bluuebunny/crossref_metadata_2025 huggingface dataset:
Hospital consumer assessment of healthcare providers and systems (HCAHPS) for measuring patients’ satisfaction: A literature review
Authors: Sari Merry Afriliana , Idris Haerawati , Najmah Najmah
Published: November 2024

Background: Hospital managers, healthcare providers, patients, and their families all share the same goal of enhancing the patient experience. Surveys are the predominant method for assessing patient experience and happiness, since they offer a convenient means of gathering the viewpoints of a substantial number of individuals and discerning patterns inside one or multiple establishments. HCAHPS is an acronym that stands for Hospital Consumer Assessment of Healthcare Providers and Systems. Hospitals are becoming more concerned with enhancing patient happiness due to the fact that medicare reimbursement is now partially dependent on patient satisfaction scores. Nevertheless, limited knowledge exists regarding the distinct attributes linked to increased patient satisfaction.
Purpose: To conduct a comprehensive analysis of existing literature on patient satisfaction and determine the factors that predict patient happiness, utilizing data from the HCAHPS survey.
Method: A comprehensive literature review was conducted using the Wiley Online Library, PubMed, and Frontiers databases. Additionally, a literature search was performed using Google Scholar. The authors performed an extensive database search covering the period from 2014 to 2023, which led to the identification of 15 papers that met the inclusion criteria. Out of a total of 95 article titles and abstracts, 15 papers were selected based on the inclusion and exclusion criteria.
Results: After reviewing 15 relevant articles, it was determined that patient satisfaction is affected by every aspect of the service. This is due to the fact that all components form a cohesive and interconnected system.
Conclusion: The key to enhancing patient satisfaction lies in adopting a patient-centered approach that focuses on ensuring patients fully understand and actively engage in their care. Research shows a strong link between higher patient satisfaction and significantly better outcomes.
Advanced cardiac life support in out-of-hospital cardiac arrest: A case study
Authors: Sasmito Priyo , Kosasih Cecep Eli , Sumartini Sri , Tafwidhah Yuyun , Arifani Nisa , Apparesya Nabila Afifah , Kusuma Widya Tresna , Amaliah Lili
Published: November 2024

Background: Public Health Center (PHC), especially in rural areas, is one of the primary healthcare facilities that have an important role in the chain of survival of out-of-hospital cardiac arrest (OHCA) patients. Despite of limited facilities, prehospital resuscitation can be performed by optimizing the available emergency facilities and infrastructure.
Purpose: To provide a comprehensive overview of the resuscitation management of OHCA patients at a PHC in East Java Province in Indonesia.
Method: Case study of a 43-year-old woman who was brought to PHC by residents after suddenly losing consciousness while working. The clinical condition when the patient arrived was unresponsive, no pulse, no respiratory effort, cold extremities, and oxygen saturation of 80%, the patient was medically diagnosed as OHCA.
Results: Resuscitation organization was carried out by involving 1 doctor, 2 nurses, and 1 midwife. The patient was given basic life support (BLS) and Advanced Cardiac Life Support (ACLS) by optimizing diagnostic tools, airway, breathing, circulation, and available drugs. The patient successfully Return of Spontaneous Circulation (ROSC) after the third cycle and successfully reached the referral hospital to receive further life support.
Conclusion: ACLS in the prehospital setting at PHC in Indonesia has a potential to be performed. Inter-professional collaboration, airway, breathing, and circulation optimization in providing BLS and ACLS on OHCA patients can increase the patient's chance of getting further care in the hospital.
Body mass index (BMI) and genetic factors that predispose associated with the incidence of hypertension
Authors: Annisa Istiana , Armal Hadits Lissentiya , Mahardhika Rian Bayu Santya
Published: November 2024

Background: Hypertension is a very dangerous non-communicable disease (NCD) (Silent Killer). Body mass index (BMI) is a measuring tool for monitoring adult nutritional status related to a person's body weight. Genetic is the science that studies the inheritance of traits (heredity) in organism.
Purpose: To determine the relationship between body mass index and genetic factors with hypertension.
Method: A cross sectional approach, specially focusing on a descriptive quantitative. Participants were selected using purposive sampling and the Slovin formula, resulting in 100 participants from Girang Community Health Center. Univariate statistical analysis was conducted, including a chi square and multiple logistic regression.
Results: Show a significance (p < 0.05) it means there is a relationship between body mass index and genetic with hypertension. The genetic variable that is most related to the incidence of hypertension is genetics with an odds ratio value of 3.441, meaning that respondents who have genetic hypertension have a 3.4 times chance of experiencing hypertension compared to respondents who do not have genetic hypertension. Meanwhile, the BMI variable has an odds ratio value of 1.903, meaning that respondents who have an abnormal BMI have a 1.9 times chance of experiencing hypertension compared to respondents who have a normal BMI.
Conclusion: There is a relationship between Body Mass Index (BMI) and genetic with the incidence of hypertension.
Family support and self-care management of patients with chronic kidney disease undergoing hemodialysis
Authors: Lianti Dini , Rosyid Fahrun Nur
Published: November 2024

