bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH MANFAAT REKREASI DAN ATRIBUT DESTINASI TERHADAP KEPUASAN WISATAWAN SERTA DAMPAKNYA PADA NIAT KUNJUNG KEMBALI ( REVISIT INTENTION) DI MASA PANDEMI COVID 19
Authors: Pujiastuti Eny Endah , Suratna Suratna , Puspita Ida Ayu Mega 
Published: May 2022

Saat ini, pengelola destinasi disibukkan dengan kegiatan recovery akibat pandemic covid 19 yang membuat pariwisata terpuruk.Untuk data embuat program recovery yang tepat perlu dilakukan kajian untuk mengevaluasi revisit intention serta faktor-faktor yang mempengaruhinya. Oleh karena itu, rumusan masalah sekaligus tujuan penelitian ini adalah ingin menganalisis dan membuktikan: (1) pengaruh signifikan manfaat rekreasi terhadap kepuasan wisatawan. (2) pengaruh signifikanatribut destinasi terhadap kepuasan wisatawan., (3) pengaruh signifikan manfaat rekreasi terhadap Niat kunjungi kembali (Revisit Intention), (4) pengaruh signifikanatribut destinasi terhadap Niat kunjungi kembali (Revisit Intention). (5) pengaruh signifikankepuasan wisatawan terhadap Niat kunjungi kembali (Revisit Intention), (6). Pengaruh signifikan manfaat rekreasi terhadap Revisit Intention melalui Tourist Satisfaction. (7).Pengaruh signifikanatribut destinasi terhadap Revisit Intention melalui Tourist Satisfaction. Penelitian dilakukan di destinasi wisata HeHa Sky View, DIY. Kriteria sampel yang dipergunakan adalah wisatawan yang baru berkunjung satu kali. Pengumpulan datanya dengan menggunakan google form. Dalam penelitian ini terkumpul 129 kuesioner efektif yang selanjutnya akan diolah menggunakan Structural Equating Modeling (SEM) yang dioperasikan dengan menggunakan aplikasi AMOS. Penelitian ini menyimpulkan bahwa (1) manfaat rekreasipengaruh signifikan terhadap kepuasan wisatawan. (2) atribut destinasipengaruh signifikan terhadap kepuasan wisatawan., (3) manfaat rekreasipengaruh signifikan terhadap Niat kunjungi kembali (Revisit Intention), (4) atribut destinasipengaruh signifikan terhadap Niat kunjungi kembali (Revisit Intention). (5) Kepuasan wisatawan pengaruh signifikan terhadap Niat kunjungi kembali (Revisit Intention), (6). manfaat rekreasipengaruh signifikan terhadap Revisit Intention melalui kepuasan wisatawan. (7). atribut destinasipengaruh signifikan terhadap Niat kunjungi kembali (Revisit Intention) melalui kepuasan wisatawan.
Reflexiva aproximación sobre la investigación en promoción de la salud en el trabajo
Authors: Silva Sánchez Diana 
Published: May 2022

Este artículo está orientado a realizar una aproximación reflexiva a la promoción de la salud como posibilidad de investigación en salud pública en trabajadores, a partir del paradigma constructivista, y basado en los determinantes sociales de la salud como la corriente teórica en salud pública y el modelo de Nola Pender. La promoción de la salud apunta a la generación de entornos saludables con oportunidades y condiciones para el desarrollo individual y colectivo; al mejoramiento la calidad de vida y salud, y al fortalecimiento de la capacidad para adquirir hábitos saludables como la práctica de la actividad física, la alimentación saludable y la sana recreación.
Este análisis puede servir como aporte al marco de la promoción de la salud en el lugar de trabajo, ayudando a investigadores y líderes de empresas a dar importancia al proceso de generación, adquisición y mantenimiento de las conductas de salud de los trabajadores.
A Look at Commonly Utilized Serotonin Noradrenaline Reuptake Inhibitors (SNRIs) in Chronic Pain
Authors: Robinson Christopher , Dalal Suhani , Chitneni Ahish , Patil Anand , Berger Amnon A. , Mahmood Syed , Orhurhu Vwaire , Kaye Alan D. , Hasoon Jamal 
Published: May 2022

