bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hubungan Kesadaran Kanker Payudara dengan Praktik Skrining Kanker Payudara pada Wanita Usia Subur
Authors: Mumtazah Dina Zahrotunnisa , Mamuroh Lilis , Platini Hesti 
Published: August 2024

ABSTRACT Breast cancer in Indonesia is the cancer with the most cases as well as the second leading cause of cancer death in women. Breast cancer continues to increase and patients at reproductive age have a higher potential for malignancy. This study is a descriptive correlational study conducted on women of childbearing age wih accidental sampling technique. Data collection was carried out using primary data using Indonesian version of the breast cancer awareness scale (BCAS-I) questionnaire. Data analysis used was univariate and bivariate data analysis. The purpose of this study was to determine correlation between awareness and breast cancer screening practices. The results showed that women of childbearing age had a moderate level of breast cancer awareness (53.2%) and good breast cancer screening practices (58.6%). The findings showed a moderate and significant positive correlation between breast cancer awareness and breast cancer screening practices (p-value 0.001). The researcher suggested that health workers can also utilize social media and display health promotion tools related to breast cancer at health puskesmas to increase women of childbearing age. To improve breast cancer screening practices, a routine program that invites women of childbearing age in clinical breast examination can be held. Keywords: Breast Cancer, Awareness, Women of Childbearing Age ABSTRAK Kanker payudara di Indonesia merupakan kanker dengan kasus terbanyak sekaligus penyebab kematian kedua kanker terbanyak pada perempuan. Kanker payudara terus mengalami peningkatan dan penderita pada usia reproduktif memiliki potensi keganasan yang lebih tinggi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kesadaran kanker payudara dengan praktik skrining kanker payudara. Penelitian ini merupakan penelitian kuantitatif korelasional yang dilakukan pada 111 wanita usia subur (WUS) dengan teknik sampling accidental sampling. Pengumpulan data dilakukan menggunakan data primer menggunakan kuesioner Indonesian version of the breast cancer awareness scale (BCAS-I). Analisa data yang digunakan menggunakan analisis univariat dan bivariat. Hasil penelitian menunjukkan bahwa WUS memiliki tingkat kesadaran kanker payudara yang moderat (53.2%) dan praktik skrining kanker payudara yang baik (58.6%). Temuan ini menunjukkan hubungan positif cukup signifikan antara kesadaran kanker payudara dan praktik skrining kanker payudara (p-value 0,001). Peneliti menyarankan tenaga kesehatan dapat memanfaatkan media sosial maupun memajang alat promosi kesehatan terkait kanker payudara untuk meningkarkan kesadaran. Untuk meningkatkan praktik skrining kanker payudara dapat dilakukan dengan membuat sebuah program rutin yang mengundang WUS dalam pemeriksaan payudara klinis (SADANIS). Kata Kunci: Kanker Payudara, Kesadaran, Skrining Kanker Payudara, Wanita Usia Subur
The Impact of Gadget Use on Adolescents: a Literature Review
Authors: Vuriyanti Mega , Rahmawati Iis , Suhari Suhari 
Published: August 2024

ABSTRACT The use of gadgets by adolescents without balanced knowledge will impact health. The purpose of this study is to analyze the impact of gadgets on adolescents so that the impact of using gadgets can be prevented and minimized. This research method uses a literature review. Where in the process of searching for literature in this literature review using Pubmed, Scopus, Proquest, and Google Scholar databases with a range of published years 2019-2024. The search was done using several keywords "Impact" "Gadget" AND "Use". The results found 10 articles that show that excessive use of gadgets above the maximum use limit in adolescents causes various problems including physical health such as headaches, back pain, visual disturbances, neck pain, obesity, cognitive development disorders, and psychological health such as sleep disorders, loneliness, easy emotions and stress. Factors such as the lack of knowledge among adolescents about the time limit of gadget use, teacher control when adolescents are in the school environment and lack of parental control over adolescents in the use of gadgets at home trigger the emergence of gadget use in adolescents above the time limit determined by WHO so that it will cause addiction and impact on adolescent health. Therefore, collaboration between adolescents, families, educational institutions and health institutions is needed to prevent and reduce the impact of gadget use on adolescents. Keywords: Gadget Addiction, The Impact Of Teen Gadget Use, Teen Health
Determinants of Patient Loyalty: A Systematic Review
Authors: Ubery Yulinda Ferdiana , Ernawaty Ernawaty 
Published: August 2024

