bluuebunny/crossref_metadata_2025_split huggingface dataset:
Is Value-Based Health Care Just the Latest Fad or can it Transform the Slovenian Health Care System?
Authors: PREVOLNIK RUPEL Valentina , DOŠENOVIĆ BONČA Petra 
Published: March 2023

ABSTRACT

You get what you pay for is a very old saying, originating from England in the mid-to late 1800s. However, despite being in use for more than two centuries, its meaning is still not fully grasped in Slovenian healthcare. While we claim that the healthcare system serves the patient and that the care provided is patient-centred, we do not even measure the treatment outcomes that matter to patients. Without measuring these, we do not know whether the treatment provided value to the patients, i.e. what were the benefits of the treatment relative to the costs. Slovenian payment models do not reimburse the providers for created patient-relevant value, but rather for the planned number of services or cases based on average incurred costs. It is thus time to digitalise the system, and start collecting, curating and analysing the relevant data to ensure that all stakeholders within the healthcare system co-deliver value to patients. While relevant stakeholders highlight notable challenges of implementing value-based healthcare in Slovenia, these are far from insurmountable.
Patient Outcomes and Hospital Nurses’ Workload: A Cross-Sectional Observational Study in Slovenian Hospitals Using the RN4CAST Survey
Authors: SKELA-SAVIČ Brigita , ALBREHT Tit , SERMEUS Walter , LOBE Bojana , BAHUN Mateja , DELLO Simon 
Published: March 2023

ABSTRACT

Introduction
Higher nursing workload increases the odds of patient deaths, as the work environment has a significant effect on patient outcomes. The aim of the study was to explore the relation between patient outcomes and nurses’ working conditions in hospitals.

Methods
Administrative data on discharges of surgical patients for the year 2019 in eight general hospitals and two university medical centres in Slovenia were collected to determine in-hospital mortality within 30 days of admission. The RN4CAST survey questionnaire was used to gather data from nurses in these hospitals, with 1,010 nurses participating. Data was collected at the beginning of 2020. The number of nurses per shift and the nurse-to-patient ratio per shift were calculated. Univariate, bivariate and multivariate statistical methods were used to analyse the data.

Results
The 30-day in-hospital mortality for surgical patients was 1.00% in the hospitals sampled and ranged from 0.27% to 1.62%. The odds ratio for staffing suggests that each increase of one patient per RN is associated with a 6% increase in the likelihood of a patient dying within 30 days of admission. The mean patient-to-RN ratio was 15.56 (SD=2.50) and varied from 10.29 to 19.39. Four of the 13 tasks checked were not performed on patients during the last shift.

Conclusion
The results are not encouraging, with an extremely critical shortage of RNs and thus a high RN workload. The number of patients per RN is the highest in Europe and also higher than in some non-European countries, and represents an extreme risk to the quality of nursing and healthcare as a whole. The recommendation for acute non-emergency internal medicine and surgery departments is four patients per RN per shift.
PENYULUHAN PEMILIHAN WARNA UNTUK MENINGKATKAN KUALITAS RUMAH DI RW 02 KELURAHAN KRENDANG, JAKARTA BARAT
Authors: Safitri Ristya Arinta , Madina Rizki Fitria , Rintawati Dewi 
Published: March 2023

