bluuebunny/crossref_metadata_2025_split huggingface dataset:
Descriptive epidemiology of COVID-19 in Palembang, Indonesia
Authors: Najmah  , Setiawan Yudhi , Yeni  , Nurhaliza Marisa , Azzahra Hafiza , Yunara Yulia , Rosyada Amrina , Fauzia  , Fenty Aprina  , Misnaniarti  
Published: January 2024

Background and purpose: Indonesia ranks the first highest mortality rate of COVID-19 in Southeast Asia with an average case fatality rate (CFR) of 2.7%. South Sumatra is ranked 14th out of 34 provinces in Indonesia, with a CFR value related to COVID-19 reaching 5.1%, per June 21, 2021. This study aims to determine the descriptive epidemiology of COVID-19 in Palembang City.
Methods: This research used a descriptive epidemiology approach and spatial analysis with the geographic information system. Then the secondary data were collected from the Palembang City Surveillance Report from March 2020 to February 2021 with a total of 7,423 cases, as well as geographic data on the coordinates of health services for all hospitals and public health centers (PHCs) in Palembang City.
Results: The data shows that the age group of 25 to 39 years old dominated the COVID-19 cases. The morbidity and mortality rates in men was higher than women, and much higher at the age of above 60 years old. The most dominant symptom in the deceased COVID-19 patients was shortness of breath and the comorbid history increased the risk of death for patients with COVID-19. The highest number of confirmed cases of COVID-19 was found in the sub-district with the highest population, including the PHC of Padang Selasa, Ilir Barat I (393 patients), while the lowest number of cases was reported in Karyajaya PHC, Kertapati (7 patients).
Conclusion:This study highlights the need in preventing mature deaths of COVID-19 patients by prioritizing elderlies who suffered from comorbidities at the family level and health services to support the government programs.
Factors associated with utilization of posyandu lansia in Indonesia: an analysis of nationwide survey data
Authors: Trisfayeti Ica Hervita , Idris Haerawati 
Published: January 2024

Background and purpose: The proportion of the older population in the world is increasing, including in Indonesia. The elderlies tend to be more susceptible to infectious diseases and chronic diseases due to decreased anatomical and physiological functions. A model of health services for the elderlies in Indonesia is called posyandu lansia (integrated health village posts for older adults). This study aims to analyse the determinants of the use of health village posts among older adults in Indonesia.
Methods: This study is a secondary data analysis of the 2014 Indonesian Family Life Survey (IFLS-5) data . The study samples included 4,366 respondents at the age of 50 years and over. The dependent variable is utilization of posyandu lansia and the independent variables consist of age, gender, level of education, work status and activity of daily living. Data analysis was performed using univariate, bivariate and multivariate analysis.
Results: The study results show that the utilization of posyandu lansia was 5.1%. Age ≥60 years, female gender, secondary education, unemployment, region, location, activity of daily living, nutritional status of fat and thin, acute morbidity, and a history of chronic disease have a significant relationship with the utilization of posyandu lansia in Indonesia (p<0.05). Females were 3.097 times more likely to utilize posyandu lansia (95%CI: 2.464-3.891) than males.
Conclusion: Women are more likely to use the posyandu lansia than men. The government should increase the effort to expand coverage of posyandu lansia utilization especially among males.
Nutrition assistance of breastfeeding and complementary feeding associated with the linier growth of stunted children aged 6-24 months
Authors: Simbolon Demsa , Ludji Ina Deborah , Rahyani Yuni 
Published: January 2024

Background and purpose: Age 6-24 months is a critical period for experiencing nutrition and health problems, especially among children who are stunted. Stunting children need to recover their nutritional status through appropriate interventions to be able to pursue their growth. The purpose of this study was to determine the effect of nutrition assistance on breastfeeding and complementary feeding on the length growth of children aged 6-24 with stunting.
Methods: This was a quasi-experimental study. A sample of 60 intervention and 60 control groups were divided into North Bengkulu District and Timor Tengah Selatan (TTS) District. Nutrition assistance for 6 months (July-November 2019) was carried out by 10 trained cadres. Each cadre is responsible for 6 stunted children aged 6-24 months (3 children received assistance and 3 children with standard services from the public health center). Data analysis uses independent t-test and dependent t-test after passing the homogeneity test phase of the proportion of sample characteristics and normality of the data.
Results: We found that assistance for breastfeeding and complementary feeding for mothers with stunting children aged 6-24 months was effective in increasing the growth of the child's body length. As many as 53.3% of stunted children in North Bengkulu District and 36.7% in TTS District showed growth after nutrition assistance.
Conclusion: It is recommended that the implementation of a nutrition assistance model be accompanied by continuous family and community empowerment in the recovery of nutritional status, especially in families with stunted children aged 6-24 months.
Spatial Distribution of Dengue and Forecasting in South Denpasar, Bali Province, Indonesia
Authors: Purnama Sang Gede , Subrata Made , Kardiwinata Pasek , Sudarmaja Made 
Published: January 2024

