bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cultural Adaptation of the Mothers and Babies Intervention for Use in Tribal Communities
Authors: Ward Erin A. , Iron Cloud-Two Dogs Ethleen , Gier Emma E. , Littlefield Linda , Tandon S. Darius 
Published: February 2022

ObjectiveWhile one in five women may experience mood and anxiety disorders during pregnancy and postpartum, Indigenous identity increases that risk by 62%, especially among younger Indigenous women. The need for evidence-based perinatal mental health interventions that provide culturally relevant well-being perspectives and practices is critical to improving maternal, child, and community outcomes for Indigenous peoples, and reducing health inequities.MethodsThrough a collaboration between community maternal and child health professionals, intervention researchers, and a cultural consultant, our workgroup developed cultural adaptations to Mothers and Babies, an evidence-based perinatal depression prevention intervention. Applying a cultural interface model, the workgroup identified existing intervention content for surface adaptations, as well as deep, conceptual adaptations to incorporate traditional teachings into this evidence-based intervention.ResultsThis collaboration developed a culturally adapted facilitator manual for intervention providers, including guidance for implementation and further adaptation to represent local tribal culture, and a culturally adapted participant workbook for Indigenous perinatal women that reflects cultural teachings and traditional practices to promote well-being for mother and baby.ImplicationsCommitting to a culturally respectful process to adapt Mothers and Babies is likely to increase the reach of the intervention into Indigenous communities, reengage communities with cultural practice, improve health outcomes among parents, children, and the next generation's elders, and reduce disparities among Indigenous groups. Replication of this community-engaged process can further the science and understanding of cultural adaptations to evidence-based interventions, while also further reducing health inequities. Future steps include evaluating implementation of the culturally adapted intervention among tribal home visiting organizations.
Moral Risk in the Behavior of Doctors of the Comprehensive Health Insurance in the Province of San Román, Puno-Peru, 2021
Authors: Quispe Mamani Julio C. , Quilca Soto Yessica , Calcina Álvarez Dominga A. , Yapuchura Saico Cristóbal R. , Ulloa Gallardo Nelly J. , Aguilar Pinto Santotomas L. , Quispe Quispe Betsy , Quispe Maquera Nelly B. , Cutipa Quilca Balbina E. 
Published: February 2022

ObjectiveThe objective of the research was to determine which socioeconomic factors are the ones that most influence the moral hazard in the behavior of the doctors of the Comprehensive Health Insurance in the province of San Román and to identify the attitude of the doctor to a gift and its influence in moral hazard.MethodsThe methodology used has a mixed, non-experimental and correlational approach, the Binomial Probit econometric model was used, applying a survey to 32 active doctors who work in the different SIS centers.ResultsIt is concluded that the factors that influenced the moral hazard and the behavior of the doctors were the bad reputation with a positive relation (27%), the social pressure with a negative relation (98%) and the behavioral attitude with a positive relation (94 %).ConclusionOf the survey carried out, 40.6% of doctors reject the offer of a gift or bribe, reducing the influence of moral hazard by 94%.
PELAKSANAAN HYGENE DAN SANITASI PADA DEPOT AIR MINUM ISI ULANG
Authors: Syahril Muhammad , Nyorong Mappeatty , Aini Nur 
Published: February 2022

