bluuebunny/crossref_metadata_2025 huggingface dataset:
Museumspädagogik im digitalen Raum und die Pandemiezeit ‒ ihre transitiven Prozesse und Rituale
Authors: Kempf Katalin , Vincze Beatrix , Németh András
Published: December 2022

As a specific pedagogical transformation of the above-mentioned cultural anthropological approach, the article attempts to answer the questions motivated by museum pedagogy. They are: a) What transitional processes are evident in the world of traditional museums because of digitalisation in the informal processes of museum knowledge transfer? b) How do these processes affect the behaviour of museum visitors and the rituals of the museum visit itself? The topicality of the research to be presented is that museums closed because of the COVID pandemic have been permanently transformed into virtual space, which has fundamentally changed the range of museum content and their museum education programmes. Research complementing the topic analyses the websites of Hungarian museums and examines the main characteristics of virtual visitors (need-based information, search, and user activities) and changes in visitor behaviour. It analyses a) how visitor rituals develop, b) how specific elements of these specific transitional changes appear in cyberspace. The research intervals were Spring quarantine 2020, reopening in summer and closure period from autumn 2020 to spring 2021.
RE-EVALUATION OF FOREIGN WORKERS' PLACEMENT AND REPATRIATION FACTORS
Authors: Al Masud Sheikh Mohammad Maniruzzaman , Binti Hamzah Rohana , Ahmad Hasan
Published: December 2022

Malaysia has witnessed an influx of foreign workers (FWs), mainly due to its rapidly expanding economy. However, Malaysian labour migration policies have remained a short-term solution to fill instant labour shortages since they were introduced. The current policy has weaknesses due to not successfully controlling FWs at all phases, including the placement and repatriation stages. The focus of policies on public safety-rather than on labour administration and long-term sustainable development-has left room for abuse of and restrictions on FWs by employers and agents. This study aimed to identify crucial factors related to FWs’ placement and repatriation phases, and focused on SDG  08 due to the connection between  detected factors and sustainability via decent work. It adopted a sequential exploratory mixed methods design, characterised by qualitative (in-depth interviews) and quantitative (face-to-face survey) data collection and analysis, respectively. The results highlighted the need to re-evaluate certain placement and repatriation factors for faultless placement and impeccable return of FWs. The findings of this study will help in redesigning FWs’ placement and repatriation policies. Moreover, the results will also assist in reducing illegal/irregular FWs as well as mistreating of FWs inside Malaysia, and ensuring FWs’ contribution to Malaysian society and the economy.
Reference ranges of anti‐Müllerian hormone and interaction with placental biomarkers in early pregnancy: the Generation R Study, a population-based prospective cohort study
Authors: Dykgraaf R H M , Schalekamp-Timmermans S , Adank M C , van den Berg S A A , van de Lang-Born B M N , Korevaar T I M , Kumar A , Kalra B , Savjani G V , Steegers E A P , Louwers Y V , Laven J S E
Published: December 2022

Objective

The primary objective of this study is to establish maternal reference values of anti‐Müllerian hormone (AMH) in a fertile multi-ethnic urban pregnant population and to evaluate the effect of gestational age. The secondary objective of this study is to explore the association between AMH and placental biomarkers.

Design

This study was embedded in the Generation R Study, an ongoing population-based prospective cohort study from early pregnancy onwards.

Setting

City of Rotterdam, the Netherlands, out of hospital setting.

Patients

In 5806 women, serum AMH levels were determined in early pregnancy (median 13.5 weeks; 95% range 10.5–17.2).

Intervention(s)

None.

Main outcome measures

Maternal AMH levels in early pregnancy and its association with placental biomarkers, including human chorionic gonadotrophin (hCG), soluble fms-like tyrosine kinase-1 (sFLT), and placental growth factor (PLGF).

Results

A nomogram of AMH in early pregnancy was developed. Serum AMH levels showed a decline with advancing gestational age. Higher AMH levels were associated with a higher level of the placental biomarkers hCG and sFLT in early pregnancy. This last association was predominantly mediated by hCG. AMH levels were negatively associated with PLGF levels.

Conclusion

In this large study, we show that AMH levels in early pregnancy decrease with advancing gestational age. The association between AMH and the placental biomarkers hCG, sFLT, and PLGF suggests a better placental development with lower vascular resistance in mothers with higher AMH levels. Hence, AMH might be useful in predicting adverse pregnancy outcomes due to impaired placental development.
Performance of contrast-enhanced ultrasound for lymph node metastasis in papillary thyroid carcinoma: a meta-analysis
Authors: Yu Yong , Shi Lin-Lin , Zhang Hua-Wei , Wang Qian
Published: December 2022

Background

Papillary thyroid carcinoma is the most common thyroid carcinoma worldwide. Papillary thyroid carcinoma metastasis to the cervical region increases the probability of local or regional recurrence and the requirement for further surgery. Contrast-enhanced ultrasound has been suggested as a possible adjunct diagnostic technique for evaluating papillary thyroid carcinoma metastatic lymph nodes in several studies. This meta-analysis aims to evaluate the diagnostic accuracy of contrast-enhanced ultrasound for cervical lymph nodes metastatic in papillary thyroid carcinoma patients.