ABSTRACT Patient loyalty is the key to business success for healthcare providers as well as patient health outcomes. This research aims to identify factors that determine patient loyalty using a systematic review study. Articles published in the last 5 years in Proquest, Google Scholar, and PubMed databases were systematically reviewed. Eight articles that met the inclusion and exclusion criteria were selected for further review. Findings regarding the determinants of patient loyalty to healthcare organizations were systematically synthesized. Publications on factors that determine patient loyalty to screening health care providers and 20 articles were included in this study. Twenty articles explore 14 determinants of patient loyalty such as patient satisfaction, quality, value, hospital brand image, trust, commitment, CRM, patient experience, service delivery, relationship marketing and word-of-mouth (WoM), CSR, perceived value, implementation of innovation, and environmental services. This review identified and modeled the determinants of patient loyalty to healthcare providers. Further research should consider extending this research to general hospitals, clinics and health centers. clinics and health centers to identify the most dominant factors of interest. Keywords: Health Services, Patient Loyalty, Systematic Review
Psychosocial Adaptation in Lung Cancer Patients: a Literature Review
Authors: Syamsiar Pradika Ghozi , Rondhianto Rondhianto , Wijaya Dodi 
Published: August 2024

ABSTRACT Lung cancer is one type of cancer with the highest mortality rate, this is often due to delays in diagnosis and the impact of prognosis which can affect the psychosocial adaptation of lung cancer patients. Analyze psychosocial adaptation problems in lung cancer patients, their impacts, and treatment strategies. Systematic review used the PRISMA protocol and JBI scoring tool to determine eligible articles. Five electronic databases were used (Pubmed; Science Direct and Google Scholar. Inclusion criteria included research on lung cancer published in English in the last ten years (2014-2024). The results showed that 20 articles met the inclusion criteria. The results of the review show several common problems experienced by lung cancer patients, including depression, anxiety, social isolation, stigmatization, mental health problems, and difficulties in adaptation. The impact is a decrease in emotional well-being, a reduction in quality of life, an increase in physical symptoms, and a worsening of the disease prognosis. Several prevention strategies include providing multidisciplinary therapy through supportive and palliative care, improving the quality of psychosocial health services, cognitive behavioral therapy, social support therapy, psycho-education, increasing social support, spiritual treatment, increasing healthy behavior, and using confrontation and stress coping. Psychosocial problems experienced by lung cancer patients are often complex and can include various aspects. Several common issues experienced by lung cancer patients are related to psychosocial problems. The impact of psychosocial problems can worsen the prognosis of lung cancer so several treatment efforts are needed to overcome psychosocial problems in lung cancer patients. Keywords: Adaptation, Lung Cancer, Literature Review, Psychosocial
MAKNA REFERENSIAL DAN NON REFERENSIAL DALAM LIRIK LAGU â€œOTAMPO NAPABALANOâ€ DAN LIRIK LAGU â€œTONGKUNOâ€
Authors: Hamudin La Ode , Halfian Wa Ode 
Published: August 2024

Penelitian ini membahas tentang makna referensial dan non referensial dalam lirik lagu â€œOtampo Napabalanoâ€ karya masrin abiding dan lirik lagu â€œTongkunoâ€ karya Moses La Kahiya. Rumusan masalah dalam penelitian ini adalah bagaimana makna referensial dan non referensial yang terkandung dalam lirik lagu â€œOtampo Napabalanoâ€ dan lirik lagu â€œTongkunoâ€ Tujuan dari penelitian ini adalah untuk mendeskripsikan makna referensial dan non referensial yang terdapat dalam lirik lagu â€œOtampo Napabalanoâ€ dan lirik lagu â€œTongkunoâ€. Metode penelitian yang digunakan adalah deskriptif kualitatif dengan jenis penelitian kepustakaan. Data yang digunakan yaitu berupa lirik lagu yaitu lirik lagu â€œOtampo Napabalanoâ€ dan lirik lagu â€œTongkunoâ€. Untuk pengumpulan data, peneliti menggunakan teknik simak dan teknik catat, sedangkan untuk menganalisis data, teknik yang digunakan adalah identifikasi data, analisi data dan penarikan kesimpulan. 2 jenis makna yang terdapat dalam lirik lagu â€œOtampo Napabalanoâ€ dan Lirik Lagu â€œTongkunoâ€ adalah makna referensial dan makna non referensial dengan data yang diteliti berjumlah 11 data dari 22 lirik yang terdiri dari makna referensil berjumlah 9 data dan makna non referensial berjumlah 2 data.
Kata kunci: Semantik, Lirik Lagu, Makna
EKRANISASI NOVEL ANTOLOGI RASA KARYA IKA NATASSA KE FILM ANTOLOGI RASA SUTRADARA RIZAL MANTOVANI
Authors: Putra Hutomo Yulius , Qadriani Nurlailatul 
Published: August 2024

