bluuebunny/crossref_metadata_2025_split huggingface dataset:
Akulturasi Kepemimpinan Transformasional Paulus dan Falsafah Pemimpin Negeri di Minahasa
Authors: Rumbay Christar Arstilo , Weol Wolter , Hartono Handreas , Magdalena Maria , Hutasoit Binsar 
Published: March 2022

Abstract. The encounter between religion and culture receives resistance as it is considered as the syncreticsm. Acculturation approach, however, offers alternative contribution to the tension of leadership with its cultural features. Paul transformational leadership and Minahasa leadership philosophy are two discussion materials that potentially could donate insight with acculturative construction. The research question that lead this work was how is Pauline transformational leadership and Minahasan leadership philosophy acculturative construction? This research attempted to see possibities that could be an alternative contribution to cultural and Christian leadership discussion. This research involved to leadership tension with qualitative and ethnography approach. Sources such as book, article, and academic essay were combined with field interview. In sum, collaboration between Paul transformational leadership and Minahasa leadership philosophy offers a new modification and construction perspective, a continuity leadership and dichotomous with solid cultural identity.Abstrak. Perjumpaan antara agama dan budaya menerima resistensi karena dianggap sebagai realisasi sinkretisme. Namun pendekatan akulturasi menawarkan alternatif yang kontributif bagi gejolak krisis kepemimpinan bercorak budaya. Konsep kepemimpinan transformasional Paulus dan falsafah kepemimpinan di Minahasa merupakan dua objek diskusi yang berpotensi menyumbangkan pemikiran baru jika dikonstruksikan secara akulturatif. Rumusan masalah yang menuntun penelitian ini adalah, bagaimana konstruksi akulturatif kepemimpinan transformasional Paulus dan falsafah kepemimpinan Minahasa? Penelitian ini mencoba untuk melihat kemungkinan yang dapat menjadi kontribusi alternatif bagi diskusi kepemimpinan kultural dan Kristen. Penelitian ini mendekati problematika kepemimpinan dengan metode kualitatif dan etnografi. Sumber pustaka seperti buku, artikel dan naskah akademik lainnya dikombinasikan dengan hasil wawancara di lapangan. Sebagai hasilnya, kolaborasi konsep kepemimpinan transformasional Paulus dan falsafah kepemimpinan Minahasa menawarkan sebuah modifikasi dan konstruksi baru, kepemimpinan yang kontinuitas dan terdikotonomikan dengan identitas budaya yang kuat.
Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi di Wilayah Kerja Puskesmas Kutalimbau Tahun 2021
Authors: Tumanggor Lili Suryani , Dearst Putra 
Published: March 2022

Untuk mengetahui Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi di Wilayah Kerja Puskesmas Kutalimbau Tahun 2021. Desain penelitian ini eksperimental dengan rancangan one groups pretest post test design. Subjek penelitian adalah penderita hipertensi di Wilayah Kerja Puskesmas Kutalimbau sebanyak 18 responden dengan purposive sampling. Hasil uji statistic dengan paired t test menunjukkan nilai p-value 0,000 yang berarti kurang dari 0,005, sehingga keputusan hipotesis Ha diterima yang berarti ada pengaruh yang signifikan antara Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi di Wilayah Kerja Puskesmas Kutalimbau Tahun 2021.
Gambaran Pengetahuan dan Sikap Petugas Ruang Bedah Dalam Pemberian IMD di Rumah Sakit Ibu Kartini Kisaran Tahun 2020
Authors: Daulay Maswan , Purba Yeni Trisna , Masdalifah Nur , Pakpahan Romauli 
Published: March 2022

