bluuebunny/crossref_metadata_2025_split huggingface dataset:
ANALISIS NEED DAN DEMAND PELAYANAN KESEHATAN PADA PUSKESMAS SIWALANKERTO KOTA SURABAYA DI ERA JKN
Authors: Haning Eriska , Rochmah Thinni Nurul , Aimanah Ira Ummu 
Published: January 2019

GHealth is an important thing needed by man to sustain all activities of his life. The phenomenon of people who prefer to seek treatment abroad than using domestic health services becomes a big challenge. This challenge can be answered with the improvement of quality in all areas, especially in health field. Thus, this will help healthcare providers define strategies to meet community health needs. The aim of this research was to determine the need, demand and value of public health services in Puskesmas Siwalankerto, Surabaya. This was observational research using cross sectional approach. Data collection technics using questionnaires and data processed using descriptive statistical tests. The population was the communities located in the region of Siwalankerto health centers, Surabaya. With a sample size of 50 people. This research was conducted on May 2016. Results of this research that need indicate that the main needs of respondents related to public service is quality and access. Community Demand is a service of dental care and general medical treatment which is provided by Puskesmas Siwalankerto.
Abstrak
Kesehatan merupakan hal penting yang dibutuhkan oleh manusia untuk menopang semua aktivitas hidupnya. Fenomena masyarakat yang lebih memilih untuk berobat keluar negeri dibandingkan menggunakan layanan kesehatan dalam negeri menjadi sebuah tantangan besar. Tantangan ini dapat dijawab dengan peningkatan mutu dalam segala bidang khususnya bidang kesehatan. Maka, hal inilah yang akan membantu penyedia jasa layanan kesehatan dalam menetapkan strategi untuk memenuhi kebutuhan masyarakat di bidang kesehatan. Tujuan penelitian adalah untuk mengetahui need, demand dan utility pelayanan kesehatan masyarakat di wilayah kerja Puskesmas Siwalankerto, Surabaya. Jenis penelitian observasional dengan pendekatan cross sectional. Teknik pengumpulan data dengan menggunakan kuesioner terstruktur dan diolah menggunakan uji statistik. Populasi adalah masyarakat yang tinggal di wilayah kerja puskesmas Siwalankerto, Surabaya. Dengan jumlah sampel 50 orang. Penelitian dilakukan pada bulan Mei 2016. Hasil penelitian terkait need menunjukkan bahwa kebutuhan utama responden terkait fasilitas pelayanan kesehatan adalah kualitas dan jarak ≤ 3 km. Demand masyarakat adalah pelayanan poli gigi dan poli umum yang disediakan oleh Puskesmas Siwalankerto
Resin-Based Materials Protect Against Erosion/Abrasion—a Prolonged In Situ Study
Authors: Rios D , Oliveira GC , Zampieri CR , Jordão MC , Dionisio EJ , Buzalaf MAR , Wang L , Honório HM 
Published: January 2019

