada penelitian ini sebanyak 49 UMKM yang bergerak dibidang makanan. Pengambilan sampel pada penelitian ini menggunakan sampling jenuh yaitu sebanyak 49 UMKM.  Analisis yang digunakan pada penelitian ini adalah analisis intervening (path analysis) dengan menggunakan software IBM SPSS 22.0. Terdapat tujuh hipotesis yang digunakan, dimana terdapat satu hipotesis yang tidak diterima dan tidak signifikan dan enam hipotesis diterima. Berdasarkan hasil penelitian, hipotesis yang tidak diterima dan tidak signifikan yaitu variabel inovasi produk terhadap keunggulan bersaing. Berdasarkan pengaruh langsung dan tidak langsung kedua jalur berpengaruh, namun terdapat jalur yang berpengaruh namun tidak signifikan yaitu variabel inovasi produk terhadap kinerja pemasaran melalui keunggulan bersaing. Sedangkan jalur dari variabel orientasi pasar terhadap kinerja pemasaran melalui keunggulan bersaing berpengaruh dan signifikan. Kata Kunci: Orientasi Pasar, Inovasi Produk, Keunggulan Bersaing, Kinerja Pemasaran.
The Regression Models of Impact Strength of Coir Coconut Fiber Reinforced Resin Matrix Composite Materials
Authors: Fitri Muhamad , Mahzan Shahruddin
Published: March 2020

The need of coconuts in Indonesia is relatively high. The use of large quantities of coconuts produces large amounts of organic waste from coco fiber, which tends to become waste if it is not used to be beneficial for humans.One of the potential uses of coconut fiber is as a reinforcement of natural fibers in polymer matrix composite materials. Recently, the applications of composite materials have been expanded widely including structural angine component which whitstand certain load like impact load. But most of them used synthetic fiber. Although the use of natural fibers as reinforcement in composite materials has been widely studied, their use is still limited because natural fibers have their own advantages and disadvantages. The purpose of this study was to measure the impact strength of specimens of coconut fiber reinforced polymer matrix composite material, and to determine the effect of the length and concentration of coconut fiber on its impact strength. A significant and valid regression model was also generated in this research, that states the relationship between fiber length and fiber content of resin matrix composite material to its impact strength. The result shows that the impact strength of the samples were influenced by fiber content and fiber length. The regression models for the impact strength of  resin composite reinforced with coconut fiber is Y = 4.44 +0.180 X1 – 0.52 X2  Where: Y = Impact Strength (kJ/m2), and X1= Fiber length (mm), and X2= Fiber content (%).
CLASH-OF-CLANS API UNTUK PENGELOLAAN KLAN
Authors: Tuloli Mohamad Syafri , Latief Mukhlisulfatih , Rohandi Manda
Published: March 2020

Kesuksesan suatu permainan sangat dipengaruhi oleh banyak hal, termasuk keterlibatan pemain untuk ikut mengembangkan permainan. Keterlibatan pemain dapat difasilitasi dengan penyediaan Application Programming Interface (API) sehingga membuat pemain dapat memanfaatkannya untuk memenuhi tujuan-tujuannya. Sebagai permainan yang sukses, Clash-of-Clans (COC) juga telah memberikan layanan API. Terdapat dua permasalahan utama dalam permainan COC terkait penglolaan klan, yaitu belum adanya indikator keaktifan pemain, dan juga belum ada pengaturan strategi perang yang baik. Penelitian ini menggunakan metode perancangan dan pengembangan perangkat lunak prototyping melakukan eksplorasi terhadap penggunaan layanan COC API untuk mengatasi permasalahan tersebut. Hasil menunjukkan bahwa layanan COC API mampu untuk mendukung pengembangan aplikasi pengelolaan klan, berhasil meningkatkan keaktifan pemain (dalam total waktu online seluruh pemain), dan penghitungan strategi perang terbukti meningkatkan hasil perang (sebesar 12%).
Septic arthritis in children 5 to 10 years old
Authors: Tutasi Benitez Rosa Viviana , Guadamud Loren Enma María
Published: March 2020

