bluuebunny/crossref_metadata_2025_split huggingface dataset:
Case report: Rare case of a traumatic isolated rupture of the conoid ligament
Authors: Ganda Janesh , Roche Stephen , Scheepers Shaun 
Published: July 2024

Acromioclavicular (AC) joint injuries can involve disruption of the AC and coracoclavicular ligaments. We report a case in aprofessional rugby player of an isolated disruption of the conoid ligament with no injury to the AC and trapezoid ligaments. A 24-year-old professional rugby player fell onto his outstretched hand, injuring his right shoulder. The differential diagnosis was an AC joint injury, coracoid fracture, stress fracture of the coracoid process, or subtle clavicle fracture, which could not be diagnosed on plain film X-ray. An MRI confirmed an isolated rupture of the conoid ligament. No injury to the AC ligament or trapezoid was identified. Five weeks after the injury, the patient returned to full contact training and match play. This case demonstrates that in AC joint injuries, it is possible that the trapezoid ligament and conoid ligament are not simultaneously disrupted, and management is per a Grade II/III AC joint injury.
Possibilities of using the accelerated rehabilitation program (ERAS) for gastric cancer in elderly patients
Authors: Khlobystin R. Yu. , Kukosh M. Yu. , Ter-Ovanesov M. D. 
Published: July 2024

The aim of this work is to evaluate the possibility of implementing the concept of enhanced recovery after surgery (ERAS) in perioperative treatment of an 80-year-old female patient with gastric stump carcinoma.Analysis of the clinical case and available literature data was performed. The concept of ERAS demonstrates its effectiveness not only in standard oncosurgical practice, but also can be successfully extended to difficult clinical situations including in elderly patients. However, personalized approach to development of a specific ERAS protocol is necessary taking into account surgery volume, concomitant pathology and individual patient characteristics.The use of individually selected points of the ERAS protocol taking into account oncological diagnosis, comorbidity, the type and technical features of the upcoming operation make the surgical stage of treatment not only safe, devoid of postoperative complications, but also more comfortable for the patient, positively affecting their quality of life. Оur experience can be successfully applied in real clinical practice.
Earthquake Detectability and Depth Resolution with Dense Arrays in Long Beach, California: Further Evidence for Upper-Mantle Seismicity within a Continental Setting
Authors: Inbal Asaf , Ampuero Jean-Paul , Clayton Robert 
Published: July 2024

Abstract
The Newport–Inglewood fault (NIF) is a slowly deforming fault cutting through a thin continental crust with a normal geothermal; yet it hosts some of the deepest earthquakes in southern California. The nucleation of deep earthquakes in such a continental setting is not well understood. Moreover, the deep seismogenic zone implies that the maximum NIF earthquake magnitude may be larger than expected. Here, we quantify the resolution of the Long Beach (LB) and the Extended Long Beach (ELB) dense arrays used to study deep NIF seismicity. Previous study of the regional catalog and of downward-continued LB array data found NIF seismicity extending into the upper mantle beneath LB. Later studies, which analyzed the ELB raw data, found little evidence for such deep events. To resolve this inconsistency, we quantify the array’s microearthquake detectability and resolution power via analysis of pre- and postdownward migrated LB seismograms and benchmark tests. Downward migration focuses energy onto the source region and deamplifies the surface noise, thus significantly improving detectability and resolution. The detectability is also improved with the increase in the array aperture-to-source-depth ratio. The LB array maximum aperture is only 20% larger than the ELB aperture, yet its resolution for deep (&gt;20 km) events is improved by about a factor of two, suggesting that small changes to the array geometry may yield significant improvement to the resolution power. Assuming a constant aperture, we find the LB array maintain resolution with 1% of its sensors used for backprojection. However, the high-sensor density is essential for improving the signal-to-noise ratio. Analysis of the regional and array-derived NIF catalogs together with newly acquired Moho depths beneath the NIF suggests that mantle seismicity beneath LB may be a long-lived feature of this fault.
Reactivated Seismogenic Faults and Earthquake Source Mechanisms in the Snyder Area of Texas
Authors: Huang Guo-Chin Dino , Savvaidis Alexandros 
Published: July 2024

