bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hubungan Antara Persepsi Mutu Pelayanan dengan Tingkat Kepuasan Pasien KIA di Puskesmas Sepaso Kecamatan Bengalon
Authors: Putri Ginaya Dinda , Afriyani Luvi Dian 
Published: October 2021

Various efforts to improve the quality of puskesmas services a priority in the development of the health sector, especially MCH services. Reliability, responsiveness, assurance, empathy and physical evidence of service quality are needed to improve patient satisfaction. Research to find out the Perception of Service Quality with the Satisfaction Level of MCH Patients and is there a correlation between Perceptions of Service Quality and the Satisfaction Level of KIA Patients. Data analysis used the Chi Square Test with an error rate of <0.05 This type of research is quantitative using a cross sectional design. Data collection techniques using accidental sampling using a questionnaire instrument via Whatss App Group and Google Form. The population in this study were 50 respondents. The sample in this study were 35 respondents. The results of the Univariate Analysis of Service Quality Perception of KIA patients showed that 15 were good (42.9%) and 20 were poor (57.1%). In the Reliability Dimension 20 good (57.1 Satisfaction (p = 0.693). The satisfaction felt by patients is the difference in the quality of health services with the expectations of the patient or a group of people or local residents who have got what is expected and needed with the services provided by health workers. Midwives can improve service quality by providing services according to patient needs.
ABSTRAK
Berbagai upaya dilakukan untuk meningkatkan mutu pelayanan puskesmas menjadi prioritas dalam pembangunan bidang kesehatan, terutama pada pelayanan KIA. Dibutuhkan kehandalan, daya tanggap, jaminan, empati dan bukti fisik dalam mutu pelayanan untuk meningkatkan kepuasan pasien KIA. Tujuan penelitian untuk mengetahui Gambaran Persepsi Mutu Pelayanan dengan Tingkat Kepuasan Pasien KIA dan adakah Hubungan Antara Persepsi Mutu Pelayanan dengan Tingkat Kepuasan Pasien KIA. Analisis data menggunakan Uji Chi Square dengan tingkat kesalahan <0,05. Jenis Penelitian ini adalah kuantitatif dengan menggunakan desain Cross Sectional. Teknik Pengambilan data menggunakan Accidental Sampling dengan menggunakan instrumen kuisoner dengan Google Form. Populasi pada penelitian ini sebanyak 50 responden. Sampel pada penelitian ini sebanyak 35 responden. Hasil Analisis Univariat Persepsi Mutu Pelayanan pasien KIA menunjukkan 15 baik (42,9%) dan 20 kurang (57,1%). Dan hasil Kepuasan Pasien pada Pasien KIA menunjukan baik (57,1%) dan 15 kurang (42,9%). Hasil Analisis Bivariat menunjukkan tidak ada hubungan antara Persepsi Mutu Pelayanan dengan Tingkat Kepuasan Pasien (p=0,693). Kepuasan yang dirasakan pasien merupakan mutu pelayanan kesehatan dengan harapan pasien atau sekelompok masyarakat atau warga setempat yang telah mendapatkan apa yang diharapkan dan dibutuhkan dengan pelayanan yang diberikan oleh tenaga kesehatan. Bidan dapat meningkatkan kualitas pelayanan dengan memberikan layanan sesuai kebutuhan pasien.
Analyses of the light extraction efficiency of organic light-emitting diodes with ITO/mesh-Ag/ITO anode and its optical transmittance as transparent electrode
Authors: Kim Kirak , Cho Eou-Sik , Kwon Sang Jik 
Published: October 2021

