bluuebunny/crossref_metadata_2025 huggingface dataset:
Two new additions to the flora of Telangana, India.
Authors: Swamy Jetti
Published: January 2018

Ipomoea triloba L. and Merremia dissecta (Jacq.) Hallier f. are reported here as an addition to the flora of Telangana. Detailed descriptions and photo plates are provided to facilitate its easy identification.
Predicting salt damage in practice: A theoretical insight into laboratory tests.
Authors: Flatt Robert , Aly Mohamed Nevin , Caruso Francesco , Derluyn Hannelore , Desarnaud Julie , Lubelli Barbara , Espinosa Marzal Rosa Maria , Pel Leo , Rodriguez-Navarro Carlos , Scherer George W. , Shahidzadeh Noushine , Steiger Michael
Published: January 2018

Salt crystallization is accepted to represent one of the major causes for the degradation of building and ornamental stone. As such, it has attracted the attention of researchers, who over the years have progressively unraveled most mechanisms involved in salt damage. Despite this, many questions subsist about how to quantitatively predict damage or its progression, and in particular how to relate performance on site to that in laboratory tests.

In this context, a new RILEM TC has been started with the objective of defining laboratory tests that deliver more reliable predictions of field behavior. One deliverable of this TC, is to provide a theoretical insight into this question based on recent progress on the understanding of salt damage. This paper presents a summary of this work, highlighting key aspects relating to crystallization pressure, chemo-mechanics and transport. Implications are more specifically discussed in relation to existing accelerated tests in an attempt to better define the type of field exposure that they may best represent.

A simple conceptual model for the development of salt damage is introduced. During an initial “induction” phase, transport of ions and accumulation of salt in the porous materials occurs without causing detectable damage until a critical point, termed “damage onset” is reached. Beyond this point, during the “propagation phase”, the material degrades increasingly. The implications of these two phases are discussed in relation to the selection of appropriate salt weathering tests and conservation interventions.
Measuring Rheological Properties of Cement Pastes: Most common Techniques, Procedures and Challenges
Authors: Feys Dimitri , Cepuritis Rolands , Jacobsen Stefan , Lesage Karel , Secrieru Egor , Yahia Ammar
Published: January 2018

The science of rheology is increasingly used to describe the properties of fresh cement paste. Compared to standard workability tests, rheological properties allow for more fundamental investigation, more precise phenomenological description of flow properties and serve as input for numerical simulations. Standard commercially available rheometers are typically used to perform those measurements. However, the results of the measurement depend on the geometry, testing procedure and a number of potential artefacts which may occur. This technical letter describes the most common techniques and procedures used to assess the rheological properties of cement paste, as well as challenges during measurements and actions to counter these challenges.
Multi-scale and multi-physics deterioration modelling for design and assessment of reinforced concrete structures
Authors: Geiker Mette , Michel Alexander , Lepech Michel D. , Wu Jie , Stang Henrik
Published: January 2018

This paper discusses the need for reliable and valid multi-scale and multi-physics prediction models to support the design of new as well as the assessment, maintenance, and repair of existing reinforced concrete structures.

A multi-physics and multi-scale deterioration model for chloride-induced corrosion of reinforced concrete has been established. Ongoing work includes extension of the model to 3D as well as modelling of the impact of the steel-concrete interface characteristics and electrochemical potential on chloride thresholds.

Identified challenges include, among others, the improved understanding and modelling of single- and multi-deterioration mechanisms, environmental exposure, and data for validation.

We envision that next generation maintenance and management of reinforced concrete infrastructure will combine numerical simulations based on multi-scale and multi-physics principles and extensive in-situ monitoring, allowing continuous Bayesian updating of 4D simulations of functional performance.
Ineducable us: the applications and contexts of microscopy used for the characterisation of historic building materials
Authors: Hughes John
Published: January 2018

The analysis by microscopy of the compositions and microstructures of geomaterials found in historic structures and buildings is integral to archaeological, art-historical, conservation and restoration-related investigations, and supports decision making for material replacement and repair. In archaeology there is a need to elucidate past social, economic and technological processes, and to understand the environmental impacts of past human activities related to materials use. Standard light and electron microscopy are most commonly employed, but high resolution methods such as transmission electron and three-dimensional tomography such as µ-CT are also being used. Experimental and novel developments, where they overlap with advanced materials science, are uncommon. The application of scientific characterisation frames cultural heritage value, reinforcing our understanding of authenticity and integrity. Characterisation is constrained, in turn, by the values system that operates in cultural heritage. International charters and conservation philosophy necessitate the application of science to contextualising conservation. However, the appearance of science in heritage work has also led to the performance of science for its own sake (‘endoscience’, sensu Muñoz Viñas, Contemporary Theory of Conservation, Routledge, 2011). This moves some to suggest that there is a disconnect between scientific work and its practical value. Apparent communication problems between scientists applying microscopy and other stakeholders require changes to management of material characterisation in heritage projects.
A Path to Altruistic Leader Based on the Nine Values of Indonesian and India Ramayana
Authors: Abidin Nur Fatah , Joebagio Hermanu , . Sariyatun
Published: January 2018

