bluuebunny/crossref_metadata_2025_split huggingface dataset:
Terapi Bekam Basah Dalam Menurunkan Nyeri Leher Dan Bahu Pada Pekerja Kantor
Authors: Mediarti Devi , . Lukman 
Published: August 2022

Wet cupping is a traditional complementary method recommended to reduce the symptoms of many diseases and is used in pain treatment The purpose of the study: knowing the effects of wet cupping therapy on the neck and upper shoulder pain PeneliHiin Method: 61 qualified office worker participants with nonspecific neck and upper shoulder pain complaints for 3 years Last month. The Numerical Rating Scale (NRS) is used to assess pain scores. Pain scores were measured before and after wet cupping therapy. Hasll research: The average score of pain letter in the case group of 7.02 (SD 1/4 1fi) and 3JO (SD 1/4 22) after cupping therapy. Decrease in pain before and after scores is statistically significant (p < 0.05). Discussion: It can be stated that wet cupping therapy has a potential therapeutic effect on non-specific neck and upper shoulder pain. Experimental research with respondents who have full-scale controlled pain complaints needs to be done to prove the effectiveness of this intervention.
Penurunan Nyeri Dismenore Menggunakan Kompres Hangat
Authors: . Dahliana , . Suprida , . Yuliana 
Published: August 2022

Background: Painful menstruation or dysmenorrhea is one of the largest problems is the reason for the decline in activity of women during menstruation, for example, do not go to school. According to data from the World Health Organization (WHO) found the incidence of 1,769,429 people (90%) of women with dysmenorrhoea by 10-15% experienced severe dysmenorrhoea. Handling this issue by way of non-pharmacological needs to be developed for example with warm compresses. The purpose of this study to determine the effect of a warm compress to the decrease in the Young Women Dysmenorrhea in junior high school sriguna Palembang.
Method: This type of research that is pre-experimental design One group pre and post test. Samples were obtained based on inclusion and exclusion criteria, amounting to 35 people.
Results:Data obtained through observation sheets in the form of scale Numerical Rating Scale (NRS). Of the 35 respondents before the intervention is given by 26 respondents (74.3%) had moderate pain during menstruation and 9 respondents (25.7%) had mild pain during menstruation and after a given intervention as much as 21 respondents (60.0%) be no pain and 12 respondents (34.3%) to mild pain. Data were analyzed Wilcoxon. The p-value indicates that there is a significant association between a warm compress to the reduction in pain intensity (p value = 0.00). Based on these results it can be concluded that a warm compress dysmenorrhea effect to the decrease in the Young Women in junior Sriguna Palembang 2018.
Conclusion: The influence of warm compresses impairment dismenore.further research is expected to do more research on the influence of a warm compress to the reduction of dysmenorrhea.
Implementasi Keperawatan Pasien Asma Bronkial Dengan Masalah Defisit Nutrisi: Studi Kasus
Authors: Sulaiman Sulaiman , Putri Elva Noverina 
Published: August 2022

Latar belakang: Asma Bronkial adalah suatu keadaan dimana saluran nafas mengalami penyempitan karena hiperaktivitas terhadap rangsangan tertentu. Masalah nutrisi sering terjadi pada pasisen dengan Asma Bronkhial. Tujuan: mendeskripsikan pemenuhan nutrisi pada pasien asma bronkhial yang memiliki masalah nutrisi kurang dari kebutuhan. Metode: Jenis penelitian deskriptif analitik dengan pendekatan studi kasus untuk mengeksplorasi masalah asuhan keperawatan pasien asma bronkial dalam pemenuhan nutrisi pada msalah nutrisi kurang dari kebutuhan tubuh. Subjek dalam studi kasus ini dua pasien dengan nutrisi kurang dari kebutuhan, dilakukan di ruang Nusa Indah di salah satu Rumah Saskit di kota Palembang. Studi kasus dilaksanakan selama dua minggu perawatan. Analisa deskriptif digunakan untuk mendeskripsikan temuan dan disajikan secara tekstular/narasi. Hasil: Hasil pengkajian nutrisi memperoleh gambaran pasien mengalami mengalami mual, lemas dan nafsu makan menurun, berat badan menurun. Diagnosis defisit nutrisi yang berhubungan dengan peningkatan kebutuha metabolisme. Implementasi keperawatan meliputi penilaian status nutrisi , pengukuran indeks massa tubuh, membantu pasien oral hygne dan pemberian makan porsi sedikit tapi sering serta kolaborasi dengan tim gizi. Hasil evaluasi masalah defisit nutrisi teratasi sebagian. Kesimpulan Implementasi keperawatan pemenuhan nutrisi pada asma bronkhial sangat mebantu perbaikan kondisi pasien.
Peresepan Obat Kortikosteroid Pada Pasien Rawat Jalan di Puskesmas Simpang Periuk Kota Lubuk Linggau
Authors: Simamora Sarmalina , Lestari Zulia 
Published: August 2022

