bluuebunny/crossref_metadata_2025_split huggingface dataset:
Studi Kasus: Asuhan Kebidanan Pada Ny “H” Dengan Hiperplasia Endometrium
Authors: Hamidiyanti Baiq Yuni Fitri , Cory'ah Fitra Arsy Nur , Sulianty Ati , Agustina Royani 
Published: May 2023

ABSTRAK
Latar Belakang: Dinas Kesehatan Provinsi NTB tahun 2018 ditemukan 897 jiwa menderita penyakit Reproduksi. kasus Hiperplasia Endometrium di NTB sebanyak 24%. Menurut hasil penelitian di RSUD Sumbawa menunjukkan jumlah wanita yang mengalami gangguan kesehatan Reproduksi pada tahun 2020 yaitu sebanyak 190 kasus dari jumlah tersebut ditemukan kasus hiperplasia endometrium sebanyak 21 kasus. pada tahun 2021 sebanyak 192 kasus gangguan kesehatan kespro dari jumlah tersebut ditemukan kasus hiperplasia endometrium sebanyak 24 kasus. oleh karena itu peneliti tertarik untuk mengambil studi kasus tentang “Asuhan Kebidanan Gangguan Reproduksi Pada Ny. H dengan Hiperplasia Endometrium di RSUD Sumbawa ”
Tujuan Studi kasus : Untuk mengetahui Asuhan Kebidanan Gangguan Reproduksi Pada Ny. H dengan Hiperplasia Endometrium di RSUD Sumbawa secara komprehensif tahun 2021
Metode penelitian : jenis penelitian yang digunakan adalah deskriptif dengan menggunakan data primer dan data sekunder dari anamnesa, pemeriksaan fisik, hasil pemeriksaan laboratorium, hasil pemeriksaan USG, buku register dan rekam medik. Subyek dalam studi kasus ini adalah Ny.H dengan hiperplasia endometrium di RSUD Sumbawa.
Hasil : pada awal kunjungan keluar darah banyak dari jalan lahir. kemudian dilakukan tindakan kuretase. Gejala hiperplasia endometrium yaitu : siklus menstruasi tak teratur, tidak haid dalam jangka waktu lama (amenore) ataupun menstruasi terus-menerus dan banyak. evaluasi post kuret yaitu keadaan pasien membaik serta berkurangnya perdarahan pervaginam. asuhan kebidanan ibu post kuret yaitu observasi perdarahan serta menjaga personal hygine mencukupi kebutuhan nutrisi dan istirahat.
Kesimpulan : berkurangnya Perdarahan pasca kuretase
Kata Kunci : Hiperplasia Endometrium, Kesehatan Reproduksi.
Diagnostic role of minor salivary glands biopsy in Sjögren’s syndrome: correlations between histology and autoimmunity in a large, monocentric cohort
Authors: Conticini Edoardo , Bardelli Marco , Vitale Antonio , De Stefano Renato , Falsetti Paolo , Selvi Enrico , Bacarelli Maria Romana , D’Alessandro Roberto , Cantarini Luca , Frediani Bruno , Gentileschi Stefano 
Published: May 2023

IntroductionBased on ACR/EULAR classification criteria, minor salivary glands biopsy (MSGB) is a useful diagnostic tool for the diagnosis of primary Sjögren’s syndrome (SS). The main objective of our study was to evaluate the diagnostic role of MSGB, as well as to highlight correlations between histological findings and autoimmune profiles.Material and methodsWe retrospectively evaluated histological and autoimmunity data from patients who underwent MSGB in our department in cases of suspected SS, from March 2011 to December 2018. Salivary gland samples were evaluated using Chisholm and Mason (CM) grading and the focus score (FS).ResultsA total of 1,264 patients (108 males, 1,156 females) were included. The median age was 55.22 ±13.51 years (range: 15–87). In univariate binary logistic regression, CM ≥ 3 and FS ≥ 1 were significantly predicted by antinuclear antibodies (ANA), anti-extractable nuclear antigens (ENA) and anti-Ro/SSA titer as well as anti-La/SSB, anti-Ro/SSA, rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPA) positivity. In multivariate analysis, CM ≥ 3 and MSGB positivity were significantly associated with ANA titer; FS ≥ 1 was not associated with laboratory findings. A positive biopsy was associated with laboratory findings, as ANA and ENA titers, anti-Ro/SSA, anti-La/SSB, RF and ACPA positivity may discriminate patients with SS-related histological findings.ConclusionsMinor salivary glands biopsy is a useful tool to diagnose SS in cases of highly suggestive clinical symptoms but in the absence of a specific autoimmunity.
Mowi hat enorme Ressourcen
Authors: Murmann Christoph 
Published: May 2023

