bluuebunny/crossref_metadata_2025_split huggingface dataset:
OS EFEITOS DA METFORMINA NO TRATAMENTO DA SÍNDROME DO OVÁRIO POLICÍSTICO
Authors: Gonçalves Marcela Aguiar Reis 
Published: August 2024

Introdução: A síndrome dos ovários policísticos é um distúrbio endócrino comum que afeta em torno de 6 a 15% de mulheres em idade reprodutiva. A condição é heterogênea, e as mulheres podem apresentar uma série de problemas endócrinos, alterações metabólicas e sintomas psicosociais. Objetivo: Investigar na literatura sobre os efeitos que da metformina em mulheres com SOP. Métodos: Revisão integrativa da literatura realizado nas bases de dados Biblioteca Virtual de Saúde e Medline. Foram utilizados os descritores controlados Metformina and Síndrome do ovário policístico and Tratamento. Resultados: Foram 586 publicações encontradas nas bases estudadas, após análise dos artigos e avaliação os critérios de inclusão e exclusão permaneceram 15 artigos para o estudo. Discussão: A metformina possui diversos efeitos: induz a redução da hiperinsulinemia e melhora os níveis de leptina reduzindo o risco de obesidade e infertilidade, diminui os níveis de chemerin com a melhora dos parâmetros de resistência à insulina, afeta o nível de AMH por influenciar o nível de insulina, reduz a rotatividade óssea, devido à redução nos marcadores de formação e reabsorção óssea, levando à remodelação dos ossos de forma mais lenta e impedindo a perda óssea, melhora o humor, ansiedade e a depressão por diminuir a frequência e a gravidade de acne e hirsutismo, bem como reverte a infertilidade entre outros. Conclusão: Esse medicamento provocou melhoras em diversos parâmetros tanto hormonais e metabólicos quanto em questões não muito abordadas como a ansiedade e depressão nas mulheres atingidas pela SOP. No entanto, são necessários mais estudos sobre o uso desse medicamento em mulheres grávidas com SOP.
Pemberdayaan Kemitraan Masyarakat (PKM) Pengembangan Desa Wisata Edukatif Berbasis Web Virtual Tour Experience dan Aplikasi Pintar di Desa Sedang Kecamatan Abiansemal Bali
Authors: Ayu Jati Paras , Dwijayanti AA Istri Putri , Oktaviani Rani Chandra 
Published: August 2024

<p align="center"><strong>Abstrak</strong><strong> </strong></p><p><em>Desa Sedang merupakan salah satu desa wisata yang terletak pada kecamatan Abiensemal, kabupaten Badung, dimana desa tersebut sebelumnya merupakan desa perbatasan dan baru akan diangkat menjadi desa wisata. Berdasarkan hasil tinjauan, observasi, dan FGD dengan pihak desa terdapat beberapa permasalahan</em><em> </em><em>yang dihadapi, khususnya sejak ditetapkan sebagai desa wisata. Permasalahan pertama adalah Desa Sedang belum mengangkat diferensiasi sebagai desa agricult</em><em>ure</em><em>, jika dibanding dengan desa wisata agriculture lainnya di Bali, sehingga tingkat kunjungan wisata</em><em> </em><em>pun sangat minim. Permasalahan lainnya adalah Desa Sedang tidak memiliki kemampuan dalam mengelola promosi digital yang mampu menggiring wisatawan untuk datang ke Desa Sedang. Tujuan pemberdayaan kemitraan masyarakat yang pertama yang akan dilaksanakan adalah membantu rancangan diferensiasi Desa Sedang sebagai desa wisata edukatif melalui banyaknya ragam tanaman agricult</em><em>ure</em><em> pada </em><em>Desa Sedang</em><em> yang diharapkan dapat menjadi nilai tambah kompetitif sekaligus meningkatkan potensi kunjungan wisatawan dengan menyasar target wisatawan yang lebih luas. Tujuan kedua pemberdayaan kemitraan masyarakat ini adalah membantu dalam memberikan inovasi promosi digital melalui keterampilan dalam membuat promotion based on real story telling sehingga dengan keterampilan ini pengelola wisata, Desa Sedang mampu melakukan promosi digital dengan lebih aktif, kreatif dan berkelanjutan.</em><strong> </strong></p><p><strong>Kata kunci<em>:</em></strong><strong><em> </em></strong><strong><em>Aplikasi Pintar, Desa Wisata, Virtual Tour, Website.</em></strong></p>
Mekanisme Adaptasi Korban PHK Akibar Covid-19
Authors: Tannia Christina Tannia Christina 
Published: August 2024

