bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengembangan Alat Evaluasi Pembelajaran Berbasis Android Melalui Aplikasi Quizziz pada Materi Puisi Siswa Kelas X SMA Nurul Amaliyah Tanjung Morawa
Authors: Yani Rahma
Published: November 2022

This research aimed to describe the development process, practicality, validity, and feasibility of using an android-based learning evaluation tool through the quizizz application on "Poetry" material in class X SMA. This research was conducted in SMA Nurul Amaliyah Tanjung Morawa. The research used Research and Development method (R&D) with a 4D model developed by Thiagarajan which includes 4 stages, including: Definition, Design, Development, and Dissemination  with a population of 83 students. Sampling in this study used a random sampling technique through lottery, so that there were 28 students used as samples. The data in this study include qualitative and quantitative data. The qualitative was obtained through interviews and comments and suggestions given by validators, while quantitative data was obtained through data collection in the form of distributing questionnaires to validation of material experts, media/design, teachers and student response, totaling 28 students in using learning evaluation tools based on android through the quizzz application.The results obtained are (1) an explanation of the process of developing learning evaluation tools through the resulting product in the form of a guidebook for the using of evaluation tools, (2) based on the validity test of the using of evaluation tools through material validators and media/design experts, obtained total values as  85.29% with "valid" qualifications, and the overall value of media/design expert validation as 90.15% with "very valid" qualifications, (3) based on the feasibility test of using evaluation tools conducted by two teachers of Bahasa Indonesia obtained an overall score as 91.2% with a “very decent” qualification, (4) while the practicality test of the evaluation tool through the assessment of the student response questionnaire obtained as 87.16% with "very practical" qualifications with various positive responses given by students. It can be concluded that the android-based learning evaluation tool through the Quizzzz application is very practical and suitable to be used.
Peningkatan Kemampuan Menulis Surat Lamaran Pekerjaan melalui Model Pembelajaran Think-Pair-Share pada Siswa Kelas XII MIA 1 SMA Negeri 1 Pancur Batu
Authors: Maria Simanjuntak
Published: November 2022

The purpose of this study was to determine how the ability to write job application letters for students of class XII MIA 1 SMA Negeri 1 Pancur Batu and to find out whether cooperative learning with the Think-Pair-Share model can improve the ability to write cover letters for students of class XII MIA 1 SMA Negeri 1 Pancur Batu. . The benefit of this research for students is to increase knowledge and insight in writing job application letters. The benefits of this research for teachers are: as an effort to offer new innovations in how to learn to write job application letters, as an effort to motivate students in writing job application letters, and as an effort to improve performance, abilities, and professionalism in improving the quality of learning in the classroom. The benefit of this research for researchers is to broaden knowledge and provide learning experiences that foster research abilities and skills as well as broader knowledge. This study uses classroom action research (action research) in two rounds (cycles). Each round consists of four stages, namely: planning, activities and observations, reflection, and revision. The target of this research is the students of class XII MIA 1 SMA Negeri 1 Pancur Batu. The data obtained in the form of subjective test results and observation sheets of teaching and learning activities.
Pengembangan Teks Eksplanasi sebagai Bahan Ajaran Melalui Pendekatan Genre Expository dengan Media Visual di Kelas XI SMA
Authors: Meily Indriani  , Liesna Andriany  , Deliani  , Ratna Soraya  , Nila Safina
Published: November 2022

This study aimed to develop an expository writing text module with an expository genre approach. The study used the 4D research and development method by Thiagarajan. The stages of this research method arecarried out at the stage of defining, designing, and developing without conducting the dissemination stage. The data consisted of primary and secondary data. The secondary data were taken from articles from relevant previous studies, and books. While the primary data are taken directly from expertsin the formo fan assessment of teaching material products. The study used the documentation techniques. The study used questionnaire to collect data. Then the collected data will be analyzed byusing the data analysis technique of Miles and Huberman. Through the assessmen to material experts, the resulting module received a final score of 3.88 as very validcriteria, and the overall average score of the product design assessment by design experts was 3.67 as very valid criteria. Based on these results, it is concluded that the prototype of the explanatory text writing module with visual media developed is valid and feasible to be tested for the next stage, namely the dissemination stage.
Implementasi Model Pembelajaran Daring Bahasa Indonesia pada Mahasiswa Universitas Serang Raya di Masa Pandemi Covid-19
Authors: Lina Marliana Dewi  , Meliyawati
Published: November 2022

Penelitian ini bertujuan untuk menganalisis implementasi model pembelajaran online bahasa Indonesia bagi mahasiswa Universitas Serang Raya selama masa pandemi COVID-19. Bentuk penelitian mengenai “Implementasi Model Pembelajaran Online Bahasa Indonesia Pada Masa Covid-19” yang dilakukan peneliti adalah penelitian deskriptif kualitatif. Instrumen yang digunakan dalam penelitian ini adalah observasi, wawancara, catatan lapangan dan dokumentasi. Lokasi penelitian ini dilaksanakan di Kampus Universitas Serang, lokasi tersebut dipilih sebagai lokasi penelitian karena responden penelitian ini adalah mahasiswa. Jumlah data responden pria berjumlah 16 orang dan responden wanita 15 orang. Dalam memahami materi bahasa Indonesia, mayoritas belum begitu paham. Tanggapan hambatan pembelajaran online bahasa Indonesia yang menjawab setuju sebesar 77,42% dan yang tidak setuju sebesar 22,58%. Jadi, sebagian besar masalah pembelajaran online mengalaminya. Pendapat mengenai penyampaian materi dari dosen bahasa Indonesia, dalam penyampaiannya melalui media online, yang menjawab setuju sebesar 67,74% dan tidak setuju sebesar 32,26%.
Metode Karyawisata dalam Meningkatkan Kemampuan Menulis Karangan Deskripsi
Authors: Mimi Rosadi  , Novita Friska Surbakti
Published: November 2022