SUMMARYWhile patient compliance is key to preventive measures related to dental erosion, the application of resin-based materials could serve as an additional treatment to inhibit erosion progression. This in situ study evaluated the effect of applying resin-based materials, including resin infiltrant, on previously eroded enamel subjected to prolonged erosive and abrasive challenges. The factors under study were types of treatment (infiltrant [Icon], sealant [Helioseal Clear], adhesive [Adper Scotchbond Multi-Purpose Plus], and control [no treatment]); wear conditions (erosion [ERO] and erosion + abrasion [ERO + ABR]) and challenge time (5 and 20 days) in a single-phase study. The blocks were prepared from bovine enamel, eroded (0.01 M HCl, pH 2.3 for 30 seconds) and randomized among treatments, wear conditions, and volunteers. The application of resin-based materials followed the manufacturers' recommendations. Twenty-one volunteers wore the palatal intraoral device, in which one row corresponded to ERO and the other to ERO + ABR. In each row, all treatments were represented (2 blocks per treatment). For 20 days, the erosive challenge was performed 4 times/day (immersion in 0.01 M HCl, pH 2.3, for 2 minutes) for the ERO condition. For the ERO + ABR condition, two of the erosive challenges were followed by abrasion for 15 seconds with fluoride dentifrice slurry. Enamel and/or material loss was measured using profilometry (initial, after treatment, and after the end of the fifth and 20th days of in situ erosive challenge) and analyzed by ANOVA models and Tukey's test (α=0.05). The results showed that the application of resin-based materials did not cause superficial enamel loss. The infiltrant group showed a thicker layer of material above the enamel compared with the other materials (p=0.001). After the erosive challenge, there was no difference between the conditions ERO and ERO + ABR (p=0.869). All materials protected the enamel against erosion progression compared with the control group (p=0.001). Based on these results, we conclude that the application of resin-based materials results in protection of previously eroded enamel subjected to in situ erosive and abrasive challenge for 20 days.
EVALUASI KANDUNGAN BAHAN KERING, BAHAN ORGANIK DAN PROTEIN KASAR PELEPAH SAWIT FERMENTASI DENGAN PENAMBAHAN SUMBER KARBOHIDRAT
Authors: Astuti Tri , Rofiq M N , Nurhaita Nurhaita 
Published: January 2019

This research was aimed to evaluate the content of dry matter, organic matter and crude protein of palm oil fronds as an alternative feed substitution of native grass, which was enhanced through fermentation biotechnological innovation with the addition of carbohydrate soluble. Fermentation palm oil frond done using local microorganisms resources rumen content andLactobacillus. The experimental design used was factorial on complete randomized design 2x3 with 3 replication each treatment. Factor A were the source of inoculums fermentation, A1=. lactobacillus, A2= local microorganisms resources rumen content. Factor B were the source of soluble carbohydrates where B1 = without a carbohydrates, rice B2 = e bran, B3 = tapioca starch. Parameters measured were content of dry matter, organic matter and crude protein of palm oil fronds. The results of this research showed that no interaction effect between the source of microorganisms with carbohydrates, and the treatment had no effect (P > 0.05) on dry matter content. No effect Factor A for all parameters while the factors B Influential were significantly (P < 0.01) on the content of organic matter and crude protein. The highest crude protein content in the fermented palm oil fronds with a source of carbohydrates from rice bran (6.55%)
IDENTIFIKASI GRADE PADA BIBIT SAPI ACEH BETINA DI PUSAT PEMBIBITAN INDRAPURI
Authors: Pintaka Widya Bayu , Sumadi Sumadi , Hartatik Teti , Saumar Hendra 
Published: January 2019

Identifikasi grade pada bibit sapi berguna untuk mengelompokkan ternak berdasarkan performans tertentu untuk seleksi ternak. Penelitian ini bertujuan untuk mengetahui grade bibit sapi Aceh betina yang dipelihara di pusat pembibitan sapi Aceh di BPTU-HPT Sapi Aceh Indrapuri berdasarkan standar bibit sapi Aceh betina (SNI 7651.3.2013). Data rekording ternak dari tahun 2010 - 2013 terdiri dari tinggi gumba (TG), panjang badan (PB), lingkar dada (LD) dan berat badan (BB) dari 54 ekor sapi digunakan untuk analisis data dengan program SPSS 16.0. Rata-rata performans pada sapi Aceh betina umur 497,91+29,43 hari sebesar 87,44+4,87 cm (TG); 80,80+6,19 cm (PB); 101,29+10,40 cm (LD) dan 86,20+18,77 kg (BB). Sebanyak 26 ekor sapi (48,14%) telah memenuhi syarat SNI dan terdiri dari grade I (6 ekor/23,07%), grade II (8 ekor/30,77%) dan grade III (12 ekor/46,15%). Hasil penelitian menunjukkan bahwa rata-rata berat badan pada semua bibit sapi yang teregister (sesuai SNI) lebih tinggi (97,67+16,67 kg) dibandingkan dengan sapi yang tidak teregister (75,55+13,80 kg).
ALIGNMENT COUPLING DENGAN METODE DOUBLE DIAL INDICATOR RIM AND FACE
Authors: Tauvana Ade Irvan 
Published: January 2019

