bluuebunny/crossref_metadata_2025_split huggingface dataset:
Role of the prescriber in supporting patients to discontinue benzodiazepines: a qualitative study
Authors: Oldenhof Erin , Mason Timothy , Anderson-Wurf Jane , Staiger Petra K 
Published: May 2021

BackgroundGiven the prevalence of long-term benzodiazepine (BZD) prescribing, increased monitoring through the implementation of prescription monitoring programmes (PMPs) may be the necessary impetus to promote BZD deprescribing. Despite evidence promoting the importance of patient-centred care, GPs have not been sufficiently supported to implement these principles through current deprescribing practice.AimTo investigate patients’ perception of their prescriber’s influence on ceasing BZD use, including their willingness to take their advice, and to understand how a patient’s stage of change influences the barriers and facilitators they perceive to discontinuing BZDs.Design and settingAn online survey and qualitative interviews with 22 long-term users of BZD (≥6 months), aged 18–69 years, recruited from the general population in Victoria, Australia.MethodTwo groups of users of BZD participated, one in the process of reducing their BZD and one not reducing, and were categorised according to their stage of change. Data underwent thematic analysis to identify barriers and facilitators to reducing BZDs both at the patient level and the prescriber level.ResultsBZD patients’ perceptions of the prescriber influence were characterised by prescribing behaviours, treatment approach, and attitude. Barriers and facilitators to reducing their BZD were mapped against their stage of change. Irrespective of their stage of change, participants reported they would be willing to try reducing their BZD if they trusted their prescriber.ConclusionThis study illustrates that, with a few key strategies at each step of the deprescribing conversation, GPs are well positioned to tackle the issue of long-term BZD use in a manner that is patient centred.
Navigating possible endometriosis in primary care: a qualitative study of GP perspectives
Authors: Dixon Sharon , McNiven Abigail , Talbot Amelia , Hinton Lisa 
Published: May 2021

BackgroundEndometriosis affects approximately 6–10% of women, with well documented delays between initial presentation with symptoms and diagnosis. In England, women typically seek help first in primary care, making this setting pivotal in women’s pathways to diagnosis and treatment. English GP perspectives on managing possible endometriosis have not been previously reported.AimTo explore what GPs identify as important considerations when caring for women with symptoms that raise the possibility of endometriosis.Design and settingQualitative study in English primary care.MethodSemi-structured scenario-based telephone interviews with 42 GPs from April 2019 to January 2020, based around a fictional scenario of a woman presenting to primary care with symptoms suggesting possible endometriosis. Interviews were thematically coded and analysed.ResultsManaging possible endometriosis in primary care brings challenges. While knowledge and awareness were prerequisites for considering endometriosis, other important considerations were raised. Symptoms suggestive of endometriosis are non-specific, making endometriosis one possible consideration of many. GPs move through a diagnostic hierarchy to exclude sinister causes and utilise trials of treatment as both therapeutic interventions and diagnostic tools; processes which take time. An endometriosis label or diagnosis has advantages and risks. GPs reported sharing decisions about investigation and referral while holding women’s priorities as pivotal. These conversations were underpinned by their knowledge of uncertainties and unknowns, including the wide spectrum and unpredictability of endometriosis.ConclusionGPs considerations are more complex than simply lacking awareness. The unknowns surrounding endometriosis matter to GPs. Further research and tailored resources for primary care, where women present with undifferentiated symptoms, are needed.
LEGAL ASPECT OF FOREST FIRE IN INDONESIA
Authors: Makarao Mohammad Taufik , Hafizha Firly Fatharani 
Published: May 2021

