bluuebunny/crossref_metadata_2025 huggingface dataset:
Dinâmica da Tuberculose em crianças e adolescentes no Brasil: uma análise epidemiológica (2014-2023)
Authors: Silva Alienca Lazzarin Alves da , Pepplow Victória Caroline Silva Trentin , Krepischi Ana Carolina , Jardim Ana Carolina dos Santos de Azeredo , Kwitschal Grazziela Benez Froeschlin , Schafer Anna Carolina , Seguro Lucas Brandalize , Marioto Rafaela Alves Gonçalves , Silva Leonardo Alexandre Labre , Cavalcante Andreia Karla de Carvalho Barbosa , Carneiro Vinicius Natã Almeida , Brites Cleysla Silva , Dantas Ticiano Magalhães
Published: October 2024

A tuberculose infantil permanece um grande desafio de saúde pública no Brasil, principalmente devido às dificuldades no diagnóstico precoce e manejo em crianças e adolescentes. Este estudo analisa os casos notificados entre 2014 e 2023 em crianças de 0 a 14 anos, abordando sua distribuição por idade, sexo, região e raça/cor. Também examina os tipos clínicos da doença e o impacto da COVID-19 na notificação dos casos. Durante o período, foram notificados 25.781 casos, com ligeira predominância em meninos (52,2%) e concentração entre adolescentes de 10 a 14 anos (38,5%). A pandemia reduziu acentuadamente as notificações em 2020, especialmente entre adolescentes, devido à interrupção dos serviços de saúde, com recuperação em 2023, ano com mais casos. A distribuição regional mostrou disparidades: o Sudeste concentrou 41,8% dos casos, enquanto Norte e Nordeste tiveram alta prevalência entre pardos e indígenas, refletindo os determinantes sociais da saúde. A forma pulmonar foi a mais comum (71%), mas a tuberculose extrapulmonar, apesar de menos frequente, apresentou casos graves, como a meníngea, especialmente em crianças menores de 5 anos e imunocomprometidas. Os dados indicam que a tuberculose infantil no Brasil está ligada a fatores socioeconômicos e raciais e é impactada por crises sanitárias como a COVID-19. A redução da morbidade e mortalidade depende de uma abordagem integrada, que fortaleça a vigilância epidemiológica, melhore o acesso à saúde e combata as desigualdades sociais e regionais.
SUSTAINABILITY OF POTATO FARMS IN THE LIMA REGION
Authors: Contreras-Liza Sergio , Muñoz Alberto Valenzuela , Ardián Luis Baldeos
Published: October 2024

Objective: This study aims to evaluate the sustainability of the potato-producing farms and to propose management alternatives for optimising the potato production system under the conditions of the central coast of Peru.
 
Theoretical Framework: Potato is a native crop from Peru with a wide genetic diversity and is currently developed in small farms in more than 300 thousand hectares nationwide. This production generates rural employment therefore it is important to evaluate the sustainability of the production system by agronomic practices that are environmentally friendly.
 
Method: Social, economic, and environmental sustainability levels of potato farms were assessed through the multicriteria analysis, using a survey as the research tool for 127 potato producers in the provinces of Barranca, Huaral, and Cañete (Lima) evaluating the effect of microbial inoculation on the sustainability of the potato production system afterwards.
 
Results and Discussion: It was determined that the potato-producing farms in the Lima region have a low level of sustainability with a value of 1.76 on the weighted scale of indicators used and that it is necessary to implement measures that reduce the vulnerability of the potato crop in terms of soil life conservation and agrobiodiversity management.
 
Research Implications: Regarding the sociocultural aspect of this research, the inadequate degree of social integration and the low level of environmental awareness were constraining factors in achieving sustainability. Significant differences were obtained from the inoculation strategy of seed tubers with microbial strains when compared to control plots in experimental conditions.
 
Originality/Value: It is concluded that the use of growth-promoting microbes in potatoes can be a management alternative to reduce the vulnerability of the crop, increasing the low level of sustainability found in potato production farms in the central coast of Peru.
Do Job Training and Work Discipline Matter to Employee Performance in PT TASPEN (Persero)
Authors: Siska Elmira , Razan Aqilah Rahmah
Published: October 2024

Human resources are not interchangeable with other manufacturing components, the most important and strategic role lies in the workforce used to the goals of the organization. The objective of the current research is to investigate how PT TASPEN (Persero) employee performance is influenced by work discipline and job training. The data collection technique uses a questionnaire that was distributed to 80 employees at PT TASPEN during April – May 2024. This study employed quantitative statistical analysis methods. Data processing using the SPSS tool. Data processing starts with instrument testing, which includes validity and reliability evaluations. The data was then submitted to a series of classical assumption tests. The t-test and F-test are used to test the hypothesis that has been developed. The partial test (t-test) indicates that job training has a positive and substantial impact on employee performance at PT TASPEN, with a computed t value > t table or 5.178 > 1.66724 and a sig value of 0.000 < 0.05. Work discipline partially has a positive and significant effect on employee performance at PT TASPEN with a computed t value > t table or 5.270 > 1.66724 and a sig value is 0.000 < 0.05. Simultaneously, (- test), job training and work discipline influence employee performance with a calculated F value of 147,396 > F table 2.35 and sig value of 0.000 < 0.05.
Reverting Woodlots to Crop Fields in the Southern Highlands of Tanzania
Authors: T. Tilumanywa Verdiana , H. Sokoni Cosmas
Published: October 2024

