bluuebunny/crossref_metadata_2025_split huggingface dataset:
Meningioma pada akseptor kontrasepsi hormonal: laporan kasus
Authors: Saraswati Putu Ayu Kartika Putri , Sudiariani Ni Ketut Ayu , Astika I Made Dommy , Sukarini Ni Putu 
Published: December 2022

Background: Meningiomas are the most common primary central nervous system (CNS) tumors. The incidence of meningioma is mostly found in women. There is an association between hormones and the incidence of meningioma. The symptoms of meningioma are unspecified and depend on the tumor's location. This case study aims to evaluate meningioma in the hormonal contraceptive acceptor.
Case Presentation: A 36-years-old female patient was hospitalized with a chronic progressive headache that occurred for approximately two months. It was a throbbing headache in the left area of the head that worsened in the lying position. The patients deny other symptoms, such as weakness on one side of the body, nausea, vomiting, blurred visions or double visions, or convulsions. The patient had a history of receiving hormonal contraception for over 10 years. CT with contrast reveals a strong contrast enhancement, a well-defined, round-shaped lesion in the left sphenoid wing. In this case, tumor resection was done. From the histopathological examination, chordoid meningioma was found. Based on WHO grading, chordoid meningioma belongs to WHO grade II.
Conclusion: The longer exposure to the exogenous progesterone injection, the lower the expression of Progesterone Receptors (PR) and mRNA Neurofibromatosis-2 (NF2) in the serum, and that lower expression of PR and NF2 was significantly and independently associated with a higher risk of females to suffer from meningioma.

Latar Belakang: Meningioma adalah tumor primer sistem saraf pusat (SSP) yang paling sering ditemukan. Insiden meningioma lebih banyak ditemukan pada wanita, dimana diduga ada keterkaitan hormon pada wanita dengan kejadian meningioma. Gejala meningioma seringkali tidak spesifik dan tergantung dari lokasi tumbuhnya tumor. Laporan kasus ini bertujuan mengevaluasi meningioma pada akseptor kontrasepsi hormonal.
Presentasi Kasus: Pasien wanita berusia 36 tahun dirawat dengan keluhan nyeri kepala kronik progresif yang dialami selama kurang-lebih dua bulan. Keluhan dirasakan seperti berdenyut di kepala sebelah kiri, memberat dengan posisi berbaring. Keluhan lain seperti lemah separuh tubuh, mual, muntah, pandangan kabur atau ganda, serta kejang disangkal oleh pasien. Pasien memiliki riwayat penggunaan kontrasepsi hormonal injeksi setiap 3 bulan selama lebih dari 10 tahun. Pada pemeriksaan CT kepala dengan kontras didapatkan gambaran lesi menyangat kontras berbentuk bulat, berbatas tegas pada sphenoid wing kiri. Dilakukan reseksi tumor serta dilakukan pemeriksaan histopatologis dengan hasil chordoid meningioma, yang merupakan WHO derajat II.
Simpulan: Semakin lama paparan terhadap progesteron eksogen injeksi, maka ekspresi Reseptor Progesteron (RP) dan mRNA Neurofibromatosis-2 (NF2) dalam serum akan semakin rendah yang secara signifikan dan independen berhubungan dengan risiko yang lebih tinggi bagi wanita untuk menderita meningioma.
Pengaruh tingkat pengetahuan, sikap dan perilaku dengan kejadian COVID-19 pada mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warwadewa
Authors: Santosa Agus , Evayanti Luh Gde , Priyana Angga 
Published: December 2022

Introduction: Efforts in preventing COVID-19 are carried out by increasing knowledge and improving attitudes and behavior. These three components affect the occurrence of COVID-19, especially among medical students. This study aimed to determine the relationship between knowledge, attitudes, and behavior and the incidence of COVID-19 in students of the Faculty of Medicine and Health Sciences (FKIK Unwar).
Methods: Analytical design and a cross sectional study were used. The study was conducted from October – November 2021. Several 88 samples were selected by purposive sampling from 2018-2020 class students in the Unwar FKIK environment. Data were analyzed using Fisher Exact test (p<0.05).
Results: Medical students have knowledge of 94.3% in the good category, 79.5% positive attitude and 55.7% positive behavior towards COVID-19, although there is no significant relationship (p>0.05).
Conclusion: Education and implementation of strict health protocols at FKIK Unwar increase the knowledge, behavior, and attitudes of FKIK Unwar students. Those were related to the low incidence of COVID-19 at FKIK Unwar for the last 3 months.

