bluuebunny/crossref_metadata_2025 huggingface dataset:
IbM OPTIMALISASI KINERJA KELOMPOK POSYANDU JURUSAN KEBIDANAN DI DESA KENTEN LAUT KECAMATAN TALANG KELAPA KABUPATEN BANYUASIN PENDAMPINGAN, PEMBINAAN DAN HOME VISIT (TAHAP II)
Authors: Murdiningsih Murdiningsih , Rohaya Rohaya , Sumastri Heni
Published: February 2024

Posyandu is a forum for health service activities from, by and for the community, with the aim of bringing basic and other health services needed by the community directly to individuals, groups, families. The success of Posyandu management requires strong support from various parties, both moral, material and financial support. In addition, collaboration with various related sectors is needed. In addition, the persistence and dedication of managers and cadres all have strategic roles in supporting the success of Posyandu implementation. Based on field data/situation analysis, Kenten Laut village is a village located on the outskirts of the city in Talang Kelapa District, Banyuasin Regency. Has 3 posyandu, the number of cadres is 15 people, the number of toddlers is 27.17%, the coverage of toddlers at the posyandu is 45.16%, KMS ownership is 0%, home visits have not been carried out, the education level of cadres is low (66.67%), books/administration Posyandu is not complete, Reporting is not going well. Social analysis shows that the knowledge and skills of cadres in carrying out their duties are still far from expectations, this can be seen from the implementation of the five service steps on the D day or the day when the posyandu is still running modestly/inadequately, and home visits have never been carried out by cadres. In connection with these conditions, mentoring, coaching and home visits have been carried out (10 October & 10 November 2016 at the Melati Posyandu, on 12 October and 12 November 2016 at the Red Orchid Posyandu, an evaluation of the results of mentoring and coaching as well as a home visit on opening day has been carried out Posyandu there is progress / improvement in both the quality of service and the caverage of posyandu visitors. The results of the evaluation showed that there was a significant increase in knowledge and skills in carrying out activities in each step of the five steps of the posyandu, the provision of PMT was in accordance with the recommended menu, home visits had been carried out by cadres. Suggestions still need to be continued with assistance and guidance in the field of administration and increasing community participation (PSM). So that the presence of posyandu strata can be increased to become Plenary/Independent Posyandu.
PENINGKATAN KEMAMPUAN MASYARAKAT DALAM PERAWATAN DAN PENCEGAHAN DAMPAK TEKANAN DARAH TINGGI DI RT. 37 KELURAHAN SEI PANGERAN KECAMATAN ILIR TIMUR I PALEMBANG
Authors: Sulaiman Sulaiman , Lukman Lukman , Mediarti Devi , Pastari Marta
Published: February 2024

Hypertension or high blood pressure is a cause of death and high morbidity. A history of hypertension along with an unhealthy lifestyle such as tobacco consumption, high fat consumption, lack of fiber, excess salt consumption, lack of exercise, alcoholism, obesity, high blood fat and stress, will exacerbate the risk of complications such as myocardial infarction, stroke. , kidney failure, and sometimes even cause sudden death.To improve the community's capacity, efforts need to be made, one of which is health education. Health education aims to provide participants with the ability to treat hypertension and prevent side effects or complications that can arise. Education using this health education method will involve residents in the RT. 37 Kelurahan Sei Pangeran, Ilir Timur I Subdistrict, Palembang in 2016. The expected results in this education are participants are able to explain how to treat and prevent high blood pressure.
DETEKSI DINI PENYAKIT JANTUNG KORONER DENGAN PEMERIKSAAN REKAM EKG (ELEKTROKARDIOGRAM) DI RT 04 RW 01 LORONG SIANJUR, KELURAHAN 5 ILIR, KECAMATAN ILIR TIMUR II KOTA PALEMBANG
Authors: Wicaturatmashudi Sukma , Pastari Marta
Published: February 2024

Coronary Heart Disease (CHD) or cardiovascular disease is currently one of the main and first causes of death in developed and developing countries, including Indonesia. By 2010, globally this disease will be the leading cause of death in developing countries, replacing deaths from infection. It is estimated that worldwide, CHD in 2020 will be the most common first killer, accounting for 36% of all deaths, this figure is twice as high as the death rate from cancer. In Indonesia, it is reported that CHD (which is grouped into diseases of the circulatory system) is the main and first cause of all deaths, which is 26.4%, this figure is four times higher than the death rate caused by cancer (6%). In other words, approximately one in four people who die in Indonesia is due to CHD. Various risk factors have an important role in the emergence of CHD, ranging from aspects of metabolism, hemostasis, immunology, infection, and many other interrelated factors. Coronary heart disease is a condition due to narrowing, blockage or abnormalities of the coronary arteries. Coronary heart disease is caused by narrowing or blockage of coronary arteries. This narrowing or blockage can stop blood flow to the heart muscle which is often characterized by pain (Yenrina, Krisnatuti, 1999). Coronary heart disease is heart disease due to abnormalities in the coronary vessels, namely the arteries that deliver blood to the aorta to the tissue that protects the heart cavities (Kartohoesodo, 1982). Coronary heart disease (CHD) is currently one of the main causes of death in developed and developing countries (Ministry of Health, 2006). Combined data from Clientman et al and GUSTO-I showed that the mortality rate in the first 30 days of hospitalization for patients with AMI was 52% before admission, 19% within 24 hours of hospitalization, 8% during 48 hours of hospitalization, and 21% after 30 days. . Globally, of the 55 million deaths in a year, 30% are caused by cardiovascular disease, of which almost 50% are due to AMI attacks (Yusuf, S et al 2001). (USU.ac.id)
UPAYA PENINGKATAN PERAN ORANG TUA SISWA TERHADAP PENDIDIKAN SEKS PADA ANAK USIA 4-6 TAHUN
Authors: Wahyuni Santi , . Badriah , Cahyati Yanti
Published: February 2024

