bluuebunny/crossref_metadata_2025_split huggingface dataset:
From bench to policy: a critical analysis of models for evidence-informed policymaking in healthcare
Authors: Jabali Seyyed Hadi , Yazdani Shahram , Pourasghari Hamid , Maleki Mohammadreza 
Published: March 2024

BackgroundThe use of research evidence in policy making is a complex and challenging process that has a long history in various fields, especially in healthcare. Different terms and concepts have been used to describe the relationship between research and policy, but they often lack clarity and consensus. To address this gap, several strategies and models have been proposed to facilitate evidence informed policy making and to identify the key factors and mechanisms involved. This study aims to critically review the existing models of evidence informed policy making (EIPM) in healthcare and to assess their strengths and limitations.MethodA systematic search and review conducted to identify and critically assess EIPM models in healthcare. We searched PubMed, Web of Science and Scopus databases as major electronic databases and applied predefined inclusion criteria to select the models. We also checked the citations of the included models to find other scholars’ perspectives. Each model was described and critiqued each model in detail and discussed their features and limitations.ResultNine models of EIPM in healthcare were identified. While models had some strengths in comprehension, flexibility and theoretical foundations, analysis also identified limitations including: presupposing rational policymaking; lacking alternatives for time-sensitive situations; not capturing policy complexity; neglecting unintended effects; limited context considerations; inadequate complexity concepts; limited collaboration guidance; and unspecified evidence adaptations.ConclusionThe reviewed models provide useful frameworks for EIPM but need further improvement to address their limitations. Concepts from sociology of knowledge, change theory and complexity science can enrich the models. Future EIPM models should better account for the complexity of research-policy relationships and provide tailored strategies based on the policy context.
Proteomic analysis of the serum in dogs with pulmonary hypertension secondary to myxomatous mitral valve disease: the preliminary study
Authors: Sakarin Siriwan , Rungsipipat Anudep , Roytrakul Sittiruk , Jaresitthikunchai Janthima , Phaonakrop Narumon , Charoenlappanit Sawanya , Thaisakun Siriwan , Surachetpong Sirilak Disatian 
Published: March 2024

BackgroundPulmonary hypertension (PH) is a common complication in dogs with myxomatous mitral valve disease (MMVD), characterized by elevated blood pressure in pulmonary artery. Echocardiography is a reliable technique for PH diagnosis in veterinary medicine. However, it is limited to use as an early detection method. Liquid chromatography–tandem mass spectrometry (LC–MS/MS) has found extensive application in the discovery of serum protein biomarkers for various diseases. The objective of this study was to identify serum proteins in healthy control dogs and MMVD dogs both with and without PH using LC–MS/MS.Materials and methodsIn this research, a total of 81 small-breed dogs participated, and they were categorized into three groups: the control (n = 28), MMVD (n = 24) and MMVD+PH (n = 29) groups. Serum samples were collected and analyzed by LC–MS/MS.ResultsDifferentially expressed proteins were identified, and the upregulated and downregulated proteins in MMVD+PH group including Myomesin 1 (MYOM1) and Histone deacetylase 7 (HDAC7), Pleckstrin homology domain containing M3 (PLEKHM3), Diacylglycerol lipase alpha (DAGLA) and Tubulin tyrosine ligase like 6 (TTLL6) were selected as proteins of interest in MMVD dogs with PH.ConclusionDifferent types of proteins have been identified in healthy dogs and MMVD dogs with and without PH. Additional studies are needed to investigate the potential of these proteins as biomarkers for PH in dogs with MMVD.
GAMBARAN PENGETAHUAN WANITA USIA SUBUR TENTANG MENOPAUSE DINI
Authors: Selvia Selvia , Husni Achmad , Meilianingsih Lia , Suheti Tati , Susanti Susi 
Published: March 2024

