bluuebunny/crossref_metadata_2025_split huggingface dataset:
Kepemimpinan Pastoral Nabi Habakuk Sebagai Role Model Kepemimpinan Para Pendeta Di Era Milenial
Authors: Bollu Paulus 
Published: April 2021

AbstractVarious life trials phenomenons that occurs with the progressionof era has greatly affected the ministry of pastors as Christian leaders in this millennial era.Â In regards to this issue, it is necessary to conduct a research on the pastors as Christian leaders of the millennial era by having the pastoral leadership of the prophet Habakkuk as a role model in addressing and comprehending Godâ€™s plan behind all lifeâ€™s trials that are faced. The result of the field research with qualitative method on the leadership of the pastors in this millennial era based on the leadership of the prophet Habakkuk as a role model will be used by pastors as they lead Christians of the millennial era to create a change in this everchanging world; a change that can be implementedÂ inÂ the ministry world and leadershipÂ in where they are present and where they serve. AbstrakBerbagai fenomena permasalahan kehidupan yang terjadi menyertai perkembangan zaman sangat mempengaruhi kehidupan pelayanan para pendeta sebagai pemimpin Kristen di era milenial ini.Â Menyikapi permasalahan yang terjadi, maka perlu adanya penelitian kepada para pendeta sebagai pemimpin Kristen di era milenial ini dengan menjadikan kepemimpinan pastoral nabi Habakuk sebagai role model dalam menyikapi dan memahami rencana Allah di balik semua permasalahan hidup yang dihadapinya. Hasil temuan penelitian dengan metode kualitatif terhadap kepemimpinan para pendeta di era milenial berdasarkan role model kepemimpinan nabi Habakuk dalam zaman perjanjian Lama, agar dapat digunakan oleh para pendeta sebagai pemimpin Kristen di era milenial ini, untuk menciptakan satu perubahan di tengah dunia yang terus berubah yang dapat ditampilkan dalam dunia pelayanan dan kepemimpinannya di mana ia hadir dan melayani.
La représentation psychique à l’épreuve de la maladie létale. Approche clinique en soins palliatifs
Authors: Louchard Chardon Christine 
Published: April 2021

Nous ne cessons de nous représenter qui nous sommes et ce qui nous entoure. C’est le propre de notre fonctionnement psychique. Mais qu’en est-il pour le sujet atteint de maladie létale et hospitalisé ? Qu’est-ce qui s’impose en ces circonstances à son psychisme et à sa capacité de représentation ? À partir d’une pratique clinique en service de médecine, et plus précisément à partir de l’accompagnement d’une patiente âgée identifiée en soins palliatifs, l’auteur met en évidence ce que la situation mobilise du côté du patient comme des soignants notamment du côté des figures du maternel. Il avance l’idée que plus que la mort, qui peut au final trouver à se représenter, ce sont les craintes d’effondrement, d’un retour à des états de terreur et d’effroi qui sont au cœur des stratégies conscientes et inconscientes mises en œuvre par chacun. Ces états ont à voir avec l’indicible et l’irreprésentable.
Éléments d’un cadre d’analyse de l’activité : quelques conceptions essentielles de la psychologie soviétique (1979)
Authors: Savoyant Alain 
Published: April 2021

Ce texte présente un cadre d’analyse de l’activité issu de l’un des principaux courants de la psychologie soviétique qui vise aussi bien l’analyse des processus que l’élaboration d’une théorie du développement. A partir des travaux de Léontiev, il définit d’abord les éléments de la structure générale de l’activité, organisée autour de 3 concepts-clés : activité, action et opérations. Il se centre ensuite plus particulièrement sur les caractéristiques de l’action ainsi que sur ses conditions d’élaboration et d’assimilatIon telles qu’elles sont définies par Galpérine dans sa théorie sur la formation par étapes des actions.
New Directions for Nurse Managers
Authors: Evers Jan M , Porter-O'Grady Timothy , George Edrie J , Lewis Kay 
Published: April 2021

