bluuebunny/crossref_metadata_2025 huggingface dataset:
«”КАКОЙ ПРОСТОР”, КАРТИНА РЕПИНА»: ОБРАЗНЫЙ СТРОЙ И ИНТЕРТЕКСТУАЛЬНАЯ ОСНОВА РАССКАЗА Т. ТОЛСТОЙ «ПЕТЕРС»
Authors:   Институт лингвистических исследований РАН, Козловская Н.В.
Published: May 2023

В статье на материале рассказа Татьяны Толстой «Петерс» рассматривается оппозиция «реальное — воображаемое», анализируются текстовые методы репрезентации эмоционально-когнитивного пространства главного героя, исследуется интерпретационный потенциал интертекстуальных элементов текста. Автор моделирует работу сознания Петерса, используя различные изобразительные приемы и техники подачи сюжетной информации: смена фокусов изображения, развернутая метафора. Воображаемые героем сценарии, краткие и развернутые, имеют схожую структуру и схожее «распределение ролей»: в каждом присутствуют женский образ и сам главный герой. Оппозиция «реальное — воображаемое» является базовой для всего текста рассказа. В ментальном пространстве героя важное место занимает концепт «немецкий язык», формируемый в тексте при помощи повторов, топонимов, сценария игры «Черный Петер», мыслительных картинок и ряда прецедентных феноменов. Полиинтерпретируемость художественного текста ставит перед читателем целый ряд исследовательских задач, решение которых зависит от знания культурного кода текста. Наиболее простой из этих задач является обывательское прочтение рассказа и отнесение героя к типу никому не нужных недотеп, неудачников. Анализ смены субъектных планов показывает, что в противопоставлении реальной жизни и ее отражения в «волшебном кино» сознания Петерса проявляется его способность к мысленному преображению действительности и реализуется подлинный драматизм. В заключительной части статьи ставится под сомнение перспектива сопоставления героя рассказа с Пьером Безуховым, человеком в футляре и маленьким человеком как литературными типами.
Dijital Vatandaşlık Eğitiminin İnsani Değerlerin Gelişimine Etkisi
Authors: AYDIN Ahmet , ÖZTÜRK Ergun
Published: May 2023

Araştırma hazırlanan ve öğrencilere verilen dijital vatandaşlık eğitiminin insani değerlere olan etkisine bakılmak amacıyla yapılmıştır. Araştırma bu amaç doğrultusunda deneysel desen modellerinden yarı deneysel desen yöntemi ile gerçekleştirilmiştir. Bu araştırmada çalışma grubu olarak 2021-2022 eğitim öğretim yılı içerisinde öğrenim gören 7.sınıflardan gönüllülük esasiyle seçilen 40 öğrenciden oluşturulmuştur. Araştırmada Dilmaç (2007) tarafından geliştirilmiş bir ölçek olan İnsani Değerler Ölçeği kullanılmıştır. Ölçekte yer alan saygı, dostluk/arkadaşlık, barışçıl olma, sorumluluk, hoşgörü ve dürüstlük değerlerini bünyesinde barındıran dijital teknolojilerin ve platformların kullanıldığı gerçek yaşamdan esinlenerek oluşturulan öyküler hazırlanmıştır. Kontrol grubuna eğitim verilmemiş, deney grubuna ön hazırlık olarak dijital vatandaşlık ve alt boyutları hakkında bilgiler verilmiş sonrasında her biri bir hedef değeri öne çıkaran öyküler anlatılarak ana fikirlerin ve değerlerin öğrencilerce bulunması sağlanmıştır. Araştırmada yapılan ölçmelerin istatistiki analizi sonucunda öğrencilere uygulanan ön test sonuçlarında, kontrol ve deney grupları arasında istatistiki olarak anlamlı bir farklılık tespit edilememiştir. Bu durum grupların denkliği görüşünü desteklemektedir. Deney grubunun insani değerler ölçeğinde ön test ve son test puanları arasında anlamlı farlılık olup olmadığını araştırmak için yapılan analizde deney grubunun eğitim sonrasında puanlarında artış olduğu tespit edilmiştir. Kontrol gurubunda ise alınan puanlara yönelik yapılan istatistiklere göre anlamlı bir farlılık oluşmamıştır. Deney grubu ile yapılan çalışma sonucunda sorumluluk, dostluk/arkadaşlık ve saygı değerlerine yönelik istatistiki anlamda farklılık oluşmuştur. Sonuç olarak hazırlanan dijital vatandaşlık eğitiminin insani değerlere yönelik olarak etkili olduğu kanısına varılmıştır.
Firm-specific Determinants of Aggressive Tax Management among East African Firms
Authors: Kimea Alfred James , Mkhize Msizi , Maama Haruna
Published: May 2023

Since tax represents an inflow of revenue to the government and an outflow of revenue to firms, factors that influence the tax planning activities of firms have gained considerable attention among management, shareholders, policymakers and researchers. Following the impact of taxation on an economy and a firm, the study investigated the factors that influence aggressive tax management practices of firms listed in East African economies. Data were collected from 99 firms for an 11-year period, from 2008 to 2018. Both cash effective tax rate and accounting effective rate were used as measures of tax planning. Multiple regression models were used for the estimation. The study results showed that smaller firms are more tax aggressive compared with larger firms, which is consistent with the political cost theory. This finding may alert policymakers and regulatory authorities (for example, revenue authorities) that small firms are most likely to avoid paying taxes compared with larger firms. This might be associated with fewer regulations and enforcements imposed on this category of business. The evidence further demonstrated that profitable firms are less tax aggressive. Consistent with the political power theory, this study has confirmed the view that profitable firms have enough earnings to pay their taxes and thus are less tax aggressive. The study further found that older firms are less involved in tax avoidance. This study has policy implications as it will assist both policymakers and firm management in their decision-making. Shareholders and firm management would benefit by understanding why some firms successfully reduce their tax burden compared to other firms.
Factors Influencing Sustainability Reporting Practices among Listed Companies in Oman
Authors: Bhat Sujatha Ravinarayana , Abdullah Mohd Asrul Affendi
Published: May 2023

