bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hubungan Pemanfaatan Posyandu Prakonsepsi dengan Status Gizi Wanita Prakonsepsi di Desa Lokus Stunting Kabupaten Banggai
Authors: Balebu Dwi Wahyu , Labuan Arsiyanti , Tongko Mirawati , Sattu Marselina 
Published: February 2021

Posyandu prakonsepsi adalah pelayanan wanita usia subur reproduksi sebelum kehamilan pertama untuk memastikan bahwa kondisi dan perilaku ibu pada saat hamil dapat menimbulkan resiko bagi ibu dan bayi dapat diidentifikasi. Penelitian ini bertujuan untuk mengetahui hubungan pemanfaatan posyandu prakonsepsi dengan status gizi wanita prakonsepsi. Jenis Penelitian ini adalah analitik dengan rancangan penelitian cross sectional dengan total 316 sampel. Status Gizi di tandai dengan Status Anemi, Lingkar Lengan Atas (LILA) dan Indeks Masa Tubuh (IMT). Analisis data dilakukan secara univariate dan bivariate. Hasil penelitian menunjukkan ada hubungan yang signifikan antara pemanfaatan posyandu prakonsepsi dengan status anemi wanita prakonsepsi (ρ = 0,021 X²= 5,361 ), tidak ada hubungan yang signifikan antara pemanfaatan posyandu prakonsepsi dengan status KEK wanita prakonsepsi (ρ=0,447 X²= 0,578), dan ada hubungan yang signifikan antara pemanfaatan posyandu prakonsepsi dengan status IMT wanita prakonsepsi (ρ = 0,003 X²=9,016 ). Berdasarkan hasil tersebut perlu motivasi dan dorongan kepada wanita prakonsepsi untuk memanfaatkan posyandu prakonsepsi serta mengoptimalkan posyandu prakonsepsi yang sudah ada di masyarakat, serta mengintegrasikan upaya promotive dan edukasi gizi kedalam program posyandu prakonsepsi.
Preconception Posyandu is a service for women of reproductive age before first pregnancy to ensure that maternal conditions and behavior during pregnancy can pose risks for both mother and baby can be identified. This study aims to determine the relationship between the use of preconception posyandu and preconception female nutrition status. This type of research is analytic with a cross sectional study design with a total of 316 samples. Nutritional Status is marked with Anemia Status, Upper Arm Circumference (MUAC) and Body Mass Index (BMI). Data analysis was carried out univariate and bivariate. The results showed a significant relationship between the use of preconception posyandu with preconception female anemic status (ρ = 0.021 X² = 5.361), there was no significant relationship between the use of preconception posyandu with preconception SEZ status of women (ρ = 0.447 X² = 0.578), and there was no significant relationship between the use of preconception posyandu with preconception SEZ status of women (ρ = 0.447 X² = 0.578), a significant relationship between the use of preconception posyandu with preconception female BMI status (ρ = 0.003 X² = 9.016). Based on these results, motivation and encouragement to preconception women need to use preconception posyandu and optimize preconception posyandu that already exists in the community, as well as integrating promotive and nutritional education efforts into the preconception posyandu program
Gambaran Pengetahuan dan Sikap Ladies Cafe tentang Pencegahan Hiv/Aids Daerah Pandanwangi Toili Barat
Authors: Tongko Mirawati , Amir Zahrawati , Derthan Derthan , Balebu Dwi Wahyu 
Published: February 2021

