bluuebunny/crossref_metadata_2025_split huggingface dataset:
Strategi manajemen humas dalam penyelesaian konflik di media online Tribunnews network
Authors: Aulia Anugerah Tesa 
Published: October 2024

Ditengah era yang serba digital rawan terjadi konflik di media online sehingga peran manajemen humas dalam perusahaan sangat dibutuhkan. Manajemen humas digunakan untuk mengatur segala strategi komunikasi dalam penyelesaian konflik yang terjadi di perusahaan. Konflik terbagi menjadi dua macam, konflik internal maupun eksternal. Konflik internal terjadi pada lingkungan perusahaan dan konflik eksternal terjadi antara perusahaan dengan publik. Kebebasan seseorang dalam mengakses media online sangat berpeluang menimbulkan konflik secara internal maupun eksternal. Pada pembahasan kali ini peneliti mengacu pada studi kasus yang terjadi di media online Tribunnews Network. Tribunnews Network sendiri merupakan portal berita yang memiliki jaringan luas diberbagai daerah di seluruh Indonesia. Sulitnya pengontrolan dalam jaringan luas tersebut sering menimbulkan konflik yang sering terjadi pada portal berita Tribunnews Network. Maka diperlukannya srategi dari manajemen humas yang sesuai untuk menangani konflik yang terjadi di Tribunnews Network. Penelitian ini menggunakan metode penelitian pendeketan kualitatif dan jenis penelitian deskriptif, sedangkan pengumpulan data dilakukan dengan wawancara informal dengan informan yang dipilih dari beberapa kriteria yang sesuai dengan penelitian ini. Hasil dari penelitian ini menjelaskan tahapan strategi yang digunakan manajemen humas Tribunnews Network untuk menyelesaikan konflik internal maupun konflik eksternal.Amidst of the digital era, conflicts are prone to occur in online media, so the role of public relations management in companies is very much needed. Public relations management is used to organize all communication strategies in resolving conflicts that occur in the company. Conflict is divided into two types, internal and external conflict. Internal conflict occurs in the company environment and external conflict occurs between the company and the public. A person's freedom to access online media has the potential to cause internal and external conflict. In this discussion, the researcher refers to a case study that occurred in the online media Tribunnews Network. Tribunnews Network itself is a news portal that has a wide network in various regions throughout Indonesia. The difficulty of controlling this wide network often leads to conflicts that often occur on the Tribunnews Network news portal. So an appropriate strategy from public relations management is needed to handle conflicts that occur in the Tribunnews Network.This research uses a qualitative research approach and descriptive research type, while data collection is carried out by informal interviews with informants selected based on several criteria that are appropriate to this research. The results of this research explain the stages of strategy used by Tribunnews Network's public relations management to resolve internal and external conflicts
Mobile Apps for Vaccination Services: Content Analysis and Quality Assessment
Authors: Zhang Chenchen , Guo Xing , Zhu Rui , Hou Wenjie , Wang Lingmeng , Wang Fuzhi , Zhang Li , Luo Dan 
Published: October 2024

Background
Vaccination services are increasingly in demand by the public, and mobile apps are an effective tool to meet that demand. However, the characteristics and quality of these apps are unknown.

Objective
Commonly used vaccination service apps on the market were surveyed with regard to quality, service content, and user experience to evaluate and guide users.

Methods
The Qimai Data mobile app data analytics platform was used to search for common vaccination service apps by keyword, and the WeChat and Alipay platforms were searched for apps. The apps included in the study were independently evaluated by two reviewers using the Mobile Application Rating Scale, and the service content and user experience of the apps were analyzed. The intragroup correlation coefficient between raters was used to measure interrater reliability.

Results
In the app stores of the four major Android platforms and the iOS app store, 1092 and 207 apps were found, respectively; 189 WeChat applets and 30 Alipay applets were also found. A total of 29 apps was ultimately included in this study according to the inclusion criteria, including 21 independent apps, 4 WeChat applets, and 4 Alipay applets. Significant differences were found between independent apps and applets in terms of the quality score (t449.57=–5.301; P<.001) and the subjective quality score (z=–4.753; P<.001). No significant differences were found between iOS and Android platforms in terms of the quality score (t1404=–2.55; P=.80) and the subjective quality score (z=–0.137; P=.89). There was good intragroup consistency among the raters.

