bluuebunny/crossref_metadata_2025 huggingface dataset:
Urgensi Pelaksanaan Supervisi Kepala Sekolah dalam Meningkatkan Kinerja Mengajar Guru Di Sekolah Dasar
Authors: Nur Ismail Ahmad
Published: December 2024

The effectiveness of supervision activities carried out by the principal of Wadungasri Waru State Elementary School aims to improve teacher competence in teaching and learning activities, so that it is expected to fulfill the teaching mission carried out by teachers. The research method used is a qualitative phenomenological approach with “emic” perception with descriptive analysis. The results of the study are as follows; First, the principal’s strategy in carrying out educational supervision at Wadungasri Waru State Elementary School is carried out by visiting classes, summoning teachers personally using personal conversation techniques, and objective assessments. Second, the supporting factors in the implementation of educational supervision are teachers’ discipline in carrying out their duties and responsibilities, adequate teacher competence and skills, and high teacher work ethic. Third, the obstacles faced by school principals in the implementation of educational supervision are the existence of different teacher motivations in teaching in schools, the lack of teacher competence in teaching, the lack of mastery of learning methods, the lack of teachers’ mastery of the use of information technology media, the inadequate facilities and infrastructure in learning Islamic religious education, which has implications for the lack of achievement of learning targets or objectives. As a solution to overcome these obstacles, the principal of Wadungasri Waru State Elementary School always motivates teachers to always devote themselves through teaching and learning activities, providing rewards and punishments to teachers, delegating teachers to participate in education and training activities, and efforts to collaborate with various parties in completing various school needs
Sea Water Distillation Design Using Renewable Energy for Drinking Water
Authors: Ilyas Andi Muhammad , Yuliana Yuliana , Rahman Muhammad Natsir , Sirad Mochammad Apriyadi Hadi , Djohar Fahrizal , Hasanuzzaman Md , Mabud Zulaeha
Published: December 2024

The increase in drinking water needs in Ternate City is ttriggered by very rapid population growth. Population growth has resulted in the conversion of forests into housing which has resulted in reduced water catchment areas. In the end, several locations experienced a decline in water quality from fresh to brackish. To overcome the decline in the volume and quality of clean water, a plan is being made to distill sea water into fresh water. The method used in this research is the experimental method. Solar desalination is a process where solar energy is utilized to putify the fresh water from saline/brackish water for drinking purposes, in charging of the batteries, research laboratories. Experimental results with a distillation flow area of 325 cm with an average volume of 43.7 ml. Tests with a distillation drain area of 650 cm produced 76.0 ml of fresh water. Experiments with a distillation flow area of 975 cm produced an average of 106.3 ml of fresh water. The effectiveness of distillation occurs at the widest drainage. The price of fresh water per milliliter is IDR 1.41 cheaper than bottled water, namely IDR. 6.66 per milliliter. The results of research on the salinity of salt water to fresh water show that the salinity of salt water is 35 ppt, while the salinity of distilled water is 0, this shows that the result of distillation is fresh water that can be consumed.
Prediction of the Number of Motorized Vehicles in Ternate City Using the Average Based Fuzzy Time Series Model Method
Authors: Friyanti Friyanti , Wahab Iis Hamsir Ayub , Tata Arbain
Published: December 2024

Prediction or forecasting is one of the most important elements in decision-making. The impact caused is the number of motorized vehicles, residents, roads, and area area. By predicting the number of motor vehicles, the prediction data can be used from a program to reduce the impact of a high number of motor vehicles. This study aims to determine the Prediction of the Number of Motorized Vehicles in Ternate City using the Average Based Fuzzy Time Series Model Method in Ternate City from 2019 to 2024. Settlement using Average Based Method data and fuzzy time series interval numbers have been determined at the beginning of the calculation process, this process is very influential in the formation of fuzzyrelationship on each number to compare each other which will certainly have an impact on the difference in the results of the reduction calculation. The test results are known that the Fuzzy time series is one of the methods for prediction. One type of method is the average-based fuzzy time series with the average total value calculated using the Mean Absolute Percentage Error (MAPE) method obtained from the number of each indicator of 2.98% which shows that this study is included in the category of good used in the prediction of motor vehicles in Ternate City because it has an accuracy value of less than 20%. From the predictions carried out, the MAPE value of the test was 1.01%, the MSE value of forecasting was 1400.5, and the MAD value of forecasting was 27.93.
GAMBARAN WAKTU KEDATANGAN, FAKTOR RESIKO DAN TIPE STROKE PADA PASIEN RAWAT INAP DI RSUD LABUHA KABUPATEN HALMAHERA SELATAN
Authors: Ishak Sarni J. , Muhdar Kusrini
Published: December 2024

Penyakit stroke terus meningkat setiap tahun di negara maju maupun negara berkembang. Peningkatannya menjadi satu masalah kesehatan yang serius secara global karena menyumbang angka disabilitas dan angka kematian. Selain itu, stroke sangat mempengaruhi tingkat produktivitas dan keuangan Masyarakat terutama bagi mereka yang mempunyai anggota keluarga dengan stroke. Oleh sebab itu, berbagai Upaya preventif dan intervensi gencar dilakukan untuk menurunkan resiko kecacatan dan kematian. Mengetahui golden period dan gejala awal serangan stroke merupakan salah satu Upaya untuk mengoptimalkan intervensi dan prevalensi penyintas stroke. Tujuan: penelitian ini bertujuan untuk menggambarkan waktu kedatangan pasien ke rumah sakit, faktor resiko dan tipe stroke yang dialami pasien di RSUD Labuha. Metode: penelitian ini menggunakan pendekatan kuantitatif dengan metode observasi deskriptif, penelitian dilakukan di Rumah Sakit Umum Daerah Labuha Kabupaten Halmahera Selatan, Provinsi Maluku Utara. Data diambil dari rekam medis pasien pada tahun 2022 – 2024, setelah dilakukan analisis menggunakan teknik purposive sampling didapatkan total sampel sebanyak 116 orang. Hasil: Hasil penelitian menunjukkan bahwa 109 pasien (94%) mengalami tipe stroke iskemik. 86 (74%) pasien mempunyai faktor resiko hipertensi dan 103 pasien (89%) datang ke rumah sakit 4 jam.
PERBANDINGAN MANIFESTASI KLINIK PASIEN TUBERCULOSIS MENINGITIS PADA ANAK DAN ORANG DEWASA
Authors: Marzatillah A Nur Khalia , Jafar Muh Alfian , Kaela Cahyono
Published: December 2024

