bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH KUALITAS PELAYANAN DAN HARGA TERHADAP KEPUASAN PASIEN PADA KELAS VIP, 1, 2, DAN 3 (STUDI PADA RSU PKU MUHAMMADIYAH GAMPING YOGYAKARTA)
Authors: Kurniawan Virdy , Susanto Susanto 
Published: March 2024

This thesis examines the influence of service quality and price to patient satisfaction at the class VIP, 1, 2, and 3 in RSU PKU Muhammadiyah Unit 2 Gamping Yogyakarta. The issues examined are: there is influence of service quality and price to patient satisfaction simultaneously at class VIP, 1, 2 and class 3 in RSU PKU Muhammadiyah Unit 2 Gamping, there is influence of service quality dimensions to patient satisfaction individually at class VIP, 1, 2 and class 3 in RSU PKU Muhammadiyah Unit 2 Gamping, and there is influence of service prices on patient satisfaction individually at class VIP, 1, 2 and VIP 3 in RSU PKU Muhammadiyah Unit 2 Gamping.
This research is quantitative with the cross sectional study such as data collected only once. Data collected using questionnaires. Questionnaires carried out on 160 RSU PKU Muhammadiyah Unit 2 Gamping patients who are derived from the class VIP, class 1, 2, and class 3. Respondents determined by using convenience sampling who have stayed at PU Muhammadiyah Hospital Unit 2 Gamping at least 1 day.
From the study, it is found that there is significant effect of service quality and price simultaneously on patient satisfaction at class VIP, 1, 2 and 3 in RSU PKU Muhammadiyah Unit 2 Gamping. It is known from the results of the F test which is getting significant results for all classes at µ (0,05). This means that hypothesis 1 proved (There is the influence of service quality and cost simultaneously on patient satisfaction at class VIP, 1, 2 and 3 in RSU PKU Muhammadiyah Unit 2 Gamping). There is significant influence of dimensions of service quality individually to patient satisfaction at class VIP, 1 , 2 and 3 in RSU PKU Muhammadiyah Unit 2 Gamping. It is known from the results of the F test which is getting significant results for all classes at µ (0,05). This means that hypothesis 2 proved (There is the influence of the dimensions of service quality individually on patient satisfaction at class VIP, 1, 2 and 3 in RSU PKU Muhammadiyah Unit 2 Gamping). In this case dimension that has a significant influence on the VIP is tangibles dimension, responsiveness and empathy (the most dominant is empathy). Dimensions that have a significant influence on the class 1 is responsiveness dimension and empathy (the most dominant is empathy). Dimensions that have a significant influence on the class 2 is all dimensions (the most dominant is reliability). Dimensions that have a significant influence on the class 3 is assurance dimension (the most dominant is assurance).
There is significant influence of price to patient satisfaction individually at class VIP, 2 and 3 in RSU PKU Muhammadiyah Unit 2 Gamping, except in patients class 1. It is known from the t test at µ (0,05).
ANALISIS BUDAYA KESELAMATAN PASIEN DI RSU PKU MUHAMMADIYAH, BANTUL
Authors: Wijaya Aris Suparman , Dewi Arlina , Dwita Della Mawros 
Published: March 2024

Background: Patient safety culture in PKU Muhammadiyah Hospital of Bantul based on Putri (2010) in the category of enough. Though PKU Muhammadiyah Hospital of Bantul is a Class C has an obligation to implement the Patient Safety throughout the service area.
Method: This study used a mixed methods research approach is a quantitative method using cross sectional and qualitative methods with case study approach with a descriptive research design. Research subjects are nurses who deal directly with patients. A total of 61 people. Measurement of patient safety culture using a questionnaire from the AHRQ (Agency for Healthcare Research and Quality) in 2004 entitled HSOPSC (Hospital Survey on Patient Safety Culture). The questionnaire consisted of 12 questions dimensions with 42 items and is equipped with the interview data and report patient safety incidents from Patient Safety Team PKU Muhammadiyah Hospital, Bantul.
Results and Discussion: Patient Safety Culture at PKU Muhammadiyah Hospital of Bantul in the category of enough with a mean and median of 73.9. Still found gaps between the patient safety incident reporting patient safety teams and real in the field. As well as barriers to implementation of patient safety in PKU Muhammadiyah Hospital of Bantul is still not optimal support came from management, not optimal team performance because the work load and the persistence of blaming culture in the unit.
ANALISIS EKSTERNAL DALAM UPAYA PENGEMBANGAN MUTU PELAYANAN RAWAT INAP DI RSUD PANEMBAHAN SENOPATI BANTUL
Authors: Sari Fitra , Susanto Susanto 
Published: March 2024

