bluuebunny/crossref_metadata_2025 huggingface dataset:
Pronóstico y análisis de la confiabilidad de una central hidroeléctrica en Colombia implementando una tasa de fallas móvil en el tiempo
Authors: Ríos Velásquez Ángel , Mancipe Barrero Brayan Steven , García Navarro Juan Guillermo , Jaramillo Romero Mario Alonso
Published: July 2024

La generación energética en Colombia está fuertemente ligada a las centrales hidroeléctricas, lo que hace crucial la optimización de tareas de mantenimiento para garantizar su máxima disponibilidad. Por tal motivo, el presente trabajo se centra en analizar la confiabilidad de una central hidroeléctrica con el fin de respaldar la toma de decisiones en la planeación del mantenimiento. La investigación se basa en el histórico de datos de la planta, en el que se registran los reportes que causan su indisponibilidad. A partir de esta información, se determinó el MTBF (tiempo medio entres fallas) de los equipos y su confiabilidad, así como la de las dos unidades generadoras que componen la central. Finalmente, se implementó un método basado en el indicador técnico EMA (media móvil exponencial) que permitió pronosticar la tendencia de la confiabilidad en el tiempo. Los resultados obtenidos brindaron una evaluación del estado actual de la central hidroeléctrica y permitieron identificar los equipos críticos en términos de fallas, en los que se deben orientar recursos para fortalecer la disponibilidad de la planta.
Meme Marketing in Social Media
Authors: Pauliks Kevin
Published: July 2024

Meme Marketing ist zu einer gängigen Medienpraxis in der Werbewirtschaft geworden. Viele Unternehmen werben in den Sozialen Medien mit Memes, um Aufmerksamkeit für ihre Marken, Produkte und Dienstleistungen zu generieren sowie zu signalisieren, dass sie zur digitalen Medienkultur dazugehören. Die Verwendung von Memes ist allerdings risikobehaftet. Wenn Werbende nicht über die Medienpraktiken des Memeing Bescheid wissen, besteht die Gefahr, dass sie Memes falsch verwenden und von ihrer Zielgruppe verlacht oder ausgeschlossen werden. Subkulturen auf Plattformen wie Reddit achten penibel darauf, ihre Medienkultur vor Außenstehenden zu schützen. Werbende stehen dort unter Verdacht, Memes nur für Profite auszunutzen. Wie verhält sich nun das anti-kommerzielle Produzieren, Zirkulieren und Rezipieren von Memes in den Sozialen Medien zur visuellen Verwendung von Memes in der Werbung? Diese Frage beantwortet Kevin Pauliks in acht medienpraxeografischen Proben, die den Unterschied von Memeing und Meme Marketing untersuchen und anhand unterschiedlicher Marken wie IKEA, Gucci, Siemens, Sixt aufzeigen, wie Memes in der Werbung verwendet werden.
COMPARISON OF LOGISTIC MODEL TREE AND RANDOM FOREST ON CLASSIFICATION FOR POVERTY IN INDONESIA
Authors: Sukarna Sukarna , Notodiputro Khairil Anwar , Sartono Bagus
Published: July 2024

Classification methods are commonly employed to ensure homogeneous data within each group, facilitating the prediction of specific categories. The most frequently used classification models are Logistic Model Tree (LMT) and Random Forest (RF). This study aims to assess the accuracy rate in predicting the poverty status of regencies or towns across Indonesia, utilizing eight independent variables. The entire dataset was obtained from the official Central Bureau of Statistics website. The study investigates the accuracy of various iterations and combinations of training data. The results indicate that RF outperforms LMT in terms of accuracy, achieving a 100% improvement in iterations k=10 and k=500 and a 75% improvement in iteration k=100. Consequently, the RF proves to be more effective than the LMT for analyzing Indonesian poverty data, especially when incorporating all eight independent variables.
MAKING BAYESIAN DISEASE MAPPING EASY AND INTERACTIVE: AN R SHINY APPLICATION
Authors: Aswi Aswi , Tiro Muhammad Arif , Sudarmin Sudarmin , Sukarna Sukarna , Awi Awi , Nurwan Nurwan , Cramb Susanna
Published: July 2024

Spatial analysis of count data is important in epidemiology and other domains to identify spatial patterns. While Bayesian spatial models are a popular approach, they do require detailed knowledge of the process for model fitting, checking, and visualising results. Although a number of R packages are available to simplify running the model, there are still complexities when checking the model. This paper aims to provide a user-friendly and interactive R Shiny web application for the analysis of spatial data using Bayesian spatial Conditional Autoregressive Leroux models. The web application is built with the integration of the R packages shiny and CARBayes. The required data are the number of cases, population, and optionally some covariates for each region. In this case, we used Covid-19 data in 2021 in South Sulawesi province, Indonesia. This application enables fitting a Bayesian spatial CAR Leroux model under several hyperpriors and selecting the most appropriate through comparing several goodness of fit measures. The application also enables checking convergence, plus obtaining and visualising in an interactive map the relative risk of disease for each region.
Potenciál využití online médií ve výuce geologie na základní a střední škole
Authors: Jedličková Tereza , Teodoridis Vasilis , Bartůňková Denisa
Published: July 2024

Předkládaná studie mapuje mediální obraz vybraných geologických pojmů vázaných na výukový tematický celek Historický vývoj organismů na Zemi a zaměřuje se na jejich edukační potenciál pro žáky základních a středních škol. Obsahová analýza 114 online článků z patnácti nejčtenějších mediálních webů vygenerovaných mediální databází Anopress byla zaměřena na analýzu kontextu použití a míru vysvětlení vybraných geologických pojmů daného tematického celku a využitelnosti online článků ve výuce. Výsledky ukazují, že 69 % analyzovaných článků nevysvětluje vybrané geologické pojmy dle jejich definic a 71 % článků není možné použít ve výuce tematického celku. Dále výsledky naznačují, že běžně dostupný online mediální obsah seznamuje žáky s geologickými tématy často povrchně a nelze jej použít pro konstrukci jejich prekonceptů a spíše vede k vytváření miskoncepcí. Styl a charakter prezentace informací v médiích tak nekoresponduje s potřebami školní praxe.
Perception of defecation intent: applied methods and technology trends
Authors: Tang Yi , Shi Ping , Yu Hongliu
Published: July 2024

