bluuebunny/crossref_metadata_2025_split huggingface dataset:
HAMBATAN IMPLEMENTASI PROGRAM RUJUK BALIK DI FASILITAS KESEHATAN RUJUKAN TINGKAT LANJUT BADAN PENYELENGGARA JAMINAN SOSIAL KESEHATAN CABANG DENPASAR
Authors: Cindy Elisya Intan Larasati Putu , Sinthya Ulandari Luh Putu 
Published: January 2025

ABSTRAK
Data BPJS Kesehatan Cabang Denpasar menunjukkan penyakit kronis kecil dan lain-lain menempati urutan pertama dalam 10 CBG’s terbanyak pada pelayanan rawat jalan tingkat lanjut di FKRTL, dengan total 1.086.311 kasus dan biaya pembayaran klaim mencapai 148 milyar pada tahun 2022. Oleh karena itu berdasarkan Peraturan BPJS Kesehatan Nomor 1 Tahun 2014, dibentuklah program rujuk balik untuk merujuk kembali pasien kronis yang telah dinyatakan stabil oleh dokter kembali ke FKTP. Data BPJS Kesehatan Cabang Denpasar menunjukan rendahnya capaian beberapa rumah sakit di wilayah kerja KC Denpasar dengan presentase 0,0%. Penelitian ini merupakan penelitian kualitatif dengan pendekatan deskriptif. Teknik pengambilan informan secara purposive sampling dengan jumlah 13 informan. Penelitian ini dilakukan di 3 lokasi yaitu RSUD Wangaya, Klinik Utama NIKI Diagnostic Center, dan Kantor Cabang BPJS Kesehatan Denpasar. Penelitian ini menggunakan analisis tematik dan validasi data triangulasi sumber. Hasil penelitian menunjukan terdapat beberapa kendala dalam pelaksanaan PRB ditinjau dari input dan proses, diantaranya kurangnya komitmen dan koordinasi antar petugas, tidak dimanfaatkannya warning potensi PRB, dan pasien menolak di PRB. Saran yang diberikan adalah pembuatan SOP, sosialisasi, pengadaan obat di FKTP, dan membuat alur koordinasi.
Kata Kunci: Program Rujuk Balik, Penyakit Kronis, FKRTL, BPJS Kesehatan Cabang Denpasar

ABSTRACT
Data from BPJS Kesehatan Denpasar District stated that minor chronic diseases and others is the first rank of 10 most CBG's in outpatient services at advance referral health facilities, with a total of 1,086,311 cases, and claim payments reached 148 billion in 2022. Through to BPJS Kesehatan Regulation Number 1 of 2014, established a referral program to referback chronic patient which has been declared stable by spesialistic doctor to first level health facilities. Data from BPJS Kesehatan Denpasar District stated that the achievements of several hospitals in Denpasar work area are low with a percentage of 0.0%.
This research is qualitative with a descriptive approach. Informant collection technique was purposive sampling with total of 13 informants. This research was conducted in 3 locations, which is Wangaya Hospital, NIKI Diagnostic Center Clinic, and BPJS Kesehatan Denpasar District. This research uses thematic analysis and validation of source triangulation data. The results showed there were several obstacles in the implementation of BRP in terms of inputs and processes, including lack of commitment and coordination between officers, not utilizing potential BRP warnings, and patients refusing to join BRP. Suggestions given are making SOPs, socialization, the procurement of drugs at PHC and making coordination flow.
Keywords: Back Referral Program, Chronic Disease, Advance Referral Health Facilities, Social Security Agency of Health Denpasar district
Insônia e depressão: confluências neurobiológicas e tratamento
Authors: Zanini Márcio Andrei , Pinna Camilla Moreira de Sousa , Lourenço Rafael Brandes , Reis Flavia Zuccolotto dos , Borges Daniel Guilherme Suzuki , Santana Glícia Prates , Margis Regina , Tavares Júnior Almir Ribeiro 
Published: January 2025

