bluuebunny/crossref_metadata_2025 huggingface dataset:
Examining Marriage Anxiety, Psychological Distress and Social Support among Adults of Separated and Non-Separated Families
Authors: Kanza Gul  , Jamil Sabir  , Ali Bukhtiar  , Hafiz Abdul Rehman Saleem
Published: February 2025

This study aimed to examine the levels of marriage anxiety, psychological distress, and social support among young adults from separated and non-separated families. A cross-sectional survey method was employed, involving a sample of 200 individuals, comprising 110 individuals from separated families and 90 individuals from non-separated families. Purposive sampling technique was used to collect data from individuals, age ranging from 18-35 years (M = 21.64, SD = 1.43). Urdu version of Multidimensional Scale of Perceived Social Support, Depression, Anxiety, and Stress Scales and Pre-Marital Anxiety Scale were used. Correlation analyses revealed significant relationships among the study variables. Social support was negatively correlated with psychological distress and marriage anxiety, while psychological distress and marriage anxiety were positively correlated. All correlations were statistically significant. Independent sample t-tests showed that individuals from non-separated families had higher social support, while those from separated families experienced higher psychological distress and marriage anxiety. These findings underscore the impact of family structure on young adults' psychological well-being and social support, highlighting the need for targeted support for those from separated families.
La Información Geográfica de Referencia de Redes de Transporte (IGR-RT): conjunto de datos de alto valor de movilidad multimodal
Authors: González Jiménez Alicia , Calvo Guinea Cristina
Published: February 2025

La IGR-RT es el conjunto de datos geoespaciales que conforma la Infraestructura Digital del Transporte generada por el Instituto Geográfico Nacional, en el marco de cooperación establecido por el Real Decreto 1545/2007, de 23 de noviembre, por el que se regula el Sistema Cartográfico Nacional, de mayor resolución y cobertura nacional.
Compuesto por los modos de transporte de red viaria, ferrocarril, aéreo, marítimo y cable, y sus conexiones intermodales, es conforme con la Directiva INSPIRE y, en consecuencia, es un conjunto de Datos de Alto Valor (High Value DataSet) en la temática de movilidad, de acuerdo con la clasificación especificada en el Reglamento de Ejecución (UE) 2023/138 por el que se establecen una lista de conjuntos de datos específicos de alto valor y modalidades de publicación y reutilización.
La reutilización de esta información pública abiertamente accesible tiene un alto potencial de retorno social y económico para la sociedad, dada la naturaleza del transporte como elemento vertebrador del territorio y factor condicionante de la actividad económica y el acceso de los ciudadanos a los servicios públicos.
Un viaje en el tiempo a través de la fototeca del CNIG
Authors: Velasco Tirado Ana , Moral Fernández Laura
Published: February 2025

El Organismo Autónomo Centro Nacional de Información Geográ­fica (CNIG) se encarga de distribuir datos geográficos y gestionar el banco de datos de fotografías aéreas del Instituto Geográfico Nacional (IGN). La Fototeca del CNIG conserva, archiva y digitaliza estos fondos, poniéndolos a disposición del público a través de internet y servicios personalizados. Las acciones clave incluyen la conservación y digitalización de fotogramas, el almacenamiento de imágenes digitales y la gestión de su base de datos, además del mantenimiento de la Fototeca Digital para consulta y certifi­cación de fotogramas.
Malaria Elimination in the Post-Pandemic Era: Opportunities and Barriers
Authors:   Faculty of Medicine Kampala International University Uganda, Kabanda D Nassimbwa .
Published: February 2025

The COVID-19 pandemic significantly disrupted global health systems, posing challenges to malaria elimination efforts and reversing progress in many endemic regions. This review examines the barriers that emerged during the pandemic, including interruptions in vector control programs, diagnostic services, and treatment accessibility, as well as the exacerbation of vulnerabilities among high-risk populations. Simultaneously, it highlights new opportunities in the post-pandemic era, such as advancements in digital health, strengthened disease surveillance systems, and accelerated vaccine development. Persistent obstacles, including drug and insecticide resistance, weak health systems, and the impact of climate change, are also explored. Strategic recommendations are provided, emphasizing the integration of innovative tools, multisectoral collaboration, and sustained political and financial commitment to revitalize malaria elimination efforts. The post-pandemic period offers a unique opportunity to reimagine strategies and accelerate progress toward global malaria eradication goals. This review used data from peer-reviewed articles from scientific databases, reports from reputable organizations, published between 2014-2024.

Keywords: COVID-19 pandemic, Malaria, Insecticide-treated nets, Post-pandemic
Measuring the Efficacy of Arts-Based Therapies
Authors:   Faculty of Medicine Kampala International University Uganda, Karanja J. Otieno
Published: February 2025

Arts-based therapies harness creative expression through mediums such as music, dance, drama, and visual arts to promote emotional and psychological well-being. With roots in ancient healing practices and informed by interdisciplinary frameworks, these therapies have demonstrated efficacy across diverse populations, from individuals with autism to those experiencing trauma or terminal illnesses. This paper examines the theoretical foundations, clinical applications, and research methodologies employed to evaluate arts-based therapies. While both quantitative and qualitative approaches offer valuable insights, challenges remain in standardizing evaluation frameworks and ensuring ethical practices. Addressing these gaps can solidify the role of arts-based therapies as effective, low-intervention treatments within holistic health care systems.

