bluuebunny/crossref_metadata_2025 huggingface dataset:
Implementation of Strengthening Governance of Cultural and Citizenship Literacy in Gunungpati State Kindergarten, Semarang City
Authors: Ulya Arikatul , Waluyo Edi , Mulyani Petra Kristi
Published: October 2023

This research is motivated by the importance of cultural and citizenship literacy (LBK) in PAUD institutions in Ulya's research (2023) especially in the dimensions of strengthening governance. This study aims to determine the implementation of LBK in PAUD Institutions in Gunungpati District and to determine the implementation of strengthening governance in Gunungpati State Kindergarten (TK N) Semarang City. This research uses a qualitative approach with secondary data study methods and case studies. The subjects in this research were educators at TK Negeri Gunungpati. Data collection techniques use observation, interviews, documents and triangulation. The data analysis technique uses analysis before, during using the Miles and Huberman model, and after in the field. The results showed that PAUD institutions in Gunungpati District had implemented LBK well with a percentage of 77% and TK Negeri Gunungpati had also implemented LBK from the dimension of time allocation or schedule; budget allocation; forming a school literacy team; school policy making; and strengthening the role of the school committee. Even though supervisors have not been involved in the school literacy team and the school committee has not collaborated with outside parties to support activities related to LBK. The limitations of this research are that this research is only limited to the implementation of the dimensions of strengthening cultural and citizenship literacy governance which is only carried out in Gunungpati N Kindergarten using participating educators. It is better if further research can look at the implementation of LBK governance from the school principal, supervisors, school committees, as well as students and within the scope of other schools, families and communities.

Keywords: Implementation; Strengthening Governance; Cultural and Citizenship Literacy; Kindergarten
Foreign body in the mandible: a case report
Authors: Dadá Abdul Habib Mahomed , Fernandes Gilberto Coelho , Inácio Nelsa Maria José Sisto , Vasconcelos Niucha , Dadá Mahomed Sidique Abdul Cadar
Published: October 2023

Foreign bodies are defined as any object that is foreign to a specific anatomical location. They are very common in clinical practice and every doctor ends up dealing with these cases, especially in emergency consultations. The aim of this case report is to draw dentists' attention to accidents with foreign bodies in the oral cavity that can occur in dental offices. The authors describe a case report of a 41-year-old female patient, with a dental bur lodged in her jaw, despite being asymptomatic. An expectant approach was adopted. It is important to check the entire mouth and pharynx in cases where a tooth or dental instrument is missing.
Impact of Emotional Intelligence and Spiritual Intelligence on Leadership Effectiveness- A Study Related to Banking Organization in Rajasthan: Analysis Approach
Authors: Manish Sharma Trapti Tak ,
Published: October 2023

Leadership is described as the heart of every organization and it is a process of leading followers/team. To get better outcome from the employees and to achieve the organizational goals, the leader should be able to understand the pulse of the employees and his or her own. The present research will focus on two vital parameters that are spirituality and emotional intelligence. The present research proposes to study the role of spirituality and emotional Intelligence in the development of effective leadership through extensive literature review. Emotional Intelligence includes self- awareness, empathy, self- motivation, emotional stability, managing relationships, integrity, sociability, of spirituality and emotional Intelligence in the development of effective leadership through extensive literature review. Emotional Intelligence includes self- awareness, empathy, self-motivation, emotional stability, managing relationships, integrity, sociability warmth and optimism on the part of the leader reflecting it onto the followers and spirituality comprises the values, attitudes, and behaviors that are reflecting compassion, vision, hope, commitment, satisfaction and happiness that are necessary to intrinsically motivate one and others.
Family Related Vulnerability: Vulnerability of Tribal Children in Families Living under Parental Care in Kerala.
Authors: VS Kochukrishna Kurup, P. Rangasami, Vishnu R, Shiju K K
Published: October 2023

Neglected and AbandonedChildren are the most vulnerable group in any society. However,a large segment of children face vulnerability in the family, even under parental care. Family-related vulnerabilities are inherently varied due to the diverse lifestyles and cultures across different tribal groups. The present study is a pilot study focused on assessing family-related vulnerabilities of children from a tribal village in Wayanad, Kerala. The research data was collected from a sample of 45 children from three tribal hamlets usinginterviews and the Score Vulnerability Assessment Tool. Results of the study showed that the difference infamily-related vulnerability to life conditions among male and female children is negligible, wheremost male and female children fall in the moderate to severe range of exposure. The findings disclose that 87% of children in the sample used some kind of substance (p<0.05), with asignificant score for the high rate of alcohol and substance abuse.
ANALISIS KADAR PARASETAMOL GENERIK DIBANDINGKAN BERMEREK DAGANG
Authors: Mariyani  , Patala Recky , Awilia Nurkhaliza
Published: October 2023

