Communication Structure Research Articles

Patterns of partisan toxicity and engagement reveal the common structure of online political communication across countries.

Existing studies of political polarization are often limited to a single country and one form of polarization, hindering a comprehensive understanding of the phenomenon. Here we investigate patterns of polarization online across nine countries (Canada, France, Germany, Italy, Poland, Spain, Turkey, UK, USA), focusing on the structure of political interaction networks, the use of toxic language targeting out-groups, and how these factors relate to user engagement. First, we show that political interaction networks are structurally polarized on Twitter (currently X). Second, we reveal that out-group interactions, defined by the network, are more toxic than in-group interactions, indicative of affective polarization. Third, we show that out-group interactions receive lower engagement than in-group interactions. Finally, we identify a common ally-enemy structure in political interactions, show that political mentions are more toxic than apolitical mentions, and highlight that interactions between politically engaged accounts are limited and rarely reciprocated. These results hold across countries and represent a step towards a stronger cross-country understanding of polarization.

Improved emergency activation in interventional radiology reduces procedure delay and facilitates treatment success in patients with acute arterial bleedings.

Research of interventional treatment success in arterial bleeding cases is almost exclusively focused on technical and procedural factors. This study investigates the effect of an improved preprocedural activation algorithm for acute arterial bleedings treated by interventional radiology. During the three-year study period (2018-2021), the authors implemented an always-reachable, simple-to-remember emergency phone number routed to the responsible interventional radiologist on call and compared this pathway to the previous activation process. Data were acquired for all emergency cases with active arterial bleeding detected in CT scans and the diagnosis to treatment intervals before and after implementation were retrospectively analysed. Time signatures in CT and angiography were used to determine the interval. 1322 calls or contacts occurred during the study period. In general, 625 emergency procedures were conducted; 120 bleeding interventions met the study requirements. In the study 44 patients were treated via the conventional pathway and 76 via the emergency phone activation. The activation algorithm utilizing the emergency phone led to a slight decrease in radiation doses and fluoroscopy time and a significant reduction (15min) in diagnosis to treatment intervals (p = 0.019). After implementing the emergency phone, the technical success rate increased significantly from 68% to 94% (p<0.001). This study shows that effective communication structures, such as implementing a standardized activation pathway via an emergency phone, can significantly reduce diagnosis to treatment intervals and increase technical success rates. Effective communication is crucial for interventional radiology to deal with acute and life-threatening conditions requiring immediate treatment. This study presents a possible improvement and provides valuable insight for interventional radiology clinics seeking to optimize their communication and management strategies for emergency cases.

Adaptive Multi-layer Attention Double Dueling Deep Q-Network for Muti-agent Reinforcement Learning

Abstract. In multi-agent fields, traditional muti-agent DQN methods often suffer from overestimation bias and overestimation of unimportant actions, especially when state-action Q-value differences are slight. To deal with such issue, we present an adaptive Multi-layer Attention Double Dueling Deep Q-Network (MAD-D3QN) model, aiming to improve decision-making accuracy in complex multi-agent environments. The proposed model utilizes two attention layers that dynamically calculate state value and action advantage weights, facilitating more precise Q-value estimation and reducing the common overestimation bias. Related experiments carried out in StarWar II scenarios show that the MAD-D3QN model obviously outperforms traditional methods (IQL,DQN), achieving higher decision efficiency and robustness. Our findings demonstrates that the MAD-D3QN framework not only promotes the state-of-the-art in multi-agent reinforcement learning but also provides potential applications in real-world cooperative tasks. Future research will delve into the integration of advanced multi-agent communication structures to further enhance model adaptability.

Defining vulnerabilities and enabling community engagement in epidemics preparedness: the CAVE model from Austria.

