bluuebunny/crossref_metadata_2025 huggingface dataset:
Análisis de costos de transacción de cacao (Theobroma cacao) del sur de Córdoba, Colombia
Authors: Martínez-Reina Antonio María , Tordecilla-Zumaqué Lilibet , Rodríguez-Pinto María del Valle , Grandett-Martínez Liliana María , Díaz-Cabadíaz Abelardo , Ballesteros-Leal Henry Andrés
Published: December 2023

El desconocimiento en los análisis económicos relacionados con costos de transacción para la producción de cacao en el departamento de Córdoba determinó que el objetivo de este trabajo fuese identificar y analizar cuáles variables tienen mayor incidencia para los cacaoteros de Córdoba en sus costos de transacción. A partir de una encuesta a 158 agricultores seleccionados al azar de los municipios de Montelíbano, Puerto Libertador, Tierralta y Valencia se estableció ¾usando estadística descriptiva y un modelo tipo logit¾ la influencia que ejercen la asociatividad, el costo de transporte, el estado de la vía y la distancia a los sitios de venta. Los elementos que mayor incidencia tuvieron en los costos de transacción fueron la distancia al sitio de venta y el estado de las vías, principalmente para Puerto Libertador con la mayor distancia y el peor estado de las vías. Se encontró, además, un efecto relevante de parte de las asociaciones en la información que determina el precio y los nulos costos de supervisión debido al pago de contado en la comercialización del cacao.
Deep Brain Stimulation Treatment for Genetic Parkinson's Disease: A Case Report
Authors: Akçay Güven , Kuzu Müge , Gülensoy Bülent , Sorar Mehmet , Yılmaz Ali
Published: December 2023

Parkinson's disease (PD) is the second most common neurodegenerative disease and its prevalence has been projected to double over the next 30 years. The diagnosis of PD is bradykinesia and resting tremor or rigidity. PD is a progressive neurodegenerative disease with both motor and nonmotor symptoms. There are many medical options for the treatment of PD but levodopa remains the mainstay. Deep brain stimulation (DBS) is a safe neurosurgical symptomatic treatment for eligible patients with advanced disease in whom medical therapy fails to provide adequate symptom control and a good quality of life or in whom dopaminergic drugs cause severe side effects such as dyskinesias. In this case report, a 44-year-old female patient with a history of tremor and genetic Parkinson's disease, who presented to the clinic with the complaint of excessive increase in tremor in recent years, firstly with drug treatment and then with DBS treatment is reported.
PENERAPAN MODEL PEMBELAJARAN DISCOVERY LEARNING BERBASIS SMARTPHONE UNTUK MENGUPAYAKAN MINAT BELAJAR PADA PEMBELAJARAN MATEMATIKA [APPLICATION OF SMARTPHONE-BASED DISCOVERY LEARNING MODELS TO CREATE INTEREST IN LEARNING MATHEMATICS]
Authors: Purba Joy Anwar , Dirgantoro Kurnia Putri Sepdikasari
Published: December 2023

The results of the PISA study in 2018 showed that the mathematics ability of Indonesian students was still in the low performance category. One of the factors that causes this is the lack of student interest in learning mathematics. Interest is very important because it is interest that encourages students to be active and act in learning. This study aims to see whether the application of a smartphone-based discovery learning model can help increase interest in learning mathematics. The research method used is a descriptive qualitative research method using several research instruments. This research was conducted in one of the schools in South Tangerang at the junior high school level. The instruments used by the authors are observation sheets and reflection sheets and mentor feedback sheets. The results of this study concluded that the application of a smartphone-based discovery learning model is able to effect student interest in learning, which is shown by an increased willingness to learn, pleasure in learning, and student participation.

BAHASA INDONESIA ABSTRACT: Hasil studi PISA pada 2018 menunjukkan kemampuan matematika siswa Indonesia masih berada dalam kategori low performance. Salah satu faktor yang menyebabkan hal ini adalah kurangnya minat siswa terhadap pembelajaran matematika. Minat menjadi hal yang sangat penting karena minatlah yang mendorong siswa untuk aktif dan bertindak dalam pembelajaran. Penelitian ini bertujuan untuk melihat penerapan model pembelajaran discovery learning berbasis smartphone dapat membantu mengupayakan minat belajar pada pembelajaran matematika. Metode penelitian yang digunakan adalah metode penelitian kualitatif deskriptif dengan menggunakan beberapa instrumen penelitian. Penelitian ini dilakukan di salah satu sekolah swasta di Tangerang Selatan pada jenjang SMP. Instrumen yang digunakan oleh penulis adalah lembar observasi, lembar refleksi, dan lembar umpan balik mentor. Penelitian ini memberikan hasil bahwa penerapan model pembelajaran discovery learning berbasis smartphone mampu mengupayakan minat belajar siswa yang ditunjukkan dengan meningkatnya kemauan untuk belajar, rasa senang siswa dan partisipasi siswa.
STUDENTS’ WAYS OF UNDERSTANDING AND THINKING BASED ON HAREL’S THEORY IN SOLVING SET PROBLEMS
Authors: Samosir Christina Monika , Herman Tatang
Published: December 2023

Ways of thinking (WoT) and Ways of Understanding (WoU) are important in learning mathematics. This study aims to analyze the characteristics of students' ways of thinking (WoT) and ways of understanding (WoU) when solving set problems. The participants in this study were 27 students in the seventh grade at a private secondary school in Bandung. Four students were selected as research subjects. The research method used is qualitative research. The instruments in this study were the researchers and the set material problem-solving test. The data collection technique in this study was carried out through a test, interviews, and documentation. The research results showed that the majority of students who were correct in their way of thinking were also correct in their way of understanding. And the majority of students who have the incorrect way of thinking also have the incorrect way of understanding.  The study's results also indicated that the majority of student errors stemmed from a lack of proper understanding of the question and the concept of set theory.