Methods

A search for studies evaluating the role of contrast-enhanced ultrasound for assessing cervical lymph nodes metastatic in papillary thyroid carcinoma patients from January 2000 to May 2022 was performed in PubMed, Embase, OVID, and Web of Science databases. The Quality Assessment of Diagnostic Accuracy Studies 2 evaluated the quality of the studies. All analyses were performed using Review Manager 5.3 and Stata 17.0.

Results

A total of seven articles were finally included in this study. Perfusion type, enhancement homogeneous, hilum absent, and perfusion defect were involved in the meta-analysis as the standard of contrast-enhanced ultrasound, among which, perfusion type showed the best diagnostic performance. The pooled estimated sensitivity, specificity, positive likelihood, negative likelihood ratio, and diagnostic odds ratio of perfusion type in contrast-enhanced ultrasound for detecting lymph node metastasis were 0.95 (0.91, 0.97), 0.87 (0.69, 0.96), 7.51 (2.80, 20.14), 0.06 (0.03, 0.10), and 124.17 (42.78, 360.46), respectively. Heterogeneity was moderate.

Conclusion

The perfusion type in contrast-enhanced ultrasound has good diagnostic performance for cervical lymph nodes metastasis in papillary thyroid carcinoma patients.
The physiology of growth hormone (GH) in adults: translational journey to GH replacement therapy
Authors: Ho Ken KY , O’Sullivan Anthony J , Burt Morton G
Published: December 2022

The fact that growth hormone (GH) plays an important role in health after the cessation of growth requiring replacement therapy in adult life has only been recognised in the last three decades. This has only been made possible by recombinant technology providing GH supplies required to undertake investigations in the physiology of GH action and the benefits of replacement therapy in patients identified by rigorously validated diagnostic tests for GH deficiency (GHD). Human studies have revealed important regulatory roles in substrate metabolism, sodium homeostasis, body composition, and physical function. GH-induced anabolism is achieved by stimulating amino acid incorporation into protein while reducing oxidative loss simultaneously enhancing lipid utilisation by stimulating fatty acid oxidation and reducing lipid storage. Sodium and fluid retention are enhanced by activating the renin–angiotensin system and distal renal tubular reabsorption. GH stimulates the aerobic and anaerobic energy systems that underpin muscle and cardiovascular function. These pleiotropic actions explain the clinical picture of increased adiposity, reduced lean mass, and impaired physical and psychological function in the GHD adult, all of which are reversed when GH is replaced. Women require a greater replacement dose of GH than men. This is because androgens enhance while oestrogens attenuate GH action. The oestrogen effect is route-dependent, occurring with oral delivery blunting the liver-mediated actions of GH by directly inhibiting GH receptor signalling, global experience spanning over 30 years has attested to the safety, efficacy, and benefits of replacement therapy for adults with GHD.
Estudio de revisión del concepto de competencias en el ámbito organizacional
Authors: Alba Marrugo Mario Alejandro , Cardénas Niño Lucil , Arana Medina Claudia Marcela , Betancur Arias Juan Diego , Restrepo Arismendy Adriana María
Published: December 2022

El mercado laboral requiere profesionales con habilidades y cualidades específicas para alcanzar un desempeño superior. No obstante, desde el ámbito organizacional no hay modelos comunes de competencias que guíen claramente procesos de selección y formación. En consecuencia, este estudio tenía como objetivo identificar cómo se conceptualiza el término de competencia, describir las competencias que más destacan y caracterizar los instrumentos utilizados para evaluarlas. Se realizó una revisión de 50 artículos encontrados en las bases de datos Springer Link, Scopus, Proquest, Dialnet, Scielo y Google Académico. El análisis de los documentos sugiere que el concepto de competencia es holístico, incluyendo conocimientos, habilidades y cualidades personales, sin embargo, no existen modelos teóricos que las integren. Tampoco se encontró consenso en los instrumentos que se estructuran para la evaluación de competencias. Estas falencias evidencian la necesidad de estructurar un modelo de competencias en el ámbito organizacional que permita unificar diferentes perspectivas.
Funcionalidad familiar y percepcion de la satisfaccion necesidades basicas de cuidado en adultos mayores de Cartagena-Colombia
Authors: Manrique-Anaya Yolima , Escobar Velasquez Katy
Published: December 2022

Introducción: La familia ante el envejecimiento de sus miembros debe establecer comportamientos de cuidado, apoyo emocional, empatía, escucha, entre otros además de responder a sus necesidades de cuidado. Objetivos: Describir la funcionalidad familiar y las necesidades básicas de cuidado en los adultos mayores independientes de dos localidades de Cartagena-Colombia 2020. Materiales y métodos: Estudio descriptivo, transversal y correlacional, población 1340 adultos mayores de 60 años, muestra 102 adultos mayores residentes en dos localidades; la información se recolecto por formulario Google, se usó el instrumento Apgar familiar y las 14 necesidades de Virginia Herdenson. En el análisis estadístico se empleó medidas de tendencia central y el índice de correlación chi cuadrado. Se contemplaron los aspectos éticos de respeto a los derechos humanos, beneficencia, no maleficencia y justicia. Resultados:  predominó el sexo femenino con (53.9 %), en edades de 60 a 65 años con un (56.9%), en cuanto al estado civil  (49%) de los adultos mayores son casados y viven en unión libre (30.4%), nivel de escolaridad (34.3%) realizó primaria; se encontró que el 50% de los adultos mayores son hipertensos; la funcionalidad familiar fue 97.9 % funcional y mostró que el vivir juntos es relevante para percibir cuidado en sus necesidades índice de correlación (p=0.014), además las mujeres perciben más cuidado que los hombres índice de correlación (p=0,036). Conclusión: El apoyo familiar es relevante en suplir las necesidades de cuidado del adulto mayor, así como el convivir en pareja mantiene y preserva las conductas de cuidado evidenciado en mantener una funcionalidad familiar normal.
Competencia cultural en psicoterapia: un imperativo ético
Authors: Salinas-Oñate Natalia , Silva González Abner , Santibáñez Fernández Patricia
Published: December 2022

