bluuebunny/crossref_metadata_2025_split huggingface dataset:
Managing development plans in the Norwegian healthcare system
Authors: Vik Erlend , Hansson Lisa 
Published: December 2020

Abstract
Background: As part of a national plan to govern professional and organizational development in Norwegian specialist healthcare, the country’s hospital clinics are tasked with making development plans. Using the development plan as case, the paper analyses how managers navigate and legitimize the development plan process among central actors, and deals with the tension between governmental control and organizational autonomy in such strategy work.Method: This study applies a qualitative research design, triangulating different kinds of data. The study was performed in two steps: a) an analysis of various guidelines for development plans and how they are translated through the different levels of Norwegian specialist healthcare, and b) a single-case study of the process of developing a development plan at the clinical level. Findings: Findings shows that the development plan was shaped through a multilevel translation process consisting of different contending rationalities. At the clinical level, the management had difficulties legitimizing the process. Underlying tension between top-down and bottom-up steering challenged their involvement and made it difficult to manage the contingency of decisions.Conclusions: The findings are relevant to public sector managers working on strategy documents, as well as to policymakers identifying challenges that might hinder fulfillment of political intentions. This paper uses a case from Norway; however, the findings are of general interest. It contributes to the academic discussion on how to take account both the health authorities perspective and the organizational perspective in order to understand tensions between control and autonomy, applied to a functionally differentiated health care system.
Potential inpatient hospital care accessibility scores: association with healthcare utilization and non-hospital care service accessibility
Authors: GAO Fei , Jaffrelot Matthieu , Deguen Séverine 
Published: December 2020

Abstract
Background: Optimal healthcare access improves people's health status and decreases health inequalities. Many studies demonstrated spatial access importance in health outcomes. Recent studies assessed spatial healthcare access using the enhanced two-step floating catchment area (E2SFCA) method. The study aim was to build a hospital facility access indicator at a fine geographic scale and to assess the impact of spatial accessibility to inpatient hospital care and non-hospital care services on the length of hospital stay (LOS). Methods: This study focused on the ≥75-year-old population of the Nord administrative region of France. Hospital spatial accessibility was computed with the E2SFCA method, and then the LOS score was calculated from the French national hospital activity and patient discharge database. Linear regression models were used to analyze the relationship between LOS and spatial accessibility to inpatient hospital care and to three types of non-hospital care services (general practitioners, physiotherapists, and home-visiting nurses). Results: Overall, there were 19.0 beds in Medical, Surgical and Obstetrics (MCO) facilities and 5.58 beds in Postoperative and Rehabilitation Care facilities (SSR) per 10,000 inhabitants, but with important geographic variations. Accessibility to hospital services was higher for people in large urban areas, despite the dense population and the higher demand. In 2014, the mean LOS scores were 0.26 for MCO and 0.85 for SSR, with a non-homogeneous geographical repartition. The linear regression analysis revealed a strong negative and significant association between LOS and non-hospital care accessibility.Conclusions: This is the first study to measure spatial accessibility to inpatient hospital care in France using the E2SFCA method, and the first to investigate the relationship between healthcare utilization (LOS) and spatial accessibility to inpatient hospital care facilities and three types of non-hospital care services. Our findings should help to take decisions about deploying additional beds and to identify the best locations for non-hospital care services. Moreover, they should also help to improve access, and to ensure the best coordination and sustainability of inpatient and outpatient services, in order to better cover the population’s healthcare needs. Other international studies using multiple consensual indicators of healthcare outcomes and accessibility and sophisticated modeling methods should be developed.
Combining the Knowledge Appropriation Model and epistemic networks to understand co-creation and adoption of learning designs using log data
Authors: Rodríguez-Triana María Jesús , Prieto Luis P. , Ley Tobias , Gillet Denis , De Jong Ton 
Published: December 2020