Mit einem Jahresergebnis von über 1 Mrd. Euro und der weltgrößten Lachsräucherei verfügt der Fischfarmer Mowi über die nötigen Mittel, sich auch als Markenartikler zu etablieren. Die Distribution in Deutschland schreitet voran, zur Weihnachtssaison soll schon TV-Werbung geschaltet werden.
A field study on ice melting and breakup in a boreal lake, Pääjärvi, in Finland
Authors: Zhang Yaodan , Fregona Marta , Loehr John , Ala-Könni Joonatan , Song Shuang , Leppäranta Matti , Li Zhijun 
Published: May 2023

Abstract. Lake ice melting and breakup form a fast, nonlinear process with
important mechanical, chemical, and biological consequences. The process is
difficult to study in the field due to safety issues, and therefore only
little is known about its details. In the present work, the field data were
collected on foot, by hydrocopter, and by boat for a full time series of the
evolution of ice thickness, structure, and geochemistry through the melting
period. The observations were made in lake Pääjärvi in 2018
(pilot study) and 2022. In 2022, the maximum thickness of ice was 55 cm with
60 % snow ice, and in 40 d the ice melted by 33 cm from the surface
and 22 cm from the bottom while the porosity increased from less than 5 %
to 40 %–50 % at breakup. In 2018, the snow-ice layer was thin, and bottom
and internal melting dominated the ice decay. The mean melting rates were
1.31 cm d−1 in 2022 and 1.55 cm d−1 in 2018. In 2022 the
electrical conductivity (EC) of ice was 11.4 ± 5.79 µS cm−1, which is
1 order of magnitude lower than in the lake water, and ice pH was 6.44 ± 0.28, which is lower by 0.4 than in water. The pH and EC of ice and water
decreased during the ice decay except for slight increases in ice due to
flushing by lake water. Chlorophyll a was less than 0.5 µg L−1 in
porous ice, approximately one-third of that in the lake water. The results
are important for understanding the process of ice decay with consequences
for lake ecology, further development of numerical lake ice models, and
modeling the safety of ice cover and ice loads.
Kết quả sớm điều trị hóa xạ trị triệt căn sử dụng kĩ thuật xạ trị điều biến liều ở bệnh nhân ung thư thực quản 1/3 trên tại Bệnh viện Ung Bướu Hà Nội
Authors: Vinh Bùi Quang 
Published: May 2023

Mục tiêu: Đánh giá đáp ứng điều trị và tác dụng phụ sớm hoá - xạ trị triệt căn sử dụng kĩ thuật xạ trị điều biến liều (IMRT) ở bệnh nhân ung thư thực quản (UTTQ) 1/3 trên. Đối tượng và phương pháp: Nghiên cứu can thiệp lâm sàng không đối chứng trên 31 bệnh nhân (BN) UTTQ 1/3 trên được hóa - xạ trị triệt căn sử dụng kĩ thuật IMRT với phác đồ hóa chất cisplatin/5FU trong năm 2022 tại bệnh viện Ung bướu Hà Nội. Đánh giá đáp ứng sau điều trị theo tiêu chuẩn RECIST 1.1. Đánh giá tác dụng phụ sớm theo tiêu chuẩn CTCAE 5.0. Kết quả: Có 83,9% BN cải thiện triệu chứng nuốt nghẹn. Đáp ứng hoàn toàn 19,4%, một phần 61,2%, ổn định 9,7% và tiến triển 9,7%. Có sự khác biệt về tỷ lệ đáp ứng theo giai đoạn bệnh và liều xạ trị (p<0,05). Các tác dụng phụ sớm chủ yếu độ 1-2 bao gồm viêm da 61,3%, viêm thực quản 96,8%, nôn 62%, thiếu máu 35,5%, hạ bạch cầu 19,4%; tác dụng phụ độ 3-4 gặp ở 12,8% bệnh nhân. Kết luận: Phác đồ hóa xạ trị đồng thời triệt căn sử dụng kĩ thuật IMRT trên bệnh nhân UTTQ 1/3 trên là phác đồ an toàn, cho hiệu quả điều trị cao.
Peranan Pembelajaran Jigsaw dalam Membangun Kemampuan Abad 21 Peserta didik
Authors: Faisal Razka Aptana Anargya , Rosvadiana Lutvia , Fadhilah Farah Aleena , Suryanda Ade 
Published: May 2023

