bluuebunny/crossref_metadata_2025_split huggingface dataset:
Quality of care and Critical Pathways: Brave New World?
Authors: Vezeau, Toni M. 
Published: September 2018

Current approaches to standardization of care directly oppose quality of care in nursing. Popular approaches in the United States include care maps and critical pathways designed for the care of individuals. I believe nursing must resist, or at least reinterpret, present approaches that turn nursing care into a production line - only an economic metaphor.The introduction of critical pathways and care maps has been heralded in nursing and hospital literature as the pivotal tool to ensure quality of care (Crummer & Carter, 1993; Goode, 1995; Hampton, 1993; Lynam, 1994; Tallon, 1995; Windle, 1994; Zander, 1992, 1995). These tools may also herald the loss of quality care defined within the nurse-patient relationship. I will grant that the tools can lead to cost-savings for the public, but I think at great potential loss to individuals. This paper will provide a critique of the current economic models guiding nursing care and suggest where nursing may need to deviate to keep within our social mandate to care.
Inner City Children: Health-as-Choice-to-Care
Authors: Arieux, Marianne 
Published: September 2018

In an elementary school in the South Bronx, children are sheltered for a time from an environment which offers few comforts. Caring for and about the child has led to the development of a human science approach aimed at the child’s caring about his/her self. The intrapersonal aspect of self-care is the implicit focus, while the explicit focus is Health as Choice to Care.Interventions which provide information while focusing directly on recognizing choices empower the child. Children who live in compromised environments are often viewed as having limited choices, but every day children make choices about what to eat, with whom to play, or whether to wear eyeglasses. Becoming aware of choices even within finite limitations, conveys the sense of power to change one’s experience. Begun as children, the caring for self by enhanced awareness of choice and information will, it is hoped, produce healthy, proud adults who can change the environment which they have endured.
Presence in the Nurse–Client Relationship: An Integrative Review
Authors: Stockmann Cherrill 
Published: September 2018

Aim:To integrate empirical literature related to the use and outcomes of presence. Design: An integrative review of empirical research was conducted.Method:A comprehensive search from 1966 to August 2017 was conducted using Whittemore and Knafl’s five-step method. Twenty-six studies were eligible for the review.Results:Presence is a deliberate, interpersonal intervention that is implemented through physical, psychological, and spiritual actions to promote client well-being. Nursing actions associated with presence include use of self, availability, and therapeutic communication.Conclusion:This diverse range of primary sources indicates the significance of presence to nursing practice.
Hubungan Praktik Kerja Industri dengan Kesiapan Kerja Siswa SMK Negeri 1 Cibinong Kelas XII Kompetensi Keahlian Teknik Gambar Bangunan
Authors: Pratama Yudiana , Daryati Daryati , Arthur Riyan 
Published: September 2018

Tujuan Penelitian untuk mengetahui hubungan antara praktik kerja industri terhadap kesiapan kerja siswa di Kompetensi Keahlian Teknik Gambar Bangunan SMK Negeri 1 Cibinong, yang beralamat di Jalan Karadenan No.7, Cibinong Bogor, Jawa Barat16913. Penelitian ini dilaksanakan selama 4 bulan sejak Oktober 2017 sampai dengan Januari 2018 yang teridir dari tiga tahap yaitu tahap persiapan, tahap pelaksanaan, dan tahap pengolahan data.
Jenis penelitian yang digunakan adalah kuantitatif asosiatif. Metode penelitian adalah metode survei dengan pendekatan korelasi. Populasi adalah siswa SMK Negeri 1 Cibinong Kompetensi Keahlian Teknik Gambar Bangunan yaitu sebanyak 212 orang siswa. Sampel menggunakan cluster random sampling, yang akan dilakukan pada siswa kelas XII sebanyak 69 orang siswa, yaitu kelas XII TGB 1,yang berjumlah 35 siswa, kelas XII TGB 2, yang berjumlah 34 siswa.
Hasil penelitian adalah nilai koefisien korelasi sebesar 0,41 dengan kategori sedang, dan terdapat hubungan yang signifikan dari praktik kerja industri terhadap kesiapan kerja siswa di SMK Negeri 1 Cibinong Kompetensi Keahlian Teknik Gambar Bangunan. Penelitian ini dibuktikan dengan thitung lebih besar dari ttabel sebesar 3,644 > 1,66 para taraf signifikan 5% maka H0 ditolak dan H1 diterima.
PENGEMBANGAN MEDIA PEMBELAJARAN INTERAKTIF PADA MATA KULIAH TEORI DAN PRAKTIK PLAMBING DI PROGRAM STUDI S1 PVKB UNJ
Authors: Dewi Nanda , Murtinugraha R. Eka , Arthur Riyan 
Published: September 2018

