bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis of Innovation, Proactive, and Risk Taking as Presentations of Entrepreneurial Orientation towards Business Success of Second and Third Generation Family Business in Indonesia
Authors: Utami Christina Whidya , Tambunan Damelina , Padmalia Metta 
Published: April 2021

Research Objective: To analyze the effect of entrepreneurial orientation towards the business success of second and third generation family businesses in Indonesia.
Methodology/ Research Approach: This study used a cross-sectional, correlation research design. The survey was conducted to 153 medium-scale family businesses that have run for 5-50 years and categorized as middle-scale business ran by the second and/ or third generation family. Hypothesis testing was done via a multiple regression using SPSS.
Findings: there is a significant effect between entrepreneurship orientation, which is the independent variable of this study, that covers three indicators namely innovation, proactive, and risk-taking abilities. Innovative and proactive have a significant and positive effect, while risk-taking ability has a significant and negative effect on the success of family businesses in Indonesia.
Research limitation/ implication: This study investigates strategies that family businesses use, in terms of entrepreneurial orientation. The limitations of this study are: Bias in assessment perspective of fellow families and the scale of the family business only focus on second and third-generation middle-scale family business. The implication of this research is to create an entrepreneurial orientation culture in family businesses that tend to be lacking innovative, proactive, and risk-taking behaviors, considering the amount of interference and involvement of family members in the management of their family businesses.
Practical implication: It is hoped that the second and the third-generation family members show a better perspective exploration in seeing whether entrepreneurial orientation has been implemented and has an impact in creating business success. Thus, family businesses are expected to scale-up their businesses into large-scale companies, and at the same time, survive the succession phase of the next generation.
Originality/ value: This study offers an analysis of a unique entrepreneurial orientation, given the personality, family, ownership, and management system in family businesses in Indonesia are different from other countries. Besides, there are influences of technological advances that may interfere family businesses, particularly the family system, in Indonesia
Distribution and identification of the species in the genus Helicops Wagler, 1830 (Serpentes, Colubridae, Xenodontinae)
Authors: Schöneberg Yannis , Köhler Gunther 
Published: April 2021

The aquatic snakes of the genus Helicops are widely distributed throughout northern South America but understudied concerning many aspects, including morphological traits and distribution. The most recent publication that provided an identification key to all species of Helicops is more than 50 years old. The key is of limited value today since it included taxa no longer recognized and lacks 8 of the 19 species currently recognized. There never was a publication trying to summarize the distribution information of all species of Helicops. Most of the knowledge on these species is distributed over many small publications, like observation notes.
Here we present point distribution maps, an identification key and comments on identification for all species in this genus based on the results of a comprehensive literature review of over 300 scientific publications and own examinations. Our examinations comprise 190 specimens of 10 of the 19 currently recognized species and one Helicops sp. Furthermore, we report range extensions for the species H. angulatus, H. danieli, H. infrataeniatus, H. leopardinus, H. pastazae and H. polylepis.
Comment les partis politiques travaillent-ils l’action publique ?
Authors: Cos Rafaël , Douillet Anne-Cécile 
Published: April 2021

Cet article introductif propose une nouvelle perspective dans l’analyse des relations entre partis politiques et action publique. Il ne s’agit plus seulement d’envisager les propositions d’action publique comme l’enjeu de la compétition inter-partisane ou d’étudier l’effet des partis au pouvoir sur l’orientation des politiques publiques, mais d’examiner de près la façon dont les partis, en tant qu’acteurs collectifs, se saisissent de questions d’action publique. Il convient alors de descendre au niveau des pratiques, des rapports de force internes et du travail par lequel les acteurs partisans se mobilisent pour construire, traduire en dispositifs ou faire circuler des contenus relatifs à l’action publique. La perspective envisagée éclaire notamment les ressorts et les modalités de la « fonction programmatique » des partis, en révélant l’existence de divers espaces partisans de construction de « problèmes » et de « solutions » d’action publique. Elle permet aussi de saisir de façon plus réaliste l’effet des partis sur l’action publique, par l’analyse de la mobilisation de positions partisanes dans les arènes de l’action publique : l’importance des clivages qui traversent les organisations partisanes explique la fragilité, la labilité et la pluralité de ces mobilisations. En pratique, l’étude du travail partisan sur l’action publique éclaire une dimension structurante de l’activité partisane tout en donnant à voir les multiples logiques qui viennent fragiliser l’adéquation entre les programmes des partis et leurs réalisations au pouvoir. En ce sens, cette orientation permet de mettre à distance les deux représentations schématiques du lien entre politics et policies , qui appréhendent ce lien comme étant purement artéfactuel ou, au contraire, comme un enchaînement séquentiel.
Improving Nurse Preceptor Competence With Clinical Teaching on a Dedicated Education Unit
Authors: Good Becky 
Published: April 2021

