bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENERAPAN CARING OLEH PERAWAT KOMUNITAS DALAM MEMBERIKAN ASUHAN KEPERAWATAN PADA KLIEN DENGAN PENYAKIT KRONIS
Authors: Panglipurningsih Ninda Ayu Prabasari , Astarini Made Indra Ayu 
Published: May 2020

Caring was the essence of nursing that was applied in the process of patient care. The large number of patient visits and the duration of operating time that was not proportional to the number of nurses, causes community nursing care to clients is not optimal. This study used a qualitative method with a phenomenological approach. The research objective was to exploring the application of caring by community nurses in nursing care to chronic diseasesclients. The study population was nurses on duty at two Primary Health Care in Surabaya, that was Kenjeran and Bulak Banteng as many as 7 participants obtained through purposive sampling technique. Data collection was performed by interviews analyzed using the Collaizi method. The results obtained 10 themes, 1) Concept of caring 2) Concept of nursing care 3) Concept of chronic disease 4) Length of work 5) Caring that performed 6) Efforts to improve caring 7) Obstacles experienced 8) Response when experiencing obstacles 9) Efforts to overcome obstacles 10) Benefits of caring application. Caring conducted by community nurses is more focused on caring behavior, caring dimension has not been done optimally. Primary Health Care as a first-level health facility should be able to improve the quality of nursing care while maintaining the caring principle.

Keywords: Caring, Nurse, Chronic Diseases
Authors: Diana Wulan 
Published: May 2020

Pre-school children are called the golden age because children will experience developments including motor development, language, social and intellectual (cognitive) adaptation. Children's cognitive development develops very well one of them by playing. Playing is an effective learning process and is more easily accepted. Playing puzzle is one of the educational games that can improve cognitive development of preschoolers. The purpose of the study is to determine the effect of playing puzzles on cognitive development of preschool children (4-5 years). This type of research is one group pre-post test. The population of all preschoolers in Paud Garuda Surabaya is 21 children. Large sample of 20 respondents, purposive sampling technique sampling. Data was taken using an observation sheet in the form of a checklist and analyzed with the Wilcoxon test. The results showed that before being given a puzzle game half of the respondents had sufficient cognitive development (50.0%) and after being given a puzzle game intervention almost all respondents had good cognitive development (90.0%). Wilcoxon statistical test results obtained p value = 0,000 <α = 0.05 which means that there is an effect of playing puzzles on cognitive development of children aged 4-5 years at Paud Garuda Surabaya. Learning media in the form of puzzle games in Garuda Surabaya Paud have a positive influence on children's cognitive development. This can be seen in the increasing number of children aged 4-5 years who have good cognitive abilities after being given a puzzle game intervention. It is expected that teachers provide media for learning for preschoolers with more varied games so that children are not bored and are able to stimulate cognitive development better.

Keywords: Play puzzle, cognitive development.
Pengendalian Tunneling Dalam Asset Utilization: Sebuah Tinjauan Teoritis
Authors: Herdinata Christian 
Published: May 2020

Johnson et al. (2000) define tunneling as the transfer of resources out of the company for the benefit of controlling shareholders. This study will focus on institutional ownership and debt policy which will be further investigated as a control mechanism that occurs in asset utilization and has an impact on company performance. The results of the theoretical review of this study, namely institutional ownership and debt policy can control tunneling in asset utilization. Control mechanisms through institutional ownership of company performance can occur because institutional shareholders are very interested in company performance because a large portion of institutional shareholders' wealth is directly related to the company's wealth. The control is relevant to the owner because it is related to wealth that is tied to the company it owns, so that through increasing the proportion of institutional ownership it can reduce agency costs that arise, especially in the case of asset utilization of the company through supervision carried out. The control mechanism through debt policy on company performance can occur because the debt policy is carried out by the owner by transferring it to the banks or creditors to conduct supervision so as to maximize the performance of the company. The control becomes relevant because it is related to funds lent by banks or creditors to the company so that the company is expected to be able to pay interest and principal loans when due.
Photometric Redshifts with the LSST. II. The Impact of Near-infrared and Near-ultraviolet Photometry
Authors: Graham Melissa L. , Connolly Andrew J. , Wang Winnie , Schmidt Samuel J. , Morrison Christopher B. , Ivezić Željko , Fabbro Sébastien , Côté Patrick , Daniel Scott F. , Jones R. Lynne , Jurić Mario , Yoachim Peter , Kalmbach J. Bryce 
Published: May 2020