This paper analyzes the factors influencing sustainability reporting practices among listed companies in Oman during the period 2015–2021. The data was collected from the Muscat Stock Market, covering 133 firm-year observations, and analyzed using multivariate regression analysis. The results show that adoption of sustainability reporting is very low among listed companies, amounting to only 16.5%. Furthermore, 11.6% of the listed companies follow GRI guidelines, and 10.5% of the reports produced take the form of standalone reports. Regarding the factors motivating listed companies in Oman to produce sustainability reporting, the study confirms that company size has a positive impact, while financial leverage and women's presence on boards of directors have a negative impact. The study suggests strengthening institutions and governance, introducing a mandatory reporting system, increasing women's presence on these companies' boards of directors, leveraging new-age technology, promoting capacities among different stakeholders, enhancing awareness of sustainability issues, and incorporating sustainability reporting into corporate strategy so that sustainability reporting is part of the mandates of the listed company to legitimize its existence.
Determining Factors Affecting the Mobilization of Deposits in Egyptian Listed Banks
Authors: Abdelzaher Mai Ahmed
Published: May 2023

The purpose of this article is to examine the determining variables that, between 2003 and 2019, affected the mobilization of deposits in listed banks in Egypt. The dependent variable for this study is deposit growth, while the independent variables include efficiency ratio, size, inflation rate, market capitalization, loan losses, and loans and receivables. The research was conducted on 12 publicly traded banks. Use of statistical techniques such as descriptive statistics, person correlation matrices, and two-way random effects demonstrated a significant positive correlation between the rate of efficiency ratio, size, inflation rate, market capitalization, net operating cash flow, loan losses, and loans.
Green Financing as a Tool to Mitigate Climate Change for Sustainable Development: An Insight form Egypt
Authors: Elsherif Marwa
Published: May 2023

Climate change is undoubtedly one of the long-term challenges confronting humanity across the globe. Most of the economies have taken serious initiatives that support reduce greenhouse gas emissions as well as accelerate financial flows to clean and sustainable projects. This study investigates the influence of green financing on environmental sustainability – represented by climate change mitigation- in Egypt from 1990 to 2021. Augmented Dickey–Fuller (ADF), Phillip-Peron (PP) unit root tests and Quantile Autoregressive Distribute Lag (QARDL) Model were employed for empirical estimates.  Results reveal that green financing is negatively associated with greenhouse gas emissions. It is also worth noting that research and development (R&D) investment promotes environmental sustainability, while population growth hinders it. Moreover, economic growth does not play a vital role in climate change. There are still many fences to green finance that need to be addressed. It is recommended that policymakers push the financial sector to adopt a green finance strategy to further the goals of long-term sustainable development.
Measuring Distribution of Wealth in Zambia Using Census Micro Data: An Application of Principal Component Analysis
Authors: Mwansa Floyd
Published: May 2023

Census data for Zambia was used to estimate the distribution of wealth in Zambia by constructing the Wealth Index as a measure of socioeconomic status using Principal Component Analysis. The reliability of the index is observed from three fronts; coherence, robustness and validity in representing household socioeconomic status. Classifying the households across all quartiles is highly consistent and robust. The index’s performance in predicting the welfare distribution is analogous to established and most widely used methods from Demographic Health Surveys, as evidenced by similarities in the statistical distributions. Unlike other survey estimates, the index has been produced at the subnational level, such as district, enabling the classification of Zambia’s districts according to their socioeconomic status. The index can be used to predict other socioeconomic outcomes, such as education and health, via Small Area Estimation techniques and determine district-level resource allocation by the central government.
Moderating Role of Board Size between the Board Characteristics and the Bank’s Performance: Application of GMM
Authors: Eklemet Ivy , Mohammed Ibrahim , Gyamera Emmanuel , Twumwaah Deborah Adu
Published: May 2023

The paper examines the moderating role of board size between board characteristics and the bank’s performance. The study collected data from 18 licensed banks in Ghana from 2012 to 2020, giving 180 observations for this study. The study adopted the System Generalized Method of Moments to assess the causal relationship between board characteristics and the bank's performance in Ghana. The Generalized Method of Moments was adopted in this study to control the problems of endogeneity and unobserved heterogeneity issues. The findings show a significant relationship between board characteristics (non-executive directors, directors share ownership, and board gender diversity) and bank performance. The results also indicate that the board size moderates the positive relationship between board characteristics and the bank's performance. Nonetheless, the interaction effect was stronger for the director's share ownership than other board characteristics. The findings highlight that the board size moderates or enhances the relationship between board characteristics and the bank's performance. Therefore, board size is an essential criterion for promoting gender diversity and non-executive directors on the board. Based on the results, the study recommends strengthening the board with competent non-executive directors and female directors to enhance the independence and effectiveness of the board to prevent opportunistic behaviors of managers espoused through agency theory.
Nutrisi untuk Stunting
Authors: Anzar Julius
Published: May 2023

