bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Pencegahan Hospital Acquired Infections (HAIs) Pada Dokter Muda di Rumah Sakit Putri Hijau Medan Sumatera Utara
Authors: Jaka Sarwadhamana Raden , Mu’amanah Arifah 
Published: October 2020

<p>Rumah sakit sangat rentan untuk terjadinya <em>Hospital Acquired Infections </em>(HAIs) atau yang dikenal sebagai infeksi nosokomial, merupakan infeksi yang didapat sebagai kosekuensi dari pengasuhan tenaga kerja medis dalam menjalankan tugasnya. Pengendalian penyebaran infeksi HAIs perlu dilakukan oleh rumah sakit dengan memperhatikan angka kejadian HAIs karena menjadi tolak ukur mutu pelayanan Rumah Sakit. Tujuan dari penelitian ini adalah untuk mengetahui analisis upaya pencegahan <em>Hospital Acquired Infections </em>(HAIs) di Rumah Sakit Putri Hijau Medan Sumatera Utara. Penelitian ini merupakan penelitian <em>deskriptif</em><em> kuantitatif</em> dengan rancangan <em>survey observasional</em>. Populasi dalam penelitiana ini adalah seluruh dokter muda yang melakukan Coas di Rumah Sakit Putri Hijau Medan Sumatera Utara sebanyak 224 responden. Sampel dalam penelitian ini berjumlah 164 yang di ambil dengan teknik <em>simple random sampling</em> yaitu mengambil sampel secara acak sederhana. Data yang telah dikumpulkan kemudian dianalisis menggunakan analisis univariat. Hasil penelitian menunjukan bahwa responden sebagian besar melakukan upaya pencegahan <em>Hospital Acquired Infections </em>(HAIs) yaitu sebanyak 90 responden (54,9%) sedangkan yang tidak melakukan upaya pencegahan infeksi sebanyak 74 responden (45,1%). Kesimpulan sebagian besar responden di Rumah Sakit Putri Hijau Medan Sumatera Utara patuh dalam melakukan upaya pencegahan <em>Hospital Acquired Infections </em>(HAIs).</p><p> </p><p><strong>Kata Kunci:</strong> <em>Hospital Acquired Infections </em>(HAIs)</p>
Lama Kerja Berhubungan dengan Kepatuhan Perawat dalam Pelaksanaan SOP Triage di IGD
Authors: Mahfud Mahfud 
Published: October 2020

<p>Kepatuhan terhadap Standar Operasional Prosedur (SOP) merupakan komponen penting dalam manajemen keselamatan pasien. Dalam Triage diperlukan petugas yang berpengalaman dan kompeten karena dilakukan dengan cepat dan akurat. Jenis penelitian ini deskriptif korelasional dengan pendekatan cross sectional . sampel menggunakan teknik total sampling, instrumen yang digunakan lembar observasi menggunakan metode konstruktif. Mengetahui hubungan lama kerja dengan kepatuhan perawat dalam melaksanakan SOP triage di IGD. Analisa menggunakan uji alternatif yaitu uji fisher exact menunjukkan perawat yang bekerja lama patuh 57,1% dan yang baru 19% tidak patuh dan uji fisher exact menunjukan p=0,120. Tidak ada hubungan antara lama kerja dengan kepatuhan perawat dalam pelaksanaan SOP triage.</p><p> </p><p><strong>K</strong><strong>a</strong><strong>t</strong><strong>a Kunci: </strong>Lama Kerja, Kepatuhan Perawat, SOP Triage</p>
Pengaruh Kinerja Bauran Pemasaran Jasa kesehatan dan Lingkungan Eksternal Individu terhadap Citra Rumah Sakit Paru Dr.H.A. Rotinsulu
Authors: Ihlasuyandi Ence 
Published: October 2020