Introdução: A relação bidirecional entre sono e depressão é amplamente conhecida e descrita na literatura, bem como observada na prática clínica. A insônia, além de fazer parte dos critérios diagnósticos da depressão, se apresenta como um fator de risco para episódio depressivo, prediz menor resposta ao tratamento, aumento do risco de recidivas e associa-se a uma maior gravidade do quadro em pacientes com transtorno depressivo. Para um tratamento adequado se faz fundamental o entendimento dessas entidades e os aspectos envolvidos neste cenário. Método: Trata-se de uma revisão narrativa acerca da relação entre insônia e depressão, englobando fatores neuroquímicos, moleculares, cronobiológicos e epidemiológicos, articulando-se com a terapêutica disponível atualmente. Resultados: Insônia e depressão compartilham anomalias em alguns sistemas neurotransmissores e vias cerebrais. A hiperatividade do sistema ativador reticular ascendente (SARA) é comum a ambas as condições. Alterações no ritmo circadiano e em parâmetros polissonográficos também são encontradas em indivíduos com quadro depressivo. Ainda, estudos epidemiológicos demonstram que a depressão é um importante preditor de insônia de forma recíproca. Conclusões: Com base nas diversas confluências fisiológicas, moleculares, genéticas e psicológicas, insônia e depressão se influenciam mutuamente. O uso das ferramentas farmacológicas e não farmacológicas com foco no manejo eficaz destas duas condições se faz mandatório para redução da gravidade e cronificação global do quadro, objetivando legítimo êxito no tratamento.
Comparative analysis of stress distribution in implant attachment versus cantilever prostheses
Authors: Neghab Saghar , Kouchehbaghi Kasra , Salehizeinabadi Mehdi , Yousefimanesh Hojatollah 
Published: January 2025

Objectives:
Dental implants are essential for replacing missing teeth, but anatomical constraints can result in implant sites being distant from adjacent teeth. Cantilever implant prosthetics offer an alternative solution by bridging this gap. This study compares the efficacy of cantilever implant prosthetics with conventional implant placement directly adjacent to teeth.

Material and Methods:
Using cone beam computed tomography, 3-D models were constructed to accurately represent the anatomy of teeth 4, 5, and the surrounding jawbone. Two models were examined: (1) a pontic with a cantilever implant abutment and (2) a pontic connected to both an implant and a tooth abutment. Simulation testing applied forces of 100 Newton in vertical, horizontal, and 45° directions to mimic functional loads on anterior teeth. Analytical processes were conducted using specialized finite element analysis software.

Results:
In model 1, tension levels under a 100 N force at a 45° angle were 80.1 in the implant and 66.5 in the implant’s crown. In model 2, tensions decreased to 58.26 in the implant and 35.8 in the crown under the same conditions. Connecting the tooth to the implant significantly reduced the load on both components, indicating potential biomechanical benefits.

Conclusion:
The attachment of dental implants to adjacent teeth presents a suitable alternative for patients with challenging anatomical considerations.
A produção de normalidades e a exclusão social da pessoa surda
Authors: Souza Déborah Costa de , Azevedo Thiago Augusto Galeão de 
Published: January 2025

Ao longo da história da sociedade, a comunidade surda sofreu com diversas formas de preconceito e desaprovação social, e que o reconhecimento da língua brasileira de sinais (libras) é recente, por meio de políticas públicas educacionais vindas após a Constituição Federal de 1988 como identidade desses indivíduos, que muitas vezes seguiram com estereótipos de deficientes e incapazes, colocados à parte da sociedade dita “normal”, e como pretexto de reabilitá-los para o convívio com os ouvintes, tiveram sua língua suprimida, sendo adotado aos mesmos o oralismo, como estratégia de forçá-los ao uso da fala. O presente artigo, portanto, tem como objetivo geral descrever a produção da anormalidade e normalidade como perspectiva de exclusão social da pessoa surda quanto ao direito à educação bilíngue, a partir da teoria de Michel Foucault, que leva a fatores de discriminação e exclusão social, os objetivos específicos são I- analisar os impactos trazidos pela construção de nomenclaturas de normalidade e anormalidade para aquisição do direito à educação bilingue às pessoas surdas nos dias atuais, II- verificar, por meio de pesquisa bibliográfica, com abordagem qualitativa, se as escolas regulares, que recebem esses alunos, atuam ou não como institutos de marginalização desses indivíduos. A pesquisa é estruturada em termos da problemática voltada ao questionamento que busca responder em que medida a construção de padrões de normalidade e anormalidade em sociedade impacta na violação de direito à educação de pessoas surdas, no acesso à educação básica. Para tanto, serão trazidos elementos gerais sobre educação bilíngue, padrões de normalidade e anormalidade que levam a violação desse direito.
Desterritorialización de la costa quintanarroense: el caso de Playa del Carmen
Authors: Pinkus Rendón Miguel Angel , Gonzalez Ku Abril Monserrat , López Niquete Ashantti Vereniss 
Published: January 2025

