bluuebunny/crossref_metadata_2025 huggingface dataset:
Overview of the Effectiveness of Light Emitting Diode (LED) and Compact Fuorescent Lamp (CFL) Phototherapy on Neonatory Jaundice Bilirubin Levels
Authors: Setiawati Tia , Amalia Maya , Astuti Sipa Dwi
Published: February 2025

Neonatal jaundice is the condition of a newborn with high levels of bilirubin, which can cause various negative impacts on the baby, such as neurological abnormalities, mental retardation and seizures. The main treatment that can be done is by administering light phototherapy. Preliminary studies in the city of Bandung, there are still hospitals in Bandung that use phototherapy with the Compact Flourescent Lamp (CFL) type of lamp and there are also hospitals that use phototherapy with the Light Emitting Diode (LED) type. Objective: The aim of this research is to identify the effectiveness of LED and CFL phototherapy in reducing bilirubin levels in babies with neonatal jaundice in Bandung City. Method: This research method is a quasi-experiment with a retrospective approach. The sample for this study was 72 babies who were given phototherapy from January to July 2023. The data collection technique used data recorded at hospitals in Bandung City. Data was collected with checklist sheets and data analysis using the independent sample t test. The research locations were Bandung Kiwari Hospital and Bandung Muhamadiyah Hospital. Results: The results of the independent t-test showed a significant difference in total serum bilirubin values in the two groups before and after phototherapy (sig coefficient = 0.000 < 0.05). The group of neonates with CFL had a bilirubin value of 9.3989 which was higher compared to the group of neonates with LED phototherapy, namely 6.4189. LED phototherapy is more effective in reducing bilirubin compared to CFL phototherapy. Conclusions: Hospital policies to add LED phototherapy facilities can be considered, because they are more effective in reducing bilirubin levels.
Reliability of Positive and Negative Symptom Scale (PANSS) Indonesian Version in Acehnese Population
Authors: Saragih Juwita , Rahayuningsih Endang Mutiawati , Saputra Irwan , Mawarpury Marty
Published: February 2025

The positive and negative syndrome scale (PANSS) has been widely used and validated for the assessment of severity of schizophrenia symptoms. However, the reliability of PANSS Indonesian version in Acehnese population has yet been divined. Research objective: to examine the reliability of PANSS in Acehnese schizophrenic patients. Methodology: A cross sectional study was conducted at Mental Hospital, Banda Aceh, Indonesia, from February to May 2024. Patients aged 18 and above, who were diagnosed with schizophrenia were included in this study, meanwhile patients with organic mental disorders, and history of alcohol or drug consumption were excluded. Two independent psychiatrists separately assessed the patients using PANSS, which consisted of 3 components: positive symptoms (P subscore - 7 questions), negative symptoms (N subscore – 7 questions) and general psychopathology symptoms (G score  - 16 questions). Inter-rater reliability was measured using the intraclass correlation coefficient (ICC), in which ICC ≥ 0.60 was considered good. Results: Of twenty subjects enrolled, 70% were males, and the median age was 35 years (23-54). The overall ICC was excellent = 0.987 (0.982-0.994) on 95% confidence interval. Conclusion: PANSS is a reliable tool to assess the severity of schizophrenia in Acehnese population, emphasizing its importance in the clinical setting.
The Effect of Virtual Reality (VR) Relaxation on the Pain Scale During Vascular Access Cannulation Procedures
Authors: Yuliarti Eki , Putri Diyanah Syolihan Rinjani , Hapsari Happy Indri
Published: February 2025

Cannulation is an act of inserting a needle through the skin into a blood vessel (AV Shunt or Femoral) as a means of connecting the vascular circulation and the dialysis machine during the hemodialysis process, cannulation is a procedure that causes psychological problems in the form of anxiety and physical problems in the form of pain due to the insertion of a large needle during hemodialysis. Relaxation training can be done for a limited period of time and usually has no side effects. One of them can use the Guided imagery technique. The purpose of this study was to determine the effect of Virtual Reality (VR) relaxation on the pain scale during the Vascular Access Cannulation procedure for Hemodialysis Patients at Maguan Husada Pracimantoro Hospital. This study used a Pre-experimental research type with One group pretest-posttest design, conducted in the Hemodialysis Room of Maguan Husada Pracimantoro Hospital in March 2024. This study uses purposive sampling techniqu. The sample used was 56 people. The data collection tool used a numeric rating scale pain assessment sheet. The data analysis used was the Wilcoxon analysis. The results of the study showed that pain before Virtual Reality (VR) relaxation was carried out, the average pain of respondents was 5.96. Pain after Virtual Reality (VR) relaxation for 10 minutes 38 seconds was known to have an average pain of respondents on a scale of 3.36. The results of the Wilcoxon Strained Rank Test with a significant value (p value) of 0.000 < 0.005. There is an effect of virtual reality (VR) relaxation on the pain scale during the procedure of installing vascular access cannulation for hemodialysis patients at Maguan Husada Pracimantoro Hospital.
The Effect of A Skin-to-Skin Contact Educational Program on Midwives’ and Nurses’ Knowledge of Early Essential Newborn Care
Authors: Agus Yenita
Published: February 2025

