bluuebunny/crossref_metadata_2025 huggingface dataset:
Disparities Between Men and Women in the Time of Initial EKG Acquisition
Authors: McGillivray Beverly
Published: February 2018

Cardiovascular disease is the most common cause of death around the world. Initial treatment is often time dependent. An EKG is the single most important initial clinical test to diagnose acute myocardial infarctions. Recognizing acute coronary symptoms in the initial presentation to an emergency department is critical in order to obtain the initial EKG. Of concern is the likelihood of delay in the initial EKG acquisition for females. The purpose of the research study was to distinguish if there is a disparity between genders to the best practice of door to EKG in 10 minutes from the arrival time in the Emergency department. A retrospective chart review was conducted with a total of 60 charts consisting of 30 females and 30 males who experienced an AMI. The time of initial arrival to the ED and initial EKG acquisition were compared. Results demonstrated that the initial EKG acquisition was shorter for males, average of 15 minutes as compared to females, average of 18 minutes. The data also demonstrated that only 32% (n=19) of patients had an initial EKG in 10 minutes or less and 68% (n=41) in greater than 10 minutes. Average age of females was 72 compared to males at 62. Thirty seven percent (n=22) of the patients presented with a chief complaint other than chest pain. Further research is indicated to determine reasons for delay in initial EKG acquisition between genders.
Is There a Difference in Pain Management of Patients with Upper Extremity Injuries in Relation to Age?
Authors: Pappas Cheryl
Published: February 2018

Timely and appropriate analgesia for the treatment of long bone fractures is a primary goal of Emergency Departments. Despite incentives from the Centers of Medicare and Medicaid and accreditation agencies studies have found the existence of pain management disparities. The purpose of this research study was to conduct a retrospective chart review to investigate if patients with an upper extremity long bone fracture received pain medication within 60 minutes of arrival to the ED and to identify if there was a difference in the pain management of patients, with identical injuries, by age. Katharine Kolcaba’s comfort theory was used to guide the implementation of this project. Pain medication was provided within 60 minutes in 63% of the participants aged 69 and under and 56% of those aged 70 and older. A larger disparity occurred between the groups being medicated appropriately according to the World Health Organization’s guidelines for pain management with 63% of participants aged 18-69 receiving the appropriate pain medication compared to 45 % of participants in the 70 and over age group. The APRN has the opportunity to educate the nurses and members of the interdisciplinary team through evidence based practice in the safe and effective methods for treating acute pain across the lifespan.
Development of an Education Program for Nursing Staff Related to Obtaining Standardized and Accurate Daily Weights
Authors: Prew Jessica
Published: February 2018

Obtaining daily weights is an integrated process in daily nursing practice and considered useful data in treatment options. Literature reviewed revealed evidence based knowledge that daily weights are routinely used in everyday practice. However this data obtained is not always reliable and the task is not performed based on a standardized practice. The purpose of this education program was to educate nursing staff regarding procedures to obtain accurate daily weights. The program development used a pre-survey, intervention and post-survey design. The educational program for nursing staff served as the intervention. The sample included nursing staff employed on 4 East, a 30-bed medical surgical unit at the Miriam Hospital. This unit has a cardiac and vascular focus and also 24 telemetry beds available. Results revealed that nursing staff was aware of the daily weight policy, CNAs were simply obtaining the daily weights as a delegated task, and that nursing staff were unsure as to what to do if the equipment malfunctioned. Basic nursing educational programs should further stress the importance of daily weights as well as the reasoning for ensuring accuracy. Recommendations would include education of nursing staff that is geared toward evidence-based approaches to obtain an accurate daily weight. Further research is needed to understand the barriers to obtaining accurate daily weights and the effects on patient outcomes
Do Patients in the Intensive Care Unit Receive Recommended Total Daily Calories with Enteral Feedings Using a Rate Based Protocol?
Authors: Schaefer Karen
Published: February 2018

When a patient is unable to eat or eat enough nutrients due to an illness or surgery, nutrition from another source may be required. Supplemental nutrition may be given in the form of enteral nutrition. The current practice is delivering enteral feedings on a rate based protocol to deliver calculated required calories over a specific length of time. Patients who receive enteral nutrition may have feedings interrupted due to a variety of reasons such as a procedure or diagnostic exam. Interruptions reduce the total daily calories delivered. If a patient does not achieve their total daily calories, it can be detrimental to the patient’s health and may increase length of stay and costs of hospitalization. The purpose of this study was to determine if patients receive their recommended total daily calories of enteral nutrition using a rate based protocol. A retrospective research design was used to obtain data from patients who received enteral feedings while in the Intensive Care Unit. Data were collected on patients who were admitted to the unit between June 1, 2014 and August 31, 2014. 41 patients who received enteral feedings were included in this study. 80% of patients had their enteral feedings interrupted; most frequent reasons included diagnostic testing, residual volumes and procedures. Interruptions of the enteral feedings lasted between one hour and 24 hours in duration with a mean of 2.9 hours. The most frequent duration of interruption was one hour. Patients received a mean of 56.4% of their daily prescribed goal calories and 56.7% of their daily prescribed volume of enteral feedings. This study suggests that patients do not receive their daily prescribed calories using a rate based protocol. Recommendations for further research and advanced nursing practice are discussed.
Oral Chemotherapy, A Tough Pill To Swallow: A Systematic Review
Authors: Corrente Jessica
Published: February 2018

