bluuebunny/crossref_metadata_2025_split huggingface dataset:
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN DENGETAHUAN KADER TENTANG DETEKSI DINI RISIKO TINGGI KEHAMILAN DI WILAYAH KERJA PUSKESMAS CIKULUR TAHUN 2018
Authors: Suhartini Suhartini , Ahmad Ahmad 
Published: September 2020

SDGs, mentargetkan menurunkan Angka Kematian Ibu hingga dibawah 70 per 100.000 KH dan menurunkan Angka Kematian Neonatal menjadi 12 per 1000 KH..Data dari Dinas kesehatan Kabupaten Lebak diketahui bahwa jumlah kematian ibu tahun 2015 berjumlah 43 orang dan tahun 2016 38 orang dan tahun 2017 s/d Okober berjumlah 30 orang. Data Puskesmas Cikulur menunjukan terjadi peningkatan jumlah kematian ibu sejak tahun 2015 tidak ada kematian 2016 ada 1 (satu) kematian dan pada tahun 2017 dilaporkan sebanyak 2 (dua) kasus kematian Ibu. Dari data belum diketahui pengetahuan kader tentang deteksi dini risiko tinggi kehamilan. Penelitian ini bertujuan untuk mengetahui pegetahuan kader tentang deteksi dini risiko tinggi kehamilan di Puskesmas kecamatan cikulur kabupaten lebak
Metodelogi penelitian ini menggnakan desain “croos sectional” populasi penelitian adalah Kader kesehatan di kecamatan cikulur dan jumlah sampel sebanyak 120 orang kader kesehatan di wilayah kerja puskesmas Cikulur. Tehnik pengambilan sampel dihitung dengan menggunakan rumus perhitungan sampel, didapatkan sampel 120 orang di 34 posyandu. Masing-masing posyandu didata 3-4 orang kader. Penelitian dilaksanakan sejak bulan Mei sampai dengan November 2018
Hasil Penelitian menunjukkan bahwa Masih ditemukan (28,3%) Kader yang memiliki pengetahuan kurang tentang deteksi dini resiko tinggi kehamilan, (75,8%) Kader pendidikan terakhir ≤ SLTP., (70,8%) Kader belum pernah mengikuti pelatihan terkait Deteksi Risiko Tinggi kehamilan., Masih terdapat (15,8%) Kader yang lama menjadi kader nya ≤ 1 Tahun.
Sebagian besar (84,2%) Kader menyatakan tidak memiliki pedoman deteksi dini resiko tinggi kehamilan, Hasil analis lanjut diketahui bahwa, Pengetahuan kader kurang tentang deteksi dini resiko tinggi kehamilan proporsinya lebih tinggi pada kelompok pendidikan kader ≤ SLTP (31,9%) , belum pernah mengikuti pelatihan kader (21,2%). kelompok <1 tahun menjadi kader (42,1%), kelompok tersedianya pedoman (42,1 %), dan Kader memperoleh sumber informasi informal (33,3%),namun hasil analisis lanjut dari beberapa variabel dinyatakan tidak menunjukkan hubungan yang antara pendidikan, pelatihan, lama menjadi kader, ketersediaan pedoman dan sumber informasi dengan pengetahuan tentang deteksi dini risiko tinggi kehamilan P.value > dari 0.05.
Mengingat masih ditemukan kader yang berpengetahuan kurang dan belum terlatih, serta tidak memiliki petoman untu melakukan deteksi risiko tinggi kehamilan, maka disarankan kepada puskesmas untuk meningkatkan pelatihan, menyediakan pedoman, serta membuat brosur,leaflet, dan buku saku deteksi dini risiko tinggi kehamilan, mengembangkan model surveilans KIA berkoordinasi dengan dinas kesehatan maupun dosen pada kegiatan penelitian dan pengabdian kepada masyarakat berikutnya
Simulasi Metode Monte Carlo dalam Menjaga Persediaan Alat Tulis Kantor (Studi Kasus di IAIN Batusangkar)
Authors: Prawita Riska , Sumijan S , Nurcahyo Gunadi Widi 
Published: September 2020

