bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE RELATIONSHIP OF PATIENT SATISFACTION WITH LOYALTY OF OUTPATIENTS IN PKU MUHAMMADIYAH HOSPITAL IN DIY
Authors: Rosyidah Rosyidah , Mudayana Ahmad Ahid , Widihastuti Siti Kurnia 
Published: August 2024

Background: Service is an effort made by the employee to fulfill his customers' wishes with the services to be provided. Satisfaction is one indicator of the quality of service that we provided and patient satisfaction is a capital to get more patients and to get loyal patients. Customer loyalty is determined by the quality of service that shapes the patient's satisfaction resulting in an impact on hospital image and patient confidence. This research aims to.Â Objective: find out the relationship between service decision and customer loyalty in Muhammadiyah PKU hospital in DIYÂ Methodology: This research type included quantitative research with cross sectional approach. The study was conducted at three PKU hospitals in Yogyakarta. The number of samples in this research amounted to 300 respondents who are patients at the hospital PKU Muhammadiyah in Yogyakarta. The data analysis is used uni-variate and bivariate analysis using chi-square test.Â Result: The results showed that out of 300 respondents studied, respondents who were less satisfied with the services of PKU Muhammadiyah hospital in Yogyakarta were 193 (64.3%) and respondents who were satisfied with the service of PKU Muhammadiyah hospital in Yogyakarta were 107 (35.7%), respondents who were not loyal to the service of PKU Muhammadiyah hospital in Yogyakarta were 98 (32.7%) and respondents who were loyal to the service of PKU Muhammadiyah hospital in Yogyakarta were 202 (67.3%). The results of bivariate analysis showed that p-value Î± (0.001 <0.05), so it can be concluded that Ha was accepted and Ho was rejected which meant that there was a relationship between patient satisfaction and patient loyalty in PKU Muhammadiyah hospital in DIY.Â Conclusion:The level of satisfaction of PKU hospital patients showed that more patients are less satisfied with the higher service compared to patients who are satisfied with the Service, the level of patients who are loyal to the higher service than patients who are not loyal. There is a relationship of patient satisfaction with patient loyalty.
Analisis Penggunaan Sistem Informasi Manajemen Rumah Sakit di Rumah Sakit Umum Daerah Wonosari, Gunungkidul, Yogyakarta
Authors: Aula Ahmad Samratul , Sulistyawati Sulistyawati 
Published: August 2024

Background: Hospital Management Information System is a computer system that processes the entire flow of health services business processes, including reporting and administrative procedures to obtain information quickly, precisely, and accurately. Gunungkidul District Hospital is a type B hospital that has implemented SIMRS. The purpose of this research was to analyze SIMRS by using the Technology Acceptance Model (TAM) approach in Gunungkidul District Hospital.
Methods: This type of research was quantitative research with a cross-sectional design. In this study, the samples were 79 people consisting of staff, nurses, and doctors recruited by accidental sampling technique. An questionnaire was used as an instrument to collect the data. The analysis was done using Univariate and Bivariate.
Results: This study found a relationship between perceived ease of use with the use of SIMRS with a significant value of 0.030. Perception ease of use is the one variable that determining the use of SIMRS in Gunungkidul District Hospital.
Conclusion: The development of an information system that is friendly and easy to use by health workers will encourage the use of more effective and sustainable information systems in hospitals.
Hubungan Beban Kerja dan Disiplin Kerja dengan Kinerja Pegawai di RSUD Nyi Ageng Serang Kulon Progo
Authors: Rahmawati Baiq Dwi Zulfa , Mudayana Ahmad Ahid 
Published: August 2024

