bluuebunny/crossref_metadata_2025_split huggingface dataset:
A millennium of arable land use – the long-term impact of tillage and water erosion on landscape-scale carbon dynamics
Authors: Öttl Lena Katharina , Wilken Florian , Juřicová Anna , Batista Pedro V. G. , Fiener Peter 
Published: April 2024

Abstract. In the last decades, soils and their agricultural management have received great scientific and political attention due to their potential to act as a sink of atmospheric carbon dioxide (CO2). Agricultural management has strong potential to accelerate soil redistribution, and, therefore, it is questioned if soil redistribution processes affect this potential CO2 sink function. Most studies analysing the effect of soil redistribution upon soil organic carbon (SOC) dynamics focus on water erosion and analyse only relatively small catchments and relatively short time spans of several years to decades. The aim of this study is to widen this perspective by including tillage erosion as another important driver of soil redistribution and by performing a model-based analysis in a 200 km2 sized arable region of northeastern Germany for the period since the conversion from forest to arable land (approx. 1000 years ago). The spatially explicit soil redistribution and carbon (C) turnover model SPEROS-C was applied to simulate lateral soil and SOC redistribution and SOC turnover. The model parameterisation uncertainty was estimated by simulating different realisations of the development of agricultural management over the past millennium. The results indicate that, in young moraine areas, which are relatively dry but have been intensively used for agriculture for centuries, SOC patterns and dynamics are substantially affected by tillage-induced soil redistribution processes. To understand the landscape-scale effect of these redistribution processes on SOC dynamics, it is essential to account for long-term changes following land conversion as typical soil-erosion-induced processes, e.g. dynamic replacement, only take place after former forest soils reach a new equilibrium following conversion. Overall, it was estimated that, after 1000 years of arable land use, SOC redistribution by tillage and water results in a current-day landscape-scale C sink of up to 0.66 ‰ yr−1 of the current SOC stocks.
Un plan protocolizado de rehabilitación domiciliaria tuvo mejores resultados que el tratamiento habitual en pacientes operados de prótesis total de rodilla: cohorte prospectiva
Authors: Battellini Yulian , Mattar Cintia , Ramírez Fernando , Banchero Santiago , Chinni Florencia , Guisoli Constanza , Lemarchand Camila , Verzeniassi Belén , Coria Paula , Páez Pablo , Palmaz Laureano , Peralta Ángeles , Spinelli María , Midley Alejandro , Terrasa Sergio 
Published: April 2024

Objetivo: comparar los resultados funcionales y de calidad de vida, y algunos indicadores de calidad y satisfacción, entre dos estrategias de cuidados posoperatorios de prótesis total de rodilla: 1) Cuidados protocolizados brindados por la Unidad de Rehabilitación del Hospital Italiano (URED) para pacientes que residen en CABA; 2) Cuidados habituales brindados por el sistema tercerizado de rehabilitación kinésica.
Materiales y métodos: cohorte prospectiva de pacientes que fueron sometidos a una cirugía de reemplazo articular de la rodilla en el Hospital Italiano. Fueron evaluados mediante cuestionarios de funcionalidad y calidad de vida percibida, y goniometría, a los 45 días, por kinesiólogos entrenados. Resultados: se incluyeron 81 pacientes en el grupo de cuidados protocolizados y 28 en el de cuidados habituales. Se observaron diferencias estadísticamente significativas en todas las variables evaluadas y destacamos la relevancia clínica de que solamente el 2,43% de los pacientes atendidos en la URED continuaban usando andador a los 45 días frente al 35,71% de los que habían sido atendidos con los cuidados habituales (p = 0,004), así como la menor proporción de pacientes con déficit de flexión (2,47% vs. 46%, respectivamente; p < 0,001) y de extensión (18,52 vs. 75%; p < 0,001) en el mismo lapso, requisitos que son importantes para lograr una marcha funcional.
Conclusión: un programa de rehabilitación domiciliaria protocolizada y supervisada por kinesiólogos entrenados mostró ser eficaz para una progresión más rápida hacia una marcha independiente con un menor riesgo de déficit de flexión o de extensión a los 45 días.
Towards Seamless Air Travel: Developing a Next-Generation Flight Booking Assistant
Authors: Manasa S A  
Published: April 2024

