bluuebunny/crossref_metadata_2025_split huggingface dataset:
Empowerment of Pokdarwis in Developing A Homestay in Bukit Rawi Village, Kahayan Tengah Sub-District, Pulang Pisau District
Authors: Hia Liberti Natalia , Suheri Ana , Burako Miming Virganinda 
Published: December 2020

This empowerment aims to provide assistance to members of the Rawi Basewut tourism awareness group in Bukit Rawi Village, Kahayan Tengah District, Pulang Pisau Regency regarding ecotourism management in particular developing the potential for home stay to complement the tourism facilities in the village. This empowerment starts with social analysis and then continues with appreciative inquiry methods, which includes the discover, dream, design, and destination stages and do the PRA (participatory rural appraisal) approach. The target of this empowerment activity is the members of the Rawi Basewut tourism awareness group (pokdarwis) in the village of Bukit Rawi who is actively involved in the management of the tourism village. Tourism awareness groups are given training, socialization, assistance and empowerment regarding ecotourism management. The results of this dedication show excellent motivation from the tourism-conscious group in planning management and developing home stays, through the fulfillment of facilities according to needs, maintenance and promotion in order to empower the economy of the community around tourist attractions.
Peningkatan Kualitas Hidup Orang Dengan Gangguan Jiwa Dengan Self Help Group Di Kota Surakarta
Authors: Caturini Endang , Insiyah Insiyah 
Published: December 2020

Introduction: People who experience mental disorders who experience various problems, with different symptoms, generally they have characteristics with some combination of abnormal thoughts, emotions, behavior and relationships with other people that manifest in the form of a series of symptoms and / or changes in behavior which is meaningful and can cause suffering and obstacles in carrying out people's functions as humans (UU Kesehatan no 18 tahun 2014; WHO, 2017; & WHO, 2018). This is a serious health problem, which usually has problems with poor quality of life. They are associated with feelings of distress, lack of control over symptoms and life in general, negative perceptions of self, stigmatization and rejection, reduced activity and difficulty with daily functioning, and negative outlook. (Connell, J, Brazier, J, O'Cathain, A, Jones, M.L. & Paisley, S., 2012). Group interventions carried out by nurses such as group activity therapy, supportive therapy and self-help groups to help individuals improvement in their quality of life. Group therapy, one of the self help group, is a group where each member has the same desire to overcome mental disorders or increase the level of cognitive or emotional well-being among group members (Sulistyowati., E.C. & Sulistyowati D, 2018). Self Help Group aims to develop empathy among fellow group members where fellow group members provide mutual reinforcement which has an impact on improving the quality of life. This study aims to determine the improvement of the quality of life of people with mental disorders (ODGJ) with the self help group in the city of Surakarta. Methods: This was a quasi-experimental study with a pre-post test control group design. Data were taken before and after giving the intervention of self-help groups of schizophrenia patients in the intervention group. The total sample was 160 clients divided into 2 groups, namely 80 respondents for group 1 at Griya PMI and 80 respondents for group 2 at RSJD Dr Arif Z Surakarta, each group consisting of 40 respondents for intervention and 40 respondents for the control group. This study measures the quality of life with a research instrument using a life quality questionnaire. Data were analyzed using Paired t-test, Wilcoxon signed ranks test, independent t-test and Mann Whitney-test. Results: The study proved that there was a statistically significant difference in the quality of life before and after giving the self help group (p value, 0.000) between the intervention group and the control group, both at Griya PMI with a mean difference of 20.23 and at RSJD Dr. Arif Z. self help group with a mean difference of 10.85. Conclusion: self help group which is used for intervention is considered effective to improve quality of life. Suggestion: self help group is used as a mental nursing group intervention in caring for mentally ill patients.
The Case for Integrating Multi-Source Data for a Fairer and Holistic Judgement of Competence in Medical Education & Training
Authors: Dave Subodh , Ramkisson Roshelle , Selvasekar Chelliah R , Chakravorty Indranil 
Published: December 2020