The application of the field trip method aims as an alternative means for teachers to help students' interest in improving the ability to write essays that were previously a barrier to students in developing writing skills for each student. The field trip method also functions as an activity to eliminate the boredom of each student in learning, which teaches students to provide knowledge outside the classroom.
Analisis Semiotik pada Puisi “Makna Sebuah Titipan” Karya W.S. Rendra
Authors: Junifer Siregar
Published: November 2022

This study aims to describe the semiotic elements contained in the poems "The Meaning of a Custody" and "The Poor" by WS Rendra and to describe the semiotic meaning contained in the poems "The Meaning of a Custody" and "People Poor” by WS Rendra. Based on the semiotic analysis of the poem "The Meaning of a Custody" by W.S. Rendra, there are language styles such as Climax, Rhetoric, Association, Anticlimax, Personification and Irony. Based on the semiotic analysis of the poem "The Poor" by W.S. Rendra, there are language styles such as Rhetoric, Association, Anticlimax, Personification and Irony. Semiotics the poem "The Meaning of a Custody" tells about something that a person has is just a deposit or a gift from God, so it needs to be grateful and don't be arrogant, while the poem "The Poor" tells Rendra describing the condition of poor people who are very concerned.
Martahi: Pesan Moral dalam Tradisi Lisan Masyarakat Mandailing
Authors: Rudiansyah Siregar
Published: November 2022

Sumatera Utara merupakan masyarakat multi etnis. Populasi etnis terbesar adalah Batak yang terbagi ke beberapa sub etnis salah satunya adalah Mandailing yang berada di Kawasan Tapanuli Selatan, Sumatera bagian Tenggara. Komunitas Mandailing secara umum adalah masyarakat yang sangat  peka dan peduli terhadap nilai-nilai adat di setiap rutinitas kehidupan. Adapun yang menjadi latar belakang topik kajian ini adalah sebuah tradisi lisan di tengah komunitas masyarakat Mandailing yang disebut dengan martahi. Sebuah prosesi adat yang dilaksanakan ketika ada masyarakat yang akan melaksanakan horja atau pesta yang biasa disebut Suhut, maka seluruh anggota keluarga akan bermusyawarah kepada para tetua adat menyampaikan maksud sekaligus meminta bantuan untuk kemudian disampaikan kepada masyarakat. Pelaksanaan martahi adalah sebelum dilaksanakannya upacara perkawinan sebagai bagian dari persiapan horja. Martahi menjadi momen yang sangat   penting dalam pernikahan masyarakat Mandailing ketika ingin menikahkan anaknya. Martahi sebagai tradisi musyawarah dan tolong menolong bertujuan untuk mendapatkan bantuan untuk kebutuhan acara pernikahan. Dalam pelaksanaan martahi, suhut akan mengundang kerabat dan masyarakat desa. Sarana wacana yang akan dijadikan kajian dalam penelitian ini berasal dari teks hobar, yaitu  pesan yang disampaikan secara lisan dengan cara monolog, berpidato, dan berpantun serta pesan moral yang luas dan memiliki filosofi. Pesan moral akan digali dalam penelitian ini. Berdasarkan hasil penelitian menunjukkan bahwa masyarakat Mandailing memiliki nilai-nilai yang kuat dalam membangun komunikasi dan kerjasama. Sangat teliti dalam menentukan pilihan serta menjunjung tinggi budaya dan mampu melahirkan pesan moral yang bermanfaat di setiap lini kehidupan.
Penerapan Metode Example Nonexample dalam Pembelajaran Bahasa Indonesia Kelas C Program Studi S1 Keperawatan di STIKes Bina Sehat PPNI Mojokerto
Authors: Zain Moh. zainudin , Raras Merbawani  , Asef Wildan Munfadlila
Published: November 2022

Abstract

This Research described the application of the example non example method in learning Indonesian in class C of the S-1 Nursing Science Study Program at STIKes Bina Sehat PPNI Mojokerto.  The material for preparing reports on community service activities was a series of language learning materials that had been prepared by the lecturer in the semester learning plan.  In learning activities, students were required to always be active and creative.  In addition, the role of the lecturer as one of the components of learning becomed very important and must be able to apply and develop learning methods appropriately.  Through the example non example method, students can be directly and actively involved and can think critically in the learning process, thus making the learning atmosphere more fun and meaningful.  This research used a type of field research (field research) with a qualitative approach.  Data collection techniques included observation and documentation.  The data analysis carried out by the researcher was as follows: (1) data reduction.  This activity includes selecting data on the basis of its level of relevance and relation to data groups, compiling data in similar units, and creating codes.  (2) displaying data by compiling relevant data, (3) drawing conclusions to get a meaning of scattered symptoms to have deep meaning.  Based on the results and discussion, it can be concluded that the implementation of the example non example method has been going well.  students can compile reports on the results of community service activities more regularly and systematically.

