bluuebunny/crossref_metadata_2025_split huggingface dataset:
MOTIVASI MELAKUKAN SELF MONITORING BLOOD GLUCOSE DENGAN DIABETES SELF MANAGEMENT PADA PASIEN DIABETES MELITUS TIPE 2
Authors: Masi Gresty Natalia Maria , Yulia Ns. , Masfuri Ns. 
Published: October 2021

Abstrak Kontrol glukosa darah dapat dipertahankan melalui perawatan mandiri. Motivasi melakukan self monitoring blood glucose (SMBG) yang baik dapat meningkatkan diabetes self management pada pasien diabetes melitus tipe 2. Tujuan penelitian ini adalah untuk mengetahui hubungan motivasi melakukan SMBG dengan diabetes self management pada pasien diabetes melitus tipe 2. Penelitian ini menggunakan metode kuantitatif observasional analitik dengan pendekatan crossectional, melibatkan 96 pasien. Alat ukur yang digunakan berupa kuesioner karakteristik responden, Treatment Self Regulation Questionare, Diabetes Self Management Questionare, Diabetes Knowledge Scale. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara motivasi melakukan SMBG dengan diabetes self management (p = 0,001). Hasil analisis regresi logistik menunjukkan motivasi melakukan SMBG berhubungan dengan didabetes self management setelah dikontrol variabel pengetahuan. Kesimpulan diperlukan perhatian khusus dari perawat untuk meningkatkan motivasi melakukan SMBG pada pasien diabetes melitus tipe 2 dalam self care management. Kata kunci : Motivasi, SMBG, diabetes self management Abstract Glycemic control could be maintained through diabetes self-management. Motivation to perform self-monitoring blood glucose (SMBG) could improve diabetes self-management in type 2 diabetes mellitus patients. The purpose of this study was to explore the relationship between motivation to perform SMBG and diabetes self-management in patients with type 2 diabetes mellitus. This study applied quantitative method with a cross sectional approach, involving 96 patients. The Instruments used were questionnaires for respondent characteristics, Treatment Self-Regulation Questionnaire, Diabetes Self Management Questionnaire and Diabetes Knowledge Scale. The results show that there was a significant relationship between motivation to perform SMBG and diabetes self-management (p = 0,001). Results of logistic regression analysis showed that motivation to perform SMBG is associated with diabetes self-management after controlled by knowledge variable. In conclusion it is a necessarily for nurses to provide attention to increase motivation to perform SMBG in patients with type 2 diabetes mellitus as part of self care management. Keywords: Motivation, SMBG, diabetes self management
HUBUNGAN JUMLAH INSERSI DENGAN KEJADIAN PHLEBITIS PADA PASIEN ANAK DI RUMAH SAKIT UMUM DAERAH KOTA KENDARI
Authors: L Dina Mariana , Asrul Muhammad 
Published: October 2021

Abstrac: One indicator of the quality of health services and a serious problem for all hospitals is nosocomial infection. Nosocomial infection is the presence of an infection that is acquired or experienced by the patient during his hospitalization and shows symptoms of a new infection after 72 hours the patient is in the hospital. One of the nosocomial infections that often appears in the hospital is phlebitis. This study aims to determine the relationship of the total of insertions with phlebitis events in pediatric patients at General Regional Hospital in Kendari 2018.This research is a descriptive analytic study with a cross sectional study approach. The population in this study were pediatric patients in the Mawar treatment room, amounting to 175 people at General Regional Hospital in Kendari. The sample consisted of 35 respondents, the sampling technique was purposive sampling. The statistical test used was the Fisher Exact Test and Mann Whitney test. The results showed that there was a correlation between the number of insertions and phlebitis events in pediatric patients in Kendari City Hospital which was indicated by the value of ρ value = 0,000. It was concluded that there was a relationship between the amount of insertion with phlebitis events in pediatric patients at General Regional Hospital in Kendari. It is recommended that this study be continued by using more samples and using research methods with the type of case control.Keywords : total insertion, phlebitis incidence Abstrak: Salah satu indikator mutu pelayanan kesehatan dan merupakan masalah serius bagi semua rumah sakit adalah infeksi nosokomial. Infeksi nosokomial adalah adanya infeksi yang diperoleh atau dialami oleh pasien selama dia dirawat di rumah sakit dan menunjukkan gejala infeksi baru setelah 72 jam pasien berada di rumah sakit. Salah satu infeksi nosokomial yang sering muncul di rumah sakit adalah phlebitis. Penelitian ini bertujuan untuk mengetahui hubungan jumlah insersi dengan kejadian phlebitis pada pasien anak di RSUD Kota Kendari.Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah pasien anak di ruang perawatan Mawar yang berjumlah 175 orang di RSUD Kota Kendari. Sampel berjumlah 35 responden, teknik penarikan sampel yaitu purposive sampling. Uji statistik yang digunakan adalah uji Fisher Exact Test dan uji Mann Whitney. Hasil penelitian menunjukkan ada hubungan antara jumlah insersi dengan kejadian phlebitis pada pasien anak di RSUD Kota Kendari yang ditunjukkan dengan nilai ρ value = 0,000. Disimpulkan bahwa terdapat hubungan antara jumlah insersi dengan kejadian phlebitis pada pasien anak di RSUD Kota Kendari. Disarankan penelitian ini dilanjutkan dengan menggunakan sampel yang lebih banyak dan menggunakan metode penelitian dengan jenis case control.Kata Kunci : jumlah insersi, kejadian phlebitis
Escapism in Sam Shepard’s The Buried Child
Authors: Sumarsono Irwan , Nurisma Radina Anggun , Agusalim Imam Dui , Kusumawati Eny , Amalo Elizabeth Anggraeni 
Published: October 2021