Purpose of Review Chronic pain continues to be one of the leading healthcare cost burdens in the United States and is typically defined as ongoing pain, lasting longer than six months. Various treatment options exist for chronic pain, including physical therapy, medical management, pain psychology, and interventional therapies. Pain medications have been the mainstay of treatment for chronic pain conditions with an increasing use of membrane stabilizers and antidepressants to treat neuropathic pain conditions. Specifically, serotonin noradrenaline reuptake inhibitors (SNRIs) have been used to treat a range of pain conditions expanding from everyday use for depressive disorders. Recent Findings SNRIs, including duloxetine, venlafaxine, and milnacipran, have demonstrated efficacy in reducing pain in musculoskeletal pain (chronic low back pain and osteoarthritis), fibromyalgia, and neuropathic pain conditions (peripheral diabetic neuropathy). Summary The article describes the function, role, and use of SNRIs to treat chronic and neuropathic pain by altering the noradrenergic descending inhibitory pathways.
Delusions of Glass Under Skin: An Unusual Case of Somatic-Type Delusional Disorder Treated with Olanzapine
Authors: Comardelle Nicholas , Edinoff Amber , Fort Juliana 
Published: May 2022

Introduction The management of delusional disorder (DD) remains difficult due to poor patient insight and a lack of definitive treatment guidelines. For the somatic subtype specifically, prior studies have shown successful treatment with the first-generation antipsychotics (FGA) pimozide, but these studies did not specify the nature of the delusions. It has been theorized that pimozide effectiveness is due to its unique ability to relieve itching sensations, which are commonly associated with somatic delusions (e.g., delusions of parasitosis). The use of FGAs is not without risk, however, and should be avoided when possible due to the significant side-effect profile. Thus, there is a need for safer alternatives for the treatment of somatic-type DD. This manuscript discusses a case of DD characterized by painful sensations of glass under the skin managed with the second-generation antipsychotic olanzapine. Case A 67-year-old female with a past medical history including depression presented to the ED with complaints of glass in her hands and fingernails bilaterally. The patient has been evaluated by several physicians in the past without any evidence of glass being found. She was able factually able to describe that others viewed her complaints as irrational, but she refused to accept this as truth. Cognitive screening testing was normal, and a physical exam showed several areas of excoriation on the hands and arms bilaterally, a removed left thumbnail, and a thin frame (BMI: 18.02). The patient was admitted to the psychiatry service, where organic causes were ruled out (infection, metabolic abnormalities, drug use). The patient received olanzapine 5mg PO nightly treatment with adjunctive psychotherapy and experienced acute psychotic relief after a two-day admission period. She did not endorse any side effects from the medication. Discussion To our knowledge, there haven’t been prior studies exploring treatment efficacy in somatic-type DD subdivided by the nature of false bodily sensation. Despite this limitation, it was found that most cases of somatic-type DD characterized by foreign bodies under the skin were treated with pimozide. Although this drug appears to be a reasonable option for the more common presentation involving false pruritis, it might not be recommended for rare presentations that don’t involve itchiness due to the high risk of adverse symptoms. Accordingly, clinicians should consider the nature of the delusions along with the unique side effect profile of the pharmacological therapy as any harm might outweigh the potential benefit. This was highlighted in the current presentation as clinicians determined olanzapine to be the most appropriate treatment despite no similar cases of DD described in the literature. Furthermore, this case exemplified the utility of second-generation antipsychotics in the treatment of somatic-type DD.
Comparison of oral health care practices among the tobacco chewers and nonchewers
Authors: Kaur Arshpreet 
Published: May 2022

Background: Tobacco is chewed, smoked, sucked, sniffed and is the one product which is detrimental to the population when it is used entirely as intended. The present study was conducted to compare the oral health care practices among the tobacco chewers and nonchewers. Materials & Methods: 80 subjects of both genders were divided into 2 groups. Group I comprised of tobacco chewer and group II non- chewer. A closed-ended questionnaire namely, the National Youth Tobacco Survey Questionnaire and the WHO Oral Health Questionnaire for Adults was recorded which consisted of demographic information, oral health care practices, and information regarding smokeless tobacco habit. Results: Out of 80 subjects, males were 65 and females were 15. Tooth brush material used was tooth brush in 5 and 32, finger in 15 and 6 and neem stick in 20 and 2. Tooth cleaning material was tooth paste in 12 and 35, tooth powder in 28 and 5, frequency of brushing was once in 11 and 10, twice in 4 and 27 and occasionally in 25 and 3. Frequency of snack consumption was sometimes in 17 and 33 and mostly in 23 and 7.
Estrogen and progesterone receptor expression
Authors: Manjani S. , Vijayamalathi M. , Ranjini S. Sree , Janaki C. S. , Arulparithi C. S. 
Published: May 2022