As patients begin to receive more oral chemotherapies in the place of the traditional parenteral therapies, the responsibility for treatment falls on the shoulders of patients and their caregivers. The responsibility for the “five rights” of medication administration, which include the- right drug, right dose, right time, right route, and right patient are being transferred to patients and care givers. This places patients at risk for medications errors. Patients and care providers assume responsibility for medication administration, often with little or no healthcare education. As the number of patients being prescribed chemotherapies continues to increase, an emphasis on education as well as adherence to therapy should be emphasized. Multiple barriers exist, that negatively affect a people’s ability to adhere with prescribed treatment. A systematic review was conducted to identify the most prevalent barriers to nonadherence in this patient population. The Preferred Reporting Items for Systematic Reviews (PRISMA) checklist and flowchart were utilized to extrapolate, analyze, and synthesize the date. Common themes were identified and organized into three main categories: patient-related factors, system-related factors, and nurse and provider-related factors. The most prevalent were analyzed in further detail which revealed there were multi-factorial causes of nonadherence to oral chemotherapies. Under the patient-related heading, adverse effects and toxicities as well as forgetfulness were seen most commonly in the literature. Within the theme of systemrelated both regimen complexity and financial causes were found, whereas under nurse and provider-related patient education and frequency and length of follow up were most common. The advanced practice nurse (APN) is in the prime position to help counter-act these barriers to adherence. This systematic review served to help identify common causes of nonadherence to patients’ oral chemotherapeutic agents as prescribed.
Exploring the Presence of Moral Distress in Critical Care Nurses
Authors: Gonzalez Justina
Published: February 2018

With healthcare moving toward greater outpatient and preventative approaches, hospitalizations are increasingly intended for those who are critically ill. Frequently this requires the need for highly specialized nursing as well as resource utilization. Technological advances have aided in providing this type of intensive care but they have also compelled practitioners to make treatment decisions that did not previously exist. The conflict of maintaining one’s life without ascertaining whether there will be quality of life is just one example of a difficult situation that can lead to moral distress. The purpose of this study was to explore the effects of moral distress on critical care nurses. The project employed a survey design. After obtaining IRB approval, a convenience sample of 28 nurses was obtained from a small community hospital’s ICU and CCU. Each participant completed the Moral Distress Scale-Revised (MDS-R) measure and some demographic questions. Results confirmed that moral distress was present among the participants at low to moderate levels: 18 nurses (64%) scored low with seven nurses (25%) scoring in the moderate range. The most morally distressing experiences were related to end of life care. The most morally distressing and frequent event was that of “follow the family’s wishes to continue life support even though I believe it is not in the best interest of the patient”. There was no correlation between nurses’ age, level of experience and moral distress. Limitations included a small sample size and lack of diversity in age and experience. It is possible that the researcher’s affiliation with the unit could have affected participants’ responses regarding leaving their current position. The findings suggest that more research should be done on exploring the ethical climate and other factors that effect moral distress.
Decreasing Stress in the Master's Level Nursing Student: A Stress Management Education Session
Authors: Hilton Krystal
Published: February 2018

Stress in the nursing professional and in nursing students is well documented in the literature. However, the extent to which it occurs and the means of coping with stress vary. Family responsibilities, finances, and academia have been identified as main stressors for graduate school nurses. It is important to establish coping mechanisms that address the two hemispheres of stress, due to the physiological and psychological effects on the body. The purpose of this study was to develop a stress management education session for Master of Science in Nursing (MSN) students enrolled in their initial clinical rotation at Rhode Island College (RIC). The education session consisted of a review of stress and coping methods, followed by the instruction of two stress management techniques: paced-breathing meditation (PBM) and relaxation/diaphragmatic breathing. A pre and post survey researcher developed method was utilized to evaluate the effects of the intervention on perceived stress levels. A convenience sample of six students participated in the intervention, course evaluation and pre-survey, and five students responded to the post-survey. The intervention did result in an overall mean reduction of PSS-10 scores of 2.2 points, indicating a decrease in perceived stress.
Improvement of Patient Satisfaction Through Enhancement of RN Communication Skills: A Quality Improvement Project
Authors: Kusiak Pamela
Published: February 2018

Studies have shown that people with low health literacy understand health information less well, obtain preventative healthcare such as screenings for cancer less frequently and use expensive resources such as emergency rooms more often. The Agency for Healthcare Research and Quality (AHRQ), with guidance from Institute of Medicine (IOM) reports, developed quality indicators for individual institutions to demonstrate improvement. The Health Resources and Services Administration (HRSA, 2012) constructed online communication education modules for healthcare professionals including health literacy tools developed by the AHRQ. The purpose of this project was to examine the impact of RN communication education on patient satisfaction. A pre-post intervention design was used. Nurses were provided a brief overview and instruction about the HRSA website, use of the online education modules and an explanation of target patient satisfaction scores. The domains studied included five target patient satisfaction questions regarding communication with nurses and communication about medications. Post intervention results (July-December 2015) demonstrate a marked increase in scores when compared to the six months prior to the introduction of the content (January-June 2015). All twenty-two respondents responded agreed or strongly agreed that they would recommend the Effective Communication for Healthcare Professionals 100 course. APRNs have an unprecedented opportunity to support research and education surrounding ethnic differences in communication and aspects of communication that may contribute to patient comprehension, adherence to follow-up care and patient satisfaction.
Understanding the Role and Training of Interdisciplinary Professions: Emergency Medical Technicians
Authors: Morin Jason
Published: February 2018

