bluuebunny/crossref_metadata_2025_split huggingface dataset:
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU WUS (WANITA USIA SUBUR) TENTANG DETEKSI DINI KANKER LEHER RAHIM METODE IVA (INSPEKSI VISUAL ASAM ASETAT)
Authors: Rasyid Niar , Afni Nur 
Published: July 2018

Berdasarkan data Dinas Kesehatan Provinsi Sulawesi Tengah kasus kanker leher rahim yang terjadi sebanyak 140 kasus pada tahun 2015. Hasil data Puskesmas Singgani tahun 2015 pemeriksaan IVA yang dilakukan sebanyak 780 orang wanita usia subur (WUS) diantara umur 30-50 tahun dari jumlah keseluruhan WUS sebanyak 1330 orang. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan perilaku WUS tentang deteksi dini kanker leher rahim metode IVA di Puskesmas Singgani. Desain penelitian ini adalah penelitian survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah wanita usia subur yang melakukan pemeriksaan di Puskesmas Singgani. Analisis yang digunakan dalam penelitian ini adalah analisis uji chi-square. Hasil penelitian ini menunjukkan bahwa tidak ada hubungan antara pengetahuan dengan perilaku WUS dengan nilai p = 0,443> 0,05, tidak ada hubungan antara pendidikan dengan perilaku WUS dengan nilai p = 0,488 > 0,05, tidak ada hubungan antara umur dengan perilaku WUS dengan nilai p = 0,265 > 0,05, tidak ada hubungan antara pekerjaan dengan perilaku WUS dengan nilai p = 0,393 > 0,05, tidak ada hubungan antara dukungan suami/keluarga dengan perilaku WUS dengan nilai p = 0,063 > 0,05, ada hubungan antara dukungan petugas kesehatan dengan perilaku WUS dengan nilai p = 0,002 < 0,05. Petugas kesehatan diharapkan memberikan informsasi tentang kanker leher rahim beserta pencegahannya. Agar masyarakat mengetahui dampak dan risiko tidak melakukan deteksi dini kanker leher rahim metode IVA. Kata Kunci: Perilaku, kanker leher rahim, metode IVA
Implementasi Kebijakan Badan Penyelenggara Jaminan Sosial (BPJS) di Puskesmas Dolo Kabupaten Sigi Sulawesi Tengah
Authors: Rosnawati Rosnawati 
Published: July 2018

Pelayanan kesehatan yang bermutu, adil dan merata, serta memiliki derajat kesehatan yang baik untuk masyarakat pada umumnya. Penelitian ini bertujuan untuk mendeskripsikan kebijakan BPJS-kesehatan yang berkaitan dengan faktor-faktor komunikasi, sumber daya disposisi, dan struktur birokrasi, pelayanan di Puskesmas Dolo, serta beberapa faktor lainnya yang mempengaruhi implementasi, kebijakan BPJS kesehatan pada kelompok sasaran. Penelitian ini adalah penelitian kualitatif dengan subyek penelitian adalah tenaga medis puskesmas, Bidan Desa, peserta Askeskin, jamkesmas dan jamkesda, dan BPJS, pasien umum dan masyarakat. Informan dipilih dengan cara purposive, dengan tekhnik pengumpulan data yaitu pengamatan, wawancara mendalam (Indhepinterview. Hasil temuan penelitian menunjukan bahwa, Implementasi BPJS-kesehatan, terhadap masyarakat dalam wilayah kerja, puskesmas dolo kurang maksimal. Dalam faktanya petugas BPJS, kurang intens melakukan komunikasi,dan sosialisasi mempromosikan program BPJS,kinerja sumberdaya pelaksana program kurang efektif dan kurang didukung fasilitas medis yang memadai. Demikian juga implementor kurang bertanggung jawab dan berkomitmen atas tugas-tugasnya, serta struktur birokrasi, kurang mampu memnafaatkan unit-unit kerjanyan dalam mendukung kebijakan yang sudah disepakati bersama. Kata Kunci: Komunikasi, Sumberdaya, disposisi dan struktur birokrasi
Relationship Of Family Support With Quality of Life (QOL) Stroke Occurrence
Authors: Hamalding Hermawati , Muharwati Muharwati 
Published: July 2018

