bluuebunny/crossref_metadata_2025_split huggingface dataset:
Rancang Bangun Sistem Informasi Administrasi Vaksinasi Meningitis Berbasis Web di Kantor Kesehatan Pelabuhan Kelas III Banda Aceh
Authors: Apriyandi Dedi , Adi Kusworo , Widodo Aris Puji 
Published: September 2020

Meningitis vaccination service in Polyclinic of Class III Port Health Office (KKP) of Banda Aceh almost annually has increased the number of patients. There are several problems in the administration information system of meningitis vaccination that is currently running which officer is taking a long time to monitor the stock of vaccine and searching patient’s data that has been vaccinated. In the other hand, the data and information produced has yet incomplete, inaccurate and inconforn according within user system problems, Inaccurate timing for reporting and resulted to the inforrmation’s inconsistency. The purpose of this research is to produce an web-based information system of vaccine administration of meningitis at Polyclinic Class III Port Health Office of Banda Aceh. The type of researchs used are qualitative and quantitative. This research design using one group pre and post test, system development using FAST method (Framework for the Application of System Techniques). Research subjects consisted of 8 respondents who work in Polyclinic Port Health Office Banda Aceh. The result of observation and interview is conducted by the method of content analysis and descriptive analysis by using the weighted average. Descriptively, the results of data analysis shows which overall weighted average value of quality information before the development of 1.91 system and after the development of 3.64 system with a difference of 1.73. The average calculation of time required to perform services to patients to be faster 4.9 minutes. There is need support and commitment from the Class III Port Health Office Banda Aceh for implementing the administration information system of meningitis vaccination that has been developed optimally. Monitoring and evaluating users of the system should be performed periodically by Port Helath Office of Banda Aceh.
Evaluasi Sistem Informasi Pelayanan Rekam Medis di RSJ Prof. Dr. V.L. Ratumbuysang Provinsi Sulawesi Utara dengan Pendekatan Hot Fit Model
Authors: Makalalag Donny , Agushybana Farid , Mawarni Atik 
Published: September 2020

Medical Record Information System Service at Prof. Dr. V.L. Ratumbuysang Mental Hospital North Sulawesi Province had not run as expected. Indicated by the differences in patient data in the recording and the medical records. Factors that allegedly affect are human, organization and technology. This study aims to evaluate medical record service information system with the HOT FIT Model approach and its benefits. 　　　This was a qualitative study. Data collected through in depth interviews and analyzed by content analysis method. Research subjects were 1 admin officer and 3 archival officers as main informants and the chief of medical record service, the head medical services division and an assistant director of medical services and nursing as the triangulation informants. 　　　The results showed that the medical record service information system had facilitated the work but the knowledge and skills of the officers were still lacking. Organizational factors were supported but the budget was still lacking in system development. Technological factors had not run optimally because the LAN network did not work. The quality of the information had not been met because the data of the visits should be checked again before used for decision making. Quality of service was not maximal yet, because the connectivity between medical record and polyclinic was impaired, then the officer used manual form. 　　　It can be concluded that the hospital need to increase the staff knowledge and allocate funds for improvement and development of information systems or cooperate with other parties in system maintenance.
Identifikasi Waste pada Waktu Tunggu Pasien Rumah Sakit Nasional Diponegoro dengan Pendekatan Lean Hospital
Authors: Pualamsyah Jessica Christanti , Sudiro Sudiro 
Published: September 2020

