bluuebunny/crossref_metadata_2025_split huggingface dataset:
An assessment for Public Hospitals Associations' performance measurement approach<p>Kamu Hastaneleri Birlikleri performans ölçüm yöntemi üzerine bir değerlendirme
Authors: Atılgan Emre 
Published: February 2016

<p>Health Transformation Program (HTP) was launched in 2003 with the primary aim of achieving effectiveness, efficiency, and equity in organization, delivery, and financing of health care services in Turkey. In the final leg of the program, the Public Hospital Associations (PHA), which are basically the regional hospital unions, were announced in 2011 with the legislative decree no.663 and have been in operation since fall 2012. Establishment of the PHAs introduced a new management approach for Turkish public hospitals. This model based on a new managerial performance assessment approach, which was developed to evaluate the hospitals’ performances in many dimension, including medical, administrative, financial, quality, patient safety, employee-satisfaction and education aspects. In this regard, the Turkish Public Hospitals Institution (PHI), which is the highest institution that rules all the public hospitals, has begun to use modified version of Balanced Score Card (BSC) approach to assess the managerial performance of the PHAs. In this approach, production efficiency scores of hospitals, which are estimated with Stochastic Frontier Analysis (SFA), became a key or a target indicator for hospital performance assessment. In this paper, the performance measurement approach of the PHAs is assessed with respect to the theoretical methods used in this approach, i.e. BSC and SFA efficiency methods.</p><p> </p><p><strong>Özet</strong></p><p>Sağlıkta Dönüşüm Programı (SDP), Türkiye’de sağlık hizmetlerinin organizasyon, sunum ve finansmanında etkililik, etkinlik ve hakkaniyet sağlamak amacıyla 2003 yılında uygulamaya konulmuştur. Programın son ayağında, basit anlamda hastanelerin yönetimsel olarak birleşmesi ifade eden Kamu Hastaneleri Birlikleri (KHB), 2011 yılında 663 nolu KHK ile kurulmuş ve 2012 yılında faaliyete başlamıştır. KHB’lerin kurulmasıyla birlikte Türkiye kamu hastaneleri için yeni bir yönetim yaklaşımı oluşturulmuştur. Bu yaklaşım, hastanelerin performansını, tıbbi, idari, mali, kalite, hasta ve Çalışan güvenliği-memnuniyeti ile eğitim boyutlarında değerlendirilmesini amacıyla geliştirilmiş olan yönetimsel performans modeli üzerine kurulmuştur. Uygulamaya konulan yeni sistemde, kamu hastanelerinin yönetici kuruluşu olan Türkiye Kamu Hastaneleri Kurumu (TKHK), KHB’lerin yönetimsel performansının değerlendirilmesi için, Dengeli Skor Kartı (DSK) yaklaşımının uyarlanmış bir şeklini kullanmaya başlamıştır. Bu yaklaşımda, Stokastik Sınır Analizi yöntemiyle hesaplanan hastane üretim etkinlik skorları, hastane performansının belirlenmesinde anahtar ya da hedef gösterge olmuştur. Bu çalışmada Kamu Hastaneleri Birlikleri performans değerlendirme modelinin, modelin kullandığı DSK ve SSA yöntemleri çerçevesinde bir değerlendirmesi sunulmaktadır.</p>
Development of the Miniaturized Pressuremeter Test to Evaluate Unbound Pavement Layers
Authors: Shaban A. M. , Cosentino P. J. 
Published: February 2016

Abstract
The development of a reliable field test that can be utilized to determine in situ pavement characteristics is discussed in this work. The developed device, which is a modified version of the PENCEL pressuremeter has a 6-in. inflatable probe capable of measuring field stress–strain response of the soils without worrying about edge effects of thin unbound granular layers. A roadway project was selected to conduct some preliminary field measurements in its subgrade layer. The PENCEL pressuremeter (PPMT) along with the miniaturized pressuremeter (MPMT) were used during the testing program to check the performance of the new device, and to validate its results. The results indicated that strength and stiffness properties of poorly graded sand subgrade, measured from running the miniaturized pressuremeter, compare well with those measured from the PENCEL pressuremeter. The MPMT data can be employed as essential inputs to evaluate existing pavement structures as part of a pavement-management system, and as critical inputs in empirical design methods of new flexible pavements and/or pavement overlays.
Screening for Depression in Children and Adolescents: US Preventive Services Task Force Recommendation Statement
Authors: Siu Albert L. ,   on behalf of the US Preventive Services Task Force
Published: February 2016

DESCRIPTION:
This article describes the update of the 2009 US Preventive Services Task Force (USPSTF) recommendation on screening for major depressive disorder (MDD) in children and adolescents.