Background: Healthcare workers contribute up to 80% to the improvement of well-being. The prioritization of healthcare human resources is crucial due to Indonesia still facing challenges in terms of workforce, encompassing quantity, types, quality, and distribution. The risks borne by healthcare personnel while working do not align with their workload, resulting in their unpreparedness when carrying out assigned tasks and responsibilities. RSUD Nyi Ageng Serang Kulon Progo is one of the hospitals where employees still bear dual responsibilities due to limited available resources. The use of manual attendance lists has not yet been able to provide accurate data regarding employee discipline. The purpose of this research is to determine the relationship between workload and work discipline with employee performance at RSUD Nyi Ageng Serang Kulon Progo. Results: a Cross- Sectional research design with Chi-Square analysis. A total of 181 participants were selected as the research sample, chosen through the Stratified Random Sampling method. The instrument used is a questionnaire to measure workload, work discipline, and employee performance. Results: The research findings indicate a relationship between workload (p=0.000; OR=19.139), work discipline (p=0.000; OR=22.515), and employee performance at RSUD Nyi Ageng Serang Kulon Progo.
Conclusion: There is a relationship between workload and work discipline with employee performance at RSUD Nyi Ageng Serang Kulon Progo.
The global population stru cture of Lacticaseibacillus rhamnosus and its application to an investigation of a rare case of infective endocarditis
Authors: Santoiemma Phillip P. , Cohn Susan E. , Gatesy Samuel W. M. , Hauser Alan R. , Agrawal Saaket , Theodorou Maria E. , Bachta Kelly E. R. , Ozer Egon A. 
Published: August 2024

Background
Lacticaseibacillus (formerly Lactobacillus) rhamnosus is widely used in probiotics or food supplements to promote microbiome health and may also be part of the normal microbiota of the human gastrointestinal tract. However, it rarely also causes invasive or severe infections in patients. It has been postulated that these infections may originate from probiotics or from endogenous commensal reservoirs. In this report, we examine the population structure of Lacticaseibacillus rhamnosus and investigate the utility of using bacterial genomics to identify the source of invasive Lacticaseibacillus infections.

Methods
Core genome phylogenetic analysis was performed on 602 L. rhamnosus genome sequences from the National Center for Biotechnology public database. This information was then used along with newly generated sequences of L. rhamnosus isolates from yogurt to investigate a fatal case of L. rhamnosus endocarditis.

Results
Phylogenetic analysis demonstrated substantial genetic overlap of L. rhamnosus isolates cultured from food, probiotics, infected patients, and colonized individuals. This was applied to a patient who had both consumed yogurt and developed L. rhamnosus endocarditis to attempt to identify the source of his infection. The sequence of the isolate from the patient’s bloodstream differed at only one nucleotide position from one of the yogurt isolates. Both isolates belonged to a clade, identified here as clade YC, composed of mostly gastrointestinal isolates from healthy individuals, some of which also differed by only a single nucleotide change from the patient’s isolate.

Conclusions
As illustrated by this case, whole genome sequencing may be insufficient to reliably determine the source of invasive infections caused by L. rhamnosus.
Early and late adverse clinical outcomes of severe carbon monoxide intoxication: A cross-sectional retrospective study
Authors: Vural Abdussamed , Dolanbay Turgut 
Published: August 2024

Background
Carbon monoxide (CO) results from incomplete combustion of carbon-based materials, causing symptoms such as headaches, dizziness, nausea, chest pain, confusion, and, in severe cases, unconsciousness. Normobaric oxygen therapy (NBOT) is the standard therapy, whereas hyperbaric oxygen therapy (HBOT) is recommended in severe cases of organ damage. This study examined the early and late adverse outcomes in patients with severe CO poisoning.

Materials and methods
This study analyzed severe cases of CO poisoning among patients admitted to the emergency department between January 2020 and May 2022. The demographic, clinical, and laboratory data of symptomatic individuals and those requiring HBOT were examined. The study recorded early outcomes, such as intubation and in-hospital mortality, and late outcomes, such as delayed neurological sequelae and 1-year mortality. Chi-square tests, Spearman’s rho correlation tests, and logistic regression analyses were performed to identify factors affecting these outcomes.

Results
Patients who received HBOT showed a significant difference in delayed neurological sequelae (DNS) compared to those who received NBOT (p = 0.037). Significant differences were observed in the need for intubation, in-hospital mortality, and 1-year mortality between patients based on COHb levels, but no significant differences were found in DNS. The 1-year mortality probability was significantly influenced by COHb level (odds ratio = 1.159, 95% CI [1.056–1.273]). Patients receiving NBOT had a higher odds ratio for DNS risk than those receiving HBOT (odds ratio = 8.464, 95% [1.755–40.817], p = 0.008).

