bluuebunny/crossref_metadata_2025 huggingface dataset:
EXPLORING THE CHALLENGES OF DIGITAL TEXTBOOKS IN READING COMPREHENSION
Authors: Ningsih Ariyanti Abi , Weganofa Riza , Mafulah Siti
Published: January 2024

Reading is a crucial skill that contributes to the language, mind, social, and cultural development of students. In addition, in the digital era technology is widely found and can be used properly. Digital textbooks have become an inevitable part of leisure time, study assignments, and work duties, facilitating online learning and blended learning. But there are also individuals who reject the existence of new technology. This study highlights the challenges of digital textbooks in reading comprehension. This study utilized literature review research, which is a survey of scholarly sources on a specific topic. The researchers reviewed 24 articles published between 2018 and 2023 from ERIC Journal and Google Scholar, analyzing the content and information in the articles. The study found that digital textbooks can impact students' focus ability, as they can be easily distracted by social media, notifications, and web browsing. This could explain why paper-based media appears to favor reading comprehension in unsupervised settings where learners are less exposed to such distractions. The use of digital textbooks must be accompanied by information literacy from digital technology. Digital textbooks offer a new experience in reading, but they also present challenges in terms of social-economic status, focus ability, and information literacy.
ANALASIS KESALAHAN PELAFALAN HURUF VOKAL Ü [y] OLEH MAHASISWA FARMASI UNIVERSITAS MA CHUNG
Authors: Hermawan Patricia Putri , Sitaresmi Dhatu
Published: January 2024

Teknik pelafalan huruf vokal dalam bahasa Mandarin dipengaruhi oleh bentuk mulut dan posisi lidah. Hal ini yang menjadi salah satu kesulitan bagi pemelajar terhadap cara melafalkan huruf vokal dalam bahasa Mandarin. Oleh sebab itu, penelitian yang berkaitan dengan teknik pelafalan huruf vokal bahasa Mandarin awalan ü perlu dilakukan. Sumber data penelitian ini adalah mahasiswa program studi Farmasi A yang berjumlah 24 orang. Data dalam penelitian ini adalah hasil bentuk kesalahan pelafalan mahasiswa dalam mengucapkan huruf vokal awalan ü. Teknik pengumpulan data dengan menggunakan tes lisan dan wawancara. Setelah data terkumpul, teknik analisis data dilakukan melalui metode padan fonetis artikulatoris dengan teknik dasar pilah unsur penentu. Berdasarkan penelitian yang sudah dilakukan ditemukan 11 (sebelas) data kesalahan pelafalan yang dikelompokkan menjadi tiga bentuk kesalahan yaitu 72% responden salah melafalkan ke dalam bentuk合口呼(hékǒuhū), 27% responden salah melafalkan ke dalam bentuk齐齿呼 (qíchǐhū), dan 1% responden salah melafalkan ke dalam bentuk开口呼 (kāikǒuhū). Kesalahan pelafalan tersebut disebabkan oleh dua faktor, yaitu 1) kurangnya latihan pelafalan bahasa Mandarin, hal ini dipengaruhi oleh pengaruh bahasa ibu dan jadwal pertemuan kelas responden yang padat; 2) kurangnya mengenali persamaan dan perbedaan pelafalan bahasa Mandarin.
A COGNITIVE STYLISTIC ANALYSIS OF LEWIS CAPALDI'S SONG “SOMEONE YOU LOVED”
Authors: Simanjuntak Windy Octalin , Saragih Silvia Efani , Manurung Rifdah Aatikah , Sihotang Tiarma , Alivia Cut Putri , Rangkuti Rahmadsyah
Published: January 2024

Cognitive stylistics is a branch of linguistics that focuses on the study of how language and literature interact with human cognition and mental processes. This study presents a cognitive stylistic analysis of Lewis Capaldi's song "Someone You Loved." This study aims to explore the cognitive processes and stylistic features employed in the song's lyrics. This research uses a descriptive qualitative method by focusing on, highlighting, and analyzing each lyric in the song. The results of this study show the coherence among figures of speech used in the song. In conclusion, this study contributes to understanding how cognitive processes and stylistic choices intertwine in constructing emotional narratives within song lyrics.
Effect of enrichment on gamete production, gamete quality, and spawning coloration in hormonally induced redside dace Clinostomus elongatus
Authors: Watt AM , Mokdad AI , Pitcher TE
Published: January 2024

Due to the alarming rates of freshwater fish extinctions, urgent action is needed to develop captive breeding programs for imperiled species and enhance existing practices to improve reproductive outcomes. Here, we investigated the effects of enrichment on gamete production, quality, and spawning coloration following hormone injection (i.e. carp pituitary, gonadotropin) in the endangered redside dace Clinostomus elongatus, a sexually dimorphic, presumably obligate nest parasite. C. elongatus were reared in either a non-enriched environment (i.e. barren) or an enriched environment (i.e. substrate, plants, and spawning nest-building hosts) for 1 yr prior to hormone induction. We found no differences in the proportion of free-flowing gamete expression between male and female C. elongatus in the non-enriched and enriched environments. However, males reared in enriched environments had higher sperm motility, while among females, there was no significant difference in egg diameter. Furthermore, enrichment was found to influence spawning coloration, with males and females reared in enriched environments displaying redder hues compared to those reared in non-enriched environments prior to hormone induction. However, post hormone injection, no significant differences in red coloration were observed between non-enriched and enriched males and females, indicating that hormone induction improved coloration in non-enriched fish. This study highlights the effect of enrichment on gamete production, quality, and spawning coloration and provides information for captive breeding C. elongatus. These findings provide valuable insights into the potential of enrichment and induction techniques to enhance reproductive outcomes when captively breeding endangered species of fishes.
Current water pollution status at an important wintering site of the black-faced spoonbill Platalea minor in Xinghua Bay, south China
Authors: Jia R , Zhang G , Yang Z , Yu X
Published: January 2024