Salah satu penyakit menular yang mendapat perhatian dunia karena insidensi dan penyebarannya yang semakin meningkat adalah penyakit HIV/AIDS. Tujuan dilakukan penelitian ini agar memperoleh gambaran tentang bagaimana pengetahuan dan sikap ladies cafe terhadap pecegahan HIV/AIDS dalam rangka identifikasi faktor risiko penularan penyakit menular seksual di kalangan masyarakat. Jenis penelitian ini adalah penelitian deskripif dengan teknik pengumpulan data melalui kuisioner. Populasi dalam penelitian ini adalah seluruh Ladies Cafe yang bekerja di Cafe Pandanwangi Kecamatan Toili Barat Kabupaten Banggai. Teknik sampel menggunakan total sampling atau keseluruhan jumlah populasi. Data dianalisis deskriptif univariat. Hasil Penelitian didapatkan bahwa sebanyak 64% Ladies Cafe memliki pengetahuan Cukup tentang Pencegahan HIV/AIDS sedangkan sebanyak 96% Ladies Cafe memiliki sikap Positif terhadap pencegahan HIV/AIDS. Tingkat pengetahuan merupakan domain untuk melakukan tindakan hingga taraf memahami ditunjukkan melalui penginterpretasian materi secara benar hingga selanjutnya pengaplikasian secara real, yang berarti responden mampu membaca kondisi bahaya HIV/AIDS dan cara mencegahnya sehingga ia dapat melakukan pencegahan.
One of the infectious diseases that received worldwide attention because of its increasing incidence and spread is HIV / AIDS. The purpose of this study was to obtain a picture of how the knowledge and attitudes of women cafes against HIV / AIDS prevention in the context of identifying risk factors for sexually transmitted diseases in the community. This type of research is descriptive research with questionnaire data collection techniques. The population in this study were all ladies cafes who worked in Pandanwangi café, West Toili Sub-District, Banggai Regency. The sampling technique uses total sampling or the total population. Data were analyzed univariate descriptive. The results of the study found that as many as 64% of the Ladies Cafe have Sufficient knowledge about HIV / AIDS Prevention, while 96% of the Ladies Café have a positive attitude towards HIV / AIDS prevention. The level of knowledge is a domain for someone to carry out an act of someone's level of understanding is shown through the interpretation of material correctly until the subsequent applicated , which means the respondent able to read the dangerous condition of HIV / AIDS and how to prevent it so that he can do prevention.
Persepsi Remaja Putri tentang Anemia di Sekolah Menengah Kejuruan (SMK) Negeri 5 Luwuk Timur
Authors: Yulita Nadya , Lanyumba Fitrianty Sutadi , Balebu Dwi Wahyu , Ramli Ramli 
Published: February 2021