The aging population has led to a widening gap between the supply and demand for defecation care. To address this issue, the development of defecation care devices is the most direct and effective solution. Pre-defecation care devices offer a more personalized and comfortable alternative to the conventional post-defecation care devices currently available on the market. Furthermore, they facilitate greater patient involvement in the care process. Real-time monitoring and accurate identification of defecation intention are key technologies in the development of pre-defecation nursing devices. Automatic and accurate online monitoring of defecation intention can provide accurate early warning information for differentiated defecation assistance and cleansing care, effectively reducing nursing workload and improving patients’ quality of life. However, there are relatively few studies on real-time monitoring and accurate identification of defecation intention. This review summarizes the existing defecation intention sensing technologies and their monitoring principles and research status, and explores the potential development direction of defecation intention sensing systems by comparing the characteristics and application conditions of various sensing technologies, which provides a direction for perception strategies for future defecation intention monitoring and early warning research.
Ethnic Minority Students’ English Learning Agency: An Activity Theory Perspective
Authors: Zhu Xiaohui , Duan Yangyang
Published: July 2024

Recent years have witnessed a growing body of research on the English learning of ethnic minority students in China, yet little is known as to how these students enact their agency to address the challenges they encounter in learning English. Through the lens of activity theory, this qualitative case study explored the manifestations and influencing factors of English learning agency of four first-year Uyghur university students. Data were collected through the students’ journals, interviews, and documents, supplemented by the interview data from their teachers. The findings revealed that Uyghur students’ English learning agency was manifested by reflecting on the gap btween themselves and their Han classmates and adjusting their English learning methods; adapting to the mode of all-English teaching and the rule of English presentation; using tools such as the Mandarin Chinese, English learning apps and the Internet; and seeking help from teachers, peers and other community members. The study also found that Uyghur students’ agency was influenced by factors such as language proficiency, motivation, and personal learning experiences. Additionally, preferential policies of the state and the school, help from teachers and peers, and emotional support from family members also had an impact on their English learning agency. This study provides implications for the English teaching of ethnic minority students at universities.
Typology of solutions addressing diagnostic disparities: gaps and opportunities
Authors: Dukhanin Vadim , Wiegand Aaron A. , Sheikh Taharat , Jajodia Anushka , McDonald Kathryn M.
Published: July 2024

Objectives

Diagnostic disparities are preventable differences in diagnostic errors or opportunities to achieve diagnostic excellence. There is a need to summarize solutions with explicit considerations for addressing diagnostic disparities. We aimed to describe potential solutions to diagnostic disparities, organize them into an action-oriented typology with illustrative examples, and characterize these solutions to identify gaps for their further development.

Methods

During four human-centered design workshops composed of diverse expertise, participants ideated and clarified potential solutions to diagnostic disparities and were supported by environmental literature scan inputs. Nineteen individual semi-structured interviews with workshop participants validated identified solution examples and solution type characterizations, refining the typology.

Results

Our typology organizes 21 various types of potential diagnostic disparities solutions into four primary expertise categories needed for implementation: healthcare systems’ internal expertise, educator-, multidisciplinary patient safety researcher-, and health IT-expertise. We provide descriptions of potential solution types ideated as focused on disparities and compare those to existing examples. Six types were characterized as having diagnostic-disparity-focused examples, five as having diagnostic-focused examples, and 10 as only having general healthcare examples. Only three solution types had widespread implementation. Twelve had implementation on limited scope, and six were mostly hypothetical. We describe gaps that inform the progress needed for each of the suggested solution types to specifically address diagnostic disparities and be suitable for the implementation in routine practice.

Conclusions

Numerous opportunities exist to tailor existing solutions and promote their implementation. Likely enablers include new perspectives, more evidence, multidisciplinary collaborations, system redesign, meaningful patient engagement, and action-oriented coalitions.
A New Interview Tool for the Investigation into the Experiences of Spiritual Family within Church Communities
Authors: Bent Jessica Catherine
Published: July 2024

Among the different images of community, some groups understand themselves in terms of family. This article explores the concept of found family within an ecclesial community. Braithwaite et al.’s four-part typology of voluntary kin provided the grounding for my new interview tool: The Experiences of the Church as Family research tool. This tool can aid in the exploration of church members’ experiences and desires for familial ties within their ecclesial communities. In this article, I outline the tool’s development, provide an example of its application, and present possibilities for future research in congregational contexts in addition to the tool’s potential use in ministry.
Anthropologische Wende in der katholischen Religionspädagogik?
Authors: Herbst Jan-Hendrik
Published: July 2024

In the following article, I address the question of whether an anthropological shift has taken place in Catholic religious education after the Second Vatican Council. Based on the special case of political religious education/catechesis of liberation I exemplify such a shift by means of three exemplary “crystallization points”: The International Catechetical Study Week in Medellín, the European Catechetical Equips (Équipe Européenne de Catéchèse), and the German-Italian exchange meetings. Through these case studies, I illustrate transnational processes of reception and internationalization of religious education.
Recent Trends of Practical Theology in Finland
Authors: Räsänen Antti , Knuutila Jyrki
Published: July 2024

This paper explores historical and recent developments in Finnish Practical Theology and Religious Education. It reconstructs the operating environment under which PT and RE exist in Finland, i. e. its political, economic, and cultural circumstances. To this end, the authors highlight developments such as the transition from a rural-centric to an urban society, the impact of political left-wing ideology, and the impact of Finland’s joining the European Union. Through an analysis of dissertation research at Helsinki University, the paper provides an overview of current topics of research in Finnish PT. The authors concluds with insights into likely future developments in the 21st century.
Expression levels and clinical significance of serum miR-19a/CCL20 in patients with acute cerebral infarction
Authors: Xia Yongli , Wei Kun , Jiang Lingli , Zou Dongbo , Yang Yuting , Wu Song , Hu Fei , Ma Yuan
Published: July 2024

