bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH GAYA KEPEMIMPINAN DAN KEPUASAN KERJA TERHADAP KINERJA PERAWAT DI RUANG RAWAT INAP A RSUP DR. SOERADJI TIRTONEGORO KLATEN
Authors: 'Aini Qurratul , Sosilo Herianto 
Published: March 2024

Inpatient services of RSUP Dr. Soeradji Tirtonegoro Klaten is a complex set of services and giving major contribution in determining the quality of service. Nurses play an important role as the spearhead of the longest and energy dealing with patients. Nurses activities reflect the image of the hospital, nurses' performance is inseparable from leadership and job satisfaction. The purpose of research is knowing the influence the effect of leadership style and job satisfaction toward performance. The type of research is quantitative research with a cross sectional design. Independent variable leadership style and job satisfaction, the dependent variable is the performance of nurses. The registered nurse population as a civil servant ( PNS ), amounting to 75 people, collecting sampling techniques total sampling. Analysis techniques of Multiple linear regression. The results is Significance value of leadership style of 0.022 (Sig.< 0,05) and job satisfaction 0.132 (Sig.> 0,05). Test results of F 15.779 with significance level of 0.000. Adjusted R2 coefficient of 28.5 %. The conclusion is 1) leadership style effect a significant toward the nurses performance, 2) job satisfaction variable does not affect the nurses performance, and 3) Leadership Style And Job Satisfaction simultaneously influence toward the nurse performance of inpatient ard A RSUP Dr. Soeradji Tirtonegoro Klaten.
ANALISIS HUBUNGAN KOMPENSASI DENGAN KINERJA KARYAWAN RUMAH SAKIT PKU MUHAMMADIYAH TEMANGGUNG
Authors: Sugiharti Wiwik Dewi , Pribadi Firman 
Published: March 2024

The PKU Muhammadiyah Temanggung applies an integrated compensation system to its employees in order to motivate their spirit of work and productivity. Deep evaluation over this system is needed to value the employees peformance quality achievement as one of the factors to improve the work productivity in this institution. This research has an aim to analyse the connection between Financial Compensation and Non Financial Compensation with the Employees Performance in the PKU Muhammadiyah Hospital Temanggung. This quantitative descriptive research was run using the method of Cross Sectional which is the questionnaire means of measurement was applied. The sampling collection was conducted using Purposive Sampling technique against employees of the PKU Muhammadiyah Hospital Temanggung in the amount of 150 respondents who fulfill the criteria. The variables whitin this research consists of Financial Compensation, Non Financial Compensation, and also Employees Performance. The data analysis using Univariat and Bivariat Analysis applying Spearman Correlation Rank and Kendall Tau Test to comprehend the connection among variables. Improving the validity of research data the data source triangulation was done. This research emerging the conclusion that there is no significant connection between the Financial Compensation and the Employees Peformance in the phase of less significant, and also the existing connection between the Non Financial Compensation and the Employees Performance in the phase of weakness.
PERSEPSI DAN EKSPEKTASI DOKTER TERHADAP JASA MEDISDI RS PKU MUHAMMADIYAHNANGGULAN
Authors: Yuliyanto Heru , Santosa Erwin 
Published: March 2024

Background: General practitioners / specialist considerations a hospital which are most suitable to be used as a practice. There are several considerations in determining a doctor's office, one of which is the most powerful pull factor is the amount of medical services to be received from the PKU Muhammadiyah Hospital Nanggulan.
Objectives: in this study is to describe the perceptions and expectations of general practitioners and specialists for medical services in PKU Muhammadiyah Hospital Nanggulan.
Method: This study used a qualitative research approach. The study was conducted in PKU Muhammadiyah Hospital Nanggulan, KulonProgo, Yogyakarta during the month of July 2011 - February 2015. The subjects in this study were four general practitioners and four specialists in PKU Muhammadiyah Hospital Nanggulan who has had a license to practice. Data analyze used descriptive qualitatively.
Result: Perception of general practitioners / specialists in PKU Muhammadiyah Hospital Nanggulan vary according to the characteristics of informants that includes needs, age, status, workplace, social conditions, and hope the doctor. General practitioners revealed that remuneration has been timely received, but not yet in accordance with the load of work done. Specialist physicians perceive that the medical services received are in accordance with the assumption that the meaning of work for informants as worship and religious symbols. General practitioners hope that hospitals provide child support and medical benefits. Specialist doctors have hope in order to meet current needs and hope that PKU Muhammadiyah Hospital Nanggulan can improve the quality and infrastructure for specialists, provide health insurance for specialists, and in order to improve reply to specialist medical services in accordance with the development of the hospital.
Conclusion: Remuneration received by general practitioners has on time, but not in accordance with the load of work done. Medical services received by specialists are in accordance with the assumption that the meaning of work for informants as worship and religious symbols.
EVALUASI KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN RAWAT JALAN PESERTA BPJS DI RSUD PANEMBAHAN SENOPATI BANTUL
Authors: Firdaus Fidela Firwan , Dewi Arlina 
Published: March 2024