Abstract
Stretching across New Mexico and Texas of the United States, the greater Permian basin is composed of two subunits—the Delaware and the Midland basins. Induced seismicity in the greater Permian basin has significantly increased since 2008, which has revealed previously unmapped seismogenic structures in several geographic regions. Among them, the Snyder area of northwest Texas has a long history of oil and gas activities, resulting in a higher rate of induced seismicity. In this study, we investigated these previously unknown seismogenic structures using three main approaches: (1) relocated and delineated seismicity, (2) performed waveform moment tensor inversion to determine earthquake source mechanisms, as well as (3) conducted stress inversion to assess the stress state. The results show that the overall depth range of seismicity is 0–5.5 km and concentrated in a range of 2–3 km below mean sea level, in the top portion of the crystalline basement. As we have determined 297 source mechanisms, their collective pattern presents a mix of strike-slip and normal faulting, suggesting an extensional strain field at the edge of the Midland basin. We have identified nine significant seismogenic episodes by distinctive increases of seismic moment release in 2017–March 2024. The results also demonstrate a temporal variation of b-value spanning across the seismogenic episodes, associated with the progression of fault reactivation initiated by fluid injection.
Memories of the 1989 Loma Prieta Earthquake
Authors: Bakun William H. 
Published: July 2024

Abstract
The 17 October 1989 M 6.9 Loma Prieta earthquake was the most significant earthquake to impact the San Francisco Bay region since 1906. It occurred 26 min before the scheduled start of the third game of the World Series between the San Francisco Giants and their across-the-bay rivals, the Oakland A’s. Those watching the pregame TV broadcasts from north of San Francisco saw the impacts of the strong shaking at Candlestick Park well before the shaking hit them—a clear demonstration of the physics underlying earthquake early warning systems: electromagnetic transmission is about 100,000 times faster than the propagation of seismic waves through the earth. Every earthquake is different, with unique features, and the Loma Prieta earthquake was unique in many respects. This article describes some of those unique aspects from the perspective of the Seismology Branch of the U.S. Geological Survey, located in Menlo Park, California, roughly midway between the epicenter and Candlestick Park.
Brain tumours in the Western Cape Province of South Africa: A plea for a dedicated brain tumour registry in Africa
Authors: Basson Dion , Schutte Clara , van Coller Riaan , Gould Trevor 
Published: July 2024

AbstractBackground:Epidemiological data on brain tumours provides valuable insight into risk factors, treatment modalities and prognoses of these tumours. Despite abundant epidemiological data from brain tumour registries in high-income countries, a critical data gap persists in low- and middle-income countries.Aim:The aim of this study was to report on the epidemiology of brain tumours in South Africa's Western Cape province.Methods:This retrospective study collected data from the National Health Laboratory Services database housed in the public healthcare sector in the Western Cape Province of South Africa. All pathology reports over 2 years (January 2018 to December 2019) that included the term “brain” or equivalent terms were analyzed to compile the epidemiological dataset.Results:The dataset yielded 505 patients with brain tumours, with a mean age at diagnosis of 44 years (range: 0–82 years). A noteworthy subset (16%) of primary tumours occurred in individuals under 20 years of age. The top three primary tumour diagnoses in the study were gliomas, glioneuronal and neuronal tumours, meningiomas and pituitary tumours. Secondary brain tumours (18%) constituted a significant proportion of brain tumours, with lung and breast being the most common primary sites. Comparison with registries and audits from both high- and low-income countries revealed South Africa's unique landscape; ependymal tumours exhibited a substantial proportion, while nerve sheath tumours displayed a reduced proportion.Conclusion:This study offers a unique perspective on brain tumour epidemiology in South Africa's Western Cape Province. It reports on unique trends and emphasizes the feasibility and necessity of establishing a dedicated brain tumour registry.
Prostate Cancer Screening Guidelines: To PSA or Not to PSA?
Authors: Badenhorst Anja , John Jeff , Perera Marlon , Adam Ahmed 
Published: July 2024