Limited knowledge, shame and taboo when talking about sex in children causes parents to play a less active role in sex education. As a result, children have wrong perceptions, deviant sexual behavior and an increase in cases of sexual violence. The purpose of community service is to increase the understanding and ability of parents in providing sex education from an early age. The activity begins with the identification of the role and assessment of the understanding of the students' parents. The core activities are psychoeducation about sex development, sex education and prevention of sexual violence against children, assistance activities through simulation practice and roleplay to provide information on sex education. The results of the evaluation of cognitive aspects showed that the majority of participants' level of knowledge before psychoeducation was sufficient (75%) and after being given psychoeducation 75% of participants had good knowledge. The psychomotor aspect found that the majority of participants (75%) were able to provide information on sex education to their children directly and 25% were in the sufficient category. The conclusion is that there is an increase in the knowledge and ability of students' parents in providing sex education to their children.

 

Keywords: the role of parents, sex education
PENDIDIKAN KESEHATAN PADA ANAK SEKOLAH DENGAN METODE ROLE PLAY UNTUK MEMINIMALKAN DISTRES HOSPITALISASI
Authors: Oktaviani Eva , . Susmini , Feri Jhon
Published: February 2024

School age is a time when it is prone to various diseases, so it is not uncommon for children to be hospitalized. Being treated in a hospital (hospitalization) is an unpleasant and distressing experience of a child's crisis. Distress during hospitalization can affect health status. Efforts to reduce anxiety are very important when the child has not been treated as a preventive measure. The purpose of this community service activity is to increase children's knowledge about techniques to reduce hospitalization distress. The method used is health education with the role play method. The number of activity participants was 15 grade 4 elementary school students. Evaluation of the activity using pre and posttest scores. There was an increase in the mean score from the pre-test which was categorized quite good (53.4%) to be good at the posttest score (86.7%). Health education with the role play method can increase the knowledge of elementary school students to minimize negative experiences when the child is hospitalized. The introduction of the hospital environment from an early age can be applied as a pre-hospital effort to provide an overview of children's knowledge about hospital care procedures.
DETEKSI DINI KANKER PAYUDARA MENGUNAKAN PEMERIKSAAN PAYUDARA SENDIRI (SADARI)
Authors: Asmalinda Wita , Jasmi Jasmi , Setiawati Desy , Khatimah Khusnul , Sapada Edy
Published: February 2024

Breast cancer prevention efforts with breast self-examination. The type of community service carried out is the Community Partnership Program (PKM) in the form of counseling and simulations to participants regarding BSE examinations. The activity was carried out at the Al-Ikhlas Mosque, Karang Dalo Village, Pagaralam using the lecture method and simulation/demonstration of the BSE examination with 32 participants. This community service activity was carried out for 3 days which was used for training preparation in the form of obtaining a community service permit to the relevant institution, namely RT 002 RW 003 Karang Dalo Village as a land for community service implementation, preparing places, facilities and training tools as well as consumption and meals. afternoon for participants and organizers of training activities. Of the 32 participants, all of them were able to follow the training process until it was finished, namely from 09.30 WIB to 12.00 WIB. It can be concluded that there is an effect of counseling and examination of women of childbearing age regarding breast self-examination
PENERAPAN LATIHAN SENAM PROLANIS DALAM MENURUNKAN KADAR GULA DARAH PASIEN DIABETES MELITUS
Authors: Susanti Eva , Putra Sumitro Adi , Jawiah Jawiah
Published: February 2024

Diabetes mellitus is a disease with metabolic disorders due to hormonal disorders that cause various chronic complications in the eyes, kidneys, and blood vessels accompanied by lesions on the basement membrane in examination with an electron microscope. (Brunner and Suddarth, 2002) Elderly includes middle age (middle age), namely the age group 45-59 years, elderly (elderly) namely the age group 60-74 years, the elderly (old) between the age group 75-90 years and very old (very old) over the age of 90 years (Nugroho, 2008

The approach method is in the form of counseling and prolanis exercise for the elderly. The results of its implementation can increase knowledge about Diabetes Mellitus and the application of prolanis exercise for the elderly with Diabetes Mellitus which is carried out regularly can help reduce blood sugar levels in the elderly so that the elderly can work independently in meeting their needs and can improve the quality of life of the elderly.
Edukasi dan Deteksi Dini Hiperkolesterolemia pada Masyarakat di Wilayah Kerja Puskesmas di Kabupaten Muaro Jambi
Authors: Fitriana Eka , Lestari Wuni Sri
Published: February 2024

Hiperkolesterolemia adalah kondisi tingginya kadar kolesterol di dalam darah seseorang. Terlalu tinggi kadar kolesterol dalam darah dapat membahayakan karena penumpukan kolesterol (plak) dapat menutup jalan darah di arteri sehingga dapat meningkatkan risiko penyakit jantung dan stroke. Dengan semakin meningkatnya prevalensi hiperkolesterolemia dimasyarakat, maka solusi yang diperlukan adalah edukasi dan  deteksi dini hiperkolesterolemia pada masyarakat dalam upaya pengendalian. Tujuan dari kegiatan ini adalah terselenggaranya edukasi dan deteksi dini hiperkolesterolemia pada masyarakat di wilayah kerja Puskesmas Penyengat Olak Kabupaten Muaro Jambi. Metode yang digunakan dalam kegiatan ini adalah memberikan edukasi kepada masyarakat dan pemeriksaan kadar kolesterol pada masyarakat desa Rengas Bandung wilayah kerja Puskesmas Penyengat Olak Kabupaten Muaro Jambi. Hasil pre-test dan post-test dapat dilihat bahwa terdapat peningkatan pengetahuan masyarakat tentang kolesterol setelah dilakukan edukasi. Hasil pemeriksaan kolesterol didapatkan kadar kolesterol normal 68% dan tidak normal 32%. Kegiatan pengabdian masyarakat berupa edukasi dan pemeriksaan kadar kolesterol dapat terus dilakukan guna meningkatkan kesadaran pentingnya menjaga kesehatan pada masyarakat.
Pemberdayaan Warga Binaan pada Implementasi Edukasi dan Senam Tera dalam Menurunkan Tingkat Kecemasan
Authors: Putra Sumitro Adi , Syokumawena Syokumawena , Jaya Herawati
Published: February 2024