Paracetamol is a substance that can reduce the fever (antipyretic) and relieve the pain (analgesic). Analysis of the levels of generic and branded paracetamol tablets was carried out to determine whether the levels of the active substance in the preparations met the requirements or not by using the High Performance Liquid Chromatography method. The paracetamol quantitative test obtained the results of the levels in sample A = 94.306%, sample B = 99.986%, sample C = 95.296% and sample D = 94.904%. These results indicate that the level of the active substance paracetamol in each sample still meets the requirements of the Indonesian Pharmacopoeia Edition IV, namely not less than 90% and not more than 110%. Statistical analysis using the t-student test, the results of t-count < t-table (0.026 < 2.35) at a significant level of 5%, with the conclusion that there is no significant difference between generic paracetamol and branded paracetamol were analyzed using High Performance Liquid ChromatographyIV, namely not less than 90% and not more than 110%. Statistical analysis using the t-student test, the results of t-count < t-table (0.026 < 2.35) at a significant level of 5%, with the conclusion that there is no significant difference between generic paracetamol and branded paracetamol were analyzed using High Performance Liquid Chromatography.
PENGARUH SEDUHAN LEMON TERHADAP INTENSITAS EMESIS GRAVIDARUM PADA IBU HAMIL TRIMESTER I DI PRAKTEK MANDIRI BIDAN (PMB) WILAYAH KERJA PUSKESMAS BOTANIA
Authors: Purba Netty Herawaty , Julianawati Tinta , Mariana
Published: October 2023

Background: Lemon is a source of vitamin C and antioxidants which are beneficial for health. The benefits of lemon are overcoming nausea and vomiting, controlling blood pressure, overcoming digestive disorders, overcoming constipation, increasing endurance, maintaining the bone health of pregnant women and fetuses, a source of antioxidants and others. Pregnancy is a natural process for every woman. One of the inconveniences experienced by pregnant women is nausea and vomiting / emesis gravidarum. This study aims to determine the effect of lemon infusion on the intensity of emesis gravidarum in first trimester pregnant women. Methods: Type of quantitative research with a quasi-experimental research design using a one group pretest-posttest design. The population in this study were all Trimester I Pregnant Women who experienced Emesis Gravidarum in April 2023 totaling 30 people in the PMB Working Area of the Botania Health Center. Sampling using total sampling. The time for the research was April – May 2023 which took place at the PMB working area of the Botania Health Center. The research instrument used the PUQE 24 assessment sheet and was analyzed using Wilcoxon. Results: The results showed that the average emesis gravidarum intensity before being given lemon infusion was 11.03 and the average emesis gravidarum intensity after being given lemon infusion was 7.47. The results of the analysis with a p-value of 0.000 (p <0.05). Conclusion: there is an effect of steeping lemon on the intensity of emesis gravidarum in first trimester pregnant women
PENGEMBANGAN MODUL EFIKASI DIRI DALAM MENGHADAPI PERSALINAN NORMAL BERBASIS KARIKATUR DALAM MENINGKATKAN PENGETAHUAN IBU HAMIL
Authors: Jumrah  , Julia Fitrianingsih  , SR Nurqalbi , Sumarni  , Rosita
Published: October 2023

The incidence of childbirth complications itself is a determinant of maternal morbidity and mortality. The importance of preparation is carried out as a program of instruction with a specific purpose and structure. Birth preparation aims to prepare all the needs during pregnancy and childbirth. Mother's self-efficacy can describe the ability to go through the birth process well. This is an important factor influencing women's motivation to give birth normally. This study aims to develop a caricature-based module to increase mothers' self-efficacy in dealing with normal delivery. The design used in this study is the R & D (Research and Development) method through 5 stages. After developing the module, a product trial was carried out using the Pilot Study. The number of participants in the module trial was 20 participants who were Trimester II and Trimester III pregnant women. Data analysis was carried out by descriptive and paired T-test. The results of the research show that development has been carried out through literature studies and focus group discussions (FGD) with the stages of material validation by 4 material experts and 2 media experts, where the results of the posttest module trial score were 81.04. The increase in knowledge before and after education is 24.99. This shows that the developed module can increase mother's knowledge. The developed module can be used by pregnant women to increase knowledge that will support the increase in the mother's self-efficacy in dealing with childbirth.
PENGARUH PEMBERIAN JUICE KACANG HIJAU TERHADAP PENINGKATAN PRODUKSI ASI IBU NIFAS
Authors: Handayani Saadah
Published: October 2023

Introduction: Mother's Milk (ASI) is the single most perfect food for babies in the first 6 months of growth, without any additional drinks or food. The low level of exclusive breastfeeding is caused by problems that are often caused by breastfeeding mothers, namely milk production that is not optimal. One of the factors that can affect milk production is the nutrition of breastfeeding mothers. Phaseolus radiatus is a food ingredient that can stimulate milk production. Objective: to determine the effect of giving green bean juice on milk production in postpartum mothers. Methods: This research is a quantitative research with a quasi-experimental method with a one group pretest posttest research design. The population of postpartum mothers at the Kebondalem Health Center, Pemalang Regency, with a total of 30 postpartum mothers using accidental sampling technique, totaled 16 samples of postpartum mothers. Data analysis used the Wilcoxon test with a ρ value of 0.005 or asym.sig <0.05. Results: the average postpartum mother has doubled her milk production before and after consuming green bean juice regularly for 3 days.Conclusion: There is an effect of giving green bean juice to increase milk production in postpartum mothers.
DAMPAK PERNIKAHAN DINI TERHADAP KESEHATAN REPRODUKSI: LITERATURE REVIEW
Authors: Nst Aisyah Amalia , Dini Aknes , Fasion Arisah , Sunarsih Tri , Rahmawati Dechoni
Published: October 2023

