bluuebunny/crossref_metadata_2025_split huggingface dataset:
A single-centre study on predictors and determinants of pubertal delay and growth impairment in Epidermolysis Bullosa
Authors: Rodari Giulia , Guez Sophie , Salera Simona , Ulivieri Fabio Massimo , Tadini Gianluca , Brena Michela , Profka Eriselda , Giacchetti Federico , Arosio Maura , Giavoli Claudia 
Published: September 2022

BackgroundDelayed puberty is a possible complication of Epidermolysis Bullosa (EB), though the actual incidence is still unknown. In chronic illnesses delayed puberty should be correctly managed since, if untreated, can have detrimental effects on adult height attainment, peak bone mass achievement and psychological health.Aims and methodsThis is a single-centre study on pubertal development, growth and bone status in EB. Auxological, densitometric (areal Bone Mineral Density-aBMD Z-score, Bone Mineral Apparent Density-BMAD Z-score, Trabecular Bone Score-TBS and Bone Strain Index-BSI at Lumbar spine) and body composition data (Total Body DXA scans) were collected. Disease severity was defined according to Birmingham Epidermolysis Bullosa Severity (BEBS) score.ResultsTwenty-one patients (12 Recessive Dystrophic EB-RDEB, 3 Dominant Dystrophic EB, 3 Junctional EB-JEB, 2 EB Simplex and one Kindler EB) aged 13 years (females) or 14 years (males) and above were enrolled (age 16.2±2.5 years, M/F 11/10). Short stature was highly prevalent (57%, mean height -2.12±2.05 SDS) with 55% patients with height <-2SD their mid-parental height. 7/21 patients (33%, 6 RDEB and 1 JEB) had delayed puberty with a median BEBS of 50 (range 29 to 63), a height SDS of -2.59 SDS (range -5.95 to -2.22) and a median lumbar BMAD Z-score of -4.0 SDS (range -5.42 to -0.63 SDS). Pubertal status was negatively associated with BEBS, skin involvement, inflammatory state and positively with height SDS and BMI SDS.ConclusionsPubertal delay is highly prevalent in EB, especially in patients with RDEB and JEB, high severity score and inflammatory state. Moreover, pubertal delay worsens growth impairment and bone health. A study on pubertal induction is ongoing to enlighten possible beneficial effects on adult height attainment and peak bone mass accrual.
PERBANDINGAN MARITAL ATTITUDES ANTARA DEWASA MUDA DARI KELUARGA UTUH DAN BERCERAI
Authors: Nabila Nabila , Aditya Yonathan 
Published: September 2022

Angka perceraian di Indonesia terus meningkat setiap tahunnya dan semakin banyak anak-anak yang terpengaruhi oleh perceraian orang tua mereka. Banyak penelitian berusaha memahami dampak perceraian terhadap anak-anak ini ketika mereka tumbuh dewasa, terutama pengaruh perceraian orang tua terhadap marital attitudes yang dimiliki oleh dewasa muda. Namun, hasil penelitian-penelitian sebelumnya terkait efek perceraian orang tua terhadap marital attitudes yang dimiliki oleh dewasa muda masih belum jelas. Beberapa penelitian menunjukkan bahwa struktur keluarga tidak terkait dengan marital attitudes dan penelitian lain menunjukkan bahwa ada korelasi yang signifikan antara struktur keluarga dan marital attitudes. Oleh karena itu, studi ini ditujukan untuk melihat apakah terdapat perbedaan marital attitudes yang signifikan antara dewasa muda dari keluarga utuh dan bercerai. Penelitian ini melibatkan 120 partisipan dewasa muda yang berasal dari keluarga utuh dan bercerai yang dipilih dengan menggunakan purposive sampling. Penelitian ini menggunakan metode penelitian kuantitatif dan merupakan studi diferensial. Alat ukur yang digunakan dalam penelitian ini adalah Marital Attitude Scale (MAS). Hasil menunjukan bahwa terdapat perbedaan marital attitudes yang signifikan antara dewasa muda dari keluarga utuh dan bercerai (t(120) = 2.15, p<.05). Penemuan lain yang berkaitan dengan variabel penelitian juga didiskusikan dalam studi ini.
HUBUNGAN ANTARA RELIGIUSITAS DAN KECEMASAN TERHADAP KEMATIAN PADA PENGIDAP KANKER DI KOMUNITAS CISC SULUH HATI SEMARANG
Authors: Hermawan Enricko Bagas , Dinardinata Adi 
Published: September 2022