Being a doctor in the 21st Century requires a diverse range of skills, a broad base of knowledge and a suite of professional values and attitudes that enable the clinical practice to be safe, effective and caring. Doctors, irrespective of their speciality, need to be knowledgeable and skilful not just in their area of expertise but also need a range of generic skills and capabilities such as communication, leadership, academic scholarship and research, teaching, quality improvement, advocacy, digital literacy to name a few. These capabilities, all relevant to clinical practice, are assessed routinely in clinical settings. This rich information about trainees, available from their formative assessments, does not inform high-stakes judgements about progression. Instead, these judgements are usually made on the basis of summative examinations conducted in simulated settings.

Unfortunately, these summative assessments have consistently delivered results with a large magnitude of the differential between the outcomes of candidates, based on factors such as ethnicity, gender, other protected characteristics and also the country of primary medical qualification. Formative assessment during training, however, is individualised and tends not to show this level of difference; leading to a situation where failure in summative examinations comes as a surprise to both trainees and to training programme directors.

There is evidence that periodic assessment of trainees’ acquisition of core capabilities can help make balanced, informed judgements about readiness for progression. The move from a pass/fail categorisation to a yet/not yet categorisation when coupled with appropriate remedial measures can improve, both the validity, as well as the fairness of assessments.

The large magnitude of the differential in outcomes of high-stakes assessments cannot be fixed by tweaking current assessment systems. Instead, there needs to be a recognition that high-level of capabilities consistently demonstrated in the workplace need to play a role in judgements about progression. Failure to do so is unfair, wasteful of public finances, and in breach of the trust places by the public, in training safe and competent clinicians.
Two Sides to Every Fall: Patient and Nurse Perspectives
Authors: Hoke Linda M. , Zekany Rachel T. 
Published: December 2020

Background
Despite vast evidence describing risk factors associated with falls and fall prevention strategies, falls continue to present challenges in acute care settings.

Objective
To describe and categorize patient and nurse perspectives on falls and nurses’ suggestions for preventing falls.

Methods
To improve transparency about the causes of falls, nurses interviewed patients in a 48-bed progressive cardiac care unit who had experienced a fall. A content analysis approach was used to examine responses to 3 open-ended items: why patients said they fell, why nurses said the patients fell, and nurses’ reflections on how each fall could have been prevented.

Results
Over a 2-year period, 67 falls occurred. Main themes regarding causes of falls were activity (41 falls, 61%), coordination (16 falls, 24%), and environment (10 falls, 15%). Patients said they fell because they slipped, had a medical issue, were dizzy, or had weak legs. Nurses said patients fell because they had a medical issue or did not call for assistance.

Conclusions
Nurses and patients agreed on the causes of assisted falls but disagreed on the causes of unassisted falls. Nurses frequently said that the use of a bed alarm could have prevented the fall.
Collegiate Athletes' Concussion Awareness, Understanding, and -Reporting Behaviors in Different Countries With Varying Concussion Publicity
Authors: Beidler Erica , Wallace Jessica , Alghwiri Alia A. , O'Connor Siobhan 
Published: December 2020

Context
Concussions are a global public health concern, and education on the importance of self-reporting may not reach all athletes to the same degree around the world.

Objective
To determine if differences were present in the concussion awareness, understanding, and -reporting behaviors of collegiate athletes' in 3 countries with varied degrees of concussion publicity.

Design
Cross-sectional survey.

Setting
Collegiate sports medicine clinics.

Patients or Other Participants
Collegiate athletes in the United States (n = 964; high publicity), Ireland (n = 302; moderate publicity), and Jordan (n = 129; low publicity). The degree of concussion publicity was categorized based on the extent of national public health awareness initiatives, care guidelines, research publications, and mass media coverage.

Main Outcome Measure(s)
Participants completed a 10- to 15-minute survey on concussion awareness, understanding, and -reporting behaviors. The main outcome measures were concussion education (awareness; 21 options; select all sources of concussion information), concussion knowledge (understanding; maximum score of 49), and diagnosed/nondisclosed concussion history (reporting behaviors; self-report yes/no items).

