bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Differences Between Hormonal Pills and Injection Contraception Adverse Effect: Pekanbaru Puskesmas Case Study
Authors: Susanti Lasiah , Caessarrani Erick 
Published: August 2024

Background: In Indonesia majority contraception participant using hormonal methods, consist of pills and injection methods. Whereas, hormonal contraception methods causing various adverse effects. Menstrual cycle irregularity, metrorhagia, menorhagia, nausea, headache, breast tenderness, weight gain, negative mood changes, libido changes, acne, palpitation, hair lossÂ Objectives: To acknowledge the adverse effect differences between pills and injections hormonal contraceptionÂ Methodology: The design of this study is cross sectional, using sample from Puskesmas in Pekanbaru. Data was analyze with cross tabulation, and Independent T-test.Â Â Results: Adverse effect that have been found according to its quantities: weight gain (74%), Menstrual cycle irregularity (53%) , mood changes (53%), libido changes (47%), hair loss (47%), headache (24%), nausea (21%), acne (21%), metrorhagia (21%), menorhagia (18%) palpitation (6%). Cross tabulation show that most adverse effect was found on injection hormonal contraceptionÂ Discussions: Hormonal contraception adverse effect commonly explained by its effect on metabolic and cardiovascular system. Metabolically, hormonal contraception affecting many target organs with progestin as mostly substance in charge as cause for adverse effectÂ Conclusions: There is significant differences adverse effect between hormonal injections progestin only contraception methods and hormonal pills estradiol levonorgestrel combination. All adverse effect occur more excessively (18%) on hormonal injection progestin only methods.
Hubungan Bauran Pemasaran Dengan Loyalitas Pasien Poliklinik Instalasi Rawat Jalan di RSUD Nyi Ageng Serang Kulon Progo
Authors: Mudayana Ahmad Ahid , Rahmah Nurbaiti 
Published: August 2024

Background: The marketing mix is a solution for patient problems, in obtaining pleasant, comfortable service and good communication from the hospital to customers. Loyalty level that displays the need to have a high sense of loyalty, as well as having a beneficial effect on the healthcare organization. The purpose of this study was to determine the relationship between the marketing mix and patient loyalty in the outpatient installation polyclinic at the Nyi Ageng Serang Kulon Progo Regional General Hospital. Methods: This research is a quantitative research approach cross-sectional. The sample in this study was 110 outpatient polyclinic patients selected by purposive sampling. There search was conducted in June-July 2023 at Nyi Ageng Serang Hospital, Kulon Progo. Data analysis univariate, bivariate and multivariate with Chi Square statistical tests and Multiple Linear Regression statistical tests. Results: The study showed that marketing mix in this hospital could be classified sufficient for product and physical dimension, good for price and promotion, and bad for location, human resource, and process.
Conclusion: This study concludes that the marketing mix of hospitals in RSUD Nyi Ageng Serang, Kulon Progo for product and physical dimensions is quite sufficient, price and promotion dimensions are good, while for place, people, and process are not good. Therefore, the Hospital, especially the Public Relations and Marketing unit, can optimize various marketing innovations to patients, families, and the community.
INTEGRASI PEMETAAN ANCAMAN, KERENTANAN, DAN KAPASITAS DALAM KAJIAN RISIKO GEMPABUMI DAN TSUNAMI DI PESAWARAN, LAMPUNG
Authors: Nadzir Zulfikar Adlan , Simarmata Nirmawana , Agustina Lea Kristi , Apriani Mutia Rahma 
Published: August 2024