Abstract
Accurate photometric redshift (photo-z) estimates are essential to the cosmological science goals of the Vera C. Rubin Observatory Legacy Survey of Space and Time (LSST). In this work, we use simulated photometry for mock galaxy catalogs to explore how LSST photo-z estimates can be improved by the addition of near-infrared (NIR) and/or ultraviolet (UV) photometry from the Euclid, Wide-Field InfrarRed Survey Telescope (WFIRST), and/or Cosmological Advanced Survey Telescope for Optical and ultraviolet Research (CASTOR) space telescopes. Generally, we find that deeper optical photometry can reduce the standard deviation of the photo-z estimates more than adding NIR or UV filters but that additional filters are the only way to significantly lower the fraction of galaxies with catastrophically under- or overestimated photo-z. For Euclid, we find that the addition of JH 5σ photometric detections can reduce the standard deviation for galaxies with z > 1 (z > 0.3) by ∼20% (∼10%), and the fraction of outliers by ∼40% (∼25%). For WFIRST, we show how the addition of deep YJHK photometry could reduce the standard deviation by ≳50% at z > 1.5 and drastically reduce the fraction of outliers to just ∼2% overall. For CASTOR, we find that the addition of its UV- and u-band photometry could reduce the standard deviation by ∼30% and the fraction of outliers by ∼50% for galaxies with z < 0.5. We also evaluate the photo-z results within sky areas that overlap with both the NIR and UV surveys and when spectroscopic training sets built from the surveys’ small-area deep fields are used.
HPLC method for simultaneous determination of impurities and degradation products in Cardiazol
Authors: Drapak Iryna , Zimenkovsky Borys , Ivanauskas Liudas , Bezruk Ivan , Perekhoda Lina , Muzychenko Volodymir , Logoyda Liliya , Demchuk Inna 
Published: May 2020

Aim. The aim of study was to develop a simple and accurate procedure that could be applied for the determination of impurities and degradation products in cardiazol.
Materials and methods. Separation in samples was carried out with Acquity H-class UPLC system (Waters, Milford, USA) equipped with Acquity UPLC BEH C18 column (2.1 × 50 mm, 1.7 μm) (Waters, Milford, USA). Xevo TQD triple quadrupole mass spectrometer detector (Waters Millford, USA) was used to obtain MS/MS data. Mobile phase A: 0.1% solution of trifluoroacetic acid R in water R; Mobile phase B: acetonitrile R. Samples were chromatographed in gradient mode (Table 1). Flow rate of the mobile phase: 1 ml / min. Column temperature: 30 °С. Detection: at 240 nm wavelength. Injection volume: 10 μl.
Results. The retention time of the main substance is about 18.5 minutes. The order of the peak, the retention times and relative retention times: impurity B (12.04, 0.65); impurity А (18.5; 0.98); Cardiazol (18.87; 1.00). The LOD and LOQ values obtained were in the range of 30 ng/mL to 100 ng/mL and 80 ng/mL to 310 ng/mL respectively (with respect to sample concentration of 2 mg/ml). Linearity was established in the range of LOQ level to 0.2% having regression coefficients in the range of 0.9996 to 0.9999. The change in the temperature of the column affects the degree of separation of cardiazol and the impurity A, and thus, with a decrease of 5 ° C, the degree of separation is (1.06), while with increasing this index (3.43). When changing the flow rate of the mobile phase, the degree of separation changes in the following order, with a decrease to 0.9 ml / min separation (1.90), with an increase in speed to 1.1 ml / min (2.45). When the number of mobile phase B decreases by 5%, the degree of separation varies by (2.65), with an increase of 5% (1.82). In comparison with the chromatogram of the tested solution, the substance is not resistant to the action of peroxide, alkaline and acid decomposition.
Conclusion. 1) HPLC method was developed and validated for the simultaneous detection and quantitation of impurities formed during the synthesis of cardiazol. 2) The method proved to be sensitive, selective, precise, linear, accurate and stability-indicating.
La démocratie épistémique : une perspective condorcétienne
Authors: Roussin Juliette 
Published: May 2020