Program Inisiasi Menyusui Dini (IMD) mempunyai manfaat yang sangat besar untuk bayi maupun ibu yang baru melahirkan. Tetapi dalam penerapan inisiasi menyusu dini itu sendiri belum tersosialisasikan di beberapa rumah sakit, maupun di klinik praktek bidan, sehingga penerapannya masih perlu di kembangkan. Maka dilakukan penelitian tentang gambaran pengetahuan dan sikap Petugas Ruang Bedah dalam pemberian IMD di Rumah Sakit Ibu Kartini Kisaran Tahun 2020. Penelitian ini dilakukan pada September - Oktober 2020 dengan populasi 10 responden. Pengambilan sampel dilakukan dengan tehnik total sampling yaitu seluruh responden dijadikan sampel . Hasil penelitian ini menunjukkan bahwa Mayoritas mempunyai pengetahuan cukup yaitu sebanyak 4 orang (40 %) sedangkan minoritas mempunyai pengetahuan baik yaitu sebanyak 3 orang (30 %) dan pengetahuan kurang yaitu sebanyak 3 orang (30 %). Mayoritas mempunyai sikap setuju yaitu sebanyak 7 orang (70 %) sedangkan minoritas sikap tidak setuju yaitu sebanyak 3 orang (30 %). Diharapkan Pimpinan di Rumah Sakit Ibu Kartini Kisaran, baik level direktur maupun kepala ruangan dapat melakukan pengawasan dalam pelaksanaan standard operasional prosedur pemberian Inisiasi Menyusu Dini pada pasien pasca melahirkan secara khusus post operasi sectio caesaria. Jika diperlukan ditunjuk petugas khusus yang bertanggungjawab langsung terhadap terlaksananya pemberian IMD pada bayi baru lahir. Diharapkan dalam proses belajar mengajar baik diruang kelas maupun dilaboratorium pemberian IMD ini dapat dikuasai oleh setiap mahasiswa. Penelitian ini dapat dijadikan sebagai evidence based dalam melakukan penelitian dengan variable yang sama atau dengan beberapa variable yang berhubungan dengan pemberian IMD
Synthesis of New Cyclic Amines-Linked Metronidazole Derivatives as Possible Prodrugs
Authors: Q. Abdul-Kadir Maadh , E. AL-Ani Nadhum , M. Alwan Shakir 
Published: March 2022

Certain cyclic amine derivatives of metronidazole via acetate spacer were prepared. Cyclic amines used are piperidine and piperazine to improve the physicochemical properties and reduce some of metronidazole side effects. This is believed to be done by modification of its structural features to get prodrugs with improved properties over that of metronidazole. The present work includes esterification of metronidazole with choroacetic acid, N-alkylation of the cyclic amines by the halogenated ester and characterization of their structures by spectral(UV and IR) and elemental(CHN)analysis.The melting points, degree of solubilities and partition coefficients were also determined. Both metronidazole-piperazine and metronidazole-piperidine derivatives have different structural and physicochemical properties that may be excellent to diminish problems associated with metronidazole.
Key words: Metronidazole, chloroacetate, prodrug.
Enhancement of Atorvastatin Tablet Dissolution Using Acid Medium
Authors: J.Hasson Kahtan 
Published: March 2022

In this study some generic commercial products of Atorvastatin tablets were evaluated by dissolution test in acid medium by comparing with that of parent drug Lipitor of Pfizer Company. Some of solubilizing agents were studied in formulation of Atorvastatin tablet including; surface active agent and PEG 6000 .The most effective factor was the use of PEG6000 in formulation of Atorvastatin tablet which improved the dissolution and the results of dissolution profile of formulated tablet in this work was bioequivalent to that of Lipitor .The quantitative analysis of this work was performed by using reversed phase liquid chromatography and a proper mixture of mobile phase which give a retention time for Atorvastatin about 6 minutes .
Over 20 years of declining Medicare reimbursement for spine surgeons: a temporal and geographic analysis from 2000 to 2021
Authors: Haglin Jack M. , Zabat Michelle A. , Richter Kent R. , McQuivey Kade S. , Godzik Jakub , Patel Naresh P. , Eltorai Adam E. M. , Daniels Alan H. 
Published: March 2022

OBJECTIVE
Procedural reimbursement for spine surgery has changed drastically over the past 20 years. A comprehensive understanding of these trends is important as major changes in reimbursement models of spine surgery continue to evolve within various spine specialties as well as broader national healthcare policy. In this study the authors evaluated the monetary trends in Medicare reimbursement rates for the 15 most common spinal surgery procedures from 2000 to 2021.

METHODS
The National Surgery Quality Improvement Project database (2019) was queried to determine the 15 most commonly performed spine surgery procedures. The Current Procedural Terminology (CPT) codes for each of these procedures were obtained from the Physician Fee Schedule Look-Up Tool from the Centers for Medicare and Medicaid Services, and comprehensive reimbursement data for each code were extracted. Changes in Medicare reimbursement rates were calculated and averaged for each procedure as both raw percent changes and percent changes adjusted for inflation to 2021 US dollars (USD) based on the consumer price index (CPI). The adjusted R2 value, the compound annual growth rate (CAGR), and both the average annual and the total percent change in reimbursement were calculated based on these adjusted trends for all included procedures.