Conclusion
The study showed no differences in intubation, in-hospital mortality, and 1-year mortality rates between the HBOT and NBOT groups. However, significant differences in DNS suggest that treatment modalities have different effects on neurological outcomes. High COHb levels are associated with an increased risk of intubation, and mortality underscores the significance of monitoring COHb levels in clinical evaluations.
Improving pediatric procedural skills and EPA assessments through an acute care procedural skills curriculum
Authors: Mirza Maaz , Bilgic Elif , Gupta Ronish , Ngo Quang N. , Forward Karen 
Published: August 2024

Introduction
Acute procedural skill competence is expected by the end of pediatric residency training; however, the extent to which residents are actually competent is not clear. Therefore, a cross-sectional observational study was performed to examine the competency of pediatric residents in acute care procedures in emergency medicine.

Materials and methods
Pediatric residents underwent didactic/hands-on “Acute Procedure Day” where they performed procedures with direct supervision and received entrustable professional activity (EPA) assessments (scores from 1–5) for each attempt. Procedures included: bag-valve mask (BVM) ventilation, intubation, intraosseous (IO) line insertion, chest tube insertion, and cardiopulmonary resuscitation (CPR) with defibrillation. Demographic information, perceived comfort level, and EPA data were collected. Descriptive statistics and Pearson correlation for postgraduate year (PGY) versus EPA scores were performed.

Results
Thirty-six residents participated (24 PGY 1–2, and 12 PGY 3–4). Self-reported prior clinical exposure was lowest for chest tube placement (n = 3, 8.3%), followed by IOs (n = 19, 52.8%). During the sessions, residents showed the highest levels of first attempt proficiency with IO placement (EPA 4–5 in 28 residents/33 who participated) and BVM (EPA 4–5 in 27/33), and the lowest for chest tube placement (EPA 4–5 in 0/35), defibrillation (EPA 4–5 in 5/31 residents) and intubation (EPA 4–5 in 17/31). There was a strong correlation between PGY level and EPA score for intubation, but not for other skills.

Discussion
Entrustability in acute care skills is not achieved with current pediatrics training. Research is needed to explore learning curves for skill acquisition and their relative importance.
Financial toxicity and acute injury in the Kilimanjaro region: An application of the Three Delays Model
Authors: Frankiewicz Parker , Sawe Yvonne , Sakita Francis , Mmbaga Blandina T. , Staton Catherine , Joiner Anjni P. , Smith Emily R. 
Published: August 2024

BackgroundTrauma and injury present a significant global burden–one that is exacerbated in low- and middle-income settings like Tanzania. Our study aimed to describe the landscape of acute injury care and financial toxicity in the Kilimanjaro region by leveraging the Three Delays Model.MethodsThis cross-sectional study used an ongoing injury registry and financial questionnaires collected at Kilimanjaro Christian Medical Centre (KCMC) in Moshi, Tanzania from December 2022 until March 2023. Financial toxicity measures included catastrophic expenditure and impoverishment, in accordance with World Health Organization standards. Descriptive analysis was also performed.FindingsMost acute injury patients that presented to the KCMC Emergency Department experienced financial toxicity due to their out-of-pocket (OOP) hospital expenses (catastrophic health expenditure, CHE: 62.8%; impoverishment, IMP: 85.9%). Households within our same which experienced financial toxicity had more dependents (CHE: 18.4%; IMP: 17.9% with ≥6 dependents) and lower median monthly adult-equivalent incomes (CHE: 2.53 times smaller than non-CHE; IMP: 4.27 times smaller than non-IMP). Individuals experiencing financial toxicity also underwent more facility transfers with a higher surgical burden.InterpretationDelay 1 (decision to seek care) and Delay 2 (reaching appropriate care facility) could be significant factors for those who will experience financial toxicity. In the Tanzanian healthcare system where national health insurance is present, systematic expansions are indicated to target those who are at higher risk for financial toxicity including those who live in rural areas, experience unemployment, and have many dependents.
PENGEMBANGAN APLIKASI KLIK ME! SEBAGAI MEDIA LAYANAN KONSELING RAMAH DISABILITAS DI ERA SOCIETY 5.0
Authors: Sari Fera Puspito 
Published: August 2024