Penggunaan Alat Tulis Kantor (ATK) pada sebuah Instansi Pendidikan merupakan suatu kebutuhan yang mutlak. Penyediaan ATK yang mencukupi kebutuhan dan termanajemen dengan baik, akan mencapai efektifitas dan efesiensi yang baik juga. Penelitian ini bertujuan untuk melakukan prediksi permintaan ATK dengan menggunakan Simulasi Monte Carlo. Simulasi Monte Carlo merupakan salah satu metode probabilistik yang menentukan peluang didasarkan kepada bilangan acak. Data yang digunakan pada penelitian ini adalah data permintaan ATK pada Tahun 2018 sampai dengan Tahun 2019 di IAIN Batusangkar. Data tersebut nantinya akan diolah berdasarkan tahapan Simulasi Monte Carlo dengan membangkitkan bilangan acak dari data tersebut. Hasil Simulasi Monte Carlo yang dilakukan pada penelitian ini menunjukkan tingkat akurasi sebesar 96.92 % dan mampu memprediksi permintaan ATK. Berdasarkan tingkat akurasi yang dihasilkan pada penelitian ini, maka Simulasi Monte Carlo dapat digunakan untuk memprediksi permintaan ATK untuk tahun berikutnya. Sehingga, dengan mengetahui permintaan ATK tersebut, maka persediaan ATK pada IAIN Batusangkar tetap terjaga serta efektifitas dan efisiensi juga tercapai.
How can I use it? The role of functional fixedness in the survival-processing paradigm
Authors: Kroneisen Meike , Kriechbaumer Michael , Kamp Siri-Maria , Erdfelder Edgar 
Published: September 2020

AbstractAfter imagining being stranded in the grasslands of a foreign land without any basic survival material and rating objects with respect to their relevance in this situation, participants show superior memory performance for these objects compared to a control scenario. A possible mechanism responsible for this memory advantage is the richness and distinctiveness with which information is encoded in the survival-scenario condition. When confronted with the unusual task of thinking about how an object can be used in a life-threatening context, participants will most likely consider both common and uncommon (i.e., novel) functions of this object. These ideas about potential functions may later serve as powerful retrieval cues that boost memory performance. We argue that objects differ in their potential to be used as novel, creative survival tools. Some objects may be low in functional fixedness, meaning that it is possible to use them in many different ways. Other objects, in contrast, may be high in functional fixedness, meaning that the possibilities to use them in non-standard ways is limited. We tested experimentally whether functional fixedness of objects moderates the strength of the survival-processing advantage compared to a moving control scenario. As predicted, we observed an interaction of the functional fixedness level with scenario type: The survival-processing memory advantage was more pronounced for objects low in functional fixedness compared to those high in functional fixedness. These results are in line with the richness-of-encoding explanation of the survival-processing advantage.
Salivary Gland Focus Score Is Associated With Myocardial Fibrosis in Primary Sjögren Syndrome Assessed by a Cardiac Magnetic Resonance Approach
Authors: Nishiwaki Atsuma , Kobayashi Hitomi , Ikumi Natsumi , Kobayashi Yasuyuki , Yokoe Isamu , Sugiyama Kaita , Matsukawa Yoshihiro , Takei Masami , Kitamura Noboru 
Published: September 2020

Objective.The risk of clinically manifested major cardiovascular (CV) events in primary Sjögren syndrome (pSS) remains unclear. This study aimed to assess myocardial fibrosis in pSS and investigate the associated disease characteristics by cardiac magnetic resonance imaging (cMRI).Methods.We performed a cross-sectional study of patients with pSS without cardiac symptoms. Labial gland biopsy was documented in 44 patients (85%). Patients without CV risk factors underwent contrast-enhanced cMRI. Late gadolinium enhancement (LGE) was used to assess myocardial fibrosis. Myocardial edema was assessed using T2-weighted imaging (T2WI). We compared the left ventricular (LV) geometry and function between the groups with and without LGE. Further, we explored the associations of cMRI abnormalities with pSS characteristics.Results.Fifty-two women with pSS (median age 55, IQR 47.0–65.7 yrs) were enrolled in the study. LGE was observed in 10 patients (19%), two of whom showed high intensity on T2WI. High intensity on T2WI was observed in 3 patients (5.8%). LV mass index and LV mass/end-diastolic volume tended to be higher in the LGE-positive group than in the LGE-negative group (P = 0.078 and 0.093, respectively). Salivary gland focus score (FS) ≥ 3 was independently associated with LGE-positive in the multivariable analysis (OR 11.21, 95% CI 1.18–106.80).Conclusion.Subclinical myocardial fibrosis, as detected by cMRI, was frequent in patients with pSS without cardiac symptoms. Abnormal cMRI findings were associated with salivary gland FS ≥ 3.
Elevated Granulocyte Colony-stimulating Factor Levels in Patients With Active Phase of Adult-onset Still Disease
Authors: Liu Yudong , Zhang Shulan , Xia Chang-sheng , Chen Jiali , Fan Chunhong 
Published: September 2020

