bluuebunny/crossref_metadata_2025 huggingface dataset:
Penerapan Pembelajaran Tahfidzul Al-Qur’an untuk Meningkatkan Kecerdasan Spiritual Siswa d MTs Teladan Gebang
Authors: Rahmayani Putri , Saleh Muhammad , Azmi Fauzan
Published: September 2022

This research is motivated by a phenomenon that occur in schools where most of the students have high intellectual intelligence and emotional intelligence but do not have good morals. Thus, through tahfidz learning, they are expected to be able to realize that spiritual intelligence is important for their morals so that they can growup to be a generation that has good potential and also good morals. Based on this background, the writer wishes to discuss it in his thesis and take the title of tahfidzqur'an learning to improve students' spiritual intelligence at MTs Exampel Gebang. This research focused on:(1) How is the concept of tahfidzqur'an learning to improve the spiritual intelligence of students at MTs Exampel Gebang? (2) How is the implementation of tahfidzqur'an learning to improve students' spiritual intelligence at MTs Exampel Gebang? (3) How is the implications of tahfidzqur'an learning to improve students' spiritual intelligence at MTs Exampel Gebang. The purposes of this researchare (1) To describe the concept of tahfidzqur'an learning to improve the spiritual intelligence of students at MTs Exampel Gebang; (2) To describe the implementation of tahfidzqur'an learning to improve students' spiritual intelligence at MTs Exampel Gebang; (3) To describe the implications of tahfidzqur'an learning to improve students' spiritual intelligence at MTs Exampel Gebang. This research uses a qualitative approach. The data collection technique uses observation, interviews, and documentation. The data analysis technique uses data reduction, data presentation, and data verification. Check the validity of the data using extension of participation, observer perseverance, and triangulation. The results of the research are (1) The concept of tahfidzqur'an learning aims to train students to love the Qur'an and become a superior person from within themselves in the form of personality and spiritual intelligence; (2) The implementation of tahfidz learning includes arranging sincere intentions, with parental permission, diligent and patient in memorizing, leaving any immorality behind and keep away from harm. There are two methods used by the tahfidz teacher, namely the bin nadzar method and the murajaah method; (3) The implications of tahfidzqur'an learning make students have a high sense of empathy and always be grateful.

 Keywords: tahfidzqur'an learning, spiritual intelligence
Implementation of E-Service Quality at Front Office Department to Increase Guest Satisfaction
Authors: Ni Made Nitha Balistha  , I Ketut Sutama  , Ida Ayu Elistyawati  , I Gede Mudana  , Ni Nyoman Triyuni  , Ni Made Ernawati
Published: September 2022

Purpose: The purpose of this research is to know the implementation of eservice quality Front Office Department in increasing guest satisfaction at a 5-star hotel located in Ubud, Bali. Research methods: The data analysis techniques used in this research are servqual (service quality) and IPA (Importance Performance Analysis). Results and discussions: The results of the research from servqual (service quality) show that the positive servqual score gap is more than the negative servqual score gap, where overall the e-service quality implemented at the hotel has provided satisfaction to guests and showed good service. Meanwhile, the results of the IPA (Importance Performance Analysis) research show that indicators that need to be improved are the availability of products displayed onelectronic media (Q6) and consumer personal data protected on electronic media (Q7). Implication: indicators that need to be maintained in this research are information related to credit cards or payments that can be guaranteed security carried out by FO Staff (Q8), FO Staff handle guest complaints quickly and swiftly (Q9), Hotels have a refund mechanism (refunds). for payment transactions (Q10) and the hotel has 24 hours customer service by the FO Staff (Q11).
Analysis of Lodging and Competition on the Island of Bali during Covid-19 with Big Data
Authors: Moch Sambas  , Shanti Pujilestari  , Listijono Setyopratignjo  , Rina Kurniawati
Published: September 2022

Purpose: This study aims to count the number of lodgings, map lodging density and its supporting facilities, and rank the county, as well as the lodgings available on the island of Bali during covid-19.