Penelitian ini merupakan penelitian pengembangan yang bertujuan untuk menghasilkan media pembelajaran interaktif pada mata kuliah Teori dan Praktik Plambing dengan berbantuan perangkat lunak Adobe Flash CS6.
Penelitian ini menggunakan metode penelitian Research and Development (R&D) dengan model Borg & Gall. Penelitian ini menggunakan angket sebagai instrumen pengumpulan data uji validasi dari ahli media, ahli materi dan penilaian mahasiswa yang sedang mengambil mata kuliah Teori dan Praktik Plambing.
Hasil validasi media pembelajaran mendapatkan persentase kelayakan sebesar 72,92% dan yang berada pada kategori â€œLayakâ€, dari hasil validasi ahli materi mendapatkan persentase kelayakan sebesar 86,90% yang berada pada kategori â€œSangat Layakâ€ dan hasil penilaian mahasiswa mendapatkan persentase kelayakan sebesar 82,07% yang berada pada kategori â€œSangat Layakâ€. Berdasarkan dari hasil tersebut dapat disimpulkan bahwa media pembelajaran yang dikembangkan layak digunakan untuk proses pembelajaran Teori dan Praktik Plambing di Program Studi Pendidikan Vokasional Konstruksi Bangunan.
Riparian Vadose Zone Preferential Flow: Review of Concepts, Limitations, and Perspectives
Authors: Orozco-López Enrique , Muñoz-Carpena Rafael , Gao Bin , Fox Garey A. 
Published: September 2018

Core Ideas
Riparian ecosystems are hotspots for macropore flow due to their biogeomorphology.
Macropore prevalence can reduce riparian buffer pollution mitigation effectiveness.
Characterization of macropore morphology and connectivity is needed in riparian zones.
An effect of seasonal shallow water table on macropore flow is proposed.
Integration of infiltration–soil moisture–macropore flow model into design tools is needed.
The design and analysis of surface water pollution control practices such as vegetative filter strips and riparian buffers typically focus on surface runoff, with limited attention given to subsurface flow and transport. Field evidence suggests a prevalence of macropore flow (MF) in the riparian vadose zone (RVZ) due to abundant biological activity (e.g., fauna and roots) and steep hydraulic gradients created by the adjacent stream and the presence of a seasonally shallow water table (SWT). Because rapid leaching and subsurface transport of contaminants can be significant with MF, their prevalence in riparian buffers can negate the intended benefits of this widely adopted surface runoff pollution control practice. While theories exist for modeling preferential flow processes, experimental and modeling techniques are still lacking to characterize in situ RVZ macropore network morphologies at the soil profile and landscape scales. Importantly, the presence of a seasonal SWT can increase MF and transport processes neglected in current analyses. Additional research is needed to evaluate holistic modeling frameworks that can represent MF from measurable parameters at the riparian field scale. In this work, we review various MF theories and concepts suitable to RVZ conditions and identify current limitations and knowledge gaps. We emphasize the use of dual‐permeability approaches as a compromise between model complexity and parameter identifiability. We also identify the need for well‐controlled experimental studies using the latest monitoring technology and validation studies at the laboratory and field scales. Only then can decision‐support tools realistically predict the influence of preferential flow processes on the performance of riparian buffers as a surface water quality control practice.
Prevalence and Factors Associated with Postpartum Depression Among Mothers Attending Public Health Centers of Addis Ababa, Ethiopia, 2016
Authors: Fantahun Addishiwet , Cherie Amsale , Deribe Leul 
Published: September 2018