Anemia adalah suatu kondisi dimana jumlah sel darah merah atau hemoglobin berada di bawah normal. Tujuan dalam penelitian ini yaitu untuk memperoleh gambaran Persepsi Remaja Putri tentang Anemia di SMK Negeri 5 Luwuk Timur. Jenis penelitian ini yaitu kualitatif dengan menggunakan teknik purposive sampling dengan kriteria bahwa, pernah mendapatkan tablet tambah darah (Fe) dan penyuluhan dari petugas kesehatan tentang anemia. Informan dalam penelitian ini adalah remaja putri SMK 5 Luwuk Timur dengan kriteria bahwa, pernah mendapatkan tablet tambah darah (Fe) dan penyuluhan dari petugas kesehatan tentang anemia dan informan kunci yaitu petugas kesehatan di Puskesmas Hunduhon. Penelitian ini menggunakan teknik analisis data menurut Milles dan Huberman (1984) yaitu Reduction, Display, Conclusion. Hasil penelitian menunjukkan bahwa sebagian besar remaja putri mempersepsikan anemia sebagai keadaan kurang darah dan mengatakan bahwa gejala anemia adalah pusing, sakit kepala, lemah, letih, lesu, lemas, dan loyo. Sebagian besar remaja putri belum memahami penyebab anemia. Remaja putri mengatakan bahwa begadang dan kurang tidur sebagai penyebab dari anemia. Remaja putri yang belum memahami akibat atau dampak menganggap bahwa sakit badan dan kepala adalah akibat atau dampak dari anemia. Perlu adanya perhatian untuk memberikan penyuluhan dalam kegiatan posyandu remaja dan disarankan kepada remaja putri lebih meningkatkan pengetahuan dan pemahaman tentang anemia.
Anemia is a condition in which the number of red blood cells or hemoglobin is below normal. The purpose of this study was to obtain a description of the perception of young women about anemia at SMK Negeri 5 Luwuk Timur. This type of research is qualitative by using purposive sampling technique with the criteria that, have ever received a blood supplement (Fe) tablet and counseling from health workers about anemia. The informants in this study were young women of SMK 5 Luwuk Timur with the criteria that they had received blood added tablets (Fe) and counseling from health workers about anemia and key informants were health workers at the Hunduhon Health Center. This study uses data analysis techniques according to Milles and Huberman (1987), namely Reduction, Display, Conclusion. The results showed that most of the young women perceived anemia as a lack of blood and said that the symptoms of anemia were dizziness, headache, weakness, fatigue, lethargy, weakness, and weakness. Most of the young women do not understand the causes of anemia. Young women say that staying up late and lack of sleep are the causes of anemia. Young women who do not understand the consequences or effects think that body and headaches are the result or impact of anemia. Attention is needed to provide counseling in youth posyandu activities and it is recommended that young women increase their knowledge and understanding of anemia.
Pelayanan Kesehatan Ibu, Anak, dan Keluarga Berencana di Puskesmas Cirimekar, Bogor
Authors: Tunggal Mutika Winnie , Doria Magda , Putri Mita Meliani , Sari Ninda , Anggriani Yohana , Renwarin Zainah Azan , Ambariani Ambariani 
Published: February 2021

Pusat Kesehatan Masyarakat (Puskesmas) adalah organisasi fungsional yang menyelenggarakan upaya kesehatan yang bersifat menyeluruh, terpadu, merata, dapat diterima, terjangkau oleh masyarakat, dengan peran serta aktif masyarakat dan menggunakan hasil pengembangan ilmu pengetahuan dan teknologi tepat guna, dengan biaya yang dapat dipikul oleh pemerintah dan masyarakat. Salah satu tugas dan fungsi puskesmas adalah melaksanakan enam upaya kesehatan wajib diantaranya adalah upaya pelayanan kesehatan ibu, anak, dan keluarga berencana. Penelitian dengan menggunakan pendekatan deskriptif (explanatory research). Pengumpulan data dilakukan melalui observasi serta wawancara kepada tenaga kesehatan dan pasien khususnya yang menerima pelayanan kesehatan ibu, anak, dan keluarga berencana di Puskesmas Cirimekar. Instrumen yang digunakan adalah panduan wawancara evaluasi pelayanan dari tim praktik klinik Program Studi Kebidanan Universitas Gunadarma. Hasil wawancara dan observasi dibuat dalam bentuk narasi sehingga dapat diberikan ke lahan praktik untuk meningkatkan pelayanan Puskesmas Cirimekar. Hasil pelayanan kesehatan ibu, anak, dan keluarga berencana menunjukkan prosedur pelayanan, waktu pelayanan, sarana dan prasarana yang terdapat di puskesmas sudah cukup baik.Keterbatasan sumber daya manusia yaitu petugas kesehatan yang ada di Puskesmas Cirimekar menyebabkan waktu tunggu lebih lama yang ditunjukkan adanya antrian pasien KIA dan KB sehingga pelayanan yang diberikan dirasa kurang optimal.

