bluuebunny/crossref_metadata_2025 huggingface dataset:
Uso y demanda de Tecnologías Verdes en el sector de la construcción en Cartagena de Indias. Una aproximación teórica y práctica
Authors: Ruiz Ariza Alix , Jiménez Coronado Angélica
Published: September 2018

In 1997, the Colombian Ministry of the Environment implemented the Cleaner Production policy, which, as the name implies, aims to boost production that reduces the impact on the natural environment. Later in 2002, the Ministry of Environment, Housing and Territorial Development (MAVDT) issued its national strategic plan for green markets; Both initiatives are directly related and have shown results that support the plans developed by companies, environmental authorities, communities and universities in the country, and although the greatest efforts have been essentially on the production side, it is clear that there is still a Market for goods and services that does not meet sustainability criteria, since in its elaboration demand excessive use of resources (water and energy) greater quantities of raw material and generation of waste.
The production and maintenance of buildings, is the activity that generates more consumption of resources at present. In the construction sector in Cartagena de Indias, there is little use and demand for clean technologies, although today, private companies in the sector implement campaigns and procedures, in terms of environmental care, during the processes Which reduce the short-term negative impact on the natural environment.
The implementation of clean technologies to save energy in the production of goods and the use of renewable energy in its operation, is practically zero. We can attribute this, to an emerging economy like the Colombian one, the little investment of the state to the investigation and a little market even consents, of the meaning of sustainability.
Next, several aspects related to the management of the same will be analyzed, and it will be projected how it can contribute with the improvement of the environmental scenario, like point of beginning of a new panorama in this aspect. At the end, some useful reflections will be issued to address this issue in this important productive sector and that may serve for future research and improvement programs in the city of Cartagena.
El Desarrollo Humano en Colombia 2002-2014
Authors: Forero Delgadillo Paula Andrea , Vallejo Zamudio Luis Eudoro
Published: September 2018

The human development index (HDI) is used globally to measure the progress of each country. In this article a theoretical revision of the origin and measurement of human development is made up to the index of human development created by the United Nations Development Program (UNDP). It will also analyze the performance of the HDI for Colombia in the period 2002-2014, looking at its three components: long and healthy life, access to education and the enjoyment of a decent standard of living.
Positivismo Jurídico e os Direitos da Personalidade Natural
Authors: Dos Santos Luz Igor Henrique , Brito Jaime Domingues
Published: September 2018

O presente artigo propõe-se a analisar o quadro geral dos direitos da personalidade, relativos à pessoa natural, dentro da moldura normativa brasileira, e, sob a opção metodológica do positivismo jurídico (lato sensu). Para tanto, situa, brevemente, no tempo e na história, a origem e evolução do complexo de direitos denominados personalíssimos. Analisa o conceito de pessoa, que lhes dá fundamento, tanto em uma perspectiva doutrinária e legal quanto filosófica e antropológica. Explicita as duas principais tendências filosóficas (unitária e reducionista - esta, por vezes, considerada expansionista) utilizadas na definição do conceito de pessoa. Perpassa a implicação/relação das questões éticas sobre a criação e interpretação das leis. Noticia as constantes discussões, controvertidas, acerca de temas como o aborto, a realização de tatuagens, a doação de órgãos, a transfusão de sangue, a automutilação (quando culturalmente aceita) ou a amputação de membros (por recomendação médica), a manipulação genética, e, ainda, a eutanásia. Por fim, destaca a situação vivenciada no contexto do 'pós-positivismo', em que a discricionariedade judicial é paradoxalmente utilizada como justificativa para o confronto e para a aplicação da metodologia juspositivista (em especial, nas vertentes do moralismo jurídico e do realismo jurídico).
Distribution of causes of acute abdominal pain in children that presented to a state hospital radiology unit according to age, gender and pathology origin
Authors: TİRYAKİ BAŞTUĞ Betül
Published: September 2018

Objectives: The
term “acute abdomen” refers to any sudden non-traumatic disorder whose chief
manifestations are located within the abdominal area. In this condition, urgent
operation may be necessary. The aim of this study was to investigate the
distribution of causes of acute abdominal pain in children according to their
age, gender and origin of pathology, who presented to a state hospital
radiology unit in Turkey that had undergone standardised abdominal sonography
and computed tomography imaging if necessary. Methods: This study was
designed as a retrospective investigation. A sample of 1000 patients (568 males
and 432 females) were selected from a pool of 3452 paediatric patients between
2014 and 2016. Results: Acute
abdomen in the paediatric age group occurred more frequently in males than
females. The most common age of presentation with acute abdominal pain was
between 7 and 15 years. The most common medical cause was mesenteric
lymphadenitis (11%). In females, mesenteric lymphadenitis, acute appendicitis
and ovarian cyst rupture were the predominant causes, whereas mesenteric
lymphadenitis, acute appendicitis and urinary
system pathologies were predominant in males.