Quelles sont les implications de la philosophie de Condorcet pour les théories épistémiques de la démocratie ? Ces dernières réduisent souvent l’argument épistémique de Condorcet en faveur de la démocratie au théorème du jury. Or le philosophe montre que c’est seulement quand elle devient le vecteur de l’indépendance politique, économique et intellectuelle des citoyens que ses vertus épistémiques se font jour. En se concentrant sur les procédures de décision susceptibles de favoriser de bons résultats politiques, les approches contemporaines ne proposent qu’une analyse partielle des embarras démocratiques, et se privent de bases pour un argument épistémique plausible en faveur de la démocratie.
Bibliothèque et Archives nationales du Québec (BAnQ)
Authors: Roy Jean-Louis 
Published: May 2020

Bibliothèque et Archives nationales du Québec (BAnQ) est la plus importante institution culturelle de langue française en Amérique du Nord. Elle fédère trois institutions : la Bibliothèque nationale du Québec, ses Archives nationales, et la Grande Bibliothèque, à la fois bibliothèque centrale des Montréalais et grande bibliothèque publique de tous les Québécois. Chacune d’entre elles est au cœur de riches réseaux ancrés dans leurs racines historiques. Toutes trois entretiennent des liens puissants avec les milieux documentaires, patrimoniaux et culturels du Québec, et contribuent à l’essor des services et de l’offre documentaire, notamment numérique.
L’influence d’ARMA International
Authors: Ménard Chantal 
Published: May 2020

Comment faire face aux changements apportés par la transformation numérique des organisations et des entreprises ? L’avenir des professionnels de l’information passe par la gestion de l’information mais plus encore, par sa gouvernance. Multidisciplinaire et proactive, cette gouvernance de l’information demande aux experts de la gestion documentaire d’ouvrir leur horizon, de prendre le leadership pour conduire les entreprises et les organisations vers davantage de conformité et de performance. Au Québec, la notion et la pratique de cette gouvernance sont fortement influencées par l’association d’experts et de professionnels ARMA International, qui en a défini le cadre, les principes et la méthodologie.
Dix ans de communauté de pratique de veille en santé et services sociaux au Québec : réussites et défis
Authors: Attia Audrey , Bélanger Céline , Drevon Elsa , Amoura Hakima , Houtekier Catherine , Sauvé Caroline 
Published: May 2020

Encore peu développée il y a vingt ans, la veille connaît aujourd’hui au Québec un succès grandissant dans le secteur de la santé et des services sociaux. Au sein de la Communauté de pratique de veille en santé et services sociaux du Québec (CdPveille3S), des veilleurs passionnés, mus par un intérêt commun, partagent et coconstruisent les pratiques professionnelles de demain. Veille informationnelle, scientifique, stratégique, médiatique : autant d’activités qui répondent à des besoins spécifiques de ce domaine et nécessitent de solides compétences. L’article présente la CdPveille3S : son origine, sa mission, ses membres, ses principales réalisations, ses forces et ses défis.
Corps obèse, corps sexué et processus de différenciation familial à l’adolescence
Authors: Bernard Alexandra , Mayet Élie 
Published: May 2020

Les auteures se sont interrogées sur la question des remaniements psychiques sous-jacents au processus d’amaigrissement chez des adolescents obèses accueillis en centre spécialisé durant une année scolaire. Dans un contexte d’internat où les jeunes sont séparés de leur milieu familial, le processus d’amaigrissement engagé par le traitement médical s’associe à la mise en scène de manifestations comportementales à valence sexuelle exacerbées semblables chez ces adolescents. Les professionnels sont alors plus en difficulté pour apporter une contenance groupale, et les débordements pulsionnels des jeunes attaquent le cadre, de manière récurrente et parfois même de manière violente. Quel sens pouvons-nous alors donner, dans ce passage du corps gros au corps sexué, dans cette période spécifique de l’adolescence, au côté massif et soudain de ces comportements de débordements pulsionnels qui font irruption sur la scène groupale et individuelle et qui attaquent le cadre ?
L’expérience de la maternité en contexte d’immigration récente au Québec
Authors: Dufour-Turbis Christine , Hamelin-Brabant Louise 
Published: May 2020