Acute cerebral infarction (ACI) is a lethal disease whose early diagnosis is critical for treatment. microRNA (miR)-19a targets CC chemokine ligand 20 (CCL20) in myocardial infarction. We investigated the expression patterns of serum miR-19a and CCL20 of ACI patients and assessed their clinical values. Serum samples of 50 healthy subjects and110 ACI patients were collected. Serum levels of miR-19a, CCL20 mRNA, and biochemical indexes were assessed. miR-19a downstream target gene and the binding relationship between miR-19a and CCL20 were predicted and verified. miR-19a and CCL20 mRNA were subjected to correlation and diagnostic efficiency analysis. miR-19a was poorly expressed in the serum of ACI patients, especially in patients with unstable plaque and large infarction. tumor necrosis factor-α, low-density lipoprotein, and platelet/lymphocyte ratio negatively correlated with serum miR-19a level and positively correlated with CCL20. Dual-luciferase assay revealed that miR-19a could negatively regulate CCL20 expression. CCL20 was highly expressed in the serum of ACI patients. The area under receiver-operating characteristic curve of miR-19a combined with CCL20 was 0.9741 (98.00% specificity, 90.91% sensitivity), higher than their single diagnosis. Collectively, miR-19a had high diagnostic value for ACI and could target to restrain CCL20. The combination of miR-19a and CCL20 improved diagnostic value for ACI.
Study on cavitation and pulsation characteristics of a novel rotor-radial groove hydrodynamic cavitation reactor
Authors: Zhang Deman , Deng Peng , Hou Ruijie , Song Yongxing , Liu Jingting , Zhang Weibin
Published: July 2024

Hydrodynamic cavitation is widely used in many fields such as water treatment, impact rock breaking, and food preparation. The performance of hydrodynamic cavitation is closely related to its internal flow field. In the present study, cavitation flow field was analyzed by computational fluid dynamics in the reactor. The cavitation performance of the rotor is evaluated under different operating conditions. The time frequency distribution of pressure pulsation is studied. The pressure increases at the connection point between the local low-pressure area and the mainstream low-pressure area. Cavitation bubbles collapsed at the tail end of the cavity to form a local void area. The blade frequency amplitude of pressure pulsation shows the significant periodic change. The blade frequency amplitude decreases along the flow direction. The effect of the fluid outlet led to the increase in the second-order harmonic frequency amplitude. The research results could provide theoretical support for the research of cavitation mechanism of cavitation equipment.
Astrocyte D1/D5 Dopamine Receptors Govern Non-Hebbian Long-Term Potentiation at Sensory Synapses onto Lamina I Spinoparabrachial Neurons
Authors: Li Jie , Serafin Elizabeth K. , Koorndyk Nathan , Baccei Mark L.
Published: July 2024

Recent work demonstrated that activation of spinal D1 and D5 dopamine receptors (D1/D5Rs) facilitates non-Hebbian long-term potentiation (LTP) at primary afferent synapses onto spinal projection neurons. However, the cellular localization of the D1/D5Rs driving non-Hebbian LTP in spinal nociceptive circuits remains unknown, and it is also unclear whether D1/D5R signaling must occur concurrently with sensory input in order to promote non-Hebbian LTP at these synapses. Here we investigate these issues using cell-type–selective knockdown of D1Rs or D5Rs from lamina I spinoparabrachial neurons, dorsal root ganglion (DRG) neurons, or astrocytes in adult mice of either sex using Cre recombinase-based genetic strategies. The LTP evoked by low-frequency stimulation of primary afferents in the presence of the selective D1/D5R agonist SKF82958 persisted following the knockdown of D1R or D5R in spinoparabrachial neurons, suggesting that postsynaptic D1/D5R signaling was dispensable for non-Hebbian plasticity at sensory synapses onto these key output neurons of the superficial dorsal horn (SDH). Similarly, the knockdown of D1Rs or D5Rs in DRG neurons failed to influence SKF82958-enabled LTP in lamina I projection neurons. In contrast, SKF82958-induced LTP was suppressed by the knockdown of D1R or D5R in spinal astrocytes. Furthermore, the data indicate that the activation of D1R/D5Rs in spinal astrocytes can either retroactively or proactively drive non-Hebbian LTP in spinoparabrachial neurons. Collectively, these results suggest that dopaminergic signaling in astrocytes can strongly promote activity-dependent LTP in the SDH, which is predicted to significantly enhance the amplification of ascending nociceptive transmission from the spinal cord to the brain.
Kejadian Penyakit Jantung Koroner pada Pasien di RSUD Pasar Rebo
Authors: Aisyah Aisyah , Hardy Fathinah Ranggauni , Pristya Terry Y.R. , Karima Ulya Qoulan
Published: July 2024

Diperkirakan bahwa PJK mewakili 2,2% dari keseluruhan beban penyakit global dan sebesar 32,7% dari penyakit kardiovaskular. Tujuan penelitian ini yaitu untuk mengetahui faktor-faktor yang berhubungan dengan kejadian penyakit jantung koroner pada pasien di RSUD Pasar Rebo tahun 2020. Penelitian kuantitatif observasional ini menggunakan desain studi case control dengan simple random sampling. Sampel berjumlah 96 orang. Sumber data penelitian ini adalah rekam medis. Hasil uji chi square, menunjukkan bahwa faktor yang berhubungan dengan kejadian PJK pada pasien adalah jenis kelamin (OR= 2,553; 95%CI= 1,120-5,820) dan diabetes melitus (OR= 0,274; 95%CI= 0,118-0,637). Berdasarkan hasil analisis multivariat, dapat disimpulkan bahwa faktor yang paling berpengaruh dengan kejadian PJK yaitu hipertensi (Adjusted OR= 3,432; 95%CI= 1,191-9,886) setelah dikontrol oleh variabel usia, jenis kelamin, merokok, dan diabetes melitus. Disarankan bagi pasien dengan hipertensi untuk rutin mengontrol tekanan darah dan melakukan pemeriksaan kesehatan jantung agar mengurangi risiko untuk terkena PJK.
Situasi Masalah Kesehatan Penyakit Menular di Kabupaten Cirebon
Authors: Masruroh Masruroh , Sudaryo Mondastri Korib , Nurlina Ade
Published: July 2024

