bluuebunny/crossref_metadata_2025_split huggingface dataset:
Gambaran Stres pada Family Caregiver yang Merawat Pasien Kanker di RSUD Praya
Authors: Wiksuarini Erwin , Maulin Halimatunnisa  , Muhammad Amrullah  , Beti Haerani  
Published: September 2023

Kanker merupakan salah satu penyakit yang tidak menular yang dapat menyebabkan kematian. Pada pasien yang di diagnosis kanker akan mengalami stres yang luar biasa. Hal ini dikarenakan rasa khawatir akan penyakitnya dan kecemasan akan kematian. Selain itu pasien kanker juga akan membawa beban psikologis bagi pasien dan keluarga mulai dari kesulitan penyesuaian dengan keadaan penyakit hingga muncul gejala psikologis seperti kecemasan dan juga stress. Keluarga sebagai family caregiver membantu tenaga kesehatan mengawasi perubahan kondisi kesehatan pasien dan membuat keputusan terkait rencana tindakan perawatan dan pengobatan pasien. Hal ini karena family caregiver juga ikut sedih melihat keadaan pasien yang mengalami nyeri. Dalam pengobatan kanker biaya yang dapat di keluarkan juga sangat mahal tergantung lama pengobatan. Biaya pengobatan yang banyak ini membuat beban bagi family caregiver. Selain khawatir akan beban keuangan, keluarga juga merasa cemas akan kesehatan pasien. Penelitian ini bertujuan untuk mengetahui gambaran stres family caregiver yang merawat pasien kanker di RSUD Praya. Metode yang digunakan adalah deskriptif kuantitatif dengan teknik purpusive sampling dengan jumlah sampel sebanyak 38 responden. Teknik pengumpulan data stress family caregiver yang merawat pasien kanker menggunkan kuesioner Perceived Stress Scale–10 (PSS – 10). Analisa data dalam penelitian ini menggunakan analisa univariat untuk menggambarkan karakteristik dari setiap variabel dalam bentuk tabel dan presentase. Hasil penelitian gambaran stress family caregiver pasien kanker di RSUD Praya Tahun 2022 yaitu stress ringan sebanyak 2 responden (5,3%), stress sedang 11 responden (28,9%), stress berat 20 responden (52,5%), stress berat 5 responden (13,2%), oleh karena itu masalah stress pada family caregiver perlu diperhatikan agar tercapai keperawatan yang komprehensif.
Hubungan Pendampingan Suami Dengan Lama Persalinan Kala II di Puskesmas Aikmel
Authors: Supini R , Sajalia Husniyati , Irmayani Riki 
Published: September 2023

Latar Belakang: Pada persalinan kala II banyak masalah yang terjadi pada ibu yang akan bersalin, terutama kecemasan, rasa takut dan kurang percaya diri dalam menghadapi persalinan. Untuk mengurangi kecemasan dan rasa takut pada saat persalinan ialah dengan adanya pendampingan suami. Adanya kehadiran suami dapat memberikan kenyamanan pada saat bersalin. Tujuan penelitian ini untuk mengetahui hubungan pendampingan suami dengan lama persalinan kala II di Puskesmas Aikmel. Metode Penelitian yang digunakan adalah penelitian Survey analitik dengan pendekatan observasi. Pengambilan sampel dilakukan dengan teknik Accidental sampling terhadap 25 responden ibu inpartu kala II. Pengumpulan data menggunakan lembar observasi pendampingan suami dan lama persalinan kala II. Data dianalisis menggunakan uji chi square. Hasil: Pendampingan suami pada ibu bersalin kala II sebagian besar tidak di dampingi sebanyak 13 orang (52%), dan sebagian besar ibu bersalin dengan katagori kala II lama sebanyak 13 orang (52%). Hasil analisis yang didapat adalah dengan nilai p<0,05 sehingga disimpulkan hubungan pendampingan suami dengan lama persalinan kala II di Puskesmas Aikmel. Kesimpulan: Ada hubungan pendampingan suami dengan lama persalinan kala II.
Evolution of Negative Superhumps, Quasiperiodic Oscillations, and Outbursts in the Z Cam-type Dwarf Nova AH Her
Authors: Sun Qi-Bin , Qian Sheng-Bang , Li Min-Yu 
Published: September 2023