Conclusions
In this study, independent apps and nonindependent apps that rely on social and payment platforms for implementation were included in the vaccination services category. The overall quality of these apps was acceptable. Nonindependent running apps were found to have slightly lower scores and showed room for improvement, and scores for the participatory apps were found to be generally low overall.
Determinants of Dropout From a Virtual Agent–Based App for Insomnia Management in a Self-Selected Sample of Users With Insomnia Symptoms: Longitudinal Study
Authors: Sanchez Ortuño María Montserrat , Pecune Florian , Coelho Julien , Micoulaud-Franchi Jean Arthur , Salles Nathalie , Auriacombe Marc , Serre Fuschia , Levavasseur Yannick , De Sevin Etienne , Sagaspe Patricia , Philip Pierre 
Published: October 2024

Abstract

Background
Fully automated digital interventions delivered via smartphone apps have proven efficacious for a wide variety of mental health outcomes. An important aspect is that they are accessible at a low cost, thereby increasing their potential public impact and reducing disparities. However, a major challenge to their successful implementation is the phenomenon of users dropping out early.

Objective
The purpose of this study was to pinpoint the factors influencing early dropout in a sample of self-selected users of a virtual agent (VA)–based behavioral intervention for managing insomnia, named KANOPEE, which is freely available in France.

Methods
From January 2021 to December 2022, of the 9657 individuals, aged 18 years or older, who downloaded and completed the KANOPEE screening interview and had either subclinical or clinical insomnia symptoms, 4295 (44.5%) dropped out (ie, did not return to the app to continue filling in subsequent assessments). The primary outcome was a binary variable: having dropped out after completing the screening assessment (early dropout) or having completed all the treatment phases (n=551). Multivariable logistic regression analysis was used to identify predictors of dropout among a set of sociodemographic, clinical, and sleep diary variables, and users’ perceptions of the treatment program, collected during the screening interview.

Results
The users’ mean age was 47.95 (SD 15.21) years. Of those who dropped out early and those who completed the treatment, 65.1% (3153/4846) were women and 34.9% (1693/4846) were men. Younger age (adjusted odds ratio [AOR] 0.98, 95% CI 0.97‐0.99), lower education level (compared to middle school; high school: AOR 0.56, 95% CI 0.35‐0.90; bachelor’s degree: AOR 0.35, 95% CI 0.23‐0.52; master’s degree or higher: AOR 0.35, 95% CI 0.22‐0.55), poorer nocturnal sleep (sleep efficiency: AOR 0.64, 95% CI 0.42‐0.96; number of nocturnal awakenings: AOR 1.13, 95% CI 1.04‐1.23), and more severe depression symptoms (AOR 1.12, 95% CI 1.04‐1.21) were significant predictors of dropping out. When measures of perceptions of the app were included in the model, perceived benevolence and credibility of the VA decreased the odds of dropout (AOR 0.91, 95% CI 0.85‐0.97).

Conclusions
As in traditional face-to-face cognitive behavioral therapy for insomnia, the presence of significant depression symptoms plays an important role in treatment dropout. This variable represents an important target to address to increase early engagement with fully automated insomnia management programs. Furthermore, our results support the contention that a VA can provide relevant user stimulation that will eventually pay out in terms of user engagement.
Ability of Heart Rate Recovery and Gait Kinetics in a Single Wearable to Predict Frailty: Quasiexperimental Pilot Study
Authors: Merchant Reshma Aziz , Loke Bernard , Chan Yiong Huak 
Published: October 2024

Background
Aging is a risk factor for falls, frailty, and disability. The utility of wearables to screen for physical performance and frailty at the population level is an emerging research area. To date, there is a limited number of devices that can measure frailty and physical performance simultaneously.

Objective
The aim of this study is to evaluate the accuracy and validity of a continuous digital monitoring wearable device incorporating gait mechanics and heart rate recovery measurements for detecting frailty, poor physical performance, and falls risk in older adults at risk of falls.