Meningitis tuberkulosis (MTB) merupakan bentuk tuberkulosis yang menyerang sistem saraf pusat dan dapat menyebabkan komplikasi serius, terutama pada anak-anak dan orang dewasa. Penelitian ini bertujuan untuk membandingkan manifestasi klinis MTB pada kedua kelompok usia untuk memahami perbedaan dalam gejala, perkembangan, dan respons terhadap pengobatan. Metode yang digunakan meliputi tinjauan literatur dari berbagai penelitian terkini mengenai manifestasi klinis MTB, dengan fokus pada gejala awal, perkembangan neurologis, tingkat keparahan, dan hasil pengobatan pada anak-anak dan orang dewasa. Hasil penelitian menunjukkan bahwa anak-anak cenderung mengalami gejala yang tidak spesifik dan perkembangan neurologis yang lebih cepat, sementara orang dewasa sering kali menunjukkan gejala yang lebih jelas sejak awal, tetapi dapat mengalami komplikasi jangka panjang yang signifikan. Temuan ini menekankan pentingnya deteksi dini dan pengobatan yang tepat untuk meningkatkan prognosis TBM pada kedua kelompok usia.
MOLA HIDATIDOSA INVASIF PADA SEORANG WANITA PERIMENOPAUSE: STUDI KASUS
Authors: Singh Karnel
Published: December 2024

Mola hidatidosa invasif merupakan bentuk GTN yang paling sering terjadi, yang secara histologis ditandai oleh invasi miometrium dan/atau limfovaskular oleh sel-sel trofoblas yang meliputi vili molar atau oleh adanya metastasis yang mengandung vili molar. Untuk membahas sebuah kasus mola hidatidosa invasif pada seorang wanita perimenopause. Kami melaporkan seorang wanita 48 tahun P2A1 datang dengan riwayat bercak perdarahan dari jalan lahir sejak 2 minggu SMRS yang kemudian didiagnosis sebagai mola hidatidosa invasif. Wanita 48 tahun P2A1 datang dengan riwayat bercak perdarahan dari jalan lahir sejak 2 minggu SMRS. Pasien memiliki riwayat kuret dengan hasil mola hidatidosa. Dilakukan histerektomi abdominal total dan salfingektomi bilateral. Transabdominal Ultrasound menunjukkan pembesaran uterus dengan peningkatan vaskularisasi. Hasil PA menunjukkan mola hidatidosa invasif. Dilakukan tindakan kemoterapi paska operasi. Penting untuk mempertimbangkan mola hidatidosa invasif pada kasus perdarahan uterus abnormal pada wanita perimenopause. Kemoterapi merupakan pengobatan utama pilihan untuk mola invasif. Selain itu, edukasi penggunaan kontrasepsi juga perlu dipertimbangkan, khususnya pada pasien dengan Riwayat mola sebelumnya.
Edukasi Pemahaman Bahaya NAPZA pada Warga Binaan di Rutan Kelas IIB Ternate
Authors: Sadik Fahmi , Marwati Eri , Hi. Yusuf Muhammad Fakhrur Rajih
Published: December 2024

Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan kesadaran dan pemahaman tentang bahaya NAPZA (Narkotika, Psikotropika, dan Zat Adiktif lainnya) pada warga binaan di lingkungan Rutan kelas IIB Ternate. Kegiatan ini dilaksanakan melalui tiga tahapan: perencanaan, pelaksanaan sosialisasi, serta monitoring dan evaluasi. Pada tahap perencanaan, pelaksana berkolaborasi dengan pihak Rutan untuk memastikan kesiapan peserta dan fasilitas, serta merancang materi pelatihan dengan bantuan mahasiswa Program Studi Farmasi Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Khairun. Tahap pelaksanaan melibatkan sosialisasi tentang bahaya NAPZA dan pembagian leaflet sebagai media informasi tambahan. Monitoring dan evaluasi dilakukan untuk memastikan efektivitas kegiatan, melalui pretest dan posttest yang menunjukkan peningkatan pengetahuan peserta. Hasil kegiatan ini menunjukkan bahwa pendekatan yang terstruktur dan kolaboratif berhasil meningkatkan kesadaran peserta tentang bahaya NAPZA. Kegiatan ini memberikan kontribusi positif dalam upaya pencegahan penyalahgunaan NAPZA dan dapat dijadikan model untuk kegiatan serupa di masa mendatang. Evaluasi menunjukkan pentingnya melanjutkan dan mengembangkan kegiatan ini untuk menjangkau lebih banyak individu dan komunitas, serta melibatkan akademisi dalam kegiatan pengabdian masyarakat.
Nutrição e saúde reprodutiva da mulher: Uma revisão integrativa
Authors: Spichela Gabriel Oliveira , Reginato Lucas de Paula , Silva Roxane Wirschum , Bello Sergio Ricardo de Brito , Pazello Camila Tedeschi , Zarpellon Raquel Simone Maccarini , Venturelli Amanda Caroline
Published: December 2024

