bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pitfalls and strategies of Sonazoid enhanced ultrasonography in differentiating metastatic and benign hepatic lesions
Authors: Zhang Wei , Liu Yilun , Wu Qiong , Wei Xiaoer , Liu Beibei , Jiao Qiong , Zhang Rui , Hu Bing , Li Yi , Ying Tao 
Published: November 2023

OBJECTIVE: This article aims to clarify pitfalls and find strategies for the detecting and diagnosing hyperechoic liver metastases (LMs) using Sonazoid-contrast enhanced ultrasonography (Sonazoid-CEUS). METHODS: This study was a prospective self-controlled study. Patients with hepatic lesions suspected as LMs or benign lesions were included in the study. Baseline ultrasonography (BUS) and Sonazoid-CEUS were performed on every patient. Characteristics of LMs and benign nodules were compared by chi-square test and fisher test. Factors influenced the CEUS were demonstrated by univariate analysis and multivariate logistic regression analysis. RESULTS: 54 patients were included in this study. CEUS found additional 75 LMs from 19 patients in Kupffer phase. We found hyperechoic focal liver lesions and deep seated in liver are main confounding factors in CEUS diagnosis. Sensitivity would be improved from 16.67% to 78.57%, negative predictive value (NPV) would be improved from 28.57% to 76.92% and accuracy would be improved from 37.5% to 87.50% when using rapid “wash-in” and “wash-out” as main diagnostic criteria. CONCLUSIONS: Hyperechoic LMs especially deeply seated ones are usually not shown typical “black hole” sign in Kupffer phase. Quickly “wash-in and wash out” shows high accuracy in diagnosing malignant nodules. We highly recommend CEUS as a routing exam to detect and diagnose LMs.
Skin sarcoma stage detection using antenna resonant scale
Authors: Silue Dozohoua , Labidi Mondher , Choubani Fethi 
Published: November 2023

In this paper, a small antenna is proposed to diagnose skin sarcoma at an embryonic stage. The antenna has an area of 30.54 × 15.27 mm2 and resonates at 1429 MHz with a reflection coefficient of −17.64 dB. The structure consists of a 35 μm copper sheet etched on a 1.6 mm FR-4 substrate. The diagnosis is based on the resonance frequency shift, and the SAR (Specific Absorption Rate) variation when the antenna is positioned on malignant tissue. For the simulations, a three-layer body phantom (skin, fat, muscle), and a half-sphere tumor phantom were considered. Simulations of the antenna performances showed that for a tumor of 100 μm, the resonant frequency, and the SAR decrease by 2 MHz, and 1.09 mW/Kg, respectively. In addition to sarcoma detection, the antenna’s 3.6 dBi gain allows for 124.47 m biomedical communication links in a complex environment.
ANALISIS KUALITAS LAYANAN ANGKUTAN UMUM PENUMPANG (MINIBUS) KOTA DENPASAR BERDASARKAN PERSEPSI MASYARAKAT DENGAN METODE CONFIRMATORY FACTOR ANALYSIS
Authors: Wirahaji Ida Bagus , Muka I Wayan 
Published: November 2023

Public transportation in the city of Denpasar reached its peak in the 1990s with the latest fleet being minibus-type public passenger cars with a capacity of 8-10 people. Along with the pace of motorization and ease of buying cars and motorbikes, there can be an increase in private vehicle ownership in the community. The interest of the people in Denpasar City's use of public transportation has decreased significantly. The community can finally feel and have perceptions about the difference between the advantages of using private vehicles and the quality of public transportation services. The purpose of this study was to explore public perceptions of the quality of public transport services, by distributing 400 questionnaires in all sub-districts of Denpasar City. Data on respondents' perceptions were analyzed using structural equation modeling (SEM). Based on the results of the analysis, there are seven indicators that shape people's perceptions of the quality of public transport, namely: small fleet availability, long waiting and travel times, less convenience, irregular time headway, low frequency of arrivals, and accessibility. The reduced availability of public transport is caused by long waiting times and low frequency of arrivals. Low accessibility due to long travel time. Thus, the quality of services like this in the community makes the use of public transportation in the city of Denpasar decreased.
ANALISIS PENERAPAN K3 PADA PROYEK KONSTRUKSI DI MASA PANDEMI COVID-19
Authors: Wijaya I Made Harta , Putra Cokorda , Riskiana I Kadek Agus 
Published: November 2023