World Health Organization (WHO) states that the clinical signs that develop rapidly due to focal or global brain function disorders due to a blockage or rupture of blood vessels in the brain that lasted for 24 hours or more.This study aims to determine the Family Support Relationship With Quality of Life on Stroke Occurrence at Poly Nerve General Hospital of Makassar Hajj Area 2017. The research design was observational with cross sectional approach. Sample amounted to 54 by using simple random sampling technique. The result of the research was obtained by informational support with x2 count (4,352)> x2 table (3,841), emotional support p value (0,751)> 0,05, instrumental support with p value (0,346)> 0,05, award support with value x2 count (5,178)> x2 table (3,841). Based on the results of the study, the conclusion of this study found that there is a relationship of informational support and awards support, While emotional support and instrumental support is not associated with Quality of Life stroke incidence. This study suggests to families to provide more support to patients so as to improve the quality of life.Keywords : Family Support and Quality of Life (QOL)
THE FACTORS RELATED TO THE APPLICATION OF CONTRACEPTION METHOD OF WOMEN OPERATION (MOW)
Authors: Rahman Zulfajri , Kunoli Firdaus J , Amalinda Finta 
Published: July 2018

Based on the data of Family Planning Field Officer in South Palu sub district in 2014, 10,138 women of childbearing age (WUS) were women aged ≥ 35 years old using women's method of contraception (MOW) as many as 439 women of childbearing age. The purpose of this study is to determine the factors associated with the use of contraceptive methods of women's surgery (MOW) in Kecamatan Palu Selatan. The design of this study is an analytical survey of cross sectional study approach. The population in this study were fertile couples aged ≥ 35 years amounted to 99 respondents. The analysis used in this research is univariate and bivariate analysis with chi-square test. The results of this study indicate that there is no correlation between knowledge with use of contraception method of operation of woman (MOW) with value p = 0,981 (p = 0,05), there is no correlation between education with use of contraception method operation woman (MOW) with value p = 0.604 (p = 0.05), there was a relationship between husband support and contraceptive use of female operation method (MOW) with p = 0,009 (p = 0,05). This research suggests that people can know and understand the usefulness in the use of contraceptive methods of women's surgery (MOW).Keywords : Contraception, application of contraception Mow, method of women operation
ANALISIS MANAJEMEN PENCEGAHAN DAN PENANGGULANGAN KEBAKARAN DI PUSKESMAS KECAMATAN CIPAYUNG JAKARTA TIMUR
Authors: Saputra Nazarwin , Saputri Winda Cinkarila 
Published: July 2018

Kebakaran merupakan suatu peristiwa atau kejadian yang sangat merugikan semua pihak. Dalam menjamin dan menjaga keselamatan hidup pasien, pegawai dan pengunjung. Upaya pencegahan dan penanggulangan tersebut bertujuan untuk mengantisipasi secara dini terhadap bahaya kebakaran sehingga tercipta lingkungan kerja yang selamat, bersih, nyaman, dan bebas dari sumber sumber bahaya kebakaran. Data diperoleh secara langsung dengan cara observasi langsung dan wawancara dengan pihak terkait serta studi pustaka. Hasil penelitian ini adalah upaya-upaya yang telah dilakukan untuk pencegahan dan penanggulangan terhadap bahaya kebakaran di Puskesmas Kecamatan Cipayung diketahui bahwa Puskesmas Kecamatan Cipayung telah menyediakan sarana untuk pemadam kebakaran seperti APAR, tim pemadam dan usaha- usaha lain seperti pemasangan fire alarm system, tanda peringatan dan tersedianya assembly point. Penelitian ini menyimpulkan bahwa Puskesmas Kecamatan Cipayung telah melaksanakan upaya pencegahan dan penanggulangan kebakaran antara lain dengan penyediaan sarana pemadam kebakaran seperti APAR, tim pemadam dan usaha-usaha lain seperti pemasangan fire alarm system, tanda peringatan dan tersedianya assembly point. Saran yang dapat diberikan adalah untuk penambahan pemasangan dan penempatan poster atau papan peringatan, penambahan sarana pemadam kebakaran seperti water sprinkle dan hydrant, peningkatan wawasan dan ketegasan terhadap peraturan-peraturan yang ada dan peningkatan pelatihan mengenai pencegahan dan penanggulangan kebakaran kepada karyawan.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEHAMILAN TIDAK DIINGINKAN DI INDONESIA
Authors: Anggraini Kirana , Wratsangka Raditya , Bantas Krisnawati , Fikawati Sandra 
Published: July 2018