Abstract
Prostate cancer (PCa) screening with PSA (prostate-specific antigen) remains controversial. PSA is specific to the organ but not to cancer, and different benign conditions can influence the value, which may lead to false-positive results. Treatment with 5α-reductase inhibitors decreases the PSA value, and therefore, it is vital to have a baseline PSA before initiating therapy and to correct the value when screening for PCa. Shared-decision making is critical before subjecting a patient to PSA screening. Trends are moving towards a risk-adapted approach where different biomarkers and risk calculators play a role. This review will outline the controversy of PSA screening, the current guidelines of PSA screening, and discuss its future. Until the novel biomarkers have outperformed PSA as the first line of screening, it should not hinder screening for clinically significant PCa.
EDUCATION'S ROLE IN PRIMARY HEALTHCARE UTILIZATION AMONG OLDER PEOPLE IN INDONESIA
Authors: Laksono Agung Dwi , Wulandari Ratna Dwi , Zuardin Zuardin , Rohmah Nikmatur 
Published: July 2024

Introduction: The current situation shows that life expectancy is increasing, so the population of older people is also growing. As a vulnerable group, more senior people desperately need primary health care, and barriers to accessing services will increase vulnerability.
Aim: The study aimed to investigate the impact of education on primary healthcare utilization among older people.
Methods: This cross-sectional study examined 52,893 older people. It employed primary healthcare utilization as an outcome variable and education level as an exposure variable. Furthermore, the study used eight control variables: residence type, age group, gender, marital status, wealth, time travel to primary healthcare, and health insurance. We employed binary logistic regression to examine the data.
Results: The study showed that older adults with primary education were 1.050 times more likely than those without to utilize primary healthcare (95% CI 1.046-1.054). Older people with secondary education were 0.643 times less likely to use primary healthcare than those without (95% CI 0.638-0.649). Older adults with secondary education were 0.378 times less likely than those without to use primary healthcare (95% CI 0.372-0.383). Furthermore, the study indicated that all control variables were significantly related to direct healthcare utilization.
Conclusion: The study concluded that education level influences primary healthcare utilization among older people in Indonesia.
Keywords: elderly people, education, primary healthcare, healthcare evaluation, healthcare access, public health
PROVISION OF LACTATION CLINIC IN COMPANIES IN SEMARANG CITY: A REVIEW OF POLICY IMPLEMENTATION
Authors: Khalishah Jihan Nurul Qamariah , Sriatmi Ayun , Budiyanti Rani Tiyas 
Published: July 2024

Background: As of 2022, Semarang City has 4,083 companies. However, according to the Labor Office of Semarang City, only 109 out of 529 companies provide lactation clinics. In addition, based on previous research in Pedurungan, Semarang City, most of the women (83,3%) who work do not practice exclusive breastfeeding (EBF), one reason being the lack of lactation clinics in companies.
Aims: This study examines the implementation of lactation clinic policies in companies in Semarang City.
Methods: This study used a qualitative method with a descriptive approach. The research variables included effectiveness, consistency, relevance, organizational structure, resources, sociocultural environment, economic environment, organizational culture, geographic environment, knowledge and skills, communication, and political support. Informants were selected based on purposive criteria, involving eight key informants and 18 supporting informants from eight companies in Semarang City.
Results: Lactation clinic policies were ineffective because companies were unaware of their contents and perceived them as recommendations only. On the contrary, working mothers who breastfed recognized the benefits of the policies and considered them relevant. Three out of eight companies provided lactation clinics. The people in charge had yet to be appointed due to the different capacities of the companies. Due to a lack of support from the sociocultural environment, working mothers needed more awareness of the importance of breastfeeding. However, the companies' economic and geographic environments and organizational culture were relatively favorable. Meanwhile, adequate dissemination could have helped communication. In addition, most companies do not provide lactation clinics or recommend formula milk.
Conclusion: The current policies have not adequately supported the provision of lactation clinics in companies in Semarang City. To address this issue, lactation clinics should be classified according to the companies' capacities. It is also necessary to develop a leading sector that is transparent and responsible for supervising the provision of lactation clinics.
Keywords: exclusive breastfeeding in workplace, lactation clinic, policy implementation
HEALTH ADVERTISING ON INSTAGRAM: IS IT EFFECTIVE WHILE FOLLOWING ETHICAL GUIDELINES?
Authors: Alhudha Anky Angga , Setyonugroho Winny , Pribadi Firman 
Published: July 2024