Pesawaran adalah nama dari sebuah kabupaten di Provinsi Lampung. Pada kabupaten ini terdapat sesar lokal dan area pesisir yang berbatasan langsung dengan Selat Sunda, sehingga rawan terjadi gempabumi dan tsunami. Penelitian ini bertujuan untuk menganalisis tingkat risiko dari gempabumi dan tsunami di Kabupaten Pesawaran menggunakan indeks ancaman, kerentanan, dan kapasitas. Metode yang digunakan adalah Probabilistic Seismic Hazard Analysis (PSHA) untuk pembuatan peta ancaman gempabumi dan perhitungan Hloss untuk pembuatan peta ancaman tsunami. Hasil penelitian menunjukkan bahwa bencana gempabumi Kabupaten Pesawaran memiliki risiko rendah hingga sedang. Tidak ada indeks risiko tinggi gempa bumi di Kabupaten Pesawaran. Hal ini dikarenakan indeks ancaman dan kerentanan berada pada kategori rendah hingga sedang, dan indeks kapasitas berada pada kategori tinggi. Indeks risiko sedang dengan luas terbesar berada di Desa Bogorejo, Gedong Tataan seluas 2.695,02 ha. Sedangkan, untuk bencana tsunami hanya berpotensi di beberapa kelurahan yang terletak di Kecamatan Teluk Pandan, Punduh Pidada, Padang Cermin, dan Marga Punduh. Hampir seluruh wilayah tersebut memiliki indeks ancaman yang tinggi, namun indeks risikonya sebagian besar berada pada kategori rendah hingga sedang, hanya sebagian kecil yang memiliki risiko tinggi tsunami. Hal ini dikarenakan indeks kerentanan berada pada kategori rendah hingga sedang, dan indeks kapasitas berada pada kategori tinggi. Sehingga, meskipun ancaman di wilayah tersebut tinggi, namun risikonya dapat diperkecil karena minimnya kerentanan ditambah dengan kapasitas yang tinggi. Salah satu wilayah yang memiliki indeks risiko tsunami adalah Desa Persiapan Dantar, Kecamatan Padang Cermin dengan luas sebesar 349,42 ha.
Investigation and Analysis of the Current Status of Health-Related Quality of Life in Adolescents with Hemophilia in Hubei Province
Authors: Qin Xiuli , Zhang Ai , Zhao Xin , Zhou Ting , Xia Zhili , Yu Genzhen 
Published: August 2024

Aims/Background Reliable health-related quality of life data are critical in developing countries, in order to advocate for government agencies to develop national hemophilia care programmes. This study aims to explore the current status and influencing factors of health-related quality of life among adolescents with hemophilia in Hubei Province, so as to provide empirical data for professionals. Methods A total of 84 children with hemophilia aged 8 to 18, who were registered in Tongji Hemophilia Treatment Center and Hubei Hemophilia Home, were selected using a cluster sampling method. The “General Situation Questionnaire of Hemophiliac Adolescents”, designed by Tongji Hemophilia Treatment Center, and “the Chinese version of Canadian hemophilia outcomes-kid's life assessment tool (CHO-KLAT)”, were used for this study conducted from June 1, 2022 to December 30, 2022. Results 82 completed questionnaires were included. The average age of the 82 adolescents was 13.04 ± 3.29 years and all were males. Among them, 67 were hemophilia A and 15 were hemophilia B. 61 cases were severe type, 19 were moderate type and 2 cases were mild type. The average total score of the CHO-KLAT for adolescents with hemophilia in Hubei Province was 49.49, which was lower than their counterparts in developed countries. The statistically significant influencing factors included residence, annual family income, and disease type. Conclusion This study provides empirical data support for the health management of adolescents with hemophilia, highlighting the importance of improving medical resource access, transfusion convenience, and psychological support in enhancing the quality of life for this group. The results emphasize the need for healthcare systems and policymakers to take specific measures to address these factors to improve the treatment and care conditions for adolescents with hemophilia.
Postoperative radiotherapy for completely resected thymoma and thymic carcinoma: A systematic review and meta-analysis
Authors: He Tianyu , Yao Jiacheng , Chen Jun , Liu Tingting , Dang Jun 
Published: August 2024

Background
The role of postoperative radiotherapy (PORT) after complete tumor resection in patients with thymoma or thymic carcinoma remains controversial. We performed a meta-analysis to identify groups that would benefit from PORT.