Wabah virus Corona atau Covid-19 mempengaruhi perekonomian global. Dampak dari Covid-19 ini mengganggu perekonomian di Indonesia tentunya, salah satu implikasinya pertumbuhan perekonomian di Indonesia menurun 4% (empat persen) bahkan lebih rendah, tergantung dari seberapa lama atau seberapa parah Covid-19 ini berlangsung sehingga melumpuhkan aktivitas dalam Masyarakat. Hal ini membuat banyak Perusahaan harus memberikan PHK kepada para karyawan yang membuat para korban PHK ini harus bisa beradaptasi dan mencari cara untuk bertahan hidup dimasa pandemi. Penelitian ini memakai teori resilence dengan menggunakan metode obervasi dan interview. Dalam observasi ini menggunakan teknik naratif dimana pengamat mengamati setiap perilaku subjek lalu mencatatnya, peneliti menggunakan metode Moderately Scheduled Interview dan menggunakan Teknik Topical sequence. Berdasarkan hasil observasi yang dilakukan, kedua subjek belum menunjukkan terjadinya resiliensi. Namun dalam interview bisa dilihat dari penyataan subjek bahwa selama masa pandemi banyak melakukan hal baru yang bisa meningkatkan resiliensi dalam diri.
Prioritizing the Development of Indonesian Culinary Businesses Over the Legal Transition of International Food Businesses in Relation to Traditional Nusantara Cuisine
Authors: Kusnedi Rahmat , Arafah Willy , Ingkadijaya Rahmat , Oktadiana Hera 
Published: August 2024

Traditional food from different parts of Indonesia is very diverse. However, the growth of Nusantara’s culinary business often faces problems, both in terms of legislation and competition with the growing foreign food business. Compared to food business laws in other countries that are more organized and supportive, Indonesian laws that regulate the protection and promotion of traditional foods are often uncompetitive. National food business law resistance to traditional Nusantara food is one of the obstacles to the growth of Nusantara's culinary business. More expert strategies are needed to improve the competitiveness of traditional food products as Indonesian traditional food trends continue to shift due to imported food. Behavioral theories that focus on perception, subjective norms, and behavioral control are used in this study to measure how millennials use Indonesian food. The results show that consumers have a good perception of local food. However, the lowest average value of all variables suggests that the perceptions of important people do not influence them dominantly in consuming local foods. Therefore, there is a need for efforts to raise public awareness and concern for traditional Nusantara food as well as to increase professionalism in the development of the Nusantara culinary business.

Keywords: Nusantara's culinary business, food business law, traditional food, regulation, protection of intellectual property rights
Heterotopic Pregnancy Complicated by Rupture: A Case Report
Authors: Sitheeque F. , Chathuranga S. L. P. , Udupihille J. 
Published: August 2024

Heterotopic pregnancies are rare occurrences of a simultaneous intrauterine and extrauterine pregnancy. Ectopic pregnancy is not an uncommon occurrence in women of reproductive age, however heterotopic pregnancy is a rare event, with an incidence of approximately 1/30,000 of natural conceptions. With the increasing use of assisted reproduction techniques, however, the incidence increases significantly. The main differential diagnoses for a female patient in the reproductive age group, presenting with per vaginal bleeding, lower abdominal pain or in shock include a ruptured ectopic pregnancy, ovarian cyst accident or miscarriage. A high index of suspicion is necessary to detect heterotopic pregnancies during the early pregnancy period particularly in natural conception. We present a case of rupture complicating a heterotopic pregnancy in a patient with natural conception.
Relationship Between Athletic Trainer Access, Socioeconomic Status, and Race and Ethnicity in United States Secondary Schools
Authors: Rivera Matthew J. , Willis Adrienne , Ramos Omar , Young Justin P. , Barter Eliza W. , Post Eric G. , Eberman Lindsey E. 
Published: August 2024

Context
Authors of extensive research have exposed health care disparities regarding socioeconomic status (SES) and race and ethnicity demographics. Previous researchers have shown significant differences in access to athletic training services (athletic trainer [AT] access) in the secondary school setting based on SES, but with limited samples.

Objective
To investigate differences in AT access based on race and ethnicity and SES on a national scale.

Design
Cross-sectional study.

Setting
Database study using secondary analysis. Data were collected from the National Center for Education Statistics, Athletic Training Location and Services database, and US Census Bureau.

Patients or Other Participants
A total of 10 983 public schools.

Main Outcome Measure(s)
Descriptive data were summarized by measures of central tendency. A 1-way analysis of variance determined differences between school characteristics (median household income, percentage of students eligible for free and reduced lunch, percentage of White students, and percentage of non-White students) based on AT access: full-time (FT-AT), part-time (PT-AT), and no AT (no-AT). A Bonferroni pairwise comparison was used for variables with significant main effects.