Social practices are well-known mediators in the adoption of educational innovations during professional learning, as postulated by the Knowledge Appropriation Model (KAM). However, understanding how teachers adopt new pedagogical approaches at scale is often difficult due to the lack of evidence available about their daily practices. In that sense, log data from online authoring and learning tools offer the possibility of better understanding the creation process of a learning design that reifies an educational innovation.
This paper explores how statistical models and Epistemic Network Analysis (ENA) can help us understand large-scale patterns in the co-creation and adoption of educational innovations, using KAM as a theoretical framework to analyse log data. More concretely, this paper presents a case study on Go-Lab, an initiative to promote inquiry-based learning at school. Its authoring and learning tool -Graasp- gives us a unique opportunity to track, not only the (co)creation of learning designs, but also their potential implementation in the classroom. The case study uses the aforementioned methodological approach to analyse the role of large-scale support initiatives in the co-creation and adoption of learning designs.
PELATIHAN PERCAKAPAN ANTARA IBU DAN ANAK DALAM BAHASA LOKAL: BERKONTRIBUSI PADA PEMBENTUKAN KARAKTER POSITIF ANAK
Authors: Soemantri Ypsi Soeria , Krisnawati Ekaning , Koeshandoyo Eko Wahyu 
Published: December 2020

Ketika seorang anak masih balita, ia akan mendapat pendidikan karakter dari orang tuanya. Setelahmasuk sekolah, anak tersebut akan mendapatkan pendidikan formal mengenai pendidikan karakter. Sebetulnya, seorang ibu mempunyai andil yang cukup besardalammembentuk perilakuanak, supayamenjadi anak yang “berkarakter”. Anak berkarakter adalah anak yang memiliki karakter positif, yaituanak yang berperilaku baik dan kuat secara mental dan tidak cepat berputus asa, dan anak yang cerdas secara emosional dan kognisi. Percakapan yang baik dan penuh kasih saying dari seorang ibu kepada anakanya memberikan dampak yang sangat positif. Dalam PengabdianKepada Masyarakat diadakan pelatihancara berkomunikasi ibu dengan anaknya dalam membantu membentuk karakter positif anak. Metode yang digunakan dalam penelitian ini adalah metode deskriptif. Teori diambil dari Sibarani (2015) dan Ratna (2014). Hasil yang diperoleh adalah sebaiknya percakapanibu dan anak dilakukan dengan santai, ibu bertanya mengenai kegiatanan, ajukan pertanyaan dengan nada yang ramah, berikan pujian, berbicara mengenaitopik yang menarik bagianak, berdoa bersama-sama dan memberikan nasihat tanpa disadari oleh anak.
Behavioral Rehearsal untuk Mengatasi Kecemasan Belajar Daring (Online) Masa Pandemi Covid-19
Authors: Sura Handayani 
Published: December 2020

Tujuan penelitian ini adalah untuk mengetahui cara mengatasi kecemasan belajar daring dengan pendekatan behavioral rehearsal dan upaya yang dilakukan untuk mengatasi kecemasan belajar daring (online) pada masa pandemi covid-19 pada siswa SMA di Kecamatan Alla Kabupaten Enrekang. Metode penelitian dalam penelitian ini adalah metode penelitian kualitatif, dimana penelitian ini menghasilkan data berupa kata tertulis atau lisan dari orang-orang dan perilaku yang diamati.Hasil pembahasan adalah Behavioral Rehearsal dapat mengatasi kecemasan belajar daring pada masa pandemi covid-19 dengan cara latihan melalui cara: mempraktekkan perilaku yang dicontohkan, memberikan motivasi kepada siswa tentang strategi-strategi (penguatan) dan langkah dalam mengerjakan tugas dan juga belajar daring.
PERANCANGAN KURSI TANGGA MENGGUNAKAN METODE QUALITY FUNCTION DEPLOYMENT
Authors: Sugianto Antonius , Yuwono Ngesti , Satriawan Kristianus 
Published: December 2020