This article is attempt to develop a theory and practices of altruistic leadership, this article is reconstructing
the nine values of Indonesian Ramayana as a foundation in formulating a path to the altruistic leader. The
authors found that Indonesian Ramayana contains nine leadership elements, encompassing: competency,
ethical, charismatic, integrative, collaborative, knowledgeable, transformative, pluralistic and
philanthropic. Those elements are divisible into four dimensions: self-dimension includes competency,
ethical and charismatic; social dimension includes integrative and collaborative; transformational
dimension includes knowledgeable and transformative, and altruistic dimension includes pluralistic and
philanthropic. Those dimensions show that altruistic leader is consist of hierarchical and interrelated
leadership elements. The path to altruistic leader consequently should start from the bottom side, which is
the maturity of self-dimension, social-dimension, and transformative dimension to reach the altruistic
dimension.
Workplace Spirituality and Organizational Commitment: An Empirical Exploration
Authors: Garg Naval
Published: January 2018

The paper aims to empirically explore the impact of six dimensions of workplace spirituality on three types
of organizational commitment. Six dimensions of workplace spirituality used for the study are Swadharma,
Lokasangraha, authenticity, sense of community, Karma capital and Krityagyata. Components of
organizational commitment are affective, normative and continuance commitment. A sample of 541
employees working in various organizations was given a structured questionnaire. Correlations,
regressions and Necessary Condition Analysis(NCA) were carried out. The paper has enriched the field of
workplace spirituality by contributing to existing literature via adding one more construct of Indian
spirituality i.e. Krityagyata. Paper concludes that workplace spirituality climate helps in promoting
organizational commitment. NCA elicited necessity of various dimensions of workplace spirituality for
healthy organizational commitment.
Mindfulness based Sales Management
Authors: Bhattacharjee Anindo , Moitra Rimi , Kumar Amit , Vardhan Anand
Published: January 2018

force behind effectiveness of businesses. Technology is no more the key differentiating factor especially in
sales or selling. As a result, the view on responsibility of a salesperson, is undergoing a paradigm shift. In
this paper, we would discuss the relevance of mindfulness in sales and would try to answer the question as to
“how mindfulness can enhance the performance of salespeople and may lead to better sales leadership and
management”. We intend to create a paradigm for developing better sales managers and more productive
salespeople based on contemporary mindfulness based traits as well as practices. Salespeople possessing
mindfulness as a trait would be termed as “Mindful salesperson” and the process of selling where
mindfulness based practices are an integral part, would be broadly termed as “Mindful selling”. Thus on
the basis of the notions of the east and west we create attention, awareness openness and acceptance as the
corner stones of the Mindfulness Based Sales Management framework.
Religious Affiliation and Bequest Behavior
Authors: Nair Smitha , S. Amrutha , V. Gopikumar , G. Sandhya
Published: January 2018

Bequest behavior is a highly delicate and complex subject which requires considerable attention by
researchers across all disciplines including economics, sociology and psychology. Studying the motives
behind bequests becomes critical not only from a socio-psychological perspective but also from a policy
perspective. This paper attempts to explore the socio- economic reasons which influence the intention to
bequest focusing specifically on the effect of religious affiliation. This study uses survey data from India to
test the hypotheses drawn from the anthropology, sociology and consumer behavior literature using logistic
regression technique. The results indicate that self-interest negatively impacts the probability of leaving a
legacy. Surprisingly, the study finds evidence for negative relationship between religious affiliation and
leaving a bequest. This study also reveals that unmarried women are less likely to leave a bequest. Unlike in
the philanthropic literature, the research could not find satisfactory evidence of altruism and social norms
driving bequest behavior among Indians.
Factors Affecting Malware Attacks: An Empirical Analysis
Authors: Kumar Ajay , Ojha Nishikant , Srivastava Nishit Kumar
Published: January 2018

It has been well proved that malware attacks results in a loss of wealth and security to individuals and
organizations. So, it is of utmost importance to understand that how a person or an organization becomes a
victim of malware attacks. To understand the issues affecting malware attacks an empirical analysis was
carried out. Firstly, factors affecting malware attacks were identified and a model was proposed,
subsequently SEM (Structural Equation Modeling) was carried out to validate the proposed model and
finally, regression analysis was used to establish the importance of the identified factors.
Leadership Role in Instilling Workplace Spirituality in Organizations
Authors: Sarkar Ayatakshee
Published: January 2018

