bluuebunny/crossref_metadata_2025_split huggingface dataset:
Learning design for couple prenatal education program; birthing class
Authors: Purnamayanti Ni Made Dwi , Novya Dewi I Gusti Agung Ayu 
Published: June 2023

<p><strong><em>Background</em></strong><em>: The involvement of birth attendants has been shown to have a positive impact on pregnancy outcomes. Unprepared fathers tend to have negative experiences during childbirth. Mothers and partners need to be prepared since pregnancy to face childbirth and have a satisfying birth experience. It is necessary to arrange a learning program for childbirth classes not only for pregnant woman but also their partners.</em></p><p><strong><em>Objectives:</em></strong><em> The purpose of this study is to develop a birthing class learning design for the prenatal couple education program.</em></p><p><strong><em>Methods</em></strong><em>: This research design is research and development (R&amp;D) level 1. The product to be developed is a birthing class learning design for prenatal couple education program. The stages of the research are 1) analysis of gaps and needs of the developed program; 2) Drafting; 3) internal validation of the design </em></p><p><strong><em>Results</em></strong><em>: This study found that the needs of mother and their partners for birthing classes are high. The material most needed in birthing class is husband’s role in delivery process. In the management of birthing class, mother and partner want a balance practicum and theory method, the duration of the class is 90 minutes, with the number of participants less than 5 couples and the use of learning modules. The birthing class learning design for prenatal couple education program is structured in form of training program curriculum that consist 1) competencies; 2) learning outcome; 3)study materials; 4) training subjects; 5) training course loads; 6) learning methods and 7) assessments. </em></p><strong><em>Conclusions</em></strong><em> The birthing class learning design for prenatal couple education program is needed by pregnant women and their partners. The design can be used for preparing the birthing class model.</em>
The effectivity of hypnobreastfeeding on the success of exclusive breastfeeding by mothers giving birth at Dian Dwi Anggraini Independent Midwifery Practice in Bogor Regency
Authors: Rochmawati Rochmawati , Petricka Gracea , Kusmintarti Arini 
Published: June 2023

<p><strong><em>Background:</em></strong><em>Stunting is an indicator of chronic malnutrition due to a long period of insufficient food intake. The prevalence rate of stunting in Indonesia reached 24.4% in 2021. Generally, problems related to linear growth in toddlers are frequently disregarded because it is still considered as normal as long as the child’s weight has met the standard. Several studies stated that stunting is associated with an increased risk of morbidity and mortality, as well as inhibited development of motoric and mental abilities. To decrease the prevalence of stunting, specific intervention in the form of exclusive breastfeeding needs to be carried out. The coverage of exclusive breastfeeding in Indonesia was 52.5%. Feeding the baby exclusively with breast milk up to the age of 6 months has been recommended by the World Health Organization (WHO). However, various obstacles occurred in the breastfeeding process cause the mothers unable to provide the babies with exclusive breast milk. One of the inhibiting factors of breast milk production is the psychological factor, which is the occurrence of stressors in breastfeeding mothers. One of the efforts which can be done to relieve stress in breastfeeding mothers is by applying hypnobreastfeeding. It is a natural effort carried out by providing positive affirmations for the breastfeeding process when mothers are in a very relaxed or very concentrated state.</em></p><p><em> <strong>Objectives : </strong> This study aims to figure out the effect of hypnobreastfeeding on the success of giving exclusive breastfeeding.<strong></strong></em></p><p><strong><em>Methods: </em></strong><em>This research employed quantitative descriptive analysis with a quasi-experimental and control group post-test-only design.</em></p><p><strong><em>Results :</em></strong><em> The results of this study obtained the effectiveness of hypnobreastfeeding on the success of exclusive breastfeeding. It is indicated by statistical values with a p-value of &lt; 0.05., and the effect is 5.5 times greater than that of the group without hynobreastfeeding. <strong>Conclusions : </strong>Referring to the high effectiveness of hypnobreastfeeding on the success of exclusive breastfeeding shown in this study, the researchers confirmed that hypnobreastfeeding is an action that must be given by health workers when accompanying mothers in labor.</em></p>
The effect of yoga movements in reducing complaints symphysis pubis dysfunction in pregnancy
Authors: Kumorojati Ratih , Sari Alfie Ardiana , Ayuningtyas Ika Fitri 
Published: June 2023