Xinghua Bay is one of the largest wintering sites of the black-faced spoonbillPlatalea minorin mainland China. The ecosystem of Xinghua Bay has shown a deteriorating trend with the increasing pressure of economic development in recent decades. To understand the current conservation status of the wintering spoonbills in Xinghua Bay, we collected water samples along the coast of Xinghua Bay and important spoonbill habitats during the wintering period to analyze the pollution degree of 7 target heavy metals and organics. The Nemerow pollution index (NPI), heavy metal pollution index (HPI) and contamination degree (CD) were used to assess the heavy metal pollution levels. The ecological risk index of a target heavy metal (Efi) and potential ecological risk index of all target heavy metals (RI) were used to assess the ecological risk of heavy metals levels in Xinghua Bay. Positive matrix factorization (PMF) was used to determine the sources of heavy metals in coastal waters with the EPA PMF5.0 model. The results showed that there was moderate to very heavy pollution by heavy metals and moderate associated ecological risks in Xinghua Bay, in which Hg and Cd were the major heavy metal pollution sources, and the level of organic pollution was of serious concern. The use of fertilizers for cultured shellfish and aquaculture in and around the bay were the major cause of the excessive nitrogen and phosphorus levels, and factories surrounding Xinghua Bay were the major sources of heavy metals and organic pollution. We propose conservation measures to increase black-faced spoonbill population and enhance its habitats.
Brain Battles
Authors:   , Lutters Bart Theodoor Hubertus
Published: January 2024

This dissertation explores the history of neurosurgery from multiple perspectives –
national and international, internalist and externalist, long-term and temporally-focused
– thereby seeking to do justice to the diversity of authorial voices that characterize the
historiography of this medical specialty. At a more fundamental level, the dissertation
draws on the history of neurosurgery as a case study to analyze the historiographic
divide between physicians and professional historians that characterizes the history
of medicine more broadly. To accomplish this goal, this dissertation comprises three
chronologically organized parts, each containing one chapter that conforms to the
medical historiographic culture of physicians and one that conforms to the medical
historiographic culture of professional historians. Together, the chapters paint a
colorful picture of neurosurgery’s past while simultaneously exposing the profound
historiographic schism that cleaves the history of medicine.
Following the six chapters, the theme of the divergent medical historiographic
cultures of physicians and professional historians will be revisited in the discussion.
Here, the numerous medical-historiographic differences will be untangled based on a
comparative analysis of two of the chapters of the dissertation and personal reflections
on several revealing interactions with physicians and professional historians. The
discussion will conclude with a series of recommendations to start bridging “the two
cultures” in the history of medicine. These recommendations include the creation
of common ground, fostering intellectual exchange, facilitating interdisciplinary
education, and exploring innovative research methods and outreach strategies. As a
whole, the dissertation seeks to address an audience of healthcare professionals and
professional historians. While healthcare professionals may be naturally drawn to the
technical chapters and professional historians to the more contextualized chapters,
those who gravitate towards one half of the dissertation are invited to read the other
half. The recommendations put forth in this dissertation are neither exhaustive nor
final; others are invited to join the conversation and to contribute to a future history
of medicine that is not only attentive to the greatest possible variety of voices from
the past but also celebrates diversity among its own ranks in the common pursuit to
reconstruct medicine’s multifaceted past to the benefit of humanity.
Nasal epithelial cells as model for cystic fibrosis
Authors:   , Rodenburg Lisa Willemijn
Published: January 2024

Cystic fibrosis (CF) is an inheritable disease in which the chloride channel CFTR does not function properly. This leads to the formation of thick, sticky mucus, causing problems in multiple organs, particularly in the lungs, and can result in premature death. CF is caused by a DNA mutation in the CFTR gene. Approximately 80% of individuals with CF are eligible for CFTR-repairing drugs, depending on their mutation type. However, due to the exorbitant cost of these drugs, only 12% of people with CF receive this therapy. The effectiveness of (new) drugs for CF can be tested in the lab by modeling water and salt transport in cultured cells. In this thesis, we developed protocols for culturing nasal cells and nasal organoids (3D mini-organs), obtained from a simple nose brush, as model for CF. We utilized these nasal organoids in the forskolin-induced swelling (FIS) assay to predict individual responses to the currently available drugs. Additionally, we used the nasal organoids to identify drugs that activate alternative chloride channels other than CFTR. This could serve as an alternative therapy to restore salt and water transport, irrespective of the type of mutation. We discovered drugs that induce fluid transport in the nasal organoids, but it remains unknown by which ion channel they operate. Furthermore, we investigated the differences between cultured nasal and bronchial cells to understand the representativeness of nasal cells for the lower airways, where most symptoms in people with CF occur.
Developments in Knee Distraction
Authors:   , Struik Thijmen
Published: January 2024

Osteoarthritis is a common disease in which patients experience joint pain and functional limitations. In knee osteoarthritis, the bone and cartilage are often damaged. Serious damage at older age is often treated with knee arthroplasty. For younger patients (<65 year), treatment options are very limited. Knee distraction is a new surgical technique that has achieved good treatment effects for these younger patients in previous clinical studies. However, no dedicated medical device was available for additional research and implementation of knee distraction in clinical practice.

