bluuebunny/crossref_metadata_2025_split huggingface dataset:
Monitoring and treatment of chronic patients through uHealth: Keys to sustainability (efficiency) and quality of care
Authors: Cabo-Salvador Javier , Velarde José Manuel , Cabo Muíños Verónica , De Castro Lozano Carlos , Ramos López Javier 
Published: September 2018

This paper proposes an integrated model of social-health resources management. The authors present the actual challenges for health care, in an environment characterized by longer life expectancy and an increase in the number of patients with chronic pathologies, in a scenario of both, economic and financial crises. Their presentation includes management and financial issues, and the technological trends –such as the development of personalized and regenerative medicine– which will lead to an increase in health spending. The task of facing these challenges, they explain, cannot be postponed, the goals should be to improve: the efficiency in the use of health resources, the quality of health care and the level of patient satisfaction. Finally, they present some concepts about the application of information and communications technologies in health, show its relationship with the chronic patient care and present both, the current management models for this type of patient and the new proposed model.
DEKONTAMINASI DAN PEMBERSIHAN AKHIR (TERMINAL CLEANING) DI LINGKUNGAN ICU (Intensive Care Unit)
Authors: Cucunawangsih Cucunawangsih 
Published: September 2018

<p>Patogen MDRO, seperti vancomycin-resistant enterococci (VRE), methicillin-resistant <em>Staphylococcus aureus</em> (MRSA), <em>Acinetobacter spp.</em>, <em>extended spectrum beta-lactamase</em> (<em>ESBL</em>)-producing bacteria, dan <em>Clostridium defficile </em>seringkali menyebabkan kolonisasi/<em>healthcare-associated infection</em> (HAI) di lingkungan ICU. Sejumlah penelitian membuktikan bahwa petugas kesehatan menularkan pathogen ini melalui kontak langsung dengan tangan atau sarung tangan setelah menyentuh permukaan yang terkontaminasi atau pasien. Lingkungan berperan penting pada penyebaran <em>hospital-acquired pathogens</em> (HAP) dan terjadinya HAI. Metode pembersihan dan dekontaminasi rutin yang telah diterapkan dan dilakukan di lingkungan rumah sakit seringkali gagal ataupun tidak efektif dalam menggurangi penyebaran patogen MDRO. Kegagalan ini disebabkan tidak seluruh permukaan medis dan rumahtangga yang seringkali tersentuh tidak terdekontaminasi dengan sempurna. Untuk itu diperlukan tindakan lanjutan berupa pembersihan terminal menggunakan metode baru, seperti (1) hydrogen peroxide vapor (HPV) dan (2) sinar UV yang telah terbukti efektif secara mikrobiologi, aman dan mudah digunakan.</p>
Tropical silviculture in dense African forest (Part 4)
Authors: Catinot René , Bossanyi Ilona 
Published: September 2018

L’article présente la quatrième partie de l’étude sur la sylviculture en forêt dense africaine. Dans cet article, l’auteur compare les différentes méthodes employées dans les forêts tropicales humides à la lumière des résultats de recherche exposés dans le précédent article. Il conclut que, excepté pour les méthodes « Limba » et « Okoumé », le principal facteur limitant le succès des plantations semble être le manque de lumière arrivant jusqu’au niveau du sol. Sur la base de cette observation fondamentale et d’autres considérations techniques, il propose des changements aux méthodes conventionnelles, avec la perspective d’améliorer leurs chances de succès.
Making the Connection During Home Visits: Narratives of Expert Nurses
Authors: Zenvekh, Joyce V. 
Published: September 2018

Making interpersonal connections during nursing visits in the home is the foundation for effectively influencing health behavior and helping people take charge of their own lives. Consider a young vulnerable public health client describing the outcome of her connection with a public health nurse expert:I think I’ve always known, all along, how to take care of mysev I think she’s given me the comfort to feel good enough about myself to use those tools again; to take care of myselfwithout feeling degraded or less than anybody else ... she has empowered me that way, letting me actually be who I am and its okay to make these mistakes... Does that make sense? (Marie, 1994).Developing this kind of connection makes great sense as the means strengthening caring relationships. This paper describes the dimensions of the interpersonal process used by expert community health nurses to develop connectedness during home visits with family clients.
Using Visual Descriptions to Explore Nursing Values Over Time
Authors: Gordon, Shirley 
Published: September 2018

