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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>VOL.15 NO.2 (2025)</text>
                </elementText>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120572">
                  <text>peri irawan</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>A Bibliometric Analysis of Global Research on the Psychological Burden of HIV Stigma Among Adults: Implications for Nursing Practice</text>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Bibliometric analysis; global health; HIV stigma; mental health;&#13;
psychological stress</text>
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            <description>An account of the resource</description>
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                <text>Background: HIV-related stigma remains a persistent barrier to psychological&#13;
well-being and care among people living with HIV. Although research on its&#13;
psychological burden has grown, no bibliometric synthesis has mapped its&#13;
development or implications for nursing practice.&#13;
Purpose: This study aimed to conduct a bibliometric analysis of global research on&#13;
the psychological burden of HIV stigma among adults, with particular attention to&#13;
thematic evolution and implications for nursing care.&#13;
Methods: A bibliometric and thematic analysis was conducted on 131 journal&#13;
articles indexed in Scopus from 2014 to 2025. Bibliometric mapping was performed&#13;
using VOSviewer to examine publication trends, authorship patterns, country&#13;
distribution, keyword co-occurrence networks, and temporal thematic evolution.&#13;
Results: The analysis found no publications prior to 2014, with output peaking in&#13;
2022 and 2024, confirming the field’s novelty. Keyword clustering revealed six&#13;
thematic domains: psychological distress (depression, anxiety, shame), treatment&#13;
adherence and healthcare engagement, trauma-related stigma, resilience and&#13;
&#13;
protective factors, methodological advances in stigma measurement, and structural-&#13;
societal stigma. Temporal analysis indicated a shift from documenting emotional&#13;
&#13;
distress to examining mediating processes, resilience, and intersectionality,&#13;
marking a transition from descriptive to explanatory and intervention-focused&#13;
research.&#13;
Conclusion: Research on the psychological burden of HIV stigma has expanded,&#13;
with depression and anxiety remaining central, but increasing attention to&#13;
resilience, coping, and systemic factors. However, gaps persist in translating these&#13;
insights into stigma-sensitive nursing interventions. This bibliometric synthesis&#13;
provides evidence to inform nurse-led strategies such as therapeutic&#13;
communication, psychoeducation, and psychosocial support to mitigate stigma’s&#13;
psychological impact on PLHIV.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120921">
                <text>Angga Wilandika1&#13;
&#13;
, Diah Nur Indah Sari2</text>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="120922">
                <text>https://doi.org/10.14710/nmjn.v15i2.72426</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120923">
                <text>30 August 2025</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120924">
                <text>peri irawan</text>
              </elementText>
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          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="120925">
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120926">
                <text>english</text>
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      <tag tagId="14250">
        <name>Bibliometric analysis; global health; HIV stigma; mental health; psychological stress</name>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120571">
                  <text>VOL.15 NO.2 (2025)</text>
                </elementText>
              </elementTextContainer>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120572">
                  <text>peri irawan</text>
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    <elementSetContainer>
      <elementSet elementSetId="1">
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121055">
                <text>The Risk of Diabetic Peripheral Neuropathies among Diabetic Patients Living in Urban and Rural Areas</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121056">
                <text>Delivery of health care; diabetic neuropathies; rural population;&#13;
type 2 diabetes mellitus; urban population</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
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                <text>Background: Diabetic Peripheral Neuropathy (DPN) is a common complication&#13;
of type 2 diabetes mellitus (T2DM), and is closely linked to poor glycemic control.&#13;
However, little is known about how environmental and lifestyle differences between&#13;
urban and rural settings affect the risk of DPN.&#13;
Purpose: This study aimed to identify and compare the risk factors of DPN among&#13;
T2DM patients living in rural and urban areas.&#13;
Methods: A comparative cross-sectional design with convenience sampling was&#13;