This research describes the development of, and the first investigations with, a knee distractor as a new medical device specifically intended to apply knee distraction. The characteristics required for a knee distractor to make its use clinically effective have been investigated. We also looked at how these properties could be translated into a product that is clinically applicable and makes it easier for the patient and the surgeon to make knee distraction part of standard care. The steps taken to get from concept to a pre-clinical prototype and ultimately to a medical device are part of the thesis. The developed dedicated knee distractor has been applied in a first clinical study of which the results have led to a broader clinical evaluation that may enable the eventual implementation of this surgical technique as a treatment for knee osteoarthritis in clinical practice.
Numerical methods in financial mathematics with applications to option pricing and anomaly detection
Authors:   , Souto Arias Luis Antonio
Published: January 2024

In the wake of the 2008 global financial crisis, financial institutions confront intricate mathematical challenges in managing diverse risks. While many proposals to tackle these challenges can be found in the academic literature, some prove impractical due to high computational costs.

Furthermore, risk priorities vary among financial entities. Pension funds and insurers may emphasize mortality risk, tied to unexpected deviations in policyholders' lifespans. Conversely, banks, dealing with stocks and interest rates, prioritize market risk, particularly in the face of sudden asset price fluctuations known as "price jumps."

Addressing modern concerns, many financial institutions also invest in Anti-Money Laundering infrastructures, deploying anomaly detection algorithms to discern legitimate from illicit transactions. These algorithms, falling under the data mining category, seek anomalous observations deviating from normal transaction patterns.

The thesis responds to these challenges, striving for practical and accurate alternatives. Regarding mortality risk, it explores novel solutions for joint and survivor annuity pricing based on urn models, considering correlations in lifetimes. The proposed method also handles incomplete data, a common occurrence in survival studies.

With respect to market risk, the thesis analyzes a novel jump-diffusion asset price model that embeds contagion effects: jumps on the asset price trigger further jumps, simulating the arrival of news in the market.

Finally, the thesis proposes a new anomaly detection algorithm, combining ideas from different methods, that is parameter-free. An explanation method is also introduced in order to understand why certain transactions are flagged as anomalies.
Effect of nitric oxide donors on isoprenaline-induced lipolysis in rat epididymal adipose tissue: studies in isolated adipose tissues and immobilized perfused adipocytes
Authors: Lincová D , Mišeková D , Kmoníčková E , Canová N , Farghali H
Published: January 2024

The present investigation was directed to study the effect of in vitro or ex vivo NO donors, sodium nitroprusside and molsidomine, using isolated sliced adipose tissue or in the form of immobilized and perfused adipocytes on the basal and isoprenaline-stimulated lipolysis. The results demonstrated that 1) in vitro application of sodium nitroprusside to perfused adipocytes or molsidomine to sliced adipose tissues affects isoprenaline-induced lipolysis in two ways, an increase in lipolysis at low isoprenaline concentrations (which means the sensitization of adipose tissues to adrenergic effect by NO) and decreased adrenergic agonist-stimulated lipolysis at higher concentration of isoprenaline (a decrease in the maximum lipolytic effect of isoprenaline), 2) low concentrations of molsidomine alone induced lipolysis from adipose tissue which attained more than 60 % of that by isoprenaline (pD2 value for molsidomine = 11.2, while pD2 for isoprenaline = 8.17) while sodium nitroprusside did not affect the basal lipolysis significantly, 3) in vivo administration of molsidomine for 2 days reduced the maximum lipolytic effect of isoprenaline and (only non-significantly) increased the sensitivity to low doses of isoprenaline. In conclusion the present data demonstrate that NO plays an important role in adrenergic lipolysis in adipose tissues and further investigations are needed to unravel the exact role of NO in lipolysis.
Cardiovascular system of offsprings of hypertensive rats with defective nitric oxide production
Authors: Gerová M , Bernátová I , Török J , Juráni M
Published: January 2024