The day-to-day practice of nursing reflects underlying value orientations of individual nurses. These value orientations are thought to be universally held over time. The purpose of this study is to explore the physical and social objects in the environment that make up the components of value orientation through historical and current visual descriptions of nursing.Community hospital nurses in the study submitted photographs containing fewer images of people, patients and nurses, decreased eye and body contact along with more images of indirect care and technology than systematically selected historical descriptions of nursing. The study concludes nurses participating in the study chose an orientation of detachment over the historical nursing orientation of human attachment. (nursing values, photography, visual descriptions, self theory, technology, caring).
Caring For Persons in Pain: Constructing The Experience
Authors: Ebener M. Kathleen 
Published: September 2018

Pain is a frequently encountered human problem, but it also an intensely personal experience. A social constructionist perspective suggests that persons experiencing pain create uniquely individualized meanings and interpretations of reality. The interaction of common past and present experiences are examined, along with the impact of collective perceptions among others.Strategies for caring for persons in pain are presented so that clinicians can support individual meaning making activity. When individually constructed realities become barriers to optimal pain management, clinicians are encouraged to guide the person experiencing pain in building alternate realities that promote comfort and ease suffering.
Bladder Cancer as a Chronic Condition: A Phenomenological Case Study
Authors: Hilton Edith L. , Henderson, Lesley J. 
Published: September 2018

The purpose of this phenomenological case study was to disclose the lived experiences of a woman survivor of invasive bladder cancer who underwent reconstructive surgery resulting in re-established urinary continence. Post-operatively she experienced pain, loss of urinary continence, body image alterations, and fear of recurrent malignancy. Data revealed the chronic nature of managing re-established urinary continence after bladder cancer, the uncertainty of long-term survival, and the complexity of the sudden loss of urinary continence.Findings revealed transformation with additional themes including: unknowing, awareness overlaid with suffering, loss of self, the insider’s view, metamorphosis, restoration, and the unfolding path.
Studi Analisis Motivasi Lulusan Pendidikan Vokasional Konstruksi Bangunan Universitas Negeri Jakarta Terhadap Bidang Kerja Non-Kependidikan (Konstruksi)
Authors: Kurniawan Fikri , Saleh Rosmawita , Murtinugraha R. Eka 
Published: September 2018

Abstract
This study aims to obtain conception of motivation from graduates of Vocational Education of Building Construction in Faculty of Engineering, State University of Jakarta, to the non-educational work field (construction). It was conducted since Juni to July 2018.
This study was conducted on graduates of bachelor degree of Vocational Education of Building Construction, Faculty of Engineering, State University of Jakarta. It uses descriptive method that is qualitative, the data retrieval technique is done by spreading the quistionnaire via google form to make it easier to get the quistionnaire answer.
The result obtained from this study is that graduates of Vocational Education of Building Construction have high motivation to the non-educational work field (construction), they are motivatied by desires and ambitions (84%), impulses and needs (83%), hopes and aspirations (85%), exciting activities (84%), awards (80%), environmental influences that affect graduates to work in the non-educational work field (73%). It becomes the result that graduates of Vocational Education of Building Construction, Faculty of Engineering, State University of Jakarta, have a very high motivation to the non-educational work field (construction).

Keywords: Graduates Motivation, Non-educational work field
Taiwan’s Annual Seasonal Influenza Mass Vaccination Program—Lessons for Pandemic Planning
Authors: Meyer Diane , Shearer Matthew P. , Chih Yi-Chien , Hsu Yu-Chen , Lin Yung-Ching , Nuzzo Jennifer B. 
Published: September 2018

Rapid medical countermeasure (MCM) dispensing is an important intervention during a public health emergency. In the United States, MCM planning and exercising efforts have largely focused on dispensing therapeutics, with less emphasis on mass vaccination operations that would require additional specialized staff and infrastructure. Difficulties in distributing vaccines during the 2009 H1N1 influenza pandemic highlighted the need for enhanced planning and exercising of plans for conducting mass vaccination campaigns. In Taiwan, seasonal influenza mass vaccination campaigns are conducted annually, which both mitigate the effects of seasonal influenza and serve as functional exercises for mass vaccination operations during a pandemic. To identify lessons that can be applied to mass vaccination planning in the United States and elsewhere, we conducted an in-person observation and data review of Taiwan’s annual seasonal influenza mass vaccination efforts in October 2017. We offer findings and recommendations for enhancing preparedness for seasonal and pandemic influenza and other public health emergencies that would require mass vaccination.
Effectiveness of Low Glycemic Index Diet Consultations Through a Diet Glycemic Assessment App Tool on Maternal and Neonatal Insulin Resistance: A Randomized Controlled Trial (Preprint)
Authors: Zhang Yi , Wang Liping , Yang Wenhong , Niu Dayan , Li Chunying , Wang Liling , Gu Ping , Xia Yingqian , Shen Ying , Yan Juhua , Zhao Qian , Mu Kai , Yan Weili 
Published: September 2018

BACKGROUND

Low glycemic index (LGI) diet has shown to be effective in reducing maternal and neonatal complications in high-risk pregnancies.

