bluuebunny/crossref_metadata_2025_split huggingface dataset:
Asesmen Pra-Anestesi: Bukan Sekedar Kepatuhan
Authors: Agustina Else , Wardhani Viera , Astari Asti Melani 
Published: October 2020

Latar Belakang: Asesmen praanestesi adalah prosedur penting yang bertujuan untuk memastikan keamanan tindakan bedah yang akan dilakukan. Prosedur ini sebenarnya adalah tanggung jawab dokter anestesiologi. Namun, dalam prosesnya melibatkan dokter, perawat serta pasien dan keluarganya.
Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran pelaksanaan asesmen praanestesi serta menggali praktik pendelegasian tugas (task shifting) dalam pelaksanaan asesmen praanestesi di ruangan rawat inap.
Metode: Penelitian ini dilakukan di sebuah rumah sakit (RS) tipe C (140 tempat tidur) di kota Malang Jawa Timur. Peneliti melakukan observasi selama 11 hari terhadap pelaksanaan asesmen praanestesi pada kasus operasi elektif. Untuk melengkapi data, dilakukan juga pengamatan terhadap dokumen rekam medis pasien yang sama. Untuk menilai praktik pendelegasian tugas dari dokter ke perawat, peneliti menggunakan kuesioner yang berisi 28 aspek aktivitas asesmen praanestesi. Kuesioner ini didistribusikan kepada 80 orang responden yang terdiri dari perawat dan dokter spesialis yang terlibat dalam operasi elektif. Kuesioner ini menilai persepsi responden mengenai harapan dan kenyataan tentang siapa yang seharusnya melaksanakan aktivitas tersebut. Data dianalisis secara deskriptif untuk menggambarkan pola pelaksanaan pendelegasian tugas dan asesmen praanestesi.
Hasil: Asesmen praanestesi hanya dilakukan pada 19,5% dari total 43 kasus operasi elektif, namun tidak satupun yang menuliskan hasil asesmen pada dokumen yang semestinya. Dokumen rekam medis tentang asesmen praanestesi akan dilengkapi saat setelah pelaksanaan operasi (di kamar operasi). Sebagian besar responden beranggapan bahwa asesmen praanestesi dilaksanakan secara kolaborasi antara dokter dan perawat. Namun, dalam praktiknya, kebanyakan aktivitas dalam asesmen praanestesi dilakukan oleh perawat. Pendelegasian tertinggi dari dokter ke perawat terjadi pada aspek meminta tanda tangan persetujuan tindakan medis (informed consent) serta aspek menjelaskan tentang puasa kepada pasien dan keluarganya.
Kesimpulan: Asesmen praanestesi belum terdokumentasi dengan lengkap dan tepat sebelum pelaksanaan operasi, serta terjadi pendelegasian tugas ke perawat terutama pada proses persetujuan tindakan medis.
Corona Virus dan Manajemen Mutu Pelayanan Klinis di Rumah Sakit
Authors: Djasri Hanevi 
Published: October 2020

Badan Kesehatan Dunia (WHO) telah mengeluarkan pedoman tatalaksana infeksi saluran pernapasan akut berat (severe acute respiratory infection/SARI) yang diduga karena COVID-19. Pedoman tersebut ditujukan untuk para dokter yang merawat pasien di rumah sakit untuk memberikan kemudahan akses terhadap panduan terkini dalam rangka memastikan tatalaksana terbaik bagi pasien.
Pedoman tersebut memuat: 1) proses triage untuk mengenali dan menyortir pasien dengan SARI; 2) tindakan segera untuk pencegahan dan pengendalian infeksi dengan tepat; 3) pemberian terapi dan pemantauan; 4) pengumpulan spesimen untuk diagnosis laboratorium; 5) tatakelola gagal napas hipoksemia dan sindrom gangguan pernapasan akut acute respiratory distress syndrome/ARDS); 6) manajemen syok septik; 7) pencegahan komplikasi; 8) perawatan khusus anti COVID-19; dan pertimbangan khusus untuk pasien hamil.
Sebagai pengelola rumah sakit, ketersediaan pedoman internasional ini perlu dicermati, diadopsi menjadi pedoman klinis (clinical guidelines), diterapkan dan dievaluasi sebagai bagian dari manajemen mutu pelayanan klinis. Dalam standar akreditasi rumah sakit di Indonesia, penyusunan dan penerapan pedoman klinis memang disyaratkan dalam bentuk Panduan Praktik Klinis (PPK), terlebih untuk tatalaksana pasien dengan risiko tinggi. Standar akreditasi juga meminta agar PPK juga menjadi dasar untuk melakukan evaluasi mutu dan keselamatan asuhan pasien yang diberikan oleh setiap klinisi.
Role of Infliximab in Immune Checkpoint Inhibitor-Induced Pneumonitis
Authors: Lai Kathryn A. , Sheshadri Ajay , Adrianza Andres M. , Etchegaray Mikel , Balachandran Diwakar D. , Bashoura Lara , Shannon Vickie R. , Faiz Saadia A. 
Published: October 2020