Penelitian ini dilatarbelakangi oleh pentingnya peranan pendidikan dalam membentuk kepribadian seorang anak untuk memilki kemampuan yang dapat menjawab tuntunan perkembangan zaman. Adapun tujuan dari penelitian ini yaitu sebagai sumber literasi yang mendorong pengupayaan pembangunan keterampilan abad 21 dengan mengedepankan model pembelajaran Jigsaw. Penelitian ini menggunakan metode penelitian studi kepustakaan. Studi kepustakaan adalah suatu bentuk studi yang digunakan dalam mengumpulkan informasi dan data dengan bantuan berbagai macam material yang ada di perpustakaan. Teknik pengumpulan data dalam penelitian ini melalui dokumentasi, yaitu mencari data mengenai hal-hal yang berupa catatan, buku, makalah atau artikel, serta jurnal. -Berdasarkan hasil penelitian, pembelajaran kooperatif dengan metode jigsaw sangat berkaitan dengan keterampilan abad 21. Dalam pembelajaran jigsaw dapat melatih keaktifan, kolaborasi, dan komunikasi.
APPLICATION ANALYSIS OF THE GAMMA-BETA SPECTROMETER MKS-AT1315
TO CONTROL UNWANTED RADIONUCLIDES,
FORMED DURING THE PRODUCTION OF RADIOPHARMACEUTICALS
Authors: KIYKO A. , VABISHCHEVICH S. , VABISHCHEVICH N. , BRINKEVICH D. 
Published: May 2023

Simultaneous measurements of γ- and β-emitting radionuclides in regenerated water and sorption purification
cartridges used in the production of radiopharmaceuticals based on 18F were carried out with the MKSAT1315
spectrometer. It was found that the bands observed in the gamma-spectra are due to isotopes of cobalt
55Co, 56Co, 58Co, 57Co, nickel 57Ni, manganese 54Mn and zinc 65Zn, the prospects of using the gamma-beta spectrometer
MKS-AT1315 for operational control of the content of undesirable technological radionuclides in the production
of radiopharmaceuticals based on 18F are shown.
EFFICIENT USE OF STEAM THERMAL ENERGY
Authors: PITOLIN V. , KOLOSHKIN N. , BABAMURATOV K. 
Published: May 2023

The results of theoretical studies of the use of selective steam of various parameters in consumer installations
are presented. The values of heat losses during the transportation of steam to the consumer are determined.
Heat losses during transportation are insignificant and do not exceed 0.05%. A TH-diagram of the thermodynamic
process of operation of selected steam during adiabatic expansion and condensation is presented. It is shown that
the main share of the thermal energy of steam is determined by the process of its condensation (up to 90% of the
initial heat content). To convert the thermal energy of the selected steam into mechanical energy during its adiabatic
expansion in the drive turbines of the consumer, it is necessary to choose the steam of the highest pressure.
This will allow saving up to 50% of heat compared to low pressure steam. An exergy analysis of the system for
the use of selective steam prior to its condensation has been carried out. The degree of thermodynamic perfection
of steam use in this area is 45%.