Keywords: Arts-based therapies, Creative expression, Psychological well-being, Evidence-based practice, Interdisciplinary frameworks.
Integration of Machine Learning in Predictive Health Diagnostics
Authors:   School of Natural and Applied Sciences Kampala International Uganda, Amina H. Katu
Published: February 2025

The integration of machine learning (ML) into predictive health diagnostics is revolutionizing healthcare by enabling early detection, personalized treatment, and resource optimization. By leveraging large datasets, advanced algorithms, and interdisciplinary collaborations, predictive diagnostics empower healthcare providers to identify risks and manage diseases proactively. This paper investigates the fundamentals of predictive health diagnostics and ML, emphasizing their applications in disease prediction, risk stratification, and personalized medicine. It also addresses challenges such as data quality, privacy, and ethical considerations, offering solutions to foster responsible implementation. Emerging trends, such as real-time analytics and wearable-driven monitoring, are discussed, highlighting the potential for a paradigm shift toward preventive healthcare. The findings emphasize the necessity of a collaborative effort among technologists, clinicians, and policymakers to overcome barriers and harness the transformative potential of ML in predictive health diagnostics.

Keywords: Predictive health diagnostics, Machine learning, Artificial intelligence, Personalized medicine, Disease prediction.
Robotics in Surgery: Enhancing Precision and Recovery
Authors:   School of Applied Health Sciences Kampala International University Uganda, Sandra Gisele Mukamana
Published: February 2025

The advent of robotic systems in surgery has revolutionized the field, offering enhanced precision, minimal invasiveness, and faster recovery times for patients. This paper examines the evolution of robotic surgery, focusing on technological advancements, benefits, and challenges, alongside its clinical applications and future trends. Emerging technologies such as artificial intelligence, telesurgery, and multimodal imaging systems are redefining surgical possibilities, enabling procedures that were once deemed too complex. While the benefits of robotic surgery are undeniable, challenges related to training, ethical considerations, and system optimization remain. With continued innovation and integration, robotic surgery holds the promise of personalized, data-driven, and globally accessible healthcare.

Keywords: Robotic Surgery, Minimally Invasive Surgery, Artificial Intelligence in Surgery, Tele-surgery, Surgical Precision, Clinical Applications.
The Relationship between Creativity and Mental Illness: An Artistic Perspective
Authors:   Faculty of Business, Kampala International University, Uganda, Amina G. Kagaba
Published: February 2025

This paper investigates the intricate relationship between creativity and mental illness, particularly focusing on mood disorders such as major depressive disorder and bipolar disorder. By examining historical perspectives, psychological theories, and research findings, the discussion examines the dual personas of artists as both troubled geniuses and societal outliers. Historical narratives of artists like Vincent van Gogh and Virginia Woolf highlight the interplay of mental health and creative output. Modern psychological research suggests that certain cognitive patterns associated with mental illness may enhance creative potential, while artistic expression is increasingly recognized as a therapeutic tool for alleviating symptoms of mental distress. This work also emphasizes the need for ethical representation of mental illness in art and calls for interdisciplinary efforts to further understand this complex relationship.

Keywords: Creativity, Mental Illness, Bipolar Disorder, Major Depressive Disorder, Artistic Expression, Vincent van Gogh.
The Role of Arts in Shaping Public Perceptions of Health Policy
Authors:   Faculty of Education, Kampala International University, Uganda, Kashaka Nyiramukama Diana
Published: February 2025

The arts hold transformative potential in shaping public understanding and discourse on health policy by engaging emotions and creating compelling narratives. This paper examines the historical and contemporary relationship between art and health policy, highlighting how creative works influence societal attitudes toward health-related issues. Drawing on case studies, interdisciplinary insights, and practice-based research, it explores the successes, challenges, and ethical considerations of using arts-based communication to address health policy topics, such as mental health, epidemics, and healthcare equity. While the arts offer an inclusive platform for dialogue and reflection, they also require ethical frameworks to ensure authenticity and inclusivity. Ultimately, this study advocates for continued exploration and evaluation of arts-based strategies to foster meaningful public engagement and policy transformation.

Keywords: Arts and health policy, Health Communication, Public perceptions, Narrative storytelling, Social determinants of health
Public Funding Models for Education: Challenges and Solutions
Authors:   Faculty of Education, Kampala International University, Uganda, Annet Kakembo Aisha
Published: February 2025

Education is a cornerstone of societal development and individual empowerment, yet its funding remains a persistent global challenge. This paper examines the complexities of public funding models for education, addressing the historical evolution of these systems, the current economic and policy-related challenges, and innovative solutions. It provides an in-depth analysis of inequities in funding allocation, particularly for marginalized communities, and evaluates case studies showcasing successful strategies in diverse settings. Emphasis is placed on collaborative funding, technology-driven resource management, and data-informed decision-making as pathways to equitable and sustainable education financing. The paper concludes with actionable insights to guide policymakers in creating resilient and inclusive educational systems.