used to recruit 156 T2DM patients from both urban (Surabaya) and rural&#13;
(Lamongan) areas of East Java, Indonesia. Data were collected using the Vascular&#13;
Quality of Life-6 (VQ-6), Diabetic Neuropathy Symptom (DNS), Diabetic&#13;
Neuropathy Examination (DNE), and Ankle-Brachial Index (ABI). Logistic&#13;
regression was performed for analysis, with a significance level set at p&lt;0.05.&#13;
Results: The mean age of rural participants was 55.86 (SD=8.4) years, slightly&#13;
younger than that of urban participants at 57.27 (SD=9.3) years. Urban residents&#13;
had higher education levels (37.7%), but engaged less in regular physical activity&#13;
(51.9%). The risks of DPN were significantly higher in rural areas (p&lt;0.05), with key&#13;
contributing factors including higher ABI (OR=17.07), more diabetic neuropathic&#13;
symptoms (OR=3.35), multiple diabetes medications (OR=10.27), lower physical&#13;
activity (OR=0.24), and lower education level (OR=0.25). Of these, ABI was the&#13;
strongest predictor of DPN risks.&#13;
Conclusion: Rural T2DM patients are at greater risk of DPN due to vascular and&#13;
neuropathic complications combined with sociodemographic disadvantages. These&#13;
findings highlight the importance of early detection and tailored education&#13;
programs for rural communities to prevent and manage DPN.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121058">
                <text>Arina Qona’ah1&#13;
&#13;
, Ika Nur Pratiwi1&#13;
&#13;
, Zulfayandi Pawanis2, Laura Navika Yamani3, Eskarani Tri Pratiwi4,&#13;
&#13;
Nursalam Nursalam5, Vimala Ramoo6</text>
              </elementText>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="121059">
                <text>https://doi.org/10.14710/nmjn.v15i2.56936</text>
              </elementText>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121060">
                <text>29 August 2025</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121061">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121062">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121063">
                <text>english</text>
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    <tagContainer>
      <tag tagId="14259">
        <name>Delivery of health care; diabetic neuropathies; rural population; type 2 diabetes mellitus; urban population</name>
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  <item itemId="11325" public="1" featured="1">
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120571">
                  <text>VOL.15 NO.2 (2025)</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120572">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120996">
                <text>Network Meta-Analysis of Wound Dressings and Their Effectiveness in Promoting Healing</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120997">
                <text>Dressings; network meta-analysis; wound; wound care; wound&#13;
healing</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120998">
                <text>Background: Chronic and acute wounds affect millions of individuals worldwide,&#13;
placing a substantial burden on patients and healthcare systems. Previous&#13;
evaluations have often focused on limited types of dressings or specific wound&#13;
conditions. Therefore, a comprehensive network meta-analysis is essential for&#13;
comparing various interventions, bridging knowledge gaps, improving healing&#13;
outcomes, and addressing clinical and economic challenges.&#13;
Purpose: This study assessed the comparative effectiveness and safety of advanced&#13;
wound dressings in promoting healing.&#13;
Methods: This network meta-analysis, registered with PROSPERO&#13;
(CRD42023433268), systematically searched PubMed, ProQuest, Scopus, CINAHL,&#13;
ScienceDirect, Springer Nature, Wiley, Cochrane Library, and Taylor &amp; Francis from&#13;
January 2012 to December 2022. Eight reviewers independently assessed and&#13;
extracted data from randomized controlled trials evaluating different dressings,&#13;
including placebo, alginate, collagen, gamat, honey, hyaluronic acid, hydrocolloid,&#13;
hydrogel, mebo, platelet-rich plasma, povidone-iodine, and silver sulfadiazine. Data&#13;
were synthesized using a random-effects network meta-analysis with SUCRA&#13;
rankings. Study quality was evaluated using Cochrane RoB2, and certainty of&#13;
evidence was assessed through CINeMA.&#13;
Results: This review included 38 RCTs with a total of 4,049 patients. The largest&#13;
placebo group comprised 1,628 participants, while the smallest group was mebo&#13;
with 10 participants. Heterogeneity and consistency analysis showed negligible&#13;
variation (χ2=1.757, p=0.78). Alginate dressings were the most effective in reducing&#13;
wound size compared to placebo (OR 0.64; 95% CI 0.38–1.08; SUCRA probability&#13;
0.73), whereas hyaluronic acid dressings were the least effective (OR 0.22; 95% CI&#13;
0.06–0.79; SUCRA probability 0.08).&#13;
Conclusion: Alginate was identified as the most effective primary dressing for&#13;
wound healing, while hyaluronic acid dressings were the least effective. However,&#13;
clinical practitioners should carefully weigh the benefits and limitations of each&#13;