OBJECTIVE

This trial aimed to examine the effectiveness of individualized LGI diet consultations based on the accurate diet glycemic load (GL) assessment tool on maternal and neonatal insulin resistance levels and diet behavior changes in overweight and obese pregnant women.

METHODS

Overweight and obese pregnant women were recruited before 16 weeks of gestation and randomized to the LGI diet arm or the control arm. All participants received standard dietary education according to the Chinese Dietary Guide for Pregnant Women. In the intervention arm, additional individualized dietary GL assessments were performed using an app and instructions of lowering diet glycemic index (GI) to achieve LGI diet were provided by a clinical dietitian at early, middle, and late gestation. Primary outcomes were serum insulin at late gestation, incidence of gestational diabetes mellitus (GDM) for mothers, and cord blood C-peptide level of neonates.

RESULTS

In total, 400 subjects were randomized and received different interventions. There were no significant differences in maternal serum insulin levels (13.2 [9.3−13.2] uU/mL vs 12.4 [10.5−12.4] uU/mL), incidence of GDM (45 [22.5%] vs 43 [21.5%]), or cord blood C-peptide levels (mean 0.9ng/mL [SD 0.7] vs mean 0.8ng/mL [SD 0.6]) in the intervention group compared with the controls. The diet GI at late gestation was similar (mean 63.2 [SD 10.4] vs mean 64.3 [SD 10.4]), whereas greater diet fiber intake was observed in the intervention group (mean 11.6 grams [SD 8.0] vs mean 9.0 grams [SD 5.6]; P=.006). Adherence measurements did not significantly differ between 2 groups.

CONCLUSIONS

Individualized LGI diet consultations for overweight and obese pregnant women failed to make a significant difference in maternal or neonatal insulin resistance compared with the standard gestational diet consultation.

CLINICALTRIAL

ClinicalTrials.gov NCT01628835; http://clinicaltrials.gov/ct2/show/NCT01628835 (Archived by WebCite at http://www.webcitation.org/77LHgWP0k)
PHYTOCHEMISTRY AND BIOLOGICAL ACTIVITIES OF CRATEVA ADANSONII EXTRACTS
Authors: Nounagnon Martial S. , Dah-nouvlessounon Durand , N’tcha Christine , Legba Boris , Baba-moussa Farid , Adjanohoun Adolphe , Baba-moussa Lamine 
Published: September 2018

Objective: This study aims to search the secondary metabolites of Crateva adansonii (leaves and bark) and evaluate some biological activities (antimicrobial, antioxidant and cytotoxicity’s property) of these extracts.Methods: The phytochemical screening was made with standard method. Agar diffusion method was used for antibacterial activity coupled with Minimum Inhibitory Concentration (MIC) and Bactericidal (MBC) determination. The antifungal test was performed by the mycelial development reduction method. DPPH method was used to evaluate the extracts antioxidant activity. Artemia salina larvae were use as support to evaluate the toxicity of the extracts.Results: The results of the phytochemical screening reveal the presence of polyphenols, triterpenoids, and glycosides in the both organs (leaves and bark) of C. adansonii. All the extracts have low activity on the reference strains with a larger diameter of 17±00 mm (S. oralis). Only the ethanolic and hydroethanolic leaf’s extracts inhibited respectively 20% and 10%, of the clinical strain S. aureus. The ethyl acetate leaf’s extract shows the best antifungal activity (89,19%) with A. clavatus. All extracts present dose-dependent antiradical properties and are non-toxic for the cells of Artemia salina. C. adansonii bark extracts had the best reducing power (23,80±0, 137 mmol/g EqAA EAA) of the DPPH radical.Conclusion: C. adansonii is therefore an active principle source for the development of drugs to antimicrobial and antioxidant activities
Costs associated with adverse events for systemic therapies in metastatic melanoma
Authors: Fu Alex Z , Li Zhiyi , Tang Jackson , Mahmood Syed , Whisman Tyler , Qiu Ying 
Published: September 2018