Data kesehatan di Kabupaten Cirebon menunjukkan bahwa masalah kesehatan di Kabupaten Cirebon didominasi oleh penyakit menular. Penelitian ini bertujuan untuk mengidentifikasi masalah penyakit menular dan menetapkan urutan prioritas masalah penyakit menular di Kabupaten Cirebon pada tahun 2020.  Metode yang digunakan adalah metode deskriptif dengan pendekatan kuantitatif. Data sekunder dari laporan kesehatan di Dinas Kesehatan Kabupaten Cirebon dianalisis untuk mengidentifikasi masalah penyakit menular yang ada. Penentuan urutan prioritas masalah menggunakan metode PAHO Adapted Hanlon melalui suatu pembobotan yang melibatkan partisipasi pemegang kebijakan internal. Penelitian dilakukan pada Desember 2021 – April 2022. Berdasarkan identifikasi masalah penyakit menular di Kabupaten Cirebon terdapat masalah penyakit menular di Kabupaten Cirebon yaitu DBD, Tuberkulosis, Kusta, Diare, Pneumonia, dan Campak. Diperoleh 3 urutan teratas prioritas masalah penyakit menular di Kabupaten Cirebon yaitu Diare (BPR: 29,40), Tuberkulosis (BPR: 28.99), dan DBD (BPR: 27,13). Diare merupakan masalah penyakit menular dengan urutan prioritas pertama di Kabupaten Cirebon yang diperoleh dari hasil skoring menggunakan metode PAHO adapted Hanlon.
Karakteristik Masyarakat dalam Partisipasi Program Gerakan Satu Rumah Satu Jumantik
Authors: Rahayu Dinta Alfiyanti , Cahyati Widya Hary
Published: July 2024

Kota Semarang pada tahun 2022 sampai bulan Agustus memiliki IR DBD dibawah target (<10%) yaitu sebesar 45,2 per 100.000 penduduk. RT 05 RW 04 Kelurahan Sekaran merupakan salah satu wilayah pilot project program Gerakan Satu Rumah Satu Jumantik (GSRSJ) di Kota Semarang. Partisipasi masyarakat dalam program GSRSJ menurun dari tahun 2020 sampai 2022, dari 86,25% turun menjadi 81,7% dan 81,67%. Tujuan penelitian ini adalah untuk mengetahui hubungan antara jenis kelamin, usia, tingkat pendidikan, pekerjaan, pengetahuan, dan perilaku terhadap partisipasi program GSRSJ. Jenis penelitian adalah analitik observasional dengan pendekatan cross sectional. Populasi dalam penelitian ini merupakan masyarakat RT 05 RW 04 Kelurahan Sekaran. Sampel sebanyak 30 responden dari 30 rumah dari total seluruh rumah di RT 05 RW 04 Kelurahan Sekaran. Penelitian ini dilaksanakan pada bulan Agustus sampai dengan September tahun 2022. Hasil penelitian menunjukan ada hubungan antara usia (p=0,017), tingkat pendidikan (p=0,018), pengetahuan (p=0,018), dan perilaku (p<0,001) dengan partisipasi program GSRSJ, serta tidak ada hubungan antara jenis kelamin (p=0,042) dan pekerjaan (p=0,389) dengan partisipasi program GSRSJ.
Gambaran Kondisi Fasilitas Sanitasi Lingkungan Pasar Tradisional di Kota Semarang Tahun 2022
Authors: Rizki Herwianti Chyntia Olyvia , Wijayanti Yuni
Published: July 2024

Abstrak
Pasar merupakan tempat umum dimana dapat menjadi penyebab terjadinya penularan penyakit. Tujuan penelitian ini untuk mengetahui gambaran kondisi fasilitas sanitasi lingkungan pasar tradisional di Kota Semarang. Jenis penelitian ini adalah penelitian deskriptif kuantitatif. Penelitian dilaksanakan pada bulan September dan November tahun 2022. Jumlah sampel yaitu 30 pasar yang ditentukan menggunakan cluster random sampling dan teori Cohen (2007). Data dianalisis secara univariat. Hasil penelitian diperoleh pasar tradisional di Kota Semarang yang tidak memenuhi syarat kesehatan berdasarkan Permenkes Nomor 17 Tahun 2020 Tentang Pasar Sehat dan Standar Nasional Indonesia (SNI) 8152:2021 Tentang Pasar Rakyat yaitu air untuk kebutuhan higiene dan sanitasi (60%), kamar mandi dan toilet (53%), pengelolaan sampah (13%), SPAL (3%), IPAL (100%), tempat cuci tangan (40%), pengendalian vektor dan binatang pembawa penyakit (87%), kualitas makanan dan bahan pangan (80%), dan desinfeksi pasar (0%). Seluruh pasar tradisional harus menerapkan fasilitas sanitasi sebagai upaya pencegahan penyebaran penyakit di lingkungan pasar.
 