dressing type before selecting the most appropriate treatment for patients.</text>
              </elementText>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120999">
                <text>Asmat Burhan1&#13;
&#13;
, Indah Susanti1&#13;
&#13;
, Vanessa A. Breu Da Silva2, Vijay Kumar3, Do Thi Kim Chi4,&#13;
&#13;
Riski Hidayat5, Septian Mixrova Sebayang1&#13;
&#13;
, Hamka Hamka6</text>
              </elementText>
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          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="121000">
                <text>https://doi.org/10.14710/nmjn.v15i2.67063</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121001">
                <text>30 August 2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121002">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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            </elementTextContainer>
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          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121004">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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    </elementSetContainer>
    <tagContainer>
      <tag tagId="14253">
        <name>Dressings; network meta-analysis; wound; wound care; wound healing</name>
      </tag>
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  </item>
  <item itemId="11315" public="1" featured="1">
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          <name>Dublin Core</name>
          <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120571">
                  <text>VOL.15 NO.2 (2025)</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120572">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
            </element>
          </elementContainer>
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    </collection>
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120896">
                <text>Predictors of Stroke Survivors’ Quality of Life During Home Rehabilitation: A Cross-Sectional Study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120897">
                <text>Home rehabilitation; stroke survivors; quality of life</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120898">
                <text>Background: Stroke survivors face the challenge of living in a body that functions&#13;
differently than before, which impacts their quality of life. Stroke rehabilitation is&#13;
essential, as the principle of neuroplasticity supports recovery from disability, and&#13;
this process continues when survivors undergo home-based rehabilitation.&#13;
However, the factors influencing their quality of life remain unclear.&#13;
Purpose: This study aimed to investigate the predictors of stroke survivors’ quality&#13;
of life during home rehabilitation.&#13;
Methods: A cross-sectional study was conducted among 142 stroke survivors&#13;
recruited using purposive sampling. Data were collected using the Stroke Specific&#13;
Quality of Life (SS-QoL) questionnaire and an additional questionnaire assessing&#13;
knowledge, attitudes, and practices related to home rehabilitation. Logistic&#13;
regression was employed to examine predictors of stroke survivors’ quality of life.&#13;
Results: Most respondents (59.15%) were men, with a mean age of 59.25 years&#13;
(SD=10.5). Many stroke survivors had a high quality of life (n=92; 64.79%), good&#13;
knowledge (n=114; 80.28%), positive attitudes (n=83; 58.5%), and a high level of&#13;
home rehabilitation practice (n=89; 62.68%). Significant correlations were found&#13;
between knowledge (p&lt;0.001), attitude (p=0.040), and practice (p=0.001) with&#13;
stroke survivors’ quality of life.&#13;
Conclusion: This study indicates significant correlations between knowledge,&#13;
attitudes, and practices related to home rehabilitation and stroke survivors’ quality&#13;
of life. These findings provide valuable insights for nurses, emphasizing the&#13;
importance of structured health education on home-based rehabilitation to enhance&#13;
stroke survivors’ quality of life.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120899">
                <text>Fransiska Anita Ekawati Rahayu Sa’pang1&#13;
&#13;
, Maria Elizabeth Baua2, Serlina Sandi1</text>
              </elementText>
            </elementTextContainer>
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                <text>https://doi.org/10.14710/nmjn.v15i2.72471</text>
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            <elementTextContainer>
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                <text>peri irawan</text>
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                <text>Constructing Sustainable Maternal and Child Health Strategies: Analyzing Factors Associated with Low-Birth-Weight Incidence in Indonesia</text>
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                <text>Antenatal care; Indonesia; low&#13;
birth weight; maternal anemia;&#13;
maternal and child health</text>
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                <text>Background: Maternal and child health (MCH) is crucial for public health,&#13;