Despite a decline in infant mortality rates (IMR) over the years, it remains a critical issue. Evidence-based interventions could prevent many infant deaths, but barriers such as a lack of health specialists and poor care quality persist. This study aims to assess the impact of an educational program on skin-to-skin contact to promote Early Essential Newborn Care (EENC) among midwives and nurses. Objective to evaluate the effectiveness of an educational program on skin-to-skin contact in improving midwives' and nurses' knowledge and skills related to EENC. A quasi-experimental design without a control group was used. Participants were selected through purposive sampling based on two criteria: 1) Midwives and nurses working in delivery rooms or perinatology units, and 2) Those with over five years of experience. Recruitment involved distributing cooperation requests to midwives and nurses at government hospitals and community health centers across Indonesia. Ultimately, 32 participants were enrolled. The study employed a self-administered questionnaire, pre-test and post-test assessments on skin-to-skin knowledge and skills, and training through video and lecture. Data analysis included descriptive statistics and t-tests. The average age of participants was 41.5 years (SD = 9.57). The training significantly improved knowledge (p = 0.003), though two of twelve questions showed no significant change. Limited participation in EENC training was observed. While the educational program improved overall knowledge, certain areas need further attention. Regular training and continuing education are essential for enhancing midwives' and nurses' skills. Future research will focus on evaluating newborn resuscitation and care initiatives, particularly breastfeeding knowledge.
Exploring Lactic Acid Bacteria from Aceh’s Keumamah Fish as Potential Natural Antibiotics to Inhibit Escherichia Coli
Authors: Kulla Periskila Dina Kali , Zulwanis Zulwanis , Musa Suryani
Published: February 2025

Aceh is known for its abundant fishery resources, particularly tuna, which has an annual production of 7,903 tons. However, tuna is highly perishable, necessitating effective preservation methods to maintain its quality. Keumamah fish, a traditional Acehnese dish, is renowned for its dried texture, allowing it to be stored for extended periods and making it a common choice for various events. Objective: This study aims to identify lactic acid bacteria (LAB) present in keumamah fish that contribute to the fermentation process and serve as potential sources of natural antibiotics to inhibit the pathogenic bacteria Escherichia coli. Method: Lactic Acid Bacteria (LAB) isolation was conducted using dilution and inoculation techniques on MRS agar media supplemented with CaCO3. The results indicated that the inhibition zones of the isolated LAB were as follows: isolate IK4 showed an inhibition zone of 9.81 mm, isolate IK5 exhibited 11.3 mm, isolate IK6 had 9.4 mm, and isolate IK9 displayed 10.56 mm. Based on Gram staining and biochemical tests (temperature, pH, and salt tolerance), seven isolates were classified into three genera: Lactobacillus (IK3, IK5, and IK7), Enterococcus (IK4, IK6, and IK9), and Leuconostoc (IK8).
The Effect of Dysminore Gymnastics on Menstrual Pain in Young Girls In Grades VII and VIII
Authors: Rahmadayanti Ade Marlisa , Apriyani Titin
Published: February 2025

Dismenorrhea is pain in the pelvic region due to menstruation and the production of prostaglandins. Dismenorrheic exercise is a physical exercise activity that can relieve menstrual pain. During exercise, endorphins are produced in the body. Endhorpin acts as a natural sedative and can make you feel comfortable. This study aims to find out the effect of dysmenorrheic gymnastics on menstrual pain in teenage daughters. The research design used was a quasi-experiment with a two-group pre-test-post-test design and sampling using non probability Sampling method with a total sampler technique consisting of 30 students of classes VII and VIII in Bakti Mother 2 Palembang High School, samples were divided into two groups, 15 control groups and 15 intervention groups. The average menstrual pain in the intervention group was 4.60 and after exercise disminored 3.13, in the control group the average pre-test was 3.33 and after the post-test 3.20. Data analysis using the wilcoxon test showed that there was a significant value in the intervention group with a p-value of 0,000, whereas in the control group there was no significant value with the p- value of 0.157. It is expected that adolescents who experience menstrual pain will be able to deal with non-pharmacological treatments such as dysmenorrheic gymnastics, thereby reducing pain and the use of pharmacological drugs that have side effects.
Forecasting Cardiovascular Drug Demand Using Triple Exponential Smoothing Additive
Authors: Wiedyaningsih Chairun , Yuniarti Endang , Fadilla Andi
Published: February 2025