Abstract
The market is a public place where it can be a cause of disease transmission. This study aims to describe the condition of environmental sanitation facilities in traditional markets in the city of Semarang. This type of research is a quantitative descriptive research. This research was conducted in September and November 2022. The number of samples was 30 markets which were determined using cluster random sampling and Cohen's theory (2007). Data were analyzed univariately. The results of the study obtained traditional markets in Semarang City that did not meet health requirements based on Permenkes Number 17 of 2020 concerning Healthy Markets and Indonesian National Standards (SNI) 8152:2021 Concerning People's Markets, namely water for hygiene and sanitation needs (60%), bathrooms and toilets (53%), waste management (13%), SPAL (3%), IPAL (100%), hand washing facilities (40%), vector control and disease-carrying animals (87%), quality of food and ingredients ( 80%), and market disinfection (0%). All traditional markets must implement sanitation facilities as an effort to prevent the spread of disease in the market environment.
Sanitasi Lingkungan di Pasar Tradisional
Authors: Izwara Yarra , Kadaria Ulli , Pramadita Suci
Published: July 2024

ABSTRAK
Sebanyak 85,6% pasar tradisional di Indonesia memiliki fasilitas kurang memadai baik dari sisi keberadaan, kebersihan, dan kelayakannya. Penelitian ini bertujuan untuk menganalisis sanitasi lingkungan yang ada di Pasar Tradisional Flamboyan Kota Pontianak berdasarkan pada Permenkes RI Nomor 17 Tahun 2020 Tentang Pasar Sehat. Jenis penelitian ini adalah survei deskriptif yang dilakukan melalui observasi, wawancara, dan kuesioner. Observasi dilakukan melalui pengamatan langsung, wawancara dilakukan kepada pengelola pasar, dan kuesioner diberikan kepada 95 pedagang yang dihitung menggunakan rumus slovin serta sampel yang diambil menggunakan metode stratified random sampling. Hasil penelitian menunjukkan bahwa Pasar Flamboyan mendapatkan skor 59,7% sehingga dikategorikan belum memenuhi syarat sebagai pasar sehat. Bangunan pasar, bangunan kios/los, suhu, cahaya dan kelembaban, tempat parkir, tempat pembuangan sampah, saluran limbah dan drainase, pengendalian binatang penularan penyakit, keamanan pasar serta perilaku hidup bersih dan sehat belum memenuhi syarat. Kesimpulan dari penelitian ini yaitu Pasar Flamboyan dapat menjadi Pasar Sehat apabila melakukan perbaikan seperti penambahan tempat sampah dan tempat cuci tangan serta perbaikan saluran drainase. 
ABSTRACT
In Indonesia, 85.6% of traditional markets require additional amenities in terms of their existence, cleanliness, and feasibility. This study aimed to analyse environmental sanitation at Flamboyan Traditional Market in Pontianak City, based on Regulation of Minister Health of Republic Indonesia Number 17 of 2020 about Healthy Market. This study was descriptive survey using observation, interviews, and questionnaires. Observations were made by direct observation, and interviews were undertaken with market managers. Questionnaires were distributed to 95 traders who were calculated using the solving formula and stratified random sampling. The research findings demonstrated that the Flamboyan Market scored 59.7%, indicating that it did not satisfy the requirements of a healthy market. The criteria did not satisfy the requirements of market buildings, kiosk buildings, temperature, light, and humidity, parking lots, garbage disposal, sewage and drainage, management of disease-transmitting animals, market security, and clean and healthy living behavior. The conclusion is Flamboyan Market can become a Healthy Market if makes improvements such as additional garbage cans and hand washing stations, and repairing drainage canals
Kerentanan Vektor Anopheles Sp terhadap Deltametrin 0,05% di Kabupaten Seram Maluku
Authors: Lenakoly Trivano Yonathan , Wurjanto M. Arie , Hestiningsih Retno , Martini Martini , Yuliawati Sri , Diyana Sutra
Published: July 2024

Abstrak
Kasus malaria tertinggi terjadi di Kabupaten Seram Bagian Barat dengan 260 Kasus dengan API >1. Salah satu insektisida yang digunakan dalam pengendalian vektor malaria di Kabupaten Seram Bagian Barat yaitu Deltamethrin 0,05% dengan dosis 1,25mg/L yang digunakan dalam IRS (Indoor Residual Spraying). Penelitian ini bertujuan untuk mengetahui status resisitensi Anopheles sp terhadap insektisida (Deltamethrin 0,05%) di desa Piru, Kabupaten Seram Bagian Barat. Penelitian ini merupakan penelitian deskriptif dengan sampel uji adalah semua nyamuk Anopheles hasil rearing generasi pertama, hasil survey jentik di Desa Piru. Untuk memastikan jenis nyamuk vektor Malaria dilakukan penangkapan nyamuk di lapangan selama 7 hari ditemukan 310 ekor Aedes sp, 620 ekor Culex sp dan 195 ekor Anopheles sp. Nyamuk Anopheles sp dari desa Piru, Kabupaten Seram Bagian Barat menunjukkan masih rentan terhadap insektisida Deltamethrin 0,05% Dari hasil uji menunjukkan Nyamuk mati 100% pada menit ke-30. Hal ini menunjukkan insektisida Deltamethrin 0,05% masih bisa digunakan dalam pengendalian vektor-vektor Malaria yaitu nyamuk Anopheles spp.
Abstract
The highest malaria cases occurred in the Western Seram Regency with 260 cases with API >1. One of the insecticide used in the control of malaria vectors in West Ceram District is Deltamethrin 0.05% with a dose 1,25mg/L used in the IRS (Indoor Residual Spraying). The Purpose of this research is to know the status of the resistance Anopheles Sp.against insecticides (Deltamethrin 0.05%) at Piru, West Ceram District. This research is a descriptive study with the test sample is all Anopheles from the first generation rearing,results of larvae survey in Piru Village to ensure the type of Malaria vector mosquitoes catch the mosquitoes in the field for 7 days showed 310 Aedes Sp. mosquitoes caught, 620 Culex Sp. and 195 Anopheles Sp. Anopheles Sp from Piru, West Ceram District showed that they were still suspectible to the insecticide Deltamethrin 0,05%. From the test result showed that the mosquitoes died 100% at the 30th minute. This shows that Deltamethrin 0,05% can still be used in controlling Malaria vectors, namely Anopheles spp.
Faktor Risiko Suspek Tuberkulosis Tidak Melakukan Pemeriksaan Tes Cepat Molekuler (TEM)
Authors: Abdillah Azizah Nur , Sukendra Dyah Mahendrasari
Published: July 2024

