bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pharmacy Practice Scenario and Job Satisfaction among Nepalese Pharmacists
Authors: Khanal Dharma Prasad , Dhungana Bishwo Raj , Kadyat Naresh 
Published: January 2020

Background:This is an effort just snapshot the pharmacy practice scenario in Nepal. Job satisfaction is a very important contributing factor for person’s productivity and motivation. Pharmacists are the key players of the health care system. The main objective find out the present scenario of pharmacy practice and job satisfaction of Nepalese pharmacists. We start our approach from the demographic information, choice and selection of the pharmacy education, study site, practicing site, duration of work, expected and real salary of practicing pharmacists.
Methods:A practice scenario and job satisfaction related questionnaires were developed and pilot test was done with ten pharmacy practitioners who were practicing from more than ten years in Nepal for reliability. Minor modification on questionnaires was done after pilot testing. Ethical clearance was taken from the MMIHS –IRC.
Results:Male pharmacists are dominating to female. The satisfaction level of Nepalese pharmacist was found to be 73.60%. Similarly, around 73.10% of pharmacists were satisfied with nature of work and 71.60% of pharmacists were satisfied with the time duration of work whereas nearly half of the pharmacists were unsatisfied with their income and pay scale.
Conclusion: Till date pharmacist is not the permanent member of health care system in Nepal. 70 % pharmacists are highly productive stage of between ages 20-30 years. The inherent interest in the pharmacy profession found among Nepalese pharmacists is an optimistic and policy-makers could develop, modifying national health policy for the implementation of pharmaceutical service as an integral part of national health care system of the country for the benefit of the public health as a whole. The Government and other authorities have to consider for a universal, multifaceted measure of satisfaction not merely the salary benefits.
A comparison of spinal laser interstitial thermotherapy with open surgery for metastatic thoracic epidural spinal cord compression
Authors: de Almeida Bastos Dhiego Chaves , Everson Richard George , de Oliveira Santos Bruno Fernandes , Habib Ahmed , Vega Rafael A. , Oro Marilou , Rao Ganesh , Li Jing , Ghia Amol J. , Bishop Andrew J. , Yeboa Debra Nana , Amini Behrang , Rhines Laurence D. , Tatsui Claudio Esteves 
Published: January 2020

OBJECTIVEThe proximity of the spinal cord to compressive metastatic lesions limits radiosurgical dosing. Open surgery is used to create safe margins around the spinal cord prior to spinal stereotactic radiosurgery (SSRS) but carries the risk of potential surgical morbidity and interruption of systemic oncological treatment. Spinal laser interstitial thermotherapy (SLITT) in conjunction with SSRS provides local control with less morbidity and a shorter interval to resume systemic treatment. The authors present a comparison between SLITT and open surgery in patients with metastatic thoracic epidural spinal cord compression to determine the advantages and disadvantages of each method.METHODSThis is a matched-group design study comprising patients from a single institution with metastatic thoracic epidural spinal cord compression that was treated either with SLITT or open surgery. The two cohorts defined by the surgical treatment comprised patients with epidural spinal cord compression (ESCC) scores of 1c or higher and were deemed suitable for either treatment. Demographics, pre- and postoperative ESCC scores, histology, morbidity, hospital length of stay (LOS), complications, time to radiotherapy, time to resume systemic therapy, progression-free survival (PFS), and overall survival (OS) were compared between groups.RESULTSEighty patients were included in this analysis, 40 in each group. Patients were treated between January 2010 and December 2016. There was no significant difference in demographics or clinical characteristics between the cohorts. The SLITT cohort had a smaller postoperative decrease in the extent of ESCC but a lower estimated blood loss (117 vs 1331 ml, p < 0.001), shorter LOS (3.4 vs 9 days, p < 0.001), lower overall complication rate (5% vs 35%, p = 0.003), fewer days until radiotherapy or SSRS (7.8 vs 35.9, p < 0.001), and systemic treatment (24.7 vs 59 days, p = 0.015). PFS and OS were similar between groups (p = 0.510 and p = 0.868, respectively).CONCLUSIONSThe authors’ results have shown that SLITT plus XRT is not inferior to open decompression surgery plus XRT in regard to local control, with a lower rate of complications and faster resumption of oncological treatment. A prospective randomized controlled study is needed to compare SLITT with open decompressive surgery for ESCC.
Analisa Kepuasan Pasien Terhadap Mutu Pelayanan Keperawatan
Authors: Sesrianty Vera , Machmud Rizanda , Yeni Fitra 
Published: January 2020

