bluuebunny/crossref_metadata_2025_split huggingface dataset:
‘Is the Patient Completely Alert?’ – Accuracy of Emergency Medical Dispatcher Determination of Patient Conscious State
Authors: Belcher Jason , Finn Judith , Whiteside Austin , Ball Stephen 
Published: January 2021

Introduction During emergency ambulance calls, one of the key issues assessed is the patient's level of consciousness. An altered conscious state can be indicative of a need for a high priority response; however, the reliability of the resulting triage depends on how accurately alertness can be ascertained over the phone. This study investigated the accuracy of emergency medical dispatcher (EMD) determination of conscious state in emergency ambulance calls in Perth, Western Australia. Methods The study compared EMD determination of patient alertness based on the Medical Priority Dispatch System (MPDS), with conscious state as recorded by paramedics on arrival, for all emergency ambulance calls in a 1-year period in metropolitan Perth. Diagnostic accuracy was reported across the whole system and stratified by MPDS chief complaint. Results There were 109,678 calls included for analysis. In terms of identifying patients as not alert, the overall positive predictive value was 6.62% and negative predictive value was 99.93%, with 10 times as many patients dispatched as not alert than found to be not alert at scene. Sensitivity was only 69.94%. There was significant variation in accuracy between chief complaints. Conclusion The study found high levels of inaccuracy between dispatch identification of not-alert patients, and what paramedics found on scene. While not-alert dispatch was 10 times more common than patients being determined not-alert on scene, only 70% of not-alert patients on scene were classified as such during dispatch. Further research is suggested into the factors that affect the accuracy of EMD determination of patient conscious state.
The Transition from Clinician to Manager: The Paramedic Experience
Authors: Stewart Karen , Cope Vicki , Murray Melanie 
Published: January 2021

Introduction Promotion from paramedic to manager is common in ambulance services, yet there is limited research concerning paramedics’ experience of this role transition. The purpose of this qualitative study was to explore the experiences of paramedics who have transitioned from clinician to manager. Methods A qualitative approach was used for this study. Through purposive sampling, semi-structured interviews were conducted with paramedics who had made the transition to manager. The participants were asked to describe how they felt and what their experiences were concerning this transition. Thematic analysis was undertaken identifying themes within participant responses. Results Six key themes emerged during the data analysis. Participants described feelings of isolation on moving from the frontline, a lack of feeling part of the team ‘in green’; however, they also reported that previously being a paramedic in some instances gave credibility in their new manager roles. Challenges reported concerned no formal training before transitioning into the role, and the lack of essential managerial experience. Conclusion This research provided insight into how paramedics feel and perceive the transition from clinician to management roles. A review of the organisational approach to role transition is of benefit to paramedics. Such a review may help identify what changes could be made in support of paramedics transitioning to management roles. Further research is required across other ambulance services to determine the efficacy of these results in the broader ambulance service environment.
IDENTIFIKASI PARASIT CACING NEMATODA GASTROINTESTINAL PADA SAPI BALI (Bos sondaicus) DI DESA TAMAN AYU KABUPATEN LOMBOK BARAT
Authors: Supriadi Supriadi , Kutbi Muhammad Khozin , Nurmayani Seli 
Published: January 2021