The question was addressed of how nitric oxide synthase (NO synthase) inhibition-induced hypertension in rat parents would affect the cardiovascular system in their offsprings. Two experimental groups were set up: Group I - offsprings of parents who had both been administered NO synthase inhibitor L-nitro-arginine methyl ester (L-NAME 40 mg/kg/day) for 5 weeks, the treatment of dams continued till week 12. Group II - offsprings fed by dams administered L-NAME after delivery only for a period of 4 weeks. Control age-matched offsprings formed the third group. Blood pressure and heart rate in parents and in 3-week-old offsprings were determined noninvasively. In the offsprings, body and heart weight were measured and the heart/body weight ratio (HW/BW) was calculated. The NO synthase activity, and also ornithine decarboxylase activity as a marker of polyamine production, were determined in the heart. The acetylcholine-induced relaxation of aortic rings was also followed. A marked blood pressure increase with a tendency to a decreased heart rate was found in the offsprings of Group I. A significant decrease in heart weight and body weight with a decreased HW/BW ratio indicated cardiac hypotrophy that contrasted with the decrease in NO synthase activity and increase in ornithine decarboxylase activity in the heart. Noteworthy was also the finding of completely preserved relaxation of the aorta to acetylcholine. Offsprings of Group II were similarly characterized by significantly higher blood pressure, a tendency to decreased heart rate, a decrease in heart weight, but not of the HW/BW ratio. The contrasting findings of heart weight decrease on the one hand and NO synthase activity decrease and ornithine decarboxylase increase on the other, were also found in this group. Full relaxation of the aorta to acetylcholine was preserved. It can be concluded that remarkable alterations in the cardiovascular system were found in offsprings of hypertensive NO compromised parents.
Work Performance in Improving the Public Service Quality
Authors: Abbas Muhammad Natsir , Rahmadanita Annisa
Published: January 2024

The insufficient public knowledge in Semuntai Village, Long Ikis District, Paser Regency, regarding the completeness of service application files results in delays, compelling community members to make multiple visits. This qualitative descriptive study aimed to analyze employee performance in improving public services. Interviews with employees and community members, coupled with observations and document analysis, revealed commendable skills in technology, data processing, societal understanding, and public speaking, despite discrepancies in employee placement based on knowledge. Employee discipline, especially concerning office hours, needs improvement, yet personal efforts to enhance work quality through technical guidance and workshops are evident. Persistence in task execution is notable. In terms of work dimensions, cost-saving practices are in place, but punctuality issues persist, and while technology proficiency is noteworthy, deficiencies remain in supporting facilities and infrastructure. Overall, Semuntai Village employee performance is fairly good, with areas such as discipline, skills, time flexibility, and infrastructure support identified for improvement in public service delivery.
Village Officials’ Competence in Digital-Based Services Using E-Office in Mekarwangi Village, Sumedang Regency
Authors: Nangameka Teresa Irmina , M P Hilmy Rahayu , Rahman Aditya
Published: January 2024

The implementation of new applications to support organizational work, integral to the adoption of SPBE in Indonesia, often encounters a lack of readiness among management officials. This challenge extends to the village level, the lowest tier of government, where the introduction of the E-office as a digital-based administrative service represents both a breakthrough and a formidable hurdle for village officials unfamiliar with information technology. This study aims to assess the competence of the village officials in facilitating the operationalization of the E-office and proposes strategies to enhance their digital service proficiency, focusing on Mekarwangi Village in Tomo District, Sumedang Regency. Employing a descriptive qualitative research approach, data collection involves interviews, observations, and documentation, with data triangulation as the analytical technique. The study reveals that the competence of the Mekarwangi Village officials is currently minimal, primarily due to a lack of adequate education, training, and insufficient support from local or central governments in providing facilities for enhancing the officials' competence in managing village potential data—a critical aspect of E-office operations. In response, the Sumedang government is actively addressing this issue by regularly conducting training and socialization programs on online-based services, specifically the village E-office, for village officials and communities. Efforts have been made to improve the quality and quantity of supporting infrastructure, such as internet network capabilities and the availability of laptops. To foster competitiveness among villages, the government is also instituting awards for those successfully implementing the E-office, accompanied by guidance for villages facing challenges in its optimal operation.
Model Analysis of Civil Servant Requirement in the Human Resources Development Agency (BKPSDM) of Balikpapan City
Authors: Hadijaya Isman , Anggraeni Rinny Dwi
Published: January 2024

At present, there is an ongoing assessment of competency development requirements at the organizational level within the Balikpapan City BKPSDM unit. The findings of this examination delve into the necessity for competency development at the organizational level, scrutinizing the challenges and future issues faced by BKPSDM. The analysis involves the meticulous collection of data and information pertaining to the unit's challenges. These findings serve as a foundation for evaluating the individual competency development needs of each employee based on their respective roles. To enhance the professionalism of civil servants (ASN), the government must implement strategies such as aligning Civil Servants with their respective fields of expertise to maximize productivity. Furthermore, it is imperative for the government to uphold a conducive organizational environment to mitigate external influences on ASNs. A transparent and effective recruitment system, currently operating on a merit basis, is essential. However, relying solely on the merit system is insufficient; individuals must demonstrate a willingness to embrace change and take on responsibilities with dedication. The proposed model for competent state civil servants at Balikpapan City BKPSDM is the Quantum Leadership Model, encompassing five key follower roles: strategic implementor, follower as the leader, source of information, feedback provider, and friends and partners. These roles emphasize the multifaceted responsibilities of civil servants in executing strategic initiatives, showcasing leadership qualities, providing information, offering feedback, and fostering collaborative relationships. Additionally, meeting the demands for transparency in governance underscores the need to reinforce public relations and work relations, especially in the face of global competition.
PERSEPSI PETANI TERHADAP VARIETAS UNGGUL KOMODITI JAGUNG MEREK BISI DI KELURAHAN BONTOKADATTO KECAMATAN POLONGBANGKENG SELATAN KABUPATEN TAKALAR
Authors: Maulana Rabbi , Zulkifli  , Andi Rahayu Anwar
Published: January 2024