Methods
This is a substudy of 156 community-dwelling older adults ≥60 years old with falls or near falls in the past 12 months who were recruited for a fall prevention intervention study. Of the original participants, 22 participants agreed to wear wearables on their ankles. An interview questionnaire involving demographics, cognition, frailty (FRAIL), and physical function questions as well as the Falls Risk for Older People in the Community (FROP-Com) was administered. Physical performance comprised gait speed, timed up and go (TUG), and the Short Physical Performance Battery (SPPB) test. A gait analyzer was used to measure gait mechanics and steps (FRAIL-functional: fatigue, resistance, and aerobic), and a heart rate analyzer was used to measure heart rate recovery (FRAIL-nonfunctional: weight loss and chronic illness).

Results
The participants’ mean age was 74.6 years. Of the 22 participants, 9 (41%) were robust, 10 (46%) were prefrail, and 3 (14%) were frail. In addition, 8 of 22 (36%) had at least one fall in the past year. Participants had a mean gait speed of 0.8 m/s, a mean SPPB score of 8.9, and mean TUG time of 13.8 seconds. The sensitivity, specificity, and area under the curve (AUC) for the gait analyzer against the functional domains were 1.00, 0.84, and 0.92, respectively, for SPPB (balance and gait); 0.38, 0.89, and 0.64, respectively, for FRAIL-functional; 0.45, 0.91, and 0.68, respectively, for FROP-Com; 0.60, 1.00, and 0.80, respectively, for gait speed; and 1.00, 0.94, and 0.97, respectively, for TUG. The heart rate analyzer demonstrated superior validity for the nonfunctional components of frailty, with a sensitivity of 1.00, specificity of 0.73, and AUC of 0.83.

Conclusions
Agreement between the gait and heart rate analyzers and the functional components of the FRAIL scale, gait speed, and FROP-Com was significant. In addition, there was significant agreement between the heart rate analyzer and the nonfunctional components of the FRAIL scale. The gait and heart rate analyzers could be used in a screening test for frailty and falls in community-dwelling older adults but require further improvement and validation at the population level.
Enhancing Patient Safety Through an Integrated Internet of Things Patient Care System: Large Quasi-Experimental Study on Fall Prevention
Authors: Wen Ming-Huan , Chen Po-Yin , Lin Shirling , Lien Ching-Wen , Tu Sheng-Hsiang , Chueh Ching-Yi , Wu Ying-Fang , Tan Cheng Kian Kelvin , Hsu Yeh-Liang , Bai Dorothy 
Published: October 2024

Background
The challenge of preventing in-patient falls remains one of the most critical concerns in health care.

Objective
This study aims to investigate the effect of an integrated Internet of Things (IoT) smart patient care system on fall prevention.

Methods
A quasi-experimental study design is used. The smart patient care system is an integrated IoT system combining a motion-sensing mattress for bed-exit detection, specifying different types of patient calls, integrating a health care staff scheduling system, and allowing health care staff to receive and respond to alarms via mobile devices. Unadjusted and adjusted logistic regression models were used to investigate the relationship between the use of the IoT system and bedside falls compared with a traditional patient care system.

Results
In total, 1300 patients were recruited from a medical center in Taiwan. The IoT patient care system detected an average of 13.5 potential falls per day without any false alarms, whereas the traditional system issued about 11 bed-exit alarms daily, with approximately 4 being false, effectively identifying 7 potential falls. The bedside fall incidence during hospitalization was 1.2% (n=8) in the traditional patient care system ward and 0.1% (n=1) in the smart ward. We found that the likelihood of bedside falls in wards with the IoT system was reduced by 88% (odds ratio 0.12, 95% CI 0.01-0.97; P=.047).

Conclusions
The integrated IoT smart patient care system might prevent falls by assisting health care staff with efficient and resilient responses to bed-exit detection. Future product development and research are recommended to introduce IoT into patient care systems combining bed-exit alerts to prevent inpatient falls and address challenges in patient safety.
Conceitos básicos sobre as infecções relacionadas à assistencia à saúde
Authors: Guevara Patino Armando 
Published: October 2024