Leaders are the role model of an organization and its members align to the vision of their leaders. Hence
leaders have to be extra cautious in articulating their vision, exhibiting behaviors and ultimately leading
their followers. A leader, engaged in self-interest can merely think of social benefits; their investment in
knowledge and skill would be to meet economic goals only. Leader must, therefore, go beyond matters of
economic importance and must engage in self-interest transcendence at workplace. Some workplaces could
be less productive only because people cannot find a way to breathe their spirituality into work. But when
spiritual people join workplaces that fit their expectations they will not only support their colleagues but
will seek quality and instill creativity. Since leaders play a vital role in facilitating spiritual culture in
workplaces, this conceptual paper is an attempt to understand patterns of behaviors exhibited aligning to
the core spiritual values such as benevolence, generativity, humanism, integrity, justice, mutuality,
receptivity, respect, responsibility, trust exhibited by a leader in three different roles as a selector, inductor
and developer in an organization. I propose a model for the behaviors justifying each spiritual value in three
different roles.
Spirituality and Modern Day Life: A Conceptual Model
Authors: Sharma Adya
Published: January 2018

Business environment is hyper-competitive, and constantly changing. To succeed in this environment there is very pronounced need for a lifelong learning. To stay relevant and proactive, executives up and down the corporate hierarchy as well as business owners and all types of professionals are increasingly recognising the need to refine, update and expand their knowledge, perspectives, and skills. Today all top class owners and professionals have a desire to stay at the top of the game to effectively compete in the global business space
Stressful Experiences,Workplace Stress, and Type 2 Diabetes:Management of Diabetes
Authors: Awasthi Purnima
Published: January 2018

The present paper draws attention towards the common occurrence of daily life i.e., stress along with its
relation and linkage with diabetes, which is no doubt reaching epidemic proportions. The paper throws light
on the relation between stressful experiences and onset and control of diabetes. It focuses how stress might
lead to diabetes and also increase the risk of type 1 and type 2 diabetes. Also in various situations managing
diabetes in itself becomes a stressful task and adds up more to added risk. Finally various stress
management approaches are discussed in order to ensure proper management of stress so that the quality of
life of an individual is not hampered to the extremes and it becomes manageable to cope up or combat with
the harmful consequences of stress, which further aggravates or increases the risk of diabetes.
The Impact of Corporate Governance Variables on Earnings Management in India
Authors: Kaur Raghuveer , Khanna Ashu
Published: January 2018

The dawn of 21st century has marked the plunge of numerous colossal enterprises across the continent that
not only quivered the business environment of economies but also shackled the investor confidence. This
phenomenon which has been the reason for these losses is termed as Earnings management. A series of
amendments paving way for stringent law to ensure better transparency and accountability have been put
into practice to restrain earnings management. In India, in the year 2006 major corporate governance
reform was introduced by making revised Clause 49 of listing mandatory. The Clause has a set of mandatory
and non-mandatory guidelines. The present work has been taken to explore the relationship between the
non-mandatory corporate governance variables as per revised Clause 49 (2006) variables and
discretionary accrual a proxy of earnings management in Indian context. The study period is 2007-2014 and
a sample of 209 BSE listed companies has been taken. These corporate governance variables are
handpicked from the annual reports of 209 companies. In total 1463 annual reports are scanned for the
purpose of extracting variables of this study. The study revealed that non-mandatory variables such as
remuneration committee and independent directors along with control variables such as firm size are
significant in reducing the instances of earnings management. The study fills the literature gap as empirical
studies examining the relationship between earnings management and corporate governance in the Indian
context are limited.
Spirituality and Skill for Leadership towards Sustainable Management
Authors: Shankar Shardul , Anagh G. Srisha , Vaish Anurika
Published: January 2018

This paper discusses the skills and spiritual dimension in business ethics, leadership and sustainability
management. Spirituality is understood as a meaning which connects people with all living beings and/or
God/Ultimate Reality. In this sense, spirituality is a vital source in a socio-economic life. Whereas Skill is a
derivation of education and talent, which leads a person to perform better and exert authority. The paper
studies how skills and spirituality contribute to transforming contemporary management theories and
practices. It discusses new leadership roles responsibilities that emerge for sustainability in business and
shows how leaders can be inspired by skills and spirituality in a meaningful way.The concerns regarding
this business issue has long existed, but it has been voiced with an increased urgency in recent years as a
result of numerous business scandals, global financial crises, and a voluntary increasing unsustainable
focus on market growth.To be true to this point of view, sustainability in management should help develop a
mind-set where we are able to converge skill, spirituality and sustainable practices. Taking this point of view
in addressing sustainability, management requires a more holistic perspective—one that interludes skills,
spirituality and its relationship to leadership.
SCHEDULED AND STANDARDISED TRAINING IMPROVED EMPLOYEES’ KNOWLEDGE ON GOOD MANUFACTURING PRACTICES (GMP)
Authors: Singh G. K. S. , Azman K. A. Ku , Hadi M. A. Abdul , Jaafar Z. , Affandi M. M. R. Meor Mohd
Published: January 2018

