bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengetahuan dan Sikap Masyarakat terhadap Penerimaan Vaksin Covid-19
Authors: Yonatriza Hanggara , Fari Aniska Indah , Rini Maria Tarisia 
Published: April 2023

The covid-19 vaccine is given to provide immunity for community groups against the transmission of covid-19. Public knowledge about the COVID-19 vaccine is still lacking and there are still many people's attitudes that are reluctant to be vaccinated against COVID-19. These two things cause the low coverage of the COVID-19 vaccine in Indonesia. Objective: to find out the relationship between knowledge and public attitudes towards the covid 19 vaccine. Methods: The type of research used is quantitative with the use of descriptive survey methods. The sampling technique used was total sampling. The sample in this study were 85 respondents. Collecting data using a questionnaire. Bivariate analysis uses the Kendall's tau test . The results showed that the median value of the respondent's age was 42 years, most of the respondents were female with a total of 51 respondents (60%). Most of the respondents' occupations are housewives with 36 respondents (42.4%). The education of the most respondents is SMA with a total of 42 respondents (49.4%). Knowledge of respondents is known to be moderate with a total of 61 respondents (71.8%). The attitude of the respondents is known to be good with a total of 56 respondents (65.9%), getting the complete vaccine as many as 52 respondents (61.2%). Bivariate analysis showed that there was a significant relationship between knowledge and acceptance of the covid 19 vaccine (π : 0.255 p : 0.017) and significant relationship between attitude and acceptance of the covid 19 vaccine (π: 0,944 p : 0, 007)
Efektivitas Konsumsi Jus Mentimun terhadap Penurunan Tekanan Darah pada Wanita Hipertensi Usia Produktif
Authors: Ratnadewi Nurul Fatimah , Aulya Yenny , Widowati Retno 
Published: April 2023

This study aimed to analyze the effectiveness of cucumber juice consumption on the reduction of hypertension in women of productive age 20-45 years. The quasi experiment research was used pre and post test with control group design, using a sample of 36 respondents each of 18 respondents for the experimental group and 18 respondents for the control group. Sampling technique using purposive sampling in the working area of Puskesmas Wado, Sumedang, West Java. Analyzed using non-parametric test that was Wilcoxon test and Mann Whitney test to determine the difference between groups. Before treatment was given the mean systole and diastole of the experimental group 160.22 / 96.11 mmHg. The experiment group respondents were given cucumber juice in the morning at least 30 minutes after breakfast for 14 days. After treatment, the respondents of experiment group systole and diastole mean’s are 142,78 / 86,11 mmHg. The result showed there were a significant difference in systole and diastole in the experiment group before and after cucumber juice intervention (p<0.05). There were a difference systole and diastole between the experimental group and the control group (p<0.05). For the conclusion there is an effectiveness of cucumber juice as a non-pharmacological alternative treatment to reduce blood pressure.
Intervensi Penggunaan Pembalut Selama Masa Menstruasi pada Wanita Usia Subur Suku Anak Dalam Desa Bukit Suban Sarolangun
Authors: Asparian Asparian , Khoiriyah Siti Mashirotul , Reskiaddin La Ode , Hubaybah Hubaybah , Siregar Sri Astuti 
Published: April 2023

Women of Reproductive Age of the indigenous people have a hereditary culture or habit of women of childbearing age who have menstruated or tebiek in SAD language to keep them clean unlike the usual women who use sanitary napkins. They only use a long piece of cloth wrapped around their body such as a bra and do not use other clothing or pads during menstruation. The purpose of this study was to analyze the behavior of using sanitary pads during the menstrual period of Women of Reproductive Age of the indigenous people in Bukit Suban Village, Air Hitam District, Sarolangun Regency in 2022.This research is a quantitative study with a quasi-experimental method with a non-equivalent group design. The research population was Women of Reproductive Age of the indigenou people, totaling 96 people in the Tumenggung Grib group. The sample technique is purposive sampling, was taken from 2 groups, namely 16 women in the treatment group and 16 women in comparison according to the inclusion and exclusion criteria. Data collection used a questionnaire and data analysis was carried out using the Paired-Samples T-Test and the Independent Samples T-Test. The results showed that there was a significant increase in the knowledge, attitudes and behavior of the treatment group. Independent Samples T-Test statistical test p value = 0.00 or p value < α in knowledge, attitude and behavior. This indicates that there is a significant difference between the values of the treatment group and the comparison group on the variables of knowledge, attitudes and behavior at indigenous women in Bukit Suban Village, Sarolangun Regency in 2022. Sanitary napkin media as a teaching tool for learning simulations has a major influence in increasing the knowledge, attitudes and behavior of indigenous Women of Reproductive Age as an effort to maintain reproductive health by implementing the practice of using pads in Bukit Suban Village, Sarolangun Regency in 2022
Customer Intention to Quantify the Feasibility of BUMD during The Modern Economic Era: Case Study of BUMD in Kampar Regency
Authors: Hasan Samsurijal , Nabella Septa Diana , Yerikania Utami 
Published: April 2023