Latar Belakang :Penghuni lembaga pemasyarakatan yang biasa disebut dengan warga binaan, hidup dalam batasan-batasan aturan sebagai konsekuensi dari pernuatan melanggar hukum yang telah dilakukan. Mereka akan hdup dalam lingkungan yang cenderung keras, perilaku yang cenderung jauh dari norma dan etika serta kebiasaan kehidupan keras lainnya. Situasi seperti ini cenderung menjadi sumber stress tersendiri bagi warga binaan yang kurang adaptif dengan situasi yang baru. Kehidupan LPKA yang kurang kondusif serta usia perkembangan masih anak-anak, maka warga binaan anak di LPKA Kelas I Palembang memiliki kecenderungan mengalami stress. Masalah : Masih tingginya tingkat stress warga binaan anak Sulitnya warga binaan anak berdaptasi pada lingkungan Lembaga Pemasyarakatan Tujuan : Memberdayakan warga binaan dalam implementasi edukasi dan senam tera dalam menurunkan tingkat kecemasan. Solusi : Masih tingginya tingkat stress warga binaan anak Sulitnya warga binaan anak berdaptasi pada lingkungan Lembaga Pemasyarakatan. Luaran : Penurunan tingkat stress warga binaan anak dan Peningakatan pengetahuan dan sikap.
Pemberdayaan Remaja dalam Menghadapi Persiapan Pernikahan di kelas Calon Pengantin (Catin)
Authors: Rosalinna Rosalinna , Astuti KH Endah Widhi , Sugita Sugita
Published: February 2024

Marriage is the beginning of healthy reproduction. The large number of divorce phenomena in teenage marriages and unhealthy pregnancies have increased maternal morbidity and mortality. This Community Service provides religious premarital education, conflict management psychology and healthy pregnancy preparation at the Karanganom Klaten health center. This Community Service uses lecture, question and answer and role play methods which will be completed on 1-3 July 2023. The target is teenage couples who are about to get married. The results of the service were obtained as many as 30 premarital couple participants took part in the Bride and Groom Candidate (Catin) class. It was found that the prospective bride and groom's knowledge before the catin training activity at the Karanganom Community Health Center was found to be 45.01 ± 11.24. After the catin training was carried out, the respondent's knowledge increased by 78.88 ± 12.61. The results of statistical tests show that there is a significant increase in knowledge. This means that youth training in marriage preparation is effective for prospective brides and grooms. This activity can be a community-based pre-marital education option that can be carried out independently or as part of an existing community empowerment initiative, such as a youth posyandu or youth organization.
ICT LITERACY OF PRE-SERVICE SPECIAL EDUCATION TEACHERS IN OPEN DISTANCE LEARNING (ODL) MODE
Authors: Rajamani S. , Selvan R. M. Tamil , Devi B. Anupama
Published: February 2024

This paper aims to investigate the ICT literacy of pre-service special education teachers in ODL mode educator and total of 247 out of 370 ODL
B.Ed. Special Education trainees of the Tamil Nadu Open University, India have participated in the study. Data was collected through online
survey. Descriptive statistical analysis such as percentage analysis, Mean, Median, Standard deviation, T-test are used for data analysis. The study
reveals that around fty percent of the sample has average level on their Information and communication technology literacy. On the other hand, it
is observed that the low and high levels are equally shared the remaining fty percent of the sample. This could be interpreted that nearly one fourth
of the trainees will have difculty in utilizing even the basic ICT tools including e-resources in their classrooms. It is imperative to provide
periodical ICT trainings to ODL special education teacher trainees for better results in their classroom engagement with ICT tools to cater to the
needs of diverse learners.
MANTLE CELL LYMPHOMA MANIFESTING AS CAVITARY LESION IN THE LUNG: A RARE FINDING
Authors: Tawde Poonam , Mohammad Salim , Lambo Jonathan , Khan Yusuf
Published: February 2024

Mantle cell lymphoma (MCL) is often diagnosed at an advanced stage, commonly presenting with widespread lymph node and organ involvement.
Pulmonary manifestations in MCL are infrequent, and the occurrence of cavitary lesions within the lungs is exceptionally rare. This case report
describes a 71-year-old male with a history of pneumonia and a known diagnosis of Mantle lymphoma who presented with persistent right upper
lung airspace consolidation, accompanied by symptoms such as weakness, shortness of breath, cough, and fatigue. Imaging revealed severe
consolidation with surrounding septal thickening and cavitary changes in the right upper lobe. Further evaluation, including chest X-ray and CT
scans, demonstrated the progression of consolidation. A subsequent CT chest revealed a thick-walled cavitary lesion with surrounding groundglass opacities. Laboratory results ruled out Coccidioides infection, prompting a robot-assisted bronchoscopy for a comprehensive investigation.
The bronchoscopy revealed abnormal B-lymphocytes, and various biopsies were performed, excluding granulomas or malignancy. In discussion,
the rarity of pulmonary involvement in MCLis emphasized, especially with cavitary lesions. Pulmonary inltrates in immunosuppressed patients
necessitate thorough diagnostic procedures, considering both infectious and non-infectious causes. While non-Hodgkin's lymphoma rarely
involves the lungs at diagnosis, patterns on CT imaging vary. Recognition of pulmonary manifestations, including cavitary lesions, is crucial for
accurate diagnosis and treatment planning in MCL patients. Treatment options, such as chemotherapy, radiation therapy, or targeted therapies,
depend on the nal diagnosis, impacting prognosis and potential complications. This case underscores the importance of identifying and
characterizing pulmonary manifestations in MCLfor optimal patient care.
UNVEILING THE MEDICINAL POTENTIAL OF MEMECYLON MALABARICUM (C.B. CLARKE) COGN.: PHYTOCHEMICAL INSIGHTS AND CYTOTOXIC PROFILING FOR THERAPEUTIC ADVANCEMENTS
Authors: Ramayanam Pradeep Kumar , Kumar Vadlapudi , Vivek Valleti Poorna , G Ranjitha , D.V. Poornima , C.M. Anuradha
Published: February 2024