Mutu pelayanan dari suatu rumah sakit adalah salah satu faktor yang membuat pasien untuk datang kembali berobat karena perasaan puas yang diterimanya atau bahkan tidak akan pernah datang lagi. Berdasarkan SPMRS kepuasan pasien RS Islam Ibnu Sina Bukittinggi masih <90%. Tujuan penelitian ini adalah untuk mengetahui kepuasan pasien terhadap mutu pelayanan keperawatan berdasarkan harapan dan persepsi pasien. Disain digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel 92 orang. Penelitian ini akan mengukur kesenjangan (gap) antara pelayanan yang telah diberikan oleh rumah sakit terhadap harapan dari pasien itu sendiri. dari pengukuran tersebut akan diketahui tingkat kepuasan terhadap mutu pelayanan keperawatan yang diberikan oleh rumah sakit tersebut. Skala pengukuran terdiri dari aspek mutu pelayanan keperawatan dimensi Servqual yaitu : Tangible Reliability, Responsiveness, Assurance, dan Empathy, data dianalisis dengan menggunakan Gap Analysis. Hasil dari penelitian ini menunjukkan pasien puas terhadap mutu pelayanan keperawatan pada dimensi, reliability assurance dan empaty, dan tidak puas pada dimensi tanggible dan responsiveness. Hal ini menunjukkan bahwa pelayanan keperawatan yang diberikan RS Islam Ibnu Sina Bukittinggi telah memenuhi harapan pelanggan, diharapkan kepada perawat terus memberikan pelayanan yang baik sehingga meningkatkan citra positif rumah sakit
Yeni Nesil Belediyecilik: Dijital Belediye Uygulamaları
Authors: KARACA Yakup , ÖZTÜRK Namık Kemal 
Published: January 2020

Yüzyılımızın dijital
dünyasında Z kuşağının yükselişi ve bireylerin kamu yönetiminden
beklentilerinin başkalaşması, kaynak sıkıntıları vb. faktörler kamu yönetiminin
hizmet sunma anlayışında değişikliğe neden olmuştur. Ancak bu faktörler
arasında sosyo-ekonomik hayatı ve kamu hizmetlerini çok boyutlu bir şekilde
küresel ölçekte etkileyecek olan dijital dönüşüm en önemli unsurdur. Yapay zekâ, büyük veri gibi teknolojiler
sayesinde gerçekleşen dijital dönüşüm ile birlikte kamu hizmetleri vatandaşlara
daha kaliteli ve en hızlı şekilde sunulacaktır. Küresel ölçekteki dijital
dönüşümle birlikte vatandaşa kamu hizmeti sağlayıcı en yakın birim olan yerel
yönetimlerin değişimi ve dönüşümü de tartışma konusu olmuştur. Buradan
hareketle çalışmada bir belediye binasına ihtiyaç olmadan belediyecilik mümkün
mü? Belediyelerin dijital uygulamalarla hizmet sunumunun ötesinde de yeni nesil
bir dijital belediyecilik gerçekleştirilebilir mi? gibi sorulara Molenlanden Belediyesi örnek
alınarak cevap aranacaktır.
Analisis Kerapatan Kelurusan (Lineament Density) di Lapangan Panasbumi Suoh-Sekincau, Lampung
Authors: Iqbal Mochamad , Juliarka Bella Restu 
Published: January 2020

Penelitian ini bertujuan untuk melakukan analisis kerapatan kelurusan di daerah penelitian yaitu di lapangan panasbumi Suoh-Sekincau yang terletak pada Kabupaten Lampung Barat Provinsi Lampung. Kerapatan kelurusan diproses dengan menggunakan citra satelit berupa digital elevation map (DEM) yang diunduh pada laman Badan Informasi Geospasial (BIG). Citra tersebut diolah dengan menggunakan perangkat lunak Geomatica dan Arcgis dan menghasilkan peta kerapatan kelurusan dengan berbagai kelompok nilai dari tinggi hingga rendah. Geologi daerah penelitian didominasi oleh batuan gunungapi (volkanik) dengan kelurusan dominan berarah baratlaut-tenggara dan merupakan bagian dari Sesar Besar Sumatera pada segmen Semangko. Morfologi daerah penelitian terdiri dari punggungan dan beberapa puncak gunung dengan adanya cekungan pull-apart pada Danau Suoh. Dari peta kerapatan kelurusan yang dihasilkan, pada sekitar Gunung Sekincau memiliki nilai yang tinggi dan diinterpretasikan bahwa daerah tersebut memiliki tingkat permeabilitas yang baik. Selain itu daerah di sekitar Danau Suoh juga memiliki nilai kerapatan yang tinggi. Daerah dengan densitas tinggi ini merupakan daerah yang baik sebagai daerah resapan panasbumi.
Keywords: penginderaan jauh, panasbumi, Suoh-Sekincau, kerapatan kelurusan, Lampung
Using Wordscapes Game as a Tool to Develop EFL Learners’ Vocabulary Repertoire
Authors: Instr. Angham T. Saleh J.  
Published: January 2020