Background: Self-care management refers to the proactive steps taken by patients to engage in their own healthcare in order to reach optimal health. Family support is demonstrated through positive responses and acceptance of the family member.
Purpose: To investigate the impact of family support on self-care management among chronic kidney disease patients receiving hemodialysis.
Method: The study employed a quantitative analytical method with a cross-sectional design. The population included patients diagnosed with chronic kidney disease at Ir. Soekarno General Hospital in Sukoharjo. A total of 44 respondents were chosen through purposive sampling. Data analysis was conducted using the Pearson correlation test.
Results: Show a correlation coefficient of r=0.671 with p=0.000 < 0.05, indicating a strong relationship between family support and self-care management in patients undergoing hemodialysis. This suggests that various aspects of family support contribute to improving the patients' ability to manage their self-care.
Conclusion: Strong family support plays a crucial role in enhancing the self-care management of hemodialysis patients, helping them achieve improved health outcomes.
Reducing E. coli and Coliform in clean water using chlorine diffuser combined with white sand
Authors: Maharani Erca Amelia , Asyfiradayati Rezania
Published: November 2024

Background: Water intended for hygiene, sanitation, and drinking must be free of physical, chemical, and microbiological pollutants. The most frequent microbiological contaminants in water are E. coli and Coliform bacteria. Chlorination, which uses chlorine compounds, is a widely used technique to eliminate germs from water. This process is regarded as effective and safe for sanitation, disinfection, and consumption.
Purpose: To analyze differences in the reduction of E. coli and Coliform bacteria in water using the chlorine diffuser method combined with white sand.
Method: A quasi-experimental method and a pretest posttest design, carried out at a boarding house x in Gonilan Kartasura village. The research sample was taken by purposive sampling. The sample criteria are water at the research location, namely Gonilan village which classified as densely populated. Research data was collected using observation techniques using observation sheets with three folds and three divisions of time span, namely 30 minutes, 45 minutes and 60 minutes. The data collected was then analyzed using the anova method to determine the average differences in group samples.
Results: The application of a chlorine diffuser combined with white sand can reduce levels of E. coli bacteria. In the Anova test, the p-value scores were obtained at 0.045 and 0.031, thus the alternative hypothesis was accepted, namely that there was a decrease in E. coli and Coliform bacteria using the chlorine diffuser method combined with white sand. The research results in the 60th minute of the experiment went from 1 to 0. Meanwhile, there was no significant decrease in Coliform bacteria. Initially the Coliform level was 68.3, then after 60 minutes of experimentation it only decreased to 63.6.
Conclusion: Based on the research carried out, it was concluded that there was a significant reduction in the levels of E. coli and Coliform bacteria using the chlorine diffuser combined with white sand with a higher dose of chlorine used.
The effectiveness of information, education, and communication (IEC) methods on food safety and hygiene among food vendors during Ramadan
Authors: Kusumaratna Rina Kurniasri , Haerani Aulia Rana , Sukma Nabila Damar , Putri Almirazada Zhes
Published: November 2024

Background: During Ramadan 2023, only 4.7% of the 104 snack and food outlets in Jakarta, Indonesia, at the Cilandak District Primary Health Center met hygiene and sanitation standards. The inspections involved supervising cleanliness, implementing HACCP (Hazard Analysis & Critical Control Point), and counseling on the implementation of health and food safety practices.
Purpose: To evaluate the impact of information, education, and communication (IEC) methods on food safety and hygiene practices among street food vendors during Ramadan.
Method: A quantitative design with a quasi-experimental approach, an information, education, and communication (IEC) methods on food safety and hygiene for food vendors during the month of Ramadan consisting of one group. The study had two steps: first, it inspected food outlets before and after an educational intervention using a health environment inspection (eIKL PaJan) form; secondly, it tested food samples using a rapid test. Three outlets were randomly selected from each of the five sub-districts, and the data was analyzed using a paired T-test. The level of statistical significance was set at an alpha level of 0.05.
Results: Fifteen "takjil" snack vendors were evaluated, and most had non-conformity scores. The highest non-conformity scores were due to hand hygiene issues and lack of knowledge about food safety. After the intervention, the mean score of knowledge about safe food handling increased from 57.5 to 75.9, with p<0.001 indicating an increase in awareness of food safety perceptions. Of the fifteen food samples tested, six showed the presence of formalin in the rapid test. However, subsequent testing at the laboratory revealed that the samples were free of formalin.
Conclusion: Our study highlights a significant public health concern: enhancing awareness can bolster the safety, cleanliness, and knowledge of snack food outlet proprietors. This could positively affect the economy, human resource quality, and health through the implementation of food security practices.
Factors influencing nurses' report compliance unexpected findings in Kediri District Hospital
Authors: Sukisno Agus , Widyowati Agustin , Indasah Indasah
Published: November 2024