The steam parameters for heat exchange units with condensation are determined by the temperature difference
in the final section of the heat exchange path; otherwise, the initial steam parameters are practically
indifferent to them. The main requirement for such installations is the presence of a steam trap in the condensate
removal path and a reliable system for diagnosing its technical condition.
IMPACT DES CONFLITS DE POUVOIR COUTUMIER SUR LE DEVELOPPEMENT DANS LE TERRITOIRE DE WALIKALE : CAS DU SECTEUR DES WANIANGA
Authors: Innocent UFINDO MBULIBU 
Published: May 2023

La présente étude porte sur « Impact des conflits de pouvoir coutumier sur le développementdans le Territoire de Walikale : cas du Secteur des Wanianga ». Elle se charge d‟identifier les causes et les conséquences de la rivalité autour du pouvoir traditionnel et envisager quelques pistes de solution pour lutter contre cette rivalité royale dans le Secteur des Wanianga en Territoire de Walikale. A l‟issue des enquêtes menées auprès de la population d‟étude, il ressort les résultats qui renseignent que les conflits du pouvoir coutumier en Secteur des Wanianga en Territoire de Walikale sont enregistrés à différents niveaux, à savoir à la tête du Groupement, du village, appartenance d‟une colline et appartenance d‟une entité par rapport à la subdivision administrative, 77,8% des personnes enquêtées approuvent la non tenue de la cérémonie publique de passation de pouvoir comme cause de rivalité sur le pouvoir coutumier, 88,9% ont validé la non tenue des rites traditionnels d‟investiture au pouvoir, 72,2% soutiennent l‟absence d‟un témoignage écrit et audio-visuel indiquant la succession, 77,8% ont évoqué la calomnie et démagogie forgées par certains notables, 88,9% pour la tendance de détrôner les prétendants ayants droit, 27,8% pour le non-respect des lois coutumières par le tenant du pouvoir, 61,1% valident la tendance de chercher un pouvoir sur l‟accès à la terre. En outre,100% des enquêtés ont soutenu la piste de solution d‟instituer les commissions intégrant les gardiens de coutumes dans chaque groupement pour désigner les vrais chefs coutumiers qui doivent administrer leurs entités coutumières, 83,3% sont pour la sensibilisation et l‟éducation civique de la population en matière de mode de succession et autres sujet ayant traits au respect de la tradition,100% ont validé la sensibilisation et l‟éducation civique de la population en matière de mode de succession et autres sujet ayant traits au respect de la tradition, 100% font appel au respect de l‟arbre généalogique et des rites traditionnels pour la succession et 94,4% sont d‟avis qu‟il faut vulgariser les principes de la bonne gouvernance en harmonie avec le pouvoir coutumier.
ClassPoint Application for Enhancing Motivation in Communication among ESL Young Learners
Authors: Mazlan Nur Atikah , Tan Kim Hua, , Othman Zarina , Wahi Wahiza 
Published: May 2023

Teachers and students have been exposed to an influx of educational technology in the classroom since the outbreak of COVID-19. Young students require constant stimulation, especially when learning English; otherwise, they will lose interest. The ClassPoint application (hereafter referred to as the app) is an interactive learning tool that can be tailored to the needs of individual students. This research examines how the ClassPoint app motivates students of English as a Second Language to learn English. This research employed a mixed-method design with a sample of thirty-five Year 3 primary students. They responded to a 15-item questionnaire prior to the implementation of the app, and researchers completed an observation checklist during the implementation. Ten students were randomly selected to participate in a semi-structured interview following the app's performance. The data were then analysed using descriptive statistics and thematic analysis. The findings identified several reasons why Year 3 students struggle to learn English, such as a lack of motivation towards the language and ineffective teaching strategies.The ClassPoint app also increased students' engagement and motivation to learn English. Students were more engaged in learning English when the ClassPoint app was utilised. Results indicate that interactive teaching and learning methods increase second-language acquisition motivation among students.
PENGARUH KEMANDIRIAN BELAJAR (SELF REGULATED LEARNING) TERHADAP HASIL BELAJAR MAHASISWA PADA MATA KULIAH LOGIKA KOMPUTER
Authors: Sibuea Mustika Fitri L , Sembiring Muhammad Ardiansyah , Agus Raja Tama Andri , Pertiwi Dina 
Published: May 2023