ABSTRACT

humans who experience various processes of growth and gradual development during their lives, including the development of reproductive functions. Fertile Age Women (WUS) are women whose reproductive organs function well between the ages of 20 and 45 years. Early menopause is a menopause that comes earlier than menopause in general. Based on observations, knowledge is divided into three categories of levels: good if 76%, sufficient if 56% -75%, and less if ≤ 55%. The level of anxiety of women of childbearing age in dealing with premenopausal age has a severe anxiety of 12 respondents (15.59%). The purpose of this study is to know the description of knowledge of women of childbearing age about early menopause. The method used is a systematic literature review. Secondary data collection techniques with five research journals obtained through Google Scholar. Literature Review results from the five research journals show a description of knowledge of women of childbearing age about early menopause with sufficient knowledge, in journal 1 (60%), journal 2 (55.3%), journal 3 (74%), journal 4 (29%), and journals 5 (67.5%) and (65%). It can be concluded that the description of knowledge of women of childbearing age about early menopause is categorized as having sufficient knowledge, this is influenced by age, education, and information. Recommendations for health service institutions for public health center nurses implementing the MCH program are expected to be effective in promoting promotion. One way is to do counseling about early menopause or provide direct health promotion to women of childbearing age.

Key words : Early menopause, Knowledge, Women of childbearing age
EFEKTIFITAS PERUBAHAN POSISI DAN MASSAGE PADA PASEN TIRAH BARING DALAM PENCEGAHAN TERJADINYA DEKUBITUS DI RSUD AL IHSAN KABUPATEN BANDUNG
Authors: KD Sansri Diah , Rohyadi Yosep , Setiawan Asep , Fathudin Yogasliana 
Published: March 2024

ABSTRACT
Decubitus is a problem that many patients with chronic diseases, patients who are very weak, and paralyzed for a long time face. Decubitus can be prevented, with various actions including by adjusting the position and doing massage. Changing body position can reduce the pressure of continuing to stay in one body position. Generally decubitus sores will occur in the back, buttocks, hips, heels, arms, or spinal area, for this reason massage actions need to be done to improve blood circulation, boost the immune system, and improve the respiratory system. The general objective of this study was to determine the effectiveness of position changes and massage in bed rest patients in preventing decubitus at RSUD Al-Ihsan Kabupaten Bandung. The type of research used is analytic research with a quasi-experimental approach using pre and post test designs. The study population was all bed rest patients treated at Al Ihsan Hospital using an accidental sample. The results showed that position changes in bed rest patients were effective in preventing decubitus at RSUD Al-Ihsan Kabupaten Bandung with a tailed significant value of 0.00 <0.05. Massage performed on bedridden patients is effective in preventing pressure sores, with a tailed significant value of 0.02 <0.05. The action of changing position every 1 hour is more effective than the act of massage every 3 times a day. in treating patients who require bed rest in the prevention of decubitus.
Keywords: Change of Position, Massage, bed rest, decubitus
PERBANDINGAN PENGENCERAN LARUTAN GIEMSA 3% DAN 5% TERHADAP PEMERIKSAAN MORFOLOGI PLASMODIUM FALCIPARUM
Authors: Beatrix rumpaidus Julien , Sundara Mulia Yuliansyah , Sulaeman Sulaeman , Rahmat Mamat 
Published: March 2024