Background: Panembahan Senopati Hospital in Bantul as one government hospital in order to survive and be able to compete with other centers must be able to develop it self according with quality demand. Effort to the win that competition can be done by improving service quality and providing services properly as expected by the customerThere for, Panembahan Senopati hospital need to have a quality plan by identifying their customer need to improve the quality services. Based on customer needidentification process, service quality development stretegies can be arranged.
Objectives: To know the gap between expectation and reality external customer for the quality of care in Panembahan Senopati Bantul Hospital, knowing the gap between expectation and reality of customer as an ingredient in developing a strategy of development of quality service in Panembahan Senopati Hospital.
Methods: The research is quantitative research with cross sectional design. The study was conducted on November 2013 in Panembahan Senopati Bantul Hospital. The sampel Obtained was 100 people. The sampling design is random sampling. The data analysis with defferent test average in pairs (t-test).
Result: The result showed that there are significant gaps between the average expectation and reality (p<0,05). The significant gap score on Class II there are dimension Emphaty of nurse with gap=0,010. Class III and VVIP there is gap significant in communication dimension with gap=0,049 andgap 0,011 and assurance dimension with gap= 0,001 on Class III. The significant gap score on Classn1there are dimension tangible with gap 0,016. While the other dimension are not gap significant.
Conclusion: Quality of service in Panembahan Senopati Hospital for VVIP still does not meet customer expectations, then quality of service in Panembahan Senopati Hospital for class II and III still does meet customer expectation.
PELAKSANAAN IDENTIFIKASI PASIEN BERDASARKAN STANDAR AKREDITASI JCI GUNA MENINGKATKAN PROGRM PATIENT SAFETY DI RS PKU MUHAMMADIYAH YOGYAKARTA UNIT II
Authors: Lestari Sri , 'Aini Qurratul 
Published: March 2024

Penelitian ini mengungkap identifikasi pasien yang merupakan salah satu bagian penting dari keselamatan pasien. Akreditasi RS beralih dan berorientasi pada paradigma baru dimana penilaian akreditasi didasarkan pada pelayanan berfokus pada pasien. Keselamatan pasien menjadi indikator standar utama penilaian akreditasi baru yang dikenal dengan Akreditasi RS versi 2012. 1
Rancangan penelitian menggunakan eksperimen dengan one group pretest postest design dengan pretest, intervensi, dan postest. Metode penentuan sampel secara accidental, meliputi pasien rawat inap, perawat, bidan dan penunjang medis, melalui kuesioner, wawancara, pengamatan dan FGD. Hasil dianalisis secara statistik deskriptif dan deskriptif kualitatif.
Hasil penelitian menunjukkan bahwa identifikasi pasien belum dilakukan dengan baik, sesuai hasil kuesioner dan pengamatan masih ditemukan pasien rawat inap yang belum menggunakan gelang identitas, 100% petugas belum memberikan edukasi tentang manfaat penggunaan gelang identitas pasien, dan 85% petugas belum melaksanakan identifikasi secara benar. Pelaksanaan identifikasi berdasar nama dan nomor kamar pasien. Walaupun sosialisasi, ronde patient safety, pemasangan poster identifikasi pasien telah di lakukan dan semua dokumen tentang identifikasi pasien telah lengkap.
Kesimpulanya pelaksanaan identifikasi di RS PKU Muhmmadiyah Yogyakarta belum berjalan sesuai standar. Saran yang disampaikan peneliti diantaranya ialah untuk memperbesar dukungan pihak managemen terutama dalam pemenuhan SDM, perubahan kebiasaan yang mendukung program patient safety oleh petugas.
Uncovering Engagement Profiles of Young Learners in K–8 Education through Learning Analytics
Authors: Er Erkan , Silik Safak , Cansiz Sergen 
Published: March 2024