<p><strong>Background: </strong><em>The incidence of Section Caesarea (SC) based on the results of the 2018, states that the highest prevalence is in the DKI Jakarta area with a </em>percentage <em>reached 31.3% while the Papua region </em>percentage is <em>only 6.7%. It is known that the causes of birth with CS include, a narrow pelvis, disproportion of the fetal head, malposition of the fetus, and disorders of the descent of the fetal head which often cause complaints of symphysis pubis dysfunction </em>(SPD). <em>Every pregnant woman needs to empower herself to increase her self-confidence in facing the pregnancy process until before delivery. Several studies have stated that practicing yoga during pregnancy can reduce pregnancy complaints. During the Covid-19 pandemic, pregnant women were limited to doing activities outside the home. In this case, independent yoga media is needed that is safe, easy to understand, and as a guide for pregnant women, both in the form of videos, flashcards, spin cards, and picture cards of practical yoga movements.</em></p><p><strong><em>Objectives</em></strong><strong>: </strong><em>To find out the effectiveness of yoga movements in dealing with complaints of symphysis pubis dysfunction in pregnancy.</em></p><p><strong>Methods: </strong><em>This research method uses quasi-experimental research with a one-group pre-test design which reveals a causal relationship involving one group of subjects. Respondents consisted of 25 pregnant women entering the third trimester of pregnancy with the inclusion criteria of pregnant women experiencing dysfunction of the symphysis pubis before the intervention. The interventions that will be carried out are measuring pain scales, printing yoga movement cards, teaching, and doing yoga 4 times in 1 month.</em></p><p><strong>Results: </strong><em>It is known that the number of respondents who did yoga before the intervention was mostly in the mild pain category (36%) and moderate (28%). After the intervention, the majority of respondents were in the no-pain category (44%). Respondents with severe pain before intervention (16%) decreased to (8%) post-intervention. The results of statistical tests using the Wilcoxon test obtained p = 0.036 where this value is below 0.05, which means that there is an effect of yoga movements in reducing complaints of symphysis pubis dysfunction in pregnancy.</em></p><p><strong>Conclusions: </strong><em>From the results of the research that has been done, it can be concluded that there is an influence of yoga movements in reducing complaints of symphysis pubis dysfunction in pregnancy. There were significant changes in pregnant women before and after the intervention. Therefore pregnant women are encouraged to do yoga regularly to reduce complaints of pregnancy discomfort which can interfere with the delivery process.</em><em></em></p>
Cancer Pain Experience Through the Lens of Patients and Caregivers: Mixed Methods Social Media Study
Authors: Filipponi Chiara , Chichua Mariam , Masiero Marianna , Mazzoni Davide , Pravettoni Gabriella 
Published: June 2023

Background
Cancer pain represents a challenge for cancer patients and their family members. Despite progression in pain management, pain is still underreported and undertreated, and there is limited information on the related needs that patients and caregivers may have. Online platforms represent a fundamental tool for research to reveal the unmet needs of these users and their emotions outside the medical setting.

Objective
This study aimed to (1) reveal the unmet needs of both patients and caregivers and (2) detect the emotional activation associated with cancer pain by analyzing the textual patterns of both users.

Methods
A descriptive and quantitative analysis of qualitative data was performed in RStudio v.2022.02.3 (RStudio Team). We analyzed 679 posts (161 from caregivers and 518 from patients) published over 10 years on the “cancer” subreddit of Reddit to identify unmet needs and emotions related to cancer pain. Hierarchical clustering, and emotion and sentiment analysis were conducted.