Marriage is a legally and religiously binding union between a woman and a man living together to start a family and continue offspring. Meanwhile, the problem of early marriage has not been resolved. This is quite a big problem for health workers, especially midwives. This literature review aims to analyze the impact of early marriage on reproductive health. Literature review based on problems, methods, similarities, and additional research ideas used in this research. 2 of the 4 studies we observed used qualitative research methods, 1 used qualitative and descriptive research methods, and 1 used descriptive research methods. The population used by the researchers was couples who married early and some of the results from the database obtained were from Google Scholar. The inclusion criteria for this research were informants who married at a young age and mothers who experienced problems as a result of marrying at an early age. Meanwhile, those excluded are women who marry at the right age and women who marry because of their desires. The results of this research show that the impact of early marriage is an immature reproductive system, and lack of maturity and early marriage is influenced by educational factors, economic factors, factors outside of marriage, and parental demands. Recommendations for further research where the impact of early marriage is a problem that must continue to be studied and solutions sought so that early marriage can be resolved.
HUBUNGAN PENGETAHUAN DAN EFIKASI DIRI PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS
Authors: Mailani Fitri
Published: October 2023

Background: Good knowledge will help patients with chronic kidney disease undergoing hemodialysis have good efikasi diri to overcome the symptoms and complaints experienced to improve their quality of life. This study aimed to determine the knowledge and efikasi diri of chronic kidney disease patients undergoing hemodialysis and the relationship. Method:  This study is a descriptive correlational study in which 131 chronic kidney disease patients undergoing hemodialysis in Padang City became research respondents. The study was conducted in two hemodialysis units in the city of Padang, namely, the hospital. M. Jamil Padang and Tk III Hospital Reksodiwiryo. The sampling technique was purposive sampling, taking into account the inclusion criteria. The study was conducted in April 2022. Spearman correlation test was used to see the relationship between knowledge and efikasi diri of chronic kidney disease patients undergoing hemodialysis. Result: The results showed that the average value of knowledge of patients undergoing hemodialysis was 17.94 (2,968) (range 0-25), and the average value of efikasi diri was 43.57 (9.89) (range 6-60). The correlation test results showed a significant positive relationship between education and efikasi diri with a p-value of 0.000 (p <0.05). Conclusion: It is expected that health workers have a structured educational program to increase knowledge of chronic kidney disease patients undergoing hemodialysis so that patients can increase efikasi diri in overcoming the symptoms they feel.
KARAKTERISTIK DAN KOMPETENSI PERAWAT KESEHATAN JIWA PUSKESMAS DI KOTA MAKASSAR
Authors: Harisa Akbar , Yodang Yodang , Hidayat Muhammad , Rahmatullah Marhamah Putri
Published: October 2023

Pelayanan keperawatan merupakan bagian krusial dari pelayanan kesehatan demi tercapainya derajat kesehatan yang optimal pada setiap individu, keluarga dan masyarakat. Kurangnya kompetensi perawat terhadap pelayanan kesehatan jiwa akan berdampak pada kualitas pelayanan kesehatan jiwa. Penelitian ini bertujuan untuk mengetahui hubungan karaktersitik dan kompetensi perawat dalam melayani pasien dengan gangguan kesehatan mental di Puskesmas. Desain penelitian yang digunakan adalah cross-sectional study. subjek penelitian ini adalah perawat penanggung jawab program kesehatan jiwa di masing-masing puskesmas di Kota Makasar yang dilaksanakan sejak Mei sampai Oktober 2022. Sebanyak 24 puskesmas di wilayah Kota Makassar sehinga dengan menerapkan total sampling maka jumlah partisipan atau subjek penelitian sebanyak 24 orang. Hasil penelitian menunjukkan bawah 58,3% diantaranya merupakan perawat yang kompeten (rentang novice-expert), dan semua variabel atau karakteristik responden menunjukkan tidak ada hubungan dengan tingkat kompetensi perawat penanggung jawab program kesehatan jiwa di puskesmas. Subjek yang masuk dalam kategori perawat kompeten telah mengikuti pelatihan kesehatan jiwa, seminar, dan memiliki pengalaman kerja lebih dari 5 tahun. Untuk meningkatkan validitas data hasil penelitian, maka jumlah subjek mesti ditingkat, termasuk penelitian lebih lanjut mengenai pengaruh variabel karakteristik lain terhadap kompetensi perawat, beberapa diantaranya dapat berupa latar belakang budaya, institusi, atau bahkan klasterisasi wilayah tempat perawat bekerja.
KUALITAS HIDUP LANSIA DIABETES MELLITUS DIHUBUNGKAN DENGAN TINGKAT KECEMASAN DAN DUKUNGAN SOSIAL PADA NEW ERA PANDEMI COVID-19
Authors: Siregar Rinco , Gultom Rumondang , Simanjuntak Siska Evi , Anwairi Ubay
Published: October 2023