Latar Belakang: Masalah yang sering dihadapi secara umum oleh rumah sakit adalah rumah sakit belum mampu memberikan sesuatu hal yang benar-benar diharapkan pengguna jasa. Beberapa pasien banyak yang masih bingung mengenai sistem rujukan yang ditetapkan dalam BPJS Kesehatan. Begitu juga dengan pasien yang mengeluh biaya kesehatan yang dulu seluruhnya terinci saat masih berupa PT Jamsostek, sekarang banyak yang tidak terinci saat sudah berubah menjadi BPJS.
Metode: Penelitian kualitatif untuk menganalisis kualitas pelayanan terhadap kepuasan pasien rawat jalan peserta BPJS di RSUD Panembahan Senopati Bantul. Data primer diperoleh dari wawancara mendalam terhadap pasien rawat jalan peserta BPJS, dokter pelayanan rawat jalan, dan petugas BPJS di RSUD Panembahan Senopati Bantul.
Hasil dan pembahasan: Hal yang mempengaruhi kepuasan pasien antara lain: pendaftaran lancar, waktu tunggu, pelayanan cepat, ramah, sopan, keterampilan dan perawatan medis bagus, profesional, ruangan bersih dan fasilitas lengkap. Sebaliknya, hal-hal yang menjadi hambatan kepuasan pasien antara lain: karyawan pendaftaran datang terlambat, lambat, dan mengobrol sendiri, waktu tunggu lama, nada suara petugas medis tinggi, keramahan kurang, ruangan kurang luas, tidak memakai sekat, ruang tunggu kurang, jarak poli satu ke poli lain terlalu dekat, dan tidak ada pengeras suara. Faktor lain yang mempengaruhi yaitu BPJS.
Kesimpulan dan saran: Kepuasan pasien sesuai dengan teori SERVQUAL (Parasuraman dan Zeithml, 1990). Hambatannya yaitu ruangan dan fasilitas, waktu tunggu lama, jumlah SDM, SIM RS versi lama, dan tata cara sistem rujukan. Solusinya yaitu ruangan yang lebih luas, ruang tunggu yang lebih nyaman, sekat dari dinding, memberikan pengeras suara, menambah jumlah SDM, dan memperbarui SIM RS. Sarannya yaitu melakukan survey hal-hal yang sudah membuat pasien puas dan yang masih kurang, melakukan perbaikan dan melengkapi ruangan dan fasilitas di rumah sakit, menambah sumber daya manusia, mempertimbangkan bridging system, dan melakukan evaluasi terhadap program yang sudah berjalan.
EVALUASI PENERAPAN IDENTIFIKASI PASIEN DI BANGSAL RAWAT INAP RSI SITI AISYAH MADIUN
Authors: Yudhawati Donna Dwi , Listiowati Ekorini 
Published: March 2024