METHODS:
The USPSTF reviewed the evidence on the benefits and harms of screening, accuracy of primary care–feasible screening tests, and benefits and harms of treatment with psychotherapy, medications, and collaborative care models in patients aged 7 to 18 years.

POPULATION:
This recommendation applies to children and adolescents aged ≤18 years who do not have an MDD diagnosis.

RECOMMENDATION:
The USPSTF recommends screening for MDD in adolescents aged 12 to 18 years. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up (B recommendation). The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for MDD in children aged ≤11 years (I statement).
CASO 1-2016: Quistes del Mediastino Experiencia con 18 pacientes operados
Authors: Mainieri-Hidalgo José A. , Fonseca-Araya Kennia 
Published: February 2016

<p>Objetivo: Informar los resultados obtenidos con el manejo quirúrgico de quistes mediastinales en el Hospital Calderón Guardia Metodología: Previa autorización del Comité de Ética, se realizó revisión retrospectiva analizando expedientes clínicos de los pacientes intervenidos en el Servicio de Cirugía de Tórax por quistes del mediastino entre 1994 y 2014. </p><p>Resultados: Se encontró mayor frecuencia en mujeres con relación por género de 3.5:1, y con edad promedio de 43 años. La ubicación correspondió en 9 casos al mediastino medio, 7 al posterior y 2 al anterosuperior. La presentación en 13 casos fue un hallazgo incidental. Los síntomas más frecuentes fueron tos y disnea. Un paciente se presentó de urgencia con ruptura del quiste. En una paciente el quiste se descubrió al estudiarla por Miastenia Gravis y un quiste del timo se asoció con linfoma. En 12 casos el quiste fue extirpado por toracotomía y en 6 por videotoracoscopia. En 16 casos la resección fue completa y en 2 quedó parte de la pared adherida a estructuras del mediastino, sin embargo no se presentó ninguna recidiva. No ocurrió ningún caso de mortalidad operatoria ni complicaciones c</p><p>Conclusion:Los quistes mediastinales son infrecuentes. Aunque los pequeños se pueden observar, el manejo quirúrgico está indicado en los de mayor tamaño o que dan síntomas por compresión debido a la posibilidad de complicaciones,siendo la más frecuente la ruptura por sangrado interno. La cirugía puede ser mínimamente invasivay se asocia con bajo riesgo de complicaciones.</p>
TEMA 3-2016: Papilomatosis respiratoria: Nuevas terapias adyuvantes
Authors: Valverde Zuñiga Adriana , Zamora Milena 
Published: February 2016

<p>La papilomatosis respiratoria(PR) constituye una entidad causada por el Virus del papiloma humano (VPH), la cual, a pesar de ser poco frecuente, continúa siendo la principal neoplasia laríngea en la población pediátrica y una de las causas a descartar ante la presencia de estridor y ronquera. A pesar de que el tratamiento quirúrgico continúa siendo el principal pilar de esta patología, múltiples tratamientos adyuvantes han surgido en los últimos años con el objetivo de mejorar la calidad de vida, disminuir los síntomas, disminuir la cantidad de intervenciones quirúrgicas yalcanzar la remisión de la enfermedad. Esta revisión pretende analizar las principales tendencias actuales de la terapia adyuvante.</p>
TEMA 4-2016: Dependencia a opioides y su tratamiento
Authors: Sandí Brenes Sofía , Sandí Esquivel Luis 
Published: February 2016