In the modern economic era, success business sector should give attention to how global policies, as well as regional policies, certainly affects the intensity and direction of business policies. Customer intention was to play the priority of the company to create and gain the market. Where the customer intention will be reflecting the customer's behaviour and view against the product or the business unit. This study was to determine the customer intention to quantify the feasibility of BUMD during the modern Economic Era. This study was limited to regency-owned BUMD and the BUMD was established more than 15 years. This study was conducted on customers from Bank BPR Sarimadu. The Slovin formula technique was chosen in this study where the number of samples in this study is as many as 100 people from 300 customers, with an error rate of 10%. the result was defined that the Customer Intention of BUMD is explained by Professionalism (X1), Marketing Quality (X2), and Service Quality (X3) variables by 69.5%, while 34.5% is explained by other variables not examined in this study. This study also mentions that its major contribution to customer intention was influenced by these factors. Based on this study, professionalism, marketing quality along with service quality is the main parameters for increasing the interest of the customer to become BUMD loyal members. Thus, professionalism becoming a top priority for enhancing the BUMD image or company image. By improving the quality of management, marketing quality, and service quality of the company, BUMD customers will feel more confident when using chosen of BUMDs products and services.

Keywords: BUMD; Customer Intention; Service Quality, Professionalism, Marketing Quality.
Influence of Advertisements on Consumer Behavior
Authors: Khanam Ummay Salma 
Published: April 2023

Purpose: This research investigates the effect of advertisements in broadcast media (TV, radio), print media (newspaper, magazine), and online (internet) media on consumers' awareness (AWR), interest (INT), conviction (CON), purchase (PUR), and post-purchase (PPUR) behavior.
Method: A quantitative research approach based on primary data was applied in this study. This study conducted surveys using a structured questionnaire in both electronic and paper formats among the graduate and post-graduate students located in Chattogram, Bangladesh. 404 usable responses were used for data analysis using Kruskal-Wallis (K-W) test.
Results: The study reveals that advertising in broadcast, print, and online media has a statistically significant effect on customers' awareness (AWR), interest(INT), conviction(CON), and buying behavior(PUR).
Implications: The research provides insights to marketers regarding the preference toward media selection and promotional efforts.
Les quatre usages du concept de l’armée de réserve
Authors: Clouet Hadrien 
Published: April 2023

En dépit de son importance, tant dans la théorie générale des crises que dans la conscience populaire, la notion « d’armée de réserve » a suscité peu de discussion théorique au sein du marxisme. Cet article propose de rassembler les contributions éparses qui la mobilisent pour identifier les usages de cette notion, et son apport au-delà des notions de chômage ou d’inoccupation. Si elle s’inscrit, à l’origine, dans un débat sur l’approche économique ou démographique des questions de population, la notion d’« armée de réserve » est employée avec quatre objectifs distincts dans la littérature marxiste. En premier lieu, elle sert d’opérateur historique, pour identifier les spécificités de chaque séquence capitaliste (et non-capitaliste). En second lieu, elle définit l’exercice d’un pouvoir d’État. En troisième lieu, elle joue le rôle d’opérateur synchronique, pour circonscrire les rapports de pouvoir à l’œuvre sur chaque territoire à une même époque. En dernier lieu, elle constitue un opérateur partisan, susceptible d’aider la constitution d’un sujet politique révolutionnaire.
Seroprevalence of Bacterial Isolates and their Antimicrobial Susceptibility Pattern from Exudate Sample in Birla Institute of Medical Research Hospital, Gwalior, India
Authors: Rajput Kamini , Johri Sonia , Goyal Anju 
Published: April 2023