Objective: The present study aimed to evaluate the effectiveness of good manufacturing practices (GMP) training in enhancing the awareness of employees from a selected traditional medicine industry towards GMP principles.Methods: This study has employed two methodologies which are the ethnographic and descriptive method. The ethnographic method employed observations and photographs to record the factory facility and documentation system prior and after GMP training. A descriptive method employed data collection through five main sections questionnaire prior and after the completion of GMP training. The data were analysed using statistical package for social sciences (SPSS) version 23.0.Results: The findings from this study revealed that major facility and documentation improvisation were made after training was conducted which were installation of centralized air conditioner and systematic standard operation procedure (SOP) documentation. Results from the questionnaire conducted on GMP revealed significant value with p<0.05. Employees showed average increased percentage of knowledge in all five sections questionnaire which were personnel practices (11 %), premise and equipment (12 %), documentation (9 %), production (4%) and product’s quality control (11 %).Conclusion: As a conclusion, we reported that GMP training is crucial to strengthen the employees’ knowledge on GMP as to improve products manufacturing quality. Regular training (once a y) keeps the employees updated.
Introducing Volume 7 of the
Journal of Comparative Effectiveness Research
Authors: Dormer Laura
Published: January 2018

Welcome to the seventh volume of the
Journal of Comparative Effectiveness Research
. It is great to start the year with a look back at some of our successes from 2017, as well as a look forward to the content of this issue and beyond.
Three years of the Journal of Lithic Studies
Authors: Vornicu Diana-Măriuca
Published: January 2018

The methods of analysing lithic artefacts from archaeological contexts have had an outstanding development in the last decades. Along with methodological achievements, new conceptual frameworks help to interpret the prehistoric record, all getting us closer to understanding the realities of the human past. Thus, the appearance of several journals focused on disseminating the investigation of stone tools was needed and became a reality for some decades. Three years ago, the Journal of Lithic Studies came to join those publications focused on lithics research. It was established from the beginning as an open access journal, with a clear interest in making information available worldwide.
ATUAÇÃO DO ENFERMEIRO NA DETECÇÃO PRECOCE DO CÂNCER DE PELE
Authors: Maciel dos Santos Renata Oliveira
Published: January 2018

O câncer de pele é considerado um dos mais comuns no mundo. O enfermeiro é um potencial ator para a detecção precoce desse tipo de câncer, uma vez que está inserido diretamente nos espaços de cuidado. Este estudo objetivou analisar a produção científica na área da enfermagem em relação à detecção precoce do câncer de pele. Foi realizada uma busca bibliográfica nas bases de dados Literatura Latino-americana e do Caribe em Ciências da Saúde e no Sistema Online de Busca e Análise de Literatura Médica nos dias 8 e 9 de dezembro de 2015, com os seguintes descritores: “skin cancer”, “nursing” e “early detection” e “câncer de pele”, “enfermagem” e “detecção precoce de câncer”. Os resultados possibilitaram encontrar ações relacionadas ao trabalho da enfermagem dentro desse tema. Os estudos abordaram a atuação do enfermeiro, apresentaram métodos para auxiliar e melhorar a assistência de enfermagem, avaliaram e descreveram as práticas rotineiras dentro do processo de trabalho e ratificaram a importância da atuação desse profissional na detecção precoce desse tumor. Concluiu-se que as principais estratégias realizadas pelo enfermeiro em relação à detecção precoce do câncer de pele demonstraram a importância da atuação desse profissional para o controle desse tipo de câncer.

Palavras-chave: Câncer de pele. Detecção precoce de câncer. Atenção primária de enfermagem.
STRATEGY DEVELOPMENT OF ECOTOURISM IN NATURAL RESERVATION AREA ARFAK IN MOKWAM VILLAGE AND SURROUNDING
Authors: Ahoren Alfa
Published: January 2018

Ecotourism as a form of responsible tour to natural areas conducted with the aim to conserve the environment also preserve the life and the welfare of the local population. This research was conducted in the conservation area of the mountains of Arfak inside at Mokwam, Kwaw and Syou village, Warmare district, Manokwari Regency, has the purposes to know the ecotourism potential, Mokwam society’s attitude towards the ecotourism development and its strategy in conservation areas in Arfak mountains at Mokwam village and its surrounding. The advantage is to expand the development of ecotourism atCAPAarea, can be used as consideration in ecotourism development and also as an alternative to protect the environment and the culture of local population towards the exploitation in order to remain sustainable. The research method use qualitative methods. This method was used to get the data or qualitative description aboutCAPAarea. The data analysis technique use descriptive-qualitative and the analysis of SWOT. The results of this research are potential tourism attractions, accommodations, facilities, accessibility and additional services. The attitude of the local people inCAPAarea now is in the phase of euphoria which is they are supporting the development of ecotourism. The strategies that can be done through the programs such as: product development planning of ecotourism, structuring the organization and the management ofCAPAarea, do marketing of ecotourism product.
COMMUNITY PARTICIPATION OF TEMUKU AYA SUBAK TOUR DEVELOPMENT IN VILLAGE OF TAJEN, PENEBEL DISTRICT, TABANAN REGENCY
Authors: Dewi Gusti Ayu Putu Indah Trisna , Pantiyasa I Wayan
Published: January 2018