Background: As a service provider in the health sector, a hospital is a very complex place with various kinds of drugs, tests and procedures, tools and technology, as well as various professions that provide services to patients 24 hours a day continuously. If the diversity and routine of services is not managed well, it can lead to unexpected events that threaten patient safety. At the Kediri district hospital Based on data from the recapitulation of K3 incidents by the K3 Committee for the period August 2020-July 2023, there were 14 cases of incidents/KTD from 466 health workers and 7 cases of needle stick injuries.
Purpose: To analyze factors influencing nurses' report compliance unexpected findings in Kediri District hospital.
Method: Descriptive analytical with cross-sectional design. The time and place of the research was carried out in May 2024 at the Kediri District Hospital. The sampling technique uses simple random sampling. The research population was all Kediri District Hospital nurses who had worked > 1 year totaling 355 respondents. The research sample was 189 nurses using the Slovin formula.
Results: Data was analyzed using multiple linear regression. The factors of referential power and coercion have a positive and significant influence, while the factors of information, rewards, expertise and legitimate authority have no influence on reporting undesirable events. These factors are able to explain the value of reporting undesirable events of 34.5% and the remaining 65.5% is explained by other variables not discussed in this study.
Conclusion: Of the six factors studied, the referential power and coercion factors have an influence on increasing nursing compliance in reporting unwanted events.
Family support and depressive symptoms among the elderly in Gunungkidul Health Center Sumberejo-Yogyakarta, Indonesia
Authors: Kartinah Kartinah , Al Fatih Muhammad Farras
Published: November 2024

Background: The elderly represent an age group that undergoes various physical, biological, psychological, and social changes that impact their health. The elderly population in Indonesia continues to grow, reaching 11.49% in 2016 and is projected to reach 14.51% by 2020. Increased life expectancy does not always correlate with good health, making the elderly more vulnerable to various issues, including depression. The prevalence of elderly depression in Indonesia is 11.6%, with the highest rates occurring in the older age groups.
Purpose: To examine the relationship between the level of family support received by the elderly and depressive symptoms they experience.
Method: A quantitative study using a correlational analytic design with a cross-sectional research strategy. The sampling technique was random sampling, with 36 elderly individuals aged 60-74 years as the sample. Data was collected using a questionnaire to determine the relationship between family support and the depressive symptoms in the elderly. The data was analyzed using univariate and bivariate analyses with the Spearman’s rank correlation test.
Results: The univariate analysis provided information on the respondents' characteristics, family support, and depressive symptoms. The majority of respondents received good family support (66.7%), while most respondents did not experience depressive symptoms (75%). The Spearman’s rank correlation test found a significant value of 0.001<0.05, indicating that family support is related to the incidence of depressive symptoms in the elderly.
Conclusion: Providing family support can reduce depressive symptoms in the elderly, as indicated by the statistical test results showing a significance value of 0.001 <0.05. This means there is a relationship between family support and the incidence of depressive symptoms among the elderly.
Nurses' experiences using electronic medical record (EMR): A systematic review
Authors: Ginting Dewi Susanna , Dewi Wan Nishfa , Lestari Widia
Published: November 2024

Background: The evolution of information and communication technology has led to significant changes in nursing care and the health care system, particularly through the use of Electronic Medical Records (EMR). This literature review focuses on the pivotal role of nurses in the development and implementation of EMR for the documentation of nursing care.
Purpose: To investigate nurses' experiences with electronic medical records (EMR) for documenting nursing care.
Method: A systematic review approach in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles were sourced from online databases such as PubMed, Google Scholar, Garuda, and Science and Technology Index (SINTA). The review was organized according to the PICOS framework. In this article, the PICOS criteria were defined as follows: P: Nurse and health worker, I: Nursing documentation uses electronic medical records, C: Explains the influence, impact of electronic documentation, O: Efficiency, quality of health care and safety of patient care, S: qualitative research methods. The keywords used in the search included “documentation of nursing”, “electronic medical record” and “nurse performance”. Articles were selected based on specific inclusion criteria: publication within the last five years (2019-2024), English language, use of qualitative research methodology, the nurse uses electronic medical records, and with full-text availability.
Results: The literature review found that most nurses felt a sense of ease and efficiency in filling out documentation, higher data accuracy, increased work productivity, and ease in identifying patient data to carry out nursing diagnoses regarding patient care, thereby underscoring the integral role of nurses in the development and use of EMR.
Conclusion: Computer-based nursing care documentation provides various conveniences and helps nurses deliver their care. Thus, considering the use of EMR in nursing documentation may increase the quality of care.
Improving midwives' knowledge and attitudes in providing lactation education based on local wisdom of the Bugis ethnic in Indonesia
Authors: Elis Andi , Sain Sartika , Darwin Devi , Maryam Andi
Published: November 2024