ABSTRACT
A survey of nursing service administrators in the Mississippi area showed little preparation for the leadership role. A 1-year course in nursing management, consisting of 13 workshop days, was designed to meet the needs of those individuals without formal training who lacked a significant base in management theory and process. An opportunity was provided to identify management goals, clarify values, and enhance skills. Interim assignments were structured to address managerial practice issues faced within the individual's work settings. Built into the course was an extensive plan for evaluation. Twenty-five nurse managers completed the series. Impact evaluations at the end of 1 year revealed significant changes made by the individual and employing agency. Seven of 21 nurses at follow-up (33.3%) were certified in nursing service administration by the American Nurses' Association.
Reasons Why Emergency Nurses Take or Do Not Take the Certification Examination in Emergency Nursing
Authors: Carlson Kathleen E 
Published: April 2021

ABSTRACT
The purpose of this descriptive, exploratory study was to identify reasons that motivate the emergency nurse to take the Certification Exam for Emergency Nursing (CEN exam); reasons certified emergency nurses (CEN) give concerning their decisions to recertify; and a comparison of demographic characteristics in relation to these reasons.
A random sample of 500 registered nurses who are currently members of the Emergency Nurses Association (ENA) and who are working in the emergency department was obtained from the ENA. These nurses received a questionnaire packet containing a cover letter explaining the purpose of the study, a combined Educational Participation Scale (EPS) and Deterrents to Participation Scale (DPS), a personal data questionnaire, and a return envelope.
Marketing a Continuing Education Course for Healthcare Managers
Authors: Welnetz Katie 
Published: April 2021

ABSTRACT
The purpose of this article was to elicit from the relevant literature the important considerations to make when planning to market continuing education (CE) within hospitals. References on marketing from both institutions of higher education and hospitals were reviewed. Based on this review, a strategic marketing plan was developed and initially implemented in the hospital.
A 1-day course for healthcare managers, entitled "Successful Writing of Proposals and Reports," was offered twice and tested, using the steps outlined in the strategic marketing plan. The plan proved to be most beneficial in systematically guiding our first attempts at marketing CE to hospitals and other healthcare facilities. From this plan, efforts are currently being made to further develop curricula and determine other programs that might be marketable to these same target groups. In addition, closer links with nearby educational institutions or affiliated hospitals are being pursued to support and maintain our ongoing marketing endeavors.
A Process for Determining Content for a Nurse Internship Program
Authors: Fritsch-deBruyn Rosemary R 
Published: April 2021

ABSTRACT
The purpose of this study was to determine the essential content of a surgical nurse internship program. Five groups of senior nursing students, nursing faculty, and nursing service staff ranked and weighted 68 topics separated into five categories: professional, personal, patient/family, broad clinical, and surgical nursing. Kendall's Coefficient of Concordance was used to determine the agreement within each of the nurse groups, between each two nurse groups, and among all nurses. All nurses showed a significantly high agreement in ranking topics of all five categories. The associate degree faculty was the only nurse group to have a significant agreement within the group. Of the five nurse groups, the nursing service staff had the most significant rankings with other nurse groups.
Because the topics ranked are broad in context, the study is applicable to nurse internship programs of other areas and to continuing education (CE) and staff development (SD) programs for newly graduated nurses.
How to Provide Around-the-Clock CPR Certification Without Losing Any Sleep
Authors: Umlauf Mary Grace 
Published: April 2021

ABSTRACT
Teaching and reviewing cardiopulmonary resuscitation (CPR) to employees is an important part of the role and responsibilities of hospital nurse educators. The new teaching technologies of computer-assisted instruction and interactive video have been merged into a teaching/learning system that was tested by a rural federal hospital. Over a 2-month period, more than one third of the hospitals staff members were certified in CPR by the standards of the American Heart Association with the learning system. Ease of operation, employee enthusiasm, and easy access to the equipment were identified as important factors that contributed to the successful implementation of this innovative CPR training/review program. Additional evaluation of the system confirmed that the system was efficient, cost effective, and time-saving.
Community-Based Nursing Education in Pakistan
Authors: Harnar Ruth , Burns Janice , Marshall Pamela , Karmaliani Rozina 
Published: April 2021