Public health center (Puskesmas) is a functional organization who held comprehensive, integrated, and acceptable health efforts to society with active role from society and using science and technology, with cost comes from the government and society. Puskesmas duty is doing six health efforts obligatory in society, one of the obligatory is mother, child, and family planning health services. This research is using explanatory research. Data was collected through observation and interviews with health workers and patients, especially those who received maternal, child and family planning health services in Puskesmas Cirimekar. The instrument used was service evaluation interview guide from the clinical practice team of the Program Study of Universitas Gunadarma. The results of interviews and observations were made in narrative form so that they could be given to practice fields to improve Puskesmas Cirimekar services.Result from interview and observation processed using descriptive analysis. The result shows that health service for mother, child and family planning health services in Puskesmas Cirimekar is pretty good based on procedure, time and facilities. But, the limited of human resources (health workers) in Puskesmas Cirimekar sometimes make a long queue for services at mother health, child health and also family planning, and it makes the services not optimal.
Determinan Kejadian Bayi Berat Badan Lahir Rendah (Bblr) di Gorontalo
Authors: Ramadhani Firdausi , Hano Yanti Hz. 
Published: February 2021

Penelitian ini bertujuan untuk mengetahui beberapa faktor yang berhubungan dengan kejadian bayi Bayi Berat Badan Lahir Rendah (BBLR) di Wilayah Kerja Puskesmas Limboto Kabupaten Gorontalo. Metode yang digunakan adalah Observasional Analitik dengan pendekatan cross sectional study. Populasi adalah seluruh ibu yang melahirkan berjumlah 853 responden, dengan Sampel yaitu sebanyak 202 responden. Teknik pengambilan sampel menggunakan tekhnik Purposive Sampling. Analisis data menggunakan uji Chi Square. Hasil penelitian menunjukkan proporsi bayi Berat Badan Lahir Rendah (BBLR) 34 responden (16,8%) dan bayi Berat Badan Lahir Normal (BBLN) 168 responden (83,2%). Hasil bivariat didapatkan bahwa ada hubungan pengetahuan (p-value 0,044), pendapatan keluarga (p-value 0,029) dengan kejadian bayi Berat Badan Lahir Rendah (BBLR). Sedangkan, jumlah paritas (p value 0,523), jarak kehamilan (p-value 0,659), dan Kekurangan Energi Kronik (KEK) (p-value 0,637) tidak memiliki hubungan yang bermakna secara statisti dengan kejadian bayi Berat Badan Lahir Rendah (BBLR).

This study aims to determine several factors associated with the incidence of low birth weight babies (LBW) in the Limboto Health Center, Gorontalo District. The method used is analytic observational with a cross sectional study approach. The population was all mothers who gave birth totaling 853 respondents, with a sample of 202 respondents. The sampling technique used purposive sampling technique. The results showed that the proportion of Low Birth Weight (LBW) babies was 34 respondents (16.8%) and Normal Birth Weight (BBLN) babies were 168 respondents (83.2%). The bivariate results showed that there was a relationship between knowledge (p value 0.044), family income (p value 0.029) with the incidence of low birth weight babies (LBW). Meanwhile, the parity (p value 0.523), pregnancy distance (p-value 0.659), and Chronic Energy Deficiency (P-value 0.637) did not have a statistically significant relationship with the incidence of Low Birth Weight (LBW).
Straw vs Cup Use in Patients with Symptoms of Oropharyngeal Dysphagia
Authors: Pang Bo , Cox Paul , Codino Julianna , Collum Austin , Sims Jake , Rubin Adam 
Published: February 2021