For some decades, woodlots have been a salient feature of the agricultural landscapes of Mount Rungwe and Uporoto Highlands in the Southern Highlands of Tanzania. Their proliferation amidst socioeconomic conditions and innovation in farming practices influence production choices, and consequently, land use changes. Recently, farmers are reverting prevailing woodlots into crop fields, particularly, Irish potatoes. We investigate this process in order to examine the determinants of the reversion and the implications to agricultural development and people’s livelihoods. The findings come from a survey of smallholders of woodlots in four villages around Mount Rungwe and Uporoto Highlands. Data were collected through structured and in-depth interviews, discussions with focused groups at village levels, review of documents and direct field observation. Time lag for woodlots, safeguarding households’ food security, lack of agricultural support services, high rental market, and emergence of other fruit trees are determinants of the reversion. The reversion has implications for farmers’ decreased access to reliable source of fuelwood as well as opportunity for livelihood diversification.
Teachers’ Perceptions towards Disruptive Behaviours among Students in Public Secondary Schools in Tanzania
Authors: Kinanda Jonas
Published: October 2024

Disruptive behaviours among secondary school students adversely affect students, teachers, parents and community members. This study explores teachers’ perceptions towards disruptive behaviours among students in public secondary schools in Tanzania. This qualitative study involved 50 teachers selected from four public secondary schools from two councils, namely Mwanza City and Ukerewe District, both found in Mwanza Region, Tanzania. Data collection was done through interviews, focus group discussions, and document reviews. The analysis was thematic and MAXQDA. The findings showed that teachers perceived students’ disruptive behaviours as problematic to the teachers, peers, school administrators, parents, and the community at large. This is because they were experienced with various forms of students’ disruptive behaviours ranging from less severe problems such as noise making and truancy to severe ones such as delinquency and aggressive behaviours. The conclusions are that teachers and students in public secondary schools are not physically and psychologically safe because, apart from interfering with teachers’ activities and properties, some of the students’ disruptive behaviours are threats to students’ and teachers’ lives, particularly by being attacked, humiliated, abused, injured and even sometimes killed.
EDUKASI TB PARU PENGETAHUAN SIKAP KADER POSYANDU MELALUI PERMAINAN SIMULASI MONOPOLI
Authors: Megawati Megawati , Suriah Suriah , Ngatimin Rusli , Yani Ahmad
Published: October 2024

Upaya yang bersumber dariÂ  masyarakat umumnya memperkuat tenaga kesehatan sehingga masyarakat juga dapat dilibatkan dalam meningkatkan pengetahuan tentangÂ  kasus TB paru, salah satunya adalah melalui kader posyandu. Penelitian bertujuan mengetahui perbedaan pengetahuan dan sikap TB paru melalui permainan simulasi monopoli TB. Penelitian menggunakan desain eksperimen semu, yaitu One Group Time Series. Populasi penelitian semua posyandu 70 kader. PenentuanÂ  sampel metode purposive sampling sebanyak 35 kader. Data dianalisis ujiÂ  paired sampel T test dengan taraf signifikan 0,05. Analisis dariÂ  pengetahuan menunjukkan perbedaan signifikan Thitung= 15,355 > Ttabel=1,6909 danÂ  p<0,05,Â  dan sikap menunjukkan perbedaan signifikan Thitung=3,228>Ttabel=1,6909 dan p<0,05 masing-masing pengukuran satu minggu sebelum dan sesudah intervensi. Pengetahuan terdapat perbedaan signifikan Thitung=-16,199> Ttabel=1,6909 danÂ  p<0,05, sikap terdapat perbedaan signifikan Thitung=-3,228>Ttabel=1,909 dan p<0,05 masing- masing satu minggu sebelum intervensi dan satu bulan sesudah intervensi. Pengetahuan ada perbedaan tidak signifikan Thitung= -1,7850,05, sikap ada perbedaan tidak signifikan Thitung 1,6940,05, masing-masing pengukuran satu minggu dan satu bulan sesudah intervensi. Terdapat perubahan pengetahuan dan sikap denganÂ  media permainan simulasi monopoli TB kepadaÂ Â  kader posyandu puskesmas Bangkir Kab Tolitoli.Kata Kunci : Edukasi, simulasi monopoli, pengetahuan, sikapÂ
STRATEGI PROMOSI KESEHATAN TERHADAP UPAYA PENANGGULANGAN PENYALAHGUNAAN NARKOBA
Authors: Kurniawan. K Rama Nur
Published: October 2024

Narkoba merupakan salah satu masalah kesehatan masyarakat Indonesia yang penyalahgunaannya cenderung meningkat. Sementara ada sekitar 200 juta orang meninggal dunia setiap tahunnya disebabkan peyalahgunaan narkoba. Penelitian ini bertujuan untuk memperoleh informasi tentang bagaimana strategi promosi kesehatan terhadap upaya penanggulangan penyalahgunaan narkoba di Dinas Kesehatan Kabupaten Wajo. Penelitian ini menggunakan metode kualitatif yang sifatnya mengeksplorasi informasi dari informan sehubungan dengan strategi promosi kesehatan terhadap upaya penanggulangan penyalahgunaan narkoba di Dinas Kesehatan Kabupaten Wajo. Dari hasil penelitian menunjukkan : (1). Advokasi yang dilakukan Dinas Kesehatan Kabupaten Wajo dengan cara mengusulkan bantuan dana kepada Pemeerintah Daerah, untuk keperluan kegiatan penyuluhan napza di sekolah. (2). Kemitraan yang dilakukan Dinas Kesehatan terhadap upaya penanggulangan narkoba dengan membangun kerjasamaÂ  dengan pihak polres, sekolah, puskesmas dan pemda. (3). Pemberdayaan yang dilakukan dinas kesehatan dan puskesmas, dengan membentuk kader kesehatan remaja di sekolah sebagai bentuk keikutsertaan siswa dalam memberantas narkoba di Kabupaten Wajo.Kata Kunci : Strategi promosi kesehatan, penyalahgunaan narkobaÂ
PERBEDAAN INDIKATOR-INDIKATOR OBESITAS PADA LANSIA HIPERTENSI DAN NON-HIPERTENSI
Authors: Mardiyati Nur Lathifah , Agustin Yuriza
Published: October 2024