The purpose of this research was to know the tourism potential of Temuku Aya Subak Tour seen from 3A that were an attraction, access, and facility. In addition, to know the participation of local communities, as well as the impact of Temuku Aya Subak Tour development to the local community. Temuku Aya Subak Tour is located in Tajen Village and developed by local people who see the potential of tourism in this village.Data collection techniques used were in-depth interviews, observation, and documentation. The analysis technique used was descriptive qualitative analysis and also Triangulation data. The results showed Temuku Aya Subak Tour had the potential of natural rice fields and plantations. Temuku Aya Subak Tour also offered tourism activities as well as the preservation of local culture and traditions. In addition, local communities also participated as investors and as employees in the development of Temuku Aya Subak Tour. The tour economic impact could provide employment. From the socio-cultural impact, it could keep the local customs and traditions of the village, and from environmental impact, the local community could be more aware of the cleanliness of the village environment.
STRATEGY OF AGRO TOURISM DEVELOPMENT IN GOMBENGSARI DISTRICT BANYUWANGI
Authors: Astutik Ninik Puji
Published: January 2018

The purpose of this research is to find out agro-tourism development strategy of Gombengsari based on SWOT analysis result. By determining External Factor Analysis Summary (EFAS) and Internal Factor Analysis Summary (IFAS). While the key variables of this research discussion is the Marketing Mix that consists of product, price, place, and promotion. The results of research coffee plantations and cultures that deserve to be a tourist attraction with affordable pricing that is managed by the local community by forming a group of tourism awareness and use of internet media as a means to market tourism. Gombengsari agro-tourism development strategy that is; 1) To develop tourism product; 2) Socialization to the society; 3) Infrastructure development; 4) Tourism product differsivication; 5) To develop the agro tourism marketing; 6) Human resources development; 7) To develop an operational team.
THE ROLE OF COMMUNITY IN THE DEVELOPMENT OF WAE REBO AS A COMMUNITY-BASED TOURISM DESTINATION IN EAST NUSA TENGGARA
Authors: Beeh Yefri Yunikson
Published: January 2018

Wae Rebo is an unique traditional village, known as a famous cone shape house architectures and called in Manggarai language is Mbaru Niang, it has been there since 1920. Mbaru Niang has seven building with the different name, there are Niang Gendang, Niang Gena Mandok, Niang Gena Jekong, Niang Gena Ndorom, Niang Gena Jintam, dan Niang Gena Maro. They was built in sphere around an altar with the circle shape, called Compang. The people of wae rebo consider Compang as a sacred things. Wae Rebo also has another kinds of culture like Penti ceremony and Caci dance. Not only has kinds of cultures2 but they also has rich potentials of nature like mountain range forest, and then any type of bird like Gagak Flores (Corvus florensis) and Celepuk Flores (Otus alfredi). They are known as the endemic species of Flores Island.Community Based Tourism (CBT) is a tourism concept that used in wae rebo tourism development application. CBT concept in the wae rebo tourism application from the beginning like planning, implementation, and the last is controlling doing by society. To protect the culture, people of wae rebo make a community of society organization named Lembaga Pelestari Budaya Wae Rebo and supported by social organization. The motto of that Lembaga Pelestari Budaya Wae Rebo is “Mohe Wae Rebo. Meaning of that motto is Keep Wae Rebo alive.
Analysis on Promotion and the Influence of Social Media in Restaurant Industry, Ubud, Bali, Indonesia
Authors: Sari Ratih Tunjung , Wirawan Putu Eka
Published: January 2018

The activities of promotion can be varied nowadays as the Internet technology has been developed to get information in real time. Digital promotion, such as from website and social media, is common to use to promote product and services, such as food and beverages in the restaurant including the services. The restaurant industry in Ubud has been growing since the start of the tourism in Ubud, Bali. Moreover, the promotion activities also need to be enhanced due to development of the technology. This research discussed further the analysis of promotion and the influence of social media to influence the decision-making process of the customers to eat food in Ubud. The aim of this research was to investigate the marketing trend in promoting restaurant in Ubud. Besides, the author aimed to find the relation between the use of social media for the restaurant to influence the decision-making process of the customers to find food in Ubud. Since Ubud is a touristic area in Bali, Indonesia, the competition of the restaurant industry should have the attention of the restaurants’ owners and managers. This research used descriptive analysis method to answer the research questions and collecting both secondary and primary data through literature review, observation, interview, and questionnaires. Based on our research, we found that digital promotion, such as social media marketing through social networks (Instagram, Facebook, Tripadvisor, and Website) could enhance the number of the customers in restaurants in Ubud.
Developing Students’ Essay Writing about Tourism Topics through Word Clustering Technique
Authors: Laba I Nengah
Published: January 2018

