bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association between occupational stress and subclinical depression in Chinese primary healthcare workers
Authors: Zhang Jiao , Xu Lingzhong , Qin Wenzhe , Xu Aijun 
Published: November 2023

BackgroundWellbeing of healthcare workers is crucial for the effective functioning of primary health systems. This study aimed to examine the association between occupational stress and subclinical depression among primary healthcare workers, and to establish the foundation for future preventive strategies.MethodsA cross-sectional study was conducted in Tai’an City, Shandong Province, China. Data were collected from 832 medical staff in primary health institutions using a structured self-administered questionnaire. The participants completed the Challenge and Hindrance-Related Self-Reported Stress (C-HSS) Scale and Patient Health Questionnaire-9. Multivariable logistic regression analysis was conducted to explore the relationship between occupational stress and subclinical depression among primary healthcare workers.ResultsThe prevalence of subclinical depression among primary healthcare workers was 11.66%. Participants with subclinical depression have a significant higher level of occupational stress (including challenge-stress and hindrance-stress). Regression analysis result indicated that higher level of occupational stress was significantly associated with more severe subclinical depression, and the risk of subclinical depression remained after adjusting other covariates (OR = 4.57, 95%CI, 3.14–6.63). The association between challenge-stress and subclinical depression was not statistically significant when controlling for hindrance-stress. Subgroup analysis showed that male healthcare workers who perceived higher level of challenge stress were more likely to develop subclinical depression than female healthcare workers.ConclusionThe level of subclinical depression among Chinese primary healthcare workers was high, and occupational stress especially hindrance stress may contribute to subclinical depression. Findings were also robust in subgroup analysis after adjusting for other covariates. These findings emphasize the importance of occupational stress psychosocial interventions to decrease the risk of developing depression among the primary healthcare workers.
Examining the relationship between non-suicidal self-injury and mental health among female Arab minority students: the role of identity conflict and acculturation stress
Authors: Meisler Sahar , Sleman Sheren , Orgler Michal , Tossman Inbal , Hamdan Sami 
Published: November 2023

Background and objectiveResearch suggests that individuals from minority backgrounds, including immigrants and ethnic minorities, may be at a higher risk for non-suicidal self-injury (NSSI). The aim of the present research is to examine the relationship between non-suicidal self-injury (NSSI) and identity conflict and acculturation stress, depression, and risk behaviors among female Arab minority students.MethodsThe sample analyzed consisted of 1,529 female Arab students (85.8% B.A. students, 14% M.A. students) aged 21–54 (M = 23, SD = 4.17). The participants completed self-reported questionnaires assessing NSSI engagement, identity conflict and acculturation stress, depression, and risky substance use behavior.ResultsAs expected, we found a significant positive association between NSSI and identity crisis. In addition, an identity conflict and acculturation stress impact the effect of depression and risky substance use behaviors in engaging in self-injury. Namely, participants were more likely to engage in NSSI when they also experienced identity conflict and acculturation stress and exhibited depressive symptoms and tended to display risky substance use behavior.ConclusionThese findings provide evidence that the relationship between depression, risky substance use behavior, and NSSI may be stronger among individuals who experience higher levels of identity conflict and acculturation stress. Implications for intervention and future research are briefly presented.
Psychobiological risk factors for insomnia and depressed mood among hospital female nurses working shifts
Authors: Bennaroch Kochav , Shochat Tamar 
Published: November 2023