Aim:
To determine the costs of adverse events (AEs) associated with current metastatic melanoma (MM) therapies.
Materials & methods:
Two retrospective cohort studies were independently conducted using the PharMetrics and MarketScan databases. Included patients were aged ≥18 years, and had ≥1 MM diagnosis and ≥1 claim for systemic therapy from 2004 to 2015.
Results:
A total of 1654 and 1329 patients were identified in PharMetrics and MarketScan, respectively. The corresponding adjusted 30-day incremental costs of AEs by category were highest for CNS/psychiatric (US$21,277 and $18,739), gastrointestinal ($18,534 and $15,648), respiratory ($17,338 and $17,064), cardiovascular ($16,083 and $15,430), hematological/lymphatic ($14,997 and $15,538) and metabolic/nutritional AEs ($12,340 and $17,251).
Conclusion:
The costs of AEs associated with systemic therapies for MM are substantial.
Yield Performance of the Promising Cocoa Hybrids (Theobroma cacaoL.) at Dry Climate Condition
Authors: Wahyu Susilo Agung 
Published: September 2018

Global climate change is impacting cocoa cultivation that cocoa trees must be adaptive in dry climate and higher temperature of environmental condition. This research had objective to observe adaptability performance of the promising hybrids of cocoa ofthe selecting high yielding hybrid swhichare tolerantto dry condition. Treatments were 14 hybrids of bi-clonal crosses betweenselected clones in factorial design in which KEE 2 was selected based on its resistance to vascular-streak dieback (VSD) and drought condition. Multilocation trials were established in Kaliwining Experimental Station in Jember (low land) and Sumber Asin Experimental Station in Malang (medium land) both of which were classified to dry land area. Yield per tree were assessed in monthly basis during 9 consecutive years of yield period. Data were performed to the combinedanalysis of variance followed by AMMI (additive main effect and multiplicative interaction). The results showed thatthe factor of hybrid, location, and interactionof hybrid and location to year contributed higher value of variance for the yield. Analysis of AMMI indicated that the hybrids of KEE 2 x Sulawesi 1 (F 1 and reciprocal) had highest yield potency and adaptive to low land (Kaliwining) on the other hand the hybrids of TSH 858 x KEE 2 (F 1 and reciprocal) were adaptive to medium land (Sumber Asin). Refer to yield adaptability to dry condition and other potential traits reported thus the hybrid of KEE 2 x Sulawesi 1 (F 1 and reciprocal) was released as cocoa planting material for addressing dry condition. The result also identified those hybrids inherited using KEE 2 performed more adaptive to dry condition. Further-more, the clone was suggested to be used as parental clone on breeding for drought tolerance.
Metode Timetoken dan Kliping untuk Meningkatkan Partisipasi dan Hasil Belajar Siswa dalam Pelajaran Sosiologi
Authors: Kurniati Dwi - 
Published: September 2018

Penelitian ini bertujuan untuk meningkatkan partisipasi dan hasil belajar siswa dalam pelajaran sosiologi dengan memadukan metode pemberian tugas time token dan kliping. Pendekatan yang digunakan dalam penelitian ini adalah pendekatan kualitatif dengan jenis penelitian tindakan kelas yang diperluas. Siswa yang dijadikan subyek penelitian adalah siswa kelas XI IS SMA Negeri 1 Labuhan Deli TP 2015-2016. Hasil penelitian menunjukkan Hasil tugas kliping masalah sosial di kelas IX IS 1 menunjukkan jumlah siswa terampil melaksanakan tugas kliping (pencapaian hasil kriteria baik dan sangat baik) sebesar 66,67 % di siklus 1 dan 72,92 % disiklus 2. Sementara di IX IS 2 menunjukkan siswa terampil melaksanakan tugas kliping (pencapaian hasil kriteria baik dan sangat baik) sebesar 50 %. Di siklus 1 dan 84,37 % di siklus 2. Keterampilan berbicara melalui time token di kelas XI IS 1 menunjukkan pencapaian hasil kriteria terampil (penc apaian baik dan sangat baik) sebesar 68,75 % di siklus 1 dan 90,63 % di siklus 2.Di kelas XI IS 2 siswa terampil melaksanakan tugas time token (pencapaian baik dan sangat baik) sebesar 68,75 % di siklus 1 dan 84,37 % di siklus 2. Kata Kunci: Hasil Belajar; Pelajaran Sosiologi; Metode Pemberian Tugas; Time Token; Kliping.
Hubungan Dukungan Sosial dengan Self Regulated Learning pada Siswa SMA Yayasan Perguruan Bandung Tembung
Authors: Aziz Ashar 
Published: September 2018

