bluuebunny/crossref_metadata_2025_split huggingface dataset:
Uso de un arreglo ortogonal para el análisis del proceso de electroerosión por penetración con electrodos de forma de grafito y cobre sobre micro-fundición de aluminio
Authors: Pérez Cristian Fabian , Moya Edwin , Coello Diana 
Published: September 2018

Este trabajo trata sobre el uso del método Taguchi en la realización de experimentos para resolver las respuestas múltiples en el proceso de mecanizado por electroerosión por penetración (EDM) empleando electrodos de cobre y grafito. Este proceso de manufactura se realizó sobre el material microfundición de aluminio ampliamente utilizado en la industria de fabricación de moldes de calzado. La experimentación se llevó a cabo según un arreglo ortogonal L8. Se utilizó análisis de varianza (ANOVA) para determinar los efectos de las variables de entrada (material del herramental, tiempo de pulso, forma de la herramienta y profundidad de corte) sobre las variables de salida (tasa de remoción del material y rugosidad superficial); así como también un análisis de regresión para predecir los resultados del análisis experimental. Los resultados han demostrado que se pueden optimizar los parámetros de mecanizado con consideraciones de las respuestas múltiples efectivamente. Se evidencia que, el tiempo de pulso es el principal influyente en la tasa de remoción del material (MRR) y el tiempo de mecanizado influye en mayor proporción sobre la rugosidad superficial (Ra). Finalmente, se demostró que el electrodo de cobre tiene mejor eficiencia de trabajo y el grafito dejo mejor rugosidad superficial.
HAVAYOLU HİZMET KALİTESİNİN MÜŞTERİ MEMNUNİYETİ ÜZERİNDEKİ ETKİSİNİN YAPISAL EŞİTLİK MODELİ İLE ANALİZİ
Authors: YILDIZ Bülent , ÇİĞDEM Şemsettin 
Published: September 2018

﻿ Bu çalışmada havayolu hizmet kalitesinin
algılanan değer, marka imajı ve müşteri memnuniyeti arasındaki ilişki
araştırılmıştır. Bu amaçla Gaziantep ilinden havayolu hizmeti alan 746 kişiden
anket ile veri toplanmıştır. Elde edilen veriler yapısal eşitlik modeli ile
analiz edilmiştir. Analiz neticesinde havayolu hizmet kalitesinin müşteri
memnuniyetini, marka imajını ve algılanan değeri pozitif yönde anlamlı olarak
etkilediği bulgusuna ulaşılmıştır. Algılanan değer ve marka imajının da müşteri
memnuniyetini pozitif yönde anlamlı olarak etkilediği tespit edilmiştir. Ayrıca
havayolu hizmet kalitesi, müşteri memnuniyeti, marka imajı ve algılanan değerin
kamu sektörü ve özel sektör arasında kamu sektörü lehine anlamlı farklılık
gösterdiği sonucuna varılmıştır.
MICHEL FOUCAULT’DA EPİSTEME VE SÜREKSİZLİK KAVRAMLARININ İNCELENMESİ
Authors: YIKMIŞ Göksel 
Published: September 2018

﻿Bu çalışmada
Foucault terminolojisinde önemli bir yere sahip olan “episteme” ve “süreksizlik” kavramları Foucault’nun
felsefesi çerçevesinde işlenmiştir. Bu doğrultuda episteme kavramının ele
alınması; Foucault’nun tarihsel dönemlere ilişkin yaptığı arkeolojik çözümlemeler
çerçevesinde her dönemin neden birbirinden farklı bilgi temeline sahip olduğunu
anlamamıza önayak olacaktır. Buna ek
olarak süreksizlik kavramından yola çıkarak da Foucault’nun tarihi neden Rönesans
dönemi, klasik dönem ve modern dönem olmak üzere üçe –her ne kadar Foucault
açıkça bahsetmese bile postmodern dönemi de dahil edersek bu dönemler dörde
çıkmaktadır- ayırma gereksinimi gördüğüne ilişkin görüşleri ve gerekçeleri
incelenecektir. Bu bağlamda görüldüğü
üzere, Foucault’nun ortaya koyduğu düşünce bakımından episteme ve süreksizlik
kavramları birbirinden ayrıştırılmak suretiyle incelenip anlaşılabilecek
kavramlar olmaktan ziyade, anlaşılması bakımından bir arada ele alınması
gerekmekte olan yapıdadırlar. Sonuç olarak bu çalışmanın amacı, Foucault’nun
neden süreklilik içeren tarih anlayışının tam karşısına koyduğu süreksizlik içeren tarih anlayışını
benimsemesinin gerekçelerini ortaya koymak, adı geçen süreksizliğin meydana
gelişinin temelinde bulunan episteme
kavramının Foucault’ca ne anlama geldiğini ele almak ve epistemik kırılmalar
ile süreksizlik arasındaki ilişkiyi Foucault çerçevesinde incelemektir.
Avaliação do diagnóstico de depressão realizado por médicos da Atenção Primária à Saúde de Anápolis
Authors: Dos Santos Torquato Ana Carolina , Ganzarolli de Souza dos Santos Oliveira Bianca , Marinho De Jesus França Cristiana , Vinícius Moreira Pimentel Deon , Vale Guimarães Fernanda , Braga Talita , Rezende Valter Luiz Moreira de 
Published: September 2018

