bluuebunny/crossref_metadata_2025_split huggingface dataset:
Community Pharmacists’ Awareness toward Their Roles in Healthcare and Interaction with General Practitioners
Authors: Alabid Alamin Hassan Mohamed Alamin , Ibrahim Mohamed Izham Mohamed , Hassali Mohamed Azmi , Palaian Subish 
Published: February 2023

Introduction:
There is a paucity of data on the extended role of community pharmacists (CP) in Malaysia. This study is aimed to evaluate CPs awareness toward their roles in healthcare and interaction with general practitioners (GPs).

Materials and Methods:
A cross-sectional design using a validated questionnaire was conducted nationwide among randomly selected Malaysian CPs. The questionnaire consisted of consisted of 32 questions with three sections. The Cronbach's alpha measure for the scale on awareness was 0.494 and 0.724 for the interaction between CPs and GPs. Descriptive statistics were reported. The Chi-square test, Mann–Whitney test, Kruskal–Wallis test, and post hoc analyses were applied at the alpha level of 0.05.

Results:
Of the 127 CPs who filled out the responses, 57.5% (n = 73) mentioned that they rarely or never interacted with GPs. Many CPs (n = 106, 83.5%) were aware of their role in providing patient education, and 109 (85.8%) indicated that they could suggest nonprescription medicines to patients, whereas 88 respondents (69.3%) were aware that they could suggest alternative medicines. A total of 117 respondents (92.1%) indicated their willingness to perform selected screening tests and identify and prevent prescription errors. A considerable number of CPs (n = 76, 59.8%) were aware of their ability to design and regulate prescribed regimens, and 89 (70.1%) showed their willingness to monitor these regimens. The total average score of the CPs’ awareness toward their roles in providing healthcare for the 16 activities/items and the value of the interaction mean score was 12.00 (±2.92), with a median score of 12.00 (interquartile range: 9.5–14.5).

Conclusions:
Malaysian CPs are fully aware of their role in providing healthcare and pharmaceutical care. Though the majority of them were willing to provide extended services, they are often unable to perform these roles due to the lack of interprofessional collaboration, lack of time, and absence of remuneration for their extended services. Training programs, practice guidelines, and professional service fee may encourage CPs to perform more extended services.
Pengaruh Tingkat Financial Distress terhadap Strategi Manajemen Laba pada Masa Pandemi Covid-19
Authors: Chen Charlie , Sihombing Tanggor 
Published: February 2023

Pandemi COVID-19 memberikan dampak yang cukup besar bagi kinerja keuangan perusahaan. Tahap awal financial distress merupakan masalah profitabilitas di mana perusahaan masih memiliki alat-alat likuid untuk membayar kewajiban jatuh temponya. Ketika financial distress berkelanjutan, akan membuat perusahaan berada pada kondisi yang lebih ekstrim di mana perusahaan sudah tidak dapat membayar kewajiban yang jatuh tempo dengan menggunakan alat-alat likuid lagi. Hal ini menarik perhatian auditor untuk melakukan pengawasan. Menurut teori keagenan, hal ini menciptakan peluang bagi manajer untuk melakukan praktik manajemen laba. Penelitian ini bertujuan untuk mengetahui pemilihan praktik manajemen laba saat kondisi financial distress pada pandemi COVID-19. Menurut teori kontigensi, pemilihan strategi manajemen laba dipilih berdasarkan kondisi perusahaan tersebut. Penelitian ini menggunakan model Three Stage Dynamic Financial Distress yang dikembangkan oleh Farooq pada tahun 2018 yang dinilai dapat mengukur tingkat financial distress lebih baik dibandingkan dengan model sebelumnya. Penelitian ini dilakukan terhadap 210 perusahaan yang terdaftar dalam Bursa Efek Indonesia pada periode 2020 yang merupakan tahun di mana pandemi COVID-19 pertama kali terjadi di Indonesia. Hasil penelitian ini menunjukkan pada pandemi COVID-19, perusahaan cenderung melakukan praktik manajemen laba akrual pada tingkat awal dan akhir financial distress sedangkan tidak melakukan praktik manajemen laba pada industri yang paling terdampak pandemi COVID-19. Kata kunci: COVID-19, Financial distress, manajemen laba akrual, manajemen laba riil
ANALISIS LAPORAN KEUANGAN UNTUK MEMPREDIKSI POTENSI TERJADI FINANCIAL DISTRESS DENGAN MENGGUNAKAN MODEL SPRINGATE: (STUDI KASUS) PADA PT. ASTRA INTERNATIONAL TBK YANG TERDAFTAR DIBURSA EFEK INDONESIA
Authors: Lumbanraja Thorman 
Published: February 2023