Banyak kejadian hipertensi yang tidak terdiagnosa dikarenakan tidak munculnya tanda dan gejala sehingga diperlukan cara penentuan peningkatan risiko hipertensi yang lebih mudah teramati, seperti dari peningkatan IMT, lingkar pinggang (LP) dan rasio lingkar pinggang-panggul (RLPP) yang juga sebagai langkah promosi kesehatan untuk mencegah peningkatan kasus hipertensi dari diri sendiri. Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional yang dilaksanakan di Posyandu Lansia di Desa Bolon, Kecamatan Colomadu dengan jumlah subjek 30 untuk masing-masing kelompok yang dipilih secara consecutive sampling. Uji perbedaan dilakukan dengan Independent T-test. Hasil penelitian menunjukkan lebih dari separuh responden yang non-hipertensi memiliki IMT, LP dan RLPP yang normal (70%, 67% dan 77%) sedangkan untuk responden yang hipertensi sebagian besar memiliki status gizi lebih (63%, 73% dan 70%). Walaupun lebih dari separuh responden yang hipertensi memiliki IMT lebih, dari uji Independent T-test tidak menunjukkan perbedaaan yang signifikan (nilai p> 0,05). Namun, untuk LP dan RLPP menunjukkan perbedaan yang signifikan antara respoden dengan hipertensi dan tidak hipertensi (nilai p< 0,05). Sehingga dapat disimpulkan bahwa terdapat perbedaan signifikan pada LP dan RLPP tetapi tidak dengan IMT pada lansia hipertensi dan yang tidak mengalami hipertensi. Hal ini menunjukkan bahwa penumpukan lemak di sekitar perut yang lebih mempengaruhi tekanan darah dibandingkan dengan IMT atau proporsi tubuh secara keseluruhan.Kata Kunci : Lansia, hipertensi, lingkar pinggang, lingkar panggul, IMTÂ
Peran Keluarga dan Petugas Kesehatan Terhadap Lama Menyusui Bayi
Authors: Sondakh Jenny Jeltje Sophia , Yuliani Ita , Yuliani Ita
Published: October 2024

Indonesia merupakan salah satu negara berkembang dengan Angka Kematian Bayi (AKB) tinggi. AKB tahun 2017 sebanyak 10.294 kasus (Kemenkes RI) dan disebabkan oleh infeksi dan hipotermi. Inisiasi menyusui dini (IMD) dan ASI eksklusif adalah satu upaya penurunan infeksi penyebab AKB, karena ASI eksklusif memberi manfaat kekebalan bagi bayi agar tidak mudah sakit, dan lamanya pemberian ASI eksklusif menjadi tanggung jawab ibu dan juga keluarga: suami, orang tua, mertua, dan tenaga kesehatan. Tujuan penelitian ini untuk mengetahui peranan keluarga dan petugas kesehatan terhadap lama menyusui pada bayi usia 12 bulan dengan 40 responden. Pengolahan dan analisa data menggunakan Analisa Ragam Regresi Linier Berganda. Hasil yang didapatkan, dukungan suami mempengaruhi lama menyusui pada bayi usia 12 bulan dengan ThitungÂ  0,020< T0.05 yaitu 0,984. Dukungan orang tua atau mertua dengan nilai Thitung 0,898 > T0.05 yaitu 0,375. Dukungan tenaga kesehatan sebesar Thitung 0,657 > T0,05 yaitu 2,156. Dapat disimpulkan bahwa dukungan tenaga kesehatan dan dukungan keluarga sangat berpengaruh pada lamanya pemberian ASI, dukungan suami kurang mempengaruhi lamanya pemberian ASI. Peran suami sangat diharapkan untuk mendukung pemberian ASI eksklusif, dan tetap ada banyak waktu dan cara untuk membantu dan mendukung keberhasilan ASI eksklusif walaupun suami bekerja, demi pemberdayaan istri atau perempuan dalam keluarga.Kata kunci : Peran keluarga, petugas kesehatan, lama menyusui
Perbandingan Cara Kelahiran, Luaran Maternal dan Luaran Neonatal Berdasarkan Kepesertaan BPJS
Authors: Sari Dewi Anna
Published: October 2024

Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan merupakan badan hukum publik yang ditugaskan khusus oleh pemerintah untuk menyelenggarakan jaminan pemeliharaan kesehatan bagi seluruh rakyat Indonesia. Penelitian ini bertujuan untuk mengetahui perbandingan cara kelahiran, luaran maternal dan luaran neonatal berdasarkan kepesertaan BPJS. Â Penelitian ini merupakan penelitian yang dipakai adalah observational kohort prospektif. Penelitian ini menyimpulkan bahwa tidak ada perbedaan bermakna menurut cara kelahiran. Luaran maternal kelahiran spontan pada peserta BPJS sama baiknya dengan yang bukan peserta. Luaran maternal kelahiran operatif pada peserta BPJS sama baiknya dengan yang bukan peserta BPJS. Luaran neonatal kelahiran spontan pada peserta BPJS lebih baik dibandingkan dengan yang bukan peserta BPJS di RS Ibnu Sina YW-UMI Makassar. Luaran neonatal kelahiran operatif pada peserta BPJS lebih baik dibandingkan dengan yang bukan peserta BPJS di RS Ibnu Sina YW-UMI Makassar.
Efektivitas Permainan Ludo dalam Peningkatan Pengetahuan dan Sikap tentang Pencegahan Karies Gigi
Authors: Azzahra Erinna , Amos John , Zicof Erick , Nadira Nindy Audia , Widdefrita Widdefrita
Published: October 2024