Latar Belakang: Peningkatan pengetahuan, perbaikan sikap serta perilaku dilaksanakan dalam upaya pencegahan COVID-19. Ketiga komponen tersebut mempengaruhi kejadian COVID-19 terutama dikalangan mahasiswa kedokteran. Penelitian ini bertujuan mengetahui pengaruh tingkat pengetahuan, sikap dan perilaku dengan kejadian COVID-19 pada mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan (FKIK Unwar).
Metode: Rancangan analitik ini menggunakan studi cross sectional dan dilaksanakan pada bulan Oktober – November 2021. Sebanyak 88 sampel dipilih dengan purposive sampling dari mahasiswa angkatan 2018-2020 di lingkungan FKIK Unwar. Data dianalisis sengan uji Fisher Exact (p<0,05).
Hasil: Mahasiswa kedokteran memiliki pengetahuan persentase 94,3% dalam kategori baik, sikap positif 79,5% dan perilaku positif 55,7% terhadap COVID-19 meskipun tidak terdapat pengaruh bermakna (p>0,05).
Simpulan: Edukasi dan penerapan protokol kesehatan yang ketat di FKIK Unwar meningkatkan pengetahuan, perilaku, dan sikap mahasiswa FKIK Unwar. Hal ini terkait rendahnya kejadian COVID-19 di FKIK Unwar selama 3 bulan terakhir.
Personal hygiene genitalia wanita
Authors: Laksmi Made Hermina , Puspawati Ni Made Dwi , Stephanie Aurelia , Hariwangsa Putu Gde 
Published: December 2022

Since the beginning, genital hygiene has become a concern for women susceptible to infections of the urinary tract and reproductive system where the vagina is an unsterile organ related to external exposure and close to the anus. Several problems related to the personal hygiene of female genitalia arise due to a lack of understanding and literature discussing this matter. This literature review will discuss the normal flora of the female genitalia and procedures for daily vaginal care, which aims to increase understanding of female genital personal hygiene.

Sejak dahulu hygiene genetalia sudah menjadi perhatian kaum wanita, karena wanita sangat rentan terkena infeksi traktus urinarius dan sistem reproduksi dimana vagina merupakan organ yang tidak steril yang berhubungan dengan dunia luar serta berdekatan dengan anus. Beberapa masalah terkait personal hygiene genitalia wanita timbul akibat kurang pemahaman dan sedikitnya literatur yang membahas tentang hal ini. Tinjauan pustaka ini akan membahas mengenai flora normal genitalia wanita dan tata cara perawatan vagina sehari-hari yang bertujuan untuk meningkatkan pemahaman terhadap personal hygiene genitalia wanita.
Gambaran tingkat kecemasan dalam menghadapi UTBK SBMPTN pada calon mahasiswa baru angkatan 2020/2021 di Denpasar
Authors: Putri Dhanira Mahaliana Bramantya Suanda , Adiputra Luh Made Indah Sri Handari , Tirtayasa Ketut , Juhanna Indira Vidiari 
Published: December 2022

Introduction: Such tight competition is suspected to cause anxiety in prospective new students in facing the computer-based written examination of the joint selection to enter state universities (UTBK SBMPTN). Anxiety is a combination of various responses that include intense networking, feeling worried and disturbing. Preparation for exams can create a high level of anxiety. However, anxiety can also be a positive energy when it is still at a low level. So, it is important when knowing the level of anxiety in prospective students facing the UTBK SBMPTN
Methods: This study is a descriptive study with a retrospective approach. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS) questionnaire which was distributed to prospective students graduating from SMAN 4 Denpasar and SMA PGRI 2 Denpasar in 2021 who registered for the UTBK SBMPTN with a sample of 88 people.
Results: The level of anxiety of respondents in this study had a relatively mild level of anxiety, namely 35 people (28%), 25 people (28%) experienced moderate anxiety and only 2 people (2%) experienced severe anxiety. Symptoms experienced by many respondents were difficulty concentrating (55 people), easily distracted (72 people), lethargic (60 people), restless (65 people).
Conclusion: The level of anxiety of most of the respondents in this study had a relatively mild level of anxiety, namely as many as 35 people (40%).