Along with digital transformation in the era of society 5.0, counseling services can be carried out indirectly through the internet network and using a communication medium called cyber counseling. The development of digital counseling service applications is expected to be the right innovation to create inclusive e-counseling services. This study uses the Research and Development (RnD) method with the ADDIE model (Analysis, Design, Development, Implementation and Evaluation). But, this research conducted only reached the development stage. Data collection techniques using observation, interviews, and questionnaires. The results of this study indicate that the Klik Me! Application the counselee contains dashboard menus, assessment lists, consultation schedules, live chat and announcements. The results of the feasibility assessment of media experts were 86.7%, material experts 92.5%, non-disabled counselees 83% and 89% disabled counselees, this shows that the application Klik Me! very worthy to use. Click Me App! It is also considered as disability-friendly media that is accessible for blind and deaf people.

Keywords: disability friendly, Klik Me! application, media counseling
The Formation of Ethnically Distinct Villages in Jember during the Colonial Period (1870-1942)
Authors: Widuatie Ratna Endang , Winarni Retno 
Published: August 2024

The development of the plantation economy in Jember at the end of the 19th century required a large workforce, something that could not be met by the local population. The colonial government responded by bringing in workers from western East Java, the Vorstenlanden, and Madura Island. These migrants eventually settled in Jember and became pioneers for subsequent waves of migration until the Second World War. The entry of Javanese and Madurese people into Jember shaped the physical characteristics of settlements that have survived to this day. The settlement arrangements made by the colonial government were based on ecological and cultural considerations of migrants, and plantation-oriented resulted in a unique pattern of segregation. After Indonesia's independence, villages in Jember became more fluid in terms of demographic composition, however, the physical and cultural characteristics that indicate a village has Javanese or Madurese cultural roots are still clearly visible. This article describes the process of the formation of villages in Jember with a comparison of “Javanese villages” and “Madurese villages” to find out how far the colonial government's intervention influenced the formation of villages, and how the villagers concerned maintain their cultural identity as migrant newcomers.
Inya: Wet Nurse and Succesful Regeneration of the Mataram Islamic Court Authorities in the Past
Authors: Sumarno Sumarno , Fibiona Indra , Lestari Siska Nurazizah 
Published: August 2024

The fame of Islamic Mataram, a kingdom that encompassed Java and its surroundings, is reflected in its strong Javanese culture. Since the Mataram era, Javanese culture has been an important part of Javanese life. One of the main characteristics of the culture that is inherent in the lives of Javanese people is Inya. Inya is the term for the nurse or mother of the king's baby who is considered a symbol of the fame of the Islamic Mataram kingdom. This study discusses the ins and outs of Inya and its contribution to the regeneration of the rulers of the Islamic Mataram palace. The method used in this study is the Historical method. Data search focused on literature studies related to the empowerment of Inya in the past. The results of this study indicate that Inya has a very important role in the regeneration of the rulers of the Islamic Mataram palace. Inya has the task of raising and caring for the king's baby. Inya also has an obligation to educate and train the king's baby according to the procedures and customs of the Islamic Mataram community.
FENOMENA AUDIT DELAY: FINANCIAL DISTRESS PASCA COVID-19
Authors: Mardjono Enny Susilowati , Astutie Yanti Puji 
Published: August 2024

This study aims to examine the impact of financial distress on audit delay pre-COVID-19 period and firm size, profitability and reputation of audit firms as control variables. The population used in this study are manufacturing companies in the Indonesia Stock Exchange 2018-2020 with a total sample of 189 samples. Sampling is based on a purposive sampling method with certain criteria. Panel data regression analysis is used in the study. The results showed that Audit delay increased in the pre-COVID-19 period than in Post COVID-19 period. The Finacial distress has a significant positive effect on audit delay in the pre-COVID-19 period. Meanwhile, all control variables such as type of audit firms, profitability and reputation of audit firms have negative effects on audit delay pre-COVID-19 period.
Chameleon: Foundation Models for Fairness-Aware Multi-Modal Data Augmentation to Enhance Coverage of Minorities
Authors: Erfanian Mahdi , Jagadish H. V. , Asudeh Abolfazl 
Published: August 2024