ObjectiveNeutrophilia is a hallmark of adult-onset Still disease (AOSD). We aimed to investigate the levels of granulocyte colony-stimulating factor (G-CSF), an essential regulator of neutrophil production and function, in the pathogenesis of AOSD.MethodsSera were collected from 70 patients with AOSD and 20 healthy controls (HCs). The levels of G-CSF were determined by ELISA. Low-density granulocytes (LDGs) were quantified by flow cytometry. Correlations between G-CSF levels and disease activity, laboratory variables, and LDG levels in patients with AOSD were analyzed by Spearman correlation test.ResultsPatients with active AOSD presented significantly higher levels of G-CSF compared to inactive AOSD patients (P < 0.001) and HCs (P < 0.0001). The G-CSF levels were significantly decreased after active AOSD patients achieved disease remission (P = 0.0015). The G-CSF levels were significantly correlated with C-reactive protein, erythrocyte sedimentation rate, ferritin, and systemic score in AOSD (P < 0.0001). Significant correlations between the levels of G-CSF and circulating neutrophils (P < 0.0001), neutrophil-to-lymphocyte ratio (P < 0.0001), percentages of LDGs in the peripheral blood mononuclear cells (P = 0.004), as well as absolute numbers of circulating LDGs (P = 0.018) were identified. Patients with fever, evanescent rash, sore throat, arthralgia, myalgia, lymphadenopathy, or hepatomegaly/elevated liver enzymes displayed significantly higher levels of G-CSF compared to patients without these manifestations (P < 0.05).ConclusionOur findings indicate that G-CSF is implicated in the pathogenesis of AOSD, and targeting G-CSF may have therapeutic potential for AOSD. In addition, introducing circulating G-CSF levels into the clinical assessment system may help to monitor disease activity.
Colloque sur la télémédecine au Centre Sèvres : Construire un cadre éthique
Authors: Mounier Frédéric 
Published: September 2020

« Soignants et malades connectés par écran : une révolution numérique bienfaisante ? » Lors de la crise du coronavirus, cette question a connu récemment un regain d’actualité. Peu avant, le Département d’éthique biomédicale du Centre Sèvres (Paris) a convié, vendredi 22 novembre 2019, des professionnels du soin et de la santé (en soins palliatifs, en Ehpad, en médecine générale) à partager leurs expériences. Comment les patients et l’ensemble des soignants vivent-ils les changements induits par ces techniques ? Quels sont les points de vigilance technique, relationnelle et éthique à développer ?
Activités des infirmiers de coordination des parcours complexes. Proposition d’une typologie
Authors: Yatim Fatima , Sebai Jihane 
Published: September 2020

Les nombreuses mutations que connaissent les systèmes de santé en France comme à l’étranger interrogent l’ensemble des professions de santé. L’enjeu de la coordination en particulier devient incontournable, à la fois en termes de pratiques professionnelles et en termes d’organisation. Pour la profession des infirmiers, des évolutions significatives ont été amorcées au cours des dernières années afin de leur assurer une place de plus en plus importante dans la coordination des prises en charge et garantir l’interface entre les différents professionnels intervenant lors des parcours des patients. Pour le cas particulier des pathologies complexes nécessitant de la part des infirmiers un niveau d’expertise clinique élevé à l’image de la cancérologie, la coordination est présentée comme une compétence « cœur de métier », alliant la dimension clinique et la dimension organisationnelle. Cet article s’intéresse précisément à cette évolution à travers une étude de cas approfondie (enquête qualitative et quantitative) menée dans un centre français spécialisé en cancérologie. Outre la proposition d’une typologie des activités assurées par les infirmiers de coordination, nos analyses nous permettent d’ identifier de manière fine la nature et le contenu de ces activités. Nous avons ainsi pu montrer qu’une part importante des activités de coordination est de nature organisationnelle, ce qui implique une réflexion approfondie sur la formation des infirmiers pour acquérir les compétences managériales nécessaires en complément des compétences cliniques.
Investigation of Health Literacy Status in Beijing, China
Authors: Shi Jianhui , Qi Li , Li Yuqing , Liu Xiurong 
Published: September 2020

Background:
The Chinese government uses health literacy as an evaluation to estimate population health status in national strategic planning. A health literacy survey system for the city of Beijing, China was established in 2012 with triennial surveys to obtain representative data for the whole city.