ABSTRACT
The nursing profession is not looked on favorably by Muslim families. In one rural area there were only three nurses for 1 million people. Community health and public health care have been lacking in the nursing curriculum. Therefore, preparing recruits for the community health nursing (CHN) posts in the Community Health Sciences Department (CHSD) and for faculty of the School of Nursing has involved a sequence of continuing education: inservice and on-the-job training in the CHSD and courses in the new BScN program. Those who joined with a diploma in nursing and a year of midwifery, and who followed this sequence, could be selected as Aga Khan University (AKU) scholars, and be sponsored for support in the two-year BScN program with its community health orientation. After two more years of advanced experience, the CHN is given the opportunity to apply for master's studies abroad. All who were accepted have returned to work at the Aga Khan University and have increased their career opportunities.
Knowledge, Attitudes, Treatment Practices, and Health Behaviors of Nurses Regarding Blood Cholesterol
Authors: Ienatsch Gayleen 
Published: April 2021

ABSTRACT
Background: This study, from a sample of west Texas RNs (n = 42), replicated a survey of New York City RNs' (n = 206) knowledge, attitudes, treatment practices, and health behaviors concerning cholesterol and cardiovascular disease.
Method: A random sample of 42 RNs completed a 48-item questionnaire developed by the National Heart, Lung, and Blood Institute. Responses were analyzed by descriptive statistics. Differences between the present and previous study samples were analyzed by chi square.
Results: Nurses expressed enthusiasm for counseling clients regarding cholesterol management; yet, only approximately one eighth of respondents in either study agreed strongly they were prepared to counsel clients. Chi-square analyses showed no significant differences in most responses between the two samples.
Conclusion: These findings suggest nurses could benefit from continuing education offerings targeted to client cholesterol management.
Combining Traditional and RN Students in a Senior Capstone Experience: The Student Perspective
Authors: Rains Joanne W , Richardson Virginia , Fowler Barbara A 
Published: April 2021

ABSTRACT
Background: This study explored the students' perspective related to combining traditional and RN student populations in a senior capstone course.
Method: In the final semester in a senior baccalaureate program, nursing students (N = 340) completed an investigator-designed 5-item survey. Data were reviewed independently by three investigators for emergent themes.
Results: While the course content was applied differently by two student populations, both appreciated a seminar format that allowed increased creativity, autonomy, and flexibility.
Conclusions: Merits of an integrated course were more explicitly stated by traditional students, who viewed the RNs as a source of reality-based learning. Faculty sensitivity to the unique learning needs of each student population is recommended.
Partnership in Education: An Example of Client and Educator Collaboration
Authors: Hutchings Deanna 
Published: April 2021

ABSTRACT
This article describes one education strategy designed to assist nursing staff in the process of "learning to surrender" the service providers' need to direct client decision-making. Using the health promotion principle of "client as expert," a nurse educator and a client with advanced multiple sclerosis co-present an inservice class about the importance of personal empowerment and environmental mastery for maintaining physical and psychological well-being in the face of a chronic disorder.
This collaborative strategy provided the client a forum from which to share his personal experience and professional knowledge to influence attitudes and provide valuable information to nursing staff in a long-term care facility. Collaborating with the client to bring information to nursing staff is one means to foster a climate of client empowerment, influence staff perceptions and communicate the unique experiences of the client.
Computer Conferencing in Graduate Nursing Education: Perceptions of Students and Faculty
Authors: Andrusyszyn Mary-Anne , Iwasiw Carroll , Goldenberg Dolly 
Published: April 2021

ABSTRACT
The authors report the perceptions of students and faculty who participated in a computer conferenced (CC) graduate course in nursing. Ten graduate students and three faculty members completed a course evaluation form, which included items about learning, interaction, environment, technical support, and satisfaction with CC. Responses indicated the CC medium offered a creative and flexible alternative for learning. Course participants perceived benefits such as enriched learning, meaningful interactions, opportunities for reflection, satisfaction with the technology, and the convenience of learning from a distance. These results have implications for facilitating continuing education.
Update in the Treatment of Osteochondritis Dissecans
Authors: Guhl James F 
Published: April 2021