Latar belakang: Riskesdas tahun 2018 menyatakan bahwa proporsi terbesar masalah kesehatan gigi dan mulut di Indonesia adalah gigi rusak/berlubang/sakit sebanyak 45,3%. Anak usia Sekolah Dasar (6-12 tahun) merupakan usia risiko tinggi untuk terjadinya masalah kesehatan gigi dan mulut.
Tujuan: Tujuan penelitian ini adalah untuk mengetahui efektivitas permainan ludo dalam peningkatan pengetahuan dan sikap tentang pencegahan karies gigi pada siswa SDN 30 Air Dingin di Kota Padang.
Metode: Penelitian ini merupakan penelitian mixed method, dengan kualitatif menggunakan studi eksploratif dan kuantitatif menggunakan quasi experiment melalui pendekatan one grup pretest and posttest. Sampel pada penelitian ini adalah siswa kelas IV dan V dengan pengambilan sampel secara total sampling, yaitu sebanyak 88 orang. Analisis dilakukan secara univariat dan bivariate menggunakan uji Wilcoxon.
Hasil: Hasil analisis didapatkan peningkatan nilai rata-rata pengetahuan sebesar 3,51 dan sikap sebesar 3,59. Selain itu, terdapat efektivitas permainan ludo terhadap peningkatan pengetahuan dan sikap siswa (p-value = 0,0001).
Kesimpulan: Kesimpulan penelitian adalah permainan ludo efektif dalam meningkatkan pengetahuan dan sikap siswa terhadap pencegahan karies gigi. Disarankan agar peneliti selanjutnya dapat mengembangkan materi pada permainan ludo dengan masalah kesehatan lainnya.
Parenting Feeding Style dan Stunting pada Anak : Literature Review
Authors: Lastyana Wiwin , Rahmiati Baiq Fitria , Naktiany Wayan Canny , Soleha Novia Zuriatun , Jauhari M Thonthowi
Published: October 2024

Latar belakang: Stunting menjadi masalah kesehatan masyarakat yang serius dan prevalensinya tetap tinggi khususnya di negara berkembang. Stunting disebabkan kekurangan asupan gizi dalam waktu lama pada masa 1000 hari pertama kehidupan  (HPK) yang merupakan masa kritis. Sekitar 37% (9 Juta) anak Indonesia mengalami stunting, hal ini terjadi di seluruh wilayah dan lintas kelompok pendapatan. K. Masalah stunting merupakan masalah besar bagi Indonesia, karena pertumbuhan yang terganggu pada anak stunting bukan hanya pertumbuhan fisiknya saja tapi juga pertumbuhan otaknya. Stunting juga dikaitkan dengan praktik pemberian makan orang tua, di mana orang tua-ke-anak makan menentukan perilaku makan anak dan penambahan berat badan.
Tujuan: Makalah ini menyajikan ikhtisar untuk memberi pembaca pembaruan literatur tentang hubungan antara pengaruh orang tua (pengasuhan umum dan praktik pengasuhan makanan) dan hasil terkait status gizi anak.
Metode: Tinjauan penelitian sistematis mengikuti pedoman PRISMA dilakukan untuk mengidentifikasi, mendiskusikan, dan mengintegrasikan penelitian terbaru yang menyelidiki hubungan antara gaya pengasuhan dan stunting. Ini pertama merangkum bukti mengenai peran praktik pengasuhan makanan dalam membentuk dan mempertahankan status gizi dan berat badan anak-anak. Kemudian menjelaskan bukti empiris tentang hubungan antara pola asuh umum dan stunting pada anak.
Hasil: Enam database elektronik dicari menggunakan bahasa standar untuk mengidentifikasi studi kuantitatif yang menggambarkan hubungan gaya pengasuhan umum dengan obesitas anak usia 3-5 tahun. Artikel jurnal peer-review yang memenuhi syarat yang diterbitkan antara 2020 dan 2022 disertakan. Sebelas studi memenuhi kriteria inklusi. Beberapa penelitian berfokus pada pemberian makan secara umum. Sebagian besar penelitian berfokus pada pengendalian praktik pengasuhan makanan dan gaya pengasuhan umum.
Kesimpulan: Pola asuh yang dapat diterapkan kepada anak usia dibawah 24 bulan sebagai pencegahan stunting adalah pola asuh campuran/mixed parenting style, karena tidak ditemukan pola asuh spesifik yang baik dalam seluruh aspek pertumbuhan dan perkembangan baduta. Namun pola asuh mixed parenting semisal parenting demokratif dengan authoritative menjadi pilihan yang bijak dalam seluruh aspek pertumbuhan dan perkembangan balita dalam hal pencegahan stunting.
A Concept Paper: How Does Spirituality Affect Individual’s Thought, Emotion, Behaviour, Mental and Physical Health?
Authors: Aisyahrani Asa Ismia Bunga , Handayani Lina , Suryana Aufatcha Ayutya
Published: October 2024

Introduction: Spirituality can be understood through several approaches. Based on the Islamic perspective, spirituality is defined as the outcomes of faith in Allah including belief in infinite power, the perfection of Allah and belief in life after death, which create meaningful and purposeful human life situations. Spirituality leads to happiness, hope, comfort, and it leads to physical and mental health.
Objective: Therefore, this paper aims to discuss the effect of spirituality toward thought, emotion, behaviour, as well as mental and physical health.
Method: This paper employs library research. The authors study several literatures related to the topic of the paper.
Result: Spirituality helps people to be tough and cope with stress. It makes them in a good state of mental and physical health.
Conclusion: Spirituality affects positively toward people behaviour, emotion, and make them in good health and well-being.
An Effectiveness of Self-Management Education Through Self-Care and Quality of Life Resulting in Decreasing Readmission in Patients with Heart Failure: Based on Nursing Intervension: Systematic Review
Authors: Tery Luky Puspitawati  , Ni Luh Widani
Published: October 2024