IntroductionDespite a vast body of knowledge on the associations between insomnia and depression, and although women and shift workers are at high risk for each of these conditions separately, common psychobiological risk factors for developing insomnia and depressed mood concomitantly in high-functioning shift-working female nurses have yet to be investigated within a comprehensive framework. This study examines the contribution of shift work (disruption of circadian rhythms), stress, analytical rumination, and morningness-eveningness on the development of insomnia and depressed mood among female hospital nurses.ObjectivesWe sought to assess the severity and prevalence of insomnia symptoms and depressed mood among hospital shift-working compared with day-working nurses; to examine associations between psychobiological risk factors with insomnia and depressed mood; and to develop a conceptual psychobiological model to describe their co-occurrence among hospital nurses.MethodsUsing a cross-sectional design, we recruited female hospital nurses, shift workers (SW) and day workers (DW: only morning shifts), and assessed them for insomnia, depressed mood, stress, analytical rumination, and morningness-eveningness through validated self-administered questionnaires delivered online. Using structural equation modeling (SEM), we assessed common pathways between psychobiological factors affecting insomnia and depressed mood.Results448 nurses completed electronic questionnaires. SW nurses (n = 358) compared with DW nurses (n = 90) had significantly higher rates of insomnia and depressed mood. SW nurses also reported significantly higher severity of insomnia, depressed mood, stress, and a tendency to eveningness compared with DW nurses. A positive linear relationship was found between insomnia and depressed mood in both SW and DW nurses. SEM showed that shift work contributed directly to insomnia and indirectly to depressed mood. The overall model showed a good fit between the empirical and the conceptual psychobiological model proposed in the study [χ(1) = 0.16, p = 0.69, CFI = 0.99, RMSEA = 0.0001].DiscussionWe found that SW nurses who reported high levels of stress and eveningness are at significantly greater risk for both insomnia symptoms and depressed mood. Findings provide the groundwork in creating a conceptual psychobiological model to examine the co-occurrence of insomnia and depressed mood phenomena in hospital nurses. This research is an important first step toward the development of interventions aimed at improving nurses' health, wellbeing and quality of life by preventing the mental burden associated with insomnia and depressed mood.
EVIDENCE BASED CASE REPORT (EBCR): PENGARUH INISIASI MENYUSU DINI PADA BAYI BARU LAHIR TERHADAP PENCEGAHAN HIPOTERMI
Authors: Purwani Ketut Selpi , Ulfah Kurniati 
Published: November 2023

Latar belakang: Inisiasi menyusu dini merupakan kemampuan bayi mulai menyusu sendiri segera setelah dilahirkan. Hipotermi merupakan salah satu efek tidak dilakukan IMD pada bayi baru lahir yang dapat menimbulkan suhu bayi yang rendah mengakibatkan proses metabolisme dan fisiologis melambat. IMD ditemukan sebagai metode yang aman dan efektif untuk mencegah hipotermi pada bayi baru lahir yang dapat menjadi salah satu pendekatan nonfarmakologi karena merupakan intervensi yang efektif biayanya dan mudah untuk menerapkan dalam pengaturan apapun karena tidak memerlukan fasilitas tambahan. Tujuan: Penerapan praktik berbasis bukti ini bertujuan untuk mengetahui efek IMD dalam mencegah terjadinya hipotermi pada bayi baru lahir. Metode: Metode penulisan EBCR ini adalah dengan cara penelusuran bukti melalui data based Pubmed dan Google Scholar dengan tahun terbit 2017-2022 diperoleh 1 buah artikel untuk dilakukan telaah kritis. Hasil: Hasil penerapan IMD pada kasus ini menunjukkan bahwa terdapat peningkatan suhu setelah dilakukan IMD yaitu 36,2oC (pre) menjadi 36,7oC setelah dilakukan IMD. Simpulan: IMD merupakan metode yang efektif untuk pencegahan hipotermi pada bayi baru lahir.
PENGARUH DEEP BACK MASSAGE TERHADAP INTENSITAS NYERI PERSALINAN PADA IBU INPARTU KALA I FASE AKTIF: LAPORAN KASUS BERBASIS BUKTI
Authors: Maulana Azizah Fitra , Sofiyanti Santi 
Published: November 2023