La artritis séptica es una patología infecciosa aguda que es la afectación de la cápsula articular frecuentemente por bacterias, siendo patógeno bacteriano más frecuente los grupos etarios es el Staphylococcus aureus, también puede ser causada por virus y hongos en menor proporción, en niños usualmente es por vía hematógena. Afecta más a hombres que a mujeres, teniendo una clínica muy inespecífica mayormente en lactantes. Sus síntomas clínicos se caracterizan por la negación a movilizar la articulación afectada, enrojecimiento y aumento de la temperatura local, acompañado en algunos casos de fiebre y síntomas sistémicos como taquicardia y aumento de frecuencia respiratoria. Usualmente su afectación es 90% monoarticular y10% poliarticular. La artritis séptica tiene las articulaciones como cadera, rodilla o codo. Como parte de los exámenes de laboratorio serán de gran utilidad biometría hemática completa, velocidad de eritrosedimentación y proteína creactiva. Debido a las complicaciones y secuelas incapacitantes que ocasiona, es considerada una urgencia médico-quirúrgico; su tratamiento debe ser precoz. Ante la confirmación mediante exámenes de laboratorio, es necesario eltratamiento farmacológico empírico intravenoso para obtener resultados del hemocultivo y cultivos de líquido sinovial que deben ser realizados antes del inicio con el tratamiento antibiótico. Su tratamiento será multidisciplinario.
Prevención Del Embarazo Precoz En Las Estudiantes de colegios
Authors: Quijije Logroño Elizabeth Briggitte
Published: March 2020

El inicio de la actividad sexual en adolescentes, está asociada a pobre planificación familiar, mayor tasa de fecundidad y riesgo de adquisición de enfermedades de transmisión sexual, además del aumento de embarazos adolescente. Objetivos. - Este trabajo tuvo como objetivo general determinar un perfil clínico – epidemiológico del embarazo en la adolescencia relacionado con antecedentes familiares en el hospital General Villamil Playas mediante el análisis de las características sociales, culturales y médicas con el fin de proponer un programa de educación en salud, este objetivo puede ser alcanzado al identificar las características de las pacientes, establecer factores de riesgo de embarazo adolescente considerando los antecedentes familiares y proponer un programa de educación para la salud dirigido a hombres y mujeres adolescentes. Metodología. - Se trata de una investigación cuantitativa, descriptiva con un diseño no experimental, prospectiva y de corte transversal donde se incluyeron mujeres adolescentes embarazadas que asistieron a la consulta en el área de ginecología del Hospital de General Villamil Playas durante el primer semestre del 2016, que en total fueron 352 y se tomó una muestra de 100 pacientes. Resultados. - El 85% de las madres adolescentes presentaron antecedentes maternos de embarazo precoz, con una marcada diferencia estadística al aplicar la prueba de CHI cuadrado. Conclusión. -Entre los principales factores de riesgo se observa una comunicación deficiente entre los padres y sus hijos sobre sexualidad, debido a que la mayoría aprendieron sobre este tema de parte de sus amigos y no de sus padres o la escuela, además en algunos casos no se sabía del noviazgo de sus hijas.
Prevalence of oral manifestations in hypertensive patients with continuous medication at the Hospital of the day Jacobo and María Elena Ratinoff in 2014
Authors: Raad Bassil Nicole , Luzardo Geoconda
Published: March 2020

The intake of antihypertensive drugs can cause oral manifestations like dry mouth, dysgeusia and gingival hyperplasia. Objective: The aim of this study was to determine the prevalence of oral manifestations in hypertensive patients with medication. Materials and methods: It was an opportunity study in which 113 hypertensive patients were involved. All the patients attended Hospital del día Jacobo y María Elena Ratinoff. Patients were interviewed through a clinical history, dysgeusia and hyposalivation records were taken, as well as an intraoral examination. Results: 10 patients belonged to the group of 40-49 years, 29 patients to the group of 50-59 years, 43 patients were between 60-69 years, 25 patients had between 70-79 years and 6 patients were from 80 -89 years. We noticed that 80.53% of patients had oral manifestations. The most common manifestation was dysgeusia with 60%, followed by hyposalivation with 58% and gingival enlargement being less prevalent with 12%. Also we found that dysgeusia and hyposalivation were more prevalent in women with 69% and 67% respectively. However, gingival overgrowth was more prevalent in men with 14%. Conclusion: A high percentage of hypertensive patients were found to have oral manifestations due to drug intake.
Relationship between types of smile and periodontal biotype in dental students of the Catholic University of Santiago de Guayaquil
Authors: Ordoñez Sarango Andrea , López Jurado Santiago
Published: March 2020