Penelitian ini bertujuan untuk mengetahui terjadinya misalignment pada komponen trasmisi putaran dan bagaimana cara melakukan alignment yang benar serta melakukan pengujian alignment, metode yang digunakan adalah double dial indikator rim and face . Hasil penelitian pra- alignment yaitu melakukan pengecekan soft foot dengan menggunakan feeler gauge dengan data rata – rata A = 0.050 mm, B = 0.037 mm, C = 0.100 mm, D = 0.100 mm, E = 0.038 mm, F = 0.025 mm, G = 0.113 mm, H = 0.163mm, pengecekan run out yang dilakukan di empat titik pada lingkaran kopling driver dengan penyetingan awal dari pada arah jam 12 = 0, 9 = 0.006, 6 = 0.031 dan 3 = 0.085, coupling offset vertikal sebesar 0,016 mm. Pengecekan run out pada kopling driven dengan titik awal pada arah jam 12 = 0, 9 = 0.032, 6 = 0.107, 3 = 0.005, coupling offset vertikal sebesar 0,054 mm. Setelah melakukan simulasi reposisi pada kopling driven pebaikan horizontal dan vertikal dengan perhitungan matematis rim and face maka untuk horizontal pillow block harus digeser ke kanan untuk IBdn = 1,040 mm , dan OBdn = 2,268 mm, Namun untuk posisi vertikal maka kaki mesin harus di tambahkan shims pada posisi IBdn =0,688 mm dan OBdn = 1,522 mm.
MODEL KLASIFIKASI ABSTRAK SKRIPSI MENGGUNAKAN TEXT MINING UNTUK PENGKATEGORIAN SKRIPSI SESUAI BIDANG KAJIAN
Authors: Pradikdo Angga Cahyo , Ristyawan Aidina 
Published: January 2019

Dengan melakukan observasi pada Program Studi Sistem Informasi Universitas Nusantara PGRI Kediri, penulis mendapati bahwa dokumen skripsi pada Program Studi tersebut selalu bertambah setiap tahun, sehingga dapat dijadikan referensi pemilihan bidang penelitian yang sesuai untuk Mahasiswa Program Studi Sistem Informasi Universitas Nusantara PGRI Kediri. Selain itu penulis juga pernah melakukan penelitian tentang pemodelan klasifikasi abstrak prosiding yang bisa digunakan untuk penyusunan letak skripsi pada Program Studi Sistem Informasi Universitas Nusantara PGRI Kediri. Dari hasil penelitian tersebut penulis mendapatkan saran tentang data yang digunakan. Saran tersebut berupa penggunaan data penelitian mahasiswa sebelumnya pada Program Studi Sistem Informasi Universitas Nusantara PGRI Kediri, supaya lebih tepat dan sesuai dengan studi kasusnya. Maka dari itu penulis terinspirasi untuk melakukan penelitian dengan menggunakan data penelitian mahasiswa Program Studi Sistem Informasi yang tersimpan di SIMKI (Sistem Informasi Manajemen Karya Ilmiah) Universitas Nusantara PGRI Kediri. Dengan memanfaatkan data penelitian mahasiswa sebelumnya serta metode teknik text mining diantaranya prepocesing dan trasformation dengan didukung dengan algoritma naive bayes sebagai proses untuk menghitung nilai probabilitas tertinggi sebagai proses klasifikasi yang akan digunakan untuk menguji data tersebut. Dari hasil pengujian 9 siklus menghasilkan pengetahuan bahwa siklus ke 1 merupakan siklus terbaik dengan akurasi 82,76%, yang dapat digunakan sebagai model klasifikasi skripsi pada Program Studi Sistem Informasi Universitas Nusantara PGRI Kediri, untuk dapat membantu memudahkan mahasiswa untuk mencari referensi karena sudah memuat bidang kajian yang sesuai dan Program Studi Informasi mendapatkan model klasifikasi dengan data hasil dari skripsi mahasiswa Program Studi Sistem Informasi Universitas Nusantara PGRI Kediri.
Thyroid and Pregnancy
Authors: Mladenovic Violeta 
Published: January 2019