Background: Given the popularity of digital marketing in business today, every hospital can start utilizing it by establishing a social media account. Instagram is a social media platform that focuses on photographs. The AISAS (Attention, Interest, Search, Action, and Share) model can be used to assess the efficacy of marketing communications. Regardless, there are issues regarding legal and ethical issues. Therefore, a question emerges: How can health advertisements be effective while following ethical guidelines?
Aims: The purpose of this research is to analyze the content of healthcare advertisements on Instagram
Methods: This study uses the quantitative descriptive content analysis method. The samples are Instagram advertisements for health services. Search them using the hashtags (#) #dokterjogja, #klinikjogja, #klinikyogyakarta, and #rumahsakitjogja. Using convenience sampling, the researcher randomly scrolls and stops on Instagram. The data were assessed by two coders using a checklist to ensure objectivity. The checklist contains three indicators, in this case, the AIA (Attention, Interest, Action) indicator, and the other indicators were obtained from the Regulation of the Minister of Health of the Republic of Indonesia (PERMENKES) number 1787 of 2010
Results: The highest score of the AIA (Attention, Interest, Action) indicator is 12, and there are a total of 34 advertisements (coder 1), and 84 advertisements (coder 2) violate The Regulation of the Minister of Health (PERMENKES) No.1787/2010
Conclusion: This study finds that effective advertising is almost certain to violate the regulation. An educational health information advertisement that introduces the services provided is a good way to promote healthcare providers while remaining ethical.
Keywords: advertising, AISAS, ethics, health, social media
ANALYSIS OF THE MARKET STRUCTURE OF HOSPITAL INDUSTRY IN INDONESIA
Authors: Emma Rachmawati  , Yuyun Umniyatun  , Deni Wahyudi Kurniawan  , Mochamad Iqbal Nurmansyah  , Mukhaer Pakkanna  , Husnan Nurjuman  , Slamet Budiarto  , Virgo Sulianto Gohardi  
Published: July 2024

Background: Over the past decade, private investments in health care including hospital have grown significantly, more than doubling. As the number of hospitals in Indonesia increases, a competitive business environment develops. Identifying hospital market structure can help various stakeholders to optimize the hospital's performance.
Aims: This study analyzed the market structure and concentration of the hospital industry in Indonesia.
Methods: This study used hospital characteristics data from Ministry of Health of Indonesia that retrieved in October 2020. Market concentration is determined by the number of industry players operating in a market, the distribution of services, and the types of services offered. The hospital market concentration was identified by measuring the Concentration Ratio (CR) and the Herfindahl–Hirschman index (HHI).
Results: The results showed that the market share of hospitals in Indonesia was still dominated by government hospitals, which represent 51.4% of the market share. The concentration ratio of four companies (CR4) remains <40, indicating that competition remains relatively open among private hospitals at the national level.
Conclusion: Several cities have established hospital markets that are characterized by robust competition, whereas in other cities, the hospital industry remains oligopolistic or monopolistic. It is important to note, however, that this does not imply that the market structure is ineffective on account of competition; rather, it is the result of a scarcity of hospitals in a number of Indonesian cities.
Keywords: Concentration ratio, Economic competition, Herfindahl–Hirschman Index, Hospital market
HEALTH FINANCING ANALYSIS OF MINIMUM SERVICE STANDARDS IN THE HEALTH SECTOR
Authors: Risdiyanti Arie , Paramu Hadi , Sunarto Sunarto 
Published: July 2024