Penelitian ini bertujuan untuk melihat persepsi petani terhadap varietas unggul komoditi Jagung merek Bisi 18 di Kelurahan Bontokadatto Kecamatan Polongbangkeng Selatan Kabupaten Takalar. Metode yang digunakan dalam penelitian ini adalah deskriptif kualitatif dengan menggunakan skala liker. Jagung hibrida merek Bisi 18 yang ada di Kelurahan Bontokadatto Kecamatan Polongbangkeng Selatan Kabupaten Takalar sebanyak 100 orang petani,  pengambilan sampel 25 persen dari populasi sehingga peneliti mengambil 25 orang untuk dijadikan sampel. Persepsi petani dalam pengelolaan usahatani Jagung hibrida merek Bisi 18 di Kelurahan Bontokadatto Kecamatan Polongbangkeng Selatan Kabupaten Takalar terbilang baik, mulai dari terjangkaunya benih, pengelolaan usahatani dan pendapatan semua dalam kriteria tinggi, menunjukkan bahwa hadirnya Jagung merek Bisi 18 diterima oleh petani di lokasi penelitian. Saran yang diharapkan sepeti penyuluhan dengan melibatkan semua anggota kelompok tani untuk menambah wawasan berusahatani. Berdasarkan hasil penelitian menunjukkan bahwa secara umum rata-rata persepsi anggota kelompok tani dalam usahatani Jagung hibrida merek Bisi 18 di Kelurahan Bontokadatto Kecamatan Polongbangkeng Selatan Kabupaten Takalar dengan tersedianya benih Jagung hibrida merek Bisi 18 berada pada kriteria tinggi (2.42),  persepsi petani terhadap pengelolaan usaha tani berada pada kriteria tinggi (2.56), dan persepsi petani terhadap pendapatan berada pada kriteria tinggi (2.62).
Profiles for Swedish as a Second Language: Lexis, Grammar, Morphology
Authors: Volodina Elena , Alfter David , Tiedemann Therese Lindström
Published: January 2024

This article gives a short introduction to the Swedish Second Language Profile, a tool that visualizes language in Swedish learner corpora from different angles, such as vocabulary, grammar and morphology. The tool is aimed at research on Second Language Acquisition, development of NLP models, teaching of Swedish as a second language, automatic approaches for second language teaching and learning, and at a number of other fields.
Development of Health Education Media About Cultural Practices of The Palu Indigenous Culture Related to Breastfeeding for Postpartum Women Who Have Been Caring at Home
Authors: Jurana Jurana , Masulili Fitria
Published: January 2024

The practice of providing appropriate breastfeeding for the first 6 months of life is the most important and cost-effective thing to reduce morbidity and mortality rate toward children. However, the obedience of exclusive breastfeeding in some of countries  has not been satisfactory, so need the efforts to be done to increase its coverage. This study aims to develop and produces the health education media for cultural practices of the Palu indigenous culture related to breastfeeding for postpartum women who have been caring at home in Sigi Regency of Palu district in the form both of Kaili and Indonesian languages modules. This research is qualitative research with an ethnographic approach through two stages, namely: Phase I; Identification of cultural that influence the success of exclusive breastfeeding, Phase II; Development of health education media as a solution to the problem of an exclusive breastfeeding culture. The informants were taken by snowball method with a total seventeen of postpartum women, one  informan key was from  the community (Dukun), and one coordinator was the public health care nurse at the Biromaru Public Health Center. Data analysis in this ethnographic research is to find out the cultural themes, namely verbatim, keywords, and categories. The categories are the same and related to the sub-themes and the last step is to determine the theme itself. The research results is Phase I, Identifying both of myths and cultures that influence exclusive breastfeeding that still very well maintained, lack of womens' knowledge and womens' attitudes want to providing the exclusive breastfeeding. Phase II: development of health education media as a solution to the problem of exclusive reastfeeding culture based on the results of the phase I research. The conclusion is This study has developed a health education media related to the cultural practice of the Kaili tribe regarding exclusive breastfeeding to postpartum women  who have been caring  at home in Sigi Regency Palu district in the form both of Kaili and Indonesian language modules. In order to implement exclusive breastfeeding promotion media, by integrating it into the public health care program (Perkesmas), for maternal and child health programs and it need to involve community leaders by a cultural perspective.
Analysis of the Use of Website-based Couple Therapy Module in TB Patients in Coastal Areas
Authors: Muhsinah Sitti , Rini Dewi Sartiya , Wijayati Fitri
Published: January 2024

The Couple Therapy module is based on the website as a form of intervention for TB patients in dealing with sexual needs.  Key components of this web-based couple therapy module include programme content, use of multimedia, interactive online activities, and provision of feedback support. This study aimed to analyze the use  of a website-based Couple Therapy Module on Pulmonary TB patients in the Coastal Area of Nambo District. The method used in this study is a combined research/combination of quantitative and qualitative (mixed-method), namely concurrent triangulation design (a balanced mixture of quantitative and qualitative) with a total of 20 respondents. The results of the study quantitatively showed that the couples therapy website had a positive impact marked by 90% of respondents stating that the website is easily accessible, has an attractive appearance, updated information and is interactive because it provides online consultation features. This is confirmed by participants' expressions regarding participants' perceptions of this website. Positive perception shows the expression of participants stating that the website is easily accessible, attractive display, fast access to information and interesting information. Negative perceptions show the expression of participants stating that it is difficult to open the website. The conclusion of this study is that website-based educational media is one of the right solutions in transferring health information to pulmonary TB patients.
Increased Levels of The Hormone Prolactin Through Complementary Treatments (Breast Care) and Spiritual Approaches (Qur'anic Murottal)
Authors: Ahmad Mardiana , Katili Tressan Eka Putri S. , Arsyad Nur Aliya , Riyandani Rika , Juwita Juwita , Sukarta Asma
Published: January 2024