ABSTRAK

Depot air minum isi ulang merupakan salah satu kegiatan usaha yang mengarah kepada air bersih untuk memenuhi kebutuhan air minum masyarakat dan juga memenuhi gaya hidup masyarakat sekarang yang mengutamakan kepraktisan dan kemudahan dalam memenuhi kebutuhan hidup. Adapun tujuan dalam penelitian ini adalah untuk mengetahui aspek pelaksanaan depot isi ulang di Desa Sapta Marga Kecamatan Manyak Payed Kabupaten Aceh Tamiang sesuai dengan hygiene serta sanitasi. Jenis penelitian ini merupakan survei analitik dengan rancangan cross sectional study. Penelitian dilakukan di Desa Sapta Marga Kecamatan Manyak Payed Kabupaten Aceh Tamiang dengan menggunakan teknik total sampling yaitu sebanyak 62 seluruh pemilik depot air minum sebanyak 31 orang dan pekerja (penjamah) depot air minum. Untuk menganalisis data tersebut digunakan uji regresi logistik.
Berdasarkan hasil penelitian diketahui bahwa hygiene dan sanitasi Air minum isi ulang di Desa Sapta Marga Kecamatan Manyak Payed Kabupaten Aceh Tamiang berhubungan dengan penjamah (p=0,233), air baku (p=0,012), sedangkan standar lokasi dan alat tidak berhubungan dengan hygiene dan sanitasi Air minum isi ulang di Desa Sapta Marga Kecamatan Manyak Payed Kabupaten Aceh Tamiang. Berdasarkan hasil penelitian, dapat disimpulkan penjamah, air baku, berhubungan dengan hygiene dan sanitasi Air minum isi ulang di Desa Sapta Marga Kecamatan Manyak Payed Kabupaten Aceh Tamiang. Sehingga adapun saran dalam penelitian ini diharapkan agar menjadi informasi bagi masyarakat mengenai hygiene dan sanitasi pada depot air minum isi ulang di Desa Sapta Marga Kecamatan Manyak Payed Kabupaten Aceh Tamiang agar lebih bijak dalam memilih depot air minum.
JUMLAH, JENIS, FREKUENSI KONSUMSI MAKANAN, DAN STATUS GIZI ANAK BALITA DI KELURAHAN BELAWAN II
Authors: Samosir Frans Judea 
Published: February 2022

ABSTRACT

The tendency of the prevalence of nutritional status of balita (below five year-old children) in Indonesia increased from 2007 to 2013: the status of malnutrition was from 5.4% in 2007 to 5.7% in 2013. Of the 1060 below five year-old children at Kelurahan Belawan II in 2016, two of them suffered from malnutrition. The objective of the research was to find out the correlation between the amount of food consumption, type of food consumption and frequency of food consumption with the nutritional status of below five year-old children at Kelurahan Belawan II, Medan Belawan. The research used an analytic survey method with sectional design. The population was 1060 below five year-old children, and 53 of them were used as the samples and the respondents consisted of 53 mothers. The data of food consumption pattern were gathered by using a 24 Hour-Food Recall, and the nutritional status anthropometry with BB/U (Body Weight of Age).The data were analyzed by using chi-square test. The result showed that 98.1% of the samples of food consumption pattern were in good category, 96.2% of the type of food consumption was not varied, 100% of the samples of food consumption frequency was infrequent, so that all in all the samples of food consumption was not good. 62.3% of the samples were good nutritional status, 35.8% the samples were nutritional deficiency, and 1.9% of the samples were malnutrition. The result of the statistic analysis showed that there was no correlation of the amount of food consumption with the nutritional status of balita and the type of food consumption with the nutritional status of balita. There was correlation between the frequency of food consumption and the nutritional status of below balita. It is recommended that the mothers who have balita be provided with knowledge and skill on child nutrition in Posyandu (Integrated Health Service Post
HUBUNGAN PERILAKU DAN LINGKUNGAN RUMAH DENGAN TB PARU DI WILAYAH KERJA PUSKESMAS PANYABUNGAN JAE
Authors: Alamsyah Kurnia alamsyah , Siregar Santy Deasy 
Published: February 2022

ABSTRACT
Pulmonary tuberculosis or pulmonary tuberculosis is a contagious infectious disease that attacks the lungs and bronchi. This disease is caused by mycobacterium tuberculosis which spreads through the air of human respiratory discharges. In 2017, the figure of Case Notification Rate / CNR (new case) of pulmonary TB (+) in North Sumatra was 104.3 / 100,000 population and Mandailing Natal District became an area second place with CNR of 187 / 100,000 population. One of the factors that can affect the recovery of pulmonary TB include behaviors such as knowledge, attitudes and actions as well as the environment such as ventilation area and occupancy density. The purpose of this study was to determine the relationship of behavior and home environment to the incidence of pulmonary TB in Panyabungan Jae Public Health Center in 2019. This type of research uses analytic survey method with cross sectional approach. The sample in this study were 56 people taken by total sampling technique. The results showed that the majority of respondents have less knowledge, negative attitudes, actions are not good, the area of ​​ventilation of the house does not meet the requirements and the density of dense occupancy with the majority of the occurrence of pulmonary TB. Bivariate test results found that there is a relationship between knowledge (p = 0.003), attitude (p = 0.010), actions (p = 0.013), ventilation area (p = 0.003) and density (p = 0.017) with the incidence of pulmonary TB in the Panyabungan Jae Public Health Center. It is expected that the community in the Panyabungan Jae Puskesmas area will be more active in carrying out the examination and treatment of new TB and following the management of pulmonary TB provided by health care workers. The next researcher is expected to be able to develop research on the factors that cause pulmonary TB in a region
PENGARUH PENGAWASAN DAN MOTIVASI TERHADAP LOYALITAS PERAWAT PELAKSANA DI RUANG RAWAT INAP RSU MITRA MEDIKA MEDAN
Authors: Putra Chairul Syah , Fitriani Arifah Devi , Simanjorang Asyiah 
Published: February 2022