Persalinan adalah proses pengeluaran hasil konsepsi yang telah cukup bulan dengan bantuan atau tanpa bantuan. Rasa nyeri pada persalinan adalah manifestasi dari adanya kontraksi otot rahim. Kontraksi ini menyebabkan adanya pembukaan serviks. Nyeri persalinan dapat menimbulkan stres yang menyebabkan pelepasan hormon yang berlebihan seperti katekolamin dan steroid, dapat mengakibatkan penurunan kontraksi uterus, penurunan sirkulasi uteroplasenta, pengurangan aliran darah dan oksigen ke uterus, serta timbulnya iskemia uterus yang membuat impuls nyeri bertambah banyak. Tujuan penelitian ini untuk mengurangi rasa sakit pada kala 1 fase aktif persalinan. Pada bagian metodologi penulusuran jurnal adalah Childbirth labor deep back massage pain labor dengan Boolean operator yang digunakan untuk penelusuran jurnal ini adalah “OR” dan “AND”. Sumber data yang digunakan untuk penelusuran jurnal terkait adalah PubMed. Dalam penelusuran jurnal pada E-Data based dibatasi pada publikasi 5 tahun, yaitu dalam rentang 2017 sampai 2022. Hasil: Nyeri pada ibu bersalin kala I fase aktif sebelum dilakukan metode deep back massage pada nyeri berat terkontrol dengan nilai 7 dan setelah dilakukan metode deep back massage menjadi berada pada nyeri sedang dengan nilai 5. Artinya terdapat pengaruh metode deep back massage terhadap nyeri pada persalinan kala I fase aktif pada ibu inpartu di Puskesmas Sukarasa. Kesimpulan: Metode deep back massage dapat menurunkan nyeri persalinan kala 1 fase aktif dikarenakan sentuhan yang halus dan lembut dari pijatan dapat merangsang tubuh melepaskan hormone endorphine yang membuat ibu menjadi lebih rileks dan nyaman. Oleh sebab itu, metode deep back massage dapat menjadi salah satu alternatif dalam mengurangi nyeri saat persalinan.
ASUHAN KEBIDANAN PADA IBU DENGAN MIOMA UTERI DAN ANEMIA : LAPORAN KASUS KESEHATAN REPRODUKSI
Authors: Andini Andriani Putri , Susilawati Enung Harni 
Published: November 2023

Mioma Uteri adalah tumor jinak yang berasal dari otot polos rahim yang terdiri dari sel-sel jaringan otot polos, jaringan pengikat fibroid, dan kolagen. Gejalanya yaitu nyeri abdomen, gangguan menstruasi, hingga perdarahan. Kejadian mioma uteri di Indonesia sebesar 2,39%−11,70%. Sedangkan angka kejadiannya diprediksi mencapai 20−30% terjadi pada wanita berusia di atas 35 tahun. Tujuan penulisan adalah agar mampu memberikan asuhan kebidanan pada Ny. W usia 44 tahun dengan mioma uteri dan anemia.
Metode yang digunakan pada laporan kasus ini, yaitu asuhan kebidanan dengan teknik pendokumentasian SOAP. Tehnik pengumpulan data meliputi wawancara, pemeriksaan fisik, observasi, studi dokumentasi, dan studi literatur. Hasil pengkajian data subjektif didapatkan yaitu Ny. W Usia 44 tahun mengeluh nyeri perut bagian bawah sejak 7 hari yang lalu disertai dengan keluarnya darah sebanyak ½ pembalut. Darah yang keluar berbentuk flek-flek yang berwarna merah segar. Data objektif ditemukan wajah pucat, sklera putih, konjungtiva pucat, (Anemis) ekstremitas tidak edema. Pemeriksaan abdomen teraba massa dan terdapat nyeri tekan. Pemeriksaan genetalia terdapat perdarahan pervaginam, berwarna merah segar. Pada pemeriksaan USG ditemukan mioma uteri menonjol keluar dinding uterus, hasil pemeriksaan laboratorium di dapatkan hemoglobin 8,6 gr/dl. Penatalaksaan melakukan observasi KU dan TTV serta perdarahan pervaginam, Kolaborasi dengan dokter SpOG dalam pemberian terapi, Sedangkan Analisa yang ditegakkan Ny. W Usia 44 Tahun dengan mioma uteri dan anemia.
Kesimpulan dari asuhan kebidanan yang dilakukan pada Ny. W sudah sesuai dengan teori dan standar penanganan mioma uteri. Diharapkan klien dan keluarga dapat mengenal tanda-tanda mioma uteri dan Segera datang ke petugas kesehatan jika ada keluhan.
LAPORAN ASUHAN KEBIDANAN POST PARTUM DENGAN PUTING SUSU LECET DAN BENDUNGAN ASI
Authors: Lathifah Farhatul , Ekayanthi Ni Wayan Dian 
Published: November 2023

