bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors Influencing the Efficiency of Public Hospitals in Saudi Arabia: A Qualitative Study Exploring Stakeholders' Perspectives and Suggestions for Improvement
Authors: Alatawi Ahmed D. , Niessen Louis W. , Bhardwaj Minakshi , Alhassan Yussif , Khan Jahangir A. M. 
Published: June 2022

ObjectiveDespite an extensive literature on efficiency, qualitative evidence on the drivers of hospital efficiency is scant. This study examined the factors that influence the efficiencies of health service provision in public hospitals in the Kingdom of Saudi Arabia (KSA) and their potential remedies.DesignWe employed a qualitative design involving semi-structured interviews conducted between July and September 2019. Participants were purposively selected and included policymakers and hospital managers drawn from districts, regional and national levels. Data were analyzed in Nvivo 12 based on a thematic approach.SettingKey informants of Ministry of health in the KSA.ResultsRespondents identified a range of different factors across the community, facility and the wider health system that influence inefficiencies in public hospitals in KSA. Ineffective hospital management, lack of strategic planning and goals, weak administrative leadership, and absence of monitoring hospital performance was noted to have a profound impact on hospital efficiency. The conditions of healthcare staff in respect to both skills, authority and psychological factors were considered to influence the efficiency level. Further, lack of appropriate data for decision making due to the absence of an appropriate health informatics system was regarded as a factor of inefficiency. At the community level, respondents described inadequate information on the healthcare needs and expectations of patients and the wider community as significant barriers to the provision of efficient services. To improve hospital efficiencies, respondents recommended that service delivery decisions are informed by data on community health needs; capacity strengthening and effective supervision of hospital staff; and judicious resource allocation.ConclusionThe study demonstrates that inefficiencies in health services remain a critical challenge in public hospitals in KSA. Extensive awareness-raising and training on efficient resource utilization among key health systems stakeholders are imperative to improving hospital performance. More research is needed to strengthen knowledge on hospital efficiency in light of the limited data on the topic in KSA and the wider Gulf region.
A Numerical Approach to Analyze the Performance of a PEF-Ohmic Heating System in Microbial Inactivation of Solid Food
Authors: Moya J. , Astráin-Redín L. , Grasa J. , Cebrián G. , Calvo B. , Álvarez I. 
Published: June 2022

Pulsed Electric Fields (PEF) technology has been recently proposed as a new ohmic-heating system for the heat treatment of solid products in short periods (less than 1 min). However, similar to traditional ohmic heating, non-homogeneous distribution of temperature has been observed and cold points appeared in the interphase between the solid treated product and the electrodes, which can limit the technology for assuring food safety for treated solid products. In this investigation, a computational axisymmetric model of a lab-scale PEF system for a solid product (agar cylinder) was developed. This model was used to predict the temperature and the electric field distribution, treatment time, and the microbial inactivation (Salmonella Typhimurium 878) in the solid product after a PEF-ohmic treatment. Using a factorial analysis, a total of 8 process conditions with different settings of applied field strength levels (2.5–3.75 kV/cm), frequencies (100–200 Hz), and initial agar and electrode temperature (40–50°C) were simulated for the agar cylinder in order to identify the effect and optimal values of these parameters, which offer the most temperature homogeneity. The results showed that the initial temperature of the agar and the electrodes was of great importance in achieving the best temperature uniformity, limiting the occurrence of cold points, and therefore, improving the homogeneity in the level of inactivation of Salmonella Typhimurium 878 all over the agar cylinder. A treatment of 2.3 s would be enough at 3.75 kV/cm, 200 Hz with an initial temperature of 50°C of the agar and the electrodes, for a 5-Log10 reduction of Salmonella Typhimurium 878 in the whole product with a deviation of 9°C between the coldest and hottest point of the solid.
Multi-Session Visual SLAM for Illumination-Invariant Re-Localization in Indoor Environments
Authors: Labbé Mathieu , Michaud François 
Published: June 2022

For robots navigating using only a camera, illumination changes in indoor environments can cause re-localization failures during autonomous navigation. In this paper, we present a multi-session visual SLAM approach to create a map made of multiple variations of the same locations in different illumination conditions. The multi-session map can then be used at any hour of the day for improved re-localization capability. The approach presented is independent of the visual features used, and this is demonstrated by comparing re-localization performance between multi-session maps created using the RTAB-Map library with SURF, SIFT, BRIEF, BRISK, KAZE, DAISY, and SuperPoint visual features. The approach is tested on six mapping and six localization sessions recorded at 30 min intervals during sunset using a Google Tango phone in a real apartment.
Postabortion Family Planning and Associated Factors Among Women Attending Abortion Service in Dire Dawa Town Health Facilities, Eastern Ethiopia
Authors: Motuma Venus Shewangizaw , Yadeta Tesfaye Assebe , Alemu Addisu , Yuya Mohammed , Eshetu Bajrond , Balis Bikila , Bekana Miressa , Merga Bedasa Taye , Oljira Lemessa 
Published: June 2022