During the COVID-19 outbreak the transdisciplinary research project CAVE (Community Engagement and Vulnerability Assessment in Epidemics) investigated perceptions and practicability of public health communication among stakeholders of care and social facilities in Austria. It aimed at finding accurate definitions of vulnerability in the context of epidemics and at developing operational models for engagement of vulnerable groups in co-creating epidemic response mechanisms. Transdisciplinary methods included semi-structured interviews, focus group discussions, and desk reviews as well as spatial analysis and composite indicator-based mapping methods. Informants and participants in the community engagement phase represented clients as well as middle and lower management levels of Austrian care and social facilities for older persons and persons with cognitive impairments, persons depending on mobile healthcare services, homeless people, and socially deprived communities. A narrow definition of vulnerability as well as missing strategies for participation and community engagement limited communication with stakeholders and the implementation of protective measures. An inclusive definition of vulnerability beyond medical and physical indicators should be employed to account for social, psychological, and emotional aspects contributing to a higher risk of being affected by epidemics. The CAVE model provides a multi-level definition of vulnerability that allows for participatory engagement in co-creating adapted crisis response measures. We suggest policymakers and health authorities to consider a broader definition of vulnerability and to commit to pro-active engagement with stakeholders representing these sectors. This requires the establishment and maintenance of communication structures as well as political recognition of civic participation in the creation and implementation of epidemic response measures.

Implementasi Program Tikasim (Tirta Kencana Siap Minum) di Lapas Kelas II B Kabupaten Jombang

This study aims to analyze the implementation of the TIKASIM (Tirta Kencana Siap Minum) program in Class II B Correctional Institution Jombang Regency. Using the theory according to George C. Edwards III by looking at four indicators which include communication, resources, disposition, and bureaucratic structure. This research was compiled using a qualitative approach. Obtaining primary data sources from interviews and observations is complemented by secondary data such as images, journals, reports, previous research, and other archives that have relevance. The research locus is in Class II B Correctional Institution of Jombang Regency. The results of the study show that the communication indicators in the implementation of the TIKASIM Program have been running well, explained by the clear and consistent transmission of information between Perumdam Tirta Kencana Jombang and Class II B Jombang Correctional Facility. Then the resource indicator is also quite well supported by a sufficient number of staff and adequate facilities. The disposition or attitude of policy implementers also shows communication and commitment among the entire implementation team. The bureaucratic structure has been running according to the guidelines of PERMENKUMHAM number 40 of 2017 concerning Guidelines for the Implementation of food for Prisoners, children and Prisoners.

Implementasi Kebijakan Perlindungan Anak Korban Kekerasan di Kabupaten Kediri

This research aims to analyze the implementation of child protection policies for victims of violence in Kediri Regency, focusing on four key variables according to George C. Edwards III's theory: communication, resources, disposition, and bureaucratic structure, using a qualitative approach. Data were gathered from interviews, observations, documentation, and relevant secondary sources such as books and scholarly articles. The research was conducted at the Office of Population Control, Family Planning, Women's Empowerment, and Child Protection (DP2KBP3A) in Kediri Regency. The findings indicate that 1) Communication success in policy implementation has been effective, marked by clear and consistent information transmission between the head of DP2KBP3A Kediri, PPA department staff, and the community. 2) Challenges persist in the resources variable concerning staff numbers and facilities like the absence of a shelter, which does not align with Edwards III's theory of implementation success. However, existing resources have been optimally utilized through information and authority. 3) Disposition has been effectively implemented, evidenced by policy implementers' high commitment to policy execution. 4) Bureaucratic structure at DP2KBP3A Kediri has been well-implemented, supporting the smooth implementation of child protection policies for victims of violence.

Implementasi Program Badan Penyelenggara Jaminan Sosial (BPJS) Siap Membantu dalam Mengatasi Pengaduan Masyarakat

Public services in the government bureaucracy are an indicator of a country's progress. One concrete form of public service is health service, because good health service will improve the welfare of the people in a country. The BPJS SATU (BPJS Ready to Help) program is one of the innovations carried out by BPJS Health to make it easier for participants to get community complaint services at hospitals. In its implementation, the problems related to BPJS services are that there are still many people who do not know the health insurance procedures for health facilities, then there are still concerns from hospitals that BPJS will not pay patient arrears, and there are doubts about the security of the BPJS participant data system. So this research aims to examine further the implementation of BPJS SATU (Ready to Help) services in dealing with public complaints at Dr Soetomo Hospital, Surabaya City. The research method used in this research is a descriptive qualitative method with the focus of the research here being based on indicators of success in implementing the Edward III program, including communication, resources, disposition and bureaucratic structure. The results of research on communication focus show that communication has been created that creates inclusive services and focuses on achieving the goals of program implementation. The resource focus shows that this program has quality human resources and a supporting system within it. The disposition focus shows that BPJS Health is strongly committed to improving the quality of complaint handling in the BPJS SATU program. The focus on organizational structure has been running well as evidenced by the available procedures that can be carried out by participants and implementing officers.