Background and purpose: The incidence of dengue hemorrhagic fever (DHF) in Bali continues to increase. A new strategy is required to control dengue in Bali. The purpose of the study is to conduct spatial mapping with a geographic information system to help determine the distribution pattern and areas at risk of DHF and to predict increasing vector density and dengue cases.
Methods: A cross-sectional study was conducted in the South Denpasar Public Health Center service area from January to June 2020. It was conducted in 3 villages, including Kelurahan Sesetan (3,446 households), Sidakarya Village (2,859 households), and Kelurahan Panjer (2,907 households). A total of 191 cases of DHF were recorded during the study period. Results: Calculation of the spatial analysis of the Average Nearest Neighbor (AAN) with the value of Z score=-8.03 show a spatial pattern of the distribution of DHF cases. AAN value of 0.69 (<1) means that the pattern of spread of DHF incidence is clustered. Time series forecasting by modeling using the Autoregressive Moving Average (ARIMA) and Double Exponential Smoothing Method Routine shows that larva control efforts are predicted to affect the number of dengue cases. The pattern of the spatial distribution of cases occurs in clusters.
Conclusion: There is a spatial relationship with population density. It is predicted that routine larvae control will reduce dengue cases.
Water Ambulance Service Provision to Improve Healthcare Access for Community in Nusa Penida Island, Bali: A Qualitative Feasibility Study
Authors: Aryani Putu , Harjana Ngakan Putu Anom , Januraga Pande Putu , Kurnianingsih Desak Ketut Dewi Satiawati , Wirawan Gede Benny Setia , Swapatni Ni Made Adi , Wibawa I Komang Gede Sentanu 
Published: January 2024

Background and purpose: An important component of healthcare access is transportation. Lack of transportation has been cited as an important barrier to healthcare access in remote islands region. Here we conduct a feasibility study on the implementation of water ambulance service to improve healthcare access in the region of Nusa Penida and its surrounding islands in Bali Province, Indonesia.
Methods: We employed a qualitative approach with interviews and focused group discussions with stakeholders. Data collection was conducted to assess the feasibility of operating water ambulance services, based on a framework that included technical, market, organizational, and financial feasibilities. Inductive coding was conducted and data was analyzed to evaluate the feasibility based on local capacity against pre-determined framework of assessment based in literature.
Results: Qualitative interviews revealed perceived urgency and need for water ambulance service among stakeholders. They also perceive the need of water ambulance service was not mutually exclusive to other alternatives, such as expanding healthcare capacity on the islands. There was also readiness and adequate capacity from stakeholders which include a dedicated health emergency services under the health office that coordinate ambulance service in the region, readiness to create dedicated medical team and boat crew to operate water ambulance services, and readiness to cover the cost of initial procurement followed by operational costs which may include public-private partnerships.
Conclusion: There was a strong perceived need for water ambulance service in Nusa Penida Islands. At the same time, local stakeholders revealed adequate basic capacity to feasibly operate water ambulance services according to benchmarks identified in literature review.
The effectiveness of laughter yoga to improve sleep quality in cancer patients during COVID-19 pandemic
Authors: Werdani Yesiana Dwi Wahyu 
Published: January 2024