Abstract
We have used the three-dimensional finite-difference time-domain simulation method to analyze the out-coupling efficiency of organic light-emitting diodes (OLEDs) with an ITO/Mesh-Ag/ITO anode. The period and grid space of the meshed Ag structure effectively affected the extraction ratio (ER) of the bottom-emitting OLED. The 3D simulation results for a simple structure of OLED with an ITO/Mesh-Ag/ITO anode showed the ER of about 26.4% and it enhanced 2.26 times that of the continuous Ag layer of about 11.7%. In addition, in respect to the transparent electrode of the OLED using the ITO/Mesh-Ag/ITO multiple layers, the Ag thickness and open ratio were important factors that affected the transmittance and the electrical conductance. The open ratio of 60% resulted in sheet resistance of less than 25 Ω/□, while keeping the transmittance nearly similar to that in the case of a single ITO layer.
Can changes in platelet count, mean platelet volume, and platelet distribution width be used to determine the severity of COVID-19?
Authors: Tire Yasin , Yazar Mehmet Akif , Erdem Said Sami 
Published: October 2021

Objective: We aimed to investigate the relation of platelet count (PLT), mean platelet volume (MPV) and platelet distribution width (PDW) with other acute phase reactants in COVID-19 new corona virus.
Material and Methods: Thirty one patients with COVID-19 were included in to study. There were three groups as outpatient (Group 1, OP)(n=6), hospital (Group 2, H)(n=16) and intensive care unit (Group 3, IC)(n=9) in this analytic study.
Results: WBC (White Blood Cell), CRP (C-Reactive Protein) values were significantly different in all groups. PDW values were significantly lower in Group 3 than Group 1, 2. The result of ROC analysis was 10.9 as a cut-off value (Area under the curve, AUC)=0.407)
Conclusions: This study indicates that lower PDW may frequently develop in COVID-19 cases and there is a relation between thrombocytosis and acute phase reactants, that is, the inflammatory response. So we can offer that PDW should be used as a marker of Covid-19 disease severity, but it needs more studies in the future.
A rare case of L5-S1 right severe foraminal stenosis and paramedian disc herniation result in foot drop of right lower extremity: A case report
Authors: Nguyen Ngoc Quyen , Phan Trong Hau 
Published: October 2021

Objective: the authors presented a extremely rare case of severe foraminal stenosis combined with huge lateral lumbar disc herniation
Case presentation: The authors presented a 74 – year old, male with type II chronic diabetes, had severe pain of the dermatomal distribution of L5, S1 nerve roots, and foot-drop of the right lower limb. When we evaluated the patient’s MRI, the huge paramedian disc herniation of the right L5-S1 level was seen and the right L5-S1 laminotomy and discetomy were planned for the treatment of the patient. However, the clinical symptoms were not completely correlated with that MRI findings so that, we re-checked the MRI, particularly at the lumbosacral region, and the right severe foraminal stenosis of L5-S1 level was found. The patient underwent surgery with facetectomy, transforaminal interbody fusion, and pedicle screw fixation. After the operation, the patient has quickly reduced radiating pain of the right lower extremity, although the foot-drop was not improved. Because of the huge lateral lumbar disc herniation impression, that could affect the assessing the patient’s injury correctly, leaded consequences of a missing diagnosis of foraminal stenosis and inadequate surgery method.
Conclusion: It is essential to detail examination of the clinical manifestations and thorough assessment of MRI for evaluation of the correlation between the physical examination and MRI findings before making the decision of surgical method.
The Intensive care outcome of patients with a solid tumor in a tertiary care hospital in Saudi Arabia: Results of a prospective ICU Registry
Authors: Rugaan Asiah Salem , Hasan Naved , Iqbal Masood , Damanhouri Elaf , Radi Rwan Emad , Radwan Enshrah , Alhazmi Maher 
Published: October 2021

