bluuebunny/crossref_metadata_2025_split huggingface dataset:
Achieving ideal mentoring: working patterns among clinical instructors, nurses, and nursing students
Authors: Sugiantari Ayu , Sari Komang Ayu Kartika , Januraga Pande Putu 
Published: September 2018

AbstractBackground and purpose: The relationships between those responsible for clinical training, clinical instructors (CIs) and nurses, and the nursing students, have a great impact upon student learningÂ during clinical placements. The present study investigates the pattern of working relationships among CIs, nurses, and student nurses, and analyses the extent to which they achieve ideal mentoring practices.Methods: Qualitative study employing in-depth interviews with CIs (n=3), nurses (n=8), and nursing students (n=8) on a clinical placement was undertaken from June-July, 2017,Â at Badung District Hospital, Denpasar, Bali.Â Â Content analysis was conducted to identify the key themes that emerged from these interviews and formed the basis of the findings. The results are presentedÂ narrativelyÂ in order to highlight the patternsÂ of the working relationships identified and perceived by CIs, nurses, and nursing students, with the aim of developing improved mentoring practices.Results: Analysis of the in-depth interviews identified three main themes: (i) perceptionsÂ on the hospitalâ€™s mentoring practices, (ii) the role(s) andÂ behaviour in the mentoring process, and (iii) the patterns of working relationships between those involved in the mentoring process.Â In general, participants defined mentoring in terms of the provision of guidance and instruction to students.Â Participantâ€™s contrasting perceptions of their role(s) affected how they behaved in the mentoring process.Â Furthermore, participantâ€™s perceptions of their ownâ€™s roles and their behaviour provides a detailed overview of the working relationships pattern of the nursing students, nurses and CIs. Specifically, working relationships between CIs and nurses tend to fit an employee-employer type pattern, whereas those between CIs/nurses and nursing students do not appear to reflect typical mentor-mentee relationships.Conclusions: TheÂ pattern of working relationships identified between CIs/nurses and nursing students do not, in fact, reflect a typical mentor-mentee relationship.Â Furthermore, this paper highlights the impactÂ that suboptimal mentoring may have on nursing students' achievement of medical competence, as well as on the quality of nursing care provided to patients in teaching hospitals.
All-Cause Mortality for Life Insurance Applicants with a Family History of Coronary Artery Disease Before 60
Authors: Freitas Stephen A. , MacKenzie Ross , Wylde David N. , Von Bergen Jason , Holowaty J. Carl , Beckman Margaret , Rigatti Steven J. , Gill Stacy 
Published: September 2018

Objective.—To determine the all-cause mortality of life insurance applicants having a family history of coronary artery disease (CAD) before age 60.
Background.—Epidemiological studies have shown that a family history of premature CAD is an independent risk factor for CAD events. The strength of the association between family history and CAD is greatest with earlier age of presentation of CAD in the family member and when multiple family members are affected. Despite earlier insurance studies on this relationship, there is sparse current data on the association between family history of CAD and all-cause mortality in life insurance applicants.
Methodology.—Life insurance applicants with reported family history of Coronary Artery Disease (CAD) were extracted from data covering United States residents between October 2009 and October 2016. Information about these applicants was matched to the Social Security Death Master (SSDMF) file for deaths occurring from 2009 to 2012 and to another commercially available death source file (Other Death Source, ODS) for deaths occurring from 2009 to 2016 to determine vital status. Actual to Expected (A/E) mortality ratios were calculated using the Society of Actuaries 2015 Valuation Basic Table (2015VBT), select and ultimate table (age last birthday). All expected bases were not smoker distinct. Confidence bands around these mortality ratios were calculated. The variables of interest were applicant age, gender, number of family members with CAD before age 60, and the presence of cardiac or cardiovascular conditions.
Results.—Overall, the mortality of applicants with family members with a history of CAD before age 60 was slightly lower than expected mortality based on the 2015 VBT. Applicants with a cardiac or cardiovascular comorbid condition had a significantly higher mortality ratio. For applicants aged 25-54 and 65-75 with cardiac comorbid conditions, the mortality ratio was 2 times that of those without a cardiac comorbid condition. For those aged 55-64 with cardiovascular comorbid conditions, the mortality ratio was 2.9 times that of those without a cardiovascular comorbid condition. Females had a slightly higher mortality ratio for all age groups, number of family members with CAD before age 60, and cardiovascular conditions.
Conclusion.—A family history of CAD before the age of 60 in an insurance applicant may be associated with increased all-cause mortality. Overall in this study, life insurance applicants had a mortality slightly lower than the expected mortality based on the 2015 VBT. However, applicants with a positive family history and a cardiac or cardiovascular comorbid condition had a significantly higher mortality ratio.
EMBOLI PARU
Authors: Octaviani Fidelia , Kurniawan Andree 
Published: September 2018