Perubahan fisiologis masa nifas bertujuan untuk pengembalian organ seperti sebelum hamil. Perubahan payudara berkaitan dengan proses laktasi dan pemberian ASI. Masalah atau penyulit pemberian ASI yang dapat terjadi adalah puting susu lecet dan bendungan ASI. Tujuan penulisan laporan ini adalah mengaplikasikan asuhan nifas dengan puting susu lecet dan bendungan ASI. Metode yang digunakan laporan kasus dengan pendokumentasian SOAP dan teknik pengumpulan data wawancara, pemeriksaan fisik, observasi, studi dokumentasi, dan studi literatur. Data subjektif Ny. L umur 34 tahun melahirkan anak ketiga 7 hari yang lalu, belum pernah keguguran dengan keluhan puting perih dan payudara terasa nyeri saat menyusui. Data objektif keadaan umum baik, puting susu kiri tampak lecet, payudara kiri bengkak, TFU 3 jari di atas simfisis, pengeluaran lokia serosa (± 15cc). Analisis Ny. L umur 34 tahun P3A0 Post Partum 7 hari dengan puting susu lecet dan bendungan ASI. Penatalaksanaan yang dilakukan dengan mengajarkan teknik perawatan payudara, teknik menyusui yang benar, memerah dan menyimpan ASI, menganjurkan ibu menyusui on demand dan ASI eksklusif. Saran untuk klien dan keluarga diharapkan dapat melanjutkan asuhan yang sudah diberikan dan terhindar dari masalah laktasi puting susu lecet dan bendungan ASI.
Kata kunci: masa nifas, puting susu lecet, bendungan ASI
GAMBARAN KASUS KEHAMILAN DENGAN OBESITAS
Authors: Purba Titi Nurhayati , Kusumawati Heppy 
Published: November 2023

Masalah gizi di Indonesia masih menjadi tren, salah satunya gizi lebih yang termasuk masalah gizi paling mengancam kesehatan di Indonesia. Berdasarkan data dari Riskesdas tahun 2018 di Indonesia terdapat 21,8% kasus obesitas. Kejadian obesitas di seluruh wilayah lebih tinggi pada perempuan dibandingkan laki-laki. Padahal asupan gizi untuk bayi dalam kandungan selama masa kehamilan berasal dari persediaan zat gizi di dalam tubuh ibunya sejak masa pra-konsepsi. Obesitas pada kehamilan dapat mengakibatkan terjadinya komplikasi pada ibu maupun janin, pada trimester awal menyebabkan terjadinya aborsi spontan dan kelainan kongenital. Tujuan asuhan kebidanan pada kehamilan dengan obesitas untuk mencegah terjadinya komplikasi pada kehamilan melalui pelayanan antenatal terpadu.
Metode yang digunakan adalah studi kasus dengan pendekatan berdasarkan manajemen kebidanan dalam bentuk pendokumentasian subjektif, objektif, analisa, dan, penatalaksanaan. Hasil yang didapatkan setelah dilakukan wawancara didapatkan bahwa karakteristik klien pada kasus ibu hamil dengan obesitas ini yaitu seorang ibu hamil berusia 24 tahun, yaitu pasien mengaku hamil pertama dan belum pernah keguguran dengan HPHT pada tanggal 10 Desember 2022, hasil pemeriksaan fisik dan penunjang ditemukan bahwa berat badan pra-hamil 95 kg, tinggi badan 153 cm, IMT 40.5, TFU belum teraba, konjungtiva pucat dan hasil pemeriksaan kadar hemoglobin yaitu 10,8 gr/dl. Penatalaksanaan yang dilakukan adalah memberikan konseling tentang ketidaknyamanan fisiologis pada kehamilan, pola nutrisi yang baik, tanda bahaya kehamilan, kemudian melakukan kolaborasi dengan nutrisionist, dan melakukan pemantauan perkembangan kehamilan.
Kesimpulan pada kasus kehamilan dengan obesitas yaitu klien harus mendapatkan asuhan antenatal yang berkualitas dan terintegrasi dengan program pelayanan kesehatan lainnya sebagai upaya mencegah komplikasi pada kehamilan.
KETIDAKNYAMANAN SERING BERKEMIH PADA KEHAMILAN TRIMESTER I
Authors: Purba Titi Nurhayati 
Published: November 2023