Introduction: The introduction of a research paper sets the stage by presenting the topic and context of the study. It aims to engage readers, provide background information, and outline the research problem or question. In this section, the researcher introduces the significance of the topic, discusses relevant literature, identifies gaps in existing knowledge, and states the research objectives.
Objective: This research study aims to examine the impact of nurse-led self-care management educational programs on improving disease knowledge, self-care behavior and quality of life in heart failure patients.
Method: This research is a systematic review that absolutely have many characteristics such as (author, year of publication, country, and number, age, and male percentage of patients in each group) and intervention parameters (type of intervention, ejection fraction at inclusion, form of proactive contact intervention, home visit status, time assessment, and status of educational strengthening). For instance, primary outcomes (rate of all-cause or HF-related readmission and all-cause mortality), quality of life evaluated by the Minnesota Living with Heart Failure Questionnaire (MLHFQ).
Result: The results were showed that nurse-led interventions to be a cost effectiveness of treatment for heart failure patients, and nurses play an important role in educating and managing their condition. Overall, nurse-led self-care management education programs have demonstrated effectiveness in improving self-care and quality of life in heart failure patients. In concludes, Heart failure self-management education has been shown to improve patient self-care and quality of life.
Implication: This research has maximum stakeholders that utilize evidence-based medicine to understand the role of nurses in the prognosis of HF patients to support and respect nurse-led educational efforts. The results of this study can provide strong evidence to expand the role of nurses and facilitate the planning and completion of nurse-led patient education programs.
Conclusion: In concludes, it is also leads to significant improvements in quality of life. Due to nurse-led education programs that have been shown to reduce heart failure-related hospital readmissions and all-cause readmissions, as well as mortality rates in patients with heart failure.
The Relationship Household Environmental Sanitation with Incidence of Stunting in Toddlers: Literature Review
Authors: Wakhid Anwar  , Nurjazuli Nurjazuli  , Tri Joko
Published: October 2024

Introduction: Stunting (Short Children) one of the nutritional problems faced in the world, especially in poor and developing countries. Stunting is a problem because the impact it has can affect the quality of human resources and be detrimental to the world of health, including increasing morbidity and mortality rates. Sub optimal brain development results in delay in motor skills and mental growth. Many studies have been conducted on the risk factors for stunting in toddlers, including environmental sanitation which is an indirect cause stunting incident.
Objective: The Study aims to describe relationship between household environmental sanitation with the incidence of stunting toddlers.
Method: This research uses a systematic review method to summarize research results over the last 5 years. The data source comes from Indonesian Environmental Health Journal and the google scholar jurnal with the keywords “Stunting and environment”. The selected articles are results of research related to environmental sanitation factors and behavior that cause stunting.
Result: There are 7 for 10 research article showed a significant relationship between household environmental sanitation and the incidence of stunting in toddlers.
Conclusion: Based on the results of studies conducted in 10 Journals, information was obtained that those related to the incidence of stunting in toddlers include acces to clean water and drinking water, unhealthly latrines, food intake, processing of waste and household liquid waste that does not requirements, mother’s education level, parenting pattern for toddlers, exclusive breastfeeding and incidence of infection or diarrhea.
Nurse Turnover Intention Related to Job Stress and Job Satisfaction: Literature Review
Authors: Tarawan Febrina , Sella Dwi Astia Ningrum
Published: October 2024

Introduction: The nursing profession, which constitutes the largest professional group within the healthcare system, plays a crucial role in ensuring the quality of nursing services and patient safety. Currently, the world is facing a serious challenge in the form of a nursing shortage, with an estimated deficit of about 5.7 million professional nurses globally by 2030. Studies have shown that Southeast Asia and the Pacific have the highest nurse burnout rates, at 13.68%. 24 This job burnout indicates that nursing is one of the professions with higher levels of stress and workload because it involves patient care. The work stress resulting from excessive workload leads to nurse turnover intention. The turnover intention for nurses in their first year of work is 27.1%.27 The heavy workload drives nurses to leave, and this turnover intention contributes to the nursing shortage.
Objective: This literature review aims to determine the relationship between nurse turnover intention, work stress, and job satisfaction.
Method: A literature review study was conducted using databases such as Google Scholar, PubMed, ProQuest, and Scopus. Article selection followed the PRISMA protocol, including identification, screening, eligibility, and analysis of 11 articles.
Result: The analysis results showed a significant relationship between work stress and job satisfaction with nurse turnover intention.
Conclusion: Addressing the work stress experienced by nurses and improving job satisfaction is expected to mitigate the turnover intention among nurses.
Determinant of Smoking Behavior in Students at the Health Sciences Faculty of Universitas Muhammadiyah Pontianak
Authors: Melinda Mutya , Putri Maharani Alya , Lestari Pitri , Suwarni Linda
Published: October 2024