especially in low- and middle-income countries like Indonesia. Despite&#13;
improvements in healthcare infrastructure, challenges remain in reducing maternal&#13;
and neonatal mortality rates, with low birth weight (LBW) posing a significant&#13;
concern. Previous research has largely examined individual factors, such as&#13;
maternal age, parity, or nutritional status, in isolation. To date, there has been no&#13;
comprehensive analysis integrating the various determinants of LBW within the&#13;
Indonesian context.&#13;
Purpose: This study aimed to comprehensively analyze factors associated with&#13;
LBW incidence in Indonesia to inform sustainable MCH strategies.&#13;
Methods: A cross-sectional study design was used to analyze data from 420&#13;
newborns and their mothers. A structured questionnaire and medical record reviews&#13;
were used to collect data on maternal characteristics, antenatal care attendance,&#13;
birth outcomes, and infant characteristics. Data were obtained from maternal and&#13;
child health reports collected by primary health centers and hospitals under the&#13;
Ministry of Health between 2021 and 2023. Statistical analyses, including bivariate&#13;
Chi-square tests and multivariable logistic regression, were conducted to identify&#13;
factors associated with LBW incidence.&#13;
Results: The prevalence of LBW among newborns was 34.3%. Significant&#13;
associations were found between LBW and maternal anemia (OR = 1.53; 95% CI =&#13;
1.16–2.03), irregular antenatal care attendance (OR 11.9; 95% CI 8.17–17.32),&#13;
multiparity (OR = 0.61; 95% CI = 0.43–0.88), and preterm birth (OR = 11.22; 95%&#13;
CI = 7.55–16.68). Primiparous mothers and full-term infants were less likely to&#13;
experience LBW. Among the associated factors, irregular antenatal care visits and&#13;
preterm birth emerged as the most dominant risk factors. No significant&#13;
associations were observed with maternal complications, chronic diseases, infant&#13;
gender, mode of delivery, or maternal age.&#13;
Conclusion: Targeted interventions addressing maternal anemia, improving&#13;
access to and adherence with antenatal care, and preventing preterm births are&#13;
critical strategies for reducing LBW in Indonesia. The findings in this study&#13;
underscore the need to improve maternal nutrition and encourage pregnant women&#13;
to attend regular antenatal care visits.</text>
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                <text>Gita Nirmala Sari1&#13;
&#13;
, Dewi Nirmala Sari1&#13;
&#13;
, Yudhia Fratidhina1&#13;
&#13;
, Sri Mulyati1</text>
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              <elementText elementTextId="121029">
                <text>https://doi.org/10.14710/nmjn.v15i2.63181</text>
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                <text>Health-Promoting Lifestyle Behaviors and Their Correlates Among Nursing Students in Saudi Arabia</text>
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                <text>Background: A health-promoting lifestyle serves as the foundation for healthy&#13;
living and is highly relevant to nursing students, who are expected to model such&#13;
behaviors as future healthcare providers. However, few studies have examined these&#13;
patterns among nursing students in regions such as Hail, Saudi Arabia.&#13;
Purpose: This study aimed to evaluate the health-promoting lifestyle behaviors of&#13;
nursing students and their correlations with demographic factors.&#13;
Methods: A cross-sectional correlational design was employed. A total of 263 male&#13;
and female participants provided demographic information and completed the&#13;
Health Promoting Lifestyle Profile II (HPLP II) questionnaire through convenience&#13;
sampling. Independent-samples t-tests were used to compare HPLP scores by&#13;
gender, one-way analysis of variance (ANOVA) was used to compare scores across&#13;
year levels, and Pearson’s correlation was applied to examine associations between&#13;
HPLP scores and selected demographic variables, including year level, GPA, family&#13;
income, and BMI.&#13;
Results: The overall health-promoting lifestyle behavior was classified as good&#13;
(M=142.88, SD=28.77). No significant differences were observed across gender or&#13;
&#13;
year level for any HPLP subdomains. GPA was positively correlated with health-&#13;
promoting behaviors (r=0.34, p&lt;0.001), whereas family monthly income was&#13;
&#13;
negatively correlated (r=–0.15, p=0.01). BMI and year level were not significantly&#13;
associated with HPLP scores.&#13;
Conclusion: Nursing students demonstrated generally good health-promoting&#13;
behaviors. Higher academic performance was linked to more frequent engagement&#13;
in such behaviors, whereas students from higher-income families displayed slightly&#13;
lower engagement. These findings highlight the importance of culturally and&#13;
contextually tailored interventions to support nursing students in adopting and&#13;
maintaining healthy lifestyles.</text>
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                <text>Haidee Tablada Pacheco1&#13;
&#13;
, Salwa Abd El Gawad Sallam1,3 Richard Dennis Juinio Dayrit2,&#13;
&#13;
Dominga Narag Villano1&#13;