Research methods: This study uses data related to lodging and its supporting facilities such as tourist attractions, gas stations, malls, and marts.  The data were collected using the web scrapping method utilizing big data sourced from hotel.com and booking.com.  The data were collected during the Covid-19 period is from August to September 2021.  Spatial analysis is employed using Geographic Information Systems. Also, it uses the scoring of lodgings, their supporting facilities, and consumer reviews.

Results and Discussions: The results showed that the number of lodgings on Bali Island during the Covid-19 period was 5,389 properties in a high-density area in South Bali. By taking into account the tourist supporting facilities of Badung, it has the highest level of competition. 

Implication: The property with high competition is the Sol House Bali Legian hotel by Melia Hotels International.

 

Keywords: Big data, Covid-19, lodging, dispersion, competition.
Tourists' Perceptions of Local Street Food: Angkringan, Yogyakarta's Culinary Icon
Authors: Suci Sandi Wachyuni  , Kadek Wiweka
Published: September 2022

Purpose: Angkringan is one of the culinary icons of Yogyakarta which is famous for its being street food. With the development of Yogyakarta's culinary as a tourist attraction, the purpose of this study is to determine tourists' perceptions of Angkringan.

Research methods: This study employs a quantitative approach, with a survey conducted via WhatsApp broadcast messages. Purposive sampling was used, and the sample size was 100 respondents. The data analysis method applied is quantitative descriptive statistics,.

Results and discussion: Angkringan in Yogyakarta is well-liked by tourists. Food quality has the highest average value, followed by portions, promotions, menu variations, service quality, and prices in a certain order. The last three indicators, that is cleanliness, taste, and atmosphere, all share the same average value.

Implication: Understanding how tourists perceive Angkringan can provide suggestions for the development of community Angkringan businesses, particularly in Yogyakarta, this research has theoretical and practical implications.

 

Keywords: angkringan, culinary, street food, local food, perception.
Literature Analysis on the Bornean Orangutan (Pongo Pygmaeus) Conservation Ecotourism in Tanjung Puting National Park, Waringin Barat City, Central Kalimantan
Authors: Puti Minang Anjarani  , Marini Yunita  , Grace Caroline Mailoa
Published: September 2022

Purpose: The purpose of the study is to analyze the development of orangutans conservation ecotourism in Tanjung Puting National Park based on previous studies.

Research Methods: The methodology used in this study is a literature review approach. Data collection was carried out by collecting data and information in the form of related journals from previous research.

Results and Discussion: Synchronization and collaboration between stakeholders is important in improving the management of TPNP and implementing policies so that they are effective and optimal

Implication: The dynamics of orangutan conservation are not being implemented according to their natural habitat.

 

Keywords: ecotourism, conservation, Bornean orangutan (pongo pygmaeus).
Impactos da adoção da gestão do conhecimento 4.0 no contexto dos negócios de farmácias magistrais: revisão sistemática de literatura.
Authors: Oliveira Everton Gomes , Braga José Luiz , Mendonça Fabricio Martins , Zaidan Fernando Hadad
Published: September 2022

Levando em consideração a alta carga tributária no Brasil, o artigo tem como principal finalidade mostrar os efeitos causados à sociedade brasileira pelos impostos de caracteristica regressiva que impactam diretamente na população que em sua maioría se mantem com um salário mínimo, através da tributação sobre bens de consumo e serviços. São apresentados os tipos de impostos que compõem o grupo de tributos regressivos e progressivos, como eles são aplicados a população, como se posicionam se comparados a outros países, além de medidas que seriam capazes de promover uma mudança de cenário, que não são simples e práticas, mas que demandam suporte da legislação e iniciativas justas. Deste modo o artigo se torna relevante partindo do aspecto de que é necessário enxergar o quanto a alta carga tributária regressiva atrapalha o desenvolvimento do país e dos seus residentes, mas também o quanto é dificil encontrar soluções para esta situação.
DETERMINAN YANG BERHUBUNGAN DENGAN TINGKAT PENGETAHUAN IBU HAMIL TERHADAP BAHAYA ASAP ROKOK PADA JANINNYA
Authors: Samsinar  , Diani Maryani
Published: September 2022