ABSTRACT: During the early part of this century, various treatments for osteochondritis dissecans were recommended. A conservative program consisting of immobilization and non-weightbearing was advocated by many surgeons, particularly for children under 1 5 years of age. Later, fragments were pinned or removed in children's knees, while various methods of bone grafting were suggested for the adult.
With the development of arthroscopic surgery in the 1970s, these methods were reevaluated. Various treatments were suggested, including drilling, drilling and pinning, reconstruction of craters, replacement of lesions, and methods of grafting. Although conservative management is still indicated for some patients, arthrotomy may be necessary under certain conditions.
In the early 1980s scintigraphy has become helpful in following cases treated conservatively, as well as identifying those that require surgery. Also, methods of electrical stimulation are being applied and their results are being evaluated. The concept of early motion has gained more attention. Over a period of nine years, 1975 to 1984, arthroscopic surgery has been further modified. With this in mind, an update of all methods is here recorded and presented for consideration.
Muscle Fiber Type Changes in Human Skeletal Muscle After Injuries and Immobilization
Authors: Häggmark Tom , Eriksson Ejnar , Jansson Eva 
Published: April 2021

ABSTRACT: Eight athletes operated on for knee injuries were followed with muscle biopsies before and at various intervals after surgery and immobilization. A statistically significant change of the muscle fiber distribution was found. The percentage type I fibers dropped from an average of 54% to 43%.
One competitive cross-country skier showed a dramatic drop from 81% type I fibers at surgery to 58% type I fibers six weeks later. After beginning training he returned to 85% type I fibers. One athlete who had been operated and immobilized for long periods several times showed a drastic difference in fiber type distribution between his two thighs with 20% type I fibers in the injured leg and 69% type I fibers in his uninjured leg. After three years of training his fiber type composition in the injured leg returned toward the fiber type distribution of the uninjured thigh.
It is evident that muscle fiber type composition can change. The most probable reason for this is that the drastic change from hard sports training to nearly complete immobilization influences both the muscle itself and its innervation and causes this change of fiber types.
Postoperative TENS Pain Relief After Knee Surgery: Objective Evaluation
Authors: Arvidsson Inga , Eriksson Ejnar 
Published: April 2021

ABSTRACT: A comparison was made between the pain-relieving effect of placebo-transcutaneous electrical nerve stimulation (TENS), high frequency TENS, and epidural analgesia with dilute local anesthetics in 15 patients with open knee surgery. Assessment of pain was compared with the patients' ability to contract their quadriceps muscle; the ability was measured with integrated EMG (IEMG) before and after the different treatments.
The results showed that placebo-TENS had no significant effect on either pain perception or on IEMG. High frequency TENS given for 15 min to 20 min decreased pain perception by 50% at rest and by 11% after quadriceps contraction. High frequency TENS increased muscle contraction ability by 305%, compared with the initial contraction before treatment. Epidural injection of a dilute local anesthetic decreased pain perception by 90% at rest and by 67% after contraction, and increased muscle contraction ability by 1,846%.
TENS undoubtedly has a place in the postoperative pain treatment, although its effect is not as strong as that of epidural analgesia with local anesthetics. TENS, however, is easy to administer, lacks side effects, and can be administered by the patients themselves.
Cost Effectiveness of Wrist Fluoroscopy and Arthrography in the Evaluation of Obscure Wrist Pain
Authors: Braunstein Ethan M , Vydareny Kay H , Louis Dean S , Hankin Fred M 
Published: April 2021

ABSTRACT: The cost effectiveness of wrist fluoroscopy and arthrography was evaluated in patients with obscure wrist pain. Dynamic fluoroscopy was performed in 91 cases and was positive in 54 (59%). Radiocarpal arthrography was performed in 60 of these cases in which further information was desired. Arthrography increased the diagnostic yield to 62 of 91 cases (68%). Diagnoses included ligament and cartilage tears, and dynamic intercarpal instability.
The cost per positive examination for fluoroscopy, based on total cost for fluoroscopy in 91 patients divided by number of positive cases, is $126. The cost per positive examination by arthrography alone is $377. When arthrography is done only when fluoroscopy is equivocal or negative, the cost per positive examination (fluoroscopy plus arthrography) drops to $280. Wrist arthrography is only cost effective if done after dynamic fluoroscopy fails to answer the clinical questions. When done together in this setting, the two procedures are more cost effective than arthrography alone.
Based on current costs, conservative treatment of carpal instability costs about $1,500, and surgical therapy costs about $4,000. Thus, fluoroscopy and arthrography may further reduce the cost of management of obscure wrist pain by identifying those patients who would not benefit from surgical exploration.
A Study of the Mechanisms Influencing Ligament Growth
Authors: Dahners Laurence E , Sykes K E , Muller P R 
Published: April 2021