<p>Persaingan antar Rumah Sakit terus berkembang seiring dengan perubahan-perubahan yang terjadi baik regional maupun internasional. Paru Dr.H.A.Rotinsulu merupakan Rumah Sakit khusus pelayanan kesehatan penyakit paru perlu meningkatkan citra rumah sakit dalam persepsi pelanggan sebagai wakil dari masyarakat. Untuk meningkatkan citra tidak terlepas dari pengelolaan rumah sakit melalui program bauran pemasaran yang telah dilaksanakan dan pengaruh lingkungan eksternal individu pasien yang merupakan bagian terdalam (inti) dari perilaku pelanggan. Tujuan penelitian ini untuk mengungkapkan tanggapan pasien terhadap kinerja bauran pemasaran dan citra RS.Paru Dr.H.A. Rotinsulu serta pengaruh lingkungan eksternal individu pasien terhadap keberadaan/eksistensi RS. Paru Dr.H.A. Rotinsulu. Penelitian yang dilakukan bersifat deskriptif dan verifikatif dengan metode penelitian survey dengan pendekatan cross sectional. Cara pengambilan sampel dengan menggunakan random sampling, jumlah sampel dalam penelitian ini adalah 100 responden. Adapun teknik pengumpulan data yang digunakan adalah wawancara, observasi, kuesioner dan studi pustaka sedangkan teknik analisa data yang digunakan adalah berbentuk grafik dan analisis jalur ( Path Analysis ). Hasil penelitian menunjukkan bahwa secara umum kinerja bauran pemasaran dan citra RS. Paru Dr.H.A. Rotinsulu dirasakan oleh pelanggan baik, tetapi ada dua kinerja bauran pemasaran yang dirasakan kurang yaitu lokasi dan promosi. Lingkungan eksternal individu mempunyai pengaruh kuat terhadap pertimbangan menggunakan pelayanan di RS. Paru Dr.H.A. Rotinsulu. Secara bersama-sama kinerja bauran.</p><p> </p><p><strong>K</strong><strong>a</strong><strong>t</strong><strong>a Kunci: </strong>bauran pemasaran jasa, citra rumah sakit</p>
Pengaruh Konseling Apoteker dengan Media Booklet terhadap Tingkat Pengetahuan dan Perilaku pada Pasien Hipertensi di Puskesmas Purworejo
Authors: Wulandari Ari Susiana 
Published: October 2020

<p>Hipertensi merupakan penyakit kardiovaskular yang memiliki tekanan darah diatas normal. Mayoritas penderita hipertensi tidak mengetahui bahwa dirinya menderita hipertensi sehingga penderita tidak mendapatkan pengobatan secara baik dan benar. Itulah mengapa hipertensi dikatakan sillent killer yang dapat membunuh penderita secara diam-diam. Tujuan edukasi kesehatan oleh apoteker dapat meningkatkan tingkat pengetahuan serta perilaku pasien hipertensi terhadap penyakit hipertensi serta berperan penting dalam kontrol tekanan darah pasien. Keterbatasan apoteker di puskesmas menyebabkan edukasi tidak dapat dilakukan secara efektif, sehingga perlu dicarikan alternatif seperti salah satunya dengan pemberian <em>booklet</em>. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian <em>booklet</em> terhadap peningkatan pengetahuan, perilaku pada pasien hipertensi. Penelitian dilakukan secara prospektif dari bulan Juni sampai September 2015 di Puskesmas Purworejo. Disain penelitian adalah eksperimental semu menggunakan rancangan <em>pretest postest </em>dengan kelompok kontrol dan intervensi<em>.</em> Subjek penelitian diikuti oleh 100 orang, yang terbagi atas 50 orang pada kelompok intervensi dan 50 orang pada kelompok kontrol. Alat yang digunakan untuk mengukur tingkat pengetahuan dan perilaku adalah kuesioner uji pengetahuan dan uji perilaku. Berdasarkan hasil penelitian dan pengolahan analisis data menunjukkan bahwa pemberian<em> </em>edukasi dengan media <em>booklet </em>oleh apoteker secara signifikan membantu meningkatkan pengetahuan, perilaku pasien (p&lt;0,05).</p><p><strong>Kata kunci</strong>: Pengetahuan; Perilaku; Hipertensi; Konseling; Booklet</p>
Missing-Data Handling Methods for Lifelogs-Based Wellness Index Estimation: Comparative Analysis With Panel Data
Authors: Kim Ki-Hun , Kim Kwang-Jae 
Published: October 2020

Background
A lifelogs-based wellness index (LWI) is a function for calculating wellness scores based on health behavior lifelogs (eg, daily walking steps and sleep times collected via a smartwatch). A wellness score intuitively shows the users of smart wellness services the overall condition of their health behaviors. LWI development includes estimation (ie, estimating coefficients in LWI with data). A panel data set comprising health behavior lifelogs allows LWI estimation to control for unobserved variables, thereby resulting in less bias. However, these data sets typically have missing data due to events that occur in daily life (eg, smart devices stop collecting data when batteries are depleted), which can introduce biases into LWI coefficients. Thus, the appropriate choice of method to handle missing data is important for reducing biases in LWI estimations with panel data. However, there is a lack of research in this area.