Nematoda worms are one of the helminth groups that have wide distribution in ruminants. Various types of nematoda worms are known as cattle parasites and have affected their health. The aim of this research was to determine the species of gastrointestinal nematoda worms in cattle that were farmed in Taman Ayu Village, Gerung Subdistrict, West Lombok District. A total of 115 stool samples were collected by random sampling from February to August 2018 in 3 sub-village that have high cattle population in Taman Ayu Village. Sampling was carried out by random sampling method in dairy cattle. Fecal samples were examined using native and standard flotation technique to determine the number of species of gastrointestinal nematoda worms. Flotation method was depeloved by employing sugar absolut solution. The results of the examination of the samples have shown 8 species of nematoda parasite worms such as Strongyloides papillosus, Trychosrtongylus sp., Haemonchus contortus, Toxocara vitulorum, Trichuris spp, Nematodirus spp., Capillaria spp., Oesophagostomum spp. and larvae. Strongyloides papillosus is the species with the highestnumber of infection due to it can be transmitted by autoinfection in the same individual. The farmers limited knowledge about good dairy systems and bad sanitation of cattle farm contribute to high numbers of nematoda worms in fecal samples. It is necessary for farmers to maintain best management dairy systems. Furthermore, routine treatment by anthelmintic will help farmers to protect cattles from the infection.
EFEKTIVITAS PEMBELAJARAN FULLY DARING TERHADAP KEMAMPUAN PENALARAN MATEMATIS SISWA
Authors: Hr Bq. Malikah , Pratama Indah Arry , Munawarah Pyo Apriliana 
Published: January 2021

The purpose of this research were to describe: 1) the effect of fully online learning to the mathematical reasoning abilities of students; 2) the response of the students to the application of fully online learning. The research was a mixed-method using quantitative and qualitative methods with one group pretest-posttest design. There were 32 students of class XI MIA MA NW Wanasaba, Wanasaba Sub-District, East Lombok Regency as the sample. Instrument of this research was the mathematical reasoning abilities essay test consists of 10 questions on learning materials of limit function, observation and interviews. The quantitative data analysis using descriptive statistics with paired sampel t-test. The results of this research showed that: 1) according to the results of data analysis, it was discovered the value of Sig. (2-tailed) was 0.000 < 0.05, it means that H0 was rejected and Ha was accepted, this indicated that there was a difference between the pretest and posttest average. Based on the descriptive statistics, the average of pretest score was 71.03 higher than the posttest score was 59.97. It can be concluded that the fully online learning was no more effective to the mathematical reasoning abilities of students. 2) there were 16% of the students gave a positive response to the application of fully online learning, 84% of the others prefer the blended learning and students gave a less positive response to the application of fully online learning and it was considered less helpful in practicing the mathematical reasoning abilities of students.
Reabilitação estética do sorriso por meio de reanatomização dentária: Relato de caso
Authors: Emídio Andrey Gonçalves , Ishikiriama Sergio Kiyoshi 
Published: January 2021

Os padrões de beleza estabelecidos pela sociedade vêm sendo um fator decisivo para o aumento de pacientes à procura da odontologia estética a fim de obterem um sorriso harmonioso. Dentro desse contexto, as queixas mais frequentes acerca do tratamento odontológico que visa melhorar a aparência do sorriso são as alterações de cor, forma e tamanho dos dentes. Objetivou-se com esse trabalho relatar um caso de resolução estética em que a paciente se queixava de múltiplos diastemas após o tratamento ortodôntico. Utilizou-se a reanatomização dos elementos 13 ao 23 pela técnica direta em resina composta com o auxílio da guia palatina. Os resultados obtidos evidenciaram que a técnica embasada em planejamento prévio acurado é capaz de resolver casos estéticos com rapidez, segurança e previsibilidade. Assim sendo, concluiu-se que as resinas compostas permitem a reabilitação estética do sorriso de forma direta, com um bom custo-benefício e resultados estéticos excelentes. Ademais, observou-se que a reanatomização dentária com o objetivo de finalização pós-ortodôntica pode ser necessária em casos que requerem mudanças em proporções dentárias.
Políticas basadas en la evidencia científica: el caso del control del cáncer de mama en Colombia
Authors: Wiesner-Ceballos Carolina , Puerto Devi , Diaz-Casas Sandra , Sánchez Oswaldo , Hernando-Murillo Raul , Bravo Luis E 
Published: January 2021