E-learning platforms have become increasingly popular in K–8 education to promote student learning and enhance classroom teaching. Student interactions with these platforms produce trace data, which are digital records of learning processes. Although trace data have been effective in identifying learners’ engagement profiles in higher education and lifelong learning (e.g., MOOCs), similar research on young learners has been very scarce. This study makes a timely and novel contribution to the field by identifying emerging profiles of young students from Grades 1 to 8 based on their engagement in an e-learning platform. The k-means cluster analysis yielded seven distinct profiles in total. While the dominance of profiles differed across grade levels, some profiles were not even present at specific grades, indicating the changing engagement behaviours of young learners in different years. In addition, all emerging profiles suggest students tended to focus on specific components of the platform, thus lacking balanced engagement with all resources. In particular, while primary school students showed relatively higher interest in game-based learning, middle school students focused more on exams than their counterparts. The findings yielded seven specific considerations for the design of effective e-learning platforms.
Islamic Work Ethics in Thwarting Knowledge-Hiding Behavior among Organization Members
Authors: Abdillah Muhammad Rasyid , Anita Rizqa , Rahmat Adi , Zulhendra Zulhendra , Oemar Fahmi 
Published: March 2024

<p>Knowledge-hiding (KH) behavior is of particular concern in organizational and management studies because it can reduce the flow of knowledge and information in organizations. Thus, mechanisms that can minimize this behavior need to be identified, especially from an Islamic perspective. This study seeks to explain how Islamic work ethics may decrease or thwart employees from performing KH. In particular, the current study tries to explain the dual mediation mechanism that underlies this relationship, namely organizational citizenship behavior (OCB) and organizational commitment (OC). In order to verify the hypotheses, this study collected data from employees who work at Islamic banks in Pekanbaru City, Riau, Indonesia. Partial Least Square-Structural Equation Modeling (PLS-SEM) analysis was employed to verify the hypotheses proposed in the current study. This study revealed that Islamic work ethics can potentially limit or thwart workers from successfully performing their KH. Furthermore, this study found that organizational commitment and OCB mediate the mechanisms underlying the relationship.</p>
Development of Electronics Student Worksheet with Flip PDF Professional Based on Scientific Approach to Biodiversity Materials
Authors: Pangastuti Adha Ingga , Yustina Yustina , Daryanes Febblina 
Published: March 2024

This study aims to produce an electronic student worksheet (E-LKPD) with Flip PDF Professional Based on a Scientific Approach to Biodiversity Material. The research was carried out at the Biology Education Study Program FKIP UNRI and at Pekanbaru Public High School for students at Pekanbaru Public High School from July to September 2022. This type of research is research and development using the ADDIE and this research is limited to the development stage only. The instruments used were validation sheets and student response questionnaires with a likert scale. The results of this study indicate that the results of validation by the validator are in the very valid category with an average score of all aspects of 3.65. The results of the first phase trial obtained an average score of 3.61 and the results of the second phase trial obtained an average score of 3.58 in the very good category. Based on the research results of the E-LKPD with Flip PDF Professional based on a Scientific Approach on biodiversity material, it shows that the E-LKPD that has been developed is included in the very valid category
The Influence of the 1988 and 2003 IOM Future of Public Health Reports on the CDC
Authors: Baker Edward L. 
Published: March 2024

The landmark 1988 Institute of Medicine report The Future of Public Health served the public health community well by pointing to what needed to be done, fostering a sense of urgency, and offering concrete directions to be pursued. In this article, the impact of the 1988 report, and of the subsequent 2003 report on the Centers for Disease Control and Prevention (CDC), is considered by tracing the course of the ideas that influenced the consciousness of the public health community and subsequently catalyzed concrete action. Among these ideas was that “public health is in disarray.” This assessment led to an awareness that something needed to be done. Further, by stating that the public health enterprise had 3 core functions (assessment, policy development, and assurance), the 1988 report set in motion policy development to address the “disarray.” At a more fundamental level, both reports championed the need for governmental public health (particularly at the CDC) to take action to strengthen the capacity of local and state public health agencies to address a growing range of public health threats and emergencies. ( Am J Public Health. 2024;114(5):489–494. https://doi.org/10.2105/AJPH.2024.307598 )
Hexapod Frame Correction of Proximal Tibial Recurvatum Caused Indirectly by a Femoral Aneurysmal Bone Cyst in an Adolescent
Authors: Galán-Olleros María , Miranda-Gorozarri Carlos , Rey-Cañas Roberto , Alonso-Hernández Javier , Azorín-Cuadrillero Daniel , Palazón-Quevedo Ángel 
Published: March 2024