Objective
This study aims to identify a suitable missing-data handling method for LWI estimation with panel data.

Methods
Listwise deletion, mean imputation, expectation maximization–based multiple imputation, predictive-mean matching–based multiple imputation, k-nearest neighbors–based imputation, and low-rank approximation–based imputation were comparatively evaluated by simulating an existing case of LWI development. A panel data set comprising health behavior lifelogs of 41 college students over 4 weeks was transformed into a reference data set without any missing data. Then, 200 simulated data sets were generated by randomly introducing missing data at proportions from 1% to 80%. The missing-data handling methods were each applied to transform the simulated data sets into complete data sets, and coefficients in a linear LWI were estimated for each complete data set. For each proportion for each method, a bias measure was calculated by comparing the estimated coefficient values with values estimated from the reference data set.

Results
Methods performed differently depending on the proportion of missing data. For 1% to 30% proportions, low-rank approximation–based imputation, predictive-mean matching–based multiple imputation, and expectation maximization–based multiple imputation were superior. For 31% to 60% proportions, low-rank approximation–based imputation and predictive-mean matching–based multiple imputation performed best. For over 60% proportions, only low-rank approximation–based imputation performed acceptably.

Conclusions
Low-rank approximation–based imputation was the best of the 6 data-handling methods regardless of the proportion of missing data. This superiority is generalizable to other panel data sets comprising health behavior lifelogs given their verified low-rank nature, for which low-rank approximation–based imputation is known to perform effectively. This result will guide missing-data handling in reducing coefficient biases in new development cases of linear LWIs with panel data.
Family History Information Extraction With Neural Attention and an Enhanced Relation-Side Scheme: Algorithm Development and Validation
Authors: Dai Hong-Jie , Lee You-Qian , Nekkantti Chandini , Jonnagaddala Jitendra 
Published: October 2020

Background
Identifying and extracting family history information (FHI) from clinical reports are significant for recognizing disease susceptibility. However, FHI is usually described in a narrative manner within patients’ electronic health records, which requires the application of natural language processing technologies to automatically extract such information to provide more comprehensive patient-centered information to physicians.

Objective
This study aimed to overcome the 2 main challenges observed in previous research focusing on FHI extraction. One is the requirement to develop postprocessing rules to infer the member and side information of family mentions. The other is to efficiently utilize intrasentence and intersentence information to assist FHI extraction.

Methods
We formulated the task as a sequential labeling problem and propose an enhanced relation-side scheme that encodes the required family member properties to not only eliminate the need for postprocessing rules but also relieve the insufficient training instance issues. Moreover, an attention-based neural network structure was proposed to exploit cross-sentence information to identify FHI and its attributes requiring cross-sentence inference.

Results
The dataset released by the 2019 n2c2/OHNLP family history extraction task was used to evaluate the performance of the proposed methods. We started by comparing the performance of the traditional neural sequence models with the ordinary scheme and enhanced scheme. Next, we studied the effectiveness of the proposed attention-enhanced neural networks by comparing their performance with that of the traditional networks. It was observed that, with the enhanced scheme, the recall of the neural network can be improved, leading to an increase in the F score of 0.024. The proposed neural attention mechanism enhanced both the recall and precision and resulted in an improved F score of 0.807, which was ranked fourth in the shared task.

Conclusions
We presented an attention-based neural network along with an enhanced tag scheme that enables the neural network model to learn and interpret the implicit relationship and side information of the recognized family members across sentences without relying on heuristic rules.
Parental Experiences of the Pediatric Day Surgery Pathway and the Needs for a Digital Gaming Solution: Qualitative Study
Authors: Rantala Arja , Jansson Miia M , Helve Otto , Lahdenne Pekka , Pikkarainen Minna , Pölkki Tarja 
Published: October 2020

Background
The parents of hospitalized children are often dissatisfied with waiting times, fasting, discharge criteria, postoperative pain relief, and postoperative guidance. Parents’ experiences help care providers to provide effective, family-centered care that responds to parents’ needs throughout the day surgery pathway.

Objective
The objective of our study was to describe parental experiences of the pediatric day surgery pathway and the needs for a digital gaming solution in order to facilitate the digitalization of these pathways.