&#13;
, Marifa Libang Briones1&#13;
&#13;
, Heba Kayied Deab Al Morjan1</text>
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            <elementTextContainer>
              <elementText elementTextId="121039">
                <text>https://doi.org/10.14710/nmjn.v15i2.60623</text>
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                <text>Determinants of Menstrual Hygiene Management Practices Among Adolescents: A Cross-Sectional Study</text>
              </elementText>
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          <element elementId="49">
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                <text>Adolescents; Indonesia; menstrual hygiene</text>
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                <text>Background: Menstrual hygiene management (MHM) is critical for adolescents’&#13;
health and well-being; however, challenges such as limited water, sanitation, and&#13;
&#13;
hygiene (WASH) facilities, stigma, and lack of education persist in low- and middle-&#13;
income countries. In Indonesia, most studies have focused on knowledge and&#13;
&#13;
attitudes rather than the determinants of practices, leaving this area underexplored.&#13;
Purpose: This study aimed to identify the determinants of menstrual hygiene&#13;
management practices among adolescents.&#13;
Methods: This cross-sectional study was conducted online with 365 female&#13;
adolescents recruited through purposive sampling. Data collection tools included&#13;
the Menstrual Hygiene Management (MHM) questionnaire, the Depression Anxiety&#13;
Stress Scale (DASS-21), the Multidimensional Scale of Perceived Social Support&#13;
(MSPSS), and demographic questionnaires. Associations were analyzed using&#13;
independent t-tests, Pearson correlations, and linear regression.&#13;
Results: Bivariate analysis showed that higher MHM scores were significantly&#13;
associated with age (r=0.290; p=0.000), age at menarche (r=0.173; p=0.001),&#13;
education level (r=0.288; p=0.000), menstrual cycles (r=0.122; p=0.020),&#13;
employment (r=0.277; p=0.000), family income (r=0.130; p=0.013), and place of&#13;
residence (r=0.132; p=0.012). In contrast, a history of dysmenorrhea was negatively&#13;
associated with MHM practices (r=-0.159; p=0.002). Linear regression analysis&#13;
revealed that menstrual cycle (B=0.408; p=0.028) was a significant positive&#13;
predictor of MHM, while a history of dysmenorrhea (B=-0.160; p=0.020) was a&#13;
significant negative predictor.&#13;
Conclusion: Menstrual hygiene management was generally good among&#13;
adolescents. Significant determinants included menstrual cycle length and history&#13;
of dysmenorrhea. The findings underscore the importance of addressing biological&#13;
and physiological factors in menstrual health education. Public health programs&#13;
should also integrate menstrual cycle education and dysmenorrhea management&#13;
strategies to improve hygiene practices.</text>
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                <text>Henny Dwi Susanti1&#13;
&#13;
, Mirna Dian Marta1&#13;
&#13;
, Nurlilla Kholidah1&#13;
&#13;
, Ika Rizki Anggraeni1&#13;
,&#13;
&#13;
Markéta Moravcová2, Min-Huey Chung3,4</text>
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                <text>Nurses’ Lived Experiences Following End-of-Life Care: A Hermeneutic Study from a North Central State, Nigeria</text>
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                <text>hermeneutic phenomenology;&#13;
Nigeria; nurses’ lived experiences;&#13;
pediatric nursing</text>
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                <text>Background: Death is a common occurrence in nursing practice, and nurses are&#13;
expected to provide professional and sensitive care to families, which can be&#13;
psychologically demanding. However, there is a paucity of studies describing the&#13;
experiences of nurses dealing with pediatric end-of-life (EOL) care and death.&#13;
Purpose: This study explored nurses’ lived experiences following EOL care among&#13;
pediatric nurses working in two selected hospitals in Nigeria.&#13;
Methods: A hermeneutic qualitative design was adopted to describe and interpret&#13;
participants’ experiences. Twenty-one nurses were purposively selected from&#13;
pediatric wards. Data were collected through semi-structured, in-depth interviews&#13;
and analyzed using ATLAS.ti with thematic analysis.&#13;
Results: Five themes emerged: (1) EOL care training during nursing education, (2)&#13;
experiences of EOL care as a practicing nurse, (3) perceived contributing factors to&#13;
child death, (4) nurses’ roles in supporting families after child loss, and (5) coping&#13;
strategies for managing grief after pediatric patient death. The findings revealed that&#13;
nurses are affected by the death of a child regardless of years of experience. Limited&#13;
knowledge of EOL care negatively influenced their coping abilities. Nurses&#13;
considered open grieving unprofessional, with the primary coping strategy being&#13;
increased commitment to work.&#13;
Conclusion: The study concluded that years of work experience do not&#13;