Colombia, tiene un riesgo intermedio a desarrollar cáncer de mama con una tasa de incidencia estandarizada por edad en de 44,1 por 100,000 mujeres. A pesar de que en el país se recomienda la tamización mediante mamografía, en mujeres de 50 a 69 años de edad y examen clínico de mama anual así como detección temprana para mujeres sintomáticas independientemente de la edad, en Colombia no se no se ha podido reducir la mortalidad por esta causa. Múltiples causas parecen explicar este problema: baja participación en las actividades de tamización con mamografía por parte de la población objeto, baja calidad de la mamografía, y barreras de acceso para el diagnóstico oportuno y el tratamiento integral. Frente a esta problemática el 03 de octubre fue aprobado en primer debate el proyecto de ley No 259 de 2019 Cámara Proyecto de Ley “Por medio de la cual se establecen medidas para la prevención, diagnóstico, tratamiento oportuno, rehabilitación, y cuidados paliativos del cáncer de mama y se dictan otras disposiciones”. A fin de revisar el soporte científico del contenido del proyecto de ley y aportar a su adecuada discusión, el Instituto Nacional de Cancerología INC realizó un foro el día 9 de diciembre del 2019. El propósito de este artículo es presentar el análisis de los puntos de mayor controversia desde una perspectiva científica, como base para la adecuada toma de decisiones en materia de políticas de salud pública.
La pandemia de Covid-19 en México: el papel fundamental de los cuidados paliativos y de la bioética
Authors: Llaca Gracía Elvira , Templos Luz Adriana 
Published: January 2021

La pandemia de Covid-19 ha puesto a prueba a todos los sistemas de salud. La crisis que provocó ha impactado a la sociedad, economía y, en general, a todas las actividades humanas. Los cuidados paliativos y la bioética tienen un papel fundamental en el manejo de la nueva enfermedad Covid-19, que no tiene aún tratamiento conocido. Los principios de la bioética, sumados a la práctica de los cuidados paliativos han sido el soporte de la pandemia. Los pacientes recuperados y aquellos muertos a causa del Covid-19 han requerido en algún momento de medidas de soporte y paliación, ya sea en unidades hospitalarias o en su domicilio. Es deseable que se impulsen estas herramientas: la paliación y la ética de la vida, ya que no sólo las soluciones que permiten cuidar la vida y la salud provienen de la tecnología, y no deben ser mutuamente excluyentes. A un año del inicio de la pandemia, hay muchas preguntas por responder, mucha investigación por hacer. Sin duda, el año 2020 dará motivos de reflexión a todos los seres humanos y, en especial, a los responsables de cuidar la salud.
Application of Risk Management to the Level of Financial Efficiency in BPD JAWA TENGAH
Authors: Luthfan Tito Cayadi , Manda Gusganda Suria , Sosrowidigdo Suryanto 
Published: January 2021

Efficiency is one measure of bank performance. The efficiency of a bank is influenced by how management manages risk. This study measures the level of efficiency of conventional banking at PT Bank Pembangunan Daerah Jawa Tengah and the effect of financing risk, operational risk, and liquidity risk on the level of efficiency. Efficiency is measured by the Operational Expenditure method from Operating Income. The results of the calculation seen from the Operational Expenditure financial ratio report data from Operational Income show the level of efficiency of conventional banking at 80.65% in 2015-2019. The data used as the object of this study is the Bank Pembangunan Daerah Jawa Tengah for the period 2015-2019. Based on the results of statistical tests and discussion analysis, it is known that financing risk, operational risk, liquidity risk together have a simultaneous effect on the level of efficiency PT. Bank Pembangunan Daerah Jawa Tengah. From the results of hypothesis testing it was found that financing risk has a significant positive effect on the level of bank efficiency, operational risk does not have a significant negative effect on efficiency, and liquidity risk does not have a significant positive effect on the level of efficiency at PT Bank Pembangunan Daerah Jawa Tengah. And this is also reinforced by a significance value of 0.003 &lt;0.05 (numbers are taken from ANOVA), which means that there is a statistically significant influence between financing risk, operational risk, liquidity risk on the level of efficiency
Effectiveness of Using "PAKSOBRI" with Quiz Faber to Improve Students' Problem Solving Abilities at Islamic University of Jember
Authors: Siskawati Fury Styo 
Published: January 2021

