bluuebunny/crossref_metadata_2025_split huggingface dataset:
Walking, Talking, and Tasting with Winegrowers in Central Ohio and Eastern France: Sensorial Approaches to Making Sense of Climate Change
Authors: Arceño Mark Anthony 
Published: October 2020

Abstract
Drawing on eighteen months of fieldwork throughout central Ohio, USA, and Alsace, eastern France, I reflect on the importance of relying on more than just my eyes when collecting data. I illustrate examples of how I have felt, heard, smelled, tasted, and now talk about the changes that winegrowers identify in their vineyards, wine cellars, and tasting rooms. Underlying my analysis is a range of winegrowers’ sensibilities when it comes to their attributions of landscape change, acceptance of climate variability, and acknowledgment of anthropogenic climate change. I affirm that it is necessary to look beyond what we observe, as we interpret the collective stories of winegrowers, which are rooted not only in global discourse of climate change but other realities of legislative and economic change. An attunement to the senses, though not in itself a novel concept, remains vital to crafting a holistic picture of which and how livelihoods are changing.
Exclusive Breastfeeding And Acute Diarrhea In Children: A Cross-Sectional Study
Authors: Lukman Leni , Suryawan I Wayan Bikin 
Published: October 2020

<p><strong>Introduction </strong><strong>:</strong> Breastmilk is known to contain molecules such as oligosaccharides, sIgA and lactoferrin which hold vital importance in immune system. These molecules specifically functioned to protect the body from pathogens including those causing diarrhea. The objective of this study is to define the relationship between exclusive breastfeeding and acute diarrhea incidence frequency in children as primary outcome and age of first acute diarrhea occurrence in children as secondary outcome.</p><p><strong>Methods:</strong> This is an analytic observational cross-sectional study which included 35 children aged 6-24 months who were admitted to Kaswari Ward Wangaya General Hospital Denpasar between 01 June 2018 to 16 August 2018. Samples were obtained through consecutive sampling method and analyzed data were presented in both tables and narrative.</p><p><strong>Results:</strong> From 35 samples included in this study, 13 were exclusively breastfed (37,1%) and 22 were non-exclusively breastfed (62,9%). Sample characteristics including gender, number of siblings, nutritional status, residence, source of water, age of mother, parent’s occupation and education were comparable between two groups. Total samples who were exclusively breastfed and experience less diarrhea is 13 (p = 0,031; PR = 1,47 CI 95% 1,10-1,95). Total samples who were exclusively breastfed and first age of experiencing diarrhea over 12 months old is 11 (p = 0,002 ; PR = 3,10 CI 95% 1,47-6,27). </p><strong>Conclusion:</strong> There is statistically significant relationship between exclusive breastfeeding and acute diarrhea incidence frequency and age of first acute diarrhea occurrence in children aged 6-24 months in Kaswari Ward Wangaya General Hospital.
Risk Factors of Cervical Cancer in Outpatient and Inpatient at Obstetric and Gynecology RSUP Dr. Mohammad Hoesin Palembang
Authors: Trifitriana Monica , Sanif Rizal , Husin Syarif , Mulawarman Rido 
Published: October 2020

<div class="WordSection1"><p> </p><p><strong>Introduction</strong><strong>:</strong> Cervical cancer is a malignant tumor originating from primary squamous epithelial cells and it is one of the several types of cancers that affects more to women.</p><p> </p><p><strong>Methods:</strong> This research uses descriptive analytic with case- control. The sample was 52 patients who divided into 26 patients with cervical cancer and 26 patients with non - cervical cancer were outpatient and inpatient at Department of Obstetrics and Gynecology Hospital Dr. Mohammad Hoesin Palembang during the period September 2016 -November 2016. This study uses primary data in the form of interviews. Data was analyzed by univariate and presented in a frequency distribution table. Furthermore, using bivariate analysis to determine the relationship and OR.</p><p> </p><p><strong>Result:</strong> From 8 risk factors studied, there is sygnificancy correlation between pathological vaginal discharge (p= 0,0005 OR= ∞), parity (p= 0,0005 OR= 22,7), age (p= 0,0005 OR= 19,2), oral contraception usage for a long time (p= 0,0005, OR= 12,4), age of the first intercourse (p= 0,006, OR= 6,1 ), and the husband’s occupation (p= 0,05 OR= 3,6) with the incidence of cervical cancer. While, there are two risk factors that don’t have a sygnificancy correlation between smoking (p= 1,0) and changing sexual partners (p= 1,0) with the incidence of cervical cancer.</p><p> </p><p><strong>Conclusion:</strong> The results of this research identified risk factors that significantly related to cervical cancer incidence was the age, the age of first sexual intercourse, parity, long-term oral contraceptive use, a history of vaginal discharge, and the husband's occupation.<em></em></p></div><em><br clear="all" /></em>
Case Report : Caecal Endometrios is Causing Acute Small Bowel Obstruction
Authors: Halim Freda S. 
Published: October 2020