Objectives:Postpartum Depression (PPD) is a serious public health problem that leads to high maternal morbidity and mortality, enormously affecting the infant, family and society. Thus, the aim of this study was to assess the prevalence and factors associated with postpartum depression among postpartum mothers attending public health centers in Addis Ababa, Ethiopia, 2016.Methods:Facility-based cross-sectional study was conducted from March 2016-April 2016 among 633 postpartum women. Four sub cities were identified through simple random sampling technique among 10 sub cities in Addis Ababa, Ethiopia. Furthermore, the study participants were determined by systematic random sampling after 10 health centers were selected by lottery method and the number of participants in each health center was proportionally allocated. In order to determine postpartum depression, participants were rated using the Edinburgh Postnatal Depression Scale (EPDS) and the findings were analyzed using bivariate and multivariate logistic regression. P-value less than 0.05 with 95% confidence interval was used to state the association.Results:The study revealed prevalence of postpartum depression among mothers was 23.3%. Moreover, women who were unmarried, had unplanned pregnancy, delivered without presence of any relatives in health institutions, had previous history of child health, had history of substance use and had low income were found to more often display postpartum depression.Conclusion:For optimal maternal health care provision in regards to postpartum depression, integration of mental health service in addition to inter sectoral collaboration of women’s affair with health institutions is crucial.
Inflammatory Response Variance Based on Quality of Ultrapure Water in Hemodialysis Patients
Authors: Lee Keon-Cheol , Han Kum Hyun , Han Sang Youb 
Published: September 2018

Purpose:
Both the quality of water and biocompatibility of dialyzers are responsible for systemic inflammation in hemodialysis patients. As the biocompatibility of dialyzers has improved, focus for procedural improvements has shifted to water quality. Although ultrapure water reduces the inflammatory response, it is not clear whether different qualities of ultrapure water can further decrease the inflammatory response. This study aims to evaluate the relationship between water quality and the inflammatory response in hemodialysis patients.

Materials and Methods:
We enrolled five patients (two men and three women, mean age 44.6 ± 7.36 years) in maintenance hemodialysis (HD) for three sessions a week. Three quality grades of water were applied in successive weeks: Standard water (N0), single-filter ultrapure water (N1), and double-filter ultrapure water (N2). N2 water was created by mixing N1 water with N1 dialysate and passing the mixture through a second filter. Each patient was exposed to different water quality (N0, N1, N2) for a period of 1 week. Monocyte chemoattractant peptide-1 (MCP-1) mRNA expression in peripheral blood mononuclear cells (PBMCs) was determined by real-time PCR. MCP-1 protein in plasma was measured by ELISA.

Results:
The expression of MCP-1 mRNA in isolated PBMCs after HD was invariant between the N1 and N2 water. The expression of MCP-1 mRNA decreased by 16.1% compared to pre-HD in the N0 system. The expression of MCP-1 mRNA increased by 10.5% in N1 system, and decreased by 12.2% in the N2 system. The water quality did not have a significant impact on MCP-1 protein expression. MCP-1 protein expressions pre- and post-HD were 160.9 ± 13.9 and 153.6 ± 51.6 pg/mL, respectively, when no filter was used (N0). In the case of single-filtered water (N1), the expression levels were 166.6 ± 41.9 and 190.7 ± 88.2 pg/mL pre- and post-HD, respectively. For double-filtered water (N2), the expression levels were 147.8 ± 40.0 and 169.1 ± 52.5 pg/mL pre- and post-HD, respectively.

