bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH KOMPENSASI DAN BUDAYA ORGANISASI TERHADAP KINERJA KARYAWAN MELALUI MOTIVASI SEBAGAI VARIABEL INTERVENING PADA PG. KEBON AGUNG
Authors: Ashari Lutfi Bisri 
Published: June 2020

897/5000 Tujuan dari penelitian ini adalah untuk mengetahui pengaruh kompensasi dan budaya organisasi terhadap kinerja karyawan melalui motivasi sebagai variabel intervening di PG. Kebon Agung. Penelitian ini menggunakan metode kuantitatif. Pengambilan sampel dilakukan dengan menggunakan teknik simple random sampling. Sampel yang diambil untuk penelitian ini adalah 88 PG karyawan PG. Kebon Agung. Pengambilan data dilakukan dengan menggunakan kuesioner. Teknik analisis data yang digunakan adalah analisis jalur. Penelitian ini menyimpulkan bahwa kompensasi dan budaya organisasi mempengaruhi motivasi, kompensasi dan budaya organisasi mempengaruhi kinerja karyawan, motivasi mempengaruhi kinerja karyawan dan kompensasi dan budaya organisasi mempengaruhi kinerja karyawan melalui motivasi sebagai variabel intervening. Kata kunci: Kompensasi, Budaya Organisasi, Motivasi, Kinerja Karyawan, PG. Kebon Agung The purpose of this study was to determine the effect of compensation and organizational culture on employee performance through motivation as an intervening variable in PG. Kebon Agung. This study uses quantitative methods. Sampling is done using simple random sampling technique. The samples taken for this study were 88 PG employees PG. Kebon Agung. Data retrieval is done using a questionnaire. The data analysis technique used is path analysis. This study concludes that compensation and organizational culture influence motivation, compensation and organizational culture influence employee performance, motivation influences employee performance and compensation and organizational culture influence employee performance through motivation as an intervening variable. Keywords: Compensation, Organizational Culture, Motivation, Employee Performance, PG. Kebon Agung
Urgensi Pendaftaran Penyelenggara Sistem Elektronik Bagi Pelaku Usaha E-Commerce
Authors: Moha Mohamad Rivaldi , Sukarmi Sukarmi , Kusumadara Afifah 
Published: June 2020

Kewajiban pendaftaran penyelenggara sistem elektronik bagi seluruh pelaku usaha e-commerce di indonesia menjadi salah satu program pemerintah dalam Peta Jalan Sistem Perdagangan Nasional Berbasis Elektronik (Road Map E-commerce) Tahun 2017-2019. Oleh karena itu, Tujuan penulisan ini untuk menguraikan pentingnya pendaftaran penyelenggara sistem Elektronik bagi pelaku usaha e-commerce di Indonesia. Penelitian ini merupakan penelitian yuridis normatif yang menggunakan pendekatan perundang-undangan, pendekatan konsep dan pendekatan perbandingan. Hasil dari penelitian ini adalah pentingnya pendaftaran penyelenggara sistem elektronik bagi pelaku usaha e-commerce ialah memudahkan konsumen dalam mengidentifikasi pelaku usaha, serta dapat membantu pemerintah dalam program pengenaan pajak bagi pelaku usaha e-commerec.
Resilience in advanced cancer caregiving
Authors: Opsomer Sophie , De Lepeleire Jan , Lauwerier Emelien , Pype Peter 
Published: June 2020

BackgroundFamily caregivers of advanced cancer patients are at risk for developing mental disorders. Despite this risk, the majority seem to adapt well, and throughout the caregiving period, their trajectory is characterised by healthy functioning. However, GPs struggle with making timely assessments of caregivers at risk for mental dysfunction, since they often fail to seek medical help for themselves and the appropriate research about resilience in cancer caregivers is scarce. Moreover, research is hampered by the lack of a universal definition or theoretical framework.AimTo propose a comprehensive definition and framework for further research in family caregiving for advanced cancer patients.MethodInspired by the hermeneutic methodology, reviews and concept analyses on resilience following a potentially traumatic event were searched and analysed. Conforming to the hermeneutic methodology, article collection from PubMed, EMBASE, CINAHL, and PsycInfo was followed by analysis and was stopped when saturation was reached. Elements consistently arising from the definitions of resilience were listed and the theoretical frameworks were compared.ResultsThe APA definition: ‘resilience is the process of adapting well in the face of adversity, trauma or threats’ and Bonanno’s framework ‘temporal elements of resilience’ are proposed.ConclusionThere is a need for studies on resilience in caregivers of advanced cancer patients. Resilience is context-dependent, hence, study results cannot be transferred as such from one clinical situation to another. Furthermore, conceptual ambiguities hinder the interpretation and comparison of study results. For further research on resilience in caregivers of advanced cancer patients, we suggest the APA definition of resilience and Bonanno’s framework.
The development of palliative care education and training for GPs in Yangon, Myanmar: a workshop success
Authors: Kandola Kerran , Oo Myint 
Published: June 2020