Tingkatan kecemasan terhadap kematian pada seseorang dapat meningkat jika individu mengalami stres atau sebuah ancaman, seperti masalah kesehatan atau penyakit. Kanker merupakan salah satu penyakit yang memiliki jumlah kematian tertinggi, sedangkan landasan penelitian penanganan non medis yang salah satunya fokus pada apakah religiusitas berhubungan dengan kecemasan terhadap kematian masih belum jelas. Penelitian ini bertujuan untuk mengetahui hubungan antara kedua variabel yaitu religiusitas dan kecemasan terhadap kematian pada pengidap kanker di Komunitas CISC Suluh Hati Semarang. Subjek dari penelitian ini adalah pengidap kanker yang merupakan angggota komunitas CISC Suluh Hati Semarang yang diambil dengan menggunakan teknik simple random sampling. Penelitian ini menggunakan metode kuantitatif dan data diambil dengan menggunakan skala Religiusitas (29 aitem, α = 0,927) dan Skala Kecemasan terhadap Kematian (25 aitem, α = 0,932). Metode analisis data yang digunakan pada penelitian ini adalah teknik analisis regresi sederhana. Hasil analisis menunjukkan bahwa adanya hubungan negatif yang signifikan antara religiusitas dan kecemasan terhadap kematian pada pengidap kanker di Komunitas CISC Suluh Hati Semarang ( = -0,595 dan p = 0,000). Hubungan negatif antara kedua variabel memiliki arti bahwa semakin tinggi religiusitas maka semakin rendah kecemasan terhadap kematian.
Studi Kandungan Logam Berat Timbal (Pb) pada Sedimen Dasar di Perairan Banjir Kanal Timur Semarang
Authors: Nugraha Putra Muhammad Dicky , Widada Sugeng , Atmodjo Warsito 
Published: September 2022

Padatnya aktifitas industri pada suatu wilayah dapat menyebabkan terjadinya pencemaran logam berat. Salah satu jenis logam berat tersebut adalah timbal (Pb). Logam berat Pb di suatu perairan umumnya berasal dari aktifitas transportasi, dimana hal tersebut terkandung dalam bahan bakar sebagai anti pemecah minyak yang kemudian di lepaskan ke atmosfir melalui alat pembuangan asap yang kemudian terlarut dalam laut. Tujuan dari penelitian ini adalah untuk mengetahui seberapa besar konsentrasi logam berat Pb dan keterkaitannya dengan sedimen dasar di Perairan Banjir Kanal Timur Semarang. Berdasarkan penelitian yang telah dilakukan, diperoleh nilai konsentrasi logam berat tertinggi sebesar 31,35 ppm dan konsentrasi logam berat di sedimen nilainya sangat dipengaruhi oleh ukuran butir sedimen, Kata kunci: Logam Berat, Pb (Timbal), Sedimen Dasar, Banjir Kanal Timur, Semarang The density of industrial activity in an area is possible to make heavy metal pollution, which one of it is lead (Pb). One type of heavy metal is lead (Pb). Heavy metal Pb in waters generally comes from transportation activities, where it is contained in fuel as an anti-oil breaker which is then released into the atmosphere through a smoke exhaust device which is then dissolved in the sea. The purpose of this study was to determine how big the concentration of heavy metal Pb and its correlation with sediment base in Banjir Kanal Timur Semarang. Based on the research that has been done, the highest value of heavy metal concentration is 31.35 ppm and the concentration of heavy metals in the sediment is strongly influenced by the grain size of the sediment. Keywords: Heavy Metal, Pb (lead), Sediment Base, Banjir Kanal Timur Semarang
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN STIGMA IBU RUMAH TANGGA TERHADAP ODHA DI WILAYAH LOKALISASI TEGAL PANAS KABUPATEN SEMARANG
Authors: Sari Puri Fatma , Musthofa Syamsulhuda Budi , Shaluhiyah Zahroh 
Published: September 2022

One of the things that challenges HIV/AIDS redustion is stigma and 35 million people with HIV/AIDS (PLWHA). The number of HIV/AIDS cases in Semarang Regency has increased every year, where the District of Bergas the region with the highest case in Semarang Regensy in 2010-2018. The purpose of this study was to analyze the factors associated with the stigma of housewives against PLHA in the Tegal Panas localization area, Semarang Regency. This study used a quantitative method with a cross sectional design. Respondents in this study were housewife in the Tegal Panas localization are, amounting 100 people. The result showed that there was still stigma among housewives in the Tegal Panas area brothel which supported the existence of stigma (40%). The variables associated with the stigma of housewives towards PLWHA were education, knowledge, and neighbor support . The unrelated variables were age, perception, access ti information, family support, support from community leaders and support from health workers. There is still a stigma in the community in the Tegal Panas Localization area, it is faered that it can worsen the quality life of PLWHA.
PERILAKU BUANG AIR BESAR SEMBARANGAN (BABS) DI DESA KAMAL KECAMATAN LARANGAN KABUPATEN BREBES
Authors: Aulia Alfan , Nurjazuli Nurjazuli , Darundiati Yusniar Hanani 
Published: September 2022