Abstract
AH Her is a Z Cam-type dwarf nova with an orbital period of ∼0.258 days. Dwarf nova oscillations and long-period dwarf nova oscillations have been detected, but no quasiperiodic oscillations (QPOs) and negative superhumps (NSHs) have been found. We investigated the association between NSHs, QPOs, and outbursts of AH Her based on Transiting Exoplanet Survey Satellite photometry. We find for the first time NSHs with a period of 0.24497(1) days in AH Her, and trace the variation in the amplitude and period of NSHs with the outburst. The amplitude of the NSHs is the most significant at quiescence, weakening as the outburst rises, becoming undetectable at the top, rebounding and weakening at the plateau, and strengthening again as the outburst declines. The variation in the accretion disk radius can explain the NSH amplitude variation except for the plateau, so we suggest that the relationship between the NSH amplitude and outburst can be used as a window to study the accretion disk instability and the origin of NSHs. In addition, we find periodic variations in the amplitude, maxima, and shape of the NSHs ranging from 2.33(2) to 2.68(5) days, which may be related to the precession of the tilted disk. Finally, we find QPOs at the top of AH Her’s long outburst with ∼2800 s similar to those of HS 2325+8205, suggesting that the presence of QPOs at the top of Z Cam’s long outburst may be a general phenomenon.
Pulsar Timing Array Detections of Supermassive Binary Black Holes: Implications from the Detected Common Process Signal and Beyond
Authors: Chen Yunfeng , Yu Qingjuan , Lu Youjun 
Published: September 2023

Abstract
Pulsar timing arrays (PTAs) are anticipated to detect the stochastic gravitational-wave background (GWB) from supermassive binary black holes (BBHs) as well as the gravitational waves from individual BBHs. Recently, a common process signal was reported by several PTAs. In this paper, we investigate the constraints on the BBH population model(s) by current PTA observations and further study the detections of both the GWB and individual BBHs by current and future PTAs. We find that the massive black hole–host galaxy scaling relation, an important ingredient of the BBH population model, is required to either evolve significantly with redshift or have a normalization ∼0.86–1.1 dex higher than the empirical ones if the GWB is the same as the common process signal. For both cases, the estimated detection probability for individual BBHs is too small for a positive detection by current PTAs. By involving either the constrained scaling relations or those empirical ones into the BBH population models, we estimate that the GWB may be detected with a signal-to-noise ratio ≳3 by the China Five-hundred-meter Aperture Spherical radio Telescope PTA (CPTA) and the Square Kilometre Array PTA (SKAPTA) after ∼2–3 (or ∼6–11) yr observation if it is the same as (or 1 order of magnitude lower than) the common process signal. The detection time of individual BBHs by CPTA and SKAPTA is close to that of the GWB detection. We show that the BBH population model can be strongly constrained by the number and property distributions of BBHs to be detected by future PTAs.
Decomposing the Spectrum of Ultraluminous X-Ray Pulsar NGC 300 ULX-1
Authors: Kobayashi Shogo B. , Noda Hirofumi , Enoto Teruaki , Kawashima Tomohisa , Inoue Akihiro , Ohsuga Ken 
Published: September 2023

Abstract
A phase-resolved analysis on the X-ray spectrum of ultraluminous X-ray pulsar (ULXP) NGC 300 ULX-1 is performed with data taken with XMM-Newton and NuSTAR on 2016 December 16. In addition to the classical phase-restricting analysis, a method developed in active galactic nuclei studies is newly employed for ULXP. It has revealed that the pulsation cycle of the source can be divided into two intervals in terms of X-ray variability. This suggests the rotating flow consists of at least two representative emission regions. Furthermore, the new method successfully decomposed the spectrum into an independent pair in each interval. One is an unchanging-component spectrum that can be reproduced by a standard disk model with a

720

−
120

+
220

km inner radius and a 0.25 ± 0.03 keV peak temperature. The other is the spectrum of the component that coincides with the pulsation. This was explained with a Comptonization of a

0.22

−
0.1

+
0.2

keV blackbody and exhibited a harder photon index in the brighter phase interval of two. The results are consistent with a picture that the pulsating emission originates from a funnel-like flow formed within the magnetosphere, and the inner flow exhibiting a harder continuum is observed exclusively when the opening cone points to the observer.
Unveiling the Dynamics of Dense Cores in Cluster-forming Clumps: A 3D Magnetohydrodynamics Simulation Study of Angular Momentum and Magnetic Field Properties
Authors: Kinoshita Shinichi. W. , Nakamura Fumitaka 
Published: September 2023