Objectif : Présenter les résultats d’une étude portant sur l’expérience de la maternité en contexte d’immigration récente au Québec. Méthode : Des entrevues semi-dirigées ont été menées auprès de mères provenant de divers pays, ayant immigré depuis moins de cinq ans. L’analyse développementale de contenu de L’Écuyer (1990) a été utilisée pour analyser les données. Résultats : Les données recueillies auprès de 15 participantes indiquent que le rôle maternel est perçu comme une grande responsabilité. En période postnatale, les participantes développent leur autonomie comme mères, mais souffrent d’un grand isolement, et n’ont souvent que leur conjoint sur qui compter. La maternité leur fait ainsi vivre des émotions diverses, telles que le bonheur, l’anxiété ou la tristesse. Leur niveau de détresse varie selon les représentations qu’elles se font de leur maternité et de leur immigration. Pour assurer leur bien-être, elles gardent contact avec leur milieu d’origine et recourent aux services professionnels disponibles. Conclusion : Le passage vers la maternité constitue un grand bouleversement dans la vie de ces femmes. Isolées socialement, les responsabilités qui leur incombent paraissent encore plus intenses. Le conjoint, considéré comme un allié, prend ainsi une place capitale auprès d’elles. Elles font difficilement confiance aux Québécois, mais certains services sont très appréciés : la visite de l’infirmière à domicile, le guide « Mieux vivre avec notre enfant », la ligne Info-Santé. Il serait pertinent que des recherches futures explorent davantage la réalité des pères immigrants, et qu’un plus grand nombre de visites de l’infirmière soit envisagé pour les femmes les moins bien intégrées et qui perçoivent l’immigration de façon négative.
Santé des adolescents de 10 à 14 ans à Kinshasa et Ouagadougou : risques et opportunités
Authors: Mistrale Hendrickson Zoé , Byrne Meagan , Sawadogo Nathalie , Mafuta Eric , Bazié Fiacre , Moreau Caroline 
Published: May 2020

Introduction : Cette recherche s’intéresse aux transformations sociales en Afrique francophone, en particulier à l’urbanisation et à la révolution des modes de communication, ainsi qu’à leur influence sur le mode de vie des jeunes adolescents, à Ouagadougou (Burkina Faso) et Kinshasa (République Démocratique du Congo). L’objectif est d’examiner les opportunités, les défis et les risques liés aux transformations sociales ainsi que les perceptions qui s’y rattachent, selon le genre des adolescents. Méthode : Cette étude qualitative, réalisée en 2015, utilise des données collectées à l’aide des entretiens semi-directifs avec 64 adolescents de 10 à 14 ans et leurs parents/tuteurs à Ouagadougou et à Kinshasa. L’analyse a suivi un processus déductif et inductif pour identifier la façon dont les changements sociétaux ouvrent de nouvelles possibilités qui sont associées à des risques pour les adolescents, filles et garçons. Résultats : Selon les participants, l’adolescence s’accompagne de plus d’opportunités que par le passé. L’autonomisation/la liberté, l’accès à l’éducation formelle et l’accès à l’information s’accompagnent aussi de risques accrus qui sont différenciés selon le genre. Les filles sont exposées à une augmentation des risques sexuels, tandis que les garçons sont exposés aux violences et à la prise d’alcool. Conclusion : Nos résultats illustrent la manière dont les transformations sociétales en Afrique francophone affectent la socialisation au genre des jeunes adolescents. Les changements de mode de vie et les risques qui y sont associés appellent des programmes adaptés aux filles et aux garçons, en exploitant les nouveaux outils de la communication pour élargir leur accès à l’information.
Costimulation Blockade Disrupts CD4+ T Cell Memory Pathways and Uncouples Their Link to Decline in β-Cell Function in Type 1 Diabetes
Authors: Eichmann Martin , Baptista Roman , Ellis Richard J. , Heck Susanne , Peakman Mark , Beam Craig A. 
Published: May 2020