Background and purpose: The COVID-19 pandemic triggered a high-stress situation and disrupted sleep quality in cancer patients. Laughter yoga is a method that suggested to improve sleep quality. The purpose of this study was to assess the effectiveness of laughter yoga to improve sleep quality of cancer patients during the pandemic.
Methods: This was a quasi-experimental design with a non-equivalent control group approach. The study was conducted at the Indonesian Cancer Foundation, East Java Surabaya branch, in June 202, involved 20 people in each intervention and control group. The instrument used was Pittsburg Sleep Quality Index (PSQI), with lower scores reflect better sleep quality. Laughter yoga intervention was given to the intervention group for four weeks, twice a week, and 20 minutes each meeting while the control group performed daily routine activities. Data was analysed with Paired t-test for pre and post intervention, and Independent Sample t-test for comparing both groups.
Results: The intervention group shows a decrease in the global PSQI score (from 10.15+2.18 to 7.55+1.87) with p< 0.001, while in control group, there was an increased score (from 10.05+1.46 to 10.10+1.44) with p=0.841. The intervention group showed a decrease in the average score on the global and all of the components PSQI score, indicating a better sleep quality. Meanwhile, in the control group, the average global sleep quality score almost the same, and no significant decrease in all components. Laughter yoga was effective in improving the sleep quality of cancer patients during the pandemic.
Conclusion: Laughter yoga is effective to improve sleep quality. This technique can be routinely practice to improve relaxation and stimulate improvements in sleep quality in all components.
On the practice of applying the rules on liability for crimes against public safety involving the public dissemination of deliberately false information (including through information and telecommunication networks)
Authors: Емельянова Е.В. , Летёлкин Н.В. , Пшеничнов И.М. 
Published: January 2024

Авторами проанализирована практика применения уголовно-правовых норм об ответственности за преступления против общественной безопасности Российской Федерации, сопряженные с публичным распространением заведомо ложной информации, предложена авторская классификация способов совершения таких деяний. Кроме того, в контексте публикации выявлены некоторые организационно-тактические проблемы, возникающие при производстве по уголовным делам рассматриваемой категории, и предложены возможные пути их решения.
The authors analyzed the practice of applying criminal law norms on liability for crimes against public safety of the Russian Federation associated with the public dissemination of knowingly false information, and proposed the author's classification of methods for committing such acts. In addition, in the context of the publication, some organizational and tactical problems that arise in criminal proceedings of this category are identified, and possible ways to solve them are proposed.
Diagnostic Test Performances for Identifying Periprosthetic Joint Infection in Hip Hemiarthroplasty
Authors: Salimy Mehdi S. , Humphrey Tyler J. , Egan Cameron R. , Alpaugh Kyle , Bedair Hany S. , Melnic Christopher M. 
Published: January 2024

Introduction:
Periprosthetic joint infection (PJI) is a devastating complication of hip hemiarthroplasty (HHA) that is not well-represented in the literature. Therefore, this study aimed to evaluate diagnostic markers for identifying PJI in patients after HHA and compare them with the most recent 2018 International Consensus Meeting on Musculoskeletal Infection criteria.

Methods:
A total of 98 patients (64 PJIs, 65.3%) were analyzed. Patients were identified by relevant Current Procedural Terminology and International Classification of Diseases-9/10 codes from 2000 to 2021 across a single healthcare system. Preoperative or intraoperative synovial fluid nucleated cell (NC) count, synovial polymorphonuclear (PMN) percentage, serum erythrocyte sedimentation rate (ESR), serum C-reactive protein (CRP), and serum white blood cell count were compared with Student t-test between aseptic and septic cohorts. Diagnostic utility and laboratory cutoff values were determined using receiver-operating characteristic curves and Youden index, respectively.

Results:
Mean values were significantly higher in the septic cohort for synovial NC count (120,992.2 versus 1,498.0 cells/μL, P < 0.001), synovial PMN percentage (91.3% versus 56.2%, P < 0.001), serum ESR (75.6 versus 36.3 mm/hr, P < 0.001), serum CRP (20.2 versus 125.8 mg/L, P < 0.001), and serum white blood cell count (8.5 versus 11.5 cells/μL, P < 0.001). Synovial NC count, synovial PMN percentage, and serum CRP had excellent PJI discriminatory ability with an area under the curve of 0.99, 0.90, and 0.93, respectively. Optimal cutoffs were 2,700 cells/μL for synovial NC count (100% sensitivity and 94% specificity), 81.0% for synovial PMN percentage (96% sensitivity and 89% specificity), 52.0 mm/hr for serum ESR (75% sensitivity and 80% specificity), and 40.0 mg/L for serum CRP (85% sensitivity and 92% specificity).