Objective: There is a paucity of research on the factors predicting mortality and a length of stay in the Intensive Care Unit (ICU) with solid tumor patients. This study will assess the characteristics and predictors of outcomes of patients with solid tumors in medical ICU.
Material and Methods: This research has been designed as a retrospective observational study using an ICU database. Patients who have a solid tumor were included in the study (May 2015 to July 2018). Post-surgical and those with a length of stay of more than one day are excluded from the study. We identified the predictors for ICU mortality and ICU long stay (≥21 days).
Results: Out of 2883 patients, 364 patients with solid tumors were enrolled. The commonest sites for solid tumors were breast (15.9%), colorectal (11.5%), and lung (9.9%). 158 (43.4%) had metastatic disease, and 264 (72.5%) with progressive disease. The major reasons for ICU admission were a respiratory failure (52.7%) and severe sepsis (52.2%). The ICU and hospital mortality rates were 32.4% and 47%, respectively. Fifty patients (13.7%) had long stayed (≥ 21 days) in ICU. The independent predictors for mortality were Sequential Organ Failure Assessment (SOFA) score (OR, 1.2; 95% CI, 1.1–1.3; P=.000), invasive ventilation (OR, 3.5; 95% CI, 1.5–8.3; P=.004) and vasopressor (OR, 2.6; 95% CI, 1.1–5.9; P=.018), while the independent predictors of long-stay were ICU infections (odds ratio [OR], 18.9; 95% CI, 5.3 – 66.7; P=.0001), SOFA score (OR, 1.5; 95% CI, 1.2–1.8; P=.0001), invasive ventilation (OR, 8.2; 95% CI, 1.6–40.4; P=.009), bilirubin (OR, .5; 95% CI .2–.9; P=.049).
Conclusion: Irrespective of the cancer stage, patients had a reasonable survival, and most do not require a long stay in the ICU. Flexibility in admission should be considered as disease progression and metastatic disease were not independent predictors of ICU mortality or long stay in this study.
Potential drug-drug interactions related with repurposed drugs for COVID-19
Authors: Silva Joseane Barbosa da , Rego Marfranea Souza , Santos Larissa Rico Bertolino dos , Mueller Andre 
Published: October 2021

Desde o início do surto do coronavírus da síndrome respiratória aguda grave 2 (SARS-CoV-2), pesquisadores vêm estudando moléculas que pudessem ter algum papel na redução da propagação ou no combate a sintomas dessa doença viral. Mesmo com o advento das vacinas, fármacos têm sido propostos para reduzir a carga viral, diminuir a entrada do vírus na célula hospedeira, reduzir eventos inflamatórios no organismo, combater edema pulmonar ou outros sintomas e eventos manifestados no paciente com Covid-19. Levando em conta que frequentemente pacientes usam dois ou mais medicamentos, este artigo objetivou fazer uma revisão bibliográfica e consulta a sites especializados sobre interações farmacológicas com os principais medicamentos reposicionados para tratamento da Covid-19 no Brasil. Descrevemos as interações com grau de risco moderado ou grave envolvendo anti-inflamatórios não-esteroides, azitromicina, dexametasona, dexclorfeniramina, hidroxicloroquina, ivermectina e nitazoxanida. Esperamos que este estudo auxilie os profissionais da saúde na tomada de decisões sobre as estratégias farmacoterapêuticas empregadas em cada paciente com Covid-19.
Palavras-chave: Interações medicamentosas. Covid-19. SARS-Cov-2. Coronavírus.
“Get the DNR”: residents’ perceptions of goals of care conversations before and after an e-learning module
Authors: Branfield Day Leora , Saunders Stephanie , Steinberg Leah , Ginsburg Shiphra , Soong Christine 
Published: October 2021

