bluuebunny/crossref_metadata_2025 huggingface dataset:
Breve historia de la Escuela Regional Campesina Mactumactzá, Chiapas (1936-1941)
Authors: Pinto Díaz Iván Alexis , Burgos Rafael
Published: January 2025

La escuela rural mexicana dio impulso a la formación de varias instituciones con el propósito de dar cauce a los procesos educativos que emanaron del movimiento revolucionario de 1910. En este trabajo abordamos una, que Raby (1973, p. 554) definió como el proyecto de formación de maestros más exitoso de la “época heroica” de la escuela rural mexicana: la Escuela Regional Campesina –ERC–. Específicamente hablamos de la historia de la ERC Mactumactzá –Tuxtla Gutiérrez, 1936-1941–. Es un trabajo que se construyó desde la información recabada en archivos históricos. Nos ubicamos en la idea de que “queremos conocer mejor la actividad de escuelas y maestros individuales, no «la escuela rural» como una abstracción” (Raby, 1973, p. 554); es por eso que recuperamos los aportes de la etnografía histórica (Rockwel, 2009l) como guía de investigación y presentación de los hallazgos. La ERC Mactumactzá surgió al finiquitarse la Escuela Normal Rural –ENR– de Cerro Hueco –Tuxtla Gutiérrez, 1931-1935–, y fue su continuidad desde la perspectiva de formación de profesores establecida por Narciso Bassols, en ese entonces secretario de Educación federal. El trabajo intenta mostrar que la intención de Bassols no se concretó del todo. Abordamos la historia de la ERC en Chiapas abordamos desde su acontecer interno, desde las relaciones entre los sujetos que ahí convivieron y se confrontaron. Es una historia que muestra las particularidades de la institución, su funcionamiento y prematuro cierre.
Coastal Protection in Cu Lao Dung Mangroves (Soc Trang Province, Vietnam): Quantifying Wave Energy Dissipation
Authors: Le Nguyen Hoa Tien  , Tran Xuan Dung  , Vo Luong Hong Phuoc
Published: January 2025

Mangrove forest is always considered an effective barrier to protect habitats from high waves, especially tsunami. Therefore, the estimation of wave energy dissipation is required for disater warning. The aim of this study is to calculate wave attenuation in mangrove areas by combining field survey method and mathematical modeling method. The application area is Cu Lao Dung mangrove forest, Soc Trang, Vietnam. From data measurements of hydrodynamics and mangrove characteristics, the wave attenuation coefficient r, the drag coefficient Cd were determined in mud area, mud-mangrove area and mangrove area. In addition, using WAPROMAN model, the attenuation of wave height is simulated in different cases such as without mangrove, with mangrove, breaking wave effect and wave trunk interaction effect. Both the results from the measured method and the model method show the role of mangroves in reducing wave energy. The results from modeling are smaller than the calculated results. However, both methods tend to be suitable. Such difference required more considerations not only on calculation formulas but also on modeling adjustment. The research clearly demonstrated the effectiveness of mangroves in coastal protection, with wave-trunk interaction becoming the dominant factor in energy dissipation deeper into the forest. For future, extending the study to different mangrove forests and longer time scales could provide a more comprehensive understanding of the role of mangroves in coastal protection across various geographical and temporal contexts.
The end of phone numbers: A future without traditional communication identifiers
Authors: Maksudul Shadat Akash
Published: January 2025

The historical role of phone numbers as primary communication identifiers is undergoing a transformative shift, driven by technological advancements and evolving user demands. While phone numbers have traditionally facilitated personal and professional interactions, their limitations, including privacy vulnerabilities and declining utility in digital ecosystems, are increasingly apparent. Emerging alternatives such as unified digital identities, app-based communication platforms, and biometric authentication methods offer enhanced privacy, security, and user experience. Technologies like IoT, AI, and blockchain are further accelerating this transition by enabling seamless device interactions, personalized communication, and secure identity verification without reliance on static identifiers. However, the shift faces significant challenges, including infrastructure dependency, cultural resistance, and the need for cohesive regulatory frameworks. Despite these barriers, the decline of traditional phone numbers is anticipated by 2030, as digital identifiers gain prominence across industries, fostering global connectivity and inclusivity. This transition heralds a profound redefinition of societal communication practices, emphasizing innovation while ensuring equitable access to emerging technologies.
Developing personalized diabetes management plans using artificial intelligence and machine learning
Authors: Oluwemimo Adetunji  , Patrick Tamarauefiye Evah
Published: January 2025

Diabetes is a lifelong condition which is associated with abnormally high blood sugar levels due to insufficient production of insulin or failure of the body to use the hormone efficiently. Due to a rising number of diabetes cases globally, the need to develop efficient and targeted approaches for the disease is more pressing than pre/application. Artificial intelligence (AI) and machine learning (ML) are among the most significant innovations in the healthcare industry, creating new positive directions for creating individualized plans for diabetes mellitus management. AI and ML are not just limited to handling medical and patients’ data, but it helps in robot assisted surgeries, virtual nursing professionals, and computer aided diagnosis. These technologies are not deploying human practitioners out of service, but instead heightening their capabilities culminating in a health win and decrease in cost. PROAC supports further research and development of these fast-growing technologies in healthcare, as we find ourselves on the brink of revolution that might change disease management and customization of treatment for many more years to come. This review has therefore involved using different electronic databases, including PubMed, Scopus and Google Scholar, to search for relevant published literature. The application of AI and ML has proved promising, and the research concluded that it can help develop a risk assessment model for early diagnosis and prevention of diabetes. Such algorithms look at a combination of multiple risk factors including family history, genetics, nutrition, biochemical markers, and physical activity level, which puts those with higher risk on special diet, exercise regimens or screening. Further, AI endorsing, decision support systems may provide tailored recommendations regarding treatment schedules based on patients’ characteristics such as insulin response, diet and exercise. Additionally, the continuous glucose monitoring (CGM) devices integrable with the machine learning algorithms can inform real-time information about glucose behaviors to make relevant alterations to doses of insulin and a dietary intake. This paper presents various benefits of adopting AI and ML in diabetes care: heterogeneous and accurate risk prediction, individualized therapies, and observation. But the problem of data quality, data privacy issues and the issue of interpretability and explainability of the trained AI models remains a problem in the use of AI in automated scheduling. The approaches require interdisciplinary collaborations across the medical field, data analytics, and policy departments in order to be properly applied and used.
In vitro callus induction from a highly medicinal plant: Pterocarpus marsupium Roxb
Authors: Pallavi G. Tandlepatil  , Sangeeta R. Ahuja
Published: January 2025