RESULTS
After adjustment for inflation, average reimbursement for all procedures decreased by 33.8% from 2000 to 2021. The greatest mean decrease was seen in anterior cervical arthrodesis (−38.7%), while the smallest mean decrease was in vertebral body excision (−17.1%). From 2000 to 2021, the adjusted reimbursement rate for all included procedures decreased by an average of 1.9% each year, with an average R2 value of 0.69.

CONCLUSIONS
This is the first study to evaluate monetary trends in Medicare reimbursement for spine surgery procedures. After adjusting for inflation, Medicare reimbursement for the 15 most commonly performed spine procedures has steadily decreased from 2000 to 2021. Increased awareness of these trends and the forces driving them will be critical in the coming years as negotiations regarding reimbursement models continue to unfold. Greater understanding of spine surgery reimbursement among policy makers, hospitals, and surgeons will be important to ensure continued access to quality surgical spine care in the United States.
Socio-political destabilization dynamics features in MENA monarchies before and after the Arab spring
Authors: Khokhlova Alina A. 
Published: March 2022

“Arab Spring” had a large effect on the political stability of Arab republics and led to regimes overthrow in Tunisia, Egypt, Libya and Yemen. However, Middle East and North Africa (MENA) monarchical regimes managed to survive the period of severe turbulence. Much has been written on the problems of the “Arab Spring” effect on the trajectory of socio-political and economic development of the Arab countries since 2011, although nothing has been said on the dynamics of political destabilization of Arab monarchies as a whole and in comparison with MENA republics as well as about the features of that dynamics. So, this paper aims to fulfill this gap.
Using descriptive statistics as a pilot method and CNTS, Global Terrorism and Mass Mobilization in Autocracies databases we show that the monarchies are in general more stable than non-monarchies of MENA since their independence.
The paper also demonstrates that those MENA monarchies which suffer from internal Sunni-Shia conflicts, Bahrain and Saudi Arabia, possess the highest mean destabilization level among all MENA monarchies because of its “bloody” character. The most liberal parliamentary Arab monarchies like Kuwait, Jordan and Morocco have a relatively high destabilization dynamics, but they are predominantly of a mass mobilization type. Other monarchies, Oman, UAE and Qatar, demonstrate the lowest destabilization levels during the period after the “Arab Spring”.
The importance of formal education for the medication dispensing process: a cross-sectional study
Authors: Gonçalves Ana Maria Rosa Freato , Cunha João Paulo Alves , Reis Tiago Marques dos , Pereira Leonardo Regis Leira 
Published: March 2022

Background: The dispensing of medications, if performed by professionals who do not have specific knowledge in relation to legislation, health problems, medications, and patient interaction, can result in damage to health. Objective: This study aims to assess knowledge about medication dispensing by pharmacists and in the non-pharmaceutical workforce and to compare according to the different levels of formal education received. Methods: This is a cross-sectional study carried out in community pharmacies, and in educational institutions that offer the pharmacy technician course in Brazilian municipalities. In employees of community pharmacies who worked directly with the dispensing of medication (pharmacists, pharmacy technicians, and clerks), and in students who will shortly graduate from the pharmacy technician, a questionnaire titled CDM-51 (Questionnaire for the Assessment of Knowledge about Drug Dispensing) was applied. Results: 146 employees answered the questionnaire, and 131 students completing the pharmacy technician course participated in the survey. This study showed that there is evidence that pharmacists had a higher score in the CDM-51 than the other participating professional categories. Conclusions: This research presents evidence on the importance of training to carry out the dispensing of medications, as in addition to highlighting the role of the pharmacist in this activity, it also promotes the training of professionals at a technical level to assist in the dispensing of medications, thus contributing to the improvement of services offered by community pharmacies.
Saúde mental dos profissionais da saúde durante a pandemia da COVID-19: Relato de experiência de uma prática avaliativa na Estratégia Saúde da Família
Authors: Lima Thallita Monalisa Sizenando Souza , Gurgel Jonsuellya Bezerra 
Published: March 2022