Drug management and pharmaceutical services in hospitals often face two main problems: stockouts and overstocking. This research aims to apply the Triple Exponential Smoothing (TES) additive method to forcast cardiovascular drug needs for the period of January–March 2024 at RSUD Dr. Kanujoso Djatiwibowo. This research employs a retrospective method using cardiovascular drugs data collected between January 2021 and December 2023. The forecasting results were interpreted using Mean Absolute Percentage Error (MAPE). The forecasting conducted in the range of January - March 2024, there four drug items distribute in highly accurate forecasts (MAPE<10%), while four drugs exhibited good forecasting performance (MAPE 10%-20%). Additionally, two drug items showed fair forecast results (MAPE 20%-50). This study concluded that RSUD Dr. Kanujoso Djatiwibowo could use TES Additive forecasting method.
Comparison of Plating Versus Intramedullary Nailing in Metaphyseal Fractures: A Systematic Review and Meta-Analysis
Authors: Darma Anak Agung Ngurah Bagus Surya , Subawa I Wayan
Published: February 2025

Metaphyseal fractures are common orthopedic injuries that often require surgical intervention for optimal management. The choice between plating and intramedullary nailing as fixation methods remains a subject of debate among orthopedic surgeons, with considerations including fracture type, patient characteristics, and surgical outcomes. This study aim to compare the efficacy, safety, and outcomes of plating versus intramedullary nailing in the treatment of metaphyseal fractures.Methods: A comprehensive search was conducted across major electronic databases for relevant studies published up to 2023. Studies comparing plating and nailing techniques in metaphyseal fracture fixation were included. Data regarding study characteristics, patient demographics, surgical techniques, outcomes, and follow-up durations were extracted and analyzed using appropriate statistical methods. Our primary outcomes were union rate and time, functional outcome using patient reported outcome measure, and complications. Results: The initial search yielded a total of 687 studies, of which 7 studies met the inclusion criteria, consisting of a total of 758 skeletally-mature patients with metaphyseal fractures treated with either intramedullary nailing or plate fixations. The meta-analysis revealed that there is no evidence to draw definitive conclusions on which indicates the best method in treating metaphyseal fractures. Subgroup analyses were performed based on fracture type, patient age, and other relevant factors to further elucidate the comparative effectiveness of plating versus screwing.Conclusion: The meta-analysis findings indicated that using intramedullary nailing led to shorter surgical and complications when compared to plate fixation. Additionally, both treatments frequently resulted in similar union times and union-related issues. However, further randomized controlled trials (RCTs) are necessary to bolster the existing evidence base.
Evaluation of Antipsychotic Drug Use in Paranoid Schizophrenia Patients
Authors: Azizah Herwidhiya
Published: February 2025

One of schizophrenia’s treatment is pharmacological therapy using antipsychotic. This study aims to determine the demographic description (age, gender and length of stay), determine the pattern of antipsychotic drug use, determine the level of appropriateness of antipsychotic drug therapy based on the right patient, the right indication, the right drug, the right dose, and the right interval of administration based on the Rational Drug Use Module and Drug Information Handbook 27th Edition and determine the reduction in the final symptoms of schizophrenia patients after receiving antipsychotic drug therapy at the Inpatient Installation of dr. Soeharto Heerdjan Mental Hospital Jakarta for the period January - June 2023. The research method used is descriptive, with cross sectional design. Data collected retrospectively and using purposive sampling techniques. The study analyzed 95 prescription samples, showing that schizophrenia is more experience in in the range of 26-35 years old (44,21%) and in men (67.37%). The most common antipsychotic use was the atypical combination antipsychotic with the percentage of 37.5%. The single atypical antipsychotic most commonly prescribed is atypical antipsychotic with the percentage of 57.15%. The results showed that the appropriateness of the use of antipsychotics in correct patient is in 100%, correct indication is in 100%, correct drug is in 100%, correct dose is in 97.89% and the exact dosing interval of drug is in 92.63%. There was a decrease in schizophrenia symptoms in patients after undergoing hospitalization as seen from the decrease in Positive and Negative Syndrome Scale-Excited Component (PANSS-EC) scores with an average percentage decrease of 48%. This difference is clinically effective because the decrease exceeds 19– 28 %.
Design of Standar Operational Procedures Teman Hati Services
Authors: Muzdalifah Ifah , Hosizah Hosizah , Yulia Noor , Ambarwati Ambarwati
Published: February 2025

Standard operational procedures as guidelines to assist officers in completing work more effectively and efficiently. Telepsychiatry services at Psychiatry Dr. Soeharto Heerdjan changed the use of the application from Jitsi Meet to Teman Hati (Telemental Health and Home Visite). Several problems were found in the Jitsi Meet application, making it difficult for patients/families to use it. Changes to the application have an impact on changes to the SOP. So that services can be well organized and carried out according to procedures, SOP are needed for implementation.Objective: Designing of standard operational procedures Teman Hati (Telemental Health and Home Visite) Methods: Research Method with use R&D (Research & Development) from November 2022 – January 2023. Data collection doing by interview FGD (Focus Group Discussion) with 13 informants. First step of research are collect information, determine method and arrange the technic of SOP, writing SOP, simulation and the last is review. Results: There are 5 draft SOPs, namely registration SOP, drug delivery SOP, teleconsultation SOP, application usage SOP for patients/families, and application usage SOP for hospital staff. The 5 SOP that were designed were simulated and reviewed by the SOP implementers and the patient's family. Conclusion: The 5 SOP designs give more easier for officers to implement of Telepsychiatry service in Psychiatry Dr. Soeharto Heerdjan Hospital and decrease the satisfaction of patient's family to the hospital. The SOP that has been designed must legitimized, socialized, monitored and evaluated.
Digital Transformation as Part of Hospital Marketing Strategy: Literature Review
Authors: Masita Dyah Ayu , Asumta Muhammad Zulfikar , Mawarti Herin , Zakaria Achmad
Published: February 2025