BackgroundPostabortion family planning is a part of comprehensive package of postabortion care. However, it did not receive due attention to break the cycle of repeated abortion, unintended pregnancies, and abortion-related maternal morbidity and mortality. Therefore, this study aimed to determine the utilization of postabortion family planning and associated factors among women attending abortion service in Dire Dawa health facilities, Eastern Ethiopia.MethodsA facility-based cross-sectional study design was employed among 483 clients who sought abortion service in Dire Dawa from 15 May to 30 June 2020. A structured interviewer-administered questionnaire was used for data collection. The collected data were entered into EpiData version 3.2 and exported to SPSS version 22 for analysis. The multivariate logistic regression models were fitted to identify factors associated with utilization of postabortion family planning. Adjusted odds ratios (AORs) along with 95% CI were estimated to measure the strength of the association and statistical association was declared statistical at a p-value &lt; 0.05.ResultsMore than three-fourths (77.8%) [95% CI: (73.4–81.6%)] of respondents were utilized postabortion family planning methods. Respondents with age 15–24 years [AOR: 5.59, (95% CI: (1.5, 19.7)], attended postsecondary [AOR: 7.6, (95% CI: (2.7, 21.2)], single marital status [AOR: 11.1, (95% CI: (4.6, 26.5)], a monthly income 500–1,000 birr [AOR: 7.9, (95% CI: (3.2, 19.4)], parity ≥ 5 [AOR: 0.41, (95% CI: (0.18, 0.92)], desire of current pregnancy [AOR: 4.2, (95% CI: (1.9, 9.3)], and ever used family planning [AOR: 4.4, (95% CI: (2.2, 8.9)] were major factors significantly associated with postabortion family planning utilization.ConclusionIn this study, more than three-fourths of respondents utilize postabortion family planning. Most of the factors associated with postabortion family planning were modifiable. Therefore, policymakers and health planners need to integrate with comprehensive abortion care to improve the utilization of postabortion family planning.
Early Postoperative Ondansetron Exposure is Associated with Reduced 90-Day Mortality in Patients Undergoing Cardiac Surgery
Authors: Xiong Dexin , Xiong Chao 
Published: June 2022

BackgroundOndansetron is a widely used anti-emetic for the prevention and treatment of nausea and vomiting for patients in critical care. Recent retrospective cohort studies suggest the potential beneficial effects of ondansetron in critically ill patients. In this study, we investigate the impact of ondansetron use on patient outcomes after cardiac surgery.Material and MethodsThe MIMIC-III database was used to identify two types of cardiac surgical patients: those who were administered early ondansetron and those who were not given this early medication in the first 48 h in the postoperative period. Multivariable logistic regression was used to investigate the effect of ondansetron exposure on 90-day mortality, acute kidney injury, and malignant ventricular arrhythmias. Sensitivity analyses utilizing the inverse probability of treatment weighting and covariate balancing propensity score models were conducted to test the robustness of our findings.ResultsA total of 12.4% of patients received ondansetron. Ondansetron use was associated with a lower risk of 90-day mortality in the multivariable logistic regression model (OR: 0.31, 95% CI: 0.13 to 0.72; P = 0.006) and sensitivity analyses. Additionally, ondansetron exposure was associated with less postoperative acute kidney injury (OR: 0.82, 95%CI: 0.69 to 0.96; P = 0.017) but did not increase the risk of postoperative malignant ventricular arrhythmias (OR: 0.38, 95%CI: 0.09 to 1.16; P = 0.191).ConclusionsIn a population of cardiac surgical patients, early postoperative use of ondansetron appears to be associated with decreased 90-day mortality and acute kidney injury.
RETRACTED: Kinesin Family Member 2A Serves as a Potential Biomarker Reflecting More Frequent Lymph Node Metastasis and Tumor Recurrence Risk in Basal-Like Breast Cancer Patients
Authors: Yang Hua , Liu Yongjun 
Published: June 2022

