bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effects of Ketamin-Midazolam and Ketamin-Propofol on Bispectral Index Score as Sedatives During Bone Marrow Puncture Procedure Among Pediatrics
Authors: Aldiar  , Irwanto Fredi Heru , Andi Miarta  , Irfannuddin  
Published: December 2021

Background: Bone Marrow Puncture (BMP) is an invasive procedure associated with pain and anxiety. The ketamine-midazolam and the ketamine-propofol is an effectivecombination with minimal side effects. This study of the study aims to compare the effect of the combination of ketamine-midazolam and ketamine- propofol on sedation depth based on BIS in pediatric leukemia patients undergoing BMP.
Methods: This study was a randomized controlled trial that was done single-blinded. The population was all pediatric patients diagnosed with leukemia who underwent BMP at RSMH and performed sedation. The research sample is the population that fulfill the inclusion and exclusion criteria. The sample size for each group was 25, with 50 Subjects in total. Sampling was done by block randomization.
Results: This study found no differences in sex, age, and body weight between the two groups ([p=1.000], [p=0.845], and [p=0.147], respectively). In this study, there was no difference in mean MAP (p=0.592), oxygen saturation (p=0.164), heart rate (p=0.098), and respiratory rate (p=0.252) before intervention between the two groups. BIS value of the two groups had significant difference before and after the intervention where the two groups could reduce BIS to reach the optimal value of sedation <60 (p <0.05) There was no difference in BIS before intervention in the two groups (p=0.385). In this study, it was found that hypersalivation occurred more frequently in the ketamine-midazolam combination group.
Conclusion: The combination of ketamine-midazolam and ketamine-propofol was equally good for sedation as indicated by a decrease in the mean BIS in patients undergoing BMP.
Preemptive Ketorolac is as Effective as Oxycodone Decreasing Plasma Cortisol Levels in Patients Undergoing Spinal Anesthesia
Authors: Zainal Rizal , Nugraha Heryadi  , Agustina Br Haloho  , Erial Bahar  
Published: December 2021

Introduction: Post-surgical pain is a complex problem, if not treated properly it can have multisystem negative effects. Hormone cortisol can be increased in stressful situations. A study on the effectiveness of ketorolac and another opioid on cortisol levels has been shown. However, a study about the effect of oxycodone on cortisol levels and its comparison with Ketorolac has never been done before. This study aimed to compare the effect of preemptive administration of 30 mg ketorolac and 5 mg oxycodone on plasma cortisol levels in patients undergoing spinal anesthesia.
Methods: A double-blind randomized clinical trial was carried out between October and December 2020 in the central operating room of dr. Mohammad Hoesin Palembang. Surgical patients according to the inclusion criteria who received spinal anesthesia were randomly given 5 mg oxycodone and 30 mg ketorolac intravenously shortly after spinal anesthesia. Cortisol levels were measured before and after the intervention. Data analysis using SPSS ver. 20 Windows with a 95% confidence interval.
Result: In total, 56 subjects were included. 29 samples in the ketorolac group and 27 samples in the oxycodone group. There were no significant differences in age, sex, nutritional status, blood sugar, and VAS score. There was no significant difference in the mean of cortisol levels before the intervention in the ketorolac group 12.9421 + 6.096 m/dL and the oxycodone group 14.033 + 4.315 m/dL (p = 0.446). The mean value of cortisol levels after intervention in the ketorolac group was 12.979 + 6.280 m/dL and oxycodone 15.353 + 11.704 m/dL, there was no significant difference in changes in cortisol before and after intervention in the Ketorolac group (p = 0.692) and Oxycodone (p = 0.552). The comparison level of cortisol changes between the two groups was not significantly different (p = 0.267).
Conclusion: There was no difference in the comparison of the effect of preemptive administration of 30 mg IV ketorolac and 5 mg IV oxycodone on plasma cortisol levels in patients undergoing spinal anesthesia.
MANAJEMEN SEKOLAH MODEL PADA JENJANG PENDIDIKAN DASAR
Authors: Pamala Indra , Winaryo Slamet , Berliani Teti 
Published: December 2021