A Atenção Primária à Saúde (APS) tem grande influência no prognóstico da depressão, por conter representativos índices da população com Transtorno Depressivo Maior (TDM), sendo, portanto, fundamental um diagnóstico e condutas corretas. O objetivo deste estudo é conhecer como é abordada a Depressão Maior pelos médicos da APS de Anápolis, pesquisando quais os instrumentos utilizados para o diagnóstico e qual embasamento teórico/prático/científico é utilizado, investigando conduta e manejo adotado em pacientes com o transtorno. Para tal foi utilizado um questionário estruturado que foi preenchido pelo entrevistado, com finalidade de avaliar os conhecimentos dos critérios diagnósticos e conduta. Com relação ao embasamento teórico acerca do TDM, 50% tem seu conhecimento advindo de livros e 17,5% fazem uso do DSM 5. Foram utilizados como critérios para o diagnóstico de depressão: alucinações, por 22,5% dos médicos; Alteração do sono e falta de energia, por 70%. Dos profissionais, 15% assinalaram como critérios usados para o diagnóstico, outros transtornos da saúde mental. Com relação ao manejo e conduta adotados pelos médicos, 12,5% encaminham todos os casos, 27,5% sentem-se totalmente seguros para tratar e 33,3% sentem-se totalmente seguros em manejar casos de depressão junto ao psiquiatra. Os resultados indicam que uma proporção considerável dos clínicos da rede primária de saúde diagnosticam e manejam este transtorno de maneira inadequada, averiguado através dos erros conceituais, falta de embasamento e utilização equívoca e confusa dos critérios diagnósticos, sugerindo que o diagnóstico de depressão tem sido feito através de conhecimento empírico e não da Medicina Baseada em Evidências.
O clamor da diferença letal: educar em estado de exceção
Authors: Pocahy Fernando 
Published: September 2018

O presente ensaio consiste em um testemunho analítico sobre os acontecimentos da política brasileira e fluminense pós-golpe. Em um movimento de reflexividade-ética, examino a repercussão direta da atual razão de estado na prática cotidiana de uma universidade pública. O tom da narrativa consiste ainda de um clamor face à letalização cotidiana da diferença e seu impacto na agenda de pesquisa. Para isso, em modo autobiográfico, apresento algo dos desafios éticos, estéticos e políticos vivenciados na atual conjuntura. Aliando-me teórico-metodologicamente às cartografias discursivo-desconstrucionistas presentes nos estudos trans/feministas e queer, notadamente as apostas pós-críticas dos estudos de gênero e sexualidade em interseccionalidades na educação, localizo meus (des)caminhos para pensar a mim mesmo face ao enquadramento normativo de nossas lutas atuais, tomando as ferramentas do ideal democrático (e sua ampla possibilidade de ampliar seus próprios sentidos) como plataforma de produção da experiência do conhecimento.
IMPLEMENTASI EKSTRASI FITUR DAN K-NEAREST NEIGHTBOR UNTUK IDENTIFIKASI WAJAH PERSONAL
Authors: Pamungkas Danar Putra , Setiawan Ahmad Bagus 
Published: September 2018