Memecylon malabaricum (C.B. Clarke) Cogn., recognized for its medicinal potential, has undergone phytochemical analyses revealing diverse
bioactive compounds. This study aims to delve into its avonoid composition and evaluate the cytotoxic effects on HCT-116 and U87 cells through
MTT assays. The exploration of avonoids and their concentrations in various fractions, coupled with an assessment of cytotoxicity, holds promise
for pharmaceutical applications and therapeutic advancements. Phytochemical analysis of M. malabaricum involved total avonoid content was
assessed using the aluminum chloride colorimetric method. UV-VIS spectrophotometric analysis determined avonoid-specic absorption peaks.
FT-IR spectroscopy identied functional groups. MTT assays assessed cytotoxic effects on HCT-116 and U87 cell lines. M. malabaricum extracts,
devoid of alkaloids and anthraquinones, exhibited the presence of coumarin, avonoids, glycosides, phenol, tannins, and terpenoids. Fractionation
revealed the avonoid concentration (228 µg QE/mg), UV-VIS spectrophotometry conrmed avonoid-specic absorption peaks at 276 nm and
standard catechin 279.2 nm, while FT-IR spectroscopy identied key functional groups. These avonoid extract induced dose-dependent
cytotoxicity in HCT-116 (IC50: 491.1 µg/5µl) and U87 (IC50: 100 µg/5µl) cells within 24 hours, showcasing specic effects and validated by the
positive control, 10 µg/5µl Cisplatin. Flavonoid extract of M. malabaricum exhibits a rich phytochemical prole, emphasizing avonoids with
potential medicinal implications. The distinct concentrations of avonoids across fractions highlight the need for further exploration of specic
bioactive compounds. The cytotoxic effects on HCT-116 and U87 cells underscore its dose-dependent impact, presenting avenues for future
investigations into the extract's therapeutic applications.
ROLE OF MAGNETIC RESONANCE IMAGING IN DIAGNOSIS AND STAGING OF AVASCULAR NECROSIS OF FEMORAL HEAD IN TERITARY CARE HOSPITAL.
Authors: Sangeetha D. , Kumar B. E. Panil , Reddy K. Janardhan
Published: February 2024

Introduction: Avascular necrosis is characterized by the death of cellular components of the bone secondary to an interruption of the subchondral
blood supply.Now a days MRI ndings is helpful for early diagnosis and staging of Avascular necrosis of femoral head. To Aims And Objectives:
assess the role of MRI in evaluation of clinically suspected cases of Avascular necrosis of femoral head and to describe the imaging features
along with proper staging. It was a hospital based cross-sectional study carri Materials And Methods: ed out in Santhiram medical college and
hospital ,Nandyal from August 2023 to January 2024.A total of 30 cases with clinically suspected AVN were subjected to MRI pelvis on 1.5 Tesla
SIEMENS MAGNETOM_ESSENZA, sygno version- sygno VH ASL P Machine. In our study of 30 cases of AVN, 41 femoral 21 36 43 Results:
heads were involved (unilateral 11 and bilateral 19 cases). The most common risk factor associated was alcohol. The most common quadrant of
femoral head affected was anterosuperior portion(53%). The most common stage of AVN was found to be Grade III – 34%(Ficat and Arlet
classication), Type C – 44% (Mitchell's classication), and Stage IIIC –26.8% (Steinberg classication). MRI could detect early AVN in 7 cases ,
in which radiographs were normal. Conclusion: This study concludes that MRI is the modality of choice for diagnosing and staging AVN. Early
diagnosis and appropriate treatment is associated with better outcome.
Perancangan Sistem Proteksi Eksternal Penyalur Petir di Workshop PT. Bukaka Teknik Utama Balikpapan
Authors: Putra Dimas pangestu Danar , Kasrani Mayda Waruni , B A. Asni
Published: February 2024

Abstract— PT Bukaka Teknik Utama is currently building a fairly spacious workshop building with a length of 60m, a height of 15m and a width of 20m which almost the entire building is made of steel. Considering that thunder days in the city of Balikpapan are quite high, which is as high as 227 per year, the building is vulnerable to lightning strikes. Therefore, to avoid the impact of the lightning strike effect, an external lightning protection system is needed. The method to be used in determining lightning protection is the rolling ball method. Because the shape of the building has a horse gable type the protection level is at level IV with a protection radius of 100.9m and is able to protect lightning currents up to 234.89 kA. After simulation using Sparkta software, the standard rolling ball method NFPA 780 and BS 7430 obtained detailed risk assessment calculation results which are quite safe.
Monitoring Lokasi Komponen Alat Berat Berbasis Internet Of Things Pada PT. Thiess BSF Batakan
Authors: Kasrani Mayda Waruni , Rahman Aswadul Fitri Saiful , Ramadoni Rizky
Published: February 2024

