bluuebunny/crossref_metadata_2025_split huggingface dataset:
Calf Pain as a Prominent Feature of Behçet's Disease
Authors: Penserga Grace G. , Osio-Salido Evelyn 
Published: February 2022

Objective. This study aimed to present four cases of Behçet's disease (BD) wherein recurrent calf pain was the first and prominent symptom experienced by the patients.
Methodology. The case series described the clinical features, disease development, management, and outcomes of these patients. Written consent was obtained from each participant for the review and publication of their case.
Results. All cases presented with chronic and recurrent calf pain, three of whom were bilateral. All four had skin changes on the lower extremities that may have contributed to leg pain. Only probing was a history of oral ulcers reported in all four; none had genital ulcers, eye abnormality, or sensory or motor deficits. All presented with elevated acute phase reactants. Based on the 2013 International Criteria for Behçet’s Disease (ICBD), a diagnosis of possible BD was made due to the presence of oral ulcers, skin lesions, and absence of other findings pointing to another connective tissue disease or systemic vasculitides. All four cases were given oral corticosteroids and colchicine, but two required the addition of methotrexate and azathioprine for control of symptoms.
Conclusion. A complaint of recurrent calf pain warrants inquiry and examination of the skin lesions over the affected area and other areas like the oral cavity and genital area. It also warrants consideration of a vasculitic process, especially in the background of oral ulcers and skin changes. In such cases, BD is the right differential diagnosis to be considered.
HLA Antigens in Filipinos with Ankylosing Spondylitis*
Authors: Manahan Lourdes A. , Chavez Carlita C. , Pascasio Flora M. 
Published: February 2022

Ankylosing spondylitis has been shown to be highly associated with HLA-B27 in Caucasian patients. This is also present in other ethnic groups. This study was conducted to determine the frequency distribution of HLA antigens in Filipinos and determine the association of ankylosing spondylitis.
Twenty patients satisfying the criteria for ankylosing spondylitis and 192 unrelated controls were HLA-A and B typed. Blood from these subjects were typed using NIH lymphocyte microcyto-toxicity method.
Of the unrelated controls, the frequencies of HLA A9 (w24), B40, A1, B5, Bw22 were increased and B13, B18, Bw35 were decreased. B27 had a frequency of 5.2%. A very significant high frequency of B27 (90%) was found in patients with ankylosing spondylitis with a very high relative risk of 163. A11 had a frequency of 55% with a relative risk of 3.37 which was not significant while B18 had an 18% frequency and a relative risk of 10.5 which was significant.
This study reaffirms the high degree of association of ankylosing spondylitis with HLA B27 and suggests than B18 may be an additional genetic marker for this disease.
Đặc điểm lâm sàng, cận lâm sàng viêm thận lupus class iii- iv ở trẻ em tại Bệnh viện Nhi Trung ương
Authors: Binh Duong Thi Thanh , Nam Thai Thien , Ngoc Nguyen Thi , Phuong Luong Thi , Huong Nguyen Thu 
Published: February 2022

Mục tiêu: Mô tả biểu hiện lâm sàng, cận lâm sàng, tổn thương thận ở trẻ mắc viêm thận lupus (LN) class III- IV.
Phương pháp: Nghiên cứu mô tả cắt ngang 60 trẻ chẩn đoán LN class III- IV tại Bệnh viện Nhi Trung ương từ 6/2019 - 7/2020.
Kết quả: Tuổi mắc bệnh TB 11,6 ± 2,3, nữ: 83,3%. Triệu chứng lâm sàng hay gặp: viêm đau khớp (75%), tổn thương da (67,8%), tràn dịch đa màng (63,5%), biểu hiện tăng huyết áp, đái máu gặp nhiều hơn trong LN class IV (p< 0,05). Đa số trẻ có giảm bổ thể, Anti- ds DNA dương tính. Lượng protein, albunmin máu TB giảm rõ rệt trên trẻ LN class IV (p< 0,05) với 75 % trẻ có protein niệu ngưỡng thận hư. 58% trẻ mắc hội chứng thận hư có thể kèm suy thận, điểm trung bình AI và CI (trên MBH) cao hơn ở nhóm trẻ mắc LN class VI (p< 0,05). 98,3% trẻ có điểm SLEDAI hoạt động mạnh > 10 điểm.
Kết luận: Trẻ mắc LN class III- IV hay gặp: tổn thương da, khớp, thận, bất thường xét nghiệm miễn dịch và điểm SLEDAI hoạt động mạnh. Nhóm class IV có tỷ lệ tăng huyết áp, đái máu, giảm albumin- protein máu, tỷ lệ mắc HCTH (+/- suy thận) và điểm trung bình CI, AI cao hơn hẳn LN class III ( p>0,05).
Abdominal aorta calcifications in patients with kidney stones, is there a link?
Authors: Basulto-Martinez Mario , Cueto-Vega Guillermo José , Arenas-Aquino Amanda Elisa , Espinosa-Aznar José Enrique , Meza-Bosquez Dalia Montserrat , Ortegón-Gallareta Rodrigo , Esqueda-Mendoza Antonio 
Published: February 2022