Conclusions: When evaluating a child with acute abdominal
pain, the most important components include taking a thorough patient history
and performing repeated physical examinations. Selective use of appropriate
laboratory and radiological investigations may be necessary in order to
establish a specific diagnosis.
Commentary - Community Partner Experiences in CPPR: What Participation in Partnered Research Can Mean to Community and Patient Stakeholders
Authors: Mango Joseph D. , Griffith Krystal , Sugarman Olivia , Plaia Matthew , Santostefano Antonella , Flores Jose , Haywood Catherine , Jones Andrea , Kirkland Angela , Williams Pluscedia
Published: September 2018

Community partners and stakeholders currently engaged in community part­nered participatory research (CPPR) can provide personal and professional insight into the processes and outcomes sur­rounding the CPPR model. This insight may indicate alternative solutions or methods of care delivery that can improve the model and existing interventions. We conducted in-person and phone inter­views with five community partners who are currently involved in CPPR. The inter­views were audio- and video-recorded, transcribed, and major themes identified. Interviewees recounted their experiences with CPPR and reported various levels of personal (ie, behavioral) and professional growth as a result of their involvement. Interviewees also indicated that CPPR can highlight various aspects of existing interventions (eg, leadership structure, stakeholder representation, methods of provider-to-patient communication, and provision of resources) that may benefit from re-evaluation. Engagement in CPPR may offer various personal and professional benefits for individuals (ie, community partners) involved in stages of development, implementation, and dissemination. The benefits affect these individuals in several ways, from personal growth (eg, emotional maturity, behavioral progress, increased familial resiliency) to professional growth (eg, progression of one’s career/role/responsibilities, orga­nizational growth, learned skills). These maturations have secondary effects (eg, increased community resilience, strength­ened relationships, community-based mentorships) impacting the communities in which these community partners serve. Ethn Dis. 2018;28(Suppl 2):311-316; doi:10.18865/ed.28.S2.311.
Maintaining Internal Validity in Community Partnered Participatory Research: Experience from the Community Partners in Care Study
Authors: Belin Thomas R. , Jones Andrea , Tang Lingqi , Chung Bowen , Stockdale Susan E. , Jones Felica , Wright Aziza , Sherbourne Cathy D. , Perlman Judy , Pulido Esmeralda , Ong Michael K. , Gilmore James , Miranda Jeanne , Dixon Elizabeth , Jones Loretta , Wells Kenneth B.
Published: September 2018

Objective: With internal validity being a central goal of designed experiments, we seek to elucidate how community partnered participatory research (CPPR) impacts the internal validity of public health compara­tive-effectiveness research.Methods: Community Partners in Care (CPIC), a study comparing a community-coalition intervention to direct technical as­sistance for disseminating depression care to vulnerable populations, is used to illustrate design choices developed with attention to core CPPR principles. The study-design process is reviewed retrospectively and evaluated based on the resulting covariate balance across intervention arms and on broader peer-review assessments. Contribu­tions of the CPIC Council and the study’s design committee are highlighted.Results: CPPR principles contributed to building consensus around the use of randomization, creating a sampling frame, specifying geographic boundaries delimit­ing the scope of the investigation, grouping similar programs into pairs or other small blocks of units, collaboratively choosing random-number-generator seeds to deter­mine randomized intervention assignments, and addressing logistical constraints in field operations. Study protocols yielded samples that were well-balanced on background characteristics across intervention arms. CPIC has been recognized for scientific merit, has drawn attention from policy­makers, and has fueled ongoing research collaborations.Conclusions: Creative and collaborative fulfillment of CPPR principles reinforced the internal validity of CPIC, strengthening the study’s scientific rigor by engaging comple­mentary areas of knowledge and expertise among members of the investigative team.Ethn Dis. 2018;28(Suppl 2):357-364; doi:10.18865/ed.28.S2.357.
Development and Evaluation of Two Integrated Care Models for Children Using a Partnered Formative Evaluation Approach
Authors: Zima Bonnie T. , McCreary Michael , Kenan Kristen , Churchey-Mims Michelle , Chi Hannah , Brady Madeline , Davies Jewel , Rompala Vikki , Leventhal Bennett
Published: September 2018

Objective: To describe the development and evaluation of two integrated care mod­els using a partnered formative evaluation approach across a private foundation, clinic leaders, providers and staff, and a universi­ty-based research center.Design: Retrospective cohort study using multiple data sources.Setting: Two federal qualified health care centers serving low-income children and families in Chicago.Participants: Private foundation, clinic and academic partners.Interventions: Development of two inte­grated care models and partnered evalua­tion design.Main Outcome Measures: Accomplish­ments and early lessons learned.Results: Together, the foundation-clinic-academic partners worked to include best practices in two integrated care models for children while developing the evaluation design. A shared data collection approach, which empowered the clinic partners to collect data using a web-based tool for a prospective longitudinal cohort study, was also created.Conclusion: Across three formative evalua­tion stages, the foundation, clinic, and aca­demic partners continued to reach beyond their respective traditional roles of project oversight, clinical service, and research as adjustments were collectively made to accommodate barriers and unanticipated events. Together, an innovative shared data collection approach was developed that extends partnered research to include data collection being led by the clinic partners and supported by the technical resources of a university-based research center.Ethn Dis. 2018;28(Suppl 2):445-456; doi:10.18865/ed.28.S2.445.
Engaging African American Veterans with Health Care Access Challenges in a Community Partnered Care Coordination Initiative: A Qualitative Needs Assessment
Authors: Izquierdo Adriana , Ong Michael , Jones Felica , Jones Loretta , Ganz David , Rubenstein Lisa
Published: September 2018