Conclusion:
There was no difference in MCP-1 response with respect to the number of water filtration steps in HD patients. Further study with especially ultrapure and sterile water is needed to examine the long-term consequence of water purity on inflammatory reactions, and will require more participants in a longer examination window.
Repellence Activity of Cymbopogon Citratus (DC) Extracts on Anopheles Mosquitoes using Swiss Albino Rat and Human Volunteer
Authors: Oluyemi Omoya Funmilola , Ayodele Adewumi Tunde , Oluyemi Ajayi Kehinde 
Published: September 2018

Introduction:
Insect-transmitted disease remains a major source of illness and death worldwide. Anopheles stephensi and Anopheles culicifacies are the important vectors of malaria, malaria continues to be a major public health problem in the tropical world. This study is aimed at carrying out repellence activity of Cymbopogon citratus (Lemon grass) extracts on Anopheles mosquitoes using swiss albino rat and human volunteers.

Methods:
Methanol, chloroform and water were used to extract the bioactive compounds of plant leaves, qualitative and quantitative phytochemical components of plant extracts were determined, twenty-five laboratory-reared 3 day old Anopheles mosquitoes which had been starved for 5 hours were used, extracts and the commercial insecticide N, N-diethyl-3-methylbenzamide (DEET) were applied topically on the skin of uncovered portions of the hand of the human volunteers and abdomen of swiss albino rat after the abdominal hairs has been shaved and the landing rate of mosquitoes were observed to calculate percentage repellency.

Results:
The result revealed that methanol extract had the highest percentage yield of 10.3%, tannin and alkaloid were present in all extracts. DEET had 100% repellency to Anopheles mosquitoes on both human volunteers and rats for 300 minutes post application, in human volunteers, water, chloroform and methanol extracts, has percentage repellency reduced from 100% to 94% after 60 minutes, 100% to 94% after 120 minutes and 100% to 83% after 150 minutes post application respectively while in swiss albino rat, water, chloroform and methanol extracts, percentage repellency reduce from 100% to 87% after 90 minutes, 100% to 87% 150 minutes and 100% to 90% after 180 minutes post application respectively.

Conclusion:
Methanol extracts of C. citratus leaves could be used for the development of topical cream that repels mosquitoes for effective control of malaria.
M-bioscore: proposing a new statistical model for prognostic factors in metastatic breast cancer patients
Authors: Abdel-Rahman Omar 
Published: September 2018

Aim:
The current study aims to propose and internally validate ‘M-bioscore’, which is a model to help predict the outcomes of untreated metastatic breast cancer patients.
Methodology:
Surveillance, epidemiology and end results (SEER) database (2010–2013) was accessed. Patients were divided into two groups: a training set and a validation set. Through a Cox proportional model, multivariate analysis for potential prognostic factors was performed. M-bioscore was calculated for all patients. Survival analyses were conducted through Kaplan–Meier analysis/log-rank testing.
Results:
A total of 6655 metastatic breast cancer patients were analyzed. In the training set, the following factors were linked to better cancer-specific survival in multivariate analysis: estrogen receptor positivity, isolated distant nodal metastases, progesterone receptor positivity, lower nuclear grade and HER2 neu positivity (p < 0.01). Cancer-specific survival was then assessed according to M-bioscore. Adjusted Cox regression cause-specific hazard (using breast cancer death as the event of interest) was evaluated in the validation cohort. Pairwise hazard ratio comparisons between different scores were significant (p < 0.05) except for the comparison between score 6 and 7. C-index for the validation cohort was 0.665 (Standard error (SE): 0.010; 95% CI: 0.646- 0.685).
Conclusion:
M-bioscore can predict the outcomes of untreated metastatic breast cancer patients. Validation of external datasets is needed.
A influência das políticas públicas na formação do professorbrasileiro e sua relação com o Ensino Religioso
Authors: De Oliveira Tania Alice 
Published: September 2018