A infertilidade é uma condição do sistema reprodutivo masculino ou feminino, caracterizada pela incapacidade de conceber após, no mínimo, 12 meses de tentativas regulares. Esse problema afeta muitas pessoas ao longo da vida, impactando cerca de 17,5% da população adulta. Esta revisão bibliográfica tem como objetivo principal investigar a relação entre nutrição e fertilidade, destacando os efeitos positivos e negativos que a alimentação pode exercer sobre a saúde reprodutiva. Além disso, busca identificar os nutrientes mais importantes para preservar a fertilidade em níveis ideais, especialmente no que diz respeito à qualidade dos ovócitos, favorecendo, assim, a concepção. Para a coleta de dados, foram consultadas publicações em português e inglês dos últimos seis anos nas principais bases de dados, como Google Acadêmico, PubMed, Research, Society and Development e SciELO. Após análise da literatura, observou-se que a nutrição desempenha um papel crucial na fertilidade feminina. Estudos indicam que uma dieta equilibrada, rica em micronutrientes com propriedades antioxidantes e que atenda às necessidades energéticas diárias, pode ajudar a combater a infertilidade e melhorar a ovogênese. Além da alimentação, é essencial considerar a importância de um estilo de vida ativo e o controle adequado do peso corporal. Fatores socioeconômicos, culturais e geográficos também podem exercer influência positiva ou negativa sobre o sucesso da concepção.
Mulheres nas Tecnologias da Informação e Comunicação (TIC’s): Quebrando barreiras de gênero
Authors: Lins Paulo Alberto Gonçalves , Nascimento Adrianne Fernandes do , Nascimento Anabelle Fernandes do
Published: December 2024

Este artigo traz uma análise da inserção das mulheres na área da Tecnologia da Informação e Comunicação (TIC’s) na cidade de Humaitá, Amazonas. Nesse contexto, o presente trabalho tem como objetivo analisar a visão das mulheres sobre a área e identificar as causas de evasão e participação nos cursos de formação técnica do Instituto Federal do Amazonas, campus Humaitá. A pesquisa foi realizada com 22 alunas do curso de informática voltado para mulheres em vulnerabilidade social. Para a coleta dos dados, foi utilizada o Grupo focal e análise do conteúdo. Nos resultados, identificamos que as mulheres reconhecem a predominância do gênero masculino na área das tecnologias e que sua inserção acontece de forma progressiva por meio da mudança de estereótipos.
Determinantes sociais da saúde na adesão à vacinação contra o HPV entre adolescentes: Uma revisão integrativa
Authors: Silva Marinete Santana da , Sáfadi Marco Aurélio Palazzi , Silva Francisca Luana da , Bezerra Anne Milane Formiga , Nascimento Aissa Romina Silva do , Gondim Josué Brito , Bezerra Kevia Katiúcia Santos
Published: December 2024

O HPV é a principal causa do câncer cervical, que é a quarta maior causa de morte por câncer entre mulheres no Brasil, podendo também provocar outros tipos de câncer. A vacina quadrivalente contra o HPV é oferecida gratuitamente pelo SUS para crianças de 9 a 14 anos e grupos específicos, em dose única. A pesquisa busca entender os fatores sociais que influenciam a adesão à vacinação, visando desenvolver estratégias mais eficazes e equitativas. Ao investigar os determinantes sociais da saúde na adesão à vacina, o estudo pretende fornecer informações para programas educacionais e iniciativas comunitárias que ajudem a reduzir disparidades e melhorar a cobertura vacinal. A questão central da pesquisa é: quais são os principais determinantes sociais que afetam a adesão à vacinação contra o HPV? O estudo é uma revisão integrativa com abordagem qualitativa, com busca realizada nas bases LILACS, SCIELO, MEDLINE e BDENF, usando a estratégia PICO e operadores booleanos. O estudo aponta a necessidade de políticas públicas que promovam a equidade na distribuição da vacina e envolvem a sociedade, profissionais de saúde, educadores e familiares, além de adaptar as estratégias de vacinação às realidades regionais para aumentar as taxas de imunização.
Telemonitoramento em Odontologia: Uma melhoria na prestação do cuidado de pacientes com deficiência
Authors: Melo Cibele Virgínia Morais de , Bispo Anglia Maria de Sousa Leite , Silva Gabriel Regis da , Lima Maria Goretti de Souza , Silveira Maria Luiza Tavares , Kozmhisky Verônica Maria da Rocha , Freitas Rebeca Luiz de
Published: December 2024

A presente pesquisa objetivou investigar como o uso do telemonitoramento pode aprimorar a prestação de cuidados odontológicos. Realizou-se a coleta por meio de formulário. Fontes secundárias das fichas clínicas foram utilizadas para determinar a prevalência de cárie e doença periodontal da população estudada. Os dados foram analisados descritivamente através de medidas de tendência central e medidas de variabilidade, e inferencial por meio de testes de associação. Além disso, as doenças de base foram classificadas de acordo com a classificação de Santos e Haddad modificada. Dos 97 pais/responsáveis participantes, 91,8% eram do sexo feminino com média de idade de 39 anos. A faixa etária mais predominante dos pacientes da pesquisa foi de um a cinco anos, sendo o sexo masculino representado por 50,5% da amostra. A classificação da doença de base mais representada foi condições e doenças sistêmicas. Os dados das fichas clínicas mostraram índices bastante significativos da ausência de cárie dentária (49,5%) e de doença periodontal (75,3%). No que se referiu à necessidade de atendimento de urgência, apenas 13,4% dos pais/responsáveis declararam haver necessidade de procura de um serviço odontológico para seu filho. Tais dados permitem uma gestão mais eficiente para agendamento de consultas, o aprimoramento do cuidado e a colaboração dos pais ou responsáveis na prevenção das doenças bucais. Portanto, o Telemonitoramento pode ser uma ferramenta eficaz no plano de monitoramento clínico preventivo do paciente infantil com deficiência.
Epidemiologia do câncer de mama em Patos de Minas
Authors: Pereira Ana Lua Vinhal , Lucas Eduarda Moreira , Vieira Júlia Matias , Silva Paloma Lara Ferreira
Published: December 2024