Abstrak
Cakupan pengobatan semua kasus TBC di Puskesmas Jurangombo masih sangat rendah yaitu 9% dari target capaian 95%. Skrining yang telah di lakukan selama bulan Juni-Agustus 2022 terdapat 33 pasien terduga TBC dan hanya 4 pasien yang menjalankan pemeriksaan Tes Cepat Molekuler (TCM). Tujuan dari penelitian ini untuk mengetahui faktor resiko terduga TBC tidak melakukan pemeriksaan TCM. Desain rancangan cross-sectional melalui observasional analitik dan pengambilan data primer serta data sekunder pendukung dari bulan Juni-Agustus 2022. Sampel dari penelitian merupakan total sampel berjumlah 33 responden. Data dianalisis secara univariat, bivariat (uji fisher) dan multivariat (uji Regresi Logistik). Dari penelitian ini menunjukkan 87,9% terduga TBC yang tidak melakukan pemeriksaan TCM. Faktor yang berhubungan secara signifikan dengan pasien terduga TBC tidak melakukan pemeriksaan TCM yaitu tidak adanya dukungan keluarga pasien (p value 0,014) dan pengetahuan rendah (p-value 0,036) . Oleh karena itu, perlu dilakukan suatu pendampingan kepada pihak keluarga terkait serta sosialisasi tentang TBC dan pemeriksaan TCM.
 
Abstract
Treatment coverage of all TB cases at the Jurangombo Health Center is still very low at 9% of the target achievement of 95%. Screening that has been done during June-August 2022 there were 33 patients suspected of TB and only 4 patients who carried out the Molecular Rapid Test (TCM) examination. The purpose of this study was to determine the risk factors for suspected TB not performing TCM testing. Cross-sectional design design through analytical observations and primary data collection and supporting secondary data from June-August 2022. The sample of the study was a total sample of 33 respondents. Data were analyzed univariate, bivariate (fisher test) and multivariate (Logistic Regression test). This study showed 87.9% of TB suspects who did not perform TCM examinations. Factors that are significantly associated with suspected TB patients not performing TCM examinations are the absence of patient family support (p value 0.014) and low knowledge (p-value 0.036). Therefore, it is necessary to provide assistance to related families as well as socialization about TB and TCM examination.
Kejadian Skizofrenia pada Pasien Rawat Inap di RSUD Dr. H. Soewondo Kendal
Authors: Wulandari Ambar , Febriana Arulita Ika
Published: July 2024

Abstrak
Skizofrenia menjadi gangguan jiwa yang paling banyak diderita di Kabupaten Kendal. Pada tahun 2020 dari 2301 kasus gangguan jiwa, 1910 (83%) diantaranya skizofrenia dan pada tahun 2021 jumlah orang dengan gangguan jiwa menjadi 2543 kasus, yang mana 2091 (82,2%) diantaranya skizofrenia. Penelitian ini bertujuan untuk mengetahui faktor risiko kejadian skizofrenia pada pasien rawat inap di RSUD Dr. H. Soewondo Kendal. Penelitian ini dilakukan pada September-Oktober 2022. Desain yang digunakan adalah cross sectional dengan sumber data rekam medis. Jumlah sampel sebanyak 136 sampel. Teknik pemilihan sampel dilakukan dengan metode total sampling. Data dianalisis secara univariat, bivariat menggunakan uji Chi Square dan multivariat menggunakan uji regresi logistik biner. Diketahui faktor risiko yang memiliki hubungan dengan kejadian skizofrenia adalah usia dewasa (26-45 tahun) (p<0,01), jenis kelamin (p<0,01), status pernikahan (p=0,04), status ekonomi (p=0,025), tingkat pendidikan (p=0,024), dan hubungan keluarga (p=0,027). Sementara itu, faktor risiko yang tidak berhubungan yaitu daerah tempat tinggal (p=0,716), status pekerjaan (p=1,000), dan riwayat penyakit kronis (p=0,422). Dapat disimpulkan bahwa, usia dewasa merupakan faktor yang paling berpengaruh terhadap kejadian skizofrenia.
Abstract
Schizophrenia was the most common mental illness in Kendal. In 2020 from 2301 mental illness cases, 1910 (83%) were schizophrenia and in 2021 from 2543 mental illness cases, 2091 (82,2%) were schizophrenia. The purpose of this research was to found the risk factors schizophrenia of hospitalized patients at RSUD Dr. H Soewondo Kendal. This research was conducted in September-October 2021. The methods that used cross sectional with medical record data source. Samples were 136 samples. Selection technique of sample done by total sampling. Data analysis done by means of univariat, bivariate used the Chi Square and multivariate use binary logistic regression test. The result of this research obtained risk factors associated with schizophrenia were adult age (26-45 years old) (<0,01), sex (p<0,01), marital status (p=0,04), economic status (p=0,025), education level (p=0,024), and family relationship (0,027). While factors that not associated with the occurrence of schizophrenia were region where live (p=0,716), employment status (p=1,000), and history of chronic disease (p=0,422). In conclusion, adult age was the most influential factor in the schizophrenia event.
Kesehatan Mental dan Kualitas Hidup Wanita Usia Subur Pasca Terpapar Covid-19 di Kabupaten Kendal
Authors: Mazia Fladina Alfi , Kusumawati Yuli
Published: July 2024

Abstrak
Dampak pandemi Covid-19 pada masyarakat antara lain kesehatan fisik, ekonomi, kesehatan mental, dan kualitas hidup masyarakat, karena ketidaksiapan masyarakat pada perubahan yang terjadi dan kurang terpenuhinya kebutuhan fisik serta rasa aman pasca pandemi Covid-19. Penelitian ini bertujuan menganalisis perbedaan kesehatan mental dan kualitas hidup Wanita Usia Subur (WUS) pasca terpapar Covid-19 di wilayah perdesaan dan perkotaan Kabupaten Kendal. Penelitian observasional ini menggunakan pendekatan cross-sectional. Populasi penelitian ini Wanita Usia Subur (WUS) di Kabupaten Kendal. Sampel sebanyak 130 orang diambil menggunakan Teknik purposive sampling. Kesehatan mental diukur menggunakan instrumen SRQ20 dan kualitas hidup diukur menggunakan instrumen WHOQOL-BREF. Pengumpulan data dilakukan secara online melalui WhatsApp. Uji statistik menggunakan Mann-Whitney. Hasil penelitian menunjukkan ada perbedaan kesehatan mental Wanita Usia Subur (WUS) pasca terpapar Covid-19 pada wilayah perdesaan dan perkotaan (p=0,008). Sementara itu, pada kualitas hidup menunjukkan tidak ada perbedaan wilayah perdesaan dan perkotaan (p=0,210). Penelitian selanjutnya dapat dilakukan pengumpulan data langsung dengan memperluas wilayah jangkauan sehingga mendapatkan informasi yang mewakili seluruh wilayah pada masa endemi Covid-19.
 