Keywords: learning Indonesian, compiling reports, method example non example
Dampak Budaya Jawa terhadap Perilaku Masyarakat Desa Wonosari Kecamatan Pantai Cermin
Authors: Lestari Indah
Published: November 2022

Over time, the behavior of the people of Wonosari Village, Pantai Cermin District, is much influenced by the existence of Javanese culture that is used in everyday life by the people of Wonosari Village, Pantai Cermin District. Such as the Slametan event, the upload event, among-among, the rice field event, and other Javanese cultural events. Problem formulation (1). How is non-Javanese ethnic culture assimilated with Javanese culture in Wonosari Village, Pantai Cermin District? (2). How are the slametans, village clean-ups, and rice field events held in Wonosari Village, Pantai Cermin District? (3). How is Javanese culture used as the main tradition in Wonosari Village, Pantai Cermin District?. The objectives of this research are (a). To find out the non-Javanese ethnic culture assimilated with Javanese Culture in Wonosari Village, Pantai Cermin District. (b). To find out the implementation of slametan, village clean-up, and rice field activities in Wonosari Village, Pantai Cermin District. (c). To find out Javanese culture is used as the main tradition in Wonosari Village, Pantai Cermin District. The type of research that will be used is qualitative research with descriptive research. In accordance with the title of the study, the research is located in Wonosari Village, Pantai Cermin District. The data collection methods are Observation/Observation Methods, Interview Methods/Interviews and Documentation. The data analysis techniques used are: Data Reduction, Data Display, Comparative Analysis, and Drawing Conclusions. The results showed that non-Javanese ethnic groups were beginning to be affected by the existence of Javanese ethnic culture, seen from them participating in every event carried out by Javanese ethnic groups related to Javanese culture in order to create good interaction among Wonosari Village residents, until they could use the Javanese language. Javanese culture also affects a good level of kinship because with this culture can create togetherness and friendship between the non-Javanese and the Javanese. The tradition that has been passed down from generation to generation is still carried out well by the Javanese people in the village of Wonosari. Javanese culture in Wonosari Village, Pantai Cermin District, Serdang Bedagai Regency is used as the main tradition because the majority of the village community is Javanese, and non-Javanese people live to follow it, including people who have lived long before the Javanese entered the Wonosari Village.
Pengembangan Media Pembelajaran Video Animasi Pada Materi Menulis Puisi Kelas X SMA
Authors: Siti Malahayati Ritonga  , Ali  , Deliani
Published: November 2022

This study aims to: (1) Describe the Development Process of Canva Animation Video Learning Media Writing Poetry for Class X SMA, (2) Describe the Validity of Material Experts and Media Experts About Development of Learning Media Canva Animated Video Writing Poetry for Class X SMA, (3) Describe the Feasibility Canva Animation Video Learning Media Products for Class X High School Poetry Writing. Sources of data in this study in the form of a questionnaire. The type of data used is descriptive qualitative data as the main data collected through an instrument with a Likert scale. Respondents in this study were Material Experts and Media Experts. This research method is a deve  lopment research using the Borg and Gall Model which was adjusted in 6 stages because it was still in a state of the Covid-19 pandemic, namely (1) needs analysis, (2) Product Specification Planning, (3) Product Design, (4) Product Validation. , (5) Product revision/improvement, (6) Dissemination. The material expert's response, obtained the average overall aspect of the material in the "adequate" category. This means that Canva's Poetry Writing animation video learning media with the help of the Canva application for class X high school students is feasible and valid to be applied to small groups or large groups.
Kemampuan Menulis Paragraf Persuasif Siswa Kelas VIII SMP Negeri 6 Binjai
Authors: Yulinda Dwinata
Published: November 2022

This study aims to determine the ability to write persuasive paragraphs in class VIII SMP Negeri 6 Binjai. The research method used in this research is descriptive method. The research sample was carried out at random (random sampling) so that the sample was obtained, namely class VIII-1, which consisted of 40 students. Based on the data obtained, it can be seen that the Ability to Write Persuasive Paragraphs of Class VIII Students of SMP Negeri 6 Binjai with the average score obtained is 72. Thus, it can be seen that students of class VIII SMP Negeri 6 Binjai are quite capable of writing persuasive paragraphs, this can seen from the average value obtained by these students.
Penerapan Metode Belajar STEAM dengan Bahan Loose Parts untuk Meningkatkan Kreativitas Anak Usia Dini
Authors: Wahidah Fauziah Nurlaila
Published: November 2022

Metode belajar sangat dominan dalam suksesnya kegiatan belajar mengajar, STEAM (Science, Technology, Engineering, Arts, and Mathematics) adalah salah satunya kemudian digabungkan dengan bahan loose parts. Kampung Ciganda kecamatan Bojonggambir, kabupaten Tasikmalaya adalah sebuah kampung yang belum mengetahui serta belum menerapkan metode ini. Oleh karena itu, penelitian dilakukan untuk mengetahui (1) kreativitas Anak sebelum menerapkan metode belajar STEAM dengan bahan loose parts. (2) kreativitas Anak setelah diterapkan metode belajar STEAM yang digabungkan dengan bahan loose parts terhadap kreativitas Anak Usia Dini. (3) Kendala yang ditemukan ketika menerapkan metode ini. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kualitatif, dan menggunakan rupakan penelitian sistematis untuk menguji hipotesis hubungan sebab-akibat. Desain yang digunakan dalam penelitian ini adalah desain Satu Kelompok Pretes-Posttes (One Group Pretest-Posttest).Hasil dari penelitian ini adalah Proses pembelajaran anak usia dini di kampung ciganda sebelum menggunakan metode steam berbasis loose parts kurang dan bahkan tidak muncul kreativitasnya. Namun setelah menggunakan metode steam berbasis loose parts kreativitas mereka muncul. Sedangkan kendala yang ditemukan dari metode ini adalah seorang guru harus lebih bersabar untuk mengarahkan mereka menggunakan bahan loose part nya juga waktu dalam proses pembelajaran akan lebih lama dari biasanya.
Pendidikan Anak Usia Dini: Perannya dalam Membangun Karakter dan Tumbuh Kembang Anak Usia Dini
Authors: Ningrum Nabila Putri Widya , Pane Fatma Mayang Jelita , Yani Seri Indah , Khadijah
Published: November 2022