Kemandirian dalam belajar berarti mahasiswa memiliki kesadaran sendiri untuk belajar, mampu menentukan sendiri langkah-langkah yang harus diambil dalam belajar, mampu memperoleh sumber belajar sendiri, dan melakukan kegiatan evaluasi diri serta refleksi atas kegiatan pembelajaran yang sudah dilakukan. Akan tetapi pembelajaran yang banyak terjadi saat ini kebanyakan berpusat pada dosen (teacher-centered) yang cenderung kurang mendukung terhadap pencapaian kompetensi mahasiswa. Mahasiswa menjadi kurang mandiri dan menjadi tidak percaya pada diri sendiri karena dosen lebih banyak terlibat aktif dalam pembelajaran dan mahasiswa menjadi lebih banyak bergantung dengan dosen. Kurangnya penekanan pada aspek kemandirian belajar mahasiswa mengindikasikan bahwa aspek kemandirian belajar belum dianggap sebagai faktor penting yang berpengaruh terhadap hasil belajar mahasiswa. Penelitian ini bertujuan untuk mengetahui apakah ada pengaruh kemandirian belajar (self regulated learning) terhadap hasil belajar mahasiswa pada mata kuliah logika komputer semester ganjil tahun akademik 2021/2022. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan teknik pengumpulan data yaitu angket dan tes. Data dianalisis dengan menggunakan uji regresi linier sederhana setelah sebelumnya dilakukan uji prasyarat analisis yaitu uji normalitas, uji heteroskedastisitas dan uji linearitas. Dari hasil perhitungan diperoleh bahwa nilai sig > 0,05 sehingga Ho diterima yang berarti bahwa tidak ada pengaruh kemandirian belajar terhadap hasil belajar mahasiswa pada mata kuliah logika komputer.
DAMPAK TRADISI PERNIKAHAN DINI TERHADAP KESEHATAN REPRODUKSI PADA WANITA : LITERATURE REVIEW
Authors: Indriani Fatma , Pratama Nadia Hendra , Sitepu Rehuliana Ninta Br , Harahap Yuli Atfrikahani 
Published: May 2023

Pernikahan dini dipahami sebagai tradisi pernikahan yang umumnya dilakukan oleh pasangan pria dan wanita yang belum mencukupi umur dengan kriteria usia yang masih relatif muda yaitu 10-19 tahun saat melaksanakan pernikahan. Tradisi ini masih terjadi di Indonesia, pada umumnya dilakukan oleh masyarakat di daerah pedalaman. Hal ini dikarenakan budaya untuk menikah dini masih dipegang teguh oleh sebagian masyakakat. Beberapa penelitian menemukan dampak negatif dari pernikahan dini terhadap kesehatan alat reproduksi wanita. Artikel ini disusun dengan tujuan untuk membahas Dampak Tradisi Pernikahan Dini Terhadap Kesehatan Alat Reproduksi Wanita berdasarkan penelitian-penelitian sebelumnya. Penulisan artikel ini menggunakan metode literature review melalui artikel penelitian sebelumnya yang ditemukan pada database google scholar. Artikel dipilih dengan kriteria yakni artikel terbit antara tahun 2017-2022. Analisis review literatur dilakukan dengan membandingkan metode penelitian, pengolahan, dan hasil yang diperoleh dari setiap artikel. Berdasarkan analisis literatur diperoleh bahwa pernikahan dini memberikan dampak berbahaya terhadap kesehatan reproduksi pada wanita. Fisik dan organ reproduksi yang belum matang menyebabkan munculnya resiko terhadap kesehatan repoduksi. Oleh karena itu, faktor usia yang matang perlu diperhatikan untuk memulai sebuah pernikahan yang baik..
PENGEMBANGAN MULTIMEDIA INTERAKTIF UNTUK PEMBELAJARAN OLAHRAGA SISWA SD
Authors: Mustofa Choirul , Firmansyah Ada Udi 
Published: May 2023