<p>Emboli paru merupakan salah satu kegawatdaruratan pada bidang kardiovaskular yang cukup sering terjadi dengan berbagai manifestasi klinis dari keadaan yang asimptomatik hingga keadaan yang mengancam nyawa. Insidensi terjadinya emboli paru pada populasi mencapai 23 per 100,000 penduduk dengan tingkat mortalitas mecapai 15%. Emboli paru dapat disebabkan oleh tromboemboli vena, emboli udara, lemak, cairan amnion, fragmen tumor, dan sepsis. Pemeriksaan <em>ventilation-perfusion scintigraphy</em> masih menjadi baku emas untuk menegakkan diagnosis emboli paru. Sedangkan pemeriksaan lain dapat dilakukan untuk membantu klinisi mendiagnosis kejadian emboli paru. Tatalaksana pada emboli paru akut harus dilakukan dengan segera dengan menggunakan antikoagulan seperti unfractioned heparin, LMWH atau vitamin K antagonis, dilanjutkan dengan trombolitik atau embolektomi apabila trombolitik tidak dapat dilakukan. </p>
A Planned Cesarean Section-Hysterectomy For Placenta Previa Totalis Percreta In Patient With History Of Two Cesarean Sections
Authors: Nainggolan Julita 
Published: September 2018

<p><em>The presence of placenta previa may be associated with placenta accreta</em><em><sup>[1]</sup></em><em>.<sup> </sup></em><em>Maternal and fetal morbidity and mortality from placenta previa accreta are considerable and are associated with high demands on health resources. With the rising incidence of caesarean sections combined with increasing maternal age, the number of cases of placenta praevia and its complications, including placenta accreta, will continue to increase</em><em><sup>[2]</sup></em><em>. </em><em>Here, we present a case of placenta previa totalis percreta in previous cesarean section twice. In this case, patient with placenta previa totalis-percreta we diagnosed and prepared proper management with the involvement of multidisciplinary team. We reduced blood loss by performing total abdominal hysterectomy immediately after delivered the baby and the postoperative course was uneventful.</em></p><p><strong><em>Keywords: Cesarean Section-Hysterectomy, placenta accreta, placenta percreta, placenta previa</em></strong></p>
Tropical silviculture in dense African forests (Part 2)
Authors: Catinot René , Bossanyi Ilona 
Published: September 2018

Dans la deuxième partie de l’article, l’auteur expose les méthodes sylvicoles employées dans la forêt dense d’Afrique à l’aide d’une régénération artificielle. La méthode « Taunguya » n’est pas très répandue dans les zones forestières. La méthode « Limba », employée au Congo, sert à établir une plantation de stumps (souches de jeunes plants) de limba (Terminalia superba) à intervalles de 6 à 9 m ou 12 à 14 m dans une forêt naturelle complètement détruite. Avec la méthode « Okoumé », utilisée au Gabon sur 16 000 ha, les arbres sont plantés à intervalles de 4 à 5 m par semis direct ou plantation de jeunes plants, ou après déforestation. La méthode « Martineau », utilisée en Côte d’Ivoire dans les années 1930, implique une plantation serrée (2 500 très jeunes plants par hectare) en forêt naturelle, avec une ouverture progressive lente de la canopée. La méthode des « Layons » est très extensive, et produit un enrichissement des peuplements par l’introduction de jeunes plants dans les layons par éclaircies de la forêt naturelle à 25 m d’intervalle (13 000 ha en Côte d’Ivoire). La méthode des « Placeaux » introduit de jeunes plants très serrés dans des carrés de forêt naturelle. Les arbustes concurrents et les arbres de la canopée sont progressivement et lentement éliminés.
A Pragmatic View of Jean Watson’s Caring Theory
Authors: Cara, Chantal 
Published: September 2018