This article discusses the role of early childhood education in building character and early childhood development. In accordance with what was expressed by Kihajar Dewantara, that everyone is a teacher, and every place is a school, this shows that education can be obtained from anyone and anywhere. Can be from family and also the surrounding environment. In general, the first education in educating children's character starts from the family. The family becomes the main madrasa in instilling the seeds of children's character. To develop the character of the child, environmental factors play an important role in it. One of the environments that can develop children's character is Kindergarten Education. This education will stimulate children's development through various media which will later be useful for developing the character and potential of early childhood.
Pengaruh Penggunaan Media Kartu Kata Terhadap Kemampuan Membaca Permulaan pada Siswa Kelas I SDN 104181 Sunggal Kanan
Authors: Mastari Ramadhani
Published: November 2022

Reading in everyday life is very important, because by reading we can find out written information. Often read, people can master a lot of vocabulary, and can learn various types or models of sentences. Therefore, to improve reading it must be taught from an early age. The benefits that can be obtained from teaching children to read from an early age include: increasing children's vocabulary, improving communication skills, and being able to create their imagination. This study aims to determine the effectiveness of using word cards to improve children's early reading skills in the experimental class at SDN 104181 Sunggal Kanan. To achieve the above objectives, a quantitative research approach is used. The type of experimental research is one group pretest posttest. In this study, researchers took a sample of 24 children in the experimental class and 25 children in the control class at SDN 104181 Sunggal Kanan. With data collection techniques using an assessment instrument. Data analysis using t test. The results of this study indicate that the learning outcomes in the experimental class are higher than those in the control class. This conclusion is based on the final results of the average children, where the average pretest of children in the experimental class (before treatment) was 6.375 out of 24 children, while the average of children in the posttest results was 9.167. While in the control class, the average pretest of children ) was 5.8 out of 25 children, and the average of children on the posttest results was 6.44. In addition to the students' average results, the results of the t-test were also obtained, namely the t-count value obtained a significance value (sig.) 0.000 <0.05. So it can be concluded that Ho is rejected and Ha is accepted, which means that there is an effective use of word cards to improve early reading skills.
Penggunaan Metode Inquiri untuk Meningkatkan Prestasi Belajar Siswa Materi Volume Konstruksi Gedung, Jalan dan Jembatan pada Pelajaran Estimasi Biaya Konstruksi
Authors: Ririn Sandra
Published: November 2022

The success of learning objectives is determined by many factors including the teacher's factor in carrying out the teaching and learning process, because the teacher can directly influence, foster and improve the intelligence and skills of students. To overcome the problems above and to achieve maximum educational goals, the role of the teacher is very important and it is hoped that the teacher has a good teaching method/model and is able to choose the right learning model and in accordance with the concepts of the subjects to be delivered. The problems that want to be studied in this research are: How to improve student learning outcomes with the application of learning the application of the Inquiry method? The objectives of this action research are: Want to know the improvement of student achievement after the implementation of learning. Application of the Inquiry method. This study uses two rounds of action research. Each round consists of four stages, namely: planning, implementation, observation, and reflection. The target of this research is the students of class XI DPIB even semester. The data obtained in the form of formative test results, observation sheets of teaching and learning activities.From the results of the analysis, it was found that students' learning motivation increased from cycle I to cycle II, namely, the average class of cycle I (68.00) cycle II (80.00). Students of class XI DPIB odd semester 2021/2022, and this learning method can be used as an alternative to learning Construction Cost Estimation.
Upaya Peningkatan Hasil Belajar Siswa melalui Sharing dan Media Audio Visual pada Materi Toleransi sebagai Alat Pemersatu Bangsa Kelas XI BKP SMK Negeri 2 Karang Baru
Authors: Jasmaniah
Published: November 2022

This study aims to determine the improvement of student learning outcomes by applying audio-visual media to tolerance material as a unifying tool for the nation's subjects of Islamic Religious Education and Budi Pekerti. The research used is research that uses Classroom Action Research (CAR) or classroom action research with the type of participant CAR research and discovery learning approach. This research is more about solving a problem whose results are described thoroughly. The research subjects in this CAR are students of class XI SMK Negeri 2 Karang Baru, Aceh Tamiang Regency. The results of this study indicate that student learning outcomes, especially tolerance material as a unifying tool for the nation in the subjects of Islamic Religious Education and Character Education during the application of audio-visual media have increased, as seen from the average value before implementation is 73.3, after using the media. audio-visual, the learning outcomes in the first cycle increased with an average value of 77.21 and in the second cycle it reached 86.41. So, the use of audio-visual media can improve the learning outcomes of class XI students in the subjects of Islamic Religious Education and Character Education, especially tolerance material as a unifying tool for the nation at SMK Negeri 2 Karang Baru, Aceh Tamiang Regency.
Pengaruh Motivasi Belajar terhadap Prestasi Belajar IPS Siswa Kelas VI di UPTD SD Negeri 122348 Pematangsiantar
Authors: Agnes Chintya Dewi  , Lisbet N. Sihombing  , Hetdy Sitio
Published: November 2022