Pendahuluan: Persaingan yang begitu ketat diduga menimbulkan rasa cemas pada calon mahasiswa baru dalam menghadapi ujian tulis berbasis komputer seleksi bersama masuk perguruan tinggi negeri (UTBK SBMPTN). Kecemasan merupakan kombinasi dari berbagai respon mencakup ketakutan yang intens, merasa khawatir dan bersifat mengganggu. Persiapan untuk ujian dapat menciptakan tingkat kecemasan yang tinggi. Namun, kecemasan juga bisa menjadi energi positif ketika masih pada tingkatan rendah. Maka, penting mengetahui tingkatan kecemasan pada calon mahasiswa ketika menghadapi UTBK SBMPTN
Hasil: Tingkat kecemasan responden dalam penelitian ini memiliki tingkat kecemasan yang tergolong ringan yaitu sebanyak 35 orang (40%), 25 orang (28%) mengalami cemas sedang dan hanya 2 orang (2%) yang mengalami cemas berat. Gejala yang banyak dialami oleh responden adalah sulit konsentrasi (55 orang), mudah terganggu (72 orang), lesu (60 orang), gelisah (65 orang).
Simpulan: Tingkat kecemasan sebagian besar responden dalam penelitain ini memiliki tingkat kecemasan yang tergolong ringan yaitu sebanyak 35 orang (40%).
Right femur malunion treated with open osteotomy and open reduction with internal fixation percutaneous surgery (ORIF PS): A case report
Authors: Putra Pande Putu Agung Willa Kesawa , Kesuma Anak Agung Ngurah Ronny 
Published: December 2022

Introduction: Fracture femur distal third is a common orthopedic problem in patients of all ages. Malunion is common due to neglected conditions; an osteotomy plus ORIF PS procedure is required in the management. Surgery is currently the treatment of choice for distal femoral malunion fractures. Malunion requires deep fixation of compression using lag screws, cortical screws or cancellous screws depending on the type of fracture. Patients with distal femoral malunion are also treated with grafting using bone graft, allograft, autograft, synthetic graft and blade plate with screws in combination with a safe quadriceps approach.
Case description: A 16-year-old female patient complained of unbalanced walking and cramps in the right leg for the last 3 months. The patient had a history of traffic accidents and then suffered femur fracture 9 months ago, debridement and a plaster cast. The physical examination found that the right leg was shorter than the left, and the AVN and active ROM distal right leg were still good. Then X-Ray examination obtained the results of his Malunion fracture of the middle 1/3 right femur and then decided to do an osteotomy + ORIF PS. The patient returned home in good condition and then controlled through the outpatient polyclinic.
Conclusion: In most malunion patients, osteotomy and PS ORIF are surgical methods. Corrective osteotomy with ORIF PS should be regarded as a salvage procedure for treating distal third malunion.
Ekstrak etanol daun pandan wangi (pandanus amaryllifolius r.) 10% menurunkan immobility time dan kadar kortisol tikus jantan galur wistar yang depresi
Authors: Puspitasari Lia 
Published: December 2022

Depression is an emotional and soul disorders that occurs due to abnormality of serotonine, norepinephrine, dopamine and cortisol levels in blood, urine and cerebrospinal fluid. Herb that assumed have antidepresant activity and able to normalise this abnormality condition is pandan leaf (Pandanus amaryllifolius R) with some secondary metabolites. The purpose of this reseach is to investigate the effect of pandan leaf extract in decreasing immobility time and cortisol levels in male wistar induced depression.This research used experimental laboratory pretest and posttest control group design, with 24 sample that divided into four group. Depression was inducted with tail suspention test method for 3 minutes a day in 10 days. Antidepressant activity observed by measurement of immobility time in forced swimming test method and analysis of cortisol levels with ELISA method. Based on the results of this research, ethanol extract of pandan leaves 10% able decreased immobility time for 45,26% (p<0,05) and decreased cortisol level for 33,24% (p<0,05). In t-paired test analysis, extract ethanol of pandan leaves 10% showed that there was an influence with this treatment in immobility time and cortisol level pretest and posttest data (p<0,05). Another result from this research showed that ethanol extract of pandan leaves 10% did not decrease immobility time and cortisol levels more better than positive control (amitriptilin treatment) p<0,005. It can be concluded that administration of extract ethanol pandan leaves 10% decreased immobility time and cortisol levels in depression male wistar rats.Â Â
Gambaran umum tingkat kepuasan masyarakat terhadap upaya pelayanan kesehatan di wilayah kerja upt kesmas Gianyar II
Authors: Krishnan Vinothini , Dharmadi Made 
Published: December 2022