Abstrak: Penelitian ini bertujuan untuk mendeskripsikan tentang Manajemen Sekolah Model pada Jenjang Pendidikan Dasar di SD Negeri 1 Menteng Kota Palangka Raya. Penelitian ini menggunakan pendekatan kualitatif deskriptif. Sumber data dalam peneltian ini yaitu: Kepala Sekolah, Ketua TPMPS dan Guru-guru. Teknik pengumpulan data dilakukan dengan observasi, wawancara, dan dokumentasi. Analisis data dilakukan melalui: Pengumpulan data, Reduksi data, Penyajian Data, dan Penarikan kesimpulan/verifikasi. Pengabsahan data menggunakan Teknik Triangulasi dan Member Check. Hasil penelitian ini menunjukan bahwa: (1) Perencanaan SPMI meliputi: (a) Sosialisasi program SPMI, (b) Pembentukan TPMPS dan Tim Monev, (c) Memetakan mutu, (d) Membuat peta masalah, e) Membuat rencana aksi, (f) Membuat jadwal, dan (g) Menentukan anggaran; (2) Pengorganisasian SPMI: (a) Pengawas: Dinas Pendidikan, TPMPD, Pengawas Sekolah, Penanggung jawab: Kepala Sekolah, Pengelola: TPMPS dan Tim Monev; (3) Pelaksanaan SPMI dilakukan dengan mengikuti jadwal, menentukan Sarpras, mengadakan kegiatan workshop dan TOT; (4) Pengawasan SPMI dilakukan oleh: kepala sekolah, TPMPD, TPMPS, Tim Monev dan Pengawas Sekolah; (5) Evaluasi SPMI dilakukan dengan menentukan jadwal, membuat instrumen/alat ukur, melakukan peninjauan kembali, dan menyusun RTL.
Abstract: This study aims to describe the Model of School Management at SD Negeri 1 Menteng, Palangka Raya City. This study uses a descriptive qualitative approach. Sources of data in this research are: Principal, Head of TPMPS and teachers. Data collection techniques were carried out by observation, interviews, and documentation. Data analysis uses: data collection, data reduction, data presentation, and conclusion drawing/verification. Validation of data using Triangulation Techniques and Member Check. The results of this study showed that: (1) SPMI planning includes: (a) Socialization of the SPMI program, (b) Establishment of TPMPS and the Monitoring and Evaluation Team, (c) Mapping quality, (d) Making problem maps, e) Making action plans, (f) ) Make a schedule, and (g) Determine the budget; (2) Organization of SPMI: (a) Supervisor: Education Office, TPMPD, School Supervisor, Person in Charge: Principal, Manager: TPMPS and Monev Team; (3) The implementation of SPMI is carried out by following the schedule, determining the Sarpras, holding workshops and TOT; (4) SPMI supervision is carried out by: school principals, TPMPD, TPMPS, Monev Team and School Supervisors; (5) SPMI evaluation is carried out by determining the schedule, making instruments/measurements, conducting reviews, and making RTL.
MANAJEMEN PROGRAM PENGUATAN PENDIDIKAN KARAKTER DI SMK KARSA MULYA PALANGKA RAYA
Authors: Lumban Batu Jentry , Berliani Teti , Nugroho Piter Joko 
Published: December 2021