As most health care systems around the world are undergoing major administrative restructuring, we expose ourselves to the risk of dehumanizing patient care. If we are to consider caring as the core of nursing, nurses will have to make a conscious effort to preserve human caring within their clinical, administrative, educational, and/or research practice. Caring must not be allowed to simply wither away from our heritage.To help preserve this heritage, caring theories such as those from Jean Watson, Madeleine Leininger, Simone Roach, and Anne Boykin are vital. Through this continuing education paper we will learn the essential elements of Watson’s caring theory and explore an example of a clinical application of her work.
Nuevo enfoque de la nutrición. Valoración del estado nutricional del paciente: función y composición corporal
Authors: García Almeida José Manuel , García García Cristina , Bellido Castañeda Virginia , Bellido Guerrero Diego 
Published: September 2018

La malnutrición puede considerarse un disbalance entre el aporte y los requerimientos de energía y nutrientes que produce una serie de cambios metabólicos y funcionales a nivel corporal. Existen múltiples limitaciones en los parámetros clásicos de valoración nutricional como IMC, pérdida de peso, ingesta o parámetros analíticos clásicos como albúmina o linfocitos. Podemos establecer algunos puntos básicos de interés en este nuevo enfoque de la nutrición centrado en la valoración del estado nutricional del paciente evaluando los cambios de composición y función con nuevos parámetros como el ángulo de fase y otras medidas eléctricas de la bioimpedanciometría, dinamometría, test funcionales, ecografía muscular o nuevos parámetros analíticos como PCR/prealbúmina. Cada uno de estos parámetros tiene una serie de utilidades y limitaciones que es importante conocer a la hora de evaluar los resultados de los mismos. La nueva visión global de la nutrición debe integrar diferentes aspectos de composición y función del organismo para poder establecer un diagnóstico más preciso de la situación nutricional y un plan terapéutico individualizado. Los parámetros nutricionales avanzados del futuro deben ser sensibles y específicos, relacionados entre sí, de forma que permitan un mejor conocimiento de la situación particular de cada paciente en diferentes momentos evolutivos de su proceso patológico.
Analisis Keterserapan Lulusan Program Studi Pendidikan Teknik Bangunan Fakultas Teknik Universitas Negeri Jakarta di Lapangan Pekerjaan
Authors: Agustin Isnaini Salasatun , Arthur Riyan , Maulana Arris 
Published: September 2018

Penelitian ini bertujuan untuk melacak keberadaan alumni Program Studi Pendidikan Teknik Bangunan agar mengetahui kesesuaian bidang pekerjaan alumni dengan komptensi lulusan, lama masa tunggu mendapatkan pekerjaan pertama dan penghasilan atau gaji yang diperoleh alumni pada pekerjaan pertama maupun pekerjaan saat ini.
Metode penelitian ini menggunakan metode penelitian kualitatif. Penelitian dilakukan dengan cara menyebar kuesioner, wawancara via telepon, via whatsapp. Sumber data dalam penelitian ini adalah alumni lulusan tahun 2012 s/d 2016 dengan jumlah responden 117 responden.
Hasil penelitian menunjukkan bahwa rata-rata waktu tunggu alumni < 3 bulan dengan persentase 74,4%, jenis pekerjaan alumni yang sesuai dengan kompetensi lulusan di bidang pendidikan sebesar 7,70% dan bidang non pendidikan sebesar 92,30%, dan rata-rata penghasilan atau gaji alumni pada pekerjaan pertama kurang dari 3jt sebesar 20,51%, 3jt â€“ 4jt sebesar 28,21%, 4jt â€“ 5jt sebesar 35,04%, 5jt â€“ 6jt sebesar 8,55% dan lebih dari 6jt sebesar 7,69%. Sedangkan untuk penghasilan atau gaji alumni pada saat ini kurang dari 3jt sebesar 5,31%, 3jt â€“ jt sebesar 19,66%, 4jt â€“ 5jt sebesar 46,15%, 5jt â€“ 6jt sebesar 16,24% dan lebih dari 6jt sebesar 12,82%.
Public Health Emergency Response Lessons Learned by Rapid Deployment Force 3, 2006–2016
Authors: Iskander John , McLanahan Eva , Thomas Jennifer D. , Henry J. Brian , Byrne David , Williams Holly 
Published: September 2018

