bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Development of Nursing Job Performance Model in The Implementation of Integrated Management of Childhood Illness (Imci) in Surabaya
Authors: Susilaningrum Rekawati , Suryawati Chriswardani , Arso Septo Pawelas 
Published: July 2022

Introduction: MTBS is a comprehensive approaches for child illnes and one of the way to reduce an infant and under ﬁ ve years morbidity and mortality rateas well as appropriately to apply in public health center. In fact, MTBS has not been implemented as procedure guidance. The objective of the study was to examie the implementation of MTBS viewed from Van Meter and Van Horn model as basic measurement and the goal of policy, the sources of policy, a communication among organisation and the implementation of MTBS.Method: The study was qualitative design. Data were collected by in depth interview. Six Nurse and midwife were recruited as a sample by purposive sampling. Informant triangulation were head of PHC and head of deputy health services. Analysis was by means of content analysis.Result showed that the written and indicator of basic measurement and goal policy was not available yet. Sources of policy, namely health.Result: For the health workers was sufﬁcient and they have a good competency to carry out MTBS and have workload focus on three types. Fasilities was no room, form was difﬁcult to provide, instruments and medication was sufﬁcient available, but there was no speciﬁc funding. Communication was carried out only on the training program by MTBS fascilitator. Characteristic of beaurocracy structure (SOP) consists of preparation, implementation, eporting and recording.There was no speciﬁc preparation, it only an introduction dessimination was done. The implementation was not as modul and the form of MTBS was not used anymore. The implementation of MTBS lack support from Public Health center and Health Care District of Surabaya. Healh worker unmotivated to implement MTBS.Conclusio: the implementation of MTBS lack support from health worker, Public Health Center and Health Care District of Surabaya.It is recomended that Health Care District & Public Health Center cooperatively should have commitment to assess the implementation of MTBS in Surabaya.
An Action Error of Nursing Procedures: Types and Cause Factor Ners Profession Student
Authors: Khasanah Uswatun 
Published: July 2022

Introduction: An error could be danger for the safety of patients. Ners students because of its lack clinical experiences are at risk to make an error in medication or procedure to the patient. The purposes of this study are to identify types and causes error events conducted by ners students.Method: This is a qualitative study. The participants are 29 students for answering the open questionnaire and 5 students for in-depth interview. The instruments are open questionnaire and interview guideline. Data analysis is used content analysis.Result: This study revealed that the error is classiﬁed into 2 types: error related to medication and nursing procedures. The natures of error are from mild to severe error. The factors of error are classiﬁed into 3 categories: student factor, environment and preceptor factor. The student factors: lack of conﬁdence, nervous, ﬁrst time experience, and lack of practice. Environment factor: lack of facilities, emergency condition, lack of supervision, and lack of patient safety habit in the hospital. Preceptor factors: lack of guidance, unclear instruction.Discussion:The students feeling when doing an error is classiﬁed into 2: negative and positive feeling. Negative feelings are fear, feeling guilty. Positive feeling: motivated to learn. The student actions after doing an error are keep silent, inform to other students, or inform the preceptor or hospital nurses. The suggestion from this research is improving the skills lab education during academic phase and developing procedure for manage and prevent the error.
Model Development of Nursing Student Loyalty in Politeknik of Health
Authors: Hammad Hammad , Nursalam Nursalam , Kurniawati Ninuk Dian 
Published: July 2022