Methods
Multiple scientific databases were systematically searched for studies comparing overall survival (OS) and/or disease-free survival (DFS) between PORT and surgery alone in patients with completely resected thymomas or thymic carcinomas until April 10, 2024. A random-effects model was used for the statistical analysis.

Results
A total of 31 studies with 10543 patients were included (17 studies involving 4763 patients with thymoma, seven studies involving 1045 patients with thymic carcinoma, and seven studies involving 4735 patients with mixed histological types). Notably, PORT significantly prolonged OS (hazard ratio [HR] = 0.73, 95% confidence interval [CI]: 0.59–0.91) and DFS (HR = 0.62, 95% CI: 0.43–0.89). Similar results were also observed when the multivariate-adjusted HRs were used as the measure of effect (OS: HR = 0.60, 95% CI: 0.43–0.83; DFS: HR = 0.48, 95% CI: 0.29–0.79). In subgroup analyses, PORT was associated with a longer OS and DFS for thymoma (HR = 0.73, 95% CI: 0.56–0.96 and HR = 0.65, 95% CI: 0.46–0.93), thymic carcinoma (HR = 0.72, 95% CI: 0.49–1.07 and HR = 0.38, 95% CI: 0.19–0.77), and stage 3–4 disease (HR = 0.50, 95% CI: 0.34–0.74 and HR = 0.44, 95% CI: 0.27–0.70), but not for stage 2 disease (HR = 0.81, 95% CI: 0.55–1.19 and HR = 0.97, 95% CI: 0.51–1.83).

Conclusions
PORT is likely to improve OS and DFS in patients with completely resected stage 3–4 thymoma or thymic carcinoma; however, the value of PORT for stage 2 disease requires further evaluation in large-scale studies.
The Art of Ectoplasm: Encounters with Winnipeg’s Ghost Photographs, Serena Keshavjee (ed.)
Authors: Kaplan Louis 
Published: August 2024

Review of: The Art of Ectoplasm: Encounters with Winnipeg’s Ghost Photographs, Serena Keshavjee (ed.)
Winnipeg: University of Manitoba Press (2023), 288 pp., p/bk,
ISBN: 978-1-7728-4037-7, CAD$34.95
O ensino secundário brasileiro nas décadas de 1950 e 1960: a experiência das classes experimentais
Authors: Oliveira André Luís 
Published: August 2024

DALLABRIDA, Norberto (Org.). “Brechas no monólito educacional”: classes secundárias experimentais e inovação do ensino secundário nos anos de 1950 e 1960”. Curitiba: Appris, 2023. 402, p.

O livro “Brechas no monólito educacional”: classes secundárias experimentais e inovação do ensino secundário nos anos de 1950 e 1960, organizado por Norberto Dallabrida é composto por prefácio, capítulo introdutório e 17 capítulos com estudos relacionados à implementação das classes secundárias experimentais em diversas localidades do Brasil. A reflexão sobre a implementação das classes experimentais secundárias, que tomaram as classes nouvelles por modelo, é o objeto central da obra que, de modo geral, é permeada por temas como currículo, metodologias e didáticas inovadoras que lançavam mão de recursos como teatro, seções de cinema e literatura, educação musical, desenho, seminários, trabalhos com olaria, pintura e datilografia. Práticas esportivas como voleibol, basquetebol, futebol, ginástica, esgrima e balé. Além da infraestrutura diferenciada, se comparadas as demais escolas e classes.
POLA BIMBINGAN BELAJAR SISWA TUNARUNGU SAAT PANDEMI COVID-19 DI SLB NEGERI GUNUNGSARI
Authors: Khairi Alfin Miftahul , Ningrum Ranty Purwita 
Published: August 2024