Abstract
Objective: To investigate the correlations between abdominal aortic calcifications (AAC) and the underlying urinary metabolic abnormalities in stone-formers (SF).
Methods: Patients with a 24 h urinary panel and computed tomography scan were included. The Kauppila Score (KS) was used to quantitatively assess AAC; clinical data and stone information were also recorded. The Spearman correlation was utilized.
Results: A total of 54 patients were included, the mean age was 46.4±11.2, 75.9% were female, and 59.3% had AAC. Hypertension and AAC were associated (p=0.026), and the KS was higher in patients with hypertension. Hypocitraturia (98.1%) and hypercalciuria (16.7%) were the most frequent urinary abnormalities, but they were unrelated to AAC (p>0.05). The 24 urinary panel, blood biochemistry, stone burden and hardness, and body mass index were not correlated to the KS (p>0.05).
Limitations: This work had the following limitations: its retrospective nature, a relatively small sample, and the lack of an automated informatics-based assessment of AAC.
Conclusion: The link between cardiovascular diseases and kidney stones is still to be elucidated. Our finding differs from the other few studies reported on the literature, as no correlation was found between AAC and the urinary metabolic abnormalities in SF.
EL SISTEMA DE PROTECCIÓN DE LAS PERSONAS MAYORES EN EL DERECHO FRANCÉS: DIVERSIFICACIÓN Y PROPORCIONALIDAD DE LAS MEDIDAS
Authors: Jarufe Daniela Wadia 
Published: February 2022

Resumen. Esta investigación tiene por objeto principal dar a conocer el modelo legal de protección de las personas mayores en el Derecho francés en el que, a partir de la ley Nº 2007-308 de 5 de marzo de 2007 (cuya entrada en vigencia es del año 2009 y que modifica principalmente las normas del Código civil) ha operado una transformación sustancial desde aquella concepción únicamente médica o asistencial de la discapacidad (aún vigente en nuestro país) a una visión social- jurídica, que exige el respeto de la autonomía y la conservación de la capacidad jurídica de las personas, todo cuanto sea posible; previendo, sin embargo, determinadas limitaciones (necesarias y razonables) de la capacidad de obrar que no significan, creemos, un atentado a la personalidad jurídica del mayor vulnerable.
Palabras clave. protección de mayores; discapacidad; capacidad.
HUBUNGAN PENGETAHUAN DAN SIKAP SUAMI DALAM MENGHADAPI ISTRI YANG HYPERMESIS GRAVIDARUM PADA TRIMESTER I DI KLINIK SEHAT KASIH BUNDA
Authors: Saragih Rismaida 
Published: February 2022