Keywords: Public education funding, Equity in education, Sustainable funding models, Collaborative financing, Educational technology.
régimen de responsabilidad de los patronos de las fundaciones.
Authors: Alonso Naya Carlos
Published: February 2025

Este trabajo indaga sobre la responsabilidad de los patronos de las fundaciones en el ejercicio de su cargo, es decir, la que pudiera dimanar por las decisiones y acuerdos que adoptan dentro del órgano de gestión y representación de las fundaciones, el Patronato. Describe, en primer lugar, las características del órgano, los deberes de diligencia y lealtad que los patronos deben cumplir y la naturaleza jurídica y el ámbito de una eventual responsabilidad. Por último, analiza los supuestos de responsabilidad bajo el criterio de frente a quién puede producirse: la propia fundación, el Protectorado de Fundaciones o terceros afectados por sus decisiones.
Stimulasi Nervus Vagus sebagai Terapi Adjuvan pada Anak Epilepsi Resisten Obat : Literature Review
Authors: Jonathan Rivaldo Gultom  , Roro Rukmi Windi Perdani  , Septia Eva Lusina  , Intanri Kurniati
Published: February 2025

Drug-resistant epilepsy is the failure to administer two or more anti-epileptic drugs to an epileptic child which becomes a challenge in its management. Failure of this therapy can result in a decrease in the child's quality of life, such as decreased cognitive function, personality disorders and sleep quality. This can also have a negative impact on the parents who care for them. Vagus nerve stimulation is a device attached to the child's left chest and neck that can stimulate the vagus nerve. This literature review provides a comprehensive overview of vagus nerve stimulation in the treatment of drug-resistant epilepsy, including a discussion of indications, techniques for use, and scientific evidence for the efficacy of vagus nerve stimulation. We reviewed and analyzed the current scientific evidence to assess the effectiveness of vagus nerve stimulation in the treatment of drug-resistant epilepsy.
The Influence of Clean Water Sources on Toilet Ownership and Waste Processing With Diarrhea Disease Incidence in Toddlers
Authors: Penina Gobai  , Nur Susan Iriyanti Ibrahim  , Gandhi Pratama
Published: February 2025

Background:Diarrhea is still a health problem and a cause of death in toddlers. Lack of attention to clean water sources, toilet ownership, and waste management can lead to high rates of diarrhea. An initial survey conducted at the Enarotali Health Center from March 2023 to October 2023, the number of diarrhea cases was 78 with a percentage of 47.43%. Objective: to determine the relationship between clean water sources, toilet ownership, and waste management with the incidence of diarrhea in toddlers in the Enarotali Health Center work area. Method: This study is quantitative with a cross-sectional approach conducted at the Enarotali Health Center, Paniai Regency from April to June 2024. Sample selection using the Random Sampling technique was 78 people. Data processing was carried out using SPSS version 16. Results: The results of the study showed that there was a relationship between clean water sources, toilet ownership, and waste management with the incidence of diarrhea in toddlers with a significant value of p-value = 0.00 (p-value = <0.05). Conclusion: There is a relationship between clean water sources, toilet ownership, and waste management with the incidence of diarrhea in toddlers. Suggestion: Researchers hope that mothers of toddlers at the Enarotali Health Center can get clean water sources, healthy toilet ownership, and good and proper waste management to prevent cases of diarrhea in toddlers.
Relationship Between Pregnant Women's Knowledge And Attitudes About Pregnancy Exercises And Smooth Normal Delivery Process
Authors: Siti Arfah Siregar  , Rismaida Saragih
Published: February 2025

During pregnancy, a mother will experience various changes, both anatomical and physiological. Pregnancy exercise is one of the activities in pregnancy services or prenatal care that aims to prepare and train muscles so that they can be used optimally in normal delivery. Knowledge and attitude are factors in the formation of behavior. The purpose of this study was to identify the relationship between knowledge and attitudes of pregnant women with the implementation of pregnancy exercise. This type of research is quantitative analytic using a cross-sectional design. The time of the study was August 18 - September 3, 2010. The sampling technique was purposive sampling through non-probability sampling of 55 people. Data collection through interviews using structured questionnaires. Data analysis used was univariate and bivariate (chi square, simple logistic regression, and correlation test). The results showed that most pregnant women at the Ciputat Health Center had good knowledge about pregnancy exercise, namely 40 respondents (72.7%), had a positive attitude towards pregnancy exercise, namely 36 respondents (65.5%), and 32 respondents (58.2%) did not do pregnancy exercise. Based on bivariate data analysis, the p Value = 0.037 was obtained, which means there is a relationship between knowledge and the implementation of pregnancy exercises (p <0.05). Significant results were also obtained with a p Value = 0.001, which means there is a relationship between attitude and the implementation of pregnancy exercises (p <0.05). Based on the results of the study, the author suggests increasing health promotion about pregnancy exercises, and holding pregnancy exercise programs for pregnant women.
Description Of Foreign Bodies in The Esophagus in The ORL-HNS Section Of RSUP M. Djamil Padang Period 2020-2021 (COVID-19 Pandemic)
Authors: Kevin Bryan Alghifari  , Effy Huriyati  , Hasmiwati Hasmiwati
Published: February 2025