ABSTRACTIntroductionSince immune checkpoint inhibitor (ICI) blockade has become standard therapy for many cancers, immune-related adverse events (irAEs) have increased. ICI-pneumonitis is infrequent but potentially fatal. In cases not responsive to corticosteroids, additional immunosuppression is recommended. Data for use of infliximab in ≥ grade 3 pneumonitis is sparse.Materials and MethodsA retrospective review of patients who received infliximab for ICI-pneumonitis from March 2016 to October 2018 was performed. Clinical characteristics were reviewed.ResultsNine patients (44% women) with ≥ grade 3 pneumonitis were included. Concurrent/prior irAEs were present in 55%. Bronchoscopy was performed in 67%. Median corticosteroid dose was 1.2 mg/kg prior to infliximab, and time from administration of corticosteroids to infliximab ranged from 2 to 34 days. Four patients improved, but the remainder died.ConclusionWe report improvement of ICI-pneumonitis with infliximab in 4 out of 9 patients in a small, retrospective cohort. Further prospective randomized controlled trials are needed.
Improvement of Regulatory Calculation of the Load-Carrying Capacity of Vibrated, Centrifuged, and Vibrocentrifuged-Based Iron-Concrete Columns with Variatropic Structure
Authors: Маилян Л. Р. , Стельмах С. А. , Щербань Е. М. , Чернильник А. А. 
Published: October 2020

Состояние проблемы. Сжатые железобетонные элементы изготавливаются по трем основным технологиям - вибрированием, центрифугированием и виброцентрифугированием. Однако все основные расчетные зависимости для определения их несущей способности выведены, исходя из основного постулата - постоянства и равенства характеристик бетона по сечению, что соответствует действительности лишь в вибрированных колоннах. Результаты. Разработан усовершенствованный нормативный подход к расчету прочности центрифугированных и виброцентрифугированных железобетонных колонн, заключающийся в использовании в расчете интегральных или дифференциальных характеристик бетона. Выводы. Расчет прочности коротких центрально сжатых вибрированных, центрифугированных и виброцентрифугированных колонн по усовершенствованному нормативному подходу дал наилучшие результаты с использованием дифференциальных характеристик бетона, различающихся по сечению.
Statement of the problem. Compressed reinforced concrete elements are manufactured according to three main technologies - vibrating, centrifuging and vibrocentrifugation. However, all the main calculated dependences for determining their load-bearing capacity were derived based on the main postulate - the constancy and equality of the characteristics of concrete over the cross section, which corresponds to reality only in vibrated columns. Results. An improved regulatory approach has been developed for calculating the strength of centrifuged and vibrocentrifuged reinforced concrete columns, which involves using the calculation of integral or differential characteristics of concrete. Conclusions. Strength analysis of short centrally compressed vibrated, centrifuged and vibrocentrifuged columns using an improved regulatory approach yielded the best results using differential characteristics of concrete varying in cross section.
Analysis Supply Chain Management (SCM) Planning of Juice Production by UKM Larasati
Authors: Mudhifatul Jannah Urnika , Rahmawati Zurriat Nyndia 
Published: October 2020