Limited space in carrying out activities demanded the availability of furniture that has multifunctional. The purpose of this research is to design a multi-functional Stair Chair. The method used is Quality Function Deployment. The Quality Function Deployment method is used to obtain the product variables desired by most prospective users so that expected design results can fulfill the consumer's wishes. Existing product variables are the description of the main aspects of designing a product i.e. function, shape, construction and material. The main aspects of this design should be considered in order to produce a product design that meets the criteria in designing the correct furniture techniques. The understanding of the importance of ergonomics and anthropometry is indispensable for the main purpose of product design that is appropriate to the wishes of consumers can be fulfilled. Comfort and security become something the parameters must be met. Suitability of the size of furniture with users should be noticed for comfort in use can be fulfilled. Application method of Quality Function Deployment recommends that the development of stair seat products should be aware of the variable needs of consumers who have high weight, namely using strong raw materials, using raw materials that are durable, Using a maximum construction of 2 types, the system of fix assembly. Keywords: design; ladder chair; multi function; quality function deployment ABSTRAKKeterbatasan ruang dalam melaksanakan aktivitas menuntut tersedianya furnitur yang memiliki multifungsi. Tujuan penelitian ini merancang Kursi Tangga yang memiliki multi fungsi. Metode yang digunakan adalah Quality Function Deployment. Metode Quality Function Deployment digunakan untuk mendapatkan variabel produk yang diinginkan oleh sebagian besar calon pemakai sehingga diharapkan hasil perancangan dapat memenuhi keinginan konsumen. Variabel produk yang ada merupakan penjabaran dari aspek utama dalam merancang sebuah produk yaitu fungsi, bentuk, konstruksi dan bahan. Aspek utama dalam perancangan ini harus diperhatikan agar menghasilkan rancangan produk yang memenuhi kriteria dalam teknik mendesain furniture yang benar. Pemahaman akan pentingnya ergonomi dan antropometri sangat diperlukan agar tujuan utama perancangan produk yang sesuai dengan keinginan konsumen dapat terpenuhi. Kenyamanan dan keamanan menjadi sesuatu parameter yang harus dipenuhi. Kesesuaian ukuran furniture dengan pengguna harus diperhatikan agar kenyamanan dalam pemakaian dapat terpenuhi. Aplikasi metode Quality Function Deployment merekomendasikan bahwa pengembangan produk Kursi Tangga harus memperhatikan variabel kebutuhan konsumen yang memiliki bobot tinggi yaitu menggunakan bahan baku yang kuat, menggunakan bahan baku yang awet, menggunakan konstruksi maksimal 2 jenis, sistem perakitan mati.
Peningkatan Keterampilan Menulis Berita Melalui Model Pembelajaran Kooperatif Tipe Jigsaw Siswa Kelas VIII D MTS Pondok Pesantren As-Salam Naga Beralih Kabupaten Kampar
Authors: Mardiah Mardiah 
Published: December 2020

Based oninitial observation the fiel, the student news writing skills MTs Boarding School As-Salam Naga Beralih Kampar regency still low. This isi caused by several factors, one of which is the selection of the learning modeling accuracies. Learning model used is still the main choice in lecture learning. Another factor that comes from the students was the lack of motivation to write the story bacauce it was though that writing astoryisa difficult activity. To correct this condition carried through Classroom Action Research type Jigsaw Cooperative Learning Model.
Purpose of this research class action (1) describing the process of improving the student skill in writing news items in class VIII D of class VIII d MTs boarding School As-Salam Naga Beralih Kampar regency increases trough Jigsaw cooperative learning model, and (2) describing the supporting factors improved writing skills class VIII D news MTs Boarding School As-Salam Naga beralih Kampar regency increases trough jigsaw cooperative learning model. Class room Action research was conducted in two cycles. Each cycle through the stages of (1) planning, (2) action, (3) observation, (4) reflection. The subjects were students of class VIII D Boarding School As-Salam Naga Beralih Kampar regency.
The results of this study showed on increase in news writing skill class VIII D with respect to completeness of the content of the news (5 w = 1 H), regularity of exposure, use of effective sentences, vocabulary used, the accuracy of using EYD, and attractiveness of headlines along with the formulation of several contributing factors in improving writing news class VIII D boarding School As-Salam Naga Beralih Kampar Regency. Jigsaw cooperative learning model type is suitable for use by teachersin teaching students to writing news. Teachers should choose appropriate learning steps in using the model of cooperative learning Jigsaw type new sin the learning process.
Customs Payments Analysis as an Object of Economic Activity of Customs Authorities: Modern Realities of Shadow Exports
Authors: Pankova S. V. , Levin V. S. , Popov V. V. 
Published: December 2020