The current study has focused on an efficient in vitro callus induction protocol for the Pterocarpus marsupium Roxb. plant. Explants from healthy plants, including leaves and stem nodes, were employed to induce callus formation. Murashige and Skoog medium supplemented with 2,4D resulted in the highest callus proliferation. Callus induction varies based on the type of explant and growth hormone concentration employed. Massive callus was achieved at 1.0 mg/L of 2, 4 D and BAP each utilizing a leaf explant.
Evaluating the influence of customer reviews and consumer trust on online purchase behavior
Authors: Shuvo Kumar Mallik  , Imran Uddin  , Farzana Akter  , A. S. M.Shafin Rahman  , M Abeedur Rahman
Published: January 2025

With the evolution of new-age technology, consumers make up the significant influence for consumer behavior and purchasing decisions. This study explores complex interplay between consumer decision-making in brand choice and end-user verdicts. The power of collective consumer opinions, with the help of social media and online pledge, has never been available in such a great scale for consumers. We estimate peer reviewed comments’ effects on consumer perceptions and trust, which in turn affects consumers’ attitudes and purchases. This study is to evaluate the customer reviews relevance, authenticity as well as legitimacy. Transaction cannot be processed without their verification as if customer was not happy with the product claimed that is irrelevant, unjustified to the extent of misleading. It investigates the reasons behind the seemingly misplaced faith most customers put on peer reviews and testimonials. The study explores how online review aggregators and aggregate review platforms help contribute visibility and access to customer reviews and how these aggregates affect consumer behavior. There have been several studies done showing how important customer reviews are for brand loyalty and reputation. The positive reviews are strong testimonials that encourage potential purchasers to trust you. On the other hand, negative reviews can drive consumers away and towards a rival brand. It also examines the phenomenon of fake reviews and its repercussions on consumer trust and brand authenticity. It also explores how numerous factors — product type, brand reputation, volume of reviews moderate review impact. It explains how consumers wade through mountains of input to be able to make smart decisions, tiptoeing their way to find and use consumer feedback.
Maternal malnutrition of calcium in last second trimester pregnancy affecting early childhood caries
Authors: Prasherly Anura Dinda  , Menza Fadiyan Amriel  , Indeswati Diyatri
Published: January 2025

Background: Calcium is essential for muscle contraction, bone formation and enzyme/hormone functioning, and deficiency during pregnancy can have an impact on oral health, such as early childhood caries.

Purpose: To provide an overview of the effect of calcium malnutrition in last second trimester pregnancy in order to educate people about the malnutrition affecting early childhood caries.

Materials and Methods: This research is a literature review of up to 20 journals on the subject from different sources. Review or progress articles that were published in these journals between 2013 and 2023 were chosen.

Results: The electronic search through databases and the manual search through literature allowed us to identify some journals that support the criteria. The included studies evaluated the relationship between early childhood caries with calcium intake or vitamin D supplementation.

Conclusion: Early childhood caries are affected by calcium intake during pregnancy. Deficiency of micronutrients, either calcium or other associated such as vitamin D, especially at the second last trimester, increase in the risk of developing dental caries in comparison with children whose mothers were in the balance diet group.
Thoracic schwannoma mimicking a Darier-Ferrand dermatofibrosarcoma: Diagnostic and reconstructive challenges
Authors: Imane El Aissaoui  , Rim Labbaci  , Rim Labbaci  , Issam diher  , Otmane Taybi  , Adil Dehhaze
Published: January 2025

Primitive schwannoma refers to a rare benign tumor that originates from Schwann cells, which surround and insulate peripheral nerve fibers. These tumors are benign, exhibit slow growth, and have a very low risk of malignant transformation. They can remain asymptomatic for years or cause pain, paresthesia, or neurological deficits. When they develop in atypical regions, such as soft tissues or subcutaneous areas, they may be mistaken for other types of tumor masses.

This is the case in our study, which reports on a patient referred to us for a thoracic cutaneous tumor with a partial biopsy result suggesting a schwannoma. Treatment involved complete surgical excision. Histological analysis of the surgical specimen revealed a surprising finding: a dermatofibrosarcoma of Darrier and Ferrand (DFSP), often considered a differential diagnosis for schwannoma.

This study highlights both the importance of intraoperative frozen section analysis during surgery and the crucial role of the plastic surgeon in managing extensive and deep tissue defects that were unexpected based on the initial clinical diagnosis.
Mitigating financial risks for entrepreneurs in emerging markets through financial literacy
Authors: Glenda M Senaya
Published: January 2025