Background: This research focuses on health financing Minimum Service Standards (MSS) in the health sector in Lumajang Regency, Indonesia, spanning 2019 to 2022. Despite the government's emphasis on Health MSS, disparities in service access and health conditions persist across different regions.
Aims: The research aims to provide insights into the effectiveness of health financing, serving as a foundation for policy recommendations to enhance the efficiency and effectiveness of health fund allocation in Lumajang Regency.
Methods: The research employs a quantitative descriptive approach, utilizing DHA and CBA. The study also investigates the budget allocation for MSS Health services.
Results: The findings of the research reveal that the realization of Local Original Revenue (LOR) in the Health sector tends to fall below targets. Non-Physical DAK dominate the funding sources in Community Health Centers (Puskesmas). Maternal health services receive the highest MSS Health budget allocation, but the spending proportion relative to total health expenditure is decreasing.
Conclusion: The research underscores the importance of addressing disparities in health financing and service access in Lumajang Regency. Recommendations include the diversification of funding sources, optimization of financing at the Puskesmas level, and a reevaluation of the budget allocation for maternal health services.
Keywords: CBA, DHA, health financing analysis, minimum service standards
Peningkatan Derajat Kesehatan Melalui Pemeriksaan Kecacingan Dan Penyuluhan PHBS Berbasis Budaya Lokal di Sungai Tabuk
Authors: Nurmansyah Dian , Muslim Abdul Aziz , Aji Ifan Anom Buntoro 
Published: July 2024

Kecacingan adalah masalah kesehatan yang umum terjadi pada anak-anak usia sekolah dasar di berbagai negara, terutama di daerah dengan sanitasi yang buruk. Kecacingan disebabkan oleh infeksi cacing usus, seperti cacing gelang (Ascaris lumbricoides), cacing cambuk (Trichuris trichiura), dan cacing tambang (hookworms). Anak-anak usia sekolah dasar lebih rentan terhadap infeksi cacing karena mereka cenderung bermain di tanah, kurangnya pengetahuan tentang praktik kebersihan, serta sistem kekebalan tubuh yang masih berkembang. Tujuan kegiatan adalah mengukur pengetahuan tentang perilaku hidup bersih dan sehat serta resiko infeksi kecacingan. Metode pelaksanaan kegiatan meliputi tahap persiapan, pelaksanaan dan evaluasi hasil. Kegiatan pengabdian kepada masyarakat dilaksanakan di Desa Sungai Pinang Lama, Kecamatan Sungai Tabuk. Hasil kegiatan didapatkan peningkatan pengetahuan responden sebanyak 12.3 % dan ditemukan 3 kasus positif kecacingan golongan soil transmitted helmints pada responden anak usia sekolah dasar di MI Darul Aman Desa Sungai Pinang Lama. Kata Kunci: Kecacingan, Pengetahuan PHBS, Soil Transmitted HelmintsWorms infections are a common health problem in elementary school-aged children in various countries, especially in areas with poor sanitation. Wormworms are caused by intestinal worm infections, such as roundworms (Ascaris lumbricoides), whipworms (Trichuris trichiura), and hookworms. Elementary school age children are more susceptible to worm infections because they tend to play in the dirt, lack knowledge about hygiene practices, and their immune systems are still developing. The aim of the activity is to measure knowledge about clean and healthy living behavior and the risk of worm infections. The method of implementing activities includes preparation, implementation and evaluation of results. The activitty was held in Sungai Pinang Lama village, Sungai Tabuk District on 2024. The results of the activity showed that respondents' knowledge increased by 12.3% and 3 positive cases of soil transmitted helminths were found among elementary school age children at MI Darul Aman, Sungai Tabuk Village.