Este texto tem a intenção de discutirquestões relativas aos processos de implementação das políticas públicas voltadas para a formação do professor brasileiro enfatizando sua relação com os docentes de Ensino Religioso.No ano de 2017 tivemos uma ampla discussão acercada BNCC e depois de várias idas e vindas, em sua última versão, o componente Ensino Religioso (ER) foi contemplado. Devido a sua apresentação, formando umapêndice na BNCC dadaa sua separação da área de humanas, o documentogerou críticasentre os que enxergam o ER como área de conhecimento e aqueles laicistas radicais que veem nesta disciplina certa herança catequética.Por esses motivos, a estruturaatual da base descaracteriza uma área responsável por produzir conhecimentos sociais, no caso o Ensino Religioso. A despeito desses caminhos e descaminhoso ER encontra-se amparado legalmente fazendo jusa todo investimento intelectual que o embasa epistemologicamente, em especial pela Ciência da religião. Contudo,há de se destacar o último edital da CAPES (2018) que na qualidade de gestora das políticas públicas educacionais, assumiu uma postura excludente regulamentandoa supressão do ER de seu rol de subprojetos. Por entender que o professor de ER necessita de equiparação com os professores de outros conteúdosno sentido de formação que oportunize a discussão de planejamento, a avaliação e as metodologias existentes é que este texto se ocupa. Com isto, objetiva-se também,mostrar a relevância das políticas públicas para todos os campos de saberes,de maneira irrestrita,como forma de reivindicar seu compromisso com a formação de uma sociedade plural e laica, portanto cidadã e de acordo com o que preconiza a LDB.
Role of Exogenous Salicylic Acid and Benzoic Acid Applications to Vascular Streak Dieback Disease Attack on Cocoa Seedlings
Authors: Zakariyya Fakhrusy , Wahyu Susilo Agung , Iman Santoso Teguh , Susilo Addy Hardian , Pancaningtyas Sulistyani 
Published: September 2018

Currently, vascular streak dieback (VSD) attacks have widespread in areas ofthe center of cocoa (Theobroma cacaoL.) production, especially inSulawesi. Salicylic acid and benzoic acid are part of phenol compounds reportedlyacts as bioimmunoregulator in increasing of plant resistance to that pathogen. The objec-tiveof this research was to investigate effect of exogenous salicylic acid and benzoic acid applications to VSD disease attack on cocoa seedlings. The research was conducted at Indonesian Coffee and Cocoa Research Institute,Jember, East Java. This experiment designed using randomized completely block design with three replications. The treatments included concentrations of salicylic acid in 0.5 mMol, 1 mMol, 2 mMol; benzoic acid with concentration 0.5 mMol, 1 mMol,2 mMol; and control (water spray). Observations were based on the incidence and severity damage of disease, plant height, stem diameter, number of leaves, stelate trichome, chlorophyll, width and length of stomatal apperture, and number of stomata. Exogenoussalicylic acid and benzoic acid as phytohormone can reduce disease insidence and severity of VSD. In conclusion, our results indicated that exogenous salicylic acid and benzoic promoted stomatal closure in cocoa leaf by decreasing width-stomatal closure. Salicylic and benzoic acid had no effect to plant height, stem diameter, number of leaves, length of stomatal apperture, number of stomata, and number of stelate trichome.
Model Pembelajaran Problem Based Learning untuk Meningkatkan Hasil Perkuliahan Antropologi Pendidikan
Authors: Baiduri Ratih - , Handayani Trisni - 
Published: September 2018

