bluuebunny/crossref_metadata_2025_split huggingface dataset:
The ParentingWell Practice Approach: Adaptation of Let’s Talk About Children for Parents With Mental Illness in Adult Mental Health Services in the United States
Authors: Nicholson Joanne , Heyman Miriam , English Kelly , Biebel Kathleen 
Published: April 2022

BackgroundDespite the importance of family and parent-focused practice, there has been a dearth of research on interventions for parents with mental illness. This paper describes the process and outcome of adapting an evidence-based intervention, Let’s Talk about Children (LTC), in the context of adult mental health services in Massachusetts, United States.MethodsSpecific objectives included: (1) to specify the core components, functions, and principles of LTC essential to adapting the intervention (i.e., program theory), (2) to consider contextual factors related to the new setting; (3) to pre-test the adapted materials with diverse practitioners; and (4) to compile the program model and materials (i.e., the practice profile) for use by adult mental health service providers in Massachusetts. The Adaptation Team included individuals with expertise in psychiatric rehabilitation and clinical care, policymaking, program development and research, and parents. Activities occurred between 2015–2019 and included: (1) consulting with experts to specify the core elements and theory behind the selected intervention (i.e., with the LTC purveyor and international experts); (2) consulting with key stakeholders for input regarding the Massachusetts target population and context to inform adaptations (i.e., individual and group key informant interview sessions); (3) pretesting the initial adapted materials (i.e., training and coaching sessions with adult mental health practitioners); and (4) using feedback to refine and compile the final intervention manual (i.e., the ParentingWell Practice Profile). Participants reflected diverse, oftentimes multiple roles and perspectives, including those of parents with mental illness, adult children, and family members.ResultsParentingWell is practitioner- and setting-agnostic, addresses parenting across the lifespan, fits into the routine workflow, and builds on practitioners’ existing skills. Eight themes emerged, which were translated into four core elements (engage, explore, plan, access and advocate) consistent with Self-Determination Theory and four underlying principles (trauma-informed, strengths-based, family-focused, culturally sensitive) in keeping with the LTC model. The ParentingWell Practice Profile operationalizes each core element and addresses the underlying principles.ConclusionParentingWell makes talking about parenting and family experiences a routine part of the therapeutic conversation with adults with mental illness. Future research will test the adaptation, implementation, and impact of ParentingWell.
Delivering Remote Measurement-Based Care in Community Addiction Treatment: Engagement and Usability Over a 6-Month Clinical Pilot
Authors: Hallgren Kevin A. , Cohn Eliza B. , Ries Richard K. , Atkins David C. 
Published: April 2022

ObjectiveMeasurement-based care (MBC) is an evidence-based practice in which patients routinely complete standardized measures throughout treatment to help monitor clinical progress and inform clinical decision-making. Despite its potential benefits, MBC is rarely used in community-based substance use disorder (SUD) treatment. In this pilot study, we evaluated the feasibility of incorporating a digital and remotely delivered MBC system into SUD treatment within a community setting by characterizing patients’ and clinicians’ engagement with and usability ratings toward the MBC system that was piloted.MethodsA pilot study was conducted with 30 patients receiving SUD treatment and eight clinicians providing SUD treatment in a large, publicly funded addiction and mental health treatment clinic. Services as usual within the clinic included individual psychotherapy, case management, group therapy, peer support, and medication management for mental health and SUD, including buprenorphine. Patients who enrolled in the pilot continued to receive services as usual and were automatically sent links to complete a 22-item questionnaire, called the weekly check-in, via text message or email weekly for 24 weeks. Results of the weekly check-in were summarized on a clinician-facing web-based dashboard. Engagement was characterized by calculating the mean number of weekly check-ins completed by patients and the mean number times clinicians logged into the MBC system. Ratings of the MBC system’s usability and clinical utility were provided by patients and clinicians.ResultsPatient participants (53.3% male, 56.7% white, 90% Medicaid enrolled) completed a mean of 20.60 weekly check-ins (i.e., 85.8% of the 24 expected per patient). All but one participating clinician with a patient enrolled in the study logged into the clinician-facing dashboard at least once, with an average of 12.20 logins per clinician. Patient and clinician ratings of usability and clinical utility were favorable: most patients agreed with statements that the weekly check-in was easy to navigate and aided self-reflection. All clinicians who completed usability questionnaires agreed with statements indicating that the dashboard was easy to navigate and that it provided meaningful information for SUD treatment.ConclusionsA digital and remotely delivered MBC system can yield high rates of patient and clinician engagement and high ratings of usability and clinical utility when added into SUD treatment as usual. The success of this clinical pilot may be attributable, in part, to the user-centered design processes that were used to develop and refine the MBC system that was piloted. Future efforts may focus on strategies to test whether MBC can be sustainably implemented and offers clinical benefits to patients in community SUD treatment settings.
Relation Between Unconjugated Bilirubin and Peripheral Biomarkers of Inflammation Derived From Complete Blood Counts in Patients With Acute Stage of Schizophrenia
Authors: Xu Haiting , Wei Yanyan , Zheng Lina , Zhang Hua , Luo Tangren , Li Hongjuan , Ma Jinbao , Chen Jingxu 
Published: April 2022

