bluuebunny/crossref_metadata_2025_split huggingface dataset:
PELAKSANAAN SISTEM RUJUKAN BERBASIS PEMERINTAH DI PELAYANAN KESEHATAN: TINAJAUAN LITERATUR
Authors: Zuhri Muhammad Adjiz , Saleh Ariyanti , Tahir Takdir , Yunus Kanang Sri Wahyuni , Isriani Nur , Kasmawati  
Published: March 2022

Pendahuluan: Sistem rujukan dibuat untuk mengintegrasikan pelayanan dan memudahkan pelayanan ke pasien. Di lain sisi pertimbangan biaya menjadi hal yang sangat penting dalam pelayanan kesehatan. Masih rendahnya pemahaman tentang sistem rujukan sedikit banyak menyulitkan pasien itu sendiri dalam mendapatkan pelayanan kesehatan.Tujuan dari penulisan Literature review ini adalah untuk mengevaluasi pelaksanaan sistem rujukan berbasis pemerintah dan hambatan yang dihadapi dalam layanan kesehatan. Metode penyusunan literatur review ini mengikuti panduan PRISMA. Pubmed, Science Direct, Wiley Online, Proquest, dan Google Scholar adalah database yang digunakan dalam mengumpulkan artikel dengan kata kunci yang relevan. Hasil diperoleh lima artikel penelitian yang sesuai dengan kriteria inklusi. Artikel penelitian mengemukakan proses pelaksanaan, hambatan dan tantangan dalam system rujukan berjanjang di layanan kesehatan. Kesimpulan Sistem rujukan berjenjang merupakan sistem pelayanan kesehatan bagi masyarakat yang bertujuan untuk mengendalikan mutu dan biaya pelayanan dalam sistem JKN. Sistem ini juga dirancang agar pelayanan kesehatan yang diterima oleh pasien bisa optimal dan pasien dapat puas dengan pelayanan tersebut. Meski demikian, hasil penelitian ini menemukan masih banyak persoalan dalam pelaksanaan sistem rujukan berjenjang di FKTP. Pelayanan yang diberikan oleh FKTP belum optimal karena tidak seimbangnya antara jumlah pasien yang dilayani dan petugas dan infrastruktur pelayanan kesehatan.
Pengaruh Kepemimpinan dan Lingkungan Kerja Terhadap Kinerja Guru Kabupaten Gowa (Studi Kasus Al-Fityan School Gowa)
Authors: Sukriani Sukriani , Semmaila Baharuddin , Imaduddin Imaduddin 
Published: March 2022

Lingkungan Kerja secara simultan Terhadap Kinerja Guru Al Fityan School Gowa, selain itu juga dimaksudkan untuk menetahui pentingnya sumber daya manusia yang berkualitas dalam pengembangan sebuah organisasi termasuk dalam mengelola institusi pendididikan seperti Al Fityan School Gowa. Hasil penelitian ini diharapkan dapat memberi kontribusi pemikiran dan masukan kepada yayasan Al Fityan School Gowa untuk perbaikan dan penyempurnaan secara eksistensial manajemen operasional untuk melakukan peran dan fungsinya secara optimal. Data penelitian ini diperoleh melalui, dokumentasi, kuisioner, wawancara lansung dengan pimpinan (Direktur) dan guru-guru serta tenaga kependidikan Al Fityan School Gowa. Data yang diperoleh dianalisis dengan menggunakan analisis deskriptif dan rumus statistic regresi linear berganda. Penelitian ini menunjukkan bahwa dari sisi organisasi dan manajemen opersional sudah berjalan secara efektif dan professional, meskipun masih membutuhkan perbaikan dan peningkatan kualitas untuk menyelesaikan masalah-masalah yang dihadapi secara internal maupun eksternal.
HUBUNGAN POLA KOMUNIKASI ORANG TUA DENGAN KEBERHASILAN PEMBELAJARAN DARING PADA ANAK SELAMA PANDEMI COVID-19
Authors: Adibah Alfi Maulidiyah Hanan , Dewi Satiti Ika Arum , Danur Jayanti Nicky 
Published: March 2022