In the dynamic landscape of flight booking, passengers seek an optimal and streamlined experience encompassing factors such as flight duration, onboard services, and pricing. This paper introduces developing a Next-Generation Flight Booking Assistant, leveraging Meta’s LLAMA 2, a transformer-based auto-regressive causal language model. Our approach not only provides a comprehensive solution to the traditional challenges of flight booking but introduces several novel features. We fine-tune the LLAMA 2 model using the Low-Rank Adaptation (LoRA) technique, enabling efficient handling of user queries. Furthermore, we introduce a destination recommendation model based on travel history, employing the Retrieval-Augmented Generator (RAG) for data retrieval on booking and pricing information. The Next-Generation Flight Booking Assistant incorporates distinctive features, including real-time interpretation of social media sentiment to grasp user preferences, seam- less handling of multiple languages, and the provision of post-booking recommendations for top places to visit. These distinguishing aspects set our assistant apart by actively adapting to the evolving needs of users. To justify the significance of our solution, we present comprehensive performance statistics derived from user testing and feedback collection. The evaluation underscores the assistant’s proficiency in understanding user preferences, navigating through available options, and efficiently completing the booking process. The results demonstrate not only the effectiveness but also the user satisfaction with the introduced features, solidifying the Next-Generation Flight Booking Assistant as a cutting-edge and user-centric solution in the realm of digital flight assistance.
Sobre a formação lexicográfica de professores(as) de Língua Portuguesa do estado do Rio Grande do Sul: considerações a partir de um evento de formação docente
Authors: Rodrigues Bruna Colares , Carnin Anderson 
Published: April 2024

O uso de recursos dicionarísticos no ensino de Língua Portuguesa, na maioria das vezes, acontece de forma inadequada, de modo que o aproveitamento de seu potencial pedagógico é significativamente prejudicado. Nesse sentido, tem se observado que a formação lexicográfica de professores(as) – inicial ou continuada – pode ser uma alternativa apropriada para a mitigação dessa problemática. O presente artigo, na esteira dessa questão, objetiva analisar a concepção de trabalho com dicionários em sala de aula apreendido a partir de comentários produzidos por professores(as) da rede estadual de educação do Rio Grande do Sul em evento online de formação continuada, com foco no trabalho com o gênero verbete de dicionário, e refletir sobre aspectos da formação docente lexicográfica apreendidos durante a interação professores(as) formadores(as) e professores(as) em formação. Trata-se de pesquisa empírica, na interface entre Lexicografia Pedagógica e Linguística Aplicada, de abordagem qualitativa e metodologia interpretativista. O corpus da pesquisa advém de registros de 22 comentários produzidos por professores(as) de Língua Portuguesa, analisados desde uma perspectiva discursiva. Os resultados sugerem que o evento de formação online é produtivo para o incremento da reflexão docente sobre o trabalho com dicionários em sala de aula, mas ainda é preciso avançar na formação lexicográfica de nossos(as) professores(as), a fim de que as possibilidades de trabalho com o dicionário em sala de aula possam ir além da consulta à grafia ou significado de determinada unidade vocabular.
Palavras-chave: Formação de professores(as) de Língua Portuguesa; Evento de formação; Formação lexicográfica; Dicionários em sala de aula
Parental willingness to pay the cervical cancer vaccination cost of senior high school aged students in Badung District
Authors: Karneli Ni Ketut , Suwiyoga Ketut , Sudibya I Gede Adnyana 
Published: April 2024