Abstract
We conducted isothermal magnetohydrodynamics simulations with self-gravity to investigate the properties of dense cores in cluster-forming clumps. Two different setups were explored: a single rotating clump and colliding clumps. We focused on determining the extent to which the rotation and magnetic field of the parental clump are inherited by the formed dense cores. Our statistical analysis revealed that the alignment between the angular momentum of dense cores,

L

core

, and the rotational axis of the clump is influenced by the strength of turbulence and the simulation setup. In single rotating clumps, we found that

L

core

tends to align with the clump’s rotational axis if the initial turbulence is weak. In colliding clumps, however, this alignment does not occur, regardless of the initial turbulence strength. This misalignment in colliding clumps is due to the induced turbulence from the collision and the isotropic gas inflow into dense cores. Our analysis of colliding clumps also revealed that the magnetic field globally bends along the shock-compressed layer, and the mean magnetic field of dense cores,

B

core

, aligns with it. Both in single rotating clumps and colliding clumps, we found that the angle between

B

core

and

L

core

is generally random, regardless of the clump properties. We also analyzed the dynamical states of the formed cores and found a higher proportion of unbound cores in colliding clumps. In addition, the contribution of rotational energy was only approximately 5% of the gravitational energy, regardless of the model parameters for both single and colliding cases.
The Impact of Boredom in Marriage on Marital Satisfaction
Authors: Muturi Elizabeth 
Published: September 2023

Purpose: The aim of the study was to investigate the impact of boredom in marriage on marital satisfaction.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low-cost advantage as compared to field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: Boredom in marriage can influence the spouses' behaviors, emotions, and cognitions, such as reducing their positive interactions, increasing their negative interactions, lowering their mood, and impairing their judgment. Boredom in marriage can have negative consequences for the individual and relational well-being of the spouses, such as affecting their physical and mental health, undermining their intimacy and commitment, and increasing their risk of infidelity or divorce. Boredom in marriage can be prevented or reduced by enhancing the quality and quantity of communication, sharing new and meaningful experiences, expressing appreciation and affection, seeking professional help if needed, and maintaining a positive attitude and outlook on the relationship.
Unique Contribution to Theory, Practice and Policy: The Arousal Theory, Cognitive Theory and Psychodynamic Theory may be used to anchor future studies on use of marriage institutions. Marital therapists and counselors could incorporate boredom assessment and intervention strategies in their work with couples who report low marital satisfaction. Policymakers and educators could design and implement programs that promote healthy and satisfying marriages in the society.
USO DE VENLAFAXINA NO TRATAMENTO DE DOR NEUROPÁTICA
Authors: Lima Bruna Vanzeta de , Baldin Simona Renz 
Published: September 2023

Introdução: A dor neuropática é uma patologia de difícil tratamento, caracteriza-se por ser uma dor com etiologia variada, onde ocorre uma lesão ou disfunção do sistema somatossensorial, fazendo com que ocorra uma transmissão e percepção contínua de dor. Nesse contexto, o uso da venlafaxina vem sendo estudado, sendo que o fármaco é utilizado como tratamento de segunda linha para pacientes em que a terapêutica convencional não é indicada. Objetivo: Diante disso, o objetivo geral do trabalho foi demonstrar o uso clínico da venlafaxina no tratamento da dor neuropática. Metodologia: Para isso, utilizou-se como metodologia a revisão de literatura, por meio da coleta de dados em bases como Scielo, Lilacs e Google Acadêmico. Resultados e Discussão: Os principais resultados obtidos com a pesquisa foram que a venlafaxina comparada com outros fármacos utilizados na terapêutica padronizada, como carbamazepina e pregabalina, apresentou redução da dor, porém em menor escala que a pregabalina e mesmo grau que a carbamazepina, seu mecanismo de ação não está elucidado, porém por ser um antidepressivo inibidor da recaptação de serotonina e noradrenalina acredita-se que o fármaco aumente a concentração destes neurotransmissores na fenda sináptica do neurônio inibitório, reduzindo a transmissão da dor. Conclusão: A venlafaxina demonstrou na maioria dos estudos abordados resultados positivos na diminuição da dor neuropática, mesmo apresentando potencial analgésico menor em comparação aos fármacos atualmente utilizados é uma opção para casos especiais onde a terapia convencional não é segura, podendo vir a complementar o atual Protocolo Clínicos e Diretrizes Terapêuticas de Dor Crônica.
Climbers’ Behavior in Reducing Environmental Damage at Mount Batur
Authors: Trikayanti Kadek Holy Campala , Mudana I Gede , Oka I Made Darma , Chaerunnisah Indah Utami , Sudiarta Made 
Published: September 2023