Introduction: Loyalty of nursing student is an important factor that nursing education should pay attention in order to compete with other nursing educations; involved by perceived value, expectation, and quality assurance in nursing higher education. The purpose of this study was to develop a loyalty model of nursing student in nursing higher education.Methods: This study was an explanatory research with cross sectional approach. Population were nursing student in Poltekkes Banjarmasin, with 112 samples which is selected by proportional random sampling. Data was collected by giving questionnaire and analyzed by partial least square.Result: Result of this study indicates that was an effect of costumer expectation on quality assurance in nursing higher education, there was effect of costumer expectation on perceived value in nursing student, there was an effect of customer expectation on student satisfaction (4) there was effect of quality assurance in nursing higher education, there wasn’t any affect of quality assurance in nursing higher education on student satisfaction, there was effect of perceived value in nursing student on student satisfaction, there was effect of student satisfaction on student loyalty. Conclusion: Overall result of this research were, student loyalty in nursing higher education developed by student satisfaction. Student satisfaction formed by perceived value. Perceived value developed from two aspects quality assurance, and student expectation, quality assurance of higher education wasn’t directly effect to student sasfaction. However, indirectly effect through student perceived value. Student satisfaction in nursing higher education was stronger effect than any other variable in this loyalty model. Loyalty model in this research can be use for improvement student loyalty on health education that focused on improvement student satisfaction without deny the other aspect. Further research is needed to analyze word of mouth effect on student loyalty.
The Role of Advanced Age and Duration of Infertility on Oocyte Number Retrieved during In Vitro Fertilization
Authors: Hendarto Hendy 
Published: July 2022

Introduction: The number of oocytes retrieved during in vitro fertilization related to the success of pregnancy. Today in vitro fertilization has been considered as definitive therapy for infertility problem. Age and duration of infertility is an important factor in infertility that should be evaluated in detail. The purpose of this study was to clarify the role of age and duration of infertility on the number of oocytes retrieved during in vitro fertilization.Method: This was an analytic observational study, including infertile female patients who followed the in vitro fertilization program at Fertility Clinic Graha Amarta Dr Soetomo Hospital Surabaya. Total sampling was conducted during January 1st-June 30th 2014 and found 66 study subjects. Evaluation was performed on age, duration of infertility and the number of oocytes retrieved following ovarian stimulation using FSH and GnRH antagonist injection. All data were analyzed by ANOVA test with level significance of ≤ 0.05.Result: In the group of age <35 years the average number of oocytes retrieved was 9.43 ± 6.29 oocytes, and in the group of age ≥ 35 years averaged number was 6.03 ± 4.67 oocytes. There was significant differences of oocytes number retrieved between the two groups (p = 0.017). The number of oocytes retrieved in group of duration of infertility 1-2 years, 3-4 years and ≥ 5 years were 13.40 ± 3.28 ; 8.64 ± 6.80 and 6.82 ± 5.45, respectively. There was significant differences of oocytes number retrieved between the three groups of duration of infertility (p = 0.017).Discussion: The advanced of age and the longer duration of infertility may contribute to the incidence of the less number of oocytes retrieved in infertile women who follow in vitro fertilization.
Decrease Risk Behavior HIV Infected on Construction Laborers with Behavior Change Communication (BCC) Approach
Authors: Purwaningsih Purwaningsih , Nasronudin Nasronudin , Qur’aniati Nuzul , Effendi Ferry 
Published: July 2022

Introduction: Percentage of HIV-AIDS cases based on the types of work in East Java in 2011 shows that construction workers occupied ranks the top five ranked groups with 249 people (31%) after a group of commercial sex workers (CSWs) group. The purpose of this study was to determine the effectiveness of BCC approach to the reduction of contracting HIV risk behavior in the construction laborers. Method: This study used operational research design. In this study measures the effectiveness of behavior change of construction workers on the prevention of HIV transmission by comparing the behavior of the construction workers before and after the intervention. The subjects of this study were 150 people risk group of construction workers who work and are spread throughout the city of Surabaya. This research was carried out into three phases, namely, phase preintervention research, intervention research, and post-intervention phase of the study. Implemented in the first year and second year praintervensi stage implemented intervention and post-intervention phases.Result: The results of this study showed that 72% of construction workers is productive (18–35 years) and visit his family more than once a month (38%). There is 20% of construction workers had sex with commercial sex workers and no one was using drugs. By 50% of construction workers never get information about HIV/AIDS and as many as 48% never use the services of HIV/AIDS.Discussion: External motivation construction workers associated with the utilization of behavioral HIV/AIDS services with sufficient correlation. Strong external motivation is influenced by risk behaviors of HIV/AIDS were conducted and the desire to get help. Weak external motivation is influenced by a lack of exposure to information related to HIV/AIDS services. The results of the FGD stakeholders have the perception is the same if a construction worker is a high risk group of contracting HIV. Most of the construction workers not have enough knowledge for the prevention of HIV transmission because they do not have access to HIV care and behavior are at risk of contracting HIV by construction workers.
The Influence of Surgeon Sex on Adverse Events Following Primary Total Hip Arthroplasty
Authors: Jolbäck Per , Rogmark Cecilia , Bedeschi Rego De Mattos Camila , Chen Antonia F. , Nauclér Emma , Tsikandylakis Georgios 
Published: July 2022