Smile being one of the aesthetic parameters most required by patients, dentists tend to evaluate it, among other factors, according to the amount of gingiva that the patient shows when smiling. This smile can be classified as high, medium and low. For correct interpretation and good diagnosis should also be analyzed soft tissue, such as the periodontal biotype, it can be thin and thick. The reason for our investigation is to observe the relationship between the type of smile and the periodontal biotype. The cross-sectional analytical study was performed on 100 UCSG dental students, randomly selected according to the inclusion and exclusion criteria. The type of smile was determined, whether it was high, medium or low. The periodontal biotype was determined by two methods: the visual, in which the clinical characteristics of each were analyzed, and by the transparency or not of the probe, through the gingival sulcus in the teeth 11, 12 and 13.  Were analyzed 100 subjects, 33 men and 67 women.  27% of the total of the subjects had high smile, 65% showed average smile and the 8 % low smile. 70% showed to have thick biotype while 30% remaining fine biotype. When relating the two variables, of high smile 15%=thin biotype and 85%=thick biotype, of low smile 25%=thin biotype and 75%=thick biotype and of low smile 37%=thin biotype and 63%=thick biotype.
Mass-shedding Activities of Asteroid (3200) Phaethon Enhanced by Its Rotation
Authors: Nakano Ryota , Hirabayashi Masatoshi
Published: March 2020

Asteroid (3200) Phaethon, a B-type asteroid, has been active during its perihelion passages. This asteroid is considered to be a source of the Geminid meteor stream. It is reported that this asteroid is spinning at a rotation period of 3.60 hr and has a top shape (an oblate body with an equatorial ridge) with a mean equatorial diameter of 6.25 km. Here, we report that Phaethon’s rotation state may be close to or above its critical rotation period when the bulk density is

(a typical bulk density of a B-type asteroid). We found that in this condition, the structure of Phaethon is sensitive to failure unless the cohesive strength is

. This result implies that if there are some surface processes driven by, for example, thermal waves, large-scaled deformation may happen and cause mass shedding. From this interpretation, we propose the processes that produced the Geminid meteor stream in the past and dust tails recently. Phaethon initially rotated at a spin period shorter than the current period. The magnitude of structural deformation at this stage was higher than the present spin condition, and a large mass-shedding event, i.e., the Geminid meteor stream, occurred. After this deformation process, the body became more oblate, and its spin slowed down. At this point, while the spin was high enough for the body to have mass-shedding events, the magnitude of these events became small.
A New Method of Eliciting Pyramidal Tract Impairment in Adults
Authors: Osuagwu Ferdnand C. , Bradley Ronald , Pasupuleti Usha , Pasupuleti Devakinanda
Published: March 2020

Background: To suggest a new way of eliciting pyramidal tract dysfunction in adults since the most widely utilized plantar reflex, which is the Babinski reflex, has limitations with different reliability and consistency among different examiners. 

 

Materials and methods: 168 adult subjects were examined for the new sign in addition. It consists of just an observation of the patient’s feet and toes in a conscious patient looking for the extension of the great toe along with fanning, spreading and plantar flexion of the small toes either at rest or when patient elevates one leg up at a time.

 

Results: We were able to observe the extension of the great toe along with fanning, spreading and plantar flexion of the small toes in patients with impairment of pyramidal tract. The specificity was 94% while the sensitivity was 96%.

 

Conclusion: Pyramidal tract lesion in adults can be elicited by this new test that observes the extension of the great toe along with fanning, spreading and plantar flexion of the small toes in patients. We suggest this sign as a complement to established signs like Babinski reflex.
Evaluation of the Possible Risk Factors on Bronchial Closure Techniques for Bronchopleural Fistula after Lung Resection
Authors: Yanik Fazli , Karamustafaoglu Yekta A. , Yoruk Yener
Published: March 2020

Background: Broncho-pleural fistula (BPF) can occur after pulmonary resections as a complication with high morbidity and mortality rates. 