Abstract
The impact of the Covid-19 pandemic on society includes physical health, the economy, mental health, and people's quality of life, due to the community's unpreparedness for the changes that have occurred and the lack of fulfillment of physical needs and a sense of security after the Covid-19 pandemic. This study aims to analyze differences in mental health and quality of life for women of childbearing age (WUS) after being exposed to Covid-19 in rural and urban areas of Kendal Regency. This observational study used a cross-sectional approach. This population study was Women of Reproductive Age (WUS) in Kendal Regency. A sample of 130 people was selected using a purposive sampling technique. Mental health was measured using the SRQ20 instrument and quality of life was measured using the WHOQOL-BREF instrument. Data collection is done online via WhatsApp. Statistical test used Mann-Whitney. The results showed there was differences in the mental health of women of childbearing age (WUS) after being exposed to Covid-19 in rural and urban areas (p=0.008). Meanwhile, the quality of life no difference in rural and urban areas (p=0.210). For further research, data collection can be carried out directly by expanding the coverage area with various geographical conditions so as to obtain information that was representative of all regions during the Covid-19 endemic period.
Pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) oleh Ibu Hamil dan Balita: Evaluasi Pengetahuan, Sikap, dan Perilaku
Authors: Guntara Muhamad Akbar , Rahmannia Sofa
Published: July 2024

Abstrak
Tingginya angka kematian ibu di Indonesia (205/100.000 kelahiran hidup), menjadi salah satu alasan Menteri Kesehatan Republik Indonesia mengambil keputusan 284/MENKES/SK/III/2004 tentang kesehatan ibu dan anak. Belum dilakukannya penelitian tentang buku KIA di Kecamatan Parongpong, menjadi  salah satu alasan mengapa penelitian ini dilakukan sebagai langkah evaluasi penggunaan  buku KIA yang dilihat dari aspek pengetahuan, sikap dan perilaku. Jenis penelitian adalah penelitian deskriptif dengan rancangan studi cross sectional. Penelitian dilaksanakan pada awal September hingga awal November. Hasil penelitian menunjukan karakteristik responden rata-rata berusia  29 tahun (SD 6.1), berdasarkan status ibu adalah ibu hamil (34%) dan ibu balita (66%), berdasarkan karakteristik pendidikan adalah pendidikan menengah (SMA 36%), berdasarkan pekerjaan adalah ibu rumah tangga (81%) dan sebagian besar ibu memiliki rumah sendiri, berdasarkan hasil kuesioner menunjukan rata-rata pengetahuan 83(SD 6,6) sikap 84,4 (8,6), perilaku 74,5 (28). Kesimpulan peneliti yaitu pengetahuan dan sikap ibu terhadap buku KIA sudah baik. Namun, perilaku ibu masih masuk dalam kategori cukup.
Abstract
The high maternal mortality rate in Indonesia (205/100,000 live births) is one of the reasons the Minister of Health of the Republic of Indonesia made a decision 284/MENKES/SK/III/2004 concerning the Maternal and Child Health book. The absence of research on the MCH handbook in Parongpong District is one of the things that must be done to evaluate the utilization of the MCH handbook by pregnant women and toddlers. This type of research is descriptive research with a cross sectional study design. The research was conducted in early September to early November. The results showed that the average age of the respondents was 29 years old (SD 6.1), 34% were pregnant women, and 66% were mothers of toddlers. The majority of the respondents had a secondary education (36% had completed high school) and were homemakers (81%). Most of the respondents had their own houses. Based on the questionnaire results, the respondents had good knowledge (average score of 83, SD 6.6) and attitude (average score of 84.4, SD 8.6) towards the Mother and Child Health book, but their behavior score was only average (average score of 74.5, SD 28). In conclusion, the knowledge and attitude of mothers towards the Mother and Child Health book were good, but their behavior still needs improvement, therefore further interventions are needed.
Kejadian Penyakit Ginjal Kronik pada Penderita Hipertensi
Authors: Arub Lina Pitri , Siyam Nur
Published: July 2024

Abstrak
Menurut Laporan Tahunan Registri Ginjal Indonesia ke-11, penyakit penyerta hipertensi merupakan penyebab utama kematian pasien hemodialisis di Indonesia pada tahun 2018, terhitung 2897 kematian (42%). Tujuan dari riset ini ialah untuk mengidentifikasi faktor risiko penyakit ginjal kronis (PGK) pada penderita hipertensi. Riset ini memakai metodologi observasi analitik cross-sectional. Pasien yang dirawat di RSUD Dr. Moewardi Surakarta dengan hipertensi antara 1 Januari 2021 hingga 31 Desember 2021 merupakan populasi riset. Sebanyak 212 peserta dipilih memakai prosedur pengambilan sampel acak dasar untuk penyelidikan ini. Informasi diperoleh dari rekam medis di RSUD Dr. Moewardi Surakarta. Uji chi-square dan regresi logistik dipakai untuk menilai data. Terdapat hubungan yang signifikan antara kadar trigliserida (OR=2,028; p=0,044; 95% CI=1,011-4,067), kadar kreatinin (OR=32,653; p=0,000; 95% CI=9,646-110,536), dan kadar ureum (OR=36,021; p=0,000; 95% CI=12,076-107,448) dengan kejadian PGK pada penderita hipertensi. Analisis multivariat menandakan bahwasanya kadar ureum merupakan prediktor PGK yang paling signifikan pada penderita hipertensi.
Abstract
According to 11th Annual Report of Indonesia Renal Registry, prevalence of causes the most deaths in hemodialysis patients in 2018 in Indonesia were 2897 people (42%) with comorbid hypertension as highest cause of death (51%).This study aims to determine factors associated with the incidence of CKD in hypertensive patients. This type of research is analytic observational with cross sectional method approach. The population is inpatients who suffer from hypertension at RSUD Dr. Moewardi Surakarta in January 1 2021-December 31 2021. This study used a sample of 212 respondents using simple random sampling technique. Data sourced from medical record data at RSUD Dr. Moewardi Surakarta. Data were analyzed using chi-square and logistic regression. There is a significant association between the variables of triglyceride levels (OR=2.028; p=0.044; 95% CI=1.011-4.067), creatinine levels (OR= 32.653; p=0.000; 95% CI=9.646-110.536), and urea levels (OR=36.021; p=0.000; 95% CI=12.076-107.448) and the incidence of CKD in hypertension patients. Urea levels is the strongest contribution variables incidence of CKD in hypertensive patient.
Determinan Kejadian Stunting pada Balita di Kecamatan Kersana, Kabupaten Brebes
Authors: Jayanti Indra Dwi , Fauzi Lukman
Published: July 2024