Breast milk is the best natural nutrition for babies and is needed during the first six months of a baby's life. Breast care and Al-Quran Murottal are methods for increasing prolactin hormone levels, and can also reduce the release of stress hormones, which are very important when mothers are breastfeeding. Quasi-experimental (quasi-experiment) with the approach used is a pre-test post test control group design, namely, research that uses a control group to be used as a comparison between pretest and posttest. The sample was obtained using a purposive sampling technique with a total of 39 postpartum mothers divided into (13 postpartum mothers in the breast care group, 13 postpartum mothers in the Murottal Al-Quran group, and 13 postpartum mothers in the control group). Prolactin hormone levels were measured before and after treatment. Data were analyzed using paired t-test and linear regression. The results showed that the breast care group had a value of p= 0.007<0.05, the Al-Quran mental group had a value of p=0.011<0.05, and the control group had a value of p=0.154>0.05. showed that the breast care group and Al-Quran murotal had an influence on prolactin hormone levels, whereas the control group had no influence on prolactin hormone levels. In conclusion, Breast Care and Murottal Al-Quran can be used to increase prolactin hormone levels in postpartum mothers so that postpartum mothers do not need to be confused about how to increase breast milk production.
The Impact of Environmental and Behavioral Factors on the Incidence of Dengue Hemorrhagic Fever in Indonesia: Meta-analysis
Authors: Muhamad Fadel T. , Azizah R.
Published: January 2024

Cases of dengue fever in Indonesia will increase to 143,000 by the end of 2022. The aim of the research is to examine the impact of environmental and behavioral factors on the incidence of dengue hemorrhagic fever in Indonesia. This research uses the Meta-Analysis Method with PICOS technology. Some sources of information used include Google Scholar, Research Gate, and Plos ONE, with the help of keywords such as "Environmental factors" and "Behavior." 193 articles were obtained, 151 articles came from Google Scholar, 37 articles from Research Gate, and 5 articles from Plos ONE. The articles obtained were filtered using inclusion criteria such as articles that had a 2x2 table, and discussed dengue fever and behavior with the number of selected articles being 21. At the screening stage, researchers used a cross-sectional research design. JASP application version 0.16.3.0 was used to process meta-analysis data. The key findings show that the habit of hanging clothes has a 2.386 higher risk as a cause of dengue hemorrhagic fever, with the pooled OR value as follows e0.87 = 2.386 (CI 95% 0.17-1.57). The presence of larvae has a risk of 2.075 for dengue fever with the following pooled value e0.73 = 2.075 (CI 95% 0.12-1.33). Meanwhile, the 3 M movement has a risk of 0.406 for the incidence of dengue fever with the following pooled value e-0.90 = 0.406 (CI 95% -1.66-0.15). the conclusion is There is an influence of the habit of hanging clothes, the presence of larvae and the 3M movement on the incidence of dengue hemorrhagic fever.
The Relationship Between Levels of Anxiety and Family Support with the Selection of Birth Attendants
Authors: Nurhikmah Nurhikmah , Arsyad Nur Aliya , Muliyana Muliyana , Azis Reskiawati
Published: January 2024

One of the psychological problems experienced by many pregnant women is their anxiety about choosing a birth attendant. This study aimed to analyze the influence of anxiety levels and family support on the selection of birth attendants. This study used a quantitative observational design and a cross-sectional approach. This study was carried out from November to December 2021 at the Bontomarannu Community Health Center, Gowa Regency, with a sample size of 32 pregnant women. Purposive sampling was used. The results of the study using the chi-square test showed that the level of anxiety was p = 0.007 and family support was p = 0.003 <a = 0.05. twelve pregnant women received poor family support, four (33.3%) respondents were good, and eight (66.7%) pregnant women were not good at choosing birth attendants, of the 32 respondents, 22 were pregnant women with mild levels of anxiety, 15 (68.2%) were good at choosing birth attendants, and 7 (31.8%) were not good. This means that there is a relationship between the level of anxiety and family support, and the choice of birth attendant. It is hoped that pregnant women who are anxious about choosing a birth attendant will always receive more assistance, whether from the family or a midwife so that there is no prolonged anxiety. Midwives are advised that in carrying out any midwifery care, they can identify problems and take action quickly and precisely, especially in carrying out ANC examinations for patients who are preparing for childbirth
Predisposing Factors in Preventing The Transmission of Drug-Resistant TBC: A Qualitative Study in Jember
Authors: Atmawati Siti Dwiana , Fajrin Fifteen Aprila , Mufida Diana Chusna
Published: January 2024