Esophageal foreign bodies are sharp or blunt objects or food that get stuck and pinched in the esophagus due to swallowing, either intentionally or unintentionally. Symptoms of esophageal foreign body obstruction depend on the size, shape, type of foreign body and the location of the foreign body. The purpose of this study was to determine how the description of foreign bodies in the esophagus in the ORL-HNS section of Dr. M. Djamil Hospital during the period 2020-2021 (Covid-19 Pandemic). This study is a descriptive study using a cross-sectional design. The sample of this study was a population that met the inclusion criteria using the total sampling method. This data collection used patient medical records conducted at the center of the medical record facility at Dr. M. Djamil Padang Hospital. The subjects of this study were patients diagnosed with esophageal foreign body ingestion in the ORL-HNS department of Dr. M. Djamil Hospital Padang in the period 2020-2021 (COVID-19 Pandemic). In this study, 22 samples were obtained that met the inclusion and exclusion criteria of the study. The results of this study found that the percentage of sex ratio between men was comparable to women with the largest age group, namely 0-<10 years (59.09%). There were most main complaints felt by patients, namely swallowing pain (31.81%) with the duration of foreign body in the esophagus mostly >12-24 hours (50%). The location of the most foreign bodies was in the introitus of the esophagus (72.73%) with the most types of foreign bodies coins (50%) and the most management performed was esophagoscopy (100%) and no complications were found in 17 cases (77.27%) of 22 cases. During the covid-19 pandemic there was a decrease in the number of patients swallowed by foreign bodies compared to before the covid-19 pandemic, there were no differences in age, complaints, location, tye of foreign body, duration, management and complications.
Effect of Iodine Solution on Histopathology of Rats Kidney Induced by Lead Acetate
Authors: Zawata Afnan  , Biomechy Oktomalio Putri  , Miftah Irramah
Published: February 2025

Lead is a metal that is toxic to the environment and the human body. Lead can cause oxidative stress in body tissues and organs, including the kidneys. Iodine can function as an antioxidant because it can inhibit the increase in free radicals so that oxidative stress does not occur. This study aims to see the effect of giving iodine solution on the histopathological picture of lead acetate-induced rat kidney. This study was an experimental study using 18 Rattus novergicus rats which were divided into 3 groups, namely the negative control group which was only given standard feed, positive control which was given standard feed and lead acetate 10 mg/Kg BB, and the treatment group which was given standard feed. , 10 mg/Kg BB lead acetate, and 12.5 mg iodine solution for 19 day. The rat kidney damage scores were 4 for the positive group, 2 for the treatment group, and 1 for the negative group. The conclusion of this study is that there is an effect of giving iodine solution in preventing damage to the kidney cells of rats induced by lead acetate.
The Relationship Between Intensity of Pain With Sleep Quality in Patients With Gout Desease
Authors: Maria Haryanti Butarbutar  , Srilasmawanti Srilasmawanti  , Arief Rahman  , Khairul Fadly
Published: February 2025

Gout is a clinical syndrome resulting from the deposition of urine (monosodium urate monohydrate) crystals. The crystals may be deposited in a joint, leading to an acute inflammatory response, or in soft tissues, such as cartilage, causing no inflammation. Most cases of gout are characterized by the sudden onset of severe acute monarticular arthritis in a peripheral joint in the leg. The arthritis remits completely and then recurs with increasing frequency. After approximately 10 years of recurrent gouty arthritis, tophi develop in cartilage, tendons, and bursae in some patients.. The purpose of research To know the relationship between the intensity of pain with sleep quality in patients with Rheumatoid Arthritis in elderly Patients with Rheumatoid Arthritis in Dusun II Desa Helvetia Medan. The research design used survey analytic cross-sectional methods. The sampling technique used total sampling, the Sample size of 60 respondents. The Data were obtained using a questionnaire VASE-cope containing 20 items of questions, the data analysis used is univariate and bivariate. Based on the Analysis results with the Results of using the test chi-square test showed that the significant value of the probability (Asymp. Sing) The Intensity of Pain is .0,003 <value sing ? of 0.05, it was proved that there was a relationship of Pain Intensity with the quality of sleep in elderly patients with Gout in Dusun II Desa Helvetia. The conclusion in this study showed that statistically there is a relationship between Pain Intensity and sleep quality in elderly patients with Gout Helvetia Village.. Elderly people know more about Pain Intensity and can control sleep well.
Analisis Kepuasan PMIK Terhadap Implementasi Rekam Medis Elektronik dengan Metode EUCS di RSUD Dr. Moewardi
Authors: Saryadi Saryadi  , Puguh Ika Listyorini  , Liss Dyah Dewi Arini  , Anggelli Marsha Pattinama
Published: February 2025