Penelitian ini bertujuan untuk mengetahui apakah ada hubungan antara dukungan sosial dengan self regulated learning. Sampel dalam penelitian ini adalah seluruh siswa SMA Yayasan Perguruan Bandung - Bandar Setia Tembung sebanyak 128 orang siswa. Adapun teknik yang digunakan adalah Total sampling. Skala yang digunakakan adalah Skala self regulated learning ini disusun berdasarkan komponen dalam Motivated Strategies for Learning Questionnaire (MSLQ) yang terdiri dari 42 aitem. Sedangkan Skala dukungan sosial ini disusun berdasarkan pendapat dari sarafino (1998). Sampel yang diambil adalah seluruh siswa SMA Yayasan Perguruan Bandung - Bandar Setia Tembung sebanyak 128 orang siswa. Adapun teknik yang digunakan adalah Total sampling. Hasil penelitian ini memperlihatkan bahwa Terdapat hubungan positif yang sangat signifikan antara dukungan sosial dengan self regulated learning. Hasil ini dibuktikan dengan koefisien korelasi r_xy = 0,75 ; p = 0,000, berarti p < 0,010 Artinya semakin tinggi dukungan sosial maka semakin tinggi self regulated learning siswa. Koefisien determinan (r^2) dari hubungan antara kedua variabel sebesar r^2 = 0,574 Ini menunjukkan bahwa self regulated learning dibentuk oleh dukungan sosial sebesar 57,4 % sedangkan 42,6 % dipengaruhi oleh factor lain seperti motivasi, factor lingkungan sekolah dan kecerdasan.
PENERAPAN PROGRAM FOS (FOLKTALE SPEAKING) SEBAGAI PEMBENTUK KARAKTER ANAK USIA DINI
Authors: Sundari Fitri , Sinaga Ernata , Ritonga Nurmi , Ekomila Sulian 
Published: September 2018

The age of children is the period that be view as an individu that begin to know their world. they not yet understand so much thing about the value of life but they are so esasy to reserve immediately everything that surrounding gives to them without filter what the good thing and what the bad thing.This age is a period that the most appropriately for stimulating the development their personality. This jurnal dischus about stimulating the character of the clildren with folktale method. Foklore is a good methode that can be use to give value and moral education for the children. Folktale have so much education of moral value. But now foklore have no place anymore in heart of the children. Some Children thing that folktale is something that irrational so they can't accept it. Thats why to turn back the existence of the folktale, we must have the creative way to introduce it for the modern live of children. The author tries to get used to a program we call FOS (Folktale Speaking ) to rise the existence of the folktale Nusantara to form the character of the Chlidren.
Selected technical aspects of well construction for geothermal energy utilization in Poland
Authors: Tomaszewska Barbara , Sowiżdżał Anna , Chmielowska Anna 
Published: September 2018

Abstract
Geothermal resources have been used in Poland since the 90s of the last century. Since then, several geothermal heating plants, recreation and balneological centers have been operated.
Accessing geothermal resources is possible due to deep boreholes that are either brand-new wells or old but revitalized petroleum and/or exploratory wells. In this case, the construction of production and injection wells is of significant importance. The utilization of deep geothermal energy resources is strongly dependent on the binding domestic law regulations – primarily in case of acquiring the concession enabling an execution of geological and drilling works, and subsequently a proper exploitation.
The paper presents the current state of development of the geothermal energy sector in Poland, indicating examples of exploitation systems based on deep boreholes. Furthermore, the constructions of existing wells are discussed extensively. The existing examples of old but reconstructed wells in Poland, are characterized. The importance of national law and its influence on the development of a geothermal investment is highlighted, as well.
Efficiency Estimation of Commercial Banks Based on Financial Performance: Input Oriented DEA CRS/VRS Models
Authors: Marjanović Ivana , Stanković Jelena J. , Popović Žarko 
Published: September 2018

Abstract
Measurement and evaluation of the bank’s operations efficiency requires analytical techniques that provide data beyond those available from the standard analysis of financial statements. The Data Envelopment Analysis (DEA) is a mathematical programming technique that offers valuable insights in finding inefficient banks taking into account the scope of the services and resources used to provide these banking services. The results of the DEA analysis can provide significant information to the bank’s management that can supplement the information obtained using traditional techniques for assessing efficiency. The assessment of banks’ efficiency in the Republic of Serbia is of particular importance due to intense competition and implemented banking reforms. Therefore, in this paper DEA analysis will be applied for the examination and assessment of the efficiency of the operations of Serbian banks during the period 2014-2016. The analysis will show which of the banks operates efficiently, where the efficiency of the banks is not at a satisfactory level, as well as the potential reasons for inefficiency.