This study is a qualitative research that was conducted to analyze the escapism of Dodge’s in Sam Shepard’s The Buried Child. The writer uses the psychological approach to analyze the escapism of the main character, Dodge. Data were collected from some sources. The main source of the data was taken from the work entitled The Buried Child, while the supporting sources were derived from books, journals and from the internet. The collected data were analyzed using the descriptive analytic techniques. The study focused on the factors behind the reasons why Dodge withdraws himself from his real world, what makes him an escapist that makes the disintegration of his family. Dodge’s escapism takes place since he is betrayed by his wife and his own son who have an incestuous relationship that make them have a baby, and to cover this sin, the baby was buried. The betrayal of his wife and son makes him escapes from the reality into alcohol and makes him does not have any respect and love to his family
Gestión del conocimiento sustentable en la Reserva de la Biosfera Sierra Gorda
Authors: MURILLO CARLOS ALBERTO , Fuentes Rodríguez Cristhian Elizabeth 
Published: October 2021

El presente trabajo se desarrolló a partir de una visión sistémica y compleja sobre los conocimientos generados en torno al manejo y conservación de la Reserva de la Biósfera Sierra Gorda (RBSG) para, de ese modo, redimensionar la intervención pública y privada realizada hasta el momento. El objetivo fue determinar los elementos base para una gestión del conocimiento sustentable que garantice el respeto a los derechos humanos de las generaciones futuras en la RBSG.
Mediante un estudio de caso, en un primer momento, se indagó sobre los conocimientos teórico-prácticos generados por las instituciones y organizaciones locales en la RBSG en materia de desarrollo sustentable mediante una búsqueda en bases de datos especializadas, la cual permitió recuperar las investigaciones realizadas hasta el momento en materia de sustentabilidad y gestión del conocimiento en la RBSG. Posteriormente, para contactar a actores clave y conocer las prácticas sustentables y conocimientos generados por éstos se asistió a un foro regional que congregó a actores locales de la reserva, del sector público y privado. Por último, se analizó la normativa jurídica y se describió la sustentabilidad como principio jurídico.
Los resultados muestran que los actores sociales contactados poseen conocimientos teóricos y empíricos en materia de sustentabilidad, no existen evidencias sobre gestión del conocimiento científico y empírico en la RBSG. Se sugiere a las organizaciones públicas y privadas promover la socialización y sistematización del conocimiento generado; funcionar de manera retrospectiva y prospectiva al atender problemas sociales, tomando en consideración la garantía de cuidado y prevención de los derechos humanos de generaciones futuras.
PEMERTAHANAN BAHASA IBU DI KAMPUNG MELAYU TANJUNG COLEM PULAU GALANG BATAM
Authors: Ambalegin Ambalegin , Arianto Tomi , Handayani Nurma Dhona 
Published: October 2021