Results
Across all schools included in the study, 43.8% had no-AT (n = 4812), 23.5% had PT-AT access (n = 2581), and 32.7% had FT-AT access (n = 3590). Significant effects were found between AT access and median household income (P &lt; .001), the percentage of students eligible for free and reduced lunch (P &lt; .001), the percentage of White students (P &lt; .001), and the percentage of non-White students (P &lt; .001). Schools with FT-AT access had a higher SES than PT-AT and no-AT schools. Significant differences existed between AT access groups and the race and ethnicity of schools. Schools with FT-AT access had a significantly lower percentage of non-White students (31.3%) than schools with no-AT (46.0%; P &lt; .001). No significant differences between FT-AT and PT-AT access based on race and ethnicity demographics presented (P ≥ .13).

Conclusions
Schools with higher SES had greater AT access, whereas schools with a higher percentage of non-White students were more likely to have no AT access, demonstrating the disparities in health care extends to athletic health care as well. To increase AT access, future initiatives should address the inequities where larger minority populations and counties of lower SES exist.
The performativity of ‘defining’ asides in the Fourth Gospel: A speech act perspective
Authors: Hobyane Risimati S. 
Published: August 2024

The article investigates the performative nature of asides that aim to define or specify something in the Fourth Gospel. Despite scholars exploring the prevalence and significance of asides in this Gospel, there has been limited attention given to studying or demonstrating the pragmatic and/or performative nature of these literary devices. The assertion is that asides are not mere literary embellishments, but carry a substantial performative role for the reader. This article seeks to address this gap in the study of Johannine asides. Employing a speech act interpretive approach, the article examines the nature and potential effects (i.e., the illocutionary and perlocutionary force) of these specific asides on the reader in the Fourth Gospel. While there is a general consensus that asides are not events and therefore do not advance the plot of the story, this contribution contends that asides play a crucial role in guiding the reader towards embracing or acting on the implied author’s propositions as they engage with the narrative. The Fourth Gospel serves as an apt text to illustrate this literary phenomenon and is believed to be consistent with the Gospel’s purpose as stated in 20:31.Contribution: The article contributes to Johannine literary research by exploring and demonstrating how the implied author of the Fourth Gospel intentionally utilises various types of asides (in this case, asides that function to define or specify something) to invite the reader’s participation as they read the Gospel.
Climate change, culture and health: Indigenous resilience, a study from Turkana County, Kenya
Authors: Muragijimana Christian , Ntakirutimana Theoneste , Khan Sohaib 
Published: August 2024

Climate change and recurring droughts-induced effects on health are becoming an increasingly main global, cultural and public health burden. The heaviest health burden leans on the fragile socio-economic systems among the remote agro-pastoral communities, living in the arid and semi-arid lands (ASALs). Previous studies underlined the indispensability of indigenous knowledge (IK) for resilience-driven disaster risk reduction (DRR) strategies. However, more attention has been drawn towards the necessity of IK in weather forecasts, with less emphasis on its indispensability to alleviate health burden associated with climate change and droughts. We explored the contextual application of IK-based adaptation and related complementarity aspects for culturally relevant and sustainable DRR strategies for the nomadic agro-pastoral communities in Lopur, Turkana, Kenya. Relying on a descriptive qualitative study in phenomenological approach, purposive sampling and focus group discussions with key community influencers, a thematic analysis was conducted for an in-depth understanding and interpretation of data patterns. The contextualised insights revealed the growing vulnerability as a result of the disconnect between modern interventions, IK and the newly adopted environmental degrading coping tactics. Policy-wise, the findings portrayed the necessity for cultural integration and incorporation of indigenous knowledge-based strategies and systems for reinforced information dissemination, accessibility and acceptability for droughts preparedness and response.Contribution: This study underlined the existing room for scientific exploration of the already existing indigenous knowledge-based solutions for food and water insecurity, towards improved resilience for the vulnerable communities experiencing inequitable climate change calamities in the ASALs.
TARGETED PROGRAM FOR SECONDARY PREVENTION OF CERVICAL CANCER
Authors: Аминодова И.П. 
Published: August 2024