BAHASA INDONESIA ABSTRACT: Cara berpikir dan cara memahami merupakan hal yang penting dalam belajar matematika. Penelitian ini bertujuan untuk menganalisis karakteristik cara berpikir dan cara memahami siswa dalam menyelesaikan masalah himpunan. Partisipan pada penelitian ini adalah siswa kelas VII di salah satu SMP Swasta di Bandung berjumlah 27 partisipan. Empat siswa dipilih sebagai subjek penelitian. Metode penelitian yang digunakan adalah penelitian kualitatif. Instrumen dalam penelitian ini adalah peneliti sendiri dan tes pemecahan masalah materi himpunan. Teknik pengumpulan data dalam penelitian ini dilakukan dengan memberikan tes, wawancara dan dokumentasi. Hasil penelitian menunjukkan bahwa mayoritas siswa yang memiliki cara berpikir yang benar juga memiliki cara pemahaman yang benar. Dan mayoritas siswa yang memiliki cara berpikir yang salah juga memiliki cara pemahaman yang salah. Hasil penelitian juga menunjukkan bahwa sebagian besar kesalahan siswa disebabkan karena siswa kurang memahami soal dan konsep materi himpunan dengan baik.
MOVIMENTO (AUTO)BIOGRÁFICO DA EDUCAÇÃO MUSICAL NO BRASIL:
Authors: De Almeida Jéssica , Teixeira Ziliane
Published: December 2023

A ampliação do debate sobre o que se concebe como direcionamento (auto)biográfico em pesquisa e em processos de formação tem convidado pesquisadores/as a olharem para seus desenhos metodológicos e epistemológicos com novos questionamentos. A Educação Musical, nesse bojo, tem assistido, especialmente nos últimos dez anos, ao avanço desse tipo de compreensão teórica e metodológica para o estudo de suas diferentes problemáticas. Assim, este relato objetiva documentar as atividades realizadas pelo “Movimento (Auto)Biográfico da Educação Musical no Brasil”. A partir deste registro, espera-se convidar a área para o debate conjunto sobre os limites e as particularidades da Música e da Arte, em geral, para a pesquisa (auto)biográfica.
Penyerapan Tenaga Kerja Industri Batu Bata Pada Masa Pandemi Covid-19 Kabupaten Mojokerto
Authors: Putri Eka Amrita Dani , Muslihatinningsih Fivien , Lestari Endah Kurnia
Published: December 2023

Industri kecil berperan dalam pembangunan dan menjadi pelaku ekonomi yang mampu bertahan terhadap guncangan perekonomian. Terutama pada saat pandemi Covid – 19 yang berdampak begitu besar terhadap ekonomi. Penelitian ini bertujuan untuk mengetahui pengaruh biaya tenaga kerja, produktivitas, harga, dan lama usaha terhadap penyerapan tenaga kerja, serta untuk mengetahui perbedaan penyerapan tenaga kerja sebelum dan sesudah pandemi Covid – 19 pada industri batu bata di Kabupaten Mojokerto. Metode analisis yang digunakan adalah metode analisis regresi linier berganda dan uji Paired sample T-test. Hasil yang diperoleh yaitu variabel upah dan produktivitas berpengaruh negatif dan signifikan terhadap penyerapan tenaga kerja pada industri batu bata di Kabupaten Mojokerto, sedangkan harga dan lama usaha berpengaruh positif dan signifikan terhadap penyerapan tenaga kerja pada industri batu bata di Kabupaten Mojokerto. Berdasarkan hasil uji Paired sample T-test terdapat perbedaan yang signifikan penyerapan tenaga kerja pada industri batu bata di Kabupaten Mojokerto sebelum dan sesudah pandemi Covid – 19.
Analisis Location Quotient dan Shift Share dalam Menentukan Sektor Basis dan Non-Basis di Kabupaten Tanjung Jabung Barat Provinsi Jambi
Authors: Febriyanti Eni , Sari Susi Fita , Prasaja Ahmad Syukron
Published: December 2023

Penelitian ini bertujuan untuk menganalisis Location Quotient dan Shift Share dalam menentukan sektor basis dan non basis di kabupaten Tanjung Jabung Barat. Penelitian ini dilakukan dengan menggunakan data sekunder periode 2018-2021 yang meliputi Produk Domestik Bruto Regional ( PDRB) Provinsi Jambi dan Kabupaten Tanjung Jabung Barat. Dengan menggunakan data Time Series. Model penelitian ini dengan menggunakan model analisis Loqation Quotien dan Shift Share. Penilitian ini menyimpulkan bahwa sektor pertanian , kehutanan dan perikanan berkompetitif dan berpotensi dalam pertumbuhan ekonomi sedangkan sektor real estate tidak berpesialisasi dalam pertumbuhan ekonomi meskipun berpotensi, maka dalam hal ini pemerintah harus mengupayakan agar sektor yang berkompentitif dan berpotensi tetap konsisten dalam menyumbang dalam pertumbuhan ekonomi.
Social Media Power to Increase LGBT Existences
Authors: Khairani Nanda , Rodiah Ita
Published: December 2023

Kelompok LGBT merupakan salah satu gerakan sosial yang terjadi pada masyarakat. Perkembangannya tidak dapat disangkal didukung oleh kekuatan media. Media dapat menjadi wadah bagi kelompok ini untuk menyuarakan orientasi dan opini seksualnya. Metode yang digunakan dalam penelitian ini adalah penelitian perpustakaan dengan menggunakan dukungan dari beberapa artikel, jurnal ilmiah, web dokumentasi dan media sosial. Hasil penelitian ini adalah apabila sebelumnya kelompok LGBT muncul melalui media konvensional seperti surat kabar atau televisi, saat kini mereka dapat tampil dan memberikan eksistensinya melalui platform media sosial seperti Youtube, Instagram dan Twitter dengan melakukan serangkaian kegiatan seperti menjadi content creator dan influencer. Meski banyak kritik atas kehadiran kelompok ini, tak sedikit juga yang memberikan dukungannya karena berani tampil di hadapan publik. Tujuan kelompok LGBT muncul melalui media sosial agar dapat menciptakan relasi antar kelompok dan mengubah stigma negatif yang selama ini ada di masyarakat.
Pengaruh Live Streaming Instagram Dan Kualitas Produk terhadap Keputusan Pembelian Konsumen Babe_Boku di Bondowoso
Authors: Sukmawati Bunga Fadia , Handini Yuslinda Dwi , Karyadi Hari
Published: December 2023