ABSTRAK This study aims to determine the level of financial distress by using the springate method at PT. Astra International, Tbk. The method used in this research is descriptive method and the data collected is financial report data in 2010-2016 to predict the potential for financial distress. This study uses a quantitative research type and the data source in this study is secondary data in the form of the company's annual financial reports. The data collection technique in this study was the documentation method using data from www.idx.go.id. Variable measurement is done by analyzing the company's financial statements and the data analysis method used in this study is springate ratio analysis. From the results of research using the springate analysis method, it shows that it is likely that the company will experience financial distress in the future when viewed from the results of the analysis of the financial statements of PT. Astra International, Tbk.From the results of the prediction of financial distress in PT. Astra International, Tbk has not experienced any financial distress, and this company is still in good health or not bankrupt, but if it is not handled quickly, it is likely to experience financial distress because the value decreases each year.Keywords: Financial Statements, Financial Distress, Springate
Analisis profitabilitas usaha saplika di Desa Cureh Kecamatan Kota Juang Kabupaten Bireuen
Authors: Nanda Mulia 
Published: February 2023

Penelitian ini dilaksanakan di Desa Cureh Kecamatan Kota Juang Kabupaten Bireuen pada usaha Saplika Cut Ria Azriani, yang dilaksanakan pada bulan September 2017.Penelitian ini bertujuan untuk menganalisis profitabilitas usaha usaha Saplika di Desa Cureh Kecamatan Kota Juang Kabupaten Bireuen. Metode analisis data yang digunakan dalam penelitian ini adalah dengan menggunakan rumus analisis total biaya, penerimaan, keuntungan dan profitabilitas. Berdasarkan hasil penelitian dan analisis yang telah dilakukan diketahui bahwa total biaya yang dikeluarkan untuk menjalankan usaha Saplika yaitu sebesar Rp. 7.390.361,-/bulan, penerimaan yang diperoleh sebesar Rp. 11.250.000,-/bulan, dan keuntungan sebesar Rp. 3.859.639,-/bulan. Selanjutnya dari hasil analisis juga diketahui bahwa nilai profitabilitas yang diperoleh usaha Saplika adalah 52,23 %, sehingga dapat disimpulkan bahwa usaha Saplika di Desa Cureh Kecamatan Kota Juang Kabupaten Bireuenmempunyai nilai profitabilitas yang cukup.
Kata kunci :Analisis Profitabilitas, Usaha Saplika
5G características y aplicaciones en salud
Authors: Vasquez Benito Katerin Deysi , Rengel Pilco Guillermo Franco , Zarate Ramirez Abigail 
Published: February 2023

El 5G es una tecnología llamada a revolucionar el mundo. Después de años de desarrollo, el 5G comenzó a eclosionar comercialmente, y coincidiendo con este despegue su presencia se ha multiplicado. Se consideran dos factores importantes: la saturación de su antecesor 4G y la demanda de los consumidores por mayor velocidad en el servicio, generando problemas de latencia y la caída repetida el servicio con un retraso de tiempo en las descargas y rendimiento general.
Para resolver este problema, la tecnología 5G aprovecha varias innovaciones diferentes que funcionan en conjunto: las ondas de radio de mayor frecuencia, la conformación de haces y la segmentación de la red. Asimismo, aumentara la velocidad de descarga hasta diez veces más rápida que la de la tecnología 4G y reducir la latencia a tan solo un milisegundo. Por otro lado, se pueden destinar segmentos de las redes 5G a los servicios más importantes, lo cual implica un aumento de la confiabilidad.
Para resolver estos problemas, la tecnología 5G aprovecha varias innovaciones diferentes que funcionan en conjunto: las ondas de radio de mayor frecuencia, la conformación de haces y la segmentación de la red. Asimismo, promete aumentar la velocidad de descarga para que sea hasta diez veces más rápida que la de la tecnología 4G y reducir la latencia a tan solo un milisegundo. Además, se pueden destinar segmentos de las redes 5G a los servicios más importantes, lo cual implica un aumento de la confiabilidad.
Cloud, Calf, and Cannon: An Ecological Reading of War and Peace
Authors: Hill Ian 
Published: February 2023