Conclusion:
Our findings support the continued use of routine serum and synovial fluid tests for diagnosing PJI in HHA patients. Optimal cutoff values for both synovial fluid biomarkers were very close in alignment with the 2018 International Consensus Meeting criteria.

Level of evidence:
Level III, retrospective comparative study.
GOZO, AMOR E FEMININO NA PSICANÁLISE: A SEXUALIDADE E SUAS MANIFESTAÇÕES CLÍNICAS
Authors: Martins Renata Sales , Marques Luciana Ribeiro 
Published: January 2024

Em 1905, Freud, já dispondo do conceito de inconsciente e da articulação do aparelho psíquico como um aparelho de linguagem, traz o conceito de pulsão para falar da sexualidade como o alicerce de toda a teoria psicanalítica. A teoria da sexualidade é efeito de seu extenso percurso clínico, onde pôde perceber que o eu se utiliza do recalque como defesa diante das constantes exigências de satisfação das pulsões, sendo os sintomas neuróticos o produto desse conflito. Ao ofertar um dispositivo em que a fala do sujeito, endereçada ao analista sob transferência, é o seu material de trabalho, Freud pôde operar e ter notícias do circuito pulsional em suas dimensões simbólica e real; ou seja, através do que se coloca em significantes e do que escapa, por ser impossível de representar, restando e retornando para o sujeito como tentativa de recuperação de um gozo perdido. Lacan, ao retomar e avançar com a teoria freudiana da sexualidade, a partir das fórmulas quânticas da sexuação, articula as modalidades de gozo em relação ao falo, apontando as diferentes posições assumidas pelo sujeito, através da linguagem, frente à falta e à castração. O falo, como um significante da falta, orienta o desejo a partir da operação metafórica do Nome-do-Pai, organizando, assim, o campo do gozo, porém, não-todo: sempre haverá algo que escapa à representação significante e aponta para a ausência de complementariedade entre as posições de gozo do homem e d’Ⱥ mulher, expressos tanto através da relação entre os sexos, que não vai, quanto na impotência do amor em fazer Um. Assim, pretendemos trabalhar, através de dois casos clínicos, o mal-estar inerente às parcerias amorosas – tal como escutamos na clínica –, mas não sem tecer uma articulação entre a sexualidade, o gozo e o amor.
Hubungan Antara Aktivitas Jarak Dekat Dan Aktivitas Di Luar Ruangan Dengan Kejadian Myopia Di Optik Dia Baturaja
Authors: Susanti Devi 
Published: January 2024

Myopia atau yang lebih sering disebut dengan istilah rabun jauh adalah kondisi gangguan penglihatan berupa gangguan refraksi, dimana saat melihat objek dekat individu dapat melihat dengan jelas, tetapi saat melihat objek yang jauh tampak kabur. Jenis penelitian ini merupakan survei analitik dengan pendekatan cross sectional. Sampel dari penelitian ini terdiri dari 58 orang responden. Didapatkan 17 responden (29,31%) yang aktivitas melihat dekatnya < 5 jam terdapat 9 orang (21,95%) yang myopia dan 8 orang (47,06%) yang tidak myopia (normal). Selanjutnya, responden dengan aktivitas melihat dekat 5 – 10 jam ada 14 orang (34,15%) yang mengalami myopia dan 8 orang (47,06%) yang tidak myopia (normal). Terakhir, responden dengan aktivitas melihat dekat > 10 jam ada 18 orang (43,90%) yang mengalami myopia dan hanya 1 orang (5,88%) yang tidak myopia (normal). Kemudian untuk faktor aktivitas di luar ruangan, dari 42 responden (72,41%) yang aktivitas di luar ruangannya < 3 jam terdapat 35 orang (85,37%) yang myopia dan 7 orang (41,18%) yang tidak myopia (normal). Sedangkan, responden dengan aktivitas melihat dekat > 3 jam ada 6 orang (14,63%) yang mengalami myopia dan 10 orang (58,82%) yang tidak myopia (normal). Hasil uji hubungan aktivitas jarak dekat dengan miopia didapatkan p value ,015, dan aktivitas di luar ruangan dengan miopia didapatkan p value ,001.
Kata kunci: aktivitas jarak dekat, aktivitas di luar ruangan, myopia
Faktor-Faktor Yang Berhubungan Dengan Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Tegal Binangun Kota Palembang 2021
Authors: Muliani Rizka , Radatullah Muthia , Irdan Irdan , Sutriyati Sutriyati , Fatimah Mustika , Putri Ririn Noviyanti 
Published: January 2024