Abstract
Loyalty is the process of arising as a result of the desire to faithfully and serve either on its work, the group, boss and his company, this led to someone willing to make sacrifices for the sake of satisfying other parties or the public. Design research is a cross-sectional. The research sample was 74 managing nurses who worked in inpatient room RSU Partners Medical Medan. Test results showed bivariat between supervision with loyalty is earned value (GIS) p = 0.000, smaller than 0.05; then H0 is rejected and it can be concluded that there are influences of supervisory and loyalty between the implementing Partner in RSU nurse Medical Field. Test results of supervision with the loyalty between bivariat retrieved value p (Sig) = 0.000, smaller than 0.05; then Ho denied and it can be concluded that there is influence between motivation and Loyalty Partner in implementing nurse RSU Medika terrain. It is recommended to the RSU Partners to improve the supervision of the head of the Medical and nursing areas to sub-sections implementing nurse, and increase the motivation of nurses implementing loyalty so that implementing the better nursing and Medical Partners increasingly RSU good in providing the health service towards patients
Analisis Pengaruh Komunikasi Tenaga Kesehatan Terhadap Kepuasan Pasien Rawat Jalan Di Klinik Pratama Siti Rahmah Tanjung Morawa
Authors: Tamara Chatrine Virginia , Utami Tri Niswati , - Nur Aini 
Published: February 2022

Satisfaction is an important thing in improving services to the patients. The patient will feel satisfied if the service is acceptable according to the standard or in excess of that expected. The purpose of this study was to analyze the influence communication of health workers to the satisfaction of outpatients. This type of research was a quantitative with cross sectional design. Research carried out in the Pratama Clinical of Siti Rahmah in Tanjung Morawa. The study population of 130 people, and a sample of 98 respondents. A sampling technique that is purpose sampling. Data analysis for univariate, bivariate using simple linear regression at 95% confidence level. The results showed that the communication of health worker was, and outpatients feel satisfied but the service of the hospital was still far from the minimum service standards of the hospital. Communication health workers affect patient satisfaction in the outpatient Pratama Clinical of Siti Rahmah with medium strength and the direction is positive, which means if communication health workers increases, the satisfaction of outpatients also increased. Conclusion this study that the better the communication of health workers on an outpatient basis it will further improve patient satisfaction with outpatient care. The Clinic need to create a questionnaire, the level of satisfaction of patients and evaluated routinely to find out the extent of the level of satisfaction felt by the patient after getting the service.
Nonmetastatic Castration-resistant Prostate Cancer: How to Choose the Optimal Treatment Option?
Authors: Волкова М.И. , Калинин С.А. , Турупаев К.А. 
Published: February 2022

После завершения трех позитивных РКИ подходы к лечению нмКРРПЖ группы высокого риска существенно изменились и включили назначение антиандрогенов второго поколения (АА2) в дополнение к продолжающейся андроген-депривационной терапии у пациентов с ВУПСА ≤10 месяцев. Все изученные АА2 (апалутамид, энзалутамид и даролутамид) продемонстрировали сопоставимую эффективность в отношении БМВ и ОВ, благоприятный профиль безопасности и отсутствие негативного влияния на качество жизни пациентов. Однако уникальная структура молекулы даролутамида обеспечивает возможность снижения риска развития специфичных для данной группы препаратов НЯ, прежде всего – неврологических. Потенциально наиболее безопасным АА2 у пациентов, получающих комедикацию для коррекции сопутствующих заболеваний, является даролутамид.
Upon completion of three positive randomized clinical trials (RCTs), the treatment strategies in high-risk patients with nonmetastatic castration-resistant prostate cancer (nmCRPC) have changed significantly and now include administration of second- generation antiandrogens (SGAAs) in addition to continued androgen deprivation therapy (ADT) in patients with (PSADT) ≤ 10 months. All studied SGAAs (apalutamide, enzalutamide and darolutamide) have shown comparable efficacy in terms of metastasis- free survival (MFS) and overall survival (OS), favorable safety profile and no negative effect on patients’ quality of life. However the unique molecular structure of darolutamide makes it possible to decrease the risk of adverse events (AEs) specific for this group of drugs, primarily neurological AEs. Darolutamide is potentially the safest SGAA in patients receiving concomitant treatment for their comorbidities.
Analysis of Treatment of Patients with Non-Small Cell Lung Cancer (NSCLC) Taking into Account the Main Prognosis Factors and Histological Subtypes of the Tumor
Authors: Шепетько М.Н. 
Published: February 2022