This paper aims at understanding and establishing how the assessable financial risks impact the entrepreneurs in emergent markets affecting their business sustainability and growth. This paper aims at establishing how these risks can be managed and performance of SMEs in developing economies improved through use of financial literacy. The study explores the complexity of efficiency of financial literacy, risk management, and business performance in emerging markets. This research uses both the systematic review of the available literature, which includes academic articles, policy papers, and economic reports. The literature review concentrates on research undertaken across several emerging markets to understand the effectiveness of financial literacy interventions on SME performance and risk management programmes implemented. The study uses a mixed-methods approach, where the use of financial data generates objective performance data on fund uses while interviews and surveys provide subjective information regarding the entrepreneurs decision making and their risk propensity. The results present positive significant relationship between entrepreneurs’ financial literacy and efficiency of risk management. here is evidence that SMEs owned and controlled by financially educated owners have better access to formal credit, more credit sources, and better cash flows. It also confirms that these businesses have improved ability to respond to shocks in the economy and manage volatilities in the market. Additionally, the research establishes certain areas of financial literacy that have the largest effect on minimizing risk such as: financial statement knowledge, credit knowledge, and investment knowledge. The study also supports the need for targeted financial literacy interventions. It underscores the fact that almost all types of interventions should take into account the local economic status, culture, and the characteristics of various business sectors in terms of risk exposures. The paper also explores possibilities of technology-based solutions in increasing embracement of financial literacy as well as covering more entrepreneurs that are not reached by classical approaches. This paper finds that the improvement of financial literacy levels in emerging economy entrepreneurs is a key factor that should be adopted to lessen financial risks affecting the SMEs. It underscores the importance of a partnership approach to the development of effective and comprehensive financial literacy initiatives by and for policy makers, financial organizations, and educational entities. The study underscores important implications for engineering applicable interventions that can enable the kindled business people choose appropriate financial solutions that will foster the economic growth of the emerging markets.
Empowerment leadership to improve work engagement through affective commitment in employees of the HR division at PT Perkebunan Nusantara I Regional 4 Surabaya, Indonesia
Authors: Novianti Fardah Ainiya  , Amiartuti Kusmaningtyas
Published: January 2025

This research examines the connection between empowering leadership, emotional commitment, and job engagement among staff in the Human Resources Division of PT Perkebunan Nusantara I Regional 4 Surabaya, Indonesia. Employing a quantitative method and saturated sampling technique, data were gathered from 60 employees via questionnaires and examined using SEM Smart PLS. The results of the research showed that empowering leadership has a significant effect on affective commitment, which consequently leads to a considerable boost in work engagement. Empowering leadership directly influences work engagement as well. This research highlights the significance of enabling leadership in cultivating emotional connections and job enthusiasm, providing practical suggestions for management strategies to improve employee involvement and organizational effectiveness.
Antifungal susceptibility pattern of candida species among cancer patients attending B.P Koirala Memorial Cancer Hospital, Chitwan
Authors: Promish Neupane  , Bishnu Raj Tiwari  , Prashant Pandit  , Bishnu Ram Sedai
Published: January 2025

Background: Cancer is considered as a second most common cause of human death worldwide. The sufferers with most cancers are ongoing remedies for cell destruction which immediately lead them to at risk of infections because of their immune- compromised state. Among cancer patients, the fungal flora of the body imposes a greatest threat for own self. Antifungal resistance has been evolving lately as a burgeoning health care problem among Candida species. So, this study is aimed to explore the antifungal susceptibility pattern of Candida species among cancers patient.
Methodology: This study was a cross-sectional study carried out in the Microbiology laboratory of B.P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal. Standard microbiological techniques were used to identify Candida isolates, and HiCrome differential media were used for Candida speciation. Antifungal susceptibility testing was determined by using the Clinical and Laboratory Standards Institute (CLSI) disk diffusion method.
Results Out of 680 processed samples, 50 Candida positive samples were found, with the majority (48.0%) isolated from urine. Candida albicans was the most predominant species (38%), followed by Candida glabrata (24%), Candida tropicalis (22%), and Candida krusei (16%). All isolates were highly sensitive to voriconazole (96%), with Clotrimazole 40 showing the highest resistance (80%), followed by ketoconazole and amphotericin B.
Conclusion Candida albicans is the most common cause of Candida infections, with most isolates exhibiting resistance to voriconazole and clotrimazole. This suggests the need for ongoing antifungal susceptibility surveillance to monitor trends in Candida species among cancer patients.
Overcoming barriers in anemia screening: The aspen Hb meter's role in resource-limited settings
Authors: Harsh Chauhan  , Munish Jain  , Ankur Gupta  , Surabhi Mahajan  , Shubham Jain
Published: January 2025

Anemia is a critical global health concern affecting 1.6 billion people, with a significant burden in resource-limited settings, particularly affecting women, children, and individuals with chronic illnesses. Accurate and accessible diagnostic tools are essential for timely anemia detection and management. This study evaluated the performance of the Aspen Hb meter, spectrophotometry-based hemoglobin estimation device, compared to the Mindray BC-6000 Automated Hematology Analyzer. A total of 2,279 venous and capillary blood samples were analyzed across diverse populations, including children, women, and men. Statistical analyses revealed high sensitivity (venous: 97.78%; capillary: 96.87%), specificity (venous: 95.65%; capillary: 95.22%), and accuracy (venous: 96.77%; capillary: 96.04%) with overall 97.33% sensitivity, 95.43% specificity and 96.40% accuracy for the Aspen Hb meter. Linear regression demonstrated strong correlation coefficients (R² > 0.98) between the two methods, with minimal bias in Bland-Altman analysis (mean difference: 0.05 g/dL). Group-wise assessments highlighted consistent performance across demographic categories, with the device achieving high positive predictive value (PPV) and negative predictive value (NPV). Compared to traditional and portable methods like HemoCue, the Aspen Hb meter exhibited superior diagnostic reliability, particularly for capillary samples. Its portability, ease of use, and adaptability to low-resource settings make it a valuable tool for point-of-care anemia screening and public health interventions.
New developments in the treatment of hyperuricemia: A focus on innovative natural therapies
Authors: Dr. Yadala Prapurna Chandra  , Kongi Kavyasudh  , Kaveti Suchithra
Published: January 2025