ABSTRACT
This article engages in an ecocritical-spatial reading of Leo Tolstoy’s War and Peace focused on the narrator’s conscientious and equitable treatment of nature and animals. Where traditional historical-temporal readings tend to break the book into constituent elements, typically emphasizing Tolstoy’s historiography, this article offers a synthetic reading made possible by an often-overlooked ecological through-line. The author argues that the narrator formulates the biosphere, not just humans, as his object of interest and defines war as a result of humans acting unnaturally and failing to think ecologically. The author also employs close readings to show that war and nature emerge simultaneously in War and Peace and appear intentionally fused throughout, and that the book locates the practicability of war in soldiers subordinating each other as animals, which they deem inferior. The article concludes that the narrator’s thoughtful depiction of nature and sympathy for animals are core to the book’s rhetoric and form. To overlook these features is to overlook War and Peace.
TREATMENT OF PREGNANT WOMEN WITH CONSTIPATION IN PMB YUNI WIDARYANTI, AMD. KEB SEMANDING VILLAGE, MAYANGAN JOMBANG
Authors: Dian Puspita Yani  , Suyati Suyati , Arifa Retnowuni  , Ashila Muhajir  
Published: February 2023

Constipation is actually mostly physiological, but if there is no assistance through midwifery care, it is possible that pathological conditions will occur. The purpose of this midwifery care is to provide midwifery care in accordance with the 7 steps of Varney's midwifery care.
The method used in conducting midwifery care for Mrs. This “P” is Varney's 7 steps of midwifery care. Includes assessment of basic data, interpretation of basic data, identification of diagnoses and potential problems, determining immediate needs, developing a plan of care, implementation and evaluation that has been carried out in stages and procedures.
The results to Mrs. "P" in the basic data assessment, subjective data was found with complaints of difficulty in defecating for 4 days and objective data. The plan of care, implemented, and than final evaluation was obtained by Mrs. “P” constipation was resolved on day 2 of home visits by counseling and consuming apple juice taken 1 hour before bedtime. At the next visit defecation was smooth.
The conclusion that can be drawn from this midwifery care is the implementation process of fulfilling nutrition that is rich in fiber and adequate fluid intake. Mrs “P” defecated smoothly according to plan with a final evaluation after 4 days of visiting the client's.
Late-Stage Low-Temperature Hydrothermal Alteration Overprint at the East Zone in the Red Chris Porphyry Cu-Au Deposit, Northwestern British Columbia, Canada
Authors: Norris Jessica R. , Tosdal Richard M. , Lipske Joanna , Wilson Alan J. 
Published: February 2023

Abstract
High- and intermediate-temperature alteration assemblages at the East zone in the Red Chris porphyry Cu-Au deposit, northwestern British Columbia, Canada, are varyingly overprinted by a lower-temperature intermediate argillic alteration assemblage composed of illite-kaolinite-hematite-carbonate. The intermediate argillic assemblage extensively overprinted the upper 600 m of the porphyry deposit and is present discontinuously to depths of 1,500 m below the premining surface. Kaolinite is dominant in shallow levels and gradually diminishes with depth, replaced by illite as the dominant clay mineral. Hematite replaced hydrothermal and igneous magnetite, but the intensity diminishes with depth. Mixtures of ankerite, dolomite, siderite, and calcite replaced mafic silicates and formed veins. Oxygen and hydrogen isotopes confirm a magmatic fluid source for the potassic assemblages preserved at depth as well as for the overprinted phyllic assemblage in the upper part and flanks of the East zone. In contrast, the superposed intermediate argillic assemblages formed by a mixture of magmatic and meteoric fluids. Sulfide minerals and sulfur isotopes retain zonal patterns for porphyry Cu deposits and appear largely unaffected by the overprinted intermediate argillic assemblage. Carbon and oxygen isotopes in carbonate vary with depth that may reflect a thermal gradient as a rising fluid cooled. The intermediate argillic assemblage is spatially associated with and overprinted on as yet undated late monzodioritic dikes—the youngest phase in the host Late Triassic Red stock. The relative age relationships and stable isotopic geochemistry indicate the intermediate argillic alteration assemblage represents the flux of magmatic-derived hydrothermal fluid that mixed with external fluid and thus represents either the last fluid pulse in the porphyry Cu deposit or a younger, temporally distinct hydrothermal fluid.
A rezilienciára való nevelés speciális pedagógiai eszközei
Authors: Homoki Andrea 
Published: February 2023