Background: The current rate of exclusive breastfeeding remains low due to several factors, including social and cultural changes, psychological factors, lack of education provided by healthcare workers, and the increasing promotion of formula milk as well as misinformation to the public. Therefore, it is necessary to have productive midwives who provide optimal healthcare services to improve the health status of infants. Currently, the healthcare services provided by midwives can also be carried out through independent practice. A midwife does not only provide obstetric services from a biological perspective but also addresses social, cultural, and spiritual needs.
Purpose: To evaluate the impact of providing lactation education based on local wisdom in improving midwives' knowledge and attitudes in the Bugis ethnic in Indonesia.
Method: A quasi-experiment method, specifically a pre-test and post-test with a control group design. The study population consists of midwives who have Independent Midwifery Practice in 15 districts of Makassar City. The sample obtained using purposive sampling. The sample size was 30 midwives, consisting of 15 midwives in the treatment group and 15 midwives in the control group.
Results: The N-Gain Score test showed a value of 72.89% for the treatment group, while the control group scored 21.89%. The paired t-test showed an Asymp Sig (2-tailed) value of 0.000, which is less than the probability value of 0.05 for the treatment group.
Conclusion: The use of printed and online pocketbooks for lactation education integrated with the cultural values of Sipakatau, Sipakalebbi, and Sipakainge in the exclusive breastfeeding program by independent midwives is more effective compared to counseling alone, which is less effective in the control group. Further testing concluded that there was a significant difference between the pre-test and post-test scores in the treatment group, indicating an increase in the midwives' knowledge.
The influence of telehealth-based interventions in patients with cancer in the digital era of society 5.0: A literature review
Authors: Karundeng Riven , Afiyanti Yati , Mulyono Sigit
Published: November 2024

Background: Cancer is a group of diseases characterized by the uncontrolled growth and spread of abnormal cells, which can result in death if not managed. It is important for cancer patients to be able to participate in long-term treatment programs. Therefore, a good support system, healthcare professionals' support, and the utilization of information technology in healthcare services are needed. The management of cancer is also expected to adapt to the era of Society 5.0. The use of Telehealth has been recommended by the World Health Organization (WHO) to support current healthcare services. The implementation of the combination of telehealth is expected to be a solution for holistic cancer care in the digital era.
Purpose: To explore the effectiveness of telehealth-based interventions on cancer patients in the digital era of society 5.0.
Method: Literature review using online databases such as Sage Journals, Science Direct, Clinical Key Nursing, and PubMed. Inclusion criteria: articles on the application of telehealth for cancer patients, available in full text in English, published between 2020-2023. Exclusion criteria: articles published before 2020, articles that do not discuss telehealth in cancer patients, and literature review studies. 
Results: Analysis of the 13 articles used shows the important role of combining telehealth (telenursing, telepalliative, telerehabilitation, teleoncology), which is beneficial not only for cancer patients but also for nurses and other healthcare professionals in providing good quality, safe, effective, and efficient healthcare services in the digital era of society 5.0.
Conclusion: Telehealth-based cancer rehabilitation demonstrates a positive impact that warrants further evaluation and study.
The relationship of diabetes knowledge and self-care practices among patients with type 2 diabetes mellitus
Authors: Hidayat Rizki , Naziyah Naziyah , Masdiana Masdiana , Antari Luh Juli
Published: November 2024

Background: Diabetes Mellitus (DM) is a disease characterized by increased blood glucose levels and cannot be cured so it requires self-care. DM self-care is a program that must be carried out throughout the life of DM sufferers. DM self-care aims to optimize metabolic control, optimize quality of life, and prevent acute and chronic complications. Good knowledge and self-care consisting of good diet, physical exercise, medication, and education can control blood sugar levels and prevent complications of type 2 DM.
Purpose: To determine the relationship between knowledge and self-care in patients with type 2 diabetes mellitus.
Method: Descriptive correlational research design with a cross-sectional approach. The study population was patients with type 2 diabetes mellitus in the work area of ​​the Pasar Rebo District Health Center, East Jakarta, totaling 690 patients, carried out in November-December 2023. The sampling technique used the Accidental Sampling technique with the Slovin formula and a sample of 87 respondents was obtained. The research instrument used the Diabetes Knowledge Questionnaire (DKQ-24) for the knowledge questionnaire and the Summary of Diabetes Self Care Activity (SDSCA) for the self-care questionnaire. Data analysis used the univariate and bivariate Chi Square alternative tests.
Results: Respondents with poor knowledge resulted in poor self-care of 30 respondents (53.6%), while respondents with good knowledge resulted in good self-care of 16 respondents (51.6%). The results of the Chi-Square test showed a significant p value of 0.001 (<0.05).
Conclusion: There is a significant relationship between knowledge and self-care in type 2 DM patients with a p value of 0.001.
Cervical cancer screening among women: A systematic literature review
Authors: Bando Epina Felizita , Said Mohamed Saifulaman Mohamed , Sansuwito Tukimin Bin
Published: November 2024

Background: Cervical cancer is one of the major concerns of public health importance in today's world. It is a leading cause of mortality in women of reproductive age group worldwide, mainly in developing countries. It is almost always associated with human papilloma virus (HPV) infection. Reduction in mortality and morbidity due to cervical cancer is possible through early detection as a first step.
Purpose: To investigate about cervical cancer screening among women.
Method: A systematic literature review approach was employed to gather and assess data from PubMed, Science Direct, and Google Scholar. The keywords "cervical cancer screening," "adult women," "pap smear," "HPV vaccination," "behavior," and/or "health belief" were utilized for this purpose. A total of 79 items were identified. In all, the study comprised 7 papers that satisfied the specified criteria. Following that, we carry out a methodical examination and evaluation of the chosen papers in the current literature.
Results: Variables associated with cervical cancer screening including Pap smear, the impact of HPV vaccination, behavioral patterns, and health-related views. Health beliefs frequently act as the main driving force for persons to voluntarily get cervical cancer screening. Preventive cervical cancer screening enables early detection, so potentially averting the development of the illness or limiting its progression.
Conclusion: To advance the objective of eliminating cervical cancer as a global public health concern, it is necessary to enhance the accessibility and involvement in screening interventions.
The effectiveness of integrated health professional organization collaboration in the treatment of pulmonary tuberculosis: A qualitative study
Authors: Saimi Saimi , Zulrahmatulhuda Zulrahmatulhuda , Ahmad Ahmad , Pratiwi Dita Retno
Published: November 2024