The implementation of electronic medical records is expected to support the effectiveness of time in service. User satisfaction of electronic medical records, especially PMIK, is an important aspect to determine whether an information system is successful or not. The implementation of electronic medical records at Dr. Moewardi Hospital is still found to be an obstacle, namely when Vclaim is updated in the registration area, it experiences a server error and services are carried out manually, which causes BPJS patient recording and reporting to be carried out twice so that there is inefficiency in work. The purpose of this study is to determine PMIK's satisfaction with the implementation of electronic medical records with the EUCS method at Dr. Moewardi Hospital. This study is a quantitative descriptive research with a cross sectional approach. The data collection technique in this study is a questionnaire. The population in this study is 55 officers. The sampling technique uses total sampling. Data processing in this study is by collecting, editing, coding and presenting data by presenting the research results in the form of tables. Data analysis using univariate analysis. The results of the study show that: 1) The content dimension has a mean value of 4.44, meaning very satisfied. 2) The accuracy dimension has a mean of 4.27, meaning very satisfied. 3) The display dimension (format) has a mean of 4.24, meaning very satisfied. 4) The dimension of ease of use has a mean of 4.20, meaning very satisfied. 5) The timeliness dimension has a mean of 4.26, meaning very satisfied.
Penatalaksanaan Fisioterapi pada Kasus Frozen Shoulder : a Case Report
Authors: Andhika Fatir Ath-Thariq  , Isnaini Herawati  , Warih Sri Widodo
Published: February 2025

Background: Frozen shoulder also known as adhesive capsulitis, is a common shoulder disorder that manifests as pain and progressive loss of shoulder motion. Frozen shoulder can be primary or secondary, which refers to whether the condition occurs spontaneously, without known cause or trauma to primary frozen shoulder, or whether it is associated with trauma, surgery or other pathologies, such as secondary frozen shoulder subacromial pain. Method: This study design used a case report method which observed one patient with a case of left frozen shoulder. The observation location was at Panembahan Senopati Bantul Hospital. Examination using the Numeric Rating Scale (NRS) for pain examination, Manual Muscle Testing (MMT) for muscle strength examination, goniometer for joint range of motion (LGS) examination, palpation for spasm examination, Shoulder Pain and Disability Index (SPADI) for functional activity evaluation. Results: This study showed that physiotherapy treatment for 3 meetings increased joint range of motion, increased muscle strength, decreased spasm and reduced pain in patients with frozen shoulder. Conclusion: Infrared, TENS, Massage, Active resisted exercise and SPADI are effective in treating frozen shoulder cases.
Patient Engagement’s Influence On Brand Image As A Mediator To Strengthen Revisit Intention
Authors: Kharisma Berlian Sjukri  , Rokiah Kusumapradja  , Erry Yudhya Mulyani
Published: February 2025

The transformation of medical services in Indonesia from a disease-centered model to a patient-centered model has created intense competition among medical institutions. At one of the Maternal and Child Hospitals in Jakarta, a decline in visits from Non-BPJS patients indicates the need for a deeper understanding of the factors influencing patients' intentions to revisit. This study aims to analyze the influence of patient involvement and patient experience on the intention to revisit the hospital, with the mediation of the hospital's brand image. A quantitative approach with a cross-sectional design was used in this study. Data were collected through questionnaires from 119 Non-BPJS patients in the Outpatient Unit. Data analysis was conducted using PLS-SEM with the Smart-PLS program. The results showed that patient involvement and patient experience significantly influenced the intention to revisit, with the hospital's brand image serving as a strong mediator. Enhancing patient involvement, positive experiences, and a strong brand image can significantly increase patients' intention to return to the Maternal and Child Hospital in Jakarta.
Hubungan Komunikasi Bidan dengan Tingkat Kepuasan Ibu Hamil pada Pelayanan Antenatal Care di Puskesmas Gebang Kabupaten Langkat Provinsi Sumatera Utara Tahun 2024
Authors: Kiki Wahyuni  , Erin Padilla Siregar  , Sri Rezeki  , Amelia Erawaty Siregar
Published: February 2025

Good communication between midwives and pregnant women greatly influences maternal satisfaction in receiving health services from midwives, so that a sense of mutual trust is built between midwives and pregnant women. This mutual trust will have an impact on changes in attitudes for both service providers and service recipients. the proportion of pregnancy checks in North Sumatra Province was 92.4%, while those who did not have pregnancy checks was 7.6%. The ANC K1 coverage rate in North Sumatra Province was 90.0%, while ANC K4 was 85.9%. This shows that ANC coverage in North Sumatra Province is still low because the national ANC target is 95%. The general aim of this research is to analyze the relationship between midwife communication and the level of satisfaction of pregnant women with ANC services at the Gebang Community Health Center, Langkat Regency in 2024. The research method used is quantitative, information about what you want to know is examined using numerical data through a retrospective survey. Conducting a retrospective survey is one method of collecting historical data. This research uses a cross-sectional strategy. The sample for this in-depth research was all midwives in the Gebang Health Center working area, totaling 40 people. Data analysis uses univariate and bivariate analysis. From the statistical test results, it was obtained that p.value = 0.004 and ? = 0.05, where the value of P.value (0.004) < ? (0.05), so it can be concluded that there is a relationship between midwife communication and pregnant women's satisfaction with antenatal care services in Health Center. Gebang Langkat Regency in 2024. Midwives are expected to further improve their good communication skills with patients by participating in training on effective communication methods so that patients feel satisfied with the services provided.
Edukasi Pencegahan Stunting Berbasis Whatsapp Group untuk Meningkatkan Pengetahuan dan Sikap Ibu Hamil di Kelurahan Sukorejo
Authors: Natayya Galuh Irawatie  , Sofwan Indarjo
Published: February 2025