Indonesia is the second largest country with 652 local languages. Unfortunately, there are 11 local languages in Papua and Maluku that have become extinct based on the information of UNESCO. Thus, local language that is an identity and local wisdom must be preserved from the extinction. The locals in Pulau Galang Batam use Malay Galang as their everyday language. Having observed and conducted interviews to the elders in Kampung Melayu Tanjung Colem Pulau Galang Batam, it was identified that the speakers began to leave Malay Galang. The youngsters in Kampung Melayu Tanjung Colem Pulau Galang Batam used Indonesian with their peers and parents. Many of the local youngsters who left and returned Kampung Melayu Tanjung Colem Pulau Galang Batam did not use Malay Galang but Bahasa Indonesia. And the influence of language that appears on TV and Inter-ethnic marriages were the other factors of weak language-maintenance. Thus this activity aimed to educate the locals the importance of maintaining Malay Galang as an identity, heritage, and local wisdom and the importance of teaching Malay Galang to the youngsters so that Malay Galang does not become extinct. The method used was local community education program with the technique of lecturing and discussing. The result of this activity was the improvement of awareness and responsibility of the locals to maintain Malay Galang.
Indonesia is the second largest country with 652 local languages. Unfortunately, there are 11 local languages in Papua and Maluku that have become extinct based on the information of UNESCO. Thus, local language that is an identity and local wisdom must be preserved from the extinction. The locals in Pulau Galang Batam use Malay Galang as their everyday language. Having observed and conducted interviews to the elders in Kampung Melayu Tanjung Colem Pulau Galang Batam, it was identified that the speakers began to leave Malay Galang. The youngsters in Kampung Melayu Tanjung Colem Pulau Galang Batam used Indonesian with their peers and parents. Many of the local youngsters who left and returned Kampung Melayu Tanjung Colem Pulau Galang Batam did not use Malay Galang but Bahasa Indonesia. And the influence of language that appears on TV and Inter-ethnic marriages were the other factors of weak language-maintenance. Thus this activity aimed to educate the locals the importance of maintaining Malay Galang as an identity, heritage, and local wisdom and the importance of teaching Malay Galang to the youngsters so that Malay Galang does not become extinct. The method used was local community education program with the technique of lecturing and discussing. The result of this activity was the improvement of awareness and responsibility of the locals to maintain Malay Galang.
PROFESSIONAL ATTITUDES: A NEGLECTED ASPECT IN MEDICAL EDUCATION
Authors: Shah Murad Ali 
Published: October 2021

The medical profession is under increased scrutiny with regards to the undesirable attitudes and behaviors of some of its members. There is a growing level of mistrust amongst the public for the medical profession as one hears cases of negligence, misconduct and unethical practices leading to legal suits and even violence. As a result, there is an increasing public demand for the transparency, accountability and quality assurance among the health professionals1.
Health care in Pakistan is undisputedly identified as one of the country’s most corrupt sectors, according to surveys conducted by Transparency International2. While the commercialization of medical profession is cited as a common reason for dilution of quality, doubts have been raised regarding the quality of training2. Are the graduate doctors well trained to perform their clinical responsibilities?
With the alarming rise of medical negligence and cases of unprofessionalism, there is a dire need for educational leaders to come forward with creative strategies to overcome the crises in medical education and initiate reforms at the earliest3.
The health sector in Pakistan requires a change right from induction of the medical students till practice at community level. The following listed are proposed suggestions for the improvement in professionalism and ethics among doctors of Pakistan’s health care system.

We should move away from the narrow focus on excellence in examination results towards a more liberal and exhaustive selection process focusing on ‘desirable attributes’ for medicine in addition to examination results.
Professionalism, ethics, communication skills, teamwork and managerial skills should be part of the core curriculum.
There should be proper and effective system of accountability and transparency in the medical field ensuring ethical practices.
There should be more community-based training both at the undergraduate and postgraduate level, strengthening the bond between the doctors and community.
The regulating bodies should play their role effectively safeguarding the integrity of both the doctors and patients.
Post-Operative Neurological Outcome of Intradural Spinal Tumors in Terms of Improvement In Mccormick’s Classification Scheme
Authors: Hassan Naseer , Ali Mehran , Ahmad Mansoor , Rehman , Hanif Ur , Tahir Hamayun , Hassan Raza , Kabir Samir Khan 
Published: October 2021