Abstrak: Secara umum penelitian ini bertujuan untuk mendeskripsikan tentang Manajemen Program Penguatan Pendidikan Karakter (PPK) di SMK Karsa Mulya Palangka Raya. Penelitian ini merupakan penelitian kualitatif dengan rancangan studi kasus. Melalui teknik purposive sampling ditetapkan sumber data dalam penelitian ini, meliputi: Kepala Sekolah, Tim Pengembang PPK, Koordinator Program PPK, Guru dan Tenaga Kependidikan. Teknik pengumpulan data melalui observasi, wawancara, dan studi dokumentasi. Analisis data menggunakan pola interaktif data, meliputi: pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Pengabsahan data menggunakan teknik triangulasi sumber dan metode. Hasil penelitian menunjukkan bahwa pengelolaan program PPK di SMK Karsa Mulya terlaksana dengan efektif dalam menumbuhkembangkan karakter peserta didik, dan menjadikan SMK Karsa Mulya sebagai salah satu sekolah kejuruan swasta rujukan dalam pelaksanaan program PPK di Provinsi Kalimantan Tengah.
Abstract: In general, this study aims to describe the Management of Character Education Strengthening Program (PPK) at SMK Karsa Mulya Palangka Raya. This research is a qualitative research with a case study design. Through purposive sampling technique, the data sources in this study were determined, including: Principal, PPK Development Team, PPK Program Coordinator, Teachers and Education Personnel. Data collection techniques through observation, interviews, and documentation studies. Data analysis used an interactive pattern of data, including: data collection, data reduction, data presentation, and drawing conclusions. Validation of data using triangulation of sources and methods. The results showed that the management of the PPK program at SMK Karsa Mulya was carried out effectively in developing student character, and making SMK Karsa Mulya as one of the referral private vocational schools in the implementation of PPK program in Central Kalimantan Province.
MANAJEMEN PELAYANAN PUBLIK DI UNIT LAYANAN TERPADU LPMP PROVINSI KALIMANTAN TENGAH
Authors: Rusmiana  , Winaryo Slamet , Limin Dagai L. 
Published: December 2021

Abstrak: Penelitian ini bertujuan untuk mendeskripsikan tentang Manajemen Pelayanan Publik di Unit Layanan Terpadu (ULT) Lembaga Penjaminan Mutu Pendidikan (LPMP) Provinsi Kalimantan Tengah. Penelitian ini menggunakan pendekatan kualitatif deskriptif. Sumberdata ditetapkan dengan tenik purposive sampling, meliputi: Penanggung jawab ULT, Koordinator ULT, dan Pegawai ULT. Teknik pengumpulan data melalui: observasi, wawancara, dan dokumentasi. Analisis data melalui tahapan: pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Pengabsahan data menggunakan teknik triangulasi dan member check. Hasil penelitian ini menunjukan bahwa Manajemen Pelayanan Publik di ULT LPMP Provinsi Kalimantan Tengah terlaksana dengan baik. Berdasarkan hasil survei kepuasan pelanggan bulan januari-maret 2020, tingkat kepuasan masyarakat berada pada kategori baik dengan rerata 3,63 yang menandakan bahwa pelayanan sudah sesuai dengan harapan masyarakat.
Abstract: This study aims to describe the Public Service Management in the Integrated Service Unit (ULT) of the Education Quality Assurance Institute (LPMP) of Central Kalimantan Province. This study uses a descriptive qualitative approach. Data sources were determined by purposive sampling technique, including: ULT Person in Charge, ULT Coordinator, and ULT Employee. Data collection techniques through: observation, interviews, and documentation. Data analysis through stages: data collection, data reduction, data presentation, and drawing conclusions. Validation of data using triangulation and member check techniques. The results of this study indicate that Public Service Management at ULT LPMP Central Kalimantan Province is well implemented. Based on the results of the customer satisfaction survey in January-March 2020, the level of community satisfaction is in the good category with an average of 3.63 which indicates that the service is in accordance with community expectations.
DESAIN ENTERPRISE RISK MANAGEMENT PADA PERGURUAN TINGGI DI STIE MUHAMMADIYAH JAKARTA
Authors: Wati Lela Nurlaela , Ramdany Ramdany , Soma Abdul Mukti 
Published: December 2021