Gout, an ongoing metabolic problem portrayed by the statement of monosodium urate (MSU) gems in joints, is basically determined by hyperuricemia, an overabundance of uric corrosive in the blood. This survey article investigates the most recent advancements in imaginative regular treatments for treating hyperuricemia, zeroing in on their adequacy and security in decreasing uric corrosive levels and reducing side effects. It features the job of dietary alterations, including consuming organic products, vegetables, and explicit regular mixtures, in overseeing hyperuricemia. The survey distinguishes potential normal treatment choices that can be custom-made to individual patient requirements, stressing the significance of way of life changes close by regular cures. Moreover, it examines the advantages and restrictions of these treatments, upholding for a customized way to deal with treatment that improves patient results and personal satisfaction. The article highlights the need for additional examination to comprehend the instruments and ideal dosing of these regular cures completely. By advancing proof-based practices and cultivating cooperation between medical services experts and analysts, this survey means to propel information on inventive regular treatments for hyperuricemia, eventually adding to further developed administration systems for people impacted by this condition.
Study on the efficacy of adjuvant TACE plus targeted therapy in patients with hepatocellular carcinoma at a high risk of recurrence after hepatectomy
Authors: Durrani Ahsanullah  , Zainab  , Shukurullah  , Dhira salsabila  , Ulfat Durrani
Published: January 2025

Objective: Patients with hepatocellular carcinoma (HCC) have a high risk of recurrence after liver resection, and finding effective adjuvant therapy is crucial for improving patient prognosis. The efficacy of transcatheter arterial chemoembolization (TACE) combined with targeted therapy has attracted attention, but there is still insufficient research on its comparison with TACE alone. The aim of this study is to compare the efficacy differences between adjuvant TACE combined with targeted therapy and TACE alone in patients with high risk of recurrence of hepatocellular carcinoma after surgery, and to evaluate the impact of the two treatment regimens on patient survival and recurrence.

Methods: This study is a retrospective cohort study that analyzed the prognosis of adjuvant TACE combined with targeted therapy in high-risk hepatocellular carcinoma patients with postoperative recurrence between January 2014 and December 2022. The patients were divided into two groups, one receiving adjuvant TACE combined with targeted therapy, and the other receiving simple TACE treatment. Collect clinical data, treatment plans, and follow-up results of patients, and compare the survival and recurrence rates of two groups of patients. The main research endpoints include overall survival (OS) and recurrence free survival (RFS), and comparisons are made between groups. Apply the COX proportional hazards regression model to conduct univariate and multivariate analyses of OS and RFS, respectively.

Result: After adjustment for confounding factors, multivariable analysis identified that TACE + targeted therapy was independently associated with better OS (HR: 0.47; 95% CI: 0.30-0.74; P = 0.001) and RFS (HR: 0.40; 95% CI: 0.20-0.80; P = 0.010) in patients with HCC at a high risk of recurrence after hepatectomy. In addition, BCLC stage-C, Child-Pugh grade B, preoperative extrahepatic metastasis, and surgical margin > 1cm were independent risk factors of OS for patients with HCC at a high risk of recurrence after hepatectomy. Meanwhile, BCLC stage-C, tumor differentiation (moderate versus poor), and preoperative extrahepatic metastasis were independent risk factors of RFS for patients with HCC at a high risk of recurrence after hepatectomy.

Conclusion: By analyzing and comparing the prognostic outcomes of adjuvant TACE combined with or without targeted therapy in high-risk hepatocellular carcinoma patients with postoperative recurrence, this study found that adjuvant TACE combined with targeted therapy had a better prognosis than TACE alone: median OS and median RFS were longer. The combination of adjuvant TACE and targeted therapy is an independent influencing factor for better OS and RFS, respectively.
Pencemaran Mikrobiologis pada Kerang Darah (Anadara granosa): Studi Deteksi Bakteri Coliform
Authors: Azuga Nabila Afifah , Ikhwan Fauzan  , Annisa Ulfa Khaira  , Sefni Hendris  , M. Irsyad Nur  , Ardi Gustri Purbata
Published: January 2025

This research aimed to detect coliform bacteria in blood cockles (Anadara granosa) collected from Bagan Siapiapi waters, Riau. Coliform bacteria are commonly used as biological indicators to assess water pollution levels and food safety. Blood cockle samples were directly collected, processed in the laboratory, and analyzed using Endo agar media for coliform detection and characterization. The observations focused on colony morphology, including color, shape, edges, and elevation. The results revealed the presence of three colony isolates with varying numbers and characteristics. Isolate 1 consisted of 26 colonies with irregular shapes, pinkish-yellow color, and convex surfaces. Isolate 2 had 21 colonies with similar characteristics but exhibited a more reddish color. Isolate 3 showed the highest colony count, reaching 60 colonies/ml, with circular shapes and pink coloration. The abundance of coliform bacteria exceeded the maximum microbial contamination limit set by Indonesia's Food and Drug Administration, indicating a high health risk for consumers. This study highlights the need for effective water sanitation management and microbiological testing of fishery products to safeguard public health from microbial contamination.
Risk Management Analysis of Information Security in an Academic Information System at a Public University in Indonesia: Implementation of ISO/IEC 27005:2018 and ISO/IEC 27001:2013 Security Controls
Authors: Meitarice Sonya , Febyana Lidya , Fitriansyah Aidil , Kurniawan Rahmad , Nugroho Riki Ario
Published: January 2025

An online academic information system is potentially exposed to various threats from internal and external sources, which may compromise the institution's objectives if not managed effectively and appropriately. Academic portals often experience issues such as server downtime and unauthorised access attempts. However, there is no specific documentation dedicated to managing these issues. This study aims to analyze risk management in information security for the academic portal of Universitas Riau, Indonesia. The study employs the International Organization for Standardization (ISO)/International Electrotechnical Commission (IEC) 27005:2018 standard and ISO/IEC 27001:2013 security controls, following four key stages: context establishment, risk assessment, risk treatment, and recommendations. The findings identify eight categories of information system assets, 30 identified threats, and 43 vulnerabilities, including two high-risk categories, 19 medium-risk categories, and 22 low-risk categories. Of the 43 vulnerabilities, 21 risks required risk modification, four required risk avoidance, and four required risk sharing. Fourteen risks, which can be managed through risk retention (acceptance of risk), fall under the category of risk acceptance. Furthermore, ISO/IEC 27001 suggests that implementing control recommendations can minimize and effectively address these risks. Nevertheless, this study focuses primarily on information security risks and does not extensively cover related areas such as data privacy, regulatory compliance, or operational risks. Future research can explore the effectiveness of training programs and awareness campaigns in reducing human-related risks, such as phishing and social engineering attacks.
DETERMINAN TINGKAT STRESS PADA PETUGAS DIREKTORAT TAHANAN DAN BARANG BUKTI POLDA SUMATERA UTARA TAHUN 2023
Authors: Sitanggang Rita Dameria , Nababan Donal , Simanjuntak Siska Evi Martina , Ketaren Sinar Otniel , Ester J. Sitorus Mido
Published: January 2025