Background: Little has been written about engaging potentially eligible members of a health care system who are not accessing the care to which they are entitled. Know­ing more about the experiences of African American Veterans who regularly experi­ence health care access challenges may be an important step toward equitable, coordi­nated Veterans Health Administration (VHA) care. This article explores the experiences of African American Veterans who are at risk of experiencing poor care coordination.Design: We partnered with a community organization to recruit and engage Veterans in three exploratory engagement workshops between October 2015 and February 2016.Participants and Setting: Veterans living in South Los Angeles, CaliforniaMain Outcome Measures: Veterans were asked to describe their experiences with community care and the VHA, a division of the US Department of Veterans Affairs (VA). Field notes taken during the workshops were analyzed by community and academic partners using grounded theory methodol­ogy to identify emergent themes.Results: 12 Veterans and 3 family members of Veterans participated in one or more en­gagement workshops. Their trust in the VA was generally low. Positive themes included: Veterans have knowledge to share and want to help other Veterans; and connecting to VA services can result in positive experi­ences. Negative themes included: functional barriers to accessing VA health care services; insensitive VA health care environment; lack of trust in the VA health care system; and Veteran status as disadvantageous for accessing non-VA community services.Conclusions: Veterans living in underserved areas who have had difficulty accessing VA care have unique perspectives on VA services. Partnering with trusted local com­munity organizations to engage Veterans in their home communities is a promising strategy to inform efforts to improve care access and coordination for vulnerable Vet­erans.Ethn Dis. 2018;28(Suppl 2):475-484; doi:10.18865/ed.28.S2.475.
Children’s Problems During the Preschool Transition: Views of Mexican Teachers
Authors: Urbina-Garcia Angel , Kyriacou Chris
Published: September 2018

Transitioning from preschool to primary school, has been shown to be particularly challenging for children who must adapt to a new environment, set of rules, demands, behaviours and expectations. A number of studies in developed countries have shown that children consistently show problems during this transition, however research is scarce in developing countries. A sample of 30 Mexican teachers from preschool and first grade was recruited to examine common problems children face during this transition to primary school. Results revealed that teachers were somewhat to very concerned about this transition. Preschool teachers reported children showing behaviour problems and having difficulty following directions as the most common problems, while primary school teachers reported the same problems in addition to children showing difficulty taking turns. Teachers’ characteristics were associated to a number of children’s problems. Overall, Mexican children show similar problems to those reported in the international literature, however further studies are needed in Latin American contexts. Implications for policy and practice are discussed.
The Role Of Literacy In The Economic Growth Of Cameroon
Authors: Boris Dudjo Yen G. , Germain Sonkeng , Aloysius Njong Mom , Edward Tafah Edokat O.
Published: September 2018

This paper focuses on how education contributes to economic growth. That is to say that there is a significant relationship between the variables of education and the economic growth of Cameroon. Education is therefore a priority for all nations. This shows the prominent place it occupies in the Constitution of almost every state. There are several studies that have focused on the relationship between education and economic growth of the microeconomic perspective, as macroeconomic, both theoretically and empirically. Empirical studies, which have been carried out everywhere around the world, do not agree with the fact that education has a positive effect on economic growth. The estimation results show that literacy rate, however, remains ambiguous and contradictory when OLS is going to GMM. Investing in Literacy is a challenge for development and it is the heart of poverty reduction process at all levels.
Utilisation Des Tubes A Diffusion Passive Pour La Surveillance De La Pollution Automobile Dans La Ville De Meknes
Authors: El Ghazi Ibrahim , Berni Imane , Menouni Aziza , Kestemont Marie-Paule , Amane Mohammed , El Jaafari Samir
Published: September 2018

Road traffic emission is one of the major sources of air pollution which can cause several human health problems including cardiorespiratory diseases. The aim of our study is to monitor air quality in Meknes city (Morocco) by measuring nitrogen dioxide (NO2) and benzene (C6H6) concentration mainly generated by road traffic. To this end, we deployed passive diffusion tubes at 14 sampling sites during two measurement campaigns in the summer of 2014 and the winter of 2015 using car and underground proximity sites. In parallel with the winter measurement campaign, road traffic counting sessions were conducted on the main roads of the city in order to determine average daily traffic intensity. Results of this study show that the atmospheric concentrations of NO2 and C6H6 reach maximum values in the city center and decrease towards its periphery. The average value of NO2 in all targeted sites was around 32, 59 μg / m3, which is lower than the EU limit of 40 μg / m3. The average concentration of C6H6 in Meknes was equal to 1,77 μg / m3, a value close to the quality objective set by the European Union (2 μg / m3) and well below the annual Moroccan limit (10 μg / m3). The use of GIS (geographic information system) for coupling the results of measurement campaigns and those of traffic counting made it possible to determine the areas most affected by these tracers and thus to set up very high spatial resolution cartography.
Estrategia "Hands On" Y Su Incidencia En El Desarrollo De La Comprensión Lectora Del Idioma Inglés
Authors: Pavon Luis Even Pazmiño , Pesantez Paul Rolando Armas , Arboleda Edgar Eduardo Heredia
Published: September 2018