This study to examine legal aspect, why always happen and impact of forest fire in Indonesia. The conclusion are, even though there is a forestry law as regulated in Law No. 41/1999 on Forestry, as amended by Law Number 19/2004, forest fires have been repeated several large scale since the early 1980s until now. The case of Indonesia which was experiencing forest fires is a manifestation of unclear and poorly enforced policies, economic forces that push business to use fire to clear land, lack of technological alternatives, poor public participation and aggravated by climatic condition such as the extended drought. Although many policies have already been formulated and special management agencies have been established, policies implementation remain weak, coordination is poor and the current system is inefficient. Added to these factors, is the reality that government official’s business leader and general public lack a sense of urgency about the fires. Fires can impede national economic performance and increase poverty at the local level. It is mostly that disaster until now will repeat/recur unless definitive steps are taken to encourage short term and long term prevention strategies. Fires cause tremendous ecological impacts such as air quality, hydrological cycle, biological diversity, natural succession, disruption of the production and decomposition of organic materials, soil, disruption in the nutrient cycle, climate regulation and carbon sink; social impact such as food security, impact on health such as death, asthma, ARI, and impact on economic such as, agriculture, forestry, health, transmigration, transportation and tourism.
Optimasi Jumlah Produksi dan Biaya Distribusi UMKM Semprong Amoundy Menggunakan Metode Simpleks dan Algoritma Greedy
Authors: Nofatiyassari Resa , Sari Rianita Puspa 
Published: May 2021

Production optimization must be considered in order to get the optimal amount of production, which is related to company profit. In addition, the distribution route that is not optimal will also cause production costs to expand. These two things are the main problems faced by Semprong Amoundy MSMEs that have not paid attention to optimization of production and optimization of distribution routes. The purpose of this research is to find the optimal solution of the number and type of semprong production to maximize the income of Amoundy MSMEs, and to find a solution for the shortest distribution route to minimize distribution costs of semprong products. The method used to solve this problem is Simplex Method and Travelling Salesman Problem with the Greedy Algorithm approach. The research resulted the decision that Amoundy MSMEs had to produce 18 boxes of large packaged semprong every day to generate maximum income. The distribution route that must be taken to minimize distribution costs is Amoundy House Production – Bontot Delajaya Shop – Erik Shop – Denpasar Shop – Aneka Shop – Oleh-oleh Karawang Outlet – Amoundy House Production, estimated distribution cost of Rp. 20.120,-.Optimasi produksi perlu diperhatikan agar didapatkan jumlah produksi yang optimal, yang mana hal ini akan berhubungan dengan profit perusahaan. Selain itu rute distribusi yang belum optimal juga akan menyebabkan pembengkakan biaya produksi. Kedua hal ini merupakan masalah utama yang dihadapi oleh UMKM Semprong Amoundy yang belum memperhatikan optimasi produksi dan optimasi rute distribusi. Tujuan dilakukannya penelitian ini yaitu untuk mencari solusi optimal dari jumlah dan jenis produksi semprong untuk memaksimalkan pendapatan UMKM Amoundy, serta mencari solusi rute distribusi terpendek untuk meminimalkan biaya pendistribusian produk semprong. Metode yang digunakan untuk adalah Metode simpleks dan Travelling Salesman Problem dengan pendekatan algoritma greedy. Penelitian menghasilkan keputusan bahwa UMKM Amoundy harus memproduksi 18 box kue semprong kemasan besar setiap hari untuk menghasilkan pendapatan maksimal. Rute distribusi yang harus ditempuh untuk meminimalkan biaya distribusi yaitu Rumah Produksi Amoundy – Toko Bontot Delajaya – Toko Erik – Toko Denpasar – Toko Aneka – Outlet Oleh-oleh Karawang – Rumah Produksi Amoundy dengan taksiran biaya distribusi sebesar Rp. 20.120,-.
Strategi Mitigasi Risiko Produktivitas Pada Proses Assembly Hospital Equipment
Authors: Hendradewa Andrie Pasca , Ma'arij Adienta Mustika 
Published: May 2021