Introduction: Risk data for 2018 showed an increase in the number of smokers in the Indonesian population, with 33.8% of those over 15 years of age being predominantly male (62.9%). The increase in this number was followed by a rise in some smoking-related diseases such as hypertension, stroke, and other chronic diseases. There are many factors that affect smoking behavior..
Objective: The study aimed to find out the prevalence of smoking behavior in students as well as the determinants with smoke behaviour in students at the Health Sciences Faculty of Universitas Muhammadiyah Pontianak.
Method: The research uses quantitative research as well as observational analytical design with a cross sectional approach. The sample of this research was partly male students at the Faculty of Health Sciences a total of 64 with incidental sampling techniques. Data analysis using unvariate and bivariate analysis (uji Chi-Square).
Result: This study showed that there was a significant correlation between the role of parents, the influence of peers, the impact of advertising and smoking behavior on students of Universitas Muhammadiyah Pontianak (p value < 0.05) with the prevalence of students who smoke 45.3%.
Conclusion: Continuous health promotion and implementation of the No Smoking Area (KTR) in the campus environment are needed.
The Effect of Javanese Language Educational Video on Compliance Blood Pressure Examination in Elderly People with A History of Hypertension at Posyandu Lansia Melati 5 Kepanjen Health Center Working Area
Authors: Pricilia Wibowo Friska , Djuwadi Ganif , Yudiernawati Atti
Published: October 2024

Introduction: Hypertension is the medical term for high blood pressure. Hypertension is commonly referred to as "The Silent Killer" because it shows no symptoms. Therefore, compliance to check blood pressure is important in controlling hypertension. Health education is needed to improve compliance, for example using educational videos in Javanese.
Objective: This study aims to determine the effect of Javanese-language educational videos on compliance with blood pressure checks in elderly hypertension history at the Melati 5 Elderly Posyandu in the Kepanjen Health Center Working Area.
Method: This type of research is quantitative with Pre-experimental research design using One Group Pre-Test Post-Test approach. The study population was all elderly people with a history of hypertension at Posyandu Melati 5 as many as 50 respondents, simple random sampling technique with a sample of 33 respondents.
Result: The results showed that during the Pre-Test very few of the respondents were compliant (12%), while during the Post-Test almost all of the respondents were compliant (85%). Using the Wilcoxon test analysis with a p-value of 0.000 means that there is an effect of Javanese educational videos on respondent compliance.
Conclusion: There is an effect of Javanese-language educational videos on compliance with blood pressure checks in elderly hypertension history at the Melati Elderly Posyandu 5 Kepanjen Health Center Working Area.
Analysis of Factors Affecting Post Immunization Event (AEFI) of COVID-19 Vaccines in Indonesia: Online Survey
Authors: Indriyani Yeni , Agustina Cynthia , Maharatna Anaelia Syakilla , Nurhidayastuti Ameilia , Fahrurodzi Denny Saptono , Indah Kusumaningrum Tanjung Anitasari , Arifah Izzatul , Mulya Happy Kusuma
Published: October 2024

Introduction: Cases of death and infection due to COVID-19 in Indonesia are the highest compared to other countries in Southeast Asia even though there are various types of Covid-19 vaccines in Indonesia. Although the Covid-19 vaccine has several benefits, there are side effects caused by vaccine administration (AEFI). Many studies have been conducted on AEFI of Covid-19 vaccine in the general public, but the number of studies that discuss special groups needs to be studied further.
Objective: This research aims to find out AEFI from more diverse community groups so that the results can be used as material for consideration in policy making.
Method: This type of research is a quantitative study with a research design using a cross-sectional study design and using the chi-square test. The sample amounted to 656 respondents who were taken using simple random sampling. Data collection was conducted in September 2023 based on a web survey through Google Forms. Questions regarding diet refer to the General Guidelines for Balanced Nutrition, sleep quality refers to the Pittsburgh Sleep Quality Index (PSQI), and anxiety refers to the Hamilton Rating Scale for Anxiety (HARS). Data will be processed using Stata 18 data processing application.
Result: There was no correlation between the factors studied and post-immunization adverse events (AEFI). However, history of atopic disease had an effect of 1.355 times greater than the dietary category which only had an effect of 0.725 times.
Conclusion: Factors associated with post-immunization adverse events (AEFI) such as socio-demographics, history of illness, diet and breakfast, history of allergic disease, history of atopic disease, history of anxiety, vaccine complaints, post-vaccine reactions did not have a significant association with AEFI.
The Effectiveness of Digital Media in Improving Adolescent Health Literacy about the Dangers of Smoking: Literature Review
Authors: Isah Fitriani  , Sitti Nur Djannah  , Heni Trisnowati
Published: October 2024

Introduction: The  prevalence of smoking in adolescents is still relatively high both in the world and in Indonesia. Not only teenage boys, but adolescent girls also consume cigarettes.  The 2022 National Socio-Economic Survey noted that 37.49% of children at that age smoked more than 60 cigarettes every week. In fact, adolescent health is a long-term investment that needs to be considered considering its urgency as the nation's next generation. In this case, the emergence of technology has the potential to provide measurable innovative interventions in tobacco control through health promotion media.
Objective: This study aims to explore articles that discuss the effectiveness of digital media in increasing health literacy, the dangers of smoking in adolescents seen from the variables that have changed.
Method: The method used is a literature review by analyzing articles relevant to the research topic with a publication range of 2019-2024. The databases used are Pubmed, DOAJ, and Google scholar with the keywords  "digital media", "literacy", "cigarettes" and "adolescents". The researcher found 504 articles and included them into 8 relevant articles.
Result: Eight articles show that audiovisual-based digital media is claimed to be very effective for use in health promotion. The ability to analyze good health messages is reflected in changes in higher levels of knowledge, attitudes, motivations, intentions, and behaviors. Thus, there are indications that there is an increase in health literacy in adolescents about the dangers of cigarettes (p value<0.05) is increasing. Effectiveness was measured using pre-test, post-test, survey, and interview before and after being given an intervention using digital media that had been prepared.
Conclusion: Digitalization is the gateway to increasing the existence of health promotion in a more practical and modern way. With a high level of literacy, adolescents' knowledge, attitudes, and motivation are expected to increase so that it will have implications for healthy living behavior.
Relationship of Preeclampsia History of Pregnant Women with the Incidence of Neonatal Asphyxia
Authors: Rezky Inayah Alfatihah  , Rosdianah Rahim  , Purnamaniswaty Yunus
Published: October 2024