The impact of the COVID-19 pandemic that has spread throughout the world has had a significant impact on the construction sector. For this reason, serious efforts are needed from all construction stakeholders so that occupational safety and health (K3) is implemented in all construction projects. In connection with the Corona Virus Disease 2019 (Covid-19) pandemic. The purpose of this study is to determine the optimal strategy for increasing the application of K3. The type of research used is combination research is a research method that combines quantitative methods and qualitative methods. Data analysis was carried out with SWOT analysis to help formulate the right strategy to improve construction implementation during the COVID-19 pandemic. The results of the SWOT matrix analysis of internal factors and external factors that affect the implementation of K3L during the COVID-19 pandemic obtained a Strength score of 2.95, Opportunity Score of 2.40, Weakness Score of 1.24, and Threat Score of 1.60. So based on the calculation of internal factors and external factors, as well as a Cartesian diagram the company's condition is in quadrant I, namely S-O (Strength-Opportunities) where this situation is a situation where the company uses strength to take advantage of existing opportunities. Meanwhile, the optimal strategy to increase the application of K3 during the COVID-19 pandemic is the Aggressive Strategy.
A comparison of predictive performance of joint species distribution models for presence-absence data
Authors: Wilkinson David , Golding Nick , Guillera-Arroita Gurutzeta , Tingley Reid , McCarthy Michael 
Published: November 2023

1.	While there has been substantial literature on the evaluation of predictions from single species distribution models, the topic of prediction has only recently begun to be addressed for joint species distribution models (JSDMs). These studies have covered only limited aspects of prediction: limited selection of models being compared, limited number of evaluation metrics, and/or not comparing the different prediction types available to JSDMs. 2.	In this study, we perform a large-scale comparison of the predictive performance of eight model types: two stacked species distribution models (SSDMs) and six JSDMs. We fit these models to 22 real and simulated datasets, make four types of JSDM predictions, and evaluate up to 32 metrics from five different classes that quantify different aspects of performance of predictions about species distributions and the community assemblage process. 3.	We found that likelihood-based metrics indicated the JSDMs were better fit to the data than the standard SSDM, but most other metric classes showed the SSDM outperforming the JSDMs by generally small amounts. The spatial and non-spatial implementations of the hierarchical multivariate probit regression model with latent factors typically performed better than the other JSDMs, but overall still performed worse than the SSDM. The SSDM predictions constrained with the spatially-explicit species assemblage modelling framework (SESAM) consistently outperformed both the standard SSDM and all JSDMs for both species- and community-level metrics. 4.	Our results indicate that despite the additional inference they provide about the community assemblage process by accounting for the residual association between species, JSDMs generally yield worse predictions than stacked single species models when evaluated at either the species or community level. The performance of the SESAM framework suggests that exploring similar approaches to constrain JSDM predictions is an interesting future avenue of research.
Edukasi Stabilisasi dan Evakuasi Bagi Tenaga Kesehatan Bidan dalam Meningkatkan Pengetahuan Pertolongan Pasien Gawat Darurat di Provinsi Gorontalo
Authors: Suleman Ibrahim 
Published: November 2023

ABSTRAK Kejadian gawat darurat pada umummnya berlangsung cepat dan tiba-tiba sehingga sulit diprediksi kapan terjadinya. Semakin tinggi pengetahuan, pendidikan, dan pelatihan yang dimiliki seorang perawat akan membuatnya lebih cepat dan tanggap akan kebutuhan bio, psio, sosial dan spiritual bagi pasien, khususnya di Instalasi Gawat Darurat sehingga bidan akan lebih mampu dalam membantu pasien untuk mengatasi masalah kesehatan yang dihadapi. Metode yang dilakukan adalah penyuluhan yaitu dengan webinar edukasi dengan menggunakan platform zoom dan Luring tatap muka pada kegiatan pelatihan. Berdasarkan hasil pengabdian didapatkan bahwa responden dengan pengetahuan kuat pada saat dilakukan pre-test hanya berjumlah 45 responden (46%) Sedangkan setelah diberikan pelatihan pengetahuan responden dalam kategori kuat berjumlah 85 responden (87%). Keterampilan melakukan stabilisasi dan evakuasi pertolongan pada pasien gawat darurat juga harus dimiliki oleh masyarakat bidan. Pasalnya, bidan seringkali menjadi pihak pertama yang melihat kasus-kasus darurat yang terjadi di masyarakat, seperti kecelakaan lalu lintas atau keadaan darurat lainnya maupun bencana alam. Kata Kunci: Bidan, Evakuasi, Gawat Darurat, Pengetahuan, Stabilisasi ABSTRACT Emergency events generally occur quickly and suddenly, so it is difficult to predict when they will occur. The higher the knowledge, education and training that a nurse has, the faster and more responsive they will be to the bio, psycho, social and spiritual needs of patients, especially in the Emergency Department, so that midwives will be better able to help patients overcome the health problems they face. The method used is outreach, namely educational webinars using the Zoom platform and offline face-to-face training activities. Based on the results of the service, it was found that respondents with strong knowledge at the time of the pre-test were only 45 respondents (46%), whereas after being given training, the respondents' knowledge in the strong category was 85 respondents (87%). Midwives must also have skills in stabilizing and evacuating emergency patients. This is because midwives are often the first to see emergency cases that occur in the community, such as traffic accidents or other emergencies or natural disasters. Keywords : Midwife, Evacuation, Emergency, Knowledge, Stabilization
Implementasi PMR pada Caregiver dalam Upaya Mengurangi Kecemasan Pasien Resiko Stroke
Authors: Ramadia Arya , Ekaputri Mersi , Sumandar Sumandar 
Published: November 2023