 

Aim: In the present study, we analyzed the relation between the possible risk factors and the two major bronchial closure techniques for BPF after lung resections, and the management methods of BPF. 

 

Materials and methods: A total of 26 cases detected and managed with BPF diagnosis in our clinic between September 2005 and September 2017 were evaluated retrospectively. The cases were divided into two groups: Group 1 (n=14); bronchial closure performed manually and Group 2 (n=12) bronchial closure with stapler. We analyzed cases for age, gender, body mass index, pulmonary function tests, time to fistula, total protein/albumin level, length of hospital stay, bronchial stump distance, presence of bronchial stump coverage, and the mean survivals.

 

Results: Twenty-three of the cases were males (88.5%) with a mean age of 60.03±8.7 years (range 38-73). While BPF was detected in twenty-three (88.5%) of the cases after pneumonectomy, three (11.5%) of them were after lobectomy. There was no statistically significant correlation between the two groups in gender, age, BMI, preoperative FEV1, time to fistula, total protein/albumin level, length of hospital stay, bronchial stump distance, and presence of bronchial stump coverage (chi-square test, p>0.05). As a result of the applied Kaplan-Meier analysis, we found no statistically significant difference in the mean survival rates between the two groups (p>0.05).

 

Conclusions: Broncho-pleural fistulas still remains a major challenge. Although there is no statistical relationship between bronchial closure techniques and possible risk factors in our study, patients should be assessed in terms of possible risk factors. The management strategy for BPF varies according to individual patients’ clinical condition, the size of the fistula, and development time.
Diffuse Large B-cell Lymphoma of Testis: a Case Report and Current Literature Review
Authors: Guler Yavuz , Ucpinar Burak , Erbin Akif
Published: March 2020

Introduction: Testicular cancers detected in older males are mostly testicular lymphomas. Primary testicular lymphoma (PTL) is a rare, clinically aggressive form of extranodal lymphoma. In population-based studies, the  incidence of PTL is 0.09-0.26/100.000. The vast majority of PTL are diffuse large B-cell lymphoma (DLBCL).

 

Case presentation: We present a case of PTL diagnosed in a 68-year-old male patient and also, we discuss the incidence, clinical presentation, prognostic factors and management of this rare pathology in the light of current literature. Histopathological and immunohistochemical exams of the patient confirmed the diagnosis of DLBCL after radical orchiectomy. According to the internal prognostic index (IPI), patients’ IPI score was evaluated as 5 and according to Ann Arbor staging, patients’ stage was interpreted as grade 3E. Cyclophosphamide, vincristine, etoposide, and prednisolone chemotherapy was planned for the patient and until now, the patient received his first chemotherapy regimen.

 

Discussion: Primary testicular lymphoma should be kept in mind for every patient who admits with a testicular mass, especially in advanced age.  Misinterpreatation of the clinical findings can delay the definitive diagnosis. Primary testicular lymphoma should be managed with a multi-disciplinary team including urologists, medical and radiation oncologists. 
Investigation of Kisspeptin Role in Experimental Kidney Ischemia/Reperfusion Injury
Authors: Kudaibergenova Assel , Aydogdu Nurettin , Kandemir Nihayet , Aydin Muhammed Ali
Published: March 2020

Introduction: Kisspeptin is biologically active peptide encoded by the KISS1 gene that is structurally found in the kidney tubule, collecting duct and vein smooth muscle cells. 

 

Aim: We aimed to investigate the role of kisspeptin in kidney function and renal pathophysiology in experimental kidney ischemia/reperfusion (I/R) injury. 

 

Materials and methods: Male Spraque-Dawley rats were divided into control and I/R groups (n=8). Both kidney vessels of I/R group rats were clamped and subjected to ischemia for 60 minutes and reperfusion for 48 hours. After the reperfusion period blood samples and kidney tissue were collected under anesthesia. 

 

Results: Levels of urea, creatinine (p<0.01) in serum, Kim-1 in urine (p<0.05) were increased, creatinine clearance, aldosterone and ANG II levels in serum were decreased in the I/R group compared with the Control group (p<0.05). Kidney kisspeptin levels decreased and urine kisspeptin levels increased (p<0.05). 