Pewarnaan sediaan darah malaria menggunakan cat Giemsa stok yang harus diencerkan terlebih dahulu dengan konsentrasi tertentu agar parasit dalam sel darah merah dapat menerima zat warna Giemsa sehingga memudahkan mengidentifikasih parasit.konsentrasi pengenceran Giemsa untuk pemeriksaan parasit malaria yang di anjurkan oleh Direktur Jendral PP dan PI.Kementrian kesehatan adalah Giemsa dengan konsentrasi 3%,tetapi di lapangan baik puskesmas maupun rumah sakit memiliki pengenceran larutan Giemsa yang berbeda.Tujuan penelitian untuk mengetahui perbedaan hasil pewarnaan pada morfologi plasmodium falciparum yang di warnai menggunakan larutan Giemsa 3% dan 5%. Jenis penelitia eksperimen.sampel penelitian yaitu darah positif terinfeksi malaria falciparum.Hasil pewarnaan pada pengenceran Giemsa 3% diperoleh inti dengan kategori baik sebanyak 14%,tidak baik 2% bagian sitoplasma diperoleh hasil kategore baik 10% tidak baik 6% pada titik mourer dengan hasil kategori baik 13% tidak baik 3% pada pewarnaan pengenceran Giemsa 5% diperoleh inti dengan kategori baik 11% tidak baik 7%,pada bagian sitoplasma dengan kategori baik 5% tidak baik 11% pada titik mourer dengan kategori baik 7% dan tidak baik 8%. Hasil yang didapat menggunakan uji chi square sehingga di dapat nilai p=0.003<a= 0.05 artinya nilai p<a menunjukan ada perbedaan morfologi plasmodium falciparum yang di warnai menggunakan pengenceran larutan Giemsa 3% dan 5%.

Kata Kunci : Konsentrasi Giemsa, Morfolofi dan Plasmodium Falciparum
PENGENALAN SURVEI DAN SENAM IMUNITAS MANDIRI SEBAGAI INSTRUMEN PENGUATAN IMUNITAS REMAJA
Authors: Purwanto Bambang , Munir Misbakhul , Putri Eka Arum Cahyaning 
Published: March 2024

Remaja merupakan fase transisi pertumbuhan dan perkembangan dari anak menuju dewasa. Perubahan fisik, seksualitas dan imunitas mengalami perubahan pada fase remaja. Remaja menjadi individu yang rentan menderita sakit karena perubahan status imunitas setiap saat. Tujuan dari Pengabdian kepada masyarakat ini adalah mengenalkan metode survei status imunitas dan gerakan senam imunitsa manidri sebagai instrumen penting dalam penguatan imunitas remaja. Siswa Sekolah Menengah Pertama merupakan sasaran akhir dari Pengmas ini sebagai repersentasi individu yang beradaptasi dengan perubahan di awal fase remaja. Guru Penjaskesor dipilih sebagai sasaran antara sebagai kader yang diharapkan dapat memandu siswa SMP untuk menentukan status imunitas secara mandiri sekaligus mampu memeperbaiki status imunitas yang rendah dengan senam imunitas mandiri. Dinas Pendidikan dan MGMP Kabupaten Pacitan menjadi mitra kegiatan ini. Pengenalan metode survei dan gerakan senam imunitas mandiri meningkatkan pengetahuan Guru Penjaskesor tentang imunitas remaja. Skor post test meningkat dua kali lipat secara bermakna dari skor pre test. Pengenalan metode survei dan senam imunitas mandiri diharapkan dapat menjadi instrumen penguatan status imunitas remaja di siswa Sekolah Menengah Pertama.
Kata kunci: imunitas, remaja, olahraga, guru, survei, manidiri
PENGARUH BERKUMUR AIR REBUSAN JAHE MERAH (Zingiber Officinale Var. Rubrum) TERHADAP PENURUNAN INDEKS PHP DI PONDOK SENYUM INDONESIA
Authors: Refika Khaira , Nurjanah Neneng , Widyastuti Tri , Ridwan Chaerudin Denden 
Published: March 2024