Latar Belakang:. Kualitas pelayanan kesehatan akan berdampak pada kepuasan pasien. Namun berdasarkan data jumlah kunjungan pasien di UPT Kesmas Gianyar II menunjukkan terdapat penurunan jumlah pada tahun 2012 dan 2013 yakni dari 27.505 menjadi 25.572 sehingga hal tersebut menjadi indikator untuk dilakukan ulang penilaian kepuasan terhadap kinerja Puskesmas Gianyar II. Metode: Jenis penelitian ini deskriptif kuantitatif dengan pendekatan potong lintang (cross sectional) untuk mengetahui gambaran umum kepuasan pasien terhadap pelayanan kesehatan yang diberikan oleh UPT Kesmas Gianyar II.Penelitian ini dilakukan di kawasan wilayah kerja UPT Kesmas Gianyar II pada bulan agustus 2015. Populasi penelitian ini adalah semua masyarakat yang pernah mendapatkan pelayanan kesehatan serta bertempat tinggal di wilayah kerja UPT Kesmas II Gianyar. Teknik pengambilan sampel menggunakan metode consequtive sampling dengan jumlah sampel 100 orang.Â Instrumen pengumpulan data adalah kuisioner dimana berisikan pernyataan seputar 5 dimensi kualitas pelayanan yang telah diuji validitas dan reliabilitasnya pada penelitian sebelumnya. Teknik analisis data dengan analisis univariat dan bivariat. Hasil: Karakteristik responden pada penelitian ini menunjukkan bahwa berdasarkan jenis kelamin paling banyak adalah perempuan sebesar 57%. Kelompok usia 26-45 tahun paling banyak yakni sebesar 48%. Berdasarkan kelompok pendidikan terakhir maupun tertinggi diketahui bahwa pendidikan SMA/Sederajat menempati jumlah terbanyak yakni 50%. Jenis pekerjaan bervariasi namun paling banyak pada kelompok yang tidak berkerjaÂ sebesar 26%. Tingkat pendapatan masyarakat paling tinggi berada pada kelompok pendapatan di bawah Rp 1.543.000,00. Berdasarkan persentase diperoleh 67% masyarakat memberikan penilaian sangat memuaskan.Berdasarkan dimensi kualitas pelayanan jika diurutkan penilaian tertinggi ke terendah diantaranya: dimensi Tangibles (88,6), Reliability (86,88), Empathy (86,64),Responsiveness (86,16), dan Assurance (85,96). Simpulan: Sebagian besar masyarakat yang pernah memperoleh pelayanan kesehatan di UPT Kesmas Gianyar II mengatakan pelayanan kesehatan yang diberikan telah sangat memuaskan
Hubungan pola jajan kariogenik dengan karies pada siswa sekolah dasar di wilayah kerja Puskesmas III Denpasar Selatan, Bali 2016
Authors: Sirat Ni Made , Senjaya Asip Arifin , Wirata I Nyoman 
Published: December 2022

Karies gigi merupakan salah satu penyakit gigi dan mulut yang paling sering dijumpai di masyarakat. Karies gigi erat hubungannya dengan konsumsi makanan yang kariogenik. Pola jajan terdiri dari jenis dan frekuensi konsumsi makanan. Anak-anak memiliki kegemaran untuk mengkonsumsi jenis makanan jajanan manis secara berlebihan, khususnya anak-anak usia sekolah dasar (6-12 tahun). Tujuan penelitian yaitu untuk menganalisis hubungan pola jajan kariogenikÂ dengan karies pada siswa sekolah dasar di wilayah kerja Puskesmas III Denpasar Selatan Tahun 2016. Desain penelitian observasional dengan pendekatan cross sectional. Sampel diambil dengan teknik simple random sampling yang berjumlah 550 responden. Analisis data menggunakan uji Chi Square. Hasil penelitian diperoleh 363 orang kariogenik (66%) dan tidak kariogenik 187 orang (34%), Rerata pola jajan kariogenik sebesar 1,93 Â± 3,02 jajan setiap hari, 369 orang karies (67,1%) dan 181 orang tidak karies (32,9%) serta Rerata karies gigi sebesar 3,20 Â± 3,45 karies. Kesimpulan yaitu terdapat hubungan antara konsumsi makanan kariogenik dengan karies gigi dengan p = 0,000. Diharapkan pihak sekolah mengetahui dampak dari konsumsi makanan kariogenik dan mengurangi penjualan makanan yang bersifat kariogenik di area sekolah
Pola penggunaan insulin pada pasien diabetes mellitus tipe 2 di poli penyakit dalam RSU Negara Periode Juli - Agustus 2018
Authors: Gamayanti Komang ayu Vitriana , Ratnasari Ni Luh Made Novi , Bhargah Agha 
Published: December 2022