Stunting / stunted growth / nutritional stunting is a decrease in height growth rate as measured by the value of height by age under minus 2 standard deviations of the WHO child growth standards graph. In 2016 as many as 22.9% (154.8 million) of children under 5 years of age suffered from stunting and Indonesia is on the 5th place of country that suffers most from stunting.The main cause of stunting is unbalanced nutritional factors in quantity and quantity during growth period. Other causes are human factors (infant and child feeding practices, severe infections that cause wasting, subclinical infections, low birth weight babies and premature infants and social factors (household poverty, neglect of caregiving, unresponsive eating practices, inadequate child stimulation, food insecurity, limited health services, access to clean water and sanitation) Children can be predicted to be stunting by measuring height periodically since birth and most effective intervention to prevent stunting is to increase children‟s diet quality.The government role as program and policy makers is to create a Kerangka Intervensi Stunting (Stunting Intervention Framework), namely Specific Nutrition Interventions and Sensitive Nutrition Interventions.In conclusion, stunting can be predicted and can be prevented. Provision of MPASI in accordance with WHO recommendations that are timely, adequate, safe and are given in right manner is a specific nutrition intervention that can prevent stuntingKeywords:
Manajemen dan Rujukan Sindroma Koroner Akut menggunakan iSTEMI Network
Authors: Zulkarnain Edrian
Published: May 2023

Acute myocardial infarction (AMI) patients who experience total blockage of the heart arteries accompanied by ST segment elevation on an electrocardiogram (ECG) record, known as ST elevation myocardial infarction (STEMI); one of the leading causes of death in Indonesia. In the STEMI patient care system there are three components that cause delays in handling which lead to an increased risk of death. First, the patient's delay; second, the system delay in the detection of STEMI patients and transfer to capable reperfus facilities; third, delays in health facilities, i.e. the time needed since the patient arrives at the health facility until reperfusion therapy is given, both by fibrinolysis and primary percutaneous coronary intervention. Therefore Palembang needs to prepare an iSTEMI program, so that STEMI patients can be reproduced immediately. ISTEMI management in Palembang requires good organizational management.
Aktivitas Fisik dan Teknologinya pada Pasien dengan Penyakit Kronis
Authors: Santoso Budi
Published: May 2023

Penyakit Tidak Menular (PTM) memiliki tingkat mortalitas yang tinggi. Penyakit ini dangat erat kaitannya dengan gaya hidup yang tidak sehat, di antaranya asupan nutrisi, aktivitas fisik, konsumsi alkohol dan rokok. Aktivitas fisik secara teratur dapat meningkatkan peluang hidup lebih lama karena menurunkan risiko penyakit kronis. Pedometer merupakan salah satu teknologi yang dapat digunakan dalam menilai dan memotivasi perilaku aktivitas fisik.
Efek Indeks Massa Tubuh dan Lingkar Pinggang terhadap Arus Puncak Ekspirasi
Authors: Harahap Huntari , Ayudia Esa Indah , Maharani Citra , Irfannuddin
Published: May 2023

Penilaian terhadap fungsi paru, pemantauan obstruksi paru maupun respon pengobatan paru yang diberikan dapat dilakukan dengan memeriksa arus puncak ekspirasi. Arus puncak ekspirasi seseorang dipengaruhi oleh antropometri dan kondisi lingkungan. Laki-laki memiliki arus puncak ekspirasi lebih besar dari wanita. Obesitas yang dinilai dengan pengukuran indeks massa tubuh juga dapat menurunkan arus puncak ekspirasi dan gangguan mobilitas pada diafragma. Pengukuran lingkar pinggang dapat menilai obesitas sentral yang merupakan salah satu faktor risiko penyakit kardiovaskuler dan sindrom metabolik. Lemak perut yang tinggi juga mempengaruhi fungsi paru karena menyebabkan berkurangnya FEV1 dan FVC.
Latihan Fisik dan Manfaatnya Terhadap Kebugaran Kardiorespirasi
Authors: Tanzila Raden Ayu , Hafiz Emir Rasyid
Published: May 2023

Olahraga adalah aktivitas fisik yang bertujuan untuk meningkatkan kesehatan, memelihara kesegaran jasmani (fitness) atau sebagai terapi untuk memperbaiki kelainan, mengembalikan fungsi organ, dan fungsi fisiologis tubuh. Tujuan olahraga adalah meningkatkan kekuatan, ketahanan, kelenturan, kelincahan, dan kecepatan. Kekuatan-kekuatan ini berhubungan dengan struktur dan faal dalam tubuh. Jika olahraga itu dikerjakan secara teratur dan sesuai dengan cara berlatih, maka diharapkan adanya perubahan-perubahan (adaptasi) yang menunjang tercapainya kekuatan-kekuatan tersebut
Tatalaksana Kejang Akut dan Status Epileptikus pada Anak
Authors: Indra R. M.
Published: May 2023

Seizure and status epilepticus (SE) are most common pediatric neurological emergencies, which can result in mortality and long-term disabilities. Status epilepticus is defined as prolonged epileptic seizure that may result in permanent damages to central nervous system, usually after 30 minutes or more for convulsive SE. In 2016, American Epilepsy Society has developed an evidence-based guideline for the management of SE, and in the same year, the Indonesian Pediatric Society published a recommendation for management of SE which was tailored to specific condition and availability of drugs in Indonesia. First line of SE management generally consists of benzodiazepine, usually rectal diazepam, intramuscular, buccal midazolam or intranasal preparations with an assumption that intravenous access has not been established. Second line of management consist of intravenous phenytoin, phenobarbital, levetiracetam, and valproic acid, some not available in Indonesia. About 90% of cases can be controlled with these two lines of drugs, the rest are categorized as refractory SE and require intensive care.
Bedah Anak Dalam Praktek Pelayanan Primer
Authors: Dastamuar Shalita
Published: May 2023