Background: Tuberculosis (TB) is an infectious disease, the high incidence of tuberculosis and its impact have caused the world to pay special attention, one of which is through the target of the third issue of the sustainable development goals (SDGs), namely tackling the TB epidemic in 2030. Efforts to prevent and reduce TB incidence in Indonesia through to find, treat, and cure TB program. Approaches to finding, diagnosing, treating, and curing TB patients and stopping transmission in the community. The treatment is being carried out actively, massively, and intensively, but the problem-solving has not yet been completed, innovation is needed through the collaboration of integrated health professional organizations, to anticipate the treatment of TB independently, in the service units of private hospitals, clinics and doctors' independent practice places. This innovation is to increase the new case detection rate, and the tracking of initial lost to follow up patients.
Purpose: To analyze the effectiveness of integrated health professional organization collaboration in the treatment of pulmonary tuberculosis
Method: Qualitative research with descriptive and exploratory design. The source of data and information is informants from the health profession determined by purposive sampling. In-depth interview and focus group discussion interview methods. Informants are representative members of each health profession organization appointed by the organization's leadership.
Results: Health professional organizations are committed to and contribute to the well-organized treatment of TB. Integrated activity programs, increasing the discovery of new case detection rates, identification of drug-resistant pulmonary tuberculosis (DR-PTB) and drug-sensitive pulmonary tuberculosis (DS-PTB), and active monitoring of patients initially lost to follow-up, as well as preventing independent case handling.
Conclusion: The collaboration of health professional organizations is very effective in helping the government handle Tuberculosis, has a commitment to increase the new case detection rate, identification of drug-resistant pulmonary tuberculosis (DR-PTB) and drug-sensitive pulmonary tuberculosis (DS-PTB), and actively monitor patients who are initially Lost to follow up, which is carried out in an integrated manner.
Advancing prehospital care: A systematic review of technology-enhanced basic life support interventions
Authors: Sasmito Priyo , Kosasih Cecep Eli , Mulyati Leli , Purwanti Nunuk Sri , Syafridawita Yetti , Prasetya Fika Indah , Amsyah Ummul Khairi , Arifani Nisa
Published: November 2024

Background: Technological interventions are believed to enhance the quality of resuscitation efforts in prehospital settings. However, the specific applications of technology and the challenges associated with its implementation remain underexplored.
Purpose: To examines the integration of technology into basic life support (BLS) practices in prehospital settings, along with the challenges encountered in its use.
Method: A systematic literature review was conducted, gathering data from Scopus, Springer, and PubMed databases using the keywords "basic life support" AND prehospital AND technology, focusing on articles published between 2019 and 2024. A total of 365 articles were initially identified, with 9 meeting the inclusion criteria for further analysis. These articles were systematically reviewed and analyzed.
Results: Technological innovations in BLS have shown significant potential in improving resuscitation quality by reducing intervention delays and increasing accuracy. However, several challenges remain, including technical and connectivity issues, user-related barriers, insufficient system integration, and psychosocial impacts.
Conclusion: While technological advancements have enhanced BLS in prehospital settings by shortening response times, improving precision, and minimizing human error, challenges such as technical reliability, user acceptance, and the lack of long-term validation must be addressed. Future research should focus on real-world applications, survival outcomes, and long-term retention of skills acquired through these technologies.
Faktor-Faktor Yang Berhubungan Dengan Self Care Management Terhadap Kualitas Hidup Penderita Penyakit Jantung Koroner Di RSU Mitra Medika Tanjung Mulia
Authors: Syaiful Dedi , Yuniati Yuniati
Published: November 2024