Background:
Nurse preceptors have varying backgrounds of teaching experience and often cite insufficient preparation as a common reason for difficulties transitioning from the role of clinician to educator. This project evaluated an online education program for nurse preceptors of prelicensure students.

Method:
Nurse preceptors received online instruction and howto examples in the form of clinical teaching vignettes to improve the teaching component of their role. Pre- and postsurveys were used to help determine program effectiveness.

Results:
After the training, nurse preceptors indicated they felt more competent when teaching students, and likewise, students reported increased satisfaction with the quality of teaching.

Conclusion:

There are numerous roles assumed by nurse preceptors. Although many nurse preceptors are expert clinicians, they may lack expertise in the teaching role. Preceptor preparation programs that provide practical examples through the use of vignettes can contribute to the development of teaching competencies.

[
J Contin Educ Nurs
. 2021;52(5):226–231.]
Taking a Stand Against Workplace Incivility
Authors: McDermott Carrie , Bernard Noreen , Hathaway Wendy 
Published: April 2021

Background:
Workplace incivility is a common problem in nursing, and novice nurses are particularly vulnerable to incivility.

Method:
Cognitive rehearsal training to defend against incivility was presented to resident nurses.

Results:
Three months after the educational intervention, 55% of nurses reported that they had witnessed incivility in the past month and 45% reported that they had responded to the incivility when it occurred.

Conclusion:

Most of the nurses expressed that the training improved their ability to manage incivility. Responses to open-ended comments revealed that incivility adversely affects the workplace and that leaders also may benefit from education on incivility and cognitive rehearsal.

[
J Contin Educ Nurs
. 2021;52(5):232–239.]
Patient Attitudes toward Neurosurgery in Low- and Middle-Income Countries
Authors: Kanmounye Ulrick S. , Nguembu Stéphane , Djiofack Dylan , Zolo Yvan , Tétinou Franklin , Ghomsi Nathalie , Figuim Bello , Esene Ignatius 
Published: April 2021

Background:
Low- and middle-income countries (LMICs) bear the majority of the neurosurgical burden of diseases but lack the resources to meet these needs.

Objective:
As we increase access to neurosurgical care in LMICs, we must understand patient attitudes toward neurosurgery.

Methods and Material:
PubMed, LILACS, and African Journals Online databases were searched systematically from inception to January 4, 2020, for studies on neurosurgical patient perceptions in LMICs. The articles found were blindly reviewed with Rayyan by two authors. The two authors resolved conflicts between themselves, and when this was not possible, a third reviewer was consulted. All the articles included were then appraised, and the results were summarized.

Results:
Six of the 1,175 articles met the inclusion criteria. The studies were set in Brazil, Ethiopia, India, Nigeria, South Korea, and Sub-Saharan Africa. Four of the studies (50%) were phenomenological studies, and the other two were grounded theory and narrative. The studies identified patient attitudes toward neurosurgical practitioners, diseases, and interventions. Ethiopian and Nigerian patients believed cranial diseases to be otherworldly and resorted to traditional medicine or spiritual healing first, whereas Brazilian patients were more comfortable with cranial diseases and even more so if they had had a previous craniotomy. The Indian paper was a recount of a neurosurgeon's experience as a spine patient.

Conclusions:
There are few studies on neurosurgery patient perception in LMICs. LMIC neurosurgeons should be encouraged to study their patient beliefs concerning neurosurgical diseases and interventions, as this can explain health-seeking behaviors.
Is Elective Neurosurgery Justified During COVID-19 Pandemic?
Authors: Arimappamagan Arivazhagan , Vilanilam George , Pandey Paritosh 
Published: April 2021

Background:
As the world faces a new viral pandemic, which has spread very rapidly, initial response from most countries was to suspend nonemergent health services so that available resources can be diverted to handle the large numbers of patients with COVID-19 infection. Many societies issued guidelines to suspend or postpone nonemergent surgeries.