A COVID-19 afetou diretamente a rotina dos profissionais da saúde que atuam na linha de frente de combate a pandemia, onde repentinamente se depararam com o número crescente de infectados e um alto índice de mortalidade, o que promoveu a sobrecarga no sistema de saúde mundial, levando consequentemente o adoecimento mental dos profissionais de saúde. Trata-se de um relato de experiência de uma pesquisa realizada com profissionais da saúde utilizando a coleta de dados através de questionário on-line desenvolvido no Formulários Google composto por questões abertas e fechadas com objetivo de avaliar a saúde mental dos profissionais da Atenção Primária à Saúde (APS) no contexto da pandemia da COVID-19. O instrumento de avaliação quantitativo foi inspirado na Maslach Burnout Inventory, utilizado para avaliar a Síndrome do Esgotamento Profissional, onde as perguntas foram adaptadas e reformuladas para identificar as alterações comportamentais e psicológicas nos profissionais de saúde. Para a análise qualitativa o questionário contou com 3 perguntas abordando as percepções do entrevistado e de como avalia a sua saúde mental durante a pandemia da COVID-19. O desenvolvimento de sintomas de sofrimento psiquico tem ligado o alerta para a necessidade de medidas de intervençao, estando os profissionais expostos a fatores estressores por um longo periodo de tempo.
A importância da implementação da comissão de farmácia e terapêutica, em um hospital regional no alto- sertão paraibano
Authors: Jesus João Mateus Pereira de , Santos Ermeson Morais dos , Barroso Naedja Pereira , Silva Macerlane de Lira , Silva Danielle Rocha 
Published: March 2022

A Comissão de Farmácia e Terapêutica (CFT) é uma instância colegiada de caráter consultivo, composta por uma equipe multiprofissional e deliberativa, importante para a educação em saúde e gestão hospitalar. Este estudo tem como objetivo relatar a experiência vivenciada no Hospital Regional de Catolé do Rocha (HRCR) e mostrar a importância da implementação de uma CFT no hospital. Trata-se de um relato de experiência vivenciado durante a residência em saúde coletiva no Hospital Regional Américo Maia de Vasconcelos, em Catolé do Rocha, seguindo o método proposto por Jara-Holliday. O HRCR, recebe os pacientes referenciados pelos municípios da oitava região de saúde, por se tratar de um serviço de maior complexidade e grau de densidade tecnológica, foi pensado para ofertar os serviços de atenção secundária. No entanto, devido à falta de protocolos clínicos bem definidos e ausência de uma CFT, o hospital realiza atendimentos de baixa complexidade contribuindo negativamente para os custos e despesas hospitalares, como também influenciam no tempo de atendimento dos usuários. Conclui-se que se implementada, a Comissão de Farmácia e Terapêutica pode ser efetiva no processo de gestão do HRCR, com a elaboração de protocolos terapêuticos e padronização de medicamentos, buscando assim a segurança e racionalidade do uso dos medicamentos, maior protagonismo do Farmacêutico e geração de economia (custo-efetividade). Além, de favorecer a qualidade do serviço prestado aos usuários, culminando em maior qualidade de vida dos pacientes e redução do tempo de internação. Sendo a inserção efetiva da CFT uma ação de saúde positiva para gestão e usuários.
O ensino remoto e as Tecnologias Digitais da Informação e Comunicação (TDIC) no Estado do Ceará: alguns apontamentos no cenário da pandemia de Covid-19
Authors: Pordeus Marcel Pereira , Magalhães Júnior Antônio Germano , Pordeus Caio Leonam Vieira , Paulino Felipe Wesley de Vasconcelos 
Published: March 2022

Este estudo permeia a conjuntura do ensino remoto e as Tecnologias Digitais da Informação e Comunicação (TDIC) no contexto da pandemia de Covid-19 no Estado do Ceará, contanto, elucidamos alguns apontamentos baseados no cenário educacional das escolas públicas, ao qual nos atemos como lócus para coleta de dados o Colégio Liceu do Ceará. Com efeito, a pesquisa foi desenvolvida em uma proposta metodológica qualiquantitativa. Deste fato, mesclamos essa forma híbrida de analisar e interpretar os dados neste trabalho, com seleção e análise de documentos oficiais do governo do Estado do Ceará, e entrevista livre realizada com o(a) (Gestor(a) 1 e 2). E, somado a isso, elencamos documentos inerentes a escola pesquisada, em que explanamos uma Ata de reunião do segundo semestre de 2020, e um calendário de atividades escolares, dos meses de setembro e outubro de 2021; além das assertivas de Madrigal (2016), Pereira (2017), Augusto; Santos (2020), dentre outros autores essenciais à formação do embasamento necessário à pesquisa realizada, em parceria com o Programa de Pós-graduação em Planejamento e Políticas Públicas da UECE. Nos resultados e discussão, a acessibilidade às ferramentas tecnológicas atualmente é uma problemática nacional, no entanto, para o Estado do Ceará, a exemplo do Liceu, dos documentos oficiais e entrevistas, percebemos a singularidade de políticas públicas educacionais postas em prática, no sentido de incluir, de minimizar as desigualdades estruturais no âmbito social, e promover a educação para todos, tendo o ensino remoto/híbrido como mote na disseminação do saber aos cearenses.
Characterisation of harvest residues on New Zealand’s steepland plantation cutovers
Authors: Harvey Campbell , Visser Rien 
Published: March 2022

