bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nivel líquido-grasa intravesical secundario a perforación vesical silente tras resección transuretral de carcinoma urotelial
Authors: Aristizábal Buitrago Nancy Bibiana , Merino Bonilla José Alberto , Guerra Pérez Henar , Navarro Cantarero Eva María 
Published: November 2021

Los tumores vesicales no músculo-invasivos se definen como lesiones papilares limitadas a la mucosa vesical o que invaden la lámina propia, además de los tumores de morfología plana y alto grado limitados a la mucosa (carcinoma in situ [CIS]). La confirmación diagnóstica se produce tras el análisis histológico de la muestra obtenida en la resección transuretral (RTU) de vejiga, que en los tumores Ta-T1 requiere la resección completa de todas las lesiones, incluyendo parte del músculo detrusor, lo que constituye, también, el método terapéutico. En el caso del CIS, que puede simular inflamación o no ser visible en la cistoscopia, son necesarias múltiples biopsias aleatorias de la vejiga. La perforación iatrogénica de la vejiga es el segundo evento adverso más frecuente del mencionado procedimiento; esta solución de continuidad en la pared puede dar lugar a la migración de grasa hacia el interior de la vejiga, que en las pruebas de imagen se traduce en la formación de un nivel líquido-grasa intravesical, hallazgo infrecuente, que a su vez posee un amplio diagnóstico diferencial, que abarca causas primarias, infecciosas y traumáticas, pero no previamente descrito como una complicación de la RTU. Se presenta el caso de un paciente asintomático con un nivel líquido-grasa intravesical secundario a perforación extraperitoneal de vejiga, tras la resección transuretral de un carcinoma urotelial no músculo-invasivo en la cúpula vesical
Instagram Sebagai Media Komunikasi Pemasaran Hijab Syar’i Azmah Muslimah
Authors: Siskawati Isna , Yani Indri Yuliani 
Published: November 2021

Marketing communication is an important part in marketing products. It takes planning, strategy and selection of the right marketing media to be able to achieve the desired marketing goals. By utilizing current technology as a marketing medium, it is expected to increase sales volume. Instagram is an option that can be used as a marketing communication medium, plays a role in increasing sales volume and expanding the company's market segmentation by utilizing various features contained in it.
This study aims to determine the role of social media Instagram as a marketing communication medium for Azmah Muslimah. This study uses a marketing communication approach with qualitative descriptive research. Data were analyzed inductively from the results of interviews, observations, and documentation.
The results of this study indicate that Azmah Muslimah in marketing her products, uses the features on Instagram, such as uploading photos, captions, arroba, hashtags, instastory, and highlights. In addition to utilizing the Instagram features, Azmah Muslimah also uses modeling services for each photo of her products and endorses celebrities (instagram celebrities) and provides giveaways to support product marketing. Azmah Muslimah also implements a triangular marketing strategy, namely the STP Marketing Strategy (Segmentation, Targeting, Positioning), the 4P marketing mix (Product, Price, Place, Promotion), and the customer oriented 4C (customer solution, customer cost, convenience, communication).
PENGARUH POLA MAKAN TERHADAP HIPERTENSI PADA LANSIA (Studi Di Posyandu Kutilang 1 Kelurahan Pangkut Kecamtan Arut Utara Kotawaringin Barat Kalimantan Tengah)
Authors: Sukri Yohanes , Wibowo Agung Setyono , Wahyono Wahyono 
Published: November 2021

Masalah hipertensi menjadi salah satu penyakit mematikan di dunia dan tanpa di sadari akan menimbulkan komplikasi yang cukup berat dan beresiko mengakibatkan kematian. Kejadian hipertensi lebih banyak dan sering di alami oleh lansia yang penyebab utamanya di pengaruhi oleh pola makan. Penelitian ini bertujuan mencari pengaruh pola makan terhadap hipertensi pada lansia di posyandu kutilang 1 kelurahan pangkut kecematan arut utara kotawaringin barat kalimantan tengah. Bahan dan metode penelitian: Jenis penelitian adalah analitik dengan pendekatan analitik-cross sectional. Populasinya seluruh lansia yang menderita hipertensi sebanyak 70 orang. Teknik sampling yang di gunakan adalah proporsional cluster random sampling sehingga didapatkan sampel 41 responden. Instruman penelitian menggunakan lembar koesioner, dimana variabel independen adalah pola makan pada lansia penderita hipertensi dan variabel dependen adalah hipertensi pada lansia. Hasil penelitian: Hasil penelitian menunjukan diketahui sebagian besar pola makan responden pada posyandu kelurahan Pangkut adalah cukup sebanyak 21 orang (51,2%). Dan diketahui hampir setengahnya lansia di posyandu kelurahan pangkut adalah hipertensi sedang sebanyak 15 orang (31.7%). Hasil penelitian: dengan uji ranks spearman terdapat pengaruh pola makan terhadap hipertensi dengan tingkat siknifikan p=0,037. Kesimpulan: Dalam penelitian ini adalah terdapat pengaruh signifikan antara pola makan terhadap hipertensi di posyandu kutillang 1 kelurahan pangkut kecamatan arut utara kotawaringin barat kalimantan tengah. Saran Bagi lansia ini dapat dilakukan untuk tindakan, Bagi Posyandu agar dapat melakukan tindak lanjut penyuluhan,bagi peneliti selanjutnya agar dapat melakukan pengkajian ulang.
PELATIHAN KADER POSYANDU BALITA DI WILAYAH KERJA PUSKESMAS SUNGAI RANGIT
Authors: Ningtyas Rahaju , Isnina Isnina , Irawan Yogie 
Published: November 2021