CONTEXT This study aims to determine whether straw or cup use is superior for the control of a single thin liquid bolus in patients with symptoms of oropharyngeal dysphagia to liquids. METHODS This is a prospective, randomized, single-blinded study. Patients were studied at a Professional Voice and Swallowing Center by a laryngologist between April 2017 and April 2018. Twenty-five patients, 18 years of age or older, who presented with symptoms of oropharyngeal dysphagia the clinic were included in the study. Each patient complained of difficulty with choking on liquids. Informed consent was obtained from each patient. Patients that were unable to follow one to two step commands and patients with dysphagia that lack oral strength or respiratory strength to facilitate straw or cup usage were not included. Patients with dysphagia that are tracheostomy tube dependent were also not included. RESULTS The average PAS for straw versus cup drinking at 10mL was 1.08 and 1.04 respectively with a p-value of 0.33. For straw versus cup at 20mL, the PAS was 1.04 and 1.26 respectively with a p-value of 0.13. For 30mL, the PAS was 1.0 and 1.4 for straw and cup use respectively with a p-value of 0.16. And for 40mL, the PAS was 1.0 and 1.09 with a p-value of 0.27. CONCLUSIONS No statistical significant difference was demonstrated in risk of penetration or aspiration of thin liquids between cup and straw usage in patients with mild oropharyngeal dysphagia.
Provider Driven Follow-Up in a Chest Pain Accelerated Diagnostic Protocol: Round Two of the PDSA Cycle in a Multidisciplinary Quality Improvement Patient Safety Project
Authors: Troiano Isaac , Mitchell Mary , Schury Mark , Butki Nikolai 
Published: February 2021

CONTEXT In 2016, the McLaren Oakland Department of Emergency Medicine developed and implemented a Chest Pain Accelerated Diagnostic Protocol (CP-ADP) to identify patients presenting to the emergency department (ED) with chest pain who were at low risk for acute coronary syndrome (ACS) and appropriate for outpatient follow-up. The evaluation of the QI/PS project demonstrated that only 47% of the patients discharged from the ED under the CP-ADP received outpatient follow-up. In response, a second round of the PDSA cycle modified the CP-ADP to add a multidisciplinary provider driven follow-up. METHODS After ED discharge, patients in the CP-ADP with provider driven follow-up were contacted by a primary care physician to schedule a follow-up appointment. The premise was that this provider driven follow-up would alleviate navigation of the health care system as a barrier to follow-up. RESULTS The evaluation of the modified CP-ADP with provider driven follow-up demonstrated that 9 of the 30 patients discharged from the ED were able to be contacted. 21 of the patients were unable to be reached by the phone number they provided. Only 3 patients discharged with provider driven follow-up showed up to follow up appointments. CONCLUSIONS There were some internal process failures identified that contributed to the low numbers of patients that were successfully contacted. External factors such as patient access to phones and means of communication were also discussed as factors that were originally not considered.
Ancillary Findings on CT Pulmonary Angiograms that are Negative for Pulmonary Embolism
Authors: Stein Paul , Matta Fadi , Gerstner Brett J. , Kakish Edward J. , Hughes Patrick G. , Lata Julie , Trigger Christopher C. , Jutzy Kevin A. , Doyle Michael Q. , Warpinski Mathew A. , Corser William D. , Long Jerome P. , Fakhouri Nasheed S. , Jones Corion L. , Owen Kristen N. , Lyons Casey , Carracedo Damien , Skinner Ian P. , Warner Laura A. , Saffer Ethan R. , Deming Brody A. , Cronovich Keith D. , Hughes Mary J. 
Published: February 2021

CONTEXT One advantage of computed tomographic pulmonary angiograms (CTPA) is that they often show pathology in patients in whom pulmonary embolism (PE) has been excluded. In this investigation, we identified the ancillary findings on CTPAs that were negative for PE to obtain an impression of the type of findings shown. METHODS This was a retrospective analysis of findings on CTPAs that were negative for PE obtained in nine emergency departments between January 2016 - February 2018. Ancillary findings were assessed by review of the radiographic reports. RESULTS Ancillary findings were identified in N=338 (40.9%) of 825 patients with CTPAs that were negative for PE. Most ancillary findings, 254 (75.1%) of 338 were pulmonary or pleural abnormalities. Liver, gall bladder, kidney, or pancreatic abnormalities were shown in 26 (7.7%) cases, and abnormalities of the heart or great vessels were shown in 23 (6.8%) of cases. Abnormalities of the esophagus or intestine were shown in 12 (3.6%), abnormalities of the thyroid in 10 (3.0%) and abnormalities of bone or soft tissue lesions were shown in three (0.9%) cases. Inferential statistical procedures demonstrated that the occurrence of ancillary findings in patients with negative CTPAs was proportionately greater in patients who were 50 years and older (p < 0.001), although not between genders (p = 0.145). CONCLUSIONS Ancillary findings on CTPAs that were negative for PE were frequently reported. Future studies might focus of the extent to which ancillary findings on CTPA assisted physicians in management of the patient.
Incidence of Heterotopic Ossification in Direct Anterior Approach to Total Hip Arthroplasty with use of Aspirin as Thromboembolic Prophylaxis
Authors: Knapp Paul , Doehrmann Ross , Yokhana Sanar , Rizvi Syed , Boura Judith , Knesek David 
Published: February 2021

