bluuebunny/crossref_metadata_2025_split huggingface dataset:
Faktor Risiko Distal yang Memengaruhi Anemia pada Anak Usia 6-59 Bulan: Analisis Data Demographic and Health Survey Zimbabwe 2015
Authors: Ariza Nahya Rahmatul , Mahmudiono Trias , Mahmudah  , Melaniani Soenartalina 
Published: August 2024

Latar Belakang: Anemia menjadi salah satu penyebab utama kematian balita di Afrika. Lebih dari sepertiga (37%) anak usia 6-59 bulan di Zimbabwe mengalami anemia. Penyabab kejadian anemia pada anak bersifat multifaktorial, baik penyebab yang berkaitan dengan individu (faktor risiko proksimal) maupun yang tidak berkaitan dengan individu secara langsung (faktor risiko distal).
Tujuan: Penelitian ini bertujuan untuk mengetahui faktor risiko distal yang berhubungan dengan kejadian anemia pada anak usia 6-59 bulan di Zimbabwe.
Metode: Desain studi cross-sectional digunakan pada penelitian ini dengan menganalisis data Demographic and Health Survey (DHS) Zimbabwe Tahun 2015. Total sampel yaitu 4303 rumah tangga yang memiliki anak usia 6-59 bulan dan memenuhi seluruh variabel penelitian. Faktor risiko distal yang menjadi variabel bebas pada penelitian ini ialah kepemilikan lahan, jenis ternak serta dua faktor yang berasal dari hasil uji Principal Component Analysis yaitu sanitasi air dan toilet serta sanitasi bangunan. Analisis univariat dilakukan untuk melihat distribusi frekuensi dari masing-masing variabel, selanjutnya dilakukan analisis bivariat dengan uji chi-square dan mann-whitney untuk mengetahui faktor yang berhubungan secara signifikan dengan kejadian anemia dan uji lebih lanjut dengan regresi logistik sehingga ditemukan variabel yang menjadi faktor risiko maupun faktor protektif terhadap kejadian anemia pada anak usia 6-59 bulan di Zimbabwe.
Hasil: Berdasarkan hasil penelitian ini ditemukan variabel yang berhubungan signifikan dengan kejadian anemia ialah usia, kepemilikan lahan pertanian, jenis ternak, sanitasi air dan toilet serta sanitasi bangunan. Dari beberapa variabel yang menjadi faktor risiko distal ditemukan variabel yang meningkatkan faktor risiko anemia pada anak usia 6-59 bulan yaitu tidak memiliki lahan pertanian (OR=2,84; 95%CI=2,38-3,4; p<0,05), tidak memiliki ternak (OR=1,72; 95%CI=1,48-2; p<0,05) memiliki ternak unggas (OR=1,45; 95%CI=1,2-1,74; p<0,05) serta sanitasi bangunan (OR=1,07; 95%CI=1-1,14; p<0,05). Selain itu pada studi ini ditemukan satu faktor protektif terhadap kejadian anemia pada anak usia 6-59 bulan di Zimbabwe yaitu sanitasi air dan toilet (OR=0,85; 95%CI=0,8-0,91; p<0,05).
Kesimpulan: Penyebab kejadian anemia pada anak usia 6-59 bulan bersifat multifaktorial. Kami menyarankan kepada pemegang kebijakan merencanakan sebuah program yang terintegrasi terkhusus pada bidang pertanian dan peternakan agar setiap rumah tangga memiliki lahan pertanian serta hewan ternak untuk mengurangi kejadian anemia pada anak usia 6-59 bulan di Zimbabwe.
Pemberian Diet Diabetes Melitus Kardiovaskular pada Pasien Diabetes Melitus dengan Pneumonia dan Parkinson: Sebuah Laporan Kasus
Authors: Aurelia Paskahrani Fedra , Pratiwi Azizah Ajeng , Sari Yuyun Eka 
Published: August 2024