Jaringan Supply Chain Management atau rantai pasok merupakan konsep yang membahas tentang aliran barang, uang dan informasi secara berkelanjutan yang bertujuan untuk membantu proses perkembangan sebuah usaha. Salah satu bidang usaha yang menunjang perekonomian daerah adalah Usaha Kecil dan Menengah (UKM). Di era ini UMKM diharapkan mampu memiliki nilai tambah untuk bersaing dalam hal menunjukkan eksistensi di pasar regional.
Demikian halnya yang dihadapi oleh Usaha Kecil Menengah (UKM) yang dikelolan oleh Kelompok Wanita Tani (KWT) Larasati di Desa Palaan, Kecamatan Ngajum, Kabupaten Malang. Saat ini usaha yang dikelola oleh KWT Larasati adalah produksi minuman sari buah kemasan cup. Buah yang digunakan adalah markisa, sirsak, apel, jeruk, dan nanas.
Penelitian ini bertujuan untuk menganalisa manajemen rantai pasok Minuman Sari Buah KWT Larasati, serta mengatasi masalah manajemen resiko dan peningkatan nilai tambah pada rantai pasok produk minuman sari buah KWT Larasati di Desa Palaan. Metode pengumpulan data yang digunakan yaitu wawancara, observasi, kuesioner, dan studi pustaka. Responden kuesioner yakni anggota KWT Larasi sebanyak 30 orang.
Hasil dari penelitian ini adalah identifikasi Supply Chain Management (SCM) serta solusi untuk manajemen rantai pasok yang terintegrasi dengan elemen-elemen pemilihan pemasok, perencanaan logistik, proses produksi, dan pendistribusian pasokan. Hal ini dapat dijadikan acuan UKM Produk Minuman Sari Buah KWT Larasati untuk meningkatkan nilai tambah dan pendapatan.
PENGARUH PENGALAMAN WISATAWAN TERHADAP KEPUASAN DAN KEPERCAYAAN SERTA NIAT BERKUNJUNG KEMBALI
Authors: Pujiastuti Eny Endah 
Published: October 2020

In contemporary marketing, the intention to revisit has become the main key in research so that tourists do not move to other destinations. intention to revisit tourist areas is influenced by many factors. The problem and purpose of this research is to analyze and prove the influence of tourist experience, satisfaction, trust in the intention to revisit intention. Destination Nature Posong Temanggung became a research location. Tourists who have visited once to the destination become a research sample. The data collected were 124 questionnaires, processed using SEM AMOS. The concluesion of te study shows that tourist’s experience satisfaction and trust direcly influence the intention to revisit. Implications of research findings such as managers provide positive experiences to tourists so that tourists are satisfied and trust the destination so they will visit again. Research limitations such as a number of samples have not been able to generalize the conclusions as a whole. Suggestions for further research, researchers recommended to increase the number of samples of various ages so that they can provide a complete model as a guide for managers to develop destinations.
Dual-complex Jacobsthal Quaternions
Authors: TORUNBALCI AYDIN Fügen 
Published: October 2020

In this paper, dual-complex Jacobsthal quaternions are defined. Also, some algebraic properties of dual-complex Jacobsthal quaternionswhich are connected with dual-complex numbers and Lucas numbers are investigated. Furthermore, the Honsberger identity, the d'Ocagne'sidentity, Binet's formula, Cassini's identity, Catalan's identity for these quaternions and their real representations are given.............................................................................................................................................
KNOWLEDGE, ATTITUDE, AND PRACTICES OF NON-COMMUNICABLE DISEASES: COMPARISON BETWEEN ORANG ASLI AND MALAY FROM RURAL AREA IN NEGERI SEMBILAN, MALAYSIA: A COMPARATIVE STUDY
Authors: Ithnin Muslimah , Norsham Juliana  , Mohamad Nor Nadeeya ‘Ayn Umaisara , Mohd Effendy Nadia , Mohd Rani Mohd Dzulkhairi 
Published: October 2020

The study evaluates the prevalence, knowledge, attitude, and practices of non-communicable diseases (NCDs) among adult Orang Asli and Malay ethnicity in Negeri Sembilan, Malaysia. This cross-sectional study involving 634 respondents aged 18 years and above of Orang Asli (51.3%) and Malays (48.7%) from the rural villages. Structured interview questionnaire for disease history and KAP level conducted. Weight, height, waist circumference, blood pressure, and blood glucose levels then measured. Prevalence of NCDs was higher among Malays compared to Orang Asli with hypertension (35.0% vs 14.8%), hypercholesterolemia (31.1% vs 5.2%), and diabetes mellitus (16.2% vs 4.3%), respectively. Malays also had a higher percentage of being abdominal obese (70.6% vs 59.7%) and increased blood pressure (54.4% vs 29.8%). Multivariate analysis indicates hypercholesterolemia [OR=6.035 (95%CI: 3.150,11.561)], abdominal obesity [aOR= 1.807 (95%CI: 1.065, 3.067)], and increased in blood pressure [aOR= 2.359 (95%C1: 1.619,3.437)] have a significant relation with Malay ethnicity. For Orang Asli, 51.7% had poor knowledge, 72.3% had a good attitude, and 16.0% had a good practice. Knowledge and attitude scores were significantly less among Orang Asli with no significant difference for practice compared to the Malays. The prevalence of NCDs among the Malays is alarmingly high, with an increasing trend among Orang Asli, which needs immediate attention. The NCDs and obesity were significant among Malays but also showed a worrying trend in the Orang Asli as the good practice on a healthy life-style was low in both ethnicities. Thus, proper education and promotion regarding NCDs needed for diseases screening and prevention.
A STUDY OF CLINICAL FEATURES AND LABORATORY PROFILE OF DENGUE FEVER IN OUTPATIENT SETTING
Authors: Goweda Reda , Faisal Ahmed 
Published: October 2020