Wajah atau muka adalah bagian depan kepala pada manusia meliputi wilayah dari dahi hingga dagu, termasuk rambut, dahi, alis, mata, hidung, pipi, mulut, bibir, gigi, kulit, dan dagu. Sebuah sistem biometrika berdasarkan wajah diharapkan dapat menutup kelemahan sistem presensi konvensional yang berdasarkan tanda tangan. Beberapa kelemahan sistem tersebut antara lain, adanya celah kecurangan dalam proses tanda tangan dan waktu perekapan yang cukup lama. Penulis menggunakan metode ektraksi fitur Eigenface PCA sedangkan untuk klasifikasi menggunakan K-Nearest Neighbor. Akurasi pengenalan wajah dengan menggunakan metode ektrasi fitur eigenface dan K-NN mencapai 80%. Nilai rata-rata FAR terendah adalah 20% sedangkan FRR 15%. Semakin banyak data latih yang digunakan akurasinya semakin tinggi.	Akurasi optimal didapat pada kondisi jarak 50 cm dengan cahaya terang.
ANALISIS RANTAI NILAI UNTUK MENINGKATKAN PENJUALAN PADA DISTRO SCREAMOUS
Authors: Bernik Merita , Gunawan (Universitas Padjadjaran) Tamara Nur WUlan 
Published: September 2018

<p>Era perdagangan bebas saat ini memacu persaingan yang ketat antara perusahaan yang menyediakan jasa atau produk yang berkualitas tinggi dengan harga yang bersaing, dan dapat memberikan nilai yang lebih pada konsumen. Distro Screamous adalah perusahaan ritel yang bergerak di bidang industri pakaian. Untuk mendapatkan nilai yang lebih Distro Screamous harus memiliki keunggulan kompetitif, salah satunya dengan menganalisis rantai nilai pada Distro Screamous. Metode yang digunakan adalah metode deskriptif yaitu metode penelitian dengan cara mengumpulkan data yang menggambarkan secara sistematis dan akurat mengenai pelaksanaan rantai nilai pada Distro Screamous. Teknik pengumpulan data yang digunakan untuk data primer dilakukan dengan wawancara, observasi dan kuesioner. Penyebaran kuesioner menggunakan metode <em>non </em><em>probability sampling.</em> Pelaksanaan rantai nilai pada Distro Screamous sudah baik dengan memiliki nilai rata-rata sebesar 4,18. Akan tetapi, ada beberapa dalam pelaksanaan rantai nilai yang masih ada di bawah rata-rata yaitu diantaranya: Infrastruktur Perusahaan, Sumber Daya Manusia dan Operasi. Dalam pelaksanaan rantai nilai Distro Screamous memiliki beberapa kendala yang harus dihadapi sehingga Distro Screamous melakukan upaya untuk meningkatkan pelaksanaan rantai nilai.</p><p> </p>
Prevalence of the Z515 (Palliative Care) Diagnosis from the ICD-10 System in Cancer Patients and the Relationship between Treatment and Cost in Songklanagarind Hospital
Authors: Fumaneeshoat Orapan 
Published: September 2018

Objective: To determine the prevalence of use of the diagnostic system ICD-10 code Z515 in patients diagnosed with cancer and the relationship between treatment and cost in Songklanagarind Hospital during the 2012-2016 period. Material and Methods: A retrospective descriptive study was performed in patients who were diagnosed as code Z515 in Songklanagarind Hospital from 2012-2016. Data were collected through the Hospital Information System (HIS), and the patients were divided into 2 groups based on whether they were Inpatient Department (IPD) or Outpatient Department (OPD). From the HIS, data concerning sex, age, the right of access to healthcare services, date of diagnosis, first and last department that diagnosed the Z515 code, other departments that diagnosed the same code, other codes diagnosed besides Z515, the latest treatment received, number of regularly-used medications, symptoms that persisted according to the most recent record, ward name, duration of hospitalization (for IPD cases), and the average cost of treatment were recorded on data extraction forms and analyzed as percentages with 95% confidence interval and odds ratios. Results: The prevalence of the diagnostic code Z515 in cancer patients during the study period was 0.2% in both inand outpatients. For outpatient the relationship between average cost and number of medications and average cost and type of treatment were statistically significantly different, while for inpatients the difference was not statistically significant. Conclusion: In Songklanagarind Hospital the use of code Z515 is very low, even though we know that all cancer patients should get the best palliative care support and the earlier we diagnose them as palliative, the better the care they will receive. Therefore, if the doctors are aware of this code, the patient will receive the best care in their end stages of life, and that would make them and their families feel happier. Moreover, our hospital will get reimbursement from the government to get more resources. Hence, more patients can be helped. Songklanagarind Hospital should undertake some kind of program to ensure all physicians are aware of code Z515 and how to use it in order to provide the best care for end-of-life patients.
The Invention of Stretcher Trolley for Trauma Patient Radiography to Reduce Patient Transport Process
Authors: Yasamut Karnsinee 
Published: September 2018