Pada masa pandemi Coronavirus disease-19 (COVID-19) terutama pada lansia dengan Diabetes Mellitus (DM) sering mengalami kecemasan yang berdampak terhadap kualitas hidupnya, selain itu, penyakit DM itu sendiri juga berdampak terhadap kualitas hidup lansianya. Penelitian ini bertujuan untuk mengetahui hubungan tingkat kecemasan dan dukungan sosial keluarga dengan kualitas hidup lansia penderita DM di era new normal pandemi COVID-19 di Kabupaten Langkat Sumatera Utara. Jenis penelitian ini yang digunakan adalah deskriptif korelasidengan rancangan cross-sectional. Populasi dalam penelitian ini adalah seluruh lansia yang mengalami DM dan tinggal bersama dengan keluarganya sebanyak 240 lansia. Sampel dalam penelitian diseleksi dengan tehknik purposive sampling ini sebanyak 140 orang. Alat yang digunakan adalah Zung Self-Rating Anxiety Scale (ZSRAS/ZSAS) untuk mengukur kecemasan lansia, Multidimensional Scale of Perceived Social Support (MSPSS) digunakan untuk mengukur dukungan sosial yang diperoleh lansia, dan Older People’s Quality of Life Brief Questionnaire (OPQoL-Brief) untuk mengukur kualitas hidup lansia. Hasil uji Spearmen Rank Test menunjukkan ada hubungan negative antara tingkat kecemasan dengan kualitas hidup lasia penderita DM (P=000; < 0.05; r: -0.331), ada hubungan dukungan sosial dengan kualitas hidup lansia penderita DM (P=0.001; < 0.05; r: 0.647). Dapat disimpulkan bahwa lansia penderita DM yang mengalami kecemasan sedang, dan yang memperoleh dukungan sosial yang tinggi, memiliki kualitas hidup yang baik. Disarankan agar petugas kesehatan memberikan intervensi untuk menurunkan tingkat kecemasan dan meningkatkan dukungan sosial pada lansia.
PENGETAHUAN DAN SIKAP SISWA DENGAN TINDAKAN PENCEGAHAN COVID-19
Authors: Sigalingging Ganda , Ginting Magdalena , Nasution Zulkarnain , Tarigan Fatmawati
Published: October 2023

Background: The world was shocked  by the emergence of  COVID-19 virus infection. Therefore itis necessary to apply new habits such as washing hands, wearing masks, maintaining distance, avoiding crowds, and limiting mobility. Purpouse: The aim to analyze the relationship knowledge and attitudes of students the prevention of COVID-19 at state elementary school 030349 parfruits, Dairi regency.Method: This analytical survey study applied cross sectional approach. Seventy people were involved as the population in this study. this study used  total sampling wherein the number of sample equals to the number population. in analyzing  the data, chi-square test with α<0.05. Results: The results showed  that there was a  relationship of knowledge and preventive measures for COVID-19 with pvalue  of 0.02. There is a relationship attitudes and precautions for COVID-19 with pvalue of 0.02. Conclusion: The conclusion there was  a relationship  knowledge and attitudes with prevention of COVID-19. Advice: To the school to provide understanding to implement health protocols. Facilitating students by providing handwashing with soap (CTPS) facilities with running water and hand sanitizers in every class, teacher's room, school gate and other places students often access. Educating students to do CTPS and correct coughing/sneezing ethics, in collaboration with the puskesmas.
HUBUNGAN LAMA MENJALANI HEMODIALISA DENGAN STATUS DEPRESI PASIEN GAGAL GINJAL KRONIK DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN
Authors: Sepadha Putra Sagala Deddy , Hutagaol Aureliya , Anita Sabrina Iwanda , Zamago Jonta Hendrik Pratama
Published: October 2023

Hemodialisa adalah salah satu penanganan yang dapat dilakukan pada pasien gagal ginjal kronik dimana tindakan hemodialisa dapat menjadi terapi pengganti fungsi ginjal. Namun, lama menjalani hemodialisa dapat mempengaruhi factor psikososial pada seseorang akibat ketergantungan dan keterbatasan dalam melakukan aktivitas. Tujuan penelitian ini adalah untuk mengetahui hubungan lama menjalani hemodialisa dengan status depresi pasien gagal ginjal kronik di Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Jenis penelitian ini adalah penelitian kuantitatif dengan metode korelasional dan rancangan pendekatan Cross Sectional. Penelitian ini dilakukan pada bulan Juli-Agustus tahun 2023 di Ruangan Hemodialisa Rumah SakitUmum Imelda Pekerja Indonesia Medan. Penelitian ini menggunakan teknik pengambilan sampel Probability sampling dengan menggunakan metode sampling bertahap (Multistage Sampling) yaitu metode stratified sampling pada tahap pertama kemudian metode kuota sampling di tahap kedua, sehingga total sampel penelitian sebanyak 60 responden. Instrument yang digunakan pada penelitian ini adalah kuesioner yang mengacu pada Beck Depression Inventory (BDI-II) untuk mengetahui status depresi. Analisa data menggunakan analisa univariat dan bivariate dengan uji statistik (Uji Chi-Square) di aplikasi SPSS. Hasil penelitian pada penelitian ini menunjukan hasil uji statistik Chi-Square dengan nilai signifikan (p) value sebesar 0,001 atau p< 0,05, artinya ada hubungan antara lama menjalani hemodialisa dengan status depresi pada pasien gagal ginjal kronik di Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Kesimpulan yang kami dapatkan kecendrungan depresi meningkat pada klien yang baru menjalani hemodialisa. Semakin lama menjalani hemodialisa semakin rendah status depresinya.
Optimalisasi Tracking Rekam Medis Dengan Barcode di Puskesmas Lendah II
Authors: Ilmi Laili Rahmatul , Praptana Praptana , Sari Rizky Yuspita , Herawan Heri , Pramono Angga Eko , Indriyani Meita
Published: October 2023

In 2014, primary health centres Lendah II was implemented health information system for primary care (Simpus). the use of simpus can  help the physician and health practicioners entry data of patient, import dan export data and also improved theirs performance. The implementation of medical records for primary health centres an important role in managing patient data. The use of technology and information systems in the health sector has an impact on optimizing services. One of them is by utilizing a barcode system to support storage at primary health centres Lendah II This study aims to help the storage tracking system in the filing room using barcodes.  Data capture with FGD for needs analysis, then application design and trials. This research uses research and develompent.  The results of the study by making class diagrams, barcode applications and examples of barcodes applied to poly service names and medical record numbers. Barcodes will be printed and affixed to the patient's medical record to facilitate tracking of the The barcode of the patient's medical record number will also be affixed to the patient's BPJS card, making it easier for officers to check the patient's medical record number on the simpus. There is a scanner reader tool that will make it easier for officers to read barcode codes.
Tinjauan Pelaksanaan Audit Koding Berkas Pengklaiman Pasien Peserta BPJS Kesehatan di Rumah Sakit Umum Imelda Pekerja Indonesia Tahun 2021
Authors: Sitorus Mei Sryendang , Simanjuntak Esraida , Gusla Yeyi , Olviya Cicha
Published: October 2023