Potential harms from the under-representation of minorities in data, particularly in multi-modal settings, is a well-recognized concern. While there has been extensive effort in detecting such under-representation, resolution has remained a challenge.With recent generative AI advancements, large language and foundation models have emerged as versatile tools across various domains. In this paper, we propose Chameleon, a system that efficiently utilizes these tools to augment a dataset with minimal addition of synthetically generated tuples to enhance the coverage of the under-represented groups. Our system applies quality and outlier-detection tests to ensure the quality and semantic integrity of the generated tuples. In order to minimize the rejection chance of the generated tuples, we propose multiple strategies to provide a guide for the foundation model. Our experiment results, in addition to confirming the efficiency of our proposed algorithms, illustrate our approach's effectiveness, as the model's unfairness in a downstream task significantly dropped after data repair using Chameleon.
Estimation model of wild fractional vegetation cover based on RGB vegetation index and its application
Authors: Dai Shaojun , Zhou Jian , Ning Xianping , Xu Jianxin , Wang Hua 
Published: August 2024

Abstract
An accurate survey of field vegetation information facilitates the evaluation of ecosystems and the improvement of remote sensing models. Extracting fractional vegetation cover (FVC) information using aerial images is one of the important areas of unmanned aerial vehicles. However, for a field with diverse vegetation species and a complex surface environment, FVC estimation still has difficulty guaranteeing accuracy. A segmented FVC calculation method based on a thresholding algorithm is proposed to improve the accuracy and speed of FVC estimation. The FVC estimation models were analyzed by randomly selected sample images using four vegetation indices: excess green, excess green minus excess red index, green leaf index, and red green blue vegetation index (RGBVI). The results showed that the empirical model method performed poorly (validating R
2 = 0.655 to 0.768). The isodata and triangle thresholding algorithms were introduced for vegetation segmentation, and their accuracy was analyzed. The results showed that the correlation between FVC estimation under RGBVI was the highest, and the triangle and isodata thresholding algorithms were complementary in terms of vegetation recognition accuracy, based on which a segmentation method of FVC calculation combining triangle and isodata algorithms was proposed. After testing, the accuracy of the improved FVC calculation method is higher than 90%, and the vegetation recognition accuracy is improved to more than 80%. This study is a positive guide to using digital cameras in field surveys.
Application of remote sensing in monitoring land degradation: A case study of Stanari municipality (Bosnia and Herzegovina)
Authors: Sabljić Luka , Lukić Tin , Bajić Davorin , Marković Slobodan B. , Delić Dragica 
Published: August 2024

Abstract
The subject of the research represents the application of remote sensing in monitoring land degradation in the municipality of Stanari in Bosnia and Herzegovina (B&H). The aim of the study is to identify spatial changes during the research period (2017–2023) by processing remote sensing “products.” Within the changes in land use, the focus is placed on alterations resulting from surface mineral resource mining activities. The total approved exploitation area amounts to 3841.08 ha, covering almost a quarter of the municipality (23.89%). Monitoring changes in land use was conducted through the processing of Sentinel-2 images using supervised classification (SC). The classification results were compared with the Dynamic World (DW) dataset. Results indicate significant losses in forested areas, reduced by −7.23% (DW) or −2.43% (SC) at the municipal level and −11.48% (DW) or −5.90% (SC) within the exploitation area. Spatial extents of deforestation were identified and analyzed based on processing the Hansen Global Forest Data Change dataset. The deforestation area, caused by mining activity in B&H over the research period (2001–2021), amounts to 977.94 ha, with 264.25 ha (27.02%) within the Stanari municipality. Over 90% of the cleared forest area is within the exploitation area. High erosion coefficient values (Z) were recorded within the approved exploitation area, coinciding with the spatial coverage of deforestation. Additionally, results obtained using an empirical method for studying mechanical water erosion (W
y) indicate a high intensity within the exploitation area. For the approved exploitation area, possibilities for the restoration of degraded land were analyzed, including an overview of activities conducted so far and mapping some of the previously reclaimed areas. The research contributes to a better understanding of spatial changes resulting from mining activities, and the presented data are significant for numerous practical issues, such as sustainable land use planning, spatial planning, protection of forest ecosystems, and the environment.