Latar Belakang : Obat kortikosteroid diresepkan sebagai antiinflamasi, antialergi, pengobatan artritis dan asma. Obat kortikosteroid mempunyai banyak efek samping yang membahayakan apabila digunakan dalam dosis tinggi dan jangka panjang, terutama pada anak-anak dan lansia, juga mempunyai potensi interaksi dengan obat-obat lain. Metode : Penelitian adalah penelitian non eksperimental dengan rancangan deskriftif retrospektif, dilakukan pada bulan Mei-Juni 2020 di Puskesmas Simpang Periuk Kota Lubuklinggau, dengan sampel data sekunder yaitu lembar resep yang terdapat obat kortikosteroid. Jumlah sampel 162 lembar resep. Hasil : Persentase peresepan obat kortikosteroid dalam periode Juli-Desember 2019 sebanyak 405 lembar resep (27,80%). Obat kortikosteroid yang banyak diresepkan adalah metilprednisolon sebesar 33,73% dengan jumlah item obat kortikosteroid 166 item (26,69%). Diagnosa terbanyak yaitu Faringitis Akut 23,45%. Pasien dengan jenis kelamin laki-laki 40,12% dan perempuan 59,88%. Kelompok usia yang paling banyak mendapat peresepan obat kortikosteroid adalah kelompok umur dewasa (15-64 tahun) berjumlah 124 orang (76,54%). Peresepan obat kortikosteroid yang berpotensi terjadinya interaksi obat sebesar 25,9%. Kesimpulan : Peresepan obat kortikosteroid di Puskesmas Simpang Periuk ditujukan pada pengobatan inflamasi dan antialergi sesuai dengan indikasi dari sebagian besar obat kortikosteroid, akan tetapi dapat pula terjadi potensi interaksi obat pada kombinasi obat kortikosteroid dengan jenis obat yang lain meliputi interaksi farmakodinamik atau interaksi farmakokinetik.
CEMARAN BAKTERI SALMONELLA SP DAN HIGIENIS SANITASI PADA DAGING AYAM DIRUMAH AYAM POTONG UD BERKAH PUTRI MANDIRI
Authors: Albustomi Yazit , Wijayanti Dian Rachma , Septi Septiani 
Published: August 2022

Kesehatan adalah hal mutlak yang harus dijaga yaitu dengan memenuhi kebutuhan pokok manusia salah satunya adalah makanan. Dengan makanan nutrisi yang tercukupi upaya untuk menjaga tubuh tetap sehat dan terjaga, kemudian makanan yang mudah terjangkau dan relative murah dengan protein , lemak dan mineral yang cukup didapatkan adalah daging ayam. Namun pada aspek mikrobiologi seuatu pangan aman dikonsumsi jika produk tersebut aman dari mikroba pathogen salah satunya bakteri Salmonella Sp. Tujuan penelitian ini untuk mengetahui status higienis sanitasi dan cemaran bakteri Salmonella Sp. Metode penelitian yang digunakan untuk penelitian ini adalah observasional, menggunakan sampel sesuai dengan kriteria peneliti sebanyak 7 sampel serta mewawancarai pengelola RPA terkait dengan pertanyaan higienis dan sanitasi. Hasil penelitian yang menggunakan uji bakteri Salmonella sp (SNI 2897 : 2008) tidak didapatkan cemaran bakteri Salmonella Sp pada media serta pada hasil pengolahan data wawancara dari pengelola Rumah Pemotongan Ayam didapatkan hasil pada wawancara tentang higienis karyawan dan peralatan sebesar 80 %, Persyaratan peralatan 87,5%, persyaratan sarana 80% dan Persyaratan pengolahan daging 60 % keseluruhan hasil dari wawancara RPA hampir memenuhi syarat dari SNI 01-6160-1999. Kesimpulan dari tugas akhir ini adalah Sebanyak 7 sampel dinyatakan tidak tercemar bakteri Salmonella Sp, kemudian pada beberapa sampel ditemukan dugaan bakteri lain yang tumbuh disalah satu media serta kuisioner yang didapat berdasarkan wawancara hampir memenuhi persyaratan.
CREATININE LEVELS IN THE ELDERLY WHO SUFFERING HYPERTENSION AT BHAYANGKARA PALEMBANG HOSPITAL
Authors: Nurhayati Nurhayati , Dani Hamril , Yusneli Yusneli , Edyansyah Erwin , Maulina Aura 
Published: August 2022