Abstract— In the digital era like today, every company is competing to innovate to reduce operational costs and increase productivity, one of which is PT. Thiess. Indirectly this also has an impact on the performance of every employee in the company to speed up and maximize work processes with minimal human resources without reducing aspects of occupational safety and health from both government regulations and company standards. As one of the employees who also acts as a researcher at PT. Thiess Balikpapan Support Facility (BSF), the researchers will discuss the problems in finding heavy equipment components. Based on the context of the difficulties described above, researchers will examine the use of Global Position System (GPS) technology. The process of making this prototype uses the NodeMCU ESP8266 microcontroller and GPSMV2 which also functions as a connection to the internet. The results of searching for GPS coordinates are made in the form of localhost using XAMPP, can be viewed in web form and forwarded to Google Maps.
HPLC/MS Analysis of Riboflavin Sodium Phosphate Consisting of Several Structural Isomers Together with Thiamine HCL, Pyridoxine HCL, Dexpanthenol, and Nicotinamide in A Multi-Vitamin Injection Solution
Authors: Yefimov Stanislav V.
Published: February 2024

We were tasked with testing a multicomponent aqueous solution for injection used in medicine. The composition of the solution included the following components: Riboflavin sodium phosphate (vitamin B2), Thiamine HCl (vitamin B1), Pyridoxine HCl (vitamin B), Dexpanthenol (vitamin B5), and Nicotinamide (vitamin B3), also benzyl alcohol. The complexity of the simultaneous determination of these components was that they differ in their acid-base properties, physical-chemical properties, concentration in solution, and solubility in the mobile phase. The key to solving this task is the correct choice of method for analyzing riboflavin sodium phosphate in each vitamin mixture. Riboflavin is taking particular attention because this component has a few isomers that are separated by HPLC.
Examining the Experiences of Affected Family Members in Morocco: A Descriptive Study of 64 Cases
Authors: Katir I. , Omari F. EL
Published: February 2024

The research described in this paper resulted from the study of the relatives of problem drug users called “affected family members” (AFM) involving two practitioners in our Psychiatric University Hospital Ar-Razi within the timeframe of January 2022 to April 2022. The objective of this research was simply to interview 64 close AFM, with the identification occurring through external consultations. Quantitative and qualitative results show that large numbers of these relatives reported many negative experiences, reporting both psychiatric and psychosomatic issues. Relatives reported many negative effects in terms of how they endure stigma and how the experiences had affected their health. They also described various coping mechanisms, and the extent of the support which they had received. The results are discussed in terms of coping, perceived stigma, health consequences, quality of life and it focuses on the difficulties, feelings, and interactions they face due to their loved one's substance use. The AFMs represent a vulnerable population susceptible to adverse health-related consequences. Therefore, they must be systematically included as pivotal targets for treatment protocols.
Feto-Maternal Outcome in Preeclampsia and its Association with Maternal Body Mass Index (BMI) in a Tertiary Care Hospital in Rajshahi
Authors: Sarker Anjana , Hossain Farhana , Sarker Sumon Kumar , Ali Md Arshad , Islam Sazedul
Published: February 2024

Background: Obesity is associated with profound metabolic and physiological changes and an established risk factor for the adverse feto-maternal outcome for pregnant women. As the prevalence of obesity increasing day by day among pregnant women and there is a scarcity of related studies in Bangladesh context, this study aimed to find out the fetomaternal outcome in preeclamptic women and its association with maternal body mass index (BMI) in a tertiary care hospital in Rajshahi. Objectives: The aim of the study was to associate the fetomaternal outcome in preeclampsia and its association with maternal body mass index (BMI) in a tertiary care hospital in Rajshahi. Methods: This cross-sectional type of analytical study was conducted in the Department of Obstetrics & Gynaecology, Rajshahi Medical College Hospital (RMCH). Singleton pregnant women with preeclampsia who delivered a baby in this Hospital were approached for this study. After ethical clearance, a total of 120 patients were taken as study samples according to selection criteria. Informed written consent was obtained from each patient. All patients were subjected to detailed history taking and thorough physical examination. A structured questionnaire was designed including all the variables of interest. Data were collected through direct interview of the patients at the respective departments by the researcher. Collected data were checked, edited and analyzed using the SPSS-24. Results: The observed maternal outcome was PIH (33%), Gestational diabetes mellitus (20%), Caesarean section (46.7%), prolonged labour (13.3%), wound infection (5%) and 5% had postpartum hemorrhage (5%). PIH, Gestational diabetes mellitus and Caesarean section were significantly higher among overweight or obese patients with preeclampsia (p<.05). So, association of maternal BMI with PIH, gestational diabetes mellitus and Caesarean section was significant (P<.05) but not significant in prolonged labour, wound infection, postpartum .....
Effectiveness, Safety, and Costs of Thromboprophylaxis with Enoxaparin or Unfractionated Heparin Among Medical Inpatients With Chronic Obstructive Pulmonary Disease or Heart Failure
Authors: Amin Alpesh , Kartashov Alex , Ngai Wilson , Steele Kevin , Rosenthal Ning
Published: February 2024