Penyakit tidak menular menjadi penyebab kematian nomor satu di dunia setiap tahunnya adalah penyakit kardiovaskuler. Penyakit Jantung Koroner disebabkan karena adanya penyempitan dinding arteri koroner yang di sebabkan adanya tumpukan kolesterol dan lemak sehingga menjadikan suplai oksigen dan darah menuju jantung menjadi terganggu atau tersumbat. Tujuan penelitian ini adalah untuk mengetahui Faktor-Faktor Yang Berhubungan Dengan Self Care Management Terhadap Kualitas Hidup Penyakit Jantung Koroner Di RSU Mitra Medika Tanjung Mulia Tahun 2023. Desain penelitian yang digunakan dalam penelitian ini menggunakan metode Survei Analitik dengan pendekatan Cross Sectional, menggunakan uji chi- square.Populasi dalam penelitian ini adalah Pasien Poli Jantung RSU Mitra Medika Tanjung Mulia, dengan jumlah populasi 770 orang,sedangkan sampel yang digunakan adalah accidental sampling  dengan rumus slovin  yaitu sebanyak 88 responden. Berdasarkan hasil analisa dengan menggunkan uji chi-square memperlihatkan bahwa, tidak terdapat hubungan signifikan antara faktor pengetahuan dengan kualitas hidup PJK (p value=0,105), terdapat hubungan faktor efikasi diri terhadap kualitas hidup PJK (p value=0,04), terdapat hubungan faktor dukungan keluarga terhadap kualitas hidup PJK (p value=0,01). Kesimpulan Berdasarkan hasil dan analisa yang telah dilakukan oleh peneliti mengenai variabel faktor –faktor yang berhungan self care management terhadap kualitas hidup penyakit jantung koroner yang sangat berpengaruh adalah efikasi diri (self efficacy).
Gambaran Penerapan Diabetes Self Care Activity Pada Pasien Diabetes Melitus Tipe II Di RSU. Mitra Medika Medan
Authors: Ardilla Maya , Hafsani Yaumil , Aritonang Muhammad Adi Setiawan
Published: November 2024

Diabetes Melitus (DM) merupakan penyakit kronis yang saat ini secaraserius sedang terjadi di tengah-tengah masyarakat. Diabetes Melitus merupakan salah satu penyakit endokrin yang saat ini masih banyak diderita penduduk di dunia. Penyakit tersebut terjadi ketika pankreas tidak menghasilkan cukup insulin (hormon yang mengatur gula darah). Tujuan: untuk mengetahui gambaran penerapan diabetes selfcareactivity pada pasien diabetes melitus tipe II di RSU. Mitra Medika Medan. Metode: Penelitian ini menggunakan desain penelitian analitik korelatif, dengan pendekatan cross-sectional study. Populasi pada penelitian sebanyak 720 pasien diabetes melitus tipe 2 dengan jumlah sampel 88 responden. Teknik pengambilan sampel menggunakan  metode  yang diambil secara purpuposivesampling.Alat pengumpulan data menggunakan kuesioner. Data dianalisis menggunakan chi – square. Hasil: Sebagaian besar responden memiliki self care activity dalam kategori sedang sebanyak 76 responden (86,4%), dukungan keluarga  sebanyak  sedang  75 responden (85, 2%), tingkan pengetahuan  sebanyak cukup 49 responden (55,7%) dengan diabetes self care activity pada pasien diabetes melitus tipe 2 dengan nilai p value = 0,00, kolerasi rendah (0,015) dan arah kolerasi positif. Kesimpulan: Tingkat pengetahuan dan dukungan keluarga yang baik dapat mempengaruhi perawatan diri (diabetes selgcareactivity) pada pasien diabetes melitus tipe 2.
Comparative fertility and hatchability of broiler grandparent stocks in Bangladesh
Authors: Kakon Md Tanbir Anjum , Shahid Md Ahosanul Haque , Dutta Amitush , Pinky Samira Akter , Islam Md Shafi , Hasnath Md Rashed
Published: November 2024

Checking the fertility and hatchability of broiler grandparent lines is important for improving chicken production. The Cobb-500, Ross-308, and Indian River (IR) grandparent strains were studied to determine their initial egg weight, fertility, hatchability, embryonic mortality, hatching weight, and chick survival rates. We studied a total of 2700 eggs from three different age/treatment, each consisting of three replicates with 100 eggs for each of the three genotypes. Using an automated incubator, eggs were incubated. Cobb-500 had a significantly higher mean egg weight (67.52 g) at later stage of their age compared to Ross-308 (64.22 g) and IR (65.05 g). Study also found that a higher egg weight reflects a higher day-old chick weight. The fertility rates of the Ross-308, IR, and Cobb-500 genotypes were high at 35 weeks (96.00%, 87.00%, and 93.00%) but declined after 45 weeks (64.22%, 65.05%, and 67.52%), respectively. The hatchability of Ross-308, IR, and Cobb-500 eggs at 35 weeks was 85.00%, 75.00%, and 80.00%, respectively. By 45 weeks, all genotypes had higher hatchability, with Ross-308 having the highest at 89%. But at 55 weeks, all genotype showed lowest hatchability where IR was the lowest 67%. Statistically significant variations were observed across strains at later stage. As age increased, embryonic mortality and brood mortality were higher. Compared to the other two, Ross-308 showed the lowest mortality in both embryonic and brooding cases in all three stages of their age of life. However, the IR breed consistently displayed the highest mortality rate. Same pattern showed dead in shell and culling chick’s percentages. Strain-wise, the parameters differ from each other. However, regarding overall performance, the Ross-308 strain outperformed the other two strains.
Asian Australas. J. Food Saf. Secur. 2024, 8(2), 48-57
Effectiveness of laser tonsillectomy compared to conventional cold steel tonsillectomy in children
Authors: Raoof Manar Qasim Mohammed , Dawood Mohammed Radef
Published: November 2024