The number of clients of advanced communication instruments proceeds to extend, so most showcasing techniques utilize different web stages and social media. Advanced media is utilized as a shape of promoting communication not as it were by item fabricating companies but moreover by the healthcare segment, especially hospitals. Advanced change within the healthcare division is executed through a technology-based approach to move forward patient-centered healthcare administrations. The reason of this writing survey is to depict advanced change as portion of promoting methodology. This article employments the writing audit strategy to survey writing distributed in English and Indonesian. The taking after databases were utilized for the writing look: Pubmed, ProQuest, ScieneDirect, and Google Researcher. The information utilized in this consider are auxiliary information. This implies that they were not obtainedfrom coordinate perception, but or maybe from ponders conducted by past analysts. Healing centers must lock in in computerized change, counting compelling advanced promoting, to advance therapeutic administrations as portion of commerce development, give quality restorative administrations, and guarantee understanding fulfillment. Social media could be a computerized promoting stage broadly utilized by healthcare organizations.
Mindfulness Technique and Lavender Aromatherapy on Anxiety in Cervical Cancer Patients Undergoing Chemotherapy
Authors: Rosniati Rosniati , Erika Erika , Huda Nurul , Wahyuni Sri , Misrawati Misrawati
Published: February 2025

Mindfulness technique and lavender aromatherapy in reducing anxiety levels in cervical cancer patients undergoing chemotherapy. This research method uses a quasi-experimental design with a one-group pretest-posttest approach. A total of 49 respondents who experienced mild to moderate anxiety were involved in this study. The level of patient anxiety was measured before and after the intervention using the Hamilton Anxiety Rating Scale (HARS) questionnaire. The interventions provided included mindfulness technique training and lavender aromatherapy during chemotherapy sessions. The results showed a significant decrease in patient anxiety levels after the intervention, with the average anxiety level dropping from 43.40 to 34.26. The results of the paired sample t-test statistical test showed a p value <0.05, indicating that mindfulness and lavender aromatherapy interventions were effective in reducing anxiety in cervical cancer patients undergoing chemotherapy. Based on these findings, mindfulness and lavender aromatherapy interventions can be integrated as complementary therapies in cancer patient care to reduce anxiety during the treatment process. This study supports Calista Roy's adaptation theory, which emphasizes the importance of environmental interventions in helping patients adapt emotionally and physically to the disease. Suggestions for educational and health institutions are to integrate mindfulness techniques and lavender aromatherapy into nursing curricula and clinical practice to improve the well-being of cancer patients. These techniques can also be applied independently by the community as a simple way to manage everyday anxiety.
Use of High Sensitivity Cardiac Troponin as An Early Diagnosis of Acute Myocardial Infarction (IMA): Systematic Review
Authors: Sari Purwanti Nurfita , Bakar Abu , Hidayati Laily
Published: February 2025

Acute myocardial infarction (IMA) is a leading cause of morbidity and mortality worldwide, so early diagnosis is needed to detect the disease. High sensitivity troponin assessment is a biomarker examination that can diagnose Acute Myocardial Infarction. The purpose of this study is to determine the effectiveness of the use of High Sensitivity Cardiac Troponin and as an early diagnosis of Acute Myocardial Infarction (IMA). This study is a systematic review study of 4 databases, namely Scopus, PubMed, EBSCO Host, and Sage Journals, with the keywords "high sensitivity cardiac troponin" AND "acute myocardial infarction". The results of the study followed the protocol and rules of Preferred Reporting Items for Systematic Reviews (PRISMA) and used the JBI tool to assess the quality of the articles to be analyzed. The inclusion criteria in this study are articles taken in the last 5 years using the Randomized Control Trials (RCT) method and observational studies. A literature search yielded 452 research articles, of which 10 were included after several selections in a systematic review and were eligible for analysis. The ten articles used random comparison and observation research methods. All articles show that high sensitivity cardiac troponin has high sensitivity and specificity in supporting the diagnosis of acute myocardial infarction. This shows that high sensitivity cardiac troponin is one of the biomarker examinations that has high sensitivity in identifying patients with a high risk of acute myocardial infarction. This finding is expected to be a reference for health workers to determine the initial diagnosis of Acute Myocardial Infarction (IMA).
The Influence of Resilience and Nurse Motivation on Job Stress in Hospital: A Systematic Review
Authors: De Jesus Maria Silveira , Triharini Mira , Qur’aniati Nuzul
Published: February 2025