In primary practice services we sometimes find surgical abnormalities in children. From complaints of lumps in the groin, difficulty defecating (BAB), flatulence, until the tumor. This symposium aims to provide a general description of these cases and how to handle the initial cases of Pediatric Surgery in Primary Service settings.
Gagal Jantung 4.0: Dari Obat ke Peralatan
Authors: Tondas Alexander Edo
Published: May 2023

Heart failure is a condition when the heart is unable to meet the metabolic demands of human body. Apart from the symptoms that impair the patient’s life, heart failure also carries a higher risk of mortality and consequently a higher economic burden due to hospitalization. As the disease progresses, the management will become more complex, and shifts from drugs to devices, to prevent cardiac transplant as the final frontier in heart failure therapy. In the industrial revolution 4.0 era, 3D printing and bioprinting has emerged as a novel modality in dealing with heart failure pathophysiology.
Efforts to Maintain the Health of Children with Special Needs (ABK) During the Pandemic through Online Education Seminars
Authors: Maritska Ziske
Published: May 2023

Sudden changes that cover all aspects of life in a short time, such as what happened during the current COVID-19 pandemic, can pose challenges to not only the children with special needs, but also their parents / guardians. This community service activity is carried out in the form of online educational seminars on efforts to maintain the health of children with special needs during the pandemic for parents / guardians of children with special needs who attend SLB C Karya Ibu Palembang and also common populace. This activity aims to provide a better understanding to parents / guardians of children with special needs about what children with special needs may face and live with during the pandemic.
Physical Activity during the Pandemic
Authors: Afriwadi
Published: May 2023

The spread of Corona virus disease 19 (Covid-19) which has been going on since December 2019 has had a very broad impact on all walks of life. Data quoted from the official website of the World Health Organization (WHO), as of September 25, 2020, reported that there were more than 31,026,758 confirmed cases of Covid-19 worldwide, and more than 755,786 people had died with positive Covid-19 ( 1). Meanwhile in Indonesia, as monitored by the Kompas.com website, 137,468 confirmed cases of Covid-19 were reported and more than 6,071 people died. The mortality rate is estimated to be 4.416%, of which most cases involve the elderly (> 80%) (2). Seeing the reality on the ground, by not being disciplined in responding to health protocols to prevent Covid-19 transmission, this number will continue to show an increase.
Efforts to Prevent Variations of Skin Diseases in Islamic Boarding Schools through Personal Hygiene and Sanitation Education
Authors: Prasasty Gita Dwi , Handayani Dwi , Dalilah  , Oktariana Desi
Published: May 2023

The condition of residents and environment of the boarding school (pondok pesantren) which is not good has formed several variation of skin diseases that are repeated and almost similiar in every Islamic boarding school in Indonesia. This is a challenge for the pesantren community, health workers and academics to prevent, at least reduce the prevalence of these diseases. This activity was carried out in two stages, examination and education based on the results of the skin disease pattern that has been obtained from previous examinations. Education was performed online about diseases variation and how to cope them from the aspects of personal hygiene and environmental sanitation at the Pondok Pesantren Kampung Tauhiid Sriwijaya. This activity aimed to provide an coping of the variation of skin diseases that will be encountered by santri-santriwati and an accurate understanding of its prevention through personal hygiene and environmental sanitation.
HEALTHY LIVING PATTERNS TO PREVENT COVID-19
Authors: Septadina Indri Seta
Published: May 2023

Viruses are one of the causes of infectious diseases that need to be watched out for. In the last 20 years, several viral diseases have caused epidemics such as severe acute respiratory syndrome coronavirus (SARS-CoV) in 2002-2003, influenza H1N1 in 2009 and Middle East Respiratory syndrome (MERS-CoV) which was first identified in Saudi Arabia in year 2012. On December 31, 2019, China reported a case of mysterious pneumonia of unknown cause. Within 3 days, the number of patients with these cases was 44 patients and continues to increase until now there are millions of cases. Initially, the epidemiological data showed that 66% of patients were related to or exposed to a seafood market or live market in Wuhan, Hubei Province, China. Samples of isolates from patients were studied with the results showing the presence of coronavirus infection, a new type of betacoronavirus, named 2019 novel Coronavirus (2019-nCoV). On February 11, 2020, the World Health Organization named the new virus SARS-CoV-2 and the disease name as Coronavirus Disease 2019 (COVID-19). The corona virus is the main pathogen causing an outbreak of respiratory disease. On March 11, 2020, WHO announced that COVID-19 was becoming a pandemic in the world.
Prevention & Control Efforts Non-Communicable Diseases (PTM); Hypertension
Authors: Wahyuni Dian
Published: May 2023

BALITBANG KEMENKES in 2020 release data in the form of tendency of non-communicable diseases (PTM) starting from the age of 10-14 years including increasing heart pressure. The purpose of this avenue is describing the prevention and control of hypertension. The method used by the online education seminar on health cadres in Sakatiga village, FK UNSRI fostered village since 2014. Finally, it is hoped that the community (cadres) can understand and implement efforts to prevent and control hypertension in the form of routinely measuring blood pressure, taking hypertension medication regularly and using complementary therapies.
Effleurage Massage for Pain Relief in Pregnant Women
Authors: Maulida Mutia Nadra
Published: May 2023