Tujuan dari penulisan ini adalah untuk menganalisis penerapan manajemen risiko pada perguruan tinggi di Sekolah Tinggi Ilmu Ekonomi Muhammadiyah Jakarta. Metode penelitian menggunakan desain penelitian eksploratif, karena tujuan penelitian ini adalah untuk memahami permasalahan manajemen risiko pada STIE Muhammadiyah Jakarta. Data diperoleh dengan melakukan wawancara dan barinstorming dengan ketua program studi, kepala bagian, dan kepala Lembaga STIE Muhammadiyah Jakarta, juga dengan menggunakan data sekunder yaitu jumlah mahasiswa, jumlah, dosen, dan data lainnya. Tahapan analisis dilakukan melalui identifikasi risiko, penilaian dan evaluasi risiko, perencanaan mitigasi risiko dan analisis serta interpretasi data. Berdasarkan hasil identifikasi risiko, terdapat 5 risiko inherent yang bisa berdampak signifikan terhadap sustainability STIE MJ. Berdasarkan risk profile dari kelima identifikasi risiko, risiko 1 berdampak kualitatif terhadap penurunan peringkat akreditasi, risiko kedua dan ketiga berdampak terhadap tidak tercapainya sasaran kinerja, risiko keempat dan kelima dapat berdampak terhadap penurunan klasterisasi Nasional Perguruan Tinggi. Dampak kuantitatif risiko 1-3 berdampak terhadap kerugian institusi, risiko no. 4 dan 5 berdampak terhadap rendahnya penyerapan anggaran (cost center). Beberapa risiko memerlukan penangan dalam waktu yang tidak singkat seperti risiko 4 dapat mengakibatkan risiko residual tidak sesuai dengan target risiko yang diharapkan (risk appetite), sehingga diperlukan penanganan risiko secara berkelanjutan. Penelitian ini memiliki keterbatasan yaitu identifikasi risiko tidak dilakukan secara mendalam pada semua unit kerja. Penelitian mendatang diharapkan agar identifikasi risiko dilakukan pada semua unit kerja di Perguruan Tinggi, sehingga risiko yang ada dapat segera dimitigasi dan dilakukan perbaikan segera.
MOMO. IV. The Complete Swift X-Ray and UV/Optical Light Curve and Characteristic Variability of the Blazar OJ 287 during the Last Two Decades
Authors: Komossa S. , Grupe D. , Gallo L. C. , Gonzalez A. , Yao S. , Hollett A. R. , Parker M. L. , Ciprini S. 
Published: December 2021

Abstract
We have been carrying out a dense monitoring of the blazar OJ 287 with Swift since late 2015 as part of our project MOMO (Multiwavelength Observations and Modeling of OJ 287). This is the densest existing monitoring of OJ 287 involving X-ray/UV data. In this latest publication of a sequence, we characterize the multiwavelength variability of OJ 287 based on >4000 Swift single-wave-band data sets including archival data since 2005. A structure function analysis reveals a characteristic timescale of ∼5 days in the optical–UV at epochs of low-level activity and larger during outbursts. The discrete correlation function shows zero lag between optical and UV, with τ = 0 ± 1 day at the epoch of densest cadence. During outbursts (in 2016/17 and 2020) the X-rays follow the UV with near-zero lags. However, during quiescence, the delay is 7–18 days with X-rays leading or lagging, interpreted as due to a different X-ray component dominated by inverse Compton emission. Scaling relations are used to derive the characteristic length scales of the broad-line region and torus in OJ 287. A remarkable, symmetric UV–optical deep fade is identified in late 2017, lasting 2 months. We rule out occultation from the passage of a dusty cloud and a model where the secondary black hole deflects the jet between the primary and observer. We speculate about a temporary dispersion or jet swing event in the core or in a bright quasi-stationary jet feature. The deep fade reveals an additional, spatially distinct X-ray component. The epoch 2020.9–2021.1 was searched for precursor flare activity predicted by the binary black hole model of OJ 287.
Sympathetic Filament Eruptions within a Fan-spine Magnetic System
Authors: Zhou Chengrui , Shen Yuandeng , Zhou Xinping , Tang Zehao , Duan Yadan , Tan Song 
Published: December 2021