Case:
A 16-year-old boy presented with a recurrent distal femur aneurysmal bone cyst accompanied by a combined sagittal knee deformity (20° of femoral antecurvatum and 26.8° of tibial recurvatum) and limb shortening. After preoperative planning, the treatment involved new intralesional curettage, phenolization, and bone allograft filling. Additional procedures included distal extension femoral osteotomy with plate fixation, and proximal tibial osteotomy with, gradually corrected through a hexapod frame. At 2-year follow-up, lower limbs exhibited normoalignment and equal length.

Conclusion:
Complex knee deformities may occur with tumoral lesions around the knee but can be effectively addressed through double osteotomy and application of a hexapod frame.
True or false? Linguistic and demographic factors influence veracity judgment of COVID-19 rumors
Authors: Fu Cun , Zhang Jinru , Kang Xin 
Published: March 2024

Abstract
Rumors about COVID-19 have been prevalent around the world during the pandemic. Using a veracity judgment task, the present study investigates whether young adults (N = 112) demonstrated measurable differences in processing COVID-19 rumors during the pandemic. They were instructed to read a statement related to COVID-19 and then to evaluate whether it was true or false. We examine the influence of the content characteristics of the statement and the demographic variables on the reading times, the accuracy rates, and the response times of the veracity judgment. We found that the reading times of rumors were only influenced by the length of rumors. Participants spent more time reading a rumor when it was longer. The length of rumors also influenced the accuracy rates of the veracity judgment. Participants were less accurate when the rumor was longer. Furthermore, we found that participants were faster at correctly rejecting false rumors than at accepting true rumors. Importantly, we found a significant effect of family socioeconomic status (SES) on the accuracy rates for which participants from families with higher SES had higher accuracy rates of veracity judgment. Our results demonstrated that both content characteristics (i.e., length) and demographic variables (i.e., family SES) influenced the veracity judgment of COVID-19 rumors.
Aggregating the response in time series lag models using Quad weight kernel: Impact of Environmental Factors on Schizophrenia Admissions
Authors: Thomas Jobin , Parameswaran Murali 
Published: March 2024

Abstract
There has been a growing apprehension in the past few years concerning the issue of pollution and climate change. Several articles have shown the impact of air pollutants and atmosphere factors like temperature and relative humidity on health. This encompasses a deterioration in cognitive function and a heightened susceptibility to neurological diseases like Schizophrenia. This work constructed a new dataset for hospital admissions of schizophrenia patients and daily environmental values from various locations in Bangalore City, India. The Number of Admissions(NoA) to hospitals is used as a proxy for the incidence of schizophrenia emergence. In this kind of time series data where a response has a delayed impact on dependent variables, distributed lag models(DLM) are applicable. The newly created data is used to analyze the impact of pollution and climate factors on hospital admissions in Bengaluru, India. We have compared the applicability of the aggregated response technique using the Distributed lag non-linear Model(ARDLNM) in comparison with existing techniques, the Distributed lag non-linear Model and the Non-linear Auto regressive Distributed Lag Model(NARDL). ARDLNM using the Epanechnikov kernel showed improved performance over DLNM by 25%, 15%, 17% and 72% for performance metrics MSE, MAE, MAPE and R2 respectively. Within aggregation methods, we have introduced a quad-weight kernel that further improved performance over the Epanechnikov kernel by 17% in terms of MSE.
Characterization of vector elements and soluble expression of PCV3 cap protein in Kluyveromyces marxianus
Authors: Li Jiamei , Zheng Yueting , Yang Xuechen , Xu Mingyue , Yin Wenjing , Yang Guoyu , Zhang Wei 
Published: March 2024

