bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving the Prognostic Evaluation Precision of Hospital Outcomes for Heart Failure Using Admission Notes and Clinical Tabular Data: Multimodal Deep Learning Model
Authors: Gao Zhenyue , Liu Xiaoli , Kang Yu , Hu Pan , Zhang Xiu , Yan Wei , Yan Muyang , Yu Pengming , Zhang Qing , Xiao Wendong , Zhang Zhengbo 
Published: March 2024

Background
Clinical notes contain contextualized information beyond structured data related to patients’ past and current health status.

Objective
This study aimed to design a multimodal deep learning approach to improve the evaluation precision of hospital outcomes for heart failure (HF) using admission clinical notes and easily collected tabular data.

Methods
Data for the development and validation of the multimodal model were retrospectively derived from 3 open-access US databases, including the Medical Information Mart for Intensive Care III v1.4 (MIMIC-III) and MIMIC-IV v1.0, collected from a teaching hospital from 2001 to 2019, and the eICU Collaborative Research Database v1.2, collected from 208 hospitals from 2014 to 2015. The study cohorts consisted of all patients with critical HF. The clinical notes, including chief complaint, history of present illness, physical examination, medical history, and admission medication, as well as clinical variables recorded in electronic health records, were analyzed. We developed a deep learning mortality prediction model for in-hospital patients, which underwent complete internal, prospective, and external evaluation. The Integrated Gradients and SHapley Additive exPlanations (SHAP) methods were used to analyze the importance of risk factors.

Results
The study included 9989 (16.4%) patients in the development set, 2497 (14.1%) patients in the internal validation set, 1896 (18.3%) in the prospective validation set, and 7432 (15%) patients in the external validation set. The area under the receiver operating characteristic curve of the models was 0.838 (95% CI 0.827-0.851), 0.849 (95% CI 0.841-0.856), and 0.767 (95% CI 0.762-0.772), for the internal, prospective, and external validation sets, respectively. The area under the receiver operating characteristic curve of the multimodal model outperformed that of the unimodal models in all test sets, and tabular data contributed to higher discrimination. The medical history and physical examination were more useful than other factors in early assessments.

Conclusions
The multimodal deep learning model for combining admission notes and clinical tabular data showed promising efficacy as a potentially novel method in evaluating the risk of mortality in patients with HF, providing more accurate and timely decision support.
Service Users’ Experiences of a Nationwide Digital Type 2 Diabetes Self-Management Intervention (Healthy Living): Qualitative Interview Study
Authors: Hawkes Rhiannon E , Benton Jack S , Cotterill Sarah , Sanders Caroline , French David P 
Published: March 2024

Background
Diabetes Self-Management Education and Support programs for people living with type 2 diabetes mellitus (T2DM) can increase glycemic control and reduce the risk of developing T2DM-related complications. However, the recorded uptake of these programs is low. Digital self-management interventions have the potential to overcome barriers associated with attendance at face-to-face sessions. Healthy Living is an evidence-based digital self-management intervention for people living with T2DM, based on the Healthy Living for People with Type 2 Diabetes (HeLP-Diabetes) intervention, which demonstrated effectiveness in a randomized controlled trial. NHS England has commissioned Healthy Living for national rollout into routine care. Healthy Living consists of web-based structured education and Tools components to help service users self-manage their condition, including setting goals. However, key changes were implemented during the national rollout that contrasted with the trial, including a lack of facilitated access from a health care professional and the omission of a moderated online support forum.

Objective
This qualitative study aims to explore service users’ experiences of using Healthy Living early in the national rollout.

Methods
A total of 19 participants were interviewed via telephone or a videoconferencing platform. Topics included users’ experiences and views of website components, their understanding of the intervention content, and the overall acceptability of Healthy Living. Transcripts were analyzed thematically using a framework approach.

Results
Participants valued having trustworthy information that was easily accessible. The emotional management content resonated with the participants, prompting some to book an appointment with their general practitioners to discuss low mood. After completing the structured education, participants might have been encouraged to continue using the website if there was more interactivity (1) between the website and other resources and devices they were using for self-management, (2) with health professionals and services, and (3) with other people living with T2DM. There was consensus that the website was particularly useful for people who had been newly diagnosed with T2DM.