The search for reserves for stabilization of Russian economy is coming to the fore in the context of the ongoing crisis. Given its raw material orientation, a significant share of which is accounted for by exports, and the high share of customs payments (in particular, export customs duties on oil and gas) in the structure of the Federal budget, it is extremely important to assess the estimated losses of customs payments as a result of shadow exports, which determines the relevance of this study. The paper discribes assessing the volume of customs payments in the conditions of the country’s shadow economy development as well as searching for sources of their increase in the structure of Federal budget revenues due to organizational measures. A review of positions of the Russian scientists in the field of economic categories including taking into account the normative and reference documentation. In this study it is proved that the activities of customs authorities belong to the type of organizational and economic relations and customs payments are an economic category. A methodological tool for economic analysis has been developed to identify the significance of losses from shadow exports for the state budget as well as to assess the correctness of the distribution of import customs duties to the budgets of the EAEU member States. The theoretical and practical significance of the study is determined by the prospects for increasing the volume of the Federal budget revenue due to the collection of customs duties. The study may be interesting for government agencies of foreign trade policy and Federal budget formation.
Síndromes dolorosos de la columna vertebral (S.D.C.V) en pacientes del dispensario de Cotocollao - IESS
Authors: Cordova Velasco Luis 
Published: December 2020

Dentro de los aspectos poco estudiados en nuestro medio, se encuentran la investigación sobre la influencia que tiene la actividad física en el trabajo y en la aparición o cronificación de los S.D.C.V.
Estas enfermedades, aun cuando se cronifican o reagudizan causan en términos de labores diarias, fatiga fácil, disminución de rendimiento en el trabajo, desadaptación y hasta ausentismo; lo que va en detrimento de sus ingresos económicos y los de la familia, deteriorando al mismo tiempo, el nivel productivo de fábricas, empresas y de toda la nación.
El modelo económico actual del país ha permitido el aparecimiento de nuevos riesgos en la salud de los trabajadores, incluso determinados cmabios en la organización del trabajo, actividad monótona, ritmos intensos, todas estas condiciones desfavorables del ambiente laboral que repercuten en la salud física y mental de los trabajadores, que son objetos de nuestro estudio.
Los S.D.C.V son una entidad frecuente que incluso afectan a la población joven y por tanto en edad productiva, por otro lado está en la perspectiva de esta investigación el establecer nuevas pautas que mejoren el área técnica de la atención en lo referente a la prevención, evaluación, diagnóstico y tratamiento de la patología mencionada.
Avaliação do algoritmo Pencil Beam e das incertezas de Monte Carlo para o controle de qualidade em VMAT
Authors: Dos Santos Guilherme Bulgraen , Rodrigues Laura Natal , Chiara Ana Claudia Magni De , Dos Santos Gabriela Reis 
Published: December 2020

A técnica de tratamento de arcoterapia volumétrica modulada (VMAT) possui a vantagem dosimétrica de melhorar consideravelmente a conformação da distribuição de dose. Contudo, como tal técnica utiliza fluências não uniformes, exigem um controle de qualidade (CQ) rigoroso e específico por paciente. Quando são utilizados algoritmos de cálculo baseados em Monte Carlo (MC) neste CQ, o tempo de cálculo se torna muito longo. Desta forma, este trabalho visa diminuir este tempo, variando os algoritmos de cálculo e a incerteza estatística no algoritmo baseado em MC no CQ por paciente na técnica VMAT. Para verificar a aplicabilidade destes novos cálculos na rotina, foi calculada a média e o desvio padrão da análise gamma bem como a diferença da dose absoluta para 14 casos planejados com 4 diferentes condições: algoritmo MC com incerteza estatística de 2, 3 e 5% ; e algoritmo Pencil Beam (PB). Considera-se a primeira condição como padrão de referência. Também foi registrado o tempo de cálculo e os testes de sensibilidade e especificidade. A análise dos resultados para o algoritmo PB, tanto o desvio padrão da análise gamma como da diferença de dose absoluta se apresentou alto, chegando a ter um desvio padrão de 3,5, enquanto que os outros testes tiveram um desvio de no máximo 2,1. Em todas as condições com MC, os resultados obtidos, tanto para análise gamma como para a dose absoluta, ficaram semelhantes. No teste de sensibilidade, o PB não apresentou um resultado satisfatório. O cálculo com MC e 3% de incerteza apresentou o melhor resultado de especificidade, enquanto com 5%, o melhor resultado foi de sensibilidade. Caso houvesse uma maior amostragem de dados, a especificidade e sensibilidade para os ambos os casos com MC passariam a ser equivalentes. Logo, o fator determinante é o tempo de cálculo, que foi menor para a incerteza de 5%.
Correlación entre cationes y aniones presentes en aguas de perforación del departamento de Saladas-Corrientes
Authors: Roldán Martín , Yfran Elvira María de las M. , Rodríguez Silvia C. 
Published: December 2020