Permukiman di Kelurahan Krendang, Kecamatan Tambora merupakan salah satu pemukiman padat penduduk dan padat bangunan yang ada di Kota Jakarta. Jarak antar bangunan yang sangat berdekatan serta ukuran rumah yang kecil menyebabkan munculnya beberapa permasalahan lingkungan dan kesehatan. Rumah merupakan kebutuhan primer manusia sebagai tempat berlindung. Rumah yang layak huni memiliki beberapa kriteria yaitu; keselamatan bangunan, dan kecukupan minimum luas bangunan, serta kesehatan penghuni. Selain itu rumah layak huni juga harus memenuhi kenyamanan dan keamanan penghuni. Rumah sempit dapat diakali dengan pemilihan warna yang tepat sehingga berkesan bersih dan luas. Selain itu paduan warna juga menciptakan karakter yang berbeda pada tiang ruangan. Pada pemukiman warga RW02, perlu adanya perbaikan rumah untuk meningkatkan kualitas hidup. Hasil wawancara dan survei awal menunjukan warga belum mengetaui mengenai pemilihan warna yang dapat meningkatkan kenyamanan pada rumah. Sehingga diperlukan penyuluhan dan konsultasi untuk warga mengenai hal tersebut. Hasil dari penyuluhan dan konsultasi yang dilakukan adalah antusiasme warga untuk mengetahui warna yang dapat dipergunakan di rumah cukup tinggi. Hasil tes paska penyuluhan juga menunjukan peningkatan pengetahuan warga mengenai pemilihan warna.
KONSULTASI DAN PENYULUHAN RUANG DALAM (INTERIOR) HUNIAN DI KELURAHAN MERUYA SELATAN, JAKARTA BARAT
Authors: Ischak Mohammad , Budiarti Ratih , Kridarso Etty Retno 
Published: March 2023

Penataan ruang dalam (interior) hunian merupakan persoalan yang banyak diperhatikan dalam kehidupan manusia baik secara peorangan maupun kelompok. Penataan ruang dalam yang sehat secara fisik maupun non fisik dibutuhkan di daerah perkotaan terutama di daerah padat penduduk dengan luasan terbatas. Kelurahan Meruya Selatan, walaupun merupakan hunian dengan lahan terbatas merupakan kampung kota yang layak untuk dikelola dengan baik secara fisik maupun non fisik untuk menunjang lingkungan perkotaan yang sehat dan nyaman. Pelaksanana Pengabdian kepada Masyarakat diawali dengan survey sevara virtual sehubungan dengan masa pandemic Covid 19 saat ini untuk mendapatkan kejelasan tentang kondisi lingkungan maupun hunian disana. Penyuluhan dan contoh contoh diberikan pada saat kegiatan dilaksanakan. Tema yang diangkat tepat, dikarenakan kondisi penghuni yang umumnya saat ini mereka bekerja dari rumah sehingga kegiatan dalam penataan ruang dalam dapat dilaksanakan untuk mengisi aktivitas selama masa pandemic. Kegiatan PKM ini secara langsung menambah pengetahuan dan membangun semangat pada masyarakat untuk menjadikan lingkungannya lebih baik.
RHEOLOGICAL STUDY ON THE PARAMETERS AFFECTING THE VISCOSITY OF THE GREEN SOLUTION CONSISTING SLS AND LTTM
Authors: Riswati Shabrina Sri , Setiati Rini , Prakoso Suryo , Ratri Paramita Jaya , Yskak Ardak , Irvan Rayhan 
Published: March 2023

Enhanced Oil Recovery (EOR) is known to effectively improve oil recovery by producing the residual oil saturation in a reservoir. Many chemicals for injected fluid in EOR are synthetic and harmful to the environment. Aims: This study aims to characterize a newly developed green solution consisting of Sodium Lignosulfonate (SLS) and a Low Transition Temperature Mixture (LTTM) for injection agent. Methodology and Results: The concentration of surfactant was defined using weight percentage, which was calculated from the portion of the total weight of LTTM. The characterization was approached by analyzing the behavior of the green solution based on the power law analysis of the rheological measurement. The analyses of value, viscosity, shear rate, and shear stress were carried out. Increasing in viscosity was caused by the additional molecular mass of sucrose in the solution. This study found that the SLS concentration and LTTM ratio affects the rheological behavior of the green solution. Conclusion, significance, and impact study: According to the results, adding the SLS concentration increases the probability of the green solution becoming an EOR agent by showing shear-thinning behavior. Further studies are required to ensure the feasibility of the green solution during the injection period and the propagation in the reservoir.
Effects of Subminimal Inhibitory Concentrations of Chlorhexidine on the Chlorhexidine Resistance and Biofilm Formation in Clinical Drug-resistant Acinetobacter baumannii Isolates
Authors: Omer Hawkar S. , Aka Safaa T. 
Published: March 2023