BackgroundPalliative care is an important but often overlooked component of primary care. In Myanmar, early emergence of palliative care is being seen, however no formal community-based services yet exist. Present challenges include resource scarcity and inadequate education and training.AimOur goal was to improve understanding and approach towards palliative care by GPs in Yangon.MethodAn initial survey was performed among 42 GPs in Yangon, Mandalay, and Meiktila in March 2019 demonstrating a gap in current training needs and willingness by GPs for this to be improved. A 2-day workshop, the first ever of its kind, was subsequently designed and held for 20 local GPs, consisting of interactive seminars delivered in Burmese.ResultsImprovement in knowledge and confidence were used as measures of success. A true/false-style quiz was distributed pre- and post-workshop demonstrating a mean total score improvement of 15%. Self-reported confidence rating scores regarding confidence when: 1) managing palliative patients; 2) providing holistic care; and 3) breaking bad news, increased by a mean of 25%.ConclusionThe greatest outcome from this workshop, by far, was the enthusiasm and awareness it generated, support was even gained from the President of the Myanmar Medical Association despite his initial reservations about developing this area. Ultimately, the workshop behaved as an advocate for the introduction of a regular palliative care lecture into the local Diploma in Family Medicine curriculum; it also spurred a group of GPs to further this work and turn the workshop into a regular teaching event.
Evaluating interprofessional education: initial learning from a domestic abuse conference
Authors: Yardley Cheryl , Hynes Karen , Charley Andrew , Sirkia-Weaver Sari , Critcher Julie , Hughes Lorna , Banks Emma , Arnott Jane , Woodhouse Tim , Lyttle Anne 
Published: June 2020

BackgroundThe importance of multi-agency working to identify, prevent and reduce domestic abuse is widely recognised. Interprofessional learning opportunities can provide a supportive learning environment for multi-agency practitioners to explore and develop collaborative approaches to improve health outcomes for vulnerable children, young people and their families.Participants drawn from Kent GP trainees, student Health Visitors, School Nurses, Midwives, Social Workers, student Teachers and Special Educational Needs Coordinators (SENCOs), and postgraduate Police Officers attended this sixth annual conference.AimTo enable participants to understand why domestic abuse is a serious public health issue; identify indicators of domestic violence and abuse; identify opportunities for safe enquiry and know how to respond; critically reflect on ethical, legal, professional and interprofessional challenges for practitioners; and reflect on and explore opportunities for inter-professional working.MethodMulti-disciplinary educators delivered formal presentations and facilitated interprofessional workshops.Data from anonymised pre- and post- conference questionnaires distributed on the day, included quantitative questions using a Likert scale 1–5 and open and closed qualitative questions.ResultsIn total, 75 out of a possible 121 participants completed both questionnaires (62%). The above aims were all met. In all questions participants gave higher scores after the conference indicating increased levels of knowledge and confidence. The qualitative comments highlighted the learning benefits from interprofessional group work. 100% (average score 4.5) agreed that facilitators fostered a supportive learning environment.ConclusionThe conference provided a highly valued opportunity for useful interprofessional learning about domestic abuse. Results indicated that it increased participants’ knowledge and confidence about their own and others’ roles and responsibilities.
Achieving better quality care in general practice: are incentives the answer?
Authors: Ahmed Kanwal , Hashim Salma , Khankhara Mariyam , Said Ilhan , Shandakumar Amrita , Zaman Sadia , Veiga Andre 
Published: June 2020

BackgroundThe introduction of financial incentives, such as the quality and outcomes framework (QOF), historically lead to improvements in standardising practice. However, with shifting demands on healthcare providers, are these schemes still enough to drive high-quality care?AimTo explore current incentives, intrinsic and extrinsic, their role and effectiveness in improving quality of care and how they are perceived by GPs.MethodMixed methods study using two systematic literature reviews including 44 papers and 18 semi-structured interviews with GPs.ResultsIn the literature, QOF was associated with reduced socioeconomic inequalities, decreased mortality and improved outcomes. However, the absence of control groups and the simultaneous analysis of multiple indicators complicates the findings. GPs agreed with the literature and viewed financial incentives as beneficial, however, they felt the key driver in providing good-quality care was their intrinsic motivation. Financial incentives were found to contribute to depersonalised care, diluted provision of non-incentivised activities and hindered overall practice. The results from the second literature review were in keeping with the views of the participants. They illustrated the importance of managing factors contributing to physician burnout, reduced performance, and low job satisfaction, which can result in the provision of low-quality care.ConclusionFinancial incentives have the potential to induce behaviour change, however, their use in quality improvement is limited when used alone. If used in an environment that nurtures intrinsic motivation, healthcare providers will be more driven to achieve a higher quality of care and will be better able to cope with shifting demands.
Inequalities in suicide rates associated with deprivation in England from 2004 to 2019
Authors: Hodgson Sam , Hodgson Jack 
Published: June 2020