Background: Residents frequently lead goals of care (GoC) conversations with patients and families to explore patient values and preferences and to establish patient-centered care plans. However, previous work has shown that the hidden curriculum may promote physician-driven agendas and poor communication in these discussions. We previously developed an online learning (e-learning) module that teaches a patient-centered approach to GoC conversations. We sought to explore residents’ experiences and how the module might counteract the impact of the hidden curriculum on residents’ perceptions and approaches to GoC conversations.
Methods: Eleven first-year internal medicine residents from the University of Toronto underwent semi-structured interviews before and after completing the module. Themes were identified using principles of constructivist grounded theory.
Results: Prior to module completion, residents described institutional and hierarchical pressures to “get the DNR” (Do-Not-Resuscitate), leading to physician-centered GoC conversations focused on code status, documentation, and efficiency. Tensions between formal and hidden curricula led to emotional dissonance and distress. However, after module completion, residents described new patient-centered conceptualizations and approaches to GoC conversations, feeling empowered to challenge physician-driven agendas. This shift was driven by greater alignment of the new approach with their internalized ethical values, greater tolerance of uncertainty and complexity in GoC decisions, and improved clinical encounters in practice.
Conclusion: An e-learning module focused on teaching an evidence-based, patient-centered approach to GoC conversations appeared to promote a shift in residents’ perspectives and approaches that may indirectly mitigate the influence of the hidden curriculum, with the potential to improve quality of communication and care.
Diferensiasi Tingkat Upacara Pawintenan Kepemangkuan Di Lombok
Authors: Yudhiarsana I Made Agus 
Published: October 2021

The pawintenan ceremony has levels based on the implementation of the Dewa Yadnya or Rsi Yadnya ceremony. The types of pawintenan are Pawintenan Sari, Pawintenan Gede, Pawintenan Mapedamel Ganapati, Pawintenan Mapedamel Dasa Guna, and Pawintenan Samskara Ekajati or Panca Rsi, while the public is still confused in determining the level of the pawintenan ceremony, especially the pawintenan kepemangkuan. This research focuses on studies related to the level of the ceremony and the process of implementing the pawintenan pemangku or pinandita ceremony in Lombok. This study aims to provide an understanding of the level of the pawintenan ceremony of pemangku for the public in Lombok. This study uses descriptive research with a qualitative approach with data collection techniques using observation, interviews and documentation. Pemangku or pinandita are people who have gone through the pawintenan ceremony until Adiksa Widhi, but have not gone through the procession at the site and amati aran or changed names. The levels of pawintenan are divided based on the profession of the pawintenan Sastra or Saraswati, the pewintenan Sari or Pemangku, the pawintenan Dalang, the pawintenan Tukang, and the pawintenan Mahawisesa. The pawintenan ceremony based on the results of research on the Pemangku or Pinandita temples which are included in the temple Mataram City shows that the Pinandita or Pemangku groups the levels of the Pawintenan Pemangku ceremony in Lombok, especially in the city of Mataram into the three levels of the pawintenan ceremony are pawintenan alit, pawintenan madya and pawintenan ageng or agung. This division is based on the duties and responsibilities of pemangku or Pinandita. Which includes pawintenan alit is Pawintenan Sari atau saraswati, Pawintenan Madya is Pawintenan Pemangku, and Pawintenan Agung is Pawintenan Jero Gede or Bhawati, as the highest stage of the Ekajati ceremony in Lombok.
Diagnostic accuracy and limitations of non-invasive tests in patients with metabolic-associated fatty liver disease
Authors: Sánchez Torrijos Y , Lucena Valera A , Ampuero Herrojo J 
Published: October 2021

Resumen

La incidencia de la enfermedad del hígado graso asociada al metabolismo (MAFLD) ha aumentado en los últimos años debido al estilo de vida actual. La biopsia de hígado sigue siendo la herramienta estándar de oro para detectar y estadificar MAFLD. Por otro lado, se están desarrollando múltiples biomarcadores y pruebas no invasivas para superar las limitaciones de la biopsia hepática, incluidos el costo y la invasividad. Las pruebas no invasivas se centran principalmente en la esteatosis y, en particular, en la fibrosis hepática y se pueden clasificar en pruebas patentadas y no patentadas. Si bien hepatic steatosis index y fatty liver index son las pruebas más comunes utilizadas para la detección de esteatosis, Hepamet Fibrosis Score, NAFLD fibrosis score, FIB-4, OWLiver®, y ELF® son las más utilizadas para la fibrosis hepática. Sin embargo, las pruebas no invasivas también tienen limitaciones que conviene resaltar ya que sus resultados podrían verse afectados por la presencia de diabetes, obesidad o por edades extremas que podrían dar lugar a falsos positivos o negativos. Para maximizar la precisión de los tests no invasivos, se han propuesto diferentes combinaciones integradas en algoritmos escalonados. Esta revisión tiene como objetivo destacar las fortalezas y limitaciones de dichos tests para detectar y estadificar MAFLD.
Changes in the concentration of EGFR-mutated plasma DNA in the first hours of anti-EGFR therapy allow the prediction of tumor response in patients with EGFR-driven lung cancer
Authors: Martianov Aleksandr S , Moiseenko Fedor , Zhabina Albina , Sokolova Tatyana , Beluhin Sergey , Laidus Tatiana , Kholmatov Maxim , Turin Vladislav , Volkov Nikita , Kuligina Ekaterina , Yanus Grigoiy 
Published: October 2021