As infecções relacionadas à assistência à saúde (IRAS) são infecções que se desenvolvem no paciente que é tratado em qualquer ambiente em que sejam prestados cuidados de saúde e constituem um problema de saúde pública muito importante. O objetivo deste artigo foi descrever os conceitos básicos relacionados às IRAS. Foi realizada uma revisão narrativa de artigos publicados de 2010 a 2023 nas bases de dados LILACS, SciELO e PubMed, utilizando os descritores “infecção hospitalar OR infecções nosocomiais” em inglês, português e espanhol. Além disso, foi realizada uma busca de informação em sites especializados. As IRAS são consequência de cuidados de má qualidade ou de cuidados cada vez mais avançados sem a implantação de programas de controle de infecção e segurança do paciente, sendo mais frequentes nos países em desenvolvimento. Para estudar as IRAS é importante levar em conta a tríade epidemiológica e a cadeia de infecção porque podem indicar quais fatores estão envolvidos na produção e prevenção destas infecções. A maioria das IRAS são evitáveis pela aplicação de recomendações baseadas em evidências e pacotes de medidas de prevenção. Diante do difícil desafio colocado pelo surgimento das IRAS, impõe-se uma abordagem interdisciplinar e de amplo consenso com a participação de todos os profissionais de saúde, que permita a prevenção e o controle dessas infecções por meio da educação do pessoal de saúde e a aplicação de metodologias e procedimentos operacionais para seu controle.
Educação em saúde com colaboradores de uma unidade prisional:um relato de experiência
Authors: de Andrade Anderson Luiz Rodrigues , Ferreira Antonia Jucilene da Silva , Pinheiro Leslye Fernanda Marques , Lima Nayra Maria Carvalho , Barbosa Kalliny Mirella Gonçalves 
Published: October 2024

O objetivo deste trabalho foi relatar a experiência em uma ação realizada com colaboradores de uma unidade prisional durante a Semana Interna de Prevenção de Acidentes de Trabalho. Trata-se de um estudo descritivo, do tipo relato de experiência, concernente a ação desenvolvida por estudantes do curso de enfermagem em um Conjunto Penal. Durante a ação foram utilizadas diferentes estratégias para abordar as infecções sexualmente transmissíveis, o autoexame das mamas, o exame papanicolau e prevenção de câncer de próstata. Percebeu-se que os participantes possuíam dúvidas quanto às temáticas trabalhadas, sendo o momento considerado oportuno para esclarecimentos sobre os conteúdos e compreensão dos fluxos da rede de atenção à saúde no município. Ressalta-se a importância da educação em saúde e da semana interna de prevenção de acidentes do trabalho como ferramentas fulcrais de informação e cuidado à saúde dos trabalhadores, além de representarem uma estratégia de intervenção para os discentes, contribuindo para a atuação enquanto futuro enfermeiro.
Diagnosis and Classification
Authors: Cypress Marjorie , Tomky Donna 
Published: October 2024

Preview
The prevalence of diabetes and prediabetes continues to increase at alarming rates. From 1980 to 2014, the number of individuals with diagnosed diabe tes has increased fourfold to 22 million with continued estimates of 8.1 million people with undiagnosed diabetes. Prediabetes rates also are increasing, and it is estimated that 86 million Americans ages 20 years or older have prediabetes. These problems are not limited to the U.S.
In 2014, the World Health Organization estimated that more than 422 million people worldwide had diabetes, and that number is expected to double by the year 2030. Almost 40% of the population over the age of 65 years suffers from diabetes. Diabetes is listed as the seventh leading cause of death and is linked with heart disease, hypertension, blindness, kidney disease, nervous system disease, amputations, and dental disease. Although historically type 2 diabetes (T2D) has been an adult disease, more children are being diagnosed with T2D and risk ear lier and more serious complications. As the U.S. and the world continue to see rising rates of diabetes, it stands as one of the most common diseases that nurses will encounter in their professional lives. It is essential that nurses appreciate the tremendous growth of diabetes in the population and be knowledgeable about the classification and diagnostic criteria for diabetes and prediabetes so that early and appropriate interventions can be instituted. Diagnosing diabetes or prediabetes early decreases the risks for complications and improves outcomes to lessen the burden on individuals, families, communities, and society.
Nutrition Therapy: Healthy Eating and Regular Physical Activity
Authors: Franz Marion J. , Daly Anne 
Published: October 2024