Penelitian ini bertujuan untuk mendeskripsikan proses ekranisasi alur, latar dan tokoh pada novel Antologi Rasa karya Ika Natassa ke film Antologi Rasa disutradarai Rizal Mantovani. Metode yang digunakan dalam penelitian ini adalah deskriptif kualitatif. Data dalam penelitian ini adalah kata-kata, kalimat, dan kutipan yang terdapat dalam novel dan film Antologi Rasa. Sumber data dalam penelitian ini adalah novel Antologi Rasa karya Ika Natassa yang diterbitkan di Jakarta oleh PT. Gramedia Pustaka Utama pada tahun 2011 sebanyak 344 lembar dan film Antologi Rasa sutradara Rizal Mantovani yang diproduksi oleh Soraya Intercine Films pada tahun 2019 dengan durasi 141 menit. Hasil penelitian membuktikan bahwa terdapat peristiwa yang sengaja dihilangkan, ditambahkan, dan diubah sesuai kebutuhan dalam film. Perubahan-perubahan yang terjadi pada ekranisasi dari novel ke film menghasilkan perubahan pada aspek penciutan, penambahan, dan perubahan bervariasi. Pada ekranisasi alur, latar, tokoh dan penokohan, bagian penciutan lebih dominan terdapat banyak perubahan pada faktor asumsi adegan dalam karya sastra yang tidak dibutuhkan atau tidak penting ditampilkan dalam film, dan terbatasnya proses film bukan dari seluruh bagian-bagian dari adegan yang ada dalam karya sastra dimasukkan kedalam film. Kemudian, aspek penambahan dengan faktor adegan yang masih relevan pada cerita secara totalitas, serta perubahan bervariasi pada terbentuknya formasi dari Sebagian aspek durasi film, perkara pemirsa, dan media yang digunakan. Kedua aspek tersebut lebih minim mengalami ekranisasi dibandingkan dengan aspek penciutan.
Kata Kunci: Ekranisasi, Novel, dan Film.
Segurança e eficácia de terapias baseadas em interferência de RNA no tratamento da Amiloidose hereditária por transtirretina: uma revisão sistemática
Authors: Soares Caio Malef da Silva , Rosado Renata Dantas Amorim , Campos Maíra Dias de Oliveira , Freire Lewis Pauling Mariz de Medeiros Araújo , Rodriguez Daniel Maynarde Agulleiro , Vale Bruna Helena Leite Duarte , Alves Jéssica Medeiros Felizardo , Medeiros Débora Yane Oliveira de , Jácome Jacob Helder Guedes Oliveira , Araújo Roberta Cristina Oliveira Duarte de , Pinheiro Nathalia Viviane Araújo , Morais Lyvia Maria Fernandes de , Sousa Lucas Dantas de , Silva Caio Marques da , Medeiros Alberto Lima de Souza , Melo Maria Eduarda Passos de Araújo Leão , Jadoski Flavia Arruda , Costa Jordana Amorim , Medeiros Filho José Augusto de , Pimenta Luisa Vitória de Oliveira , Sousa Natalia Maria Dantas de , Souza Leyllane Rosany de Paiva Azevedo , Melo Emidja Brena Fernandes de , Dantas Gisele Almeida 
Published: August 2024