El territorio de Quintana Roo, México desde 1902 (fecha de creación), ha sido artífice de una gama de acontecimientos que han repercutido en la apropiación, uso y manejo de los bienes comunes naturales que tienen en su interior. Es por ello, que el presente artículo se aboca a analizar cuáles han sido las variaciones políticas, socioculturales, económicas y cómo éstas han impactado en la conformación del paisaje y la transformación en el vínculo con los bienes comunes naturales. En particular se analiza el caso de Playa del Carmen como ejemplo de lo sucedido en la costa oriental del estado. En este sentido, se puede vislumbrar que en las seis primeras décadas del siglo veinte la dinámica económica giraba en torno a la utilización de los elementos naturales maderables o no maderables (corte del chicle) sea por particulares, compañías explotadoras, ejidos o colectivos de estos. A partir de principios de los años setenta se da un cambio abrupto, que es cuando la política pública federal promueve al turismo como eje conductor del sistema económico, tomando en un primer momento a Cancún como polo de desarrollo y posteriormente a finales del siglo XX a la Riviera Maya, lo que conlleva a un crecimiento urbano, cambios de uso del suelo y tenencia de la tierra. Este estudio pretende dar un panorama de la desterritorialización de las comunidades costeras desde la historia ambiental y oral.
Evaluation of the Nutritional Value of Rice Crackers Made from Local Raw Rice and Rinuak Fish (Psilopsis sp)
Authors: Wellyalina Wellyalina , Aisman Aisman , Rahmadila Anindya 
Published: January 2025

Rice crackers are snacks made from rice flour that have a crunchy texture, salty and savoury taste. Making rice crackers with local raw materials of brown rice and rinuak fish is expected to increase the quality of the food so that it can be a complementary food product. expected to be able to add to the quality of the food so that it can be a functional complementary food product. functional complementary food product. This study aims to determine the chemical properties and nutritional value of rice crackers made from red rice and rinuak fish. red rice and rinuak fish. This research was conducted using an exploratory method through laboratory experiments laboratory. The treatments used were the ratio of brown rice and rinuak fish and legumes. This treatment was carried out with 3 replications so that the results can be said to be valid. Research results. The results showed that each brown rice crackers with the addition of rinuak fish and nuts have the advantage of their respective nutritional content on the rice crackers obtained. The making of brown rice crackers with the addition of rinuak fish and nuts can increase the content of nutritional value, physiological effects on the body, and diversification of complementary food products.
Contribution to Sustainable Development Goals (SDGs):SDG 3: Zero HungerSDG 3: Good Health and Well-BeingSDG 8: Decent Work and Economic GrowthSDG 12: Responsible Consumption and ProductionSDG 15: Life on Land
Assessment on Alternative Health Care Modalities: A Basis for Health Training and Development
Authors: Ocampo Divina B. , Flores Emily A. , Mallari Cheena B. , Manuel Mark Denver V. 
Published: January 2025

World Health Organization (WHO) described traditional medicine as a health practice with strong historical and cultural roots, which has global acceptability and applicability. It is an important and often underestimated health resource with many applications, especially in the prevention and management of lifestyle-related chronic diseases. This research assessed the knowledge, skills and attitude on the alternative health care modalities of the resident of Poblacion West, General Tinio, Cabanatuan City, Philippines. The researchers used a quantitative descriptive correlational research method and a purposive sampling technique to examine the data from the respondents. A self-made questionnaire survey form was used to face-to-face collect data from the respondents. The research showed that most of the barangay health workers were female and do not have enough knowledge and skills to perform reflexology, acupressure, chiropractics, and nutritional therapy, but the respondents showed interest to learn more despite the fact that they have limited knowledge and skills about these modalities. Results were presented to the Barangay Health Workers (BHW)’s and heads to address the result of the study and possibly be the basis of health programs and development to aid respondents’ gaps in their knowledge and practices of traditional healthcare modalities.
The Correlation Between Family Support and Self Efficacy in Menstrual Hygiene Management Among Eleventh-Grade Girls at SMA N 1 Sidareja
Authors: Nuryati Umi , Aprilina Happy Dwi 
Published: January 2025