Desa Kamal merupakan salah satu desa dengan capaian Sanitasi Total Berbasis Masyarakat (STBM) rendah di Kabupaten Brebes dengan capaian sebesar 21%. Capaian target STBM yang rendah menunjukkan masih kurangnya akses sanitasi di desa tersebut, yang berpotensi menyebabkan memburuknya kualitas kesehatan masyarakat setempat dan mempermudah menularnya berbagai penyakit. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan perilaku BABS di Desa Kamal, Kecamatan Larangan, Kabupaten Brebes. Penelitian ini menggunakan rancangan penelitian cross sectional. Sampel diambil secara proportional random sampling dengan total sampel berjumlah 66 KK. Pengujian data yang digunakan adalah uji chi square. Variabel yang diteliti adalah tingkat pengetahuan, sikap BAB, kepemilikan jamban, peran petugas kesehatan, dukungan sosial, ketersediaan air bersih, tingkat pendidikan dan perilaku BABS yang dilakukan melalui wawancara dan observasi. Diperoleh hasil bahwa tingkat penduduk dengan tingkat pengetahuan kurang sebesar 81,8%, penduduk yang memiliki perilaku BABS sebesar 47%, penduduk dengan sikap BAB kurang baik sebesar 54,5%, tingkat pendidikan tidak tamat SD sebesar 16,7% dan penduduk yang tidak memiliki air bersih sebesar 18,2%. Berdasarkan hasil uji statistik diketahui variabel sikap BAB (p=0,001), kepemilikan jamban (p=0,0001), dan ketersediaan air bersih (p=0,013) berhubungan dengan perilaku BABS sedangkan variabel tingkat pengetahuan (p=0,172), peran petugas kesehatan (p=0,468), tingkat pendidikan (p=0,1), dan dukungan sosial (p=0,393) tidak berhubungan dengan perilaku BABS. Sehingga dapat disimpulkan bahwa terdapat hubungan antara sikap BAB, kepemilikan jamban, dan ketersediaan air bersih dengan perilaku BABS.
ANALISIS LINGKUNGAN FISIK RUMAH SEBAGAI FAKTOR RISIKO KEJADIAN PNEUMONIA PADA BALITA DI INDONESIA (DENGAN KAJIAN SISTEMATIS)
Authors: Restiana Shafira Azura , Raharjo Mursid , Suhartono Suhartono 
Published: September 2022

Pneumonia is one of the leading causes of toddler mortality in worldwide, owing to several important risk factors such as home physical environment. The role of each physical home environment for Pneumonia is still uncertain. The study aims to evaluate each various of the physical home environment impact to Pneumonia in toddlers. The search is limited and focused in International and Nasional journals published in 2016-2019. Researches has reviewed 24 articles that matched with the inclusion criteria, 4 studies were conducted with a cross-sectional approach while the rest were conducted with a case-control approach. Overall, several articles were showed a relationship between these risk factors and the incidence of Pneumonia in toddlers, 5 articles of floor type (20,8%), 3 articles of house wall conditions (12,5%), 13 articles of house lighting (54%), 22 articles of home ventilation (91,6%), 8 articles of house occupancy density (33,3%), 3 articles of house temperature (12,5%), and 7 articles of smoking presence (29,2%). These results can be concluded that there are three dominant risk factor: ventilation, lighting and house occupancy density. People are advised to ensure that the area of house ventilation is suit with the requirements to allow natural lighting enter the house and ideal occupancy density thereby reduce the possibility of pneumonia-causing pathogens transmission in toddlers.
PENGELOLAAN ASET TETAP BARANG MILIK NEGARA DITINJAU DARI PERMENKES NO 9 TAHUN 2018 TENTANG PEDOMAN PENGELOLAAN BARANG MILIK NEGARA DI LINGKUNGAN KEMENTERIAN KESEHATAN Penelitian pada Balai Teknik Kesehatan Lingkungan dan Pengendalian Penyakit Kelas II Amb
Authors: Kermite Zadrak Romeo , Arso Septo Pawelas , Nandini Nurhasmadiar 
Published: September 2022