The rapid development of technology and industrialization demands an increasing need for strategic planning. One of the strategies needed for a company to remain competitive in the industrialized world is to increase productivity. However, practically several companies still experience difficulties in making efforts to increase productivity so that the productivity achieved is not optimal. The same thing happened at PT. Mega Andalan Kalasan, especially on the Assembly Unit of the Hospital Equipment. Where the productivity achieved cannot be categorized as optimal because it can be seen from the number of non-value added activities that occur in assembly process. Among the products produced, it is known that the Operating Table Manual product has the highest percentage of non-value added activity, which is 30% of the total cycle time. This study aims to identify risks using the Failure Mode and Effect Analysis (FMEA) method and design a mitigation strategy as an initial effort to improve productivity by minimizing non-value added activities. The identification results show that there are 22 risks with moderate severity but high occurrence. Recommendations in the form of implementing better quality control on incoming materials are one of the strategies which capable of mitigating 40% of the risk of existing non value added activities. Adanya perkembangan teknologi dan industrialisasi yang semakin pesat menuntut kebutuhan akan perencanaan strategi semakin meningkat. Salah satu strategi yang dibutuhkan agar sebuah perusahaan dapat tetap bersaing di dunia perindustrian adalah dengan meningkatkan produktivitas. Namun pada penerapannya, beberapa perusahaan masih mengalami kesulitan dalam melakukan upaya peningkatan produktivitas sehingga produktivitas yang dicapai belum optimal. Hal yang serupa terjadi di PT. Mega Andalan Kalasan, khususnya pada lantai kerja Assembly unit Hospital Equipment. Dimana produktivitas yang dicapai belum bisa dikatakan optimal karena terlihat dari banyaknya non value added activity yang terjadi pada proses assembly. Diantara sejumlah produk yang dihasilkan, diketahui bahwa pengerjaan produk Operating Table Manual memiliki persentase non value added activity yang tertinggi yaitu sebanyak 30% dari total waktu siklusnya. Penelitian ini bertujuan untuk mengidentifikasi risiko dengan menggunakan metode Failure Mode and Effect Analysis (FMEA) dan merancang strategi mitigasi sebagai upaya awal untuk memperbaiki produktivitas dengan meminimalisir aktivitas non value added. Hasil identifikasi menunjukkan terdapat 22 risiko dengan tingkat severity sedang namun memiliki occurence yang tinggi. Rekomendasi berupa penerapan quality control yang lebih baik terhadap incoming material menjadi salah satu strategi yang mampu memitigasi 40% risiko aktivitas non value added yang ada.
Analisis Karakteristik Wilayah Transmisi Covid-19 dengan Menggunakan Metode K-Means Clustering
Authors: Utari Dina Tri 
Published: May 2021

Since the beginning of 2020, Indonesia has become one of the countries affected by the Covid-19 pandemic. Various efforts have been made by the government to prevent wider disease transmission. Large-scale social restrictions are one of the efforts that have been made by the Government. Bali Province is one of the areas where there are quite a lot of community activities, considering that Bali is a tourist destination that is in great demand by local and foreign tourists. This study aims to see the incidence of positive cases of Covid-19 based on the type of Covid-19 transmission that has occurred in all areas of Bali, so that the mitigation design can be adjusted based on the characteristics of the source of infection in various existing areas. The results show that based on the transmission source, it can be grouped into four clusters that have their respective characteristics. The proposed mitigation strategies include restrictions on local transmission and domestic travel for areas in clusters 1, 2, and 3. Meanwhile, restrictions on local transmission and overseas travel are in the 4th cluster. Sejak awal tahun 2020, Indonesia menjadi salah satu negara terkena pandemi Covid-19. Berbagai upaya telah dilakukan oleh pemerintah untuk mencegah transmisi penyakit yang lebih luas. Pembatasan sosial berskala besar menjadi salah satu upaya yang telah dilakukan oleh Pemerintah. Provinsi Bali merupakan salah satu wilayah yang cukup banyak terjadi aktivitas masyarakat, mengingat Bali merupakan kawasan destinasi wisata yang banyak diminati wisatawan lokal maupun mancanegara. Penelitian ini bertujuan untuk melihat kejadian kasus positif Covid-19 berdasarkan jenis transmisi Covid-19 yang terjadi di seluruh wilayah Bali, sehingga rancangan mitigasi dapat disesuaikan berdasarkan karakteristik sumber infeksi di berbagai wilayah yang ada. Hasil menunjukkan, bahwa berdasarkan sumber transmisi dapat dikelompokkan menjadi empat cluster yang memiliki karakteristik masing-masing. Usulan strategi mitigasi yang diberikan antara lain pembatasan transmisi lokal dan perjalanan dalam negeri untuk wilayah yang berada pada cluster 1, 2, dan 3. Sedangkan pembatasan transmisi lokal serta perjalanan luar negeri pada cluster ke-4.
DRP EVALUASI DRUNG RELATED PROBLEMS (DRPs) ANTIBIOTIK PADA PASIEN PNEUMONIA RAWAT INAP ANAK RUMAH SAKIT UMUM DAERAH DELI SERDANG
Authors: Monica Cindy , S Aminah. , Dalilla Siti 
Published: May 2021