Results
A higher proportion of Jordanian athletes reported never having received concussion information previously (73.6%) than Irish (24.2%) or US athletes (9.4%). Knowledge differed among countries (P &lt; .0001, η2 = .28), with US athletes displaying higher total knowledge scores (40.9 ± 4.5) than Jordanian (35.1 ± 5.6) and Irish (32.1 ± 3.5) athletes. Greater percentages of Irish and US athletes reported a history of a diagnosed concussion (31.8% and 29.6%, respectively) and history of concussion nondisclosure (25.2% and 15.5%, respectively) than Jordanian athletes (2.3% and 0.0% for history of a diagnosed concussion and history of concussion nondisclosure, respectively).

Conclusions
In the United States, where concussion publicity is high, formal legislation exists, and sports medicine resources and concussion awareness and understanding were increased. More culturally appropriate concussion initiatives are needed globally to ensure that athletes around the world can identify concussive injuries and understand the dangers of continued sport participation while concussed.
Core Competencies for Disordered Gambling Counsellors: A Modified Delphi Study
Authors: McDowell Teresa 
Published: December 2020

Counselling for disordered gambling has emerged as a unique professional field. Research and literature on treatment approaches and best practices has burgeoned over the past 30 years. This has included the development of journals, field-specific conferences, and professional training programs specifically dedicated to understanding and treating gambling problems. Mental health professionals are now expected to master field specific knowledge and undergo supervision prior to engaging in problem gambling counselling. In this paper, we share the results of a modified Delphi study in which 45 experts reached agreement on core competencies for problem gambling treatment providers. A total of 166 core competencies were endorsed as high agreement items. The authors share implications and the potential usefulness of core competencies for problem gambling counsellor professional preparation, workforce development, and quality of care.RésuméLe counseling consacré au jeu pathologique est devenu un domaine professionnel à part entière. Depuis une trentaine d’années, les travaux de recherche sur les approches et les pratiques exemplaires en matière de traitement ont connu un véritable essor. Ainsi, on a vu apparaître des revues, des conférences spécialisées et des programmes de formation dédiés à l’analyse des problèmes de jeu et à leur traitement. Aujourd’hui, les professionnels de la santé mentale intéressés par ce domaine doivent acquérir des connaissances précises sur le sujet et travailler sous la supervision d’un spécialiste avant de s’y consacrer. Cet article présente les résultats d’une enquête Delphi modifiée à laquelle ont participé 45 spécialistes qui se sont mis d’accord sur les compétences de base à exiger des fournisseurs de traitement. Au total, 166 compétences font l’objet d’un large consensus. Les auteurs discutent des implications découlant de l’enquête, de l’utilité éventuelle des compétences de base en matière de formation professionnelle, de perfectionnement de la main-d’œuvre et de qualité des soins.
APLICAÇÃO DO ROADMAP DMAIC NO GERENCIAMENTO DE ABASTECIMENTO DE LINHA AUTOMOBILÍSTICA
Authors: Caixeta Filipe Fernandes , Nunes Deivid Marques , Santos Aline Gonçalves dos 
Published: December 2020

Para que as ordens de produção sejam finalizadas, é necessário que haja transferência de itens de forma correta entre o armazém e a linha de montagem. Nesse contexto, problemas de ordens de produção pendentes de faturamento devido às divergências de saldo é um fator impactante no aumento do lead time do produto. Desta forma, o objetivo geral deste trabalho foi melhorar a acuracidade da transferência de saldo no abastecimento da linha de produção de uma empresa do setor automobilístico. Para isso, a metodologia utilizada foi baseada na aplicação do roadmap DMAIC, desenvolvendo as etapas: define, measure, analyse, improve e control. Definiu-se que a área da administração de materiais que mais tem impacto nas ordens pendentes é o método de abastecimento por sequenciamento, desta forma, selecionou-se a célula de sequenciamento que mostrou maior variabilidade de processos. No período de medição, ocorreram 258 ordens pendentes, pela célula de maior impacto, representando aproximadamente R$ 17.000,00 em horas homens investidas em análises de divergências. Analisando as causas, para reduzir as situações de ordens pendentes, propôs-se realizar mudanças no fluxo do processo, implementar um quadro de gestão da informação e criar um método de sequenciamento dos cartões de identificação. Após o controle da melhoria, conclui-se que as ocorrências de ordens pendentes reduziram. Porém, ainda é necessário ampliar a aplicação das melhorias em todo método de abastecimento sequenciado, procurando reduzir ainda mais as ocorrências.
KOMUNIKASI KONSELOR DALAM BIMBINGAN DAN KONSELING
Authors: Nurodin  
Published: December 2020