<p><strong>Introduction</strong><strong>:</strong> Endometriosis in bowel is rare condition, about 12% of endometriosis cases. Most of bowel endometriosis rising in the rectosigmoid (90% of bowel endometriosis). Incidence of caecal endometriosis is very low (&lt;5% of bowel endometriosis) and almost never causing acute small bowel obstruction(0.1-0.7%). The aim of this paper is to show that although bowel obstruction caused by caecal endometrios</p><p>is is difficult to diagnose as it is rare, and may require laparotomy to make definite diagnosis, but it should be considered in infertile female patient.</p><p> </p><p><strong>Case:</strong> 37 years old woman infertile woman with intestinal obstruction with pre-operative diagnosis total acute small bowel obstruction caused by right colonic mass, with sepsis as the complication. Before the acute small bowel obstruction she complained of chronic right lower quadrant pain with chronic constipation alternate with chronic diarrhea, symptoms that happened both in bowel endometriosis and colorectal malignancy. She also complained of chronic pelvic pain and dysmenorrhea. She has been married for 10 years with no child. The patient was never diagnosed with endometriosis and never seek medical attention for the infertility and the chronic pelvic pain. The patient underwent Abdominal CT Scan, with result: massive small bowel obstruction, and caecal mass that causing acute small bowel obstruction. Diagnosis of Acute small bowel obstruction due to right colonic mass was made and emergency exploratory laparotomy was performed the patient.</p><p> </p><p><strong>Methods:</strong> During the laparotomy, mass at caecum and ileocaecal that causing massive small bowel obstruction was found and standard right hemicolectomy and temporary mucousfistula ileostomy was performed.</p><p> </p><p><strong>Result:</strong> The patient recovered well, discharged on 7<sup>th</sup> day post op. The pathology examination showed ectopic endometriosis lesions in caecum and ileocaecal valve. The histopathology also confirmed with the immunohistochemistry, in which positive ER, PR, CD 10 and CD7 was found the ileocaecal and caecal mass. In the second operation, reanastomosis of the ileum was done 3 months after the first operation. The chronic pelvic pain is decreasing dramatically after the first and second operation.</p><p> </p><strong>Conclusion:</strong> Although bowel obstruction caused by caecal endometriosis is an extremely rare cause of intestinal obstruction but it should be considered as a cause in infertile female patient to reduce morbidity and mortality, to reduce stoma creation and to promote resection completeness.
DESCRIPTION OF IMPLEMENTATION OF STANDARD OPERATING PROCEDURE IN INSERTING INRAVENOUS ACCES BY THE NURSE IN A PRIVATE HOSPITAL IN CENTRAL INDONESIA [GAMBARAN PELAKSANAAN STANDAR PROSEDUR OPERASIONAL PEMASANGAN AKSES INTRAVENA OLEH PERAWAT DI SATU RUMAH SAKIT SWASTA INDONESIA BAGIAN TENGAH]
Authors: Hutapea Surya C. Y , Pertiwi Yulliayana M. D , Manik Marisa Junianti , Patrisia Ineke 
Published: October 2020