Following Hurricane Katrina, the uniformed US Public Health Service created an updated system through which its officers participated in emergency responses. The Rapid Deployment Force (RDF) concept, begun in 2006, involved five teams of officers with diverse clinical and public health skill sets organized into an incident command system led by a team commander. Each team can deploy within 12 hours, according to a defined but flexible schedule.The core RDF mission is to set up and provide care for up to 250 patients, primarily persons with chronic diseases or disabilities, in a temporary federal medical station. Between 2006 and 2016, the RDF 3 team deployed multiple times in response to natural disasters and public health emergencies. Notable responses included Hurricane Sandy in 2012, the unaccompanied children mission in 2014, and the Louisiana floods in 2016.Lessons learned from the RDF 3 experience include the need for both clinical and public health capacity, the value of having special mental health resources, the benefits of collaboration with other federal medical responders, and recognition of the large burden of chronic disease management issues following natural disasters.
An Efficient Model for Designing Medical Countermeasure Just-in-Time Training During Public Health Emergencies
Authors: Cathcart Laura A. , Ramírez-León Gabriela , Orozco Yamelith Aguilar , Flanagan Elizabeth A. , Young Stefanie E. , Garcia Robert A. 
Published: September 2018

Rapidly training numerous staff and volunteers to distribute and dispense medical countermeasures is challenging because of limited resources and evolving information during public health emergencies. The Applied Learning and Development Team within the Division of State and Local Readiness at the Centers for Disease Control and Prevention (CDC) proposes just-in-time training (JITT) templates that can be rapidly customized and implemented early in any public health emergency. The proposed template model aligns with modular training design research to increase relevance and rapid deployment of training. Two case studies are described to demonstrate the potential for training templates to support medical countermeasure responses: (1) customization and implementation of a JITT to prepare staff to work on a CDC task force during the 2016–2017 Zika virus response and (2) a new modular, customizable course to teach the basics about working at a point-of-dispensing site. Flexible JITT templates in these cases reduce the burden on emergency planners and trainers, allowing for rapidly developed, customized training viable for all emergency responses.
Timely Antiviral Administration During an Influenza Pandemic: Key Components
Authors: Koonin Lisa M. , Patel Anita 
Published: September 2018

Prompt treatment of ill persons with influenza antivirals will be an important part of a future pandemic influenza response. This essay reviews key lessons learned from the 2009 H1N1 pandemic and the changing landscape of antiviral drug availability, and identifies and describes the multiple components needed to ensure the timely administration of antiviral drugs during a future pandemic. Fortunately, many of these planning efforts can take place before a pandemic strikes to improve outcomes during a future public health emergency.
DEVELOPMENT AND VALIDATION OF A STABILITY INDICATING RP-HPLC METHOD FOR THE DETERMINATION OF POTENTIAL DEGRADATION PRODUCTS OF DIFLUPREDNATE IN OPHTHALMIC EMULSION
Authors: Zope Murlidhar V. , Patel Rahul M. , Patel Ashwinikumari , Patel Samir G. 
Published: September 2018