Kehamilan merupakan suatu hal yang sangat didambakan Selama kehamilannya. Mual dan muntah sering terjadi selama kehamilan 70% dan 85% dengan sekitar setengah dari presentase ini mengalami muntah. Keadaan Hiperemesis Gravidarum yang sangat komplikasi tersebut mengakibatkan lebih dari setengah juta ibu yang mengalami mual dan muntah di setiap tahunnya, dari jumlah tersebut terjadi di indonesia diperkirakan mencapai 40%. Sedangkan menurut laporan Dinas Kesehatan Kota Medan pada tahun 2018 terdapat 206 wanita hamil trimester pertama yang mengalami mual muntah dari seluruh jumlah ibu hamil trimester pertama yaitu 465 orang. Dan didapat survei pendahuluan di Klinik Sehat Kasih Bunda terhadap 10 suami, yang membawa istrinya pada kehamilan trimester I, 40% orang Suami memberikan perhatian penuh pada istrinya dan mendampinginya dan 60% orang suami hanya mengantarkan saja. Dan dari 10 suami 70% tidak mengetahui bahwa pentingnya mendampingi istri pada saat emesis gravidarum dan bagi suami kehamilan trimester I dianggap hal yang tabu bagi para wanita. Tujuan umun Untuk mengetahui Hubungan Pengetahuanan Sikap Suami Dalam Menghadapi Istri yang Hypermesis Gravidarum Pada Trimester I di Klinik sehat kasih bunda. Metode penelitian bersifat Analitik deskriptif Dengan pendekatan cross sectional. Data yang digunakan adalah data primer yang diperoleh langsung dari responden dengan menggunakan lembar kusioner. Populasi dalam penelitian ini adalah Suami Dalam Menghadapi Istri yang Hypermesis Gravidarum Pada Trimester I. Cara pengambilan sampel dan penelitian ini adalah dengan tehnik total sampling. Hasil penelitian bahwa mayoritas pengetahuan responden berpengetahuan Cukup sebanyak 18 responden (51.5%) dan sedangkan minoritasnya berpengetahuan Kurang 4 responden (11.4%). mayoritas sikap yang positif sebanyak 20 responden (57.1%), sedangkan minoritasnya sikap yang negatif sebanyak 15 responden (42.9%). mayoritas pengetahuan baik dengan Sikap Positif sebanyak 11 responden (70.3%) dan minoritas pengetahuan kurang dengan Sikap Negatif sebanyak 1 responden (10.5%). Sedangkan nilai p-value pada tabel diatas 0.05 maka (p) < 0.05 maka H0 ditolak sehingga ada Hubungan pengetahuan dan sikap Suami Dalam Menghadapi Istri yang Hypermesis Gravidarum Pada Trimester I di Klinik sehat kasih bunda. Kesimpulan dan saran. Mayoritas pengetahuan baik dengan sikap positif sebanyak 9 responden (52.9%) dan minoritas pengetahuan kurang dengan sikap positif sebanyak 2 responden (11.8%). Sedangkan nilai p-value pada tabel diatas 0.05. Sehingga dapat menambah wawasan dan Diharapkan pada suami agar tetap meningkatkan pengetahuan yang baik dengan sikap yang semakin positif terhadap Istri yang Hypermesis Gravidarum Pada Trimester I. Dan memperluas wawasan dalam mengidentifikasikan serta memberikan informasi mengenai Hypermesis Gravidarum
FAKTOR YANG MEMENGARUHI KEJADIAN HIPERTENSI PADA LANSIA DI UPT PUSKESMAS SIGUMPAR
Authors: Simanjuntak Tetty JR , Nasution Zuraidah , Utami Tri Niswati 
Published: February 2022

Menurut American Heart Association atau AHA dalam Kemenkes , Hipertensi merupakan Silent Killer, dengan gejala yang dapat bervariasi pada masing masing individu dan hampir sama dengan gejala penyakit lainnya, Kemudian menurut Riskesdas Sumatera Utara 2018 data penderita hipertensi pada usia 55-64 sebanyak 13.02%, usia 65-74 tahun sebanyak 18,07% dan usia 75 tahun keatas sebanyak 16,21%. Jenis penelitian ini menggunakan survei analitik deskriptif dengan rancangan cross sectional. Populasi dalam penelitian ini adalah seluruh lanjut usia (≥60 tahun) penderita hipertensi di Wilayah kerja UPT Puskesmas Sigumpar sebanyak 102 orang.sedangkan sampel berjumlah 102 orang dengan cara total sampling. Analisa data dilakukan dengan analisis univariat, bivariat dan multivariat. Berdasarkan hasil uji chi-square diketahui bahwa kejadian hipetensi berpengaruh terhadap riwayat Keluarga, merokok, obesitas, pola makan, aktivitas fisik dan etnis p = 0,000, artinya ada pengaruh Riwayat Keluarga, merokok, obesitas, pola makan, aktivitas fisik dan etnis terhadap kejadian hipertensi. Dari hasil analisis multivariat diketahui variabel yang paling berpengaruh dalam penelitian ini adalah variabel obesitas dengan nilai OR 83. Kesimpulan dalam penelitian ini adalah obesitas merupakan faktor yang dominan berpengaruh terhadap kejadian hipertensi di UPT Sigumpar. Untuk dapat menekan prevalensi kejadian hipertensi diharapkan kerjasama Dinas Kesehatan, puskesmas dan petugas kesehatan. Disarankan kepada petugas kesehatan diharapkan dapat melakukan penyuluhan cara mengatasi masalah hipertensi
GAMBARAN PERILAKU IBU NIFAS TENTANG TEKNIK MENYUSUI YANG DIRAWAT GABUNG DI RSUD SEKARWANGI KABUPATEN SUKABUMI
Authors: MANALU LISBET OCTOVIA 
Published: February 2022