Conclusions
Digital Diabetes Self-Management Education and Support programs offering emotional aspects of self-management are addressing an unmet need. Primary care practices could consider offering Healthy Living to people as soon as they are diagnosed with T2DM. Participants suggested ways in which Healthy Living could increase interaction with the website to promote continued long-term use.
HUBUNGAN KETERAMPILAN SOSIAL DAN JUVENIL DELIQUNCY KEPADA SISWA SEKOLAH MENENGAH PERTAMA DI KOTA BANDUNG
Authors: Annisa Dona Fitri , Supriatna Ecep 
Published: March 2024

Masa remaja merupakan masa transisi, terdapat adanya kebingungan, kegelisahan, pertentangan,Â dan konflik yang dialami dikarenakan pada fase ini remaja dalam masa kanak-kanak menuju dewasa. Pada fase ini, remaja membutuhkan untuk dapat memiliki keterampilan sosial sebagai upaya agar terhindar dari kenakalan remaja. Penelitian ini bertujuan untuk mengetahui hubungan keterampilan sosial dan Juvenile Delinquency remaja. Penelitian ini menggunakan metode penelitian deskriptif jenis korelasional. Alat pengumpulan data berupa angket dengan skala Likert. Jumlah sampel dalam penelitian ini sebanyak 334 orang. Teknik analisis data yang digunakan adalah statistik deskriptif dan pearson product moment correlation. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan dan negatif antara keterampilan sosial dan Juvenile Delinquency remaja di Kota Bandung dengan nilai rhitung yaitu -0,606 dengan sig 0,000 yang berada pada kategori cukup. Artinya, semakin tinggi keterampilan sosial remaja maka semakin rendah Juvenile Delinquency remaja.Â
Metabolic Fluxes in the Renal Cortex Are Dysregulated In Vivo in Response to High-Fat Diet
Authors: Hasenour Clinton M. , Banerjee Deveena R. , Young Jamey D. 
Published: March 2024

Diabetes and obesity are risk factors for kidney disease. Whereas renal glucose production increases in diabetes, recent data suggest that gluconeogenic and oxidative capacity decline in kidney disease. Thus, metabolic dysregulation caused by diet-induced insulin resistance may sensitize the kidney for a loss in function. Here, we examined how diet-induced insulin resistance disrupts mitochondrial metabolic fluxes in the renal cortex in vivo. C57BL/6J mice were rendered insulin resistant through high-fat (HF) feeding; anaplerotic, cataplerotic, and oxidative metabolic fluxes in the cortex were quantified through 13C-isotope tracing during a hyperinsulinemic-euglycemic clamp. As expected, HF-fed mice exhibited increased body weight, gluconeogenesis, and systemic insulin resistance compared with chow-fed mice. Relative to the citric acid cycle, HF feeding increased metabolic flux through pyruvate carboxylation (anaplerosis) and phosphoenolpyruvate carboxykinase (cataplerosis) and decreased flux through the pyruvate dehydrogenase complex in the cortex. Furthermore, the relative flux from nonpyruvate sources of acetyl-CoA profoundly increased in the cortex of HF-fed mice, correlating with a marker of oxidative stress. The data demonstrate that HF feeding spares pyruvate from dehydrogenation at the expense of increasing cataplerosis, which may underpin renal gluconeogenesis during insulin resistance; the results also support the hypothesis that dysregulated oxidative metabolism in the kidney contributes to metabolic disease.