Komunikasi interpersonal konselor yang ditunjukan dalam proses layanan konseling individual di MTs Kiafayatul Achyar merupakan bagian dari bentuk komunikasi. Komunikasi interpersonal konselor yang baik sudah tentu membuat klien merasa nyaman dalam melakukan layanan konseling individual. Begitupun suasana yang dibangun penuh dengan keakraban antara konselor dengan klien. Dengan adanya komunikasi interpersonal konselor yang efektif diharapkan meningkatkan hubungan emosional dalam rangka sebagai penunjang keberhasilan dalam proses layanan konseling individual di MTs Kifayatul Achyar. Tujuan dari penelitian ini adalah ingin mengetahui keterampilan komunikasi interpersonal konselor dan mengetahui bentuk komunikasi interpersonal konselor dalam memberikan layanan bimbingan dan konseling individual. Penelitian ini menggunakan metode deskriptif yaitu pendekatan mendapatkan data otentik dengan cara langsung berdialog atau wawancara dengan konselor secara langsung. Sedangkan penganalisaan data menggunakan pendekatan logika. Tujuan dari penelitian ini ingin mengetahui proses dan bentuk komunikasi interpersonal konselor dalam layanan konseling individual.Inti keberhasilan dari keterampilan komunikasi interpersonal konselor dalam proses layanan konseling individual di Kifayatul Achyar terlihat dari proses komunikasi interpersonal konselor dalam melakukan layanan konseling individual terbilang cukup baik. Hal tersebut dibuktikan dengan adanya kehangatan, keakraban, keterbukaan, kenyamanan serta adanya kesamapahaman diantara konselor (komunikator) dan klien (komunikan). Dengan demikian pelaksanaan konseling berjalan dengan lancar sesuai yang diharapkan. Bentuk komunikasi interpersonal konselor dalam melakukan koseling individual terlihat pada penegasan informasi pesan yang disampaikan (verbal), sikap penerimaan saat konseling individual yang ditunjukan dengan komunikasi non verbal, kemudian adanya keselarasan antara komunikasi lisan (verbal) dan bahasa tubuh (non verbal). Berdasarkan pemaparan di atas, dapat disimpulkan bahwa keterampilan komunikasi interpersonal konselor terlihat pada penerimaan, yang tergambar pada gerak tubuh, ucapan lisan baik secara bahasa maupun sikap konselor yang dimunculkan. Kemudian cara berpikir serta dorongan-dorongan konselor mampu menumbuhkan semangat hidup klien yang berimplikasi pada kemudahan atas permasalahan dan semangat hidup klien
Comparison of estimates of global flood models for flood hazard and exposed gross domestic product: a China case study
Authors: Aerts Jerom P. M. , Uhlemann-Elmer Steffi , Eilander Dirk , Ward Philip J. 
Published: December 2020