Outpatient waiting time based on minimum standart of care is defined as a time duration since patient in registrated until they meet the doctor. Lean management is a method that could improve outpatient process. There was persistence complain in outpatient waiting time in Diponegoro National Hospital since May 2016 until November 2016. Therefore, lean is expected to improve outpatient wait time. Based on Lean theory, waste is comprised of waste defect, overproduction, transportation, waiting, inventory, motion, overprocessing, and non-utilized talent. This study is going to identified waste that occurred in internal medicine outpatient. 　　　This was qualitative study research and conducted by observation, indepth interview, and focussed group disscusion. Total of key informant was 10 internal medicine patients and 6 hospital staffs, including registration, administration, information technology (IT) , procurement, helper, and nurse. Total of informant triangulation was 2 informants, including head of outpatient unit and medical records unit. Waste identification was done by value stream mapping analysis and value-added assessment. Root cause analysis (RCA) which used in this study was 5 whys method. 　　　The longest activity in outpatient was waiting in registration booth with mean value of 30,9 minutes, the second was waiting for doctor activity with mean value of 25,2 minutes and the third was waiting medical records to be given by helper with mean value of 8,8 minutes. Waste waiting, overprocessing, defect, inventory, motion were found in this study. It recommends an establisment of flowchart for patient, interdepartment coordination, and Standar Operation Procedure (SOP). Procrument for medical record facility and implementation of 6 S culture are mandatory.
Analisis Beban Kerja Tenaga Kesehatan di Puskesmas Pacarkeling Surabaya
Authors: Permatasari Eska Distia , Damayanti Nyoman Anita 
Published: September 2020

Masalah beban kerja adalah masalah yang paling banyak dialami oleh sejumlah Puskesmas, termasuk di Puskesmas Pacarkeling Surabaya. Hasil survey pendahuluan menunjukkan bahwa 58,33% tenaga kesehatan memiliki beban kerja yang berat atau tinggi. Pengakuan persepsi beban kerja tinggi yang tidak sebanding dengan kuantitas pekerjaan yang dilakukan oleh petugas kesehatan dapat mempengaruhi pengambilan keputusan yang salah ketika melakukan pengambilan keputusan dalam menyelesaikan masalah di Puskesmas. Untuk membuktikan bahwa masalah tingginya beban kerja ini bukan masalah subyektif saja, maka peneliti melakukan penelitian yang bertujuan untuk mengetahui kategori beban kerja obyektif setiap tenaga kesehatan yaitu dokter, bidan, dan perawat di Puskesmas Pacarkeling Surabaya. Penelitian ini merupakan penelitian deskriptif kuantitatif. Sampel penelitian adalah dokter, bidan, dan perawat di Puskesmas Pacarkeling Surabaya. Analisis beban kerja dilakukan dengan menggunakan metode time and motion study. Hasli penelitian menunjukkan bahwa seluruh seluruh tenaga medis, kebidanan, dan keperawatan di Puskesmas Pacarkeling Surabaya memiliki kategori beban kerja underload dengan rata-rata pelaksanaan waktu kerja produktif 69,46% setiap harinya. Sehingga hasil pengukuran beban kerja obyektif memang diperlukan agar masalah beban kerja subyektif dapat diselesaikan dengan pengambilan keputusan yang tepat.
Pengaruh Quality of Work Life Terhadap Keterlibatan Kerja Karyawan
Authors: Davik Farouk Ilmid , Ernawaty Ernawaty , Damayanti Nyoman Anita 
Published: September 2020

Quality of Work Life (QWL) merupakan persepsi tentang keamanan, kepuasan, dan kemampuan untuk berkembang yang dirasakan karyawan dalam melakukan pekerjaan. QWL dapat mempengaruhi keterlibatan kerja karyawan. Rumah Sakit Mata Undaan Surabaya memiliki tingkat keterlibatan kerja karyawan rendah sebesar 65,46% pada Maret 2017. Penelitian ini bertujuan untuk menganalisis pengaruh QWL terhadap keterlibatan kerja karyawan di Rumah Sakit Mata Undaan Surabaya. Penelitian ini merupakan jenis penelitian observasional dengan rancang bangun cross sectional. Pengumpulan data dilaksanakan dengan membagikan 2 macam kuesioner. Sampel dalam penelitian ini berjumlah 62 karyawan tetap berdasarkan hasil perhitungan menggunakan rumus simple random sampling. Analisis pengaruh QWL terhadap keterlibatan kerja karyawan menggunakan uji regresi logistik univariat. Hasil pengukuran QWL di Rumah Sakit Mata Undaan adalah kategori cukup sebesar 58,1%. Tingkat keterlibatan kerja karyawan tergolong dalam kategori cukup sebesar 88,7%. Hasil uji regresi logistik menunjukkan bahwa terdapat pengaruh QWL terhadap keterlibatan kerja karyawan dengan signifikansi sebesar 0,000456. Hasil uji pengaruh komponen QWL terhadap keterlibatan kerja antara lain pengawasan (sig=0,0002), tunjangan (sig=0,000002), dan desain kerja (sig=0,000007). Tunjangan yang memiliki pengaruh paling kuat terhadap keterlibatan kerja. Kondisi kerja tidak berpengaruh terhadap keterlibatan kerja karyawan. Kesimpulan dalam penelitian ini adalah QWL memberikan pengaruh terhadap keterlibatan kerja. Upaya yang dapat dilakukan untuk meningkatkan keterlibatan kerja karyawan adalah pihak manajemen Rumah Sakit Mata Undaan Surabaya lebih memperhatikan pengawasan terhadap karyawan, tunjangan yang seimbang, desain kerja yang jelas, memberikan reward bagi karyawan yang kinerjanya baik dan sanksi bagi karyawan yang kinerjanya kurang. Kata Kunci: desain kerja, keterlibatan kerja, kondisi kerja, pengawasan, tunjangan, quality of work life
El error en la evaluación del perfil del adolescente infractor en el Perú
Authors: Bermúdez Tapia Manuel 
Published: September 2020