Article Highlights
Gambaran Kematian Maternal di RSUP Dr. Hasan Sadikin Bandung Tahun 2019
Authors: Pramatirta Akhmad Yogi , Rumanti Rizna Tyrani 
Published: March 2024

Tujuan: Penelitian ini adalah untuk untuk memberikan gambaran mengenai kematian maternal yang terjadi di Rumah Sakit Hasan Sadikin tahun 2019Metode: Subjek penelitian ini adalah seluruh kematian maternal selama bulan 2019 di Rumah Sakit Hasan Sadikin. Penelitian ini dilakukan dengan jenis penelitian deskriptif dan dengan rancangan penelitian cross sectional yaitu cara pendekatan, observasi atau pengumpulan data dimana pengumpulan data tersebut dilakukan pada saat yang bersamaanHasil: Karakteristik kematian maternal terbanyak adalah usia reproduksi (88,8%), paritas terbanyak adalah multipara (58,3%), berpendidikan cukup tinggi (94,5%), seluruh pasien kematian maternal memiliki kontak antenatal dengan tenaga kesehatan (100%) namun sebagian besar hanya melakukan kontak antenatal <8 kali (74,4%), dan penyebab terbanyak dari kematian adalah hipertensi dalam kehamilan (63,9%)Kesimpulan: Kematian maternal berkaitan dengan kontak antenatal yang kurang adekuat. Kontak antenatal yang tidak adekuat menyebabkan penanganan pasien dengan risiko tinggi menjadi kurang baik, terutama pasien dengan faktor risiko preeklampsiaDescription of Maternal Death in Dr. Hasan Sadikin General Hospital in 2019AbstractObjective: The purpose of this study was to provide an overview of maternal deaths that occurred at Hasan Sadikin Hospital in 2019Method: The subjects of this study were all maternal deaths during 2019 at Hasan Sadikin Hospital. This research was conducted with descriptive survey, cross sectional research design that is a way of approaching, observing or collecting data where the data collection was carried out at the same timeResult: The characteristics of the most maternal deaths are reproductive age (88.8%), most parity is multiparaous (58.3%), highly educated (94.5%), all maternal death patients have antenatal care with health workers (100%) but most only had antenatal care <8 times (74.4%), and the most common cause of death was hypertension in pregnancy (63.9%)Conclusion: Maternal deaths are associated with inadequate antenatal care. Inadequate antenatal care causes poor management of patients with high risk, especially patients with risk factors for preeclampsiaKey words: Maternal death, antenatal care
Optimal Maternal-Fetal Interface Environment Affects Neonatal Viability in Preterm Preeclampsia and IUGR Pregnancy
Authors: Resistantie Novi , Semuel Semuel , Roviqoh Cindy Fawwaz , Ramdani Taufik 
Published: March 2024

Objective: to report rare case of fetal viability on preterm pregnancy with preeclampsia and IUGRMethods: case reportCase: A 29-year-old woman (G1P0A0) at 29 weeks of gestation, came to the Obstetrics and Gynecology Outpatient Clinic of Bhayangkara Tk. I R. Said Sukanto Police Hospital Jakarta with complaints of left-sided headache since 25 weeks of gestation. After examination, the patient was diagnosed with preeclampsia with IUGR. The caesaria section was performed at 28 weeks and a baby was born with BW: 850 grams, BL: 31 cm, and an APGAR score of 5/6. No inflammatory cells were found in chorionic villi. The baby continues to live after being treated in the NICU for 30 days.Conclusion: Optimal maternal fetal interface environment secures neonatal viability.Lingkungan Antarmuka Maternal-Fetal yang Optimal Mempengaruhi Kelangsungan Hidup Neonatal pada Kehamilan Prematur dengan Preeklamsia dan IUGRAbstrak Tujuan: untuk melaporkan kasus jarang viabilitas fetus pada kehamilan preterm dengan preeklampsia dan IUGRMetode: laporan kasusKasus: Seorang perempuan berusia 29 tahun (G1P0A0) dengan usia kehamilan 29 minggu, datang ke Poliklinik Obstetri dan Ginekologi Rumah Sakit Bhayangkara Tk. I R. Said Sukanto Jakarta mengalami pusing pada kepala sebelah kiri sejak usia kehamilan 25 minggu. Setelah pemeriksaan, pasien didiagnosa mengalami preeklamsia dengan perburukan IUGR. Operasi Seksio sesarea dilakukan pada usia kehamilan 28 minggu dan lahir seorang bayi dengan BB: 850 gram, PB: 31 cm, dan skor APGAR 5/6. Tidak ditemukan sel yang mengalami inflamasi pada vili chorionic. Bayi tetap hidup setelah dirawat di NICU selama 30 hari.Kesimpulan: Interaksi maternal fetal yang optimal menjamin viabilitas fetus.Kata kunci: Inflamasi, IUGR, Preeklamsia, Viabilitas Fetus, Preeklamsia.
Preeklamsi dari Masa ke Masa
Authors: Pribadi Adhi 
Published: March 2024