Introduction: The neonate mortality rate (NMR) in Indonesia is still relatively high and has not met the predetermined target. One of the main causes of neonate mortality is neonatal asphyxia which can be caused by maternal factors, namely a history of preeclampsia in pregnant women.
Objective: This study aims to determine the relationship between the history of preeclampsia in pregnant women and the incidence of neonatal asphyxia in RSUD Lanto Dg. Pasewang Jeneponto district for the period 2020-2021.
Method: This study is a quantitative analytic study with a case control approach. the sample selection method is a purposive sampling technique of 364 samples consisting of 182 case samples and 182 control samples obtained from medical record data at Lanto Dg. Pasewang Jeneponto Regency for the period 2020-2021. The analysis technique used in bivariate analysis is the chi square test with a significance level of 5% (? = 0.05) with the help of statistical test software and the Odds Ratio (OR).
Result: The results of the study based on the analysis obtained a p-value of 0.000 on the relationship between the history of preeclampsia of pregnant women with the incidence of neonatal asphyxia and the Odds Ratio (OR) value of 22.728.
Conclusion: There is a relationship between the history of preeclampsia of pregnant women with the incidence of neonatal asphyxia at RSUD Lanto Dg. Pasewang Jeneponto Regency for the period 2020-2021 where a history of preeclampsia in pregnant women is 22.728 times more likely to cause neonatal asphyxia.
School-Age Child Mortality: The Impact of Women's Autonomy and Household Characteristics
Authors: Nauval M. Dharma , Asnawi Abdullah  , Nopa Arlianti
Published: October 2024

Introduction: Child mortality is a crucial indicator for achieving the Sustainable Development Goals (SDGs) for 2030 and the National Medium-Term Development Plan (RPJMN) 2020-2024 in healthcare. It reflects advancements in health and human capital, with SDG targets aiming for a neonatal mortality rate of 12 per 1,000 live births by 2030, and RPJMN targeting a child mortality rate of 16 per 1,000 live births by 2024. School-age (5-9 years) and adolescent (10-18 years) stages are critical for education and character development, where parental roles, especially women's autonomy in decision-making regarding family and education, are essential for ensuring health and well-being.
Objective: The aim of this study is to examine the impact of women's autonomy, household wealth, residential area, parental occupations, and age at marriage on school-age child mortality.
Method: This study uses a quantitative cross-sectional design with secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). The sample includes 37,246 mothers of children aged 6 to 18 years. Inclusion criteria were mothers whose last child died between ages 6 and 18, who were married and living with their spouse, and who knew their age at first marriage. Exclusion criteria were women under 15 or over 49 years, deaths outside the specified age range, women unaware of their marriage age, and those who were divorced or widowed. Data were analyzed using bivariate logistic regression and multivariate stepwise regression to evaluate the effects of women's autonomy, household wealth, residential area, parental occupations, and age at marriage on school-age child mortality.
Result: The results of the bivariate analysis indicate significant associations between women's autonomy (P=0.022; OR=0.92), age at first marriage (P=0.0001; OR=1.8), father’s occupation (P=0.0001; OR=1.4), and residential area (P=0.0001; OR=1.5) with school-age child mortality. No significant relationship was found between maternal occupation (P=0.122; OR=0.95) and household wealth status (P=0.459; OR=0.98) with school-age child mortality. The multivariate stepwise analysis confirmed that women's autonomy, age at first marriage, father’s occupation, and residential area remained significant factors.
Conclusion: The study underscores the importance of empowering women, raising awareness about early marriage, and implementing economic interventions to reduce school-age child mortality. Additionally, it recommends further research on women's autonomy, including supportive and obstructive factors, to deepen understanding in this area. Such research can aid in developing more holistic policies and interventions.
Implementation of a no Smoking Area at SMPN 12 Malang in the Janti Health Center Working Area
Authors: Emil Nahdiyah  , Sri Winarni  , Ganif Djuwadi
Published: October 2024

Introduction: Smoking is harmful to our health and the health of those around us. Diseases caused by smoking can ultimately weaken the potential of human resources. In response to this, the government has established a program to deal with cigarette smoke, one of which is a smoke-free area, and there are seven places that must implement a smoke-free area, one of which is a place of teaching and learning.
Objective: The purpose of this study was to determine the implementation of a smoke-free area at SMPN 12 Malang in the working area of the Janti health center as a step towards realizing a smoke-free school environment.
Method: This research uses quantitative methods that are descriptive in nature. The population of this study is the whole of the research object. The sampling technique used was total sampling totaling 72 people. The sample in this study were all teachers, staff, security officers, janitors, and canteen guards at SMPN 12 Malang. Data collection techniques are questionnaires, observations, and interviews, the instruments used are questionnaire sheets, observation sheets, and interview guidelines.
Result: The results of research on the implementation of a smoke-free area at SMPN 12 Malang found that the policy pattern is good because it already has a policy, human resources are sufficient because there is no special officer to supervise the smoke-free area and sanctions for violators of the smoke-free area, and the area sign in the good category has been installed but the placement is still not strategic because it is installed in front of the class and covered by lush trees, and the media used is only one, namely the statue of the no-smoking area sign or smoking ban.
Conclusion: The implementation of a smoke-free area at SMPN 12 Malang in the policy pattern is in the good category, human resources are sufficient, and the smoke-free area sign is good.
Characteristics of Contact Dermatitis Patients (Irritant and Allergic) in RSUD Batara Siang Pangkep District
Authors: Aidah Nurul Faizah  , Nurelly N. Waspodo  , Arina Fathiyyah Arifin  , Hermiaty Nasruddin  , Lisa Yuniati
Published: October 2024