This paper focuses on applying a strategy through a didactic guide called “Hands On” with tales, games, and vocabulary to develop the reading comprehension of English Language students of sixth level class “E” of the Language Center at Universidad Nacional de Chimborazo (UNACH), Ecuador. The research type was transversal, quasi-experimental, descriptive, and correlational. Due to observation and a checklist, it was possible to evaluate it before and after applying the strategy by means of the application of activities planned in the English subject syllabus. For this, it was necessary to take into account a sample of 30 students, identify the causes of the lack of motivation on them in order to develop the English language reading comprehension, and analyze the intellectual capacities of the group and the English Language teaching-learning methods. The data collected were tabulated, analyzed, and interpreted to be finally put under a statistical test in order to check the hypothesis. Therefore, it was concluded that the application of tales, games, and vocabulary contained in the guide influences the development of the English Language reading comprehension in a positive way.
Analgesic Profile of the Aqueous and Methanol Extracts of Alchornea Laxiflora in Albino Mice
Authors: Nwonu Chukwunwike , Ilesanmi Olapade , Agbedahunsi Joseph , Nwonu Patience
Published: September 2018

The study investigated the median lethal dose and the effects of the aqueous and methanol extracts of Alchornea laxiflora in three mouse models of central and peripheral analgesia, the hot plate, acetic acid-induced abdominal writhes and the tail immersion tests. This was with a view to providing information on the acute toxicity, analgesic effects and the possible mechanism of analgesia. The LD50 for the aqueous and methanol extracts of A. laxiflora in the oral route was > 1600 mg/kg respectively, and found to be safe in animals. However, the LD50 (i.p.), was found to be 400 mg/kg for the methanol extract, which was relatively toxic and > 1600 mg/kg for the aqueous extract. Mice of both sexes (n=6) weighing 18 – 22 g were used for the study, which were randomised into control and test, which summed up to eight (VIII) groups. The control group (I) received 10 % Tween 80 (vehicle), 0.1 ml/10 g mouse while the test groups (II,III,IV,V,VI) were administered graded doses (100, 200, 400, 800, 1600 mg/kg, p.o.) of the extracts. The reference groups (VII,VIII) received standard drugs, Acetyl salicylic acid (10 mg/kg, i.p.) and Pethidine (10 mg/kg, i.p.). The animals were observed for their reaction to pain using different noxious stimuli (thermal and chemical). They were appropriately scored individually after observation 30 and 60 min post intraperitoneal and oral administrations of vehicle, extracts or drugs respectively. The results showed that A. laxiflora produced significant (P < 0.05) increase in the mean reaction time to pain in the hot plate and the tail immersion tests. It also produced a significant (P < 0.05) decrease in the number of abdominal writhes. The study concluded that A. laxiflora possesses analgesic activity. The mechanism of the analgesic effect was not through the opioidergic system
Structure et caractéristiques de la flore adventice de la ferme agricole de l’Université Gaston Berger de Saint-Louis (Sénégal)
Authors: César Bassene , Nicolas Mansaly , Rahimi Mballo , Aziz Camara Abdoul , Samba Mbaye Mame , Kandioura Noba
Published: September 2018

This present study was conducted to determine the structure and characteristics of the adventitious flora of the agricultural farm of Gaston Berger University (UGB) located in Saint Louis, Senegal. A species inventory was carried out using the "tour de champ" technique which consists of going through a plot in different directions and recording all the species present in the studied area. The inventoried flora is composed of 149 species distributed among 90 genera belonging to 30 families which are dominated by the Poaceae (18.8%) and the Fabaceae (15.4%). This flora is also characterized by the predominance of the therophytes and the chamephytes which represent 79.9% and 10.7% of recorded species, respectively. From a chorologic standpoint, pantropical (29.5%) and African (28.2%) species account for more than half of the species (57.7%). The quantitative analysis of this flora reveals that rare or accidental species are more represented (52%) followed by frequent species (16%) and secondary species (15%).
DIAGNOSIS KLINIS DINI PENYAKIT DENGUE PADA PASIEN DEWASA
Authors: Cucunawangsih Cucunawangsih
Published: September 2018

Menyebarnya penyakit dengue di dunia, khususnya Indonesia adalah sebagai akibat dari pengaruh meningkatnya proporsi kasus dewasa. Infeksi virus dengue seringkali memberikan gejala klinis non-spesifik dan singkatnya waktu infeksi, karena itu uji diagnostik laboratorium cepat, dan identifikasi penanda dengue yang dapat segera dilakukan dan mudah diperoleh tetap menjadi prioritas. Deteksi dini pada pasien infeksi virus dengue secara substansial ditujukan untuk mengkonfirmasi dan mengendalikan manajemen klinis. WHO (Organisasi Kesehatan Dunia) dan beberapa penelitian menunjukkan bahwa deteksi antidengue NS-1 dengan/atau tanpa IgM sebagai faktor indicator untuk menyingkirkan infeksi virus lainnya. Risiko kejadian penyakit dengue yang parah dan dirawat di rumah sakit sering tidak  nampak pada pasien dewasa yang lebih tua, hal ini menunjukkan bahwa kelompok pasien ini harus mendapatkan manfaat dari deteksi dini. Pada pasien dewasa yang mempunyai gejala demam dan leukopenia harus dilakukan pemeriksaan terhadap virus dengue. Namun demikian, gejala klinis demam, trombositopenia, leukopenia, dan monositosis lebih konsisten ditemukan pada pasien terinfeksi virus dengue daripada kasus negatif. 
IL-4: PREDIKTOR ANTI INFLAMASI PADA STROKE ISKEMIK ?
Authors: Herminawati Lucia , July Julius
Published: September 2018