Breastfeeding techniques that are not mastered by the mother will have an impact on the mother, such as mastitis, lumpy breasts, sore nipples, while babies do not want to breastfeed, which results in the baby not getting enough milk. The purpose of this study was to find out the description of the behavior of post-partum mothers regarding breastfeeding techniques that were treated in the Sekarwangi Hospital, Sukabumi. The methodology of research who used a descriptive survey research, with a total sample of 54 postpartum mothers. The research instrument adapted Nursalam's (2016) lactation management observation sheet. The data analysis conducted by researchers was descriptive analysis. The results of the analysis showed that most of the respondents had bad behavior about breastfeeding techniques, namely as many as 37 peoples (68.5%). The conclusion of this study shows that the behavior of post-partum mothers about breastfeeding techniques that are treated in the Sekarwangi Hospital is not good. So that nurses are expected to further enhance their roles as caregivers, educators and counselors for postpartum mothers related to proper and correct techniques of breastfeeding.
ABSTRAKTeknik menyusui yang tidak dikuasai oleh ibu akan berdampak pada ibu seperti mastitis, payudara bergumpal, putting sakit, sedangkan pada bayi dapat dipastikan bayi tidak mau menyusui yang berakibat bayi tidak akan mendapatkan ASI cukup. Tujuan penelitian ini adalah mengetahui gambaran perilaku ibu nifas tentang teknik menyusui yang dirawat gabung di RSUD Sekarwangi Kabupaten Sukabumi. Metodologi penelitian ini menggunakan penelitian survey yang bersifat deskriptif, dengan jumlah sampel 54 orang ibu nifas. Instrumen penelitian mengadaptasi lembar observasi manajemen laktasi Nursalam (2016). Analisa data yang dilakukan oleh peneliti adalah analisis deskriptif. Hasil analisis menunjukan sebagian besar responden berperilaku kurang baik tentang teknik menyusui yaitu sebanyak 37 orang (68.5%). Simpulan dari penelitian ini menunjukkan perilaku ibu nifas tentang teknik menyusui yang dirawat gabung di RSUD Sekarwangi kurang baik. Sehingga perawat diharapkan dapat lebih meningkatkan perannya sebagai caregiver, edukator dan konselor terhadap ibu nifas terkait teknik menyusui yang baik dan benar.
KONTRIBUSI GAGASAN JÜRGEN HABERMAS BAGI HERMENEUTIKA POSTMODERN
Authors: Efruan Erni M.C. 
Published: February 2022