Preeklamsi merupakan kumpulan gejala atau sindrom meliputi hipertensi disertai dengan gangguan organ multisistem, yang terjadi hanya pada kehamilan dengan etiologi pasti sampai saat ini masih belum diketahui. Keadaan patologi tersebut sampai saat ini masih merupakan salah satu penyebab utama morbiditas dan mortalitas ibu dalam obstetri. Pada pergantian abad ke-19 ke abad ke-20, teori preeklamsi yang populer merupakan kontaminasi racun atau toksin selama kehamilan dan dianut oleh para ilmuwan secara luas sehingga muncul istilah toxemia gravidarum. Pada saat ini teori yang diterima secara luas adalah preeklamsi berhubungan dengan implantasi abnormal trofoblas, yang diyakini menyebabkan iskemik pada plasenta dan berdampak sistemik. Meskipun tatalaksana telah dikembangkan sesuai dengan kedokteran berbasis bukti, tetapi masih terdapat keterbatasan dalam terapi, yaitu menangani gejala dan persalinan merupakan obat terbaik untuk preeklamsi. Hipotesis dan kontribusi ilmiah sebelumnya telah memengaruhi pemahaman patofisiologi preeklamsi saat ini dan telah menyimpulkan suatu strategi untuk tatalaksana dan kriteria klasifikasinya. Memahami teori masa lalu dan mengenal etiologi serta patofisiologi preeklamsi akan berkontribusi pada tatalaksana yang lebih baik di masa depan yang lebih mengedepankan promotif dan preventif.
ANALISIS PENGARUH HARGA, PROMOSI DAN DISTRIBUSI TERHADAP KEPUTUSAN PEMBELIAN SMARTPHONE MEREK SAMSUNG (STUDI PADA PAKUWON TRADE CENTER/PTC DI SURABAYA)
Authors: Wijayanti Tri Cicik 
Published: March 2024

AbstrakTujuan dari penelitian ini adalah untuk mengetahui dan menganalisis pengaruh harga, promosi dan distribusi terhadap keputusan pembelian smartphone Samsung di PTC (Pakuwon Trade Center) Surabaya. Populasi dari penelitian ini adalah seluruh pengunjung Pakuwon Trade Center Surabaya. Sampel diambil secara accidental sampling. Metode analisis yang digunakan dalam penelitian ini adalah Regresi Linier Berganda. Hasil analisis menunjukkan bahwa harga, promosi dan distribusi, baik secara parsial maupun secara simultan berpengaruh signifikan terhadap keputusan pembelian smartphone Samsung di PTC (Pakuwon Trade Center) Surabaya. AbstractThe purpose of this research is to determine and to analysis the effect of price, promotion and distribution on purchase decision of smartphone Samsung in PTC (Pakuwon Trade Center ) Surabaya. The population of this research are all visiter in Pakuwon Trade Center Surabaya.The sample of this research used the accidental sampling. Analysis method of this research is multiple linear regression model, the results of analysis showed that price, promotion and distribution influence significantly on the purchase decision effect simultan and partial of smartphone Samsung in PTC (Pakuwon Trade Center ) Surabaya.
MODIFIKASI MEDIA PEMBELAJARAN SMART CARD GAME SEBAGAI UPAYA PENGUATAN BAHASA DAERAH (STUDI KASUS PADA ANAK SEKOLAH DASAR KABUPATEN SAMPANG)
Authors: Desiyanto Jatim , Laily Rohisotul 
Published: March 2024