Background and Aim:
Infection characterized by the production of pus is classified as pyogenic or pus-producing infections. These infections are challenging to treat because bacteria are becoming increasingly resistant to antibiotics. It is critical to understand the microorganisms that cause infections and their antibiotic susceptibility patterns for optimal management of the patient. The purpose of this study was to examine the frequency and distribution of bacteria isolated from pus/wound, as well as their susceptibility patterns.

Materials and Methods:
A retrospective hospital-based study was conducted on 175 patients who provided pus and/or wound discharge samples in different wards (outpatient department or inpatient department). The samples were inoculated on MacConkey agar and blood agar plates and incubated at 37°C for 24 h. The Gram stain and biochemical tests were used to identify all isolates after incubation. Antibiotic sensitivity was performed using Kirby–Bauer disc diffusion test.

Results:
This study covered 175 patients, with a bacterial isolation rate of 102 (58.28%). Males outnumbered females in the samples (M: F-1.8:1), with a median age of 45 years. Majority were in the age group of 40–60 years which was 41 (40.20%). Monomicrobial infections were seen in 92 (90.19%) samples whereas polymicrobial infections in 10 (9.80%) samples and total 112 bacterial strains were isolated.

Conclusion:

Escherichia coli was the most prevalent isolate in our investigation, followed by Pseudomonas aeruginosa. For Gram-positive cocci, doxycycline, linezolid, and chloramphenicol are the most effective antibiotics, whereas for Gram-negative bacilli, amikacin, gentamicin, and chloramphenicol are the most effective antibiotics. The susceptibility statistics presented in this article may be useful in formulating empiric treatment regimens for pyogenic infections.
Impact of COVID-19 vaccination on menstruation pattern among female nursing and paramedical students in a peripheral medical college in Eastern India
Authors: Goswami Ayan , Majhi Arup Kumar , Chaudhuri Arunima , Kundu Pratip 
Published: April 2023

Background:
Many females worldwide have reported abnormalities in their menstrual patterns post-COVID-19 vaccination. The present study was conducted to determine the impact of the COVID-19 vaccination on menstrual patterns among female nursing and paramedical students at a peripheral medical college in eastern India.

Materials and Methods:
The cross-sectional, online self-administered survey was conducted using Microsoft Forms after taking institutional ethical clearance and informed consent from the participants. Two hundred BSc nursing and paramedical students who had received two doses of COVID vaccination (Covaxin or Covishield) and were not suffering from any endocrinopathies, bleeding disorders, structural gynecological abnormalities, or taking any medication known to affect the hypothalamic–pituitary–gonadal axis were included in the study. The questionnaire included menstrual length cycle length and amount of bleeding and there were no direct identifiers.

Results:
The participants reported a significant increase in the amount of bleeding on the heaviest day (mean ± standard deviation [SD] of the number of pads used was 3.52 ± 1.15 during prevaccination months vs. 4.64 ± 1.36 during postvaccination months; P < 0.001) following vaccination. A similar result of increased bleeding on the heaviest day of the period was obtained in both the Covaxin group (mean ± SD: 3.08 ± 1.16 vs. 4.88 ± 1.53; P: 0.001) and the Covishield group (mean ± SD: 3.59 ± 1.13 vs. 4.6 ± 1.34; P < 0.001). No difference in change in the menstrual pattern was observed between the two groups who had received two different types of vaccine (P: 0.527).

Conclusion:
The study showed a possible connection between the COVID-19 vaccination and the change in menstrual patterns.
Progression in refractive error in children during COVID-19 pandemic due to virtual classes
Authors: Dash Shovna , Mohanty Gayatree , Mohanty Soumya Kanta , Mohakud Nirmal Kumar 
Published: April 2023

Background:
The pandemic resulted in increased screen hours in children due to virtual education. The rate of progression of myopia was noticed to be remarkable in the past 2 years. This study is an endeavor to study the effect of increased screen hours during COVID home confinement on the degree of progression of myopia in school children and to evaluate the difference in change of refractive errors with a variation in the screen size of the digital device used.