Abstract
Hormonal changes and metabolic needs during pregnancy result in profound changes in biochemical parameters of thyroid function, especially if there is preexsisting autoimmune thyroid disease (AITD). Normal thyroid function is important in order to ensure the best outcome. Many changes in the functioning of the thyroid gland occur during pregnancy, and some diseases of thyroid gland can affect both mother and fetus. Hypothyroidism is the most serious disorder that occurs during pregnancy and can go unnoticed as a „non-specific” problem. Hypothyroidism arises from the reduced ability of the gland to adapt to the increased needs during pregnancy. Mild thyroid dysfunction of mothers in the first trimester, which does not threaten during the pregnancy, can damage the psychomotor development of the child. Measurement of TSH is the most practical, simple and cost-effective screening test for thyroid dysfunction. It is necessary to apply the trimester-specific TSH reference values to correctly interpreted thyroid function during pregnancy. The presence of TPOAb is confirmation of existence of AITD, and predicts increased risk of developing subclinical hypothyroidism (SH). Preconceptional education and adequate diagnosis and treatment of thyroid dysfunction in early pregnancy are of great importance, in order to prevent complications during pregnancy and offspring. Current data indicate an increase in pregnancy loss, gestational diabetes, gestational hypertension, pre-eclampsia and preterm delivery in women with SH in pregnancy. The control of thyroid disease reduce complications of pregnancy.
A Giant Exulcerated Phyllodes Breast Tumor - A Case Report
Authors: Spasic Marko , Milosevic Bojan , Mitrovic Slobodanka , Markovic Nenad , Pavlovic Mladen , Jevdjic Jasna , Milisavljevic Slobodan , Zornic Nenad , Nedovic Nikola , Jevtic Milica , Kozomara Zoran , Markovic Ivan , Ninkovic Srdjan 
Published: January 2019

Abstract
Phyllodes tumors of the breast can be benign, malignant, or borderline. Benign and borderline tumors are rare tumor types that have a positive outlook and high survival rate, while the risk of recurrence is typical for malignant breast tumors. Giant phyllodes tumors are larger than 10 cm in diameter and demand a serious diagnostic and treatment approach.
In this study we present a case of a female patient treated for an exulcerated breast carcinoma- a giant borderline phyllodes tumor of the breast. The patient presented to the department for the right breast lump with ulcerated skin and nipple abnormalities. The core biopsy was performed and the patient was diagnosed with a benign tumor. Simple mastectomy was performed and final histopathological report revealed a borderline phyllodes tumor. Diagnosis and treatment of a giant phyllodes tumor remain a great challenge for the surgeons. Establishing the preoperative diagnosis based on histopathological findings is imperative to disease management. Surgery is the mainstay of treatment and mastectomy has been the traditional procedure; in cases where suspicious findings in the axilla are revealed, radical mastectomy is performed and the axilla is to be dissected.
Epidural Abscess and Sigmoid Sinus Thrombosis as Intracranial Complications of the Middle Ear Cholesteatoma
Authors: Vranjes Dalibor , Gajic Aleksandar , Jefic Svjetlana , Spremo Slobodan , Travar Dmitar , Spiric Sanja , Gnjatic Mirjana , Spiric Predrag 
Published: January 2019