This study aims to analyse the influences of resiliences and nurse motivation on job stress. This study was conducted because nursing is a profession that is often faced with stressful and environments work situations, and nurses also often involve interactions with patients who are suffering or dying, which can affect their mental health. Without resilience and motivation, they may feel overwhelmed, anxious, or even experience burnout (emotional exhaustion). Method: The method used was a systematic review sourced from journals searched through the Scopus, Science Direct, and Pubmed databases published in less than the last 5 years (2019-2024) This systematic review follows the PRISMA. by using four databases in journal searches. This research uses the PEOS framework to determine the criteria. Based on the results of the literature search that has been examined, and in accordance with the eligibility criteria, 10 articles were obtained that can be used in this systematic review. Results Based of the 10 research journals that were analyzed, the results were varied, including 2 journals showing that work fatigue was a cause of moderate to severe stress in nurses and was one of the causes of nurses thinking about leaving their jobs as nurses. Meanwhile, 4 other articles discuss resilience and work stress levels of nurses, where the results show a significant relationship between resilience and stress levels. Based on the results of the review carried out, it can be concluded that nurses who have a good level of resilience will easily adapt and can control stress caused by work fatigue and burnout. Of the 10 research journals that were analyzed, the results were varied, including 2 journals showing that work fatigue was a cause of moderate to severe stress in nurses and was one of the causes of nurses thinking about leaving their jobs as nurses. Meanwhile, 4 other articles discuss resilience and work stress levels of nurses, where the results show a significant relationship between resilience and stress levels. Conclusion The purpose of this research is to assess how resilience being important to mannage stress and burnout  for a health workers especially nurses.
Interventions to Improve the Quality of Life of Thyroid Cancer Patients : A Scoping Review
Authors: Zamroni Asroful Hulam , Damayanti Elvi Kurnia , Ismail Fachril , Isdaryanti Lisa , Azhadin Rizky Nur , Dewi Yulis Setiya
Published: February 2025

Thyroid cancer treatment can cause side effects that have a significant impact on the patient's quality of life and health, so effective interventions are needed to address these impacts. This study aimed to explore various interventions, their impact on the quality of life of thyroid cancer patients. This study used a scoping review approach with PRISMA-ScR for article selection. Articles were obtained from Scopus, PubMed, ScienceDirect, and ProQuest databases published between 2016 and 2024 using keywords related to thyroid cancer, quality of life, intervention and therapy. Of the initial 2043 articles, 9 articles met the inclusion and exclusion criteria. The extracted data was analyzed using qualitative methods with identified were author, year of publication, research design, country, type of intervention, duration of intervention, research results, and JBI. The results of the analysis revealed three types of interventions in improving the quality of life of patients with thyroid cancer: (1) Psychological with mindfulness therapy, memory therapy, psychological nursing intervention, behavioral intervention, and technology-based therapy (mHealth); and (2) Physical with Progressive Muscle Relaxation (PMR), and home-based physical exercise (aerobics, resistance, flexibility). These findings underscore the benefits of interventions to improve the quality of life of thyroid cancer patients which include physical, psychological, and technology-based approaches.
Evaluation of Quality Family Village Best Practice Program in Stunting Control Efforts in Bengkulu Province
Authors: Putri Dea Sabrina , Wati Nopia , Ramon Agus , Kosvianti Emi , Pratiwi Bintang Agustina
Published: February 2025

The West Ring Quality Family Village has families at risk of stunting, so efforts are needed to reduce this condition so that it does not lead to stunting. This study aims to determine the evaluation of the best practice Kampung KB program in efforts to control stunting. This research uses a qualitative method with thematic analysis. This research was conducted in October 2024 with informants consisting of cadres, stakeholders and PLKB. Data collection techniques are carried out through observation, in-depth interviews and documentation, Researchers conducted observations by going to the field to directly observe the implementation of activities and in-depth interviews are conducted using an interview guide containing several questions that form the basis for extracting information from informants. In addition, researchers conducted documentation to collect supporting data such as archives and pictures related to the activities. The collected data was then analyzed through the reduction stage to select relevant information, display to compile data in a systematic form and finally draw conclusions to identify successes and obstacles in the program. Overall, the program has succeeded in increasing understanding, commitment, role and real impact in stunting control, the combination of education, mentoring and cross-sector collaboration provides good results, creating sustainable positive changes in the community. The Best Practice Program in Quality Family Village shows positive results due to the involvement of all parties including cadres, stakeholders, PLKB and the community in preventing stunting and increasing community knowledge related to nutritious food. However, this activity still cannot be said to be effective because there are several obstacles such as toddlers who do not want to eat or only finish a small portion of the portion provided, economic differences between families and budget limitations. This study contributes to science by identifying and looking at the success of best practices in controlling stunting.
Triage in Emergency Management in the Emergency Department: A Systematic Review
Authors: Uly Richal Grace Zefanya , Sriyono Sriyono , Qona'ah Arina
Published: February 2025