Pregnancy is an event that begins with conception and ends with the onset of labor. Pregnancy is divided into three trimesters, the first trimester (0-12 weeks), the second trimester (13-27 weeks), and the third trimester (28-40 weeks). During the pregnancy process will cause various changes in all body systems, both physiological changes and psychological changes that can cause discomfort to pregnant women. Physiological changes that often occur in pregnant women such as dyspnea, insomnia, gingivitis, frequent urination, pressure and discomfort in the perineum, back pain, constipation, varicose veins, fatigue, Braxton hicks contractions, leg cramps, ankle edema. Not only physiologically, changes in pregnant women also occur psychologically such as changes in mood and increased anxiety.One of the physiological changes that pregnant women often complain about is back pain. According to Ratih (2016), the results of research on pregnant women in various regions of Indonesia reached 60-80% of people who experience back pain in their pregnancy. The reported prevalence of back pain in pregnancy varies from 50% in the UK and Scandinavia to 70% in Australia. Back pain experienced by pregnant women will peak at week 24 to week 28, just before abdominal growth reaches its maximum point. Most back pain during pregnancy occurs due to changes in the spinal muscles, as much as 70%.Back pain in pregnant women can be treated both pharmacologically and non pharmacologically. One of the non-pharmacological therapies that can be given is Effleurage Massage, which provides a gentle, slow and uninterrupted massage on the back of pregnant women so that it can cause relaxation and reduce pain.
Oral Hygiene Examination And Dental Health Education Of School Children At Pesantren Kampung Tauhid Sriwijaya South Sumatra
Authors: Mozartha Martha , Rais Sri W. , Dewi Siti Rusdiana Puspa , Anastasia Danica , Beumaputra Arya Prasetya , Awalia Hema
Published: May 2023

Previous studies have shown that the majority of children in Indonesia have poor oral hygiene. Children who attend boarding school are sometimes facing difficulties in accessing dental health providers. In this kind of situation, knowledge of oral health and how to do a proper dental cleaning is crucial and must be mastered not only by students but also their teachers who spend most time with them at the boarding school. This goal can be achieved by the collaboration of dental public health and the school and community members.
HEALTH AND EDUCATION COUNSELING FOR COVID-19 VACCINATION IN DERMATOLOGY
Authors: . Nopriyati , Diba Sarah , Thaha M. Athuf
Published: May 2023

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been the cause of the Covid-19 pandemic in Indonesia since December 2019. As an effort to prevent the spread of Covid-19, the vaccination program has been implemented. Vaccination is a process in the body where a person becomes protected and to reduces the severity of diseases. Based on PERDOSKI recommendation 2021 for Covid-19 vaccination, several types of skin diseases need to be considered about the Covid-19 vaccine. By this time, hoaxes and misleading information about the Covid-19 vaccine had been spread widely. Adolescents are the target demographic of Covid-19 vaccination. With correct and adequate knowledge about the Covid-19 vaccine, they can invite their families and communities who have skin diseases around them to participate in the vaccination of Covid-19.
SOCIAL SERVICE PROMOTION, COUNSELING AND EDUCATION COVID-19 VACCINATION FOR ADOLESCENTS
Authors: Kesuma Yudianita
Published: May 2023

The increasing number of incidences and deaths of COVID-19 in Indonesia, especially in South Sumatra which ranks 3rd in Indonesia. For this reason, in addition to efforts to break the chain of transmission of COVID-19 in the form of the Enforcement of Restrictions on Community Activities, which causes all economic, educational, and religious activities to be hampered. For this reason, to reduce the incidence and mortality due to COVID-19, it is in the form of COVID-19 vaccination, in addition to increasing immunity, it also prevents the severity of the disease and reduces mortality due to COVID-19, as well as increasing herd immunity.Vaccination or immunization aims to make a person's immune system recognize and quickly fight bacteria or viruses that cause infection. The goal of the COVID-19 vaccine is to reduce morbidity and mortality due to this virus. Although not 100% able to protect a person from Coronavirus infection, this vaccine can reduce the possibility of severe symptoms and complications due to COVID-19.The Covid-19 vaccination for adolescents began to be carried out in Indonesia based on ten recommendations from IDAI (Indonesian Pediatrician Association) related to Covid-19 vaccination for children aged 12-17 years. For this reason, promotion, counseling, and education are needed to avoid doubts from parents and teenagers who will be vaccinated against COVID-19.
DOMINO CLINICAL CARDS TRAINING TO IMPROVE LECTURERS' ABILITIES IN CLINICAL REASONING LEARNING MEDIA
Authors: Irfannuddin Irfannuddin , Zulissetiana Eka Febri , Susilawati Susilawati , Alexander Mailan
Published: May 2023

Medical practitioners sometimes perform inappropriate decisions and procedures. In making decisions, doctors may take a poor thinking called cognitive and representative bias.One matrix approach that can be developed to build learners' clinical reasoning is the domino game method. Domino card games (DCC) are a form of visual learning that can increase student learning motivation.  DCC media is carried out in the form of competitive games. However, DCC is part of collaborative and peer learning methods. Collaborative learning is a method in which learners collaborate with each other. This method is considered to increase learning motivation. Collaboration makes them understand their learning process. The process of collaboration makes them internalize knowledge with critical thinking skills. Peer learning is the learning activity of a group of students from a similar social group. Peer learning activities can be in peer tutoring, peer assessment, or game and simulation forms. Peer learning tutoring can improve the quality of learning efficiently.DCC is an alternative instrument that can be developed to improve clinical reasoning skills. Through this training, some lecturers have been able to compile and develop DCC prototypes. Furthermore, they can apply according to their respective fields of knowledge.
Macronutrient and Micronutrient Content in Breast Milk
Authors: Subandrate Subandrate , Amalia Ella , Athiah Medina , Safyudin Safyudin , Prasetyo M. Nadhif , Arrafi M. Hafizh
Published: May 2023