Drug-Resistant Tuberculosis (DR TB) is a form of tuberculosis caused by Mtb bacteria resistant to anti-tuberculosis drugs (OAT). The prevalence of DR TB in Jember has significantly increased over the years, and many still refuse treatment. These individuals actively spread the bacteria to people at home or in the workplace. This research aims to identify predisposing factors in preventing the transmission of DR TB based on knowledge, attitudes, and beliefs. It is a qualitative case study involving primary subjects, DR TB patients, additional information from patient support organizations, and health department officials in Kab. Jember. The criteria for research subjects are residing in Kab. Jember, undergoing treatment, and willing to participate. The subject selection technique uses purposive sampling, resulting in 10 individuals. Data collection techniques involve in-depth interviews and observations. Data presentation follows the guidelines of Milles and Huberman, employing Thematic Content Analysis (TCA) for analysis. Data validity checks use credibility and dependability tests with source and technique triangulation. The research results indicate varying knowledge among subjects regarding DR TB prevention, with most obtaining information from healthcare professionals and patient support. In terms of attitude perspectives, all subjects show a positive response, expressing willingness to prevent DR TB transmission. Belief perspectives reveal diverse actions in DR TB transmission prevention. Most trust advice from healthcare professionals and patient support, while a minority still believe in herbal treatments and the culture of "tirah" to support TB treatment. In conclusion, knowledge, attitude, and belief perspectives are positive, but there is room for improvement in the behavior of implementing DR TB transmission prevention measures.
Formulation, Dosage, and Exposure Time of Natural Substances in Controlling Aedes aegypti Larvae
Authors: Ahyanti Mei , Yushananta Prayudhy
Published: January 2024

The incidence of vector-borne diseases in Indonesia, particularly Dengue Hemorrhagic Fever (DHF), continues to escalate. This surge correlates with climate change, the extreme transition from hot to rainy seasons. The use of synthetic chemicals for control measures can also poses environmental risks; hence, there is a necessity to explore natural control methods by harnessing the biodiversity of plant species within the environment. This research aims to assess the effectiveness of botanical extract mixture on the mortality of Aedes aegypti larvae.  Method: This study utilizes an experimental design with a complete factorial random arrangement, which aimed at elucidating the effectiveness of plant extract as a bio-larvacide against Aedes aegypti mosquitoes. The effectiveness is measured through larval mortality rates based on a formulated equation, with dosage and exposure time as the research variables. The research was conducted in the Environmental Health Departement Laboratory at Health Polytechnic of Tanjungkarang from March to July 2023. The observational sheet serves as the instrument The collected data are processed and analysed using ANOVA to discern variations in larva mortality based on the formula, linear regression is applied to explore the influence of dosage and exposure time on larva mortality. Result: The result of this study exhibits that the most efficacious formulations to terminate larvaes  were determined to be the 9th, 10th, and 11th formulations.  Furthermore, an extended exposure time correlates with the escalating rate of larval demise. The statistical model prosperously accounts for 88,59% of the variability in the response pertaining to Aedes larval mortality.  Conclusion: This study discerns that individually, the formula, dosage, and exposure time, also demonstrates an impact on larval death. This study unveils that an insecticidal formula derived from soursop leaves yields a higher mortality effect compared to formulations based on other materials.
Digital Variation of Machine Learning Through Basic Diagnostic Test Application Approach: an Integrative Literature Review
Authors: Sanatang Sanatang , Ismail Muhammad Aqmal
Published: January 2024

Electronic Medical Records (EMRs) are digital applications of machine learning models that function to receive and store clinical data related to medical information for the purposes of basic clinical diagnostic tests. The integrative review aims to provide a synthesis of new findings from several articles on EMRs for the early detection of basic clinical diagnoses with a variety of existing populations. Using four databases, we reviewed 11 articles. All authors involved review abstracts and full text according to predetermined criteria. The selected articles are then integrated into the publication quality assessment matrix, further included in machine learning algorithms for diagnostic determination of the disease. Reviewed articles are excluded in the form of artificial intelligence. The PRISMA flowchart identified 1962 articles and the final selection found 11 articles. Circulating system networks dominate machine learning models (66.6%). The study netted an average population of 490.5 and the artificial intelligence system managed to detect 9 body systems from different body systems.  A total of 11 articles were selected, more than half of which were  Caucasian (80.90%) and white (72.95%), but only 1 article was represented by Caucasian ethnicity, while white race was almost in every article. African-American and Black racial groups were in the middle position at 29.95% and 17.50%. The racial representation with the least percentage below  10% was  Hispanic and Asian (6.10% and 2.17%). This machine learning has proven to be very accurate for detecting disease diagnoses in  hospital, other health clinics. Therefore, the further development of this application for the purpose of establishing clinical diagnosis precisely and accurately.
Pelatihan Bantuan Hidup Dasar Pada Masyarakat di RW 5 Watuoge Kelurahan Taipa Kecamatan Palu Utara
Authors: Nurmalisa Baiq Emy , Supirno Supirno , Jurana Jurana , Tampake Rina , Umar Nurlailah , Pangaribuan Helena , Moh Fadli Dg Patompo
Published: January 2024