Selama kehamilan seorang wanita akan mengalami perubahan dalam yang meliputi perubahan fisiologis dan psikologis. Perubahan memerlukan adaptasi sehingga menyebabkan keluhan atau ketidaknyamanan, salah satunya yaitu sering berkemih. Hal ini disebabkan karena adanya perubahan pembesaran rahim yang mempengaruhi sistem perkemihan. Hal ini memerlukan perhatian karena dapat memberikan efek samping pada organ reproduksi terutama daerah vagina sangat penting dijaga selama masa kehamilan terlebih dengan keluhan sering buang air kecil dimana hal tersebut dapat mengakibatkan komplikasi berupa pertumbuhan bakteri dan jamur yang dapat menyebabkan infeksi didaerah tersebut jika tidak diatasi. Tujuan penulisan untuk mengaplikasikan asuhan kebidanan di Praktik Mandiri Bidan G Metode yang digunakan adalah studi kasus. Teknik pengumpulan data dilakukan dengan wawancara, observasi, pemeriksaan fisik, studi dokumentasi, dan studi kepustakaan. Hasil Pengkajian Ny.M usia 23 tahun hamil pertama, tidak pernah keguguran. HPHT pada 24maret ,mengeluh sering berkemih sejak usia kehamilan 24 minggu. Data Objektif keadaan umum baik, tekanan darah 120/80 mmHg, Nadi 83x/menit, pernafasan 22x/menit, suhu 36,6oC.Tinggi Fundus Uteri 1 jari diatas pusat (24 cm) Ballotement (+).TBJ 1.705 gram. DJJ 148x/menit, reguler. Adapun Penatalaksanaan menjelaskan ketidaknyamanan, menganjurkan ibu tetap mempertahankan pola minum, tidak menahan berkemih dan menghindari minuman mengandung caffeine, meningkatkan perawatan personal hygiene, istirahat yang cukup, memperhatiakan janinnya.
Kesimpulan dari Asuhan setelah dilakukan asuhan selama 2 minggu keluhan ibu sudah membaik serta menjadi beradaptasi terhadap ketidaknyamanan yang muncul sehingga ibu menjadi lebih nyaman. Ketidaknyamanan ini dapat diadaptasi oleh ibu pada saat trimester ketiga sehingga tidak menimbulkan komplikasi dan sudah lebih siap terhadap ketidaknyamanan tersebut.Kata kunci: Ketidaknyamanan, Sering Berkemih
SENGKETA KEPUTUSAN TATA USAHA NEGARA PADA PENGADAAN BARANG/JASA PEMERINTAH DI KEMENTERIAN PERHUBUNGAN REPUBLIK INDONESIA
Authors: Sirajuddin Sirajuddin , Adianto Mau Hedwig , Suryadi Bakry Umar 
Published: November 2023