Abstract : This study aims to analyze the management of fixed assets of State Property (BMN) at BTKLPP Class II Ambon with reference to the Minister of Health Regulation Number 9 of 2018 concerning Guidelines for BMN Management in the Ministry of Health. The research was focused on the aspects of determining the usage status of BMN and the elimination of BMN. The study uses a qualitative method with an analytic descriptive approach. The results showed that the determination of the usage status of BMN at BTKLPP Ambon has not been going well. This evidenced by the findings that most of the fixed assets of BMN have not been assigned their usage status. The process of eliminating BMN's fixed assets also did not go well. One of the reasons is that the usage status has not been determined. The process of managing assets remains interrelated and when one aspect is neglected, it will affect other aspects. Keywords : Fixed Assets, State Property, Regulation
The Pattern of Communication and Teamwork among Operating Theatre Personnel in a State of a Developing Country
Authors: Oyediran Olufemi Oyebanji , Olafare Olamide Hope , Kolawole Ifeoluwapo Oluwafunke , Ayandiran Emmanuel Olufemi , Ojo Iyanuoluwa, Oreofe , Fajemilehin Boluwaji Reuben 
Published: September 2022

Background: Effective communication and teamwork is increasingly recognized as an important mechanism for enhancing the safety of healthcare. However, there is dearth of study on the pattern of communication among surgeons, nurses and anaesthetists in South Western part of NigeriaPurpose: This study assessed the patterns of communication and teamwork among operating theatre personnel and also identified barriers to communication and teamwork in the operating theatre in selected hospitals in Lagos State, Nigeria.Methods: A descriptive research design was adopted and a convenience sampling technique was used to select 215 nurse and doctor respondents for the study. With a 53-item self-developed structured questionnaire, data were collected. Results were presented descriptively (frequency tables and bar charts), and inferential statistics (Chi-square) were used to test the hypotheses.Results: Results revealed that 41.9% of the respondents had a fair knowledge of communication and teamwork in the operating theatre. Respondents described their pattern of communication as follows; the majority (99.5%) of the respondents communicate through written, spoken words or visual media, and 99.1% also communicate with other theatre personnel irrespective of their hierarchies. In addition, 90.7% reported that upward communication from patients to surgical team members is common in the theatre, while 87% submitted that they communicate through telephone conversations in this theatre. Individual bias, pressure to complete work, workload, poor leadership/lackadaisical attitudes and conflict of interest were identified as barriers to communication and teamwork in the operating theatre.Conclusion: The study concluded that the majority of theatre personnel lack adequate knowledge of communication and teamwork in the operating room. Hence, there is a need for periodic training for operating personnel to improve communication and teamwork, and surgical outcomes.
The Challenges of Intensive Care Unit Nurses Caring for COVID-19 Patients in Indonesia: A Qualitative Study
Authors: Mailani Fitri , Muthia Rahmi , Huriani Emil , Krisdianto Boby Febri , Oktarina Elvi 
Published: September 2022

Background: After one year of the pandemic, Indonesia experienced a crisis where the addition of COVID-19 cases increased significantly in several big cities; it made the healthcare system collapse, including the intensive care unit (ICU) service for COVID-19. ICU nurses, who are at the frontline of fighting against COVID-19 and defusing this crisis, are faced with various challenges in providing care for COVID-19 patients, and exploring such challenges are significant. Purpose: This study aimed to explore the challenges experienced by Indonesian nurses who work in the ICU caring for COVID-19 patients.Methods: A multi-centered-qualitative study with a descriptive phenomenological design was used. Twenty nurses working in the ICU of COVID-19 in eight COVID-19 referral hospitals in seven major cities in Indonesia were recruited using purposive sampling. Semi-structured individual video call interviews were conducted to collect the data from July-September 2021. Data were analyzed using Colaizzi’s (1978) method.Results: The nurses reported the challenges throughout caring for COVID-19 patients in ICU, which are described in four major themes: (a) working under pressure and moral distress, (b) choosing to do the best, (c) adaptation, learning, and research, and (e) survive physically and mentally healthy.Conclusion: This study describes the challenges experienced by nurses working in ICUs during the COVID-19 crisis, such as working under pressure, facing dilemmas caring for patients, and trying to survive working in inadequate professional conditions. An in-depth understanding of these challenges in the current pandemic can help managers in the hospital to provide psychological support, adequate training for ICU nurses, and high-quality protocols for upcoming emergency scenarios, as well as maximizing resource management (human and material).
On the Relation between Private Information and Non-Fundamental Volatility
Authors: Shim Myungkyu , Song Doyoung 
Published: September 2022

