bluuebunny/crossref_metadata_2025_split huggingface dataset:
Komitmen Organisasi dan Perilaku Caring Perawat di Ruang Rawat Inap RS Dadi Keluarga
Authors: Sumarni Tri , Rakhmawati Arni Nur , Suhendro Anton 
Published: February 2023

Abstrak
Isu penting dari perawatan pasien adalah akses ke tempat perawatan yang tepat dan meningkatkan kepuasan pasien. Kinerja perawat dipengaruhi oleh banyak faktor diantaranya komitmen organisasi. Komitmen organisasi berpengaruh terhadap interaksi sosial, preferensi, sikap, perilaku, dan posisi individu dalam organisasi, keberhasilan organisasi dan kualitas perawatan. Penelitian ini bertujuan untuk mengetahui hubungan antara komitmen organisasi dengan perilaku caring perawat. Penelitian ini merupakan penelitian deskriptif korelasional dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan teknik purposive sampling. Jumlah sampel dihitung menggunakan rumus Slovin, jumlah sampel perawat 83 orang, sampel pasien 83 orang. Instrumen penelitian berupa kuesioner Caring Behaviour Inventory (CBI) sebanyak 24 pertanyaan dan kuesioner komitmen organisasi Meyer-Allen sebanyak 24 pertanyaan. Analisis bivariat menggunakan uji statistik spearman rank. Komitmen organisasi perawat sebagian besar tinggi (59%). Perilaku caring responden mayoritas pada kategori baik (77,1%). Ada hubungan positif antara komitmen organisasi dengan perilaku caring sehingga dengan meningkatkan komitmen organisasi, perilaku caring perawat meningkat (r=3,19 p value=0,03). Manajer dan pimpinan perawat harus lebih memperhatikan untuk meningkatkan komitmen organisasional perawat, guna meningkatkan kinerja perawat.
Kata kunci: komitmen organisasi, perilaku caring, kinerja perawat

Abstract
An important issue of patient care is access to appropriate care and increasing patient satisfaction. Nurse performance is influenced by many factors including organizational commitment. Organizational commitment influences social interactions, preferences, attitudes, behaviors, and individual positions in the organization, organizational success, and quality of care. This study aims to determine the relationship between organizational commitment and nurses' caring behavior. This research is a descriptive correlation study with a cross sectional approach. The sampling technique used purposive sampling technique. The sample size was calculated using the Slovin formula, the nurse sample was 83 people, and the patient sample was 83 people. The research instruments were the Caring Behavior Inventory (CBI) questionnaire with 24 questions and the Meyer-Allen organizational commitment questionnaire with 24 questions. Bivariate analysis used the Spearman rank statistical test. Most of the nurses' organizational commitment was high (59%). The caring behavior of the majority of respondents was in the good category (77.1%). Organizational commitment and caring behavior have a positive relationship, with increasing organizational commitment increasing nurses' caring behavior (r=3.19 p value=0.03). In order to improve nurse performance, managers and nurse leaders must focus more on increasing nurse organizational commitment.
Keywords : Organizational commitment, caring behavior, nursing performance
Studi Korelasional Self Efficacy dan Burnout Syndrome Perawat Ruang Kritis pada Masa Pandemi Covid-19
Authors: Rudiyanto Rudiyanto , Purnamasari Andita , Barata Brian Putra 
Published: February 2023

Abstrak
Peningkatan jumlah pasien terjadi selama masa pandemi Covid-19 menyebabkan peningkatan beban pekerjaan terhadap perawat yang bekerja di ruang kritis yang berisiko menyebabkan burnout, sehingga dibutuhkan self efficacy untuk mencegah terjadinya burnout. Tujuan dari penelitian ini untuk mengetahui hubungan self efficacy dan burnout syndrome pada perawat ruang kritis di masa pandemi Covid-19. Pada penelitian ini jenis penelitian yang digunakan adalah study correlation dengan metode penelitian cross sectional. Sampel yang didapatkan sebanyak 55 responden dengan menggunakan total sampling. Analisis data pada penelitian ini menggunakan Chi-square dengan uji Fisher’s Exact Test. Pengumpulan data menggunakan kuesioner self efficacy dan MBI-HSS (Maslach Burnout Inventory Human Service Survey). Hasil penelitian menunjukkan hampir seluruh perawat memiliki self efficacy yang tinggi (78,2%) dan sebagian besar perawat tidak mengalami burnout syndrome (60,0%). Diperoleh nilai sig. (2-sided) 0,006 (p<0,05) maka ada hubungan yang signifikan antara self efficacy dan burnout syndrome pada perawat ruang kritis di masa pandemi Covid-19. Upaya peningkatan self efficacy pada diri perawat dengan berbagai upaya pengalaman dan belajar akan mampu meminimalisir kejadian burnout meskipun dengan beban kerja yang tinggi.
Kata kunci: self efficacy, burnout, perawat kritis