Adolescence is a developmental stage where an individual progresses from the onset of secondary sexual characteristics to sexual maturity. During puberty, noticeable changes included rapid body growth, the appearance of secondary sexual characteristics, emotional fluctuations, and, most significantly for adolescent girls, the onset of menstruation. A lack of support from close family members in managing self-care during menstruation is a reproductive health issue that can lead to health disturbances. The purpose of this study was to determine the relationship between family support and self-efficacy towards menstrual hygiene management in female adolescents in grade XI of SMA N 1 Sidareja. This quantitative study was a cross-sectional correlational design. The study was conducted at SMA N 1 Sidareja from October 2023 to July 2024. The sample consisted of 105 eleventh-grade female students, selected using cluster random sampling followed by systematic random sampling. The research instruments included questionnaires assessing family support and self-efficacy in menstrual hygiene management Data were analyzed using the Chi-Square test. The Chi-Square test results indicated a significant correlation between family support and self-efficacy in menstrual hygiene management among adolescent girls at SMA N 1 Sida`reja (p-value = 0.005). This shows that there is a significant relationship between family support and self-efficacy towards menstrual hygiene management with a correlation that has a positive direction, meaning that the better the family support, the higher the self-efficacy towards menstrual hygiene management. It can be concluded that there is a significant correlation between family support and self-efficacy in menstrual hygiene management among eleventh-grade girls at SMA N 1 Sidareja.
Vagus Nerve Stimulation in the treatment of Epilepsy: Our initial experience
Authors: Jha Rajiv , Shrestha Rajendra , Rajbhandari Binod , Bhattarai Sushil Mohan , Aryal Sameer , Jha Binit , Karki Anuj Jung , Gautam Sindhu 
Published: January 2025

Vagus nerve stimulation (VNS) is a neuromodulation therapy which is used to treat intractable seizures not responding well with antiepileptic drugs.This procedure involves the implantation of a device that delivers electrical impulses to the vagus nerve, which in turn modulates neural activity in the brain, potentially reducing the frequency and severity of seizures. Vagal nerve stimulation (VNS) was first approved for treating partial epilepsy but is now showing promise for various seizure disorders, including generalized epilepsy and Lennox-Gastaut syndrome. The exact mechanism of this device is unclear, but it is believed to work at multiple levels, initially by desynchronizing brain activity. Implanting the VNS device is generally safe, with infection being the most common complication. Vocal cord paralysis is the primary neurological issue post-implantation,alongside transient effects like hoarseness, cough, and nausea, which typically don't require stopping treatment.
OPTIMALISASI TATA LETAK GUDANG DENGAN PENERAPAN METODE LEAN WAREHOUSE PADA RSUD IBNU SINA GRESIK
Authors: Rachmawati Yulia Pratiwi , Kirono Indro 
Published: January 2025

Penelitian ini bertujuan untuk merevitalisasi ulang tata letak gudang di RSUD Ibnu Sina Gresik dengan menerapkan metode lean warehouse. Melalui analisis kondisi tata letak gudang yang ada, penelitian ini mengidentifikasi berbagai bentuk pemborosan (waste), seperti waktu tunggu (waiting) dan gerakan berlebih (motion), yang disebabkan oleh penempatan barang yang kurang efisien. Menggunakan metode kualitatif, peneliti ini menganalisis aliran material dalam upaya mengoptimalkan desain gudang. Hasilnya menunjukkan bahwa dengan menyusun ulang tata letak gudang dan menempatkan barang-barang yang sering digunakan di lokasi yang lebih mudah diakses, efisiensi operasional dapat ditingkatkan secara signifikan. Usulan perubahan meliputi penerapan metode arus "lurus sederhana" dan pengelompokan barang berdasarkan frekuensi penggunaan, yang dapat mengurangi pemborosan dan mempercepat proses distribusi. Penerapan Lean Warehouse di RSUD Ibnu Sina Gresik diharapkan dapat mendukung operasional rumah sakit yang lebih responsif dan efisien, serta menyediakan solusi logistik yang cepat dan tepat
Государство и государственное управление: от социальной организации к административной деятельности
Authors: Барабашев А.Г. 
Published: January 2025