The most vital part of our lives nowadays is technology. It has changed our lives in many ways. It makes life well-situated for us. At the present time, young people are more expected to be seen playing video games. Some assume that movies, TV, and video games are a bad influence on kids, and they hold responsible on these media for causing different problems. Supposed negative effects such as addiction, increased aggression, and various health consequences such as obesity and repetitive strain injuries tend to get far more media coverage than the positives. While there are some negatives on playing video games, there’s no denying that they stop us from getting outside. There are also some benefits. Surprisingly, playing video games can help our physical, mental, and emotional health. A growing number of researchers believed that if used in the right way, video and computer games have the potential to inspire learning. And they can help players improve organization and visual skills.
Thus, when learning is channeled into an enjoyable game, they are very often willing to invest considerable time and effort in playing it. Moreover, in view of diverse learning styles and preferences the students display, benefits from games seem to cater for everyone as learners find playing activities much richer language studying work than doing other kinds of practice. If games are properly designed, they may become an excellent and essential part of a learners’ learning programme. On the other hand, it is noteworthy that games like any other activity or tool can be overused when exploited too much so that the motivating element disappears rapidly.

ABSTRACT
Playing games such as puzzle games, word search, crosswords, mix and matching, scrabble, etc. are brain motivating problems that test one’s creativity. These games increase brain power which makes them a proper choice for use in educational purposes besides just providing mere entertainment. They educate, improve your intelligence proportion, improve your cognitive ability, improve your concentration, develop motor skills, improve your problem solving skills, improve productivity and can improve your social skills.
The most preferred game at the moment is the game developed by People Fun! named “WordScapes”. The game starts with easy puzzles and becomes challenging. There are over 800 puzzles in this game which is really astonishing. Despite the fact that, the developers call it up-to-the-minute word game, it’s quite regular word games. In addition, not too much only one of its kind like Alpha Swipe or Under a Spell. But, it’s really pleasurable and one of the most addicting word puzzle game.
In addition to the distraction significance of games, they have great didactic latent. Games exclusively intended to deal with a specific problem such as developing learners’ vocabulary repertoire or teach a specific skill have been very successful, in particular because they are motivating, engaging, interactive, and provide rewards and strengthening to improve.
موقف الولايات المتحدة الامريكية من القضية الارمنية حتى عام 1939
Authors: أ.د. كريم طلال مسير  , م.د. نجلاء عدنان حسين  
Published: January 2020

تعد القضية الارمنية من اكثر القضايا تعقيداً وغموضاً خلال القرنين التاسع عشر والعشرين في الدولة العثمانية ،لما تضمنته من احداث داخلية ودموية تعرض لها الارمن من قتل وتهجير قسري داخل البلاد ، وخارجية بوصفها احد الاسباب الرئيسة التي استغلتها الدول الاوربية لاسيما روسيا للتدخل في شؤون الدولة العثمانية الامر الذي زاد من تعقيد الامور مابين الارمن والدولة العثمانية خاصة خلال مرحلة حكم السلطان عبد الحميد الثاني(1876-1909 ) الذي لقب بالسلطان الاحمر بسبب ما تعرض له الارمن من مذابح خلال مرحلة حكمة .واستمرار هذه المذابح خلال فترة حكم الاتحاديين للبلاد لاسيما اثناء اندلاع الحرب العالمية الاولى وما بعدها .في هذا البحث سوف نتطرق الى موقف الولايات المتحدة الامريكية من القضية الارمنية حتى عام 1939 ،وفيها سوف نتطرق الى بداية العلاقات مابين الدولة العثمانية وحكومة الولايات المتحدة الامريكية التي كان للمصالح التجارية الامريكية السبب الرئيسي للوصول الامريكي الى اراضي الدولة العثمانية ،وجاءت المعرفة الامريكية بالارمن من خلال عمل البعثات التبشيرية الامريكية في اراضي الدولة العثمانية ، وكذلك فتح العديد من القنصليات الامريكية في الولايات العثمانية والتي اقتصرت مهمتها على تقديم الحماية للمواطنين الامريكيين ومنهم الارمن المتجنسين بالجنسية الامريكية وكذلك حماية مصالحهم التجارية مع الاخذ بالنظر عدم التدخل في السياسة الداخلية للدولة العثمانية .
Detection of Ionized Calcium in the Atmosphere of the Ultra-hot Jupiter KELT-9b
Authors: Turner Jake D. , de Mooij Ernst J. W. , Jayawardhana Ray , Young Mitchell E. , Fossati Luca , Koskinen Tommi , Lothringer Joshua D. , Karjalainen Raine , Karjalainen Marie 
Published: January 2020