Purpose: This study aims to determine behavior of climbers and to find out the efforts made by the tracking manager to minimize environmental damage caused by climbing or tracking activities as well as maintaining personal safety for climbers in Mount Batur area, Bangli, Bali.
Research methods: This study used a qualitative descriptive method. Apart from being a literature study, this research uses observation, in-depth interviews, and documentation.
Result and discussion: The results of the study show that the climbers who often say they are nature lovers have awareness of environmental sustainability starting from being aware of the garbage around and complying with the regulations that have been made by the manager to avoid environmental damage and maintain their own safety so that unwanted events in the climbing process can be avoided.
Implications: The results of this study are expected to be used as parameters in decision making for the managers of the Mount Batur area and it is also hoped that climbers can jointly maintain and comply with existing regulations for the preservation of this mountain.
Green Product, Green Corporate Image, and Green Customer Loyalty at Hotel Indigo Bali Seminyak Beach
Authors: Dewi Ni Luh Putu Utari , Sagitarini Luh Linna , Winia I Nyoman , Mataram I Gusti Agung Bagus 
Published: September 2023

Purpose: This study aims to analyze the effect of the application of green product quality and green corporate image on green customer loyalty at Hotel Indigo Bali Seminyak Beach.
Research methods: The data collection methods used are observations, interviews, questionnaires, and literature studies. The respondents in this study were 50 guests who stayed at Hotel Indigo Bali Seminyak Beach using the method of determining purposive sampling or sampling based on certain characteristics. The data analysis techniques used are descriptive qualitative and multiple regression analysis. A validity and reliability test was carried out on the questionnaire distributed to the respondents.
Result and discussion: Based on the results of the t test that has been carried out, it was concluded that the two partially free variables have a positive influence on green customer loyalty at Hotel Indigo Bali Seminyak Beach. Green product quality is more dominant in affecting green customer loyalty compared to green corporate image because in reality guests staying at the hotel look more at how the quality of products or services offered by the hotel so that guests can decide to buy the product continuously.
Implications: Green product quality and green corporate image together or simultaneously have a positive and significant effect on green customer loyalty.
Comparison of Diathermy versus Surgical Scalpel for Skin Incisions in Elective General Surgical Procedures
Authors: Younis Panni Adnan , Jarral Muhammad Sajid , Maqsood Rasikh , Ali Mujahid Zulfiqar , Shah Naqeebullah , Ahmed Waqas 
Published: September 2023

Objective: To compare diathermy versus surgical scalpel in skin incisions in elective general surgical procedures regarding incision time, post-operative pain and surgical site infection.
Study Design: Quasi-experimental study.
Place and Study Duration: Department of Surgery, Combined Military Hospital, Peshawar Pakistan, from Feb to Jul 2020.
Methodology: A total of 106 patients undergoing general elective procedures aged 20-60 years belonging to either gender were included in the study. They were divided into two equal groups of 53 patients each. Patients with ischemic heart disease, diabetes mellitus, hypertension, and dirty and contaminated procedures were excluded. Group-A patients underwent skin incisions with diathermy, while Group-B patients underwent skin incisions with a surgical blade on a scalpel. The incision time was noted for both groups. All patients were followed for post-operative pain per visual analogue score and development of surgical site infection.
Results: Mean incision time in Group-A (Diathermy-Group) was 46.58±8.03 seconds, while in Group-B (Scalpel-Group), it was 54.75±7.91 seconds (p<0.001). The mean post-operative pain score in Group-A (Diathermy Group) was 2.25±0.76, while in Group-B (Scalpel Group), it was 3.58±0.91 (p<0.001). Wound infection was found in 3.77% of patients in Group-A, while in Group- B, it was found in 15.09% (p=0.046).
Conclusion: Incision with Diathermy is better than scalpel skin incisions regarding incision time, post-operative pain and postoperative surgical site infection.
Anxiety level relationship with sleep quality in Post-COVID-19 patients
Authors: Multazam Ali , Prasetyo Rahmad Oky Lukman , Prastowo Bayu 
Published: September 2023