Background:
Stereotypes may prevail, but little is known about the influence that the sex of an orthopaedic surgeon may have on outcomes. In a recently published study, there were no differences in the rate of adverse events following total hip arthroplasties (THAs) performed by female or male orthopaedic surgeons. The objective of the present study was to investigate whether there was any difference in adverse events within 90 days following a primary THA performed by either a male or female surgeon in Sweden.

Methods:
A retrospective study was performed to evaluate primary THAs performed for osteoarthritis between 2008 and 2016 at 10 hospitals in western Sweden. Local hospital data were linked with the Swedish Hip Arthroplasty Register (SHAR) and with a regional patient register. Data collected from local hospitals and the SHAR included surgeon-related information (e.g., sex, annual volume, and level of training) and patient-related information (e.g., age, sex, and Elixhauser comorbidity index). Adverse events were retrieved from the regional patient register. The definition of adverse events followed the SHAR definition of adverse events. Mixed models were used to investigate the impact of surgeon sex on adverse events.

Results:
A total of 11,993 primary THAs were performed by 200 surgeons, of whom 17.5% were women. The proportions of adverse events within 90 days were similar for female (6%) and male (7%) surgeons. No association was found between surgeon sex and adverse events (adjusted odds ratio, 0.72; 95% confidence interval, 0.52 to 1.00) when all surgeons (both attendings and residents) were included in the analysis. A sensitivity analysis that included attendings only yielded similar results (adjusted odds ratio, 0.88; 95% confidence interval, 0.60 to 1.29).

Conclusions:
Despite a small tendency toward lower rates of adverse events at 90 days after THAs performed by female surgeons, there was no significant association between surgeon sex and the risk of adverse events following THA.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Effects of COVID-19 on Geographical Trends in the Orthopaedic Surgery Residency Match
Authors: Holderread Brendan M. , Han Alex , Mand Davinder S. , Liu Jonathan , Harris Joshua D. , Liberman Shari R. 
Published: July 2022

BACKGROUND:
Historically, medical students often match within the same geographic location or to an orthopaedic surgery residency program affiliated with their medical school. The objective of this investigation was to determine differences in geographic trends between orthopaedic residents matching before and during the Coronavirus-19 (COVID-19) pandemic.

METHODS:
This study analyzed 2 groups of orthopaedic residents: Pre-COVID cohort (years 2016-2020) and COVID-impacted cohort (year 2021). A list of accredited orthopaedic surgery residency programs (n = 202) was obtained. Orthopaedic residency program webpages were located (region [n = 4], division [n = 9], state [n = 50]). For each resident, their medical school and year of postgraduate training were recorded. Year 2021 resident information was obtained from the orthopaedic residency program webpages, social media accounts, and medical school match lists. Residency programs affiliated with a medical school were also assigned. Descriptive statistics were performed. Two sample Student t tests with Bonferroni correction applied to p-values (α < 0.05 significant) were performed.

RESULTS:
There were 4,832 residents analyzed (4,074 in Pre-COVID cohort; 758 in COVID-impacted cohort [758/868 of all positions in 2021 Match]). Statistically significant differences were detected between the COVID-impacted cohort (39.6%, p < 0.001) matching in the same state as their medical school (Pre-COVID 33.1%) and the COVID-impacted cohort (28.0%, p < 0.001) matching to a residency program affiliated with their medical school (Pre-COVID 21.2%). In the COVID-impacted cohort, students who matched in state matched to their home program more frequently (69.3%) compared with the Pre-COVID cohort (60.5%). Geographically, there was a difference in the COVID-impacted cohort (52.5%, p < 0.011) matching in the same division (Pre-COVID 47.5%). No statistically significant differences were identified for residents matching to the same region as their medical school (Pre-COVID 60.1%; COVID-impacted 61%, p = 0.968).