Abstract
The increased number of patients during the Covid-19 pandemic increased the workload of nurses working in a critical room, putting them at risk of burnout. Thus, self-efficacy is required to prevent burnout. The goal of this study was to see if there was a link between self-efficacy and burnout syndrome in the nurses' critical care unit during the Covid-19 pandemic. This study was a correlation study using a cross-sectional research method. The total sampling technique was used to obtain 55 respondents for the sample. The data in this study was analyzed using Chi-square and Fisher's Exact Test. The data were gathered using self-efficacy questionnaires and the MBI-HSS (Maslach Burnout Inventory Human Service Survey). The results showed that almost all nurses had high self-efficacy (78.2%) and most nurses did not experience burnout syndrome (60.0%). From the data analysis, it was obtained sig. (2-sided) value of 0.006 (p <0.05). During the Covid-19 pandemic, there was a significant correlation between self efficacy and burnout syndrome in the nurses' critical care unit. Attempts to improve self efficacy through experience and learning will help minimize burnout even with a high workload.
Keywords: Self efficacy, burnout, critical nurse
Faktor Pengetahuan dan Perilaku dalam Mematuhi Protokol Kesehatan pada Keluarga Pasien di Era Pandemi Covid-19
Authors: Muliawati Dian Ika , Yulitasari Brune Indah , Putri Tengku Isni Yuli Lestari 
Published: February 2023

Abstrak
Pengetahuan, perilaku dan kepatuhan keluarga dalam melakukan protokol kesehatan mempunyai peranan besar untuk memutus mata rantai Covid-19. Tujuan penelitian untuk mengetahui hubungan pengetahuan dan perilaku dengan kepatuhan keluarga pasien terhadap protokol kesehatan sebagai upaya pencegahan dan penyebaran penyakit Covid-19 di ruang tunggu Instalasi Layanan Jantung Pembuluh Darah Terpadu RSUP Dr Sardjito Yogyakarta di Era Pandemi Covid-19. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian analitik korelasi. Rancangan penelitian adalah cross sectional study. Sampel penelitian sebesar 63 responden dengan menggunakan consecutive sampling. Instrumen penelitian ini menggunakan kuesioner pengetahuan dan perilaku yang telah digunakan dalam penelitian oleh Yanti NPD dkk serta pedoman observasi. Analisis data kuantitatif menggunakan uji analisis Chi-Square. Hasil Uji analisis Chi-Square antara pengetahuan dengan kepatuhan memiliki nilai p=0,000, dan perilaku dengan kepatuhan memiliki nilai p= 0,000. Ada hubungan antara pengetahuan dan perilaku dengan kepatuhan protokol kesehatan pada keluarga pasien di ruang tunggu Instalasi Layanan Jantung Pembuluh Darah Terpadu RSUP Dr Sardjito Yogyakarta di Era Pandemi Covid-19. Hasil penelitian menunjukkan bahwa pengetahuan dan perilaku yang baik dapat mempengaruhi kepatuhan seseorang dalam mematuhi protokol kesehatan di Era Pandemic Covid-19.
Kata kunci: pengetahuan, perilaku, kepatuhan, protokol kesehatan, Covid-19

Abstract
Knowledge, behavior, and family obedience in following health protocols all play a significant role in breaking the Covid-19 chain. The study sought to ascertain the relationship between knowledge and behavior with patient family compliance with health protocols in an effort to prevent and spread Covid-19 disease in the waiting room of the Integrated Cardiovascular Service Installation of Dr Sardjito General Hospital, Yogyakarta, during the Covid-19 Pandemic. This is a quantitative study using a correlation analytic research design. A cross-sectional study was used for the research. Using consecutive sampling, 63 people were chosen for the study. The research instrument included knowledge and behavior questionnaires developed by Yanti NPD et al, as well as observation guidelines. Chi-Square analysis test for quantitative data analysis. The Chi-Square analysis test results between knowledge and compliance have p = 0.000, and behavior with compliance has p = 0.000. In the era of the Covid-19 pandemic, there is a link between knowledge and behavior and adherence to health protocols in patient families in the waiting room of the Integrated Cardiovascular Service Installation of Dr Sardjito General Hospital Yogyakarta. The study's findings indicate that good knowledge and behavior can influence a person's compliance to health protocols in the Covid-19 Pandemic Era.
Keywords: knowledge, behavior, compliance, health protocols, Covid-19
Poly (trimethylene carbonate)/doxycycline hydrochloride films in the treatment of Achilles tendon defect in rats
Authors: Zhang Jinchi , Zhang Xiaowei , Li Wei , Guo Jing , Yang Liqun , Yan Guangqi 
Published: February 2023