Con la promulgación del Código de Responsabilidad Penal de Adolescentes (CRPA), Decreto Legislativo Nº 1348 (06/01/2017) y su reglamento, se planteaba atender el problema social que provocaba la participación de adolescentes en casos de connotación social y penal de extrema violencia en el Perú, especialmente cuando se registraban niños y adolecentes en actos de sicariato.
Sin embargo, los resultados no han sido positivos especialmente porque se han registrado defectos en la legislación, en el ámbito de la evaluación de la práctica judicial especializada y en la evaluación de la política criminológica y penal ejecutada, sobre la incidencia de los dos primeros puntos.
Consecuentemente el CRPA registra defectos tanto en lo sustantivo como en lo procesal que limitan su propia legitimidad y cuestiona su vigencia, debido principalmente al hecho de que se ha ejecutado una equivalencia de condiciones criminológicas registradas en delitos cometidos por adultos.
La evaluación normativa, la casuística generada y el débil impacto referencial del CRPA en la estadística criminológica permiten detallar el registro de un defecto esencial: la evaluación del perfil de un adolescente involucrado en una situación criminológica no ha sido diseñada correctamente y por ello el trámite judicial en lo procesal y en lo pericial provoca una interpretación de los hechos y genera un procedimiento que podría resultar inconstitucional porque al adolescente infractor se le está asignando una condición equivalente a la de un adulto, porque la reforma del Código Civil peruano, con el Decreto Legislativo Nº 1377 no puede aplicarse al contexto penal[1].
[1] Varsi Rospigliosi, Enrique. “La presunción pater is est ahora puede destruirse con la mera declaración de la madre“, Gaceta Civil & Procesal Civil, Nº 63, Setiembre 2018.
Defining the Boundaries of Polycomb Domains in Drosophila
Authors: De Sandip , Gehred Natalie D , Fujioka Miki , Chan Fountane W , Jaynes James B , Kassis Judith A 
Published: September 2020

Abstract
Polycomb group (PcG) genes are an important group of epigenetic regulators that act to repress transcription. In Drosophila, the PcG group protein complex PRC2 is recruited to discrete DNA elements called Polycomb response elements. PRC2 .....
Determination of ligustrazine in rat serum by polymer monolithic micro-extraction combined with ultra high performance liquid chromatography-tandem mass spectrometry
Authors: Sun Danling , Peng Xitian , Peng Maomin , Zhang Xian , Xia Hong , Xu Zhimin , Hu Xizhou 
Published: September 2020