Abstract: The purpose of this study is to create interactive teaching materials using Adobe Flash CS5 software for sports subjects. In the Digital 4.0 era, students are expected to have received an introduction to the use of computers in various functions. This research is also expected to make it easier for elementary school Sports subject teachers to explain the material, and also to make it easier for students to understand the material being delivered, the use of interactive media is felt to be the right choice to increase students' interest in learning. With the addition of animation, audio and interesting pictures related to the subject, it is hoped that the learning process will be more effective. Researchers used Adobe Flash CS5 software to develop applications in this study. By using six stages in its development, namely the process of concept, design, material collection, manufacture, testing, and distribution. By reading books and various sources, researchers use this method to collect data. Keywords: Learning, Interactive Multimedia, Sports Abstrak: Penelitian ini bertujuan untuk membuat bahan ajar interaktif dengan menggunakan software Adobe Flash CS5 untuk mata pelajaran olahraga. Pada era Digital 4.0, para siswa diharapkan sudah mendapat pengenalan dalam penggunaan komputer dalam berbagai fungsi. Penelitian ini juga diharapkan dapat memudahkan guru mata pelajaran Olahraga sekolah dasar dalam menjelaskan materi, dan juga memberi kemudahan siswa dalam memahami materi yang sedang disampaikan, penggunaan media interaktif dirasa menjadi pilihan yang tepat untuk meningkatkan minat belajar pada siswa. Dengan penambahan animasi, audio, dan gambar menarik yang berkaitan dengan mata pelajaran, diharapkan proses pembelajaran akan lebih efektif dilakukan. Peneliti menggunakan software Adobe Flash CS5 untuk melakukan pengembangan aplikasi pada penelitian ini. Dengan menggunakan enam tahapan dalam pengembangannya yaitu proses konsep, desain, pengumpulan materi, pembuatan, pengujian, dan pendistribusian. Dengan membaca buku dan berbagai sumber, peneliti menggunakan cara tersebut untuk melakukan pengumpulan data.Kata kunci: Media Pembelajaran, Multimedia Interaktif, Olahraga
IMPLEMENTASI PROGRAM PENDAFTARAN TANAH SISTEMATIS LENGKAP (PTSL) DALAM MEWUJUDKAN TERTIB ADMINISTRASI PERTANAHAN DI BADAN PERTANAHAN NASIONAL KOTA MEDAN
Authors: Winarta Andreas , Trimurni Februati 
Published: May 2023

Abstract: The Ministry of Agrarian Affairs and Spatial Planning/Head of the National Land Agency issues and implements a program in the land sector, namely the Complete Systematic Land Registration (PTSL), which is the first simultaneous land registration. This study describes in detail the implementation of the Complete Systematic Land Registration (PTSL) program in realizing orderly land administration at the National Land Agency of Medan City by using the Van Meter and Van Horn policy implementation models to determine the factors that contribute to PTSL policy. The research method used is a qualitative method in descriptive form. Data collection techniques were carried out by interview, observation and documentation. The findings in the research field concluded that the implementation of the PTSL program had been going well even though it was affected by the COVID-19 pandemic, thus requiring a refocusing of the budget to the health budget which resulted in fewer targets and realizations. Besides that, it is necessary to add juridical and physical personnel because human resources are important actors in a policy. Keywords: Program Implementation, Complete Systematic Land Registration (PTSL), Orderly Land Administration Abstrak: Kementerian Agraria dan Tata Ruang/Kepala Badan Pertanahan Nasional mengeluarkan dan melaksanakan program dibidang pertanahan yaitu Pendaftaran Tanah Sistematis Lengkap (PTSL) yang merupakan pendaftaran tanah pertama kali secara serentak. Penelitian ini untuk mendeskripsikan secara rinci implementasi program Pendaftaran Tanah Sistematis Lengkap (PTSL) dalam mewujudkan tertib administrasi pertanahan di Badan Pertanahan Nasional Kota Medan dengan menggunakan model implementasi kebijakan Van Meter dan Van Horn untuk mengetahui faktor yang berkontribusi dalam kebijakan PTSL. Metode penelitian yang digunakan adalah metode kualitatif dalam bentuk deskriptif. Teknik pengumpulan data dilakukan dengan wawancara, observasi dan dokumentasi. Hasil temuan di lapangan penelitian menyimpulkan bahwa implementasi program PTSL sudah berjalan dengan baik walaupun terkena dampak dari pandemi COVID-19 sehingga mengharuskan refocusing anggaran kepada anggaran kesehatan yang menyebabkan target dan realisasi menjadi lebih sedikit. Disamping itu perlunya penambahan tenaga yuridis dan tenaga fisik karena sumber daya manusia merupakan aktor penting dalam suatu kebijakan. Kata kunci: Implementasi Program, Pendaftaran Tanah Sistematis Lengkap (PTSL), Tertib Administrasi Pertanahan