OBJECTIVES: To determine the post-operative neurological outcome of intradural spinal tumors in terms of improvement in McCormick classification scheme.METHODOLOGY: Total of 95 patients diagnosed as case of intradural spinal tumor as per operational definition with any McCormick grade were analyzed. After admission and complete neurological examination, pre-operative McCormik’s grades of each patient were determined and followed for one month after surgery. During their stay they were assessed for neurological improvement as per McCormick grade.RESULTS:There were total 95 patients presenting in OPD with the mean age of 45±12.36 years. There were 42% male and 58% female. There were 62% patients who were improved in neurological outcome while 38% patients were not improved. CONCLUSION:Surgical removal of spinal tumor is beneficial to the affected individual and has positive effect on his life.
The Physics of the Coronal-line Region for Galaxies in Mapping Galaxies at Apache Point Observatory
Authors: Negus James , Comerford Julia M. , Müller Sánchez Francisco , Barrera-Ballesteros Jorge K. , Drory Niv , Rembold Sandro B. , Riffel Rogemar A. 
Published: October 2021

Abstract
The fundamental nature and extent of the coronal-line region (CLR), which may serve as a vital tracer for active galactic nucleus (AGN) activity, remain unresolved. Previous studies suggest that the CLR is produced by AGN-driven outflows and occupies a distinct region between the broad-line region and the narrow-line region, which places it tens to hundreds of parsecs from the galactic center. Here, we investigate 10 coronal line (CL; ionization potential ≳100 eV) emitting galaxies from the Sloan Digital Sky Survey IV Mapping Galaxies at Apache Point Observatory (MaNGA) catalog with emission from one or more CLs detected at ≥5σ above the continuum in at least 10 spaxels—the largest such MaNGA catalog. We find that the CLR is far more extended, reaching out to 1.3–23 kpc from the galactic center. We crossmatch our sample of 10 CL galaxies with the largest existing MaNGA AGN catalog and identify seven in it; two of the remaining three are galaxy mergers and the final one is an AGN candidate. Further, we measure the average CLR electron temperatures as ranging between 12,331 and 22,530 K, slightly above the typical threshold for pure AGN photoionization (∼20,000 K) and indicative of shocks (e.g., merger induced or from supernova remnants) in the CLR. We reason that ionizing photons emitted by the central continuum source (i.e., AGN photoionization) primarily generate the CLs, and that energetic shocks are an additional ionization mechanism that likely produce the most extended CLRs we measure.
A Parametric Model to Reproduce the Background of the Insight-HXMT/HE Blind Detector
Authors: You Yuan , Liao Jin-Yuan , Zhang Shuang-Nan , Zhang Shu , Lu Xue-Feng , Zhang Juan , Li Gang , Chang Zhi , Chen Yu-Peng , Ge Ming-Yu , Guo Cheng-Cheng , Huang Rui , Huang Yue , Jin Jing , Li Xiao-Bo , Li Xu-Fang , Li Zheng-Wei , Liu Cong-Zhan , Lu Fang-Jun , Nie Jian-Yin , Song Li-Ming , Wang Si-Fan , Zhang Yi-Fei , Zhao Hai-Sheng 
Published: October 2021

Abstract
The estimation of instrumental background is the basis of essentially all data analysis on observations with Insight-HXMT. The current Insight-HXMT/HE background model made by Liao et al. depends on the data from the HE blind detector, i.e., using historical data to make a preliminary estimation of the background spectra and using the real-time data from the blind detector to make a further modification. In order to decouple the dependence of background method on the blind detector, a parametric physical model has been developed to rebuild the light curve and spectrum of the HE blind detector. In this parametric model, several physical processes between the space environment and the satellite are considered to rebuild the prompt and delayed background signals of the HE blind detector. With the genetic algorithm and Markov Chain Monte Carlo procedure, the model parameters are determined by fitting the data from the HE blind detector. For all 62 energy bands in the range 28–334 keV for an exposure of 10 ks, the average systematic error of the background energy spectrum is ∼2.2% and the average total error of spectrum estimation ∼3.4%. It is found that more accurate background can be attained using this model than using the data from the Insight-HXMT/HE blind detector for exposures of less than 2 ks. These results show that the background of the Insight-HXMT/HE blind detector can be reproduced reliably with this parametric model and this method can also be applied to the background estimation of other detectors in principle.
Séparations, nouvelles unions : quelles influences sur la fécondité ?
Authors: Beaujouan Éva 
Published: October 2021