Understanding the role and training of all healthcare professionals is essential for RNs who are responsible for delegating, receiving, and transferring patient care too. An educational program which educates nursing students about the role, and training of EMTs was designed in an attempt to enhance interprofessional collaboration, communication, and the safe transfer of patients across the two professions. EMTs were selected as a profession of interest related to the acute, and often frantic environment in which RNs and EMTs interact. The purpose of the educational program was to educate program participants related to the role, and training of the varying certifications of EMTs within the New England area. The review of literature examined components of effective communication within healthcare settings, identified patient safety concerns related to ineffective communication, and examined the role and training of varying EMT certifications within the New England area. The educational program utilized an interactive PowerPoint lecture, scenarios, group discussion, and handouts to facilitate learning. Seventeen SNA members from RIC attended the program which was evaluated through the use of a post education evaluation tool. 100% of program attendees completed the voluntary post education surveys. Analysis of post education evaluation tool results, which evaluated attendees interest in program content, presenters’ delivery of content, and the program design where predominantly positive. No participants strongly disagreed with any of the provided Likert scale questions. Educating RNs on the role and training of the varying healthcare professionals they routinely interact, receive, and transfer patient too will decrease communication errors, and improve quality of care.
Computed Tomographic Scans on Patients with Repeat Renal Calculi: A Pilot Study
Authors: Reposa Kayla
Published: February 2018

Patients at risk for repeat renal calculi presenting to the ED with symptoms similar to their previous episodes, are likely to be over-exposed to computed tomographic (CT) scans. With recurrence at fifty percent minimizing CT use in this population is imperative (Goertz & Lotterman, 2010). Studies indicate using urinalysis and alternative imaging methods are necessary to prevent increases in radiation exposure, cost and ED visit time. The purpose of the project was to decrease CT use by providing current evidence-based research to ED providers on the overuse of CT scans for patients with a history of renal calculi who present with symptoms comparable to previous episodes. Using the logical model, the project was a retrospective chart review. The study took place in Charlton Memorial Hospital’s ED. Charts were reviewed of patients who had a history of renal calculi and presented to the ED with flank pain. Patients were excluded for age less than eighteen, recent surgery, and chronic renal failure and/or dialysis due to renal impairment at baseline. The pre-presentation chart review was to assess the need to decrease CT scan ordering in the given population. An informational session on current research was provided to the providers and a post presentation chart review was completed to evaluate if there was a subsequent decrease in CT ordering. The study proved using evidence-based research to educate providers could result in a decreased amount of CT scans ordered. CT scans were ordered, eighty percent pre-presentation and decreased to sixty-five percent post.
Nurse Perceptions of Electronic Handoff
Authors: Viveiros Ashlee
Published: February 2018

Nursing handoff is the important exchange of pertinent information between nurses that is critical to patient safety. The purpose of this quality improvement project was to explore progressive care nurses' perceptions of usefulness of a new electronic SBAR handoff tool on an inpatient adult acute care setting at an academic medical center. A 10 question survey including eight Likert response and two open-ended response questions was created from content areas of a survey designed to measure nurses' perceptions of usefulness of a computerized tool for shift handover report writing. The anonymous survey was completed by 16 of 24 eligible participants. Descriptive statistics were performed on the study variables and responses from open-ended questions were analyzed for themes. Survey results revealed that nurses perceive the new handoff summary tool to save time and improve consistency of information exchanged. Nurses stated that communication between departments was not improved and that the summary screen does not accurately represent the patient at the time of report. Open-ended question responses revealed that user error may be contributing to some of the dissatisfaction with the tool. Responses indicated that many nurses still prefer a narrative type of handoff and read physician and nursing assessments for this type of description. Further exploration is needed. Implications for practice include the APRN's important contribution to a successful implementation of electronic handoff. The APRN is essential to the success of such changes as they are uniquely prepared to plan, implement, and evaluate this change across the three spheres of influence.
Nurse Telephone Follow-up Post Initial Chemotherapy: A Quality Improvement Project
Authors: Cherenzia Katie
Published: February 2018