Introduction: In this study, Poly (trimethylene carbonate)/Doxycycline hydrochloride (PTMC/DH) films were introduced to repair the Achilles tendon defects for the first time.Methods: (PTMC/DH) films with different DH content of 10, 20, and 30% (w/w) were prepared by solvent casting. The in vitro and in vivo drug release of the prepared PTMC/DH films was investigated.Results: The results of drug release experiments showed that the PTMC/DH films released effective concentrations of doxycycline for more than 7 and 28 days in vitro and in vivo, respectively. The results of antibacterial activity experiments showed diameters of 25.00 ± 1.00 mm, 29.33 ± 1.15 mm, and 34.67 ± 1.53 mm, respectively, for the inhibition zones produced by the release solutions of PTMC/DH films with 10, 20 and 30% (w/w) DH at 2 h, indicating that the drug-loaded films could inhibit Staphylococcus aureus well. After treatment, the Achilles tendon defects have recovered well, as indicated by the more robust biomechanical properties and the lower fibroblast density of the repaired Achilles tendons. Pathology revealed that the pro-inflammatory cytokine, IL-1β, and the anti-inflammatory factor, TGF-β1, peaked in the first three days and gradually decreased as the drug was released more slowly.Discussion: These results demonstrated that the PTMC/DH films have great potential for regenerating Achilles tendon defects.
Epidemiological characteristics, virulence potential, antimicrobial resistance profiles, and phylogenetic analysis of Aeromonas caviae isolated from extra-intestinal infections
Authors: Song Yang , Wang Li-feng , Zhou Kuai , Liu Shuang , Guo Ling , Ye Li-yan , Gu Jiang , Cheng Yan , Shen Ding-xia 
Published: February 2023

ObjectiveAeromonas caviae (A. caviae) is one of the major etiological agents in human intestinal infections reported to be associated with a broad spectrum of extra-intestinal infections with increasing incidence over recent years. Although previous studies have established its significance as a causative agent of both bloodstream and gastrointestinal infections, the characteristics of A. caviae that cause extra-intestinal infections remain unilluminated.In this single-center retrospective study, we investigated epidemiological characteristics, antimicrobial resistance genes and phenotypes, virulence genes, and phyloevolution of 47 clinical A. caviae isolated from patients with extra-intestinal infections from 2017 to 2020.MethodsA. caviae strains were identified by biochemical tests and matrix-assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF/MS), ultimately confirmed to species level by whole-genome sequencing (WGS). Antimicrobial resistance and virulence genes were identified using the Comprehensive Antibiotic Resistance Database (CARD) and the virulence factor database (VFDB), respectively. Phylogenetic analysis of 47 clinical strains was performed by combining with 521 A. caviae strains from NCBI database.ResultsA. caviae was an opportunistic pathogen in immunocompromised patients, especially those with underlying hepatobiliary diseases and malignancies. 19 out of 47 isolates were identified as multidrug resistance (MDR) strains. Piperacillin-tazobactam, levofloxacin, gentamicin, amikacin with a resistance rate of less than 10% remained as options to treat extra-intestinal infections. 24 out of 47 isolates exhibited non-susceptibility to cephalosporins and cephamycins, all of which carried β-lactamase gene, including blaMOX, blaPER-3, blaOXA, blaNDM, and blaCphA. Most stains (98%, 46/47) carried at least one of the virulence genes, but extra-intestinal infections had a low mortality rate. Phylogenetic analysis indicated the risk of nosocomial transmission but revealed no outbreak. However, the emergence of MDR and β-lactamase resistance genes in extra-intestinal isolates of A. caviae is becoming an increasing risk to public health and requires attention.ConclusionsThis study strengthen our understanding of A.caviae isolated from extra-intestinal infections. It may contribute to the management of extra-intestinal infections as well as the prevention and control of drug resistance.
A systematic review and meta-analysis of thoracic endovascular aortic repair with the proximal landing zone 0
Authors: Zhu Longtu , Li Xiaoye , Lu Qingsheng 
Published: February 2023