Methods
This was a descriptive qualitative study. The participants (N=31) were parents whose children were admitted to the hospital for the day surgical treatments or magnetic resonance imaging. The data were collected through an unstructured, open-ended questionnaire; an inductive content analysis was conducted to analyze the qualitative data. Reporting of the study findings adheres to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

Results
Parental experiences of the children’s day surgery pathway included 3 main categories: (1) needs for parental guidance, (2) needs for support, and (3) child involved in his or her own pathway (eg, consideration of an individual child and preparation of child for treatment). The needs for a digital gaming solution were identified as 1 main category—the digital gaming solution for children and families to support care. This main category included 3 upper categories: (1) preparing children and families for the day surgery via the solution, (2) gamification in the solution, and (3) connecting people through the solution.

Conclusions
Parents need guidance and support for their children’s day surgery care pathways. A digital gaming solution may be a relevant tool to support communication and to provide information on day surgeries. Families are ready for and are open to digital gaming solutions that provide support and guidance and engage children in the day surgery pathways.
What is the real impact of severe acute respiratory syndrome coronavirus-2 on stroke: Do we more have to learn?
Authors: Junior Luiz Severo Bem , Aquino Pedro Lukas do Rêgo , Diniz Andrey Maia Silva , Lima Luís Felipe Gonçalves de , Marques Júlio Cesár Tavares , Dias Artêmio José Araruna , Júnior Flávio Monteiro de Oliveira , Rabelo Nicollas Nunes , Filho Hildo Rocha Cirne de Azevedo 
Published: October 2020

Objectives:
Coronaviruses are an infectious disease with a considerable spectrum of clinical presentation. Neurologic symptoms related to severe acute respiratory syndrome coronavirus (SARS-CoV-2) have been described recently in the literature. Among a wide variety of neurological symptoms, acute cerebrovascular disease is one of the most serious complications. This review aimed to reveal the current knowledge regarding stroke in new coronavirus infection as a way to improve its diagnosis and treatments.

Materials and Methods:
A systematic literature review was carried out to identify the particularities of SARSCoV-2 in patients with stroke. An electronic search of the literature was conducted in the PubMed database between December 1, 2019, and June 11, 2020. A total of 693 articles were extracted. We included articles in all languages and conference papers, reviews, published letters, and editorials were excluded from the study.

Results:
Out of the 693 screened articles, 39 were selected for full-text review. Twenty-nine studies were excluded because they did not report stroke in COVID-19 patients. Thus, 10 papers were included in this review with a total of 22 patients.

Conclusion:
A vascular (ischemic or hemorrhagic) neurological complication is a real event that may occur in patients with COVID-19. There is strong evidence that vascular complications may arise for the most part due to the well-recognized potentially fatal inflammatory storm, which reflects a hyperactivation of inflammatory factors and dysfunction of the coagulation system, especially D-dimer and platelet abnormalities.
What to know in Managing Spinal Cord Injury for Anesthesiologists?
Authors: Charles Charles 
Published: October 2020

Background:
Spinal cord injury (SCI) is trauma to the area of the vertebrae resulting in spinal cord lesions resulting in neurological disorders, depending on the location of the spinal nerve damage and the injured nerve tissue. The symptoms of SCI can range from pain and paralysis to incontinence. SCI due to trauma is estimated to occur in 30–40 per million population per year, and about 8000–10,000 sufferers each year, generally, occurs in adolescents and young adults. Although the annual incidence of events is relatively low, the cost of care and rehabilitation for spinal cord injuries is very high, at around US $ 53,000/patient.

Methods:
This study aims to provide an overview of how to manage SCI. This study reviewed various sources then reviewed as a literature review.

Conclusion:
Treatment in the hospital includes all systems that may experience complications from SCI, starting from the respiratory, cardiovascular, urological, gastrointestinal, skin, to non-operative. and operative reduction measures.
PENGARUH DEBIT ALIRAN TERHADAP KEDALAMAN GERUSAN LOKAL PADA PILAR JEMBATAN MONCONGLOE
Authors: Nenny Nenny , Imran Hamzah Al , S. Kuba Muhammad Syafa'at 
Published: October 2020

Runtuhnya jembatan Moncongloe sebagian besar disebabkan karena terjadinya debit banjir yang sangat besar pasca banjir tahun 2018, sehingga menyebabkan gerusan disekitar pilar jembatan. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh debit aliran terhadap kedalaman gerusan lokal pada pilar jembatan Moncongloe dan pengaruh kedalaman gerusan lokal terhadap pilar jembatan. Penelitian ini dilaksanakan di Jembatan Moncongloe pada aliran sungai Je’nelata dan secara administrasi terletak di Kecamatan Parangloe dan Desa Tamalate Kecamatan Manuju Kab. Gowa Provinsi Sulawesi Selatan. Secara geografis terletak di 119  34  52  BT dan 5’15’52’’ LS sebelah utara dari Kota Makassar berjarak 20 km. Hasil penelitian ini menunjukkan dari beberapa metode yang digunakan untuk analisis gerusan, metode Lacey lebih mendekati dengan kondisi lapangan.
THE EFFECT OF CLIMATE CHANGE ON RANGE LAND AND BIODIVERSITY: A REVIEW
Authors: Fereja Getachew Bekele 
Published: October 2020