A rezilienciára nevelés speciális pedagógiai eszközeinek fejlesztése során a nehéz élethelyezetekkel jellemezhető, hátrányos helyeztű gyermekek atipikus boldogulási, megküzdési mintázatainak feltárásához és az egyéni és közösségi rezilienciát elősegítő program fejlesztésekhez a tanulmányban áttekintjük az elmúlt öt év eredményeit a területen. A 2015-2021. években validált nemzetközi skála adaptációjával új hazai skálák validálására és gyakorlati alkalmazására, bevezetésére került sor a gyermekvédelmi ellátások különböző területein, bemutatjuk az alkalmazásban rejlő lehetőségeket és feltárható reziliencia-mintázatokat, a 2014-ben strukturált magyar gyermeki reziliencia-modell (Homoki 2014) alapján. A lélektani rugalmasság iskolai eredményességgel összefüggő jellegéből adódóan az objektív tanulmányi mutatókon túl, az inklúzióra és a kortársközösségekbe való sikeres beilleszkedésre hatást gyakorló, szociális érzékenyítés tárgykörébe tartozó erőforrásokról, eszközökről is közlünk mintát (Nagyné Hegedüs&Homoki 2022.) az írásban.
Effects of Patient Comorbidities and Demographics on Episode-of-Care Costs Following Total Shoulder Arthroplasty
Authors: Farronato Dominic M. , Pezzulo Joshua D. , Rondon Alexander J. , Porrini Sean , McGonigal Diane , Getz Charles L. , Davis Daniel E. 
Published: February 2023

Background:
As demand for shoulder arthroplasty grows, adequate cost containment is of importance. Given the historical use of bundle payments for lower extremity arthroplasty, it is reasonable to anticipate that such programs will be universally implemented in shoulder arthroplasty. This project evaluates how patient demographics, medical comorbidities, and surgical variables affect episode-of-care costs in an effort to ensure accurate reimbursement scales and equitable access to care.

Methods:
Consecutive series of primary total shoulder arthroplasty (anatomic and reverse) procedures were retrospectively reviewed at a single academic institution from 2014 to 2020 using claims cost data from Medicare and a private insurer. Patient demographics, comorbidities, and clinical outcomes were collected. A stepwise multivariate regression was performed to determine the independent effect of comorbidities and demographics on 90-day episode-of-care costs.

Results:
Overall, 1,452 shoulder arthroplasty patients were identified (1,402 Medicare and 50 private payer patients). The mean 90-day cost for Medicare and private payers was $25,822 and $31,055, respectively. Among Medicare patients, dementia ($3,407, P = 0.003), history of stroke ($3,182, P = 0.005), chronic pulmonary disease ($1,958, P = 0.007), anemia ($1,772, P = 0.039), and heart disease ($1,699, P = 0.014) were associated with significantly increased costs. Demographics that significantly increased costs included advanced age ($199 per year in age, P < 0.001) and elevated body mass index ($183 per point, P < 0.001). Among private payers, hyperlipidemia ($6,254, P = 0.031) and advanced age ($713 per year, P < 0.001) were associated with an increase in total costs.

Conclusion:
Providers should be aware that certain demographic variables and comorbidities (history of stroke, dementia, chronic pulmonary disease, anemia, heart disease, advanced age, and elevated body mass index) are associated with an increase in total costs following primary shoulder arthroplasty. Further study is required to determine whether bundled payment target costs should be adjusted to better compensate for specific comorbidities.

Level of Evidence:
Level IV case series.
AVALIAÇÃO DA EFICIÊNCIA TÉCNICA DO PROGRAMA NACIONAL DE ASSISTÊNCIA ESTUDANTIL DO INSTITUTO FEDERAL DO CEARÁ
Authors: Da Silva Auritony Camurça x , De Melo Francisco Carlos Carvalho , De França José Mairton Figueiredo 
Published: February 2023

O presente trabalho propõe avaliar a eficiência técnica do Programa Nacional de Assistência Estudantil (PNAES) do Instituto Federal do Ceará (IFCE), utilizando-se de critérios de avaliação de análise da eficiência com uso de Data Envelopment Analysis (DEA), executado por meio do software Sistema Integrado de Apoio à Decisão (SIAD), que operacionalizou as variáveis selecionadas por meio de análise de correlação de dados, analisadas pelo método Stepwise. Entre os achados, foram identificados dentre as 31 unidades avaliadas, 13 considerados eficientes, que serviram como referência para os campi que não alcançaram a fronteira de eficiência, e gerando um conjunto de projeções de valores (alvos), sugeridos pelo DEA, para que os campi obtenham eficiência no uso dos recursos do PNAES, fornecendo informações essenciais, capazes de orientar os gestores no processo de tomada de decisões, servindo como instrumento para subsídio de ações do programa na instituição.
HUBUNGAN DUKUNGAN KELUARGA DENGAN PENERIMAAN DIRI INDIVIDU PADA PASIEN YANG PERNAH MENGALAMI COVID-19 DI RSUD TOTO KABILA
Authors: Asni Ayuba  , Haslinda Damansyah  , Mohamad Afandi Isini  , Ahmad Dwi Suciatmo Bata  
Published: February 2023