Pertama, konteks sosial postmodern terdiri dari banyak bagian dan berubah-ubah, yang memengaruhi hermeneutika seseorang. Hermeneut menjadi titik tolak hermeneutika, dan ini menyebabkan hermeneutika menjadi penting. Karenanya, bila hermeneut meninggalkan makna teks dan maksud penulis, maka ia akan tenggelam dalam lautan relativitas postmodern, dan tak ada dimensi metanaratif yang absolut. Kedua, pewahyuan ilahi itu sendiri terkondisi secara budaya karena dikomunikasikan kepada berbagai budaya dalam berbagai bahasa yang tidaklah netral dan tak dapat dihapuskan oleh postmodern. Ketiga, teologi kritis bisa memberi kemungkinan mengerjakan refleksi-diri terus-menerus. Kritis atas kenyataan dunia harus dibarengi dengan kritik terhadap diri sendiri. Untuk itu diperlukan sebuah pola hermeneutik yang kritis atas teks-teks mapan yang ada. Keempat, jika hendak menginterpretasi secara benar dan tepat, maka kita harus mengupayakan dialog antara bahasa dan pengalaman di satu sisi dengan tindakan di sisi lain. Tidak memisahkan teori dan praksis, tidak melepaskan fakta dari nilai semata-mata untuk mendapat hasil yang objektif. Kelima, bahasa mencakup seluruh makna dan oleh sebab itu hermeneutika memiliki implikasi yang universal. Pentingnya sosiologi pengetahuan sebagai suatu sarana penafsiran. Keenam, kekuatan-kekuatan ideologis mengendalikan hermeneutika hampir semua orang. Calvinis atau Armenian, Reformed atau Dispensasional, Teolog Proses atau Pembebasan, tiap komunitas orang percaya telah memberikan kecenderungan-kecenderungan ideologis tertentu yang menuntun penafsiran. Karenanya, hermeneutika harus membebaskan pemahaman dari ideologi. Ketujuh, pemahaman hermeneutik sifatnya global, yaitu mengandaikan adanya tujuan khusus. Setiap komunikasi yang sehat adalah komunikasi dimana setiap partisipan bebas untuk menentang klaim-klaim tanpa ketakutan akan koersi, intimidasi, deceit dan sebagainya. Melalui tindakan komunikatif, pemahaman hermeneutik mempunyai bentuk yang hidup, yaitu kehidupan sosial Postmodern.
Analysis of Physical And Non-Physical Work Environment PT. Kakiatna Indonesi To Company Performance
Authors: Prasastia Nucki 
Published: February 2022

Company performance in organizations is influenced by many factors among the most important is the influence of physical and non-physical work environment. This research was carried out with the aim of knowing the extent to which the physical and non physical work environment elements affect the company's performance, the research method uses a quantitative descriptive approach involving 30 respondents from 85 populations. Based on the results of multiple linear regression analysis shows that there are positive and significant effects of physical and non-physical work environment on company performance. The coefficient of determination shows that the performance of PT. Kakiatna Indonesia is influenced by physical and non-physical work environment by 59.0% while the remaining 41.0%. Based on the research concluded that partially the physical work environment variable correlates to the company's performance, partially the non-physical work environment variable correlates with the company's performance and it is concluded that the physical and non-physical work environment together / simultaneously correlates with the company's performance.
Pengaruh Motivasi terhadap Kinerja Pegawai Di Badan Pertanahan Nasional Kota Depok
Authors: Arifin Jauhary , Trihandayani Ruri 
Published: February 2022

Pendahuluan : Manajemen sumber daya manusia keberadaannya sangat dibutuhkan oleh organisasi/perusahaan baik organisasi/perusahaan pemerintah maupun swasta. Pimpinan harus mampu memanfaatkan sumber daya manusia, dalam hal ini adalah para pegawai dalam meningkatkan pelayanan masyarakat.
Tujuan : Penelitian ini bertujuan untuk mengetahui seberapa besar pengaruh motivasi terhadap kinerja karyawan, serta berguna sebagai sumber informasi dan meningkatkan wawasan tentang motivasi dan kinerja karyawan.
Metode : Metode penelitian yang digunakan adalah kuantitatif asosiatif. Pengumpulan data termasuk penelitian perpustakaan dan studi lapangan dengan mengamati dan mendistribusikan kuesioner atau kuesioner. Sedangkan untuk populasi dalam penelitian ini sebanyak 30 karyawan maka penulis mengambil sampel total 30 responden.
Hasil : Hasil perhitungan analisis regresi linier sederhana yang diperoleh Y = 0,139 + 0,958 X1 yang berarti ada pengaruh 0,958 antara variabel motivasi (X1) pada variabel kinerja (Y) dan 0,139. Nilai rxy²x adalah 0,767 yang berarti ada pengaruh kuat antara motivasi, pada kinerja karyawan. Hasil koefisien penentuan adalah 58,9%. Ini menunjukkan bahwa motivasi dan gaya kepemimpinan mempengaruhi kinerja karyawan sebesar 58,9% sementara 41,1% sisanya dipengaruhi oleh faktor-faktor lain yang tidak diperiksa oleh penulis.
Kesimpulan : Dapat dikatakan bahwa ada faktor-faktor yang mendorong untuk mendapatkan kinerja yang baik, kualitas kerja yang baik adalah bagian dari motivasi prestasi yang merupakan bagian dari kebutuhan individu.
Promoting Learners’ Skill in Composing Poetry Using Contextual Teaching and Learning (CTL) Approach
Authors: Candra Emon , Khermarinah Khermarinah , Randi Randi 
Published: February 2022