Stress merupakan salah satu dampak yang timbul dari kesehatan mental yang terganggu. Setiap peristiwa eksternal atau dorongan internal yang mengancam untuk mengganggu keseimbangan organisme adalah Stress, stress sebagai respons non- spesifik tubuh terhadap setiap permintaan. Tujuan penelitian ini adalah untuk mengetahui determinan tingkat stress pada petugas Direktorat Tahanan dan Barang Bukti Polda Sumut tahun 2023. Jenis penelitian ini adalah kuantitatif dengan menggunakan metode penelitian analitik yaitu suatu rancangan penelitian. Lokasi penelitian ini dilakksanakan di Direktorat Tahanan Dan Barang Bukti Polda Sumut. Populasi dalam penelitian ini adalah seluruh petugas yang ada di Petugas Direktorat tahanan dan barang bukti Polda Sumut sebanyak 65 orang, dengan jumlah sampel yang digunakan sebanyak 46 orang. Adapun analisis data yang digunakan adalah analisis univariat, analisis bivariat menggunakan uji chi square, dan analisis multivariate menggunakan uji regresi logistic. Hasil penelitian menunjukkan bahwa seluruh variabel (beban kerja p-value 0.000, kelelahan kerja p-value 0.000, interaksi dengan atasan p-value 0.000, interaksi dengan rekan kerja p-value 0.000, dan interaksi dengan tahanan p-value 0.000) memiliki hubungan yang signifikan dengan stress kerja. Rekomendasi penelitian ini ditujukan kepada instansi kepolisian agar menambah staf khusus, dan rekomendasi kepada petugas supaya selalu olahraga, relaksasi, dan manajemen emosi untuk mengurangi stress.
ANALISIS HUBUNGAN FAKTOR MOTIVASI, BEBAN KERJA, DAN LINGKUNGAN KERJA DENGAN KEPUASAN KERJA PEGAWAI DI RUMAH SAKIT GIGI DAN MULUT UNIVERSITAS SAM RATULANGI
Authors: Supit Ollivia Enggelina , Manoppo Jeanette Irene Christiene , Manoppo Jonesius Eden
Published: January 2025

Kepuasan kerja merupakan aspek penting dalam manajemen sumber daya manusia, terutama di sektor pelayanan kesehatan seperti Rumah Sakit Gigi dan Mulut Universitas Sam Ratulangi (RSGM UNSRAT). Berbagai faktor, seperti motivasi, beban kerja, dan lingkungan kerja, diduga memengaruhi tingkat kepuasan kerja pegawai. Penelitian ini bertujuan menganalisis hubungan antara motivasi, beban kerja, dan lingkungan kerja terhadap kepuasan kerja pegawai di RSGM UNSRAT. Penelitian ini menggunakan metode kuantitatif dengan desain potong lintang, melibatkan 71 pegawai sebagai populasi dan sampel melalui metode total sampling. Data dikumpulkan menggunakan kuesioner yang mencakup variabel motivasi, beban kerja, lingkungan kerja, dan kepuasan kerja, yang kemudian dianalisis menggunakan Structural Equation Modeling (SEM) berbasis Partial Least Squares (PLS). Hasil penelitian menunjukkan hubungan positif signifikan antara lingkungan kerja dengan kepuasan kerja (koefisien 0,459) serta beban kerja dengan kepuasan kerja (koefisien 0,382). Motivasi kerja memiliki hubungan langsung yang kecil dengan kepuasan kerja (koefisien 0,038) tetapi menunjukkan efek positif melalui lingkungan kerja (koefisien tidak langsung 0,261). Karakteristik individu memiliki pengaruh negatif terhadap kepuasan kerja (-0,165) dan beban kerja (-0,256), menyoroti pentingnya kesesuaian tugas dengan karakteristik individu. Kesimpulannya, lingkungan kerja dan beban kerja yang terkelola dengan baik berkontribusi signifikan terhadap kepuasan kerja pegawai. RSGM UNSRAT perlu menciptakan lingkungan kerja yang kondusif, mendistribusikan beban kerja secara proporsional, serta meningkatkan program motivasi untuk mendukung kinerja dan kesejahteraan pegawai.
HIPEREMESIS GRAVIDARUM DENGAN RIWAYAT GERD : LAPORAN KASUS
Authors: Mbungo Himarda Sri Santi , Purwiandari Hervyasti
Published: January 2025