Objective:
The objective of this study was to examine results of the 2015 Beijing Health Literacy Survey and to identify population subgroups that may warrant intervention due to high risk for not having adequate health literacy.

Methods:
This was a cross-sectional study in which participants were selected by multistage stratified cluster sampling. The information was collected in 2015 in face-to-face interviews on the Chinese Citizen Health Literacy Questionnaire. A total of 12,876 interviews were included in the final analyses. Weighting was conducted in all statistical analyses to obtain representative estimates, and multiple logistic regression was applied to examine the independent influencing factors on health literacy level (adequate/inadequate).

Key Results:

Overall, 28% of participants had adequate health literacy. Urban residents had a higher proportion of participants with adequate health literacy compared to rural residents (29.5% vs. 19%,
p
< .01). Women (29.7%) had a higher proportion of participants with adequate health literacy compared to men (29.7% vs. 26.4%,
p
< .01). The proportion of participants with adequate health literacy was significantly different among age groups (χ
2
= 332.9,
p
< .01). Residents age 25 to 34 years had the highest rate of adequate health literacy (33.9%). The proportion of participants with adequate health literacy increased as participants obtained more education (χ
2
= 818.4,
p
< .01). Residents in households with higher income had a higher rate of adequate health literacy (χ
2
= 462.4,
p
< .01). Gender, age, education, and household income were independently associated with the level of health literacy.

Conclusions:

Substantial variation exists in health literacy level among age groups, gender groups, and education groups. Taking these disparities into account is important when developing health policies and allocating resources.

[
HLRP: Health Literacy Research and Practice
. 2020;4(3):e174–e184.]

Plain Language Summary:
The results of this investigation revealed the health literacy status of residents in Beijing, China, and the high-risk population that may be more likely to have low health literacy. Targeted health education interventions may be helpful to improve health literacy.
Antibacterial activity of ethanol extract of the leaves of Rosmarinus officinalis L. at different concentrations versus Streptococcus mutans: An In vitro comparative study
Authors: Janampa Edgar , Perez Hugo , Mauricio Franco , Alvítez-Temoche Daniel , Mauricio-Vilchez Cesar , Gallo Walter , Mayta-Tovalino Frank 
Published: September 2020

Abstract>
Aim: The study aimed to compare the in vitro antibacterial activity of an ethanol extract of Rosmarinus officinalis “romero” (EERO) at different concentrations with Streptococcus mutans ATCC 25175. Materials and Methods: We worked with three concentrations of 25%, 50%, and 75% of the EERO and compared these with the positive control chlorhexidine 0.12% and distilled water as a negative control. Seeding was performed in Müller–Hinton agar medium. The inhibitory effectiveness of EERO was determined using the disc diffusion method with the experimental solutions. The seeded and inoculated plates were incubated at 37°C, for 24 and 48 h. The reading was carried out according to the Kirby–Bauer method by measuring the diameter (mm) of the inhibition halo formed by the bacteria using a Vernier caliper and recorded on a data collection sheet. Results: In the 24-h group, chlorhexidine 0.12% showed the highest inhibition halos with a mean of 12.8 ± 0.8 mm, followed by EERO 75% with a similar mean of 12.1 ± 0.6 mm. Similarly, at 48 h, chlorhexidine 0.12% had the highest antibacterial activity of 13.0 ± 0.7 mm followed by EERO 75% with 12.2 ± 0.5 mm. Conclusions: The EERO showed inhibitory effectiveness against S. mutans, with the concentration of 75 mg/ml showing similar results, albeit not statistically significantly different, to those of chlorhexidine.
Effect of Different Matrix Metalloproteinase Inhibitors on Shear Bond Strength of Composite Attached to Primary Teeth Dentin
Authors: Mohammadi Najmeh , Parsaie Zahra , Jafarpour Dana , Bizolm Fatemeh 
Published: September 2020