Union, séparation, nouvelle union : les comportements conjugaux en France ont évolué, et avec eux la fécondité. Si les naissances surviennent presque toutes dans le cadre d’un couple, marié ou non, elles sont de plus en plus fréquentes au sein des deuxièmes unions : c’était le cas pour 1,4 % des hommes et 0,7 % des femmes né(e) s avant 1950, contre 14 % et 9 % de ceux et celles de la génération 1960-1969. La seconde union provoque, pour chacun, une probabilité 2,5 fois plus élevée d’une nouvelle naissance à 35 ans. Mais à âge égal au moment de la remise en couple, les hommes sont plus souvent pères car s’unissent en majorité à des femmes plus jeunes. Enfin, les individus sans enfant ainsi que ceux avec 4 ou 5 enfants sont plus fréquents parmi ceux ayant connu plusieurs unions.
Les accidents et agressions corporelles chez les personnes âgées : moins fréquents que chez les jeunes, mais plus graves
Authors: Thierry Xavier 
Published: October 2021

Chaque année, environ 6 % des personnes de 65 ans ou plus se blessent lors d’un accident de la vie courante, contre 15 % des enfants. Les accidents de la vie courante résultent trois fois sur quatre de chutes survenant à domicile ou dans ses abords immédiats chez les personnes âgées, et dans 15 % des cas, de chutes sur la voie publique. En comparaison, chez les personnes plus jeunes, ils surviennent souvent lorsqu’elles font du sport ou lors d’un déplacement professionnel. Moins fréquents que chez les jeunes, ces accidents sont néanmoins plus graves chez les personnes âgées. Les risques d’être agressé physiquement ou d’auto-agression sont nettement moindres que ceux d’un accident de la vie courante chez les personnes âgées : seulement 1 % d’entre elles déclarent avoir subi une agression au cours des deux dernières années, et moins d’une pour mille est hospitalisée chaque année pour une tentative de suicide.
Learning Local Anesthetic Techniques in Dental College of Purvanchal Region, India
Authors: Kumar Keshav , Kumar P. G. 
Published: October 2021

Introduction:
Dentistry deals with teeth and related oral structures. Most of the procedure require anesthesia to make it painless.

Objective:
The objective of this study was (1) Recording the most frequently used local anesthetic techniques in our dental colleges and (2) satisfaction rate of dental students toward their curriculum of learning local anesthesia. Finally, we also wanted to formulate a research hypothesis, i.e., will artificial models be able to restitute conventional ways of learning local anesthesia in dental colleges.

Materials and Methods:
Prevalidated questions from published articles were picked and using Google Forms, an online survey platform was prepared, students who were the part of the study were asked to mark their response. Out of 90 students, 74 replied to the questionnaire. Response rate was 82.22%. This study was conducted between April and June 2019.

Results:
The survey results show that inferior alveolar nerve block and greater palatine were used very frequently (75.7% and 58.1%), respectively. Whereas, papillary (interdental) injection (PI) rarely (43.2%) or never (24.3%) and mental/incisive nerve block rarely (31.1%) or never (10.8%). Fifty-eight percent reported to learn local anesthesia on patient. Two-third (67.6%) of students was satisfied with their routine way of learning local anesthesia.

Conclusion:
Our study infers that, inferior alveolar nerve block is very frequently used nerve block. PI is rarely or never used block. Maxillary infiltration is marked as easy technique and can be performed without getting additional training. Two-third of students are satisfied with the present dental curriculum while one third wants a change.
Comparative Study of Conventional and Water Circulating-Heat Sink Cooling Base Thermoelectric Generator System for Optimum Solar Thermal Waste Heat Recovery
Authors: Yusuf A. , Ali M.H. 
Published: October 2021

A novel technique for waste heat recovery in solar thermal power generation is investigated through experimentation and systematically presented. Power generation using Thermoelectric Generator (TEG) is a promising technique in waste heat recovery application. In this topology, TEG array is directly attached to the back of the solar Photovoltaic panel (model AP-AM15) to receive the transmitted heat at the back of the PV panel as waste heat. More so, a circulating water-heat sink is attached to the TEG cold side to improve the temperature gradient. Base on Seebeck effect, the TEG directly converts the temperature difference into electricity. The experimental result shows that efficiency between the range of 2.1% and 4.7% for the conventional cooling system while the output power approximately ranges between 0.05W and 0.47W, the circulating water-heat sink technique has efficiency ranging between 2.9% and 10.3% with output power between the range of 0.10W and 2.2W. The daily average increase in efficiency was found to be 263.76%. This shows that the daily average power is improved by a factor of 2.6376 with the water circulating water-heat sink technique. This is an indication of waste heat recovery from the solar thermal power generation.