Gangguan kehamilan yang dikenal dengan hiperemesis gravidarum (HEG) menyebabkan mual dan muntah ektrim dan mengganggu aktivitas harian. Kondisi kompleks ini dipengaruhi oleh berbagai faktor, termasuk riwayat kehamilan sebelumnya, karakteristik demografi dan status sosial ekonomi. Namun perubahan hormonal selama masa kehamilan memegang peran penting pada penyakit ini. HEG merupakan penyebab tidak langsung kematian ibu, di Indonesia 15% ibu hamil dengan komplikasi HEG berat mengalami komplikasi yang secara tidak langsung mengancam nyawa. Meskipun angka kematian di antara ibu hamil yang mengalami HEG umumnya rendah, namun kondisi ini dapat menyebabkan morbiditas yang signifikan, dan dalam beberapa kasus dapat menyebabkan kematian secara tidak langsung akibat komplikasi seperti malnutrisi, dehidrasi dan masalah neurologis. Pentingnya mengenali tanda dan gejala HEG meliputi anamesis, pemeriksaan fisik serta pemeriksaan penunjang seperti pencitraan. Telah disajikan kasus hiperemesis gravidarum grade 2 dengan riwayat GERD dalam laporan kasus ini pada pasien berusia 28 tahun G2P1A0 usia kehamilan 9 minggu dengan keluhan mual muntah >10x/hari sejak 1 minggu lalu disertai lemas seluruh tubuh, nyeri ulu hati dan penurunan berat badan. Pemeriksaan abdomen didapatkan striae gravidarum, scar bekas operasi sesar sebelumnya, nyeri tekan epigastrium. Pemeriksaan laboratorium didapatkan hipokalemia dan hiperkalsemia. Hasil urinalisa didapatkan ketonuria dan proteinuria. Hasil USG obstetric didapatkan janin tunggal, intrauterine, usia kehamilan 10 minggu. Pasien dirawat inap di rumah sakit dan setelah 3 hari paska perawatan, pasien mengalami perbaikan dan diizinkan untuk pulang serta kontrol kembali 1 minggu kemudian
INTERVENSI KEPERAWATAN RELAKSASI OTOT PROGRESIF, AKUPRESSUR, DAN BENSON TERHADAP PENURUNAN KADAR GLUKOSA DARAH PADA PASIEN DIABETES MELLITUS TIPE II LITERATUR REVIEW
Authors: Pakaya Nasrun , Prameswari Arawindah , Suleman Ibrahim , Suryaningsih Dewi , Hunawa Rahmawati
Published: January 2025

Diabetes  mellitus  merupakan  penyakit  tidak menular dengan  karakteristik  kadar  glukosa  darah yang  tinggi  (hiperglikemik)  yang  terjadi  karena  kelainan  sekresi  insulin,  kerja  insulin  ataupun  keduanya. Tujuan studi literature ini adalah untuk mensintesis bukti-bukti atau literature tentang  Intervensi Keperawatan Relaksasi Otot Progresif, Akupressur, dan Benson Terhadap Penurunan Kadar Glukosa Darah Pada Pasien Diabetes Mellitus Tipe II. Penelitian ini menggunakan desain Literature Review yang menganalisis jurnal dan artikel dari tahun 2020 hingga 2023 tentang terapi nonfarmakologis, yaitu intervensi relaksasi otot progresif, relaksasi Benson, dan akupresur untuk menurunkan kadar glukosa darah pada pasien Diabetes Mellitus Tipe II. Literasi dicari menggunakan empat kata kunci: relaksasi otot progresif, akupresur, Benson, dan Diabetes Mellitus Tipe II. Dari total 10 jurnal yang diidentifikasi, 60% berasal dari Research Gate, sementara 20% masing-masing berasal dari Science Direct dan Google Scholar. Artikel dinilai berdasarkan relevansi intervensi terhadap penurunan kadar glukosa darah, dan analisis menunjukkan pola temuan serta efektivitas dari metode yang digunakan. Hasil penelitian menunjukkan bahwa intervensi relaksasi otot progresif (PMR) berpengaruh dalam menurunkan kadar glukosa darah pada pasien Diabetes Mellitus Tipe II. Alternatif lainnya adalah terapi akupresur dan relaksasi Benson. Ketiga intervensi nonfarmakologis ini terbukti efektif. PMR mengurangi ketegangan otot dan hormon stres, relaksasi Benson menurunkan stres fisik dan psikologis, sedangkan akupresur merangsang titik-titik tubuh untuk meningkatkan produksi insulin dan mempercepat penggunaan glukosa, sehingga menurunkan kadar gula darah dengan baik.
EFEKTIVITAS EDUKASI PENCEGAHAN STUNTING DENGAN MEDIA FLIPCHART TERHADAP PENINGKATAN PENGETAHUAN DAN SIKAP REMAJA PUTRI
Authors: Eka Saputri Melly , Handayani Lina , Trisnowati Heni
Published: January 2025

Efektivitas penggunaan media flipchart dalam edukasi pencegahan stunting terhadap peningkatan pengetahuan dan sikap remaja putri, dengan tujuan untuk mengetahui karakteristik responden, pengetahuan remaja putri dalam upaya pencegahan stunting, sikap remaja putri dalam upaya pencegahan stunting. Penelitian ini merupakan studi kuantitatif dengan menggunakan desain eksperimen semu (quasi-experiment) untuk mengevaluasi efektivitas intervensi edukasi stunting menggunakan media flip chart pada remaja putri di kalurahan triharjo (kelompok intervensi) dan kalurahan pandowo harjo (kelompok kontrol). Sampel diambil menggunakan teknik purposive sampling, dengan jumlah total 190 responden yang terdiri dari 95 remaja putri di masing-masing kalurahan. Data dikumpulkan melalui kuesioner pre-test dan post-test, yang mengukur pengetahuan dan sikap responden terkait gizi dan pencegahan stunting. Analisis data dilakukan menggunakan uji t-test atau wilcoxon, tergantung hasil uji normalitas. Instrumen utama dalam penelitian ini adalah kuesioner yang diadopsi dari studi sebelumnya, serta media flip chart yang dibuat menggunakan canva pro oleh peneliti. Hasil penelitian ini menunjukkan bahwa edukasi pencegahan stunting dengan menggunakan media flipchart terbukti efektif dalam meningkatkan pengetahuan dan sikap remaja putri. Berdasarkan hasil penelitian, terdapat peningkatan yang signifikan dalam pemahaman remaja putri mengenai stunting setelah mendapatkan edukasi melalui media flipchart. Media flipchart yang didesain dengan visual menarik dan informasi yang terstruktur, mampu menyampaikan pesan secara jelas dan mudah dipahami oleh audiens.
META-ANALISIS FAKTOR RISIKO INTERNAL DAN KOMORBID YANG BERHUBUNGAN DENGAN KEJADIAN PENYAKIT TUBERKULOSIS DI WILAYAH ASIA
Authors: Primasari Eka Putri , Bachtiar Hafni , Lestari Yuniar
Published: January 2025