O câncer de mama é uma neoplasia maligna resultante do crescimento desordenado de células do tecido mamário e representa o tipo de câncer mais comum entre as mulheres no Brasil, excetuando-se os casos de pele não melanoma. Sua incidência é particularmente alta nas regiões Sul e Sudeste, com estimativa de 73.610 novos casos anuais entre 2023 e 2025, segundo dados do Instituto Nacional de Câncer (INCA). O objetivo do presente artigo é apresentar um estudo epidemiológico de câncer de mama. Este estudo caracteriza-se como um levantamento epidemiológico quantitativo e descritivo sobre o câncer de mama em Patos de Minas, Minas Gerais, com base em dados coletados do Sistema de Informação do Câncer (SISCAN) e Sistema de Informação do Câncer de Mama (SISMAMA) entre julho de 2020 e julho de 2024. Foram analisados dados sobre o número de exames de mamografia realizados em cinco anos consecutivos, que revelou uma queda nos exames realizados em 2021 e 2022, possivelmente influenciada pela pandemia de COVID-19, a qual limitou o acesso aos serviços de saúde. Desse modo, o ano com resultados mais significativos foi 2023, pós período pandêmico. Além disso, o sistema BI-RADS foi utilizado para categorizar os achados, com a maioria dos exames enquadrados como benignos (categoria 2). Observou-se também uma maior prevalência de casos em mulheres entre 45 e 49 anos, e diferenças na distribuição de achados por raça/cor, com disparidades de acesso a serviços de rastreamento entre mulheres brancas e negras.
Farklı Bölgelere Uygulanan Kinezyo Bantlamanın Bazı Fiziksel Uygunluk Parametreleri Üzerindeki Etkileri
Authors: Hatipoğlu Özcan Gülsüm , Yalçın Nurdan Ecem , Özcan Sancar , Demirli Abdullah , Akkaya Cemre Can , Taştan Zarife , Oktay Gökçe
Published: December 2024

Bu çalışmanın amacı, voleybol sporcularında farklı kas gruplarına uygulanan kinezyo bantların bazı fiziksel uygunluk parametreleri üzerindeki etkilerinin incelenmesidir. Araştırma grubu, Bayrampaşa Anadolu Lisesi Spor Kulübünde voleybol oynayan ve yaşları 15-17 arasında olan 33 kadın katılımcıdan oluşmaktadır. Katılımcılar kinezyobant uygulanan grup, gerimsiz kinezyobant uygulanan plasebo grubu ve kinezyobant uygulanmayan kontrol grubu olmak üzere rastgele 3 gruba ayrılmıştır. Araştırmada katılımcıların fiziksel uygunluk parametrelerini değerlendirmek amacıyla eurofit test protokolü uygulanmıştır. Verilerin istatistiksel analizi IBM SPSS 26.0 istatistik paket programında yapılmıştır. Araştırma verilerine ait değişkenlerin normal dağılım gösterip göstermediği “Shapiro-Wilk Testi’’ ile incelenmiştir. Normal dağılım gösteren eşlendirilmiş diziler, “Eşlendirilmiş Dizide T-Testi’’ ile analiz edilmiştir. Normal dağılım göstermeyen eşlendirilmiş diziler, “Wilcoxon Signed Ranks Testi’’ ile tespit edilmiştir. Sonuç olarak; kinezyo bantlamanın voleybol sporcularındaki denge, esneklik, dikey sıçrama ve çeviklik performansları üzerinde olumlu etkisi olduğu (p<0.05) ancak sürat ve kavrama kuvvetinde anlamlı bir değişim olmadığı (p>0,05) bulunmuştur. Elde edilen bulgular, kinezyo bantlamanın belirli fiziksel uygunluk parametrelerini geliştirmede etkili bir yöntem olabileceğini, ancak bazı parametreler üzerinde aynı düzeyde etkili olmadığını ortaya koymaktadır. Bu bağlamda, kinezyo bantlama uygulamalarının spor dalına özgü gereksinimler, sporcunun deneyim düzeyi ve bireysel özellikler gibi faktörler dikkate alınarak planlanması ve diğer destekleyici antrenman yöntemleri ve müdahalelerle entegre edilmesinin sporcuların performansını optimize etmede etkili bir strateji olarak kullanılabileceği değerlendirilmektedir.
Unveiling Research Gaps in Sarcopenic Obesity among Young Adults: Insight from Open Knowledge Map and VOS Viewer
Authors: Djunet Nur Aini , Rizkawati Muflihah
Published: December 2024

Sarcopenic obesity (SO) refers to the coexistence of elevated body fat mass and sarcopenia. Sarcopenia is characterized by a reduction in muscle mass, leading to diminished skeletal muscle mass and impaired functional status. While research on SO is predominantly focused on the elderly, it is conceivable that younger adults also experience SO, especially considering the high incidence of sedentary lifestyles within this demographic. This study wants to identify the distribution of research topics and the existing gaps in the literature. The research utilized a bibliometric analysis, integrating the Open Knowledge Map (OKM) and VOSviewer (VV) applications. The analysis revealed that the key clusters are associated with “insulin resistance,” “body composition,” and “muscle strength.” Data from developing nations is scarce. There is insufficient research into the effects of genetic, epigenetic, and psychosocial factors on SO. Combined interventions involving nutrition and resistance training show significant promise in enhancing muscle mass and functionality, yet long-term assessments and synergistic mechanisms require additional investigation. While exercise and nutrition-based interventions yield encouraging outcomes, multidisciplinary research incorporating social, economic, and cultural factors is essential for a comprehensive understanding of SO. The development of universal diagnostic criteria is crucial to address methodological discrepancies that impede the comparability of studies.
The Role of Parents, Facilities and Infrastructure with the Behavior of Hand Washing with Soap in Primary School Pupils
Authors: Nasution Andreanda , Jayanti Resty , Anggraini Sevrima , Andriansyah Annisaa Perdana , Rahmah Syifaur
Published: December 2024