 

Conclusions: The present study has shown that the levels of kisspeptin change in kidney damage and thus the kisspeptin may play a role in the regulation of renal function and in the pathophysiology of acute kidney injury.
Changes in the Level of DNA Fragmentation in Sperm Cells detected by Acridine Orange Test in Men with Sub/infertility Treated with Nutritional Supplement PAPA
Authors: Tomov Stoil N. , Stoyanova Radoslava St. , Atanasova Pepa K. , Dechev Ivan Y.
Published: March 2020

Background: When diagnosing and treating male infertility it is important to determine whether there are defects in the maturation process of sperm nuclei. Using nutritional supplements can improve the morphological and physiological condition of the spermatozoa. In recent years there has been an increase in the usage of supplements with different compositions which strives to determine the best combination and avoid side effects.

 

Aim: To study the effect of PAPA nutritional supplement on the levels of DNA fragmentation of sperm cells tested with acridine orange test (single stranded DNA against double stranded DNA) in men with sub/infertility.

 

Materials and methods: 48 men with confirmed sub/infertility underwent treatment for three months with nutritional supplement PAPA containing 9 micronutrients. The differences in levels of DNA fragmentation were determined with acridine orange test, which was conducted before and after the treatment.

 

Results: The results were statistically significant (p<0.001) showing an increase in the number of green spermatozoa (normal DNA), and a decrease of damaged ones (orange and red). After treatment the level of sperm DNA fragmentation decreased by 10.2%.

 

Conclusion: Men with confirmed sub/infertility that took nutritional supplement PAPA for three moths showed a decrease in DNA fragmentation levels of 10.2% determined by AO test which implies an improvement of male fertility levels.
Clinical Comparison of Adding Sulfate Magnesium and Dexmedetomidine in Axillary Plexus Block for Prolonging the Duration of Sensory and Motor Block: Study Protocol for a Double-blind Randomized Clinical Trial
Authors: Shahtaheri Seyed Yousef , Rad Mohammad Tavakoli , Yazdi Bijan , Azami Mehran , Kamali Alireza
Published: March 2020

Background: The purpose of this study was to compare the effect of magnesium sulfate adjunct to dexmedetomidine on increasing the duration of sensory and motor block in axillary block.

 

Materials and methods: This study is a double-blind clinical trial. Ninety-nine patients were included in the study. They were undergoing forearm and hand surgery and were referred to Vali-e-Asr Hospital in Arak. The patients were divided into three groups. The first group received lidocaine (1.5%) and dexmedetomidine (0.5 μg/kg). The second group patients were given lidocaine (1.5%) plus magnesium. In the control group, lidocaine  (1.5%) was adjusted to 35 cc with normal saline. The final volume was 35 cc in the three groups. Sensory and motor block and pain were measured and data were analyzed using SPSS v. 20. The final volume was 35 cc in the three groups.

 

Results: The sensory and motor block onset time and the stabilization time of the sensory and motor block in the magnesium sulfate group were lower (p<0/001). Pain in recovery, 2, 4, 6, 12, and 24 hours after surgery was lower in the magnesium sulfate group when compared with the dexmedetomidine group (p<0.001). The lowest dose of opioid was used in the dexmedetomidine group 24 hours after surgery (p<0.001).

 

Conclusion: The results showed that dexmedetomidine decreases pain. Magnesium sulfate increased the sensory and motor block onset time, and the sensory and motor block stabilization time, but dexmedetomidine increases the motor block duration.
Peak Responses during Exercise Treadmill Testing using Individualized Ramp Protocol and Modified Bruce Protocol in Elderly Patients
Authors: Kozlov Sergey , Caprnda Martin , Chernova Olga , Matveeva Marina , Alekseeva Irina , Gazdikova Katarina , Gaspar Ludovit , Kruzliak Peter , Filipova Slavomira , Gabbasov Zufar
Published: March 2020

Background: Exercise capacity is well known to be an important prognostic factor in patients with cardiovascular disease and among healthy persons.