Aim: This study aims to determine the pattern of insulin therapy in type 2 Diabetes Mellitus patient in Internal Medicine Policlinic Negara Hospital, Bali.Method: This research was an observational study with cross-sectional design at Internal Medicine Policlinic Negara Hospital, Bali period August 2018. A total of 177 samples were selected by total sampling technique.Result: According to the duration of action, majority of insulin usage was rapid acting insulin in 93 patients (52,5%). The most frequent combination of two insulin types was long-acting with rapid-acting insulin in 30 patients (33,7%), meanwhile the Â most frequent combination of insulin and OHD was premixed insulin with gluconeogenesis inhibitor in 43 patients (48,9%). Fasting Plasma Glucose mean was 185,12 mg/dL, Post Prandial Plasma Glucose mean was 252,9 mg/dL. This study also found the Fasting Plasma Glucose â‰¥ 126 mg/dL count in 129 patients (72,9%), Post Prandial Plasma Glucose â‰¥ 180 mg/dl count in 133 patients (75,1%). The mean of systolic blood pressure was 128,81/ 78,53 mmHg, patients with targeted blood pressure <140/90 mm/Hg count in 110 patients (62,1%).Conclusion: The profile of insulin therapy in patients with Type 2 DM at Internal Medicine Polyclinic, Negara Hospital varies according to the indication in each patient. The most frequent type of insulin use is rapid acting insulin. Most patients with insulin therapy have not achieved targeted glycemic control, but have achieved the targeted blood pressure according to the PERKENI.
Association between eating pattern and food neophobia in children with Autism Spectrum Disorder (ASD): Parents' perceptions
Authors: Oewen Roosje R. , Latifa Witriana , Triani Rini , Anisyah Ika , Syahrir Syakriani 
Published: December 2022

Objective: To explain the correlation between cariogenic (high sugar diet) with Food Neophobia (FN) in Autism Spectrum Disorder (ASD) children.
Material and Methods: This type of research is analytically observational with a cross-sectional design. Sampling technique purposive sampling, number of samples 65 respondents of parents/caregivers in LRD community members of suar autism. Data collection with a questionnaire for five eating patterns and FN three questions in the form of a Google Form. The data were analyzed descriptively, and the spearman rank correlation test was used to analyze the difference between diet and FN.
Results: Children consume one to two spoons of sugar per day 95.4%; like sweet food 80%, sweet food between meals 80%; soft drinks 49.2%; non-sweet snacks 56.9%. Based on the category of the frequency distribution of neophobia food levels in children with ASD were light 32.31%, moderate 30.77%, and heavy 36.92%. Spearman rank correlation test r=0.06 p>0.05 was 0.36%.
Conclusion: This research shows that diet pattern has a very low association with FN in children with autism spectrum disease.
Transformational Change: Challenges and Development Prospects. The Case of Ukraine
Authors: Nosova Olga 
Published: December 2022

Background: The basic system transformation approaches can be described by definition of the main and decisive factors of transformational change.
Research objectives: The aim of the study is to estimate how the GDP in Ukraine depends on the degree of economic, political, social transformation, as well as the overall indicators (market and democratic) reforms.
Research design and methods: The source of information is the World Bank database, Heritage Foundation, and national statistics. The research methods include descriptive analysis, economic and statistical methods, and correlation analysis.
Results: The study results identify factors which positively impacts the formation of new and renewed institutions and contribute to a more balanced political, social and economic growth.
Conclusions: Development vector designation allows formulating a state development strategy by estimating the factors that might lead to a more sustainable strategy of political and social-economic development.
Producers Involvement – the Next Stage of Fair Trade Development. The Case of Poland
Authors: Śmigielska Grażyna 
Published: December 2022

Background: The idea of this paper is to show how countries from so call so-called Eastern Block could contribute to the development of Fair Trade (FT). Poland, as a leader in political and economical changes in Eastern Europe, as well as being a very fast-developing country, could be considered a good representative for all states belonging to this Block.
Research objectives: The goal of this paper is to assess the market for Fair Trade products in Poland and identify the tools which could speed up its development.
Research design and methods: It is a conceptual paper, based on the literature review and thus secondary data. A literature review is used to determine the contemporary character of FT as well as identify the stages of its development.
Results: It was the case in Poland where in 2018 the wholesale of FT products started its boom. Before, due to some obstacles, which were also identified, the sales had been marginal.
Conclusions: It is suggested that a new stage of FT development is coming, in which its growth is sped up by engaging companies to produce goods which have the FT component.