Abstrak determinan tingkat pengetahuan bahaya asap rokok pada ibu hamil. Asap rokok yang memapari ibu hamil dapat berpotensi melahirkan bayi yang meninggal, gizi buruk, mengganggu metabolism pertumbuhan janin, DJJ janin lemah dan adanya gangguan system saraf janin, sehingga penelitian ini bertujuan untuk mengetahui determinan pengetahuan ibu hamil terhdap bahaya asap rokok. Penelitian ini menggunakan metode deskriptif analitik dengan desain penelitian cross sectional. Populasi dalam penelitian ini berjumlah 64 orang dengan metode pengambilan sampel dengn cara accidental sampling dengan data primer. Penelitian ini dilaksanakan di Klinik S pada periode bulan Mei-Juni 2018. Analisis data menggunakan SPSS sehingga didapatkan hasil bahwa dari 64 responden terdapat 71.9% memiliki pengetahuan rendah dan determinan tingkat pengetahuan bahaya asap rokok pada ibu bersalinan dipengaruhi oleh pendidikan (Pvalue 0.031), Usia (Pvalue 0.041), Lingkungan (Pvalue 0.044) dan pekerjaan (Pvalue 0.044). Sehingga dapat disimpulkan bahwa determinan tingkat pengetahuan bahaya asap rokok pada ibu hamil dipengaruhi oleh factor pendidikan, usia, lingkungan dan pekerjaan, untuk itu diperlukan upaya promotif untuk mengurangi dampak hasil paparan asap rokok.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF DI BPS
Authors: Susanti Dewi , Vidya Nabella Rizka
Published: September 2022

ASI Eksklusif merupakan sumber gizi yang ideal karena komposisinya seimbang secara alami dan sesuai dengan pertumbuhan dan perkembangan bayi, sehingga ASI Eksklusif merupakan makanan yang paling sempurna bagi bayi baik kualitas maupun kuantitasnya, disamping murah, mudah didapat dan juga pemberiannya bisa dilakukan setiap hari makanan pertama yang terbaik dan paling sempurna untuk bayiI. tahun 2014 hanya 15,3% anak di Indonesia yang mendapatkan ASI eksklusif. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan ibu yang tidak memberikan asi secara eklusif pada bayi di BPS Syafyeni tahun 2018. Penelitian ini menggunakan metode deskriptif analitik dengan desain penelitian cross sectional. Populasi dalam penelitian ini berjumlah 65 orang dengan metode pengambilan sampel dengn cara accidental sampling dengan data primer. Penelitian ini dilaksanakan di Klinik S pada periode bulan Oktober 2018. Analisis data menggunakan SPSS sehingga didapatkan hasil bahwa dari 65 responden terdapat hubungan antara umur (Pvalue 0.000), pendidikan (Pvalue 0,000), pekerjaan (Pvalue 0,026), pengetahuan (Pvalue 0.000), dukungan keluarga (Pvalue 0,000), riwayat penyakit (Pvalue 0,040) dengan pemberian ASI secara eksklusif. Sehingga dapat disimpulkan bahwa pemberian ASI masih sangat rendah sehingga diperlukan adanya upaya promotif dan prefentif dari tenaga kesehatan. .
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TERJADINYA RETENSIO PLASENTA DI RUMAH SAKIT UMUM
Authors: Rizka Vidya Nabella  , Dinda Handiani
Published: September 2022