<p>Nosocomial infection is one of the common infections that occur in hospitals and other health facilities, which is caused by a mismatch in the implementation of invasive measures such as the intravenous access with the applicable Standard Operating Procedure (SOP). This study aimed to determine the description of the implementation of the SOP of the intravenous access in one private hospital in central Indonesia. The study used a quantitative descriptive design with a total population of 10 nurses using total sampling technique. The study used a checklist sheet which was adapted from the SOP of the hospital where the study was conducted. The results showed all respondents did not carry out the procedure of intravenous access in accordance with the applicable SOP at the hospital. There were nine from 15 steps of implementation of the SOP of the intravenous access do not reach 100%. The hospital is expected to make efforts to improve nurses' compliance in taking action in accordance with SOP, such as forming an audit team to improve compliance with SOP implementation, periodic internal audits, providing facilities for hand-washing (paper-towels, hand-rub, soap for hand-washing), provide adequate gloves, and disinfection equipment. In addition, it is necessary to refresh information regularly about SOP of invasive actions.</p><p><strong>BAHASA INDONESIA </strong>Infeksi nosokomial merupakan salah satu infeksi umum yang terjadi di rumah sakit dan fasilitas kesehatan lainnya yang disebabkan oleh ketidaksesuaian pelaksanaan tindakan invasif seperti pemasangan akses intravena dengan Standar Prosedur Operasional (SPO) yang berlaku. Penelitian ini bertujuan untuk mengetahui gambaran pelaksanaan SPO pemasangan akses intravena di salah satu rumah sakit swasta di Indonesia bagian tengah. Desain penelitian menggunakan desain deskriptif kuantitatif dengan populasi seluruh perawat ruangan yang berjumlah 10 orang dengan teknik total sampling. Instrumen menggunakan lembar checklist yang diadaptasi dari SPO rumah sakit tempat penelitian dilakukan. Hasil penelitian menunjukkan seluruh responden tidak melaksanakan prosedur pemasangan akses intravena sesuai dengan SPO yang berlaku di rumah sakit. Ada sembilan dari 15 langkah pemasangan akses intravena yang tidak mencapai 100%. Pihak rumah sakit diharapkan dapat melakukan upaya untuk meningkatkan kepatuhan perawat dalam melakukan tindakan sesuai dengan SPO, seperti pembentukan tim audit guna meningkatkan kepatuhan pelaksanaan SPO, audit internal berkala, menyediakan fasilitas untuk mencuci tangan (paper-towels, hand-rub, sabun untuk mencuci tangan), menyediakan sarung tangan yang memadai, dan alat desinfeksi. Selain itu perlu diadakan penyegaran informasi secara berkala mengenai SPO tindakan invasif.</p>
A DESCRIPTIVE STUDY ON DETERMINANTS OF PREOPERATIVE PATIENT’S COMPLIANCE USING CHLORHEXIDINE 2% [STUDI DESKRIPTIF TENTANG FAKTOR-FAKTOR YANG MEMENGARUHI KEPATUHAN PASIEN PRE-OPERASI MENGGUNAKAN CHLORHEXIDINE 2%]
Authors: Claudine Inggrid , Sihombing Riama Marlyn , Lebdawicaksaputri Kinanthi 
Published: October 2020

<p>Chlorhexidine 2% used as an antiseptic soap in preparation before surgery at a central Indonesian hospital. But there were preoperative patients who are not compliant using Chlorhexidine 2%. The purpose of this study was to identify the determinants of patient compliance in using Chlorhexidine 2% before undergoing surgery. This research used descriptive quantitative design with cross sectional approach. The population was all preoperative patients who used Chlorhexidine 2% with a sample of 53 patients who were determined using purposive sampling technique. This instrument was a questionnaire that was adapted from previous studies and had tested the reliability validity of 30 respondents with r tables between 0.363 - 0.880 and Cronbach's alpha value 0.695. The results showed that more than half (62.3%) of respondents were not eligible to used Chlorhexidine 2%. Respondents with secondary education are 54.7% and more than half (51%) have low knowledge, more than half (67.9%) patients' attitudes are good while most (69.8%) attitudes of health workers are not good, the majority (96.2%)) respondents showed high motivation and almost half (66.1%) had high family support. Future research needs to identify the relationship between health care worker attitudes and compliance using Chlorhexidine 2% as a preoperative preparation.</p><p><strong>BAHASA INDONESIA </strong>Chlorhexidine 2% digunakan sebagai sabun mandi antiseptik dalam persiapan pre operasi di satu rumah sakit swasta Indonesia tengah. Namun masih ada pasien pre operasi yang tidak patuh menggunakan Chlorhexidine 2%. Tujuan penelitian untuk mengidentifikasi faktor-faktor yang memengaruhi kepatuhan pasien dalam menggunakan Chlorhexidine 2% sebelum menjalani operasi. Penelitian ini menggunakan desain kuantitatif deskriptif dengan pendekatan cross sectional. Populasi adalah semua pasien pre operasi yang menggunakan Chlorhexidine 2% dengan sampel sebanyak 53 pasien yang ditetapkan menggunakan tehnik purposive sampling. Instrumen berupa kuesioner yang diadaptasi dari penelitian sebelumnya dan telah dilakukan uji validitas reliabilitas kepada 30 responden dengan r tabel antara 0,363 – 0,880 dan nilai Cronbach’s alpha 0,695. Hasil penelitian menunjukkan bahwa lebih dari setengah (62,3%) responden tidak patuh menggunakan Chlorhexidine 2%. Responden dengan pendidikan menengah sebanyak 54,7% dan lebih dari setengah (51%) memiliki pengetahuan rendah, lebih dari setengah (67,9%) sikap pasien baik sedangkan sebagian besar (69,8%) sikap petugas kesehatan tidak baik, mayoritas (96,2%) responden menunjukkan motivasi tinggi dan hampir dari setengah (66,1%) memiliki dukungan keluarga yang tinggi. Penelitian selanjutnya perlu mengidentifikasi hubungan sikap petugas kesehatan dengan kepatuhan dalam menggunakan Chlorhexidine 2% sebagai persiapan sebelum operasi.</p>
TANTANGAN ORGANISASI BUNDO KANDUANG DALAM MENDORONG REPRESENTASI PEREMPUAN DI LEMBAGA LEGISLATIF SUMATERA BARAT
Authors: Oktarina Soraya 
Published: October 2020