Dengue fever (DF) is one of the common mosquito-borne viral diseases. It is transmitted by Aedes aegypti and Aedes albopictus.The aim to study the clinical and laboratory manifestations of serologically confirmed cases of DF in outpatient clinics.This cross-sectional study was carried out in outpatient setting. According to WHO criteria all patients above 14 years old who were suspected to have DF were tested by IgM dengue antibody test. Additionally all patients underwent history, clinical examination and investigation including complete blood count, liver function test and abdominal ultrasound. Data was analyzed using SPSS version 20.Out of 126 patients presented with acute febrile illness, 71 (56.3%) had seroreactivity for dengue IgM antibodies. Fever, headache and muscloskeletal pain were the most common clinical presentation (100%). Decreased appetite (92.9%) , retro-orbital pain (78.8%) and dizziness(64.7%) were the next common symptoms. 29(40.8%) had hepatomegally, 11 (15.4%) had splenomegally.Elevated serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were observed in 58(81.6%) and 53(74.6%) respectively. Lastly; Fever associated with headache, retro-orbital pain, along with thrombocytopenia and elevated liver transaminases should prompt a clinician on the possibility of DF. Increased community awareness and vector control measures need to be strengthened to reduce the burden of dengue cases.
SPACE TIME CLUSTERS OF DENGUE FEVER IN MEDAN MUNICIPALITY, NORTH SUMATERA, INDONESIA
Authors: Zulfikar  , Sitepu Frans Yosep , Depari Elpiani , Boy Debataradja  
Published: October 2020

Dengue fever (DF) infection continues to present as a serious public health problem in Medan municipality, North Sumatera, Indonesia. The number of DF cases continuously increasing recently. However, space time clusters of DF have not been investigated yet. A study was undertaken to detect clusters of DF incidence during 2015-2018 in Medan. Spatial geo-reference was conducted to 151 village coordinates by geocoding each village’s offices. A retrospective space-time scan statistic analysis based on population data and monthly DF incidence was performed using SaTScan TM v9.4.4. Data of DF during 1 January 2015-31 December 2018 were analyzed using Poisson model to identify the villages at high risk of DF. The test of significance of the identified clusters of DF was based on comparing the likelihood ratio (LLR) against the null distribution obtained from Monte Carlo hypothesis testing. Total number of permutation was set to 999 and the significance level was set as 0.05. The highest LLR number was determined as the most likely cluster, while the rests were as the secondary clusters. This analysis identified 13 significant clusters. These DF clusters were initially spatially concentrated in the southwest and center of Medan and the last two years of study moved towards the northern part and identified in the last four months (September-December) of each year, which were the rainy seasons in the area. Most likely clusters were most frequently detected in the last three-year period of study in Anggrung village. Thirteen statistically significant DF clusters were identified in the 2015-2018 period. This may assist health authorities to improve the DF preventive strategies and develop public health interventions especially in the cluster’s area.
SOCIO-CULTURAL INFLUENCES ON CHILD LABOUR ISSUE IN ACEH PROVINCE INDONESIA
Authors: ROSANA YENNI , CHAUVEL RICHARD , FANG LAW SIEW 
Published: October 2020

This research investigates the socio-cultural meaning of child labour in Aceh Province, Indonesia. Child labour is illegal in Aceh. However, there is no enforcement of laws and regulations to prevent child labour from occurring and this daily phenomenon is escalating at an alarming rate. Furthermore, this research presents some complexities and paradoxes. While, the general assumption is that poverty is the main cause of child labour; however, this study found that children who are less poor are also working. Most of these children maintain their schooling while working. Consequently, some communities reject the impact of child labour on formal education. Many communities also see work as part of education, which teaches children responsibility, independence and self-esteem and/or pride, which represents the strong qualities of traditional Acehnese people, which has shaped the patterns and behaviours of children working in the region. The community’s perspectives and other social polemics have continued the existence of child labour in Aceh. Therefore, Although it mights be not easy for the government to take actions, it is important to consider that the reduction of child labour programs in Aceh is not merely by strengthening the implementation of laws and regulations, but also requires the understanding of community values and attitudes around the issue.
Keywords: socio-cultural, Aceh, child labour, communities, education.
Panel analysis of the creation of new KIBS in Spain: The role of manufacturing and regional innovation systems (RIS).
Authors: Sisti Eduardo , Zubiaurre Goena Arantza 
Published: October 2020