Tuberkulosis (TB) merupakan penyakit infeksi menular pembunuh nomor satu di dunia. Secara global, diperkirakan 10,0 juta (kisaran, 8,9-11,0 juta) orang terkena penyakit TB pada tahun 2019. Secara geografis, sebagian besar orang yang mengembangkan TB pada tahun 2019 berada di wilayah WHO Asia Tenggara (44%). Faktor internal seperti usia, jenis kelamin, status gizi, imunisasi BCG dan adanya komorbid seperti infeksi penyakit HIV dan diabetes merupakan faktor risiko penyakit tuberkulosis. Penelitian ini bertujuan mengetahui hubungan faktor risiko internal dan komorbid terhadap kejadian tuberkulosis di Asia. Penelitian ini merupakan penelitian kuantitatif dengan desain studi meta-analisis. Meta-analisis dilakukan terhadap penelitian dengan desain studi kohort dan kasus-kontrol, terpublikasi sejak Januari 1980 sampai Maret 2016, melalui database PubMed, ProQuest, EBSCO dan BioMed Central. Perhitungan pooled odds ratio (OR) dengan asumsi fixed effect model atau random effect model. Data diolah menggunakan RevMan 5.3. Penelitian ini mereview 11.605 artikel, melibatkan 19 artikel ke dalam meta-analisis. Hasil penelitian menunjukkan terdapat hubungan yang signifikan terhadap status gizi <18,5 kg/m2, (OR: 3,71; 95%CI: 1,15 – 12,01), tidak imunisasi BCG (OR: 1,86; 95%CI 1,35 – 2,57), pernah diimunisasi BCG (OR: 0,54; 95%CI: 1,44 – 3,16) dan penyakit diabetes (OR: 1,82; 95% CI 1,51 – 2,18) dengan penyakit TB di wilayah Asia. Kesimpulannya faktor risiko internal dan komorbid yang berhubungan dengan kejadian penyakit TB di wilayah Asia ialah status gizi <18,5 kg/m2, tidak diimunisasi BCG, dan penyakit DM.
GLAUKOMA SEKUNDER PADA PASIEN DENGAN PENGGUNAAN STEROID TOPIKAL RUTIN : LAPORAN KASUS
Authors: Sophia Luthfiani Sarah , Hayati Hayati
Published: January 2025

Secara global, urutan ke-2 sebagai penyebab terjadinya kebutaan adalah glaukoma. Diseluruh dunia, glaukoma diperkirakan dialami oleh > 70 individu dan jumlah ini diperkirakan akan melampaui 110 juta pada tahun 2040. Penelitian di RSUP Dr. Mohammand Hoesin Palembang menyimpulkan bahwa peningkatan tekanan intraokular (TIO)/glaukoma sekunder karena pemakaian steroid didominasi oleh kelompok berusia > 40 tahun. Glaukoma yang terjadi akibat penggunaan steroid melibatkan mekanisme perubahan struktur mikro trabecular meshwork (TM) yang mengakibatkan penurunan aliran keluar akuos dan peningkatan TIO. Glaukoma sekunder merupakan glaukoma yang terjadi karena ada kondisi lain yang mendasarinya. Glaukoma kronik bersifat progresif dan dapat menyebabkan kebutaan permanen. Laporan kasus ini menyajikan kasus glaukoma sekunder pada pasien berusia 59 tahun dengan riwayat operasi katarak OD 27 tahun lalu dan rutin menggunakan steroid topikal paska operasi. Saat ini datang dengan keluhan mata kanan merah disertai pandangan kabur dan rasa mengganjal. Pemeriksaan visus OD 1/300. Pemeriksaan okular ditemukan lapang pandang menyempit, konjungtiva bulbi OD hiperemis, injeksi siliar OD, terdapat jaringan fibrovascular < 2mm ke arah limbus OD, bilik OD depan dalam, lensa keruh sebagian OS, shadow test OS positif, mid-dilated pupil OD, IOL OD positif, ukuran pupil OD 5mm. Pemeriksaan tonometri ditemukan TIO OD 43 mmHg, OS 13 mmHg. funduskopi direk OD didapatkan optic disc tilt, batas tegas, kuning pucat, lamellar dot sign (+), baring of circumlinear vessels (+), atrofi peripapiler (+), rasio C/D 0.9, rasio A/V 2/3, retina tigroid, reflek fundus dan makula positif.
ANALISIS EFEKTIVITAS PENERAPAN SISTEM INFORMASI MANAJEMEN RUMAH SAKIT (SIMRS) DI UNIT REKAM MEDIS RSUD KESEHATAN KERJA PROVINSI JAWA BARAT
Authors: Kusuma Tamara Alfath , Yunengsih Yuyun
Published: January 2025

Tujuan dari penelitian ini untuk  menganalisis sejauh manaiefektivitas penerapan Sistem Informasi Manajemen Rumah Sakit (SIMRS) di unit rekam medis RSUD Kesehatan KerjaiProvinsi Jawai Barat. Metodeipenelitian yang digunakan adalah metode model Hot-Fit yang mencakup faktor Human, Organization, Technology dan Benefit dengan jenis penelitian deskriftif kualitatif. Sumber data dikumpulkan dengan melakukan wawancara, observasi, dan dokumentasi. Hasil penelitian menunjukan bahwa dari kerangka kerja metode Hot-Fit yang telah dilakukan terdapat dua faktor yang diidentifikasi sebagai faktor yang perlu ditingkatkan. Pertama, dalam faktor Human, terdapat pengguna system yang belum melaksanakan pelatihan secara resmi mengenai pengggunaan aplikasi SIMRS sehingga belum meningkatkan kepuasan pengguna secara maksimal. Kedua, dalam faktor Technology yang masih memiliki kendala utama yaitu konektivitas jaringan yang tidak stabil pada saat jam pelayanan. Namun secara keseluruhan dari penelitian ini dapat disimulkan bahwa penerapan SIstem Informasi Manajemen RUmah Sakit (SIMRS) di RSUD Kesehatan kerja Provinsi Jawa Barat berjalan dengan efektif dan memberikan manfaat yang signifikan serta memenuhi harapan dari pengguna. Penelitian ini memberikan pemahaman yang baik untuk keberhasilan dan melakukan pengembangan Sistem Informasi Manajemen Rumah Sakit di lingkungan layanan kesehatan.
PERBANDINGAN KADAR GLUKOSA DARAH SEWAKTU TERHADAP PEROKOK AKTIF DAN PASIF DI KECAMATAN KIARACONDONG
Authors: Kusdiantini Andini , Maulida Salsabila Yani
Published: January 2025