Anemia adalah kondisi ibu dengan kadar hemoglobin dibawah 11 gr% pada trimestser I dan trimester III. Atau kadar < 10,5 gr % pada trimester II. Anemia dalam kehamilan dapat membahayakan bagi ibu dan janin, bila terjadi sejak awal kehamilan dapat menyebabkan terjadinya persalinan prematur. Tujuan penelitian untuk mengetahui hubungan jarak kelahiran, kepatuhan mengkonsumsi tabelt Fe dan pendidikan dengan kejadian anemia pada ibu hamil di Wilayah Kerja Puskesmas Tegal Binangun Kota Palembang Tahun 2021. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional dengan jumlah responden sebanyak 70 ibu hamil. Hasil penelitian menunjukkan bahwa dari 70 responden yang mengalami anemia ada 52 orang (74,3%), jarak kelahiran beresiko 48 orang (69%), tidak patuh mengkonsumsi tablet 45 orang (64,3%) dan pendidikan rendah ada 51 orang (72,9%). Hasil analisis bivariat ada hubungan antara jarak kelahiran, kepatuhan konsumsi tablet Fe dan pendidikan dengan kejadian anemia pada ibu hamil (< 0,005). Disarankan agar tenaga kesehatan berperan atif dalam memberikan informasi seperti penyuluhan dan konseling kepada ibu hamil tentang bahaya anemia dan cara pencegahannya.
Kata kunci: Anemia, Jarak Kehamilan, Kepatuhan Konsumsi Fe, Pendidikan
Identifikasi Kandungan Natrium Siklamat Pada Minuman Air Tebu Yang Dijual di Pasar 16
Authors: Sitindaon Rina SE , Viswana Een , Ernia Rima , Muslimin Muslimin 
Published: January 2024

Pemanis buatan adalah bahan tambahan pangan yang ditambahkan kedalam makanan atau minuman untuk menciptakan rasa manis dan mempengaruhi sifat maupun rasa. Salah satu bahan tambahan pangan adalah pemanis buatan. Pemanis buatan yang umumnya digunakan dalam industri makanan dan minuman adalah natrium siklamat. Meurut WHO batas konsumsi harian siklamat yang aman adalah 11 mg/kg berat badan. Penggunaan natrium siklamat yang berlebihan akan menyebabkan tumor dan kanker, oleh karena itu dalam penelitian ini bertujuan untuk menguji adanya pemanis buatan natrium siklamat pada air tebu yang dijual di pasar 16. Identifikasi ini mengunakan metode kualitatif Test kit siklamat. Hasil penelitian pada 7 sampel air tebu yang dijual di pasar 16, 2 sampel mengandung pemanis buatan siklamat.

Kata kunci: Air Tebu, Natrium Siklamat, Uji kualitatif Test Kit Siklamat
Overview of Water Sanitation and Hygiene in School (WinS) Urban Areas, Indonesia
Authors: Kusumaningtiar Devi Angeliana , Azteria Veza , Veronika Erna 
Published: January 2024

Objective: Indonesia is a developing country that still has water, sanitation and hygiene (WASH) problems. Only 16% of education units have access to all basic services such as water, sanitation and hygiene and as many as 43.5 million Indonesian children do not have access to basic drinking water, basic sanitation and hygiene at school. This can have an impact on increasing disease transmission in children at school. This study aimed to analyse the coverage of school WASH in Bekasi City so as to identify the constraints and problems of WASH in schools. Methodology: This type of research used a cross sectional design approach. The samples of this study were 30 schools in Bekasi City. The indicator data measured consists of 3, namely sanitation, hygiene and air. Results: The results of this study indicate that school WASH in Bekasi is good, this can be seen from the availability of WASH facilities in schools such as the availability of drinking water, easy access, waste management facilities, the availability of hand washing facilities and the existence of toilets that have been widely separated between men and women. Suggestions: The role of stakeholders and school sanitation programme holders is very important in the implementation of school WASH.