Bahasa daerah perlu dijaga dan dilestarikan, tetapi anak-anak semakin kehilangan minat dalam mempelajarinya. Faktor seperti globalisasi, pendidikan formal, teknologi, dan kurangnya kesadaran anak menjadi penyebab rendahnya penggunaan bahasa daerah di kalangan siswa SD. Bahasa daerah diakui penting dalam pendidikan nasional berdasarkan UU Sisdiknas 2013. Rendahnya penggunaan bahasa daerah dapat diatasi dengan penggunaan media pembelajaran yang interaktif dan komunikatif. Smart Card Game merupakan solusi yang efektif untuk memperkuat pemahaman bahasa daerah. Selain sebagai media pembelajaran, smart card game juga memberikan hiburan yang menarik dan menyenangkan dalam belajar bahasa daerah. Penelitian ini bertujuan untuk terciptanya media smart card came yang relevan/layak sebagai media pembelajaran dan penerapannya dapat meningkatkan pengetahuan siswa dalam bahasa daerah (Bahasa Madura) di SD Kabupaten Sampang. Penelitian ini menggunakan metode R&D dengan pendekatan kuantitatif untuk menguji efektivitas media dengan metode uji analisis Wilcoxon. Variabel bebas dalam penelitian ini adalah model smart card game dan variabel terikat adalah pengetahuan bahasa daerah yang dimiliki oleh siswa. Prosedur penelitian dan pengembangan terdiri dari lima tahap utama, yaitu: (a) pengumpulan informasi/persiapan, (b) rancangan bangun model, (c) validasi ahli, (d) uji coba model, dan (e) evaluasi dan hasil produk. Hasil penelitian ini menunjukkan bahwa terciptanya media pembelajaran smart card game relevan/ layak terhadap penguatan bahasa daerah dengan nilai p-value = 0.000 dan efektif terhadap peningkatan pengetahuan siswa dalam bahasa daerah yang ditunjukkan dari hasil data pengetahuan didapatkan nilai Asymp. Sig. (2-tailed) 0,00 yang mana dapat disimpulkan terdapat perubahan dari sebelum ke sesudah dilakukan tindakan dengan menggunakan smart card game di SD Kabupaten Sampang.
Kritik Objektifikasi Perempuan pada Lirik Lagu Nxde karya (G)-IDLE
Authors: Nabila Hamidah Ath Thahirah  , Alex Sobur  
Published: March 2024

Abstract. The research entitled “Criticism of the Objectification of Women in the Song Lyrics Riffaterre's Semiotic (Analysis of the Lyrics of the Song Nxde by (G)-IDLE) was motivated by the public's interest in this song so that it went viral on various social media because the message contained social criticism, especially the objectification of women in the lyrics. Song lyrics can be used as a forum for sharing knowledge and views about social issues that affect a community or nation, as well as entertainment. This research aims to find out how the meaning is contained, especially regarding criticism of the objectification of women in the lyrics of the song Nxde through Riffaterre's semiotic theory approach in terms of four stages, namely, heuristics and hermeneutics, matrix, model and variant, and hypogram. The research method used is qualitative descriptive research. Data collection techniques in this research are observation and documentation. The research results show that heuristic and hermeneutic reading does not only mean criticism of objectification and stereotypes of women, but also how they rise up and accept themselves as they are. The matrix of the lyrics of this song is a stereotype of women and is objectified by other people. The model for the lyrics of this song is the character "I" who is a woman and the character "you". The hypogram of the lyrics of this song is for potential according to the matrix and for actual it is inspired by the story of Marilyn Monroe and Kurt Cobain's words
Abstrak. Penelitian yang berjudul “Kritik Objektifikasi Perempuan pada Lirik Lagu (Analisis Semiotika Riffaterre pada Lirik Lagu Nxde karya (G)-IDLE)” ini dilatar belakangi oleh minatnya khalayak akan lagu ini sehingga viral di berbagai sosial media karena pesan yang mengandung kritik sosial terutama objektifikasi perempuan dalam liriknya. Lirik lagu dapat digunakan sebagai wadah untuk berbagi pengetahuan dan pandangan tentang masalah sosial yang mempengaruhi komunitas atau bangsa, selain sebagai hiburan. Penelitian ini bertujuan untuk mengetahui bagaimana makna yang terkandung terutama tentang kritik objektifikasi perempuann dalam lirik lagu Nxde melalui pendekatan teori semiotika Riffaterre ditinjau dari empat tahapan yaitu, heuristik dan hermeneutik, matriks, model dan varian, dan hipogram. Metode penelitian yang digunakan yaitu penelitian deskriptif kualitatif. Teknik pengumpulan data pada penelitian ini adalah observasi dan dokumentasi. Hasil penelitian menunjukkan pembacaan heuristic dan hermeneutic tidak hanya mengartikan kritik objektifikasi dan streotip Perempuan, namun bagaimana mereka bangkit dan menerima dirinya apa adanya. Matriks dari lirik lagu ini adalah streotip Perempuan dan dijadikan objektifikasi oleh orang lain. Model dari lirik lagu ini adalah tokoh “aku” yang merupakan wanita dan tokoh “kamu”. Hipogram dari lirik lagu ini adalah untuk potensial sesuai dengan matriks dan untuk actual terinspirasi dari kisah Marilyn Monroe dan Perkataan Kurt Cobain.
Hubungan Terpaan Konten Media Sosial Tiktok @Shopee_Id dengan Minat Beli Followers
Authors: Muhammad Rifqi Maulana  , Dedeh Fardiah  
Published: March 2024