This study aimed to analyze changes in the plasma concentration of EGFR-mutated DNA occurring immediately after the start of therapy with EGFR tyrosine kinase inhibitors (TKIs). The study included 30 patients with EGFR mutation-driven non-small cell lung cancer (NSCLC). Serial plasma samples were collected before intake of the first tablet and at 0.5, 1, 2, 3, 6, 12, 24, 36 and 48 hours after the start of the therapy. EGFR-mutated plasma DNA (EGFR+ ctDNA) was detectable at diagnosis in 25 out of 30 study participants. There were different patterns of changes of the amount of circulating tumor DNA, i.e., the consistent decline of ctDNA content, or continuing increase of the number of circulating EGFR mutant copies, or alternating spikes and drops in the ctDNA concentration. Correlation with the disease outcome was observed only for the measurement performed at 48 hours. Twelve (50%) out of 24 informative patients showed >25% reduction of the ctDNA content at 48 h time point; all these patients demonstrated disease control after 4 and 8-12 weeks of therapy. The remaining 12 individuals showed either stable content of circulating EGFR+ DNA (n = 5) or the elevation of ctDNA concentration (n = 7). 10 of 12 patients with elevated or stable ctDNA level achieved an objective response at 4 weeks, but only 5 of 10 evaluable patients still demonstrated disease control at 8-12 weeks (p = 0.014, when compared to the group with ctDNA decrease). The decline of the amount of circulating EGFR mutant copies also correlated with longer progression-free survival (PFS; 14.7 months vs. 8.5 months, p = 0.013). Conclusion: Monitoring of plasma EGFR-M+ concentration within the first hours of the TKI therapy may be used as an immediate predictor of tumor response to the treatment.
Design of a Pitch Controller for a Wind Turbine Using Hybrid Mean-Variance Mapping Optimization
Authors: Behera Sasmita , Sahoo Subham 
Published: October 2021

A variable-speed wind energy conversion system (WECS) has the advantage of extracting more power from the time-varying wind. To achieve this, the pitch angle is controlled to maintain the speed of the turbine and hence the generated power at a constant level, while reducing mechanical stress on the turbines. In this work, a proportional-integral (PI) controller is used for pitch angle control. The optimal PI control gains and are tuned by the hybrid mean-variance mapping optimization (MVMO-SH) technique, particle swarm optimization (PSO), and a genetic algorithm (GA). Different fitness evaluation criteria and optimization techniques are compared, and the performances of optimal controllers presented in the time domain. The results reveal that MVMO-SH achieves the minimum error criteria within a shorter time. The optimal controller design gives an error of less than in the region for which it is tuned. The performance of the optimal PI controller is designed for one operating condition in different cases of wind gust, random variation of wind, and disturbance from the grid side to mitigate line to ground fault. The performance of the controller is shown to be satisfactory in all the cases studied.
Dust-enshrouded AGNs Can Dominate Host-galaxy-scale Cold Dust Emission
Authors: McKinney Jed , Hayward Christopher C. , Rosenthal Lee J. , Martínez-Galarza Juan Rafael , Pope Alexandra , Sajina Anna , Smith Howard A. 
Published: October 2021