Triage is a vital process aimed at categorizing patients based on the severity of their conditions, allowing for quicker and more efficient management. This review gathers and analyzes the results of various studies related to triage methods used in the Emergency Department (ED), their impact on wait times, and patient clinical outcomes. The findings suggest that standardized triage systems can significantly enhance workflow efficiency in the ED, reduce mortality, and improve patient satisfaction. A total of 1,440 articles were identified from various databases: 251 from PubMed, 1,090 from ScienceDirect, 83 from Google Scholar, 3 from Scopus, and 13 from ProQuest. After removing duplicates, 1,125 articles remained, title screening reduced this to 114 articles, followed by abstract screening which resulted in 31 articles. Finally, 13 articles were selected for full-text review. In conclusion, there is a need for the integration of evidence-based triage systems to review the importance of developing adaptive triage protocols to improve the effectiveness of emergency case management in the ED. However, challenges in implementation, such as adequate training and resource limitations, need to be addressed to achieve optimal outcomes.
The Interplay between Hepcidin, Il-6, and NF-ΚB in Transfusion-Dependent Thalassemia-Β Patients
Authors: Alifah Assha Luthfianie , Rujito Lantip , Siswandari Wahyu
Published: February 2025

Hepcidin, a key regulator of iron metabolism, interacts with inflammatory cytokines like IL-6 and transcription factors such as NF-κB, which play crucial roles in the body's response to inflammation and iron homeostasis especially in transfusion-dependent Thalassemia-β patient. Their interplay in transfusion-dependent thalassemia-β patients, particularly in the context of iron chelation therapy, remains underexplored. Understanding these dynamics could provide insights into optimizing treatment strategies for better patient outcomes. Objective: Determine the relationship between hepcidin levels and IL-6 and NFκB in β-thalassemia sufferers who underwent blood transfusions and determine the effect of the type of iron chelation, and the regularity of iron chelation consumption with the relationship between hepcidin, IL-6 and NFκB levels in β-thalassemia sufferers who underwent transfusions blood. Method: A cross-sectional, quantitative correlation study involving transfusion-dependent thalassemia-β patients was conducted. Serum levels of hepcidin, IL-6, and NF-κB were measured, and the relationships among these biomarkers were analyzed using Pearson correlation. The impact of iron chelation therapy type and adherence on these relationships was also assessed using stratified statistical analysis. Results: Hepcidin levels with IL-6 were found with p = 0.757. The next analysis is the relationship between Hepcidin levels and NFκB with p = 0.029. Conclusions: The relationship between hepcidin levels and IL-6 did not contribute significantly, while there was a significant relationship between hepcidin levels and NFκB. The relationship was influenced by moderating variables, namely the type of iron chelation and the regularity of iron chelation consumption.
Combination of Zadek Osteotomy and Achilles Tendon Re-Attachment in Severe Haglund Deformity: A Case Report
Authors: Kusuman Kevin , Subawa I Wayan , Ismail Mohamad Dimas
Published: February 2025

Haglund deformity refers to a bony exostosis on the posterosuperior aspect of the calcaneus, often causing retrocalcaneal bursitis and Achilles tendinopathy. Conservative treatments, including physiotherapy and medication, may not relieve symptoms in severe cases. Surgical intervention is indicated when non-operative treatments fail. This report highlights a case of severe Haglund deformity managed with Zadek osteotomy and Achilles tendon re-attachment.Case Presentation: A 45-year-old female presented with 2 months of severe right heel pain and a 2-year history of a prominent bump. Physical therapy yielded no improvement. Clinical and radiographic evaluation confirmed Haglund deformity with insertional Achilles tendinopathy. Surgical treatment involved Zadek osteotomy, fixation with screws, and Achilles tendon re-attachment using a suture anchor. The combined approach addressed both the bony deformity and tendon degeneration. Post-operative outcomes showed significant improvement. At the 3-month follow-up, the patients Visual Analog Scale (VAS) pain score decreased from 7/10 to 1/10, and the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot score improved from 55 to 90. The range of motion was near normal, and functional recovery was excellent. This case demonstrates the effectiveness of combining Zadek osteotomy and Achilles tendon re-attachment for treating severe Haglund deformity. This approach provided significant pain relief and functional recovery, making it a viable option for patients with similar conditions refractory to conservative management.
The Influence of Whatsapp, Teacher Support and Attitude of Adolescent Girls Towards Compliance In Taking Iron Supplement Tablets: Systematic Review
Authors: Viyanti Rika , Aisah Siti , Pranata Satriya
Published: February 2025