The coding audit is a review to ensure that the results of the diagnosis and treatment coding produced by the clinical coder are accurate, consistent and timely when compared to the information contained in the patient's medical record. The purpose of this study was to determine the implementation of the coding audit and to find out the efforts made to minimize the non-compliance of claims to the BPJS Health at Imelda Pekerja Indonesia Hospital in 2021. The type of research used was qualitative research with the number of informants as many as three coders who took Total Sampling. The research instrument used was an interview guide with qualitative descriptive data analysis techniques. Based on the results of the study, it was found that the level of knowledge of coding audit officers about coding audits is quite good but coding audits are still carried out post-claims and there are no instruments in implementing coding audits while the person in charge of coding audits at Imelda General Hospital is the Medical Committee, Verifier Internal, Quality Control and Cost Control Teamand Koder. Suggestions from researchers should Imelda Pekerja Indonesia Hospital socialize the coding audit SPO, then the coding audit is carried out pre-claim and in its implementation a coding audit instrument is made.
Analisis Kesiapan Implementasi Rekam Medis Elektronik Menggunakan Instrumen CAFP (California Academy of Family Physicians) di Puskesmas Kartasura
Authors: Hapsari Dyah Ayu , Andriani Rika , Igiany Prita Devy
Published: October 2023

Indonesian Ministry of Health Regulation No. 24 of 2022 on Medical Records requires all healthcare facilities must implement Electronic Medical Records (EMR) no later than December 31, 2023. Kartasura Primary Healthcare is one of the healthcare in Sukoharjo Regency that has not implemented EMR yet. A readiness analysis of EMRS is required to to improve service quality and workflow efficiency. CAFP instrument can be used for evaluating primary healthcare in transitioning to EMR. The purpose of this study is to determine the readiness of implementing EMR on management capacity, finance & budgeting, operations, technology, and organizational alignment. This was a descriptive-quantitative- research. Sample was 9 people who selected by stratified random sampling. Data collection used interviews and documentation studies. Results showed that management capacity was in range II with average score 9.3; financial capacity and budget were in range III with average score 5.2; operational capacity was in range III with average score 3.5; technology capacity was in range III with average score 9.4; and organizational alignment capacity was in range II with average score 17.3. Overall readiness for EMR implementation at Kartasura Primary Healthcare was in range II. To increase financial & budgetary, operational, and technological capacity, it is suggested to recruit IT team, EMR training, and EMR socialization to all potential users.
Tinjauan Kelengkapan Pengisian Formulir Persetujuan Tindakan Kedokteran Pasien Bedah Rawat Inap Di Rumah Sakit Tere Margareth Tahun 2022
Authors: Sabela Hasibuan Ali , Ritonga Zulham Andi , Simanjuntak Marta , Nababan Edward Ramos
Published: October 2023

Completeness of filling in the informed consent form is very important because it can affect the quality of medical records and the legal aspects contained in the medical records themselves. This type of research is descriptive with an observational approach, namely research that describes the current situation. The study population was the medical record document of the informed consent form of inpatients with the sample in this study being a portion of the total population. An overview of the completeness of filling out informed consent sheets in surgical cases at Tere Margareth General Hospital can be seen from the sample count with a total population of (235) divided by 1+235 (precision level/10%=0.1) which results in a sample of 70. Completeness of filling in the identification of providing information is 97% filled and 3% not filled. Completeness of filling in important report items is 92% filled and 8% not filled. Completeness of filling in medical action items is 98% filled and 2% not filled. Completeness of filling in authentication items is 87% filled and 3% not filled. The medical record unit is trying to be able to ask the nurse in charge to fill out the informed consent form so that it can fill it out completely.
Analysis of factors affecting the sustainability of CSR programs in the health sector in Indonesia
Authors: Nasrul Zaman  , Alfridsyah  , Fahrun Nur Rosyid
Published: October 2023

The health status of the Indonesian people is still at a low position in Southeast Asia and in terms of state budget allocation (APBN) Indonesia is still limited and has not been able to meet the needs and comply with the obligatory limits ordered by the health law. This causes the need for private sector involvement, especially government companies (BUMN) through CSR funds that have been required at 4% of company profits. This study aims to assist government companies (SOEs) in creating a model and strategy for CSR programs in the field of public health whose benefits are able to continue in the future even though the company's CSR assistance has ended. Quantitative explanatory research with purposive sampling method was conducted in 6 provinces in Indonesia at 14 locations of CSR programs in the health sector carried out by government companies (BUMN) and statistical analysis of data using Smart PLS version 3.0. The results showed that the sustainability of CSR programs in the health sector is influenced by CSR practices, the P value is *** or <0.05 and the t-statistic value is 6.396, the sustainability of CSR programs in the health sector is influenced by stakeholder support, the P value = 0.05 and the t-statistic value is 1.907, the sustainability of CSR programs in the health sector is influenced by participation, the P value is *** or <0. 05 and t-statistic value 6.349, participation is influenced by CSR practices P value *** or < 0.05 and t-statistic value 3.757, participation is not influenced by stakeholder support P value 0.543 or > 0.05 and t-statistic value 0.608, there is a strong influence between CSR practices and stakeholder support P value *** or < 0.05 and t-statistic value 17.674. The ability to sustain the benefits of CSR programs in the field of public health is largely determined by the mechanisms and practices of CSR carried out by companies and the inclusiveness of the program (public participation and stakeholder support).
Frequency of thrombotic microangiopathy in COVID-19 patients and its correlation with disease severity at Ndola teaching hospital and levy Mwanawasa university teaching hospital in Zambia
Authors: Alick Mwambungu  , Lydia Korolova  , Bornwell Sikateyo
Published: October 2023