Methods:
We reviewed the emerging evidence regarding the impact of COVID-19 infection in neurosurgery and the postponement of elective surgeries.

Results and Observations:
COVID-19 infection poses serious threat in hospitals in the form of cross-infection, hospital staff falling sick, with potential risk to overwhelm or paralyze the healthcare. In addition, we have come to realize the significant perioperative morbidity and mortality secondary to active COVID-19 infection. All these strongly favor suspension of elective neurosurgical services. However, these have to be weighed against the fallout due to prolonged postponement of neurosurgical treatment for conditions, which can progress and cause neurological deterioration.

Conclusion:
This article discusses the contemporary published literature regarding the perioperative risk of COVID-19 infection, impact of postponed surgeries, challenges, risk assessment and guidelines for elective neurosurgery at this point of time.
Recurrent Neurocysticercosis
Authors: Kaur Khush Preet , Garg Ajay , Sebastian Leve Joseph Devaranjan , Bhatia Rohit , Singh Mamta Bhushan , Srivastava Achal , Tripathi Manjari , Padma M V 
Published: April 2021

Background:
Solitary cysticercus granuloma (SCG) appearing as a single ring-enhancing lesion (SREL) is the most frequently encountered imaging finding in patients of neurocysticercosis (NCC) in India and during follow-up, most of SCGs resolve with or without calcifications. Recurrent SCG have been rarely reported.

Objectives:
The aim of our study is to report the incidence of recurrent SCG in a cohort of patients with SCG and postulate the hypothesis.

Materials and methods:
This retrospective study included 278 patients with SCG meeting the criteria of NCC. Their medical records and imaging studies were analyzed.

Results:
Out of 278 patients, 119 patients with SCG meeting the criteria of NCC with follow-up imaging were included. 15 (12.61%) had recurrent NCC and 104 (87.4%) patients did not have any recurrence during a median follow-up of 14.23 months (range; 0.24 - 113.3) and 25.26 months (range; 3.09- 98.11) respectively. Out of 15 recurrent NCC cases, ten patients had documented imaging resolution or partial regression of previous lesion followed by occurrence of new SCG in the same location, three patients had change in morphology of lesion from solitary discrete REL to solitary conglomerate REL secondary to development of new cysticercus granuloma adjacent to old lesion patients had recurrent lesions adjacent to previous lesion and two patients had new SCG in different locations following regression of old SCGs.

Conclusion:
Recurrent SCGs are not uncommon in NCC and recurrence is more likely to occur at the site of initial infection and therefore may be mistaken for persistent infection or other granulomatous lesions.
Efficacy of Silicone Conduit in the Rat Sciatic Nerve Repair Model
Authors: Singh Suyash , Srivastava Arun Kumar , Baranwal Atul K , Bhatnagar Ankur , Das Kuntal Kanti , Jaiswal Sushila , Behari Sanjay 
Published: April 2021

Background:
A lot of options have been tried for bridging the two ends of the injured nerves. Researchers have used decellularized nerve grafts, artificial materials and even nerve growth factors to augment functional recovery. These materials are either costly or inaccessible in developing world.

Objective:
The study aimed to evaluate the efficacy of the silicone conduit in a rat sciatic nerve injury model.

Materials and Methods:
24 healthy Sprague–Dawley (SD) rats (250-300 grams; 8-10 weeks) were used and right sciatic nerve was exposed; transected and re-anastomosed by two different methods in 16 rats. In control group, n = 8 (Group I) the sciatic nerve was untouched; Group II (reverse nerve anastomosis, n = 8): 1-centimeter of nerve was cut and re-anastomosed by using 10-0 monofilament suture; Group III (silicone conduit, n = 8) 1-centimeter nerve segment was cut, replaced by silicone conduit and supplemented by fibrin glue]. Evaluation of nerve recovery was done functionally (pain threshold and sciatic functional index) over 3 months and histologically and electron microscopically.

Results:
Functional results showed a trend of clinical improvement in Group III and II but recovery was poor and never reached up to normal. Histopathological and electron microscopic results showed an incomplete axonal regeneration in Groups II and III. Psychological analyses showed that no outwards signs of stress were present and none of the rats showed paw biting and teeth chattering.