Latar Belakang: Diabetes melitus merupakan penyakit yang terjadi akibat gangguan metabolik pada pankreas yang ditandai dengan kadar gula darah dalam tubuh meningkat atau disebut juga dengan hiperglikemia. Adanya riwayat tekanan darah tinggi dapat meningkatkan risiko untuk mengalami keparahan. Seseorang dengan diabetes melitus berisiko lebih tinggi mengalami infeksi. Proses Asuhan Gizi Terstandar (PAGT) dilakukan dengan pemberian diet diabetes melitus kardiovaskular.
Tujuan: Untuk mengetahui tatalaksana asuhan gizi terstandar pada pasien dengan pemberian diet diabetes melitus kardiovaskular pada pasien diabetes melitus dengan pneumonia dan parkinson.
Metode: Studi kasus dilakukan pada bulan Oktober 2022 pada pasien RSI Jemursari Surabaya. Pengambilan sampel menggunakan purposive sampling.
Hasil: Setelah dilakukan monitoring dan evaluasi didapatkan bahwa hasil laboratorium masih dalam angka yang tinggi, fisik/klinis kian membaik, namun kembali muncul nyeri gigi dan sesak nafas yang memberat saat batuk di hari ketiga. Asupan pasien meningkat dari hari ke hari namun masih terdapat beberapa pemenuhan zat gizi makro belum dapat mencapai target (<80%).
Kesimpulan: Pemulihan pasien masih dalam kondisi yang belum cukup baik, hasil pemantauan biokimia dan fisik/klinis masih menunjukkan perubahan yang fluktuatif, namun pada asupan makan terjadi peningkatan.
Analisis Kebutuhan Jumlah Petugas Koding BPJS dengan Metode Analisis Beban Kerja Kesehatan di Rumah Sakit Umum Haji Surabaya
Authors: Lestari Diyan Juli Eka , Chalidyanto Djazully , Rakhmawati Ririn 
Published: August 2024

Latar Belakang: Jumlah berkas klaim BPJS rawat inap sebanyak 13.427 berkas dan rawat jalan sebanyak 139.027 berkas klaim. Artinya rata-rata jumlah berkas klaim rawat jalan yang harus dikerjakan sebanyak 446 bekas per hari dan 43 berkas klaim per hari untuk rawat inap. Sementara untuk jumlah petugas koding yang tersedia sebanyak 6 orang yang terdiri atas 3 Petugas koding rawat jalan dan 3 Petugas koding rawat inap. Banyaknya jumlah berkas klaim yang harus dikerjakan oleh masing-masing petugas koding rawat inap dan rawat jalan menyebabkan petugas koding merasa beban kerjanya berat. Beratnya beban kerja pada petugas koding akan menyebabkan kelelahan pada petugas koding yang berakibat pada kesalahan proses pengklaiman dan berdampak pada adanya pengembalian berkas klaim sebanyak 7.402 atau 4,85% dari total 152.454 berkas klaim. Adanya pengembalian berkas klaim ini menyebabkan target yang telah ditetapkan oleh Rumah Sakit Umum Daerah Haji Surabaya untuk berkas klaim layak bayar sebesar 100,00% tidak tercapai.
Tujuan: Mengetahui kebutuhan jumlah petugas koding di Rumah Sakit Umum Daerah Haji Surabaya.
Metode: Penelitian ini menggunakan data sekunder yang diperoleh dari instalasi pengendali kerjasama dan unit casemix. Data kemudian dianalisis berdasarkan metode Analisis Beban Kerja Kesehatan kemudian disajikan secara deskriptif dalam bentuk tabel dan uraian
Hasil: Rata -rata waktu kegiatan petugas koding rawat jalan adalah 1 sampai 3 menit per kegiatan, sedangka petugas koding rawat inap 2 sampai 8 menit per kegiatan. Standar beban kerja petugas koding rawat jalan adalah 117.180 untuk 3 jenis kegiatan dan 58.590 untuk 1 jenis kegiatan, sedangkan petugas koding rawat inap 14.647 untuk 3 jenis kegiatan, 23.436 untuk 2 jenis kegiatan dan 58.590 untuk satu jenis kegiatan. Standar tugas penujang petugas koding rawat inap maupun rawat jalan adalah 1,072 . Berdasarkan rata-rata waktu kegiatan,standar beban kerja dan standar tugas penunjang tersebut diperoleh hasil perhitungan jumlah kebutuhan petugas koding sebanyak 6 orang untuk rawat jalan dan sebanyak 3 orang untuk rawat inap
Kesimpulan: Jumlah petugas koding yang dibutuhkan untuk rawat jalan sebanyak 6 orang belum sesuai dengan jumlah yang tersedia saat ini sehingga diperlukan penambahan jumlah petugas koding sebanyak 3 orang, sementara untuk petugas koding rawat inap jumlah yang dibutuhkan sebanyak 3 orang sudah sesuai dengan jumlah yang tersedia sehingga tidak memerlukan penambahan ataupun pengurangan jumlah petugas koding
Peramalan Jumlah Kasus Baru Covid-19 di Kota Malang: Kajian dengan Analisis Time Series Metode Exponential Smoothing
Authors: Ulya Dinana Izzatul , Mahmudah  , Notobroto Hari Basuki 
Published: August 2024