The Influence of Motivation on Social Studies Learning Achievement of Class VI Students at UPTD SD Negeri 122348 Pematangsiantar. Thesis. UHKBPNP University Primary School Teacher Education and Education Studies Program. Advisor I Lisbet Novianti Sihombing,S.Pd.,M.Pd and Advisor II Hetdy Sitio M.Pd. This study aims to determine whether there are. The Influence of Motivation on Social Studies Learning Achievement of Grade VI Students at UPTD SD Negeri 122348 Pematangsiantar. This study aims to determine the description of the social studies learning motivation of grade VI students and how much influence the social studies learning motivation of students at UPTD SD Negeri 122348. This study is a quantitative method, with the entire research population. class VI students totaling 33 people. The results showed that the description of the social studies learning motivation of students at UPTD SD Negeri 122348 Pematangsiantar was in the high category, namely 87% of the social studies learning achievement of students and the influence of social studies learning motivation.
Pengaruh Model Pembelajaran IOC(Inside Outside Circle) terhadap Hasil Belajar Siswa pada Tema 1 Indahnya Kebersamaan Subtema 2 Kebersamaan Dalam Keberagaman Pembelajaran 1, 2 Dan 3 di Kelas IV SDN 091447 Saribujawa Kecamatan Dolok Panribuan
Authors: Pipi Amita Sinaga  , Lisbet N. Sihombing  , Eva Pasaribu
Published: November 2022

This study aims to determine the effect of the IOC (Inside Outside Circle) Learning Model on Student Learning Outcomes on Theme 1 The Beauty of Togetherness Sub-theme 2 Togetherness in Religion in Class IV SDN 091447 Saribujawa, Dolok Panribuan District, 2022/2023 Academic Year.This research is quantitative research with the type of Quasi-Experimental research. The population in this study were all IV grade students at SDN 091447 Saribujawa who collected 52 students and the samples were IVA which found 26 students and IVB class which collected 26 students. Sampling using the Cluster Random Sampling technique. The data collection instrument used was in the form of a multiple choice test. Data analysis was performed using the Independent Sample t-test with the help of IBM SPSS Statistics version 23. The result of this study indicates that the thematic learning outcomes of students who are taught with the IOC (Inside Outside Circle) model have an average post-test score of 80,92 which is in the good category. While the class using the conventional model obtained an average post-test of 71,46 which was in the sufficient category. In the Independent Sample t-test, the value of t_count = 3,724 and Sig. (2-tailed) is 0,000. The value of the t_table distribution based on df = 50 with a significant level of = 0,05 is 2,008. Because the value of t_count > t_table (3,724 > 2,008) and Sig.(2-tailed) 0,000 < 0,05, H_a is accepted and H_0 is rejected. Thus, it can be said that there is a significant effect of the use of the IOC (Inside Outside Circle) Learning Model on the learning outcomes of IV grade students at SDN 091447 Saribujawa.
Burden, clinical aspects and correlates of dyspepsia among the population in Jeddah, Saudi Arabia
Authors: El-Gamal Fathi , Baajajah Lujain , Katib Ghufran , aljohani Shaima
Published: November 2022

Background: Dyspepsia is a common medical disorder affecting the gastrointestinal system. It is common among the population, and contributes to a considerable impairment in quality of life by affecting the person’s social and emotional functioning. Objectives: To study the magnitude, clinical aspects and correlates of dyspepsia among the population in Jeddah, Saudi Arabia. Method: This was a cross sectional study; the non-probability convenient sampling method was used to collect data on 248 subjects from 5 May 2021 to 26 August 2022 via online-Google form questionnaire on the population in Jeddah, Saudi Arabia. This questionnaire provided information on personal, sociodemographic characteristics, clinical aspects and eating habits. In addition, the Rome IV criteria for classifying functional GI disorders, and the Depression Anxiety Stress Scales-21 (DASS-21) questionnaires were used. Statistical analysis: data were analyzed using SPSS version 23. The Chi square test of significance was used. The level of significance was 0.05. Results: Dyspepsia was encountered among 40% of the subjects. The majority of them had dyspepsia of the functional type. Early satiation, upper abdominal pain, nausea, constipation and diarrhea were the significant symptoms associated with dyspepsia. The significant correlates of dyspepsia wereusing Aspirin and pain killers, eating heavy meals, particularly at night, and family history of dyspepsia. Also not drinking plenty of water and not eating vegetable and fruits were significant determinants of dyspepsia. Dyspepsia was significantly associated with increased score for anxiety (p <0.05), and was significantly associated with extremely severe depression (p <0.05). Conclusion: Dyspepsia is a common gastrointestinal disorder among the population. It is associated with several gastrointestinal symptoms. Family history of dyspepsia, and dietary habits and intake of certain drugs were significant determinants of dyspepsia. It is significantly associated with impairment of the emotional state of the subjects. These findings may help the health care planners to consider these points when developing health education programs to combat dyspepsia among the general population. Keywords: Dyspepsia, Jeddah, anxiety and depression, dietary habits
Assessment of Quality of Life among Elderly Patients Attending Primary Healthcare Centers in Aseer Region, Saudi Arabia
Authors: Alqahtani Osama Mohammed , Alsamghan Awad Saeed , Alsaleem Safar Abadi , Alyahya Alaa Ali Saeed , Alrazhi Faizah Salem , Alshahrani Asma Sulaiman , Alasmari Atheer Saeed M , Saeed Asma Abdullah , Qawwadi Ranyah Ahmed Nasser , Alotayfi Bushra Mohammed , Alshahrani Nadine Thabet Saeed
Published: November 2022