BackgroundInflammation and oxidative stress are the major leading hypothetical causes of schizophrenia. Unconjugated bilirubin (UCB) is an efficient endogenous plasma antioxidant. Inflammation is closely linked to oxidative stress. The relationship between UCB and inflammatory markers should be paid close attention in schizophrenia acute stage. In this paper, combined UCB and inflammatory markers were evaluated for their capability in predicting schizophrenia in the acute stage to find an easy and effective indicator to identify acute schizophrenia.MethodsA total of 6,937 acute schizophrenia patients and 6,404 healthy controls (HCs) were enrolled. UCB and peripheral biomarkers of inflammation derived from complete blood counts (CBC) were investigated in the subjects with acute schizophrenia, and the results were compared with HCs. Simultaneously, Spearman test was employed to assess the correlation between the variables, while logistic regression was adopted to determine the combined equation and receiver operating characteristic curve was used to evaluate the combined value of UCB and peripheral biomarkers of inflammation derived from CBC to predict schizophrenia in the acute stage.ResultsThe study indicates that white blood cells, neutrophil, monocyte, mean platelet volume (MPV), red cell distribution width (RDW), neutrophil/lymphocyte ratio (NLR), and monocyte/lymphocyte ratio (MLR) have significantly increased in schizophrenia (p &lt; 0.05 for all), while platelet, lymphocyte, and platelet/lymphocyte ratio (PLR) in schizophrenia have significantly decreased (p &lt; 0.05 for all). UCB exhibits negative correlation with MPV significantly (r = 0.121, p &lt; 0.001), and no correlation with neutrophil and monocyte. The correlations between UCB and other peripheral biomarkers of inflammation derived from CBC are very weak. MPV, RDW, NLR, MLR, PLR, and UCB were taken as independent variables for a logistic regression analysis. The model was as follows:Logit (P1)=-6.141+0.827 MPV+5.613 MLR-0.005 PLR-0.346 UBC.The combination demonstrates better effectiveness in predicting schizophrenia in the acute stage (AUC 0.831, 95% CI 0.825 to 0.837).ConclusionUCB has a protective effect on acute stage of schizophrenia, which is weak and indirect by affecting the proinflammatory processes. Our findings suggest that a combination of MLR, MPV, PLR, and UBC could be used to predict acute stage of schizophrenia.
Effectiveness of De-Escalation in Reducing Aggression and Coercion in Acute Psychiatric Units. A Cluster Randomized Study
Authors: Celofiga Andreja , Kores Plesnicar Blanka , Koprivsek Jure , Moskon Miha , Benkovic Dominik , Gregoric Kumperscak Hojka 
Published: April 2022

ObjectiveMost guidelines for the management of aggressive behavior in acute psychiatric patients describe the use of de-escalation as the first-choice method, but the evidence for its effectiveness is inconsistent. The aim of the study was to assess the effect of verbal and non-verbal de-escalation on the incidence and severity of aggression and the use of physical restraints in acute psychiatric wards.MethodsA multi-center cluster randomized study was conducted in the acute wards of all psychiatric hospitals in Slovenia. The research was carried out in two phases, a baseline period of five consecutive months and an intervention period of the same five consecutive months in the following year. The intervention was implemented after the baseline period and included training in verbal and non-verbal de-escalation techniques for the staff teams on experimental wards.ResultsIn the baseline study period, there were no significant differences in the incidence of aggressive behavior and physical restraints between the experimental and control groups. The incidence rates of aggressive events, severe aggressive events, and physical restraints per 100 treatment days decreased significantly after the intervention. Compared to the control group, the incidence rate of aggressive events was 73% lower in the experimental group (IRR = 0.268, 95% CI [0.221; 0.342]), while the rate of severe events was 86% lower (IRR = 0.142, 95% CI [0.107; 0.189]). During the intervention period, the incidence rate of physical restraints due to aggression in the experimental group decreased to 30% of the rate in the control group (IRR = 0.304, 95% CI [0.238; 0.386]). No reduction in the incidence of restraint used for reasons unrelated to aggression was observed. After the intervention, a statistically significant decrease in the severity of aggressive incidents (p &lt; 0.001) was observed, while the average duration of restraint episodes did not decrease.ConclusionDe-escalation training is effective in reducing the incidence and severity of aggression and the use of physical restraints in acute psychiatric units.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [NCT05166278].
Control interno para la efectiva gestión administrativa. Sede la central del gobierno regional, Lambayeque
Authors: Piscoya Labrin Abel Caleb , Camacho L.A Montenegro 
Published: April 2022