Este artículo presenta una revisión del concepto de competencia cultural (CC) en psicoterapia, considerando los aspectos históricos que han propiciado su aparición y su actual relevancia para la psicología clínica aplicada. Se examina el concepto de cultura y los principales enfoques en CC. Se revisa críticamente el complejo desafío en la operacionalización de esta competencia, examinando algunas propuestas actuales, y reflexionando en torno a la relevancia de articular psicología cultural y clínica en la formación de psicólogos. La presente revisión, permite relevar un tema que éticamente es primordial para asegurar que los tratamientos psicológicos sean justos y pertinentes para grupos culturalmente diversos, en un país multicultural como Chile.
Production phases and market for timber gridshell structures: A state-of-the-art review
Authors: Ghiyasinasab Marzieh , Lehoux Nadia , Ménard Sylvain
Published: December 2022

Timber gridshell is a structure with a doubly curved shape that is made of grid timber laths. Gridshell structure can be a solution of interest in modern free-form structures that are environmentally sustainable. However, there is a lack of academic research focusing on the potential markets and the production stages based on this construction technology. The aim of this literature review is to investigate the gridshell structure to identify its global production process, as well as the partners involved in the architectural examples studied. A review of both peer-reviewed scientific articles and grey literature resources (e.g., magazines, web pages, etc.) was conducted to gather information about timber gridshells. The design examples found were categorized as small, medium, and large gridshells. The categorization is based on the size and level of complexity of the design examples. Production phases and partners involved in the design and construction of these structures were identified for each category. Furthermore, the motivations and barriers to using gridshell designs in construction, and the potential market segments were determined.
Assessing the complexity of timber gridshells in architecture through shape, structure, and material classification
Authors: Charest Philippe , Potvin André , Demers Claude M. H. , Ménard Sylvain
Published: December 2022

New possibilities offered by recent modelling software allow the design of organic shapes that are appealing to architects and engineers but may encompass serious issues such as an overconsumption of materials. In this context, there is a renewed interest in systems allowing the materialization of curved surfaces such as timber gridshells, which can be defined as shells with their structures concentrated in strips. However, gridshell design becomes highly challenging if complex grid configurations and new material possibilities are combinedly explored with form generations. These upheavals highlight the need for a classification system to seize the potential and the limitations of timber gridshells to address complex geometries. The classification of 60 timber gridshells enables a critical examination in the course of the ceaseless quest for complexity in architecture by evaluating current building possibilities and predict future building opportunities in terms of form, structure, and materiality.
Property comparison of thermoplastic starch reinforced by cellulose nanofibrils with different chemical compositions
Authors: Park Chan-Woo , Han Song-Yi , Seo Pureun-Narae , Youe Won-Jae , Kim Yong Sik , Choi Seon-Kang , Kim Nam-Hun , Lee Seung-Hwan
Published: December 2022

Masterbatch composites made from starch/glycerol mixtures having 50 parts per hundred resin (phr) of three cellulose nanofibrils (CNFs) with different chemical compositions were prepared by pre-gelatinizing starch to create better dispersion of CNFs. The CNF contents were adjusted to 1, 5, 10, and 30 phr by adding ungelatinized starch and glycerol to the obtained masterbatch composite. The composite was then extruded at 150 ºC using a twin-screw extruder. The average diameters of the lignocellulose nanofibrils (LCNF), holocellulose nanofibrils (HCNF), and pure cellulose nanofibrils (PCNF) were 53.1, 24.4, and 22.4 nm, respectively. By increasing the CNF content in all nanocomposites, the tensile strength and elastic modulus were improved, whereas the elongation at break was diminished. Tensile properties were higher in the order of thermoplastic starch (TPS)/HCNF > TPS/PCNF > TPS/LCNF nanocomposites when the same CNF content was used. The addition of LCNF and PCNF also improved the thermal and moisture stability, whereas a negative effect was found in the TPS/HCNF nanocomposite. The effect of the LCNF on the thermal and water stability was greater than that of the HCNF and PCNF composites. The water uptake of the TPS/HCNF nanocomposite was higher than that of the TPS without CNFs.
Effect of the composting system of hickory shell on the degradation of lignocellulose
Authors: Zhang Jinping , Ying Yue , Li Xuebin , Yao Xiaohua
Published: December 2022