Kehamilan tidak diinginkan merupakan masalah global, dan menyumbang 700.000 kematian ibu setiap tahunnya. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kehamilan tidak diinginkan di Indonesia. Desain studi adalah potong lintang, dengan responden sebanyak 13.955 perempuan berusia 15-49 tahun, yang melahirkan anak terakhir dalam 5 tahun sebelum survei. Penelitian ini menggunakan data sekunder, dari Survei Demografi Kesehatan Indonesia (SDKI) tahun 2012. Uji analisis yang digunakan adalah uji kai kuadrat (bivariat) dan regresi logistik ganda (multivariat). Hasil studi menunjukkan prevalensi ibu yang mengalami kehamilan tidak diinginkan di Indonesia sebanyak 8%, dengan prevalensi tertinggi terdapat di provinsi Sulawesi Tengah (11,9%) dan terendah di Papua (2.9%). Pada analisis bivariat didapatkan hubungan yang bermakna antara tingkat ekonomi, tingkat pendidikan, wilayah tempat tinggal, status pernikahan, paritas, jarak kelahiran, usia dengan kehamilan tidak diinginkan dengan nilai p< 0,25. Pada analisis multivariat, variabel status pernikahan berhubungan signifikan dengan kehamilan tidak diinginkan setelah dikontrol dengan variabel tingkat ekonomi, tingkat pendidikan, wilayah tempat tinggal, paritas, jarak kelahiran dan usia. Disimpulkan faktor status pernikahan merupakan faktor paling dominan yang berhubungan dengan kehamilan tidak diinginkan. Penemuan ini diharapkan dapat menjadi masukan bagi pemerintah untuk meningkatkan pengetahuan dan partisipasi masyarakat tentang program Keluarga Berencana.
KANGAROO MOTHER CARE PADA BAYI BERAT LAHIR RENDAH : SISTEMATIK REVIEW
Authors: Solehati Tetti , Kosasih Cecep Eli , Rais Yulia , Fithriyah Noor , Darmayanti Darmayanti , Puspitasari Neneng Ratnanengsih 
Published: July 2018

Masa bayi merupakan masa pertama dalam fase kehidupan seseorang, dimana pada masa ini memerlukan adaptasi terhadap lingkungan. Bayi Berat Lahir Rendah adalah bayi baru lahir yang memiliki berat saat lahir kurang dari 2500 gram. Prevalensi BBLR diperkirakan 15% dari seluruh kelahiran di dunia dan lebih sering terjadi di negara berkembang atau dengan sosio ekonomi rendah. Angka kematian BBLR 35x lebih tinggi di banding pada bayi dengan berat lahir lebih dari 2500 gram. untuk mensistensis penelitian-penelitian secara empiris sehingga dapat mengidentifikasi perawatan dengan metode kangaroo mother care pada BBLR. Sistematik review ini dilakukan melaui tahapan : membuat pertanyaan penelitian, mencari sumber data dan ektraksi serta seleksi artikel. Pencarian artikel menggunakan database elektronik yaitu google scholar, Pub Med, SINTA, Kandaga, Nejm, Science Direct dengan kata kunci yang digunakan dalam bahasa Indonesia dan bahasa inggris adalah “BBLR” atau “Low birth weight”, “Kangaroo Mother Care (KMC)”. Kriteria inklusi artikel yang diambil yaitu yang diplubikasikan full text, dalam rentang waktu 2014-2018, jenis penelitian kuantitatif, kriteria peneliti minimal S1 Keperawatan, artikel yang memiliki konten utama intervensi Kangaroo Mother Care untuk perawatan BBLR. Hasil pencarian ditemukan 1.625 artikel pada Google Scholar 201 artikel, NEJM 12 artikel, Pub Med 633 Artikel, dan Science Direct 779 artikel. Setelah disesuaikan dengan kriteria inklusi maka artikel yang tersisa sebanyak 8 artikel. KMC dalam perawatan BBLR berpengaruh signifikan terhadap peningkatan respon fisiologis BBLR. Disarankan KMC sebagai terapi untuk perawatan BBLR yang dapat dilakukan oleh ibu secara langsung, tanpa biaya dengan pemberian pendidikan kesehatan oleh tenaga kesehatan terlebih dahulu.
Murmurations
Authors: Cheville R. Alan 
Published: July 2018