Severe COVID-19 can result in multiorgan dysfunction, with the lungs being the most commonly affected and prominent organ. Recent studies suggest that an exaggerated immune response characterized by a cytokine storm may play a crucial role in the extensive organ damage observed in this disease. Additionally, COVID-19 patients often exhibit hypercoagulability, with a high incidence of thrombosis and a higher-than-expected failure rate of anticoagulation therapy. While macrovascular thrombosis is frequently observed, the presence of extensive microvascular thromboses, as reported in several case series and studies, raises the possibility of Thrombotic Microangiopathy (TMA) contributing to the thrombotic and multiorgan complications associated with COVID-19. Identifying TMA promptly and addressing the underlying pathophysiology may potentially improve outcomes for critically ill patients. The objective of the study was to determine the incidence of thrombotic microangiopathy (TMA) in COVID-19 patients and its association with COVID-19 disease severity at two tertiary hospitals in Zambia. The study was conducted at Ndola Teaching Hospital (NTH) and Levy Mwanawasa University Teaching Hospitals (LMUTH) using a hospital-based cross-sectional study design. The study recruited 173 COVID-19 positive patients and 167 COVID-19 negative patients using the simple random sampling technique. TMA was diagnosed in any COVID-19 patient presenting with anemia (hemoglobin concentration < 13.0 g/dl for men and < 12.0 g/dL for women), thrombocytopenia (platelet count < 150 x 109/L), reduced haptoglobin (<40 mg/dl), and the presence of more than 1% schistocytes on a May-Grunwald-Giemsa stained blood smear. Statistical analysis was performed using SPSS version 21, and the results were summarized in tables and graphs. According to the study, 22% of COVID-19 patients had Thrombotic Microangiopathy (TMA), and these patients had significantly elevated levels of cytokines such as Interleukin 1 (IL-1) (77.97±31.71 ng/l), Interleukin 6 (IL-6) (64.92±32.43 ng/l), Interleukin 8 (IL-8) (126.99±64.06 ng/l), and Tumor Necrosis Factor (TNF) (70.91±21.81 ng/l) compared to TMA-negative COVID-19 patients, in which the inflammatory cytokine profiles were Interleukin 1 (IL-1) (32.97±22.53 ng/l), Interleukin 6 (IL-6) (27.01±25.5 ng/l), Interleukin 8 (IL-8) (65.36±32.52 ng/l), and Tumor Necrosis Factor (TNF) (37.09±27.74 ng/l). Additionally, the study reported that all COVID-19 patients in critical condition had TMA. The authors recommended that a rational stepwise approach be implemented in diagnosing TMA in all COVID-19 patients suspected of thrombosis so as to institute appropriate treatment for TMA other than anticoagulation therapy.
Fighting with the Modern Plague: Temperance Movement, Degeneration and Education in Early Republican Türkiye
Authors: COŞĞUN KANDAL Sena
Published: October 2023

The temperance movement, which emerged in the 19th century with a scientific foundation, and the degeneration discourse found a place in the Ottoman Empire nearly simultaneously with Europe. The influence of doctors educated in Europe played a pivotal role in this process. While the temperance movement and the discourse on degeneration swiftly integrated into the Ottoman Empire's educational system, they assumed a more radical form in the Republic of Turkey. This study explores how the temperance movement and the degeneration discourse were incorporated into Turkey's education system during the single-party period. Commencing from the early years of the Republic's establishment, the Hilâl-i Ahdar Society, alongside a cadre of distinguished psychiatrists affiliated with the society, assumes a leading role in initiatives aimed at imparting anti-alcohol education to the youth. It has been seen that degeneration is addressed from two perspectives, especially in textbooks and magazines for the youth: biological and social. Biological degeneration was rooted in the belief that alcohol use would lead to a corrupt race. On the other hand, social degeneration viewed alcohol use as a problem capable of causing societal disarray, economic instability, and moral decay. In both dimensions, a connection was established between the anti-alcohol movement, the country's population policy, and notions of patriotism in the educational system.
COMPARATIVE ANALYSIS OF REGRESSION ALGORITHMS FOR PREDICTING STUDENTS' OVERALL RATINGS
Authors: Khan Muhammad Hamza
Published: October 2023