The incidence of cervical cancer is high in Bali (0.8%), and more than 70% of cases are detected at an advanced stage (above 2B), making it difficult to treat. Prevention efforts are still very low; the Badung District only financed 1567 vaccinations from 8784 senior high school students, accounting for around 17.8%. Vaccination requires substantial funds, and its sustainability required community participation. This cross-sectional study aims to determine the relationship between the variables of perceived susceptibility, perceived severity, perceived benefits, perceived barriers, education and employment with the willingness of the parents to cover the costs of vaccination. A study was conducted using 196 samples from 595 populations selected by systematic random sampling, consisting of mothers of grade one high school students at SMU Petang, SMU 2 Mengwi, and SMU 1 North Kuta. The data was obtained through self-administered questionnaires. Perceived benefits and severity were measured by assessing the answers to open questions and pre-coded. Chi square and logistic regression tests were applied when analyzing the data. The results of the analysis show that willingness of parents to cover the cost is still low (43%) with 70% of respondents willing to pay less than Rp. 237,500 for three doses. Bivariate analysis found that: perceived susceptibility [RP=1,31; 95%CI: 1,04-1,67], perceived severity [RP=1,57; 95%CI: 1,20-2,05], perceived benefits [RP=1,84; 95%CI: 1,39-2,45], education [RP=1,64; 95%CI: 1,05-2,57], perceived barriers [RP=0,89; 95%CI: 0,70-1,15] and occupation [RP=1,18; 95%CI: 0,87-1,60]. From the results it can be concluded that the perceived susceptibility, perceived severity, perceived benefits and education are related to the willingness of the parents to cover vaccine costs, however, perceived barriers and occupation were not shown to be associated. The related dominant factor is perceived benefits. It is suggested that health promotion should emphasise on the benefits of the vaccination and cervical cancer malignancy rates in order to increase people's willingness to cover cervical cancer vaccination costs.
Handwashing as a risk factor for increasing ventilator associated pneumonia (VAP) incidence at Sanglah Hospital, Denpasar, 2012
Authors: Azis Abdul , Sawitri Anak Agung Sagung , Merati Ketut Tuti Parwati 
Published: April 2024

Ventilator associated pneumonia (VAP) is a lower respiratory tract nosocomial infection which frequently resulted from mechanical ventilation support of more than 48 hours in an intensive care unit (ICU). The incidence of VAP at Sanglah Hospital is 15.48 per 1000 days used still higher than the national standard of 10 per 1000 days used. Risk factors for VAP transmission include host condition, medical equipment hygiene and healthcare provider behaviors, including handwashing. This study aimed to analyze contributing risk factors for VAP incidence at Sanglah Hospital, specifically handwashing procedures. Study applied a case control design with 27 cases (those with VAP) and 54 controls (non-VAP), from similar gender and age backgrounds. Case control data was obtained from medical records of 2012. Data from healthcare providers (doctors and nurses attending to the study population) was obtained through interviewing using structure questionnaires and cross checking through assessment of medical records. The univariate and bivariate data was analyzed by chi square and multivariate by logistic regression. Findings indicated that the contributing factors are healthcare provider handwashing (OR=6.11; 95%CI: 1.54-24.25), length of hospital stay (OR=4.18; 95%CI: 1.36-12.81) and associated disease (OR=4.22; 95%CI: 0.98-18.25). Nurse behaviors contributed to VAP incidence (OR=4.69; 95%CI: 1.22-18.08). Doctors indicated difficulty in adhering to handwashing protocol (the 5 moment handwashing requirements) particularly before aseptic procedure (45,1% in cases and 66,3% in control). Study indicates that poor handwashing behaviors contribute to VAP incidence. There is a need for health promotion initiatives that encourage adherence to official handwashing protocol
Risk factors of stunting for 12-36 month old children in Dasan Agung Public Health Centre, Mataram, West Nusa Tenggara Province
Authors: Najahah Imtihanatun , Adhi Kadek Tresna , Pinatih Gede Ngurah Indraguna 
Published: April 2024

A very high stunting prevalence (37.17 %) was reported in Mataram City, West Nusa Tenggara. Dasan Agung Public Health Centre localed at the centre of Mataram City reports the highest stunting prevalence (27.78%) in children under 5 year of age. The study design was a cross sectional, using a sample of 158 children aged 12-36 month. The dependent variable was 12-36 month old children displaying stunting and the independent variables were socio-economic status, mother’s height, maternal age, mother’s level of education, ANC clinic visit frequency and quality of care, birth weight, exclusive breastfeeding, complementary feeding, birth order and main caregiver choice. Data was collected through interviews and anthropometric measurement. The instruments used in collecting the data were RISKEDAS and SUSENAS I modification questionnaires, microtoise and infantometer. Data analysis was conducted in stages that included univariate, bivariate (chi-square) and multivariate (logistic regression). A high prevalence of stunting (48.1%) was evident. There were six variables in the bivariate test results impacted upon of association. These were socio-economic status OR=2.83 (95%CI: 1.35-5.94), mother’s height OR=3.37 (95%CI: 1.69-6.72), ANC clinic visit frequency and quality of care OR=2.3 (95%CI: 1.21-4.36), birth weight OR=20.47 (95%CI: 1.16-354.25), exclusive breastfeeding OR=4.94 (95%CI: 2.51-9.74) and complementary feeding OR=6.38 (95%CI: 3.18-12.78). The variables of maternal age, mother’s level of education, birth order and main caregiver choice were not influencing factors. In the multivariate analysis, the dominant variables increasing risk factors was complementary feeding giving OR=7.4 (95%CI: 1.54-34.97), mother’s height OR=2.9 (95%CI: 1.27-6.42) and ANC clinic visit frequency and quality of care OR=2.4 (95%CI: 1.09-5.19). It is recommended that there be efforts to improve the nutrition intake of young girls, women of productive age, pregnant women and children under five years old.
Association between Cadre Knowledge, Feeding Behaviours and Daily Intake with Changes in Nutritional Status of Undernourished Children in Kawangu Health Centre, East Sumba
Authors: Hara Maria Kareri , Adhi Kadek Tresna , Pangkahila Alex 
Published: April 2024