Kesehatan ibu dan anak merupakan salah satu aspek yang prioritas untuk diperhatikan. Masa depan anak sangat ditentukan oleh kesehatan sejak dalam kandungan dan pada masa balitanya. Kesehatan ibu hamil perlu diperhatikan mengingat masih banyaknya kejadian komplikasi pada kehamilan dan persalinan yang akan berdampak pada kesehatan bayi yang dilahirkannya. Begitu pula kemampuan perawatan bayi baru lahir. Metode pendekatan yang akan dipakai untuk menyelesaikan persoalan mitra yaitu dengan memberikan rangkaian kegiatan pelatihan untuk pengelolaan posyandu dan pelatihan memberikan penyuluhan kesehatan kepada masyarakat. Praktek kemampuan penyuluhan kader ini juga akan dilombakan untuk mengetahui kemampuan kader dari hasil pelatihan. Metode yang digunakan dalam pengabdian masyarakat ini yaitu dengan pemberian kegiatan pelatihan-pelatihan untuk peningkatan skill kader posyandu disertai dengan mengadakan lomba penyuluhan efektif kepada masyarakat. Pemenang kegiatan lomba posyandu ini diberikan hadiah berupa uang pembinaan untuk melengkapi sarana pra sarana yang menunjang kegiatan posyandu masing masing. Melalui kegiatan ini diharapkan peran posyandu sebagai ujung tombak pemantauan kesehatan di masyarakat dapat lebih optimal. Kata kunci : Lansia
GAMBARAN TINGKAT PENGETAHUAN PASIEN GASTRITIS TERHADAP SWAMEDIKASI DAN RASIONALITAS OBAT DI APOTEK KELURAHAN MENDAWAI KOTA PANGKALAN BUN
Authors: Wibawa Mustika Antik , Jaluri Poppy Dwi Citra , Fakhruddin Fakhruddin 
Published: November 2021

Swamedikasi adalah upaya seseorang untuk mengobati penyakit atau gejala ringan tanpa resep dokter.Keterbatasan pengetahuan masyarakat tentang obat, penggunaan obat, serta penyimpanan obat merupakan penyebab terjadinya kesalahan dalam swamedikasi.Tujuan penelitian ini untuk mengetahui tingkat pengetahuan masyarakat tentang swamedikasi dalam penggunaan obat yang rasional pada penyakit gastritis.Penelitian ini menggunakan metode observasional analitikdengan sampel penelitian pada pasien gastritis yang akan melakukan swamedikasi sebanyak 207 responden berusia 18-49 tahun yang dipilih dengan metode consecuative sampling dari 3 apotek di kelurahan mendawai. Pengambilan data dilakukan melalui pengisian kuesioner yang telah di uji validitas. Data dianalisis dengan uji Chis-quare menggunakan Statistical Product And Servicer Solution (SPSS).Hasil penelitian menunjukanbahwa tingkat pengetahuan responden tentang swamedikasi gastritis di tiga apotek (87,0%) tergolong baik, (10,1%) tergolong cukup dan (2,9%) tergolong kurang. Untuk penggunaan obat swamedikasi gastritis (94,2%)responden menggunakan obat secara rasional dan (2,4%) tidak rasional. Berdasarkan hasil uji Chis-quaretingkat pengetahuan swamedikasi gastritis terhadap rasionalitas didapatkan nilai p value (0,057) > alpha (0,05).Hasil penelitian ini dapat disimpulkan bahwa tingkat pengetahuan responden tidak berpengaruh terhadap rasionalitas penggunaan obat. Kata Kunci :Swamedikasi, Apotek, Pengetahuan, Rasionalitas penggunaan obat, Pangkalan Bun.
PENYULUHAN PENDIDIKAN KESEHATAN PERILAKU SEKS BEBAS DI SMAN 2 KUMAI
Authors: Syahleman Rukmini 
Published: November 2021