Background and objectives: Multi-drug resistant microorganisms have caused a remarkable increase in hospital-acquired infections (HAI) during the previous few decades. Moreover, microbiological contamination of antiseptics and disinfectants has been recorded in medical settings.
Methods: A total of 61 clinically relevant Acinetobacter baumannii isolates were collected from various clinical specimens in hospitals in Erbil city/Iraq between September 2021 and March 2022. The isolates were identified using VITEK-2 compact system. Antimicrobial susceptibility testing was carried out for a total of 16 different therapeutically relevant antibiotics in accordance with the criteria of the Clinical Laboratory Standards Institute (CLSI) using the above mentioned system. A spectrophotometer was used to determine the optical density at 600 nm (OD600nm) for biofilm evaluation. Wilcoxon signed ranks test used to determine the effect of sub-MIC of CHX on the CHX-MIC and biofilm formation.
Results: the study showed that there is a significant difference in CHX-MIC and biofilm formation before and after 7 days of incubation of Acinetobacter baumannii in sub-MIC of CHX (p<0.05). Exposure of Acinetobacter baumannii to sub-lethal CHX concentrations develops inducible resistance to lethal CHX doses. The biofilm formation ability of isolates also increased after using sub-lethal dose of CHX.
Hyperbaric Oxygen Therapy as Adjuvant Therapy in Nasopharyngeal Cancer : A Literature Review
Authors: Djatiwidodo Djatiwidodo Edi Pratiknyo 
Published: March 2023

Introduction
Hyperbaric oxygen therapy (HBOT) may not be widely known. In Indonesia itself, the HBOT application was first carried out in 1960 by the Indonesian Navy Marine Health Institute / Lembaga Kesehatan Kelautan TNI AL (Lakesla) in collaboration with the Naval Central Hospital (Rumah Sakit Pusat Angkatan Laut / RSPAL) Dr. Ramelan Surabaya, where until now the facility is still the largest in Indonesia. Hyperbaric oxygen therapy was first introduced by Behnke in 1930. At that time hyperbaric oxygen therapy was only given to divers to relieve symptoms of decompression sickness (Caisson's Disease)1. Hyperbaric oxygen therapy is a treatment method using high pressure oxygen, where the pressure used is higher than atmospheric pressure (more than 1 atm). High pressure oxygen therapy methods are currently widely used as adjuvant therapy for various pathological conditions associated with hypoxic and/or ischemic conditions. The standard procedure for HBOT is to inhale pure oxygen (100% O2) using a pressure between 1.5 and 2.5 atmospheres absolute (ATA) by mask or by endotracheal tube which is the sum of the atmospheric pressure and the gauge pressure in a hyperbaric chamber2–4.
PROFIL DAN ETIOLOGI FLUOR ALBUS DI POLIKLINIK OBSTETRI-GINEKOLOGI RSPAL DR. RAMELAN SURABAYA
Authors: Sudiarta I Ketut Edy 
Published: March 2023

ABSTRAK
Latar Belakang. Sepanjang hidup hampir setiap wanita pernah mengalami keputihan. Angka kejadiannya belum diketahui secara pasti, tetapi WHO melaporkan 75% wanita pernah mengalami keputihan, sedangkan 25% wanita Eropa dilaporkan pernah mengalami keputihan. Di Indonesia sekitar 90% wanita berpotensi mengalami keputihan. Kenyataannya memang tidak semua kasus keputihan merupakan keadaan patologis. Keputihan yang bersifat patologis sebagian besar disebabkan oleh Gardnerella vaginalis, Trikomonas, kandida albikan, Neisseria gonorrhoea, Chlamydia trachomatis.
Tujuan : Tujuan penelitian ini adalah untuk mengetahui profile dan sebaran kuman kasus fluor albus di poliklinik Obstetric-Ginekologi Rumah Sakit Pusat Angkatan Laut DR. Ramelan Surabaya Periode Oktober 2019 sampai Desember 2021.
Metode : Penelitian ini merupakan penelitian deskriptif retrospektif, dengan menggunakan total sampling yang diambil dari rekam medis pasien yang terdiagnosis fluor albus.
Hasil : Selama kurun waktu penelitian didapatkan 49 sampel dengan frekuensi terbanyak adalah usia produktif masing-masing 20 orang (41%) yaitu masing-masing pada kelompok usia 35 – 44 tahun dan 45 – 54 tahun, pendidikan SMA sebanyak 26 orang (53%),31 sampel (63%) ibu rumah tangga, 41 orang (84%) multipara, dan hasil pemeriksaan mikroskopik dari swab vaginaadalah Haemophylus vaginalis sebanyak 17 orang (35%).
Kesimpulan : Profile dan gambaran mikroskopik dari 49 sampel penelitian didapatkan mayoritas pada kelompok usia 35 – 44 tahun dan 45 – 54 tahun masing-masing 20%, pendidikan SMA 53%, ibu rumah tangga 63%, multipara 84%, dan hasil pemeriksaan mikroskopik swab vagina adalah Haemophylus vaginalis.
KARAKTERISTIK PASIEN LEIOMYOMA UTERI PADA MASYARAKAT PESISIR DI LUMAJANG TAHUN 2019-2021
Authors: Al Bashor Arifin Alief Qobidh 
Published: March 2023