Tesis ini membahas tentang peran dan tantangan yang di hadapi Organisasi Bundo Kanduang Dalam Mendorong Representasi Perempuandi Lembaga Legislatif Sumatera Barat. Penelitian ini adalah penilitian kualitatif dengan desain deskriptif. Hasil penelitian memaparkan bahwa adanya Undang-undang No.22 tahun 1999 yang kemudian direvisi dengan Undang-undang No.32 tahun 2004 tentang Otonomi Daerah berdampak terhadap berlakunya sistem demokrasi lokal di sejumlah daerah di Indonesia, salah satunya Sumatera Barat. Provinsi Sumatera Barat merupakan daerah yang corak kebudayaanya khas, menganut asas matrilineal, perempuan menempati posisi sentral. Peran perempuan Sumatera Barat atau yang dikenal dengan istilah bundo kanduang kemudian diperkuat melalui Peraturan daerah tentang Pemerintahan Nagari. Bundo kanduang tidak hanya sebagai pelestari adat, namun juga memiliki peran politis sebagai penentu kebijakan. Organisasi Bundo Kanduang, sebagai salah satu kelompok perempuan Minangkabau berupaya mendorong kehadiran perempuan di dalam lembaga kebijakan melalui peningkatan kapasitas perempuan, mulaidaritingkatnagarihingga provinsi. Realitanya, tak sedikit hambatan yang harus dihadapi dalam menghadirkan perempuan di dalam pengambil kebijakan. Kentalnya akulturasi budaya patriarkhi, doktrin Agama, hingga adanya dualisme sistem pemerintahan yang berjalan di Sumatera Barat menjadi isu utama. Tak hayal, peran organisasi bundo kanduang pun hanya mampu berjalan di tataran subtantif seremonial.
DIFUSI INOVASI “PROGRAM DESA MELANGKAH” DI DESA KENONGO KECAMATAN TULANGAN KABUPATEN SIDOARJO
Authors: Rochmaniah Ainur , Jariyah Ainun 
Published: October 2020

Program Desa Melangkah merupakan salah satu program inovatif Pemerintah Kabupaten Sidoarjo yang bertujuan memaksimalkan potensi masing-masing desa, demi meningkatkan kemajuan dan perkembangan di berbagai desa yang ada di wilayah Kabupaten Sidoarjo. Tujuan dari penelitian ini adalah untuk mendeskripsikan difusi inovasi Program Desa Melangkah di Desa Kenongo, Kabupaten Sidoarjo dan tipe-tipe pengadopsi inovasi dalam program tersebut. Penelitian ini menggunakan metode penelitian deskriptif kualitatif, dengan informan warga desa Kenongo, yang terdiri dari perangkat desa dan masyarakat biasa melalui teknik pengambilan sampel snow ball. Teknik pengumpulan data menggunakan wawancara dan teknik analisis Miles dan Huberman. Hasil penelitian menunjukkan bahwa proses penyebaran informasi inovasi Program Desa Melangkah dilakukan oleh pemuka pendapat dengan tujuan untuk meningkatkan partisipasi masyarakat melalui empat elemen proses penyebaran, yaitu inovasi, saluran komunikasi, jangka waktu, dan sistem sosial, disamping itu juga ditemukan 4 (empat) tipe pengadopsi inovasi dari hasil penelitian di lapangan, yaitu innovator, early adopter, early majority dan late majority.
Juridical Implications of The Sustainable Finance Principles Implementation in the Banking Sector on the Obligations of Sustainable Reporting
Authors: Abubakar Lastuti , Handayani Tri 
Published: October 2020