<p>Los opioides, usados médicamente para el control del dolor, poseen efecto analgésico, depresor del sistema nervioso central (CNS), y también tienen el potencial de causar euforia. (1) Su uso continuo puede crear dependencia, que se caracteriza por un fuerte deseo de consumir la sustancia, deterioro de la capacidad para controlar su uso y consumo persistente a pesar de las consecuencias perjudiciales conexas. (2) La dependencia a opioides es una enfermedad crónica, con frecuentes recaídas, asociada con tasas de morbilidad y mortalidad significativamente aumentadas</p>
TEMA 5-2016: Insuficiencia Cardiaca con Fracción de Eyección Conservada
Authors: Pacheco Ovares Enrique , Grant Villegas Stanley 
Published: February 2016

<p>La creciente tasa de insuficiencia cardíaca (IC ) con fracción de eyección conservada ha recibido más atención por parte de la sociedad médica internacional. La alta prevalencia de enfermedades cardiovasculares ha hecho de la IC un diagnóstico común en nuestras sociedades. Es importante diferenciar síntomas tales como edema o falta de respiración por otras causas no cardiovasculares tales como la EPOC , la obesidad , anemia , medicamentos . Las conclusiones de los altos niveles de los biomarcadores específicos, los síntomas relacionados con la IC, y la estructura cardiovascular y alteraciones funcionales son la piedra angular para el diagnóstico . Desafortunadamente no hay pruebas directas limitadas para apoyar un régimen específico de medicamentos para el tratamiento de la IC con fracciónde eyección conservada</p>
Creative Learning Enrichment for Math Appreciation through Time: An Exploratory Pedagogy
Authors: Limjuco Renan P. 
Published: February 2016

<p>This study examined an exploratory pedagogy designed to promote mathematics appreciation through time. It involved an infusion of some creative learning enrichment activities into the traditional approach of teaching, a process believed to heighten the interest of learners to study mathematics. Employing a descriptive method, specifically the longitudinal approach of developmental study, and involving fifteen Electronics Engineering students from a cohesive group, the researcher probed how the unusual non-traditional approaches to mathematics instruction could affect their appreciation for mathematics after 2-year exposure to the pedagogy. Findings revealed that the growth of knowledge precedes the increasing level of mathematics appreciation. Furthermore, learning appreciation maturation is a function of time and exposure to meaningful classroom activities. This study also found that regardless of students’ learning styles, supplementary activities elevate the appreciation of mathematics concepts and improve the analytical skills of the students.</p>
Developing a Server-Side Scripting Language Converter for Translating ColdFusion to PHP
Authors: Maranguit Shenna Rhea A. , Bonajos Nogine D. , Medillo Darwin I. 
Published: February 2016

<p>This study aimed to develop a language converter to translate ColdFusion to PHP (Hypertext Preprocessor) codes. ColdFusion and PHP server- side scripting languages each have its own advantages and disadvantages. ColdFusion is a commercial rapid application development platform while PHP is an open-source general-purpose scripting language. Ever since the emergence of open-source software that has led to the downfall of commercial software, several issues have stirred the IT industry. Thus, this research effort intended to address fundamental queries such as the technology conversion from ColdFusion to PHP and the maintenance of semantics codes involving these two scripting languages. The proponents used iterative model to successfully develop the converter basing on the following frameworks: tag parsing, semantic parsing and code generator. Findings revealed that the converter was able to translate ColdFusion into PHP but was delimited into basic syntax. It was evaluated by chosen respondents who were satisfied on the capability of the converter to translate ColdFusion into PHP.</p>
Epitome of Political Leadership in Rodrigo R. Duterte
Authors: Laya Mona L. , Marquez Jason N. 
Published: February 2016