This study aims to examine the effect of Instagram live streaming and product quality on purchasing decisions. This type of research is quantitative research. The sample in this study was obtained using a purposive sampling method, namely selecting a sample using predetermined criteria. Based on the purposive sampling method, a total of 100 samples were obtained from respondents who had made purchases of Babe_boku goods that were promoted via Instagram live streaming. The type of data used is primary and secondary data. The analytical method used in this study is multiple linear regression analysis using the SPSS version 22 program. The results of this study indicate that Instagram live streaming and product quality have a significant effect on product quality.
La documentación conservatoria, la principal de las Universidades de Salamanca y Alcalá de Henares.
Authors: Roldán Tudela Pedro
Published: December 2023

El artículo analiza la documentación conservatoria de las Universidades de Salamanca y Alcalá de Henares, que se considera la más importante de estas instituciones porque justificaba su esencia como entidad jurídica autónoma y permitía defender sus derechos frente a los usurpadores. En este análisis, primero se define la documentación conservatoria y los dos grandes bloques o tipos de que consta, regia y pontificia, según quien la remita, el rey, o el pontífice. A continuación se analizan los privilegios reales y las bulas y breves conservatorios pontificios. Se estudian también los documentos conservatorios emitidos para la Universidad de Salamanca en la Edad Media porque son la base de los posteriores confirmados en esta universidad, que serán los que incorporará la Universidad de Alcalá de Henares a lo largo del siglo XVI. La emisión y evolución de este tipo de documentación refleja la confianza de la institución universitaria en los dos poderes, Monarquía Hispánica y Papado, y es un indicador del intervencionismo regio, que acabará triunfando sobre el eclesiástico en ambas universidades.
O Passado no Presente: Uma Causa Histórica como Indicação para Ventilação Não Invasiva
Authors: Branquinho Pinheiro Rita , Pereira Mónica , Pereira Cátia , Froes Filipe , Pinto Paula
Published: December 2023

N/a.
Physical violence in children and adolescents
Authors: Silveira Isadora Augusta da , Silva Neto Tomaz Alves da , Conceição Luciana  Domingues , Nascimento Gustavo Giacomelli , Avezedo Marina Sousa , Lund Rafael Guerra
Published: December 2023

Aim: This study aimed to investigate the prevalence of physical violence and head and neck injuries among children and adolescents who suffered physical aggression, firearm aggression, and white gun aggression referred to the Legal Medical Department in a southern city in Brazil. Methods: This study was performed at Legal Medical Department in the city of Pelotas, RS, Brazil, from January 2011 to December of 2015. Data were collected from medical reports of children and adolescents (0-19 years old). Demographic information such as sex, age, and skin color was collected. Data were submitted to Chi-square test and multivariate Poisson regression analysis. Results: In this study, 2,716 physical examination reports were analyzed, with a total of 2,171 exams resulting from violence; lesions that had physical aggression as their etiology (1,951) had a higher prevalence. The analysis of the exams revealed that the majority were adolescents (90,05%), white (84.09%), and female (50.21%). The head and neck regions were affected in most cases of violence (57.90%). In the adjusted model, the occurrence of injuries in the head and neck region was higher in males (PR 1.16, CI 95% 1.08 - 1.25), among adolescents (PR 1.28, CI 95% 1.10 - 1.48) and in victims of physical aggression compared to victims of the firearm (2.81, CI 95% 1.79 - 4.40). Conclusion: The results revealed a high prevalence of head and face injuries in victims of violence and that there was a greater prevalence of physical violence among adolescents compared to children and males.
Normas gramaticais e análise linguística
Authors: Tescari Neto Aquiles , Bergamini-Perez Joao Francisco
Published: December 2023

Na esteira de Tescari Neto e Souza de Paula (2021), o trabalho reconhece que o ensino de gramática, na Educação Básica, envolve duas frentes principais: o ensino (e reflexão) sobre as normas gramaticais e a análise linguística.  Nosso objetivo é discutir o lugar dos julgamentos de gramaticalidade (metodologia empregada pela linguística gerativa) no ensino de gramática, na Educação Básica, quando se abordam questões dessas duas frentes.  Em vista da recomendação dos PCNs (Brasil, 1998, 2000) e da BNCC (Brasil, 2018) de que as atividades de análise linguística sejam desenvolvidas de maneira articulada com as de leitura e produção textual, problematizamos, primeiramente, na perspectiva dos continua dos gêneros textuais (Marcuschi, 2004) e de monitoração estilística (Bertoni-Ricardo, 2003), o lugar das normas padrão e gramatical (no sentido de Faraco, 2008) no ensino de língua portuguesa para, na sequência, argumentar em favor de uma metodologia de ensino de gramática que valorize os julgamentos de gramaticalidade tanto no ensino da norma-padrão — através de uma comparação de estruturas da gramática internalizada do aluno (estruturas essas que serão julgadas) com estruturas da norma — quanto na análise linguística.
RAISING COMMUNITY AWARENESS OF HALAL PRODUCT CONSUMPTION AND HALAL LIFESTYLE: A TRIPLE HELIX MODEL
Authors: Mardhiyah Dien , Mawardi Imron , Widiastuti Tika , Al Mustofa Muhammad Ubaidillah , Abdullah Syahidah , Sinulingga Rizky Amalia , Saptowati Errin Dwi
Published: December 2023