The brain ischemia due to vascular occlusion, especially in the main cerebral artery, could trigger the microglia as a natural immune cell in the brain. These activated microglia will turn up the inflammation cascade in the ischemic area. Interleukin-4 (IL-4) has a vital role in the microglial alteration to become an anti-inflammatory phenotype, which wind up the expression of MHC II and CD11c. Moreover, previous studies has supported that the stimulation of IL-4 in the culture of microglia/macrophage will produce this kind of “alternative” phenotype or neuroprotective phenotype, through the fall of TNF and rise of IGF-1. However, only a few have discussed the role and profile of IL-4 in ischemic stroke. This review article will cover the possibility of IL-4 role as an anti-inflammatory predictor in ischemic stroke.

Keywords: Interleukin-4, microglia, ischemic stroke, inflammation
Clinical Characteristic of Young Indonesian Colorectal Cancer Patients: A Preliminary Study
Authors: Lugito Nata Pratama
Published: September 2018

Introduction: Colorectal cancer (CRC) is generally a disease of persons aged above 40 year-old. Controversies still exist regarding clinical characteristics of CRC in young persons. The aim of this study is to know the clinical characteristics of young CRC patients in Siloam General Hospital, Karawaci, Banten.

Material And Methods: A total of 14 patients with diagnosis of CRC from December 2013 to January 2014 in Siloam General Hospital, Karawaci, Banten were studied cross – sectionally.  The symptoms and signs, family history of cancer, diabetes, location of mass were collected and evaluated.

Results: There were 5 (35.7%) cases of CRC patients aged below 40 year-old (young patients) and 9 (64.3%) above 40 years-old (old patients). The most common symptom was constipation followed by bloody diarrhea i.e. 57.1% and 42.9% consecutively. Constipation occurred in 2 and 6 young and old patients consecutively and in 3 and 3 young and old patients consecutively. In young patients, 2 (14.2%) had a history of cancer in the family compared to none in the old patients. According to the location of tumor in the colon 4 (28.5%) were in ascending colon with 2 and 2 in young and old patients consecutively, 3 (21.7%) were in descending colon with 2 and 1 in young and old patients consecutively, 8 (57.1%) were in rectum with 2 and 6 in young and old patients consecutively. One young patient had diabetes, and one other young patient had positive Clostridium difficile antigen and toxin.

Conclusion: Approximately 35.7% cases CRC patient in our hospital was of young patients. Two patients were having family history of cancer. The location of mass was not specific for young CRC patients.
Key words: colorectal cancer, young patients
Hemofilia
Authors: Susanto Michael , Kurniawan Andree
Published: September 2018

Hemophilia A and B are X-linked recessive diseases that are caused by gene mutations in factors VIII adan IX of the blood clotting cycle. Hemophilia C is an autosomal recessive disease caused by a mutation in factor XI, and acquired hemophilia is largely is an autoimmune process. Hemophilia A and B cannot be distinguished clinically, and severe cases can cause bleeding in the joints and lead to chronic hemophilic arthropathy. The main treatment of hemophilia is infusions of factor VIII and IX, and DDAVP in less severe cases. The main complication that can rise from the use of clotting factors is the appearance of specific inhibitor antibodies that can neutralize the work of the factors. Severe cases of hemophilia A and B by itself carries a poor prognosis, but proper treatment throught the use of clotting factors can give a very good prognosis
Uncovering Meaning Through the Aesthetic Turn: A Pedagogy of Caring
Authors: Barry Charlotte D.
Published: September 2018

The purpose of this paper is to describe a pedagogical approach to uncovering meaning in narratives of nursing practice through the natural turn to the aesthetic. Nurses in practice, accustomed to moving at warp speed, often come back to graduate programs seeking another way of being. The pedagogical challenge for faculty is to provide an opening for students to slow down and to find meaning in their nursing. The challenge for students is to experience new ways of being. Aesthetics is the realm of opening in which students can fully engage in valuing meaning and connecting to their core beliefs.
Patient Safety: The Contribution of “Rehabilitation Caring” To Its Definition
Authors: St-Germain, Daphney , Blais, Régis , Cara, Chantal
Published: September 2018