BackgroundThoracic endovascular aortic repair, initially intended for thoracic aortic disease treatment, has extended its application to the proximal zone of the aorta. However, the safety and surgical outcomes of extending the proximal landing zone into the ascending aorta (zone 0) in selected cases remain unknown. Thus, we performed a systematic review and meta-analysis of zone 0 thoracic endovascular aortic repair (TEVAR) to obtain a deeper understanding of its safety, outcomes, and trends over time.MethodsA literature search was performed using PubMed, EMBASE, and Web of Science databases in accordance with the preferred reporting items for systematic reviews and meta-analyses guidelines, from January, 1997 to January, 2022. Only studies involving zone 0 TEVAR were included. The retrieved data from the eligible studies included basic study characteristics, 30-day/in-hospital mortality rate, indications, comorbidities, stent grafts, techniques, and complications. Summary effect measures of the primary outcomes were obtained by logarithmically pooling the data with an inverse variance-weighted fixed-effects model.ResultsFifty-three studies with 1,013 patients were eligible for analysis. The pooled 30-day/in-hospital mortality rate of zone 0 TEVAR was 7.49%. The rates of post-operative stroke, type Ia endoleak, retrograde type A aortic dissection, and spinal cord ischemia were 8.95, 9.01, 5.72, and 4.12%, respectively.ConclusionsAlthough many novel stent grafts and techniques targeting zone 0 TEVAR are being investigated, a consensus on technique and device selection in zone 0 TEVAR is yet to be established in current practice. Furthermore, the post-operative stroke rate is relatively high, while other complication rates and perioperative death rate are comparable to those of TEVAR for other aortic zones.
Constipation and cardiovascular disease: A two-sample Mendelian randomization analysis
Authors: Dong Qichao , Chen Delong , Zhang Yuxuan , Xu Yi , Yan Longhui , Jiang Jun 
Published: February 2023

BackgroundAlthough several observational studies have suggested positive associations between constipation and cardiovascular disease (CVD), a solid causal association has not been demonstrated. Therefore, a two-sample Mendelian randomization (MR) study was performed to investigate the causal associations between constipation and CVD.MethodsIndependent genetic variants strongly associated with constipation were obtained from the FinnGen consortium. Summary-level data for CVD, including coronary artery disease (CAD), myocardial infarction (MI), heart failure (HF), atrial fibrillation (AF), stroke, and its subtypes, were collected from a few extensive genome-wide association studies (GWASs). The inverse-variance weighted methods, weighted median, and MR-Egger were used for the MR estimates. The Cochran’s Q test, MR-Egger intercept tests, MR-PRESSO, MR Steiger test, leave-one-out analyses, and funnel plot were used in the sensitivity analysis.ResultsGenetically determined constipation was suggestively associated with AF risk (odds ratio (OR), 1.07; 95% confidence interval (CI), 1.01, 1.14; p = 0.016). Constipation and other CVD do not appear to be causally related. It was demonstrated that the results were robust through sensitivity analyses.ConclusionThis MR study demonstrated suggestive causal associations of constipation on AF, despite no associations achieving a significance value after multiple testing corrections. There was no evidence of an association between constipation and the risk of CAD, MI, HF, stroke, or stroke subtypes.
P-wave velocity structure and implications for magmatism and metallogenesis in the southern Altaids: Constraint from wide-angle seismic data along the Altai-Eastern Tianshan traverse
Authors: Bai Zhiming , Zhao Liang , Xiao Wenjiao , Xu Tao , Badal José 
Published: February 2023

Altaids in the Central Asian Orogenic Belt (CAOB) is one of the world’s largest orogenic belts containing mineral deposits. Together with the Junggar terrain they open an important window to study the Paleozoic tectonic evolution of the CAOB. In this paper, we analyze a 637-km-long wide-angle refraction/reflection seismic profile across the Altai-Eastern Tianshan orogenic belt in the southern Altaids, conducted in September 2018 using 10 large explosive charges fired in drilled holes. We use a traveltime inversion method to reconstruct the lithospheric P-wave velocity structure along the profile. The lithosphere is composed of a 43-55-km-thick crust, a ∼10-km-thick crust-mantle transition layer beneath the Altai Mountain, and a ∼25-km-thick layer of lithospheric mantle. The results clearly reveal: a prominent Moho uplift beneath the Yemaquan Island Arc, two major crustal-scale low-velocity anomalies (LVAs) beneath the Yemaquan Arc and Bogda Mountain, and three high-velocity anomalies (HVAs) near the surface around the Kalatongke, Yemaquan and Kalatage mining areas. We hypothesize that the subduction of the Paleo-Asian Ocean occurred with strong mantle upwelling. We suggest that continued compression of the Paleo-Asian Ocean causes the delamination of lithosphere, as well as asthenospheric material upwelling and magma underplating into the crust. Consistently, Paleozoic mafic-ultramafic rocks and mantle-derived minerals related to gold, copper and nickel deposits, are widely extended in the area. Our results show that the P-wave velocity-depth curves for deeper depths (&gt;30 km) in the southern Altai and Junggar Basin are close to those of the continental arcs and global continent average. Despite powerful Paleozoic subduction activity, orogeny and volcanism strongly modified the lower crust in the region, part of ancient continental crust was still preserved below the southern Altai and Junggar Basin. In addition, the upper part (depth 5–30 km) of the velocity-depth curve for the Junggar Basin is close to that of the Costa Rica volcanic front and the British Columbia accreted terrain, suggesting that Paleozoic orogenic activity has intensively reconstructed the upper-middle crust beneath the Junggar Basin.
Social emotional learning matters: Interpreting educators’ perspectives at a high-needs rural elementary school
Authors: Dyson Ben , Shen Yanhua , Howley Donal , Baek Seunghyun 
Published: February 2023