OJK has issued regulation No.51/POJK.03/2017 on The Application of Sustainable Finance for Financial Services Institution, Issuer and Public Companies, requires all financial services institutions, including banks to applied sustainable financial principles. While some of the principles of sustainable finance are already part of banking regulation such the obligation to implement risk management and governance, they have not specifically accommodated the demand to integrate economic, social and environmental aspect as a pillar of sustainable banking. This study is used normative juridical approaches and analytical descriptive research specifications, legal issues are how to implement sustainable financial principles in the banking sector and urgency of the bank’s sustainable report as an effort to identify bank compliance with sustainable financial principles. Banks are required to make and publish sustainable financial statements as a form of bank accountability to all stakeholders to comply with governance principles, in particular transparency obligations. This sustainable reporting is a form of report conducted by a company in order to disclose or communicate to all stakeholders on good environmental, social and governance performance in an accountable manner.
Online Activism of Social Community in Handling Social Issues in The City Of Malang
Authors: Subekti Tia , Khurun'in Irza 
Published: October 2020

his paper aims to see the formation of social movements in Malang addressing social issues in Malang. Some of the movements that become the focus of this paper are the Malang Care Community or ASLI Malang and Social and Humanist Society in Malang. Interestingly, the communities are doing their activities online and using social media as the main instrument of movement. If in general online media based-communities are only informative, it is different with Malang. Here the communities perform real actions such as social activities. For examples: social aids for victims of natural disasters, street children, poor people who need help, and other problems. Last but not least is the emergence of free motorcycle-taxi riders that arose due to the protest of angkot (city transport) drivers toward online motorcycle taxi resulting in an angkot drivers’ strike. The movement was able to collect motorcycle-rider volunteers up to 700 motorcycles and 80 cars. The 4 days activity was the culmination of the social community awakening which arises in response to socio-dynamic in society
The emergence of various social communities is the marker of the rise of civilian powers and the strengthening of non-state actors. The social community as a form of movement becomes an alternative for civil society to engage in social issues, rather than to join political organizations such as political parties or interest groups whose main interests are political interests. Charles Tilly (2004) defines social movements as an organized public collective effort to make certain claims to the intended authorities. Sidney Tarrow (2004) explains that social movements are generally born from social problems that lead to contentious. The orientation of social movements is to create a world order of social justice. Furthermore, in data collection, the authors conducted in-depth interviews, observations, and documentation. By using social movement perspective, the main argument in this paper is, first, social media is the social community's main strategy for activism. Second, the pattern of social movements that arise is departing from social concerns of civil society in the city of Malang in view of social issues. Third, the formation of activism conducted by the social community in the City of Malang City aims to respond to social problem
Reduction in US Health Care Spending Required to Meet the Institute of Medicine’s 2030 Target
Authors: McCullough J. Mac , Speer Matthew , Magnan Sanne , Fielding Jonathan E. , Kindig David , Teutsch Steven M. 
Published: October 2020

Objectives. To quantify changes in US health care spending required to reach parity with high-resource nations by 2030 or 2040 and identify historical precedents for these changes. Methods. We analyzed multiple sources of historical and projected spending from 1970 through 2040. Parity was defined as the Organisation for Economic Co-operation and Development (OECD) median or 90th percentile for per capita health care spending. Results. Sustained annual declines of 7.0% and 3.3% would be required to reach the median of other high-resource nations by 2030 and 2040, respectively (3.2% and 1.3% to reach the 90th percentile). Such declines do not have historical precedent among US states or OECD nations. Conclusions. Traditional approaches to reducing health care spending will not enable the United States to achieve parity with high-resource nations; strategies to eliminate waste and reduce the demand for health care are essential. Public Health Implications. Excess spending reduces the ability of the United States to meet critical public health needs and affects the country’s economic competitiveness. Rising health care spending has been identified as a threat to the nation’s health. Public health can add voices, leadership, and expertise for reversing this course.
COVID-19 and the Rise of Participatory SIGINT: An Examination of the Rise in Government Surveillance Through Mobile Applications
Authors: Bernard Rose , Bowsher Gemma , Sullivan Richard 
Published: October 2020

The COVID-19 pandemic has triggered a significant growth in government surveillance techniques globally, primarily through the use of cell phone applications. However, although these applications can have actionable effects on public health efforts to control pandemics, the participatory or voluntary nature of these measures is obscuring the relationship between health information and traditional government surveillance techniques, potentially preventing effective oversight. Public health measures have traditionally been resistant to the integration of government-led intelligence techniques, such as signals intelligence (SIGINT), because of ethical and legal issues arising from the nature of surveillance techniques. We explore this rise of participatory SIGINT and its nature as an extension of biosurveillance through 3 drivers: the rise of surveillance capitalism, the exploitation of a public health crisis to obscure state of exception politics with a moral imperative, and the historically enduring nature of emergency-implemented surveillance measures. We conclude that although mobile applications may indeed be useful in containing pandemics, they should be subject to similar oversight and regulation as other government intelligence collection techniques.