<p>This descriptive study aimed to identify the leadership skills of Rodrigo R. Duterte to gain insights as to why he has become the undisputed political leader of Davao City. Making use of snowball and opportunistic sampling techniques for the first set and second set of respondents respectively, the investigation has established through qualitative analysis of triangulated data that Duterte’s leadership focuses on the maintenance of peace and order. As a leader, Mr. Duterte uses a combination of different leadership skills characterized by firmness in decisions, taking responsibility for every actions made, and the ability to accomplish the desired outcomes. He is a transactional leader with charisma to the masses. He actively monitors the work performed by subordinates and executes corrective actions if deviations from expected standards occur. He is an entrepreneurial leader, a risk taker, and a negotiator. His autocracy fits the level of maturity of the Dabawenyos. He is voted primarily for his leadership skills in maintaining peace and order while the various programs he has implemented are considered as additional accomplishments to his brand of leadership.</p>
Health-Risk Assessment: Interplay of Multi-Factor Variability on Sex, Location, Infection Rate, Analytical Method, and Nature of Intestinal Parasites
Authors: Dayaganon Avee Joy B. 
Published: February 2016

<p>Intestinal parasitic infections in the Philippines continue to be a significant health hazard. These infections vary from mild intestinal disturbances to severe multiple organ involvement. the objective of this study was to determine infection rate of intestinal parasitosis among food handlers of the three UIC campuses based on sex, location and methods of examinations (DFS, FECT) using three sample collections done in three consecutive weeks. Of the total 36 food handlers, 36.11% were positive for at least one intestinal parasite. The Entamoeba nana has the highest percent rate of parasitism of 19.44% (seven out of 36 respondents) followed by Blastocystis hominis at 16.67%, and E. histolytica, Giardia lamblia and Hookworm species with 5.56%. Trichuris. trichiura, Hymenolepis nana and Heterophyid fluke were in the lowest rank with 2.78% rate of parasitism.</p><p> </p><p>Based on gender, female group surpassed the male group using DFS but in the FECT, both genders do not significantly differ. Stratified by location, there is no significant difference using DFS, while FECT showed a significant difference in the infection rate of intestinal parasitosis. A significant variation exists between DFS and FECT, and noting the direction of the difference, it could be concluded that FECT is superior to DFS.</p>
Being or Nothing: A Blend of Buddhism, Heideggerian and Christian Philosophies
Authors: Parantar Armando B. 
Published: February 2016

This paper unravels the ultimate realities in three perspectives which may be representatives of the European perceptions, Oriental traditions and Christian contemplations respectively. My work endeavours to pierce through the possibilities of a blend and of any distinction by way of pure discourse as my personal insights run through the emerging similarities of the three subjects.<br />In the course of my learnings, I happen to find out the following: <br />That for Heidegger, there is the world in its entirety revealing itself in history. This unfolds from its concealment; it reveals and hides itself at the same time, thereby allowing the continuous unfolding. ‘Nothing’ exists to give birth to beings. The one whole reality reveals itself continuously in the consciousness of the Dasein as completely losing itself in the unfolding (Farrell Krell, 1977). <br />That for Siddhartha Gautama, the truth of the wholeness and dynamism of life is ‘Interdependent Arising.’ All is absolutely interrelated and constantly arising; assimilation of this principle leads one to Nirvana, a state of harmony and peace, a liberation from sufferings. There simply is the process constantly happening without a moment of permanence (Koller, 1995). <br />That for St. Aquinas, his metaphysics of esse explains the single link that connects all beings in their particular essences with the esse purum, pure and subsisting esse, God (Caputo, 1982). Everything must live in one Universal Divine Family of the Father. A being of any real object like the self, exists inasmuch as it is the participation in the Being of God. The impermanence of existence is true, however there is a necessity of a Being whose being never comes and goes and is the reservoir from which and to which beings happen to go.<br />That only the metaphysics of Aquinas holds the self-being as true in itself while it belongs to the universal oneness. That if a being is either nothing or completely dependent upon the Being of its Creator, it is logical to filter the values of humility, and utter gratefulness for one’s being as to be manifested in support to the entire reality through its very own life; that is “to allow the unfolding of Being” as conceived by Heidegger, “to act only out of love and compassion” in the Buddhist’s right intention, or “to love one another as I have loved you” in the words of Christ. <br />And that if reality is in constant flux, it is imperative that I submit myself completely into the flow. This calls me to be humble and to surrender myself into the flow or to join in the out-pouring of God towards His beloved creation. <br /><br />
Learning Strategies and Literary Response: Negotiating Meaning in the Literature Classroom
Authors: Ranalan Rhodora S. 
Published: February 2016