Leiomyoma uteri merupakan salah satu masalah kesehatan reproduksi perempuan yang memiliki pengaruh signifikan terhadap morbiditas dan kualitas hidup pasien. Penelitian ini bertujuan mendeskripsikan karakteristik pasien leiomyoma uteri pada masyarakat pesisir di RSUD dr. Haryoto Lumajang periode 2019-2021. Jenis penelitian kuantitatif dengan desain observasional, menggunakan pendekatan retrospectif pada periode Januari 2019 sampai dengan Desember tahun 2021. Pengambilan data sekunder sesuai kriteria inklusi, dilakukan pada bulan Agustus sampai dengan September 2022 di RSUD dr. Haryoto Lumajang. Data dianalisis secara univariat dan disajikan dalam bentuk tabel dan grafik. Hasil penelitian menunjukkan ada peningkatan kasus leiomyoma uteri masyarakat pesisir yang dirawat di RSUD dr. Haryoto Lumajang terdapat peningkatan sejumlah 6 orang (20%) tahun 2020, menjadi 10 orang (33%) tahun 2021. Karakteristik pasien diantaranya, faktor usia yang sebagian besar usia reproduksi >40 tahun (73,4%), paritas primipara dan nullipara (53,3%), penggunaan kontrasepsi/ KB Pil Kombinasi dan Suntik 1 bulan (34%), IMT 25-29,9 atau obesitas tingkat 1 (34%).
Kesimpulan penelitian ini bahwa karakteristik pasien leiomyoma uteri masyarakat pesisir di RSUD dr. Haryoto Lumajang sebagian menunjukkan adanya faktor risiko memicu terjadinya kasus tersebut, diantaranya faktor usia, paritas, penggunaan KB dan BB/ IMT. Perlu adanya informasi kesehatan secara berkala terutama tentang kesehatan reproduksi untuk deteksi awal terjadinya leiomyoma uteri dan juga kasus reproduksi lain seperti dengan pemeriksaan IVA (Inspection Visual with Acetic acid).
Perbedaan Manifestasi Klinis Kejang Demam Pada Anak Anemia dengan Tanpa Anemia di RSPAL dr. Ramelan Surabaya Tahun 2019-2022
Authors: - Delia 
Published: March 2023