Background: The common gynaecological complaints encountered is dysfunctional uterine bleeding .Pipelle aspiration & Dilatation and curettage is done to find out the Histomorphological and its immunohistochemical alterations . Objective : This study aims to bring out the expression of Estrogen and Progesterone receptor in perimenopausal women of non-malignant and malignant endometrium presenting with menorrhagia. Result: Endometrial samples of 41 Perimenopausal women with AUB were also subjected to immunohistochemical staining to find out the Estrogen and Progesterone receptor status. Immunohistochemistry revealed the mean of PI values for ER and PR were highest in the proliferative endometrium (91.64% for ER; 94.38% for PR) followed by simple hyperplasia, complex hyperplasia, atypical hyperplasia and endometrial carcinoma (27.5% for ER; 27% for PR). Conclusion: Immunohistochemistry results in perimenopausal women show that the estrogen and progesterone receptor expression decreases progressively from proliferative endometrium to hyperplasias to endometrial carcinoma.
Saidiya Hartman, Perdi la madre. Un viaggio lungo la rotta atlantica degli schiavi
Authors: Vallorani Nicoletta 
Published: May 2022

Saidiya Hartman, Perdi la madre. Un viaggio lungo la rotta atlantica degli schiavi (Napoli, Tamu Edizioni, 2021, 336 pp. ISBN 979-12-80195-05-0)
di Nicoletta Vallorani
anatomy of bad decision making and the role of neuroscience and the Second Track in improving decision making
Authors: Fritz Peter , Mallory Nicholas 
Published: May 2022

Any poor decision can be blamed on insufficient information, but the paralysis provoked by too much data can be as damaging as snap decisions based on too little. Human judgement must find the right balance between analysis and action, prudence and reform. Entrepreneur Peter Fritz AO and writer Nicholas Mallory discuss the individual and organisational factors behind bad decision making and how it can be improved in business and government today.
Role of Computed Tomography in The Evaluation of Focal Liver Lesions
Authors: Arif Amina , Latif Aruj , Ishaq Asif , Fatima Mehreen , Yousaf Farooq Syed Muhammad , Abbas Malik Awon , Saleem Manahil , Abbas Rifat , Farooq Bhatti Umair 
Published: May 2022

The liver lesions have marked differences across geographic regions and ethnic groups. In order to avoid inappropriate diagnosis and unnecessary surgery, Computed Tomography (CT) being a non-invasive imaging modality and with high sensitivity, provides better detection and distinguishing benign from malignant focal liver tumor lesions. Objective: To determine the role of Computed Tomography in the evaluation of focal liver lesions. Methods: A descriptive study was conducted at Government Kot Khawaja Saeed Teaching Hospital, Lahore, Pakistan. A sample size of 124 patients of both genders, age ranging from 22-90 years were enrolled in this study with a convenient sampling technique. Pregnant females and patients having renal insufficiency were excluded. The variables used to obtain data were: Age, Gender, Presenting complex clinical risk factors, CT findings, and other diagnoses. Toshiba Aquilion 16 CT scanner with KV 80-135 and MAs 500 was used. Injections of 1.5ml/kg IV contrast were given to patients, with a total dosage of 80-100ml at 4.5ml/sec through an 18G intravenous catheter. After contrast injection liver was scanned at 3 different time points or phases. All of the factors mentioned above were documented and kept in each patient's individual case record form (CRF). Data was gathered during the time frame specified. To examine the acquired data and arrange and compile the results, the statistical tool SPSS version 24 was used. Descriptive statistics and a Chi-square test was applied to check the comparison. Results: Among 124 individuals, 77 (62.1%) individuals were males, and 47 (37.9%) individuals were female. Average age of patients was 53.85±13.50 years. Multiple lesions were observed in 79 (63.7%) individuals had multiple lesions while 45 (36.3%) individuals had a single lesion. 94 (75.8%) individuals had malignant lesions while 30 (24.2%) had benign lesions. Lesions were more common in males than in females. The most common presenting complex clinic risk factor was hepatitis C virus with 45 individuals (36.3%) with Hepatitis C +ve. The most common CT finding was Hepatocellular Carcinoma with 41(33.1%). Conclusions: The study concluded that Computed Tomography being a non-invasive imaging modality and with high sensitivity, provides better detection and differentiation between benign and malignant focal liver lesions.
Inleiding op het themanummer ‘Professionalisering van ambtelijke managers. Perspectieven op vaardigheden, vakmanschap en leiderschap’
Authors: van Dorp Erik-Jan , van Harten Jasmijn , Noordegraaf Mirko , Frequin Mark 
Published: May 2022