<p>La agricultura es el sector que mayor demanda del agua supone a nivel mundial. En los países en vías de desarrollo, el agua utilizada para regadío representa más del 95% del total de usos del agua, y juega un papel esencial en la producción y seguridad de los alimentos. El objetivo del trabajo fue evaluar la correlación entre cationes y aniones presentes en las aguas de perforación del Dpto. de Saladas (Corrientes) y determinar la calidad de las muestras de agua. La correlación entre cationes y aniones presentes en las aguas demostró dos grupos de variables. Primer grupo formado por los cationes que definen la salinidad y dureza del agua, como sulfatos, cloruros, calcio, potasio, magnesio. El segundo grupo formado por alcalinidad y pH. Los riesgos más comunes, según los cuales se evalúan los efectos de la calidad del agua, son los relacionados con la salinidad y la toxicidad. Los resultados relacionados a la sodicidad y salinidad indican que la calidad del agua utilizada es buena y puede ser utilizada con fines agrícolas, excepto 5 de 20 muestras que presentaron salinidad alta, lo que las hace aptas para riego en suelos con muy buena permeabilidad y al tener bajo contenido en sodio, podría usarse para riego usando cultivos tolerantes a la salinidad. No se encontraron niveles tóxicos limitantes para la producción, pero si niveles superiores a los establecidos por el CAA del ion nitrato, en siete muestras haciéndolas no aptas para consumo humano.</p>
Impact of Stigma in Covid-19 Patient: A Litteratur Review
Authors: Etika Arif Nurma , Yunalia Endang Mei , Lutfi Erik Irham , Sulisyawati Wiwin 
Published: December 2020

Background: Covid - 19 is a disease that has a high virulence so it is easily transmitted, even now it has become a pandemic. Because the impact is mainly for people who have comorbid and also the mortality rate in patients and misleading media, so many people who give stigma to patients and their families. The stigma given to patients suffering from Covid-19 is thought to have a significant impact on the patient.
Purpose: Aim of this study to analyze the impact of stigma on patients with Covid-19
Methods: the method used in writing this article is literature review. By using the google scholar search engine, Pubmed, DOAJ, Science Dirrect, Research Gate, with the keywords Covid, impact and Stigma, in 2020, the articles that meet the criteria are 6 articles.
Results: Based on the existing analysis, it was found that stigma, both internal stigma and external stigma can affect the mental health of patients with co-19, in addition to other impacts also caused among them are socioeconomic problems
Conclusion: It is recommended for health workers to provide mental health support for patients with Covid-19, in addition it is also necessary to have a policy that minimizes the negative impact caused
The Effect of Oxytocin Massage on the Fundal Height of Multiparous Mother on the First until Tenth Day of Postpartum
Authors: Ardela Mayasari Putri , Puspita Nara Lintan Mega , Kusumawati Lindha Sri , Sunaningsih Sunaningsih 
Published: December 2020

Background: The Maternal Mortality Ratio (MMR) is still far from the target of Sustainable Development Goals (SDGs) which is 70 per 100,000 live births in 2030. Nationally, the main cause of maternal death is due to bleeding. One effort to prevent the occurrence of postpartum hemorrhage is oxytocin massage. This massage can stimulate the oxytocin hormone so that the uterine involution process can run normally.
Purpose: This research aims to determine the effectiveness of the massage of oxytocin on the acceleration of uterine involution on the multiparous mother since the first day until the tenth day of postpartum.
Methods: The design of this research is the quasi-experiment with a post-test with the control group on 20 persons that are determined by purposive sampling. The research samples were divided into 2 groups, i.e. 10 people were given a massage of oxytocin and 10 people were not massaged.
Results: The results showed a significant reduction in fundal height (One-Way Anova p <0.05) with an average declining more than 1 cm.
Conclusion: From the results of this study, it can be concluded that the massage of oxytocin can accelerate the high decline of uterus fundus.