Latar Belakang: COVID-19 merupakan penyakit yang disebabkan oleh virus corona dan menimbulkan gejala utama berupa gangguan pernapasan. Kasus COVID-19 di Indonesia pertama kali terjadi pada bulan Maret 2020. Melakukan Forecasting kasus COVID-19 menjadi penting dilakukan, untuk menentukan strategi yang tepat dalam menanggulangi penularan COVID-19 lebih luas. Analisis time series merupakan salah satu analisis statistika yang dapat melakukan peramalan dengan sangat akurat, dengan mempertimbangan pola data sebelumnya. Metode Exponensial Smooting adalah salah satu metode yang dikembangkan dalam analisis time series.
Tujuan: Tujuan dari penelitian ini yaitu melakukan forecasting kasus COVID-19 di Kota Malang.
Metode: Penelitian ini dilakukan di Dinas Kesehatan Kota Malang dengan mengambil data sekunder, yaitu data bulanan jumlah kasus COVID-19 Maret 2020 sampai dengan bulan Agustus 2022.
Hasil: Berdasarkan hasil penelitian, menunjukkan bahwa diperoleh jumlah kasus baru pada bulan September – Desember 2022 sebesar 856. Model Single Exponensial Smooting yang dihasilkan dalam model matematis Lt = (0,0177)Yt + (0,9823)Lt-1.
Kesimpulan: Jumlah kasus baru COVID-19 di Kota Malang menunjukkan adanya fluktuasi dari tahun 2020-2022. Metode Single Exponensial Smooting menjadi metode yang tepat dalam peramalan penelitian ini.
Analysis of Implementation of Doctor's Practice Licensing Policy in 2021: Qualitative Study
Authors: Sholihah Enny Mar'atus , Ramadhan Syahrul , Ramadhania Farhaiza , Pradhana Andrea Thrisiawan 
Published: August 2024