Results
The language used for describing experiences related to cancer pain and expressed needs differed between patients and caregivers. For patients (agglomerative coefficient=0.72), the large cluster labeled unmet needs included the following clusters: (1A) reported experiences, with the subclusters (a) relationship with doctors/spouse and (b) reflections on physical features; and (1B) changes observed over time, with the subclusters (a) regret and (b) progress. For caregivers (agglomerative coefficient=0.80), the main clusters were as follows: (1A) social support and (1B) reported experiences, with the subclusters (a) psychosocial challenges and (b) grief. Moreover, comparison between the 2 groups (entanglement coefficient=0.28) showed that they shared a common cluster labeled uncertainty. Regarding emotion and sentiment analysis, patients expressed a significantly higher negative sentiment than caregivers (z=−2.14; P<.001). On the contrary, caregivers expressed a higher positive sentiment compared with patients (z=−2.26; P<.001), with trust (z=−4.12; P<.001) and joy (z=−2.03; P<.001) being the most prevalent positive emotions.

Conclusions
Our study emphasized different perceptions of cancer pain in patients and caregivers. We revealed different needs and emotional activations in the 2 groups. Moreover, our study findings highlight the importance of considering caregivers in medical care. Overall, this study increases knowledge about the unmet needs and emotions of patients and caregivers, which may have important clinical implications in pain management.
Supervised Home-Based Exercise Prehabilitation in Unfit Patients Scheduled for Pancreatic Surgery: Protocol for a Multicenter Feasibility Study
Authors: Hildebrand Nicole D , Wijma Allard G , Bongers Bart C , Rensen Sander S , den Dulk Marcel , Klaase Joost M , Olde Damink Steven W M 
Published: June 2023

Background
Morbidity rates in pancreatic surgery are high, and frail patients with low aerobic capacity are especially at risk of complications and require prophylactic interventions. Previous studies of small patient cohorts receiving intra-abdominal surgery have shown that an exercise prehabilitation program increases aerobic capacity, leading to better treatment outcomes.

Objective
In this study, we aim to assess the feasibility of a home-based exercise prehabilitation program in unfit patients scheduled for pancreatic surgery on a larger scale.

Methods
In this multicenter study, adult patients scheduled for elective pancreatic surgery with a preoperative oxygen uptake (VO2) at the ventilatory anaerobic threshold ≤13 mL/kg/min or a VO2 at peak exercise ≤18 mL/kg/min will be recruited. A total of 30 patients will be included in the 4-week, home-based, partly supervised exercise prehabilitation program. The program comprises 25-minute high-intensity interval training on an advanced cycle ergometer 3 times a week. Training intensity will be based on steep ramp test performance (ie, a short-term maximal exercise test on a cycle ergometer), aiming to improve aerobic capacity. Twice a week, patients will perform functional task exercises to improve muscle function and functional mobility. A steep ramp test will be repeated weekly, and training intensity will be adjusted accordingly. Next to assessing the feasibility (participation rate, reasons for nonparticipation, adherence, dropout rate, reasons for dropout, adverse events, and patient and therapist appreciation) of this program, individual patients’ responses to prehabilitation on aerobic capacity, functional mobility, body composition, quality of life, and immune system factors will be evaluated.

Results
Recruitment for this study began in January 2022 and is expected to be completed in the summer of 2023.

Conclusions
Results of this study will provide important clinical and scientific knowledge on the feasibility of a partly supervised home-based exercise prehabilitation program in a vulnerable patient population. This might ease the path to implementing prehabilitation programs in unfit patients undergoing complex abdominal surgery, such as pancreatic surgery.

Trial Registration
ClinicalTrials.gov NCT05496777; https://classic.clinicaltrials.gov/ct2/show/NCT05496777

International Registered Report Identifier (IRRID)
DERR1-10.2196/46526
Representasi pustakawan dalam The Librarian Season 1
Authors: Utomo Nadzir Cahyo , Lydia Christiani 
Published: June 2023