Study aims: Febrile seizures are the most common neurological disorder in children. The incidence of febrile seizures is related to the incidence of epilepsy at 2-4% in the future and the probability of recurrence is about 30% and 50% after the first and second febrile seizures, respectively. Several recent studies have suggested that febrile seizures are more common in children with anemia. Anemia patients who experience febrile seizures can cause more severe clinical manifestations. Where 40.5% of the incidence of anemia in Indonesia occurs in children under the age of 5 years. Therefore, this study is conducted to determine the differences of the clinical manifestations of febrile seizures with and without anemia in children at RSPAL Dr. Ramelan Surabaya on 2019-2022.
Methods: This study was an observational analytic study with a cross-sectional study approach and qualitative methods from secondary medical record data of infants and children aged 6 months-5 years at RSPAL Dr. Ramelan Surabaya for the period May 2019-May 2022. The number of samples in this study was 82 samples.
Results: The characteristics of the sample which experiences the most febrile seizures occurres between the ages of 6-18 months, the gender of male with a temperature >38°C and manifestations in the form of simple febrile seizures. In addition, the results of the fisher exact test with a significance level of 5% shows p = 0.96 which means there is no difference in the clinical manifestations of febrile seizures in anemic and non-anemic children.
Conclusion: The conclusion of this study is that based on the classification of febrile seizures, the most common clinical manifestations that occur in children with anemia and without anemia are simple febrile seizures. So that there is no difference in the clinical manifestations of febrile seizures in anemic children and without anemia.
Mekânın Folkloru: Ticari İşletmelerin Duvar Dekorasyonunda Kültürel Unsurların Yeri (Erzurum İli Örneği)
Authors: DAŞTAN Nihangül 
Published: March 2023

Kent folkloru kavramı halkbilimi alanında 1970’li yıllardan itibaren önemli inceleme konularından biri durumuna gelmiştir. Sanayileşme, küreselleşme ve bununla beraber gelişen hızlı kentleşme halkbiliminin yönünü kırsal alanlardan kente döndürmesine zemin hazırlamıştır. Folklor terimi, halk felsefesini, halk fikirlerini ve geleneksel dünya görüşünü yansıtan somut ve somut olmayan her türlü kültürel konuyu bünyesinde barındırır. Kent folkloru çatısı altında da folklorun somut ve somut olmayan unsurları bir bütün olarak değerlendirilmektedir.
Mekân ve mekâna kimlik kazandıran objeler, halk felsefesini yansıtan somut kültürel simgelerdir. Bunlar bir kültürün ihtiyaçlarını, fikirlerini, estetik bakışını, teşkilatlanma tarzını, ekonomisini, halkın hukukunu, inanışlarını, bilgi ve becerilerini, normlarını yansıtır. Halk nesneleri ile somut olmayan kültür birbiri ile uyum içerisinde bir harmoni oluşturur.
Kent hayatının gündelik hayatın akışına eşlik eden önemli mekanlardan birini ticari işletmeler oluşturur. Bu mekanlarda insanlar alışveriş yaparlar. Bu alışveriş sadece tüketim maddelerinden veya hizmetlerden ibaret değildir. İnsan sirkülasyonunun yoğun olduğu bu mekanlar aynı zamanda kültürel alışverişin de gerçekleştirildiği yerlerdir.
Bu çalışmada Erzurum’da faal bulunan ticari işletmelerin duvarlarında yer alan ve halk nesneleri olarak tanımlanabilecek levhaların, duvar yazılarının ve resimlerinin kültürel işlevlerine odaklanılmaktadır. Makale, bu nesnelerin salt aksesuar olmaktan öte anlamlar içerdiğini ve halk felsefesinin somut birer göstergeleri olduğunu ortaya koymayı amaçlamaktadır. Bu amaçla Erzurum il merkezinde ziyaret edilen yaklaşık 350 ticari işletmede yer alan dekoratif nesneler fotoğraflanmış, tasnif edilmiş ve halkbilimi bakış açısı ile analiz edilmiştir.
Yapılan araştırma ile bu nesnelerin somut ve aynı zamanda sözlü olma, geleneğe bağlılık, kalıplaşma, çoğunlukla anonim olma ve çeşitlenme yönleriyle birer folklor ürünü oldukları; eğlenme/eğlendirme, toplumsal kurumlara ve törelere destek verme ve kültürel aktarımı sürdürme işlevlerini üstlendiği; kolektif hafızayı oluşturan sembolik anlamları olan önemli simgeler olduğu sonucuna ulaşılmıştır.
Comparison Between Classical Masks and (Odd and Even) Groups Masks for Mycosis Fungoides Disease Skin Image Edges Detection
Authors: Al-Fayadh Ali Hassan , Mohammed Hind Rostom , Kadham Shaymaa Maki 
Published: March 2023