Backgraund: This research is to reveal the evaluation of the application of identification patient at Siti Aisyah Madiun Islamic Hospital. The diversities and the routines of the services in hospital will make adverse event (KTD) if we don’t manage it properly. Errors due to misidentification patient happen almost in every aspect or diagnosis stages and treatment, so it needs the accuracy of patient’s identifications.
Method: This research using qualitatif methods that produce descriptive data such as written words and verbal from people and observed attitude and study planning cases that exploits a problem with detail data retrictions, accompanied with detail data retrieval from many sources so can reflects patient identifications done by Siti Aisyah Islamic Hospital. Instruments used in this research is the search guidelines, in-depth interviews, FGD and RCA.
Result and Discussion: This research result shows incident type of patient safety happens at Siti Aisyah Islamis Hospital. One of the causes is misidentifications patients. The nurses knowledge about the identification of patients had 100 % but the implementation of identification in hospital not optimal.
Conclussion: The implementation of the identification of patients that should be done by nurses not yet become a culture in Siti Aisyah Madiun Islamic Hospital and the implementation still far from the expectation. The suggestion from the researchers is management should do some evaluation and routine monitoring on the patient’s identifications in hospital to cultivate all nurses to identify patients become common culture nurse.
EVALUASI CITRA RUMAH SAKIT DI RUMAH SAKIT PKU MUHAMMADIYAH BANTUL
Authors: Albana Rifki , Susanto Susanto 
Published: March 2024

Background: DIY province has 70 hospitals, Bantul district has 10 hospitals that serve 859.968 inhabitants with 793 beds. Although the amount of hospital or beds was not enough, it was important for hospital to keep their image, it’s necessary to maintain or expand their market confidence.
Method: It’s Quantitative-Qualitative study, cross-sectional survey and descriptive analytic. The quantitative used for determining images position, It’s used questionnaire to 118 respondents with purposive sampling methode. The qualitative used for supporting quantitative result and became reasons for improvements of dimensional image. Data Analysis used the differential semantic, four instruments and theory of marketing strategic.
Result and discussion: There were 23 dimensions of hospital image, all of them show good images, doctors are skilled and experienced (98%.), skilled nursing (92%), professionalism (97%), neat and clean officer’s clothes (92%); organized and comfortable rooms (81%), building and rooms cleanliness (86%); complete facilities (85%), comfortable and hygine facilities (81%); complete medical equipments (88%), complete pharmaceuticals (95%); uncomplicated procedures (93%), officer’s timeliness (76%); sufficient consultation time (83%), attention and sympathy officers (92%), willingness to respond complaints (97%), hospitality (95%); appropriate price (95%), ease of insurance used (88%); strategic location and affordable (97%), inpatient room easily obtained (59%), ease to see the doctor (83%), information access (98%), understandly boards (76%). Image improvement priorities: timeliness officer, ease to see the doctor, adequacy of consultation time, board reconstruction, inpatient room additions, comfortable and hygine facilities, organized and comfortable rooms.
Conclusions: All of hospital images were good. There were 7 dimension still need to be improved.
Tom40 Functions as a Channel for Protein Retrotranslocation in the Mitochondria-Associated Degradation (MAD) Pathway
Authors: Pon Liza , Liao Pin-Chao , Tsang Catherine , Lin Tzu-Ying 
Published: March 2024

Abstract
The mitochondria-associated degradation pathway (MAD) mediates removal and elimination of unfolded mitochondrial proteins by the ubiquitin-proteasome system (UPS). Here, we reconstituted retrotranslocation of MAD substrates from the mitochondrial matrix across mitochondrial inner and outer membranes in cell-free systems. This retrotranslocation is ATP- dependent but membrane potential-independent. We also identified a role for the TOM complex, the protein import channel in the mitochondrial outer membrane (MOM), in this process. Inhibition of protein translocation across the Tom40p channel inhibits retrotranslocation of MAD substrates in vitro. Deletion of the TOM5 subunit of the TOM complex inhibits retrotranslocation in vitro, and results in increased sensitivity to oxidative stress and decreased association of a MAD substrate with Cdc48p, a subunit of the segregase complex that removes proteins from mitochondria and targets them for proteasomal degradation in MAD, in vivo. Our studies indicate that unfolded proteins in the mitochondrial matrix are retrotranslocated across both mitochondrial membranes and the TOM complex is the retrotranslocation channel in the MOM in MAD.
Assessing five-year trend and socio-demographic determinants of caesarean section delivery in Ghana
Authors: Manyeh Alfred Kwesi , Ofosu Anthony , Kuug Anthony Kolsabilik , Ayi Atsu , Tetteh Comfort Dede , Vidzro Saviour Edem , Odopey Christopher Tetteh , Ackon Angela Nana Esi Ackon , Acquah Evelyn , Klu Desmond , Immurana Mustapha , Dalaba Maxwell Ayindenaba , Amu Hubert 
Published: March 2024