Seks bebas adalah hubungan seksual terhadap lawan jenis maupun sesama jenis tanpa ikatan dengan berganti-ganti pasangan. Seks bebas pada remaja dapat diartikan berbagai macam perilaku remaja yang berisiko yang terdiri dari tahapan berpegangan tangan, berkencan intim, bercumbu, sampai melakukan kontak seksual, tetapi perilaku tersebut dinilai tidak sesuai dengan norma selain itu dikarenakan remaja belum memiliki pengetahuan yang cukup tentang seksual. Pengetahuan seksual yang benar dapat memimpin remaja ke arah perilaku seksual yang rasional dan bertanggung jawab. Begitu juga sebaliknya, informasi yang salah mengakibatkan kesalahan persepsi dan menimbulkan perilaku seksual yang salah. Kata Kunci : Pendidikan Kesehatan, Seks Bebas
PROMOSI KESEHATAN PERILAKU HIDUP BERSIH DAN SEHAT DI SD 3 SIDOREJO PANGKALAN BUN
Authors: Lestari Lieni 
Published: November 2021

Perilaku Hidup Bersih dan Sehat merupakan cerminan pola hidup keluarga yang senantiasa memperhatikan dan menjaga kesehatan seluruh anggota keluarga. Anak usia sekolah merupakan kelompok usia yang kritis, karena pada usia tersebut seorang anak rentan terhadap masalah kesehatan. Selain rentan terhadap masalah kesehatan, anak usia sekolah juga berada pada kondisi yang sangat peka terhadap stimulus sehingga mudah dibimbing, diarahkan, dan ditanamkan kebiasaan-kebiasaan yang baik, termasuk kebiasaan berprilaku hidup bersih dan sehat. Pada umumnya, anak-anak seusia ini juga memiliki sifat selalu ingin menyampaikan apa yang di terima dan diketahuinya dari orang lain. Perilaku hidup bersih dan sehat (PHBS) adalah sekumpulan perilaku yang dipraktikkan atas dasar kesadaran sebagai hasil pembelajaran, yang menjadikan seseorang, keluarga, kelompok atau masyarakat mampu menolong dirinya sendiri dibidang kesehatan dan berperan aktif dalam mewujudkan kesehatan masyarakat.Sasaran strategis dari kegiatan ini adalah pelajar SDN 3 Sidorejo, pelajar SDN 3 Sidorejo dianggap strategis karena pada usia ini adalah usia yang masih belum memiliki pengetahuan yang baik tentang PHBS serta sering terpapar dengan makanan dan jajanan yang kurang sehat. Metode dalam kegiatan pengabdian ini yaitu melakukan penyuluhan dengan materi Perilaku Hidup Bersih dan Sehat menggunakan LCD, kemudian dilanjutkan demonstrasi dan tanya jawab. Saat penyuluhan anak-anak mendengarkan pemaparan materi dengan tertib. Setelah penjelasan materi Perilaku Hidup Bersih dan Sehat tim penyuluh melakukan sesi tanya jawab singkat sebagai bentuk evaluasi kegiatan. Kemudian kegiatan ditutup oleh wali kelas 5 SDN 3 Sidorejo.Kata kunci : PHBS, Kesehatan, Pelajar
Interventions for Pre-School Children with Co-Occurring Phonological Speech Sound Disorder and Expressive Language Difficulties
Authors: Rodgers Lucy , Harding Sam , Rees Rachel , Clarke Michael T. 
Published: November 2021

Background: Pre-school children with co-occurring phonological speech sound disorder and expressive language difficulties are more likely to have ongoing communication and literacy needs compared to children with these difficulties in isolation. However, to date there has been no systematic or scoping review of the literature specific to interventions for this frequently seen and high-risk group.
Aims: The objective of this paper is to provide a rigorous and detailed protocol for a scoping review of interventions, which target both phonological speech sound disorder and expressive language difficulties in pre-school children with primary speech, language and communication needs. The protocol includes details on the development of a search strategy, as well as the trial of an extraction tool.
Methods/Design: Included studies must aim to concurrently improve both speech production and expressive language. Children within included studies must be aged between 2:0 and 5:11 years and have communication needs with no known cause. In accordance with the Joanna Briggs institute scoping review methods guidelines, an initial search of the Ovid Emcare and Ovid Medline databases was conducted. Following this a final search strategy for these databases were produced. A draft extraction form was developed by the first author; this was then trialed by two authors on four articles each.
Discussion: Following the systematic development of an initial search strategy and extraction form, a scoping review of this topic can take place. The development of a rigorous scoping review protocol is essential in enhancing the transparency and reliability of the subsequent review. A pre-developed search strategy and trialing of an extraction form is a fundamental part of this process.
Using the Pandemic to Accelerate 21st-Century Learning at a Rural University in Zimbabwe
Authors: Maphosa Vusumuzi, 
Published: November 2021