With the perspective of Disability Creation Process (DCP), rehabilitation caring extends the definition of patient safety beyond physical aspects. Given that rehabilitation transforms the person holistically and solicits a humanistic approach from the caregiver, it seems inevitable that psychological, social, and spiritual standpoints must be considered as major issues for these patients. By presenting the DCP with new research findings, pertaining to a caring approach in rehabilitation, a strongly linked perspective was revealed, which contributes to patient safety.
Ugandan Nurses’ Experience of Caring for Persons Dying From Ebola Hemorrhagic Fever
Authors: Locsin, Rozzano C. , Kongsuwan, Waraporn , Nambozi, Grace
Published: September 2018

Written narratives of 15 Ugandan nurses’ experience of caring for persons dying from Ebola Hemorrhagic Fever were analyzed using van Manen’s (1990) phenomenological approach. From these narratives emerged the description of caring for persons as affirmation of knowing and the uncertainty of living life while consciously waiting and protecting self through isolation from family and society, and the selfless dedication of giving one’s life for others. Within this description is attributed the foci on health promotion, illness prevention, and early intervention as recommendations for effective nursing in community wellness practice.
Sources of Caring in Professional Nursing - A Review of Current Nursing Literature
Authors: Rundqvist, Ewa , Sivonen, Kerstin , Delmar, Charlotte
Published: September 2018

The ultimate aim of caring is to preserve a person’s dignity, his/her absolute value as a human being, and the right of self-determination. Caregivers experience a sense of impotence when, for various reasons, they are unable to give care that preserves the patient’s dignity. This may lead to burnout and dropout from the profession. This paper discusses shared humanity, moral behavior, and responsive relationships as sources of caring as described in the literature.
Valuing Caring Behaviors Within Simulated Emergent Nursing Situations
Authors: Eggenberger Terry
Published: September 2018

This study was conducted to explore how students come to know persons as caring and how caring is expressed using a high-fidelity human simulator in emergent nursing situations. Using a caring teaching framework of briefing, encountering, and debriefing to structure a simulated experience grounded in a caring nursing situation, this qualitative research study used a focus group method to generate data. Themes and thematic categories that emerged from the data included knowing persons from significant others, utilizing ways of knowing in nursing, and nursing calls and responses. Implications for nursing education, research, and practice are presented and discussed.
A Qualitative Metasynthesis of Spirituality from a Caring Science Perspective
Authors: Rykkje, Linda , Eriksson, Katie , Riholm, Maj-Britt
Published: September 2018

In this metasynthesis we portray a changed understanding of the concept of spirituality. In addition, we discuss implications for spiritual care. Through a hermeneutical approach influenced by Gadamer, 17 studies were synthesized. Connectedness with inner space is at the center of spirituality. This category is partly overlapping and is in interaction with connectedness with a higher power, nature, others, and community. Love in connectedness is an ontological core category and a motivating force. This study contributes to the theoretical development in caring science and, through hermeneutical application, such knowledge might lead to changed perspectives in clinical practice.
Student Paper: Theory-Based Exemplar of Jean Watson’s Theory of Caring
Authors: Wadsworth, Amy M.
Published: September 2018

Nurses care about their patients. Reflection allows nurses to express the process of knowing, which aids in the conventional and theoretical practice of the discipline of nursing as a caring science. Reflection allows nurses a means to successfully and competently care for our patients, while increasing our compassion and humanness for future practice. This verbal expression of reflection allows one nurse to express her moment-to-moment caring of her mother, who has Alzheimer’s.
Hope and Despair: Diverse Voices of Hope from Urban African American Adolescent Gang Members
Authors: Morris, Edith J. , Fry-McComish, Judith
Published: September 2018

The Center for Disease Control (2010) found that 9.8% of African American adolescents reported having a suicide plan compared to 10.9% of all youth surveyed. Hope emerged as a caring construct in a study of african american adolescent gang members and may be a factor in the prevention of depression and suicide. Before age 12, adolescents were hopeful about their future, but shortly after their thirteenth birthday, they expressed feelings of hopelessness and despair. Interventions for promoting health and well-being in African American gang members include nonjudgmental listening, forming age-specific support groups, and offering strategies for achieving life goals.
Development and Psychometric Validation of the Nurse-Nursing Assistant-Caregiver Reciprocity Scale: Measuring Reciprocal Ethical Caring
Authors: Ameia Yen-Patton, Georgia P. , Dowling, Jacqueline S. , Clayton-Matthew, Alan
Published: September 2018

The human social principle of Reciprocal Ethical Caring (REC) has not been measured in long-term care (LTC) settings. The purpose of this study was to develop and validate dimensions of REC in the nurse-nursing assistant Caregiver reciprocity Scale (NNA-CRS). Psychometric investigation (N = 1,050) resulted in three factors: Balanced Reciprocal Ethical Caring Team Work (7 items), Love and Affection (5 items), and Intrinsic Rewards (4 items). Cronbach alphas were .891, .800, and .815, respectively. Fit indices supported use of the NNA-CRS in LTC (CFI = .947, RMSEA = .060, AGFI= .926, CMIN/DF = 4.720, NFI = .933, and RMR = .036).
The Lived Experience of BSN Students in Caring Groups: Priceless
Authors: Wilson, Carol B. , Grams, Kathryn
Published: September 2018