Stunting is a growth disorder caused by chronic nutritional issues, resulting in shorter stature in children compared to their age group. In 2021, Semarang City recorded a stunting prevalence of 21.3%, with Sukorejo Village among the affected areas. By June 2022, there were 14 stunting cases among 124 children in Sukorejo Village, increasing by 10 new cases in March 2023. This study aimed to evaluate differences in pregnant women's knowledge and attitudes toward stunting prevention before and after receiving education via WhatsApp groups. Using a quantitative and qualitative approach with a quasi-experimental one-group pretest-posttest design, the study involved 60 respondents selected through purposive sampling from a population of 97 pregnant women, utilizing questionnaires for data collection. Results showed significant improvements in knowledge (p = 0.000) and attitudes (p = 0.000) among pregnant women following the WhatsApp-based education. The study concluded that this method effectively enhanced the knowledge and attitudes of pregnant women in preventing stunting in Sukorejo Village
Analisis Pengaruh Formulasi dan Bahan Penghancur terhadap Waktu Hancur Tablet
Authors: Cheina Nazerina Yoshi  , Luthfia Raisah Ahyati  , Nur Rifa Ashya  , Nurul Hasni Julianti  , Yenni Hafizah  , Nor Latifah
Published: February 2025

Tablets are solid preparations consisting of active drug substances and fillers. The purpose of adding a crushing agent is to reduce the pressure that occurs in making tablets, especially during the tablet release process which begins with breaking it. This study aims to investigate a number of components that influence the disintegration or breaking time of tablets, such as the choice of disintegrating agent, excipient composition, and environmental conditions such as pH and temperature. The research results show that choosing the right disintegrating agent, such as starch or starch, can accelerate tablet disintegration by increasing its ability to swell in liquid. Faster disintegration times can be achieved through the addition of appropriate disintegrating agents and optimization of tablet formulation, which ultimately supports increased drug therapeutic effectiveness. The methodology employed in this analysis is predicated on a survey of the literature on electronic data sources. Based on existing literature, starch or starch granules have the ability to swell up when exposed to water, amylose also has similar properties, namely that they both function as disintegrating agents. Concluded that amylum or starch derived from various plants is effectively utilized as a tablet disintegrating agent due to its superior to interact with water, but also because the evaluation results almost all meet the established standards.
Asuhan Keperawatan Keluaga dengan Implementasi Diet Labu Kuning untuk Penderita Diabetes Melitus di Wilayah Kerja Puskesmas Sukoharjo
Authors: Eva Mardiana Hidayah  , Rice Hernanda  , Sutrisno Sutrisno
Published: February 2025

Diabetes mellitus is a chronic metabolic disease characterized by increased blood glucose levels (hyperglycemia) caused by insulin secretion deficiency and / or insulin resistance which over time can cause serious damage to various body systems, especially to nerves and blood vessels, Pumpkin (Cucurbita moschata) is one of the fruits that contains antioxidant compounds Pumpkin (Cucurbita moschata) can also overcome poisoning, clean digestion, and play a role in overcoming hyperglycemia. The purpose of this study was to determine the Nursing Care of Families with the Implementation of the Yellow Pumpkin Diet for Patients with Diabetes Mellitus in the Sukoharjo Health Center Work Area. Data collection methods Data is obtained by interview and observation. The results are written with field notes, then copied in the form of transcripts (structured notes). The activity plan was carried out on Tuesday, June 25, 2024 regarding education on the implementation of the Pumpkin Diet for Diabetes Mellitus Patients in the Sukoharjo Health Center Work Area. The results of the evaluation of the diagnosis of blood sugar instability and given pumpkin diet therapy. The first day before giving pumpkin 250mg/dl after giving pumpkin 247mg/dl on the first day. During the 3 days of giving a diet of yellow pumpkin to 238mg / dl.
Efektifitas Prenatal Gentle Yoga Dalam Mengurangi Keluhan Nyeri Punggung Bawah Pada Ibu Hamil
Authors: Ayu Rosita Dewi  , Dika Yanuar Frafitasari  , Dwi Margareta Andini
Published: February 2025

During pregnancy, a woman must be able to adapt to various physical changes that often occur and can cause uncomfortable conditions, such as back pain which begins to be felt in the second and third trimesters. If this condition is not treated immediately, it can cause anxiety and disruption to the pregnant woman's activities. As a way to reduce complaints of back pain, pregnant women can do prenatal gentle yoga exercises. This study aimed to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. This study aims to assess the effectiveness of prenatal yoga in reducing pain in the lower back of pregnant women at the Ngletih Community Health Center, Kediri City. Research method: This research adopted a quantitative design with a Pre-Experimental design, using the One Group Pretest-Posttest method. The sample of pregnant women in the second and third trimesters was 31 respondents. The sampling method involved Total Sampling and the use of a pain level measuring tool with the Numeric Rating Scale (NRS), while data analysis used the Wilcoxon Test. Research Results: Before carrying out prenatal yoga exercises, the majority of pregnant women felt lower back pain on a mild scale, the number of respondents was 17 (54.8%). After doing prenatal yoga exercises twice in 2 weeks, the majority of pregnant women no longer felt back pain, the number of respondents was 18 pregnant women (58%). The p-value of the analysis using the Wilcoxon test is 0.000.
Tinjauan Parameter Temperatur, Kecepatan Angin dan Nitrogen Dioksida (No2) di Terminal Mardika Kota Ambon
Authors: Kornelis U. Rumselly  , Zulfikar Peluw  , Amry Jusuf
Published: February 2025