Deaths from diarrheal diseases can be reduced by up to 50%. Washing your hands with soap, if done correctly, can prevent diseases such as diarrhea and ARI. The aim was to determine the relationship between the role of parents, facilities and infrastructure with hand washing behavior among students in grades 3-6 at MI Al-Asyirotussyafi'iyah Kebayoran Lama, South Jakarta. This research is a quantitative research with a cross sectional research design. Quantitative research is research that emphasizes numerical data (numbers) processed using statistical methods. The population of this study were students from grades 3-6 at MI Al-Asyirotussyafi'iyah Kebayoran Lama, South Jakarta, totaling 75 people. The sampling technique in this research was total sampling. Primary Data in this research is primary data, namely students in grades 3-6 at MI Al-Asyirotussyafi'iyah Kebayoran Lama, South Jakarta by filling in an online questionnaire via Google Form. Secondary data for this research is obtained from previous research, official journals and others. There is a significant relationship between the role of parents and the behavior of washing hands with soap of students with a value of OR = 7.51, which means that respondents who have a good parental role have the opportunity to behave well regarding washing hands with soap 8.816 times greater than students. / female students with a poor level of parental role. There is a statistically significant relationship between facilities and infrastructure and students' hand washing behavior with soap with a value of OR = 27.1, which means that respondents with good facilities and infrastructure are 27.1 times more likely to behave well regarding washing hands with soap. compared to students with poor facilities and infrastructure.
Factors Related To The Success Of Measles Immunization In Children Aged 2-3 Years
Authors: Jayanti Resty , Puspita Tika Noor , Pertiwi Fenti Dewi , Alwi Rizal , Fernanda Tiara
Published: December 2024

Providing immunizations to children can prevent and protect children from other dangerous and contagious infectious diseases, so that they will have the opportunity to take part in activities such as playing and studying. To determine the factors associated with the success of measles immunization in toddlers 2-3 years old in Loji Village. The location of this research was carried out in the working area of ​​the Pasir Mulya Community Health Center, precisely in Loji Village, West Bogor District, Bogor City, West Java 16118. This research was carried out from January 2023 to July 2023 with a time span of around 7 months. This type of research uses quantitative methods. This study used cross-sectional or cross-sectional. The sampling technique used was a total sampling technique with a sample size of 70 samples. The research instrument this time used by the researcher was a questionnaire. This bivariate analysis uses the Chi-square test. The educational level of parents, type of work, and the role of health workers and posyandu cadres can influence the success of measles immunization in toddlers 2-3 years old with respective p values ​​(0.004; 0.006; 0.014; 0.008). Therefore, it is important to increase public awareness and participation in immunization programs in order to achieve optimal targets. In conclusion, socio-economic factors and the role of health workers greatly influence the success of measles immunization in toddlers 2-3 years old, so there needs to be collaborative efforts between the government, community and health workers to increase immunization coverage.
Authors: Nasution Helmi Suryani , Reskiaddin La Ode , Sari Puspita , Syukri Muhammad
Published: December 2024

Indonesia menjadi negara urutan ke-2 terbesar untuk jumlah kasus TB. Diperkirakan terdapat sekitar 33% kasus TB tidak terdiagnosis dan atau tidak terlaporkan. Mengidentifikasi perilaku pencarian pengobatan termasuk keterlambatan diagnosis di Kota Jambi diperlukan sebagai upaya untuk meningkatkan penemuan kasus tuberkulosis (TB). Penelitian ini bertujuan mengetahui perilaku pencarian pengobatan, menghitung keterlambatan diagnosis, serta faktor-faktor yang berhubungan dengan keterlambatan diagnosis yaitu aspek individu, sosial, dan struktural pada pasien TB. Penelitian ini menggunakan desain cross-sectional pada kasus TB paru terkonfirmasi bakteriologis dengan riwayat pengobatan baru di Kota Jambi. Jumlah sampel yang berpartisipasi sebanyak 135 orang dengan teknik sampling yaitu multi-stage random sampling. Hasil penelitian ini menunjukkan bahwa perilaku pencarian pengobatan terbanyak dilakukan oleh kasus TB adalah datang ke toko obat/apotek (20,7%) dan puskemas (20,0%). Keterlambatan diagnosis dialami oleh 75,7% kasus TB dengan median 48 hari dan rentang interkuartil 22-107 hari. Variabel yang berhubungan dengan keterlambatan diagnosis yaitu belum menikah (aOR 0,3, 95% CI 0,1-0,9, p = 0,031), dukungan sosial sedang (aOR 0,2, 95%CI 0,1-0,6, p = 0,004), perilaku pencarian pengobatan TB pertama setelah muncul gejala ke toko obat/apotek (aOR 8,2, 95%CI 1,6-42,3, p = 0,012), jumlah kunjungan fasyankes yang dikunjungi sebelum didiagnosis sebanyak 2-6 (aOR 3,1, 95%CI 1,1-9,3, p = 0,039), dan stigma TB berdasarkan perspektif masyarakat tinggi (aOR 0,3, 95%CI 0,1-0,8, p = 0,019). Evaluasi kegiatan public-private mix (PPM) terutama dalam hal pelibatan apotek/toko obat dan fasyankes swasta serta evaluasi skrining TB di puskesmas perlu diperhatikan. Selain itu, pemberian edukasi yang masif, pelibatan masyarakat, dan pemberian dukungan psikososial juga sangat diperlukan untuk mencegah terjadinya keterlambatan diagnosis TB.
Relationship Between Community Behavior And Dengue Hemorrhagic Fever Incidence
Authors: Astuti Bunga Harum , Marsanti Avicena Sakufa , Abidin Zaenal
Published: December 2024