The commitment to caring is an essential component of a nursing program through the implementation of Caring Groups. The purpose is to create a context for experiencing and learning caring. An interpretive phenomenological approach was used to describe the experiences of students participating in Caring Groups. The findings support this strategy as an opportunity for students to learn caring through sharing personal experiences, growing in self-awareness and self-care, building relationships, and being part of a team. The findings will inform the further development of Caring Groups and guide other educational programs in implementing this strategy.
A Culture of Quiet: Caring for Patients by Creating an Environment for Healing
Authors: Long Terri
Published: September 2018

This essay describes the recognition of the Doylestown Hospital nursing staff that a quiet environment in an acute care, community hospital contributes to the healing of patients. It identifies the strategies used by a department of nursing to create a culture of quiet with the intention of improving the milieu of patients and of nurses by creating an environment for nurse caring.
Lived Experience of Nursing Faculty who Received Caring From Nursing Students
Authors: Welch, Susan
Published: September 2018

This phenomenological study explored the lived experience of nursing faculty who received caring from nursing students. Seven faculty members participated. Interviews were analyzed using a phenomenological methodology by Colaizzi (1978). Methodological rigor was achieved adhering to trustworthiness criteria of Lincoln and Guba (1985). Three patterns emerged: Opening the Door, Stepping Through, and Keeping the Door Open. The pattern of Opening the Door incorporated the themes of Being in a Caring Group and Self-Disclosing. Stepping Through encompassed themes of Acknowledging Me as a Person and Giving. The themes Respecting, Sharing, Supporting, and Connecting were included in the pattern Keeping the Door Open. Findings related to the theory of nursing as caring (Boykin & Schoenhofer, 2001) and offered insight into relationships between nursing educators and nursing students and increased understanding of the reciprocal nature of caring.
The Lived Experience of Teaching and Learning From Nursing Situations: A Phenomenological Study
Authors: King, Beth M. , Barry, Charlotte D. , Gordon, Shirley C.
Published: September 2018

This study offers insight into an innovative approach to teaching and learning nursing through the use of nursing situations. A Heideggerian, hermeneutic phenomenological study of the lived experience of teaching and learning from nursing situations was conducted with 10 participants, all of whom had taught in a caring-based curriculum and had experience teaching from nursing situations. The data revealed 3 relational themes: Focusing on the Discipline of Nursing, Moving Away From the Way We Were Taught, and Trusting the Process. A constitutive pattern emerged, Learning to Dance, expressing the alternating rhythms of teacher and student.
Moments in Nursing Practice: An Interpretive Analysis
Authors: Hawley, M. Patricia
Published: September 2018

What is a nursing moment? This hermeneutic, phenomenological text describes the lived experience of a nursing moment as interpreted from 3 nurses’ stories that depict memorable experiences in their nursing practice. The themes that emerged are a moment of understanding, a moment of being present, a moment of comforting, a moment of touching, and a moment of encouraging. These moments reflect moments of genuine encounters, moments that may bring about profound changes in the lived experiences of patients. In the lived world of nurses, these moments may bring a sense of professional fulfillment and satisfaction.
A Process Model for Policy Analysis Within the Context of Political Caring
Authors: Turkel, Marian C. , Ray, Marilyn A.
Published: September 2018

As the health care system in the United States is becoming increasingly more politically and economically oriented, the concept of political caring needs to be advanced in contemporary nursing practice (Ray, 1989, 2001; Turkel, 2001). The purpose of this article is to present a model outlining the process of policy analysis through a phenomenologica research study illuminating the life world descriptions of experiences of United States Air Force personnel with managed care in the military and the civilian health care system. This process shows how qualitative data are used to give voice to a moral crisis and contribute to health care policy.
Patient Experiences When the Nurse Cares For and Does Not Care For
Authors: Karlsson Maud
Published: September 2018

The purpose of this study was to increase understanding of what the patient experiences when the nurse “cares for” or alternatively “does not care for.” Data were collected using the critical incident technique. Patient experiences were analyzed with the intention of understanding meaning. When the nurse “cares for” the patient, the nurse has a genuine will and desire to see the patient. The nurse carries out a caring relationship as the patient’s suffering is reduced through care. When the nurse “does not care for,” this shows that the patient is unimportant and is someone who disturbs the nurse. Thus, the nurse-patient relationship is not a caring one and this causes the patient increased discomfort and suffering.
The Senior Health Project: Caring for Ethnic Elders, One Neighborhood at a Time
Authors: Jett Kathleen
Published: September 2018

The Senior Health Project attempts to improve the health and quality of life for ethnic elders using a unique neighbor-to-neighbor, safety-net approach and is based on informed caring. Services include culturally appropriate, community-based primary care and care navigation. The majority of the caring is provided by lay workers who are members of the community, hired to help persons in the manner of a good neighbor, if a neighbor were able to do so, offering everything from transportation to reading prescription labels to filling out forms. The caring has been found to improve individual’s well-being. Acceptance by the community has been the key to the success of the project.
Aesthetic Expression
Authors: Dulieu, Francie
Published: September 2018