AbstractThis study focused on developing an effective and environmentally friendly method to measure ligustrazine in rat serum by using polymer monolith micro-extraction (PMME) technique. A poly (methacrylic acid-ethylene glycol dimethacrylate) material was used to extract ligustrazine through hydrophobic and ion-exchange interaction. Qualitative and quantitative analysis was performed by a liquid chromatography and tandem mass spectrometry. After optimization of several PMME conditions, the developed method exhibited excellent extraction performance to the ligustrazine. Good linearity was acquired ranging from 10 to 2,000 ng mL−1, and the limit of detection of the proposed method was 0.14 ng mL−1. The recoveries measured by spiking three different concentrations in rat serum ranged from 82.6 to 95.3%, and excellent precision was found with relative standard deviations (RSDs) less than 8.3% for intra-day and 9.7% for inter-day, respectively. At last, the applicability of the method was further confirmed through continuous monitoring of ligustrazine in rat serum after dosing of ligustrazine tablets to rats.
Review of therapeutic options for infections with carbapenem-resistant Klebsiella pneumoniae
Authors: Bandick Rasmus G. , Mousavi Soraya , Bereswill Stefan , Heimesaat Markus M. 
Published: September 2020

AbstractInfections with multi-drug resistant (MDR) bacteria including carbapenem-resistant Klebsiella pneumoniae are emerging worldwide but are difficult to treat with the currently available antibiotic compounds and therefore constitute serious threats to human health. This prompted us to perform a literature survey applying the MEDLINE database and Cochrane Register of Controlled Trials including clinical trials comparing different treatment regimens for infections caused by carbapenem-resistant K. pneumoniae. Our survey revealed that a combined application of antibiotic compounds such as meropenem plus vaborbactam, meropenem plus colistin and carbapenem plus carbapenem, resulted in significantly increased clinical cure and decreased mortality rates as compared to respective control treatment. However, further research on novel antibiotic compounds, but also on antibiotic-independent molecules providing synergistic or at least resistance-modifying properties needs to be undertaken in vitro as well as in large clinical trials to provide future options in the combat of emerging life-threatening infections caused by MDR bacteria.
Breeding biology and long-term population dynamics of the Pied Flycatcher Ficedula hypoleuca in Skibotn, Northern Norway
Authors: Järvinen Antero 
Published: September 2020

Abstract. The breeding biology and population dynamics of the Pied Flycatcher Ficedula hypoleuca in pine, mixed and deciduous forests in Skibotn, Northern Norway (69°20’N, 20°20’E), was studied during 33 years (1987–2019; in total 1775 completed first clutches). It was a period during which summer temperatures remained relatively stable, but late spring (May) temperatures tended to become warmer. The number of breeding pairs declined over the study period but varied less than in populations living in more harsh subalpine environments. In spite of the northern location, females started to lay eggs in a relatively late phenological phase of the environment and in relatively warm weather. The date of birch leafing and the date of egg-laying advanced during the study period, and they correlated with each other. Mean clutch size was 6.4 eggs, and mean number of fledglings/nest 4.6. Date of egg-laying was earlier and clutch size larger in deciduous forests than in pine and mixed forests, but this did not translate into better fledgling productivity. The main causes of nesting failure were predation by small mustelids and starvation in warm and dry summers. However, in the long run the population seemed to be able to maintain itself without immigration, i.e., act as a source population. The possibility that during warm climate periods of the past, breeding biology and population dynamics of Pied Flycatchers over large geographical areas might have resembled those in Skibotn is discussed.

Cover photo: “Mummified” Pied Flycatcher nestling (age about 10 days) starved to death in Skibotn in the warm and dry summer of 1988. Photo: Antero Järvinen.
The Relationship between AKI and CKD in Patients with Type 2 Diabetes: An Observational Cohort Study
Authors: Hapca Simona , Siddiqui Moneeza K. , Kwan Ryan S.Y. , Lim Michelle , Matthew Shona , Doney Alex S.F. , Pearson Ewan R. , Palmer Colin N.A. , Bell Samira ,   on behalf of the BEAt-DKD Consortium
Published: September 2020

Significance Statement
Understanding of the interplay between AKI and CKD in people with type 2 diabetes, and how it compares with the interplay between AKI and CKD in the nondiabetic population, is limited. In this retrospective, cohort study of 16,700 participants with or without type 2 diabetes, the authors developed an algorithm to identify AKI episodes from serum creatinine test data. In their analysis, they found that rates of AKI are significantly higher among patients with diabetes compared with those without diabetes, and this remains true for individuals without preexisting CKD. These findings demonstrate that the risk of AKI and associated adverse outcomes in this population of patients is currently underestimated. Increasing awareness may allow for implementation of simple interventions to help prevent the occurrence of AKI and thereby improve patient outcomes.