La investigación tuvo como objetivo diseñar un plan de control interno que contribuya a efectivizar la gestión administrativa en el gobierno regional Lambayeque, sede central, 2021; para lo cual, se realizó un estudio de tipo básica, con enfoque metodológico cuantitativo de diseño descriptivo- propositivo, utilizándose en su desarrollo, la encuesta como técnica de investigación y el cuestionario como instrumento (escala tipo Likert), a una muestra de cincuenta servidores; de cuya aplicación se confirmó, que existe un nivel bajo de conocimiento de control interno y sus dimensiones por parte del noventa y cuatro por ciento de los encuestados; evidenciándose así, que el diseño del plan en mención permitirá efectivizar oportunamente la correcta, transparente y eficiente utilización y gestión de los bienes y recursos del Estado.
Layanan Pendidikan Anak Lamban Belajar (Slow Learner) di Sekolah
Authors: Haryanti Nik 
Published: April 2022

<p> Tujuan penelitiannya adalah untuk mendeskripsikan layanan pendidikan bagi siswa lamban belajar di SDN 2 Betak Tulungagung. Jenis penelitian ini adalah penelitian deskriptif kualitatif. Teknik pengumpulan data yang digunakan dalam penelitian ini adalah wawancara, observasi dan dokumentasi. Teknik analisis data yang digunakan adalah reduksi data, penyajian data, verifikasi dan penarikan kesimpulan. Hasil penelitian adalah: Pelaksanaan layanan guru dalam hal modifikasi alokasi waktu pembelajaran bagi siswa lamban belajar di kelas dilakukan dengan: guru memberikan bimbingan untuk siswa yang lambat dalam belajar dengan memberikan jam tambahan di luar jam pelajaran, guru memodifikasi isi atau materi pembelajaran bagi siswa lamban belajar di kelas dilakukan dengan penurunan tingkat kesulitan materi suatu mata pelajaran dan memberikan perhatian yang lebih pada siswa lambat belajar saat penyampaian materi pembelajaran. </p>
Diferencias en los rendimientos de los procesos constructivos de placa entrepiso y muros de carga mediante el sistema de construcción industrializada
Authors: Cárdenas Gutiérrez Javier Alfonso , Jácome Carrascal José Leonardo , Vergel Ortega Mawency 
Published: April 2022

En la historia de la humanidad se evidencia el constate desarrollo y evolución en todos los aspectos necesarios que permiten garantizar nuestra supervivencia, siendo la construcción uno de ellos. A medida que el ser humano se vuelve consciente y adquiere el conocimiento necesario, obtiene la capacidad para poder salvaguardar su bienestar y el de quienes lo rodean, mediante la invención de diferentes tipos de infraestructuras utilizando inteligentemente los materiales que tiene a su disposición.
Por lo tanto, gracias al avance de la tecnología que hoy en día tenemos y la creencia en la mejora continua, en la industria de la construcción existen y se utilizan diferentes métodos constructivos según las necesidades del proyecto. Para este caso de estudio se evaluará la construcción de las placas de entre piso y muros de carga en viviendas unifamiliares con el fin de determinar y analizar los rendimientos obtenidos en estos dos elementos estructurales.
concepts of domain, discourse community and epistemic community
Authors: Evangelista Isadora Victorino , Grácio Maria Cláudia Cabrini , Guimarães José Augusto Chaves 
Published: April 2022