Preview
Ideally, individuals with diabetes should be referred to a registered dietitian/nutritionist (RDN) at or soon after diagnosis and for ongoing follow-up and support.1Nutrition therapy is the preferred term and should be used instead of diet or dietary management. Nutrition therapy is the treatment of a disease, in this case diabetes, or condition through the modification of nutrient or whole food intake and often is provided by a wide range of health professionals.1 Conversely, medical nutrition therapy (MNT) is defined as an evidence-based application of the nutrition care process provided by an RDN and can be covered as a Medicare benefit. Both nutrition therapy and MNT should involve nutrition assessment, nutrition diagnosis, nutrition interventions (e.g., education and counseling), and nutrition monitoring and evaluation with ongoing follow-up to support long-term lifestyle changes, evaluate outcomes, and modify interventions as needed. In addition to diabetes MNT provided by an RDN, diabetes self-management education and support are critical components of care for all people with diabetes and must include nutrition therapy as an essential core topic and self-care behavior.2 Unfortunately, national data indicate that only about half of the people with diabetes report receiving some type of diabetes education,3 and in a study of 18,404 patients with diabetes, only 9.1% had at least one nutrition visit within a 9-year period.4
Treatment Strategies for Type 1 Diabetes
Authors: Childs Belinda P. , Kruger Davida 
Published: October 2024

Preview
Type 1 diabetes (T1D) is a complex, multihormonal disease. Insulin has been the primary treatment for T1D. To successfully manage T1D, however, individuals must integrate several diabetes treatment components into their lifestyle, including management of insulin administration, food intake, and physical activity. The individual with T1D and the health-care provider must share an understanding of the disease process and available treatment strategies and collaborate in determining the best treatment choices.
Self-Management Practices: Problem Solving
Authors: Hinnen Deborah , Guthrie Richard A. 
Published: October 2024

Preview
The essence of diabetes self-management is problem solving, detecting patterns, and making proactive changes in the food plan, physical activity, or medication protocols. These are advanced skills for people with diabetes. First, the basic self-care skills for diabetes management must be mastered, including glucose monitoring, insulin injection and oral medication dosing and timing, hypoglycemia prevention and treatment, daily schedule delineation, basic meal planning, and knowing when to call the practitioner. As a component of continuous, lifelong outpatient diabetes education, all nurses working with people with diabetes should be able to teach, reinforce, and verify these daily care activities.
Acute Complications of Diabetes
Authors: Hirsch Irl B. , Childs Belinda P. 
Published: October 2024

Preview
Diabetic ketoacidosis (DKA), hyperosmolar hyperglycemic syndrome (HHS), and hypoglycemia are the most common acute complications of diabetes. To prevent significant mortality and morbidity, it is important for the health-care provider and the individual with diabetes to identify the symptoms and institute appropriate treatment promptly.
Cardiovascular Complications
Authors: McCarthy Margaret M. , Chyun Deborah A. 
Published: October 2024

Preview
Cardiovascular disease (CVD), which includes stroke, peripheral vascular disease, hypertension, angina, myocardial infarction (MI), heart failure, and sudden cardiac death, is the leading cause of death in patients with type 1 diabetes (T1D) or type 2 diabetes (T2D). Adults with diabetes have death rates from heart disease that are about two to four times higher than adults without diabetes.1 Hypertension, which is present in ∼40–60% of patients with T2D, plays a major role in the development of stroke, MI, and heart failure.
The pathophysiology of CVD in individuals with diabetes is complex, and the development of atherosclerotic coronary artery disease (CAD) involves the interaction of many factors, including hypertension, dyslipidemia, impaired endothelial function, inflammation, central adiposity, and hemostatic abnormalities involving platelet function, thrombosis, and fibrinolysis. Although the direct role of hyperglycemia remains controversial, hyperglycemia plays an important role in the development of microvascular complications that contribute to adverse outcomes, as well as to lipid and coagulation abnormalities that directly influence the development and progression of CAD. In patients with diabetes, CAD is generally more widespread, with stenosis in a greater number of vessels, along with more obstructive lesions within each vessel. Diffuse disease involving long segments or the distal aspects of the artery may be present, thereby limiting the usefulness of either percutaneous or surgical revascularization. Therefore, multiple risk factors must be controlled for successful prevention and management of CAD.