BackgroundKinesin family member 2A (KIF2A) is reported as an oncogene and a potential biomarker for progression and prognosis in several cancers such as cervical, ovarian, and gastric. However, its clinical value in basal-like breast cancer (BLBC) is unclear. This study aims to evaluate KIF2A expression and its correlation with clinical features and survival rates in BLBC patients.MethodsKIF2A mRNA and protein expressions in tumor and adjacent tissues from 89 BLBC patients are assessed by reverse transcription-quantitative polymerase chain reaction and immunohistochemistry assays, respectively.ResultsBoth KIF2A protein (p &lt; 0.001) and mRNA expressions (p &lt; 0.001) were higher in tumor than in adjacent tissue. Besides, tumor KIF2A protein expression was positively correlated with N (p = 0.028) and TNM (p = 0.014) stages; meanwhile, tumor KIF2A mRNA expression was positively correlated with N stage (p = 0.046), TNM stage (p = 0.006), and tumor size (p = 0.043). Additionally, both tumor KIF2A protein (p = 0.035) and mRNA (p = 0.039) high expressions were correlated with worse disease-free survival (DFS) but not with overall survival (both p &gt; 0.05). Moreover, tumor KIF2A protein expression was higher in relapsed patients than in non-relapsed patients within 3 years (p = 0.015) and 5 years (p = 0.031), whereas no difference was found between the dead and survivors within 3 years (p = 0.057) or 5 years (p = 0.107). Lastly, after adjustment, tumor KIF2A mRNA high exhibited a trend that correlated with DFS but without statistical significance (p = 0.051).ConclusionKIF2A correlates with more frequent lymph node metastasis and worse DFS in BLBC patients, shedding light on its potency as a biomarker for BLBC.
A Yoga Intervention for Stress Management of Young Atheletes During Covid-19 Lockdown
Authors: S Senthil Kumar , Shanmuga Sundaram Akila , R Thilagavathi Shanmuga Sundaram 
Published: June 2022

The aim of this research was to check the effectiveness of a specially designed yogicg package suitable to athletes, who were into future fear due to covid-19 lockdown, test its effectiveness in bringing back their mental power. Yoga is not a new science. Centuries back importance of physical and mental health and the impact of yoga has been explained in Thirumandiram by Yoga Maharishi Thirumoolar. Psychological resilience is an important construct that can enhance athletic performance and foster valuable life skills. Through positive adaptation to adversity and stressors in competitive performance, athletes are able to cultivate their ability to effectively respond to negative stimuli, ultimately evolving personal growth. For young athletes, development of resilience is particularly crucial. Due to confinement and social isolation regulations young athletes face distinct challenges in sport including future fear, physical toughness, body image issues, emotional maturity, increased mental distress, and internalization of emotions during covid lockdown. The aim of this research is to test if yoga could build resilience, discuss the implications and applications relevant to young athletes. 30 young athletes between 19 - 21 years accepted to participate in the research was accommodated. The pretest was conducted on the selected variables and selected subjects was assigned into two groups equally of 15 subjects each. Experimental Group (YG) underwent yoga training and the control group (CG) did not undergo any specific training for 3 weeks (6 days a week for 2 sessions a day). After 3 weeks of the training period post test was conducted on resilience (self-determination, physical toughness and Emotion control & Maturity) for both the groups. To find out if any significant difference exists between pre and post training, t-ratio was applied. The result clearly depicts that yoga is a best tool to work on resilience in such unprecedentented tough times, securing current physical and mental health, enhancing sport performance thereby helping young athletes stay navigated to the set goal for life.
حق الموظف العام بالترشيح والانتخاب للمجلس الوطني الاتحادي في التشريع الاماراتي دراسة مقارنة
Authors: سالم مصطفى 
Published: June 2022

يعد حق الترشيح والانتخاب من أهم الحقوق السياسية والدستورية للمواطنين بصفةٍ عامةٍ والموظفين العامين بصفةٍ خاصةٍ لتعلقها بالإرادة الشعبية، وباعتبارهما يمثلان الطريق القانوني لممارسة السيادة من خلال اختيار أعضاء البرلمان لتولي ذلك نيابةً عن الأمة. إلا أن هذه الحقوق كغيرها من الحقوق تخضع للتنظيم القانوني. لذلك عنيت الدساتير به لإضفاء قدرًا كبيرًا من السمو لهما، وتناولته القوانين المختلفة بتحديد هيئة الناخبين والشروط التي ينبغي تحققها في المرشح والناخب. تختلف الدول في وضعها للموظف العام كشروط لعضوية المجلس النيابي مع وضع ضوابط وقيود ترد على ممارستهما بما يتناسب وسيادتها، يؤدي التلاعب بها إلى مشاكل على نطاقٍ التطبيق العملي، وتسببت في جدال قانوني وقضائي يظهر في كل عملية انتخابية.
وقد قسمنا بحثنا هذا إلى ثلاث مباحث، الأول بعنوان الموظف العام وممارسة حق الترشيح، والثاني بعنوان الموظف العام وممارسة حق الانتخاب، والثالث بعنوان الحماية القضائية لحق الموظف العام بالترشيح والانتخاب
وقد توصلنا إلى نتائج عدة أهمها أن على المشرع الاماراتي أن ينص على تمتع الفرد الموظف بالجنسية بدل تبعيته لإحدى الأمارات. وإن المشرع الاماراتي اكتفى بمعرفة القراءة والكتابة، وإن المشرع الاماراتي أجاز الجمع بين الوظيفة العامة والوظيفة المحلية بالإضافة إلى العديد من التوصيات.
PENGEMBANGAN SISTEM INFORMASI PERPUSTAKAAN BERBASIS WEB PADA AMIK DIAN CIPTA CENDIKIA BANDAR LAMPUNG
Authors: . Sukatmi , Prianganti Euis Mustika , . Astriyanti 
Published: June 2022