Abstract
The otogenic intracranial complications are rare manifestations in modern era of antibiotics. An early antibiotic therapy often covers typical clinical signs and symptoms for each complication. A sigmoid sinus thrombosis is often associated with other intracranial complications, as in this case, an epidural abscess. We are presenting a case of 12-year-old girl with the sigmoid sinus thrombosis and epidural abscess as complications of chronic infection to the middle ear with cholesteatoma. In the active phase of chronic inflammation of the middle ear she was treated with the antibiotic therapy that covered early symptoms of intracranial complication development. A humid attic perforation of the tympanic membrane with protrusion of choleastoma and evident signs of bony wall destruction to the external auditory canal was noticed by performing routine otomicroscopy and otoendoscopic examination. Assuming intracranial complication, magnetic resonance imaging (MRI) of the endocranium was undertaken. The MRI showed inflammatory changes of both middle ears with intracranial complications: the right sigmoid sinus thrombosis and epidural abscess of the same side. During the surgery we have noticed an extensive middle ear cholesteatoma with significant destruction of the bony tissue and purulent collection between sigmoid sinus changed with granulation and respective dural segment of the posterior cranial cavity.
Timely diagnosis, multidisciplinary approach with an adequate choice of the antibiotic therapy and surgical technique have a crucial prognostic significance.
Primary Percoutaneous Coronary Intervention on Unprotected Left Main Coronary Artery with Staged Complex Bifurcational Treatment: A Case Report
Authors: Simic Ivan , Zdravkovic Vladimir 
Published: January 2019

Abstract
We present the case of patient with ST elevation myocardial infarction in cardiogenic shock with primary percutaneous coronary intervention of Left anterior descending coronary artery and Left main coronary artery with staged complex procedure on Left anterior descending/Diagonal branch bifurcation in Culotte manner. This case shows that “the simpler, the better” approach of only infarct related artery revascularization may be applied in acute patients with cardiogenic shock and optimal clinical and hemodynamic response on revascularization and intra-aortic balloon pump. But, complete revascularization should be done in staged procedure and later, a control coronary angiography with intravascular ultrasound assistance is mandatory.
Influence of Dialysis Modality on the Treatment of Anemia in Patients with End-Stage Kidney Disease
Authors: Hamzagic Nedim , Andjelkovic Marija , Pirkovic Marijana Stanojevic , Canovic Petar , Zaric Milan , Petrovic Dejan 
Published: January 2019

Abstract
Anemia is a common complication among the patients with end-stage kidney disease. Management of anemia is influenced by several factors: iron deficiency, subtherapeutic dosage of erythropoietin, microinflammation, vitamin D deficiency, increased iPTH levels and inadequate hemodialysis.
The aim of the study was to examine impact of dialysis modality on blood hemoglobin level as well as status of iron, status of vitamin D, hemodialysis adequacy and erythropoietin dose.
The study included 120 patients which were divided into two groups: the group of patients treated with hemodiafiltration and the group of patients treated with standard hemo-dialysis. For statistical analysis Kolmogorov-Smirnov test, Student’s t-test and Mann-Whitney U-test were used.
Blood hemoglobin level and parameters of hemodialysis adequacy (Kt/V index, spKt/V index, URR index), hematocrit ad protein catabolic rate (nPCR) were statisticaly significant lower in patients treated with regular hemodialysis compared to patients treated with regular hemodiafiltration. Serum ferritin level, C-reactive protein level and average monthly dose of intravenous iron were higher in the patients treated with regular hemodialysis compared to patients treated with hemodiafiltration.
Patients treated with hemodiafiltration have lower grade of microinflammation, better iron status and better control of anemia compared to the patients treated with regular hemodialysis. Dialysis modality is an important factor that influences management of anemia in the patients with end-stage kidney disease.
Electrocardiographic Findings in Systemic Sclerosis
Authors: Neskovic Jelena Stefanovic , Ristic Andjelka , Petronijevic Milan , Neskovic Branimir , Gudelj Ognjen 
Published: January 2019

Abstract
Systemic sclerosis (SSc) is an autoimmune connective tissue disease which affects various tissues and organs, including skin, lungs, kidneys, gastrointestinal tract and cardiovascular system. Cardiac involvement is the most commonly recognized problem and a significant cause of morbidity. Abnormal ECG is present in 25-75% of patients with SSc and is considered to be an independent redictor of mortality. It is known that the supraventricular arrhythmias are considered as more common in SSc patients, occurring in about two-thirds of the cases, and more often than ventricular tachyarrhythmias. It has been established that right bundle branch block is associated with an increased risk of mortality and that it is an independent predictor of mortality, and should be considered as a marker of the severity of the disease in SSc. The prolonged QTc interval is an independent risk factor for a sudden cardiac death reflecting the instability of repolarization and predisposing the onset of cardiac arrhythmias.The prognosis of the disease depends on the SSc subtype and the involvement of internal organs. SSc is a lifelong disease and cannot be cured, but knowing that cardiac dysfunction significantly worsens the prognosis, early detection of cardiac complications and appropriate therapy can influence its progress and improve the patients’ quality of life.
Preoperative Endovascular Embolisation of the Symptomatic Hemangioma in 7th Thoracic Vertebrae: Case Report
Authors: Sekulic Igor , Jovanovski Aleksandar , Stevanovic Jelena , Boskovic-Sekulic Jelena , Dulovic Dragan , Rancic Nemanja 
Published: January 2019