With the evolution of cancer care and chemotherapy agents over the last 15 years there has been an evident shift in care from the inpatient to the ambulatory setting. There is a growing need for cancer care, particularly in the ambulatory (outpatient) setting. Patients receiving chemotherapy in the outpatient setting return home immediately after completing treatment and do not have direct medical and nursing supervision to monitor for and address side effects or adverse reactions of treatment in a hospital inpatient setting. Nurse telephone follow-up post initial chemotherapy allows for assessment and timely management of potential side effects experienced after the administration of chemotherapy in the outpatient setting. The purpose of this quality improvement project was to develop a standardized nurse telephone follow-up procedure post initial chemotherapy. The author developed an electronic script guideline and documentation tool along with a process for conducting the nurse-initiated calls. The project design included an educational activity and a post evaluation of the telephone follow-up procedure. Fifteen biotherapy/chemotherapy nurses participated in a four week pilot. During the four week pilot period 14 out of 34 first time chemotherapy patients received telephone follow-up utilizing the script guidelines. Ten nurses (N=10, 67%) completed the post evaluation survey. Results indicated that overall the script guidelines for telephone follow-up post initial chemotherapy was well received by staff and utilized appropriately. Replication of this project should include examining the impact of telephone follow-up on patient satisfaction and outcomes. The APRN is essential in promoting evidence-based practice and bringing it into the daily practices of staff nurses to improve the quality of care for patients and their families.
Feasibility of Remote Management of Uncomplicated Urinary Tract Infection: A Quality Improvement Project
Authors: Clement Scott
Published: February 2018

Uncomplicated cystitis is a common condition that many women encounter in their lifetimes. The subjective symptoms that patients provide to their clinician are a critical component in the providers’ diagnosis. Traditionally, uncomplicated cystitis is diagnosed and treated during a face-to-face consultation in primary care offices, urgent care centers and emergency departments. Quite often, clinicians treat their patients based upon their initial presenting symptoms, regardless of the point of care testing and before urine culture results are available. The purpose of this project was to determine how often subjective symptoms of uncomplicated urinary tract infections (UTIs) are associated with treatment sensitive to subsequent urine cultures. A comprehensive literature review was performed. The ACE Star Model of Knowledge Transformation was utilized to guide the research process. Data collection took place at Concentra Urgent Care in Warwick, RI after agency approval and IRB review. Eighty-four medical records of premenopausal (ages 18-45) non-pregnant females treated for UTI between January 1, 2016 and July 1, 2016 were reviewed during a retrospective chart review. Thirty-seven participants met the inclusion criteria for uncomplicated cystitis and presented with subjective symptoms of dysuria, urinary frequency and urinary urgency. Findings were consistent with research performed by Barry et al. (2001) and Hooton (2012). Barry et al. concluded that 64% of patients were appropriately treated remotely based upon subjective symptoms. Hooton also concluded that 90% of patients could be treated with appropriate antibiotics based upon their subjective symptoms. This research validated that 85.29% of patients could have been treated appropriately based solely on their subjective symptoms of uncomplicated cystitis. Recommendations and implications for advanced practice nursing are discussed.
Concussion: Improving Nurses' Knowledge in the Emergency Department
Authors: Marsden Danielle
Published: February 2018

Patients presenting to the emergency department (ED) after trauma from a fall, motor vehicle collision, or assault frequently develop a mild traumatic brain injury (MTBI) also called concussion. There is no specific treatment for concussion, therefore, the focus shifts to managing symptoms. Countless EDs experience overcrowding leading to time and resource constraints, therefore nursing discharge education is brief and may only review symptoms which require immediate medical attention. This ED discharge practice leaves the patient on their own to manage symptoms and if the patient is unaware, they may perform activities that exacerbate their condition. The purpose of this project was to evaluate the impact of an educational program on ED nurses’ knowledge of concussion/MTBI and the current Centers for Disease Control and Prevention (CDC) recommended education for patients and families discharged home.

The study took place at a large level I trauma center, using a nonprobability convenience sample of ED nurses. A pre-intervention post-test design was used to measure nurses’ knowledge regarding concussion. The intervention consisted of a poster board and informational packet that provided nurses with evidence-based information about concussion and discharge instructions. Fifty-one nurses (28%) completed the pre-test with a mean score of 61.96% and total scores ranged from 30% to 90%. Twenty-eight nurses (15%) completed the post-test with a mean score of 78.2% and a range of 40% to 100%. There was an overall improvement in the total scores by 16.24%. These findings suggest that an evidence-based educational intervention increases ED nurses’ knowledge regarding concussion and appropriate discharge education for concussion patients.
What Are the Factors Contributing to the Delay in Hip Fracture Repair?
Authors: Padraic Karen
Published: February 2018

Hip fracture injuries are identified as one of the most serious healthcare problems affecting older adults (CDC). The prognosis after hip fracture is unfavorable and approximately 25% of elderly patients will die within one year after the event. Surgical repair is a critical element in the management of a hip fracture. Delay of surgery prolongs hospital stay and increases the risk of medical complications. Despite evidence showing early time to surgery reduces morbidity and mortality for patients with hip fractures, time delays to surgery still exist. The purpose of this quality improvement project was to explore patient- and hospital-specific barriers to early surgery for older adults with hip fractures in a community hospital. Kathleen Stevens’ ACE Star Model was used as a conceptual framework to guide this project. A retrospective chart review was conducted with a total of 62 charts consisting of 55 females and 8 males who experienced a hip fracture. Data collected included age, gender, time from emergency room arrival to admission, time from admission to operative intervention, current medications on admission, current use of tobacco and alcohol, type of surgical intervention, and length of stay. Average length of time from admission to surgery was 29 hours. Eight charts were identified with a delay of greater than 48 hours to surgery. Patient-specific barriers were identified. Further research is indicated to determine hospital-specific barriers to early surgery.
A Systematic Review Comparing Ephedrine Versus Phenylephrine During Spinal Anesthesia for Cesarean Delivery
Authors: Sullivan Shelby
Published: February 2018