Three experimental groups were designed to study the effects of different exogenous nutrients on a composting process and the degradation extents of cellulose, hemicellulose, and lignin. Hickory shell was the main raw material, and spent mushroom substrate and composted chicken manure were used as exogenous nutrients. The C/N ratios of these groups were adjusted to 34 by using soybean meal. The study results showed that the duration of high-temperature stage of composting was shortened and the maturity of composting products was improved by adding exogenous nutrients. The seed germination index with spent mushroom substrate and composted chicken manure were 112% and 101%. The addition of exogenous nutrients reduced the composting weight loss and increase the degradation extents of cellulose (≥64.6%), hemicellulose (≥82.4%), and lignin (≥64.3%). In particular, the degradation of compost products with composted chicken manure was higher than that of the composting products with the spent mushroom substrate. In the hickory shell composting system, bacteria played a dominant role in the initial and thermophilic phase, and the lignin degradation is related to the quantity of fungi and actinomycetes in composting process.
Properties of densified solid biofuels in relation to chemical composition, moisture content, and bulk density of the biomass
Authors: Shojaeiarani Jamileh , Bajwa Dilpreet S. , Bajwa Sreekala G.
Published: December 2022

Global energy consumption is expected to grow by 56% between 2010 and 2040. Renewable energy is one of the fastest-growing energy resources, and biomass is a major feedstock for providing renewable energy. It constitutes up to 35% of the main energy consumption in developing countries. Densified solid biofuel with high density gets a lot of attention due to its uniform shape and low heating cost. When considering densified solid biofuels as a viable solution for energy production, its quality needs to be improved. Solid biofuel quality is a function of the chemical composition and physical properties of the raw materials. It is widely reported that the raw material chemical composition has a major effect on the final solid biofuel quality, as it influences the heating value, ash content, and mechanical durability. The moisture content influences the net heating value, combustion efficiency, and mechanical durability of solid biofuels. The bulk density influences the mechanical durability, thermal characteristics, as well as handling and storage costs of solid biofuels. This work reviewed the latest developments on the effects of the chemical composition, moisture content, and bulk density of raw materials on the thermal efficiency, emission, and mechanical durability of densified solid biofuels.
Physicochemical studies of tamarind shell tannins as a potential green rust converter
Authors: Abdulmajid Abdullahi , Hamidon Tuan Sherwyn , Rahim Afidah Abdul , Hussin M. Hazwan
Published: December 2022

The characterization of tamarind shell tannins for potential use in rust transformation was studied. Fourier-transform infrared spectroscopy (FTIR), nuclear magnetic resonance (NMR), differential scanning calorimetry (DSC), thermal gravimetric analysis (TGA), and phytochemical assays were applied to examine tamarind shell tannins. The analyses revealed that the methanol extract of tamarind shell (TME) was rich in phytochemical compounds, compared to that of aqueous acetone extract of tamarind shell (TAE). Furthermore, the FTIR and NMR studies confirmed the presence of tannins. The FTIR study on the performance of tamarind shell tannins on rust treatment via the effects of concentration, pH, and reaction time was evaluated. The FTIR spectra revealed that the percentage rust transformation (RT %) was in the order of lepidocrocite (γ-FeOOH) > magnetite (Fe3O4) > goethite (α-FeOOH). Meanwhile, the results obtained revealed that lepidocrocite peaks completely disappeared, and magnetite peaks reduced intensity up to 95.83 RT % for TME and 94.75 RT % for TAE. The TME was the best rust converter at 7% concentration.
Properties of cross-laminated oriented bamboo scrimber board (CL-OBSB)
Authors: Chung Min-Jay , Wang Sheng-Yang
Published: December 2022

Physical and mechanical properties were evaluated for cross-laminated oriented bamboo scrimber board (CL-OBSB). Results of non-destructive testing revealed a linear relationship of parallel grain content with ultrasonic-wave velocity, dynamic modulus of elasticity (DMOEu), tap-tone velocity, and DMOEt values. In terms of the ratio of parallel grain, CL-OBSB 80%(//) possessed the highest modulus of elasticity and modulus of rupture values along with the greatest strength. The high grain content compressed in a parallel direction contributed to superior strength performance. Regarding the perpendicular compressive (C┴) strength, because both the CL-OBSB 40%(//) configuration and CL-OBSB have a mid-layer consisting of 60% parallel grain, CL-OBSB 40%(//) holds the largest C┴ value. Furthermore, the shear bond strength (S) showed that the S// value was 1.03 times that of the S┴ value with a wood failure frequency of 97%. After the dimensional stability test, the water absorption and volumetric swelling of the four CL-OBSB types ranged between 15.3% and 17.7% and 9.5% to 10.6%, respectively. In conclusion, the orthogonal configuration of CL-OBSBs can improve balance expansion and contraction in different directions, thus increasing its dimensional stability.
Outcome of the AVID College Preparatory Program on Adolescent Health: A Randomized Trial
Authors: Dudovitz Rebecca N. , Chung Paul J. , Dosanjh Kulwant K. , Phillips Meredith , Tucker Joan S. , Pentz Mary Ann , Biely Christopher , Tseng Chi-Hong , Galvez Arzie , Arellano Guadalupe , Wong Mitchell D.
Published: December 2022

BACKGROUND AND OBJECTIVES

Academic tracking is a widespread practice, separating students by prior academic performance. Clustering lower performing students together may unintentionally reinforce risky peer social networks, school disengagement, and risky behaviors. If so, mixing lower performing with high performing youth (“untracking”) may be protective, leading to better adolescent health.