Inovasi Kebijakan Publik Melalui Aplikasi Terintegrasi

This research aims to analyze the implementation of public policies through integrated applications, with a case study on the Samarinda Integrated Application (SANTER). The SANTER application is part of the Samarinda City Government's initiative to realize the smart city concept, which aims to improve the efficiency of public services, strengthen transparency, and facilitate interaction between the government and the community. This study uses Edward III's theory of public policy implementation, which includes four main elements: communication, resources, disposition, and bureaucratic structure. The analysis was conducted by collecting secondary data from annual reports, user satisfaction surveys, and news articles related to the implementation of the SANTER application. The results show that effective communication between the government, policy implementers, and the community is crucial to the success of this application. Adequate human resources and technology are also key factors, although there are still challenges in terms of limited resources at the sub-district and village levels. The disposition or attitude and commitment of public officials towards the SANTER application is very positive, as demonstrated by the full support of the mayor and heads of relevant agencies. An efficient bureaucratic structure and good coordination between agencies also played an important role in the implementation of this application.

Implementation of Posyandu Program in Fulfilling the Rights of Pregnant Women and Toddlers in Cibinong Sub-District, Bogor District, a Case Study in Pondok Rajeg Village

Health issues are fundamental in society. Moreover, after COVID-19, several adjustments were made to strengthen public health. Then the importance of developing quality human resources as a national priority cannot be separated from good nutritional status, especially in nutritionally vulnerable groups such as pregnant women and toddlers. Optimal nutritional conditions for pregnant women are very important because they have the potential to influence the growth and development process of the fetus. Malnutrition in pregnant women can increase the risk of giving birth to babies with low birth weight (LBW) and stunting. Likewise, toddlers as a group who are in a period of rapid growth and development are very vulnerable to malnutrition. Therefore, special attention to pregnant women and toddlers needs to be increased in an effort to improve national nutritional status. This research was conducted to determine the success of the implementation of the Posyandu program in Pondok Rajeg Village, Cibinong District, Bogor Regency in an effort to fulfill the rights of pregnant women and toddlers. The method used is a descriptive qualitative method using George C. Edward III's theory with four dimensions, namely Communication, Resources, Disposition and Bureaucratic Structure. The success of the implementation or implementation of the Posyandu program in Pondokrajeg Village, Cibinong District, Bogor Regency has been good, which can be seen from the results of research with resource persons, supporting documents and reports on improving the health of pregnant women and toddlers in Pondok Rajeg District, Cibinong District, Bogor Regency

Partisipasi Masyarakat Dalam Penataan Ruang Terbuka Hijau di Kota Serang

This research specifically examined the arrangement of Green Open Space (RTH) in Serang City, its main purpose was to maintain the balance of ecosystems in the urban environment, improve the quality of the environment in the city to be healthier and cleaner, and be able to realize the balance between the natural environment and the artificial environment. This research uses the George C. Edward III theory, which states that communication, resources, disposition, and bureaucratic structure influence the success of policy implementation. The research method was carried out to reveal the truth or conclusion about an object and can be used as a basis for theory formation. The method used in this research was qualitative research methods. According to Bogdan and Taylor (in Farida, 2014: 89), qualitative research methods are research procedures that produce descriptive data in the form of written or spoken words from people or observed behavior. Based on the results of research on the Implementation of Green Open Space (RTH) Arrangement Policy in Serang City, researchers conclude that the implementation of the Green Open Space Arrangement policy in Serang City has not progressed sufficiently well. Green Open Space in Serang City has not reached 30% of the target. Whereas, there are still several other obstacles experienced in carrying out the Green Open Space Arrangement Policy in Serang City, among others; socialization activities carried out by the Environmental Agency of Serang City have not run optimally but the DLH continues to strive for this socialization activity so that the community was able to participate in Green Open Space Arrangement in Serang City.