ABSTRAK

Pendahuluan:. Kota Palu yang merupakan salah satu wilayah di Sulawesi Tengah yang termasuk dalam daerah rawan bencana. Hal yang penting untuk dipersiapkan dalam rangka pencegahan dan meminimalkan risiko dampak merugikan bagi korban adalah kesiapsiagaan bencana. Menurut penelitian pengetahuan masyarakat menghadapi bencana dan terkait pertolongan pertama masih banyak yang kurang. Oleh sebab itu diperlukan sosialisasi dan simulasi untuk meningkatkan pengetahuan, kemampuan dan sikap masyarakat terkait mitigasi dan kesiapsiagaan Tujuan pengabmas ini meningkatkan pengetahuan dan kemampuan masyarakat Watuoge dalam memberikan bantuan hidup dasar bagi korban yang membutuhkan termasuk korban tenggelam. Metode Kegiatan pengabdian masyarakat terkait pelatihan BantuanHidup Dasar (BHD) ini dilakukan di RW 5 Watuoge Kelurahan Taipa Kecamatan Palu Utara tanggal 19 Agustus 2020. Khalayak sasaran pengabdian masyarakat adalah masyarakat (pemuda, kader kesehatan, tokoh masyarakat) di wilayah Watuoge sejumlah 25 orang. Metode yang digunakan dalam pengabmas ini adalah sosialisasi dan simulasi kepada masyarakat. Media yang digunakan untuk membantu penyampaian materi adalah poster dan phantom. Kegiatan diawali dengan tahap persiapan, pelaksanaan dan evaluasi. Untuk mengetahui efektifitas kegiatan ini maka dilakukan apersepsi untuk mengukur sejauhmana tingkat pengetahuan peserta dan diakhir kegiatan dilakukan evaluasi dengan memberikan pertanyaan terkait materi yang sudah disampaikan serta peserta diminta untuk redemosntrasi skill BHD. Hasil yang didapatkan dalam kegiatan ini adalah peserta sangat antusias mengikuti penyuluhan yang diberikan dan berdiskusi sehingga pada akhir kegiatan peserta bisa menjawab pertanyaan yang diajukan oleh tim pengabdi dan dapat melakukan redemonstrasi BHD meskipun ada beberapa bagian yang masih kurang tepat. Pelatihan BHD di daerah Watuoge dapat meningkatkan pengetahuan dan kemampuan peserta melakukan Bantuan Hidup dasar. Diperlukan adanya kegiatan serupa secara berkala dan jumlah peserta yang lebih besar agar setiap individu memiliki pengetahuan dan keterampilan yang baik dalam melakukan BHD.

Kata Kunci: Pengetahuan; Keterampilan; Bantuan Hidup Dasar
Edukasi Manfaat Pemberian Kolostrum Pada Bayi Baru Lahir Dan Tehnik Menyusui Yang Benar
Authors: Evie Sova , Hasni Hasni
Published: January 2024

Teknik menyusui yang benar akan mendorong keluarnya ASI secara maksimal  sehingga keberhasilan menyusui bisa tercapai. Produksi ASI stadium I dari hari pertama sampai hari keempat yaitu kolostrum yang penuh dengan zat antibody  dan immunoglobulin (Soetjiningsih, 1997). Kolostrum berwarna kuning keemasan yang disebabkan oleh tingginya komposisi lemak dan sel-sel hidup, Kandungan kolostrum inilah yang banyak tidak diketahui ibu sehingga banyak ibu dimasa setelah persalinan tidak memberikan kolostrum kepada bayi baru lahir karena kurangnya pengetahuan tentang kandungan kolostrum (Purwanti, 2004). Tujuan pengabmas ini adalah untuk meningkatkan pengetahuan ibu primi gravida tentang manfaat pemberian kolostrum pada bayi baru lahir dan tehnik menyusui yang benar. Dengan metode pelaksanaan adalah ceramah, tanya jawab, diskusi dan demonstrasi tehnik menyusui yang benar. Yang menjadi sasaran adalah ibu primi gravida trimester tiga di wilayah kerja Puskesmas Baolan Kabupaten Tolitoli berjumlah 55 orang. Dari hasil post test yang dilakukan didapatkan untuk pengetahuan terjadi kenaikan skor dimana nilai rata-rata yang diperoleh ibu hamil berada pada rentang 70-80 dari rentang 40-50 saat pre test. Sedangkan untuk Perilaku pada pre test didapatkan <  T Mean  menjadi >  T Mean  saat post test

 

Kata Kunci: Kolostrum; Tehnik Menyusui; Pengetahuan; Perilaku.
Deteksi Dini Kanker Serviks Melalui Pemeriksaan Inspeksi Visual Asam Asetat (IVA
Authors: Nurarifah Nurarifah , Tampuyak Irawati , Sinurat Diana , Mangemba Dg. , Ra’bung Alfrida Semuel
Published: January 2024

Introduction: Cervical cancer does not cause symptoms at an early stage so that a person does not realize that they already have cancer so that it is detected at an advanced stage when cancer cells have metastasized outside the cervix. Women who have had sexual intercourse are at risk of cervical cancer, so it is very important to take early detection measures through IVA examinations. Purpose: This community service activity is for early detection of cervical cancer through IVA examination. Method: This community service activity is by conducting an IVA examination. This activity was carried out on August 10, 2022. The target audience for this activity were women of childbearing age who were members of the Dharma Wanita Association of the Ministry of Religion of Banggai Regency as many as 22 people. Results: The IVA examination of all WUS was negative and showed no symptoms of cervical cancer. Conclusion: The IVA examination activity for detecting cervical cancer can be used as a health promotion program to facilitate WUS in carrying out reproductive health checks.