Background: Infection is one of the top ten diseases in Indonesia, so that antibiotic therapy is quite high. The increasing use of antibiotics may lead to an increase in the use of irrational antibiotics. Drug Related Problems (DRPs) are events that are not expected from the patient's experience or are suspected to be due to drug therapy so that they have the potential to interfere with the desired healing success.
Objective: This study aims to determine the number of occurrences of DRPs which include dosage inaccuracy, namely under and over dose, indication without drug, drug without indication, potential interactions and inaccuracy of drug selection in inpatient pneumonia treatment for children at the Deli Serdang Regional public hospital. In 2019
Method: This study is retrospective in which data is obtained through secondary data in the form of patient medical records for the period January-December 2019 with a cross-sectional study design. The data collection technique was in the form of total sampling, obtained 50 samples that fit the inclusion criteria.
Results: Drung Related Problems (DRPs) research that occurred in the under-dose category of drugs (4.0%), and excessive drug doses (2.0%) and no DRPs (94.0%). This shows that the role of pharmacists is important in monitoring patient drug therapy to minimize the occurrence of DRPs.
EFEKTIVITAS KERASIONALAN PEMBERIAN ANTIDIABETIK PENGOBATAN ORAL PASIEN DIABETES MELLITUS PADA USIA 30-50 TAHUN TIPE 2 DI RAWAT INAP PENYAKIT DALAM RSUD DELI SERDANG LUBUK PAKAM TAHUN 2020
Authors: Sebayang Loraetta Brety , Anna Teresia Marbun Romauli , Kartika Dewi 
Published: May 2021

Background: Diabetes Mellitus is a chronic condition, which occurs because the body cannot produce insulin, normally or insulin cannot work effectively. Objective: To determine the effectiveness of the rational administration of antidiabetic, oral treatment of diabetes mellitus patients at the age of 30-50 years type 2 in Deli Serdang Hospital, lubuk pakam in 2020. Method: This study is a non-experimental type of research using descriptive methods. Results: Shows that from 72 samples of Type II Diabetes Mellitus patients at Deli Serdang General Hospital, April-July Period 2020. With the number (52.8%) of male sex patients and the number (47.2%) of type patients female genitalia and antidiabetic drugs most widely used by patients, in the period of April-July 2020, namely (20.8%) glycionion + metformin and (20.8%) insulin drugs. the use of DM drugs with the right rational indication (65.3%), Rational with the right medicine (100%), rational with the right dosage (100%), the right rational patient (100%) and the rational way of administration (100:%). Conclusion: Evaluation of drug use is a structured quality assurance process that is carried out continuously to ensure that the drugs used are appropriate, safe, and efficient.
PENGARUH PEMBERIAN BUAH NAGA TERHADAP KADAR HEMOGLOBIN PADA IBU HAMIL TRIMESTER III DI KLINIK BIDAN SRI WAHYUNI KECAMATAN UJUNG PADANG KABUPATEN SIMALUNGUN TAHUN 2020
Authors: Ginting Desideria Yosepha , Tarigan Layari , Endriyana Susi 
Published: May 2021