Abstract

Due to thermotolerance and rapid growth yeast Kluyveromyces marxianus(K.marxianus) is emerging as a new platform organism for production of recombinant proteins. We constructed an expression vector to express exogenous proteins. Firstly, qPCR was used to validate the expression efficiency of endogenous promoters. Selecting PDC1 as the promoter to initiate the expression of EGFP for validation, the vector could successfully express foreign proteins. With Hygromycin in the medium the vector can accumulate in the cell. Further construction the cap of porcine circovirus type 3(PCV3) was carried out on the vector, and soluble PCV3 cap protein was obtained. Under electron microscopy, PCV3 cap formed viral like particles(VLP).This study successfully constructed the expression vector and elements of K.marxianus, which can further promote the research on the expression of exogenous proteins in K.marxianus. The soluble expression of PCV3 cap and formed VLP structure laid the foundation for further developing PCV3 vaccines.
Time to Intubate Utilizing Traditional Learning Versus Airway App with Augmented Reality
Authors: Gutierrez Mary Rachel , Skelton Caroline , Smiley-Naughton Cathy 
Published: March 2024

Abstract

Background: Endotracheal intubation is a fundamental skill for anesthesia providers and any healthcare provider tasked with securing the airway. Despite the clinical significance, this skill continues to be a challenging procedure for novice Student Registered Nurse Anesthetists (SRNAs) to master. Current training modalities fail to account for the dynamic changes experienced in live patients. The purpose of this project is to evaluate whether Augmented Reality (AR) airway applications reduce the time to endotracheal intubation in novice learners.
Methods: Research methods include searching databases, such as PubMed, Web of Science, and CINAHL, and narrowing results with keywords, inclusion, and exclusion criteria. The study design used in this research project can be classified as an evidence-based intervention or quality improvement initiative. The population of this study included first-year Student Registered Nurse Anesthetists (SRNA) and Emory University. The researchers analyzed time to intubation before and after augmented reality (AR) interactive education on the Airway Ex app.
Results: The median time Pre-AR was 14.22 seconds and Post-AR was 13.55 seconds. The Wilcoxon Signed Ranked Test with a two-tailed significance value of 0.394 indicates that these results are not statistically significant. The surveys demonstrated improved confidence in DL skills post AR, better understanding of patient airway anatomy, enhanced learning experience, and most participants reported ease of use of AR as an education modality.
Conclusions:This study highlights the potential of utilizing AR in the training of novice SRNAs. There is a need for additional research with a larger sample size to establish statistical significance and further evaluate this novel training modality.
Case report: Response to immunotherapy and Association with FH gene in Hereditary Leiomyomatosis and Renal Cell Cancer Associated Renal Cell Carcinoma
Authors: Gao Fangfang , Gu Dejian , Zhang He , Shi Chao , Du Feng , Zheng Bo , Wu Huijuan , Zhao Yanqiu 
Published: March 2024

Abstract

Hereditary leiomyomatosis and renal cell cancer (HLRCC) was a rare autosomal dominant syndrome caused by germline mutation in the fumarate hydratase (FH) gene; it manifestsas cutaneous leiomyomas, uterine fibroids, and renal cell cancer (RCC). Patients with HLRCC-associated RCC (HLRCC-RCC) had aggressive clinical courses, but there was no standardized therapy for advanced HLRCC-RCC. In this study, we described an aggressive HLRCC in a 33-year-old female who exhibited a novel heterozygous germline insertion mutation in exon 8 of the FH gene (c.1126C>T; p.Q376*). The patient underwent laparoscopic resection of the right kidney, but metastases appeared within 3 months postoperatively. Histological staining of the resected tumor showed high expression levels of programmed cell death-ligand 1 (PD-L1). Therefore, the patient was treated with immunotherapy. The patient achieved partial response in immunotherapy and metastatic lesions had continued to benefit until now. A review of the literature identified 76 previously reported cases of HLRCC-related RCC in immunotherapy and 46 patients were enrolled in this study to analysis the correlation of FH gene and efficacy of immunotherapy. Our results indicated that the different mutations of FH germline gene were not affect efficacy of immunotherapy and immunotherapy could significantly improve the OS of HLRCC patients. Therefore, our study suggested that immunotherapy treatment was an effective therapeutic option for patients with HLRCC regardless of what form of FH germline mutation.