Lanjut usia adalah seseorang yang memiliki usia lebih atau sama dengan 55 tahun Komplikasi lansia dengan hipertensi akan berpengaruh ginjal, jumlah nefron ginjal akan berkurang karena mengalami kerusakan. Oleh karena itu, fungsi ginjal akan menurun. Tujuan Penelitian : Untuk mengetahui hasil pemeriksaan Kadar Kreatinin pada Lansia yang Menderita Hipertensi di RS Bhayangkara Palembang. Metode Penelitian Jenis penelitian adalah deskriptif dengan pendekatan secara cross sectional. Penelitian dilaksanakan pada bulan Febuari-Mei 2021. Popolasi penelitian ini adalah Semua data yang terdokumentasi lengkap dalam rekam medik dari pasien lansia yang menderita hipertensi yang menjalani pengobatan dan melakukan pemeriksaan kreatinin di Laboratorium RS Bhayangkara Palembang (151 data). Hasil Penelitian : Didapatkan hasil 69 pasien (45,7%) yang memiliki kadar kreatinin normal dan yang memiliki kadar kreatinin tinggi sebanyak 82 pasien (54,3%). Pasien Lanjut usia sangat tua (>90 tahun) didapatkan hasil kadar kreatinin tinggi sebanyak 3 pasien (100%) .laki-laki didapatkan hasil kadar kreatinin lebih tinggi sebanyak 35 pasien (53,8%). sedangkan pada perempuan didapatkan hasil kadar kreatinin tinggi sebanyak 42 pasien (48,8%). Berdasarkan Lama Menderita Hipertensi, kadar kreatinin tinggi pada kategori berisiko (>2tahun) yaitu 64,6% dan pada kategori tidak berisiko(<2tahun) kadar kreatinin tinggi yaitu 42,0%. Kesimpulan : 69 pasien (45,7%) yang memiliki kadar kreatinin normal sebanyak dan yang memiliki kadar kreatinin tinggi sebanyak 82 pasien (54,3%). Saran : Bagi Lansia yang Menderita Hipertensi disarankan untuk mengontrol tekanan darah dan melakukan pemeriksaan rutin sehingga dapat memperkecil risiko komplikasi ke organ lainnya
Nosocomial Infections Associated with Caesarean Section
Authors: Radhi Ohood , Ali Alaq Hameed , Alqaseer Kawther , Shnain Wijdan Dhaidan , Albandar Intisar Jameel 
Published: August 2022

Nosocomial infections, also called health-care-associated or hospital-acquired infections, are a subset of infectious diseases acquired in a health-care facility. Historically, Staphylococci, Pseudomonas, and Escherichia coli have been the common known as nosocomial infection bacteria. Moreover, nosocomial pneumonia, surgical wound infections, and vascular access-related bacteremia have caused the most illness and death in hospitalized patients; and intensive care units have been the epicenters of antibiotic resistance.
Acquired antimicrobial resistance is the major problem, and vancomycin-resistant Staphylococcus aureus is the pathogen of greatest concern. The shift to outpatient care is leaving the most vulnerable patients in hospitals. Aging of our population and increasingly aggressive medical and surgical interventions, including implanted foreign bodies, organ transplantations, and xenotransplantation, create a cohort of particularly susceptible persons. Moreover, renovation of aging hospitals increases risk of airborne fungal and other infections.
To prevent and control these emerging nosocomial infections, we need to increase national surveillance, "risk adjust" infection rates so that inter hospital comparisons are valid, develop more noninvasive infection-resistant devices, and work with health-care workers on better implementation of existing control measures such as hand washing.
In this review we aimed to review the previous projects which study incidence of hospital infection among delivery women with caesarean section in hospitals. Also, to discuss about the nosocomial infections and its types. We will also review the most common way a nosocomial infection is acquired, and the most common cause of nosocomial infection. In order to the modes of transmission of infection. In addition to a way to prevent nosocomial infections in hospitals.
Corona Virus and Kidney Failure: A review
Authors: Al-Mayali Zahraa Kareem , Al-Jaafari Shaymaa 
Published: August 2022