This study formulates a triple helix model for increasing community awareness of halal product consumption and lifestyle. It is essential to increase halal awareness not only as a form of religious obedience but also to provide consumers protection, improve product quality, encourage product innovation, and fulfil international standards. This qualitative study constructs a Triple Helix model using a descriptive analysis technique and the Inputs, Activities, Outputs, Outcomes, and Impact (IAOOI) Approach. The findings indicate that the government is crucial in answering the research question. The government is expected to provide optimal support for creating such an environment through laws, regulations, infrastructure development, and other methods. Academicians are responsible for conducting scientific research in the halal industry and social programs and disseminating their findings to the general public. Practitioners in the halal industry can participate in community-based events to increase public awareness of halal products and lifestyles. This research contributes to developing relevant policies for related stakeholders to increase community awareness of halal product consumption and lifestyle.
SOCIALIZATION AND TRAINING ON THE USE OF THE SIAB-MARKETPLACE APPLICATION FOR THE ECONOMIC DEVELOPMENT OF THE COASTAL FISHERMAN COMMUNITY OF EAST REMBANG, CENTRAL JAVA
Authors: Juhadi  , Tjahyono Heri , Asrori  , Hamid Nur , Aroyandini Elvara Norma
Published: December 2023

The East Rembang coast is a potential marine fishery commodity producing area, however the buying and selling transaction system is still carried out traditionally, so the bargaining position is still marginal. The social and economic marginalization experienced by fishermen does not manifest in the form of isolation, but rather manifests in the inability of fishing communities to take part in market economic activities profitably. In fact, now we have entered the era of digital buying and selling transactions, which are more efficient and effective, supported by promising infrastructure. Therefore, it is necessary to provide outreach & training in the use of online shops to the fishing community. This community service consists of four stages, namely preparation, implementation, evaluation and monitoring. The object of study is fishing communities who have businesses from three sub-districts in East Rembang. The target is that people are expected to be skilled in using the "SIAB-Marketplace" application in running their business. As a result of service activities, there has been an increase in knowledge and skills in using digital smartphone applications and internet access in marketing the products produced as well as an expansion of the product marketing area, so that it can be used by consumers. The advice given in this activity is that further assistance related to digital marketing should be provided, in this case the use of digital platforms in the promotion and sale of various products so that there is an increase in income which has an impact on people's welfare.
TRAINING ON FISHERY PRODUCT HANDLING IN NURUL HUDA ISLAMIC BOARDING SCHOOL SURABAYA
Authors: Lutfiyah Lailatul , Nirmala Dwitha , Triastuti Rr Juni , Subekti Sri
Published: December 2023

Islamic boarding schools are one of the traditional Islamic-based educational institutions that study Islamic religious sciences as their main study and apply them as daily charity. In terms of the curriculum, Islamic boarding schools no longer only provide religious education, but currently Islamic boarding schools provide additional subjects such as scouting, martial arts and entrepreneurship; both in the field of plantations, catering, sewing, cooperatives and others. Fishery product processing training is one of the methods to support economic independence in the form of entrepreneurship in Islamic boarding schools. Processing of fishery products is an activity that is carried out in stages, sequentially, cleanly and hygienically, and fulfills the quality requirements in order to convert raw fishery products into final products. The target of this community service activity is to form a fishery product processing business activity at the Nurul Huda Islamic Boarding School in Surabaya that is solid and able to compete in the market continuously so as to make the Islamic boarding school an independent institution and have a sustainable business. The method used is the method of approach that is carried out, among others, namely the Participatory method. The results that have been obtained from this activity are the increased knowledge of Islamic boarding school students on the importance of sanitation and handling of fishery products (processed products in the form of fish nuggets and dragon feet). The activity was attended by 40 students, with education levels, namely junior high and high school. As many as 90% of the participants in the Fishery Products Handling Technique training wanted further activities to increase their knowledge in the field of handling fishery products.
SEMINAR AND WORKSHOP IN THE MANAGEMENT OF ALLERGIC RHINITS AND RHINOSINUSITIS IN JEMBER, EAST JAVA
Authors: Pawarti Dwi Reno , Sutikno Budi , Rosalina Elsa , Nugroho Puguh Setyo , Rumastika Nindya Shinta , Zakina Irma , Hidayat Edwin
Published: December 2023

Allergic rhinitis and rhinosinusitis are global problems that are frequently encountered in daily clinical practice. This disease has an impact on the quality of life of sufferers who can resulting in decreased productivity, interpersonal relationships, and social activities. Socialization is needed regarding allergic rhinitis and rhinosinusitis so that medical personnel can participate in early diagnosis and management of allergic rhinitis and rhinosinusitis. Educational activities are carried out through outreach activities using lecture methods, discussions, training, as well as pretest and posttest. Based on the results of the pretest and posttest, the pretest average was 56,55 (± 27.51) and the posttest average was 89.27 (±12.95). Based on the comparison of pretest and posttest results, we found a statistically significant difference (p < 0.05). Medical personnel's knowledge of allergic rhinitis and rhinosinusitis needs to be increased so that they can participate in early diagnosis and management of allergic rhinitis and rhinosinusitis.
TRAINING OF SOCIAL MEDIA MARKETING (TIKTOK SHOP AND FACEBOOK) IN STARS BAKERY, KENDAL REGENCY FOR BUSINESS PROMOTION
Authors: Verawati Liesta , Anwar Muhamad Syaeful
Published: December 2023

Social media marketing via Tiktok Shop and Facebook has become an important strategy in today's business world because these platforms have a large reach and diverse active users. Stars Bakery has not utilized this optimally because its business promotion techniques still use word-of-mouth. The problems faced will have serious long-term impacts, such as product problems that are not widely known by customers, which will lead to a decrease in sales. This activity is carried out in the form of material presentation and training. Training conducted regarding creating Facebook and Tiktok Shop business accounts. Participants in this training are owners and employees at Stars Bakery. This activity was carried out at Stars Bakery because of the promotional techniques carried out. This community service activity aims to assist partners in selling and promoting their products widely with the aim of making their products known to the wider community, increasing brand awareness and increasing sales at Stars Bakery Kendal. The solution offered by this community service activity is social media marketing training through Tiktok Shop and Facebook. The results of this community service activity show that partners, namely Stars Bakery, are satisfied with the training provided. After attending this training, partners plan to use Tiktok Shop and Facebook as media for product promotion and sales.
THE INFLUENCE OF CLEFT LIP AND PALATE SEVERITY ON SURGICAL OUTCOMES
Authors: Asparini Ruby Riana , Nur Khalida Zia  , Sidharta Bragastio , Sakthivel Jeyasree , Naga Bhuvana Sri
Published: December 2023

Highlights:

The severity of unilateral CLP was assessed by categorizing preoperative photo data based on the severity of the cleft, and this severity was then correlated with the surgical outcomes.
The way wounds heal is influenced by the width of the gap and suture tension, which are crucial factors in determining surgical outcomes.