Rangelands are estimated to store up to 30 percent of the world’s soil carbon in addition to the substantial amount of above-ground carbon stored in trees, bushes, shrubs and grasses. Therefore this review was conducted to show the effect of climate change on range land and biodiversity. Climate change can have significant negative impacts on the natural environment including the loss of biodiversity and changes in ecosystems. The achievement of sustainable rangeland ecosystems remains a challenge for the world; rangeland degradation has not been arrested and the ecosystem services provided by the rangelands are not valued by the people in general or Governments in particular. The stresses imposed on rangeland by livestock production continue to rise, driven by rapid economic development and growing demand by urban people for more meat in diets. Many species around the world are now affected by the combined impacts of natural climate variability and anthropogenic climate change and their interactions with other human stressors such as the encroachment, fragmentation and destruction of natural habitats. Because of climate changes, species may no longer be adapted to the set of environmental conditions in a given region and could therefore fall outside its climatic niche. Climatic changes such as increased atmospheric concentration of CO2, changes in temperature, and changes in precipitation patterns have the potential to affect rangeland ecosystems. The direct effects of climate and climate change on rangeland ecosystem processes are fairly well described, have relatively short response times, and are somewhat easier to predict than the indirect effects. The evidence for human-induced climate change at the global level increases every day, yet it remains difficult to credibly predict how climate change will play out for any particular area.
STRESS AMONG BANKING EMPLOYEE- A LITERATURE REVIEW
Authors: M K. Manjunatha , Renukamurthy T.P. 
Published: October 2020

For banking employees around the globe, stress on the job can be a challenge; stress can be sometimes positive and sometimes negative. Positive stress leads to productivity and negative stress leads to loss for the organization. There is already a certain level of stress in Banking employees work life and then encounter even more stress arising from the work pressure that Banking employees face on the job. Many employees cannot cope with such rapid changes taking place in the jobs. Role conflict, Service for customer, contribution, rapid technological change, lack of customer response is the great transaction of stress for the banking workers. The aim of this research is to understand roots and outcomes of job stress on the employee performance in banking sector.
Design of Trolox Compounds as Antioxidant and Their Analysis Using Quantitative Structure Activity Relationship
Authors: Nasution Hasmalina , Enizan Nur , Nurlaili Nurlaili , Syahri Jufrizal 
Published: October 2020

Antioxidant compound can inhibit the oxidation of lipids and other biomolecules. The role of antioxidants is very important in neutralizing and destroying free radicals that can cause the damage to cells in the body. This research was carried out to design trolox derivate compounds as antioxidants using the QSAR method. The semi empirical AM1(Austin Model 1)method was used to generate the QSAR model. The statistical analysis result using multiple linier regression methods revealed thet antioxidant activity was influenced by the descriptors of qC1, qC4, qO7, qC13 and qO18. The QSAR equation model obtained was log IC50 = 0.821 + 7.067 (qC1) + 2.585 (qC4) + 4.812 (qO7) â€“ 5.363 (qC13) â€“ 0.887 (qO18) with the best predicted IC50 value was 4.699 ÂµM.

Keywords: Antioxidants, QSAR, semi empirical AM1, trolox
Effect of Soda Pulping Variables on Pulp Properties of Coir Fiber
Authors: Ulfa Maria , Isnaini Koriatul 
Published: October 2020

Abstract The potential use of coir fiber for pulping and papermaking has been investigated. This research aimed to study effects of pulping processing variables (temperature, pulping time, and alkali charge/solvent pulping) on the properties of pulp (residual lignin, alpha cellulose, kappa number and pulp yield) from coir fiber. For this purpose, the coir fibers were cooked using alkali charge (10 to 20% oven dried, as NaOH), pulping time from 60 to 120 min and temperature from 65 to 180oC. Results indicated that alkali charge and pulping time gave more impact on the properties of pulp than temperature. Pulping at high temperature, long pulping time, and high alkali charge resulted in decreasing of lignin, pulp yield, and kappa number but instead on alpha cellulose content.
Keywords: coir, soda pulping, lignin