Secara umum, perokok terbagi atas dua kategori, yakni perokok aktif dan perokok pasif. Keduanya mampu beresiko terkena Diabetes Mellitus (DM) tipe 2 yang salah satunya disebabakan oleh pola hidup tidak sehat di mana sekresi insulin oleh pankreas menurun. Terkandung bahan kimia pada rokok kretek seperti nikotin mampu meningkatkan kadar glukosa darah sehingga timbul resistensi insulin dan mampu memicu sekres insulin pada pankreas sel b menurun. Penelitian ini dimaksudkan hanya untuk mengindentifikasi komparasi kadar glukosa darah sewaktu pada perokok aktif dan pasif. menggunakan 30 responden dengan rentang umur 20 – 30 tahun, nilai kadar glukosa didapatkan dengan pengujian secara POCT dan pengisian kuisioner, Dari 30 responden, setiap jenis perokok sejumlah 15 orang, diperoleh kadar glukosa darah maksimum di mana rata – rata pada perokok aktif sebesar 107,73mg/dL sedangkan pada perokok pasif sebesar 81,467mg/dL. Metode analisis data  menggunakan uji Shapiro-Wilk mendapatkan hasil pada perokok aktif  0,768 dan pada perokok pasif 0,759 > 0,05 mengindikasikan terdistribusi normal dan uji T-test tidak berpasangan mendapatkan hasil p =0,000 < 0,05 mengindikasikan adanya perbedaan secara bermakna. Hasil tersebut menunjukan adanya hubungan antara perokok aktif dengan peningkatan kadar glukosa, perokok aktif lebih rentan terkena Diabetes Mellitus (DM) dibanding perokok pasif. Perokok aktif rawan terkena Diabetes Mellitus (DM) dibanding perokok pasif. Perlu dilakukan adanya pengujian lebih lanjut untuk mengetahui perbandingan kadar nikotin didalam tubuh perokok aktif dan pasif.
ANALISIS	SISTEM INFORMASI MANAJEMEN RUMAH SAKIT (SIMRS) TERINTEGRASI DENGAN VCLAIM GUNA MENUNJANG EFEKTIFITAS PEMBUATAN SEP RAWAT JALAN DI RSUD BANDUNG KIWARI
Authors: Juliantika Triani , Wahab Syaikhul
Published: January 2025

Perkembangan teknologi digital semakin pesat, integrasi teknologi informasi dalam pelayanan kesehatan menjadi semakin krusial. Sistem informasi rumah sakit (SIMRS) yang terintegrasi dengan VClaim dari BPJS Kesehatan merupakan salah satu bentuk inovasi tersebut. VClaim adalah sistem yang dirancang untuk memudahkan verifikasi klaim secara online, menggantikan proses manual yang rentan terhadap kesalahan dan memakan waktu.Surat Eligibitas Peserta (SEP) merupakan dokumen penting yang diperlukan bagi pasien peserta BPJS Kesehatan untuk menerima pelayanan medis. Pembuatan SEP yang efektif dan efisien sangat krusial dalam memastikan pasien dapat menerima pelayanan tanpa hambatan. Oleh karena itu, integrasi antara SIMRS dan VClaim menjadi sangat penting. Penelitian ini bertujuan untuk menganalisis Sistem Informasi Rumah Sakit Terintegrasi Vclaim (SIMRS) untuk mendukung pembuatan Surat Eligibilitas Peserta (SEP)  Rawat Jalan di RSUD Bandung Kiwari. Metode penelitian menggunakan metode kualitatif dengan teknik pengumpulan data melalui wawancara. Penelitian ini menunjukkan bahwa sistem informasi manajemen rumah sakit (SIMRS) menggunakan VClaim dapat meningkatkan efisiensi pembuatan Surat Eligibilitas Peserta (SEP).
EFEKTIVITAS PENGGUNAAN MEDIA LEAFLET DENGAN TINGKAT PENGETAHUAN DAN SIKAP IBU MENGENAI STUNTING
Authors: Lestari Restu Ayu , Sefrina Linda Riski
Published: January 2025

Seorang anak kecil mengalami stunting, mereka lebih pendek dari teman sekelasnya. Stunting masih menjadi masalah kesehatan di Indonesia, di mana hal ini tersebar luas. Pemberian makanan bergizi yang tidak memadai dalam jangka panjang yang menyebabkan keterlambatan perkembangan adalah salah satu faktor penyebabnya. Hal ini menjadi latar belakang perlunya inisiatif penyuluhan tentang stunting. Selain memberikan informasi tentang bagaimana memanfaatkan leaflet untuk mengurangi stunting, artikel ini akan mengevaluasi bagaimana leaflet mempengaruhi sikap dan kesadaran ibu tentang stunting. Penelitian eksperimental yang menggunakan desain kelompok pre- dan post-test dan pengambilan sampel secara purposif ini melibatkan dua puluh ibu sebagai subjek. Kuesioner terdiri dari sepuluh pertanyaan. Ceramah dan tanya jawab adalah dua metode yang digunakan. Data dianalisis menggunakan uji Wilcoxon. Pengetahuan, kesadaran, dan sikap ibu meningkat baik sebelum dan sesudah penyuluhan, dengan nilai p-value sebesar 0,000. Hasil penelitian ini menunjukkan bahwa sikap dan kesadaran ibu tentang stunting sangat ditingkatkan dengan adanya media leaflet. Salah satu media yang populer untuk mengedukasi masyarakat tentang pencegahan stunting adalah leaflet.