Conclusion:
The silicone conduit graft may be an economical and effective alternative to presently available interposition grafts, however for short segments only.
Occupational Burnout in Pre-Hospital Emergency Personnel in Iran
Authors: Sahebi Ali , Golitaleb Mohamad , Jahangiri Katayoun 
Published: April 2021

Background:
Occupational burnout, as a reaction to persistent work pressures, reduces efficiency, wastes manpower, and causes physical and psychological complications. The aim of this study was to determine the frequency and intensity of occupational burnout among pre-hospital emergency staff in Iran.

Materials and Methods:
This study was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data resources included Scientific Information Database (SID), Magiran, Islamic World Science Citation Center (ISC), Irandoc, PubMed, Scopus, Web of Science, and Google Scholar.

Results:
Initially, 178 articles were extracted, and then 13 articles were finally analyzed. Overall,2034 pre-hospital emergency personnel were examined. Mean of occupational burnout in term of frequency, respectively for emotional exhaustion (16.78, 95% CI = 8.89-24.67, I2 = 62.30%, p = 0.004), depersonalization (11.57, 95% CI = 6.97-16.18, I2 = 68.50%, p = 0.001) and the lack of personal accomplishment (16.11, 95% CI = 8.60 -23.62, I2 = 74.70%, p = 0 <001) were determined. Also, in term of intensity, respectively for emotional exhaustion (17.90, 95% CI = 8.24-27.57, I2 = 64.80, p = 0.004), depersonalization (11.20, 95% CI = 6.80-16.22, I2 = 49.60%, p = 0.044) and the lack of personal accomplishment (23.45, 95% CI = 13.41 -33.49, I2 = 84.80%, p = 0 <001) were determined.

Conclusions:
According to findings, depersonalization and lack of personal accomplishment had moderate and high-level, respectively. Therefore, it is necessary health policymakers pay special attention to identifying and resolving the causes of occupational burnout in this population.
Cold Therapy and Respiratory Relaxation Exercise on Pain and Anxiety Related to Chest Tube Removal
Authors: Sajedi-Monfared Zahra , Rooddehghan Zahra , Haghani Hamid , Bakhshandeh Ali Reza , Monfared Laya Sajedi 
Published: April 2021

Background:
Current strategies to control pain and anxiety of chest tube removal are not efficacious. The aim of this study is to determine the effects of cold therapy and respiratory relaxation exercise on pain and anxiety of chest tube removal.

Materials and Methods:
A parallel single-blind clinical trial study was conducted in Imam Khomeini Hospital, Iran, on 120 patients. Participants were randomized into 4 groups of 30. Numeric Rating Scale was used to assess pain and anxiety. One-way ANOVA test and Fisher's exact test were used to analyze demographic data. The Kruskal–Wallis test was used to compare the severity of pain and anxiety between groups; the Friedman and Mann–Whitney test were used to compare the severity of pain and anxiety within groups with a significance level of 0.05.

Results:
Pain intensity was weak before chest tube removal and there was no significant difference in basal pain. Pain immediately after chest tube removal was significantly higher than other times in each group (χ
2 = 57.16, χ
2 = 63.70, χ2 = 46.49, χ
2 = 59.04, df = 3, p < 0.001). There was no significant difference in pain score immediately (p = 0.052) and 15 min (p = 0.329) after Echest tube removal in experimental groups compared to the control group. No significant difference was found between control and experimental groups in anxiety score immediately (p = 0.995) and 15 min (p = 0.976) before chest tube removal.

Conclusions:
Mentioned methods were not effective in reducing pain and anxiety. It is suggested to investigate effects of different methods of removing chest tubes and applying cold with a larger sample size.
The Effect of Nursing Interventions Based on Burns Wean Assessment Program on Successful Weaning from Mechanical Ventilation
Authors: Sepahyar Maryam , Molavynejad Shahram , Adineh Mohammad , Savaie Mohsen , Maraghi Elham 
Published: April 2021

Background:
The effective design and implementation of the nursing interventions to evaluate the patients' readiness for ventilator weaning will reduce their connection time to the ventilator and the complications of their connection to it. This study was conducted to examine the effect of nursing interventions based on the Burns Wean Assessment Program (BWAP) on successful weaning from Mechanical Ventilation (MV).