Background: Based on the Regulation of the Minister of Health of the Republic of Indonesia Number 2052/Menkes/Per/X/2011 concerning License to Practice and Implementation of Medical Practice states that doctors and dentists who already have a License to Practice (SIP) and provide medical services or provide expertise consultation in the event requested by a health service facility. However, there is a problem that some practices do not have a SIP.
Objectives: This study aims to evaluate the license policy of doctors to practice in Bekasi using the van meter van horn approach
Methods: This qualitative research is descriptive evaluative with a case study research design. The research location is in Bekasi Regency. Policy evaluation uses van meter van horn approach by identifying several aspects, namely performance indicators, human resources, clarity of purpose, accuracy and consistency of communication, bureaucratic structure, understanding of policies and responses to policies, social influences, political influences and economic influences on the implementation of medical practice licenses in Bekasi Regency.
Results: Results obtained by 12 informants from different agencies. Performance indicators show that licensing carried out by the Investment and One-Stop Integrated Services Agency (DPMPTSP) takes a long time. In terms of human resources, almost all informants stated that there was a difference between HR needs between before and during Covid. Communication indicators show that there are obstacles in the form of double communication. Policy indicators obtained results that have been carried out well and there is no policy rejection given by the government. Meanwhile, it was found that there was no social, economic and political influence with the implementation of the current policy.
Conclusion: The performance indicators of the Hospital doctor's license are clear, the performance achievement of the doctor's practice license policy is good, but in the implementation of the doctor's practice license, the obstacle faced is the lack of implementing human resources.
Pengaruh Sosio Budaya dalam Pemberian ASI Eksklusif dan MP-ASI Dini Dikaitkan dengan Status Gizi pada Anak Usia 6-23 Bulan di Wilayah Kerja Puskesmas Banyuanyar Kabupaten Sampang
Authors: Mahsusoh Anna , Sari Adelia Perwita , Nurmala Ira , Soedirham Oedojo 
Published: August 2024

Latar Belakang: Penyalahgunaan narkoba merupakan masalah kesehatan masyarakat global yang semakin banyak dilakukan oleh kaum muda. Amanat Undang-Undang Nomor 35 Tahun 2009 tentang Narkotika mewajibkan penyalahguna untuk mengakses layanan rehabilitasi. Yayasan PLATO menggunakan istrumen Addiction Severity Index (ASI) dalam proses layanan rehabilitasi ketergantungan narkoba.
Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui perubahan yang terjadi pada klien rehabilitasi Yayasan PLATO melalui instrumen ASI.
Metode: Penelitian ini menggunakan pendekatan cross sectional. Besar sampel merupakan total populasi penelitian yang berjumlah 69 responden. Data yang digunakan adalah data sekunder dari Laporan Layanan Rehabilitasi Institusi Penerima Wajib Lapor (IPWL) Yayasan PLATO tahun 2021. Analisis data menggunakan uji Wilcoxon Signed Ranks Test untuk melakukan uji beda sebelum dan setelah mendapatkan layanan rehabilitasi dengan nilai signifikansi 0.05
Hasil: Penelitian menunjukkan 6 domain ASI yaitu status medis, pekerjaan/dukungan, penggunaan narkoba, status hukum, keluarga/sosial dan status psikiatris mempunyai nilai P <0,05 yang berarti ada perbedaan sebelum dan setelah menjalani layanan rehabilitasi.
Kesimpulan: Penyalahguna narkoba yang mengikuti rehabilitasi di Yayasan PLATO mengalami perkembangan pemulihan yang positif. Masalah di setiap domain ASI mengalami penurunan. Dukungan keluarga dan lingkungan sosial diperlukan untuk menjaga mereka tidak kembali menyalahgunaan narkoba.
Exploring Air Quality Forecasting: Methods,Insights, and Discoveries
Authors: V Sanjana , R Mohammed Hasan Mustafa , s pushparani 
Published: August 2024

Abstract

This research is dedicated to advancing air quality forecasting through state-of-the-art neural network models. Our focus lies in Tamil Nadu's environmental data, with a specific emphasis on predicting Respirable Suspended Particulate Matter (RSPM) concentrations, a crucial air quality indicator in the region. Our approach utilizes historical data for SO2 and NO2 as input variables. The core of our methodology comprises a four-layered neural network trained using the back-propagation algorithm. This model effectively predicts RSPM content based on SO2 and NO2 levels. The results from our models highlight the effectiveness of Artificial Neural Networks in analyzing and predicting air quality ,offering valuable contributions to both research and practical applications in the field.
The role of preoperative immunonutrition on morbidity and immune response after cystectomy: protocol of a multicenter randomized controlled trial (INCyst Trial)
Authors: Derré Laurent , Crettenand Francois , Grilo Nuno , Stritt Kevin , Kiss Bernhard , Tawadros Thomas , Domingos-Pereira Sonia , Roth Beat , Cerantola Yannick , Lucca Ilaria 
Published: August 2024