Background: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) are risk factors for venous thromboembolism (VTE). Enoxaparin and unfractionated heparin (UFH) help prevent hospital-associated VTE, but few studies have compared them in COPD or HF. Objectives: To compare effectiveness, safety, and costs of enoxaparin vs UFH thromboprophylaxis in medical inpatients with COPD or HF. Methods: This retrospective cohort study included adults with COPD or HF from the Premier PINC AI Healthcare Database. Included patients received prophylactic-dose enoxaparin or UFH during a >6-day index hospitalization (the first visit/admission that met selection criteria during the study period) between January 1, 2010, and September 30, 2016. Multivariable regression models assessed independent associations between exposures and outcomes. Hospital costs were adjusted to 2017 US dollars. Patients were followed 90 days postdischarge (readmission period). Results: In the COPD cohort, 114 174 (69%) patients received enoxaparin and 51 011 (31%) received UFH. Among patients with COPD, enoxaparin recipients had 21%, 37%, and 10% lower odds of VTE, major bleeding, and in-hospital mortality during index admission, and 17% and 50% lower odds of major bleeding and heparin-induced thrombocytopenia (HIT) during the readmission period, compared with UFH recipients (all P <.006). In the HF cohort, 58 488 (58%) patients received enoxaparin and 42 726 (42%) received UFH. Enoxaparin recipients had 24% and 10% lower odds of major bleeding and in-hospital mortality during index admission, and 13%, 11%, and 51% lower odds of VTE, major bleeding, and HIT during readmission (all P <.04) compared with UFH recipients. Enoxaparin recipients also had significantly lower total hospital costs during index admission (mean reduction per patient: COPD, $1280; HF, $2677) and readmission (COPD, $379; HF, $1024). Among inpatients with COPD or HF, thromboprophylaxis with enoxaparin vs UFH was associated with significantly lower odds of bleeding, mortality, and HIT, and with lower hospital costs. Conclusions: This study suggests that thromboprophylaxis with enoxaparin is associated with better outcomes and lower costs among medical inpatients with COPD or HF based on real-world evidence. Our findings underscore the importance of assessing clinical outcomes and side effects when evaluating cost-effectiveness.
PENGARUH ANGIN TERHADAP SUHU BUSBAR PANEL LISTRIK DENGAN SIMULASI INFRARED THERMOGRAPHY
Authors: Koerniawan Tony
Published: February 2024

Busbar adalah komponen yang penting pada panel kelistrikan, sehingga perlu dilakukan pemeriksaan secara berkala guna memastikan tidak adanya kesalahan operasi yang dapat mengakibatkan kerusakan komponen-komponen yang terhubung pada busbar. Salah satu cara yang dapat digunakan untuk mengetahui kondisi tersebut adalah dengan mengukur suhu pada busbar. Suhu yang berlebih menandakan adanya tanda-tanda awal kondisi operasi yang tidak optimal. Pada penelitian ini dilakukan simulasi pendinginan busbar dengan pengukuran panas menggunakan metode infrared thermography digunakan pada penelitian ini untuk mengetahui suhu pada busbar beserta komponen-komponen yang terhubung secara akurat, real-time, dan tanpa tersentuh. Untuk mendinginkan busbar, metode yang digunakan adalah dengan pemasangan turbo-fan mini dengan kecepatan 3-5 m/s yang diukur menggunakan anemometer. Penelitian ini menitik-beratkan pada pengaruh angin terhadap suhu busbar. Dari hasil pengukuran, dapat dilihat bahwa angin dengan kecepatan di bawah 3 m/s tidak memberikan pengaruh signifikan. Sebaliknya, pada kecepatan 4 m/s terjadi penurunan sebesar 8Â°C dan pada kecepatan 5 m/s terjadi penurunan sebesar 17,3 Â°C.
ANALISIS PERBANDINGAN ALGORITMA KNN, GAUSSIAN NAIVE BAYES, RANDOM FOREST UNTUK DATA TIDAK SEIMBANG DAN DATA YANG DISEIMBANGKAN DENGAN METODE TOMEK LINK UNDERSAMPLING PADA DATASET LCMS TANAMAN KELADI TIKUS
Authors: Binanto Iwan , Sianipar Nesti Fronika , Aprilianti Ni Made Dina , Gein Jeanytha , Paska Patricia Dian
Published: February 2024

Data tidak seimbang adalah data yang mempunyai kelas mayoritas dan kelas minoritas dalam hal ini merupakan kelas target karena satu kelas melebihi jumlah kelas lain dalam dataset. Salah satu data tidak seimbang didapat pada penelitian Binanto, et. al. yang merupakan data LCMS dari tanaman Keladi Tikus hasil penelitian Sianipar et. al. Data ini tidak seimbang karena target biner yang menyatakan senyawa anti kanker dan senyawa biasa sangat kontras. Penelitian ini bertujuan untuk mengevaluasi potensi tanaman keladi tikus dalam pengobatan penyakit serta menjelaskan mekanisme yang mungkin terlibat. Untuk itu diperlukannya sebuah metode klasifikasi dokumen yang dapat mengelompokkan secara otomatis dan akurat. Terdapat banyak metode klasifikasi yang dapat digunakan. Metode yang digunakan dalam penelitian ini adalah Naive Bayes, Random Forest, dan KNN serta digunakan pula Algoritma Tomek Link Undersampling untuk menyeimbangkan data. Dari penelitian ini didapatkan bahwa Algoritma Random Forest merupakan algoritma yang paling tepat untuk menyelesaikan permasalahan Imbalanced Data maupun Balanced Data dengan menggunakan Tomek Links Undersampling karena algoritma ini memiliki nilai accuracy, precision, recall dan F1-Score yang tinggi dibanding algoritma lainnya.
IDENTIFIKASI DAN KARAKTERISTIK LOKASI RAWAN KECELAKAAN LALU LINTAS PADA JALAN NASIONAL DI KABUPATEN KAMPAR PROVINSI RIAU
Authors: Rhoma Putra Benny Hamdi , Djuniati Sri , Elianora Elianora , Prakasa Rizky Ridho
Published: February 2024