ABSTRACT
Anaemia or often referred to as lack of blood is a condition in which the number of red blood cells decreases and results in insufficient oxygen-carrying capacity to meet the body's physiological needs. Problems that arise include an increase in heart rate due to the body trying to provide more oxygen to the tissues, an increase in respiratory rate as the body tries to provide more oxygen to the blood, dizziness due to lack of blood to the brain, feeling tired due to increased oxygenation of various organs including the heart muscle. and skeletal, pale skin due to reduced oxygenation, nausea due to decreased gastrointestinal blood flow and central nervous system, decreased hair and skin quality. Overcoming complaints of anaemia non-pharmacological can be done with dragon fruit. The purpose of this study was to determine the effectiveness of dragon fruit in dealing with complaints of anaemia in the Sri Wahyuni ​​clinic, Ujung Padang sub-district, Simalungun district in 2020. This study used a quantitative method, with a quasi-experimental design with a control time-series design. The population of this study were pregnant women who experienced symptoms of anaemia at the Sri Wahyuni ​​Clinic, Ujung Padang District, Simalungun Regency. The sample selection using purposive sampling of 14 people, 7 people were given intervention and 7 people as controls. The results of the study using the Wilcoxon sign rank test showed that the results for the group given pre and post-intervention p-value 0.026 <0.05. The results of the study using the Wilcoxon sign rank test showed that the control p-value was 0.000 <0.05. The conclusion is that there are differences in the two groups after being given dragon fruit in overcoming complaints of anaemia.
PENGARUH PENDAPATAN DAN JUMLAH ANGGOTA RUMAH TANGGA TERHADAP KONSUMSI DAGING BABI DI KELURAHAN RURUKAN 1 KECAMATAN TOMOHON TIMUR KOTA TOMOHON
Authors: Wowiling Rifaldy M , Pandey J , Rembang V L.H , Endoh E K.M. 
Published: May 2021

EFFECT OF INCOME AND TOTAL FAMILY MEMBER ON PORK CONSUMPTION AT RURUKAN 1 VILLAGE, EAST TOMOHON DISTRICT IN TOMOHOM CITY. Study was conducted to evaluate effect of income and total family member on average pork consumption at Rurukan 1 village, East Tomohon district in Tomohom city. Study was done on November to December 2019, using survey method. Study showed that average pork consumption per month of the family was two kg. Income of family member affected significantly (P<0.01) of pork consumption. In addition, total family member affected significantly (P<0.05) of pork consumption. Therefore, it can be concluded that average pork consumption per family per month reached 2.2 kg, significantly affected by income and total family member at Rurukan 1 village, East Tomohon district in Tomohom city.
KUALITAS FISIKOKIMIA DAN MIKROBIA YOGHURT SINBIOTIK YANG DIBERI PATI TERMODIFIKASI UMBI UWI UNGU (Dioscorea alata) DENGAN LEVEL BERBEDA
Authors: Korengkeng Agnes C. , Yelnetty A. , Hadju Rahmawati , Tamasoleng M. 
Published: May 2021