CORPORATE CULTURE OF HIGHER EDUCATION INSTITUTIONS AS A GUARANTEE OF THE EFFICIENCY OF PROFESSIONAL TRAINING OF FUTURE SPECIALISTS

Corporate culture occupies a prominent place in forming the image of a higher education institution, increasing its competitiveness and gaining popularity among applicants, students, and other institutions. On the one hand, corporate culture acts as a regulator of the behavior of teaching staff through a system of norms, rules, and values, and on the other hand, it acts as a guarantor of successful professional training of future specialists. The purpose of the article is to distinguish the meaning and phenomenon of corporate culture and to determine its place in the system of professional training of students. The main methods of research are comparative analysis of scientific-educational and methodological sources, regulatory and legal framework; and theoretical and empirical methods of generalization. Today, corporate culture acts as a universal socio-cultural phenomenon, a system of values, beliefs, business principles, norms of behavior, and traditions, which is an important intangible resource that provides social connections, communicative and information communication, harmonizes relations, affects the efficiency and competitiveness of the institution. This is an effective tool for the strategic development of a higher education institution, with the help of which employees identify themselves with the university, influence with their work the formation of its image and authority, success, and competitiveness. Corporate culture includes value-normative, organizational, communicative, socio-psychological, game components, and image structure of the educational institution, manifested at the internal and external levels. As a result of our research, we concluded the functional content, structure, and meaning of the corporate culture of higher education institutions.

Preliminary data on short-term outcomes within the cardio-obstetrics registry

Abstract Background Pregnancy leads to physiological changes within the cardiovascular system such as increased plasma volume and cardiac output or hypercoagulability. These changes can be challenging for women with pre-existing cardiovascular disease with higher risks of complications. The guidelines of the European Society of Cardiology recommend treating high-risk patients in specialized centres by an interdisciplinary pregnancy heart team. In a team-based approach, the Pregnancy Heart Team was founded at our university hospital, in order to establish specific structures of communication and responsibility. Methods A prospective registry of all patients treated by the Pregnancy Heart Team between November 2022 and March 2024 was established. Patients consisted of women with pre-existing cardiovascular disease undergoing pregnancy as well as women who developed pregnancy-associated cardiovascular disease. Patients were evaluated throughout pregnancy by lab work and echocardiography during each trimester as well as in the postpartum period. Results In total 39 women (mean age 34±5 years) were prospectively included in the registry. 17 patients (43.5%) were classified as mWHO ≥ III. 17 patients (43.5 %) with pre-existing (pregnancy-associated) cardiovascular disease were managed throughout pregnancy and delivery. 9 patients (18.4 %) developed pregnancy-associated cardiovascular diseases such as peripartum cardiomyopathy or spontaneous coronary artery dissection. Preliminary data shows that mean left-ventricular ejection fraction remained stable during pregnancy with a non-significant trend towards lower values postpartum. Cardiac biomarkers such as high-sensitivity troponin T and NT-pro-BNP showed a non-significant trend towards increased values in the third trimester and postpartum. Adverse maternal outcomes occurred in 14 patients (35.9 %), including preterm premature rupture of membranes (12.2%), gestational hypertension (7.6%), gestational diabetes (5.1%), preeclampsia/eclampsia (7.6%) and delivery-associated complications (10.2%). Fetal complications included macrosomia (10.2%) or intrauterine growth retardation (5.1%). Discussion These preliminary data of a real-world patient collectivedemonstrate that a significant number of patients experienced adverse pregnancy outcomes which was associated with a trend towards increased cardiac biomarkers throughout pregnancy and postpartum. As recent studies have shown, interpretation of standard parameters such as cardiac biomarkers is not fully understood during pregnancy, especially in women with pre-existing cardiovascular disease. Our data may aid to understand prognostic implications of cardiac biomarkers during pregnancy.