Abstract. The Tiktok account @Shopee_Id acts as a promotional tool for goods sold on this e-commerce and according to its goal is to increase the level of purchases using Shopee. This research was conducted to determine the relationship between Exposure to Tiktok @Shopee_Id Social Media Content and Followers' Buying Interest. This study uses the S-R theory which is based on the assumption that behavior changes occur depending on the quality of the stimulus that communicates with the organism. Then, the method used in this study is quantitative with a correlational approach. Sampling using simple random sampling technique. The population in this study were followers of the Tiktok @Shopee_Id account, with a sampling technique using the Taro Yamane formula and the results obtained were 100 respondents. The measurement scale in this study is the Likert scale. The validity test uses the Pearson Product Moment correlation analysis and the reliability test uses the Cronbach's Alpha test technique which will later be calculated using the SPSS application. The results of this study are (1) there is a relationship between the frequency of using the Tiktok account @Shopee_Id and the interest in buying followers, (2) there is a relationship between the duration of using the Tiktok @Shopee_Id account and the interest in buying followers, (3) there is a relationship between attention to use Tiktok account @Shopee_id with an interest in buying followers.
Abstrak. Akun Tiktok @Shopee_Id berperan sebagai salah satu alat promosi barang-barang yang dijual di e-commerce tersebut dan menurut tujuannya adalah ingin menaikan tingkat pembelian menggunakan Shopee. Penelitian ini dilakukan untuk mengetahui Hubungan Terpaan Konten Media Sosial Tiktok @Shopee_Id Terhadap Minat Beli Followers. Penelitian ini menggunakan teori S-R yang mendasarkan asumsi yang mana perubahan perilaku terjadi tergantung kepada kualitas rangsangan (stimulus) yang berkomunikasi dengan organisme. Lalu, metode yang digunakan dalam penelitian ini adalah kuantitatif dengan pendekatan korelasional. Pengambilan sampel menggunakan teknik simple random sampling. Populasi dalam penelitian ini adalah followers akun Tiktok @Shopee_Id, dengan teknik pengambilan sampel menggunakan rumus Taro Yamane dengan dan hasil yang didapat sebesar 100 responden. Skala pengukuran dalam penelitian ini adalah skala likert. Uji validitas menggunakan analisis korelasi Product Moment Pearson dan uji reliabilitas dengan teknik uji Cronbach’s Alpha yang nantinya akan dihitung menggunakan aplikasi SPSS. Hasil dari penelitian ini adalah (1) terdapat hubungan antara frekuensi pada penggunaan akun Tiktok @Shopee_Id dengan minat beli followers, (2) terdapat hubungan antara durasi pada penggunaan akun Tiktok @Shopee_Id dengan minat beli followers, (3) terdapat hubungan antara atensi pada penggunaan akun Tiktok @Shopee_id dengan minat beli followers.