CONTEXT Heterotopic ossification (H.O.) is a common occurrence after total hip arthroplasty (THA) with significant potential clinical ramifications. Controversy still exists regarding the exact etiology of the disorder, including possible risk factors. Surgical technique, surgical approach, postoperative medication protocols and even thromboembolic prophylaxis have been implicated in the formation of H.O. Our study looked at one institution with a single surgeon performing direct anterior THA (DAA THA) in patients who received aspirin (ASA) as monotherapy for thromboembolic prophylaxis. METHODS Patients at a single institution who underwent DAA THA between 2015 and 2019 were identified by CPT code. 45 patients ultimately met inclusion criteria. Postoperative radiographs were analyzed retrospectively for H.O. according to the Brooker classification. Several patient characteristics and comorbidities were statistically analyzed using Chi-square tests, Fisher Exact tests, Wilcox rank sum tests, and Pearson correlation. RESULTS 12 patients (26.7%) were found to have heterotopic ossification (67% Class 1, 8% Class 2, 25% Class 3, and 0% Class 4); with a median follow up of 35 weeks (range: 12-96). 25% of these patients received ASA 325mg BID while 75% received ASA 81 BID. No statistical differences in development of H.O. were detected among age, gender, BMI, sex, race, diabetes, or NSAID use in the post-operative interval. There were significantly more smokers in the H.O. group (50% vs. 9%, p<0.006). CONCLUSIONS Our analysis aimed to quantify the incidence of H.O. with consistency in surgical approach and post-operative protocol. There have been few studies on this topic, and we believe it is very relevant with the increasing use of aspirin in the post-operative protocol for thromboembolic prophylaxis. Our retrospective analysis identified H.O. at rates similar to previous studies in DAA.
Congenital Pharyngeal Web in an Adult: Treatment of a Rare Clinical Anomaly by Coblation
Authors: Minutello Katrina , Pinther Steven , Stachler Robert 
Published: February 2021

INTRODUCTION TO THE TOPIC Previous reports of congenital pharyngeal webs, although rare, have been described in children. Clinical presentation varies, ranging from aspiration to intermittent airway obstruction, and most commonly, dysphagia. In this case report, the authors describe an unusual finding of a hypopharyngeal web in an adult patient. This patient had no prior history of chemoradiotherapy, malignancy, or total laryngectomy, all of which have been associated with acquired pharyngeal stenosis, supporting that this finding was of congenital origin. After a review of the possible embryological developmental abnormalities, the hypothesis is that of gut recanalization failure during development. CASE PRESENTATION We present a case of a woman in her mid-40’s with a history of solid food dysphagia resulting in a 20 kg weight loss over three months. The patient denied dysphagia progressing to liquids, pain with swallowing, and a history of alcohol or tobacco use. Upon examination of the larynx via laryngoscope, a congenital hypopharyngeal web was identified. Successful excision of the web via coblation restored proper drainage of the pyriform sinus into the esophagus and resulted in markedly improved swallowing function and weight gain. CONCLUSIONS Pharyngeal webs are rare findings, particularly in adult patients. These congenital anomalies can be safely and effectively treated endoscopically via coblation.