Materials and Methods:
In this clinical trial, 70 patients undergoing MV in the Intensive Care Units (ICUs) of Golestan Hospital (Ahvaz, Iran) in 2018 were randomly assigned to intervention and control groups. The nursing interventions designed based on BWAP were implemented on the patients in the intervention group, who were later weaned from the device according to this program. The recorded data included demographic information, BWAP score, vital signs, and laboratory values, which were analyzed using the Pearson correlation coefficient, Chi-Square, Fisher, and Mann-Whitney U tests.

Results:
There was a statistically significant and inverse correlation between the BWAP score and the MV duration such that a high BWAP score was associated with a shorter MV time (p = 0.041). Also, the mean number of re-intubation (p = 0.001) and the number of re-connection to the ventilator in the intervention group were significantly lower (p = 0.005).

Conclusions:
The results showed that nurses' assessment of patient's readiness for weaning from MV based on this tool and designed nursing care reduced the duration of MV, re-intubation, and re-connection.
A Comparative Study of Ultrasound-Guided Transversus Abdominis Plane Block with Local Anesthetic Infiltration in Inguinal Hernia Repair
Authors: Amir Syed Hussain , Chitra Kumari , Ali Qazi Ehsan , Jha Prabhash Chandra , Saquib Md. Chandra 
Published: April 2021

Background:
Transversus abdominis plane (TAP) block is a relatively newer block that provides analgesia to the parietal peritoneum, skin and muscles of the anterior abdominal wall.

Aims:
To determine the effectiveness of the TAP block over wound infiltration for hernia repair.

Settings and Design:
Randomized, double-blinded, prospective study in an academic teaching hospital.

Methods:
Sixty patients were divided into two groups of 30 each. In Group T, patients received ultrasound-guided TAP block for inguinal hernia repair whereas in Group I, local anesthetic infiltration at the wound site was done. Primary outcome measure was pain relief as assessed by a numeric rating scale (NRS) whereas secondary outcome measures were duration (from the time at which TAP block or local anesthetic infiltration is given to the time at which patient first requests for rescue analgesic) of post-operative analgesia, patient satisfaction score, and complications, if any.

Results:
Mean NRS score at 0hr for a group I was 0.88±0.74 and for group T was 0.68±0.70 with a p-value of 0.28 and the mean NRS score at 24hr for the group I was 4.47±0.66 and for group T was 4.54±0.62 with a p-value of 0.68 but at 2hr, 6hr and 12hr, the NRS was significantly more in group I (p < 0.05). Mean time of 1st analgesic request in group I was 403.73 minutes as compared to group T where it was 711.33 mins (P<0.001). The post-operative nausea and vomiting (PONV) and sedation in group I was significantly more than group T.

Conclusion:
Ultrasound-guided TAP block provides better postoperative analgesia both in quality and duration. TAP block reduces the opioid demand and opioid-related side effects like sedation and postoperative nausea vomiting and thus, improves overall patient satisfaction.
Molecular dynamics simulation of Fe-NO2 At-alpha mangostin as radiopharmaceutical model for detection of fatty acid synthase in cancer
Authors: Rosilawati N. Elly , Yusuf Muhamad , Kartamihardja Achmad Hussein S. , Samsuddin Shaharum , Muchtaridi Muchtaridi 
Published: April 2021

ABSTRACT
α-mangostin is a xanthone compound isolated from mangosteen pericarp. It is known as an anticancer through induction of apoptotic process by inhibiting fatty acid synthase (FAS) receptor. α-mangostin is a potentially useful ligand for diagnostic purposes in the form of complexes with a radionuclide such as68Gallium (68Ga). Unfortunately, α-mangostin could not be directly labeled with radionuclides. In order to be labeled, a chelator such as 1,4,7-triazacyclononane-1,4,7-triacetic acid (NOTA), a derivative (NO2At), is required. The aim of this study was to find out the interaction of Fe-NO2At-α-mangostin complex compound against FAS receptor using molecular dynamics software. Both the metals have similar chemical characteristics. The results showed a strong interaction between Fe-NO2At-α-mangostin complex compound and FAS receptor. The molecular dynamic showed the complex compound Fe-NO2At-α-mangostin in FAS-KS which produced a bond-free energy values (ΔG) of − 96.7 kcal/mol, forming hydrogen bonds with amino acid residues Glu 115 and Ser 114. The model of molecular dynamic result could be used as a model for the production of 68Ga-α-mangostin in radiopharmaceutical.