Objective: The objective of the current study was to develop and validate a simple, robust, precise and accurate RP-HPLC (reverse phase-high performance liquid chromatography) method for the quantitative determination of potential degradation products of Difluprednate (DIFL) in the ophthalmic emulsion.Methods: Chromatographic separation was achieved on the YMC pack ODS-AQ (150× 4.6) mm, 3μm column with a mobile phase containing a gradient mixture of mobile phase A (0.02M Ammonium formate buffer pH 4.5 adjusted with formic acid) and Acetonitrile as mobile phase B, at flow rate of 1.5 ml/min and with UV detection at 240 nm.Results: The peak retention time of DIFL was found at about 17.2 min, the RRT of degradation product-1 (DP-1), degradation product-2 (DP-2), and degradation product-3 (DP-3), were found to be about 0.49, 0.65 and 0.79 respectively (calculated with respect to Difluprednate). Stress testing was performed in accordance with an ICH (international council for harmonisation) guideline Q1A (R2) [1]. The method was validated as per ICH guideline Q2 (R1)[2]. The calibration curve was found to be linear in the concentration range of 0.1 to 0.75 µg/ml for Difluprednate, DP-1, DP-2 and DP-3. The LOD (Limit of detection) was found to be 0.1µg/ml and LOQ (Limit of quantification) of 0.15µg/ml for Difluprednate, DP-1, DP-2 and DP-3 respectively. The recovery from LOQ to 150% was within 90-110%. The forced degradation data confirms the stability indicating the nature of the method.Conclusion: A simple, robust, precise and accurate RP-HPLC method for the quantitative determination of potential degradation products of Difluprednate in the ophthalmic emulsion was developed and validated.
El Nino Effect on Coffee Growth and Productivity on Several Agroforestry Systems in Gumitir Mountain Coffee Farms, East Java, Indonesia
Authors: Yuliasmara Fitria 
Published: September 2018

Climate change and global warming have become major issues in the last 10 years and affect many sectors including coffee plantations. Global warming causes El Nino to occur more frequently and potentialy reduced agricultural production between 5–20%. In coffee plantations, an effort to minimize the impact of climate change is the use of agroforestry cropping pattern. One of the Robusta coffee producing areas grown using agroforestry system in East Java is at Gumitir mountain area. Coffee plants used as samples were 10–12 years old of Tugusari 6 coffee plantations managed by Sidomulyo farmer group. The environmental design used completely randomized block design with three replicates for each treatment which consisted of +0.5 ha. The results of this study indicated that coffee grown under forest produced the lowest irradiation and keep daytime tem-peratures 26.33oC with humidity 85% during this El Nino period. On plant growth parameters showed that the lower intensity of irradiation produced coffee plants with morphological characters of longer segments, larger leaves and higher chlo-rophyll content. Plant growth showed no significant difference except in coffee agroforestry system with pine which produced the smallest stem diameter and fewer productive branches. It was suspected due to the presence of allelopati compounds released by the litter of pine leaves. Coffee grown under natural forest produced highest nodes per branch, cherries per node, and number of cherries per tree than other systems. Productivity of robusta coffee in Gumitir mountain area during El Nino showed that the highest productivity in forest 1497 kg ha –1 and 1355 kg ha –1 on coffee grown under Leucaena, due to its ability to maintain moisture. Agroforestry system in coffee is able to maintain environmental conditions in this case in terms of irradiation, temperature and moisture during El Nino which caused stability of plant growth and coffee productivity during El Nino.
SDF-1 and its receptor in the ventricles of rat with monocrotaline-induced pulmonary hypertension
Authors: Veteskova J. , Obsivan M. , Kmecova Z. , Radik M. , Srankova J. , Malikova E. , Klimas J. , Krenek P. 
Published: September 2018

Abstract
Aim: Chemokine stromal cell derived factor-1 (SDF-1) plays an important role in many processes such as apoptosis, proliferation, migration and angiogenesis, and these effects are mediated mostly by the receptor CXCR4. The aim of this study was to determine the expression of SDF-1 and CXCR4 in the ventricles of rats with monocrotaline-induced pulmonary hypertension.
Methods: 10–12 weeks old male Wistar rats were injected with monocrotaline (s. c., 60mg/kg; MON) or vehicle (CON). Rats were sacrificed 1 week (1W-MON, 1W-CON), 2 weeks (2W-MON, 2W-CON) and 4 weeks after monocrotaline administration (4W-MON, 4W-CON). Gene expression of SDF-1 and CXCR4 was determined by qRT-PCR.
Results: We observed a decrease in the SDF-1 expression on mRNA level in the right ventricle in 2W-MON and 4W-MON rats without any changes in the left ventricles and a decrease in CXCR4 expression in 1W-MON in both ventricles with an increase of CXCR4 expression in 4W-MON in the left ventricle (*P ˂ 0.05).
Conclusion: SDF-1/CXCR4 axis is affected in both ventricles of rats with monocrotaline model of pulmonary hypertension.