Keberhasilan pembelajaran daring pada anak dipengaruhi oleh peran orang tua dalam memberikan pola komunikasi yang baik kepada anak dan bagaimana orang tua melakukan interaksi dengan anak secara ruutin kepada anak. Pola komunikasi adalah proses yang telah dirancang sebelumnya untuk keberlangsungan, guda mempermudah pemikiran secara logis dan sitematik. Pola komunikasi dapat diartikan sebagai hubungan antara dua atau lebih dalam mengirim dan menerima sebuah pesan dengan cara yang tepat sehingga pesan yang disampaikan dapat dipahami. Tujuan dalam penelitian ini untu menganalisis pola komunikasi orang tua dengan keberhasilan pembelajaran daring anak selama pandemi Covid-19 di SDN Mojolangu 4 Kota Malang. Metode penelitian ini menggunkan metode kuantitatif dengan pendekatan cross sectional yang dilakukan kepada 55 responden yang memiliki anak yang sedang melakukan pembelajaran daring di SDN Mojolangu 4 Kota Malang. Teknik pengumpulan data dilakukan dengan cara memberikan instrumen kuesioner dan nilai rapot anak yang kemudian di uji menggunakan SPSS dengan jenis uji rank spearma. Hasil dari penelitian ini menunjukkan terdapat hubungan signifikan antara pola komunikasi dengan keberhasilan pembelajaran daring pada anak (p=0,000). Dari 55 responden yang memiliki pola komunikasi sedang 14 orang (25,5), baik 38 orang (69,1%) dan sangat baik 3 orang (5,5%) dapat disumpulkan bahwa pola komunikasi yang baik maka keberhasilan pembelajaran daring anak juga semakin tinggi.
HUBUNGAN DUKUNGAN SOSIAL DENGAN PENERIMAAN DIRI PADA REMAJA DENGAN ORANG TUA BERCERAI
Authors: Santika Sari Dyah , Apriyanto Frengki , Ulfa Miftakhul 
Published: March 2022

Latar Belakang: Tingginya angka perceraan di Indonesia memberikan dampak psikologis terhadap anak khususnya remaja. Remaja yang terkena dampak perceraian orangtua sangat membutuhkan dukungan sosial dari keluarga, teman maupun orang terdekat. Semakin tinggi dukungan yang remaja dapatkan maka semakin tinggi juga penerimaan diri yang remaja rasakan. Tujuan Penelitian: hubungan dukungan sosial dengan penerimaan diri pada remaja dengan orang tua bercerai secara literatur review. Metode Penelitian: Menggunakan studi literatur, search engine/database yang digunakan yaitu google scholar dan science direct dalam periode 10 tahun terakhir dalam bahasa Indonesia dan bahasa Inggris dengan kata kunci dalam pencarian yang sesuai dengan kriteria inklusi dan eksklusi. Hasil Penelitian: Hasil kajian literatur terkait hubungan dukungan sosial dengan penerimaan diri pada remaja dengan orangtua bercerai menunjukan bahwa dari 10 artikel, terdapat 3 artikel yang menyatakan bahwa terdapat hubungan dukungan social pada remaja dengan orang tua bercerai, 3 artikel yang menyatakan terdapat hubungan penerimaan diri pada remaja dengan orangtua bercera dan dua jurnal yang meneliti tentang penerimaan diri dengan dukungan sosial. Kesimpulan: Struktur keluarga sangat berpengaruh dengan control diri dan dukungan sosial sebagai pecegahan efek buruk dari perceraian orang tua dan dukungan sosial tidak berpengaruh pada usia remaja tersebut, Dukungan sosial dengan penerimaan diri pada remaja dengan orang tua bercerai dari aspek dukangan sosial sendiri yang paling berpengaruh ada aspek informasi sedangkan penerimaan diri yaitu aspek paling berpengaruh ialahan aspek tidak menyangkal implus atau emosinya atau merasa bersalah.
History of slope instability in the Oldina plantation, Tasmania
Authors: Slee Adrian , McIntosh Peter D. 
Published: March 2022