Недостаточная эффективность диагностики цервикального рака обусловливает необходимость изменения диагностических подходов, поиска прогностических критериев течения предраковых процессов, оценки возможностей различных диагностических методов и перехода на персонализированную систему диагностического поиска. На основании анализа динамики показателей заболеваемости, запущенности, ранней и активной диагностики цервикального рака на территории Ивановской области сформирован и применен алгоритм обследования, лечения и диспансерного наблюдения для пациенток с подозрением на тяжелое поражение цервикального эпителия (цитограмма HSIL), предусматривающий комплексный мультидисциплинарный подход. В рамках исследования обследовано 256 женщин в возрасте от 23 до 62 лет, проведено лечение и последующее диспансерное наблюдение 132 женщин. Проведенное исследование продемонстрировало возможности амбулаторного диагностического центра, работающего на основании комплексного подхода, в повышении эффективности вторичной профилактики цервикального рака, сокращении интервала от подозрения на опухоль до установления диагноза, выявлении сочетанных заболеваний органов репродуктивной системы. Назначение медикаментозной эпигенетической терапии препаратами на основе дииндолилметана и активное участие пациенток в лечебном процессе позволяют повысить эффективность терапии и предотвратить возникновение рецидивов и прогрессирование CIN до инвазивного цервикального рака.
Insufficient diagnostic efficiency of cervical cancer necessitates changing diagnostic approaches, searching for prognostic criteria for the course of precancerous processes, assessing the capabilities of various diagnostic methods and switching to a personalized diagnostic search system. Based on the analysis of dynamic statistics of incidence rates, neglect, early and active diagnosis of cervical cancer in the Ivanovo region, an algorithm for examination, treatment and follow-up for patients with suspected severe damage to the cervical epithelium (HSIL cytogram) was created and applied based on a multidisciplinary integrated approach. As part of the study, 256 women aged 23 to 62 years were examined, and 132 women were treated and followed up. The study demonstrated the capabilities of an outpatient diagnostic center, working on the basis of an integrated approach, in increasing the effectiveness of secondary prevention of cervical cancer, reducing the interval from suspicion of a tumor to diagnosis, and identifying concomitant diseases of the reproductive system. Prescribing drug epigenetic therapy with drugs based on diindolylmethane and the active participation of patients in the treatment process can increase the effectiveness of therapy and prevent relapses and progression of CIN to invasive cervical cancer.
THE USE OF DYNAMIC QUADRIPOLAR RADIOFREQUENCY THERAPY IN A PATIENT AFTER VULVECTOMY. CLINICAL OBSERVATION
Authors: Зароченцева Н.В. , Джиджихия Л.К. , Трищенкова О.В. 
Published: August 2024

Склероатрофический лихен вульвы (САЛВ) – хронический воспалительный дерматоз, который поражает женщин не только в постменопаузе, но и в молодом возрасте, характеризуется симптомом зуда вульвы и наличием жемчужно-белых бляшек, которые могут постепенно приобретать вид сухой и морщинистой кожи. Этиология САЛВ до сих пор неизвестна, имеются данные о многофакторной природе возникновения. Стандартным методом лечения является местное применение кортикостероидных мазей. Однако помимо того, что это лечение вызывает различные побочные эффекты, оно не всегда эффективно. Динамическая квадриполярная радиочастотная терапия (ДКРЧ-терапия) благодаря контролируемому тепловому воздействию способствует расширению сосудов, улучшению кровообращения, усилению процесса неоколлагеногенеза и повышению эффективности лечения при отсутствии деформации вульвы. В статье описан клинический случай пациентки с САЛВ после вульвэктомии, которая безуспешно прошла различные виды лечения и у которой после применения ДКРЧ-терапии наступило значительное улучшение. ДКРЧ-терапия является безопасным методом, не вызывающим даже минимального дискомфорта, легко переносимым и практичным. Полученные результаты свидетельствуют о безопасности и удобстве применения данного метода лечения.
Scleroatrophic vulvar lichen (SALV) is a chronic inflammatory dermatosis that affects women not only in postmenopause, but also at a young age, characterized by a symptom of itching of the vulva and the presence of "pearly" white plaques, which can gradually take on the appearance of dry and wrinkled skin. The etiology of SALV is still unknown, there is evidence of a multifactorial nature of its occurrence. The standard treatment is the use of steroid ointments for topical application; however, in addition to the fact that this treatment causes various side effects and is not always effective. Dynamic quadrivalent radiofrequency therapy (DQRF), due to controlled thermal effects, promotes vasodilation, improves blood circulation, enhances the process of neocollagenesis and increases the effectiveness of treatment in the absence of vulvar deformity. This article describes a clinical case of a patient with SALV after vulvectomy who unsuccessfully underwent various types of treatment. The patient showed significant improvement after the use of DCR therapy. DCR therapy is a safe method that does not cause even minimal discomfort when used, is easily tolerated and practical. The results obtained indicate the safety and convenience of the applicability of this treatment method.
ENSINO DA TEMÁTICA VIOLÊNCIA NA FORMAÇÃO DE ENFERMEIROS EM INSTITUIÇÕES PÚBLICAS NO BRASIL
Authors: Barros Bezerra Sáskya Jorgeanne , Moreira do Nascimento David Ederson , De Castro Magalhães Beatriz , Ferreira Silva Caik , Cardoso de Almeida Rachel , Alencar Albuquerque Grayce 
Published: August 2024