Background and purpose: In 2012, in Eastern Sumba 21% of children under 5 were malnourished; at the Kawangu Health Centre (KHC) it was reported that 3.4% of children were underweight. This study aims to investigate relationships between cadre knowledge, motivation and behavior of child carers with the nutritional status changes of children from KHC.
Methods: A cross-sectional study with 80 samples was conducted. Variables were cadre knowledge, motivation, feeding behaviors and change in nutritional status. Data on cadre knowledge and motivation was collected through a self-administered questionnaire and through interviews conducted with child carers. Anthropometric measurements were taken to assess changes in nutritional status of children. Analysis used univariate and bivariate chi-square test.
Results: Results indicated respondents were aged 26-35 (41.2%), had elementary school education (56.2%), were farmers (91.2%), had experience as cadres for 2 years (53.8%), were trained (72.5%) and had been involved with the program less than <45 days (91.2%). About 55.0% of respondents indicated a high level of knowledge and were highly motivated (86.2%). Carers indicated a fair behaviour change (51.2%), although there was an increase in improvement in nutritional status (63.8%). There was relationship between cadre knowledge and changes in feeding behaviours (p=0.016), but not with cadre motivation (p=0.500). There was an association between feeding behavior (p=0.032) with changes in nutritional status.
Conclusion: The good levels of cadre knowledge and high quality feeding practices impacted positively upon improvements in child nutritional status.
Tobacco Smoke Exposure as Risk Factor in Early Neonatal Death in Mataram, Nusa Tenggara Barat (NTB)
Authors: Musrifa  , Wulandari Luh Putu Lila , Wirawan Dewa Nyoman 
Published: April 2024

Objective: To investigate tobacco smoke exposure as risk factor of early neonatal death in Mataram, NTB.
Method: The study design was case control with a total sample of 87 consisting of 29 cases and 58 controls (1:2). Dependent variable was early neonatal death, independent variable was tobacco smoke exposure. Frequency of antenatal visit, family income, delivery complications, anemia and low birth weight were confounding variables. Data were collected through interview and registered cohort data from nine health centres during the period of 1 January-31 December 2013. Data were analyzed by using bivariate and multivariate (logistic regression) to calculate crude OR and adjusted OR.
Result: Results of bivariate analysis indicated that tobacco smoke exposure during pregnancy, extent of exposure ≥3 cigarettes/days during pregnancy, and amount of exposure ≥6 cigarettes/days last 24 hours were 2.75 (95%CI: 0.72-10.50); 2.34 (95%CI: 0.77-7.08); and 2.18 (95%CI: 0.65-7.29) respectively, increasing neonatal death but was not statistically significant. Multivariate analysis indicated that tobacco smoke exposure during pregnancy was 1.32 (95%CI: 0.03-69.90). OR of other variables: low birth weight, family income under IDR 1,100,000,- and delivery complications were 204.39 (95%CI: 20.37-2050.07); 7.86 (95%CI: 1.45-42.83) and 7.55 (95%CI: 1.01-56.38) respectively.
Conclusion: Tobacco smoke exposure was not statistically significant risk factor, specifically the smoking habits of the husband. Study discovered that low birth weight, family income under IDR 1,100,000,- and delivery complication during birth were statistically significant factors. Further study is needed to confirm these findings.
Retrospective Longitudinal Analysis: Loss to Follow Up Undergoing Antiretroviral Therapy in Kerti Praja Foundation Bali 2002-2012
Authors: Widyanthini Desak Nyoman , Sawitri Anak Agung Sawitri , Wirawan Dewa Nyoman 
Published: April 2024