Abstract:
Introduction: An orofacial cleft is a congenital abnormality in which an abnormal opening or cleft of the lips and/or palate. Data in 2017 showed that the most encountered characters are patients with cleft lip and palate. The distribution of the incidence of cleft lip and palate at Cleft Lip and Palate (CLP) Center Faculty of Medicine University of Muhammadiyah Malang was dominated by the complete unilateral type, which was 45.22%. Generally, the severity of cleft lip and/or palate is influenced by the severity of the preoperative cleft.
Methods: This study used a retrospective cohort design taken from 40 medical records at Cleft Lip and Palate (CLP) Center Faculty of Medicine University of Muhammadiyah Malang. The preoperative photo data were categorized according to the severity of the cleft, then postoperative photos were assessed according to the Visual Rating Chart (VRC) indicator.
Results: The intraclass correlation coefficient (ICC) reliability test between evaluators has a strength of > 0.8 on the outcome of lip and nose surgery and also > 0.9 on the outcome of the palate, indicating that there was no perception gap between evaluators. The Mann-Whitney non-parametric test had a significance of p < 0.05, indicating that there was a positive correlation between the severity of unilateral cleft lip and palate and the outcome of surgery.
Conclusion: There is a correlation between the severity of the unilateral cleft lip and palate and the surgical outcome.
A META-ANALYSIS: THE UTILIZATION OF NEGATIVE PRESSURE WOUND THERAPY IN DIABETIC FOOT ULCERS
Authors: Sanjiwani Ni Putu Gita Raditya , Murti I Putu Krisna
Published: December 2023

Highlight :

Diabetes mellitus has a global prevalence of more than 500 million individuals, and it is associated with a significant consequence known as diabetic foot ulcers (DFUs).
Diabetic foot is a commonly observed complication of diabetes mellitus, characterized by the development of non-healing ulcers, which can have a substantial negative impact on the overall well-being of those affected.
Negative pressure wound therapy (NPWT) effectively eliminates necrotic tissue and wound secretions, stimulates the production of granulation tissue, mitigates bacterial infection, and expedites the process of wound healing.

Abstract:
Introduction: Diabetes mellitus has a global prevalence and significant consequence known as diabetic foot ulcers. Negative pressure wound therapy (NPWT) is a modern therapeutic strategy for managing diabetic foot ulcers. The primary objective of this study is to assess the efficacy and safety by doing a thorough literature review and performing a meta-analysis.
Methods: The search platforms chosen for this study were PubMed, Embase, and Cochrane Library databases with years of publication between 2013 and 2022. The analysis was conducted using the software RevMan 5.4 and R statistical software.
Results: In the present investigation, a total of 291 articles were first subjected to screening. The analysis ultimately included nine relevant literatures after the screening process. The selected literature encompassed a collective sample size of 890 patients. The random effect model used in the analysis revealed a statistically significant discrepancy in the healing rate that had negative pressure wound therapy (NPWT) intervention with the healing rate analysis shows OR 0.77 [0.65, 0.90] p=0.0, and other outcome analysis shows no statistically significant result, adverse event incident OR  0.01 CI [0.00 to 0.04), p =0.23, and amputation rate was OR 0.01 CI [0.00 to 0.02] p = 0.81.
Conclusions: This research has provided evidence of the effectiveness of negative pressure wound therapy (NPWT) as a potential approach for accelerating the wound healing process. However, when utilizing this innovative approach, it is imperative to guarantee meticulous regulation and modification of the negative pressure value to mitigate any potential risk of bleeding in the wound.
A CASE REPORT: ENHANCING TARSAL AND MUSCULAR SUPPORT FOR ECTROPION CORRECTION IN TESSIER 3 AND 5 FACIAL CLEFT
Authors: Adifitrian Teuku , Hartono Hendra Tri , Garnasih Agustina Indah
Published: December 2023

Highlights:

The oblique facial cleft is an uncommon and intricate craniofacial anomaly characterized by a low occurrence rate and significant variability.
The treatment is intricate and relies on the surgeon's expertise and discernment.
Utilizing a combination of Tarsal Strip and Midface Lifting techniques could serve as an alternative approach to address ectropion by enhancing both tarsal and muscular support.

Abstract:
Introduction:  Facial cleft is a rare and challenging craniofacial malformation with a low incidence ranging from 0.75 to 5.4 per 1000 common cleft. Due to the high variance in its occurrence, good techniques have not been established yet.
Case Illustration: In this case study, we present the medical history of a 45-year-old woman who previously underwent multiple surgeries for the reconstruction of her lower eyelid. The initial surgeries were performed to address a unilateral facial cleft classified as Tessier 3 and 5, utilizing ear cartilage grafts for the tarsal plate. However, she subsequently experienced complications, including ectropion, epiphora, and soft tissue deformities around her left eye. The goal of the current surgical intervention is to rectify the ectropion and enhance overall facial aesthetics for improved outcomes.
Discussion: The primary objectives of this surgical techniques are to enhance the tarsal support through the tarsal strip technique and to provide muscle support using the mid-face lifting technique. Additionally, we removed the scar and excess tissue from the lower lid to adjust the tarsal's proper length. These methods aim to address the ectropion and prevent its recurrence.
Conclusion: This combination of techniques can be a potential alternative for rectifying ectropion by reinforcing both tarsal and muscular support structures.
Pengembangan Sistem Pencatatan dan Pelaporan Surveilans Demam Berdarah Dengue di Dinas Kesehatan Kota Tasikmalaya Tahun 2021
Authors: Sribudaya Irinedian , Hargono Arief , Hendrati Lucia Yovita , Sugianto Gian
Published: December 2023