Рак легкого остается социально-биологической проблемой. В Республике Беларусь заболеваемость в разные годы составляла от 32 до 45 случаев на 100 000 жителей, смертность – от 29 до 33 на 100 000 населения. Гистоструктура или гистогенез первичной опухоли НМРЛ оказывают непосредственное влияние на результаты лечения.Цель. Оценка выживаемости пациентов с НМРЛ в зависимости от основных его подтипов (плоскоклеточного рака легкого и аденокарциномы), стадии заболевания, пола и возраста.Материалы и методы. В материал для исследования вошли наблюдения за 790 пациентами с НМРЛ, находившимися на лечении в УЗ «Минский городской клинический онкологический диспансер» с 2001 по 2018 г.Выживаемость рассчитывалась по методу Каплана – Мейера, сравнение выживаемости в 2 группах выполнялось по критерию lograng, в 3 и более – по критерию хи-квадрат с критерием значимости p<0,05. Проведен моновариантный и мультивариантный анализ показателей: возраста, пола, TNM, степени дифференцировки опухоли G, гистоструктуры опухоли (аденокарцинома, плоскоклеточный рак легкого). Результаты. На основании анализа прогностических показателей была выделена категория пациентов с крайне неблагоприятным прогнозом (с общей 4-летней выживаемостью 0% (SE 3,6%), медианой ОВ 9,1 мес.). В эту группу входят пациенты с плоскоклеточной карциномой, вовлечением в опухолевый процесс лимфоузлов на стороне поражения N2 и возрастом более 65 лет.
Lung cancer continues to be a socio-biological problem. In the Republic of Belarus, the incidence of disease varied from 32 to 45 cases per 100,000 inhabitants over the years, and from 29 to 33 deaths per 100,000 inhabitants. Histostructure or histogenesis of the primary tumor NSCLC have a direct influence on the outcome of treatment.Purpose. Evaluation of the survival rate of patients with NSCLC, depending on its main subtypes (squamous cell lung cancer and adenocarcinoma), disease state, gender and age.Materials and methods. The material for the study included the observation of 790 patients with NSCLC who were being treated in «Minsk City Clinical Oncologic Centre» from 2001 to 2018.Survival was calculated using the Kaplan-Meyer method, comparing survival in 2 groups using lograng, 3 or more using chi-squared and p<0.05. A monovariant and multivariant analysis of indicators was made: age, gender, TNM, degree of differentiation of tumor G, histostructure of the tumor (adenocarcinoma, squamous cell lung cancer).Results. Based on the analysis of predictive measures, a category of patients with an extremely unfavorable prognosis was identified (with a total 4-year survival rate of 0% (SE 3.6%), median ОВ 9.1 months). This group includes patients with squamous cell carcinoma, involvement in the tumor process of lymph nodes on the side of the N2 lesion and age over 65 years.
Composition Of Types And Distribution Of Faviidae Corals In The Bahowo Reef Fall, Tongkaina, Manado City
Authors: Wewengkang Fabiola , Pratasik Silvester B. , Lalamentik Laurentius Th. X. , Rembet Unstain , Manu Gaspar , Sambali Hariyani 
Published: February 2022