Coronavirus disease (COVID-19) is a life-threatening and highly infectious disease. It impacts several body organs for example the lungs, kidneys, blood texture and contents, digestive cannel, and heart. The first case emerged in China and rapidly spreading and affirmed a global pandemic. COVID-19 is a major threat and a pandemic all over the world. Severe Acute Respiratory Syndrome Corona Virus2, the cause of coronavirus disease 19, connects to its target cells utilizing (ACE2), Angiotensin Converting Enzyme 2which can be stated via epithelial cells of numerous organs. Corona Virus can basis reasonable or harsh kidney damage with signs involving proteinuria, hematuria, eminent urea nitrogen, and creatinine. The kidney cell contain ACE2 receptors that allow to Corona Virus 2 to join it , attack , duplicate and potentially destroy all tissue
PROBLEMAS DE DISTÂNCIA TEMPORAL E CULTURAL EM TORNO DE UMA TRADUÇÃO ANOTADA DE ESAÚ E JACÓ PARA O ESPANHOL
Authors: Soto Pablo Cardellino 
Published: August 2022

Traduzir textos temporal e culturalmente distantes apresenta problemas específicos dessa condição. Neste artigo discuto, através da análise de problemas retirados da elaboração de uma tradução anotada de Esaú e Jacó e do comentário de duas traduções da mesma obra publicadas em espanhol, uma em 1905 e a outra em 2008, especificidades do eixo temporal e especificidades do eixo cultural, que podem se sobrepor ou não, contrapondo experiências de leitura possíveis do texto fonte e da tradução ao longo do tempo. As notas são discutidas como ferramenta possível na tentativa de modulação dessas distâncias pelo tradutor numa abordagem qualitativa. No horizonte não está a reconstrução da experiência de sujeitos históricos, e sim a prática da inferência dessas potencialidades do texto pelo tradutor para informar tomadas de decisão. Em que pese a subjetividade inerente ao processo, é possível produzir essas análises a partir de critérios éticos que permitam ao tradutor confiar no potencial da tradução.
Palavras-chave: Tradução. Machado de Assis. Distância.
LA TRADUCTION EN CITATIONS: FLORILEGE, DE JEAN DELISLE
Authors: Claude Leurquin Eric , Carlos Costa Walter 
Published: August 2022

Le compte-rendu présente le livre de Jean Delisle La traduction en citations. Il s’agit de plus de 2.700 aphorismes, jugements, témoignages sur la traduction, définitions, éloges, épigrammes, que l’auteur a réunis dans ce livre à partir de plus de huit cents auteurs, de l’Antiquité à nos jours, suivant différentes approches théoriques.
Mots-clés: Traduction; citation; traductologie; littérature.
CAMINHOS DA PRODUÇÃO FINANCEIRIZADA DO ESPAÇO URBANO: A VERSÃO BRASILEIRA COMO CONTRAPONTO A UM MODELO
Authors: Santos César Ricardo Simoni , Sanfelici Daniel 
Published: August 2022

O debate a respeito dos processos de financeirização da produção imobiliária brasileira é obscurecido pelo procedimento que adota como parâmetro o modelo norte-americano que resultou nos conhecidos subprimes. A financeirização do mercado imobiliário brasileiro se deu não pela via hipotecária de estímulos à demanda, mas pela vinculação das incorporadoras com o mercado de capitais, sugerindo, por esse caminho, importantes estímulos à oferta. O resultado tem sido, diferentemente do que pode ser visto a partir da estratégia adotada nos Estados Unidos, a criação de uma tendência à participação do fundo público como critério para a estabilização da relação entre as incorporadoras e o mercado de capitais, encobrindo com a ampliação do maior programa habitacional do país a lacuna aberta entre a necessidade de produção e o tamanho da demanda solvável.
DISPERSÃO URBANA: APONTAMENTOS PARA UM DEBATE
Authors: Catalão Igor 
Published: August 2022