Latar Belakang: Kota Tasikmalaya mengalami peningkatan kasus Demam Berdarah Dengue yang siginifikan pada tahun 2020. Hal ini dibuktikan dengan angka kesakitan Demam Berdarah Dengue yaitu 229 per 100.000 penduduk dan angka kematian Demam Berdarah Dengue sebesar 1,42%. Pelaksanaan surveilans Demam Berdarah Dengue di Dinas Kesehatan Kota Tasikmalaya mengalami keterlambatan pelaporan suspek, kasus dan Angka Bebas Jentik. Dinas Kesehatan Kota Tasikmalaya membutuhkan sistem surveilans yang dapat mendeteksi dini kasus agar pelaporan tidak terlambat.
Tujuan: Tujuan penelitian ini yaitu merancang pengembangan sistem pencatatan dan pelaporan surveilans Demam Berdarah Dengue di Dinas Kesehatan Kota Tasikmalaya.
Metode: Penelitian ini merupakan penelitian kualitatif dengan desain action research berupa pengembangan sistem. Pengumpulan data primer dengan wawancara mendalam kepada petugas dan pengelola surveilans Demam Berdarah Dengue. Sedangkan data sekunder diperoleh melalui studi dokumen pada formulir surveilans yang digunakan. Analisis data dilakukan secara deskriptif. Rancangan pengembangan sistem surveilans DBD dibuat menggunakan Data Flow Diagram.
Hasil: Jenis informasi yang dibutuhkan untuk pengembangan surveilans Demam Berdarah Dengue terdiri dari jumlah suspek, kasus, dan kematian Demam Berdarah Dengue mingguan berdasarkan orang, tempat dan waktu; tren suspek, kasus dan kematian Demam Berdarah Dengue mingguan; serta nilai Angka Bebas Jentik bulanan. Data yang dibutuhkan terdiri dari data suspek/kasus dan kematian Demam Berdarah Dengue hasil laporan mingguan puskesmas; rekapitulasi jumlah suspek, kasus, kematian Demam Berdarah Dengue; Angka Bebas Jentik dan jumlah penduduk yang dilaporkan setiap bulan oleh puskesmas.
Kesimpulan: Pengembangan pencatatan dan pelaporan surveilans Demam Berdarah Dengue terdiri dari penambahan kegiatan pengolahan dan analisis data setiap minggu serta laporan mingguan puskesmas. Selanjutnya mengadakan pertemuan rutin dua minggu sekali antara dinas kesehatan kota dengan puskesmas sebagai upaya kewaspadaan dini terhadap peningkatan kasus Demam Berdarah Dengue di Kota Tasikmalaya. Dinas Kesehatan Kota Tasikmalaya diharapkan dapat memperbaiki prosedur tata kerja dengan melaksanakan pencatatan dan pelaporan mingguan menggunakan Google Formulir serta rapat rutin surveilans DBD.
Literatur Review: Penyebab dan Dampak Period Poverty di Indonesia
Authors: Faiqah Annisa Nur , Puspitasari Nunik
Published: December 2023

Latar Belakang: Menstruasi merupakan proses biologis normal yang terjadi pada tubuh perempuan. Namun  tidak semua perempuan mendapatkan akses produk kebersihan saat mengalami menstruasi. Penelitian sebelumnya menunjukkan adanya ketidaksetaraan dalam manajemen kebersihan menstruasi di negara yang memiliki penghasilan rendah dan menengah, termasuk juga Indonesia.
Tujuan: Penelitian ini bertujuan untuk mengulas secara mendalam mengenai period poverty atau kemiskinan menstruasi di Indonesia, mulai dari penyebab, dampak, hingga upaya penanggulangan yang bisa dilakukan.
Metode: Desain penelitian yang digunakan adalah kajian pustaka (literature review) yang dibuat dalam bentuk deskriptif. Penelitian ini menggunakan data sekunder dari artikel/jurnal, buku, dan liputan berita yang dikumpulkan melalui mesin pencarian Science Direct dan Google Scholar yang diterbitkan 10 tahun terakhir (2013-2023).
Hasil: Temuan yang berdasar pada artikel yang telah dikumpulkan menunjukkan bahwa kondisi ekonomi yang buruk, kurangnya pendidikan yang komprehensif mengenai manajemen kebersihan menstruasi, tempat tinggal, serta kurangnya akses terhadap air bersih, sabun, produk sanitasi, hingga tidak terpenuhinya infrastruktur yang memadai menjadikan Indonesia dan negara berkembang lainnya masih mengalami kemiskinan menstruasi. Dampak yang ditimbulkan pun bisa sangat merugikan, mulai dari pembatasan kesempatan untuk bersekolah, ketidaknyamanan saat menstruasi, penyakit-penyakit yang menyerang organ reproduksi, hingga risiko mengalami pelecehan seksual. Penyediaan manajemen kebersihan menstruasi yang memadai dan dapat diakses oleh semua perempuan dan anak perempuan merupakan salah satu langkah untuk mengatasi masalah ini.
Kesimpulan: Faktor yang mempengaruhi kemiskinan menstruasi di Indonesia adalah kondisi ekonomi yang buruk, kurangnya pendidikan, tempat tinggal, kurangnya akses terhadap air bersih dan produk menstruasi. Dampak yang ditimbulkan berupa pembatasan kesempatan untuk bersekolah, ketidaknyamanan saat menstruasi, penyakit organ reproduksi, serta risiko pelecehan seksual.
Faktor yang Mempengaruhi Kejadian Pneumonia pada Balita di Wilayah Jawa Timur Menggunakan Analisis Regresi Linier Berganda
Authors: Mahasin Muhammad Riza , Mahmudah
Published: December 2023