Penelitian ini bertujuan untuk meningkatkan hasil belajar pada mata kuliah Antropologi Pendidikan dengan penerapan model pembelajaran Problem Based Learning (PBL) di kelas A Nonreguler Semester Ganjil Tahun Ajaran 2015/2016 Program Studi Pendidikan Antropologi Universitas Negeri Medan. Jenis penelitian ini adalah Penelitian Tindakan Kelas (PTK) yang dilakukan dalam dua siklus tindakan. Setiap siklus terdiri dari beberapa tahap yaitu perencanaan, pelaksanaan tindakan, observasi dan refleksi. Subyek dalam penelitian ini adalah mahasiswa kelas A Nonreguler Semester Ganjil Tahun Ajaran 2015/2016 Program Studi Pendidikan Antropologi Universitas Negeri Medan yang terdiri dari 13 siswa baik siswa laki-laki maupun perempuan. Pengumpulan data dilakukan dengan cara observasi, wawancara, dan dokumentasi. Hasil penelitian memperlihatkan bahwa model pembelajaran Problem Based Learning (PBL) dengan variasi proyek base learning dan student base learning mampu meningkatkan hasil belajar mata kuliah Antropologi Pendidikan kelas A Nonreguler pada Program Studi Pendidikan Antropologi Semester Ganjil Tahun Ajaran 2015/2016. Kata Kunci: Model Pembelajaran; Problem Based Learning; Hasil Belajar.
LITERASI INTERNET PADA PEREMPUAN DESA
Authors: Barus Rehia Isabela , Dwiana Ressi 
Published: September 2018

Tulisan ini berangkat dari kegiatan pelitahan literasi internet pada perempuan desa. Pelatihan tersebut merupakan rangkaian kegiatan Pengabdian kepada Masyarakat (PKM) yang diharapkan mampu memberikan pengetahuan dan keterampilan tentang internet. Kemampuan literasi internet merupakan kebutuhan yang sudah sangat mendesak. Hal ini tidak terlepas dari terpaan internet sudah mencapai hingga pelosok nusantara. Kondisi tersebut membutuhkan peran ibu sebagai gatekeeper untuk memberikan pemahaman tentang penggunaan internet. Dalam kegiatan ini didapati beberapa temuan sikap dan perilaku bermedia internet perempuan desa. Temuan utama adalah bahwa sebagian perempuan desa hanya menjadi pengguna pasif karena tidak memiliki perangkat dan/atau keterampilan menggunakan internet. Sementara itu, masalah pengawasan penggunaan internet oleh anak-anak ternyata sebagaian besar ibu belum menyadari dan mempraktikkannya. Temuan lainnya adalah kepemilikan perangkat internet tidak serta-merta menjadikan perempuan memiliki akses penuh terhadap perangkat tersebut.
UPAYA MENINGKATKAN KEPERCAYAAN DIRI SISWA SMP MELALUI LAYANAN BIMBINGAN PRIBADI SOSIAL BERBASIS OUTBOUND SMP Negeri 2 Percut sei tuan Tahun Ajaran 2016/2017
Authors: Simanjuntak Saut 
Published: September 2018

Penelitian ini merupakan Penelitian Tindakan Bimbingan dan Konseling (PTBK) yang dilaksanakan dalam 2 siklus, dalam satu kali pertemuan. Bertujuan untuk mengetahui seberapa besar peningkatan kepercayaan diri siswa melalui layanan bimbingan pribadi sosial berbasis outbound pada siswa kelas VII SMP N 2 Percut Sei Tuan, Tahun ajaran 2016/2017. Responden berjumlah 27 siswa, terdiri dari 14 siswa laki-laki dan 13 siswa perempuan. Data penelitian diperoleh melalui skala kepercayaan diri dan didukung oleh hasil observasi selama kegiatan bimbingan pribadi sosial berlangsung, hasil wawancara, dan dokumentasi. Hasil analisis menunjukkan adanya perbedaan pre-test dan post-test, dimana terdapat peningkatan skor item dan skor subjek pada setiap siklusnya. Hasil rata-rata skor subjek pada pra siklus adalah 99,54, meningkat menjadi 124,52 pada siklus I. Pada siklus II rata-rata skor subjek meningkat menjadi 139,50. Hasil uji hipotesis menunjukkan bahwa Ho ditolak. Hal ini menunjukkan bahwa terdapat peningkatan kepercayaan diri secara signifikan setelah mengikuti layanan bimbingan pribadi sosial berbasis outbound.