Objetivo: Analisar o ensino da temática violência nos cursos de graduação em enfermagem de Instituições de Ensino Superior públicas do Brasil. Métodos: estudo descritivo, documental, qualitativo, realizado entre abril a julho de 2022, a partir do levantamento de Instituições de Ensino Superior públicas com curso de graduação em Enfermagem no Brasil, através do site E-mec. Foram analisadas ementas disponíveis on-line que continham o termo “violência”. Para processar dos dados foi utilizado o software IraMuTeQ, através do método da Classificação Hierárquica Descendente. Resultados: Foram encontradas 116 instituições credenciadas no E-mec com o curso de enfermagem, sendo 73 disciplinas com ementas disponíveis e apenas 43 abordaram o proposto. A análise mostrou aproveitamento de 84,30%, possibilitando a elaboração de cinco classes que revelam como a temática é ensinada na graduação. Conclusão: O ensino do termo “violência” está relacionado prioritariamente ao grupo feminino, sendo a assistência de enfermagem direcionada à resolução de problemas decorrentes desta.
Pemanfaatan Artificial Intelligence (AI) Dalam Transformasi Digital Untuk Pelayanan Publik
Authors: Atmaja Sukarta 
Published: August 2024

Penelitian ini menggunakan jenis penelitian atau metode penelitian kualitatif. Yakni berupa pemaparan Tujuannya adalah untuk mengetahui sejauh mana manfaat program AI untuk memberikan kemudahan layanan bagi masyarakat, pemerintah setelah melakukan transformasi digital pelayanan publik dengan memanfaatkan kecerdasan buatan atau artificial intelligence (AI). Deputi Bidang Pelayanan Publik Kementerian Pendayagunaan Aparatur dan Reformasi Birokras (PANRB) Diah Natalisa mengatakan bahwa pelayanan digital menjadi krusial, dan membuat layanan dapat diakses secara efektif dan efisien.Tidak seperti pelayanan tradisional yang mengharuskan adanya tatap muka langsung secara fisik, pelayanan digital memungkinkan layanan dapat diakses setiap saat, dimanapun tanpa harus berpindah lokasi, sehingga lebih praktis, efektif, dan efisien,” ujarnya Diah dalam Webinar Pengembangan dan Pemanfaatan AI untuk Digital Government secara virtual, Jumat (10/03/2020).Dalam implementasinya, transformasi penyelenggaraan pelayanan publik akan optimal apabila ada integrasi proses bisnis dan sistem. Untuk itu, Peraturan Presiden No. 95/2018 tentang Sistem Pemerintahan Berbasis Elektronik (SPBE) hadir untuk mengawal keterpaduan proses digitalisasi layanan publik di Indonesia.
Penerapan metode latihan terbimbing dalam pembelajaran tenis meja untuk meningkatkan hasil belajar Mahasiswa
Authors: Solissa Jonas 
Published: August 2024

Penelitian ini bertujuan untuk meningkatkan hasil belajar mahasiswa pada mata kuliah tenis meja melalui metode latihan terbimbing. Penelitian dilaksanakan pada mahasiswa Pendidikan Jasmani Kesehatan dan Rekreasi Universitas Pattimura Tahun Akademi 2022/2023. Menggunakan jenis Penelitian Tindakan Kelas (Classroom Action Resea rch ). Instrumen yang digunakan untuk pengumpulan data yaitu observasi dan tes unjuk kerja keterampilan pukulan forehand dan backhand Tenis meja (Rubrik Penilaian). Berdasarkan hasil data penelitian ini menunjukkan bahwa penerapan metode latihan terbimbing dalam pembelajaran tenis meja pada pokok bahasan teknik dasar pukulan forehand dan backhand memiliki dampak positif dalam meningkatkan hasil belajar mahasiswa, hal ini dapat dilihat dari daya serap mahasiswa meningkat dari siklus I sebesar 65,74% (12 mahasiswa dari 34 mahasiswa sudah tuntas belajar) dan siklus II meningkat menjadi 82,79,%. Pada siklus II ketuntasan belajar mahasiswa secara klasikal telah tercapai. Artinya sudah mencapai indikator keberhasilan sesuai dengan yang diharapkan oleh peneliti dan dosen mata kuliah Tenis meja.