Point of view: I am a cisgender white male in my mid-fifties. I have spent most of my life in higher education in engineering departments. My experiences have included undergraduate and graduate education at a private, research-intensive institution, postdoc and faculty at a land-grant institution, serving for several years as a program officer at the National Science Foundation (NSF), and most recently as chair of the Electrical and Computer Engineering department at a private, liberal arts, predominantly undergraduate institution. This article draws on all these experiences, but particularly from my time serving at NSF and in the years since. I am also one of the founders of Murmurations: Equity, Emergence, and Education and represent my own perspective on what I hope this experimental journal can contribute to the larger education ecosystem.
Value: This article outlines my rationale in partnering with others to start a dialogue journal. I believe education is one of the best ways to address systemic inequities, but education systems in the US seem to be increasingly subject to criticism that they are unable to change and promote equity. This article hypothesizes that resistance to change is structurally built into the system through the mental models held by the system’s participants. These models can be broadly classified as oriented towards identifying problems rather than proposing solutions. While such approaches work in simple systems, they often backfire in complex systems that have multiple and often competing impacts. For meaningful change to occur we ourselves must seek to expand our perspectives and change our mental model of education to one of a complex ecosystem. Changing mental models is hypothesized to occur by engaging in meaningful dialogues with others who have experiences different than our own. By providing a forum for these conversations my hope is that Murmurations will serve as a vehicle to share perspectives from different niches within the larger ecosystem, which in turn can shift mental models. Since Murmurations is an experiment, an additional intent is to encourage voices from across the education ecosystem to make contributions.
What is engineering?
Authors: Chua Mel 
Published: July 2018

Point of view: I'm a contagiously enthusiastic hacker, scholar, and teacher with an industry background in Free and Open Source Software (FOSS) communities. As a teenager at the Illinois Math and Science Academy, I loved storytelling and cinematography and wanted to major in the arts. That wasn't an option for my family of immigrants, so I took up electrical and computer engineering at Olin College (BS), where I arrived thinking that a breadboard was for baking (it's for electronics). I am Deaf and have always been a strong visual thinker; this piece was written and drawn during my first semester as a PhD student in engineering education at Purdue University. I’m intrigued by how multiple interacting curricular cultures in higher education can deconstruct our notions of engineering, education, and just about everything else.
Value: This work is a playful contribution to engineering education ontologies (as a subset of philosophy), which explores questions of reality and being - what "is." It challenges the high consensus culture of engineering, especially the tendency to seek clearly defined and fixed meanings for terms. In this case, the notion of "engineering" itself is called into question. It also explores what graphical/non-textual scholarship in and about higher education might look like.
Summary: This graphic essay was made when I was a first-semester engineering education graduate student. This past self was naive regarding "scholarly" and "academic" writing conventions, and frustrated both by the limitations of text as a standalone medium and the engineering disciplinary tendency to seek clearly defined and fixed meanings for terms rather than exploring their possibilities. I am now a slightly more seasoned scholar seven years down the line with a desire to engage in discussion and revision of the piece.
Note to readers: This document consists of a comic submission which is meant to be experienced visually: What is Engineering?. Each page of the comic is presented separately here, followed by text descriptions for that page. Text descriptions are provided for acces.
Systematic Review: An Update on the Spectrum of Urological Malignancies in Lynch Syndrome
Authors: Huang Dora , Matin Surena F. , Lawrentschuk Nathan , Roupret Morgan 
Published: July 2018

Background: Lynch syndrome is an autosomal dominant disorder that predisposes individuals affected to certain malignancies. Colon and endometrial cancers are the malignancies most highly associated with Lynch syndrome. However, growing body of evidence links Lynch syndrome to urological cancers. Objective: This review aims to clarify the type of urological malignancies that fall under the Lynch-associated cancer spectrum. Methods: Using PRISMA guidelines, a systematic search between January 1990 to February 2018, was conducted using the MEDLINE database with the application of the following MESH terms: colorectal neoplasms, hereditary nonpolyposis; DNA mismatch repair; urologic neoplasms; kidney pelvis; ureteral neoplasms; urinary bladder; carcinoma, transitional cell; prostatic neoplasms; testicular neoplasms. Results: Upper tract urothelial cancers are well established under the Lynch spectrum. Increasing evidence supports its association with prostate cancer. However, there is, inconclusive and limited evidence for an association with bladder and testicular cancer. Conclusions: The evidence underpinning certain urological malignancies associated with Lynch syndrome has expanded in recent years. Our review may assist in providing a summary of the current standing in literature. However, we recommend further investigations to better clarify associations, particularly with prostate, bladder and testicular cancer.
Psoriasis- its Presentation and Modalities of Management
Authors: Hossain MM , Mahmood I , Newaz MS 
Published: July 2018