Plak adalah salah satu faktor yang menyebabkan masalah kesehatan gigi dan mulut seperti karies, penyakit periodontal dan penyakit gigi yang lainnya. Oleh karena itu dibutuhkan suatu cara untuk mengontrol pertumbuhan plak. Usaha untuk mengontrol dan mencegah pembentukan plak dapat dilakukan secara mekanik maupun kimiawi. Kontrol plak secara kimiawi dapat dilakukan dengan menggunakan obat kumur. Alternatif sediaan obat kumur dapat berasal dari bahan alam yang dipercaya memiliki bahan anti kuman dengan efek samping yang lebih rendah dibandingkan dengan bahan dasar kimia, seperti jahe merah. Tujuan penelitian ini adalah untuk mengetahui pengaruh berkumur air rebusan jahe merah terhadap penurunan indeks PHP di Pondok Senyum Indonesia. Jenis penelian analitik dengan rancangan quasi eksperimen, jumlah sampel 16 orang dengan menggunakan Teknik accidental sampling. Analisa menggunakan uji T-test dependent dan T-test independent. Hasil Analisa uji T-test dependent menunjukkan ada penurunan indeks PHP sebelum dan sesudah berkumur air jahe merah. (T-hitung 11,85 ? T-tabel 1,895)
Kesimpulan : ada pengaruh berkumur air rebusan jahe merah terhadap penurunan indeks PHP
Kata kunci : plak, jahe merah, indeks PHP
Innovación tecnológica y educación inclusiva: implementación de herramientas digitales en entornos diversos
Authors: Campos Harold Alvarez , Bolívar Claudia Navarro , Ruidiaz Marily Torregrosa 
Published: March 2024

La educación, como escenario fundamental en el desarrollo de las sociedades también debe estar provisto de las teorías, herramientas y dinámicas que permitan abarcar a toda la población de estudiantes en etapa lectiva. Es así como en este artículo se proponen diversas estrategias que, con base en la incorporación de las tecnologías de la información y la comunicación (en adelante TIC), permiten identificar los factores que se requieren tener en cuenta en la presentación de contenidos y explicaciones, todas mediadas por las TIC. Para dar cumplimiento a este propósito, se desarrolló una investigación de corte cualitativo, en la que se empleó la técnica de grupo focal de una muestra tomada de manera intencional con una población de estudiantes con discapacidad cognitiva (síndrome de Down), quienes desarrollaron la acción de formación. Así mismo, se aplicó un instrumento de recolección de información con los papitos o cuidadores con el fin de obtener su apreciación relacionada con los recursos TIC aplicados en la experiencia. Los resultados que se obtuvieron del estudio muestran una aceptación global sobre las diferentes dinámicas empleadas, en particular la evaluación dinámica presentada al grupo focal la cual generó el peso de las participaciones e interacciones con el grupo. Finalmente, para los participantes del estudio es importante transversalizar estas estrategias de base TIC en las diferentes asignaturas, pues se observa que elevan la motivación y la participación ante los contenidos presentados.
Menumbuhkan Jiwa Kewirausahaan dan Adapatasi Kehidupan Pada Masa Pandemi Covid-19 di Wilayah RT02 RW 3 Kalilangse, Gajahmungkur Semarang
Authors: Purwaningrum Dyah 
Published: March 2024

Pandemi Corona di tahun 2019 (Covid-19) yang mulai terdeteksi di Indonesia pada awal Maret 2020 merebak di seluruh wilayah,tak terkecuali di kota semarang tercnta ini , pandemic Covid-19 di Indonesia merupakan kasus kesehatan. Namun dampaknya bukan hanya pada aspek kesehatan, tetapi juga berdampak sangat kuat pada aspek ekonomi yang justru mempunyai pengaruh yang lebih luas terhadap kehidupan sosial kemasyarakatan. Dikalangna lapisan masyarakta. Sasaran dari kegiatan PKM ini adalah bapak ibu dilingkungan RT 02 RW03 Kalilangse gajah mungkur Semarang. Tujuan dari kegiatan PKM ini, diharapkan peserta penyuluhan dapat terbuka wawasan kewirausahaan dan mendapat gambaran usaha usaha yang dapat meningkatkan perekonomian di situasi pandemic covid19. Metode dalam pelaksanaan kegiatan PKM ini berupa penyuluhan tentang pentingnya Menumbuhkan jiwa kewirausahaan dan Adapatasi Kehidupan Pada Masa Pandemi Covid-19 membuka wawasan usaha usaha yang dapat di minati utuk memperbaiki perekonomian bagi warag RT02 RW03 Kalilangse Gajah mungkur Semarang. Luaran yang dihasilkan adalah jurnal pengabdian masyarakat yang terakreditasi, serta HKI.
Development of Economic Based Generative Learning to Facilitate Students' Concept Understanding Ability
Authors: Siregar Fiska Wahyuni , Indrawati Henny , Hermita Neni 
Published: March 2024