 

Aim: To determine if there are any differences between the peak exercise response during exercise treadmill testing with the individualized ramp protocol and the modified Bruce protocol in elderly patients.

 

Materials and methods: The study included 40 patients (both male and female), aged 70 years and older, who had not had a baseline history of the confirmed coronary artery disease or heart failure diagnoses. All patients underwent exercise treadmill testing using modified Bruce protocol and individualized ramp protocol for 2 consecutive days. Peak heart rate, peak systolic and diastolic blood pressure, peak pressure-rate double product, exercise duration, and peak metabolic equivalents were recorded in both tests. Perceived level of exertion was evaluated using the Borg 10-point scale.

 

Results: The average duration of exercise was longer for the ramp protocol than for the modified Bruce protocol. When the modified Bruce protocol was used, patients achieved a lower workload than they did in using the ramp protocol. The rating of perceived exertion using the revised Borg scale (0 to 10) was 5.6±1.4 for the ramp protocol and 8.7±1.4 for the modified Bruce protocol, which indicates that the patients found the ramp protocol easier.

 

Conclusion: In elderly patients the individualized ramp treadmill protocol allows to achieve the optimal test duration with higher degrees of workload and greater patient comfort during the test more often than does the modified Bruce protocol.
Evidence-Based Practice for Cardiac Intensive Care Unit Nurses: An Educational Intervention Study
Authors: Rostamnia Leili , Ghanbari Vahid , Shabani Fidan , Farahani Abbas , Dehghan-Nayeri Nahid
Published: March 2020

Background:

This study examined the effectiveness of two educational methods on nurses' skills and commitment to implementing evidence-based practice (EBP).

Method:

Ninety nurses were randomly assigned to three groups. Participants in the workshop group took part in a 2-day training course, participants in the multimedia group received educational content through video, and participants in the control group did not receive any training content. The nurses' skills and commitment to implement EBP were assessed at baseline and 1 month after the teaching sessions.

Results:

The EBP skills of nurses in the intervention groups were significantly enhanced compared with nurses in the control group (
p
< .05). Mean scores in the multimedia group were slightly better than in the workshop group; however, this difference was not statistically significant. Commitment to EBP implementation did not change significantly over time among the groups (
p
> .05).

Conclusion:

Different methods of training can be useful in improving nurses' EBP skills; however, the participants' commitment to implement EBP did not change considerably. Because of its cost effectiveness, the multimedia method should be considered for use in nurse training.

[
J Contin Educ Nurs
. 2020;51(4):167–173.]
Radiographic Findings of Dysplastic Cerebellar Gangliocytoma (Lhermitte-Duclos Disease) in a Woman with Cowden Syndrome: A Case Study and Literature Review
Authors: Joo Gloria JongHee , Doumanian John
Published: March 2020

The following case report features a middle-aged female patient, previously diagnosed with Cowden syndrome, who presented to the hospital with symptoms of headaches and changes in vision that began with no apparent cause and persisted for almost a month. MRI of the head confirmed a diagnosis of dysplastic cerebellar gangliocytoma, also known as Lhermitte-Duclos disease. This cerebellar tumor, while extremely rare in incidence, is classified as the most common type of brain lesion in adult patients with Cowden syndrome. This report will also include a comprehensive literature review of Cowden syndrome and Lhermitte-Duclos disease, with greater emphasis on the radiologic characteristics of Lhermitte-Duclos disease.
The Triangle of Spiritual Intelligence, Metacognition and Consciousness
Authors: Drigas Athanasios , Mitsea Eleni
Published: March 2020