Abstract

Introduction:The rate of caesarean section (C-section) deliveries has been increasing globally, including in low- and middle-income countries like Ghana. Understanding the trends, patterns, and socio-demographic determinants of C-section deliveries is crucial for improving maternal healthcare services and reducing unnecessary surgical interventions. This study aims to assess the trend and factors associated with CS deliveries in Ghana using secondary data from the District Health Information Management System 2 (DHIMS-2) database.
Methods:A cross-sectional study design was employed, utilizing secondary data extracted from the District Health Information Management System 2 (DHIMS-2) database covering a period of five years (2017-2021). The data included information on C-section deliveries from both public and private health facilities in Ghana. Descriptive and inferential analysis was conducted to explore the associations between socio-demographic factors and C-section delivery.
Results:The study findings revealed that a significant proportion of women who underwent C-section deliveries had formal education up to the JHS/Middle school level. Most of the deliveries occurred in hospitals and government-owned facilities. The study also observed that more than half of the women had a C-section delivery, with the highest percentage occurring in 2019 and 2020. Additionally, the majority of women had health insurance coverage.
Conclusion:The high C-section rate in Ghana may be attributed to various factors such as increasing availability and accessibility of C-section deliveries, socio-demographic factors, and regional disparities in healthcare access and resources. Advanced maternal age, higher levels of education, and formal employment were found to be associated with a higher likelihood of C-section deliveries.
These findings highlight the need for a comprehensive and patient-centered approach to maternal healthcare in Ghana, which includes efforts to strengthen antenatal care services, promote natural childbirth, improve access to quality healthcare facilities, enhance healthcare provider training, address regional disparities, and strengthen health insurance coverage. By addressing these recommendations, Ghana can strive towards reducing unnecessary caesarean section deliveries and improving maternal health outcomes for women across the country.
Oral Microbiome Dynamics in Head and Neck Cancer Patients Undergoing Oral Healthcare: Implications for Prognosis and early diagnosis
Authors: Ji Xiaoqin , Qiao Yixin , Wu Jiqiu , Kong Weili , Yu Rong , Yang Xiuli , Deng Xin , Yu Haopeng , Zhao Huiling 
Published: March 2024

Abstract
Background: This study aims to investigate the influence of two oral mouthwash interventions on the oral microbiome of HNC patients at multiple time points, while simultaneously assessing their prognostic significance. Additionally, it seeks to identify distinctive oral microbiome biomarkers that are linked to different subtypes of HNC.
Methods: Patients with HNC were subjected to random allocation into two distinct oral mouthwash intervention groups: the normal saline group denoted as N and the yikou gargle group employing chlorhexidine, represented as Y. Saliva samples were collected at three time points: baseline, post-operation, and before discharge from hospital. We employed 16S rRNA sequencing to comprehensively profile the composition of the oral microbiome, conducted an in-depth comparison of community diversity, and pinpointed enriched taxa within each oral mouth wash intervention group. Simultaneously, we conducted an investigation into the potential correlation between specific oral microbes and oral prognostic outcomes.
Results: This study included 80 patients diagnosed with HNC scheduled for surgical intervention, and 30 patients underwent tracheostomy. Initially, both treatment groups had similar oral microbiome diversity. However, after surgery, the Y group exhibited a higher Shannon index and greater pronounced clustering variation compared to the N group. The genus Streptococcus dominated the oral microbiomes of both groups. The Y group showed a heightened abundance of taxa immediately after surgery when compared to the N group. In terms of implications for oral healthcare on oral prognosis, a notable finding was the significantly reduced severity of dental issues among patients in Y group when underwent tracheostomy as opposed to those in N group (p = 0.019).
Conclusion: Our study provides insights into the impact of oral mouthwash interventions on the oral microbiome of HNC patients and their potential implications for prognosis. Understanding the role of the oral microbiome in HNC may pave the way for innovative therapeutic strategies that target the oral microbiota to improve treatment outcomes. Disparities in the oral microbiome among various types of HNC also suggest the potential for straightforward and non-invasive diagnostic approaches utilizing the oral microbiome.
Climate change, circular economy and foodborne pathogens: assessment of pathogenic E. coli and Salmonella spp. in irrigation water in Italy
Authors: Barbieri Giorgia , Gigliucci Federica , Palma Sofia , Minelli Fabio , Chiani Paola , Marra Manuela , Carollo Maria , Knijn Arnold , Brambilla Gianfranco , Morabito Stefano 
Published: March 2024