Abstract
Although, as asymptomatic, they appear in about 10-12% of the worldwide population, vertebrae hemangiomas are symptomatic in about 0.9-1.2% of all the cases.
We showed the case of the symptomatic hemangioma in the 7th thoracic vertebrae in 67 year old patient, that was successfully preoperative embolised. Magnetic resonance imaging (MRI) detected the tumor in the body of 7th vertebrae with mass effect on the anterior aspect of the spinal cord. Multidetector computed tomography (MDCT) imaging describes this tumor as hemangioma that is in the body of the Th7 vertebrae and in the both pedicules. We performed selective and supraselective spinal angiography which showed pathological vascularisation of the tumor, and then the tumor was embolised. The control angiography detected the reduction of the tumor blood vessels, as a sign of the successful embolisation. Ten days after embolisation, the patient went through corporectomia of the Th7 and the stabilization of the thoracic spine was performed. Intraoperative blood transfusion in our patient was 930 mL, while expected blood transfusion during the surgical intervention without preoperative embolisation is about 1600 mL.
Method of choice in conditions with neurological compressive symptoms caused by vertebral hemangioma is surgery for the decompression of the nerve structures. Embolisation of aggressive vertebral hemangioma is recommended and preoperatively performed for the intraoperative hemorrhage reduction and decreasing of intraoperative complications.
PERAN KEPUASAN PELANGGAN MEMEDIASI PENGARUH PERSEPSI HARGA TERHADAP LOYALITAS PELANGGAN
Authors: Prasada I Putu Eka Astra , Ekawati Ni Wayan 
Published: January 2019

ABSTRAK
Loyalitas pelanggan merupakan bentuk kesetiaan pelanggan untuk setia atau terus menggunakan produk atau jasa layanan dari perusahaan yang sama di masa yang akan datang. Memperoleh loyalitas pelanggan, perusahaan harus memperhatikan faktor-faktor yang mempengaruhi hal tersebut. Salah satu faktor yang mempengaruhi adalah kepuasaan pelanggan, kepuasan pelanggan tergantung pada persepsi dan ekspektasi pelanggan. Harga sangat mempengaruhi kualitas barang dan keputusan pembelian. Tujuan penelitian ini adalah untuk menjelaskan peran kepuasan pelanggan memediasi persepsi harga terhadap loyalitas pelanggan. Penelitian ini dilakukan pada pelanggan produk McDonald’s di Kota Denpasar. Teknik analisis yang digunakan adalah analisis jalur. Jumlah sampel yang digunakan dalam penelitian ini adalah sebanyak 120 responden, dengan metode purposive sampling. Pengumpulan data dilakukan melalui kuesioner, wawancara, dan observasi. Berdasarkan hasil penelitian yang dilakukan, ditemukan kepuasan pelanggan mampu memediasi pengaruh persepsi harga terhadap loyalitas pelanggan. Ini dibuktikan dengan persepsi harga berpengaruh positif dan signifikan terhadap loyalitas pelanggan; persepsi harga berpengaruh positif dan signifikan terhadap kepuasan pelanggan; kepuasan pelanggan berpengaruh positif dan signifikan terhadap loyalitas pelanggan; serta kepuasan pelanggan berperan sebagai variabel mediasi antara persepsi harga dan loyalitas pelanggan.
Kata Kunci : persepsi harga, kepuasan pelanggan, loyalitas pelanggan