According to DHF incidence data obtained from the Madiun City Health Profile, there were 48 cases and one death in 2021, an increase in cases of 212 cases with one death in 2022, and there were still 144 cases with one death in 2023. The purpose of this study is to determine the relationship between community behavior and the incidence of dengue hemorrhagic fever in the Manguharjo Health Center Working Area, Madiun City. This study has used quantitative research with a case-control research design. The study population was all dengue hemorrhagic fever patients recorded in medical records in Winongo and Nambangan Lor Villages with a period of January 2023-16 February 2024, totaling 29 cases. The sample used was 54 respondents, with 27 cases and 27 controls. The sampling technique used was purposive sampling, with the inclusion criteria of the case being that the patient had suffered from DHF disease, while the exclusion criteria were that the patient moved residence when the study was conducted. The Data analysis used was a univariate and bivariate analysis using the Chi-Square test. The results show that there is a relationship between the presence of hanging clothes p-value of 0.013 with an odds ratio of 5.091, there is no relationship between the distance from house to house p-value of 0.420 and an odds ratio of 2.841, and there a relationship between the implementation of eradication to prevent dengue fever transmission p-value of 0.029 and an odds ratio of 4.038. The variable with the highest risk for dengue hemorrhagic fever is the presence of hanging clothes. At the same time, the variable that has the most minor risk is the distance between houses. Therefore, it is expected that the Manguharjo Health Center can educate and counsel the community on implementing mosquito’s nest eradication to prevent transmission and minimize dengue cases.
The Impact of Chronic Hypertension, Kidney Disorders, and Employment Status on Preeclampsia in Makassar
Authors: Iskandar Imelda , Syam Azniah , Fitrianingtyas Dwi Elineng , Tajriani Tajriani
Published: December 2024

Preeclampsia is a serious pregnancy complication characterized by hypertension and organ dysfunction, especially the kidneys, which usually appear after 20 weeks of gestation. In Indonesia, preeclampsia is one of the leading causes of maternal and fetal morbidity and mortality. The high maternal mortality rate in this country requires a deeper understanding of the risk factors for preeclampsia in order to formulate more effective and targeted prevention strategies. This study aims to identify the main risk factors for preeclampsia in pregnant women in the Pampang Health Center working area, Makassar City, and to evaluate the influence of these factors on the incidence of preeclampsia. This study used a cross-sectional design involving 200 pregnant women, consisting of 100 women with preeclampsia and 100 without preeclampsia. Taken systematically from medical records for the period 2021 – 2023. Data were collected from medical records and confirmed through interviews if necessary. Data analysis used the Chi-square test with p <0.05. The main findings show that a history of preeclampsia, chronic hypertension, renal impairment, autoimmune conditions, and maternal employment status are significant risk factors for preeclampsia. Working mothers with chronic hypertension had a higher risk of preeclampsia (81.8%) compared to non-working mothers (30.1%). This study highlights the importance of intensive monitoring for mothers with high-risk factors. Working mothers are more susceptible to stress and hypertension, increasing the risk of preeclampsia. A history of autoimmune and renal impairment also shows a strong association with preeclampsia. History of preeclampsia, chronic hypertension, renal impairment, autoimmune conditions, and maternal employment status are significant risk factors for preeclampsia. Recommendations include intensive monitoring, education and support for pregnant women, especially those who work, and further longitudinal studies for a clearer causal relationship. Objective medical validation is needed for subjective variables to improve data accuracy.
Bicycle Tourism Development Model to Increase Community Income in Tourism Villages the Case of Burai Ecotourism Village, Ogan Ilir Regency
Authors: Muhammad Iqbal Djohan  , Sulastri Sulastri , Widiyanti Marlina , Rahman Abdul
Published: December 2024

Sports tourism is booming today fueled by the increasing awareness of health and fitness around the world, resulting in a wide array of sporting events and outdoor recreational activities. One of them is Bicycle tourism, which is developing into one of the increasingly recognized tourist activities. Although it is well-known globally, it has not been packaged well in tourist villages, this potential has not been adequately utilized by the people of tourism villages, furthermore, the completeness of data on the potential of tourism products is also an obstacle to the development of Bicycle tourism product models. This research aims to develop bicycle tourism itinerary products based on tourism village potential prepared with local communities in the Burai tourism village. This research uses a combination method or mixed method with a sequential explanatory design, while the data analysis used is the Miles and Huberman model steps which are interactive, namely, data collection, data reduction, data display, and conclusion. Then the population is tourists visiting tourist villages and the resource persons/informants are: (1) Community Drivers of the tourism sector; (2) Local authorities; and (3) tourists. Data was obtained quantitatively and sampled using the Random Sampling technique. The result of this research is the creation of a light-category and medium-category Bicycle tourism development model and becomes a packaging solution for tourist bicycle products in tourist villages that increase people's income in tourist villages. This research contributes to the form of diversification of tourism products in tourism villages, so that natural tourism attractions, cultural tourism and artificial tourism can collaborate into products that have been made so that the community and further research can be developed on the potential absorption of informal labour that may arise based on needs found in the field.
A chance remark to developments in ortho-k materials
Authors: Conway M. , Eddleston M.
Published: December 2024