This study responds to the disruptive environment in which educational institutions globally find themselves in the COVID-19 lockdown, where remote-based teaching was adapted to ensure continuous learning. Globally, over 90% of learners are affected by the closure of learning institutions. The study evaluates the digital transformation necessitated by the COVID-19 lockdown through the perception of faculty. Despite the rapid technological developments and high adoption of technology-mediated tools in most developed countries, developing countries lag. E-learning adoption has remained low in most developing countries, and this study aims to investigate the acceptance of Moodle at a rural university in Zimbabwe. This quantitative study utilised the Unified Theory of Acceptance and Use of Technology (UTAUT) model to explore how the institution used the COVID-19 pandemic as a springboard to accelerate the adoption of virtual learning systems. Very few studies have been conducted to evaluate Moodle acceptance in a developing country context using the UTAUT model during a pandemic such as the COVID-19. An online questionnaire was distributed to 200 faculty members. The results revealed that performance and effort expectancy and the facilitating conditions positively influenced the behavioural intention to use Moodle. However, in contrast, social influence did not positively influence the actual usage of Moodle. Educationists and technologists can use the results of the study to improve e-learning deployment in developing countries. The study also builds on ongoing research on e-learning implementation and evaluation using the UTAUT model. Future studies should be conducted across several institutions and involve students to come up with more generalisable results.
COVID-19 Vaccine Uptake and Associated Factors among Selected Security Personnel in Edo State, Nigeria
Authors: Obi Andrew Ifeanyichukwu , Ogbonna Janet , Ogaba Major Usman , Tobin Ekaete , Ononigwe Pius Ikenna , Ireye Faith , Isara Alphonsus Rukevwe , Obi Regina Uwaoma 
Published: November 2021

Background: Vaccination is a cost-effective public health intervention to prevent and or contain the spread of communicable diseases such as COVID-19. The level of uptake of vaccines across selected population such as security personnel is strategic towards attaining herd immunity. This study assessed the level of uptake of COVID-19 vaccination among security personnel in Edo State, Nigeria to aid planning for improved vaccine roll out among target population.
Materials and Methods: A descriptive cross-sectional study was conducted to obtain quantitative data from 482 security personnel from selected Security Agencies in Benin City between 1st February 2021 and 31st May 2021. Data collected were analysed using IBM SPSS version 20.0 statistical software with statistical significance set at p ˂ 0.050 and 95% Confidence Interval.
Results: The mean age of respondents was 41.5 (± 7.2) years. Three hundred and forty-four (71.4%) had positive attitude towards COVID 19 preventive measures. Furthermore, 242 (50.2%) had been vaccinated against Covid-19 respectively. The category of security agency was a significant determinant of COVID-19 vaccination with the odds of being vaccinated being higher among police officers (OR: 4.724; CI= 2.674- 8.344; p <0.001), Immigration Officers (OR: 3.401; CI=1.960 - 5.902; p < 0.001), FRSC (OR: 3.096; CI=1.785 - 5.374; p < 0.001) compared to EDSTMA Officers. Finally, the odds of being vaccinated was significantly lower among respondents with negative attitude (OR: 0.412; CI=0.270 - 0.629; p < 0.001) compared to respondents with positive attitude towards COVID-19 preventive measures.
Conclusion: A gap was identified between the attitude of security personnel towards COVID-19 preventive measures and their vaccination uptake. Strategic stakeholder engagement and continuous sensitization meetings are essential to help dispel myths and clarify misconceptions on COVID-19 vaccine for improved vaccination uptake among target population.
Screening for Selenomonas Noxia and Akkermansia Muciniphila from the Oral Cavity of Pediatric Patients
Authors: Le Tommy , Chun Eunice , Lopez Ivan , Kingsley Karl , Nguyen Linh 
Published: November 2021