Research on Remote eSIM Provisioning Management Technology for 5G Terminal

The use of eSIM in mobile terminals such as the Internet of Vehicles has become the general trend, and more and more enterprises have put forward clear requirements for the remote provisioning of eSIM. This paper aims to combine 5G technology to analyze remote eSIM provisioning management technology for terminal, and combine algorithm improvement to improve remote eSIM information management and control effects. Moreover, this paper describes in detail the three-layer communication structure in the communication model, the design of edge gateway nodes, and the query mechanism for cloud center request names and data resources. In addition, this paper uses experiments to evaluate the connectivity of the eSIM three-layer communication model and the characteristics of the NDN network. Through experimental research, it can be seen that the remote eSIM provisioning management model proposed in this paper has certain advantages when applied to the Internet of Vehicles compared with the existing remote provisioning management technologies for the Internet of Vehicles. This article takes the Internet of Vehicles as an example to conduct research. At the same time, its support for mobility can be well applied to the Internet of Vehicles to meet the mobility of terminal vehicles. Therefore, it can provide some reference in the subsequent development of Internet of Vehicles technology.

Program Equivalence in the Erlang Actor Model

This paper presents the formal semantics of concurrency in Core Erlang, an intermediate language for Erlang, along with a notion of program equivalence (based on barbed bisimulation) that is able to model equivalence between programs that have different communication structures but the same observable behaviour. The novelty in our formalisation is its extent: it includes semantics for messages and exit and link signals, in addition to most of Core Erlang’s sequential features. Furthermore, unlike previous studies, this work formalises message receipt using primitive operations, consistent with the standard as of Erlang/OTP 23. In this novel formalisation, we show some generally applicable program equivalences (such as process identifier renaming and silent evaluation) and present a practical case study featuring the equivalence of sequential and concurrent list processing.

Evaluation of the hospital emergency plan based on an exercise for a mass casualty incident

The hospital emergency plan is an important tool for hospitals in the management of amass casualty incident. It is alegal requirement for hospitals to have such plans in place and to carry out drills. Emergency drills are auseful tool for the training of staff and for the evaluation of existing structures. The emergency plan of the University Hospital Würzburg (UKW) was evaluated during adisaster drill based on predefined drill objectives. The procedures according to the emergency plan of the UKW were practiced during alarge-scale disaster exercise. The exercise objectives were defined as: testing the management structure, deployment of personnel, physical organization, triage, patient flow and communication. Several exercise objectives were defined in advance. An anonymized questionnaire was used to evaluate the achievement of the exercise objectives. When properly trained and practiced the UKW emergency plan is generally well-suited to managing amass casualty event. Improvements need to be made in the communication structure, responsibilities in the treatment areas and staff knowledge of the existing emergency plans and available material. Mass casualty drills are agood tool for the evaluation of hospital emergency plans. Acritical and decisive element for success is the existence of aclear management and communication structure. Agood knowledge of the available material, the contents of the emergency plan and the consistent application of the procedures defined in this plan are essential for acoordinated course of action. This can be achieved by means of regular and mandatory training sessions.

IMPLEMENTASI PROGRAM “1-10-100” PEMERINTAH KABUPATEN LAMONGAN DALAM UPAYA PENANGGULANGAN STUNTING DI KECAMATAN SUKODADI

The purpose of this study was to analyze the implementation of the 1-10-100 program of the Lamongan Regency Government in the effort to overcome stunting in the Lamongan Regency. This research uses a qualitative research method by analyzing the implementation theory of George C. Edward III with four variables namely communication, resources, disposition and bureaucratic structure. Data were collected through interviews and focus group discussions. Data analysis was carried out using triangulation techniques, namely data reduction, data presentation and conclusion drawing. Based on the results of research in the field, it can be concluded that the implementation of the 1-10-100 program of the Lamongan Regency Government is running well. The stunting rate in Lamongan Regency has decreased but has not been maximized.