Data dari Kepolisian Negara Republik Indonesia Sektor Kampar mencatat adanya 1.013 kasus kecelakaan dalam rentang tahun 2017-2020. Besarnya angka kejadian kecelakaan mengakibatkan kerugian baik secara moriil dan materil. Tujuan dari penelitian ini adalah mencarilokasi rawan kecelakaan dan mengidentifikasi karakteristik kecelakaan. Metode yang digunakan dalam menentukan lokasi kecelakaan adalah metode Average Crush Frequency (ACF) dan Equivalent Property Damage Only (EPDO). Empat lokasi yang diperoleh, yaitu;Jl.Umum Pku-Bangkinang KM 40, Pekanbaru-Taluk Kuantan KM. 20-21, Jl.Umum Pasir Putih Km 7, Pekanbaru-Taluk Kuantan KM. 31-32. Permasalahan keselamatan lalu lintas di jalan Pekanbaru-Bangkinang KM 40 adalah waktu kecelakaanterjadi pada siang dan malam hari dengan tipe kecelakaan rear end. Beberapa kendala yang terjadi diantaranya, tidak ada rambu peringatan, marka jalan kurang jelas, tidak ada PJU. Permasalahan keselamatan lalu lintas di jalan Pekanbaru-Taluk Kuantan KM. 20-21 terjadi pada siang dan malam hari dengan tipe kecelakaan rear end. Penyebab terjadinya kecelakaan dikarenakan tidak adanya rambu hati-hati, tidak adanya rambu peringatan daerah rawan kecelakaan. Pada Jalan Pasir Putih KM 07 waktu kecelakaan terjadi pada siang hari, dengan tipe kecelakaan head on. Penyebab kecelakaan tidak ada rambu peringatan, kenderaan yang parkir sembarangan, tidak jelas marka jalan, tidak ada paku jalan.Â  Pada Jalan Pekanbaru-Taluk Kuantan KM. 31-32 waktu kecelakaan terjadi pada siang hari, dengan tipe kecelakaan rear End. Penyebab kecelakaan diantaranya yaitu adanya rambu hatihati, tidak adanya rambu peringatan daerah rawan kecelakaan, tidak ada Penerangan Jalan Umum (PJU). Â
PENERAPAN KOMBINASI SISTEM ANAEROBIK-AIROBIK PADA IPAL PABRIK TAHU DI KECAMATAN BLIMBING KOTA MALANG
Authors: SHOLICHIN Moh -
Published: February 2024

Industri tahu merupakan industri rumahan, di mana proses produksi pada umummnya menggunakan metode tradisional. Proses produksi pembuatan tahu menghasilkan limbah cair organik biodegradable dalam jumlah cukup besar. Tujuan penelitian ini adalah menerapkan teknologi sistem anaerobik-Airobik dalam perencanaan IPAL pada pabrik tahu guna menurunkan beban pencemaran yang dihasilkan oleh proses produksi, agar limbah cair yang keluar dari IPAL aman terhadap lingkungan. MetodeÂ  yang digunakan adalah melakukan estimasi besarnya limbah cair yang dihasilkan dalam proses produksi tahu, memastikan kecukupan lahan untuk lokasi IPAL. Hasil dari penelitian adalah analisa dan gambar perencanan Instalasi pengolahan limbah (IPAL) pada pabrik tahu yang memmerlukan beberapa tahapan pengolahan antara lain; bak pemisah minyak, bak ekualisasi, bak anaerobik, bak aerobik yang dilengkapi biofilter, serta bak penjernih. Bak pemisah minyak berfungsi untuk saponifikasi, bak ekualisasi mampu menurunkan kadar TSS, bak anaerobik memiliki efisiensi sebesar 75 %, bak aerobik memiliki efisiensi 95 %, serta bak penjernih yang dilengkapi dengan pompa sirkulasi lumpur. Estimasi anggara pembuatan IPAL dengan penerapan kombnasi sistem Anaeron-Aerob membutuhkan sekitar Rp. 65.500.000,- yang memerlukan luas lahanÂ  54.00 m2 atau 6.0 m x 9.0 m.
ANALISIS SENTIMEN KINERJA KEPEMIMPINAN BUPATI DARI DATA KOMENTAR MENGGUNAKAN METODE NAÃVE BAYES CLASSIFIER (Studi : Kabupaten Lamongan)
Authors: Na'im M. Ali , Mujilahwati Siti
Published: February 2024

Pada tingkatan Kabupaten, Bupati adalah kepala daerah yang memiliki peran penting. Bupati memiliki tanggung jawab yang mencakup penyelenggaraan pemerintahan daerah, termasuk dengan dikeluarkannya berbagai kebijakan yang ditujukan untuk kemajuan dan kesejahteraan masyarakat. Namun, kebijakan tersebut mendapat beragam tanggapan dan opini dari masyarakat. Sebagian masyarakat mungkin memberikan pendapat yang baik dan konstruktif maupun sebaliknya. Analisis sentimen yang dilakukan menggunakan metode TF-IDF, text mining serta algoritma NaÃ¯ve bayes yang merupakan metode klasifikasi statistik yang berdasarkan pada Teorema Bayes. Metode NaÃ¯ve bayes Classifier terdiri dari dua tahapan yaitu : Tahap pelatihan dilakukan proses analisis terhadap dokumen sampel berupa pemilihan kosakata yang merupakan kata-kata yang mungkin muncul dalam kumpulan dokumen serta menentukan probabilitas untuk setiap kategori. Hasil pada penelitian ini yang menggunakan sejumlah 200 data, yang terdiri dari 78 data yang bernilai positif serta 122 data yang bernilai negatif menunjukkan bahwa metode naÃ¯ve bayes mampu mengklasifikasikan sentiment dengan nilai akurasi yang didapatkan sebesar 82%. Hasil perhitungan rata-rata precision sebesar 89%, perhitungan rata-rata Recall 77% serta perhitungan rata-rata F1-Score sejumlah 79%.
A telemedicina no processo de democratização da saúde no Brasil: uma revisão integrativa
Authors: Carvalho Raysson , Castro Renata Cristina Oliveira Souza
Published: February 2024