ABSTRAK Stroke merupakan salah satu penyakit yang dapat menimbulkan masalah fisik dan psikologis. Kecacatan akibat stroke menyebabkan ketergantungan pada caregiver. Semakin tinggi tingkat ketergantungan yang dirasakan pasien, semakin tinggi beban stress yang dirasakan caregiver. Tujuan kegiatan ini adalah untuk meningkatkan kemampuan caregiver dalam mengatasi beban stress yang dirasakan saat merawat pasien stroke. Jumlah peserta yang hadir sebanyak 40 orang. Metode pelaksanaan melalui penyuluhan dan implementasi relaksasi otot progresif. Berdasarkan data diatas didapatkan bahwa sebanyak 16 (40%) responden dengan kategori tidak ada kecemasan, 12 (30%) responden dengan kecemasan ringan, 8 (20%) responden dalam kategori kecemasan sedang, 3 (7,5%) responden dalam kecemasan berat dan 1 (2,5%) responden dalam rentang kecemasan berat. Diharapkan caregiver dapat menerapkan relaksasi otot progresif dalam mengatasi beban yang dirasakan saat merawat pasien stroke.Kata kunci: Caregiver, Stroke, Beban Stres ABSTRACT Stroke is a disease that can cause physical and psychological problems. Disability due to stroke causes dependence on caregivers. The higher the level of dependency felt by the patient, the higher the stress burden felt by the caregiver. The aim of this activity is to improve the caregiver's ability to overcome the burden of stress felt when caring for stroke patients. The number of participants who attended was 40 people. Implementation method through counseling and implementation of progressive muscle relaxation. Based on the data above, it was found that 16 (40%) respondents were in the no anxiety category, 12 (30%) respondents were in the mild anxiety category, 8 (20%) respondents were in the moderate anxiety category, 3 (7.5%) respondents were in the severe anxiety category. and 1 (2.5%) respondent in the severe anxiety range. It is hoped that caregivers can apply progressive muscle relaxation to overcome the burden felt when caring for stroke patients. Keywords: Caregiver, Stroke, Stress Load
Pelatihan dan Pembuatan Spal Sebagai Upaya Pencegahan dan Penurunan Stunting di Pekon Kanoman, Kecamatan Semaka, Kabupaten Tanggamus, Lampung
Authors: Ahyanti Mei , Hasan Amrul , Aprina Aprina , Astuti Titi , Amatiria Gustop , Nugroho Arie , Mustafa Annasari 
Published: November 2023