Abstract

Introduction
Cancer, malnutrition, and surgery negatively impact patient’s immune system. Despite standardized surgical technique and the development of new perioperative care protocols, morbidity after cystectomy remains a serious challenge for urologists. Most common postoperative complications, such as infections and ileus, often lead to longer length of stay and worse survival. The immune system and its interaction with the gut microbiota play a pivotal role in cancer immunosurveillance and in patient’s response to surgical stress. Malnutrition has been identified as an independent and modifiable risk factor for both mortality and morbidity. Immunonutrition (IN) may improve the nutritional status, immunological function, and clinical outcome of surgical patients. Aims of the study are 1) to evaluate the impact of IN on morbidity and mortality at 30 and 90 days after cystectomy, 2) to determine immune and microbiota signature that would predict IN effect.
Methods
This is a randomized, multicentric, controlled, pragmatic, parallel-group comparative study, supported by the Swiss National Science Foundation. A total of 232 patients is planned to be enrolled between April 2023 and June 2026. Three participating centers (Lausanne, Bern and Riviera-Chablais) have been selected. All patients undergoing elective radical and simple cystectomy will be randomly assigned to receive seven days of preoperative IN (Oral Impact®, Nestlé, Switzerland) versus standard of care (control group) and followed for 90 days after surgery. For the exploratory outcomes, blood, serum, urine, and stool samples will be collected in patients treated at Lausanne. In order to determine the impact of IN on immune fitness, patients enrolled at Lausanne will be vaccinated against influenza and the establishment of the vaccine-specific immune response will be followed. Analysis of the microbiota and expression of Argininosuccinate synthetase 1 as potential biomarker will also be performed.
Discussion and Conclusion
Strengths of the INCyst study include the randomized, multicenter, prospective design, the large number of patients studied and the translational investigation. This study will challenge the added value of preoperative IN in patients undergoing cystectomy, assessing the clinical effect of IN on the onset of post-operative morbidity and mortality after cystectomy. Furthermore, it will provide invaluable data on the host immune response and microbiota composition.
Trial registration: ClinicalTrials.gov (NCT05726786)
Frequency of Emergency Medical Service contacts after hospital admissions
Authors: Sigvardt Emilie , Olsen Markus Harboe , Folke Fredrik , Aasvang Eske Kvanner , Meyhoff Christian Sylvest 
Published: August 2024

Abstract

Background
Identifying frequent users of Emergency Medical Services (EMS) in the post-discharge period can potentially direct interventions to prevent deterioration at home. This study aimed to describe the frequency of post-discharge emergency phone calls within 30 days after common medical and surgical categories of hospital admission.
Methods
A retrospective cohort study retrieved data from the electronic medical record and the EMS Capital Region Denmark database after approval by the Danish Health Data Authority. The study aimed to investigate number of 30-day EMS calls per 1,000 days alive outside hospital in patients hospitalized due to acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and colorectal surgery as compared to 18 other disease categories. We hypothetized that patients discharged after hospitalization for AECOPD or colorectal surgery had higher number of EMS calls than the remaining categories.
Results
We included 16,338 patients with a discharge from hospital between August 2021 and August 2022.The overall number of EMS calls was 4,263 with 9.1 (95% confidence interval (95%CI)): 8.8 to 9.4) calls per 1,000 patient days within 30 days. Patients discharged after hospitalization due to AECOPD contacted EMS 14.9 (95%CI: 13 to 16) times per 1,000 patient days. Patients undergoing colorectal surgery had an EMS call frequency of 7.5 (95%CI: 6.4 to 8.7) calls per 1,000 patient days.
Conclusion
Patients discharged after hospitalization due to AECOPD had a higher 30-day EMS call frequency compared with other medical cohorts, whereas a more even pattern of contacts was seen after discharge from various surgical admissions.
mRNA Expression and genetic polymorphisms affecting DRD3 (rs6280) and HTR2A (rs6313) in bruxism
Authors: Gassara Yosra , Foddha Hajer , Chouchene Saoussen , Nasri Sarra , Kallala Rim , Khelil Amel Haj , Hassin Mohsen , Abdennebi Hassen Ben , Harzallah Belhassen 
Published: August 2024