Anemia is a significant health issue among adolescent girls, often caused by iron deficiency. Compliance in consuming Iron Tablets (Tablet Tambah Darah, TTD) is crucial to address this condition. This study aims to systematically review the influence of WhatsApp, teacher support, and attitudes of adolescent girls on TTD compliance. The method used is a systematic review with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach. A search conducted on journals indexed by SINTA and Scopus resulted in a total of 860 journals using the keywords anemia, iron supplement compliance, adolescents, technology WhatsApp, teacher support, and attitudes. Of these, 15 journals met the inclusion criteria and were further analyzed. The results of the study indicate that the use of WhatsApp can enhance awareness and knowledge of adolescent girls about the importance of consuming TTD, although the outcomes vary. Teacher support has also been shown to play an important role in improving compliance, as teachers can provide the necessary encouragement and supervision. Positive attitudes of adolescent girls towards TTD consumption significantly contribute to compliance. In conclusion, the combination of communication technology, teacher support, and fostering positive attitudes can enhance TTD compliance among adolescent girls. This multidimensional approach can be an effective strategy to reduce the prevalence of anemia among adolescent girls.
Relationship between Age, Knowledge and Husband Support with Unmet Need Incidence
Authors: Umayyah Umayyah , Hasrida Hasrida
Published: February 2025

The high total fertility rate (TFR) and unwanted births are caused by the high level of unmet demand for family planning among women of childbearing age. Age, expertise, and spousal support are three aspects that play a role in this. Objective to analyze unmet need in relation to age, education, and husband's support. Method using a cross-sectional approach, 89 respondents were selected from a group of fertile-age couples (PUS) in BPM Umayyah, Muaragembong District, Bekasi Regency in 2024, data collection by observation and interviews. Data analysis used the chi-square test. The majority of fertile couples did not have unmet needs, based on the univariate analysis findings (65.2%), 76.4% were of reproductive age, 60.7% had sufficient knowledge, and 51.7% had supportive partners. Unmet need was found to be associated with three variables in the bivariate analysis: age (p = 0.000), knowledge (p = 0.001), and husband support (p = 0.004). The incidence of Unmet Need is correlated with husband support, age, and expertise. To avoid misunderstandings about the use of contraceptives and to motivate mothers to use contraceptives to prevent pregnancies that impact their health.
Implementation of Health Education Program on Diarrhea Prevention in Mothers of Toddlers
Authors: Parlitta Dhitta Ayu , Ekayanti Ekayanti , Agustiani Susy
Published: February 2025

Diarrhea is one of the main causes of death in toddlers and is a significant factor in cases of malnutrition in this age group. Government efforts to overcome health problems, especially infectious diseases, are realized through various programs, one of which is the role of the Public Health Center (Puskesmas) in controlling and eradicating diarrheal diseases. This study aims to determine the effectiveness of the health education program in reducing the incidence of diarrhea in toddlers at Posyandu Mawar Sunter, North Jakarta in 2024. This study used a quasi-experimental design with a pre-test-post-test only model. The sampling technique used total sampling with a sample size of 35 samples. The study was conducted at Posyandu Mawar Sunter, Jakarta in November-December 2024. The results of the Paired Samples Correlations test obtained a significant value of 0.000 <α value of 0.05, so it can be concluded that the health education program on preventing diarrhea in toddlers at Posyandu Mawar Sunter, North Jakarta in 2024 was very influential.
Penyuluhan Pendidikan Anti Korupsi bagi Siswa SMK Swadaya Semarang
Authors: Suhaji  , Ika Listyawati  , Erawati Kartika
Published: February 2025

Progam pengabdian kepada masyarakat yang dikemas dalam kegiatan penyuluhan ini bertujuan untuk memberikan pemahaman mengenai Pendidikan antikorupsi, terutama bagaimana siswa dipersiapkan memiliki nilai-nilai anti korupsi yang terdiri dari 9 nilai integritas. Kegiatan ini berlangsung selama satu hari yang terlaksana pada tanggal 23 Februari 2023 yang diselenggarakan di SMK Swadaya Semarang. Sebelum dan sesudah penyuluhan diadakan Pre Tes dan Post test keada seluruh peserta. Hasil pre test dan post test menunjukkan ada peningkatan pemahaman tentang nilai-nilai anti korupsi sebelum dan sesudah penyuluhan. Dapat diartikan kegiatan berlangsung dengan baik dan peserta dapat memahami dan berkomitmen untuk mempraktekkan nilai-niai anti korupsi dalam kehidupan baik di sekolah maupun dalam kehidupan sehari-hari.
The Influence of Transformational Leadership Style, Organizational Climate and Work Discipline on Employee Performance
Authors: Basir Abdul
Published: February 2025

Human resource is the executor of the various activities in an organization and has a very large role for the development of the organization. An organization has their own criteria in determining human resource qualification. Excellent employees will contribute significantly to achieve the organization's goals.This study aims to analyze the factors influencing employee performance at the PT FIF Group Branch of Selong, East Lombok. These factors include transformational leadership style, organizational climate and work discipline. The research used the quantitative with regression analysis method. The data was collected using questionnaires distributed to all employees of PT FIF Group Branch of Selong. The sampling method used is census sampling technique with a total population of 32 employees. The data were analyzed with IBM SPSS version 22 and analysis was carried out by several tests such as validity test, reliability test, classic assumption test, linear regression analysis and coefficient of determination test. The results of this study indicate that partially, transformational leadership style, organizational climate and work discipline have a positive and significant effect on employee performance. Simultaneously, transformational leadership style, organizational climate and work discipline have a positive and significant effect on employee performance at the PT FIF Group Branch of Selong.
The process of transformation of the global governance system. The role of Russia in the creation of a new world order
Authors: Matveev Vladimir
Published: February 2025