Introduction. The success and acceptance of the community towards The Librarian Season 1, comic indirectly show an interest in the librarian profession. Although the library and librarian described in the Librarian Season 1 are fictional settings, the values in the world of librarianship cannot be ignored. This study aims to examine the representation of librarians in The Librarian Season 1 comic.
Research Methods. The method used was qualitative. Collecting data was conducted by document study by exploring the website?
Data Analysis. This paper used Roland Barthes' semiotic analysis focusing on the denotative, connotative, and myth levels.
Results and Discussion. In the comic The Librarian Season 1, there are 13 episodes out of a total of 15 episodes that have librarian representation scenes based on ideal characters in the Basic Framework for Indonesian Librarianship (KDKI).
Conclusion and Suggestions. Miche is a representation of the ideal character of a librarian based on KDKI. Therefore, the paper suggests that comic artists are considered to reproduce story ideas about librarians in comics, content, or other pop culture products. Librarian representation in the comic The Librarian Season 1 can be an alternative educational media for both prospective librarians and public.
PENGEMBALIAN BERKAS KLAIM PASIEN PESERTA JAMINAN KESEHATAN NASIONAL (JKN) DI RSUD SULTAN SYARIF MOHAMAD ALKADRIE KOTA PONTIANAK
Authors: Andi Sulaimana  , Andreasta Meliala  , Julita Hendrartini  
Published: June 2023

Background: Approach of managed care in the National Health
Insurance Program (JKN) puts hospitals as a health facility referral with the prospective payment system. Treatment of patients
should be done and handled in primary health facilities. Although
the number of patient referral to hospitals in JKN era remains high.
The impact of the hospital is faced with an increase in claims bills
to BPJS Kesehatan. By 2016 in RSUD Pontianak it was noted that
6.98% of the income came from JKN hospital patients which had not
been paid by BPJS Kesehatan, so some were returned. A research
needs to be conducted on the cause of the returned claim file from
BPJS Kesehatan verifier to RSUD Pontianak.
Objective: To find out the cause of the claims pending in RSUD
Pontianak.
Methods: The research is an exploratory case study with a single
case study design approach.
Results: The claim process at RSUD Pontianak is still not as good
as never completed every month. Most of the causes of returned
claims are administrative errors and medical reasons. Maladmin
istration in the form of typing errors, dates, but a sign from the
doctor. Medical reasons include coding disagreements, differences
in perceptions about specific inspection directions, lack of support,
differences in perceptions about secondary diagnostic inputs. Performance coding is limited to differences in perceptions between
Coder and BPJS Kesehatan Verifier, positive physician response
to file claims reversed, BPJS Kesehatan Verifier perceptions are
constrained in capacity, differences in educational background, differences in understanding with Coder on Reselected Coding, and
differences in regulatory implementation in the claims process.
Conclusion: Technical error of claims administration process, difference of perception of coding, difference of comprehension about
complementary examination, special treatment and secondary diagnosis input, and difference of perception to JKN regulation on verifier of cause of claim file of JKN patients return to RSUD Pontianak.
Factores asociados a severidad y mortalidad en pacientes con COVID-19: estudio multicéntrico en República Dominicana
Authors: Colón Franklyn , Sebelén Elías , García Natalia , Ramírez Lisnaldy , Pereyra-Bencosme Kelsie , Vargas Coral , Tejada Fiodor , Taveras Guillermo , Gutiérrez-Martínez Anthony 
Published: June 2023

Objetivo: identificar factores asociados a severidad y mortalidad por COVID-19.
Material y métodos: estudio observacional multicéntrico retrospectivo de pacientes ingresados por COVID-19 en centros de una ciudad de la República Dominicana. Se reportaron datos demográficos, clínicos, terapéuticos y de laboratorio para su comparación entre pacientes con enfermedad severa y no severa, fallecidos y dados de alta.
Resultados: los factores asociados a mayor riesgo de severidad y mortalidad fueron el sexo masculino, la hipertensión arterial, la cantidad de comorbilidades, el uso de fármacos previos, niveles elevados de marcadores inflamatorios, linfopenia, neutrofilia, entre otros. Mientras que el uso de inhibidores de la enzima convertidora de angiotensina se asoció a menor mortalidad.
Conclusiones: la identificación de los factores asociados a progresión severa y mortal por COVID-19 contribuye a la toma temprana de decisiones relacionadas a la hospitalización y a pautas de manejo médico diferencial en quienes conllevan mayor riesgo de desenlaces adversos.
Contabilidad gerencial y su incidencia en la supervivencia de las Pymes
Authors: Mora-Hernández Luisa Fernanda , Cordero-Díaz Marling Carolina 
Published: June 2023