Background: The Effectiveness of CO2 laser tonsillectomy is not conclusively known. The current study aimed to determine its effectiveness compared to the cold steel dissection for tonsillectomy in children.
Methods: This interventional study was done in the Department of Otolaryngology of AL-Yarmouk Teaching Hospital, Baghdad, Iraq. It was done in 80  children eligible for tonsillectomy, evenly divided into cold steel dissection tonsillectomy (group A) and CO2 laser tonsillectomy (group B). The surgical outcomes of the two groups were analysed for operative time, intra-operative blood loss, post-operative pain, bleeding, tonsillar fossae sloughing, and the time taken to return to daily activity.
Results: The CO2 tonsillectomy group showed better effectiveness in terms of operative time (37.6  versus 19.5 min), intra-operative blood loss (42.7 versus 15.8 mL), postoperative pain at days 1, 7 and 14), and tonsillar bed sloughing (25.0% versus 32.5%). However, primary and secondary postoperative haemorrhages were similar between the groups. 
Conclusions: Although the results are not generalisable, the CO2 laser tonsillectomy was more effective than the cold steel dissection tonsillectomy.
Paternalizm i dyrektywność. Pomiędzy psychoterapią a poradnictwem – próba problematyzacji pojęć i podejść na przykładzie Soterii
Authors: Stupak Radosław , Petryka Kinga
Published: November 2024

The main purpose of the article is to problematize paternalism and directivity in the context of the differences between psychotherapy and counselling. It is often assumed that psychotherapy deals with mental disorders, while counselling deals with developmental crises and other problems of healthy people. Accepting such a perspective and psychotherapeutic ethics is equivalent to adopting a medical intervention discourse and involves treating the patient in a paternalistic and directive manner. This is problematic because the category of "mental disorders" itself, as well as the diagnostic criteria for particular diagnoses, are criticized from many different standpoints. The example of Soteria, a therapeutic approach for people with a diagnosis of psychosis or schizophrenia, shows that even in the case of such a "severe mental illness," a model of support closer to counselling, which allows greater autonomy and subjectivity of the patient, can be equally, if not more, effective than conventional medical and psychotherapeutic approaches operating in the axiology of medicine. The article can thus serve as a starting point for considering the formulation of the proper area of interest for counselling and psychotherapy, the related goals of these interventions and the ethical implications of such decisions.
The Relationship Between Social Media Use and Smartphone Addiction in Adolescents and Parental Neglect During the Pandemic
Authors: Kurtoğlu Karataş Büşra , Ayhan Elif , Beyazit Utku , Bütün Ayhan Aynur
Published: November 2024

The aim of this study was to examine the relationships between social media and smartphone addiction in adolescents and their parents’ neglectful behaviors in the pandemic. The main problem of the research is to examine whether the increasing socialization and intimacy needs of adolescents during the pandemic period are an important factor in the emergence of social media and smartphone addiction due to their parents' inability to adequately meet these needs and neglecting their children, especially in terms of supervision. The study group consisted of 280 adolescents aged between 11-14 attending secondary schools in the city center of Ankara, Türkiye and their parents. In terms of the data gathering instruments, an Individual Information Form was administered to both the children and parents for the purpose of gathering socio-demographic data. In addition, adolescents were administered Smartphone Addiction Scale for the purpose of assessing their smartphone addiction levels along with Social Media Addiction Scale for the purpose of assessing their social media addiction levels. On the other hand, the Multidimensional Neglectful Behaviors Scale was administered to the parents in order to assess the level of their neglectful behaviors. As a result, 86.5% (n=218) of adolescents stated that their smartphone use and 78.5% (n=204) stated that their social media use increased during the pandemic period. When the smart phone and social media addiction status of adolescents were compared according to the level of neglect by their parents, it was determined that the neglect scores of adolescents with addiction level-smart phone and -social media use were significantly higher. In addition, it was found that parental neglect levels were positively associated with both smart phone addiction and social media addiction in adolescents, and there was a positive relationship between smart phone addiction and social media addiction in adolescents. The findings were discussed in line with the related literature.
Detecting and Reducing Gender Bias in Spanish Texts Generated with ChatGPT and Mistral Chatbots: The Lovelace Project
Authors: Carrillo Irene , Fernandez Cesar , Vicente M. Asuncion , Guilabert Mercedes , Sánchez Alicia , Gil Eva , Arroyo Almudena , Calderón María , Carratalá M. Concepción , López Adriana , Coves Angela , Chilet Elisa , Valero Sergio , Senabre Carolina
Published: November 2024

Current Artificial Intelligence (AI) systems can effortlessly and instantaneously generate text, images, songs, and videos. This capability will lead us to a future where a significant portion of available information will be partially or wholly generated by AI. In this context, it is crucial to ensure that AI-generated texts and images do not perpetuate or exacerbate existing gender biases. We examined the behavior of two common AI chatbots, ChatGPT and Mistral, when generating text in Spanish, both in terms of language inclusiveness and perpetuation of traditional male/female roles. Our analysis revealed that both tools demonstrated relatively low gender bias in terms of reinforcing traditional gender roles but exhibited higher gender bias concerning language inclusiveness, at least in the Spanish language. Additionally, although ChatGPT showed lower overall gender bias than Mistral, Mistral provided users with more control to modify its behavior through prompt modifiers. As a final conclusion, while both AIs exhibit some degree of gender bias in their responses, this bias is significantly lower than the gender bias present in their human-authored source materials.
Rethinking Gender Equality Strategy: A Critical Reflection on the Collusion of Liberal Feminism and Financialized Capitalism
Authors: Shi Yiyang
Published: November 2024