AbstractTerritorial servitization is a topic of interest due its impact on regional growth and innovation. Considering that the formation of new KIBS is a good indicator of such TS process and with the aim of contributing to the empirical literature on this topic, this study analyses to what extent the ‘manufacturing quality’ and ‘innovation environment’ profiles determined the different types of new knowledge intensive business services (KIBS). The research tackles the creation of new KIBS in 17 Spanish regions for the period 2000 to 2016 in the respective regions. The results reveal that new KIBS were deeply affected by economic changes that happened as a result of the great 2008 crisis and some KIBS categories are more affected by the techno-economic environment than others.
The ALMA Spectroscopic Survey in the Hubble Ultra Deep Field: Multiband Constraints on Line-luminosity Functions and the Cosmic Density of Molecular Gas
Authors: Decarli Roberto , Aravena Manuel , Boogaard Leindert , Carilli Chris , González-López Jorge , Walter Fabian , Cortes Paulo C. , Cox Pierre , Cunha Elisabete da , Daddi Emanuele , Díaz-Santos Tanio , Hodge Jacqueline A. , Inami Hanae , Neeleman Marcel , Novak Mladen , Oesch Pascal , Popping Gergö , Riechers Dominik , Smail Ian , Uzgil Bade , Werf Paul van der , Wagg Jeff , Weiss Axel 
Published: October 2020

Abstract
We present a CO and atomic fine-structure line-luminosity function analysis using the ALMA Spectroscopic Survey (ASPECS) in the Hubble Ultra Deep Field. ASPECS consists of two spatially overlapping mosaics that cover the entire ALMA 3 mm and 1.2 mm bands. We combine the results of a line-candidate search of the 1.2 mm data cube with those previously obtained from the 3 mm cube. Our analysis shows that ∼80% of the line flux observed at 3 mm arises from CO(2–1) or CO(3–2) emitters at z = 1–3 (“cosmic noon”). At 1.2 mm, more than half of the line flux arises from intermediate-J CO transitions (J
up = 3–6); ∼12% from neutral carbon lines; and <1% from singly ionized carbon, [C ii]. This implies that future [C ii] intensity mapping surveys in the epoch of reionization will need to account for a highly significant CO foreground. The CO luminosity functions probed at 1.2 mm show a decrease in the number density at a given line luminosity (in units of L′) at increasing J
up and redshift. Comparisons between the CO luminosity functions for different CO transitions at a fixed redshift reveal subthermal conditions on average in galaxies up to z ∼ 4. In addition, the comparison of the CO luminosity functions for the same transition at different redshifts reveals that the evolution is not driven by excitation. The cosmic density of molecular gas in galaxies, ρ
H2, shows a redshift evolution with an increase from high redshift up to z ∼ 1.5 followed by a factor ∼6 drop down to the present day. This is in qualitative agreement with the evolution of the cosmic star formation rate density, suggesting that the molecular gas depletion time is approximately constant with redshift, after averaging over the star-forming galaxy population.
Constraints from Gravitational-wave Detections of Binary Black Hole Mergers on the 12C(α, γ)16O Rate
Authors: Farmer R. , Renzo M. , de Mink S. E. , Fishbach M. , Justham S. 
Published: October 2020

Abstract
Gravitational-wave detections are starting to allow us to probe the physical processes in the evolution of very massive stars through the imprints they leave on their final remnants. Stellar evolution theory predicts the existence of a gap in the black hole mass distribution at high mass due to the effects of pair instability. Previously, we showed that the location of the gap is robust against model uncertainties, but it does depend sensitively on the uncertain

rate. This rate is of great astrophysical significance and governs the production of oxygen at the expense of carbon. We use the open-source MESA stellar evolution code to evolve massive helium stars to probe the location of the mass gap. We find that the maximum black hole mass below the gap varies between

and

, depending on the strength of the uncertain

reaction rate. With the first 10 gravitational-wave detections of black holes, we constrain the astrophysical S-factor for

, at

, to

at 68% confidence. With

detected binary black hole mergers, we expect to constrain the S-factor to within ±10–30

. We also highlight a role for independent constraints from electromagnetic transient surveys. The unambiguous detection of pulsational pair-instability supernovae would imply that

. Degeneracies with other model uncertainties need to be investigated further, but probing nuclear stellar astrophysics poses a promising science case for the future gravitational-wave detectors.