Introduction to a special issue: ‘Professionalizing public managers. Perspectives on skills, craft and leadership’
In this special issue, we set the scene: we explain what we do in this special issue, and why. All authors analyze the 'improvement' of public managers, of their work, behavior, craft, profession. This is paradoxical: professional public managers are seen as highly important, but it is highly unclear what it means to be and act as professional public managers. We sketch four perspectives on the professionalization of public managers. They will be elaborated in the various papers: a 1) bureaucratic, 2) political, 3) strategic human resource, and 4) societal perspective. They will have to be combined to get a fuller picture of 'effective' public managers.
Functionele politisering en politieke fragmentatie
Authors: van den Berg Caspar , Belloir Alexandre 
Published: May 2022

Functional politicization and political fragmentation: Developments in the Dutch senior civil service in the period 2007-2021
Functional politicization – political activities and capacities taken on by bureaucrats within their administrative function – has received increased academic attention over recent years. Regardless, the factors and determinants behind this phenomenon remain a point of uncertainty and debate. Within this study, we explore whether increased political polarization and fragmentation in the Dutch political landscape from 2007 to 2019 and functional politicization are related. To do so, we analyze data from surveys conducted in 2007, 2013 and 2019 and semi-structured interviews conducted in 2019 to establish which skills – political-strategic insight, substantive expertise (Fachwissen), or procedural knowledge (Dienstwissen) – are perceived by senior civil servants to be the most prevalent in exercising their profession. The data depicts the prevalence of political astuteness in the profession and highlights three causal dimensions: institutional, organizational, and interpersonal dynamics. It however fails to highlight a cross-time evolution, which is hypothesized to be due to a ceiling effect of this competence having constantly been perceived as the most prevalent. The latter adds a theoretical dimension to the notion of functional politicisation, as it aligns with other academic findings that suggest senior civil servants are now subject to heightened pressures due to being increasingly monitored and in the (public) spotlight.
Vernieuwing van vakmanschap
Authors: Noordegraaf Mirko , van Dorp Erik-Jan 
Published: May 2022

Renewing the craft. A critical analysis of the Dutch Senior Executive Service’s professionalization activities
In this paper we study the institutional impact of the Dutch senior executive service (Dutch: Algemene Bestuursdienst, hereafter: ABD) on the craft of senior civil servants in Dutch government. Our study rests upon a thorough evaluation conducted in 2020. For this study, we interviewed 51 (former) cabinet ministers, members of parliament, senior civil servants, HR experts and ‘outsiders’. We structure our paper in three parts. First, we discuss the founding principles and motives for the institutional renewal that became the ABD. Second, we discuss the ABD’s practice. Third, we signal and interpret the outcomes of the ABD so far. This results in five critical observations. We conclude the ABD has become an institutional fact. Nonetheless, the ABD could have done more to transcend the focus on individual appointments and development of collective craftmanship, and to visibly shape and protect such craftmanship.
Maatschappelijke impact maken?!
Authors: Noordegraaf Mirko 
Published: May 2022

‘Making societal impact?’ Reply to ‘t Hart & Belabas’ ‘You are what you trigger’
In this paper, the athour responds to 't Hart's and Belabas' emphasis on a call for more impact, more specifically, more societal impact. First and foremost, it is important to define what societal impact means, and how it can be generated. In additon to increasing the effects of academic knowledge, it can also mean more links with societal issues, and/or more contributions to changing the societal order. This, in turn, also implies changing academic impact, namely impact on other academic disciplines. In addition, it is important to clarify 'impact pathways' when societal impact is 'made'. Impact can be visible and instantaneous, but it can also be hidden, and/or stretched in time. Public administration scholars should trave these different routes to impact, by going outside, observing grass roots processes, showcase intriguing experiences, and make subtle knowledge connections.
COVID-19 en de rally rond de Nederlandse vlag: vertrouwen in de politiek tijdens de eerste golf (maart-mei 2020)
Authors: van der Meer Tom , Steenvoorden Eefje , Ouattara Ebe 
Published: May 2022