significantly influence nurses’ lived experiences of pediatric patient death. Limited&#13;
knowledge of EOL care strongly shapes their perspectives on death, dying, and&#13;
grieving. Grieving is perceived as unprofessional, while dedication to work serves as&#13;
the preferred coping mechanism. Mandatory training on EOL nursing care and the&#13;
provision of institutional guidelines are recommended.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121018">
                <text>Olufemi Oyebanji Oyediran1&#13;
&#13;
, Kofoworola Ebunoluwa Ishola2, Emmanuel Olufemi Ayandiran1&#13;
,&#13;
&#13;
Idowu Matthew Olatubi3</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="121019">
                <text>https://doi.org/10.14710/nmjn.v15i2.63330</text>
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          <element elementId="40">
            <name>Date</name>
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              <elementText elementTextId="121020">
                <text>9 August 2025</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121021">
                <text>peri irawan</text>
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            <description>The file format, physical medium, or dimensions of the resource</description>
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            <name>Language</name>
            <description>A language of the resource</description>
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              <elementText elementTextId="121023">
                <text>english</text>
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    <tagContainer>
      <tag tagId="14255">
        <name>hermeneutic phenomenology; Nigeria; nurses’ lived experiences; pediatric nursing</name>
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              <name>Title</name>
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              <elementTextContainer>
                <elementText elementTextId="120571">
                  <text>VOL.15 NO.2 (2025)</text>
                </elementText>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120572">
                  <text>peri irawan</text>
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    <elementSetContainer>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120975">
                <text>Key Predictors of Medication Adherence Among Diagnosed Pulmonary Tuberculosis Patients: A Cross-Sectional Study</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120976">
                <text>Adherence; drug side effects; knowledge; medication; support&#13;
systems; tuberculosis</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Background: Medication adherence remains a critical challenge in tuberculosis&#13;
(TB) control, particularly in Indonesia, which ranks second globally in TB incidence.&#13;
Most existing studies focus on single-factor analyses rather than a comprehensive&#13;
multifactorial assessment of adherence predictors among Indonesian TB patients.&#13;
Purpose: This study aimed to identify and quantify key predictors of medication&#13;
adherence among diagnosed pulmonary tuberculosis patients with particular&#13;
emphasis on sociodemographic factors, clinical variables, and psychosocial&#13;
determinants.&#13;
Methods: A cross-sectional study was conducted involving 150 pulmonary TB&#13;
patients recruited through consecutive sampling. Data were collected using&#13;
validated instruments, including the 8-item Morisky Medication Adherence Scale&#13;
(MMAS-8) for adherence, the Knowledge About Tuberculosis Questionnaire&#13;
(KATUB-Q) for TB knowledge, a structured questionnaire for drug side effects, the&#13;
Treatment Motivation Questionnaire for motivation, the Multidimensional Scale of&#13;
Perceived Social Support (MSPSS) for support systems, and the TB-related Stigma&#13;
Scale for stigma measurement. Statistical analyses included descriptive statistics,&#13;
Chi-square tests, and ordinal logistic regression to evaluate relationships between&#13;
variables and adherence levels.&#13;
Results: Only 20% of participants demonstrated high adherence, while 50.7%&#13;
exhibited low adherence. Significant predictors of adherence included early&#13;
adulthood (OR = 0.061, 95% CI 0.004−0.857, p = 0.038) and middle adulthood (OR&#13;
= 0.052, 95% CI 0.005−0.565, p = 0.015), indicating lower adherence compared to&#13;
late elderly. Other predictors were poor TB knowledge (OR = 0.316, 95% CI 0.154–&#13;
0.650, p = 0.002), motivation (OR = 0.244, 95% CI 0.108–0.553, p &lt; 0.001), family&#13;
support (OR = 0.470, 95% CI 0.232–0.952, p = 0.036), healthcare worker support&#13;
(OR = 0.349, 95% CI 0.204–0.840, p = 0.015), and drug side effects (OR = 5.294,&#13;
95% CI 2.134–13.126, p &lt; 0.001). Younger adults showed lower adherence rates&#13;
compared to older populations, while patients with better knowledge and stronger&#13;
support systems demonstrated higher adherence.&#13;
Conclusion: Key predictors of medication adherence were age, TB knowledge,&#13;
motivation, family support, healthcare worker support, and drug side effects.&#13;
Younger patients, those with poor knowledge, moderate motivation, inadequate&#13;