Abstrak Tujuan penelitian ini untuk mendeskripsikan keefektifitasan penggunaan PAKSOBRI denga Quiz Faber untuk meningkatkan kemampuan pemecahan masalah mahasiswa. Jenis dari penelitian ini PTK dengan pendekatan kualitatif. Subjek penelitian ini yaitu mahasiswa di Universitas Islam Jember. Dengan metode pengumpulan data yang digunakan yaitu berupa metode dokumentasi, observasi, dan tes. Adapun indikator keberhasilan yang digunakan dalam penelitian ini meliputi (1) Ketuntasan perorangan dapat dicapai mahasiswa apabila seoarang mahasiswa mencapai skor ? 70 dari skor maksimal 100. (2) Mahasiswa meningkatkan kemampuan pemecahan masalahnya jika indikator kemampuan pemecahan masalah akhir lebih baik daripada kemampuan pemecahan masalah sebelumnya. (3) Siklus I dinyatakan berhasil jika ? 75% mahasiswa tuntas dalam pembelajaran dan Siklus II dinyatakan berhasil jika 85% mahasiswa tuntas dalam pembelajaran. Hasil yang diperoleh yaitu terjadi peningkatn kemampuan pemecahan masalah pada mahasiswa melalui penerapan PAKSOBRI dengan Quiz Faber.Kata kunci: PAKSOBRI, Quiz Faber, pemecahan masalah Abstrack The purpose of this study is to describe the effectiveness of using a PAKSOBRI with Quiz Faber to improve student problem solving skills. The type of the research is CAR with qualitative research. The subject of this study was students at Islamic University of Jember. With the data collection method used consists of methods of documentation, observation, and testing. (1) Individual completeness can be obtained by students agreeing that a student reaches a score of ? 70 from a maximum score of 100. (2) Students improve their problem solving ability if the indicator of the final problem solving ability is better than the previous problem solving ability. (3) Cycle I was declared successful if ? 75% of students completed learning and Cycle II was approved successfully if 85% of students completed learning. The results obtained about an increase in problem solving skills in students through the application of PAKSOBRI with Quiz Faber.Keywords: PAKSOBRI, Quiz Faber, problem solving
The Effect of Using Take and Give Models With Contextual Approaches On Mathematics Learning Outcomes
Authors: Setiawati Yuliana , Irawati Tri Novita 
Published: January 2021

Learning model greatly influences student learning outcomeson certain subjects. While learning outcomes are a goal of learning activities throught conscious effort carried out systematically. The researcher took studedent class VII SMP Islam Bustanul Arifin. This study aims to determine the effect of the use of take and give models with contextual approaches to learning outcomes in set material. This type is experimental research and quantitative approaches. Based on the results of thr research that was carried out to produce dan . By comparing the values obtained that . This means that the alternative hypothesis is accepted, so there is an influences from the use of take and give models with contextual approaches to student learning outcomes.
Keywords: take and give, learning outcomes
Pertanggungjawaban Pidana terhadap Notaris yang Membuat Keterangan Palsu dalam Akta Otentik
Authors: Subiyantana Subiyantana , Fatmawati Octarina Nynda 
Published: January 2021