Introduction: The human digestive tract is composed of an immense variety of microorganisms, which have been linked to many health problems such as obesity. There are many studies that demonstrate the association of cariogenic pathogens in dental patients and overall health. Selenomonas noxia, a gram negative anaerobe that is unable to metabolize sucrose and Akkermansia muciniphila, a gram negative anaerobe known to metabolize fats are two examples of pathogens that play a role in overall health.
Objectives: Few studies have investigated both Selenomonas noxia (SN) and Akkermansia muciniphila (AM) with the same patient samples. The objective of this study was to analyze and evaluate the prevalence of both these organisms in a dental school-based setting.
Methods: Saliva was collected from pediatric patients using an IRB-approved protocol. DNA was isolated for PCR screening and quality tested using the nanodrop. Gel electrophoresis was used for visualization. Forty seven (n=47) patients ranging from five to fifteen years of age (average 10.3) were screened. Nearly two-thirds of patients were male (64.6%) with the vast majority identified as Hispanic (72.9%) or other minority (25.0%)
Results: DNA was successfully isolated with an overall average DNA concentration of 1.43 ug/uL and overall purity (A260:A80 ratio) of 1.88. Of the forty seven patients, four patients were positive for SN. There was no presence of AM in the samples.
Conclusions: Research regarding AM and SN may suggest they inhabit different niches in the microbial community. The preliminary data of this pilot study suggests that SN could be found in pediatric patients while AM is not likely prevalent. However, due to the small patient sample size and large differences observed from these samples further research and analysis would need to be conducted to validate the findings.
Introducing Low‐Cost Pyrazine Unit into Terpolymer Enables High‐Performance Polymer Solar Cells with Efficiency of 18.23%
Authors: Zhou Liuyang , Meng Lei , Zhang Jinyuan , Zhu Can , Qin Shucheng , Angunawela Indunil , Wan Yan , Ade Harald , Li Yongfang 
Published: November 2021

AbstractRecently, a random ternary copolymerization strategy has become a promising and efficient approach to develop high‐performance polymer donors for polymer solar cells (PSCs). In this study, a low‐cost electron‐withdrawing unit, 2,5‐bis(4‐(2‐ethylhexyl)thiophen‐2‐yl)pyrazine (PZ‐T), is incorporated into the polymer backbone of PM6 as the third component, and three D‐A1‐D‐A2 type terpolymers PMZ‐10, PMZ‐20, and PMZ‐30 are synthesized by the random copolymerization strategy, with the PZ‐T proportion of 10%, 20%, and 30%, respectively. The terpolymers exhibit downshifted highest occupied molecular orbital energy levels than PM6, which is beneficial for obtaining higher open‐circuit voltage (Voc) of the PSCs with the polymer as a donor. Importantly, the PSCs based on PMZ‐10:Y6 demonstrate efficient exciton dissociation, higher and balanced electron/hole mobilities, desirable aggregation, and high power conversion efficiency of 18.23%, which is the highest efficiency among the terpolymer‐based PSCs so far. The results indicate that the ternary copolymerization strategy with PZ‐T as the second A‐unit is an efficient approach to further improve the photovoltaic performance and reduce the synthetic cost of the D‐A copolymer donors.
A Skin‐Interfaced, Miniaturized Microfluidic Analysis and Delivery System for Colorimetric Measurements of Nutrients in Sweat and Supply of Vitamins Through the Skin
Authors: Kim Joohee , Wu Yixin , Luan Haiwen , Yang Da Som , Cho Donghwi , Kwak Sung Soo , Liu Shanliangzi , Ryu Hanjun , Ghaffari Roozbeh , Rogers John A. 
Published: November 2021

AbstractNutrients play critical roles in maintaining core physiological functions and in preventing diseases. Technologies for delivering these nutrients and for monitoring their concentrations can help to ensure proper nutritional balance. Eccrine sweat is a potentially attractive class of biofluid for monitoring purposes due to the ability to capture sweat easily and noninvasively from nearly any region of the body using skin‐integrated microfluidic technologies. Here, a miniaturized system of this type is presented that allows simple, rapid colorimetric assessments of the concentrations of multiple essential nutrients in sweat, simultaneously and without any supporting electronics – vitamin C, calcium, zinc, and iron. A transdermal patch integrated directly with the microfluidics supports passive, sustained delivery of these species to the body throughout a period of wear. Comparisons of measurement results to those from traditional lab analysis methods demonstrate the accuracy and reliability of this platform. On‐body tests with human subjects reveal correlations between the time dynamics of concentrations of these nutrients in sweat and those of the corresponding concentrations in blood. Studies conducted before and after consuming certain foods and beverages highlight practical capabilities in monitoring nutritional balance, with strong potential to serve as a basis for guiding personalized dietary choices.