IntroductionSchool educators’ have a great influence on the adoption, sustainability, and development of school-based Social and Emotional Learning (SEL) programs. The purpose of this school-based research was to investigate educators’ experiences and perspectives on implementing SEL in a high-needs rural elementary school setting.MethodsFifteen school educators (n= 15), including ten K-5 classroom teachers, one special education teacher, one social worker, and three school leaders, participated in this study. In addition, lessons were observed, and 17 sets of field notes were taken during 17 different days of visit (60–90 min) over the two semesters. A case study design drawing on qualitative research methods was utilized.ResultsThe inductive analysis and constant comparison of the collected data generated six themes:prerequisite for academic success, essential skills for everyday life, lack of time, lack of preparation and development, home-school disconnection, andpushback from students.DiscussionThe study provided qualitative evidence to support the need for quality SEL implementation and revealed nested levels of constraints for school educators’ implementing SEL from the “voices” of school educators. The study also calls for collaborative efforts and shared strategies to facilitate “legitimate” long-term partnerships between universities and schools, families, and communities, particularly in rural areas, in promoting a more holistic vision of the social and emotional development of our children.
Aspartate aminotransferase/alanine aminotransferase ratio was associated with type 2 diabetic peripheral neuropathy in a Chinese population: A cross-sectional study
Authors: Yan Pijun , Wu Yuru , Dan Xiaofang , Wu Xian , Tang Qian , Chen Xiping , Xu Yong , Zhu Jianhua , Miao Ying , Wan Qin 
Published: February 2023

ObjectiveDespite previous research that focused on aspartate aminotransferase/alanine aminotransferase ratio (AAR) as predictors of type 2 diabetes mellitus (T2DM) and cardiovascular disease, there has been limited research evaluating the association between AAR and diabetic microvascular complications. This study aimed to investigate the association of AAR with diabetic peripheral neuropathy (DPN).MethodsA total of 1562 hospitalized patients with T2DM were divided into four groups according to AAR quartiles. The relationship between AAR and DPN and related parameters was explored by the Spearman correlation coefficients, multivariable logistic regression analysis, and receiver operating characteristic (ROC) curves.ResultsPatients with higher AAR quartiles had higher levels of vibration perception threshold (VPT) and presence of DPN, and AAR was positively associated with VPT and presence of DPN independent of sex, age, body mass index, and diabetic duration (P&lt;0.01 or P&lt;0.05). Moreover, AAR remained significantly associated with a higher odds ratio (OR) of DPN (OR 2.413, 95% confidence interval [CI] 1.081-5.386, P&lt;0.05) after multivariate adjustment. Additionally, the risk of presence of DPN increased progressively as AAR quartiles increased (all P for trend &lt;0.01) in both male and female subjects, and the highest quartile of AAR of male and female subjects was respectively associated with 107.3% (95% CI: 1.386-3.101; P&lt;0.01) and 136.8% (95% CI: 1.550-3.618; P&lt;0.01) increased odds of DPN compared with the lower quartiles. Last, the analysis of receiver operating characteristic curves revealed that the best cutoff values for AAR to predict the presence of DPN were 0.906 (sensitivity: 70.3%; specificity: 49.2%; and area under the curve [AUC]: 0.618) and 1.402 (sensitivity: 38%; specificity: 81.9%; and AUC: 0.600) in male and female subjects, respectively.ConclusionsThese findings suggest that the high AAR may be associated with the presence of DPN in Chinese patients with T2DM, and may be used as an additional indicator of risk of DPN.