CONCLUSION:
Residents matching in the same state, in the same division, and to a residency program affiliated with their medical school increased significantly in the COVID-impacted cohort. There was no difference between cohorts matching in the same region as their medical school.

Level of Evidence:
Observational/Cross-Sectional
Transferências Voluntárias e o Efeito Flypaper
Authors: Oliveira da Luz Estela , Nossa Silvania Neris , Soares Monte-mor Danilo , Bezerra Filho João Eudes 
Published: July 2022

Objetivo da pesquisa: Examinar a ocorrência do efeito flypaper nos repasses de transferências voluntárias da União para os municípios brasileiros. Foram analisados os fatores complexidade e visibilidade explorados pelos autores Tuckman e Chang (1991), Rios e Costa (2005), Araújo e Siqueira (2015), acrescido do fator coligações políticas, no cenário dos dispositivos da Emenda Constitucional (EC) 86/2015 e EC 95/2019.
Originalidade: Apesar de existir vários estudos sobre orçamento impositivo no Brasil (Santos & Gasparine, 2020; Godoy, 2014; Gontijo, 2017), o diferencial desta pesquisa em relação às demais se dá pela análise da ocorrência do efeito flypaper dos repasses decorrentes das emendas orçamentária impositivas (Lei Orçamentária da União).
Metodologia: Foi utilizado o método de análise multivariada para dados em painel sobre dados secundários coletados de 5.484 municípios brasileiros para testar o efeito flypaper nas contas totais das despesas correntes e de capital, em relação às transferências voluntárias recebidas.
Resultados: Foi possível evidenciar o efeito flypaper para as despesas orçamentárias de capital, que têm aumentado acima da capacidade da economia dos municípios em proverem recursos para manutenção e custeios dos bens instalados. De forma associada, questões partidárias e políticas tendem a direcionar recursos para suas bases, sem realizarem estudos técnicos que viabilizam manutenções futuras dos investimentos decorrentes das emendas parlamentares. Os resultados também sugerem que mudanças na complexidade tributária podem favorecer o investimento em bens estruturais.
Contribuições teóricas e práticas: O estudo do flypaper, na administração pública, ratifica as análises do ministério do Planejamento junto ao Governo Federal brasileiro, no que tange à efetividade de aplicação dos recursos públicos; seu efeito pode trazer repercussões na geração de aumento dos gastos públicos; favorece a imperícia do recolhimento de tributos e constantes déficits nos cofres municipais; promove a nulidade de retorno financeiro dos recursos públicos, talvez na forma de redução tributária.
Princípios da Responsabilidade Social e Cooperação Internacional para o Desenvolvimento: Uma Análise do Programa Lagoas do Norte: Uma Análise do Programa Lagoas do Norte
Authors: De Oliveira Sousa Francílio , Neto Alexandre Rabêlo , Gomes Campelo Filho Eulálio , De Menezes  Urra Monique 
Published: July 2022