COVID-19 and the Dutch flag rally: confidence in politics during the first wave (March-May 2020)
This article examines the rally round the flag in the Netherlands during the first wave of the COVID-19 pandemic in the spring of 2020, i.e. the rise in trust in political authorities in response to the external threat. The authors use unique panel data to do this, the first of which took place in the days before the announcement of the first national lockdown (mid-March 2020), and the second shortly after the announcement of the reopening of schools (late April/early May 2020). This allows them to isolate the rally in time. Their research shows that the government in particular has gained confidence. Confidence in other political institutions rose to a lesser extent; confidence in the police and the judiciary did not increase. We can best understand the rise in confidence as a decline in cynicism: during the first wave, politicians were less often portrayed as incompetent, which proved to be a motivator for increasing confidence. Fear of contamination was an important motivation for increasing confidence. Under the influence of the external threat, people placed their hopes on political authorities. Both mechanisms may explain that confidence rose particularly sharply among voters of radical right parties, although radical right voters remained the least trusting voters.
Reflecties over de rol van de reactieve burger in een wereld in crisis
Authors: De Moor Tine , Duffhues Ton 
Published: May 2022

Reflections on the role of the reactive citizen in a world in crisis
At the beginning of the corona crisis, there was a real wave of solidarity actions, for example people helping each other in villages and neighbourhoods, and buying food from close by. At the same time, opinion articles appeared about the historical-social context in which the COVID-19 virus could have such a rapid impact on society. These two observations have led to this research into the potential of citizen collectives in times of crisis. First, it was shown that, in combating the pandemic, governments paid little or no attention to the possibilities of citizen collectives to reach citizens in villages, districts and neighbourhoods through direct, personal channels. In contrast, the analysis of 20 opinion articles from the period March-June 2020 shows that the value shifts that most authors consider desirable to address the big issues in society are a good fit with the values that citizen collectives represent. For three domains – care and housing, work and food – this is illustrated with existing practices and new needs. Their conclusion is that the government would do well to make a strong appeal to the organizing capacity of active citizens, their networks and community strength when tackling major social challenges related to climate, energy, care, food and housing.
Rancang Bangun Sistem Informasi Data Alumni Pada Politeknik Negeri Fakfak
Authors: Riyadh Arridha  , Titing Magfirah  , Andi Roy  , Abd Ganiyu M. Natsir  , Risna Zullidya Nengsih  
Published: May 2022

Politeknik Negeri Fakfak merupakan salah satu Instansi Pendidikan vokasi yang ada di kota Fakfak Provinsi Papua Barat yang meluluskan mahasiswa setiap tahunnya. Sejak wisudah pertama pada tahun 2015, belum ada penerapan sistem informasi pengolahan data alumni berbasis web di Politeknik Negeri Fakfak sehingga data alumni masih diinput secara manual. Dengan adanya Sistem Informasi Data Alumni akan dapat membantu dan mempermudah pihak kampus menyimpan data secara struktur dan dapat membantu alumni dalam mencari informasi data alumni yang dibutuhkan dengan mudah dan cepat. Alumni mempunyai peranan penting untuk pengembangan sebuah instansi pendidikan karena alumni berperan sebagai duta yang mencerminkan kualitas instansi pendidikan diranah publik. Dengan adanya Sistem Informasi Data Alumni Politeknik Negeri Fakfak, maka pihak kampus dapat mengetahui kualitas lulusan sebagai acuan untuk memperbaiki kualitas mahasiswa angkatan selanjutnya dan juga sebagai media masukan untuk kemajuan Politeknik Negeri Fakfak. Proses perancangan sistem informasi ini menggunakan metode DBLC untuk perancangan database dan metode waterfall untuk perancangan sistem. Sistem ini dapat diakses oleh petugas yang mengelola aplikasi, masing-masing ketua jurusan dan alumni Politeknik Negeri Fakfak. Kumpulan data yang digunakan adalah observasi, interview, dokumentasi dan studi pustaka. Hasil dari penelitian ini adalah Sistem Informasi Data Alumni pada Politeknik Negeri Fakfak berbasis web. Dari hasil pengujian menunjukkan bahwa sistem yang telah dibuat dapat memenuhi persyaratan fungsional secara baik