Background. City Ambon is Mother city province Maluku Which consists of from 5 sub-district, and has a population that is increasing day by day Which not balanced with the area. The density of motorized vehicles is increasing also increased with the presence of various vehicles. This will potentially increase the level of pollution air Which caused by by a number of pollutant Which produced from disposal smoke motorized. Objective. For know quality air ambient at Mardika terminal Ambon city. Methods. Type study This is study descriptive that is study about inspection level nitrogen dioxide (NO 2 ) at the terminal Mardika city Ambon, with study direct to field For to obtain sample Which Then done examination at the Environmental Health Technology Center (BTKL) Laboratory, Ambon. Results. Measurement temperature at the terminal Mardika Ambon Sunday First 39.9 ºC, Sunday second -34.4 ºC, Sunday third 34.2 ºC, Sunday fourth 29.4 ºC. Measurement speed wind in terminal Mardika Ambon on Sunday First 0.3-1.7 m/sec, Sunday second 1.8 m/s, Sunday third 0.3-1.7 m/sec, Sunday fourth 1.2-3.9 m/sec. Measurement level NO 2 in terminal Mardika Ambon that is Sunday First <5.22 µg/Mm³, Sunday second <5.22 µg/Nm³, Sunday third <5.22 µg/Nm³, Sunday fourth <5.22 µg/Nm³. Conclusion. Measurement Temperature, Speed Wind and Nitrogen Dioxide (NO 2 ) all results measurement fulfil standard.
Hubungan Pengetahuan Ibu Postpartum dengan Manfaat Rawat Gabung di RS Bhayangkara Banjarmasin Kalimantan Selatan
Authors: Fifin Diah Oktaviani  , Anik Purwati
Published: February 2025

Combined care is a care system where babies and mothers are treated in one unit. In its implementation, the baby must always be by the mother's side from birth until he returns home. The advantages of combined care are that it promotes the use of breast milk, emotional contact between mother and baby is established from an early age, mothers can learn to take care of babies and mothers can immediately report strange baby conditions they encounter. The purpose of this study is to determine the relationship between postpartum maternal knowledge and the benefits of combined care at Bhayangkara Hospital Banjarmasin, South Kalimantan. This research method uses a type of analytical descriptive research with data collection techniques using a cross sectional approach and the instrument used is a questionnaire. The population of this study is all postpartum mothers at Bhayangkara Hospital Banjarmasin with a sampling technique using accidental sampling, with a sample of 30 respondents. The results obtained from the bivariate analysis of the chisquare statistical test showed that the value of p = 0.000 > ? = 0.05. The results obtained were that most postpartum mothers had insufficient knowledge, namely 15 people (50%) with most of them having a high school education of 14 people (46.7%), and never carried out combined care as many as 19 people (63.3%). The conclusion shows that most postpartum mothers have less knowledge about the benefits of combined care at Bhayangkara Hospital Banjarmasin. This shows that a person's level of education also affects the level of mother's knowledge.
Analisis Manajemen Pengadaan Obat di Unit Instalasi Farmasi RS : Literatur Review
Authors: Revina Rahmadani  , Elfizon Amir  , Yuliana S  , Budi Hartono
Published: February 2025

Good pharmaceutical procurement management can prevent stock shortages, reduce costs, and improve healthcare service quality. However, issues such as medication shortages, delayed procurement, and discrepancies between demand and supply are still common. This literature review aims to analyze pharmaceutical procurement management in hospital pharmacy units. The literature search yielded 10 relevant articles on pharmaceutical procurement management in hospital pharmacy units. The databases used were Google Scholar, ScienceDirect, and Semantic Scholar. The keywords used were management, pharmaceutical procurement, and hospital. The search results underwent a screening process using the PICO elements and the CRAAP method. The findings indicate that pharmaceutical management in various hospitals has shown progress, but still faces challenges such as inaccurate data collection, delayed drug supply, and storage facilities that do not meet standards. Other obstacles include limited funds, inability to pay on time, and a lack of integrated information systems. However, some aspects are well-managed, such as the use of e-purchasing and proper drug storage categorization.
Studi Komparatif Peran Orang Tua terhadap Perilaku Pencegahan Kekerasan Seksual pada Anak Usia Sekolah antara SMAN 1 & SMAN 3 Kota Kendari Tahun 2024
Authors: Adelia Putri Rahayu  , Sartiah Yusran  , Fifi Nirmala
Published: February 2025

Cases of Sexual Violence in Southeast Sulawesi have been increasing from year to year, in Kendari City recorded cases of violence against women and children in the year 2022 from January 2022 to December 2022 as many as 40 cases. There were 38 cases in 2021, while in 2022 there were 40 cases. This research aims to find out the difference in the role of parents in the prevention of sexual violence in school age children between SMAN 1 Kendari and SMAN 3 Kendari. This research uses a cross sectional study design. The population in this research is all 2nd and 3rd grade students who are 758 people in SMAN 1 and 746 people in SMAN 3 in Kendari City. The sample in this research is 85 students of SMAN I Kendari and 85 students of SMAN 3 Kendari, sampling using the proportional random sampling technique using the Mann-Whitney test. Obtained the results of the research by comparing between SMAN 1 & SMAN 3 Kendari City, it is seen that there is no significant difference in the role of parents as counselors, the value of p = 0.134 is found, and there is a significant difference in the role of parents as caregivers, the value of p = 0.000 is found. This research is expected to indicate the importance of the role of parents as a key factor in creating a safe and supportive environment for PKS in children.
Law, Coercion, and State Crime
Authors: Atiles Jose
Published: February 2025