Abstrak
Pada tahun 2021, Brebes merupakan kabupaten dengan angka prevalensi stunting tertinggi ketiga di Jawa Tengah. Kecamatan Kersana merupakan salah satu lokus penanganan stunting di Kabupaten Brebes, dengan angka prevalensi mencapai 20,89%. Tujuan penelitian adalah untuk mengetahui determinan kejadian stunting pada balita di Kecamatan Kersana, Kabupaten Brebes. Jenis penelitian ini adalah kuantitatif observasional analitik, dengan desain cross-sectional. Penelitian ini dilaksanakan pada bulan September hingga Desember 2022. Jumlah sampel penelitian sebanyak 241 responden, diambil dengan proportionate stratified random sampling. Analisis data dilakukan secara univariat, bivariat dengan uji chi-square, dan multivariat dengan uji regresi logistik. Hasil penelitian menunjukkan bahwa sumber air minum utama (p= 0,018; AOR= 6,34; CI 95%= 1,37 – 29,33), kepemilikan jamban (p= 0,002; AOR= 8,75; CI 95%= 2,15 – 35,65), dan paritas (p= 0,012; AOR= 2,46; CI 95%= 1,21 – 5,00) memiliki hubungan yang signifikan dengan kejadian stunting pada balita. Faktor terkuat yang berhubungan dengan kejadian stunting pada balita di Kecamatan Kersana adalah jamban tidak layak.
Abstract
In 2021, Brebes is the third highest stunting prevalence rate in Central Java. Kersana District is one of the locus for handling stunting in Brebes Regency, with a prevalence rate of 20.89%. This study aimed to determine the determinants of stunting among toddlers in Kersana District, Brebes Regency. This study using quantitative observational analytic, with a cross-sectional design. This study was carried out in September to December 2022. The total sample size was 241 respondents, taken by proportionate stratified random sampling. Data analysis was performed univariately, bivariately using the chi-square test, and multivariately using the logistic regression test. The results showed that the main source of drinking water (p= 0.018; AOR= 6.34; 95% CI= 1.37 – 29.33), ownership of latrines (p= 0.002; AOR= 8.75; 95% CI= 2 .15 – 35.65), and parity (p = 0.012; AOR = 2.46; 95% CI = 1.21 – 5.00) has a significant relationship with the incidence of stunting in toddlers. The strongest factor related to the incidence of stunting among toddlers in Kersana District is inadequate latrines.
Hand–foot syndrome in sorafenib and lenvatinib treatment for advanced thyroid cancer
Authors: Minaldi Elisa , Cappagli Virginia , Lorusso Loredana , Valerio Laura , Giani Carlotta , Viglione Matilde , Agate Laura , Molinaro Eleonora , Matrone Antonio , Elisei Rossella
Published: July 2024

Objective

The aim of this study was to assess the clinical impact of hand–foot syndrome (HFS) during treatment with two multikinase inhibitors, sorafenib and lenvatinib, in a large group of patients with advanced thyroid cancer. Moreover, we looked for possible associations between HFS occurrence and clinical and pathological features.

Methods

We retrospectively evaluated 239 patients with advanced thyroid cancer: 165 treated with lenvatinib and 74 with sorafenib. Statistical analyses were performed to verify which features could be correlated with HFS development.

Results

HFS was observed in 35/74 (47.4%) and in 43/165 (26.7%) patients treated with sorafenib or lenvatinib, respectively. The median latency from the drug beginning and HFS appearance was 27 days for sorafenib and 2.9 months for lenvatinib. G3/G4 toxicity was observed in 16/35 (45.7%) patients treated with sorafenib and only in 3/43 (7%) treated with lenvatinib. Drug dose reduction due to HFS was required in 19/74 (25.7%) and 3/165 (1.8%) patients treated with sorafenib and lenvatinib, respectively. HFS occurrence was significantly associated with a longer duration of therapy in both groups.

Conclusion

HFS was a frequent adverse event during both lenvatinib and sorafenib therapy, with a higher frequency and toxicity grade during sorafenib treatment. HFS was the most frequent reason for drug reduction or discontinuation in patient treated with sorafenib. Early diagnosis of HFS is important to allow early intervention, possibly in a multidisciplinary setting, and to avoid treatment discontinuation, which is highly relevant to obtain the maximum effectiveness of systemic therapy.
La Experiencia Foucault. Mirada a distancia. Mirada presente
Authors: Paponi María Susana
Published: July 2024

Una inquisitiva búsqueda acerca de la constitución de los sujetos es la tarea que Foucault reclama para el filósofo. Esa tarea es la de quien en torno de la verdad piensa de otro modo aquello que no había sido sometido sino a un análisis de desenvolvimiento de la razón o bien, de creciente desarrollo de la racionalidad.