Aim of study: To explore quality of life (QOL) among elderly population and to identify the factors associated with their QOL. Methods: Following an observational cross-sectional research design, this study included 405 elderly patients attending the primary healthcare centers (PHCCs) in Aseer Region, Saudi Arabia. A self-administered questionnaire was constructed and utilized for data collection. It included personal and socio-demographic characteristics, lifestyle habits, clinical data and the WHOQOL-BREF Questionnaire to assess participants’ QOL. Results: About half of participants (53.3%) were males, 65.7% was less than 70 years old, 89.4% were Saudi, and 68.1% were currently married. Regular exercise was practiced by 19.3% of participants, while 8.4% were smokers. About two-thirds of participants were hypertensive (64%), or diabetic (63.2%), while 49.6% had musculoskeletal diseases, about one third had visual problems (38.8%), eye diseases (34.8%), or dyslipidemia (33.6%), while 23.2% had heart disease. The mean overall percent score for WHOQOL was 66.4±11.4%, while the lowest mean percent score was for their physical health (64.5±11.4%), while that for psychological domain was 66.2±11.5%, that for social relationships was 68.1±17.7%, and for environment was 67.6±14.6%,while negative feelings were always felt by 4%, very often by 23%, and quite often by 45%. Participants’ WHOQOL mean percent scores differed significantly according to their age group (p<0.001), marital status (p<0.001), educational status (p<0.001), occupational status (p=0.001), monthly income (p<0.001), residence (p=0.004), and regular practice of exercise (p<0.001). Conclusions: Elderly people attending PHC centers in Aseer Region have suboptimal overall QOL, with their physical health being the lowest manifestation. Several chronic diseases are highly prevalent among elderly people, such as hypertension, diabetes, sensory problems, musculoskeletal diseases, heart and urinary diseases. Therefore, it is necessary to provide high attention toward geriatric care in order to enhance their QOL. Key words: Elderly, primary health care, Quality of life, life style, WHOQOL.
Elastography as predictor for thyroid nodule malignancy
Authors: Alsuqair Reyad , Omar Nermeen , Alshreef Sultanah , Alharthi Yazeed , Algarni Mohammad , Aljuaid Abdulaziz , AlThaqufi Omar J.
Published: November 2022

Background: Ultrasound elastography is a promising noninvasive technique that is still in its infancy. It uses tissue elasticity measurements to distinguish between benign (soft tissues) and malignant (hard tissues) nodules. Objectives: to see if elastography has diagnostic significance and if it may be used as a predictor of thyroid nodule malignancy Methods: An analytical cross-sectional study was done and data collected using Philips Epiq 7 linear transducer 8-12MHZ, strain type of elastography. A sample of 27 patients from Al-Hada Armed Forces Hospital, Taif, Saudi Arabia were included. Data about patients’ demographics, AP, TR, Echogenicity, Margin, Composition, Echogenic foci, FNA result, Elastography findings and TIRADs classification were collected. Results: According to FINA findings, the majority of patients (96.3 percent) had a benign tumour, and 81.5 percent had soft elastography. T2 was the most common TIRADs classification (55.6 percent). The percentage of patients with T2 (TIRADs) was significantly greater in patients with a younger mean age, and there was a non-significant association between TIRADs categorization and FINA findings. Females had a much higher percentage of benign diagnoses based on FINA results, with no significant link detected between FINA results and the demographic or clinical characteristics of the patients. Both TIRADs categorization and FINA results were shown to have no significant link with the elastography data. Conclusion: The elastography findings were found to have a non-significant link with both TIRADs categorization and FINA results. Future studies with larger samples should be conducted to clarify the study outcomes. Keywords: Elastography, predictor, thyroid, nodule, malignancy
Assessment of patients’ knowledge and attitudes towards self-insulin administration and skin manifestations in the regions of Aseer
Authors: Shawabkeh Rawan , Aldajam Muteb , Alshehri Halimah , Muqri Mohammed , Mukharrib Mohammed , Alzamanan Mahdi , Alhamad Mona , Alhamad Sukayna , Alnumayr Haya , Aldajam Muidh , Alqahtani Hisham
Published: November 2022