Objective: To design and invent a stretcher trolley for trauma patient radiography.Material and Method: The design of device size and maximum range of table movement in transverse plane was based on the height and width of a stretcher trolley at Buddhachinaraj Hospital and the average size of Thai people. The size and thickness of film cassette with grid were used to determine the size of film cassette tray. Radiation attenuation and load test of acrylic were done. The stretcher trolley design was evaluated by a professor in the Faculty of Engineering, Naresuan University. The device was made from stainless steel and acrylic. Image uniformity test was doneResults: The radiation attenuation of acrylic resembled the x-ray table top. The stretcher trolley size was 67x185x90 cm (widthxlengthxheight) and weight 55 kg. The floating top table could move in the transverse plane. The cassette tray size was 48x67 cm, the cassette tray could beapplied with the cassette of size 14x17 in and the cassette tray could move in the horizontal plane. The difference in mean pixel value was 0.1-0.4%. The device was evaluated by 7 radiological technologists at Buddhachinaraj Hospital. The results showed that the suitability of device was fair. The convenience was fair. The ability to decrease the number of workers was fair. The ability to decrease patient movement was good to excellent. The ability to decrease working time was fair.Conclusion: The overall of stretcher trolley evaluation results were fair. The stretcher trolley could probably be used for radiography.
Prevalence of Urinary Incontinence in the Elderly in Banpru Municipality, Hat Yai District, Songkhla Province, Thailand
Authors: Fumaneeshoat Orapan , Phaktongsuk Pitchaya 
Published: September 2018

Objective: To study the prevalence of urinary incontinence in the elderly, the impacts of urinary incontinence, and the reasons why elderly people with urinary incontinence do not seek treatment from a doctors, and to study self-management when urinary incontinence occurs.Material and Method: This was a cross-sectional descriptive study. Interviews were performed with 300 residents aged 60 and above residing in subdistricts 1, 3, 5, 7, and 9 of Banpru municipality, Hat Yai district, Songkhla province. Thequestionnaire was modified from the International Consultation on Incontinence Modular Questionnaire and tested for content validity and reliability. The data were analyzed using descriptive statistics, chi-square test and Fisher’s exact test.Results: It was found that 23 of the 300 subjects interviewed (8.0%) had urinary incontinence. Fifteen female (65.0%) and 8 male (35.0%). Almost half of the patients (48.0%) were between 70 and 79 years old. The most common type of urinary incontinence was stress incontinence (13 persons: 57.0%). The most common impact of their urinary incontinence was givenas boredom (20 persons: 87.0%). Only 2 had seen a doctor (8.0%). Twenty-one said they were afraid to go out to see their doctor because they thought this symptom was an effect of aging (91.0%) and took no action when urinary incontinence occurred.Conclusions: The prevalence of urinary in continence in people aged 60 and above was 8.0%. Just eight percent ofthose suffering from incontinence had consulted a doctor, while the rest did not because they thought that urinaryincontinence was a characteristic of aging. Therefore, the dissemination of knowledge about urinary incontinence willincrease awareness and understanding of this symptom in the elderly.
Hemobilia: Diagnosis and Management
Authors: Pattarapuntakul Tanawat 
Published: September 2018

Hemobilia is an uncommon cause of gastrointestinal hemorrhage and difficult to diagnosis. Clinical presentationsare upper gastrointestinal hemorrhage, abdominal pain and obstructive jaundice. There are various mechanisms ofhemobilia such as bleeding tumor of bile duct, ductal tear, a communication or fistula between the biliary tract andvascular system resulting from iatrogenic, trauma, tumor, gallstone, inflammation and vascular disorder. Urgent investigation should be done by endoscopy, computerized angiography and angiography for definite diagnosis and plan of treatment. The principle of therapy are resuscitation, control hemorrhage and restoration bile flow from obstruction. Multimodality approach is the mainstay of treatment including medical therapy, endoscopy, intervention radiology and surgery.
Immediate Effects of Thai Herbal Hot Pack Treatment on Pain and Lower Back Flexibility: A Pilot Study
Authors: Parasin Nichapa , Khumful Srintip , Thammachai Ajchamon 
Published: September 2018