Breast milk is the best source of nutrition for newborns.  Breast milk content is composed of water, protein, carbohydrates, fats, vitamins, minerals, antibodies, and enzymes. Breast milk also contains white blood cells and substances that make up the baby`s immune system such as immunoglobulins and lysozyme. The composition of breast milk can change depending on the needs and ages of the baby. Exclusive breastfeeding is recommended by many doctors and other healthcare professionals. One of the factors that influence exclusive breastfeeding is the mother`s knowledge about the content of breast milk. Most breastfeeding mothers do not know the nutritional content of breast milk, both macronutrients, and micronutrients. Breast milk is also rich in immune cells, antibodies, and other bioactive ingredients that help protect the baby from infection until the baby has an effective antibody response in the first few months of life. Breast milk is an ideal nutrient for babies. The mixture of vitamins, proteins, and fats in breast milk can provide the nutrients and calories the baby needs to grow. Babies who have been breastfed for 6 months are more likely to reach their ideal weight.Therefore, the government recommends exclusive breastfeeding for infants up to the age of 6 months.
COPING MECHANISM OF BREAST CANCER PATIENTS UNDERGOING CHEMOTHERAPY DURING THE COVID-19 PANDEMIC
Authors: Maulida Mutia Nadra , Muharyani Putri Widita , Fitri Eka Yulia , Adhisty Karolin
Published: May 2023

Cancer is one of the most common non-communicable and chronic diseases in the world, one of them is breast cancer. Breast cancer is a disorder in the growth of normal breast cells which is characterized by abnormal cells arising from normal cells that can infiltrate lymph tissue and blood vessels. This will have a major impact on patients undergoing chemotherapy and their families, especially during the COVID-19 pandemic. Not only physically but also psychologically, economically and in other aspects of life, which certainly affect the coping mechanisms of patients and families. One of the support efforts that can be provided by nurses as educators is the intensification of health education activities through community service activities in the form of counseling and coaching to improve the coping mechanisms of breast cancer patients.
Sungkai Leaf Potential as Herbal Medicine
Authors: Sinulingga Sadakata , Fatmawati Fatmawati , Subandrate Subandrate , Irfannudin Irfannudin , Susilawati Susilawati , Yana Rini
Published: May 2023

Indonesia is a tropical country that has biodiversity. One of the biodiversity in Indonesia is the availability of many medicinal plants. The Indonesian Ministry of Health has released a formulary of Indonesian medicinal plants in 2017. One of the plants that has medicinal properties is the sungkai plant. Sungkai plants grow in most parts of Indonesia, including South Sumatra. This plant is also often planted in the yard as a shade. Empirically, sungkai leaves have been used as medicine by various tribes in Indonesia. People use boiled water from sungkai leaves or crushed sungkai leaves as herbal medicine. The phytochemical content of sungkai leaves includes alkaloids, flavonoids, triterpenoids, steroids, phenols and saponins. The results of various studies show that sungkai leaves have benefits as anti-fever, antimalarial, antibacterial and antioxidant. Sungkai leaves also have the ability to increase endurance, so they can be used to fight infectious diseases including Covid19. Sungkai leaves can be used for herbal medicine either as a preventive or therapeutic agents. Further development for the use of Sungkai plants as medicine needs to be done to assess side effects and therapeutic effects more efficiently.
DIABETIC CONTROL IN ELDERLY AND COGNITIVE DECLINE
Authors: Riviati Nur , Dibyantari Ridzqie , Nindela Rini , Prananjaya Bintang A , Salsabila Afifah Z , Putri Aidi A
Published: May 2023

As the population aging increasing rapidly worldwide, including in Indonesia, the health problems come as consequences as well as delivering health and social care. At this moment 14% of Indonesian consist of aging population, defined as those above 60-year-old of age. Aging ameliorates normal hormonal and immunology system, consequently elderly are prone to infection as well as metabolic disorder, namely diabetes. Good glycemic control in elderly can prevent cognitive decline such as mild cognitive impairment and dementia. The aim of this paper is to discuss the importance of diabetic control in elderly, focusing on cognitive decline related to diabetes
DENTAL AND ORAL HEALTH OF ELEMENTARY STUDENTS DURING THE PANDEMIC OF COVID-19
Authors: Mozartha Martha , Dewi Siti Rusdiana Puspa , Yasmin Ulfa , Awalia Hema , Sulistiawati Sulistiawati
Published: May 2023

The Covid-19 cases have caused limited access to dental and oral health services and education, especially for school children who have higher caries risk. Factors affecting children's dental and oral health during the pandemic need to be studied, and special attention regarding caries prevention measures at this time is needed to be discussed. The purpose of this literature review article is to discuss the dental and oral health of elementary school-age children during the Covid-19 pandemic.
A COMMUNITY SEMINAR ON INTRODUCING THE EMERGENCY OF COVID-19 IN CHILDREN
Authors: Saputra Indra , Triratna Silvia , Handayani Desti , Kaffah Silmi
Published: May 2023

The Covid-19 virus infection has spread rapidly worldwide, making it the first pandemic of the 21st century to have caused many deaths (more than 2 million people died). Some shreds of evidence from a range of sources suggest that the rate of Covid-19 cases in children is relatively low, commonly have asymptomatic or mild symptoms, and have low mortality rates. Data released by the Indonesian Pediatrician Association (IDAI) regarding the mortality rate of children infected with Covid-19 is 42% are infants under one year of age. In addition, there are new reports of severe and life-threatening cases of Covid-19 complication in children, which occur 4-6 weeks after infection, known as Multisystem Inflammatory Disease in Children (MIS-C). In order to control the spreading of Covid-19 infection in children, many countries considered temporarily closing the school. However, in September 2021, the Ministry of Education and Culture of Indonesia decided to reopen the school.  Schools that provide face-to-face learning for students are schools located in yellow zones or moderate-risk areas. In order to reopen the school safely, the children, teachers, and parents have to obey some strict safety protocols.  Even though physically reopening schools might potentially increase the transmission in the community. Due to anticipate the increase in morbidity and mortality, it is very important to increase public knowledge about the signs and symptoms of COVID-19 in children.
GESTATIONAL TROPHOBLASTIC DISEASE
Authors: Sanif Rizal
Published: May 2023