Introduction: Contact dermatitis is the occurrence of an inflammation of the skin caused by exposure to a toxin (primary irritant) or by an allergenic material (sensitizer) or by both. At the 2009 meeting of Dermatologists, it was stated that 90% of occupational skin diseases are contact dermatitis, both irritant and allergic. 92.5% of occupational skin diseases are contact dermatitis, 5.4% due to skin infections 2.1% of skin diseases due to other causes.
Objective: To study the characteristics of contact dermatitis (irritant and allergic) at Batara Siang Regional General Hospital, Pangkep Regency, South Sulawesi Province in 2022-2023.
Methods: This research is quantitative research with descriptive research design. The sampling method is total sampling and as for the samples obtained from medical record data, namely 268 cases of contact dermatitis at Batara Siang Regional General Hospital, Pangkep Regency.
Results: The number of contact dermatitis cases was 268 cases consisting of 209 cases of ACD and 59 cases of ICD. Based on gender, the most cases were female in ACD and ICD, namely 41 ACD patients and 17 ICD patients in 2022, 79 ACD patients and 20 ICD patients in 2023. Based on age, 45-64 years old is the most common in ACD and ICD, namely 25 ACD patients and 9 ICD patients in 2022, 47 ACD patients and 11 ICD patients in 2023. Based on occupation, ACD is most common in students, namely 17 patients in 2022 and 32 patients in 2023 and in ICD, the work of housewives is 9 patients in 2022 and 10 patients in 2023. Based on the history of atopy, most of them did not have a history of atopy in both ACD and ICD, namely 69 ACD patients and 25 ICD patients in 2022, 128 ACD patients and 30 ICD patients in 2023.
Conclusion: Most characteristics based on gender, age, occupation and atopic history of ACD and ICD in 2022 and 2023 are mostly similar.
Spatial Autocorrelation of Diarrhea Cases in West Java Province in 2023
Authors: Wahyudi Tri , Yuniar Popy , Rahmaniati Martya
Published: October 2024

Introduction: Diarrhea have been being a significant public health threat for the community due to its impact on morbidity and even mortality especially among infants and toddlers. Understanding the pattern of diarrhea, how the key factors influence the prevalence of the disease and which areas are at the highest risk could help in controlling diarhhea.
Objective: Through spatial autocorrelation analysis of diarrhea prevalence with several risk factors, such as open defecation behavior, population density, access to proper sanitation, availability of drinking water facilities, and the number of health centers in West Java Province in 2023, this study aims to identify which districts/cities in the province are at high risk of diarrhea.
Method: This ecological study analyzed 27 districts/cities in West Java Province in 2023 using secondary data from Open Data Jabar. The dependent variable was the number of diarrhea cases, while independent variables included key factors influencing the prevalence of diarrhea. The Moran index was used for autocorrelation tests, The study used Geoda software version 1.22.
Result: The study found positive autocorrelation pattern between diarrhea prevalence and population density as well as access to proper sanitation. Negative autocorrelatios found for the other factors i.e. the number of drinking water facilities, the number of villages that stopped open defecation and the number of health centers. The risk analysis reveals four districts categorized as high risk of diarrhea: Depok City, Bekasi City, Bogor City, and Cianjur City. Depok City has the highest score of 12, due to high population density and lack of access to proper sanitation. Bekasi, Bogor City, and Cianjur have the next highest scores, with proper sanitation being the largest contributing factor.
Conclusion: Autocorrelation analysis can help understand diarrhea patterns and factors influencing its prevalence, provide guidance for program implementation and prioritization to address the most high risk areas.
COMPUTER PROGRAMS LEGAL PROTECTION FRAMEWORK WITH SPECIAL REFERENCE TO ARTIFICIAL INTELLIGENCE CHATGPT
Authors: Živković Antonije Đ
Published: October 2024

Computer programs are protected by copyright both in the comparative law and in the positive law in Serbia. One or more computer programs together with electronic databases make up information systems. With the development of artificial intelligence, a wide range of sophisticated information systems have been created that can, as a rule, create or generate text based on user queries (e.g. ChatGPT). This paper provides a case study related to the generative artificial intelligence ChatGPT. Legal regulation of artificial intelligence-generated products from the aspect of copyright poses a special challenge. In this paper, the author puts a special emphasis on the comparative presentation of the legislation that regulates artificial intelligence from the aspect of copyright, stating the legal theory positions and judicial practice that claim that artificial intelligence-generated products have no place in intellectual property law. After the exhaustive comparative legal analysis and the case study, the author will propose de lege ferenda the legal protection framework for artificial intelligence.
Pascal’s Trinitarian Counter-Anthropology
Authors: Valdez Earl A. P.
Published: October 2024

Pascal’s discussion of the human person, one which may be considered existential in nature, continues to be a prominent topic in philosophical and theological circles today. It is clear to many that Pascal espouses different notions of the human person, which can be divided into two, namely (a) considered “as and by himself, without God,” and (b) with belief in God. Given this dual anthropology that stems from Pascal’s apologetic project in the Pensées, this paper proposes to extend this understanding in relation to the Christian doctrine of the Trinity, something that Pascal only passes over in his Pensées but is rich with meaning and interpretation. Through the help of an anthropology that is grounded in the Trinity, thus as a theological proposition, the paper hopes to gain a greater understanding of Pascal’s apologetic by mapping out his counter-anthropology, that is, a life lived in the love of God and within the so-called order of charity.