Perpustakaan adalah kumpulan buku atau bangunan fisik tempat buku dikumpulkan, disusun menurut sistem tertentu untuk kepentingan pemakai. Akan tetapi keberadaan perpustakaan tidak hanya sebatas itu, sejatinya perpustakaan mempunyai komponen yang lebih kompleks untuk dapat diakses dan diminati oleh pengunjungnya. Perpustakaan perguruan tinggi merupakan sebuah sarana penunjang yang didirikan untuk mendukung kegiatan civitas akademik, dimana perguruan tinggi itu berada. Untuk menciptakan kenyamanan dan memenuhi kebutuhan civitas akadmika Perpustakaan AMIK Dian Cipta Cendikia perlu dikembangkan menjadi sistem informasi perpustakaan berbasis website.
Pengembangan sistem informasi perpustakaan ini dikembangkan dengan metodologi eXtreme Programming (XP). Alat perancangan sistem yang digunakan adalah Unified Modelling Language (UML) berupa use case diagram, class diagram, rancangan input output dan activity diagram. Bahasa pemrograman yang digunakan adalah PHP dengan database MySQL.
Hasil akhirnya adalah sistem informasi perpustakaan berbasis web. Fasilitas yang tersedia meliputi pengolahan data anggota, pengolahan data buku,trnnsaksi peminjaman dan pengembalian serta pengolahan data denda bagi petugas perpustakaan. Mahasiswa dapat mengakses koleksi buku dan informasi lainnya yang berhubungan dengan bahan pustaka. Bagi pimpinan,sistem informasi perpustakaan dapat menyajikan informasi tentang koleksi dan sirkulasi buku sehingga dapat diketahui koleksi buku yang banyak dibutuhkan oleh dosen maupun mahasiswa
KLASIFIKASI KINERJA PEMBAYARAN ANGSURAN DENGAN ALGORITMA NAIVE BAYES (Studi Kasus : Data Nasabah Koperasi Simpan Pinjam Pembiayaan Syariah Bina Bersama)
Authors: Efendi Dwi Marisa , Mintoro Sigit , . Supriyanto , Lubis Sani Hanika , Lestari Sri 
Published: June 2022

Koperasi menurut Undang-Undang Nomor 25 tahun 1992 adalah “badan usaha yang beranggotakan orang seorang atau badan hukum koperasi dengan melandaskan prinsip-prinsip koperasi sekaligus sebagai gerakan ekonomi rakyat yang berdasarkan atas asas kekeluargaan”. .Bayes merupakan teknik prediksi berbasis probabilistic sederhana yang berdasarkan pada penerapan teorema bayes (atau aturan Bayes) dengan asumsi independensi (ketidaktergantungan) yang kuat (naïf). Sistem klasifikasi data nasabah ini digunakan untuk menampilkan informasi klasifikasi lancar, kurang lancar atau tidak lancarnya calon nasabah dalam membayar angsuran kredit. Dengan menggunakan algoritma naïve bayes dan diterapkan kedalam bahasa pemrograman delphi. Kriteria yang digunakan adalah nama,usia,jenis kelamin,alamat,status perkawinan,jumlah simpanan, jumlah kredit,jangka waktu,anggunan,pekerjaan,tujuan kredit. hasil klasifikasi tersebut adalah class lancar dengan nilai probabilitas 4,001-5,550, class kurang lancar dengan nilai probabilitas 2,851-4,000, class tidak lancar dengan nilai probabilitas 0,005-2,850.
Seguimiento y control de ganado vacuno mediante geoposicionamiento
Authors: Toledo Marcelo Alejandro 
Published: June 2022