This paper addresses the global reproduction crisis, which means social resources that should be allocated to reproductive activities are compressed, leading to intensified reproductive burdens mainly carried out by women. Liberal feminism, through its alignment with financialized capitalism, has failed to address these challenges meaningfully. Through a literature review of essential liberal feminist writings and a discourse analysis informed by Social Reproduction Theory—a feminist extension of Marx’s critique of political economy—this study examines how the alignment between liberal feminism and financialized capitalism both expropriates and commodifies reproductive labor while simultaneously eroding the welfare state’s support for social reproduction. By asking how liberal feminism’s gender equality strategies underpin structural economic transformations, the paper finds that the struggle for equal gender rights has devolved into a fight for the equal right to be exploited. In other words, the interpretation of women’s emancipation is reduced to mere market participation. Additionally, this paper discussed whether a more inclusive and transformative approach to gender equality is possible. Drawing on Social Reproduction Theory, this paper suggests that such an approach must prioritize the recognition and redistribution of reproductive labor and advocate for a radical reorganization of societal priorities, transcending the limitations of liberal feminism.
Rising Electronic Cigarettes use: Alarming Health Implications and Social Impact
Authors: Mamun Abdullah Al , Hapsari Rafif Naufi Waskitha
Published: November 2024

Not Mandatory
Coping Mechanisms among Women Who Experience Dysmenorrhea in Baleasri Village, Magetan, Indonesia
Authors: Tassyabela Fadia Meisyn , Sunarto Sunarto , Sulikah Sulikah , Surtinah Nani
Published: November 2024

Background: Dysmenorrhea (menstrual pain) is often experienced by women of childbearing age. The main complaint is abdominal pain that spreads from the lower back to the thighs. The pain complaint results in disruption of daily activities. The purpose of the study was to identify the description of type of coping, and coping mechanisms in women who experience dysmenorrhea. Methods: The type of research used was descriptive exploratory with a population of 252 women of childbearing age who experienced dysmenorrhea. The sample size of this study was 152 women (Krejci & Morgan table). The independent variable is dysmenorrhea, and the dependent variable is the type and coping mechanisms. The instrument for identifying the type, and coping mechanisms used a questionnaire. Data on women of childbearing age who experienced dysmenorrhea were obtained from secondary data from the Village Midwife's records. Data collection techniques used questionnaires and secondary data observations. Data analysis was carried out descriptively, in the form of frequency distribution percentages and prevalence ratios. Results: The results showed that women who experienced dysmenorrhea tended to use adaptive coping. The most frequently used coping mechanism was problem-focused coping. Women who work and are active in sports are risk factors that can reduce dysmenorrhea. Adolescent age, secondary education, age of menarche less than 12 years, and menstrual periods more than 7 days are triggers for dysmenorrhea. Conclusion: regular exercise and work are positive coping mechanisms that can reduce dysmenorrhea.
Assimilation of synthetic and real SWOT observations for the North Atlantic Ocean and Canadian east coast using the regional ice ocean prediction system
Authors: Liu Guoqiang , Smith Gregory C. , Gauthier Audry-Anne , Hébert-Pinard Charlie , Perrie Will , Shehhi Maryam Rashed Al
Published: November 2024

The Surface Water Ocean Topography (SWOT) mission significantly improves on the capabilities of current nadir altimeters by enabling two-dimensional mapping. Assimilating this advanced data into high-resolution models poses challenges. To address this, Observing System Simulation Experiments (OSSEs) were conducted to evaluate the effects of both simulated and actual SWOT data on the Regional Ice Ocean Prediction System (RIOPS). This study examines the OSSEs’ design, focusing on the simulated observations and assimilation systems used. The validity of the OSSE designs is confirmed by ensuring the deviations between the assimilation system and the Nature Run (NR) align with discrepancies observed between actual oceanic data and OSSE simulations. The study measures the impact of assimilating SWOT and two nadir altimeters by calculating root mean square forecast error for sea surface height (SSH), temperature, and velocities, along with performing wave-number spectra and coherence analyses of SSH errors. The inclusion of SWOT data is found to reduce RMS SSH errors by 16% and RMS velocity errors by 6% in OSSEs. The SSH error spectrum shows that the most notable improvements are for scales associated with the largest errors in the range of 200-400 km, with a 33% reduction compared to traditional data assimilation. Additionally, spectral coherence analysis shows that the limit of constrained scales is reduced from 280 km for conventional observations to 195 km when SWOT is assimilated as well. This study also represents our first attempt at assimilating early-release SWOT data. A set of Observing System (data denial) experiments using early-release SWOT measurements shows similar (but smaller) responses to OSSE experiments in a two nadir-altimeter context. In a six-altimeter constellation setup, a positive impact of SWOT is also noted, but of significantly diminished amplitude. These findings robustly advocate for the integration of SWOT observations into RIOPS and similar ocean analysis and forecasting frameworks.