Background and purpose: Lower loss to follow up (LTFU) is one indicator of the success of antiretroviral therapy (ART). In 2013 the Indonesian Ministry of Health reported that the cumulative percentage of LTFU was as high as 17.3%. To date, there has been no retrospective research into LTFU on people living with HIV/AIDS (PLHIV) in Bali, particularly to investigate PLHIV client characteristics.
Methods: This descriptive longitudinal study was conducted to analyze secondary data from records of PLHIV initiating ART between 2002-2012 at Clinic Amertha, Kerti Praja Foundation (YKP). The sample was PLHIV receiving ART at the YKP from 2002-2012 that had first received ART in YKP and had minimum 2 consultations.
Data used was that recorded in the medical records. Variables were: age, gender, occupation, the presence of ART supervisor, and HIV transmission mode. Data were analyzed descriptively to obtain insight into characteristics of LTFU clients per 100 person years (PY). Length of time since LTFU was assessed.
Results: The sample was 548: 77 (14,1%) were LTFU with crude incidence of LTFU at 5.15 per 100 PY. Median time of LTFU was not reached in this study, because of the low outcome incidence. Specific LTFU incidence was higher in women (6.6 per 100 PY), younger age (6.0 per 100 PY), and female sex workers (7.3 per 100 PY). Lack of ART supervisor (9.3 per 100 PY) and homosexual (9.1 per 100 PY) also had higher LTFU incidence.
Conclusion: Specific LTFU incidence was higher in women, younger age, female sex workers, lack of ART supervisor, and homosexual.
Predictors of treatment interruption among tuberculosis patients in public health centres in Bali, Indonesia
Authors: Farmani Putu Ika , Wirawan Dewa Nyoman , Sawitri Anak Agung Sagung , Putra I Wayan Gede Artawan Eka 
Published: April 2024

Background and purpose: Tuberculosis treatment interruption (TB TI) is one factor that leads to treatment failure, tuberculosis (TB) drug resistance and drop out. The purpose of this study is to identify the incidence and the predictors of TB TI in public health centres (PHCs) in Bali.
Methods: A retrospective longitudinal study was conducted using secondary data of 644 cohorts of TB patients on the first regiment who enrolled in 11 PHCs in Denpasar Bali during 2011-2012. Information from TB program officers in PHCs was also obtained to determine the differences within the practical implementation of TB treatment. Data were analysed using Kaplan Meier and Cox Proportional Hazard Regression.
Results: The study revealed that 378 patients experienced TB TI with the total events of 535. The incidence rate of TB TI event was 5.1 per 1.000 person days and the median time was 56 days (IQR: 56-57). Predictors of the TB TI were male (AHR=1.22; 95% CI: 1.02-1.45; p=0.027) and a more flexible schedule to take the medicine (AHR=1.47; 95%CI: 1.22-1.76; p<0.0001).
Conclusions: The implementation of fixed schedule and shortened time lapse for patients to take TB drug will enable more close contact between patients and health providers. Intensive adherence counselling especially tailored for male patients is also required.
Internal and External Perspectives on Quality of Healthcare Services at Sanglah General Hospital Denpasar
Authors: Sundari Made Nopy Diah , Indrayathi Putu Ayu , Kuswardhani Raden Ayu Tuty 
Published: April 2024

Background and purpose: Customer satisfaction is a primary indicator of the quality of public healthcare services. This study investigated internal (hospital staff) and external (hospital clients) perspectives in order to gain insight into the quality of care at Sanglah General Hospital.
Methods: The study used both qualitative and quantitative methodologies with 11 informants and 106 respondents. Qualitative data obtained through in-depth interviews with hospital staff were analyzed thematically. Quantitative data obtained through self-administered questionnaire were analyzed using univariate analysis.
Results: Informants from the qualitative data collection stated that Sanglah General Hospital has a relatively high level of service and that existing structures to mitigate issues are in place, which act as reinforcing factors. Data from the quantitative survey indicated that clients were satisfied with the quality of service (ServQual), with an overall percentage of 83.82%.
Conclusion: Further efforts could be made in order to improve healthcare provision at Sanglah Hospital, particularly from the perspective of hospital facilities, staff support and increased implementation of clinical governance.