In the rapidly evolving landscape of education, the integration of Artificial Intelligence (AI) has revolutionized the way we assess students. This research study focuses on the development and evaluation of a modern Machine Learning (ML) model designed to allocate comprehensive ratings to a diverse group of 10 students. The model's objective is to assess students not merely on their academic achievements but also on a holistic scale, taking into account a wide array of parameters, as detailed below.
Various factors were systematically analyzed and integrated, including academic performance, extracurricular activities, study routines, and personal attributes, among others. This comprehensive approach seeks to provide a more nuanced and equitable representation of a student's overall capabilities and potential.
To determine the most effective ML regression algorithm for predicting these holistic ratings, a rigorous comparative analysis was conducted, evaluating the performance of multiple algorithms. The  study considered factors such as prediction accuracy, model interpretability, and computational efficiency.
The findings of this research shed light on which ML regression algorithm best predicts the overall ratings for the students in question, offering insights into the potential for AI-driven holistic assessment in educational settings. By embracing AI technologies, educators and institutions can enhance their understanding of students, ultimately contributing to more tailored and equitable educational experiences. This research carries implications not only for educational practitioners but also for policymakers and technologists seeking to leverage AI for educational improvement.
The detailed methodology, results, and practical implications of this study are discussed in the full research paper. It contributes to the ongoing dialogue on the integration of AI in education and its potential to create more inclusive and effective learning environments.
Calidad intrínseca de la carne de llama (Lama glama) de la Puna de Jujuy criada en pastos con dos niveles de suplementación de granos.
Authors: Labarta Fernando Eduardo , Farfán Norma B. , Chavarria Nicolas , Echenique Marcelo , Quintana Ana Laura , Verrastro Gustavo E. , Godoy Mónica Daniela , Zimerman María , Grigioni Gabriela
Published: October 2023

En la Puna Jujeña argentina, los productores agropecuarios tienen como principal actividad la ganadería de altura. Tradicionalmente, las llamas se alimentan de pastos naturales, siendo la suplementación con granos una alternativa cuando la disponibilidad y calidad de pasto es baja. El objetivo de este trabajo fue evaluar el efecto de dos niveles de suplementación con granos sobre la calidad de la carne de llama (Lama glama) criada en pastos naturales.  Se realizaron dos ensayos de engorde con 18 llamas machos enteros en cada uno. En el primero, se utilizó una suplementación del 1.5 % (S1.5 %) y en el segundo del 2 % (S2 %), del peso vivo promedio del grupo en base seca. Se consideró como tratamiento control (T) al grupo de animales que no recibió suplementación y se le asignó únicamente el pastoreo directo de los lotes, que estuvieron conformados por pastizales naturales. El suplemento estuvo constituido por grano de maíz molido (80 %) y expeller de soja (20 %). El mismo se ofreció en una entrega diaria en forma grupal, por la mañana. Se utilizó un diseño experimental en bloques completos aleatorizados. El primer ensayo tuvo una duración de 34 días, el segundo de 60 días, con 10 días previos de acostumbramiento a la nueva dieta.

En ambos ensayos no se observaron diferencias en las características sensoriales de la carne según las estrategias de alimentación. La suplementación con granos modificó la textura de la carne, dando como resultado una carne más dura. La carne se puede caracterizar como magra y con bajo potencial aterogénico y trombogénico. En función de los resultados, la estrategia de alimentación propuesta podría mejorar el suministro de carne, preservando la cultura y la identidad territorial en la región Puna Jujeña.
Manfaat Pemberian Asi Eksklusif untuk Bayi (0-6 bulan) di Desa Yukum Jaya Kecamatan Terbanggi Besar, Lampung Tengah
Authors: Sari Ekta Puspita
Published: October 2023

ASI merupakan makanan tunggal yang dapat memenuhi kebutuhan bayi hingga 6 bulan. Pemberian ASI eksklusif 6 bulan pertama kehidupan bayi yang diimbangi dengan pemberian MP ASI yang optimal merupakan intervensi kesehatan masyarakat yang sangat efektif dan efisien dalam mendukung pertumbuhan balita. Selain sebagai unsur growth factor, ASI saja selama 6 bulan dapat mengurangi risiko terjadi penyakit gastrointestinal dibandingkan dengan pemberian ASI hanya 3 bulan. Gangguan gastrointestinal yang dialami anak akan menghambat penyerapan makanan, sehingga jika hal ini terjadi dalam waktu yang lama dan berulang maka akan mengakibatkan anak mengalami kekurangan asupan makanan dan berdampak pada status gizi.Pengabdian kepada masyarakat ini menggunakan metode Survey Analitik, dengan target populasinya ibu-ibu yang memiliki bayi (0-6 bulan) di Desa Yukum Jaya RT/RW; 054/020, Kecamatan Terbanggi Besar Kabupaten Lampung Tengah. Populasi pada pengabdian kepada masyarakat ini yaitu ibu-ibu yang memiliki bayi (0-6 bulan) yang mengikuti posyandu balita di Desa Yukum Jaya Kecamatan Terbanggi Besar Kabupaten Lampung Tengah sebanyak 91 orang.
Pendidikan Gizi dan Penilaian Status Gizi Remaja Calon Ibu Sehat Untuk Mencegah Stunting di SMA Cinta Iilahi Gunung Sugih, Lampung Tengah
Authors: Ardini Weda Ayu
Published: October 2023