Abstract
It is a well-established property that more precise private information leads to lower non-fundamental volatility in a coordination economy with dispersed information. In this note, we identify conditions under which such an argument holds or does not hold. In particular, we show that the opposite relationship holds when (1) there is a strong positive correlation between private information of different agents and (2) public information is endogenously generated.
Improving the flexural behavior of RC beams strengthening by near-surface mounting
Authors: AL-Ameedee Hadeel S. , Al-Khafaji Hayder M. 
Published: September 2022

Abstract
This article presents the experimental investigations undertaken to evaluate the strengthening and enhancement characteristics of near-surface mounted (NSM) devices using different types of bars. A total of 4 concrete beams (150 mm × 300 mm × 1,500 mm) were reinforced in flexure. Three beams strengthened with different embedments of NSM (carbon fiber-reinforced polymer [CFRP], Glass fiber-reinforced polymer [GFRP], and steel) bars, and one unstrengthened beam used as a control beam were tested under monotonic static loading to determine the enhancing influence of the fiber-reinforced polymer (FRP) reinforcement. The performance of different bars used to establish the concrete is examined. A general methodology to evaluate the improving flexural behavior of RC beams strengthened with NSM–FRP bars is presented. A quantitative criterion governing debonding failure is established. The proposed bond model assumes linear elastic behavior for the concrete, adhesive, and NSM–FRP bars, following the same philosophy as the American concrete institute [ACI] provisions for bond analysis and design to control the cracks. So FRP reinforcements show substantial deformation before failure when the cross-sectional area is based on a permissible strain during service, so there is no need to check the deformability. The results of the tests show that using NSM–CFRP bars improves the flexural capacity and stiffness of the strengthened concrete beams of other types.
Genetic amniocentesis using atraumatic 29 gauge needle in patients having a chorioamniotic separation
Authors: Tchirikov Michael , Scheler Constanze , Gericke Martin , Wienke Andreas , Jung Carola , Entezami Michael 
Published: September 2022

Abstract

Objectives
Chorioamniotic separation (CAS) at the time of standard amniocentesis (AC) is a risk factor for postprocedural complications and should be avoided. The aim of this study was to quantify procedure-related risks after AC with a 29G-needle in cases of CAS, and evaluation of perinatal outcome in CAS after 15 weeks’ gestation (GW).

Methods
Retrospective analysis of genetic AC with a pencil-point 29G needle after 15 completed GW in pregnancies, in which the fetal membranes were not yet fused. Included into the study were women aged 16–44 years with at least 15 completed GWs referred for second trimester AC to identify fetal chromosomal aberrations.

Results
437 ACs were made in total with the 29G-needle. The median maternal age was 30 (16–44) years. 145 cases showed CAS where the distance between chorion and amnion was 0.10–10.02 mm at AC. 38 pregnancies were terminated, 37 of which had a genetic disorder. The risk of aneuploidy increases by a factor of 2 (95% CI 1.4–2.8) for every 1 mm of CAS enlargement. No procedure-related complications were found up to two weeks after the AC.

Conclusions
CAS seems to be massively underreported. Early diagnosis in case of CAS is something to strive for as CAS could be an indicator of genetic abnormalities – a “soft marker”. With the atraumatic 29G needle, the risk of complications after AC in CAS seems to be very low.
Global existence and blow up of the solution for nonlinear Klein-Gordon equation with variable coefficient nonlinear source term
Authors: Sun Cong , Yan Dong Ze , Zhang Yong Ling 
Published: September 2022

Abstract
This article is devoted to study the existence of global solutions and finite time blow-up of local solution for nonlinear Klein-Gordon equation with variable coefficient nonlinear source term. By applying the potential well and energy estimation method, in low initial energy and critical initial energy, we derive some sufficient conditions which are global existence and explosion of the solutions for this type of Klein-Gordon equation.
Metallurgical properties of boride layers formed in pack boronized cementation steel
Authors: Teker Tanju , Sarı Murat 
Published: September 2022

Abstract
In the present study, cementation steel was exposed to boronizing process at 950 °C for 6, 8, and 10 h. Microstructural changes on the surface of the samples after boron operation were inspected by optical microscope, scanning electron microscope, energy-dispersive spectroscopy, X-ray diffraction, electron back-scatter diffraction, and elemental mapping analysis. In addition, surface roughness, microhardness, and boride layer thicknesses were measured. The boride layers deposited on the cementation steel consisted either single or double phases. The level of boride deposit of all samples was achieved from 90 to 156 μm. The boride layer created at 950 °C for 10 h involved the FeB and Fe2B. The boride layers had a much higher hardness value than the substrate material due to the presence of FeB and Fe2B.