METHODS

Advancement via Individual Determination (AVID), a nationally-disseminated college preparatory program, supports placing middle-performing students in rigorous college-preparatory classes alongside high-performing peers. We conducted the first randomized, controlled trial of AVID in the United States, randomizing 270 students within 5 large public high schools to receive AVID (AVID group) versus usual school programming (control group). Participants completed surveys at the transition to high school (end of eighth grade/ beginning of ninth grade) and the end of ninth grade. Intent-to-treat analyses tested whether AVID resulted in healthier social networks (primary outcome), health behaviors, and psychosocial wellbeing.

RESULTS

At follow-up, AVID students had lower odds of using any substance (odds ratio [OR] 0.66, 95% confidence interval [CI] 0.48–0.89) and associating with a substance-using peer (OR 0.74, 95% CI 0.45–0.98), and higher odds of associating with a peer engaged in school (OR 1.73, 95% CI 1.11–2.70). Male AVID students had lower stress and higher self-efficacy, grit, and school engagement than control students (P < .05 for all). No adverse health effects among high-performing peers were observed.

CONCLUSIONS

AVID positively impacts social networks, health behaviors, and psychosocial outcomes suggesting academic untracking may have substantial beneficial spillover effects on adolescent health.
Coping with Destructive Behaviour of Learners: Teachers’ Reaction to Learners’ Aggression and Aggressiveness of Teachers
Authors: Rean Arthur A. , Konovalov Ivan A. , Kosheleva Ekaterina S.
Published: December 2022

Introduction. The article presents the analysis of the ways teachers cope with situations of conflict at secondary school and destructive behavior of learners. Highly functional coping teachers’ behavior is the main problem of the study. The purpose of the article is to present the results of a study of the relationship between various parameters of teachers’ aggressiveness and priority ways of responding to situations of conflicts between learners, as well as to test the assumption that there is a relationship between the chosen method of coping with adolescents’ aggressive behavior and teachersʼ idea about the permissibility of aggression.
Materials and Methods. 5 086 teachers from seven regions of the Russian Federation (five federal districts) took part in this study. The study was implemented in the form of an anonymous online questionnaire. The following statistical analysis methods were used: Student and Mann-Whitney criteria, correlation analysis (Spearman coefficient). Data processing was carried out in R Studio (R version 4.0.0) and SPSS.
Results. Respondents with a high level of physical aggression, anger and hostility (compared to respondents with a low level) are significantly less likely to choose an active form of reaction and significantly more often – passive and emotional forms. Teachers who actively react to the aggression of adolescents do not consider aggression an acceptable form of behavior. Teachers who prefer a passive and emotional way of responding to aggression are more likely to consider aggressive behavior at school acceptable.
Discussion and Conclusion. The results conceptualize various aspects of the teacher's attitude to adolescent aggression and, in many respects, directly indicate the risks of “normalizationˮ of adolescent aggression as a form of behavior in the minds of teachers with high rates of various aspects of aggressiveness.
An updated checklist of vascular epiphytes in the Darjeeling Himalaya, India
Authors: Rai Preshina , Moktan Saurav
Published: December 2022

The Darjeeling Himalaya, located in eastern part of the Himalaya biodiversity hotspot in India, is known for its diverse vegetation. The varying climatic conditions along the elevational gradient provide suitable habitats for supporting a rich flora in the region. We provide an updated checklist of vascular epiphytes in Darjeeling Himalaya. A total of 239 vascular epiphyte species belonging to 93 genera and 38 families have been recorded from the region, which include holoepiphytes, hemiepiphytes, facultative and accidental epiphytes. Orchidaceae was the largest family with 70 species, followed by Polypodiaceae comprising 42 species. We make available baseline biodiversity information on vascular epiphytes of the study area and provide details on taxonomic diversity and distribution in terms of vegetation types and along the elevational gradient. We also provide photographs to facilitate field identification.
The effect of laughter therapy to reduce work stress levels among administrative staff at Universitas Muhammadiyah Yogyakarta
Authors: Lestari Nina Dwi , Widyaningrum Restu
Published: December 2022