My intent is to portray who I am in nursing by using narratives as a method to explore the aesthetics of my nursing practice, along with metaphorical representation and photographic images captured from nature. Interwoven throughout the text will be the centrality of ontological caring, or ways of being in the world, and dimensions of transpersonal caring with reference to various nurse scholars and leaders as they have influenced and contributed to my evolving scholarship.
MODAL SOSIAL IBU HAMIL DALAM PROGRAM PENDAMPINGAN KADER
Authors: Ani Sukarsih Ani Sukarsih , Pulung Siswantara Pulung Siswantara
Published: September 2018

Assistance for pregnant mother is one out of many government’s programs to reduce MaternalMortality Rate (or MMR) and Infant Mortality Rate (or IMR). This program is being particularly focusedon high-risk group of pregnant mothers, is a kind of fi eld activity to improve the welfare of the mother.Assistance itself in the implementation can not be separated from social capital. Assistance providedto pregnant mothers by health cadres itself is a manifestation of active roles in the community in whichthe cadres play continuous role in interaction. The purpose of this study was to analyze social capitalin ‘assistance for pregnant mother’ program. The study applied cross-sectional study design with aquantitative approach on as many as 35 pregnant mothers who were included in “assistance for pregnantmother” in Surabaya. Sampling was carried out using cluster random sampling. The independentvariables were the confi dence, norms and network while the dependent one was assistance for pregnantmother. Data analysis was performed using Spearman correlation test. The results showed that as manyas 21 respondents (or 60.0%) had high levels of social capital, 20 respondents (57.1%) had a moderatelevel of trust towards the cadres as a mentor, 29 respondents (82.9%) thought to have owned norms thatwere supporting assistance for pregnant mother and 14 respondents (40.0%) thought that their networkswere supporting the assistance. Spearman test indicated that no relationship was existed between socialcapital and assistance for pregnant mother, elements in social capital that had a relationship with theassistance for pregnant mother were the trust and norms.Keywords: Social capital, Assistance program, pregnant mother
ANALISIS FAKTOR RISIKO YANG DAPAT DIKENDALIKAN PADA KEJADIAN PJK USIA PRODUKTIF
Authors: Saesarwati Desta , Satyabakti Prijono
Published: September 2018

Coronary heart disease is one of cardiovascular disease dan being number one of mortalitycause in world. Coronay heart disease is begun with atherosclerosis. Atherosclerosis is process ofaccumulation of cholesterol in wall of heart’s blodd vessels that causes stenosis (obstruction). Thesedays coronary heart disease attacked productive people. Some risk factors of coronary heart diseaseare smoking habit, physical inactivity, hypertension, intake of unhealthy food, and stress. The aims ofthis research was to analyse modifi able risk factors of coronary heart disease in productive age thatconsists of smoking habit, physical inactivity, and stress. This study was an analytical study that usedcross sectional design conducted at cardiology clinic RSU Haji Surabaya at March-May 2016. Thepopulation in this study were all patients of cardiology clinic in RSU Haji Surabaya with 91 patientsas samples. The data described that there were no signifi cant correlation between smoking habit (p =0,22), physical inactivity (p = 0,79), dan stress (p = 0,06) with the incident of coronary heart diseasein productive age, and there was signifi cant correlation between passive smoker status with correlationof coronary heart disease in productive age (p = 0,01). The conclusion are there were no signifi cantcorrelation between smoking habit, physical inactivity, and stress with incident of coronary heart diseasein productive age, and there was signifi cant correlation between passive smoker status with incident ofcoronary heart disease in productive age.Keywords: risk factors, coronary heart disease, productive age
KEPUTUSAN ORANG TUA DALAM MENGIJINKAN ANAK MENONTON FILM YANG MENGANDUNG UNSUR KEKERASAN
Authors: Wardani Refrida Chandra
Published: September 2018

Superherofilm is a type of spectacle that is still widely consumed by children. Data from commonsense.org states that 68% of superhero films which aired in 2011-2016 have PG-13 ratings (Parental Strongly Cautioned) that contain violence and can have an impact on child development. Children who often watch television or movies tend to less concentration, less attention to the environment, and imitate what is shown. This study aimed to determine related factors of parental decisions in allowing children to watch violence films. This research was a quantitative with cross sectional approach. By using simple random sampling technique, the samples of this research taken as many as 93 parents of 3rd grade students at SDN Ketabang Surabaya. The data was collected by using questionnaire. This research used univariat and bivariate analysis. Most respondents are women (58.1%), age 28-45 years (79.6%), work as housewives (30.1%), and head of houshold have high income (68.8%). In relation to parental decisions in allowing children to watch violence films, most respondents have less knowledge (49.47%), less supportive attitude (84.94%), parents as personal reference in making decisions (68.82% ), unfulfilled facilities (52.69%), and high family culture (69.9%). Most respondents allow children to watch violence films (62.4%). The chisquare test showed that knowledge (p=0,000), availability of facilities (p=0,000), head of household income (p=0,000), and family culture (p = 0.002) are siginificantly related to parental decisions in allowing children to watch violence films. While the variables of attitude (p=0,096), personal references (p=0,249), and age (p=0,853) are not significantly related to parental decisions in allowing children to watch violence films.Keywords: children, parental decisions, superhero films, violence films