Objective: The objective of this pilot study was to investigate immediate effects of Thai herbal hot pack on pain and muscle flexibility in person with chronic low back pain.Material and Method: Twenty-two subjects with low back pain received the Thai herbal hot pack treatment which was heated by microwave oven on lower back for 30 minutes. Subjects were assessed pain and flexibility using visual analog scale and sit and reach test, respectively. Both parameters were measured at baseline and immediately after treatment.Results: The results showed that there were statistically significant difference in pain and flexibility immediately after 30 minutes of using Thai herbal hot pack (p-value<0.001 and p-value<0.050, respectively). The microwave oven-heated Thai herbal hot pack showed positive effect on pain and flexibility. Heat conduction and herbal ingredients of Thai herbal hot pack may be the main reasons that effects on parameters.Conclusion: Thai herbal hot pack may be considered as an alternative treatment for pain relieving and flexibility improving in low back pain patients.
Evaluation of Dosimetic Characteristics of Electronic Portal Imaging Device (EPID) for Flattening Filter Free (FFF) Beams
Authors: Chanton Thadpong , Thongsawad Sangutid , Saiyo Nipon , Udee Nuntawat 
Published: September 2018

Objective: To evaluatethe dosimetric characteristics of electronics portal imaging device (EPID) for 6 and 10 megavoltage(MV) of flattening filter-free (FFF) beams.Material and Method: The EPID characteristicsfor FFF beams have been evaluated as follows; saturation with sourcedetector-distance (SDD), saturation with dose rate, dose linearity response with monitor unit (MU), and the scatterd radiation with field size.Results: The saturation of signal was not occurred at 150 cm and 180 cm SDD for 6 and 10 MV of FFF beams, respectively. When the signals were measured with optimal SSD according to vendor suggestion (150 cm and 180 cm), the standard deviation for all dose rate were ±1.35 and ±1.64 CU for 6 and 10 MV of FFF beams,respectively. The dose linearity response showed that EPID has a good linearity response between signals and MU forthe both of 6 and 10 MV of FFF beams. The results of scatterd radiation with field size were found that FFF beams have different respose from flattening filter (FF) beams with the highest differences of 5.50% and 6.78% for 6 and 10 MV of FFF beams, respectively.Conclusion: EPID has a good characteristic for FFF beams, and an extended SSD can be used to reduce the satured signal effects in FFF beams.
Prevalence of Aspirin Prescriptions among Type 2 Diabetic Patients in Songklanagarind Hospital
Authors: Chootong Rattanaporn , Jamulitrat Silom 
Published: September 2018

Objective: The American Diabetes Association (ADA) and the American Heart Association (AHA) recommend aspirin use for primary and secondary prevention of cardiovascular disease in patients with diabetes. There are, however, some doubts regarding the prescription of aspirin therapy to prevent cardiovascular events in diabetic patients, aspects of its safety, and contraindications of the drug administration. This study was conducted in order to evaluate the amount of prescribed aspirin for diabetic patients who received the treatment at Songklanagarind Hospital.Material and Method: A cross-sectional study was conducted to review the medical records of diabetic patients who received the treatment at outpatient departments from 1st-31st December 2013.Results: A total of 1,342 diabetic patients are included in this study: 80.3% from the primary prevention group and 19.7% from the secondary prevention group. Mean age was 64.3 years old. Of the patients, 44.7% were male. The study revealed that prescribed aspirin accounted for one-third of total prescriptions (31.7%). The primary prevention group was 19.0% (95% confidence interval (CI)=12.0-21.3) and the secondary prevention group was 83.7% (95% CI=78.6-87.9). The departments that frequently prescribed aspirin for the primary prevention group was endocrinology (21.2%) and for the secondary prevention group it was the Primary Care Unit (87.5%). Aspirin side effects were gastrointestinal 1.0% and tinnitus 0.1%. Aspirin contraindications were active peptic ulcer (0.1%), history of gastrointestinal bleeding (0.4%), bleeding disorders (0.2%), history of recent intracranial bleeding (0.2%) and severe liver disease (0.9%). There was a positive correlation between age, hemoglobin A1c (HbA1c) and the dose of prescribed aspirin (p-value<0.001, 0.003 respectively). These patients were more likely to have the dose of aspirin increased as age and HbA1c increased.Conclusion: Despite aspirin being a safe, inexpensive and readily available therapy that is effective in preventing cardiovascular disease in diabetic patients and likely to provide benefits rather than side effects and contraindications. The author found significant underuse of aspirin therapy, especially in the primary prevention of cardiovascular disease in diabetic patients.