This systematic review compared the efficacy and safety of ephedrine with phenylephrine for the treatment of hypotension during spinal anesthesia for cesarean delivery. Hypotension during cesarean section delivery can have detrimental effects on both the mother and the neonate. Some vasoactive medications such as ephedrine and phenylephrine have been found to be detrimental to the neonate and divert fetal blood flow. After a systematic search of the electronic database PubMed, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart was used to identify appropriate research. Studies were illustrated in a table to identify key variables and were then critically appraised. Outcomes included oxygen supplementation use, ASA classification, IV fluid prehydration, hypotension incidence after spinal anesthesia, spinal solution and technique, umbilical artery pH, Apgar scores, and nausea and vomiting during the case. Findings revealed no difference in the use of oxygen supplementation, ASA classification, IV fluid prehydration, spinal solution or technique on fetal umbilical artery pH. Women given phenylephrine had neonates with higher umbilical artery pH values than those given ephedrine but there was no significant difference between the two vasopressors in the incidence of true fetal acidosis (umbilical artery pH < 7.20 or Apgar
Knowledge platform - Phase I: data access, availability and quality
assessment for the development of a flood forecasting model for Namibia
Authors: Meyer Chloe
Published: February 2018

The 2010 – 2011 floods in Namibia caused widespread damages over seven
regions in the country. Some 200 000 people were displaced with a death toll of
over 90 being recorded. The President of the Republic declared a state of
emergency at the end of March 2011, and various national and international
partners responded in diverse manners to the call for assistance and
collaboration in addressing flood management issues. UNESCO also responded to
the call by sending a team of hydrologists on an exploratory mission to
determine areas in which UNESCO can further collaborate with Namibia in
addressing flood management. The team visited Namibia in July 2011, and
presented its initial findings to the Prime Minister on 29 July 2011.

Capacity-building
Flood
UN World Water Development Report 2017: "Wastewater: The untapped
resource"
Authors: Meyer Chloé
Published: February 2018

The 2017 edition of the United Nations World Water Development Report
demonstrates how improved wastewater management generates social, environmental
and economic benefits essential for sustainable development.

In particular, the Report seeks to inform decision-makers, government, civil
society and private sector, about the importance of managing wastewater as an
undervalued and sustainable source of water, energy, nutrients and other
recoverable by-products, rather than something to be disposed of or a nuisance
to be ignored. The report’s title reflects the critical role that wastewater is
poised to play in the context of a circular economy, whereby economic
development is balanced with the protection of natural resources and
environmental sustainability, and where a cleaner and more sustainable economy
has a positive effect on the water quality.

Pollution
Quality
Waste
Global Groundwater Vulnerability to Floods and Droughts
Authors: Meyer Chloé
Published: February 2018

This map presents the intrinsic vulnerability of groundwater systems and the
sensitivity or resistance of those systems to natural disasters.

The concept of groundwater vulnerability takes into account that the
geological characteristics of the aquifers and the physical environment provide
different degrees of protection against natural or human activities related
impacts. Aquifers in karst formations or in fluvial unconsolidated deposits of
large rivers are highly vulnerable to floods and droughts, and coastal aquifers
are particularly prone to tsunamis, while the groundwater resources in
deep-seated aquifers are naturally less vulnerable and more resilient to
external influences due to their protection from the earth surface by geological
layers with low permeability. Some of these aquifers, if accurately managed,
could supply drinking water in the post-disaster emergency phase, replacing
damaged water supply systems.

Drought
Flood
Groundwater
Vulnerability
SDG Indicator 6.1.1 : Proportion of population using safely managed drinking
water services (2015)
Authors: Meyer Chloé
Published: February 2018

Population using an improved drinking water source (piped water into
dwellings, yards or plots; public taps or standpipes; boreholes or tubewells;
protected dug wells; or protected springs and rainwater) that is located on
premises and available when needed and which is free of faecal and priority
chemical contamination.

Drinking water
Human settlements
SDGs
Indigenous access to piped water in Latin America and the Caribbean
Authors: Meyer Chloé
Published: February 2018

This layer presents the percentage of Indigenous people who have access to piped water services in 13 countries of the Latin America and Caribbean (LAC) region. In LAC, Indigenous peoples are 10 to 25 percent less likely to have access to piped water than the region’s Non-Indigenous populations. Lack of access to Water Supply and Sanitation (WSS) services perpetuates chronic poverty. Extending the human right of access to WSS services to Indigenous peoples represents the final step for many countries of the region to reach universal water coverage.

sFor more information, access the report here: https://openknowledge.worldbank.org/bitstream/handle/10986/25405/110266-WP-Toolkit-Indigenous-Peoples-and-WSS-in-LAC-PUBLIC.pdf?sequence=1&isAllowed=y