Background
There are few observational studies evaluating the risk of AKI in people with type 2 diabetes, and even fewer simultaneously investigating AKI and CKD in this population. This limits understanding of the interplay between AKI and CKD in people with type 2 diabetes compared with the nondiabetic population.

Methods
In this retrospective, cohort study of participants with or without type 2 diabetes, we used electronic healthcare records to evaluate rates of AKI and various statistical methods to determine their relationship to CKD status and further renal function decline.

Results
We followed the cohort of 16,700 participants (9417 with type 2 diabetes and 7283 controls without diabetes) for a median of 8.2 years. Those with diabetes were more likely than controls to develop AKI (48.6% versus 17.2%, respectively) and have preexisting CKD or CKD that developed during follow-up (46.3% versus 17.2%, respectively). In the absence of CKD, the AKI rate among people with diabetes was nearly five times that of controls (121.5 versus 24.6 per 1000 person-years). Among participants with CKD, AKI rate in people with diabetes was more than twice that of controls (384.8 versus 180.0 per 1000 person-years after CKD diagnostic date, and 109.3 versus 47.4 per 1000 person-years before CKD onset in those developing CKD after recruitment). Decline in eGFR slope before AKI episodes was steeper in people with diabetes versus controls. After AKI episodes, decline in eGFR slope became steeper in people without diabetes, but not among those with diabetes and preexisting CKD.

Conclusions
Patients with diabetes have significantly higher rates of AKI compared with patients without diabetes, and this remains true for individuals with preexisting CKD.
(Ре)конструирование смыслов политической акции в социальной сети «ВКонтакте»: кейс Ивана Голунова
Authors: Щекотуров Александр Вячеславович , Кришталь Михаил Игоревич 
Published: September 2020

Цитирование: Щекотуров А.В., Кришталь М.И. (2020) (Ре)конструирование смыслов политической акции в социальной сети «ВКонтакте»: кейс Ивана Голунова // Мир России. Т. 29. № 4. С. 150–170. DOI: 10.17323/1811-038X-2020-29-4-150-170
В статье рассматриваются специфика и механизмы (ре)конструирования смыслов политической акции в социальной сети «ВКонтакте». В качестве кейса была рассмотрена акция, возникшая по случаю задержания журналиста Ивана Голунова. Методологической основой исследования послужила теория фрейм-анализа. Опираясь на нее, авторы выявили случаи рефрейминга и транспонирования смыслов политической акции. Основным исследовательским методом выступил контент-анализ, реализованный с помощью программного обеспечения Atlas.ti. Все отобранные посты были закодированы в соответствии с отношением к задержанию журналиста, стадией развития акции, субъектом фрейминга и используемыми в публикации хештегами. При кодировке хештегов использовалась оригинальная типология, созданная на основе целей, которые они призваны достичь. Установлено, что хештеги способствуют информационному наслоению и транспонированию, переключают первоначальный смысл публикации на новые контексты, что могут впоследствии аккумулировать протестные настроения. В рамках проведенного анализа сформулировано два ключевых вывода. Во-первых, с трансформацией стадий конфликта произошла смена восприятия образа главного фигуранта акции. Если на стадии конфликта И. Голунов рассматривался как ключевой участник события, то с момента разрешения конфликта начинается использование его образа в качестве символа для совокупного недовольства некоторыми институтами политической системы страны. Во-вторых, была обнаружена специфика в типах системы фреймов, конструируемых сообществами и личными аккаунтами в социальной сети «ВКонтакте». Публикации в  сообществах характеризуются преимущественно нейтральным содержанием и использованием различных типов хештегов. Публикации в личных аккаунтах отличаются выражением поддержки И. Голунову и использованием хештегов, демонстрирующих солидарность с ним. В итоге были сформулированы новые функции хештегов – закрепление фрейма (характерно для личных аккаунтов) и PR (свойственно сообществам).