Abstract
With a dayside temperature in excess of 4500 K, comparable to a mid-K-type star, KELT-9b is the hottest planet known. Its extreme temperature makes KELT-9b a particularly interesting test bed for investigating the nature and diversity of gas giant planets. We observed the transit of KELT-9b at high spectral resolution (R ∼ 94,600) with the CARMENES instrument on the Calar Alto 3.5 m telescope. Using these data, we detect for the first time ionized calcium (Ca ii triplet) absorption in the atmosphere of KELT-9b; this is the second time that Ca ii has been observed in a hot Jupiter. Our observations also reveal prominent Hα absorption, confirming the presence of an extended hydrogen envelope around KELT-9b. We compare our detections with an atmospheric model and find that all four lines form between atmospheric temperatures of 6100 and 8000 K and that the Ca ii lines form at pressures between 50 and 100 nbar while the Hα line forms at a lower pressure (∼10 nbar), higher up in the atmosphere. The altitude that the core of Hα line forms is found to be ∼1.4 R

p
, well within the planetary Roche lobe (∼1.9 R

p
). Therefore, rather than probing the escaping upper atmosphere directly, the Hα line and the other observed Balmer and metal lines serve as atmospheric thermometers enabling us to probe the planet’s temperature profile, thus the energy budget.
La souveraineté à l’ère du numérique
Authors: Portnoff André-Yves 
Published: January 2020

L’économie mondiale est aujourd’hui largement tirée par les entreprises du numérique, dont les plus grandes (Apple, Facebook, Amazon, Baidu, Tencent…) sont américaines ou chinoises. Ces entreprises ont pour beaucoup commencé « petit » et ont pu grossir jusqu’à devenir des leaders, très souvent grâce au soutien de l’État dont elles dépendaient. Car même si l’économie est très mondialisée, la souveraineté économique conserve un rôle majeur et le secteur du numérique n’y échappe pas. Pourtant, l’Europe et en particulier la France semblent peiner à prendre la mesure du rôle de la puissance publique dans le soutien aux jeunes entreprises du secteur — les start-ups, les licornes… Ce manque de soutien constitue une erreur stratégique majeure selon André-Yves Portnoff, qui rappelle ici l’importance des petites et moyennes entreprises innovantes dans l’économie d’un pays, et plaide pour un soutien actif des pouvoirs publics pour les aider à croître et changer d’échelle. Récemment, des signes encourageants semblent aller en ce sens ; il faut les confirmer, voire aller plus loin encore comme l’encourage ici André-Yves Portnoff. S.D.
Projet Amazonie 4.0
Authors: Nobre Ismael , Nobre Carlos 
Published: January 2020

Les violents incendies qui ont dévasté de larges zones de la forêt amazonienne cet été 2019 ont rappel é à l’opinion publique la vulnérabilité de cette région à la fois aux aléas climatiques (sécheresse et risques d’incendie subséquents) et aux intentions parfois peu louables de certains acteurs économiques brésiliens (dont les activités et intérêts à court terme nécessitent la poursuite de la déforestation). Au-delà des réactions internationales qu’ils ont suscitées, Futuribles propose ici de relayer l’initiative d’acteurs brésiliens proposant une « troisième voie » pour l’Amazonie, alliant les atouts de la biodiversité de la région aux évolutions technologiques de l’« industrie 4.0 ». Ismael Nobre et Carlos Nobre, qui défendent ce projet « Amazonie 4.0 » présentent le potentiel qu’offre la région amazonienne au Brésil, et diverses voies de développement et mise en valeur possibles pour l’économie brésilienne à partir de ces atouts. Leur projet repose sur une alliance des richesses naturelles du milieu amazonien, des connaissances traditionnelles et des technologies de pointe (biotechnologies, numérique, intelligence artificielle…). Sera-t-il entendu par le gouvernement en place ? S.D.
The Safety and Efficacy of High Energy Extracorporeal Shock Wave Therapy in Active, Moderately Active, and Sedentary Patients with Chronic Plantar Fasciitis
Authors: Furia John P 
Published: January 2020