AccessibilityDrinking waterPopulation
ERRORS IN USING ENGLISH AS CLASSROOM LANGUAGE COMMITTED BY THE ICT TEACHER OF SMP NEGERI 2 SEMARANG
Authors: Sari Huyi Intan
Published: February 2018

This article aims to discuss the problems faced by the ICT teacher of SMP Negeri 2 Semarang in using English as classroom language. The International Standard School project is a new education policy in Indonesia that was enacted with a main goal to prepare the students for global competition. This policy is both an effort to internationalize schools in Indonesia and a part of the national education decentralization reform. The title International Standard School, SBI in Bahasa, is given as an accreditation status to schools that have completed the required standards. This accredited status requires the school to carry out teaching and learning process all in English. This applies to all subjects including ICT. This article is based on the observation on the teaching and learning process in ICT class at SMP Negeri 2 Semarang as one of famous International Standard Schools in Semarang. The observation has resulted in general problems which is elaborated in the teaching documents four aspects of language mastery; fluency, pronunciation, grammar, and vocabulary.
THE REALIZATION OF POLITENESS IN �A DOLL�S HOUSE� SCRIPT
Authors: Tur Ajar Pradika Ananta
Published: February 2018

Politeness is considered to be important in the communication. When thepeople are communicating to one another, they are expected to keep thesocial relationship and do not violate another face or called as facethreatening acts (FTAs). This research investigated the realization ofpoliteness in a drama script entitled �A Doll�s House� by Henrik Ibsen. Itaims to classify the drama conversation parts into some categorizations ofpoliteness and to analyze why they differ in the context. In its nature, theresearch applied qualitative concepts. Two conversation parts in the firstact of the script were chosen to be the objects of the research. Thesequalitative data were then analyzed and categorized using Goffman�scategorizations of Face Threatening Act (FTA): FTA off record and FTA onrecord (with sub-classes: FTA on-baldly, FTA on record-with negativepoliteness, and FTA on record-with positive politeness). From the analyses,it was concluded that there were some parts belonging to FTA off recordand some belonging to the FTA on record with positive politeness. The firstdata analysis explained much about FTA off record. On the contrary, FTAon record with positive politeness was portrayed in the second analysis. Itshows that people tend to save their inter-interlocutors� face by usingindirect request, off record, as far as they understand what the speakerswant to. The on record will work if only the first one does not work.Keywords: Politeness, FTA off-record, FTA-on record
THE AMERICA�S CHRONICALLY GAP SKIN-COLORS, THE BOURGEOUIS, AND THE BEE�S TENSION AS DISCOVERED IN AKEELAH: THE LOGO-THERAPHY APPROACH
Authors: Fakhrian Andra
Published: February 2018

Akeelah, a black American teenager, who faces many obstacles to achieveher purpose, to win the bee. Jibes, less attention from her mother, family,and even the roughness words are often heard by her until she becomesuncivilized. In the other side, Dylan-bourgeois with the bee�s tension aresupported her pessimism to become unsure of her own ability. Moreover, achronicle Gap Skin-Colors in America made people after she won theregional spelling bee. Thereof, Akeelah becomes more respectful and foundthe true meaning of life, all is full of love in all of sudden. Akeelah becomesmore open minded after her brutal and indecent. Hence, in this researchthe author will elaborate the logo therapy theory in a way to give a solutionfor status quo from the literary work analysis of �Akeelah and the Bee.Keywords: The logo-therapy theory, Status Quo, and Akeelah
PENGARUH CORPORATE GOVERNANCE TERHADAP MANAJEMEN LABA PADA PERUSAHAAN JASA DI INDONESIA (STUDI KASUS PADA PERUSAHAAN JASA YANG TERDAFTAR DI BURSA EFEK INDONESIA TAHUN 2005-2007)
Authors: Imam Sentot , Wahyono Wahyono
Published: February 2018

Purpose of this research is to find the empirical proof that the board composition, board size, the existence of audit committees, company size and managerial ownership affects some earnings management. With Corporate Governance in the company are expected to affect corporate earnings management actions. This research uses the entire population of IDX services company in the year 2005-2007, using purposive sampling techniques sampling the sample obtained by 25 companies. The results using multiple regression analysis is the composition of the board of commissioners, the overall effect of revenue management. This is evidenced by the significance value of 0.002 <0.05. Board size effect on earnings management. This is evidenced by the significance 0.018 <0.05. Audit committees have no effect on earnings management .. This is evidenced by the significance 0.236> 0.05. Size does not affect the company’s revenue management, as evidenced by the value of significance 0.222 <0.05. Managerial ownership has no effect on earnings management, as evidenced by the significance value of 0.581> 0.05.
DETERMINASI KARAKTERISTIK KOMITE AUDIT DALAM MEMPREDIKSI KONDISI FINANCIAL DISTRESS STUDI EMPIRIS PERUSAHAAN SEKTOR JASA YANG TERDAFTAR DI BEI TAHUN 2010-2012
Authors: Setiyani Duwi
Published: February 2018