Abstract
Aim: This study is aimed to evaluate the effect of exogenous matrix metalloproteinases (MMPs) inhibitors on immediate shear bond strength (SBS) of resin composite attached to primary teeth dentin. Methods: Sixty extracted anterior primary teeth were selected. A dentin block (6.0 mm × 6.0 mm × 2.0 mm) was obtained from each tooth. All dentin blocks (n = 60) were pretreated for 60 s with either 0.01 M phosphate-buffered saline (pH 7.2) in the control group (Group I), chlorhexidine (CHX) 2% (Group II), doxycycline (DOX) solution 2% (Group III), and ethylenediaminetetraacetic acid (EDTA) 17% (Group IV) before applying etch-and-rinse adhesive system (Adper Single Bond 2). After adhesive application, composite resin (Filtek 3M, USA) was applied, and then, SBS values were determined with a universal testing machine. Results: There were no significant differences between SBS values of DOX, EDTA, and the control group (P < 0.05). SBS values reduced when CHX was applied, although the reduction was not statistically significant (P = 0.961). The DOX group showed the highest bond strength values (8.82 ± 3.29), which was significantly greater than the CHX (P = 0.026). Conclusion: Based on the results, pretreatment with MMPs inhibitors was not advantageous with regard to improving the immediate SBS of composite attached to primary teeth dentin.
Gallbladder lymphoma detected by 18F-fluorodeoxyglucose positron emission tomography
Authors: So Alvin , Sheldon James , Kua Hock 
Published: September 2020

AbstractGallbladder involvement in lymphoma is rare, with only a few cases reported in the literature, predominately in the pre positron emission tomography (PET) era. 18F-fluorodeoxyglucose (18F-FDG) PET/computed tomography (CT) has now become the modality of choice in the staging of lymphoma. We report a case of gallbladder involvement by high-grade B-cell lymphoma detected by PET/CT.
Intraobserver and interobserver variations in cortical transit time measurement in children with pelviureteric junction obstruction
Authors: Jain Vishesh , Kumar Rakesh , Shamim Shamim , Arora Saurabh , Mani Kalaivani , Yadav Devendra , Goel Prabudh , Dhua Anjan , Agarwala Sandeep 
Published: September 2020

AbstractCortical transit time (CTT) has recently been shown to be a useful parameter in the management of children with pelviureteric junction obstruction (PUJO). The aim of this study was to assess intraobserver and interobserver variations in the qualitative and quantitative assessment of CTT in children with PUJO. A retrospective study was performed, and 99mTc-MAG3 renogram images of all children with PUJO performed from January 2016 to December 2017 were retrieved. The images were assessed by three observers at two different time points. CTT was qualified as delayed if CTT was more than 3 min else; it was noted as normal. The intraobserver and interobserver variations in the results of the CTT of the normal kidney and affected kidney both before and after surgery were studied. The kappa statistic was used to compare the interobserver variation of qualitative interpretation of CTT. The Bland–Altman plot was used to evaluate the intraobserver and interobserver variations of the quantitative interpretation of CTT. A total of 57 99mTc-MAG3 renal scintigraphies were evaluated. Overall, 114 renal units were evaluated with 51 normal renal units and 63 renal units with PUJO. Of these, 63 renal units with PUJO, 31 renal units had been operated upon, whereas the remaining 32 renal units had no intervention at the time of the study. The kappa statistic in the normal, affected operated, and affected unoperated kidneys was interpreted as almost perfect, substantial to almost perfect, and moderate to substantial level of agreement, respectively. The Bland–Altman plot revealed a large mean difference and wide 95% limits of agreement in affected kidneys (both operated and unoperated). The study concludes that the qualitative CTT interpretation in the affected renal unit which is most commonly used in recent studies is a reliable and reproducible parameter in children with PUJO. The quantitative measurement had wide inter- and intraobserver variation for clinical use.
Hot-clot artifact in the lung parenchyma on 18F-fluorodeoxyglucose positron emission tomography/computed tomography mimicking malignancy with a homolateral non-small cell lung cancer
Authors: El Yaagoubi Yacine , Prunier-Aesch Caroline , Philippe Laurent , Laplaige Philippe 
Published: September 2020

Abstract
18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (CT) is an important tool widely used in the oncology to stage and restage various malignancies. Intense focal FDG uptake in the lung parenchyma associated with the absence of anatomical lesion detected on CT can be explained by a lung microembolism, known as hot-clot artifact. We report, to the best of our knowledge, the first case describing a single hot-clot artifact located in the same lung as a histologically proven non-small cell lung cancer.