This study aimed to analyze the effectiveness of developing students’ essay writing about tourism topics through word clustering technique. The subjects under study were students sitting on semester 6 at Sekolah Tinggi Pariwisata Bali Internasional (International Bali Institute of Tourism). This classroom action research (CAR) was basically triggered by the fact that the subjects under study have still low capability in English essay writing about Tourism Topics. This study made use of pre-test or initial reflection (IR) and post-test research design using descriptive analysis. There were two cycles in this CAR and each cycle consists of four successive sessions. The IR was intended to establish the real pre-existing English essay writing capability of the subject under study. The Mean of the Pre-test or IR score obtained by the subjects under study was 3.63. The Mean of the Post-test or R scores both in Cycle I and in Cycle II showed an increasing figure which is 4.12 in S1, 5.06 in S2, 5.78 in S3, 6.34 in S4, 6.76 in S5, 7.14 in S6, 7.44 in S7 and 7.82 in S8. These figures showed that the Mean of the Post-test or R scores in each session was much higher than the Mean of Pre-test or IR in essay writing. The data analysis further led to the computation of the Grand Mean score for both Cycles I and Cycle II. The computation of the Grand Mean resulted in Cycle I (XI) was 5.32. The computation of the Grand Mean resulted in Cycle II was 7.29. The difference Mean of Cycle I and cycle II is 1.97 (XII – XI = 7.29 – 5.32 = 1.97). These research findings revealed that developing students’ essay writing about the tourism topics through word clustering technique was very effective.
Constelaciones conflictivas en la industria pesquera bonaerense. Análisis comparativo entre Mar del Plata y Necochea, Argentina (1997-2012)
Authors: Nogueira María Luciana
Published: January 2018

Este trabajo consiste en una descripción analítico-interpretativa desde una perspectiva comparada de las constelaciones de la conflictividad sociolaboral en dos ciudades portuarias argentinas. Las categorías de análisis utilizadas fueron: las modalidades de acción, los sujetos que las llevaron a cabo, los objetivos perseguidos y las alianzas con otros actores sociales. Las fuentes provinieron de las prensas gráficas, entrevistas y bibliografía académica. A partir del análisis de los datos se detectaron tres campos de disputa intrincados, cruciales para la comprensión de los avatares de la industria pesquera luego de la reestructuración capitalista neoliberal.
A Lifestyle Medicine Clinic in a Community Pharmacy Setting
Authors: Lenz Thomas L. , Skradski Jessica , Skrabal Maryann Z. , Ferguson Liz , Monaghan Michael S.
Published: January 2018

Chronic diseases continue to be a significant burden to the health care system. Pharmacists have been able to show that drug therapy for patients with chronic diseases can be improved through medication therapy management (MTM) services but have yet to become significantly involved in implementing lifestyle modification programs to further control and prevent chronic conditions. A novel and innovative lifestyle medicine program was started by pharmacists in a community pharmacy in 2008 to more comprehensively prevent and manage chronic conditions. The lifestyle medicine program consists of designing seven personalized programs for patients to address physical activity, nutrition, alcohol consumption, weight control, stress management, sleep success, and tobacco cessation (if needed). The lifestyle medicine program complements existing MTM services for patients with hypertension, dyslipidemia, and/or diabetes. This program is innovative because pharmacists have developed and implemented a method to combine lifestyle medicine with MTM services to not only manage chronic conditions, but prevent the progression of those conditions and others. Several innovative tools have also been developed to enhance the effectiveness of a lifestyle medicine program. This manuscript describes the program's pharmacy setting, pharmacy personnel, participants and program details as well as the tools used to integrate a lifestyle medicine program with MTM services.

Type: Clinical Experience
Caring for hepatitis C patients: Reflections on pharmacy and anthropology
Authors: Parrish Richard H.
Published: January 2018

Type: Idea Paper
Comparison of Traditional Versus Evidence-Based Journal Club Formats
Authors: Packard Kathleen , Herink Megan , Lenz Thomas L.
Published: January 2018

Purpose: The objective of the study was to compare a traditionally structured journal club with an evidence based structured journal club during an advanced clinical pharmacy rotation and to determine the best utilization that aligns with recent changes to the pharmacy school accreditation standards.

Methods: The study included 21 students who completed journal club utilizing the traditional journal club format and 24 students who utilized an evidence based journal club format. Background characteristics, student reported beliefs, and mean critical evaluation skills scores were evaluated and compared in each group.

Results: There were no statistically significant differences between the two cohorts in mean overall percentage grade for the activity. Students in the traditional cohort received significantly higher grades for the Study Analysis and Critique section (90.97 + 12.18 versus 81.25 + 11.18, P=0.01) as well as for the Preparedness section (96.11 + 8.03 versus 85.0 + 17.13, P=0.002). Students in the evidence based cohort received statistically superior grades for the Presentation Skills section (96.43 + 6.39 versus 82.47 + 14.12, P=0.0004).