Status Gizi merupakan gambaran kondisi tubuh sebagai akibat dari pemnafaatan zat-zat gizi dari makanan yang dikonsumsi. Status gizi menjadi factor penting karena terdapat kaitannya dengan kecerdasan, produktifiktas dan kreativitas yang mampu mempengaruhi kualitas SDM. Masalah gizi adalah masalah yang kompleks dalam semua siklus kehidupan, mulia dari awal kehidupan dalam kandungan hingga usia lanjut. Remaja merupakan kelompok umur yang paling rentang terhadap masalah gizi. Kegiatan Pengabdian ini menggunakan metode Observasi, yaitu mengukur secara langsung Status Gizi remaja dari Pengukuran LILA, Indeks Massa Tubuh, dan Siklus menstruasi serta melakukan pendidikan kesehatan tentang gizi remaja, dengan target populasi siswi SMA IT Cinta illahi Kecamatan Gunung Sugih Kabupaten Lampung Tengah  sebanyak 26 siswi yang tersebar dari kelas X- XII. Kegiatan ini dilaksanakan pada  Januari 2023. Dari hasil pelaksanaan kegiatan PkM ini terkait penilaian Status Gizi dan pendidikan kesehatan tentang kebutuhan gizi remaja dapat disimpulkan bahwa kegiatan ini sangat bermanfaat bagi para remaja calon ibu sehat yang kelak akan menjadi seorang ibu yang akan melahirkan generasi-generasi Emas. Para siswi dan seluruh panitia maupuan pihak seolah sangat antusias dilaksanakannya kegiatan ini. Setelah dilakukannya kegiatan ini maka para siswi dapat mengetahui dan meningkatkan status gizinya.
Characterization of the dynamics of the successional stages of the Amazon forest using Google Earth Engine
Authors: SANTOS-BRASIL Iací D. , DALLA-CORTE Ana P. , SANQUETTA Carlos R. , YOSHIHIRO-NAKAJIMA Nelson , MELO-MOURA Marks , PERTILLE Carla T.
Published: October 2023

Aim of study: This study evaluates the potential of the Google Earth Engine tool, supported by fine-scale information obtained by Unmanned Aerial Vehicle, to apply and characterize the dynamics of the successional stages of the Amazon Forest in the state of Rondônia over ten years.
Area of study: The study was carried out in the state of Rondônia located in the North Region of Brazil (Western Amazon).
Material and methods: The data and its by-products were derived from the Landsat Level 1 - TOA collection of the United States Geological Survey, specifically Landsat 5 and 8. The mapping also used Phantom 4 Pro UAV images. We used the supervised classifier Random Forest to map the primary forest/advanced regeneration, medium regeneration, initial regeneration, and classes, and, subsequently, we crossed and quantified the successional advance and vegetation loss.
Main results: It was observed that the state lost forest area even with the successional advance that occurred throughout the period, implying that the forest succession was insufficient in the face of forest deforestation.
Research highlights: This study contributed to understanding the dynamics of the Amazon Forest, which goes through a process of deforestation and forest regeneration simultaneously.
Sustainability Leadership and Ethical Perspectives
Authors: Hasan Zuhair , Esmaail Rayyan , AlBusaidi Zulaikah , Caldwell Cam
Published: October 2023

The failures of leaders in the 21st century have reached crisis proportions, as evidenced by the alarming trends of “Quiet Quitting” and “The Great Resignation” (Jamali & Caldwell, 2023). Beck and Harter (2023) reported that 82% of people promoted to positions of leadership were the wrong individuals and 58% of employees in a 2018 survey indicated that they would rather trust a stranger than their boss (Damron, 2018). For organizations to reverse this trend of ineffective leadership, they must develop a sustainable leadership approach that incorporates true ethical principles (Hasan, 2022).The purpose of this paper is to address the need for “Sustainability Leadership” in modern organizations and to emphasize the importance of ethical leadership (Stouten, Van Dijke, & De Cremer, 2012). We begin this paper by defining Sustainability Leadership (SL) and emphasizing its importance as a leadership framework. After defining SL, we then identify how SL meshes with seven different leadership perspectives. We suggest eight propositions that leaders and organizations can test related to each perspective’s contribution to SL. We conclude the paper by identifying four contributions of this paper for leaders and organizations
An assessment of nurse-patient therapeutic communication and patient satisfaction with nursing care in multiple healthcare settings: A Study in Saudi Arabia
Authors: Alrimali Afaf , Alreshidi Nashi
Published: October 2023

Background: Effective therapeutic communication between nurses and patients is a fundamental element of high-quality healthcare. This study examines factors influencing therapeutic communication, including professional, contextual/situational, and patient-related aspects, while also assessing patient satisfaction with nursing care and the communication process.Methods: Employing a correlational cross-sectional design, a sample of 80 nurses and 99 patients under their care was selected using purposive sampling methods. This study encompassed diverse healthcare settings in Hail, Saudi Arabia. Data were collected through two survey questionnaires: the Nurse-Patient Therapeutic Communication Questionnaire for nurses and the Patient Satisfaction with Nursing Care Quality Questionnaire for patients. The data analysis was conducted using SPSS v29.0, with findings presented using descriptive and inferential statistics.Results: The professional dimension had a mean score of 5.56 ± 1.38, the contextual and situational dimension had a mean score of 5.69 ± 1.42, and the patient-related dimension had a mean score of 5.60 ± 1.46. Age, education level, and workplace significantly influenced all dimensions (all p < .001). Patient satisfaction scores ranged from 1.87 to 5.00, with an average score of 4.07 ± 0.72. Interestingly, patient satisfaction tended to increase with longer stays, r(97) = .23, p = .024, with the length of stay explaining 5.11% of the variability in patient satisfaction.Conclusions: This study identifies three key dimensions—professional, contextual/situational, and patient-related—as significant factors in nurse-patient communication. Demographic variables, including age, education, and workplace, also played pivotal roles. Notably, patient satisfaction levels were consistently high and positively correlated with longer stays. To foster patient-centred care, it is recommended to prioritize customized communication training and sustain nurturing interactions throughout the patient's care journey.