BackgroundAlthough addressing inequality has been a public and political priority for decades, inequalities in health, wealth, and other societal domains persist in England. In Ireland, rates of suicide are twice as high in the most deprived decile of society compared with the least deprived. Trends in the association between deprivation and suicide in England are unclear.AimTo describe the relationship between deprivation and suicide in England in 2019 and analyse trends in this relationship over time.MethodData on rate of suicide and Index of Multiple Deprivation (IMD) for each local authority in England for 2018 and 2004 were obtained from the Office for National Statistics’ publicly available databases. The mean suicide rate for each quintile of deprivation was calculated, and means compared using ANOVA. The correlation coefficients between IMD and suicide rate were calculated for both 2004 and 2019. Steiger’s test was used to compare coefficients over time.ResultsIn 2019, the suicide rate in the least deprived quintile was 8.7 per 100 000 person-years, compared with 8.3 in 2004. This increased across each quintile to 11.1 suicides per 100 000 person-years in the most deprived quintile in 2019 (ANOVA: P<0.001), and to 11.7 in 2004 (ANOVA: P<0.001). The correlation coefficient between IMD and suicide rate in 2004 was 0.43, compared with 0.33 in 2019. Steiger’s test demonstrated no significant difference between coefficients over time (P = 0.16).ConclusionSuicide is associated with deprivation in England. Despite significant research and policy effort, there has been no improvement in this association between 2004 and 2019.
Management of gout and adherence to current guidelines in general practice surgery
Authors: Kempny Agnes , Martin Jamie 
Published: June 2020

BackgroundGout is one of the most common inflammatory joint diseases in the UK managed by GPs. The recent (2017) guideline of the British Society for Rheumatology (BSR) changed the recommendation for urate-lowering therapy (ULT) and now advises it after the first episode of gout, whereas it previously recommended after the second one. Moreover, the BSR now also recommends screening and management of risk factors of gout.AimTo audit contemporary management of gout and adherence to the new BSR guideline in a large GP practice.MethodThe audit identified all patients diagnosed with gout between 1 July 2017 and 1 May 2019. Pharmacological gout management, lifestyle advice, and management of risk factors were assessed, including body mass index (BMI), systemic blood pressure (BP), and HbA1c.ResultsThe audit included 104 patients, 26.9% female, mean age 63.8 years at the age of diagnosis. Uric acid was raised in all patients (mean 469 um/L). Most patients (68%) had abnormal BMI (mean 30.4), whereas BP, cholesterol, and HbA1C were normal in the majority of patients (in 78%, 75%, and 90%, respectively); however, all of these parameters were normal in just 17% of patients. Lifestyle advice was given to 46 (44.2%) patients while allopurinol was prescribed, and overall in 21 (20.2%) patients. More patients were managed with colchicine (40.2%) and naproxen (56.7%).ConclusionMost patients diagnosed with a first gout attack have risk factors of gout and require their management. Overall, allopurinol is prescribed in a fifth of patients, which may be related to patients’ preferences, strict adherence to lifestyle modification only, or presence of contraindications to allopurinol. This requires, however, further assessment.
Should diverticulitis be managed in primary care? An audit on the management of diverticulitis in primary care.
Authors: Kiandee Miraen , Sripada Rajani 
Published: June 2020