THE PHYSICOCHEMICAL AND MICROBIAL QUALITY OF SINBIOTIC YOGHURT GIVEN DIFFERENT LEVEL OF MODIFIED STARCH OF PURPLE UWI BULB (Dioscorea alata). An experiment was done in order to determine the level of modified starch of purple uwi bulb (Dioscorea alata) which best for syneresis, pH and total lactic acid bacteria of synbiotic yoghurt. Completely Randomized Design (CRD) was used in this experiment with 6 treatments as follows P0 = yoghurt without modified starch purple uwi bulb, P1 = yoghurt + 0,1% modified starch purple uwi bulb, P2 = yoghurt + 0,2% modified starch purple uwi bulb, P3 = yoghurt + 0,3% modified starch purple uwi bulb, P4 = yoghurt + 0,4% modified starch purple uwi bulb dan P5 = yoghurt + 0,5 modified starch purple uwi bulb; and three repetitions each treatment. Measurements taken were syneresis, pH value, total of acid lactate bacteria. Data obtained were analyzed using ANOVA and Tuckey’s test was used to inspect treatment differences among group means. It found in this research that application of modified starch of purple uwi bulb in symbiotic yoghurt gave a significant effect (P<0,01) on pH value and total lactic acid bacteria but not on syneresis. However, the syneresis values tendency decreased as the level of modified starch of purple uwi bulb increased. The pH of symbiotic yoghurts given modified starch were ranged between 5.0 – 5.4 and the lowest pH was found in yoghurt with 0.3% modified starch added, meanwhile the total lactic acid bacteria of symbiotic yoghurts given modified starch were ranged between log 10-78.65 – log10-7 8.87 and the highest total lactic acid bacteria was found in yoghurt with 0.2% modified starch added. It concluded in this research that the best quality of symbiotic yoghurt was in yoghurt with addition of modified starch of purple uwi bulb 0.3%. Keywords: Sinbiotic Yoghurt, Modified Starch of Ubi Purple Tuber, Sineresis, pH value, BAL Total
TINGKAH LAKU MAKAN, KAWIN, MENYUSUI DAN MENYUSU KELELAWAR PEMAKAN BUAH (Pteropus alecto) DI PENANGKARAN/ EX-SITU
Authors: Sapika Nurul , Ransaleleh T.A. , Kiroh H.J , Nangoy M.J 
Published: May 2021

EATING, MATING, BREASTFEEDING, SUCKLING BEHAVIOR OF FRUIT EATING BATS IN EX-SITU /CAPTIVITY. The aim of this study was to understanding about behavior of the frugivores Pteropus alecto especially in ex-situ (captivity). Four adult male bats, 5 adult female bats, and 5 young bats were used in this study. The variable in this study is frequency and duration when doing eating behavior, mate behavior, breastfeeding behavior, and suckling behavior. The result of this study as follows; Eating behavior frequency in a hour 4.12 and duration in minute/hour 3.78 ; Mate behavior in a hour 0.57 and duration minute/hour 0.31; Breastfeeding average frequency in a hour 0.84 and duration minute/hour 2.16; Suckling frequency in a hour 0.69 and duration minute/hour 2.20. Based on the result it can be concluded that the most frequency and duration by sequence is eating, mating, breastfeeding and suckling behavior. Keywords: Bats (Pteropus alecto), Ex-situ Captive, Behavior.
PEMANFAATAN TEPUNG KULIT PEPAYA (Carica papaya L) DALAM RANSUM TERHADAP KUALITAS INTERNAL TELUR
Authors: Paat Armando , Sarajar C.L. , Leke J. R. , Sompie F. N. 
Published: May 2021

UTILIZATION AND INTERNAL QUALITY OF EGG ON PAPAYA PEEL MEAL DIET (CARICA PAPAYA L). The aim of research was to utilization and internal quality of eggs on papaya (carica papaya L) peel meal diet. The material used in this study were one hundred laying hens (MB 402). The completely randomized design (CRD) was done in this research for analysing of statistics to five treatments and four replications, each replications was occupied by five laying hens (MB 402). The variable measured were egg weight, egg yolk, colour of egg yolk. The result of this research showed that egg weight, egg yolk, the colour egg yolk was not significantly different (P>0.05). Conclusion, the utilization of flour skin papaya until 16% in feed will increase the quality of chicken eggs. Kata Kunci: Papaya peel meal, laying feed, the quality internal egg.