Gestational trophoblastic disease (GTD) is a group of tumors defined by abnormal trophoblastic proliferation. GTD is divided into hydatidiform moles (contain villi) and other trophoblastic neoplasms (lack villi).1 The malignant forms of the disease are also collectively known as gestational trophoblastic tumors or neoplasia (GTN).GTN includes the invasive mole, choriocarcinoma, placental site trophoblastic tumor, and epithelioid trophoblastic tumor. Southeast Asia and Japan have the highest reported incidence estimated to be two in 1000 pregnancies.  In high-income countries, the incidence of a complete mole is approximately 1–3 per 1000 pregnancies, and the incidence of a partial mole is about 3 per 1000 pregnancies.  Approximately 15–20% of patients will be treated for gestational trophoblastic neoplasia after the evacuation of complete hydatidiform mole. GTD develop from abnormal proliferation of trophoblastic tissue and form botryoid arranged vesicles. Risk factors include extremes of age, ethnicity, and a prior history of an HM, suggesting a genetic basis for its etiology. GTD causes a broad spectrum of different symptoms. The most frequent clinical symptom is abnormal vaginal bleeding. Other signs include uterine enlargement more significant than expected for gestational age, absent fetal heart tones, cystic ovary enlargement, hyperemesis gravidarum, and abnormally high level of β-hCG for gestational age. Ultrasound is the gold standard in non-invasive techniques, but histological examination is necessary to reach the final diagnosis. Different treatment modalities are available for gestational trophoblastic neoplasm depending on the type and stage; these include D&C (dilation and curettage), chemotherapy, hysterectomy, or a combination of these.2 The prognostic score for GTN reported by FIGO is a score of 0–6 is the low-risk group and 7 is the high-risk group. All patients who have hydatidiform mole should be up for β-hCG surveillance and monitoring. Most relapses occur within the first year after completion of chemotherapy. A generally approved schedule of β-hCG surveillance indicates monitoring weekly for six weeks after chemotherapy followed by biweekly measurements until six months after chemotherapy. Afterward, a biannual measurement of β-hCG for five years is sufficient.1 Seeing this, the determination of the diagnosis of GTD becomes very important. With the proper diagnosis, the management of the patient will also improve.
PUBLIC SEMINAR ON COVID-19 PREVENTION AMONG FAMILY CAREGIVERS OF HEMODIALYSIS PATIENTS
Authors: Ali Zulkhair , Novadian Novadian , Suprapti Suprapti , Kartika Herleni , Yuristo Eddy
Published: May 2023

Covid-19 is usually severe and represents a poor outcome, particularly in patients who have underlying co-morbidities. Among end-stage renal disease patients dependent on dialysis, covid-19 was related to increased morbidity and mortality. There is no causative therapy currently for covid-19. Thus prevention is mainly the best attempt to limit the burden of the disease. The preventive measure may depend on vaccination and public behavior in controlling the spread of the SARS-CoV-2. In the setting of the dialysis center, the patients' and caregivers' compliance with preventive measures is critical in preventing the spreading of Covid-19. The individual's knowledge and attitudes of COVID-19 are likely to influence individual adherence. Evidence suggests that an individual’s knowledge is critical in combating pandemics. Current community service was aimed to increase family caregivers of dialysis patients’ knowledge on covid-19 prevention.
CUTANEOUS MANIFESTATIONS AND TREATMENT APPROACH OF VIRAL INFECTION DURING THE PANDEMIC
Authors: Aryani Inda Astri
Published: May 2023

Coronavirus disease-19 (COVID-19) merupakan infeksi pandemic disebabkan severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) yang tidak hanya bermanifestasi pada pulmonal namun juga ekstrapulmonal. COVID-19-associated cutaneous manifestations diklasifikasikan menjadi lima kelompok besar, dapat menjadi salah satu petunjuk diagnosis dan keparahan infeksi virus. Pendekatan terapi diberikan berdasarkan temuan klinis dan keparahan penyakit. Di era pandemik ini juga pada September 2022, Center for Disease Control and Prevention (CDC) menyatakan terjadi outbreak monkeypox di seluruh dunia.  Kasus pertama terkonfirmasi laboratorik monkeypox di Indonesia dilaporkan pada Agustus 2022. Mengenali manifestasi kulit infeksi monkeypox virus dapat membantu deteksi dini penyakit, terapi dan pencegahan untuk pencegahan penyebaran lebih lanjut.
PENATALAKSANAAN OTITIS MEDIA SUPURATIF KRONIK DI FASILITAS KESEHATAN PERTAMA
Authors: Widyasari Fiona , Hifni Ahmad , Ghanie Abla
Published: May 2023

Otitis media supuratif kronik (OMSK) adalah peradangan kronis pada telinga tengah yang berlangsung lebih dari 2-6 minggu yang ditandai dengan adanya perforasi membran timpani dan keluar cairan dari telinga/otorea secara terus menerus atau hilang timbul. OMSK sering menyebabkan morbiditas dan mortalitas sehingga masih menjadi masalah kesehatan masyarakat yang utama di seluruh dunia dan merupakan penyakit telinga yang sampai saat ini masih sering dijumpai terutama di negara berkembang, termasuk di Indonesia. Diagnosis dapat ditegakkan melalui anamnesis dan  pemeriksaan fisik. Tatalaksana OMSK meliputi terapi medikamentosa disertai tindakan pembedahan. Tatalaksana medikamentosa adekuat di fasilitas Kesehatan pertama meliputi pemberian aural toilet dan antibiotika baik topikal maupun sistemik dapat mengurangi tingkat keparahan. Tindakan pembedahan pada OMSK bertujuan untuk eradikasi penyakit, menghasilkan telinga yang kering permanen, dan memperbaiki fungsi pendengaran. Komplikasi yang terjadi akibat OMSK meliputi komplikasi intrakranial dan intratemporal.
GAMBARAN HISTOPATOLOGI PARU PADA PASIEN COVID-19
Authors: Rusminan Suly Auline
Published: May 2023