The tender process at the Ministry of Transportation uses an Electronic Procurement System (SPSE) and a supporting system where the final results in the application tendered by the Selection Working Group are only in the form of Minutes of Election Results (BAHP), which are then reported to the Commitment Making Officer (PPK). to be followed up in the form of a Letter of Appointment of Goods/Services Provider (SPPBJ) whether to accept the results of the Working Group or reject it. In the process of determining this, it turned out that there was a legal debate which resulted in legal uncertainty where the Selection Working Group's determination was in the form of BAHP as the result which was used as the object of the lawsuit. Meanwhile, the opinion of the other panel of judges is inversely proportional to the BAHP issue as the object of this dispute. Apart from that, administrative efforts before filing a lawsuit were also a problem where some of the Panel of Judges passed the dismissal stage and some did not.
From the results of the study it was found that the determination of the object of dispute state administrative decisions on the procurement of government goods/services, especially at the Ministry of Transportation of the Republic of Indonesia, was normatively in the basic regulations regarding Government Procurement of Goods/Services, showing the decision to determine the winner of the Working Group in the form of BAHP even though it required approval with PPK can be used as th e object of dispute in disputes over state administrative decisions. In addition, the results also show that the explanations and decisions at the State Administrative Court, the administrative e arrangements for the procurement of goods/services are objections and appeals and a guarantee of 1% (one percent).

Keywords: Procurement, goods/services, administrative decision.
PENEGAKAN HUKUM PELAKU TINDAK PIDANA PENIPUAN ORDERAN FIKTIF OJEK ONLINE (ANALISIS PUTUSAN NOMOR 1507/PID.SUS/2018/PN.MDN DAN PUTUSAN NOMOR 143/PID.B/2018/PN.LMG)
Authors: Shafira Mayzahira Almas , Marbun Warasman , Mardani Mardani 
Published: November 2023

Crime is a social phenomenon that is the responsibility of the state and society because the more crimes that are committed, the greater the danger to the state and society. This study uses normative legal research methods which aim to analyze and evaluate court decisions related to law enforcement of perpetrators of fraudulent online motorcycle taxi ordering fraud. This method will involve literature study and document analysis, namely court decision number 1507/PID.SUS/2018/PN.MDN and decision number 143/PID.B/2018/PN.LMG which is related to the fraudulent case of fictitious online motorcycle taxi orders. The analysis was carried out using a statutory approach and legal theory related to criminal acts of fraud and related court decisions. The results of the analysis will be requested and presented in a narrative form that can provide a deeper understanding related to law enforcement against perpetrators of criminal acts of fraudulent online motorcycle taxi orders. Based on the author's analysis above of the two criminal court decisions in the field of Information and Electronic Transactions Law, it turns out that the authors found that it was very low and did not give a deterrent effect to perpetrators of the Electronic Information and Transactions Law and did not provide a sense of justice to victims.
Keywords : Law enforcement, crime, fraud, fictitious order, online motorcycle taxi.
PERLINDUNGAN HUKUM ATAS TANAH ADAT DALAM KAITAN PEMBERIAN IZIN USAHA PERKEBUNAN KELAPA SAWIT
Authors: Dirga Prayogo Septian , Andraini Fitika 
Published: November 2023

Rule point 3 of the UUPA states that the use and exploitation of agrarian lands, especially the management of ulayat land, is carried out by customary leaders (Kepala Adat) and the utilization is intended for both members of the customary law community concerned and people who are not part of the customary or local law community. Every citizen has the right to obtain legal remedies as well as remedies for violations of rights they have suffered as well as a fair legal settlement. In this case, the state has an obligation to ensure the fulfillment of these rights. Based on access to justice which is a constitutional guarantee of human rights. Likewise in the explanation of Law no. 39 of 1999 concerning Human Rights Article 6 Paragraph (1) states that customary rights which are actually still valid and upheld within the customary law community must be respected and protected in the context of protecting and enforcing human rights in the community concerned by taking into account the law and regulations. laws and regulations. The approach method used in the preparation of this thesis is normative juridical research (normative legal research method). The normative juridical research method is a legal research library conducted by examining library materials or secondary data. By using the deductive method of thinking (a way of thinking in drawing conclusions from something general that has been proven true and that conclusion is aimed at something specific). Based on the analysis that the author conducted regarding the Recognition of Ulayat Rights in the Republic of Indonesia, the district/city government is the first line to provide recognition and protection of customary rights over customary law community lands. Regional autonomy, which forms local governments that are close to the people, is expected to increase legal recognition and protection of the customary rights of customary law communities which are often neglected in state life.

Key Word: Oil Palm, Law Protection, Customary Land.