Abstrak
Seorang notaris terkadang tanpa diketahuinya ada keterangan palsu yang disampaikan para pihak, yang kemudian menjadi dasar pembuatan akta autentik. Perlu dikaji dan dianalisis pertanggungjawaban pidana notaris atas akta yang dibuat berdasarkan keterangan palsu serta mengkaji dan menganalisis akibat hukum yang timbul terhadap akta notaris yang didasarkan pada keterangan palsu.Notaris dapat dimintai pertanggungjawaban pidana terhadap akta yang dibuat olehnya berdasarkan apa yang dilihat, disaksikan, dan dialaminya dalam suatu perbuatan hukum jika secara sengaja atau lalai, notaris membuat akta palsu sehingga merugikan pihak lain. Pertanggungjawaban secara pidana, seorang notaris harus memenuhi unsur-unsur: melakukan tindak pidana; memiliki kemampuan untuk bertanggung jawab; dengan kesengajaan atau kealpaan; dan tidak ada alasan pemaaf. Terhadap akta notaris yang dibuat berdasarkan keterangan palsu tidak dengan sendirinya mengakibatkan akta tersebut batal demi hukum. Para pihak yang dirugikan dengan keberadaan akta seperti itu harus mengajukan gugatan perdata ke pengadilan untuk membatalkan akta tersebut. Pertanggungjawaban pidana notaris perlu diatur dalam UUJN yang akan datang.
Kata Kunci:Notaris, Pidana, Perbuatan Melawan Hukum

Abstract
A notary sometimes without knowing there is a false statement submitted by the parties, which then becomes the basis for making an authentic deed. It is necessary to study and analyze the criminal liability of notaries for deeds made based on false information as well as to study and analyze the legal consequences arising from notary deeds based on false information. The notary can be held liable for criminal responsibility for the deed made by him based on what he has seen, witnessed and experienced in a legal act if intentionally or negligently, the notary makes a fake deed so that it harms other parties. For criminal responsibility, a notary must fulfill the following elements: committing a criminal act; have the ability to be responsible; intentionally or negligently; and there are no excuses. A notarial deed based on false information does not automatically result in the deed being null and void. The parties who are aggrieved by the existence of such a deed must file a civil suit to the court to cancel the deed. The criminal liability of notaries needs to be regulated in the upcoming UUJN.
Keywords : Notary, Criminal, Act against the law
Kedudukan Hukum Pidana Atas Pengambilan Kendaraan Paksa Debitur oleh Debt Collector Lembaga Pembiayaan
Authors: Sherly Mayasari Imaculata , Fatmawati Octarina Nynda 
Published: January 2021

Abstrak
Penggunaan Debt Collector pada perusahaan pembiayaan konsumen tidak dilarang asal dilaksanakan sesuai dengan prosedur yang ditetapkan dan tidak melanggar norma serta aturan yang ada. Akan tetapi pada prakteknya, para debt collector sering tidak beretika ketika menarik kendaraan milik debitur yang menunggak. Karena tugas mereka hanyalah menagih hutang bukan untuk menakuti, menyiksa apalagi berbuat yg sampai menghilangkan nyawa orang lain. Oleh karena itu, masyarakat agar mematuhi kontrak yang sudah dibuat kepada satu perusahaan pembiayaan konsumen dan pada debt collector agar tidak bertindak melanggar hukum dalam melaksanakan tugas-tugasnya.
Kata Kunci : Debt Collector, Lembaga Pembiayaan, Penarikan Sepeda Motor

Abstract
The use of a Debt Collector in consumer finance companies is not prohibited as long as it is carried out in accordance with prescribed procedures and does not violate existing norms and regulations. However, in practice, debt collectors are often unethical when pulling vehicles belonging to delinquent debtors. Because their job is just a debt debt, not to fear, let alone taxes that have taken the lives of others. Therefore, the public must comply with the contracts that have been made with a consumer finance company and to a debt collector so as not to violate the law in carrying out their duties.
Keywords : Debt Collector, Financing Institution, Motorcycle Withdrawal
Karakteristik Perjanjian Pembiayaan oleh Perusahaan Pembiayaan Multiguna
Authors: Ramadhan Syahrul , Poesoko Herowati , Fahamsyah Ermanto 
Published: January 2021