O setor de saúde enfrenta importantes desafios no Brasil, principalmente no tocante ao seu acesso universal. Diante disso, a telemedicina pode ser uma opção para lidar com esses obstáculos promovendo uma melhor qualidade de assistência às populações localizadas em áreas remotas e culturalmente diversas. O objetivo deste trabalho é compreender a efetividade da telemedicina na promoção do processo de democratização da saúde no Brasil. O presente trabalho trata-se de revisão integrativa da literatura, que tem como objetivo reunir materiais semelhantes de diferentes autores e realizar uma leitura crítica.   Ela é considerada uma pesquisa secundária, porque utiliza estudos primários para fazer a análise. Para a fase de buscas bibliográficas, será realizada pesquisa nas Plataformas Lillacs, Scielo, Pubmed e Google Acadêmico, com publicações entre os anos de 2019 a 2024, utilizando as palavras chaves: Telemedicina. Telessaúde. Acesso à saúde. Tecnologia. A intenção foi analisar 30 materiais publicados, que trabalham o tema foco. Como resultado foi constatado que a telemedicina vem se consolidando no Brasil através de projetos e regulamentações devido a possibilidade de complementar a medicina tradicional no tocante à ampliação da acessibildade aos serviços de saúde. Conclui-se que a telemedicina representa uma alternativa de resolução para o problema da desigualdade da saúde no Brasil.
RECEPTION OF THE IMAGE OF THE GOLDEN AGE IN F.M. DOSTOYEVSKY’S POETICS
Authors: Сычева Е.О.
Published: February 2024

Статья посвящена исследованию рецепции образа золотого века в творчестве Ф.М. Достоевского. Проведенный анализ дает основание полагать, что данный образ имеет важное смысловое значение в поэтике великого русского писателя, который вслед за Ф. Шиллером прославляет Элладу как обитель золотого века. Здесь представлена гармония первобытного человечества, живущего в ладу с природой и миром. В художественных текстах Ф.М. Достоевского данный образ вербализован во сне Ставрогина и Смешного человека и представляет собой воплощение гармонии человека с миром и другими. Отличие образа золотого века представлено в восприятии его двумя персонажами, если для Ставрогина сон является невероятной мечтой и заблуждением, то в рассказе «Сон смешного человека» герою является божественная истина – золотой век возможен на земле, но связан он с нравственным возрождением личности. Вслед за немецким писателем Ф.М. Достоевский называет три состояния человечества: патриархальность, цивилизацию и христианство, как последнюю степень человека. Возвращение золотого века соотносится в поэтике Ф.М. Достоевского со всеобщим единением. Ф.М. Достоевский опирается на эстетические положения Ф. Шиллера, трансформируя их. В творчестве русского писателя эстетическое тесно связано с этическим и религиозным. Русский писатель не только восхваляет золотой век вслед за немецким писателем, но и верит в его наступление благодаря христианству. А главная задача для человека, по мнению Ф.М. Достоевского, раскрыть в себе Бога и осознать совершенство мира.
Convergence of media communication, journalism and IT
Authors: Самойленко Н.С.
Published: February 2024

Данная работа посвящена феномену конвергенции журналистской, медиакоммуникационной и IT-сфер. Достижение цели предполагает реализацию следующих задач: определить особенности современного медийного контента в диджитал среде и необходимые навыки, которыми должны обладать журналисты-медиакреаторы; выявить конвергенцию между профессиональной журналистикой и IT-деятельностью, определить компетенции из IT-сферы, необходимые современному журналисту; дифференцировать подходы к высшему образованию бакалавров-журналистов и бакалавров по направлению «медиакоммуникации». В настоящем исследовании маркируется факт ускорения трансформационных медиа-процессов (как последствие пандемии короновируса 2019 года и дальнейшего экономического кризиса), способствующих ускорению цифровизационных процессов и переходу многих сфер деятельности в цифровой формат, а сотрудников - на удаленный режим работы. В рамках данной работы выявляются особенности современного медийного контента в дигитальной среде: всевозрастающая скорость распространения информации; ориентация на визуальный контент и отказ от текстоцентричности; наличие интерактивных элементов и обратная связь нового уровня; интеграция элементов геймификации; возможность медиапотребления с помощью различных цифровых устройств и разных каналов коммуникации; возможность пользователей не только потреблять, но и создавать контент. Определяются необходимые навыки, которыми должны обладать журналисты-медиакреаторы; проводится компаративное исследование модели градации профессиональной ИТ-компетенции относительно профессиональной журналисткой деятельности; выявляются компетенции из IT-сферы, необходимые современному специалисту в области медиа. На примере программ подготовки по направлениям «журналистика» и «медиакоммуникации» ведущих университетов в рамках некоторых дисциплин определяется возможность освоения конвергентных медиа-IT компетенций студентами-журналистами и студентами, обучающимися по направлению «медиакоммуникации».
An evaluation of mindful clinical congruence in medical students after course-based teaching
Authors: Hutchinson Tom A , Hanley James A , Liben Stephen , Lubarsky Stuart
Published: February 2024

Purpose: We questioned whether an intensive experiential core course would change medical students’ intention to practice mindful clinical congruence. Our primary hypothesis was that we would see more of a change in the intention to practice mindful clinical congruence in those who had taken versus not yet taken our course.
Methods: From a class of 179 in second year we recruited 57 (32%) students who had been already divided into three groups that completed the course in successive periods. We measured mindful clinical congruence using a questionnaire developed and evaluated for validity. We also measured students’ level of stress to determine if any effects we saw were related to stress reduction.
Results: Students who had just completed the course showed a greater intention to practice mindful clinical congruence than students who had not yet started the course. There was an apparent slight increase in perceived stress in those who had completed our course.
Conclusions: We can change students’ intention to practice mindfully and congruently, which we believe will prevent a decline in compassion and ethical values in clerkship. The results did not appear to be explained by a decrease in stress in students who completed the course.