The purpose of this study was to determine the pattern of tutoring for deaf students during the Covid-19 pandemic at SLB Negeri Gunungsari Baureno Bojonegoro. The researcher uses a qualitative method with a case study approach, the technique of determining the subject is through purposive sampling. Data collection techniques through interviews, observation, and documentation. The results of this study indicate that the pattern of tutoring provided by the teacher to deaf students at SLB Negeri Gunungsari Baureno is in the form of intensive communication, additional subject matter, direction, cooperation with parents, and additional assignments. Tutoring is carried out online and home visit are provided according to the needs of deaf students. Learning assistance through tutoring services was responded to by both the parents and the deaf students. In addition, deaf students show good learning development. Keywords: covid-19, tutoring, deaf student.
IDENTIFYING THE ISSUES FACED BY STUDENTS: A STRATEGIC STEP IN IMPLEMENTING COUNSELING AT PESANTREN
Authors: Wirda Hanim  , Sudharno Dwi Yuwono  , Nizar Wildan Aulia  
Published: August 2024

The development of counseling systems in Pesantren or Islamic boarding schools requires a strong foundation of data. This research aims to identify the issues faced by students as a crucial foundation. A survey method was used with the Problem Checklist (DCM) instrument distributed to 49 students at one of the Islamic boarding schools in Yogyakarta. The results of the study indicate that students face various issues, including health, economic, family, and school environment-related problems. Data analysis emphasizes the importance of a deep understanding of students' issues to design effective interventions. The implementation of counseling services in boarding schools is highly significant in supporting the holistic development of students. Subsequent steps include data scoring, result analysis, and presentation to design counseling programs that meet students' needs. It is hoped that these efforts will enhance students' well-being and academic achievement, strengthening the role of boarding schools as institutions caring for the personal and social development of their students.

Keywords: Pesantren Counseling, Problem Checklist
Evaluation of Hazard Communication Implementation in the “X” Limited Liability Company (LLC) based on OSHA Document Standard
Authors: Aulia Putri Mahmud Hasan Robiatul , Syamila Ana Islamiyah , Ode Taufan Asrisyah 
Published: August 2024

Abstract Introduction: Based on a report from the Ministry of Manpower, throughout 2021 there have been around 48,195 cases of occupational accidents and diseases in various industries. One worker factor affecting work accidents is the lack of OSH knowledge. Hazard communication is important in improving workers' expertise and safe behavior. “X” LLC is one of the high-risk industries where the application of hazard communication components, especially training at “X” LLC , is still very limited and has not fulfilled the training components in the OSHA standard. This study aims to evaluate the implementation of hazard communication at “X” LLC with the guidance of OSHA documents.[SDL1] [SDL2] Methods: This research is evaluative. The unit of analysis in this research is the hazard communication facility implemented by “X” LLC Includes information from HSE officers and workers. Observation results were compared with the implementation of hazard communication with OSHA documents.Results: Based on the results of observations made, it was found that the suitability of the implementation of hazard communication implemented by “X” LLC by OSHA documents of 65% (good) [SDL3] with a percentage of hazard classification suitability was 50% (sufficient), suitability of labeling was 71% (good), suitability of installation of signs and posters was 80% (very good), suitability of safety data sheets was 100%, suitability of socialization was 57% (good), and of implementation of training was 33% (sufficient). With these observations, it affects workers' understanding of hazards and hazard handling in their work area where workers' understanding of hazard communication comes more from experience and initial information due to limited forms of communication and training.Conclusion: Evaluation of the implementation of hazard communication at “X” LLC obtained a conformity percentage of 65% (good) with several components requiring improvement started from the arrangement of production materials according to health hazards, adding communication media and increasing the implementation of OHS training, especially training in chemical handling, risk control and first aid in work accidents.
Dampak Krisis Malaise terhadap Sektor Perkebunan di Keresidenan Palembang 1929-1934
Authors: Wargadalem Farida , Utama Nanda Julian 
Published: August 2024