Abstract

Background:
Bruxism, a condition characterized by the involuntary grinding or clenching of teeth, is influenced by a combination of genetic, psychological, and environmental factors. This study aimed to evaluate the influence of genetic polymorphisms affecting DRD3 (rs6280) and HTR2A (rs6313) on bruxism and to investigate the expression of HTR2A and DRD3 to elucidate their biological significance in bruxism.
Methods:
A cross-sectional study was conducted with 169 participants, including 87 controls and 82 bruxism cases. Genotyping for DRD3 (25G>A; rs6280) and HTR2A (102C>T; rs6313) was performed using PCR-RFLP analysis. Total RNA was extracted to assess changes in the expression of HTR2A and DRD3.
Results:
The study found a significant association between bruxism and the rs6313 polymorphism of the HTR2A gene (p= 0.004; OR= 1.89 [1.23-2.92]), with the T allele associated with a increased risk of bruxism. Additionally, increased HTR2A mRNA expression was observed in individuals with bruxism. While no statistically significant differences were found in the distribution of DRD3 rs6280 genotypes between control and case groups, the presence of the C allele may be associated with a higher susceptibility to developing sleep bruxism. Furthermore, decreased DRD3 mRNA expression was observed in individuals with bruxism.
Conclusions:
The findings suggest a significant association between bruxism and the rs6313 polymorphism of the HTR2A gene. Additionally, increased HTR2A and decreased DRD3 mRNA expression were observed in individuals with bruxism, indicating the complex interplay between genetic factors and bruxism etiology.
Clinical Significance: This study elucidates the genetic basis of bruxism, indicating a potential role of serotonin and dopamine signaling in its pathogenesis. Understanding genetic predisposition could aid in early detection, risk assessment, and targeted treatment development.
Clinicaltrials.gov registration number NCT06457646, 8th June 2024.
Prioritization of industrial energy efficiency techniques using TOPSIS model
Authors: Demirel Yunus Emre , Yesil Elif Simsek , Ozturk Pınar Hasanoglu , Ozturk Emrah , Kitis Mehmet 
Published: August 2024

Abstract

One of the challenges in deciding on industrial cleaner production implementations is the selection of the proper technique. This study presents a new approach to the selection of energy efficiency (EE) techniques employing the “Technique for Order of Preference by Similarity to Ideal Solution” (TOPSIS) model. Although the TOPSIS model has been used for various decision-making processes in some other sectors, it was not specifically used for the prioritization of EE techniques before. This model was applied for the first time in an integrated home textile enterprise. Initially, a wide list of best available techniques (BATs) and other measures were prepared to achieve electricity and thermal EE in the enterprise. TOPSIS analysis results indicated that out of this wide list, only seven of the techniques should be further investigated. These techniques can be listed as monitoring fabric moisture and optimizing passage speed in the stenters, control of recirculated air in stenters, process optimization in finishing processes, modification of the humidification-ventilation system, optimization of indoor lighting, establishing an energy monitoring system, insulation of pipe, valves, and tanks. Reductions in air emissions, and energy consumptions (electricity, steam natural gas) were calculated based on each EE technique. Ultimately, following potential reductions were calculated: 2.2–3.5% in electricity, 0.5–1.5% in steam, 6.3–13.5% in natural gas, and 8-16.5% in air emissions. Potential payback periods of the priority EE techniques were calculated as less than 40 months. TOPSIS model provided an effective roadmap in the selection of EE techniques and by this model, industries may save time and effort during decision-making for cleaner production investments. Furthermore, the TOPSIS model will also help the decision of optimum techniques to be implemented in the enterprise, providing economical savings and environmental performance improvement.