El desarrollo del presente trabajo de investigación denominado seguimiento y control de ganado vacuno mediante geoposicionamiento, cuya línea prioritaria es innovación y tecnología y es del tipo aplicada. Con el mismo se logró desarrollar, un prototipo que permite determinar la ubicación en tiempo real el ganado vacuno. Permite recibir coordenadas de ubicación en tiempo real para luego enviarlas mediante la red celular a una plataforma web de Internet de las Cosas que opera con esta información y alimenta diferentes widgets en los cuales se puede observar la ubicación del ganado. Para lograr esto se utiliza un Sistema de Posicionamiento Global, cuyo objetivo es determinar las coordenadas espaciales de puntos respecto de un sistema de referencia mundial. El sistema está basado en la placa Arduino conectado a un módulo SIM808 que ofrece la tecnología GPS y permite solicitar a los satélites coordenadas de posicionamiento. En un futuro, se estima, que todas las ganaderas deberían contar con un sistema de control de animales, debido a que es primordial realizar seguimiento y control en tiempo real, para conocer la ubicación, combatir el robo y controlar la salud del mismo. La metodología utilizada para el desarrollo del sistema es la del prototipado.
Peran Pengembangan Sumber Daya Manusia Sebagai Agen Perubahan
Authors: Herlina Erna , Tukiran Martinus , Yusnita Nancy , Hermansya Hermansya , Andrianto Muhammad Tito 
Published: June 2022

Sebuah bisnis
yang ingin
mempertahankan posisi
nya
di pasar atau mendapatkan keunggulan kompetitif perlu
melakukan perubahan secara
terus-menerus.
Perubahan membantu meningkatkan produktivitas yang pada akhirnya meningkatkan penjualan suatu perusahaan. Persaingan global
yang berkembang
dan laju kemajuan teknologi meramalkan kebutuhan yang berkelanjutan untuk
sebuah
perubahan. Sebuah organisasi akan membutuhkan jasa
agen perubahan untuk membantu dalam usahanya untuk berubah
dalam mencapai ke
sukses
an
.

Penelitian
ini mengkaji peran
pengembangan sumber daya manusia
sebagai
agen perubahan di beberapa bidang seperti manajemen perubahan organisasi, peran berbeda yang dimainkan oleh manajemen perubahan, keterampilan
dan kompetensi agen perubahan HRD, model perubahan yang digunakan oleh agen perubahan untuk memfasilitasi perubahan.
Penelitian ini merupakan penelitian
literatur
e review
. Hasil
penelitian ini
menunjukkan bahwa a
gen perubahan
merupakan
setiap orang dengan kekuatan dan keterampilan untuk memfasilitasi
dan memandu upaya perubahan. membantu
organisasi untuk beralih ke cara baru dalam melakukan sesuatu
. Pengembangan sumber daya manusia dapat berperan sebagai agen perubahan karena mengetahui cara
menangani sumber daya
manusia yang merupakan aset berharga organisasi dan penggerak
perubahan
PENGEMBANGAN CERITA BERGAMBAR BERBASIS NILAI KARAKTER SEBAGAI PENUNJANG LITERASI
Authors: Mila Aulani  , Burhanuddin  , Zulfadli Hamdi  , Hadi Yul Alfian 
Published: June 2022

Penelitian ini merupakan penelitian dan pengembangan(research and development). Tujuan dari penelitian ini untuk mendeskripsikan prosedur pengembangan cerita bergambar berbasis nilai karakter sebagai penunjang literasi di SDN 3 Teros. Penelitian ini menggunkaandesain pengembangan Borg and Gall yang disederhanakan menjadi tujuh tahapan, yaitu analisa kebutuhan, perencanaan, pengembangan produk awal, pengujian terbatas, revisi hasil uji produk, uji produk utama, dan revisi produk akhir. Instrumen penelitian yang digunakan adalah lembar wawancara dan lembar angket. Lembar wawancara digunkan untuk melakukan analisis kebutuhan, sedangkan lembar angket digunakan untuk memvalidasi produk dan menilai respon peserta didik terhadap buku cerita bergambar yang dikembangkan oleh peneliti. Perolehan data hasil validasi yaitu ahli bahasa “4,5”, hasil validasi ahli media/tampilan “4,7”, hasil penilaian kepraktisan “4,1”, dan hasil pengisian angket oleh peserta didik menunjukkan angka “4,4”. Berdasarkan data tersebut produk yang dikembagkan oleh peneliti memenuhi kriteria “layak” dengan rentan skor dari “4,1-4,7”.Dengan demikian produk tersebut dapat dijadikan sebagai bahan bacaan penunjang gerakan literasi di SDN 3 Teros tahun pelajaran 2020/2021.