Objetivo da Pesquisa: Analisar o benefício dos princípios da responsabilidade social das Normas Brasileiras NBR-ISO 26000 em um programa de cooperação internacional para o desenvolvimento.
Enquadramento teórico: O artigo apresenta uma evolução do conceito de Responsabilidade social, mediante as teorias relacionadas à cooperação internacional para o desenvolvimento – CID, transparência e accountability.
Metodologia: O estudo utilizou uma abordagem qualitativa, de caráter exploratória, ancorada na triangulação de dados documentais e análise de conteúdo de entrevistas semiestruturadas com os gestores do Programa Lagoas do Norte e cidadãos que residem na área de abrangência do projeto em Teresina.
Resultados: Os princípios da responsabilidade social da NBR-ISO 26000 impactaram a gestão pública do município de Teresina em sua capacidade de desenvolvimento e gerenciamento de intervenções urbanas e desenvolvimento econômico e social.
Originalidade: Os resultados contribuem para suprir a ausência, na literatura brasileira, de artigos que façam uma discussão teórica acerca dos aspectos relacionados à cooperação internacional para o desenvolvimento – CID, transparência e accountability.
Contribuições teóricas e práticas: Uma vez que a ISO 26000 aponta para a necessidade de uma investigação mais criteriosa em relação às partes interessadas, esse estudo contribui em uma perspectiva prática para a gestão dos projetos de cooperação internacional de desenvolvimento – CID, no que diz respeito à relação com empresas, governos, mídia, fornecedores, organizações pares e a comunidade em que opera.
Hydrochemical Characteristics and Quality Assessment of Groundwater under the Impact of Seawater Intrusion and Anthropogenic Activity in the Coastal Areas of Zhejiang and Fujian Provinces, China
Authors: Fu Tengfei , Qi Chen , Wang Zhenyan , Li Chenzhe , Liu Wenquan , Fu Yushan , Chen Guangquan , Su Qiao , Xu Xingyong , Yu Hongjun 
Published: July 2022

Abstract
Coastal groundwater is an important resource in the developed region associated with human health and sustainable economic development. To identify the origins of salinity and evaluate the impact of water-rock interactions, seawater intrusion (SWI), and evaporation on groundwater in the coastal areas of Zhejiang and Fujian provinces, a comprehensive investigation was performed. Meanwhile, nitrate and fluoride indicators resulting from the anthropogenic activity and SWI were also considered. At last, the water quality index (WQI) of coastal groundwater was evaluated with geochemical and multivariate statistical methods. The results indicated that (1) the groundwater in coastal areas of Zhejiang and Fujian provinces has been affected by SWI to varying degrees. The analysis of selected ion ratios (Na+/Cl− and Br−/Cl−) and isotopic compositions showed that SWI is the predominant cause of increasing salinity in the groundwater of Zhejiang Province, while the cause is water-rock interactions (ion exchange and mineral weathering) in Fujian Province. The hydrochemical evolution path of groundwater in Zhejiang Province is Ca/Mg-HCO3 to Na-Cl, while a different pattern of Ca/Mg-HCO3 to Na (Mg/Ca)-Cl occurs in Fujian Province. However, the trend of SWI development in both provinces was freshening. (2) Nitrification, sewage infiltration, and SWI increased the NO3− content in groundwater. Some of the NO3− concentration in Fujian Province exceeds the standard, and the nitrogen pollution was more serious than in Zhejiang Province. The F− content in coastal groundwater was affected by SWI and mineral dissolution; the F− content in Zhejiang Province was higher than in Fujian Province, which was close to the groundwater standard limit. The average WQI value of Zhejiang was 103.61, and the WQI of Fujian was 61.69, indicating that the coastal groundwater quality in Fujian Province was better than in Zhejiang Province. The results of the study revealed the impact of SWI and anthropogenic activity on groundwater in the southern coastal zone of China and will be valuable for sustainable groundwater resource management.
A Novel Proposed CNN-SVM Architecture for ECG Scalograms Classification
Authors: Ozaltin Oznur , Ozgur Yeniay 
Published: July 2022

Abstract
Nowadays, the number of sudden deaths due to heart disease is increasing with the Coronavirus pandemic. Thus, Electrocardiogram (ECG) signals automatic classification is of vital importance for diagnosis and treatment. Thanks to deep learning algorithms, the classification can be performed without manual feature extraction. In this study, we propose a novel convolutional neural networks (CNN) architecture. Further, the proposed CNN can be extracted automatic features from images. Here, we classify a real ECC data set using our proposed CNN that includes 34 layers. While this dataset is one-dimensional signals, these are transformed into two-dimensional scalograms by continuous wavelet transform (CWT). In addition, we compare it with well-known architectures: AlexNet and SqueezeNet. When we classify ECG scalograms with proposed CNN, we find it more effectively than others. Although the results are very good, we benefit from support vector machines (SVM). Essentially, our main aim is to achieve the best classification results on account of health. Thus, we modify the proposed CNN with SVM. As a result, we achieve the highest success with an accuracy of 99.21% from our proposed CNN-SVM.