In the modern era of digitalization, teachers serve as a pivotal element in the educational process, instrumental in shaping future human resources. Students, particularly in the field of economics, are encountering increasingly competitive challenges, underscored by the rapid evolution of knowledge and technology. Independent learning emerges as a critical response to these challenges, aligning with the requisites of 21st-century education through the augmentation of technology-mediated learning environments. This study proposes the development of economic e-modules based on generative learning, aiming to furnish a valid and practical learning tool. The investigation enlisted a sample comprising 107 students and three educators across three schools. Employing the Research and Development (RD) ADDIE Model—comprising stages of Analysis, Design, Development, Implementation, and Evaluation—the study scrutinized the efficacy and validity of the proposed e-modules. The findings reveal that the e-modules exhibit high validity, with scores of 0.975 and 0.987 for the e-modules and their content, respectively. Practicality assessments conducted across School 1, School 2, and School 3 in Pekanbaru yielded percentages of 94.29%, 91.42%, and 100%, respectively, demonstrating the modules' applicability and utility in the context of economic instruction. Economic e-modules rooted in generative learning principles not only enhance the enjoyment of the learning process but also significantly improve students' conceptual understanding and active engagement. This research underscores the potential of such e-modules to revolutionize economics education, catering to the evolving demands of both students and the educational paradigm of the 21st century.
INTERVENSI PENGOBATAN HERBAL UNTUK MUAL DAN MUNTAH PADA IBU HAMIL: LITERATURE REVIEW
Authors: Solechah Mutiara , Adhani Pasundani Nita , Nurdianti Dewi 
Published: March 2024

Latar Belakang: Pada awal kehamilan ibu hamil biasanya mengalami ketidaknyamanan dan keluhan, salah satunya adalah mual dan muntah pada kehamilan yang diperkirakan dialami 70-80% perempuan hamil. Mereka menghindari obat-obatan medis sejauh mungkin karena khawatir adanya efek teratogenik potensial, sehingga ada kecenderungan yang meningkat terhadap penggunaan pengobatan herbal. Kurangnya pengetahuan tentang potensi toksisitas dan minimnya keterbukaan saat berinteraksi dengan tenaga medis tentang penggunaan obat herbal dapat berdampak buruk pada ibu dan janin.
Tujuan: Tujuan Penulisan ini dilakukan adalah untuk mengidentifikasi tentang pengaruh intervensi obat herbal untuk menurunkan skor mual dan muntah pada kehamilan berdasarkan hasil uji coba terkontrol secara acak yang telah dilakukan oleh peneliti-peneliti sebelumnya.
Metode: Penelitian literatur review ini dilakukan menggunakan dua database (Science Direct dan Google Scholar). Pencarian artikel dilakukan berdasarkan format Patient-Intervention-Comparison-Outcome (PICO). Pencarian ini menggunakan kata kunci dengan kombinasi boolean. Kualitas artikel dinilai dengan menggunakan Joanna Briggs Institute Critical Appraisal Cheklist for Randomised Controlled Trial.
Hasil: Dari 11 artikel yang telah dinilai atau review didapatkan 8 artikel dengan uji coba jahe, 2 artikel menggunakan peppermint dan 1 artikel menggunakan lemon, sebagai intervensi dalam percobaan uji klinis untuk meringankan gejala mual dan episode muntah.
Kesimpulan: Dalam review ini kami menemukan beberapa bukti konsisten bahwa terapi non-farmakologis jahe dan lemon efektif dalam mengurangi gejala mual dan muntah. Namun, tetap perlu dilakukan penelitian lebih lanjut untuk memperkuat evidence based.
Breast Cancer Screening Access Among Low-Income Women Under Social Health Insurance: A Scoping Review
Authors: Hastuti Sari 
Published: March 2024