Background: Coronavirus disease 2019 (COVID-19) is a disease from a virus transmitted through saliva or water droplets that come out of the nose when someone infected with the COVID-19 virus coughs or sneezes. Most people will experience mild to moderate respiratory illness through an infection that attacks. This new virus has not yet found a vaccine or special treatment, so someone infected will most likely recover without special treatment. In this case, it can cause anxiety in humans, resulting in poor sleep quality.
Methods: Cross-sectional data analysis observation. With a sample size of 56 responders, this study's population was post-COVID-19 patients from Malang Raya. Data were gathered using the Hamilton Rating Scale for Anxiety (HRS-A) and Pittsburgh Sleep Quality Indeks (PSQI) questionnaires. In this study, anxiety is the independent variable and sleep quality is the dependent variable.
Results: According to Spearman's statistical test, anxiety and sleep quality have a p=0.00, r=-0.316 with poor values, indicating a relationship between anxiety levels and sleep quality.
Conclusion: There is a link between the level of anxiety and the quality of sleep in patients who have had COVID-19.
Comparison between contract-relax stretching and McKenzie neck exercise on decreasing pain of upper trapezius muscle in peeling onions workers
Authors: Lubis Zidni Imanurrohmah , Susanti Dianda Rizky Ayu , Yulianti Atika 
Published: September 2023

Background: Upper trapezius muscle pain is caused by overuse of the neck, hand, and shoulder muscles with the same movement resulting in decreased oxygen supply to the muscles. The treatments that can be given are contract-relax stretching and Mckenzie neck exercise. Contract relax stretching aims to reduce pain with stretching techniques. McKenzie's neck exercise aims to relax muscles, reduce spasms and return the alignment of the neck to a normal position.
Methods: This type of research is a pre-experimental study with two pretest and post-test design groups. This design uses two groups to compare the causal relationship between the independent and dependent variables. The research population was peeling onion workers at CV. Anita Jaya Sukses had upper trapezius muscle pain. The sample of this study is a member of the people that meets the inclusion and exclusion criteria with a total of 18 selections. The sampling technique used purposive sampling. The research instrument used is the numeric rating scale (NRS).
Results: The Independent Sample T-Test showed that giving contract-relax stretching and McKenzie neck exercise had a significant value of 0.005 (p< 0.05), so H1 was accepted.
Conclusion: There is a difference in the effect between contract-relax stretching and McKenzie neck exercise on reducing upper trapezius muscle pain in onion peel workers' CV. Anita Jaya Sukses and McKenzie's neck exercise has proven more effective.
The relationship between smoking dose with oxygen saturation and cardiorespiratory endurance on young adult men
Authors: Suadnyana Ida Ayu Astiti , Ni Luh Gede Aris Maytadewi Negara  , I Wayan Wiraguna  
Published: September 2023

Background: Healthy lifestyle can reduce the risk of disease. One of the unhealthy lifestyle patterns is consuming cigarettes. Smoking can also reduce the affinity of oxygen for hemoglobin so that it can affect oxygen saturation levels in the blood. This study aimed to determine the relationship between smoking dose, oxygen saturation, and cardiorespiratory endurance in adult men.
Methods: The study design was a cross-sectional study with an adult male population in the Tampaksiring Village, Bali, Indonesia, in which they qualified for the inclusion and exclusion criteria. Adult men were selected by purposive sampling. It was obtained 52 samples. The measurement of smoking dose using the Brinkman index, the measurement of oxygen saturation using oximetry, and the measurement of cardiorespiratory endurance using the Harvard step test. Data were analyzed using computer software with the Spearman rank test to determine the relationship between smoking dose with oxygen saturation and cardiorespiratory endurance in adult men.
Results: The results showed that from 52 adult men were obtained by analysis result of the relationship between smoking dose and oxygen saturation where p= 0.000 (p<0.05) and the analysis result of the relationship between smoking dose and cardiorespiratory endurance with p= 0.000 (p<0.05).
Conclusion: There was a significant relationship between smoking dose with oxygen saturation and cardiorespiratory endurance in adult men in Tampaksiring Village, Bali, Indonesia