BackgroundThe prevalence of diverticulosis and acute diverticulitis is increasing in developed countries. For those with diverticulosis the lifetime risk of developing acute diverticulitis is about 4–25%. Mild, uncomplicated diverticulitis can be, and often is, managed safely in a primary care setting, avoiding unnecessary admission.AimTo evaluate management of suspected diverticulitis in primary care against standards set by the National Institute for Health and Care Excellence (NICE) and review admission rates following primary care management.MethodAn electronic search on EMIS Web using Read codes ‘diverticulitis’, ‘diverticulosis’, and ‘diverticular disease’, with a specified period of 2017–2019. All consultations with suggestions of an infective flare of diverticular disease were included in the study. Clinical data from the consultations were extracted and retrospectively audited.ResultsA total of 64 patients were identified with diverticular disease or diverticulosis. Of those, 42% (n = 27) presented to primary care with presenting complaints suspicious of diverticulitis. A total of 64 consultations were reviewed, as several patients presented more than once in the study period. Of the consultations reviewed, 12.5% (n = 8) resulted in referral to the surgical assessment unit. Antibiotics were prescribed after 68.4% (n = 39) of consultations. Bloods for inflammatory markers were performed after 19.3% (n = 11) of consultations. Only 3.5% (n = 2) of patients were reviewed within the recommended 48-hour timeframe. Only 3.5% (n = 2) of patients subsequently deteriorated and required admission.ConclusionThe management of diverticulitis in this primary care centre is not fully concordant with NICE guidelines. There is a need to improve adherence, in particular antibiotic regimen when deciding to prescribe antibiotics.
DETECTION OF THE ANTIMICROBIAL ACTIVITY OF SILVER NANOPARTICULES BIOSYNTHESIZED BY STREPTOCOCCUS PYOGENES BACTERIA
Authors: & Hussein Kadhum 
Published: June 2020

This study was aimed to biosynthesized silver nanoparticles by Streptococcus pyogenes bacteria and its antimicrobial activity against (S.aureus ,P. aeruginosa, E.coli, and C. albicans yeast) at different concentrations (20, 40, 60 ,80 and 100) μg/ml by agar well diffusion assay. Fifty sample was collected from Wounds and burns, from Baghdad Teaching City Medicine Laboratories. Samples identified by culture, VITEK 2 Compact system ID-YST kit. The sensitivity of bacterial isolates to antibiotics ware tested and the microbes were more sensitive, resistant and moderate range to antibiotics. Several techniques where used to characterize AgNPs: X-ray Diffraction (XRD), UV–Visible Spectroscopy(UV) and Scanning electron microscope (SEM).The results show that biosynthesized silver nanoparticles are more effective than bacterial supernatant on human pathogenic microbes.
PRANGOS PLATYCHLAENA BOISS ESSENTIAL OILS: A NOVEL STUDY ON ITS TOXICITY, ANTIBACTERIAL ACTIVITY AND CHEMICAL COMPOSITIONS EFFECT ON BURN RATS
Authors: & et al. Rahman 
Published: June 2020

The Prangos platychlaena Boiss belonged to the family of Apiaceae is a native medicinal plant of Kurdistan-Iraq. The stem, leaves and flowers of the plant were collected in the mountain of Halgurd of the Kurdistan region of Iraq, and hydrodistilated to obtain the volatile compounds, using both Gas Chromatography ( GC ) and Gas chromatography/ Mass spectroscopy (GC/MS). The results showed that the P. platychlaena Boiss essential oils containing several compounds such as Sylvestrene, α-Pinene oxide, (Z)-Epoxy-ocimene, Borneol, epi-Longipinanol, Germacrene D-4-ol, epi-α-Cadinol, 3-Thujanol acetate and Acorenone with different amount which were not found in any other Prangos species, and all showed antibacterial activity. This experiment was concducted to reveal the toxicity of flowers essentail oils of the P.platychlaena Boiss on skin burns of the rat. The results revealed that the base cream which contains 1% of the essentail oils showd less time in healing wounds in comparing with the other groups. Histological examination of the treated ones showed significantly the formation of new epiderm in those rats which were receiving the base cream containg 1% essentail oils. These finding sugested that the essentail oils of this plant can be used as a surface treatment agent for the human burns.
CYTOGENETIC EFFECTS OF THE CRUDE SAPONINS OF Yucca elephantipesL. LEAVESONTHE Allium cepa L. ROOT TIPS MITOSIS.
Authors: & Najem Mohammed 
Published: June 2020

This study was aimed to investigate cytogenetic effects of the crude saponinsof Yucca elephantipes leaves on mitosis. The root tips of Allium cepa L. were used as plant test system in vivo. Root tips of A. cepa were tested for four hours with four concentrations of the crude saponins (0.00, 6.25, 12.5, 25 or 50 mg/ml). This study were included some cytogenetic diagnosis included mitotic index, phase index, and chromosomal aberration. Results showed that saponins reduced the mitotic index (MI) to less than 50%, specifically when treated with 12.5,25 or 50 mg/ ml mitotic index reached 25.48, 17.98, 18.81% respectively, this reduction was considered toxic and sub lethal. Saponins arrested chromosomes at metaphase (c-metaphase) up to 100% at 6.25 mg/ml and chromosomal aberrations including micronuclei and nuclear lesion (chromatin lesion) in prophase and interphase at the concentrations 25 and 50 mg/l recorded 1.30-8.30%.
EFFECT OF ADDING PENTOXIFYLLINE AND NITRIC OXIDE TO TRIS EXTENDER ON SOME POST-CRYOPRESERVED SEMEN ATTRIBUTES OF HOLSTEIN BULLS
Authors: & et al. Mohammed 
Published: June 2020