В статье обсуждается концепция государства как социальной целостности, функционирующей в форме метасистемы, состоящей из трех подсистем. Рассматривается соотношение между предложенным системным подходом к пониманию государства и пониманием государственного управления как административной деятельности. Описываются административные процедуры, из которых складывается административная деятельность. Указана главная черта административных процедур: они состоят из пошаговых действий, реализуемых в практике управления. Утверждается, что административные процедуры, их состав и способы применения государственными органами являются основным объектом исследований в области государственного управления. Рассматривается соотношение между индексами сбалансированности системы государства (индексов государства) и индексами качества государственного управления. Утверждается, что различие между индексами государства и индексами государственного управления возникает вследствие их разного предназначения (аналитика государства — аналитика административных процедур). В этой связи анализируется предложенный А.Я. Рубинштейном индекс социальной организации государства ISOS. Отмечается значительный потенциал индекса ISOS для разработки индексов государственного управления.
The article discusses the concept of state as a social integrity functioning in the form of a metasystem consisting of three subsystems (political power, economy and civil society) proposed by A.Ya. Rubinshtein. The relationship of the proposed approach to understanding state, and the understanding of public governance as an administrative activity representing regulated social relays is considered. Administrative procedures that are the core of administrative activity are described. The main features of administrative procedures are named: they consist of step-by-step actions realized in the practice of administration. It is argued that administrative procedures, their composition and ways of realization by state bodies, are the main objects of research in the field of public governance. The paper considers the correlation between the indices of the state (state indices) and indices of the quality of public governance. It is argued that the difference between state indices and indices of public governance arises due to their different aims (analytics of the state — analytics of administrative procedures). In this regard, the index of social organization of the state (ISOS) proposed by A. Ya. Rubinshtein is analyzed.
Кривая Бевериджа: что она говорит о ситуации на российском рынке труда?
Authors: Капелюшников Р.И. 
Published: January 2025

Уникальная ситуация, сложившаяся на российском рынке труда в начале 2020-х годов, рассматривается через призму кривой Бевериджа. Ключевым событием этого периода стало формирование массивного навеса вакантных рабочих мест, который уже достиг 8%. Анализ показывает, что резкий сдвиг кривой Бевериджа вверх произошел на пике коронакризиса. Главным триггером эскалации вакансий послужил возросший мизматч между структурой рабочей силы и структурой рабочих мест из-за резких изменений на стороне спроса на труд. Оцениваются как структурная, так и циклическая составляющие безработицы. Согласно полученным результатам, на пике коронакризиса на российском рынке труда действительно произошло значительное усиление мизматча, т.е. дисбаланса между структурой предложения рабочей силы и структурой спроса на нее. Это привело к дрейфу вверх естественной нормы безработицы, которая в настоящее время составляет, по оценкам, 4,5%. В то же время экспансия вакансий в период второго санкционного кризиса была в основном связана с перегревом экономики, вызванным ее переводом на полувоенные рельсы.
The unique situation that developed in the Russian labor market in the 2020s is examined through the prism of the Beveridge curve. The key event in this period was the emergence of a massive “overhang” of vacant jobs, which already reached 8%. The analysis shows that a dramatic upward shift in the Beveridge curve occurred at the peak of the coronavirus crisis. The main trigger for the vacancy escalation was the increased mismatch between the structure of the workforce and the structure of jobs due to sharp changes on the labor demand side. Both structural and cyclical components of unemployment are estimated. According to the results obtained, at the peak of the corona- crisis, the Russian labor market actually experienced a signifi cant deterioration in matching, that is, the sharpened mismatch between labor demand and labor supply. This led to an upward drift in the “natural” rate of unemployment, which is currently estimated at 4.5%. At the same time, the vacancy expansion during the second sanction crisis was mainly associated with the overheating of the economy caused by its transfer to a semi-military footing.