Reading is one of the most important skills for acquiring knowledge. However, it is a disturbing fact that students experience difficulties in this skill and thereby lose the pleasure of reading. The concept of learning strategies applied in the classroom, which students use in comprehending a text’s meaning, is rooted in second language acquisition studies. Thus, the objective of this paper is to use such strategies in a literature classroom to find the relationship between the learning strategies and literary response and to measure the levels of use of the learning strategies and their literary response in order to determine whether or not this response differs when analyzed according to sex, program and literature subject enrolled. The findings assert that the use of learning strategy of the students is high with socio-affective strategy as the most used. The respondents have a satisfactory literary response with the female students having a higher literary response than the males. The results also show that the Education students have a higher literary response than the Liberal Arts and ABA students. Moreover, those students taking an advanced literature subject (Literature 2) have a higher literary response than those who are only on their first literature subject (Literature 1). Statistical analysis shows that there is a high correlation between learning strategies and literary response. The use of learning strategies in the literature classroom greatly impacts the level of the response of the students to the reading materials offered in the literature classroom.
Dialectical Variations in English: Its Effects on Speaking Proficiency
Authors: San Jose Ariel E. 
Published: February 2016

This study determines the relationship between the use of dialects and the English speaking proficiency among the students of the University of the Immaculate Conception. Employing descriptive-correlation method and involving 72 Freshmen Bachelor of Science in Information Technology students in English 1 of the First Semester, School Year 2010-2011, the author made use of validated questionnaire with Cronbach Alpha = 0.83 to ascertain the level of dialect use and also considered Thomas E. Miller’s standard scoring rubric for integrated speaking to evaluate the speaking proficiency of the respondents, in addressing the main issues of the investigation. Based on the collected data and their statistical analyses set at α = 0.05, it was found that respondents have moderately used dialects in their communication and that they do not solely engage the dialects in their day to day communication. The study establishes also that English speaking proficiency of the respondents is generally poor and that each of the tested variables namely, sex, status of the high school, community profile, as well as the economic status of respondents, has failed to establish itself as a discriminating factor with respect to English speaking proficiency. Likewise, the study also points out the non-significance of the relationship between the dialect use among the respondents and their English speaking proficiency. However, it is important to note that among the indicators of the speaking proficiency, delivery has established a significant relationship with dialect use. <br />
Level of Aviation Noise: Their Effects on the Inhabitants near Francisco Bangoy International Airport
Authors: Sombilla Aylmer Ronnel L. , Paciente Aaron Paul R. , Masalta Cristy Marie C. , Sorolla Martin C. , Pausta Carlwen Jave J. , Villanueva Manuel Rey C. 
Published: February 2016

<p>Recognizing the need to assess the impact of noise pollution in vulnerable locations such as the subdivisions in close proximity to the airport, the researchers conducted a survey to characterize how aircraft noise affects the everyday lives of the residents within the perimeter of Francisco Bangoy International Airport of Davao City. Specifically, the investigation determined the levels of aviation noise intensities in dB(A) in four subdivisions surrounding the airport. Moreover, the degrees of effect as regards disturbance of resting time, health, communication, mood, and need for noise abatement of the respondents in the places were also measured. The digital sound level meter was used to measure the aviation noise intensities while a validated researchermade questionnaire was utilized to collect data to characterize many aspects of aviation noiseeffects. Four hundred respondents were randomly chosen from the identified subdivisions. Chi-square test was used to establish the degree of association between the level of aviation noise and its effect. Findings revealed that the noise levels are within 40-60 dB (A) for relatively distant places and 90-110 dB (A) in areas very near the airport. Many aspects of aviation noise have affected the lives of the inhabitants. There was a significant association between the level of aviation noise and the extent of its effect.</p><p> </p><p><strong>Keywords:</strong> Social Science, environmental engineering, aviation noise, inhabitants, noise effects, descriptive survey, Davao City, Philippines</p>