In the most challenging era in human history, the scientific community recognizes spirituality as a fundamental factor of human intelligence. Researchers from different fields such as Psychology, Medicine, Educational sciences, Economy and Business embrace the notion of Spiritual Intelligence. Nevertheless, it is considered as one of the most controversial and highly debated notions. The first section of this study gives a brief overview of the essential theoretical framework including definitions and theories related to Spiritual Intelligence. In the second section, we present a layered approach of Spiritual Intelligence based on the corresponding layered models of Knowledge-Intelligence-Consciousness. The results of this study showed that Spiritual Intelligence constitutes the backbone of every subsystem of human intelligence as it integrates, matures and transforms every physical, intellectual, and emotional ability and leads to the highest forms of self-awareness, self-knowledge and consciousness. The realization of our true Self, of our hidden and highest potentialities is tied inseparably with the hierarchical organization of knowledge through metacognition and executive functions. Specifically, higher order forms of self-observation, self-regulation through attentional, emotional and impulse control, problem solving, mental flexibility and adaptation could reveal our true and eternal identity. Spiritual intelligence is essential to be incorporated mainly into the dialogue of business ethics, leadership, mental health and psychotherapy, education especially in the case of learning disabilities and gifted education
Information Technologies: Leading Innovative Factor for the Development of Independent Tourism
Authors: Polukhina Anna , Tarasova Anna , Arnaberdiyev Avdykerim
Published: March 2020

Independent travel has blossomed and become an important movement in modern tourism. However, past research has never explored the use and impact information and communication technologies have on independent tourists.

The purpose of the research is to analyze the results of two surveys held in the Russian Federation that show the way different travel search engines, booking systems change the concept of modern tourism. This study illustrates that independent vacation planning is booming today’s travel market, which is becoming more personalized, digitalized and independent from giant tour operators.  The article discusses how internet users’ requests in the search engines have changed within only one year and how these changes influenced people choice of accommodation and destination.
Élites municipales et manufacture en Italie
Authors: Morel Jean-Paul
Published: March 2020

En dépit des réticences des sources antiques et dans le cadre des débats actuels, on peut s’interroger sur le rapport des élites municipales italiennes à la manufacture. Quel était leur rôle dans ces productions ? Et quel profit leur apportaient celles-ci ? Un “camouflage” évident laisse percer la participation des élites à des activités réputées ignominieuses, mais souvent lucratives, dont seules sont “avouées” celles qui ont un lien au moins théorique avec la propriété foncière.
Due casi di committenza sacra ad Aquileia
Authors: Fontana Federica
Published: March 2020

L’analisi del materiale epigrafico ed archeologico del contesto sacro di Monastero di Aquileia ha portato ad individuare sul frontone fittile del tempio Apollo, Artemide ed un’altra figura di tipo matronale (Athena; Latona?), cui si associavano, probabilmente come figure marginali, Borea ed Orizia, il cui mito è tradizionalmente legato, nell’Atene di V sec. a.C., all’imperialismo marittimo seguito alla vittoria sui Persiani. La coppia di Apollo e Diana sembra avere, anche ad Aquileia, caratteristiche spiccatamente anti-barbariche. L’atto dedicatorio di Tampia, invece, relativo ad un sacello a Diovis, rivela il probabile intento di recuparare un culto proprio della zona di origine della sua gens, Praeneste.
Images of Italian Austerity from Cato to Tacitus
Authors: Dench Emma
Published: March 2020

This paper discusses the origins of the images of austere Italians that are widespread in Roman literature of the late Republic and early Empire. Images of Italian austerity are seen within the context of a Roman ideology of incorporation that makes use of éléments of classical Athenian, and Southern Italian, idéologies of relations with other peoples, such as Greeks versus barbarians, town-people versus country people, and the characterisation of the losing side by their tryphe. From the second century BC, however, Roman ideology has developed in a distinctive way: the “outsider” quality of the enfranchised Sabines, and, after the Social war, of the Central Apennine peoples as well, is promoted in a positive and unthreatening way. The austerity of Sabines and Central Apennine peoples, promoted with specifie reference to these peoples perhaps for cultural as well as historical reasons, subsequently becomes a model for images of Italian austerity in general.
“Magis alii homines...”
Authors: Perrin Yves
Published: March 2020

Une étude des origines des consuls néroniens montre que les plus hautes sphères de la société et de l’Etat sont dominées par les notables italiens. Le renouvellement de l’élite ne se fait pas au profit des familles qui ont fondé le régime impérial, mais à celui del boni italiens qui en ont géré l’affermissement depuis Tibère. La nobilitas julio-claudienne et les homines novi néroniens forment un groupe qu’on peut opposer à celui de la nobilitas républicaine et césaro-augustéenne. D’où une hypothèse : le clivage éthico-politique au sein du premier ordo constitue le fondement de la nature monarchique du régime.