Background: Work stress is a serious problem that must be dealt with because workers who experience work stress will experience emotional feelings, discomfort at work, and frustration, which can affect their work at work. Therefore, laughter therapy is the right and cheapest way to relax tense muscles to reduce work stress. This research aimed to understand the effect of laughter therapy on reducing stress caused by work on administrative staff.Methods: This research used the Quasi-Experiment method. The sample in this study was 20 staff of Universitas Muhammadiyah Yogyakarta divided into control and intervention groups containing ten people, respectively. The sampling technique was random sampling. The intervention group got laughter therapy three times a week in 1 week. Meanwhile, the control group was directed without treatment. These stress levels were measured at pre and post-test using a modified work stress questionnaire from NIOSH. The statistical test that was used was the Wilcoxon test and the Man Whitney test.Results: The average distribution of the work-stress level at the pre-test stage was 22.7 and at the post-test stage was 21, with the p-value 0.883 (p> 0.05). In the intervention group, the average distribution of the total stress level at the pre-test stage was 20.8 and at the post-test stage was 18.5, p-value 0.203 (p> 0.05). This means that there was no significant difference between the pre-test and post-test stress levels in the control and intervention groups. The Mann-Whitney test results show a decrease in the p-value in the comparison of the average pre-test (p=0.705) and post-test (p=0.448) in both groups.Conclusion: Laughter therapy can reduce work stress in the intervention group, but the decrease does not show statistical significance. Work stress levels have decreased more in the group that has received laughter therapy than those who have not received laughter therapy.
Parents’ knowledge, attitude, and perception of immunization in Tangerang
Authors: Sinaga Juan Antonio Fernando , Sari Yohana Melani , Takaendengan Yovin Azriella , Kartika Lia , Tahapary Prisca Adipertiwi
Published: December 2022

Introduction: Immunization is an essential component of global efforts worthwhile to reduce illness and child mortality. The results of initial interviews with residents found that residents were traumatized by fake immunization, were afraid of the incidence of infants dying from immunization, felt distrust of the benefits of immunization. This study aims to determine the description of parents’ knowledge, attitudes, and perceptions towards the toddler’s immunization in one village in Tangerang.Method: The design of this study is quantitative descriptive with a positivism approach. The population includes all parents who have children under five in one village in Tangerang. This study involved 148 respondents obtained through a purposive sampling technique. Data retrieval uses a valid and reliable measurement tool. Univariate data analysis uses descriptive test techniques, which are presented in the frequency distribution table.Result: The results in this study found that most respondents had good knowledge of immunization as many as 121 respondents (81.8%), more than half of respondents had positive attitudes as many as 82 respondents (55.4%), and more than half of respondents had positive perceptions against immunization, as many as 78 respondents (52.7%).Conclusion: We need accountable information through the provision of education under local wisdom to change the perceptions and attitudes of parents towards immunization. Further research is necessary to identify parents’ behavior and how it relates to the completeness of toddler immunization.
Capillary blood glucose measurements at lateral and median fingertips in patients with type 2 diabetes mellitus in Malang: comparison of pain levels
Authors: Hany Alfrina , Subekti Prasetyo Tantrem , Lukitasari Mifetika
Published: December 2022

Introduction: Self-monitoring of blood glucose is one of the ways to treat type 2 diabetes mellitus, which is a chronic disease that affects many people. Blood glucose is measured by taking a sample from a capillary blood vessel, such as a finger. To decrease the pain, it is vital to learn more about the exact position of the puncture on the finger. The aims of this study is compare the location of the capillary blood collection at the median and lateral fingertips to the level of pain experienced by patientsMethods: With a sample of 50 participants, the lateral area of the finger and the median finger were separated into two groups. The Visual Analog Scale is the tool used to assess pain (VAS).Results: The lateral group's mean pain level was low. The median group had the greatest pain scale among 50 responders whose pain level was assessed using the VAS instrument. Based on the Mann-Whitney test results, there were differences in the level of pain in blood glucose in the lateral and median fingers (p = 0.036).Conclusion: The lateral and median fingertips in the capillary blood sample have different levels of pain. Although the location lateral to the fingertip is a less painful site for capillary blood collection than the median fingertip location, it still needs to be validated in bigger clinical trials.
The comparison of the effectiveness between cananga aromatherapy and dzikr therapy on reducing anxiety in the elderly with hypertension at posyandu Tawarsari Wonosari Gunungkidul
Authors: Binoriang Dinasti Pudang , Pramesti Sintya Wahyu
Published: December 2022

Introduction: The process of degenerative aging was natural and experienced by every human being. One of the psychological problems experienced by the elderly was anxiety. Anxiety is defined as an emotional response that is influenced by the subconsciousness in a person associated with feelings of restlessness, worry, uncertainty, and other specific causes. One of the therapies to reduce the level of anxiety was by giving Cananga aromatherapy and practicing Dhikr. This study aims to determine the effectiveness of giving Cananga aromatherapy and Dhikr to reduce anxiety in older people with hypertension at Posyandu Tawarsari Wonosari Gunungkidul. Metodh: This study used a quantitative method with a pre-experimental with the pre-post test without a control group. The participants were 30 older people using a total sampling technique that was divided into two intervention groups. This study used paired sample t-test and an independent sample t-test to analyze the data. The anxiety response in the elderly was measured by using the HARS scale (Hamilton Anxiety Rating Scale). This study obtained a p-value = 0.000 (p <0.05), indicating a significant difference in anxiety after the intervention of giving Cananga aromatherapy and Dhikr. Result: The comparison test results between the two intervention groups obtained a significant value, namely p = 0.876. It means that “HA” was accepted, namely the provision of Cananga aromatherapy and Dhikr, which effectively changed the anxiety levels. Conclusions: However, there was no significant difference between giving Cananga aromatherapy and Dhikr.
The relationship between bullying behavior and adolescents’ resilience
Authors: Hidayati Laili Nur , Fitriawanda Asfira Niken
Published: December 2022