Tulisan ini menyoroti dampak dari malaise (Krisis Ekonomi dunia) di wilayah Keresidenan Palembang pada periode Kolonial. Masalah utama dalam tulisan ini adalah bagaimana dampak Malaise di Palembang dan bagaimana respon masyarakat Palembang dalam menghadapinya, terutama mereka yang terlibat dalam bisnis perkebunan (karet dan kopi) antara tahun 1929-1930. Pada awal abad 20 hingga menjelang Malaise tahun 1929, wilayah Palembang dikenal sebagai salah wilayah yang menguntungkan di Hindia Belanda. Sektor perkebunan memegang peranan penting untuk masyarakat karena hampir 90 persen perkebunan karet dan kopi dikuasai oleh orang-orang Palembang sendiri. Disisi lain, booming karet pada medio 1920an semakin menguntungkan bisnis perkebunan ini. Namun ketika malaise terjadi pada tahun 1929, mereka yang terlibat dalam perkebunan ini kebingungan menghadapi situasi ini. Disinyalir pengetahuan masyarakat mengenai situasi ekonomi semacam ini sangat minim, sehingga mereka tidak memahami struktur harga di pasaran dunia. Disisi lain perubahan sosial akibat booming karet menjadikan mereka cenderung konsumptif dari pada melakukan investasi. Fenomena ini menarik untuk dibahas dalam sebuah penelitian yang menggunakan metode Sejarah. Temuan dalam penelitian ini menunjukkan malaise sangat memberikan dampak buruk yang sangat signifikan pada perekonomian Palembang, terutama pada sektor Perkebunan. Selain penurunan harga yang drastis pada komoditas karet dan kopi, malaise juga berdampak pada bisnis lain yang berhubungan dengan kedua komoditas ini, terutama bisnis pelayaran lokal di Palembang.
Fetus in Situ
Authors: Thompson Jamie 
Published: August 2024

"Fetus in Situ” is a traditional flat-stitch Métis beadwork piece by settler-Métis artist and medical student Jamie Thompson. The piece measures 10.3 x 8.5cm and is handmade with size 15, 11, and 10 Czech seed beads, depicting a Black fetus with their head within a pelvic bone, about to be born. It considers the structural inequities that Indigenous, Black, and other people of the global majority (PGM) face in Canadian healthcare and in medical imagery. Considering that 30 percent of Canada’s population is non-white and encounters significant social barriers to healthcare access, the representation of non-white skin tones in only 4.5 percent of medical textbooks’ illustrations fails to represent a diversified population (Louie & Wilkes, 2018). In obstetrics specifically, Black women face a three-fold higher risk of death in pregnancy or childbirth compared to their white peers, and there is a studied need for anti-Black racism training and Black healthcare provider representation in obstetrics, a discipline which was founded on experimentation upon Black slaves (Statistics Canada, 2022., CDC, 2024).
Click on the PDF link under the image for the full description.
العروض القوافي والأمانة في شعر إرشاد الإخوان لبياني شرب القهوة والدّخان لشّيخ إحسان محمد دحلان جامفيسي الكديري
Authors: Al Parizi Ali Rois Salman , Halim Muhamad Abdul , Heryani Yani 
Published: August 2024