A amiloidose hereditária por transtirretina (hATTR) é uma doença rara e progressiva causada por mutações no gene TTR, que resulta na produção de proteínas anômalas que se agregam em fibrilas amiloides, o que afeta diversos órgãos e sistemas. Este estudo tem como objetivo avaliar a segurança e a eficácia das terapias baseadas em interferência de RNA no tratamento da hATTR. Para isso, foi conduzida uma revisão sistemática seguindo o protocolo PRISMA preconizada pela Cochrane. Foram utilizadas as bases de dados PubMed, Scielo, BVS e Cochrane Library. Foram incluídos ensaios clínicos randomizados que investigaram essas terapias comparando-as com tratamentos padrão ou placebo, excluindo estudos pré-clínicos, observacionais, e artigos sem dados claros de eficácia e segurança. A triagem resultou na inclusão de cinco estudos principais. Os resultados indicam que o Vutrisiran demonstrou benefícios nos parâmetros cardíacos e na qualidade de vida dos pacientes, enquanto o Patisiran foi eficaz na redução do declínio funcional e na melhoria das manifestações clínicas da doença. Contudo, o estudo sobre o Revusiran foi interrompido prematuramente devido a um aumento na mortalidade no grupo tratado. Conclui-se que as terapias de interferência de RNA, especialmente Patisiran e Vutrisiran, mostram-se promissoras no tratamento da hATTR, embora seja necessário um entendimento mais profundo dos fatores que influenciam a segurança e eficácia dessas terapias. Futuros estudos devem focar em ensaios clínicos de longo prazo e explorar os mecanismos subjacentes aos efeitos adversos observados para confirmar e expandir esses achados.
Avaliação de pacientes internados por fratura proximal de fêmur quanto ao conhecimento sobre diagnóstico e tratamento da Osteoporose
Authors: Wogel Alícia de Carvalho , Castro Ana Beatriz de Sousa Pereira Pinto de , Real Rafaela Branco Lopes Corte , Mattos Luísa Granzinolli , Coelho Maria Isabel Fonseca , Jonov Constanza Santos , Machado Luana Gerheim 
Published: August 2024

Introdução: A osteoporose é uma doença osteometabólica caracterizada por diminuição da massa óssea e deterioração da microarquitetura do tecido ósseo com consequente aumento da fragilidade óssea e da susceptibilidade a fraturas. O envelhecimento populacional e o consequente aumento na prevalência de osteoporose se tornaram uma preocupação mundial, já que as fraturas osteoporóticas produzem graves consequências físicas e psicológicas, afetando a qualidade de vida dos pacientes, além de possuir alto impacto socioeconômico para a sociedade. Entre estas, as fraturas de fêmur proximal trazem consigo elevada morbimortalidade. Apesar disso, permanece grande a falha no diagnóstico e tratamento da osteoporose. Muitos pacientes que sofrem fraturas por fragilidade óssea não recebem orientação e tratamento adequados para a doença. Objetivo: Avaliar, através da aplicação de questionários, o grau de conhecimento acerca do diagnóstico e do tratamento da osteoporose em pacientes internados por fratura de fêmur proximal no Hospital e Maternidade Therezinha de Jesus em Juiz de Fora – MG. Métodos: Aplicação individual de dois questionários com perguntas de interesse do estudo no grupo selecionado, sendo o primeiro elaborado pelos pesquisadores, e o segundo o OPAQ (Osteoporosis Assessment Questionnaire), de modo a avaliar os pacientes internados que sofreram fratura do fêmur na extremidade proximal quanto à qualidade de vida e conhecimento sobre diagnóstico e tratamento da osteoporose. Além dos questionários, foram analisados dados dos prontuários de cada participante para fins de complementação das informações médicas. Posteriormente, foram analisadas as respostas dos participantes da pesquisa, com reconhecimento de variáveis que serviram de base para busca em referências da literatura médica. Resultados: Mais da metade (66,67%) dos respondentes não sabem o que é osteoporose, não foram orientados a buscar qualquer avaliação e a fazer qualquer acompanhamento em relação à doença (70%) e, não sabem como é feito o tratamento da mesma (86,6%), não fazendo uso de quaisquer medicamentos para tratamento ou prevenção da Osteoporose (72,41%). Além disso, 90% deles não tiveram qualquer orientação sobre acompanhamento médico da saúde óssea. Conclusão: A ausência de conhecimentos acerca do diagnóstico e tratamento da osteoporose resulta em potenciais riscos evitáveis da ocorrência de novas fraturas em pacientes com fragilidade óssea. Tais conhecimentos devem ser amplamente difundidos e adotados pelos profissionais de saúde em seus cenários de atuação visando à qualidade de vida de seus pacientes.
TDAH em adultos, um diagnóstico ou um início tardio?
Authors: Moraes Ana Paula Fagundes , Vielmo Manuella Kolinski , Kikuchi Thiago Koiti 
Published: August 2024