Psoriasis is common (with 2% prevalence) chronic inflammatory papulosquamous disorder of the skin and nails with or- without the joint involvement .The exact cause is still illusive but the disorder has distinct genetic predisposition with some environmental factors triggering the clinical expression and the immunological aberration playing a pathogenic role. Psoriasis is not contagious but can be inherited. Psoriasis needs long-term treatment. The different modalities of management are self-care at home, medical treatment, phototherapy using UV-8 in the Goeckermanregimen and Ingram method and PUV-A therapy may be given according to the types of psoriasis and facilities available.TAJ 2009; 22(1): 298-301
Hepatitis E Vaccine: Present and Future
Authors: Rashid MH , Alim MA , Rahman MK , Chowdhary MM Hoque , Khan MM Rahman , Mahmood I , Ekram ARMS 
Published: July 2018

Viral hepatitis is a major public health problem in the world, and it can be caused by blood- and food-borne viruses. Blood-borne 'hepatitis agents are HBV, HCV and HDV, whereas HAV and HEV are food-borne hepatitis viruses. HEV infection is an important infectious agent in developing countries, but it is also an emerging disease in developed countries, which is likely due to travel or immigration from endemic areas. The main route of human HEV transmission is fecal-oral (fecally contaminated water), although other routes were also reported such as person-to-person transmission, blood products, mother-to-child transmission and zoonotic transmission (e.g., by pigs, particularly in developed countries, and seafood. Epidemiologically, only one serotype of HEV exists in the world, Genetically , the virus has been classified into four genotypes and several subgenotypes designated 1 (1a-e), 2 (2a and b), 3 (3a­j) and 4 (4a-g). Each genotype shows a distinct geographical distrib ution. Genotype 1 of HEV is reported from developing countries in Asia and Africa; genotype 2 has been detected in some countries in Africa as well as in Mexico; genotype 3 is distributed globally and genotype 4 of HEV is only found in Asian countries. The genotypes may not only vary with respect to their geographical distribution, but also in their pathogenicity. Genotypes 1 and 2 are primarily human pathogens, causing acute hepatitis in young, nonimmunocompromised people; genotypes 3 and 4, however, have been found in swine and other animals and could therefore be responsible for zoonotic transmissions, preferentially in the elderly or in immunocompromised patients.TAJ 2009; 22(1): 330-336
Survival and Kidney Transplant Incidence on Home versus In-Center Hemodialysis, following Peritoneal Dialysis Technique Failure
Authors: Kansal Sheru K. , Morfin Jose A. , Weinhandl Eric D. 
Published: July 2018

Background Peritoneal dialysis (PD) technique failure is often accompanied by complications that increase risks of hospitalization and death. Planned transition to hemodialysis may improve outcomes. Transitioning patients from PD to home hemodialysis (HHD) may improve continuity of lifestyle and facilitate delivery of more frequent treatment. Methods We analyzed United States Renal Data System (USRDS) data to compare the incidence of death and kidney transplant in patients who transferred from PD to HHD and matched patients who transferred from PD to in-center HD (IHD). We used Fine-Gray regression to estimate hazard ratios (HRs) of death and transplant for HHD versus IHD. Results We identified 521 patients who transferred from PD to HHD. Survival in HHD patients was 89.1% at 1 year and 80.5% at 2 years. In intention-to-treat analysis, the HR of death for HHD versus matched IHD patients was 0.76 (95% confidence interval [CI] 0.65 – 0.90). In subsets of non-Medicare and Medicare patients, corresponding HRs were 0.57 (95% CI 0.43 – 0.75) and 0.92 (95% CI 0.75 – 1.13), respectively. Kidney transplant incidence in HHD patients was 10.6% at 1 year and 21.0% at 2 years. In modified intention-to-treat analysis, the HR of transplant for HHD versus matched IHD patients was 1.36 (1.14 – 1.61). Conclusions Transfer to HHD after PD technique failure was rare, but associated with lower risk of death and higher incidence of transplant than transfer to IHD. Heterogeneity in relative risks by Medicare coverage suggests uncertainty about the magnitude of benefit. Still, these data suggest that clinical outcomes after PD technique failure can be improved.