Abstract
It is unclear whether successive filament eruptions at different sites within a short time interval are physically connected or not. Here, we present the observations of successive eruptions of a small and a large filament in a tripolar magnetic field region whose coronal magnetic field showed as a fan-spine magnetic system. By analyzing the multiwavelength observations taken by the Solar Dynamic Observatory and the extrapolated three-dimensional coronal magnetic field, we find that the two filaments resided respectively in the two lobes that make up the inner fan structure of the fan-spine magnetic system. In addition, a small fan-spine system was also revealed by the squashing factor Q map, which located in the east lobe of the fan structure of the large fan-spine system. The eruption of the small filament was a failed filament eruption, which did not cause any coronal mass ejection (CME) except for three flare ribbons and two post-flare-loop systems connecting the three magnetic polarities. The eruption of the large filament not only caused similar post-flare-loop systems and flare ribbons, as observed in the small filament eruption, but also a large-scale CME. Based on our analysis results, we conclude that the two successive filament eruptions were physically connected, in which the topology change caused by the small filament eruption is thought to be the physical linkage. In addition, the eruption of the small fan-spine structure further accelerated the instability and violent eruption of the large filament.
Variation in the Stellar Initial Mass Function from the Chromospheric Activity of M Dwarfs in Early-type Galaxies
Authors: van Dokkum Pieter , Conroy Charlie 
Published: December 2021

Abstract
Mass measurements and absorption-line studies indicate that the stellar initial mass function (IMF) is bottom-heavy in the central regions of many early-type galaxies, with an excess of low-mass stars compared to the IMF of the Milky Way. Here we test this hypothesis using a method that is independent of previous techniques. Low-mass stars have strong chromospheric activity characterized by nonthermal emission at short wavelengths. Approximately half of the UV flux of M dwarfs is contained in the λ1215.7 Lyα line, and we show that the total Lyα emission of an early-type galaxy is a sensitive probe of the IMF with a factor of ∼2 flux variation in response to plausible variations in the number of low-mass stars. We use the Cosmic Origins Spectrograph on the Hubble Space Telescope to measure the Lyα line in the centers of the massive early-type galaxies NGC 1407 and NGC 2695. We detect Lyα emission in both galaxies and demonstrate that it originates in stars. We find that the Lyα to i-band flux ratio is a factor of 2.0 ± 0.4 higher in NGC 1407 than in NGC 2695, in agreement with the difference in their IMFs as previously determined from gravity-sensitive optical absorption lines. Although a larger sample of galaxies is required for definitive answers, these initial results support the hypothesis that the IMF is not universal but varies with environment.
La reconnaissance du père
Authors: Pierron Jean-Philippe 
Published: December 2021

Du géniteur au père se déplie ce processus par lequel la paternité prend corps. Il débute par une certification du père par la sérologie. La procréation parle du père comme d’une catégorie descriptive, celle de l’examen génomique. Ce processus s’explicite ensuite en quittant la scène du laboratoire au profit de la scène du prétoire. Là une autre scène de symbolisation relève d’une déclaration . Le droit est l’institution de la légalité du père. S’engage, dans la reconnaissance par le droit, d’un sujet, l’affirmation qu’il est irréductible à un prestataire de service (donneur de gamète) ou un inséminateur mais bien figure instituée de culture et de relation. Sur ce terrain juridique, la formulation se cherche aujourd’hui concernant le statut du tiers d’engendrement. Ce processus de reconnaissance de la paternité, enfin relève d’une attestation . L’attestation du « tu es mon fils ; tu es bien mon père » est un enjeu d’existence. Il mobilise un travail de reconnaissance mutuelle. Au-delà de la légalité, dans la connivence d’une intériorité mutuelle et de gratitude, la paternité se donne comme l’intériorisation et l’acceptation d’être du même lignage sans être les mêmes. Certification du géniteur ; déclaration du père légal ; attestation du père éducateur déploient ainsi la possible histoire de la paternité intériorisée par chacun.
Jalousie et envie chez l’homme qui devient un père
Authors: Jean-Dit-Pannel Romuald , Krtolitza Éliane , Segura Agnès 
Published: December 2021