Coral reef is an ecosystem built by calcium-producing marine biota, especially corals. One of the reef-building corals (hermatypic) is Faviidae that is distributed in almost all territories of Indonesia. This study was carried out in the reef flat of Bahowo, Tongkaina, Manado. Data collections used the sampling method with quadrat. There were 6 genera of Faviidae recorded in this study, Favia, Favites, Goniastrea, Leptoria, Montastrea, and Platygyra with clumped distribution patterns.Keywords: hermatypic; genera; ecosystem; quadrat. AbstrakTerumbu karang merupakan ekosistem yang dibangun oleh biota laut penghasil kapur, terutama oleh hewan karang. Salah satu karang pembentuk terumbu (hermatipik) adalah karang batu Faviidae yang memiliki penyebaran hampir di seluruh wilayah Indonesia. Penelitian ini dilakukan di rataan terumbu Bahowo, kelurahan Tongkaina, kota Manado. Berdasarkan hasil pencatatan data dengan menggunakan metode sampling kuadrat yang kemudian diolah dan dianalisis secara statistik dengan menggunakan perangkat lunak (MS Excel) diperoleh 6 genera karang batu Faviidae, yaitu Favia, Favites, Goniastrea, Leptoria, Montastrea, dan Platygyra dengan pola distribusi yang mengelompok.Kata kunci: hermatipik; ekosistem; genera; kuadrat.
Length-weight relationship and gonadal index of juvenile bluestripe snapper Lutjanus kasmira (Forsskål, 1775) in the waters around Tanamon Village South Minahasa
Authors: Malurung Yulianti - , Bataragoa Nego E. , Salaki Meiske S. , Pratasik Silvester B. , Moningkey Ruddy D. 
Published: February 2022

This study aims to determine the length-weight relationship, growth patterns, and gonadal index of juvenile bluestripe snapper Lutjanus kasmira. Samples were collected using a hand line with a hook numbered 3 and a monofilament fishing line numbered 80. Sampling activities were carried out on July 26th – August 4th, August 26th - September 4th, and October 10th, 2020. A total of 70 fish, 22 females and 48 males was caught. Female length distribution ranged from 104 to 150 mm with a weight range of 18.19-55.87 g, while male length ranged from 107 to 150 mm in length with a weight of 19.00-57.00 g. The length-weight relationship was indicated with W= 0.0177L2.9344 (R2=0,7816) for males and W = 0.012L3.0817 (R2=0,8976) for females with isometric growth pattern. The length-weight relationship for combined sexes was W= 0.0156L2.9816 (R2=0,8186) with an isometric growth pattern. The gonadal maturity for all samples was at immature and developing stages. The gonadal index in female snapper at immature was 0.16 and developing was 0.41, whereas the male gonadal maturity index at immature was 0.14 and developing was 0.38.Keywords: Lutjanus kasmira; length-weight; gonad maturity; gonadal indexAbstrakPenelitian ini bertujuan untuk mengetahui hubungan panjang berat, pola pertumbuhan dan indeks gonad ikan kakap Lutjanus kasmira. Sampel ikan ditangkap menggunakan pancing ulur mata pancing nomor 3 dan tali monofilament nomor 80. Aktivitas pengambilan sampel dilakukan masing-masing pada 26 Juli-4 Agustus, 26 Agustus-4 September 2020, dan 10 Oktober 2020. Sebanyak 70 individu sampel diperoleh, 22 betina dan 48 jantan. Sebaran ukuran panjang ikan betina 104-150 mm dan berat 18,19-55,87 g. Sebaran ukuran panjang ikan jantan 107-150 mm dan berat 19,00-57,00 g. Hubungan panjang-berat diperoleh W= 0,0177L2,9344 (R2=0,7816) untuk jantan dan W = 0,012L3,0817 (R2=0,8976) untuk betina dengan pola pertumbuhan isometrik. Gabungan ikan kakap jantan dan betina diperoleh W= 0,0156L2,9816 (R2=0,8186) dengan pola pertumbuhan isometrik. Tingkat kematangan gonad (TKG) terhadap seluruh sampel baik jantan maupun betina berada pada TKG I (belum matang) dan TKG II (berkembang). Indeks gonad pada ikan kakap betina pada TKG I sebesar 0,16 dan TKG II sebesar 0,41. Indeks kematangan gonad ikan kakap jantan pada TKG I sebesar 0,14 dan TKG II sebesar 0,38.Kata Kunci: Lutjanus kasmira, panjang-berat, kematangan gonad, indeks gonad