ABSTRACT This study investigated the effects of tension and/or exogenous growth hormone on the growth (elongation) of ligaments. In the first experiment, tension was applied to the lateral collateral ligaments of immature rabbits. In the second experiment, a group of skeletally mature rabbits was given exogenous growth hormone while tension was applied to their lateral collateral ligaments. The results revealed that immature rabbit ligaments elongated 140±1 8% when tension was applied, while "control" ligaments elongated 79 ±5% (P<.01). In mature rabbits receiving exogenous growth hormone, no significant change was found in the ligament's length with or without the application of tension when compared with controls.
Tension applied to ligaments in immature rabbits can increase ligament growth, indicating that physical forces (tension) may be important in the regulation of ligament growth. The same tension applied to mature rabbit ligaments in combination with exogenous growth hormone did not cause a resumption of growth, indicating that tension and the presence of growth hormone are not the only factors necessary for ligament growth.
THE USE OF MAGNETIC RESONANCE IMAGING IN THE DIAGNOSIS OF ROTATOR CUFF TEARS
Authors: Morrison David S , Ofstein Richard 
Published: April 2021

ABSTRACT
One hundred consecutive patients with symptoms of chronic subacromial impingement syndrome were evaluated by both arthrography and magnetic resonance imaging (MRI) techniques. By comparing intermediate and ?2 weighted images, the ability to identify the normal and abnormal anatomy of the rotator cuff with the MRI was excellent. All 51 patients with arthrogram-proven rotator cuff tears had abnormal MRI scans (100% sensitivity). However, six of the 49 patients with normal arthrograms had abnormal MRI scans (88% specificity). At arthroscopy, four of these patients were found to have moderate to severe partial thickness rotator cuff tears. These findings indicate that in patients with longstanding subacromial impingement syndrome the MRI has an exceptionally high sensitivity for damage to the rotator cuff.
ALTERNATIVES IN THE SELECTION OF ALLOGRAFT BONE
Authors: Skinner Harry B 
Published: April 2021

ABSTRACT
Many orthopedic surgeons are unfamiliar with the various types of commercially available allograft bones, despite their frequent use in reconstructive and tumor surgery. This report summarizes the mechanical, osteoinduction, and safety data for sterile fresh-frozen, secondarily sterilized, and freeze-dried bone. The orthopedic surgeon can make informed choices about bone alternatives based on the risks and benefits of each type. Data have shown that fresh-frozen sterile-collection bone is the optimal substitute for autogenous bone in most applications.
TOTAL HIP ARTHROPLASTY FOR PROTRUSIO ACETABULI: A 3- TO 9-YEAR FOLLOW UP OF THE HEYWOOD TECHNIQUE
Authors: Ebert Frank R , Hussain Shabbar , Krackow Kenneth A 
Published: April 2021

ABSTRACT
Thirty-five total joint arthroplasties (34 patients) were performed in patients who had protrusio acetabuli. Twenty-nine percent of the patients had acetabular protrusio of grade I, while 71% had grade II and grade III protrusio. The mean follow up was 4 years (range: 3 to 9). Cemented acetabular components were used in 11 hips; 24 hips received an uncemented porous coated acetabular component. The patient evaluations included preoperative and postoperative Harris Hip Ratings and standard radiographs. In all cases, the medial wall defect was reconstructed with the solid autogenous femoral head as described by Heywood. The mean preoperative Harris Hip Rating was 45 (range: 30 to 60 points), and the postoperative mean was 85 (range: 70 to 100 points). Radiographically, the preoperative protrusio measured a mean of 8.8 mm (range: 6 to 18 mm), and the mean postoperative placement of the femoral head was 10 mm lateral to Kohler's line (range: 6 to 13 mm). There were no acetabular component failures and no acetabular bone graft resorptions. All autogenous grafts were incorporated to the host radiographically by 1 year post-surgery. This study corroborates previous work which suggests that medial-placed bone grafting is not resorbed and consolidates with the host bone. We find this technique extremely useful in dealing with this technical problem.