The characteristics or properties that underlie the concept of community are present in several social groups which have some similarity in their distinctive features and they act as a core to the construction of the concepts of Domain, Discourse Community and Epistemic Community, which are fundamental to the research in several fields of knowledge. Considering the conceptual triangle – Domain, Discourse Community, and Epistemic Community - this study aims to examine theoretical and methodological aspects related to them by investigating their characterizing features and, consequently, their main distinctions and similarities, especially regarding the universe of Information Science. Thus, the aim of this essay is to contribute to the deepening of the theoretical understanding of the concepts covered, reflecting on their compatibilities, as well as the characteristics that distinguish and specify them. It was possible to see that these concepts have similarities to each other, such as their contexts arising from the need to understand sociological aspects of science; the mutual understanding among its members about the specialized languages and theoretical bases used; the analysis based on tacit documents, duly expressed and recorded. These aspects of similarities demonstrate that these concepts can be understood as belonging to the same set, and inserted in the overarching area of Sociology of Science. Even so, these concepts have their characterizing features, which distinguish their analysis objectives and also their peculiar scientific biases.
Entrelaces da Biblioterapia e da Mediação da Leitura
Authors: Assis Pamela Oliveira , Santos Raquel do Rosário , Sousa Ana Claudia Medeiros de 
Published: April 2022

Compreende-se ao pesquisar acerca da biblioterapia e da mediação da leitura, que existe uma relação temática em que ambas favorecem a socialização e o equilíbrio emocional do sujeito por meio da leitura e dos benefícios que essa ação possibilita. O objetivo deste estudo foi de evidenciar a inter-relação da biblioterapia com a mediação da leitura por meio das narrativas registradas nas entrevistas da Rede Mediar. Quanto à metodologia, trata-se de um estudo descritivo, para o qual foram adotados o método de estudo de caso e a abordagem qualitativa e foram analisadas as percepções compartilhadas por meio das entrevistas concedidas à Rede Mediar. Os resultados indicaram que a biblioterapia e a mediação da leitura se entrelaçam visando a um agir humanizador e consciente do mediador, para que ele apoie a formação e o desenvolvimento do sujeito na perspectiva leitora e o alcance do bem-estar. Considera-se que, na perspectiva da biblioterapia, o ato de ler tem uma intenção terapêutica que favorece mudanças singulares e sociais nos sujeitos.
FORMULASI DAN UJI STABILITAS LOTION SARI BUAH TOMAT (licopersicon esculentum mill) KOMBINASI KUNYIT (Curcuma domestica Vall) SEBAGAI PELEMBAB KULIT
Authors: Harahap Nina Irmayanti 
Published: April 2022

Antioxidants is contained in various types of fruit and vegetables included of juice tomatoes (Lycopersicum esculentum Mill)that have nutritional value and benefits for the body like lycopene, and vitamin C as antioxidants. Lycopene is function as a strong antioxidant to control free radical. Tumeric (Curcuma domestica Vall) is known have enough curcumin and strong antioxydants content too, and so it has some pharmacological effects. Tomatoes and Tumeric extract (EKSBT) can be made as pharmaceutical preparations in hand and body lotion (H&B lotion),because antioxidants are important components that are used for body protection from ultra violet light and can be applied in the form of a lotion. The purpose of this study was to saw the stability of the H&B lotion combination of that Variations.Combination tomatoes and turmeric extract formulated with concentrations lotion are of 5%, 10%, and 15%. The lotion of EKSBT these combination were evaluated some test there are organoleptic, homogeneity, pH test, spreadability, irritation and preference test.EKSBT combination can be formulated into lotion preparations. The various of all concentrations lotion EKSBT showed that stable during instorage, give a homogeneous yellow color with pH of 5-6 and a spread of 5-6 cm, does not irritate the skin and is preferably the volunteer.Physical stability EKSBT lotion test all concentration are stable, the preferred test of odor, easy to be smeared and moisturizing shows that the most preferred EKSBT lotion is the highest concentration 15%.
Perbandingan Konsentrasi Ekstrak Etanol Daun Bau-Bau (Chromolaena odorata (L.) King & H.E. Robins) Dan Ekstrak Etanol Temu Putih (Curcuma zedoria (Berog) Rosc) terhadap Penyembuhan Luka Bakar pada Kelinci
Authors: Barus Bunga Rimta 
Published: April 2022