The article analyses the current geopolitical situation, considers the process of global governance and the role of various actors in the international arena. The conclusion about the failure of the liberal model of global governance is formulated. The principles of the organisation of financial and economic activities based on the ‘Washington Consensus’ are analysed. The necessity of transformation of the change of the old liberal model of global governance is shown.
Considerable attention is paid to the concept of hybrid warfare against Russia as a tool for the implementation of global policy, as well as to the analysis of structures and methods of information influence on public consciousness.
A special place is given to the discussion of Russia's role in changing the established global system and its opposition to the liberal model of world politics. Historical prerequisites of the Special Military Operation, scenarios of global confrontation, as well as possible consequences for Russia and the world system are considered.
Reveals the mechanism of functioning of the ‘world behind the scenes’ and the influence of elite groups on world politics, analyses Western concepts of information warfare and their implementation through international structures. The bourgeois-liberal project of globalisation and the role of Ukraine in this project is analysed.
The role of Russia in the elimination of the liberal-market economic model that gave rise to liberal ideology is defined. The article predicts the processes in the Russian Federation of public understanding of the viciousness of the liberal-market economy and the need for personnel purification from the followers of liberal reforms.
The article offers a systematic approach to understanding globalisation, transformation of economic and political processes, and forecasts possible scenarios for the formation of a new world order.
Algorithm for assessing the efficiency of visual aesthetics of interfaces of specialized software products used by emergency services
Authors: Vostryh Alexey
Published: February 2025

The article considers the problem of quality of specialized software products used in the work of emergency services. This problem largely depends on the efficiency of graphical user interfaces of programs. The purpose of the article is to develop scientific and methodological tools that allow evaluating the efficiency of visual aesthetics of interfaces. To achieve this goal, the article: developed a range of indicators and characteristics combined into a system; formalized the proposed indicators and characteristics; developed an algorithm for assessing the efficiency of visual aesthetics of graphical user interfaces, allowing to find defects, as well as compare interfaces with each other. The proposed algorithm includes three areas of assessment: color aesthetics, compositional balance and ergonomic aesthetics, which contain twelve indicators and ten characteristics. A wide range of used indicators allows researchers to conduct a detailed and flexible analysis of the efficiency of interfaces of specialized information systems and programs, as well as to identify both positive and negative aspects of their implementation.
Expresiones visuales en el curso medio del río Chico (campo volcánico Pali Aike, Santa Cruz, Argentina): discutiendo la diversidad y profundidad temporal de los motivos rupestres
Authors: Funes Paula Daniela , Pallo María Cecilia , Charlin Judith , Manzi Liliana
Published: February 2025

This paper aims to account for the morphological and technical variability of the rock motifs surveyed in the Markatch Aike, Pali Aike and Cañadón Seco localities in the middle course of the Chico River (Pali Aike volcanic field, CVPA, Santa Cruz, Argentina) to analyze spatial and temporal trends. The information collected expands the morphological and technical diversity of the rock paintings previously observed for the area. Particularly novel is the identification of the first hunting scene in the CVPA rock art in general and the Río Chico style in particular, as well as the presence of engraved motifs of camelid anatomical parts (necks and quarters), which correspond to the designs of headless guanacos and long necks identified in the Gallegos-Chico interfluve. The presence of these motifs extends the temporal depth of the Chico River rock art and represents the southernmost distribution of engravings and this type of design in Patagonia. Thus, while the engravings suggest execution times around the middle Holocene, the paintings would have been mostly elaborated during the late Holocene.
The Influence of Organizational Commitment and Internal Control on Fraud Prevention with Good Governance as a Moderation
Authors: Sari Anita Mustika , Supramono Supramono , Sulistyawati Ardiani Ika
Published: February 2025

The fraud phenomenon and the results of the 2023 SPI indicate that the risk in the management of procurement of goods and services in Regional Government G is still at alert status. This study aims to analyze the effect of the internal control system and organizational commitment on fraud prevention, as well as the role of Good Governance as a moderating variable. This study contributes to the development of financial management science and provides practical recommendations for governments and companies in formulating procurement policies. This study uses quantitative methods with surveys and experiments. The study population included 257 employees involved in procurement, with a sample of 209 respondents selected through purposive sampling. Data were collected through a Likert-based questionnaire and analyzed using Partial Least Squares (PLS) with SmartPLS. The results showed that organizational commitment and internal control systems had a positive effect on fraud prevention. Good Governance moderated the effect of organizational commitment positively, but weakened the effect of the internal control system. The implications of the theory based on agency theory indicate that good governance limits the opportunity for deviation through transparency and accountability. Recommendations include increasing anti-corruption training, strengthening supervision, digitalizing procurement, and optimizing the public complaint system. Further research is suggested to add variables such as leadership integrity and organizational culture to enrich the understanding of fraud prevention.