Background: This paper describes a landslide swarm generated by exceptionally high two-day rainfall (c. 300 mm) associated with a stationary cut-off low pressure system over northern Tasmania in early June 2016 and investigates evidence for previous slope instability. The landslide swarm occurred in a recently harvested plantation in the Inglis River catchment at Oldina, south of Wynyard in north-west Tasmania. Within a relatively small area of plantation underlain by weathered Permian tillite and minor siltstones more than thirty rapid earthflows, rotational and translational landslides occurred. Many landslides also occurred in the nearby Forth and Mersey River catchments.
Methods: Field observations combined with a digital elevation model produced from high-resolution drone imagery were used to describe the morphology of the Oldina landslides, and to calculate the mass of soil, sediment, and woody debris displaced. Radiocarbon dating of charcoal exposed in landslide backwalls enabled palaeo-landslides and periglacial activity at Oldina to be dated.
Results: An estimated 48,400–72,310 t of soil, sediment and woody debris was carried downslope by the major landslides but has been retained within the plantation area. The total sediment loss from the affected upper catchments is likely to be greater than the above estimate as the contribution from small riparian landslides, sheet, gully, and rill erosion has not been accounted for, nor has streambank erosion and sediment transported off the study site been measured. Radiocarbon dating of charcoal in sediments indicated that two landslides had evidence of previous instability in the Holocene. Most ages indicated that previous instability dated to 35–15 cal ka BP, i.e., to a time when the climate was cold and dry and freeze-thaw processes in a sparsely vegetated landscape were active.
Conclusions: During planning for harvest the soils developed on Permian tillite were correctly described as having a low to moderate risk of landslide erosion. This study concludes that the landslides initiated in June 2016 resulted from exceptionally heavy rain falling on harvested steep and hilly land coupled with the decline in root strength of the harvested trees. The frequency of such a combination of circumstances may increase if high-intensity rainfall increases in Tasmania as the result of climate change. To improve the long-term stability of this terrain and the overall sustainability of plantation forestry it is recommended that landslides and riparian areas are seeded with native vegetation, and that the current assessment of landslide risk for this terrain is re-evaluated.
Parallel Manipulation and Flexible Assembly of Micro-Spiral via Optoelectronic Tweezers
Authors: Liang Shuzhang , Sun Jiayu , Zhang Chaonan , Zhu Zixi , Dai Yuguo , Gan Chunyuan , Cai Jun , Chen Huawei , Feng Lin 
Published: March 2022

Micro-spiral has a wide range of applications in smart materials, such as drug delivery, deformable materials, and micro-scale electronic devices by utilizing the manipulation of electric fields, magnetic fields, and flow fields. However, it is incredibly challenging to achieve a massively parallel manipulation of the micro-spiral to form a particular microstructure in these conventional methods. Here, a simple method is reported for assembling micro-spirals into various microstructures via optoelectronic tweezers (OETs), which can accurately manipulate the micro-/bio-particles by projecting light patterns. The manipulation force of micro-spiral is analyzed and simulated first by the finite element simulation. When the micro-spiral lies at the bottom of the microfluidic chip, it can be translated or rotated toward the target position by applying control forces simultaneously at multiple locations on the long axis of the micro-spiral. Through the OET manipulation, the length of the micro-spiral chain can reach 806.45 μm. Moreover, the different parallel manipulation modes are achieved by utilizing multiple light spots. The results show that the micro-spirulina can be manipulated by a real-time local light pattern and be flexibly assembled into design microstructures by OETs, such as a T-shape circuit, link lever, and micro-coil pairs of devices. This assembly method using OETs has promising potential in fabricating innovative materials and microdevices for practical engineering applications.
Remote Design of a Smartphone and Wearable Detected Atrial Arrhythmia in Older Adults Case Finding Study: Smart in OAC – AFNET 9
Authors: Fabritz Larissa , Connolly D. , Czarnecki E. , Dudek D. , Zlahoda-Huzior A. , Guasch E. , Haase D. , Huebner T. , Jolly K. , Kirchhof P. , Schotten Ulrich , Zapf Antonia , Schnabel Renate B. 
Published: March 2022

IntroductionScreening for atrial fibrillation and timely initiation of oral anticoagulation, rhythm management, and treatment of concomitant cardiovascular conditions can improve outcomes in high-risk populations. Whether wearables can facilitate screening in older adults is not known.Methods and AnalysesThe multicenter, international, investigator-initiated, single-arm case-finding Smartphone and wearable detected atrial arrhythmia in older adults case finding study (Smart in OAC – AFNET 9) evaluates the diagnostic yield of a validated, cloud-based analysis algorithm detecting atrial arrhythmias via a signal acquired by a smartphone-coupled wristband monitoring system in older adults. Unselected participants aged ≥65 years without known atrial fibrillation and not receiving oral anticoagulation are enrolled in three European countries. Participants undergo continuous pulse monitoring using a wristband with a photo plethysmography (PPG) sensor and a telecare analytic service. Participants with PPG-detected atrial arrhythmias will be offered ECG loop monitoring. The study has a virtual design with digital consent and teleconsultations, whilst including hybrid solutions. Primary outcome is the proportion of older adults with newly detected atrial arrhythmias (NCT04579159).DiscussionSmart in OAC – AFNET 9 will provide information on wearable-based screening for PPG-detected atrial arrhythmias in Europe and provide an estimate of the prevalence of atrial arrhythmias in an unselected population of older adults.
Systemic Immune-Inflammation Index Is Associated With Increased Urinary Albumin Excretion: A Population-Based Study
Authors: Qin Zheng , Li Hancong , Wang Liya , Geng Jiwen , Yang Qinbo , Su Baihai , Liao Ruoxi 
Published: March 2022