Background:
Breast cancer is the most prevalent cancer among women worldwide. Due to its unknown causes, secondary prevention is highly encouraged for case early detection. Unfortunately, some women face difficulties in accessing it, even though they are covered by social health insurance.
Objective: This study aimed to identify previous studies that mapped the various aspects within the domain of breast cancer screening access among low-income women under social health insurance.
Design: This study used a scoping review method, following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist.
Data Sources: The electronic databases were searched in PubMed, Scopus, and EBSCO identified 115 articles. After the selection process involves two main stages, we found 7 studies included for the full review.
Methods: Data charting is used for the data extraction. Thematic analysis is conducted to address the research question.
Results: Social Health Insurance has a positive influence on access to breast cancer screening. Based on the Levesque framework, access is conceptualized in five dimensions, namely approachability, acceptability, availability, affordability, and appropriateness. Some aspects are found as variations of the original concept proposed as evidence from the field.
Conclusion:
The Levesque framework remains relevant to the experiences of low-income women. The variations observed emphasize the need for tailored approaches to healthcare delivery, providing opportunities for improving access.
REVIEW OF IOT AND DEVELOPING HAND GESTURE RECOGNITION EASY DEVICE (HGRED) FOR DISABLED PEOPLE
Authors: Nair Shaanjiv , Ismail Rohana , Mamat Abd Rasid 
Published: March 2024

Today, the rapid development of technology allows the widespread use of the Internet of Things (IoT) in everyday life. IoT can make human life easier, convenient, especially important for people with disabilities. This paper focuses on the review of IoT in various domains included for healthcare, smart cities, smart environment etc. IoT technology helps and contributes to disabled people to improve their living, helping them live a more automated and independent life. This study focuses on the problem faced by a regular individual to understand a disabled person's language. To overcome this problem, the glove prototype (Hand Gesture Recognition Easy Device) that can transform a person's nonverbal cues into words that the people around them can easily understand is created. Hand Gesture Recognition Easy Device to help disabled people, especially those who are paralyzed to understand their language and communicate with each other. Specifically, this purpose is to develop a smart glove which can sense the movement and send the signal from the push buttons to translate the language through the text. This can help the assistant know the wishes of the paralyzed person. It is hoped that the use of IoT- Hand Gesture Recognition Easy Device can disabled people and improve their quality of life.
Effect of Diagnosis, Complications, and Nutrition for Using Nasogastric Tube to Body Weight of Child Patients with Feeding Difficulty at Dr. M. Djamil General Hospital, Padang, Indonesia
Authors: Youri Riana , Gustina Lubis  , Finny Fitry Yani  , Aumas Pabuti  , Didik Hariyanto  , Yusri Dianne Jurnalis  , Rinang Mariko  
Published: March 2024

Background: Several conditions in children can cause nutritional intake via the oral route to be inadequate. Providing enteral nutrition via a nasogastric tube (NGT) is an alternative option. Research on the use of NGTs in Indonesia is still limited, so this research aims to determine the effect of NGT use on the weight of pediatric patients with feeding difficulties at Dr. M. Djamil General Hospital, Padang.
Methods: Experimental research with a pre and post-test-only design was conducted on 96 children aged 1 month - 18 years in the children's inpatient room at Dr. M. Djamil General Hospital, Padang. Body weight measurements were carried out before and after using NGT for 4 weeks (January 2022 – January 2023) at the pediatric nutrition and metabolic diseases polyclinic. Data were analyzed using paired t-test and ANOVA.
Results: Most subjects (40.9%) were in the 1-12 month age group. The most common type of nutrition was ONS (oral nutritional supplements) (84.4%), the most common diagnosis was pulmonology (33.3%), and the majority were without complications (72.9%). There is an influence on the child's weight before and after using NGT (p-value <0.01). Significant differences were also found in changes in children's weight with diagnosis and complications (p<0.01).
Conclusion: The use of NGT can increase the weight of pediatric patients who have feeding difficulties at Dr. M. Djamil General Hospital, Padang. Significant differences were found in changes in children's weight by diagnosis and complications.