This article evaluates the clinical benefits of using a high Dk material such as Optimum Infinite (180 Dk) material in orthokeratology, demonstrating faster myopia correction due to its higher oxygen permeability, which reduces corneal edema.
Influence of perioperative therapy on filtration bleb formation and ophthalmotonus level after glaucoma surgery
Authors: Antonov A. A. , Vitkov A. A. , Makarova A. S. , Poleva R. P. , Vitkova I. I.
Published: December 2024

Introduction. One limitation of glaucoma surgery is its reduced long-term effectiveness due to scarring of intraocular fluid outflow pathways. Appropriate perioperative therapy may extend the hypotensive effect by reducing scarring and improving the filtration bleb. Purpose: to evaluate the effect of perioperative use of Oku-Oku® on intraocular pressure (IOP) and filtration bleb condition in the early postoperative period following glaucoma surgery. Materials and methods. Thirty patients (30 eyes) who underwent non-penetrating glaucoma surgery (NPGS) were studied. The main group (15 eyes) received Oku-Oku® drops twice daily: the day before surgery, immediately before surgery, and for five days postoperatively. The control group (15 eyes) received no additional medication. Tonometry and assessment of conjunctival hyperemia were performed the day before surgery, and at 1 day, 2 weeks, and 1 month postoperatively. Filtration bleb characteristics were assessed using the Würzburg Clinical and Morphological Classification of Filtration Pads at the same time points, except for the preoperative assessment. Results. Glaucoma surgery significantly reduced IOP in both groups. After 1 month, the mean IOP in the main group was lower (15.1 ± 4.1 mm Hg) compared to the control group (17.9 ± 3.3 mm Hg). Conjunctival hyperemia was also lower in the main group (15.4 ± 2.7%) than in the control group (18.0 ± 3.1%). Filtration bleb parameters improved in both groups over time, with the greatest differences observed at 1 day and 2 weeks post-surgery. Conclusion. Perioperative use of Oku-Oku® reduced conjunctival hyperemia in the filtration bleb area during the first month after glaucoma surgery. This early improvement in the intraocular fluid deposition area may enhance the effectiveness of glaucoma surgery. Oku-Oku® can be used in comprehensive preparation for glaucoma surgery and other similar anterior segment procedures.
Dry eye syndrome associated with meibomian gland dysfunction in the context of isotretinoin use: a clinical case
Authors: Kisele A. S. , Maslova E. V. , Trubilin A. V. , Yavorovskaya A. A. , Chernukha V. A.
Published: December 2024

Introduction. Acne is a chronic, recurrent, and inflammatory skin disease that that can have significant aesthetic and psychological impacts on patients. The first-line treatment for acne is isotretinoin, which exerts systemic effect, reducing sebum production and alleviating inflammation However, one of the most common complications associated with prolonged systemic retinoid use is dry eye syndrome, linked to meibomian gland dysfunction, warranting special attention from ophthalmologists. Purpose: to present a clinical case of a patient who underwent four months of systemic isotretinoin therapy for acne and subsequently developed ocular complaints. Methods. Comprehensive ophthalmological diagnostics were conducted, including patient history, biomicroscopy, and corneal staining with fluorescein. Additional assessment included non-invasive tear film breakup time, measurement of tear meniscus height, evaluation of the lipid layer thickness of the tear film, meibography, eyelid margin photography, conjunctival hyperemia analysis, and corneal fluorescein staining. Treatment included various groups drug classes such as moisturizing drops, reparative gels, corneal protectors, and glucocorticosteroids. A therapeutic eyelid massage was also performed. Results. After three months of active therapy, the patient exhibited significant improvement, with a marked reduction in subjective complaints, no corneal epithelial defects, and an increase in tear film breakup time. Long-term symptom remission was achieved after five months of therapy. Conclusion. This case highlights the importance of interdisciplinary collaboration between ophthalmologists and dermatologists in managing patients undergoing long-term systemic retinoid therapy for acne. Comprehensive ophthal- mological assessment using specialized diagnostic methods is essential for accurately evaluating the clinical picture of ocular conditions and administering timely, multi-faceted therapy. This approach enhances patients’ quality of life and helps prevent severe complications.
Intraocular aphakia correction in patients with prior of keratorefractive surgery: literature review. Part 2
Authors: Anisimov S. I. , Kosakovskaya M. V. , Anisimova N. S. , Gavrilova N. A.
Published: December 2024

Introduction. In clinical practice, cataract surgeons are increasingly encountering patients with a history of keratorefractive surgery. According to various studies, one of the key challenges in achieving the desired refractive outcome for these patients is selecting the appropriate formula for intraocular lens (IOL) power calculation. The second part of this review explores the application of different formulas for calculating IOL power, with a focus on specific challenges and potential errors in IOL selection for aphakia correction following previous keratorefractive procedures. The purpose of this second part is to address the issue related to IOL selection and calculation in patients post-keratorefractive surgery, considering clinically significant optical effects and the condition of the anterior surface of the eye, which can influence both postoperative refraction and the duration of the postoperative rehabilitation period. Materials and methods. A review of peer-reviewed publications from the past 30 years was conducted using databases such as PubMed, eLibrary, CyberLeninka, Science Direct, and Google Scholar. The review analyzed 32 articles, predominantly from the last decade. This study provides a detailed analysis of the scientific literature, highlighting the influence of prior keratorefractive surgeries on the success of phacoemulsification with IOL implantation. Results of this second part of the review suggest that using multiple IOL calculation formulas yields more accurate refractive outcomes, minimizing postoperative refractive errors. Additionally, the analysis of IOL selection criteria highlights that IOLs with extended depth of focus (EDOF) demonstrate greater tolerance to decentration, pupil size variations, and higher-order aberrations, facilitating patients adaptation to improved visual quality following cataract surgery. Early diagnosis and effective treatment of underlying dry eye syndrome (DES) can further reduce errors during preoperative diagnostics and enhance patient satisfaction in the post-operative period. Conclusion. Taken together, both parts of this article provide a comprehensive review that, for the first time, brings together key fundamental and clinical aspects of aphakia correction in patients with a history of keratorefractive surgery. Understanding these factors will assist ophthalmic surgeons in selecting optimal treatment strategies to achieve the best possible clinical outcomes for these patients.
Correction of astigmatism with OKVision® FUSION NEW toric soft contact lenses: Fitting algorithm
Authors: Koreshev M. A.
Published: December 2024