A dispersão urbana é uma das características mais intrigantes que as cidades contemporâneas começaram a apresentar, especialmente após a revolução tecnológica, por significar uma mudança de paradigma em termos de continuidade e compacidade do ambiente construído e, sobretudo, pelos desafios que coloca em termos de vida urbana. Muitos autores, principalmente ocidentais, têm-se dedicado a essa temática, recorrendo a variados termos e expressões, alguns com pretensão conceitual, outros se utilizando de metáforas, mas todos compartilham a mesma ansiedade por tentar encontrar um qualificativo que dê conta dos processos que se manifestam por formas transitórias. Assim, este artigo se volta para esse debate a fim de propor uma conceitualização da dispersão urbana que auxilie na compreensão da realidade brasileira. A partir da confrontação dos autores e das reflexões de uma pesquisa doutoral recentemente concluída, alguns elementos são apresentados para fundamentar uma proposta de compreensão da dispersão.
CIDADES E CENTRALIDADES URBANAS NA AMAZÔNIA: DOS DIFERENTES ORDENAMENTOS TERRITORIAIS AO PROCESSO DE URBANIZAÇÃO DIFUSA
Authors: Trindade Júnior Saint-Clair Cordeiro da 
Published: August 2022

O trabalho analisa elementos da particularidade regional amazônica em face do processo de urbanização difusa que está em curso no contexto regional. Considerando os diferentes arranjos territoriais que se fizeram presentes na história regional, bem como a modernização do espaço que se manifesta hoje, o artigo busca compreender o papel das cidades médias e a importância do fenômeno urbano para as mudanças recentes na Amazônia. Por fim, sugere-se reconhecer três principais formas de centralidades urbanas como uma possível base referencial para pensar a urbanodiversidade e as peculiaridades espaciais que configuram o vasto território brasileiro.
A GEOPOLÍTICA DA FAVELA: DESAFIOS ATUAIS DA JUSTIÇA TERRITORIAL NO RIO DE JANEIRO
Authors: Lima Ivaldo 
Published: August 2022

O presente texto traz à baila os desafios da justiça territorial na cidade do Rio de Janeiro no exemplo empírico do Complexo da Maré, o maior conjunto de favelas da metrópole carioca. Em face da implantação de Unidades de Polícia Pacificadora nesse Complexo, discute-se a relação contraditória entre os espaços políticos da guerra, da ordem e da legitimidade. A articulação entre a justiça territorial e a geografia legal crítica assume principalidade como eixo analítico da situação sociopolítica vivenciada no Complexo. Outrossim, o horizonte epistêmico do direito à cidade justa é expandido na direção de uma sociedade decente, consoante as ideias de Avishai Margalit.
UM BALANÇO DE PESQUISA: 10 ANOS NA ZONA LESTE E UM SOCIAL RECONFIGURADO
Authors: Rizek Cibele Saliba 
Published: August 2022

O texto faz um balanço de um conjunto de incursões de pesquisa nas fronteiras urbanas, a leste da cidade de São Paulo e abarca resultados dessas incursões que conformam aspectos relativos às formas de trabalho, aos programas e políticas sociais, às políticas de cultura e seus impactos na vida e nas práticas dessas populações. A permeabilidade do mundo do crime, a presença das formas de operacionalização das políticas e programas, as várias parcerias que conformam novas margens do estado embaralham categorias e exigem uma reflexão a respeito da produção desse novo social, como resultado e não como pressuposto desse conjunto de práticas vinculadas à produção das relações sociais e do espaço urbano.
MANAJEMEN EKSTRAKURIKULER PALANG MERAH REMAJA (PMR)
Authors: Muliani Maryuni , Sumarnie  , Radiafilsan Christian 
Published: August 2022