Abstract
It is widely assumed that long-wavelength infrared (IR) emission from cold dust (T ∼ 20–40 K) is a reliable tracer of star formation even in the presence of a bright active galactic nucleus (AGN). Based on radiative transfer (RT) models of clumpy AGN tori, hot dust emission from the torus contributes negligibly to the galaxy spectral energy distribution (SED) at λ ≳ 100 μm. However, these models do not include AGN heating of host-galaxy-scale diffuse dust, which may have far-IR (FIR) colors comparable to cold diffuse dust heated by stars. To quantify the contribution of AGN heating to host-galaxy-scale cold dust emission at λ ≳ 100 μm, we perform dust RT calculations on a simulated galaxy merger both including and excluding the bright AGN that it hosts. By differencing the SEDs yielded by RT calculations with and without AGNs that are otherwise identical, we quantify the FIR cold dust emission arising solely from reprocessed AGN photons. In extreme cases, AGN-heated host-galaxy-scale dust can increase galaxy-integrated FIR flux densities by factors of 2–4; star formation rates calculated from the FIR luminosity assuming no AGN contribution can overestimate the true value by comparable factors. Because the FIR colors of such systems are similar to those of purely star-forming galaxies and redder than torus models, broadband SED decomposition may be insufficient for disentangling the contributions of stars and heavily dust-enshrouded AGNs in the most IR-luminous galaxies. We demonstrate how kiloparsec-scale resolved observations can be used to identify deeply dust-enshrouded AGNs with cool FIR colors when spectroscopic and/or X-ray detection methods are unavailable.
The IGRINS YSO Survey. I. Stellar Parameters of Pre-main-sequence Stars in Taurus-Auriga
Authors: López-Valdivia Ricardo , Sokal Kimberly R. , Mace Gregory N. , Kidder Benjamin T. , Hussaini Maryam , Nofi Larissa , Prato L. , Johns-Krull Christopher M. , Oh Heeyoung , Lee Jae-Joon , Park Chan , Oh Jae Sok , Kraus Adam , Kaplan Kyle F. , Llama Joe , Mann Andrew W. , Kim Hwihyun , Gully-Santiago Michael A. , Lee Hye-In , Pak Soojong , Hwang Narae , Jaffe Daniel T. 
Published: October 2021

Abstract
We present fundamental parameters for 110 canonical K- and M-type (1.3−0.13 M
⊙) Taurus-Auriga young stellar objects (YSOs). The analysis produces a simultaneous determination of effective temperature (T
eff), surface gravity (log g), magnetic-field strength (B), and projected rotational velocity (

v
sin
i

). Our method employed synthetic spectra and high-resolution (R ∼ 45,000) near-infrared spectra taken with the Immersion GRating INfrared Spectrometer (IGRINS) to fit specific K-band spectral regions most sensitive to those parameters. The use of these high-resolution spectra reduces the influence of distance uncertainties, reddening, and non-photospheric continuum emission on the parameter determinations. The median total (fit + systematic) uncertainties were 170 K, 0.28 dex, 0.60 kG, 2.5 km s−1 for T
eff, log g, B, and

v
sin
i

, respectively. We determined B for 41 Taurus YSOs (upper limits for the remainder) and find systematic offsets (lower T
eff, higher log g and

v
sin
i

) in parameters when B is measurable but not considered in the fit. The average log g for the Class ii and Class iii objects differs by 0.23 ± 0.05 dex, which is consistent with Class iii objects being the more evolved members of the star-forming region. However, the dispersion in log g is greater than the uncertainties, which highlights how the YSO classification correlates with age (log g), yet there are exceptionally young (lower log g) Class iii YSOs and relatively old (higher log g) Class ii YSOs with unexplained evolutionary histories. The spectra from this work are provided in an online repository along with TW Hydrae Association comparison objects and the model grid used in our analysis.