Conclusion: An evidence based journal club is a reasonable and effective alternative to the traditionally structured journal club when the primary objective is to assist students in understanding evidence based concepts and to apply current literature to clinical practice.
Risky Business
Authors: Katwaru Miranda , Tobin Matthew , Arya Vibhuti
Published: January 2018

Type: Commentary
Integrative Student Learning: An Effective Team Learning Activity in a Learner-Centered Paradigm
Authors: Karimi Reza , Elbarbry Fawzy , Fortner Jeff
Published: January 2018

Purpose: An Integrative Student Learning (ISL) activity was developed with the intent to enhance the dynamic of student teamwork and enhance student learning by fostering critical-thinking skills, self-directed learning skills, and active learning.

Case Study: The ISL activity consists of three portions: teambuilding, teamwork, and a facilitator driven "closing the loop" feedback discussion. For teambuilding, a set of clue sheets or manufacturer's drug containers were distributed among student pairs who applied their pharmaceutical knowledge to identify two more student pairs with similar clues or drugs, thus building a team of six. For teamwork, each team completed online exams, composed of integrated pharmaceutical science questions with clinical correlates, using only selected online library resources. For the feedback discussion, facilitators evaluated student impressions, opened a discussion about the ISL activity, and provided feedback to teams' impressions and questions. This study describes three different ISL activities developed and implemented over three days with first year pharmacy students. Facilitators' interactions with students and three surveys indicated a majority of students preferred ISL over traditional team activities and over 90% agreed ISL activities promoted active learning, critical-thinking, self-directed learning, teamwork, and student confidence in online library searches.

Conclusions: The ISL activity has proven to be an effective learning activity that promotes teamwork and integration of didactic pharmaceutical sciences to enhance student learning of didactic materials and confidence in searching online library resources. It was found that all of this can be accomplished in a short amount of class time with a very reasonable amount of preparation.

 

Type: Case Study
The Effect of a Novel Proactive First Day Prescription Counseling Program on Adherence to Select Cardiovascular Medications
Authors: McConaha Jamie L. , Lynch Kevin
Published: January 2018

Objective: To determine the impact of a proactive first day prescription counseling program on medication adherence to new cardiovascular maintenance medications

Design: Cross-sectional study

Setting: Regional chain community pharmacy in Pittsburgh, Pennsylvania; August 2009 through November 2010

Patients: Data was collected from all patients aged 18-89 presenting with a new or transferred prescription or change in dosage within the study dates at four study locations

Interventions: Patients presenting with a new or transferred prescription or change in dosage were identified to receive pharmacist or student pharmacist counseling. Data from the counseling session was tracked weekly to determine if the program increased adherence to statins, ACEIs and/or ARBs.

Main Outcome Measured: Adherence to statins, ACEIs and/or ARBs was determined by differences in proportion of days covered (PDC) at six months and medication persistence to therapy.

Results: Analysis was conducted using IDNA sm software. Results of the 6,916 prescriptions included in the study revealed that persistence rates for statins was 32.5% (intervention) and 34.2% (control) (p<0.001); ACEI/ARBs persistence was 37.3% (intervention) and 43.2% (control) (p<0.001). PDC was nonsignificant with respect to statins; 43.2% (intervention) and 45.1% (control); and 50.2% (intervention) and 57.1% (control) (p<0.001) for the ACEI/ARBs.

Conclusion: Results from this study showed no improvement in adherence of statins or ACEIs/ARBs with the D1TC program versus control pharmacies, although several important limitations were identified. It is clear that a variety of methods and programs are needed to consistently improve adherence to maintenance medications.

 

Type: Original Research
Implementing a Pharmacist-Led Medication Management Pilot to Improve Care Transitions
Authors: Root Rachel , Phelps Pamela , Brummel Amanda , Else Craig
Published: January 2018

Purpose: The purpose of this project was to design and pilot a pharmacist-led process to address medication management across the continuum of care within a large integrated health-system.

Summary: A care transitions pilot took place within a health-system which included a 150-bed community hospital. The pilot process expanded the pharmacist's medication management responsibilities to include providing discharge medication reconciliation, a patient-friendly discharge medication list, discharge medication education, and medication therapy management (MTM) follow-up.

Adult patients with a predicted diagnosis-related group (DRG) of congestive heart failure or chronic obstructive pulmonary disease admitted to the medical-surgical and intensive care units who utilized a primary care provider within the health-system were included in the pilot. Forty patients met the inclusion criteria and thirty-four (85%) received an intervention from an inpatient or MTM pharmacist. Within this group of patients, 88 drug therapy problems (2.6 per patient) were identified and 75% of the drug therapy recommendations made by the pharmacist were accepted by the care provider. The 30-day all-cause readmission rates for the intervention and comparison groups were 30.5% and 35.9%, respectively. The number of patients receiving follow-up care varied with 10 (25%) receiving MTM follow-up, 26 (65%) completing a primary care visit after their first hospital discharge, and 23 (58%) receiving a home care visit.