BackgroundSystemic immune-inflammation index (SII) is a novel inflammatory marker, and inflammation has been reported to be related with renal damage. We aimed to investigate the possible relationship between SII and albuminuria.MethodsThe present cross-sectional study was conducted among adults with complete data about SII and urinary albumin-to-creatinine ratio (ACR) in 2005–2018 National Health and Nutrition Examination Survey (NHANES). SII was calculated as the platelet count × neutrophil count/lymphocyte count. Albuminuria was defined as ACR &gt;30mg/g. Weighted multivariable regression analysis and subgroup analysis were conducted to explore the independent relationship between SII and albuminuria.ResultsA total of 36,463 individuals were included in our analysis; 9.56% participants were categorized as having albuminuria overall and increased with the higher SII tertiles (tertile 1, 7.83%; tertile 2, 8.49%; tertile 3, 12.13%; p for trend &lt;0.0001). Multivariable logistic regression showed that a higher SII level was associated with increased likelihood of albuminuria independently (OR = 1.31; 95% CI, 1.17–1.48, p&lt;0.0001) after full adjustment. Subgroup analysis and interaction test showed that there was no significant dependence of gender, age, body mass index, hypertension, diabetes, non‐alcoholic fatty liver disease, and estimated glomerular filtration rate (eGFR) on this positive association (all p for interaction &gt;0.05).ConclusionsSII was positively associated with increased urinary albumin excretion in US adults. Further large-scale prospective studies are still needed to analyze the role of SII in albuminuria.
Influence of Co Content on Cracking Behavior and Wear Resistance of WCp-Reinforced FeCrMnCox HEAs Fabricated by the Laser Cladding Method
Authors: Wu Wenxing , Qiu Changjun , Zhou Yinghao , Yan Ming , Zhang Yun , Li Ruiqing , Chen Pinghu 
Published: March 2022

High-entropy alloys (HEAs) have excellent properties of high strength–ductility, thermal stability, corrosion resistance, etc. HEAs can be considered as one of the most interesting structural or functional candidate materials and have been extensively studied based on different multiple elements in the past decades. However, the previous works focus mainly on overcoming strength–ductility trade-off. In this study, a series of WCp-reinforced FeCrMnCox (x values in atomic ratio, x = 0, 2, 4, 6, 8, and 10 at.%) HEAs are fabricated to investigate the influence of Co on the microstructures, microhardness, cracking behavior, and wear resistance. The results indicate that γ phase (fcc structure) can be formed in the designed HEA with a small amount of α phase (bcc structure). Stress can result in cracking initiation owing to the formation of lattice distortion caused by the decomposition and diffusion of WC into the matrix, and the cracking phenomenon is more serious when Co content is decreased gradually. In addition, microhardness is also increased gradually with the decrease in Co content, and the maximum microhardness reaches 680 HV for the 0–2 sample without Co. Furthermore, excellent wear resistance of the designed materials can be attributed mainly to hardness rather than friction coefficient. A conspicuous monotonic decrease in the wear rate is discovered with a monotonic increase in microhardness, adhesive wear mechanism appears mainly in the samples with higher Co content, and the wear mechanism is transformed gradually from a typical adhesive wear mechanism to an abrasive wear mechanism with the reduction in Co content.
A New Real-Life Test for Reciprocity in Autistic Adults: The Interactive Drawing Test
Authors: Backer van Ommeren Tineke , Vreugdenhil Marianne , Koot Hans M. , Spek Annelies , Scheeren Anke M. , Jertberg Robert M , Begeer Sander 
Published: March 2022

Impaired social-emotional reciprocity is a defining feature of Autism Spectrum Disorder (ASD). Deficits in reciprocity can be difficult to assess, particularly in adults with average or above average intelligence. The recently developed Interactive Drawing Test (IDT) measures reciprocity in children and adolescents with and without ASD based on spontaneous non-verbal interactions during the joint creation of a drawing. In this study, we examined if the IDT is able to differentiate between 19 normally intelligent adults with ASD and 18 without ASD. The IDT total reciprocity score, including the number of meaningful contributions to objects initially drawn by the examiner, was lower in the autistic adults compared to those without ASD. By assessing both the quantity and quality of spontaneous reciprocal behavior, the IDT was able to identify subtle differences in reciprocal behavior of adults with and without ASD with average intelligence. Even though a larger sample is required to determine its psychometric properties, the IDT appears a promising tool to enrich the diagnostic process of ASD in adults.Impaired social-emotional reciprocity is a defining feature of Autism Spectrum Disorder (ASD). The clinical field lacks sensitive tests for assessing impaired reciprocity. The recently developed Interactive Drawing Test (IDT) for reciprocity was tested in autistic and non-autistic adults. During the IDT, an examiner and participant make a joint drawing, taking turns, without specifying what they will draw. We aimed to investigated whether autistic adults showed less reciprocal behavior on the IDT compared to non-autistic participants. Autistic participants were less likely to jointly draw with the examiner, in particular when the examiner initiated a topic. The IDT revealed subtle but characteristic differences in reciprocal behavior related to ASD, suggesting it may be a promising diagnostic tool.
The Hippo Signaling Core Components YAP and TAZ as New Prognostic Factors in Lung Cancer
Authors: Jiang Yu , Xie Wen-Jing , Chen Rong-Wei , You Wei-Wei , Ye Wei-Lin , Chen Hong , Chen Wen-Xu , Xu Jian-Ping 
Published: March 2022