COVID-19 adalah penyakit sistemik akibat virus SARS-CoV-2. Penyebab utama kematian pasien COVID-19 adalah jejas paru akibat ARDS. Diffuse alveolar damage (DAD) adalah pola histopatologi utama yang ditemukan pada autopsi organ paru COVID-19. DAD terbagi menjadi 3 fase bergantung pada waktu kapan biopsi dikerjakan selama perjalanan penyakit. Fase akut/eksudatif terjadi selama minggu pertama sejak dimulainya jejas paru yang diikuti fase subakut/organizing dan beberapa kasus DAD masuk ke fase kronis/fibrotik. Gambaran histologi lain yaitu berupa jejas vaskuler paru berupa trombus dan mikrotrombus, inflamasi vaskuler, serta reaksi endotel.
THE POST-PANDEMIC IMMUNITY DEBT IN CHILDREN: WHAT WE NEED TO KNOW
Authors: Karmila Ariesti
Published: May 2023

Implementasi protokol kesehatan yang ketat dalam bentuk intervensi non-farmakologis pada masa pandemi COVID-19 diakui telah memberikan dampak positif langsung dalam usaha pengendalian transmisi virus SARS-CoV2.  Selain menekan penularan COVID-19, pelaksanaan protokol kesehatan ternyata juga menurunkan insiden banyak penyakit infeksi lain. Namun, kombinasi dari adanya pembatasan sosial berskala besar di masyarakat yang panjang dan penerapan protokol kesehatan lain telah menurunkan kuantitas paparan fisiologis anak dengan berbagai berbagai mikroba di lingkungan secara bermakna. Padahal paparan inilah yang ikut menstimulasi dan membentuk sistem imunitas anak. Pandemi juga telah menimbulkan disrupsi besar pada angka cakupan imunisasi dasar. Sehingga menurunnya stimulasi imunitas akibat rendahnya sirkulasi mikroba yang diiringi dengan penurunan cakupan imunisasi telah menyebabkan timbulnya suatu fenomena yang dikenal dengan immunity debt. Banyak anak yang tidak mampu membangun imunitas terhadap berbagai mikroba yang pada saat sebelum pandemi sering terpapar secara alami. Saat ini dengan semakin terkendalinya COVID-19, berbagai restriksi telah dilonggarkan. Tetapi hal ini diikuti dengan timbulnya laporan peningkatan kasus berbagai penyakit infeksi selain COVID-19 sehingga timbul kekhawatiran akan terjadinya pandemi-pandemi baru akibat semakin besarnya proporsi anak yang rentan terhadap infeksi. Untuk mencegah hal tersebut, upaya vaksinasi kejar perlu diperkuat dan dipercepat. Monitoring dan surveilans kejadian penyakit infeksi lain di masyarakat harus dilakukan dengan baik. Selain itu, kebijakan pelaksanaan protokol kesehatan perlu diimbangi dengan penggunaan strategi lain yang masih memberikan kesempatan bagi anak-anak untuk tetap terpapar dengan berbagai mikroba secara wajar sehingga dapat membangun sistem imunitas yang kuat.
Pengalaman Nyeri Saat Dilakukan Debridement pada Penderita dengan Luka Diabetikum
Authors: Lailatul Badriah  , Ligita Titan , Sukarni Sukarni
Published: May 2023

Nyeri merupakan kondisi yang dirasakan seseorang karena rusaknya jaringan pada kulit yang berhubungan pada pengalaman dan hanya penderita dapat mendeskripsikan rasa nyeri yang membuat masing-masing penderita dapat menceritakan pengalaman nyeri saat dilakukan debridement. Tujuan penelitian ini adalah mengeksplorasi secara mendalam tentang pengalaman nyeri saat dilakukan debridement pada penderita dengan luka diabetikum dengan latar belakang dalam mengatasi gejala atau masalah yang timbul saat dilakukan debridement. Metode yang digunakan adalah kualitatif dengan pendekatan deskriptif yang dianalisis dengan menggunakan metode Collaizi dan teknik purpose sampling pada 6 partisipan yang menderita luka diabetikum selama 7 hari sampai 6 bulan. Wawancara mendalam (indepth interview) menggunakan pedoman wawancara semi terstruktur, alat tulis, dan voice recorder. Ditemukan analisis 4 tema. Tema tersebut adalah mengetahui perubahan selama mengalami luka, pengetahuan mengenai perawatan luka, pengalaman sensasi nyeri saat debridement, dan harapan penderita saat debridement. Dari hasil penelitian mengenai pengalaman nyeri saat dilakukan debridement pada penderita dengan luka diabetikum dapat disimpulkan bahwa pengalaman nyeri yang dirasakan pada seseorang berbeda-beda saat dilakukan debridement dan didapatkan adanya pengetahuan mengenai perawatan luka, kemudian merasakan sensasi nyeri saat dilakukan debridement, penderita mengalami perubahan selama mengalami luka diabetikum, dan masing-masing penderita memiliki harapan saat dilakukan debridement.