Methods:
This was prospective observational study with a retrospective comparison arm, wherein 70 school children (140 eyes) aged 4–18 years were subjected to a cycloplegic refraction test. The difference in spherical equivalent refraction from the year 2018 to 19 was compared with that of the difference observed in the pandemic year 2019–2020. A statistical analysis was also made regarding the correlation of variation in refraction between the different genders, age groups, and screen sizes.

Results:
Of the 70 children, 29 (41.42%) were girls and 41 (58.58%) were boys. The gadgets being used vary from mobiles to laptops, and the range of screens and sizes varies from 100 cm2 to 500 cm2. Similarly, the duration of device use varied from 4 to 8 h. For 2018, the mean value of the spherical equivalent was −1.69 ± 1.42, for 2019 it was −1.92 ± 1.50 and for 2020 the mean value was −2.61 ± 1.47 for the right eye. The mean value of the spherical equivalent for the left eye in 2018 was −1.68 ± 1.51, in 2019 the value was −1.87 ± 1.58, and in 2020, the mean value was −2.73 ± 1.78.

Conclusions:
Increased exposure to digital devices during the COVID-19 period has a role to play in the progression of myopia in school-aged children.
Predictors of recurrence in oral cavity cancer with clear surgical margins
Authors: Agrawal Mansi , Konduru Vidya , Tirkey Amit Jiwan , Jeyashant Riju , George Philip , Philip Dona Maria , Setty Chandramohan , Devarkonda Kiran Kumar 
Published: April 2023

Introduction:
Oral cancers recur in a significant proportion of patients, in spite of aggressive treatment strategies. The presence of a clear surgical margin is an important predictor of recurrent disease, among others. Since oral cancers often recur in the absence of compromised margins, there is a need to study the factors affecting recurrence and overall survival outcomes where clear surgical margins have been achieved during upfront surgery. This study attempts to identify the significant predictors of locoregional recurrence in oral squamous cell carcinoma (OSCC) with pathologically clear surgical margins.

Methodology:
This retrospective study was done to study the clinicopathological parameters associated with recurrence of oral cavity squamous cell carcinoma (SCC) in patients with clear surgical margins operated in our unit between January 2010 and December 2015. A total of 526 cases of oral cavity SCC were analyzed and records of 160 cases with clear surgical margins were reviewed for clinical details, histopathological data, and follow-up status. Age, gender, subsite, T–N clinical and pathological staging, tumor depth of invasion, grade of differentiation, lymphovascular invasion, perineural spread, adjuvant therapy, and recurrence details were analyzed.

Results:
Lymphovascular Invasion was found to be a significant predictor for local recurrence in OSCC in both univariate and multivariate analysis. Median recurrence-free survival was 53.6 months.

Conclusion:
Despite the best efforts of the surgeon in obtaining adequate tumor-free margins and the most comprehensive adjuvant treatment, recurrence patterns in oral cancers continue to defy accurate prediction. Lymphovascular invasion could be an important predictor of recurrence for oral cavity cancers in patients with clear surgical margins that require aggressive management.
Clinical, uropathogenic, and radiological profile of culture-positive urinary tract infections in children below 18 months of age
Authors: George Sachin , Deepthi R. V. , Mathew Georgie , Prakash Jude Antony , Maria Dona , Agarwal Indira 
Published: April 2023

Background:
Urinary tract infections (UTIs) are common in children and have the risk of renal scarring. To better identify this at risk group, the following study was carried out to analyze the clinical profile of children below 18 months of age with culture-positive UTI and the outcome of radiological investigations. The primary objective was to assess the clinical profile of culture-positive UTI children and diagnostic yield and correlation between radiological tests. The secondary objectives were to assess the prevalent uropathogens and their antibiogram.

Materials and Methods:
For this retrospective study, clinical details regarding radiological investigations, prevalent uropathogens and antibiograms, common antibiotics used in treatment, and uroprophylaxis were obtained through electronic medical records in children <18 months of age admitted with culture-positive UTI.