abstract
Extracorporeal shock wave therapy was investigated in patients with chronic plantar fasciitis. Fifty-three patients (60 heels) were treated with a single session of shock wave therapy. Sixteen patients (19 heels) were active, 21 (22 heels) were moderately active, and 16 (19 heels) were sedentary. Twelve weeks post-treatment, mean visual analog scores improved from 9.2 to 2.4 (P<.05), RAND-Physical Functioning score improved from 40.4 to 91.5 (P<.05), and RAND-Pain score improved from 33.3 to 90 (P<,05). Fifty heels (83.3%) were assigned an excellent or good result. Extracorporeal shock wave therapy is an effective treatment for chronic plantar fasciitis.
Socialization into Nursing: Nursing Students as Learners
Authors: Reutter Linda , Field Peggy Anne , Campbell Iris E , Day Rene 
Published: January 2020

ABSTRACT
In this article, we describe how the functionalist and interactionist approaches to socialization are exemplified in the learning experiences of nursing students in a 4year baccalaureate program. A qualitative longitudinal exploratory research design was used to study the socialization of baccalaureate nursing students in a large western Canadian university. The findings suggest that student learning reflects a combination of functionalist and interactionist approaches, with the relative emphasis of each approach varying over the 4 years. In the first year, functionalist learning predominates as students learn the "ideal." In second and third year, students are confronting and adapting to reality, which requires a more interactionist approach. Fourth year students look beyond their practice situation as they anticipate and prepare for a reality beyond the student world. This article concludes with implications for nursing education.
Dynamics of Dispersed-Nesting Black Brant on the Yukon-Kuskokwim Delta
Authors: Sedinger James S. , Riecke Thomas V. , Street Phillip A. , Fischer Julian B. 
Published: January 2020

Abstract
The number of black brant Branta bernicla nigricans nests within major breeding colonies on the Yukon-Kuskowkim Delta has declined since 1992. It has been hypothesized that these declines are partially explained by increased numbers of black brant breeding outside of these colonies. To assess this hypothesis, we analyzed spatiotemporal patterns in numbers of black brant nests occurring outside major colonies. Nesting densities of black brant vary among three strata: 1) peripheral to major colonies, 2) other coastal habitats, and 3) inland habitats. We sampled some substrata within each stratum type only between 1986 and 1999 (historical strata), whereas we sampled others over the period 1986–2016 (long-term strata). We fit regression models with number of nests on a plot as a response variable, a log link, and year as the explanatory variable. We allowed each stratum (e.g., historical peripheral) to have its own intercept to account for variation in mean nest density but constrained linear and quadratic regression coefficients to be the same for strata in similar habitats (e.g., historical and long-term peripheral). We used a negative binomial distribution for nests to allow for substantial variation in nests per plot. We fit models using Markov Chain Monte Carlo methods in JAGS. Ninety-five percent credible intervals for both linear and quadratic coefficients for the peripheral and coastal strata, where most nests occurred, broadly overlapped zero, indicating modest trends in numbers of nests in these strata. We estimated there were 6,584 (95% credible interval: 4,221−11,269) dispersed nests in 1986, increasing to 11,051 (95% credible interval: 7,450−17,460) in 2016. Our results indicated that increases in dispersed nests were unable to replace declines in colony nests. Furthermore, quadratic trends indicated that potential earlier annual increases in dispersed nests have declined to zero. We conclude that total numbers of black brant nests on the Yukon-Kuskokwim Delta are likely declining, consistent with the trend in fall age ratios over the same period. Uncertainty about trends in areas not sampled since 1994 adds to the uncertainty about the precise magnitude of the decline. We recommend that the area sampled by the random plot program be expanded to include strata sampled only before 1995.
Chest radiography in adult critical care unit: A pictorial review
Authors: Jain Sanjay N , Modi Tanvi , Aswani Yashant , Varma Ravi U 
Published: January 2020

AbstractPatients in the intensive care units suffer from a myriad of cardiopulmonary processes for which portable chest radiography is the most utilized imaging modality. A pragmatic approach toward evaluating the nearly similar radiographic findings seen in most of the pathologies with comparative review and strong clinical acumen can help the radiologists and clinicians achieve a rapid and precise diagnosis.