Introduction: Adolescence is a vulnerable phase full of changes and challenges. The changes include biological, cognitive, and social aspects. The stages of adolescents’ developmental tasks are based on ego and integrity to establish a stable self-identity and determine roles. However, identity lapses frequently occur in adolescence, such as bullying behavior that can cause psychological and physical problems in victims and perpetrators. Adolescents experiencing bullying behavior require resilience as an adaptive coping mechanism for managing external and internal pressures within the individual. This study aims to identify the relationship between bullying behavior and adolescent resilience.Methods: This study used a quantitative correlational method with a cross-sectional approach. The variables studied were bullying behavior and resilience.Results: Demographic characteristics in this study included age, gender, and living partner. The sample of this study was 163 respondents selected with the Accidental Sampling technique. This study showed that respondents who committed bullying were 99 respondents (60.7%), and those who did not were 64 respondents (39.3%). Overall, 61 respondents had a high resilience rate (37.4%).  The results showed a relationship (p-value = 0.000 and r of -0.684) with a strong interpretation.Conclusion: It can be concluded that the higher the bullying behavior is, the lower the level of resilience of adolescents will be. It is expected that adolescents can use resilience as adaptive coping to prevent bullying behavior.
The effect of storytelling on Covid-19 prevention behavior in school-age children
Authors: Mariyam Mariyam , Amaliyah Ana , Samiasih Amin , Alfiyanti Dera , Hidayati Eni
Published: December 2022

Background: The current Covid-19 pandemic is not over. Everyone still needs to do Covid-19 prevention behavior. One of them is children. Children need special ways to understand how to prevent Covid-19 easily. Storytelling is an alternative to convey advice to children, introducing children to moral and social values. This study aimed was to determine the effect of storytelling on Covid-19 prevention behavior in school-age children.Methods: This type of research used quantitative research using the pre-experimental method one-group pretest-posttest design. The sample of this research was 37 students 3rd grade of Madrasah Diniyyah. Storytelling has been done using the corona storybook. The Covid-19 prevention behaviors that were observed were wearing masks, washing hands, maintaining distance, and avoiding crowds. Behavior has been observed before and after given storytelling. an instrument to determine the behavior of preventing Covid-19 using an observation sheet which includes wearing masks properly, washing hands properly, using hand sanitizer, not crowding with friends, and sitting apart while studying.Result: The results showed that Covid-19 prevention behavior in school-age children before storytelling showed most of the negative behavior (66.7%), and after being given storytelling, most of them showed positive behavior (86.7%). There is an effect of storytelling on Covid-19 prevention behavior in school-age children with a p-value of 0.000.Conclusion: Storytelling can be used as a way to change Covid-19 prevention behavior in school-age children.
Barriers in the process of care transition from hospital to home in post-acute coronary syndrome: patients’ perspective
Authors: Khoiriyati Azizah , Sukartini Tintin , Kusnanto Kusnanto , Kurniawati Ninuk Dian
Published: December 2022

Introduction: Acute coronary syndrome (ACS) patients are at a higher long-term risk of recurrent cardiovascular events. The transition from hospital to home is a delicate time. Patients frequently have potentially unavoidable adverse events and hospital readmissions after being discharged from the hospital. This study aims to explore the barriers of patients’ transition experiences from hospital to homecare in post-acute coronary syndromes.Methods: An exploratory qualitative research design with a phenomenological approach was used in the study. Research data were collected using semi-structured interviews from April to Juli 2020. It was selected from 15 patients diagnosed with acute coronary syndrome (ACS) using the purposive sampling technique. The data were analyzed using thematic content analysis.Results: This study recruited 15 participants post-ACS. Four barriers were identified: (1) Psychological barriers: stress, fear, anxiety; (2) physical barriers: chest pain, dyspnea, palpitation; (3) lack of knowledge, including diet, coronary disease, return to work, medication, and heart attack intervention; and (4) low adherence to smoking cessation, daily activity, and medication adherence.Conclusion: At the time of discharge, there is a need for a new approach to communicating with the patients, educating patients and families, and preparing for ACS patients. The findings of this study will help nurses better understand the barriers of transitional care from the hospital to the home.
The exploration of elderly condition participating elderly gymnastics in Padukuhan Lemahdadi, Bangunjiwo, Bantul
Authors: Amalia Mita , Binoriang Dinasti Pudang
Published: December 2022

Background: The aging process makes the sleep quality of the elderly decrease and irregular. Physical activity that can be done by the elderly is gymnastics. Gymnastics in elderly maintain the blood circulation and avoid cardiovascular disease. Elderly gymnastics must begin with the belief and motivation of the elderly in participating the gymnastics. High motivation in the elderly causes a high spirit to participate in gymnastics and improve their sleep quality. Thus, in this study, we identify the motivation of the elderly in participating in elderly gymnastics for their quality of sleep in Padukuhan Lemahdadi.Methods: This study used a qualitative method with a phenomenological approach. Data retrieval is carried out by interviews, observations, and field records. Participants included 7 older people who were determined by a purposive sampling technique. Data validity used a triangulation technique. Furthermore, data analysis consisted of data collection, data reduction, data presentation, and conclusion.Results: In this study evaluate seven elderly. The results of this study showed that the motivation of the elderly to participate in elderly gymnastics affects the quality of elderly sleep quality. It was influenced by several things: elderly motivation in participating in elderly gymnastics, pain reduction measures performed by the elderly, the influence of elderly gymnastics on health, and the positive impact of elderly who participated in gymnastics.Conclusion: The sleep quality in older people who participated in elderly gymnastics can be seen from the motivation given by family and others, quality of sleep after elderly gymnastics, and efforts to maintain the quality of elderly sleep. Furthermore, the researchers are suggested to conduct further research identifying the role of health services in the motivation of the elderly in participating in elderly gymnastics.
Public knowledge and perceptions toward cupping therapy (hijamah)
Authors: Syahruramdhani Syahruramdhani , Fadhlurrahman Fadhlurrahman
Published: December 2022