BackgroundThe Hippo pathway is an essential signaling cascade that regulates cell and organ growth. However, there is no consensus about (i) the expression levels of the Hippo signaling core components yes-associated protein (YAP) and transcriptional co-activator with PDZ-binding motif (TAZ) in lung cancer, especially in small cell lung cancer (SCLC), or (ii) their association with the prognosis of patients with SCLC.MethodsWe screened relevant articles and identified eligible studies in the PubMed, EMBASE, COCHRANE, and WanFang databases. A combined analysis was performed to investigate (i) the expression levels of the major effectors, YAP and TAZ, in lung cancer and its subsets and (ii) their prognostic role in lung cancer, especially in SCLC.ResultsIn total, 6 studies related to TAZ and 13 studies concerning YAP were enrolled in this meta-analysis. We found that high TAZ expression was significantly associated with poor overall survival (OS) of patients with non-small cell lung cancer (NSCLC) in the overall population [Ph &lt; 0.001, crude hazard ratio (HR) = 1.629, 95% CI = 1.199–2.214 for TAZ expression; Ph = 0.029, adjusted HR = 2.127, 95% CI = 1.307–3.460 for TAZ], the Caucasian population (Ph = 0.043, crude HR = 1.233, 95% CI = 1.030–1.477 for TAZ expression), and the Asian population (Ph = 0.551, adjusted HR = 2.676, 95% CI = 1.798–3.982 for TAZ). Moreover, there was a significant negative association between YAP expression and an unsatisfactory survival of patients with lung cancer (Ph = 0.327, crude HR = 1.652, 95% CI = 1.211–2.253 for YAP expression) and patients with NSCLC [disease-free survival (DFS): Ph = 0.693, crude HR = 2.562, 95% CI = 1.876–3.499 for YAP expression; Ph = 0.920, crude HR = 2.617, 95% CI = 1.690–4.052 for YAP-mRNA; OS: Ph = 0.878, crude HR = 1.777, 95% CI = 1.233–2.562 for YAP expression], especially in the Asian population (DFS: Ph = 0.414, crude HR = 2.515, 95% CI = 1.755–3.063; OS: Ph = 0.712, crude HR = 1.772, 95% CI = 1.214–2.587). However, no association was observed in the multivariate combined analysis. High YAP expression was significantly associated with short OS of patients with SCLC in our combined multivariate analysis in the Asian population (Ph = 0.289, crude HR = 4.482, 95% CI = 2.182–9.209), but not with crude data (Ph = 0.033, crude HR = 1.654, 95% CI = 0.434–6.300).ConclusionThe Hippo pathway is involved in carcinogenesis and progression of NSCLC and SCLC, and high expression levels of YAP and TAZ are independent and novel prognostic factors for lung cancer.
Condensation and Crystal Nucleation in a Lattice Gas with a Realistic Phase Diagram
Authors: Prestipino Santi , Costa Gabriele 
Published: March 2022

We reconsider model II of Orban et al. (J. Chem. Phys. 1968, 49, 1778–1783), a two-dimensional lattice-gas system featuring a crystalline phase and two distinct fluid phases (liquid and vapor). In this system, a particle prevents other particles from occupying sites up to third neighbors on the square lattice, while attracting (with decreasing strength) particles sitting at fourth- or fifth-neighbor sites. To make the model more realistic, we assume a finite repulsion at third-neighbor distance, with the result that a second crystalline phase appears at higher pressures. However, the similarity with real-world substances is only partial: Upon closer inspection, the alleged liquid–vapor transition turns out to be a continuous (albeit sharp) crossover, even near the putative triple point. Closer to the standard picture is instead the freezing transition, as we show by computing the free-energy barrier relative to crystal nucleation from the “liquid”.