support systems, and severe side effects demonstrated significantly lower adherence&#13;
rates. These findings highlight the need for targeted, multifactorial interventions to&#13;
improve TB treatment outcomes.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120978">
                <text>Rika Sarfika1&#13;
&#13;
, Endang Martini2, Siti Yuliharni1&#13;
&#13;
, I Made Moh. Yanuar Saifudin3</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="120979">
                <text>https://doi.org/10.14710/nmjn.v15i2.70345</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120980">
                <text>30 August 2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120981">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="120982">
                <text>pdf</text>
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            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="120983">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
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            <elementTextContainer>
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    <tagContainer>
      <tag tagId="14252">
        <name>Adherence; drug side effects; knowledge; medication; support systems; tuberculosis</name>
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  <item itemId="11326" public="1" featured="1">
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            <element elementId="50">
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              <elementTextContainer>
                <elementText elementTextId="120571">
                  <text>VOL.15 NO.2 (2025)</text>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="120572">
                  <text>peri irawan</text>
                </elementText>
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    <elementSetContainer>
      <elementSet elementSetId="1">
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="121005">
                <text>Development of a Home-Based Holistic Dementia Nursing Intervention Model for Family Caregivers</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121006">
                <text>Dementia; family caregiver; holistic; home-based; intervention; model development</text>
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            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121007">
                <text>Background: The number of older adults with dementia in Indonesia continues to&#13;
increase. However, many family caregivers still have limited knowledge and skills,&#13;
which can adversely affect both older adults and caregivers. Existing interventions&#13;
mainly focus on single aspects of care and have not adequately addressed the&#13;
physical, psychological, social, and spiritual dimensions. Therefore, there is a need&#13;
for a comprehensive intervention model that holistically meets caregivers’ needs.&#13;
Purpose: This study aimed to develop a home-based holistic dementia nursing&#13;
intervention model for family caregivers and identify its key features.&#13;
Methods: Three approaches were used for model development: (1) literature&#13;
review, (2) in-depth interviews, and (3) expert validation. Five articles addressing&#13;
holistic care dimensions and nursing interventions were included in the review.&#13;
Fifteen participants took part in the in-depth interviews, and expert validation&#13;
involved three specialists in the field of geriatrics with specific qualifications. Data&#13;
were collected between August and September 2022. Analysis was conducted by&#13;
comparing and synthesizing the findings from the literature review, interviews, and&#13;
expert validation.&#13;
Results: The holistic dementia nursing intervention model for family caregivers&#13;
consisted of four intervention domains: (1) physical, (2) psychological, (3) social,&#13;
and (4) spiritual. The model also incorporated three key components: (1)&#13;
communication processes, (2) organizational processes, and (3) belief systems.&#13;
Conclusion: The home-based holistic dementia nursing intervention model for&#13;
family caregivers offers a potential conceptual framework to comprehensively&#13;
address the physical, psychological, social, and spiritual needs of both older adults&#13;
and their caregivers.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121008">
                <text>Rita Hadi Widyastuti1,2, Junaiti Sahar3&#13;
&#13;
, Etty Rekawati3</text>
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          <element elementId="48">
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            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="121009">
                <text>https://doi.org/10.14710/nmjn.v15i2.65049</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="121010">
                <text>30 August 2025</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="121011">
                <text>peri irawan</text>
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            <elementTextContainer>
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        <name>Dementia; family caregiver; holistic; home-based; intervention; model development</name>
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