Le père serait-il une nourrice sèche si l’on considère sa place au sein de la triade dans l’allaitement ? Les tabous de ses jalousies et de ses envies, au sens kleinien, sont à déjouer lors des thérapies familiales et plus particulièrement au sein de toute clinique périnatale et de première enfance. La jalousie et l’envie de la grossesse, de l’accouchement et de l’allaitement invitent à penser les processus d’investissements et de désinvestissements dans la construction du devenir père. Ces enjeux singuliers-familiaux-groupaux ont des conséquences psychosomatiques, psychologiques et psychopathologiques. Des situations cliniques en néonatalogie, en consultations père-mère-bébé et en crèche indiquent que ces jalousies, ces envies, se trouvent au sein du couple conjugal devenant parental ainsi que plus largement chez les soignants en périnatalité et première enfance.
Pour un Livre blanc global
Authors: Bajolet Bernard 
Published: December 2021

Après les Livres blancs de 2008 et 2013, et la Revue stratégique de 2017, il semble aujourd’hui nécessaire, au regard des bouleversements géopolitiques, de concevoir un nouveau Livre blanc avec une approche plus globale et agrégeant des points de vue plus différents, proposant des ambitions innovantes.
Histoire militaire
Authors: Franc Claude 
Published: December 2021

Sur fond de guerre d’Algérie, le 13 mai 1958 traduit l’agonie politique de la IV e République, incapable de résoudre l’instabilité gouvernementale. Le coup de force algérois, qui est loin d’être un coup d’État militaire mais l’expression du désarroi des Français d’Alger, entraîna le retour au pouvoir du général de Gaulle.
Préférences des usagers pour la gestion des espaces verts urbains sans pesticides : l’exemple de la France
Authors: Lefebvre Marianne , Maslianskaïa-Pautrel Masha , Laïlle Pauline 
Published: December 2021

L’interdiction de l’utilisation des pesticides dans les espaces verts urbains français à partir de janvier 2017 a modifié la gestion de ces espaces. Cet article explore les préférences des usagers pour les espaces verts dans ce nouveau contexte. La méthode des choix discrets a été appliquée à un échantillon représentatif de la population urbaine française pour analyser leurs préférences vis-à-vis de l’adaptation des espaces verts à une gestion sans pesticides. Nous estimons les préférences pour des caractéristiques des espaces verts présentant un intérêt direct pour les utilisateurs (aspect visuel, possibilités de loisirs et accès à des informations sur la gestion sans pesticides des espaces verts), mais aussi des caractéristiques moins visibles telles que l’abondance de la faune, les conditions de travail des agents d’entretien des espaces verts et la part du budget public dédié aux espaces verts. Nos résultats montrent que tous les citoyens dévaluent les options entraînant une augmentation importante du budget mais les préférences vis-à-vis d’autres attributs dépendent de la fréquence de visite des espaces verts. La plupart des habitants préfèrent un aspect visuel naturel à un aspect maîtrisé, mais cela est davantage vrai pour les personnes qui fréquentent souvent les espaces verts. La fréquence des visites a également un impact sur les préférences vis-à-vis de l’abondance de la faune (valorisée uniquement par les utilisateurs fréquents) et les campagnes d’information (valorisées uniquement par ceux qui fréquentent rarement les espaces verts). Classification JEL : Q24, Q26, C25.