El presente estudio tiene como objetivo determinar la incidencia de la Contabilidad Gerencial en la supervivencia de las Pymes, para ello se realizó una búsqueda de literatura concernientes a la Contabilidad gerencial y cómo esta ayuda en la supervivencia de las Pymes a nivel mundial, esto arrojó que la Contabilidad Gerencial apoya en el control, seguimiento y funcionamiento de las operaciones comerciales y así también poder tomar buenas decisiones estratégicas para la supervivencia de las Pymes a un largo plazo, el estudio arrojó que a nivel mundial existen más de 400 millones de Pymes, las cuales representan el 90% del total de las empresas, por otro lado solo en Latinoamérica el 99,5% son empresas Pymes; a nivel nacional se encuentran más de 5.780.000 empresas Pymes que formarían más del 90% de las empresas. Las empresas Pymes son las que generan más empleo en el mundo con un 50% y están empresas han disminuido el índice de desempleo a nivel mundial, también son las que económicamente más ingresos generan, pero, por otro lado, un estudio nos informa que más del 64% de ellas no sobreviven tras el primer año y que más del 50%cierran sus negocios tras 5 años de funcionamiento. Concluyendo así que muchas de las empresas Pymes no tienen la capacidad para adaptarse a los múltiples cambios del mercado y a los obstáculos que este generan, además otra causas del cierre de los negocios es la falta de información, asesoramiento, falta de administración de los ingresos y recursos y también por la falta de acompañamiento e inversión del gobierno; por otro lado las Pymes que llegan a sobrevivir son aquellas que se adopta fácilmente, tiene asesoramiento y van de la mano con el uso de las redes sociales y los avances tecnológicos de las comunicaciones.
Análise do uso do livro didáctico de química pelos alunos da 9ª classe
Authors: Domingos Elvira , Combe Merce Manuel Nambale , Gomundanhe Almeida Meque 
Published: June 2023

Um das importantes fontes de conteúdos de Química ensinados nas escolas secundárias é o livro didático de Química. Por isso, o objetivo principal do presente estudo consiste em analisar o nível do uso de livro didático de Química da 9ª classe, pelos alunos. Esse objetivo é desdobrado em seguintes específicos: (a) identificar os alunos que possuem o livro didático de Química; (b) aferir os fatores que condicionam a utilização do livro didático de Química pelos alunos; (c) identificar a fonte alternativa de informações adotada pelos alunos. Para a consecução desses objetivos, optou-se pela pesquisa qualitativa e bibliográfica. O processo de recolha de dados foi conduzido por meio de um questionário e entrevista estruturada. A primeira técnica foi aplicada a 100 alunos e já a segunda foi aplicada a quatro professores de uma das escolas secundárias da cidade de Lichinga, Niassa-Moçambique. A discussão dos resultados foi feita por meio da técnica de análise de conteúdo. Os resultados obtidos revelam que muitos alunos não têm o livro didático de Química devido a questões económicas. Isso pode comprometer o processo da aprendizagem doa alunos. Outros resultados evidenciam que os alunos recorrem a outras fontes de informações para resolver as atividades e exercícios propostos pelo professor.
Business Strategy and Cybersecurity Breaches
Authors: Li Tianpei , Walton Stephanie 
Published: June 2023

ABSTRACT
This study examines whether a firm’s business strategy is an underlying determinant of cybersecurity breach likelihood. Based on organizational theory, firm strategy can focus on innovation or efficiency, with innovative strategy firms being more likely to have weaker, decentralized control systems, multiple technologies, and greater risk than firms with an efficiency-focused strategy. Following the Miles and Snow (1978) strategy topology, we predict and find that the prospector business strategy is associated with greater breach likelihood. We further explore IT awareness within the firm. Ex ante, it is unclear whether strategic IT policy formation is impounded into a firm’s strategy or can be impacted by individual executives and nonstrategy firm characteristics. We find that IT understanding at the executive or firm level can affect the relationship between strategy and breach likelihood. Collectively, our results indicate that business strategy is a useful indicator in evaluating firms’ cybersecurity activities.