Conclusion: Implementation of a pharmacist-led medication management pilot across the continuum of care resulted in an improvement in the quality of care transitions within the health-system through increased identification and resolution of drug therapy problems and MTM follow-up. The lessons learned from the implementation of this pilot will be used to further refine pharmacy care transitions programs across the health-system.

 

Type: Original Research
Lessons Learned from the Implementation of Two Transitions of Care Programs
Authors: Backes Andrea C
Published: January 2018

Type: Clinical Experience
Promotion of ethical principles in provision of medication therapy management services
Authors: Kelling Sarah E. , Aultman Julie M.
Published: January 2018

As pharmacists move toward more patient-centered care through medication therapy management (MTM), important issues and conflicts may arise within the therapeutic relationship, requiring pharmacists to use ethical knowledge and skills toward conflict-resolution. The purpose of this paper is to explore practical strategies that pharmacists and other champions of MTM may utilize to support the ethical principles of autonomy, veracity, nonmaleficence, beneficence, and justice, along with an ethic of care during the provision of MTM services. With a deeper understanding of ethical principles and the Code of Ethics for Pharmacists, pharmacists may be more prepared to make difficult ethical decisions, and ultimately, guide better patient care.

 

Type: Idea Paper
Assessment of Community Pharmacists Willingness and Barriers of Medication Therapy Management (MTM) focused on Pain Management and Mental Health
Authors: Keller Megan E. , Bright David R. , Sullivan Donald L. , Cornelius Doug C.
Published: January 2018

Objectives: To determine the willingness and barriers of community pharmacists to provide pain management and depression MTM services.

Methods: An anonymous, self-administered survey was distributed electronically to 350 licensed pharmacists in a supermarket pharmacy chain. The survey consisted of a 40 question, Likert-type scale, where strongly disagree was assigned a value of one and strongly agree a value of seven. Constructs measured included: MTM interest, comfort with MTM, confidence with appropriate medication use and adjustment, educational needs, training required, time constraints, and work-related factors. Demographic data was also collected.

Results: A total of 186 (53%) community pharmacists completed the survey. These pharmacists worked in an environment where MTM was currently being provided. Ninety percent of respondents averaged 0-5 MTM sessions per 4 week period. Pharmacists agreed that patients would benefit from MTM focused on pain (median 6 IR[5-7]) and/or depression (median 6 IR[5-7]) and agreed pharmacists can have positive interventions in these situations (pain: median 6 IR[5-7]; depression: median 6 IR[5-7]). Pharmacists surveyed were interested in continuing education and live presentation as preferred methods to improve knowledge of pain management and depression.

Conclusion: Pharmacists are interested in and believe patients would benefit from MTM specifically for pain management and depression. Barriers to MTM focused on pain and depression were pharmacist training and workflow issues with the MTM process.

 

Type: Original Research
Mentoring Residency Candidates: Avoiding Misinformation and Employing Best Practices
Authors: Bright David R. , Adams Alex J. , Ulbrich Timothy R. , Soric Mate M.
Published: January 2018

Type: Commentary
Improving the Tenure Committee's Review Efficiency with Embedded Dossier Functionality
Authors: Henriksen Brian , Kisor David F.
Published: January 2018

Numerous manuscripts have been published addressing perceptions of the promotion and tenure process. Very little has been published on mechanism to improve the efficiency of dossier review or tools to assist the reviewer in understanding the comprehensive scope of the applicant’s experiences. An innovative dossier format was utilized to assess the hyperlinks and pop-up tool tips would enhance the reviewer efficiency when reviewing the applicant’s materials. Super scripted numbers at the end of the narrative’s sentences, in the same manner as a journal article, contained the embedded hyperlinks and pop-up tool tips. A majority of the reviewers found the embedded functionality in the dossier did enhance their efficiency in completing the review.

 

Type: Case Study
Enhancing Personal Health Record Adoption Through the Community Pharmacy Network: A Service Project
Authors: Veronin Michael
Published: January 2018

Personal Health Records, or PHRs, are designed to be created, maintained and securely managed by patients themselves. PHRs can reduce medical errors and increase quality of care in the health care system through efficiency and improving accessibility of health information. Adoption of PHRs has been disappointingly low. In this paper a project is described—essentially a call for action—whereby the skills, expertise, and accessibility of the community pharmacist is utilized to address the problem of poor PHR adoption. The objective of this proposed project is to promote the expansion of PHR adoption directly at the consumer level by utilizing the existing infrastructure of community pharmacies. The ADDIE model can provide the framework for PHR adoption in community pharmacies. ADDIE is an acronym that stands for the 5 phases contained in the model: 1) Analysis, 2) Design, 3) Development, 4) Implementation, and 5) Evaluation. ADDIE is a versatile educational model used for creating instructional materials, and has found utility as a guidance model for managing projects of all types. By bringing together these concepts: the highly accessible infrastructure of community pharmacies with the educational resources to inform consumers on the proper use of PHRs, the quality of care for patients will be greatly enhanced.

 

Type: Idea Paper