Abstract. Over the past decade global flood hazard models have been developed and
continuously improved. There is now a significant demand for testing
global hazard maps generated by these models in order to understand their
applicability for international risk reduction strategies and for
reinsurance portfolio risk assessments using catastrophe models. We expand
on existing methods for comparing global hazard maps and analyse eight global
flood models (GFMs) that represent the current state of the global flood
modelling community. We apply our comparison to China as a case study and,
for the first time, include industry models, pluvial flooding, and flood
protection standards in the analysis. In doing so, we provide new insights
into how these components change the results of this comparison. We find
substantial variability, up to a factor of 4, between the flood hazard maps in
the modelled inundated area and exposed gross domestic product (GDP) across multiple return periods
(ranging from 5 to 1500 years) and in expected annual exposed GDP. The
inclusion of industry models, which currently model flooding at a higher
spatial resolution and which additionally include pluvial flooding,
strongly improves the comparison and provides important new benchmarks. We
find that the addition of pluvial flooding can increase the expected annual
exposed GDP by as much as 1.3 percentage points. Our findings strongly highlight
the importance of flood defences for a realistic risk assessment in
countries like China that are characterized by high concentrations of
exposure. Even an incomplete (1.74 % of the area of China) but locally
detailed layer of structural defences in high-exposure areas reduces the
expected annual exposed GDP to fluvial and pluvial flooding from 4.1 % to 2.8 %.
Geohazard detection using 3D seismic data to enhance offshore scientific drilling site selection
Authors: Cox David R. , Knutz Paul C. , Campbell D. Calvin , Hopper John R. , Newton Andrew M. W. , Huuse Mads , Gohl Karsten 
Published: December 2020

Abstract. A geohazard assessment workflow is presented that maximizes the use of 3D seismic reflection data to improve the safety and success of offshore scientific drilling. This workflow has been implemented for International Ocean Discovery Program (IODP) Proposal 909 that aims to core seven sites with targets between 300 and 1000 m below seabed across the north-western Greenland continental shelf. This glaciated margin is a frontier petroleum province containing potential drilling hazards that must be avoided during drilling. Modern seismic interpretation techniques are used to identify, map and spatially analyse seismic features that may represent subsurface drilling hazards, such as seabed structures, faults, fluids and challenging lithologies. These hazards are compared against the spatial distribution of stratigraphic targets to guide site selection and minimize risk. The 3D seismic geohazard assessment specifically advanced the proposal by providing a more detailed and spatially extensive understanding of hazard distribution that was used to confidently select eight new site locations, abandon four others and fine-tune sites originally selected using 2D seismic data. Had several of the more challenging areas targeted by this proposal only been covered by 2D seismic data, it is likely that they would have been abandoned, restricting access to stratigraphic targets. The results informed the targeted location of an ultra-high-resolution 2D seismic survey by minimizing acquisition in unnecessary areas, saving valuable resources. With future IODP missions targeting similarly challenging frontier environments where 3D seismic data are available, this workflow provides a template for geohazard assessments that will enhance the success of future scientific drilling.
Learning from Errors
Authors: Xantus Gabor , Zavori Laszlo 
Published: December 2020

The authors of this chapter have worked in emergency care in 5 countries on 4 continents in the past 9 years. In their experience, acute care anywhere in the world shares two main features; strong teamwork and tremendous mental, physical, and psychological stress. The significant workload, both on individual and team levels, render the care system vulnerable to human errors, which can unfortunately be detrimental to patients and staff alike. Due to the commonalities it is not surprising that health care professionals tend to make similar mistakes irrespective of economic, cultural, religious aspect or healthcare settings. We opine that mistakes are not necessarily and exclusively bad things, but invaluable opportunities for improvement. In this chapter, the authors aim to introduce the concept of learning from errors to the readers. Numerous studies and books have already been published on the subject, so anyone could rightfully ask, why read another study? The answer is straightforward, unlike other articles, this chapter invites the reader to work together with the authors through a real-world case. The text will guide the reader through the topic painlessly in a step-by-step fashion offering plenty of opportunity to practice and reflect on the newly acquired knowledge. Global healthcare is facing significant changes these days. Learning from errors may be the initial step to help move away from the blame and shame culture and build a new system which should be based on solid partnership and respect between patients and carers. Such a new, supportive and compassionate system could provide higher quality care and at the same time, protect practitioners from burnout and stress ensuring that healthcare jobs are not only work but a life-long fulfilling career.