On January 26, 2025, President Donald J. Trump announced via Truth Social retaliatory measures against Colombia following President Gustavo Petro’s refusal to allow US deportation flights. These included a 25% emergency tariff on Colombian imports, escalating to 50% within a week. The Trump administration’s use of unilateral economic sanctions on countries opposing US policies is part of a long history of imperial interventions. Sanctions are central to the colonial arsenal of economic statecraft, disproportionately targeting the Global South. I argue that sanctions should be recognized as a form of state crime due to their socially injurious effects.
Gender Dynamics in 20th-Century British Drama: The Female Experience in Kane, Churchill, and Pinter
Authors: Othman Ibrahim , Gharbi Jihene
Published: February 2025

This article explores the portrayals of female characters in the works of Caryl Churchill, Sarah Kane, and Harold Pinter, examining how these playwrights reflect and challenge socio-political changes in gender roles throughout the 20th century in British drama. Through a comparative analysis, the article highlights common themes such as power, agency, and societal expectations, while also addressing the distinct stylistic approaches each playwright employs. Churchill's narratives emphasize collective female experiences and the complexities of ambition, Kane's works confront trauma and personal identity, and Pinter’s characters navigate intricate power dynamics through silence and subtext. The findings underscore the significance of these representations in understanding broader gender issues in literature and invite further exploration into the roles of female playwrights and post-colonial perspectives in contemporary theatre. Ultimately, this analysis contributes to a richer understanding of the evolving discourse on gender and identity within the landscape of British drama.
Assessment of Nutritional Awareness and Behavior Among Students in the College of Sports Science at the Arab American University: A Comprehensive Analysis of Dietary Habits and Health Consciousness
Authors: Joudallah Hasan , Abbas Islam
Published: February 2025

The study aimed to determine the level of nutritional awareness and behavior among students of the Faculty of Sports Science at the Arab American University. To achieve this, the researcher employed the descriptive survey method due to its suitability and the nature of the study. The study sample consisted of 68 students, selected randomly. The researcher used a nutritional awareness and behavior scale, which he developed, and the final version of the scale comprised 34 items. After conducting statistical analysis using the Statistical Package for the Social Sciences (SPSS), the study found that the level of nutritional awareness and behavior among students of the Faculty of Sports Science at the Arab American University was moderate. Additionally, there were no statistically significant differences related to academic level. However, there were statistically significant differences related to gender, favoring females. In light of these results, the researcher recommended increasing the level of nutritional awareness and behavior among college students by expanding the number of courses related to the subject of the study.
Strategic Practices and Operational Efficiency at Kenya Revenue Authority: A Case of Sameer Park Tax Service Office
Authors: Njeru Mary Kagendo , Amuhaya Joyce , Karihe John Ng’ang’a
Published: February 2025

The Kenya Revenue Authority (KRA) is faced with challenges in optimizing efficiency in tax administration, such as technology, globalization, and tax evasion. Changing economic times and evolving public expectations add to these issues. Despite improvement efforts, KRA struggles to meet revenue goals and stakeholder satisfaction, with existing research lacking insights into effective strategic practices for operational efficiency. This study focused on KRA's strategic practices to enhance operational efficiency. It aimed to evaluate the influence of technology integration, training and skill development, client-centric services, and inter-agency collaboration on operational efficiency within KRA. The study was influenced by four theories namely; Information System Success Model, Dynamic Capability Model, Stakeholder Theory and Resources Dependency theory. The target population comprised KRA management and operational staff in the Sameer Park tax service office, with a sample of 105 employees in both management and operations selected using stratified proportional sampling. Data were collected through questionnaires and analyzed with the help of SPSS version 30.0. The study presented findings in tables and interpreted them in line with its objectives, utilizing a multiple regression model to assess the relationship between key factors and operational efficiency at KRA. The findings of this study showed that integrating technology is crucial to increasing productivity and simplifying procedures. The improvement of personnel capacity and overall operational performance was also found to be significantly influenced by training and skill development programs. By better meeting the demands of their clients, client-centric services have been shown to maximize service delivery. The study also underlined the value of interagency collaboration, which enhances productivity in tax administration by facilitating greater coordination. Therefore, KRA focus on integrating technology by creating thorough regulations, modernizing IT infrastructure, and holding frequent training sessions to raise employee knowledge and awareness on technological changes. Training programs should be put in place to fill up certain skill gaps, along with opportunities for professional growth and mentoring. In order to develop client-centric services, there is need for KRA to provide tailored tax guidance, upgrade web portals, and set up feedback systems to better meet the expectations of the clients. Finally, in order to improve tax administration and streamline procedures, KRA should adopt enhanced inter-agency cooperation through the creation of digital platforms for coordination, the adoption of universal data standards, and the creation of collaborative task groups.