Daun Bau-Bau (Chromolanea odorata (L) King & H Robins) mengandung senyawa minyak atsiri, flavonoid, alkaloid, fenol, saponin, dan tannin. Temu putih (Curcuma zedoria (Berog.)Rosc) mengandung kurkumin, tritepenoid, flavonoida, saponin dan minyak astiri. Tujuan penelitian ini untuk membandingkan efektivitas Ekstrak Etanol Daun Bau-Bau dan Ekstrak Etanol Rimpang Temuputih. Ekstraksi sampel menggunakan etanol 96%. Hasil ekstraksi dibagi 7 kelompok konsentrasi yaitu 25%,15%, 10% dan Aquadest sebagai kontrol negatif.Menurut Hasil Analisis Data Anova One Way (Uji Tuckeys B) Diameter luka bakar dari hari pertama sampai ke 14 hari pengamatan mengalami penurunan, kelompok kelinci yang diberi perlakuan dengan ekstrak daun bau-bau konsentrasi 25% pada hari ke- 14 diameter luka bakar mengalami perubahan dengan efektifitas 2 cm (p=0,0). Pada kelompok ekstrak etanol temuputih konsentrasi 25% pada hari ke-14 diameter luka bakar mengalami perubahan dengan efektifitas 1,08 cm (p=0,64). Ekstrak Etanol Daun Bau-Bau Lebih Efektif untuk menyembuhkan luka bakar dibandingkan dengan Ekstrak Etanol Temu Putih.
PENGARUH PEMBERIAN JUS SEMANGKA PENGARUH PEMBERIAN JUS SEMANGKA TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI
Authors: Arianto Adi - 
Published: April 2022

Hypertension is a condition where someone experiences an increase in blood pressure above normal 140/90 mmHg. Hypertension is often called silent killer because if often doesn’t Have warning signs or symptoms, and many people don’t realize that they have symptoms of hypertension. There is also treatment for hypertension can be done pharmacology and non-pharmacology, among others, with complementary consuming therapy watermelon juice to reduce blood pressure in patients with hypertension. Research to find out the effect of giving watermelon juice (Citrillus Vulgaris Schardy) to decrease blood pressure in hypertension patient in the KPUM komplex IX village Mekar Sari Deli Tua subdistrict Deli Serdang regency in 2019. This type of research is a pre experiment (pre experimental design) with pre and post in one group ( owe group pretest posttest ). This study uses total sampling where the amount population and sample are the same. Analysis of statistical data used is Uil T pair with the significance level of P 0,05 results and this study, the value P = 0,002. This means there is effect of watermelon juice on reducing blood pressure in patients hypertension it can be concluded that watermelon juice (Citrillus Vulgaris Schard) can effect on changes in blood pressure in patients with hypertension by consuming routinely.
HUBUNGAN PSYCHOLOGICAL INTERVENTION DENGAN PENINGKATAN KUALITAS HIDUP PADA PENDERITA GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISA
Authors: Girsang Rostiodertina Tina , Novizar Reza 
Published: April 2022

Psychological intervention merupakan salah satu intervensi dengan pendekatan psikologis/kejiwaan seperti pemberian relaksasi spiritual dzikir yang berfungsi untuk meningkatkan kualitas hidup seseorang yang mengalami penyakit terminal misalnya gagal ginjal kronik. Penelitian ini untuk mengetahui adanya Hubungan Psychological Intervention Dengan Peningkatan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa Di RSU Sembiring Delitua Kabupaten Deli Serdang Tahun 2020. Penelitian termasuk penelitian kuantitatif dengan desain penelitian Cross Sectional. Yang dilakukan pada 14 orang pasien gagal ginjal kronik yang menjalani terapi hemodialisa di RSU Sembiring yang dilaksanakan pada bulan juni 2020. Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa Berdasarkan tabel tabulasi silang Hubungan Psychological Intervention Dengan Peningkatan Di RSU Sembiring sebanyak 9 orang (64.3%) dan memiliki kualitas hidup baik sebanyak 6 orang (42.9%) dan yang memiliki kualitas hidup cukup sebanyak 3 orang (21.4%), dan yang tidak teratur melakukan psychological intervention sebanyak 5 orang (35.7%) dan memiliki kualitas hidup kurang sebanyak 5 orang (35.7%). Hasil Uji Chi Square di dapatkan nilai P=0,001dengan α= 0,05 artinya terdapat Hubungan yang signifikan dari Psychological Intervention Dengan Peningkatan Kualitas Hidup Pasien Gagal Ginjal Kronik. Psychological intervention ini akan lebih efektif jika dilakukan secara teratur baik saat menjalani hemodialisa maupun saat dirumah, karena itu diharapkan peran dari perawat dalam memberikan pelayanan agar tetap memberikan pelayanan yang maksimal agar pasien yang menjalani haemodialisa memiliki kualitas hidup yang baik dengan memperhatikan dari aspek psikologinya.