Uncorrected astigmatism is one of the most common causes of reduced visual acuity in the world population. The optical system of the eye, in which the presence of clinically significant astigmatism (more than 1.0 D) is detected, is quite common. In the absence of adequate correction or inadequate diagnosis, astigmatism significantly reduces the uncorrected visual acuity of patients, which affects their quality of life. Eyeglass and contact vision correction are the most common methods of non-surgical correction of ametropia. However, according to the data of foreign and Russian studies of the contact astigmatism correction market, the share of toric lenses fitting is only a small part among all prescriptions.

This article is devoted to detailing of the fitting algorithm of new toric soft contact lenses manufactured by OKVision® Fusion NEW Toric and aims to help optometrists to fit this type of lenses more confidently, which in turn will help users to obtain full- fledged vision correction.
Deciphering Investment Decision in Fintech: The Role of Behavioral Bias and Risk Perception
Authors: Cuandra Fendy , Stefhani Susanto  , Hesniati Hesniati , Candy Candy
Published: December 2024

Purpose – This study aimed to investigate the effect of behavioral biases on Indonesian investors using fintech platforms. The roles of blue-chip stock, availability, herding, and overconfidence bias, as well as disposition effect on investment decisions, were examined both directly and indirectly through risk perception.
Methodology – Data were collected via stributing online surveys to over 360 investors between November 2023 and January 2024. Structural Equation Model analysis method was used to evaluate the data.
Results – Availability and blue-chip stock biases positively influence investment decisions and risk perception, while herding bias is insignificant. Overconfidence bias and disposition effect significantly affect risk perception but not investment decisions. Risk perception mediates the significant effects of availability and blue-chip stock biases on investment decisions.
Originality – The study explores the unique role of fintech platforms in shaping investment decisions, extending beyond traditional analyses of investor psychology. Prospect theory was applied as a theoretical lens to examine the effect of specific behavioral biases on investment decisions and risk perception within the Indonesian fintech context.
Relationship Between Job Embeddedness and Employee Work Engagement with Leader-Member Exchange and Person–Organization Fit as Predictors: Evidence from North Sumatra
Authors: Efendi Efendi , Romy Elly , Krishnan Ramesh , Sudirman Acai
Published: December 2024

Purpose – This research aimed to analyze relationship between leader-member exchange, person-organization fit, and perceived organizational support on employee work engagement.
Methodology – The samples comprised 200 civil servants in North Sumatra Province. Data were collected from an online survey using a 5-point Likert scale following a non-probability with a purposive sampling method. Data obtained were analyzed using Smart-PLS through Structural Equation Modeling (SEM).
Findings – The results showed that job embeddedness, person-organization fit, and perceived organizational support significantly affected employee work engagement, while leader-member exchange did not have a significant effect.
Originality – This research contributed significantly to the literature on work engagement of civil servants in North Sumatra Province. Although the literature on work engagement has developed significantly, research that specifically pays attention to the population of civil servants in this area is limited. The results provide a deeper understanding of the factors influencing work engagement, offering insights into the unique local context and specific characteristics that may affect relationship between the variables.
Simulación de ataques phishing y Planes de Concienciación aplicables al ámbito empresarial – Un enfoque práctico para mejorar la resiliencia organizacional
Authors: Cabezas-Molina Esthela Maribel , Fiallos-Aguilar Hugo Christiam
Published: December 2024

El estudio evaluó la efectividad de las simulaciones de ataques de phishing y planes de concienciación para reducir la vulnerabilidad de los empleados ante ataques cibernéticos en una pequeña empresa. Utilizando una muestra de 100 empleados, se analizaron las mejoras en la detección de correos fraudulentos y el tiempo de respuesta tras una serie de simulaciones y programas de formación. Inicialmente, los empleados tenían una tasa de clics en enlaces maliciosos del 65%, que se redujo al 20% tras la intervención, validado por un análisis de regresión y pruebas T con un p-valor menor a 0.001. El tiempo de respuesta mejoró de un promedio de 50 a 20 minutos. El análisis reveló que la edad, experiencia laboral y acceso a información sensible impactaron la capacidad de respuesta, con mejores resultados en empleados jóvenes y tecnológicamente experimentados. Aunque la concienciación redujo la vulnerabilidad, persistieron riesgos asociados al comportamiento humano, sugiriendo la necesidad de formación continua y soluciones tecnológicas automatizadas. A pesar de las limitaciones de la muestra, los resultados indicaron que las simulaciones de phishing y programas de formación personalizados son herramientas valiosas para mejorar la seguridad cibernética. Se recomienda que las empresas implementen planes de concienciación dentro de estrategias integrales de ciberseguridad, ajustándolos a las características demográficas y niveles de responsabilidad de los empleados, y que futuras investigaciones aborden empresas más grandes y diversos tipos de ataques cibernéticos. El estudio concluye que estas estrategias efectivamente mejoran la capacidad de respuesta y detección de amenazas, construyendo una cultura organizacional más resiliente frente a la ciberseguridad.