Background: Diabetes Mellitus (DM) is one of the most widely prevalent diseases in Saudi Arabia. Health education is considered essential to improve knowledge and change behavior. People affected by diabetes often have inadequate knowledge about the nature of diabetes, its risk factors, and associated complications. Methods: The study employed a cross sectional design and was conducted in Aseer, Saudi Arabia. We used a validated scale to measure the participants’ knowledge. A sample of 182 patients was conveniently selected from primary health care centres. Findings: Regarding the study participants’ knowledge of diabetes mellitus, the results showed that 53.8% of patients are diagnosed with type I diabetes compared to 46.2% diagnosed with type II. Also, the study results revealed that 81.3% of patients have a positive family history of diabetes. Furthermore, 51.8% of patients have a controlled blood glucose level as evident by HBAIc being less than 7. Conclusions: The injected insulin in the lipoatrophy area may lead to inappropriate absorption of the insulin and poor blood glucose level control with unpredictable hypoglycemia. Keywords: Knowledge, attitude, insulin injection users, the skin manifestations, Saudi Arabia
The Specifics of Non-specific Low Back Pain: Re-evaluating the Current Paradigm to Improve Patient Outcomes
Authors: Malik Khalid M , Nelson Ariana M. , Chiang Ting-Hsuan , Imani Farnad , Khademi Seyed-Hossein
Published: November 2022

: Low back pain (LBP) is the leading cause of pain and debility worldwide and the most frequent reason for work-related disability. Global expenditures related to LBP are staggering and amount to billions of dollars each year in the United States alone. Yet, despite the considerable healthcare resources consumed, the care provided to patients with LBP has regularly been cited as both ineffective and exorbitant. Among the myriad reasons for this suboptimal care, the current approach to evaluation and management of patients with LBP is a likely contributor and is hitherto un-investigated. Following the current methodology, over 90% of patients with LBP are provided with no specific diagnosis, are managed inconsistently, and receive no express preventative care. We believed that this approach added costs and promoted chronic unresolved pain and disability. This narrative review highlights problems with the current methodology, proposes a novel concept for categorizing patients with LBP, and recommends strategies for improvement. Stratifying patients according to the etiology, in lieu of the prospects for morbidity, the strategy proposed in this article may help ascertain the cause of patient’s LBP early, consolidate treatments, permit timely preventative measures, and, as a result, may improve patient outcomes.
accuracy of clinical diagnosis in 2135 lesions on the face
Authors: Czaplicka Anna , Misiak-Gałązka Magdalena , Czuwara Joanna , Gałązka Adam , Górnicka Barbara , Rudnicka Lidia
Published: November 2022

Introduction: Biopsy of facial skin lesions is an important supplement to dermatological diagnostics, especially in doubtful cases or suspected of being malignant.
Objectives: The aim of the retrospective study of 2135 histopathological records of lesions on the face was to:
1). establish the most common indications for a skin biopsy in patients with facial lesions,
2). establish the frequency of histopathological diagnoses,
3). evaluate how often clinically suspected inflammatory lesions are identified as tumors in histopathology,
4). evaluate the accuracy of clinical diagnoses of the most common skin tumors and dermatoses.
Methods: It was a retrospective study. Histopathological records from the lesions on the face from years 2010-2017 were analyzed.
Results: The mean age of patients was 69.3 [7-98]. 58.28% of the patients were women. Among 2135 clinical diagnoses skin tumors were suspected in 1905 cases. Among 2169 obtained histopathological results (34 biopsies showed two diseases), we identified skin tumors in 1940 cases, with 1388 confirmed as malignant. The clinical diagnosis of a specific benign or malignant skin tumor was accurate in 1013/1634 subjects, in comparison to inflammatory lesions, which were correct in 67/148 cases, (p=0.0001). Among all preliminary inflammatory diagnoses, 33/204 lesions were identified as skin tumors in histopathology.
Conclusions:In conclusion in most cases of skin tumors the clinical diagnosis is confirmed by histopathological examination. In case of facial inflammatory lesions, the accuracy of clinical diagnosis is lower, with a significant number of facial lesions appearing inflammatory in clinical evaluation but being diagnosed as skin cancers in pathology.
SARS-CoV-2 Vaccination and Chilblain-like Lesions: What Do We Know So Far?
Authors: Shaikh Taha Gul , Waseem Summaiyya , Ahmed Syed Hassan , Abdul Qadir Nashwa , Piccolo Vincenzo
Published: November 2022

The coronavirus pandemic has caused massive damage to global health care and the economy. COVID-19 vaccination and following the government protocols is the only way to tackle this situation. The vaccination program has been paced around the globe to return as soon as possible to pre-COVID time. Although all the vaccines have been approved after the rigorous clinical and safety trials, some adverse effects have surfaced and are being reported from different parts of the world. One such side effect is chilblain-like lesions following the COVID vaccination. Chilblain lesions, also known as pernio, are an inflammatory condition usually affecting the acral regions of the body. It is mostly reported from cold and damp areas and has multiple causes associated with it. Reporting of such similar lesions has raised concern amongst the scientific community and has led to vaccine hesitancy amongst the general population. The exact mechanism behind these lesions is still unknown. Although the incidence of this condition is low, it still requires attention from the authorities. This study aims to review the publicly available data and to provide concise and comprehensive information on chilblain-like lesions post-COVID-vaccination.
Dermoscopic differentiation of blister beetle dermatitis and herpes zoster: An observational study
Authors: Ankad Balachandra Suryakant , Koti Varsha , Lallas Aimilios
Published: November 2022

Introduction: Blister beetle dermatitis (BBD) and herpes zoster (HZ) manifest suddenly with vesicular lesions mimicking each other and progress rapidly. But a lack of definite differentiating criteria yearns the need for better investigating modality. Though histopathology persuades the need, is an invasive procedure, commonly deferred. Thus, dermoscopy a non-invasive rapid diagnostic tool, can help in differentiating.

Objectives: To evaluate different dermoscopic patterns of BBD and HZ to differentiate both and to study dermoscopic features in early and late stages of lesions.