This study was aimed to explore the effect of adding pentoxifylline (PTX) and nitric oxide (NO) to Tris extender on some post-cryopreserved semen attributes of Holstein bulls for different preservation periods (cooling at 5◦C, 48 hrs., 1, 2 and 3 months post cryopreservation, PC). Seven Holstein bulls of 2.5-3 years old were used in the current study during the period from 20th November, 2017 to 20th August, 2018. Pooled semen was equally divided into three groups within one experiment. PTX (0.192 g / 100 ml extender) and NO (0.018 g / 100 ml extender) were added to Tris extender and comparisons in response were made with the control group (Tris extender, C). The PTX group exhibited greater (P≤ 0.01) sperm's cell individual motility percentage as compared with the C group at cooling (5ºc) and 48 hr PC periods, while, PTX and NO groups were superior in these percentages at the remaining PC periods than C group. Excluding data of 2 months PC, greater (P≤ 0.01) live sperm percentage was observed in PTX and NO groups in comparison with the C group at all preservation periods. Lesser (P≤ 0.01) abnormal sperm percentage were noticed for PTX and NO groups as compared with the C group at all preservation time periods. The PTX and NO groups exhibited greater (P≤ 0.01) acrosome and plasma membrane integrity percentages in comparison with the C group at all preservation time periods. In conclusion, adding PTX and NO to Tris extender enhanced some of PC semen characteristics of Holstein bulls at different preservation periods.
Analisis Faktor-Faktor yang Mempengaruhi Pemberian Pinjaman Pada KSU Kencana Makmur Sugihan lamongan
Authors: Safa’atillah Nurus 
Published: June 2020

Di era ini, persaingan yang begitu ketat membuat koperasi - koperasi harus mampu memainkan strategi yang handal dan mampu mempertahankan pemberian pinjaman. Dalam penelitian ini penulis mengambil variabel bebas antara lain character, capacity, capital, collateral dan condition of economi untuk digunakan sebagai acuan pemberian pinjaman. Penelitian ini bertujuan untuk mengetahui apakah character, capacity, capital, collateral dan condition of economi berpengaruhi secara parsial maupun simultan terhadap pemberian pinjaman pada KSU Kencana Makmur Sugihan. Metode analisi yang digunakan adalah metode kuantitatif dengan menggunakan uji validitas, uji reliabilitas, uji regresi linier berganda, koefisien determinasi, uji F, uji t, dengan menggunakan olah data SPSS versi 20. Hasil analisis uji validitas dan uji reliabilitas menunjukan hasil tiap variabel dinyatakan valid dan reliabel. Dari hasil uji regresi linier berganda didapatkan suatu persamaan regresi sebagai berikut : Y = 0,419 + 0,604X1 + 0,041X2 + 0,734X3 + 0,311X4 + 0,295X5. Untuk hasil uji t diperoleh thitung (X1) = 2,355 > ttabel = 1,99495 yang berarti bahwa character mempunyai pengaruh yang signifikan secara parsial terhadap pemberian pinjaman, sedangkan thitung (X2) = 0,255 < ttabel = 1,99495 yang berarti bahwa capacity tidak mempunyai pengaruh yang signifikan secara parsial terhadap pemberian pinjaman. sedangkan thitung (X3)=4,380>ttabel=1,99495 yang berarti bahwa capital mempunyai pengaruh yang signifikan secara parsial terhadapa pemberian pinjaman. sedangkan thitung (X4)=1,753>ttabel=1,99495 yang berarti bahwa collateral tidak mempunyai pengaruh yang signifikan secara parsial terhadap pemberian pinjaman. sedangkan thitung (X5)=1,397>ttabel=1,99495 yang berarti bahwa condition of economil tidak mempunyai pengaruh yang signifikan secara parsial terhadap pemberian pinjaman. Hasil untuk uji F diperoleh nilai Fhitung 9,170 > Ftabel 2,35 yang berarti variabel X1,X2,X3,X4 dan X5 berpengaruh secara simultan terhadap pemberian pinjaman. Dengan demikian adanya penelitian ini, diharapkan dapat dijadikan sebagai bahan pertimbangan untuk meningkatkan pemberian pinjaman.