ABSTRAK Stunting dapat terjadi karena penyakit infeksi terjadi secara berulang. Penyakit infeksi yang sering terjadi pada balita adalah diare. Sehingga fokus stunting dititikberatkan pada 2 titik yaitu pada bayi usia 6-11 bulan dan anak usia 12-23 bulan. Diare dapat terjadi karena sanitasi lingkungan yang tidak memadai. Upaya ini dilakukan dengan pengendalikan penyakit infeksi dengan memutuskan rantai penularan. Sarana sanitasi yang layak seperti jamban dan SPAL dapat memutus mata rantai penularan penyakit infeksi. Pengabdian bertujuan meningkatkan pengetahuan dan keterampilan masyarakat dalam pembuatan SPAL. Pelaksanaan kegiatan secara bergotong royong di Desa Kanoman Kecamatan Semaka Kabupaten Tanggamus, pada bulan Oktober 2023. Sasaran kegiatan adalah 10 keluarga yang meiliki balita stunting. Kegiatan diawali dengan pelatihan, keberhasilan pelatihan diukur dengan membandingkan hasil pretest dan posttest dan dianalisa menggunakan uji T. Hasil analisis mendapatkan ada pengaruh yang signifikan antara pelatihan dengan peningkatan pengetahuan dan keterampilan peserta. Peningkatan pengetahuan peserta sebanyak 30 point, dan telah terbangun 10 unit SPAL sederhana sehat. Pemerintah akan meneruskan program STBM yang dituangkan dalam nota kerjasama dengan tim pengabdi. Kata Kunci: Limbah, SPAL, Stunting, STBM ABSTRACT Stunting can occur because infectious diseases occur repeatedly. An infectious disease that often occurs in toddlers is diarrhea. So the focus on stunting is focused on 2 points, namely babies aged 6-11 months and children aged 12-23 months. Diarrhea can occur due to inadequate environmental sanitation. This effort is carried out by controlling infectious diseases by breaking the chain of transmission. Proper sanitation facilities such as latrines and SPALs can break the chain of transmission of infectious diseases. The service aims to increase community knowledge and skills in making SPAL. Carrying out activities in mutual cooperation in Kanoman Village, Semaka District, Tanggamus Regency, in October 2023. The target of the activity is 10 families who have stunted toddlers. The activity began with training, the success of the training was measured by comparing the results of the pretest and posttest and analyzed using the T test. The results of the analysis showed that there was a significant influence between training and increasing participants' knowledge and skills. The participants' knowledge increased by 30 points, and 10 simple healthy SPAL units were built. The government will continue the STBM program as outlined in a memorandum of cooperation with the service team. Keywords: Waste, SPAL, Stunting, STBM
Aksi Cegah Stunting: Tingkatkan Kesejahteraan Masyarakat melalui Edukasi 1000 HPK
Authors: Wahidah Nurul Jannatul , Fatmawati Riswi Alinda , Mufidah Tsabita Hanan , Azizah Anjani Nur , Haque Arina Dinal , Khasanah Nurul Ismatun , Setiani Sari Oktantri , Amalia Zahra Azizah 
Published: November 2023

ABSTRAK Kondisi gagal tumbuh selama masa golden period akibat kekurangan gizi kronis yang dialami anak usia di bawah lima tahun disebut dengan stunting. Permasalahan ini akan sulit diperbaiki dan dapat berlanjut hingga anak dewasa apabila tidak segera dicegah sebelum anak menginjak usia 5 tahun. Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan wanita usia subur mengenai 1000 HPK. Metode pengabdian yang digunakan adalah pendekatan Service Learning (SL). Instrumen yang digunakan pada pengabdian masyarakat ini yaitu booklet “Buku Saku Cegah Stunting, Generasi Bangsa Hebat dengan Optimalisasi Golden Period Sehat” dan media PowerPoint Presentation. Hasil pengabdian ini menunjukkan bahwa intervensi pendidikan kesehatan mengenai 1000 HPK melalui sosialisasi dan pemberian media booklet secara langsung memberikan pengaruh terhadap peningkatan hasil pengetahuan wanita usia subur. Booklet 1000 HPK penting untuk diberikan dalam upaya penignkatan pengetahuan Wanita usia Subur sebagi aksi nyata cegah stunting. dengan Kata Kunci: Stunting, Wanita Usia Subur, 1000 HPK Buku Saku ABSTRACT The condition of failure to grow during the golden period due to chronic malnutrition experienced by children under five years of age is called stunting. This problem will be difficult to fix and can continue into adulthood if it is not prevented before the child turns 5 years old. This community service aims to increase knowledge of women of childbearing age regarding 1000 HPK. The service method used is the Service Learning (SL) approach. The instruments used in this community service are the booklet " Buku Saku Cegah Stunting, Generasi Bangsa Hebat dengan Optimalisasi Golden Period Sehat " and PowerPoint Presentation media. The results of this service show that health education interventions regarding 1000 HPK through socialization and provision of media booklets directly influence the increase in knowledge outcomes of women of childbearing age. 1000 HPK Booklet can be used as media to Woman in childbearing Age to increase their knowledge as a real action to decrease stunting. Keywords: Stunting, Woman in Childbearing Age, 1000 HPK, Booklet
Efektifitas Instrumen Musik Terhadap Penurunan Tingkat Kecemasan pada Ibu Bersalin di PMB Bidan Intan Haryadie
Authors: Maslahhulislaiah Imas , Ningsih Sukarni Setya 
Published: November 2023