Abstract
We previously reported that costimulation blockade by abatacept limits the decline of β-cell function and the frequency of circulating CD4+ central memory T cells (TCM) (CD45RO+CD62L+) in new-onset type 1 diabetes. In human subjects receiving placebo, we found a significant association between an increase in CD4+ TCM cells and the decline of β-cell function. To extend and refine these findings, we examined changes in human CD4+ and CD8+ naive and memory T cell subsets at greater resolution using polychromatic flow and mass cytometry. In the placebo group, we successfully reproduced the original finding of a significant association between TCM and β-cell function and extended this to other T cell subsets. Furthermore, we show that abatacept treatment significantly alters the frequencies of a majority of CD4+ conventional and regulatory T cell subsets; in general, Ag-naive subsets increase and Ag-experienced subsets decrease, whereas CD8+ T cell subsets are relatively resistant to drug effects, indicating a lesser reliance on CD28-mediated costimulation. Importantly, abatacept uncouples the relationship between changes in T cell subsets and β-cell function that is a component of the natural history of the disease. Although these data suggest immunological markers for predicting change in β-cell function in type 1 diabetes, the finding that abatacept blunts this relationship renders the biomarkers nonpredictive for this type of therapy. In sum, our findings point to a novel mechanism of action for this successful immunotherapy that may guide other disease-modifying approaches for type 1 diabetes.
Simulation-Based Instruction in Continuing Education
Authors: Frank Eva M. , Doherty-Restrepo Jennifer , Roberts Lisa , Montalvo Alicia 
Published: May 2020

ContextThe results of this study will provide direction for integrating simulation into continuing professional education (CPE) for athletic trainers (ATs).ObjectiveCompare the effects of 2 simulation techniques on knowledge and skill acquisition of a cardiovascular assessment.DesignRandomized pretest-posttest design.SettingContinuing professional education course hosted at a simulation center.Patients or Other ParticipantsAthletic trainers recruited to a CPE course. Twenty-two (age 22–49) of 30 ATs attended, consented, and completed the course. Participants were randomly assigned to a high-fidelity (12 participants) or low-fidelity (10 participants) group.Intervention(s)High-fidelity and low-fidelity simulation.Main Outcome Measures(s)A 31-question knowledge examination and a 4-station objective structured clinical examination (OSCE) measured knowledge and clinical skills, and specifically the ability to identify heart sounds as part of a comprehensive cardiovascular assessment.ResultsFrom pretest to posttest, all participants significantly improved knowledge (P &lt; .001), clinical skills (P &lt; .001), and heart-sound identification skill (P = .010). The high-fidelity group scored significantly higher (P = .48) than the low-fidelity group on the clinical skills portion of the OSCE.ConclusionsBoth simulation types can be used in CPE courses for ATs to reinforce the knowledge and skills that are a part of a cardiovascular assessment. High-fidelity simulation improved skill more than low-fidelity simulation because of the active nature of the intervention. Baseline scores were low, thereby strengthening the value to offer CPE to ATs specifically on the elements of conducting a comprehensive cardiovascular assessment. Adding a pretest can help identify knowledge and skill deficits before CPE participation.
Student Perceptions of Interprofessional Valuing After a Tabletop Interprofessional Education Simulation
Authors: Williams Mary L. , Camel Simone , Ocker Liette B. , Zinn Kelly , Grahovec Nicholas E. , Frazier Heather 
Published: May 2020

Context
The focus of learning and working with professions outside of one's own is the essence of interprofessional education (IPE). Interprofessional education satisfies accreditation standards and is a high-impact teaching practice. Interprofessional education is often studied in nursing, medicine, and pharmacy; however, it has rarely been explored in athletic training.

Objective
To determine student perceptions of interprofessional valuing among a unique combination of disciplines.

Design
Survey.

Setting
Students were seated in interprofessional teams at round tables in a ballroom resembling a professional conference.

Patients or Other Participants
Forty prelicensure students participated in the tabletop simulation (athletic training = 12, dietetics = 9, nursing = 19). Of these participants, 36 completed the survey (athletic training = 9, dietetics = 8, nursing = 19).

Main Outcome Measure(s)
Student teams were given 2 cases and were prompted to discuss and complete accompanying tasks. Debriefing followed each case. Afterward, students were asked to complete the questionnaire. The Interprofessional Socialization and Valuing Scale-24 (ISVS) was used to assess interprofessional beliefs, attitudes, and behaviors.

Results
The ISVS and factor means were near the top of the survey scale, indicating that students had positive perceptions of interprofessional roles and socialization. All disciplines reported strong beliefs, attitudes, and behaviors towards IPE. No significant differences on the ISVS or subscales were identified among the disciplines or between those with and without previous IPE experience. Analysis of items revealed low scores for athletic training students on being able to share and exchange ideas in a team discussion, an important interprofessional behavior.

Conclusions
A combination of factors including newness to IPE, fewer IPE experiences, and unequal ratios of professions represented in each group may explain why athletic training students reported more challenges with sharing and exchanging ideas. Conducting a tabletop IPE events may facilitate the development of interprofessional valuing and socialization.