Latar Belakang: Pneumonia adalah salah satu pemicu kematian terbanyak pada anak di seluruh dunia. Pneumonia di Jawa Timur. berada pada peringkat ke dua dengan jumlah sebesar 93.238 kasus, sampai dengan tahun 2014. pencapaian penemuan kasus pneumonia perlu memperoleh perhatian dari berbagai pihak baik pemerintah maupun dinas kesehatan. Beberapa faktor risiko yang menyebabkan adalah karakteristik ibu, faktor pada anak balita dan faktor lingkungan.
Tujuan: Artikel ini untuk melihat faktor yang dapat menyebabkan munculmnya penyakit pneumonia di wilayah jawa timur menggunakan analisis regresi linier berganda.
Metode: Populasi pada penelitian ini adalah keluarga dengan balita penderita pneumonia yang tersebar di 38 kota / kabupaten yang ada di wilayah Jawa Timur yang berhasil terdata oleh Badan Pusat Statistik per tahun 2018. Jenis data yang digunakan data sekunder yang di analisis menggunakan metode regresi linear berganda.
Hasil: Kota Mojokerto merupakan kota yang memiliki persentase tertinggi jumlah balita yang terpapar pneumonia di Jawa Timur. Hasil dari penelitian ditemukan bahwa tidak terdapat pengaruh tingkat pendidikan, kondisi rumah dan tingkat ekonomi terhadap tingkat pneumonia balita di kawasan Jawa Timur.
Kesimpulan : Faktor yang mempengaruhi tingkat pneumonia di Jawa Timur adalah tingkat pendidikan keluarga dan kondisi rumah sehat yang berpengaruh secara signifikan terhadap pneumonia balita di wilayah Jawa Timur.
Hubungan Pengetahuan Gizi dan Pola Konsumsi Sumber Fe dengan Kejadian Anemia Pada Santriwati di Pondok Pesantren Al-Mizan Muhammadiyah Lamongan
Authors: Basuki Dinda Ayu Lestari , Nabilla Fanti Septia , Muniroh Lailatul
Published: December 2023

Latar Belakang: Kadar hemoglobin (Hb) dalam darah berada di bawah normal, yang merupakan tanda anemia. Aliran darah yang tidak mencukupi dari paru-paru ke bagian lainnya dari tubuh dapat terjadi akibat anemia. Anemia mempengaruhi lebih banyak wanita daripada pria, terutama wanita muda, hamil, dan berpenghasilan rendah. Hal ini sesuai dengan fakta bahwa kebutuhan fisiologis seorang wanita meningkat selama kehamilan serta elemen bulanan dari perdarahan menstruasi. Anemia dapat membatasi kemampuan seseorang untuk bekerja. Penderita anemia sering mengalami sakit kepala dan pusing. Efek merugikan anemia termasuk kemampuan merusak fungsi otak, menurunkan kecerdasan, dan membatasi kapasitas belajar.
Tujuan: Tujuan penelitian ini yakni untuk menganalisis hubungan antara pengetahuan gizi dan pola konsumsi sumber zat besi dengan kejadian anemia pada remaja khusunya remaja putri.
Metode: Penelitian ini merupakan penelitian observasional analitik dengan desain penelitian cross sectional yang dilakukan pada sampel sebanyak 50 santriwati yang berasal dari kelas X dan XI di Pondok Pesantren Al-Mizan Muhammadiyah Lamongan. Sampel dipilih dengan metode proportional random sampling.
Hasil: Berdasarkan penelitian ini ingkat pengetahuan gizi responden 50% terkategori kurang. Pola konsumsi sumber Fe responden 64% tidak pernah mengkonsumsi sumber Fe. Terdapat hubungan antara tingkat pengetahuan gizi (p=0,016) dan pola konsumsi sumber zat besi (p=0,036) dengan kejadian anemia pada santri putri.
Kesimpulan: Remaja putri dengan tingkat pengetahuan gizi yang baik dan tingkat konsumsi sumber zat besi yang sesuai dengan kebutuhan berpengaruh terhadap penurunan risiko angka kejadian anemia. Para remaja putri diharapkan bisa meningkatkan asupan makanan yang menjadi sumber zat besi dan meningkatkan wawasan mengenai apa saja makanan yang memiliki jumlah zat besi yang banyak dan makanan apa saja yang menjadi inhibitor zat besi guna meminimalisir terjadinya anemia.
Optimalisasi Kandungan Serat Kue Kering melalui Substitusi Tepung Beras Hitam dengan Pemberian Isian Pasta Kombinasi Kacang Merah dan Kurma
Authors: Wening Damar Maulidina Nur , Adi Annis Catur
Published: December 2023

Latar Belakang: Konsumsi serat secara optimal memiliki ragam manfaat salah satunya terkait pencegahan obesitas. Salah satu upaya konsumsi serat yang optimal dapat diwujudkan melalui formulasi makanan berserat tinggi dalam bentuk kue kering. Tepung beras hitam, kacang merah, dan kurma adalah bahan baku utama yang dipilih menurut pertimbangan nilai gizi dan kebermanfaatannya.
Tujuan: Tujuan penelitian ini adalah untuk menganalisis pengaruh modifikasi kue kering dengan bahan baku tepung beras hitam dan pasta kombinasi kacang merah dan kurma terhadap skor organoleptik dan kandungan serat.
Metode: Metode yang digunakan pada peneltian ini adalah eksperimental semu. Perlakuan formula dilakukan sebanyak 3 kali (F1, F2, F3) dengan 1 formula acuan (F0). Skor organoleptik diketahui melalui uji hedonik yang melibatkan panelis tidak terlatih sejumlah 32 wanita usia 18-40 tahun. Kandungan serat dianalisis secara empiris berdasarkan database Tabel Komposisi Pangan Indonesia (TKPI) dan United States Department of Agriculture (USDA). Adapun, formula terpilih dianalisis kandungan serat kasarnya dengan metode gravimetri di Laboratorium Biokimia, Departemen Gizi, Universitas Airlangga.
Hasil: Skor organoleptik warna, aroma, tekstur, dan rasa tertinggi dimiliki oleh kue kering F1. Berdasarkan analisis secara empiris kandungan serat antara kue kering F0 hingga F4 dalam 100 g berkisar 2,62-9,02 g. Analisis kandungan serat kasar formula terpilih, F1 dalam 100 g adalah sebesar 46,55%.
Kesimpulan: Kue kering substitusi tepung beras hitam dengan isian pasta kombinasi kacang merah dan kurma memiliki skor organoleptik yang cukup baik dan kandungan serat yang sesuai.
Hubungan Uang Saku, Status Tempat Tinggal, Durasi Tidur, dan Aktivitas Fisik dengan Status Gizi Lebih pada Mahasiswa Universitas Airlangga
Authors: Velina Velina Mawadah Putri , Nadhiroh Siti Rahayu
Published: December 2023