كتاب إرشاد الإخوان الّذي ألّفه الشّيخ إحسان محمد دحلان الجامفيسي الكديري هو كتاب يشرح قوانين التدخين وشرب القهوة.الهدف من هذا البحث هو التّعرف على التّغييرات في عروض قوافي والأمانة في شعر كتاب ارشاد الاخوان من تأليف الشّيخ إحسان محمد دحلان جامفيسي الكديري. تستخدم هذه الدّراسة المنهج النّوعي ، والطّريقة المستخدمة هي المنهج الوصفي التّحليلي ، وجمع البيانات باستخدام أسلوب دراسة الأدب الّذي نشأ من الشّعر في كتاب إرشاد الإخوان المؤلّف من 4 فصول و 160 شعرا. جاءت نتائج البحث في شعر كتاب إرشاد الإخوان في شكل وزان يتكون من بحر طويل وبحر كامل وبحر بسيط وبحر حاج وبحر ساري وبحر رجاز. هناك تغيرات في الوزان بسبب الزّحاف والعلّة وهما: زحاف قبل و زحاف كاف و زحاف عصب و زحاف اضمار و زحاف خبن و زحاف طي و علة حذف و علة قطع و علة كشف و علة صلم. القافية في شعر إرشاد الإخوان هي كلمة قافية وتتكون من أنصاف كلمات وكلمة ونصف وكلمتين . حروف قافية تتكون من الراوي والوصل والخروج والردف والتأسيس والدّخيل. حركات قافية تتكون من راس وإشباع وحدو ومجر ونفذ وهي نوع من القافية تتكون من قافية مطلقة لها ردف ووصل على شكل مد . قافية مطلقة هي عبارة عن وصل على شكل حروف مد ولكن ليس بها ردف وتأسس وقافية مطلقة هي عبارة عن وصل على شكل هاء ضامرا ولكن ليس بها ردف وتأسيس واسم قافية يتكون من متقارب ومتدارك ومتواتر عيب القافية يتكون من الإكفاء والابطاء.تتكون أنواع الأمانة من أمانة تثقيفية وأمانة دينية وأمانة اجتماعية.الكلمات الدالة : عروض, قوافي, أمانة.
Fenomena Dzikir dalam Memperoleh Ketenangan Menghadapi Pandemi Covid-19 pada Pedagang di Pasar Sore Trenggalek
Authors: Shofiyatun Hanik 
Published: August 2024

ABSTRAKDampak dari pandemi Covid-19 sangat luar biasa, terutama dalam bidang kesehatan, pendidikan, dan ekonomi. Permasalahan pada kesehatan juga tak hanya menyangkut pada kesehatan fisik saja, namun juga pada kesehatan psikis. Pandemi Covid-19 juga banyak mengakibatkan munculnya gangguan psikis, misalnya kegelisahan, kecemasan, dan stres yang dialami oleh kalangan masyarakat. Fenomena ini juga dirasakan oleh pedagang yang ada di Pasar Sore Trenggalek. Banyaknya persoalan yang diakibatkan oleh pandemi Covid-19 ini lah yang mempengaruhi kondisi kesehatan mental individu yang berujung pada adanya gangguan mental. Dari sinilah peneliti tertarik meneliti mengenai fenomena dzikir dalam memperoleh ketenangan menghadapi pandemi covid-19 pada pedagang di Pasar Sore Trenggalek. Terdapat dua hal yang menarik untuk dikaji lebih mendalam; pertama, mengenai pemaknaan dzikir pada pedagang Pasar Sore Trenggalek. Kedua, penerapan dzikir dalam mengatasi kecemasan pada pedagang Pasar Sore Trenggalek. Penelitian ini dilakukan pada para kalangan pedagang di Pasar Sore Trenggelek. Jenis penelitian yang digunakan adalah dengan metode kualitatif dengan pendekatan fenomenologi dengan menggunakan teknik interpretative phenomenological analysis (IPA). Penggalian data dilakukan pada pedagang di Pasar Sore Trenggelek, kepada tiga orang partisipan dengan metode wawancara semi terstruktur, observasi partisipan dan dokumentasi. Partisipan dipilih menggunakan metode purposive sampling dengan kriteria sebagai berikut : 1) Subjek merupakan pedagang di Pasar Sore Trenggalek yang terdampak pandemi Covid-19. 2) Subjek merupakan pedagang yang rajin beribadah. 3) Subjek bersedia memberikan informasi yang diperlukan dalam penelitian. 4) Subjek merupakan pedagang di Pasar Sore Trenggalek yang mengalami penurunan omset. Hasil dari penelitian ini menunjukkan bahwa ada tiga pemaknaan dzikir pada Pasar Sore Trenggalek, yakni: 1) nilai Ke-Tauhid an, 2) Rasa syukur, 3) Tawakal. Selain itu peneliti juga menemukan penerapan dzikir yang ada pada pedagang di Pasar Sore Trenggalek, sebagai berikut: 1) Ketenangan, 2) HabluminAllah.Kata kunci : Dzikir; ketauhidan; kecemasan.