Abstrak
Perusahaan Pembiayaan Multiguna dalam Pasal 1 angka 1 Peraturan Otoritas Jasa Keuangan Nomor 29/POJK.05/2014 Tentang Penyelenggaraan Usaha Perusahaan Pembiayaan (untuk selanjutnya disebut POJK No 29/POJK.05/2014) adalah badan usaha yang melakukan kegiatan pembiayaan untuk pengadaan barang dan/atau jasa. Terkait itu pada pasal 18 ayat (2) POJK No 29/POJK.05/2014 yang mengatur tentang mitigasi risiko tidak ada norma tertulis yang membolehkan pembebanan jaminan Hak Tanggungan, namun manakala membaca penafsiran otentiknya memperluas norma yang sifatnya limitatif karena ada frase dapat dilakukan selain yang tertulis dalam pasal 18 ayat (2). Kekaburan norma itu berimplikasi pada adanya penyimpangan hukum yaitu dengan melakukan pembebanan Hak Tanggungan. Perjanjian Pembebanan Hak Tanggungan dalam pembiayaan multiguna tidak sesuai dengan karakteristik perjanjian pembiayaan oleh Perusahaan Multiguna.
Kata kunci: Penyimpangan Hukum, Kekaburan Norma, Karakteristik Perjanjian Pembiayaan Multiguna

Abstract
Multipurpose Financing Company in Article 1 number 1 Financial Services Authority Regulation Number 29 / POJK.05 / 2014 concerning Business Conduct of Financing Companies (hereinafter referred to as POJK No 29 / POJK.05 / 2014) is a business entity that carries out financing activities for the procurement of goods and / or services. Related to that, in article 18 paragraph (2) POJK No 29 / POJK.05 / 2014 which regulates risk mitigation there is no written norm that allows the imposition of guarantees of Mortgage Rights, but when reading the authentic interpretation expands the norms that are limitative because there are phrases that can be done in addition to written in article 18 paragraph (2). This vagueness of norms has implications for legal deviation, namely by imposing Mortgage Rights. The Collateral Placement Contract in multipurpose financing is not in accordance with the characteristics of the financing contract by the Multipurpose Company.
Keywords: Legal Deviation, Vague Norms, Characteristics of Multipurpose Financing Contract
Kebijakan Hukum terhadap Kecelakaan Lalu Lintas Pengguna Jalan Tol Balikpapan-Samarinda Kalimantan Timur
Authors: Nofia Sari Okta , Damayanti Sari , Bagaskara Kesuma 
Published: January 2021

Abstrak
Keselamatan dalam menggunakan fasilitas jalan raya sangat diutamakan. Hal ini terkait dengan kejadian kecelakaan lalu lintas. Pengguna jalan raya diharapkandapat me-ngendalikan diri selama mengemudi, sikap ini tidak hanya dilakukan saat mengemudi di jalan raya saja namun juga ketika menggunakan fasilitas jalan tol. Jalan tol dibuat untuk memudahkan akses bertransportasi dengan aman dan nyaman, namun di jalan tol ada beberapa atusan yang harus ditaati untuk menghindari dari bahaya kecelakaan di jalan tol. Kontrol diri dapat dilakukan saat mengemudi di jalan tol dikarenakan dengan mengkontrol diri maka pengemudi dapat melindungi dirinya sendiri maupun orang lain.
Kata Kunci: Pengendara, Jalan Tol, Kecelakaan

Abstract
Safety in using roadfacilities is a priority. This is related to traffic accidents. Road users are expected to be able to control themselves while driving, this attitude is not only done when driving on the highway but also when using toll road facilities. Toll roads are made to facilitate access to transportation safely and comfortably, however on toll roads there are several regulations that must be obeyed to avoid the danger of accidents on toll roads. Self-control can be exercised when driving on toll roads because by controlling yourself, the driver can protect himself and others.
Keywords: Rider, Toll Road, Accident