Background: Timber harvesting in New Zealand’s plantation forests results in relatively large volumes of woody residues being generated. While a proportion of these residues are concentrated at the landings where the trees are processed, the majority of residues are distributed throughout the cutover. Harvest residues present a biomass market opportunity, however managing un-merchantable residues remains essential as the material can present a mass mobilisation risk. Quantifying cutover residues in terms of volume provides an important step for marketing and for improving post-harvest management.
Methods: A refined Line Intersect Sampling (LIS) method was used to measure the cutover residues at 17 recently harvested steepland sites. These covered a range of whole tree harvesting systems, silviculture and geographical locations. The harvesting sites varied in size from 2.3 to 41.1 ha, with an average of 11x 60 m LIS transect plots completed at each site. Woody harvest residues >25 mm in diameter were measured.
Results: The median volume of woody residues was 88 m3/ha, ranging from 0 m3/ha in an area swept bare, up to 580 m3/ha in an area severely impacted by windthrow prior to harvest. A distribution of volumes by plot showed a positive skew with an interquartile range of 87 m3/ha. Timber that was considered merchantable as a log at the time of harvest, being >10 cm in small end diameter and >4 m in length, accounted for a median of 11 m3/ha. Residues >10 cm in small end diameter and >80 cm in length that could make a viable biomass product, described as ‘binwood’, accounted for a further 19 m3/ha at the median. Cutovers harvested with cable-based systems had greater median total residue volumes than those harvested with ground-based systems (110 m3/ha versus 68 m3/ha) however the felling method employed made no significant difference to total residue volumes.
Conclusions: This study provides cutover residue measurements that can be used to improve post-harvest management, as both a substantial opportunity for improved crop utilisation and also for reducing mobilisation risk. It also provides a contemporary benchmark against which to measure change as harvesting technology or methodology develops.
ANALISIS KELAYAKAN FINANSIAL USAHA BUDIDAYA KARAMBA JARING TANCAP (KJT) DI KELURAHAN PETOAHA KOTA KENDARI
Authors: Tanggo L.M Sardiman , Nurdiana - , Piliana Wa Ode 
Published: March 2022

ABSTRAK Penelitian dilakukan di Kelurahan Petoaha Kota Kendari pada bulan November sampai Desember 2018. Tujuan penelitian adalah untuk mengetahui kelayakan finansial usaha budidaya karamba jaring tancap. Penelitian ini menggunakan metode sensus dengan jumlah responden 10 orang. Data diperoleh melalui wawancara menggunakan kuesioner, observasi, dokumentasi, dan studi literature. Data yang dikumpulkan meliputi total biaya yang dikeluarkan, jumlah produksi persiklus, harga jual. Data dianalisis secara deskriptif kuantitatif. Biaya total dihitung dengan rumus (TC) = TFC + TVC, sedangkan penerimaan (TR) dan keuntungan (π) yang diterima pembudidaya masing-masing dihitung dengan rumus TR = P.Q dan π = TR – TC. R/C rasio dihitung dengan rumus R/C rasio = TR/TC. Dari hasil analisis diketahui bahwa total biaya rata-rata yang dialokasikan sebesar Rp34.567.762/siklus, sedangkan rata-rata penerimaan pembudidaya karamba jaring tancap sebesar Rp98.150.000/siklus. Rata-rata keuntungan pembudidaya karamba jaring tancap sebesar Rp63.582.238/siklus. Berdasarkan analisis R/C rasio diperoleh 2,79, sehingga usaha budidaya karamba jaring tancap di Kelurahan Petoaha Kota Kendari secara finansial sangat layak untuk dilanjutkan.Kata kunci : Kelayakan Finansial, Karamba Jaring Tancap.