Abstract

The use of reclaimed water from wastewater treatment plants (WWTPs) in agriculture represents a sustainable way to reduce water footprint. However, outbreaks linked to the consumption of contaminated ready-to-eat food (RTE) have frequently been associated with the presence of foodborne pathogens in irrigation water. To deepen the hazard characterization of water used for crop irrigation, reclaimed and surface water samples (n=15), collected in Northern Italy in spring and summer, were analysed via Real Time PCR, before and after an enrichment treatment, to detect virulence genes of STEC (Shiga toxin producing - E. coli); EPEC (Enteropathogenic E. coli); EAEC (Enteroaggregative E. coli); EIEC (Enteroinvasive E. coli); ETEC (Enterotoxigenic E. coli) and Salmonella spp. Virulence genes of Salmonella spp. and all E. coli pathogroups were detected in 14/15 samples. 11/14 samples showed the presence of pathogenic E. coli both pre- and post-enrichment. The most detected genes were stx1, stx2, eae, followed by aggR, aaiC, ipaH, lt, stp, sth genes. Four enriched samples were positive for invA gene. Four strains were isolated from enriched samples, including one STEC (stx1+) strain and two Salmonella Veneziana strains from surface water samples, and one strain of S. Taksony from a WWTP sample. The detection of viable pathogens in irrigation water suggests that the depurative treatments may not be fully effective in eliminating pathogenic E. coli and Salmonella spp. in reclaimed water. A conditioned use of surface water is needed to reduce the pathogen input on crops. Furthermore, the higher positive signals recorded after rainfalls suggest that pathogen mobilization is linked to precipitation patterns. Since the detection of pathogenic E. coli in agricultural water is not regulated by the Italian and European legislation, except for STEC O157 in spent irrigation water, their likely presence should be adequately considered and risk-oriented, depending on climatic conditions, processing technologies and type of agricultural use.
Secular variation and risk factors of preterm birth in Hainan, The Free Trade Port in China from 2010 to 2021
Authors: Luo Qing , Li Chao , Wu Weijia , Zhao Anping , Zhao Dan , Huang Chuican , Fan Lichun 
Published: March 2024

Abstract

Objectives
Preterm delivery rates have increased obviously worldwide over the past decade, yet reliable epidemiological studies on the incidence of preterm birth and temporal trends are not available in Hainan, The Free Trade Port in China. We aimed to describe the rate of preterm birth and trends between 2010 and 2021 and to primarily explore risk factors associated with preterm birth in Hainan, China.
Methods
This was an observational study was based on data from the Hainan Provincial Birth Certificate System (HPBCS) for live births between 1 January 2010 and 31 December 2021.Pregnancies with at least one live birth, with the baby born at 28 weeks of gestation or more or 1000 g or more birthweight were included.The outcome were preterm birth rates and their trends over time. Potential risk factors were collected, including infant’s date of birth, infant gender, maternal age, paternal age, maternal ethnicity, paternal ethnicity, gestational age at delivery, mode of delivery, and single or multiple pregnancies. The logistic regression model was used to assess the relationship between preterm birth and potential risk factors.
Results
A total of 1,537,239 live births and 86,328 preterm births were investigated, giving a total preterm birth rate of 5.6%. The overall preterm birth rate increased from 5.62% in 2010 to 7.1% in 2021 (compound annual growth rate [CAGR] 4.3). The CAGR of late preterm birth is consistent with the overall preterm birth rate (4.3%). The fastest growth is observed in the rate of early preterm births (5.5%), while the rate of mid-term preterm births exhibits the slowest growth (3.9%). Infant gender, multiple pregnancy, parental age, and ethnicity had significant effects on preterm birth.
Conclusion
The preterm birth rate was increasing year by year from 2010 to 2021 in Hainan, The Free Trade Port in China. Multiple pregnancies, higher maternal age at delivery, and male infants were associated with a higher rate of preterm birth.