Corona virus disease 2019 (Covid-19) merupakan penyakit menular yang disebabkan oleh virus corona yang baru ditemukan. Kebanyakan orang yang terinfeksi virus COVID-19 akan mengalami penyakit pernapasan ringan hingga sedang dan sembuh tanpa memerlukan perawatan khusus. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan penerimaan diri individu. Desain penelitian ini menggunakan model desriptif korelasional, pengambilan sampel menggunakan teknik purposive sampling. Hasil didapatkan bahwa ada hubungan antara dukungan keluarga dengan penerimaan diri individu. Sehingga masih perlu ditingkatkan pemahaman dukungan keluarga yang baik untuk lebih meningkatkan penerimaan diri individu pada pasien yang pernah mengalami Covid-19.
PENGETAHUAN MASYARAKAT MENGENAI MANFAAT TANAMAN MANGROVE SEBAGAI OBAT TRADISIONAL
Authors: Susanti Susanti , Silvia Mona  
Published: February 2023

Tumbuhan obat telah digunakan sebagai pengobatan preventif, kuratif, dan rehabilitatif sejak zaman kuno. Bahan aktif tumbuhan yang digunakan untuk mengobati penyakit memiliki nilai terapeutik. Tanaman mangrove merupakan salah satu tanaman yang sering di pergunakan untuk bahan obat tradisional. Indonesia merupakan negara yang berada di Asia yang memiliki hutan mangrove terbesar di dunia dan tersebar dari sabang hingga ke merauke. Luas hutan mangrove di Indonesia ± 42.550 km2 yang tersebar dalam 257 kota/kabupaten. Setidaknya terdapat 40 hingga 50 spesies mangrove di Indonesia yang merupakan spesies mangrove terbesar di dunia. Keberagaman jenis mangrove bervariasi dari pulau ke pulau di Indonesia, dan kebutuhan serta permintaan akan jamu semakin berkembang, begitu pula dengan kesadaran akan pentingnya bahan alami dan semboyan hidup di alam (back to nature). Desain yang digunakan dalam penelitian ini yaitu desain deskriptif yang bertujuan untuk mengidentifikasi pengetahuan masyarakat pesisir tentang manfaat mangrove sebagai tanaman obat. Sampel dalam penelitian ini berjumlah 60 orang. Teknik pengambilan sampel dalam penelitian ini adalah teknik Random Sampling. Hasil penelitian didaptkan mayoritas masyarakat mempunyai pengetahuan kurang sebanyak 40 responden dengan persentase (67%) dimana masyarakat masih memanfaatkan mangrove hanya dari segi ecology.
Hubungan antara Kejadian Computer Vision Syndrome (CVS) dengan Kualitas Tidur Mahasiswa Keperawatan
Authors: Dinda Bucira Almaa  , Yulia Rizka  , Nopriadi Nopriadi 
Published: February 2023

Computer Vision Syndrome (CVS) encompasses a constellation of ocular and extraocular symptoms in digital devices users who either habitually or compulsively use digital devices for long periods of time. Digital devices emit blue light (400-490 nm) and generate electromagnetic fields, both of which interfere with the circadian rhythms. This study aims to determine the association between CVS and sleep quality of nursing students. The type of research was observational analytics with a cross-sectional approach and conduct proportionate stratified random sampling. CVS was measured by using CVS-Q, while sleep quality was measured by using PSQI. The analysis used univariate analysis to see the frequency distribution and bivariate used Chi-Square. The result of the data analysis showed that 68,4% of the nursing students experienced CVS. The number of respondents who experienced poor sleep quality was 151 (63.7%). Poor sleep quality was present in 71% of individuals with CVS and 48% of students without CVS. The difference was statistically significant (p=0.001) with OR=2,651. CVS is significantly associated with sleep quality in nurse students. Therefore, it is necessary to apply appropriate behaviors and attitudes to use digital devices and prevent CVS from occurring so that the individual's sleep quality becomes better.