Latar Belakang:  Status gizi merupakan parameter derajat kesehatan yang menggambarkan keseimbangan asupan nutrisi dengan kebutuhan tubuh. Tidak seimbangnya asupan nutrisi dengan kebutuhan tubuh mengakibatkan terjadinya masalah gizi, salah satunya adalah gizi lebih. Gizi lebih disebabkan adanya konsumsi kalori yang berlebihan dalam waktu lama. Asupan kalori dalam makanan sebagian besar berasal dari makronutrien seperti lemak, protein, dan karbohidrat. Kalori yang masuk dalam tubuh kemudian diseimbangkan dengan pengeluaran kalori melalui aktivitas fisik, sehingga aktivitas fisik juga menjadi salah satu faktor utama dalam peningkatan status gizi. Selain itu durasi tidur juga dapat menjadi salah satu faktor penyebab gizi lebih melalui faktor tidak langsung. Rata-rata mahasiswa berusia antara 18-25 tahun, yang merupakan dekade penting untuk membentuk atau mengubah perilaku dan pola makan. Secara umum, mahasiswa adalah populasi yang rentan untuk masalah tidur, kebiasaan diet yang buruk, penambahan berat badan, dan aktivitas fisik berkurang.
Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara uang saku, status tempat tinggal, durasi tidur, dan aktivitas fisik dengan status gizi lebih pada mahasiswa di Universitas Airlangga.
Metode: Penelitian ini merupakan analisis observasional yang menggunakan desain cross-sectional. Populasi dalam penelitian ini yaitu mahasiswa Universitas Airlangga. Besar sampel dalam penelitian ini adalah 168 mahasiswa yang dipilih berdasarkan accidental sampling. Pengolahan data menggunakan SPSS dengan analisis univariat dan bivariat.
Hasil: Terdapat hubungan antara uang saku (p=0,013), status tempat tinggal (p=0,012), durasi tidur (p=0,002) dengan gizi lebih pada mahasiswa Universitas Airlangga. Sedangkan aktivitas fisik (p=0,406) belum ditemukan keterkaitan yang signifikan dengan status gizi lebih pada mahasiswa Universitas Airlangga.
Kesimpulan: Terdapat hubungan yang signifikan antara uang saku, status tempat tinggal, durasi tidur terhadap status gizi lebih, sedangkan tidak ada pengaruh yang signifikan antara aktivitas fisik dengan status gizi lebih pada mahasiswa Universitas Airlangga.
Understanding how MSCs reverse radiation-induced fibrosis: HGF vs. TGF-B1
Authors: Rodriguez Ricardo Luis
Published: December 2023

Radiation induced fibrosis (RIF) can be understood as a form of chronic radiation-induced bystander effect (RIBE). It is a fibrotic process different than acute radiation syndrome (ARS), which is an inflammatory process that has different mediators and effector cells. It is triggered by Reactive Oxygen Species (ROS) activation of the matrix-embedded L-TGF-β complex. TGF-β acts by directing cellular processes that culminate in a fibrotic state. These include epithelial and endothelial mesenchymal transition (EMT and EnMT), G1 phase growth arrest, stimulation of fibrosis, and apoptosis, characterized by hypocellularity with a predominance of fibrocytes and myofibroblasts, fibrosis, and variable loss of tissue function. Fat grafting is the only clinically available tool to reverse RIF. The reversal of RIF is mediated by the mesenchymal stem cells (MSCs) embedded in the stromal vascular fraction (SVF) adipose tissue. The mechanism of action is the release of HGF (hepatocyte growth factor) by the MSCs into the surrounding RIF tissue. The HGF initiates a “mitotic growth program” that reprograms cell behavior. These changes include EMT and EnMT, stimulation of cell proliferation and morphogenesis, anti-apoptosis, downregulation of TGF-β, dissolution of fibrosis, and cell motility. The “mitotic growth program” culminates in tissue regeneration and reversal of RIF.
Sensing multiferroic states non-invasively using optical second harmonic generation
Authors: Chauleau Jean-Yves , Trassin Morgan
Published: December 2023

The current boost in the search for energy-efficient device paradigms motivates the integration of materials with coexisting and coupled electric and magnetic order parameters into application-relevant architectures. In the so-called multiferroic magnetoelectrics, the understanding of switching events, however, is most of the time obstructed by the complex physics involved and in the non-trivial domain and domain wall configurations. This perspective offers an insightful overview of the most recent progress in the non-invasive optical probe of technology-significant ferroelectricity and antiferromagnetic order: the optical second harmonic generation (SHG). Over the last decade, its use in materials science has evolved, and SHG now enables the monitoring of the emergence of polarization in thin films, even during the epitaxial deposition process. Its long working distance further expedites the probe of multiple order parameters in various environments and under multi-stimuli excitations. The potential for the probe of complex electric dipole textures, such as ferroelectric skyrmions and time-resolved measurements, using SHG-based approaches in the most recent materials systems will be discussed.