Results:
In 225 children seen over a period of 36 months, a slight male predominance (56%) was observed. Ultrasonography (USG) was done in nearly all children, micturating cystourethrography (MCU) was performed in only 40% of patients, dimercaptosuccinic acid (DMSA), performed after 6 months of the index UTI, in one-fifths of the patients. All three investigations were performed in one out of six children. USG and MCU used in combination detected the highest number of significant abnormalities (39%) compared to USG and DMSA (32%). Escherichia coli was the predominant uropathogen identified. Significant meropenem resistance (52%) was observed in the community-acquired UTI.

Conclusion:
The evaluation and follow-up of infants and young children with UTI show inadequate radiological evaluation, which could increase the risk of undetected and untreated renal sequelae.
Accuracy of ultrasound and magnetic resonance imaging in predicting placenta accreta
Authors: Jaisankar Premkumar , Kumar M. Vasantha , Gowtham R. Rajesh , Vinoth T 
Published: April 2023

Background:
Placenta accreta can cause significant morbidity and mortality in pregnant women. Timely diagnosis is essential for management. This study aimed to evaluate the accuracy of ultrasound (USG) and magnetic resonance imaging (MRI) techniques in predicting placenta accreta.

Methodology:
A retrospective study was conducted at our institute from April 2014 to September 2017. Pregnant women with suspected placenta accrete were recruited for the study. Medical records of pregnant women who have undergone both USG and prenatal MRI were included. The accuracy of USG and MRI was compared.

Results:
Among the 56 cases evaluated in the study, the diagnosis was accurately obtained with ultrasonography in 75% of cases and with MRI in 68.51% of cases. Sensitivity for placenta accreta was 97.29% for USG and 78.37% for MRI. Specificities were 31.57% for USG and 47.05% for MRI. The positive predictive value was 73.46% for USG and 76.31% for MRI.

Conclusion:
Although a definite demarcation could not be obtained from the sensitivity, specificity, and positive predictive value of the placenta accrete with ultrasonography and MRI, the diagnostic accuracy may be taken as a definite pointer. Hence, ultrasonography remains the mainstay of diagnosis for placenta accrete; and MRI can be considered complementary in cases with few USG signs.
Analgaesic efficacy of single-injection serratus anterior plane block for breast surgery: A systematic review, meta-analysis and trial sequential analysis of randomised controlled trials
Authors: Singh Narinder Pal , Makkar Jeetinder , Bhat Adithya Devadas , Singh Preet M 
Published: April 2023

ABSTRACT
There is conflicting evidence regarding the analgaesic efficacy of single-shot serratus anterior plane block (SAP) for breast surgery. This meta-analysis aimed to evaluate the analgaesic efficacy of SAP compared with non-block care (NBC) and other regional blocks, i.e. paravertebral block (PVB) and modified pectoral nerve block (PECS block) for breast surgery. PubMed, Embase, Scopus, the Cochrane Central Register of Controlled Trials and ClinicalTrials.gov were searched. We included randomized controlled trials reporting the use of the SAP block in adult breast surgery. The primary outcome was postoperative oral morphine equivalent (OME) consumption for up to 24 hours. Random-effects models were used to pool results and mean difference (MD), and odds ratio (OR) was calculated for continuous and dichotomous outcomes, respectively. GRADE guidelines were used to evaluate the strength of evidence, and trial sequential analysis (TSA) was performed to provide certainty to the conclusion. Twenty-four trials enrolling 1789 patients were included. Moderate strength evidence suggested that SAP provided a significant reduction in 24-hour OME compared with NBC [MD − 24.9 mg (95% CI − 41.54, −8.25; P < 0.001, I2 = 99.68%)]. TSA ruled out the possibility of false-positive results. Subgroup analysis for the SAP demonstrated that the superficial plane approach was more effective in reducing opioid consumption than the deep approach. The odds of developing PONV were significantly lower in SAP compared to NBC. Compared with PVB and PECS, SAP block was not statistically different for 24-hour OME and time to first rescue analgaesia. Single-shot SAP reduced opioid consumption, prolonged analgaesia duration, lowered pain scores, and decreased the incidence of PONV compared to NBC. There was no statistically significant difference in the studied endpoints between SAP, PVB, and PECS blocks.