O transtorno de déficit de atenção e hiperatividade (TDAH) é um transtorno do neurodesenvolvimento com padrão persistente de desatenção e/ou hiperatividade-impulsividade que interfere no funcionamento ou no desenvolvimento, prevalente na infância e adolescência, podendo permanecer até a idade adulta ou ter início tardio. O objetivo deste estudo é empreender uma revisão bibliográfica sobre o transtorno de déficit de atenção e hiperatividade tentando compreender os motivos do diagnóstico tardio nos adultos. Foi realizada pesquisa bibliográfica em bases de dados digitais (UpToDate, Pubmed, Google Acadêmico e Scielo) usando os seguintes descritores: "TDAH", "TDAH no adulto" e "diagnóstico tardio de TDAH", nos idiomas português e inglês. Foram consultadas as diretrizes CID-10 e DSM-5 (realizada pela American Psychiatric Association (APA)) e foram priorizadas as publicações dos últimos 10 anos. Os impactos variam com a idade e podem ser ainda mais expressivos nos adultos, por isso a necessidade de maior treinamento para profissionais de saúde sobre triagem, diagnóstico e tratamento do TDAH em adultos.
Stages and main tasks of the century-long control theory and system identification development. Part VI. Model predictive control
Authors: Gubarev Vyacheslav , Romanenko Viktor 
Published: August 2024

The article is devoted to one of the relatively new areas in the field of control theory and practice, called model predictive control. The ideas underlying it, the connection with the theory of optimal control and numerical methods for solving optimization problems are described. It should be noted that currently the number of problems solved and control systems developed within the framework of this approach has come out on top in comparison with all others. This is evidenced by numerous publications concerning the theory and practical application of control methods and algorithms using a predictive model. The main distinctive feature of this method is that the control is not synthesized in advance, but is calculated directly during the operation of the system, i.e. at the current time. This made it possible, with such control, to implement original feedback that ensures stabilization of the process when the model is inaccurate and there is uncertainty associated with existing disturbances and measurements. It describes how such feedback is organized based on current measurement data. In this case, there is no need to interpret somehow the nature of the disturbances and errors acting on the system. Much attention in the article is paid to the possibilities that are admitted with this method of control. The model predictive control method seems especially attractive for systems with discrete impulse processes that are well described with using cognitive maps. It is considered an example of cognitive modeling of evolutionary demographic processes in Ukraine and the possibility of control them using a predictive model, when the model contains unstable eigenvalues. When solving problems of predictive control, it is proposed to use trajectory models, which directly follow from the Cauchy formula, in particular for discrete systems, instead of a local description in the state space. This makes it possible to take into account, when solving predictive control problems, how well or poorly controlled, observable or identifiable the system is. Non-standard capabilities of this method with a trajectory description appear during terminal control on a sliding interval with a finite horizon. A number of original formulations of terminal control problems are presented in the article and some of their properties are described.
Either a Vector or Vectors?
Authors: Фархадов Р.Я. 
Published: August 2024

Эссе суммирует мнения и подводит итог дискуссии о векторах развития современной музыки. Автор делится впечатлениями о том, сколь сложно начинался проект, когда ряд композиторов отказались в нем участвовать, ссылаясь на неясность сегодняшней ситуации в музыке, и как постепенно число высказавшихся возросло. Фархадов выделяет несколько векторов, намеченных участниками проекта. Особое значение он отводит разговору о мелодии, оперному жанру, понятию эмоции, красоте, рационализму и структурности в современной композиции, вопросам сонористики и микротоники, а также синтетическим, мультимедийным и коммерческим тенденциям нового искусства. В чем-то соглашаясь, в чем-то полемизируя с участниками дискуссии, автор приходит к выводу, что многочисленность течений, разнонаправленность новой музыки — это шанс преодоления «времени перепутья и переоценок» и что именно разновекторность развития и есть стратегия музыки будущего.
The essay summarises and sums up the dis­cussion on the vectors of contemporary music. The author shares his impressions of how difficult the pro­ject started when several composers refused to partici­pate, citing the uncertainty of the current situation in music, and how some of discussants gradually increased. Farkha­dov identifies several vectors outlined by the participants in the project. He gives special importance to the conversation about melody, the opera genre, the notion of emotion, beauty, rationalism and structure in contemporary composition, issues of sonority and microtonics, and synthetic, multimedia and commercial trends in new art. In some ways agreeing and, in some ways, polemicising with the participants of the discussion, the author concludes that the multiplicity and multi-directionality of new music is a chance to overcome the “time of crossroads and reassessments.” And that it is the multi-directionality of development that is the strategy of music of the future.