Methods: An observational cross-section study conducted in southern India. Nine patients with clinical features suggestive of BBD and HZ were recruited. Lesions were divided arbitrarily into early and late. Dermoscopic examination was performed with handheld dermoscope. Diagnosis was confirmed by skin biopsy and Tzanck smear wherever necessary. Statistical analysis performed using data in terms of frequencies and percentages.

Results: Dermoscopy of early BBD lesions showed multiple discrete and confluent yellowish-white structures, brown dots, roundish white globules, gray structures,  ‘targetoid pattern’, brown areas over intense reddish pink background. Late BBD lesions revealed pinkish-white area, reduced gray structures and, dotted and globular vessels. Early HZ lesions showed polylobular gray and brown globules, bright pink background, gray globules covered by grayish veil-like structure with gray rim. Late HZ lesions revealed ‘solar eclipse’ pattern and ‘crumpled fabric ‘patterns. The dermoscopic findings correlated with histopathology.

Conclusions: Dermoscopic patterns show peculiar features consistently pertaining to BBD and HZ thus help in early diagnosis assisting in accurate treatment both conditions.
Impact of Covid-19 Pandemic on Hidradenitis Suppurativa Patients: a Cross-Sectional Study From Tertiary Referral Hospital
Authors: Bostan Ecem , Jarbou Adam , Karaduman Aysen , Gulseren Duygu , Akdogan Neslihan , Yalici-armagan Basak
Published: November 2022

Introduction: Hidradenitis suppurativa (HS) is a chronic, disabling skin disorder which is characterized by recurrent attacks of nodule, abscess, sinus tract formation which eventually leads to significant scarring. Oral/topical antibiotics, oral retinoids and TNF-alpha inhibitors are used to control disease activity and improve symptoms.

 

Objective: In the present study, we aimed to determine the prevalance of COVID-19 real-time polymerase chain reaction (RT-PCR) positivity and Covid-19 related symptoms in relation to the age, gender, body mass index (BMI), disease duration, accompanying systemic diseases, treatment used for HS, treatment duration and smoking.

 

Methods: We conducted a comparative, cross-sectional study of 178 patients diagnosed with HS in a referral hospital. Age, gender, smoking status, BMI, treatment modalities used for HS, the presence of COVID-19 related symptoms, history of close contact to a person with COVID-19 and COVID-19 RT-PCR results were determined by a telephone questionnaire and checked from medical data records.

 

Results: Sixty-three patients were female, whereas 115 patients were male. During Covid-19 pandemic, 94 out of 178 patients had Covid-19 related symptoms; Covid-19 RT-PCR test was performed in 109 (61.2%) patients. Thirty (27.5%) cases tested positive for Covid-19 whereas 79 (72.5%) tested negative.

 

Conclusions: Patients having Covid-19 related symptoms were shown to have statistically significantly higher mean age compared to the ones who did not have any symptoms (p=0.031). No statistically significant relationship was found Covid-19 RT-PCR positivity and the type of treatment administered for HS when categorized as TNF-alpha inhibitor, oral retinoid, topical antibiotic and oral antibiotic group (p>0.05).
The hunt for baby melanomas: a prospective study of the dermoscopy features on 100 small melanoma cases with in vivo surface diameters up to a maximum of 6mm.
Authors: Pyne John , MacDonald Sarah , Beale Susan , Myint Esther , Huang Wei , Clark Simon , Trang Andrew
Published: November 2022

Background:: Early diagnosis can improve melanoma prognosis. Dermoscopy can enhance early melanoma recognition.
Objectives: Examine the dermoscopy features of early melanoma up to a maximum surface diameter of 6mm.
Methods: Consecutive melanoma cases were collected from two medical practices in Sydney, Australia 2019-2021. Dermoscopy features were recorded for melanomas by maximum surface diameter, to the nearest 0.1 mm, to a limit of 6mm.
Results: Total cases numbered 100; with males (n=48) and females (n=52), melanoma in situ (MIS, n=96) and invasive (n=4). The most frequent anatomic sites on both males and females were back (males n=20, females n=16) then knee or leg (males n=8, females n=12). Minimum respective MIS diameters for males/females was 1.2/2.0mm and for invasive cases 2.0/3.4mm. Highest frequency dermoscopy features were: light brown, dark brown, grey and asymmetric melanoma shape. Brown pigment in hair follicles were more frequent on legs compared to other anatomic sites [OR 14.6, 95%CI (1.29-165.17), p 0.03]. Pseudopods were substantially increased in frequency comparing diameters less than 4mm with 4 up to 6mm [OR 8.81, 95%CI (1.05-73.9), p 0.004]. Structureless area cases recorded increased grey [OR 7.08, 95%CI (1.61-31.11) p=0.01]. Melanomas with edge angulation were noted in 20-50% of cases across diameters 1-6mm, less frequent were pigmented circles and polygons.
Conclusion: Watch out! MIS presented with a surface diameter of just 1.2 mm and invasive melanoma 2.5mm. Pseudopods were a strong clue to melanomas with a surface diameter less than 5mm. We found melanomas on leg sites displayed more frequent pigmented hair follicles.
Dermoscopy of lymphoplasmacellular erosive dermatitis of the scalp reveals striking similarities to lymphoplasmacellular balanitis of Zoon
Authors: Zelin Enrico , Conforti Claudio , Toffoli Ludovica , Di Meo Nicola , Signoretto Diego , Zaludek Iris
Published: November 2022

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