Abstrak: Penelitian ini bertujuan mendeskripsikan Manajemen Ekstrakurikuler PMR. Penelitian kualitatif dengan rancangan studi kasus ini dilaksanakan diMTsN 1 Palangka Raya. Sumber data dalam penelitian ini, meliputi: Kepala Sekolah, Wakil Kepala Sekolah bidang Kesiswaan, Guru Pembina, Ketua dan Pengurus PMR. Pengumpulan data melalui observasi, wawancara, dan studi dokumentasi. Analisis data melalui tahapan: pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan/verifikasi. Pengabsahan data menggunakan teknik triangulasi sumber dan member check.Hasil penelitian menunjukkan bahwa Manajemen Ekstrakurikuler PMR di MTsN 1 Palangka Raya yang dilaksanakan dengan menerapkan fungsi-fungsi manajemen, yaitu: Perencanaan ekstrakurikuler PMR, Pengorganisasian ekstrakurikuler PMR, Pelaksanaan ekstrakurikuler PMR, dan Evaluasi ekstrakurikuler PMR, efektif menjadi sarana untuk menumbuhkan nilai-nilai kebaikan bagi siswa; Selain itu pula sebagai media pembinaan yang dapat menyokong perkembangan kemampuan, minat dan bakat peserta didik serta menjadi bekal bagi kemajuan bidang Kepalangmerahan peserta didik di masa mendatang.
Abstract: This study aims to describe PMR Extracurricular Management. This qualitative research with a case study design was carried out at MTsN 1 Palangka Raya. Sources of data in this study, including: Principal, Deputy Principal for Student Affairs, Guiding Teachers, Chair and Management of PMR. Collecting data through observation, interviews, and documentation studies. Data analysis goes through the stages: data collection, data reduction, data presentation, and drawing conclusions/verification. Validation of data using source triangulation and member check techniques. The results showed that PMR Extracurricular Management at MTsN 1 Palangka Raya which was carried out by implementing management functions, namely: PMR extracurricular planning, PMR extracurricular organization, PMR extracurricular implementation, and PMR extracurricular evaluation, effectively became a means to foster good values for the community. student; Besides that, it is also a coaching medium that can support the development of students' abilities, interests and talents as well as become a provision for the progress of the student's Red Cross field in the future.
MANAJEMEN PROGRAM IMAN DAN TAQWA (IMTAQ) SEBAGAI PENGUATAN PENDIDIKAN KARAKTER SISWA
Authors: Susiana Ina , Winaryo Slamet , Aprianto  
Published: August 2022

Abstrak: Penelitian ini bertujuan untuk mendeskripsikan Manajemen Program IMTAQ sebagai Ppenguatan Pendidikan Karakter Siswa. Penelitian ini merupakan penelitian kualitatif. Pengumpulan data melalui: observasi, wawancara, dan studi dokumentasi. Sumber data meliputi: Kepala Sekolah, Koordinator Program IMTAQ, serta Guru dan Siswa. Analisis data melalui tahapan: pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa manajemen program IMTAQ telah terlaksana dan terorganisir dengan baik, mulai dari perencanaan program IMTAQ yang dilaksanakan secara terjadwal setiap awal tahun pelajaran; kemudian, dilakukan penetapan SK serta struktur organisasi koordinator program IMTAQ beserta anggotanya. Proses pengawasan dilakukan langsung oleh Kepala Sekolah yang berkoordinasi dengan koordinator program IMTAQ. Terkait dengan hambatan dalam manajemen program IMTAQ, secara keseluruhan dapat diatasi oleh pihak pengelola program IMTAQ dan sekolah; serta dampak dari adanya program IMTAQ di sekolah yakni memberikan perubahan yang signifikan bagi siswa terutama dalam sikap siswa yang menjadi lebih baik.
Abstract: This study aims to describe IMTAQ Program Management as Strengthening Student Character Education. This research is a qualitative research. Collecting data through: observation, interviews, and documentation studies. Data sources include: Principals, IMTAQ Program Coordinators, and Teachers and Students. Data analysis went through the stages: data collection, data reduction, data presentation, and drawing conclusions. The results showed that the management of the IMTAQ program had been implemented and well organized, starting from the planning of the IMTAQ program which was carried out on a scheduled basis at the beginning of the school year; then, the decision was made and the organizational structure of the IMTAQ program coordinator and its members was determined. The supervision process is carried out directly by the Principal in coordination with the IMTAQ program coordinator. Regarding the obstacles in the management of the IMTAQ program, overall IMTAQ program managers and schools can overcome them; and the impact of the IMTAQ program in schools, namely providing significant changes for students, especially in students' attitudes for the better.