ABSTRACT Background is relaxation therapy is an alternative that can be given to reduce anxiety responses. This can help patients relax and can improve various aspects of physical health as well as be able to control themselves so that they can take the right response when they are in a stressful situation. The purpose of this study was to determine the effectiveness of musical instruments in reducing anxiety levels in mothers giving birth at PMB Midwife Intan Haryadie. This type of research is a quantitative research with an experimental method of 35 respondents. The results of this study indicate that there is an influence between musical instrument therapy on reducing anxiety levels in mothers giving birth at PMB Intan Haryadie. Keywords: Musical Instrument Therapy, Anxiety Level, Maternity Mother ABSTRAK Latar belakang adalah terapi relaksasi merupakan salah satu alternatif yang dapat diberikan untuk mengurangi respon kecemasan. Hal ini dapat membantu pasien menjadi rileks dan dapat memperbaiki berbagai aspek kesehatan fisik serta dapat mengontrol diri sehingga dapat mengambil respon yang tepat saat berada dalam situasi menegangkan. Tujuan dari penelitian ini adalah untuk mengetahui efektifitas instrumen musik terhadap penurunan tingkat kecemasan pada ibu bersalin di PMB Bidan Intan Haryadie. Jenis penelitian ini adalah penelitian kuantitatif dengan jenis metode eksperimen terhadap 35 responden. Hasil penelitian ini menunjukan bahwa terdapat pengaruh antara terapi instrumen musik terhadap penurunan tingkat kecemasan pada ibu bersalin di PMB Intan haryadie. Kata Kunci: Terapi Instrumen Musik, Tingkat Kecemasan, Ibu Bersalin
Pengaruh Pemberian Sari Kacang Tanah Terhadap Peningkatan Produksi Asi Pada Ibu Menyusui di PMB Bidan Umay Mustika Jaya
Authors: Melawati Melawati , Umairo Gusrida 
Published: November 2023

ABSTRACT Breastfeeding mothers after giving birth often face problems due to delayed milk release or insufficient milk production. Efforts to improve nutrition for breastfeeding mothers by providing foods that can increase milk production, especially peanuts. The purpose of this study was to determine the effect of peanut extract on lactation in Umay midwives in 2023, Kec. Mustikajaya. To determine the effect of peanut extract on increasing milk production in nursing mothers at PMB Midwife Umay in 2023. Single group research method This is a pre-test project. The test used in this study was the Wilcoxon test. The population of all breastfeeding mothers was the PMB Umay midwife, Mustika Jaya sub-district, as many as 15 people. The results of this study showed that the majority of breastfeeding mothers were over the age of> 20 years, namely 40% at the age of 21-27 and above 28-37 years by 40%. The last education of mothers who were breastfeeding, the majority (53.3%) were at the junior high school level. most (80%) breastfeeding mothers before being given peanut extract had milk production that was not smooth. From the results of the Wilcoxon statistical test, the p-value was 0.001 <0.05. There is sufficient evidence to state that there is a significant effect between pretest and posttest values, so that there is an effect of peanut extract on increasing milk production in PMB Umay Kec mothers. Mustika Jaya in 2023. Keywords: Peanuts, Milk Production, Breastfeeding Mothers ABSTRAK Ibu menyusui setelah melahirkan seringkali menghadapi kendala karena pengeluaran ASI yang tertunda atau produksi ASI yang tidak mencukupi. Upaya perbaikan Nutrisi bagi ibu menyusui dengan memberikan makanan yang dapat meningkatkan produksi ASI khususnya kacang tanah. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh ekstrak kacang tanah terhadap laktasi pada Pmb bidan Umay pada tahun 2023, Kec. Mustikajaya. Untuk mengetahui pengaruh sari kacang tanah terhadap peningkatan Produksi ASI pada ibu menyusui di PMB Bidan Umay tahun 2023. Metode penelitian kelompok tunggal Ini adalah proyek tes pra-tes. Uji yang digunakan dalam penelitian ini adalah uji Wilcoxon.Populasi seluruh ibu menyusui adalah bidan PMB Umay kecamatan Mustika Jaya sebanyak 15 orang. Hasil dari penelitian ini bahwa mayoritas ibu menyusui berada di atas usia >20 tahun, yaitu 40% di usia 21-27 dan diatas 28-37 tahun sebesar 40%. Pendidikan terakhir ibu yang sedang menyusui, sebagian besar (53,3%) berada di tingkat SMP. sebagian besar (80%) ibu menyusui sebelum diberikan sari kacang tanah memiliki produksi ASI yang tidak lancar. Dari hasil uji statistic Wilcoxon didapatkan nilai p-value 0,001 < 0,05. Terdapat cukup bukti untuk menyatakan bahwa ada pengaruh yang signifikan antara nilai pretest dan postest, sehingga ada pengaruh sari kacang tanah terhadap peningkatan produksi ASI pada ibu PMB Umay Kec. Mustika Jaya pada tahun 2023. Kata Kunci: Kacang Tanah, Produksi ASI, Ibu Menyusui