Implementasi Program Audit Kasus Stunting di Wilayah Kerja Puskesmas Guntur 1

The prevalence of stunted toddlers in Demak Regency in 2021 is 25,5%. This prevalence figure is above the threshold (cut off) that has been universally agreed upon. There are 7 Community Health Centers that are the locus of stunting in Demak Regency, including Guntur 1 Community Health Center. This research aims to determine the implementation of the stunting case audit program in the Guntur 1 Community Health Center working area. This study uses a qualitative method. The informants in this research consisted of the Head of Guntur 1 Community Health Center, the Guntur 1 Community Health Center Nutritionist, the Village Midwife, Cadres from Temuroso Village and Tlogorejo Village, as well as mothers of stunted and non-stunting toddlers. Data collection through in-depth interviews, observation and documentation. The result of this research indicate that the implementation of the stunting case audit program in the Guntur 1 Community Healt Center working area is quite good. The actor categories, decision making, benefits, program implementers, actor strategies, action programs, communication and bureaucratic structures are good. In the categories of resources and compliance and responsiveness there are problems and obstacles. The suggestion of this research is for the community health center to increase intervention with the community in preventing stunting.

Influence of lattice aligned quantum barrier architecture with alleviated Mg-doped region in laser diode structure for underwater communication

Influence of lattice aligned quantum barrier architecture with alleviated Mg-doped region in laser diode structure for underwater communication

Non-Cash Systems Improving Transparency in Village Financial Management

The specific background of this study revolves around the implementation of a non-cash transaction program in Randegan Village in collaboration with BPR Delta Artha to enhance financial management through SISKEUDES. A knowledge gap exists in understanding the effectiveness of non-cash systems in improving transparency and accountability in village financial management. This research aims to describe and analyze the implementation of the non-cash system within the SISKEUDES application in Randegan Village, Sidoarjo Regency. Utilizing a qualitative, descriptive approach, data collection involved interviews, observation, and documentation. The results indicate that vertical and horizontal communication is effective, facilities for operating SISKEUDES and non-cash applications are adequate, employee disposition toward policy implementation is positive, and bureaucratic cooperation is strong. The novelty of this study lies in its exploration of the interplay between communication, resource management, and bureaucratic structure in implementing a non-cash system for village financial management. The implications suggest that effective implementation of non-cash systems in village financial management can enhance transparency, accountability, and overall governance. Highlights: Effective Communication: Ensures smooth implementation of the non-cash system. Adequate Resources: Proper facilities and skilled staff support SISKEUDES' operation. Strong Bureaucratic Cooperation: Enhances the efficiency and transparency of financial management. Keywords: Non-Cash System, SISKEUDES, Village Finance, Management, Transparency

Experiences and Perceptions of Medication Management Communication During Transitions of Care for Residents in Aged Care Homes and Their Caregivers: A Qualitative Meta-Synthesis.

To explore the experiences and perceptions of communication about managing medication across transitions of care for residents living in aged care homes and their family caregivers. Effective medication communication across transitions of care involves exchanging information, resident, and family caregiver's participation in decision-making, and shared responsibility. A qualitative meta-synthesis. This review was conducted in accordance with the PRISMA 2020 guidelines and the accompanying 27-item checklist. A systematic search of seven electronic databases (Embase, PsycINFO, Medline Ovid, Scopus, CINAHL, EmCare and Web of Science) was performed from inception to December 2023. Studies eligible for inclusion in this review were required to be published in peer-reviewed English journals and focus on medication communication among healthcare providers, residents and family caregivers during transitions of care for aged care residents. The JBI Critical Appraisal Checklist for Qualitative Research was employed for the critical appraisal of the studies, and the COREQ checklist was used to evaluate their quality. Of the 2610 studies identified, 12 met the inclusion criteria. No study was excluded based on quality. Two main themes were generated: (1) Medication information exchange involving residents and families, and (2) resident and family factors influencing medication communication engagement. The findings revealed a lack of supportive structure for effective communication and collaboration among residents, family caregivers and healthcare providers during transitions of care, marked by one-way interactions and limited evidence of shared decision-making or family caregiver engagement in medication management communication, despite varying individual needs and preferences. Communication about medication management during transitions of care focused on sharing details rather than active engagement. Residents and their family caregivers have individual needs and perspectives regarding communication about medication management, which are not well addressed by healthcare providers during transitions of care. Healthcare providers' communication remains limited, and family caregivers are underutilised.