In the present paper, a comparisonÂ between classical masks and (odd and even) masks groups for Mycosis Fungoides disease Skin image edges detection is performed.The goal is to extract the information known in the image because it is vital to understand the image content as the proposed approach is the comparative edge by masks classical and a new set Â of Groups Â masks (odd and even ) which consist of 10 masks. TheÂ database consists of 40 images reprints different Â stage of the Mycosis Fungoides disease Skin images 10 images for each stage. The experimental results confirm the effectiveness of the proposed system. and confirm the effectiveness of the proposed(odd and even) Groups masks.
Solving Parabolic Partial Delay Differential Equations Using The Explicit Method And Higher Order Differences
Authors: Haydar Amal Khalaf 
Published: March 2023

In this paper we use the higher order differences for second order (derivative) Â in solvingÂ parabolic partial delay differential equations by using the explicit method and we get results are more closer to the exact values than the results which can be obtained if the familiar second order (derivative) form is used.Â Finally ,we make a comparison using Matlab Â between theÂ results through two Â tables of values form [ 3] which results fromÂ Taylor series expansions of a function centered on the grid point Â . In this paper, we use the higher order differences for second order instead of the familiar form for solving the parabolic delay differential equations .
On A Subclass Of P- Valent Functions With Negative Coefficsients Defined By Integral Operator By Applying Fourier Series I
Authors: Buti Rafid Habib 
Published: March 2023

In this paper , we introduced a new subclass Â which consists of analytic and valent functions with negative coefficients in the unit disk defined by integral operator . We obtain coefficient estimates and some results including applications of Fourier series .Â
Serum Cystatin C as a Predictor of Acute Kidney Transplant Rejection
Authors: Shamkhi Fadhil B. , Ali Ala Sh. , El-Yassin Hedef D. 
Published: March 2023

Background: Accurate and rapid assessment of allograft function is essential. Cystatin C has recently been proposed as an alternative marker of glomerular filtration rate (GFR). Its diagnostic value for the longitudinal assessment of graft function has not been addressed well.Objective: To study the validity of cystatin C as an early marker and predictor of acute transplant rejection in the first week post transplantation.Subjects and Methods: Sixty six renal transplants recipients recruited. The study conducted in four renal transplantation centers in Baghdad for the period from September to December 2011. Serum creatinine and cystatin C concentrations measured 48 hours before transplantation and day 3 and 7 post transplantation.Results: Serum Cystatin C observed to significantly increased at day 3 (p<0.0001) and still increased at day 7 in the rejection. On day 3 areas under the receiver operating characteristic (ROC) curves were 0.749 for creatinine and 0.909 for cystatin C. In patients with acute rejection, serum cystatin C level elevated earlier than serum creatinine.Conclusion: Serum cystatin C seems to be a valuable marker of renal function in the first week post transplantation.
The problem of high water cut in the products of horizontal wells
Authors: Shcherbakova K. O. 
Published: March 2023

Background. The production of oil and gas by horizontal wells, despite all its advantages, is subject to exploratory and operational complications. At the final stage of their development, such fields become hard-to-recover reserves. Production of oil and gas is often associated with a high water cut, a significant drop in reservoir pressure, and precipitation of asphaltene deposits.Aim. To analyze the problem of early indication of flooding of horizontal wells and do research on existing solutions nowadays.Materials and methods. The dependence of the logarithm of the water-oil ratio on the cumulative oil production was investigated. An analysis of production decline curves was carried out, along with a graphical diagnostics of flooding evolution.Results. The anticipated cumulative production of a well was determined by continuing the linear dependence to its economic limit. A graph was plotted in semi-logarithmic coordinates for the analysis of production decline curves. According to the dependence of the water-oil ratio versus time, the type of early well flooding was determined in logarithmic coordinates.Conclusion. One of the most significant problems in the development of horizontal wells consists in the high water cut of the obtained products. According to the data for 2020, the average water cut in the main fields of Russia comprises at least 85%, with the mass ratio of produced oil and associated water approaching 1:7. The use of water-soluble polymers for waterproofing of horizontal wells can be considered a promising direction due to their efficiency in limiting water inflow in vertical and directional wells.