This research was aimed to promote the quality of learners’ skills in composing poetry through the implementation of contextual teaching and learning approach towards the second grade students of SMP Negeri 05 Bengkulu City. It was designed by implementing a qualitative approach. The object of this research was the learners’ skills in writing poetry. In this research, the researchers used observation, interview, and documentation as the data collection technique and triangulation as the data validity technique. The data validity technique included triangulation of source, technique, and time. The data analysis technique consisted of several steps: 1) Data Reduction, 2) Data Display, 3) Withdrawal Conclusion and Verification, 4) Final Conclusion. The result of this research revealed that the implementation of a contextual teaching and learning approach was able in promoting the learners’ skills in writing poetry. It could be understandable as this approach enabled the learners to compose poetry effortlessly.
Implementation of Language Politness Principles in Indonesian Language Learning Discussion Activities
Authors: Indah Della Rency Melia , Kasmantoni Kasmantoni , Bustomi Bustomi 
Published: February 2022

This research is motivated by Indonesian Language Learning which requires students to master the six politeness principles. Namely the maxsim of wisdom, the maxsim of generosit, the maxsim of praise, the maxsim of humility, the maxsim of agreement, and the maxsim of sympathy. In class VIII A SMP Negeri 1 Kikim Tengah in discussion activities. The writing is the study exsamines how the implementation of politeness in Indonesian Language learning in class VIII teacher and students of SMP Negeri 1 Kikim Tengah, Lahat Regency during a discussion and what are the factors for violating the maxsims in the discussion. The type of this research is descriptive qualitative research. The subjects of this research are students of class VIII A SMP Negeri 1 Kikim Tengah, Lahat Regency, Meanwhile, the informants of this research are Indonesia Language Teacher at SMP Negeri 1 Kikim Tengah, Lahat Regency. The results of this study concluded that the implementation of politeness principles in student discussion activities, namely opening, explaining, question and answer, closing. The discussion process for students must be more thorough in mastering the principles of politeness in Indonesian language learning discussion activities, and the lecture method
The Effect of RAFT Strategy on Students’ Writing Ability
Authors: Nurhidayati Prihatin , Friantary Heny , Satrisno Hengki , Martina Feny 
Published: February 2022

Language skills must be owned by students. Therefore, the teacher's role is very important in the learning process because it must be able to provide strategic, innovative, and interesting methods, strategies, and learning media so that students are able to master the four language skills in Indonesian lessons, meaning that students must master these four skills in a balanced way. However, in reality, writing skills are still less favored by students, this is due to the number of students who have difficulty expressing ideas, feelings, and thoughts through writing. So that learning to write is more difficult than the three competencies in other language learning. The purpose of this study was to determine the effect of the RAFT strategy on the development of descriptive text writing skills for students of class X IPA1 SMA Negeri 2 Seluma. The type of research used is quantitative research. The sample of this study was 34 people. The instruments used are test sheets and documentation. The results obtained from this study, it is known that the hypothesis test was carried out, it was obtained that the value of Fcount> Ftable i.e. = 0.48 > 0.39, thus the hypothesis Ha was accepted, which means that the implementation of the RAFT strategy can improve the development of text writing skills. description of students of class X IPA1 SMA Negeri 2 Seluma. The implementation of the influence test in the results of this study found that the raft learning strategy on the development of writing skills in class X IPA1 SMA Negeri 2 Seluma, with the results of data management from the research conducted, it is known that there is a positive influence between RAFT strategy (X) on the development of descriptive text writing skills (Y).