Introduction: Complementary and Alternative Medicine (CAM) is a well-known and widely used component of the healthcare system. Wet cupping therapy is one of the therapies that many people employ (hijamah). Wet cupping therapy (hijamah) is becoming increasingly popular and widely employed in today's society. The public's understanding and perception of cupping therapy, on the other hand, is unknown. This study describes public knowledge and perceptions of cupping therapy (hijamah) in Kalirandu.Method: In this study, using a cross-sectional approach. The sample was 62 people with purposive sampling stress, which is a sampling technique with specific considerations. This study used a questionnaire of knowledge and perceptions of the people.Results: The results of this study indicate that the level of public knowledge regarding cupping (hijamah) is low as many as 41 people (66.1%), and the level of knowledge is moderate as many as 21 people (33.9%).  An overview of the medium category of community perceptions of cupping (hijamah) is 49 people (79.0%), for the good perception of 12 people (19.4%), and the last for a bad perception of 1 person (1.6 %).Conclusions: This study indicates that the knowledge and perception of the public about cupping therapy need to improve.
Association between spiritual well-being and anxiety among high-risk pregnant women
Authors: Oktafia Riski , Indriastuti Nur Azizah , Kusuma Anistia Nanda
Published: December 2022

Background: Pregnancy anxiety occurs due to the transition period of a woman's life due to the physical and emotional changes of pregnancy. About 20% of all pregnancies have a risk of pregnancy that causes a source of stress and anxiety for pregnant women at high risk. Spiritual well-being is a factor that contributes to the quality of life in mothers with high-risk pregnancies.The aims: This study aims to determine the association between spiritual well-being and anxiety among high-risk pregnant women.Methods: The type of this research is quantitative non-experimental with a cross-sectional approach involving 96 pregnant women was selected using a purposive sampling technique. The instrument used was a spiritual well-being questionnaire in the form of a modified Spiritual Well-Being Scale (SWBS) and a modified Hamilton Anxiety Rating Scale (HARS) questionnaire for high-risk pregnant women.Results: The results showed that spiritual well-being in the high category was 73 people (76 %), mild 22 people (22,9), and low 1 people (1%). The anxiety in the category of severe anxiety was 8 people (8,3%), moderate anxiety was 24 people (25%), mild anxiety was 31 people (32%), and no anxiety was 33 people (34,4%). The Spearman's rho analysis results obtained a p-value of 0,000 (p <0, 05) with a correlation coefficient of r of -0.448.Conclusion: There was a significant association between spiritual well-being and anxiety among high-risk pregnant women. The higher the spiritual well-being, the lower the anxiety of high-risk pregnant women.
Methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism rather than homocysteine increase the risk of ischemic stroke-associated executive dysfunction
Authors: Harahap Herpan Syafii , Akbar Muhammad , Bintang Andi Kurnia , Tammasse Jumraini , Zainuddin Andi Alfian
Published: December 2022

Background: An executive dysfunction is a form of cognitive impairment commonly found in ischemic stroke patients with a significant impact on the patients' quality of life. The methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism and homocysteine ​​are considered important risk factors for stroke and various forms of cognitive dysfunction. This study aimed to investigate the association between the MTHFR C677T polymorphism and serum homocysteine levels and the risk of ischemic stroke-associated executive dysfunction.
Method: 87 ischemic stroke patients within the first three months of stroke onset in West Nusa Tenggara General Hospital, Siti Hajar Hospital, and Mataram General Hospital were recruited. Serum homocysteine levels were assessed using ELISA. The MTHFR C677T polymorphism was analyzed using the PCR-RFLP procedure. The executive function of the patients was evaluated using Trail Making Test Part-B, verbal fluency, and backward digit span tests.
Results: The mean age of the subjects was 54.1 years. CT scan data revealed that 78.2% of subjects had a small infarct size. The MTHFR C677T polymorphism frequency was 25.3%, consisting of 2.3% homozygous and 23.0% heterozygous mutants. Multivariate logistic regression analysis showed that patients with MTHFR C677T polymorphism were more likely to have executive dysfunction than those with the wild-type genotype of the MTHFR gene (OR 4.53, 95% CI 1.06–19.27, p = 0.041). However, patients with hyperhomocysteinemia (≥13 μmol/l) were not associated with an increased risk of executive dysfunction.
Conclusion: The MTHFR C677T polymorphism was the risk factor for ischemic stroke executive dysfunction.