Financial distress is a condition where a company cannot meet or has difficulty paying off its financial obligations to its creditors. In financial case, corporate governance parties who had an effect on financial distress is the audit committee. This study investigates the impact audit committee characteristic on financial distress. The audit committee characteristics that use in this study are size of audit committee, independence of audit committee, frequency of audit commitee meeting, competence of audit committee, female audit committee, and audit committee nationality, this study use two control variable is sales growth and KAP reputation. The data being used is from annual report serices company which is listed in BEI in 2010-2012 period. Data collecting method which used in this research is metod purposive sampling. Based on the method purposive sampling, research sample total is 80 companies. Data analysis using logistic regression with SPSS 17. The result show that independence ofaudit committee, frequency of audit commitee meeting, female audit committee, and audit committee nationality has negative affect with financial distress. Size of audit committee and competence of audit committeem has not negative affect with financial distress.
IMPLEMENTASI BALANCE SCORECARD PADA PERUSAHAAN JASA PERHOTELAN : STUDI KASUS PADA PT. HOTEL X DI SEMARANG
Authors: Winarsih Winarsih
Published: February 2018

Balanced Scorecard merupakan suatu sistem manajemen strategis yang mengukur kinerja perusahaan melalui empat perspektif, yaitu perspektif keuangan, perspektif pelanggan, perspektif proses bisnis internal, dan perspektif pembelajaran dan pertumbuhan. Penelitian ini bertujuan untuk mengetahui tingkat keberhasilan kinerja suatu perusahaan dengan menggunakan konsep BSC yang diimplementasikan pada perusahaan jasa yang bergerak di bidang pariwisata, yaitu perhotelan. Data yang digunakan dalam pnelitian ini berupa data primer dan sekunder. Data primer, pengumpulan data dilakukan menggunakan kuesioner dengan sampel sebanyak 53 responden. Hasil penelitian ini menunjukkan bahwa dengan menerapkan Balanced Scorecard maka pihak manajemen mendapatkan hasil yang komprehensif. Hal ini dapat dilihat bahwa perusahaan selain dapat mengelola pendapatan dan biayayang dikeluarkan secara optimal, kepuasan pelanggan, pengembangan produk, serta kepuasan karyawan atas kinerja perusahaan dapat terpenuhi dan hasil penelitian dapat disimpulkan bahwa kinerja perusahaan yang diukur melalui empat perspektif dalam balanced scorecard sudah tergolong baik dan kinerja perusahaan mencapaitingkat yang memuaskan.
ADAPTASI MODEL DELONE DAN MCLEAN YANG DIMODIFIKASI GUNA MENGUJI KEBERHASILAN IMPLEMENTASI APLIKASI OPERASIONAL BAITUL MAAL WAT TAMWIL (BMT) BAGI INDIVIDU PENGGUNA (Studi Empiris Pada BMT di Kota Semarang)
Authors: Listiyana Novita Anugrah , Rusdi Dedi
Published: February 2018

This study analyzed the relationship between humans as users of the system and application software as object an inseparable relationship. The purpose of this study was to analyze the effect of variable quality system to the perception of the quality system, the effect of perceived quality system and quality of information on the intensity of use and user satisfaction, and the influence of the intensity of use and user satisfaction of the impact of individual performance. This research is an empirical study using purposive sampling technique in data collection. Data were collected through  questionnaires to 39 BMT’s operational employees. Then, performed an analysis of the data obtained used path analysis. This included: testing hypotheses through path analysis. The results of tests performed using path analysis to get the results that each variable in the model of equation 4 had a coefficient with a positive direction. This means that the improvement of the quality of the system will be able to improve the quality of information for the individual impact of the use and satisfaction of employees through the use of the system.
PENGARUH PERSEPSI KEMUDAHAN PENGGUNAAN, PERSEPSI KEGUNAAN, dan PENGALAMAN TERHADAP MINAT WAJIB PAJAK MENGGUNAKAN SISTEM E-FILING (Studi Kasus Wajib Pajak Orang Pribadi Di Kabupaten Pati)
Authors: Ermawati Nanik , Delima Zamrud Mirah
Published: February 2018

E-Filing is one of the technological developments in the modern era, in which the taxpayer is easy to report to the tax office use online. This study aims to determine the effect of perceived ease of use, perceived usefulness, andexperience to the interest of individual taxpayers to use the E-Filing.  Research was conducted on an individual taxpayer in Pati regency. The method used regression analysis. The data used in this study are primary data, using a questionnaire. the results of this study indicate that the perceived ease of use, perceived usefulness, and experience affect the interest of taxpayers to use the E-Filing.
EFEKTIVITAS FAKTOR INTERNAL DAN EKSTERNAL AUDITOR TERHADAP PENERIMAAN PERILAKU DISFUNGSIONAL AUDIT
Authors: Wijayanti Provita , Hanafi Rustam
Published: February 2018

Penelitian ini bertujuan untuk menganalisis pengaruh efektivitas faktor internal auditor (locus of control, job performance, serta komitmen Profesionalisme) dan faktor eksternal auditor (time budget pressure dan etika profesi) terhadap dysfunctional audit behavior. Kualitas audit adalah kemungkinan di mana seorang auditor akan menemukan dan melaporkan pelanggaran yang ada dalam sistem akuntansi kliennya. Sedangkan dysfunctional audit behavior merupakan suatu tindakan yang dapat menjadikan penurunan pada kualitas audit. Objek penelitian ini adalah auditor yang bekerja pada lembaga audit Pemerintah di Jawa Tengah. Datapenelitian diperoleh dari pengisian kuesioner sejumlah 150 auditor di Kantor Badan Pemeriksa Keuangan, Badan Pengawasan Keuangan dan Pembangunan, Inspektorat Kota, dan Inpektorat Provinsi. Teknik pengambilan sampel menggunakan convenience sampling. Analisis data menggunakan uji regresi. Hasil penelitian ini menunjukkan bahwa faktor internal yang meliputi variabel locus of control, job performance dan komitmen profesionalisme terbukti hanya variable komitmen profesionalisme yang berpengaruh positif dan signifikan terhadap disfunctional audit behavior (DAB). Sedangkan faktor eksternal yang meliputi variabel time budget pressure dan etika profesi terbukti tidak berpengaruh terhadap disfunctional audit behavior (DAB).
Bom Bunuh Diri dan Euthanasia (Perspektif Hukum Islam)
Authors: Thobroni Ahmad
Published: February 2018

Perjuangan tidak pernah mengenal kata akhir, namun cara berjuang tiap umat sering kali mengalami perubahan searah dengan perubahan sarana-sarana perang. Pada tahun-tahun terakhir, sering terdengar upaya beberapa kelompok muslim yang melakukan bom bunuh diri atau juga dikenal sebagai suicide bombing dan human bombing atau bom manusia.Secara umum ada dua reaksi para ulama dalam menyikapinya, sebagian melarang dan sebagian lagi memuji. Kedua kelompok tersebut sama-sama menyertakan argumen-argumennya, baik secara naqly maupun aqly. Kejelasan hukum syara� sangat dibutuhkan dalam masalah yang amat krusial ini. Ini dikarenakan perbedaan yang ada cukup tajam dan mengandung berbagai implikasinya baik di dunia maupun di akhirat.Bagi mereka yang menganggap aksi bom manusia sebagai aksi bunuh diri (�amaliyat intihariyah), maka implikasi kepada para pelakunya ialah tidak diberlakukan hukum-hukum mati syahid, namun dipandang sebagai orang hina karena berputus asa menghadapi kesulitan hidup. Di akhirat, pelakunya dianggap akan masuk neraka, karena telah bunuh diri. Sedangkan bagi mereka yang menganggap aksi bom bunuh diri sebagai aksi mati syahid (�amaliyat istisyhadiyah), maka implikasi kepada para pelakunya adalah diberlakukan hukum-hukum mati syahid. Dia dianggap sebagai pahlawan dan teladan keberanian yang patut dicontoh dan di akhirat akan masuk surga.Karena hidup dan mati ada di tangan Tuhan, serta merupakan karunia dan wewenang Tuhan, maka Islam melarang orang melakukan pembunuhan, baik terhadap orang lain (kecuali dengan alas an yang dibenarkan oleh agama) maupun terhadap dirinya sendiri (bunuh diri) dengan alasan apapun. Hukum bunuh diri dan euthanasia masih dipersoalkan di kalangan masyarakat. Pro kontra inilah yang mendorong penulis untuk memilih tema hukum bom bunuh diri dan euthanasia dalam perspektif hukum Islam.
PENGARUH PENYULUHAN TERHADAP PERUBAHAN PENGETAHUAN BAGI IBU-IBU PKK KELURAHAN PENGGARON LOR TENTANG PEMANFAATAN TANAMAN PISANG SEBAGAI MEDIA MENJAGA KESEHATAN GIGI DAN MULUT
Authors: Rochmah Yayun Siti , Fasitasari Minidian
Published: February 2018

Background: Banana counted as nearly perfect food since it contains six nutrients : water , sugar , proteins , fats , vitamins , and minerals . Because of that , bananas are often used as a staple food for most people because of its nutritional value. However, sometimes people do not realize the benefits of bananas as a whole , from leaves , fruits , flowers and stems of the bananas . Penggaron Lor society , still minimal in using the banana plant . Usually the community will sell fruit and leaves to the market , so that the results obtained from the banana plant community less than optimal. Method : This study is an observational analytic study . The research was done in the Village of Penggaron Lor Semarang , and was conducted in March-June 2014. The instrument in this research was primary data obtained directly from respondents through interviews using questionnaires distributed before and after counseling . To determine whether there are differences in knowledge before and after counseling on the benefits of banana plants as a medium for maintaining oral hygiene, statistical test Wilcoxon Sign Ranks test was conducted, and processed with SPSS. Result: The results of SPSS calculation because the data is not normal ( p value < 0.05), then the data was processed using the non-parametric test for two sample pairs , ie Wilcoxon Sign Ranks test , and obtained p value of 0.008 . This means that there was a significant difference between the mean value of the pre-test and post-test. Conclusion : there are differences in knowledge before and after counseling , counseling means that a significant impact on respondents' knowledge of the benefits of banana plants for maintain oral health.