Abstrak Faktor yang berhubungan dengan terjadinya retensio plasenta. Kejadian retensio plasenta yang terjadi di RSUD Kabupaten Tangerang dari rekam medic tahun 2018 dari 130 ibu yang mengalami retensio plasenta. Penelitian ini menggunakan variabel dependen yaitu Retensio Plasenta dan variabel independen terdiri dari paritas, usia ibu, usia kehamilan, kelainan his, riwayat perlekatan plasenta, riwayat penyakit. Penelitian bersifat deskriptif dengan menggunakan desain penelitian cross sectional dengan menggunakan data sekunder. Sampel pada penelitian ini adalah ibu yang mengalami retensio plasenta sebanyak 99 ibu di RSUD Kabupaten Tangerang tahun 2018. Dari hasil penelitian menunjukkan bahwa ada hubungan antara retensio plasenta dengan paritas nilai (PValue = 0,004) ada hubungan antara retensio plasenta dengan paritas dan nilai OR= 0,073, usia ibu (P Value = 0,002) ada hubungan antara retensio plasenta dengan usia ibu dan nilai OR = 0,061, usia kehamilan nilai (P Value = 0,003) ada hubungan antara retensio plasenta dengan usia kehamilan dan nilai OR= 0,068, kelainan his (P Value = 0,760) tidak ada hubungan antara retensio plasenta dengan kelainan his dan nilai OR = 0,774, riwayat perlekatan plasenta (P Value = 0,425) tidak ada hubungan antara retensio plasenta dengan riwayat perlekatan plasenta dan nilai OR = 0,727, anemia (P Value = 0,069) tidak ada hubungan antara retensio plasenta dengan riwayat penyakit dan nilai OR = 0,0331 pada ibu di RSUD Kabupaten Tangerang tahun 2018. Dapat disimpulkan bahwa ada hubungan yang signifikan antara paritas, usia ibu, usia kehamilan, kelainan his, riwayat perlekatan plasenta, anemia. Berdasarkan hasil penelitian diharapkan dapat memberikan masukan untuk dapat lebih meningkatkan upaya promotif dan prefentif dalam pemeriksaan kehamilan rutin guna menccegah terjadinya resiko yang dapat menyebabkan retensio plasenta
PERILAKU IBU DALAM MEMBERIKAN SUSU FORMULA TERHADAP BAYI USIA 0-12 BULAN
Authors: Samsinar
Published: September 2022

Faktor-Faktor Yang Berhubungan Dengan Perilaku Ibu Dalam Memberikan Susu Formula Terhadap Bayi Usia 0-12 Bulan Di Puskesmas Jambe Tahun 2019. Jenis makanan prelakteal yang di berikan cukup beragam antar daerah tergantung kebiasaan daerah tersebut. Pada (Rikesdas 2013) jenis makanan prelakteal yang paling banyak di berikan kepada bayi yaitu susu formula sebesar (79,8 %). Susu formula yakni produk susu bayi yang berasal dari susu sapi yang telah di formulasikan sehingga komposisinya mendekati ASI. (Flashbook, 2013). Pemberian susu formula dengan botol yang tidak sesuai prosedur meningkatkan risiko diare karena kuman dan masalah medis lain yang mungkin timbul adalah perubahan flora usus, terpapar antigen dan kemungkinan meningkatnya sensitivitas bayi terhadap susu formula (alergi) dan bayi kurang mendapat perlindungan kekebalan dari kolostrum yang keluar justru di hari hari pertama kelahiran. (Idai.or.id). Faktor-faktor yang mempengaruhi faktor umur, pendidikan ibu, pengetahuan ibu, pekerjaan, status ekonomi, sumber informasi, dukungan tenaga kesehatan. Memberikan susu formula kepada bayi dapat di lihat dari aspek pengadaan air, sterilisasi botol, personal hygiene, cara menyimpan susu formula. (dr. Suririnah, 2009). Penelitian ini adalah metode deskrptif atau dengan cara pendekatan cross sectional dan data primer. Pengambilan populasi dan sample sebanyak 54 orang dengan menggunakan metode accidental. Hasil penelitian denagn menggunakan 7 variable. Terdapat 6 variable yang berhubungan dan 1 variable tidak berhubungan. Menurut variable umur ibu p value 0.038, menurut variable pendidikan ibu p value 0.038, menurut variable pengetahuan ibu p value 0.036, menurut variable pekerjaan ibu p value 0.123, menurut variable status ekonomi ibu p value 0.016, menurut variable sumber informasi p value 0.038, menurut variable dukungan tenaga kesehatan p value 0.019. Dari hasil penelitian dapat di simpulkan bahwa ada hubungan antara perilaku dalam pemberian susu formula.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN IUFD
Authors: Deastri Pratiwi  , Yuliwati
Published: September 2022

Abstrak :, faktor-faktor yang berhubungan dengan kejadian IUFD. IUFD (Intra Uterine Fetal Death) adalah keadaan tidak adanya tanda-tanda kehidupan janin dalam kandungan baik pada kehamilan yang besar atau kurang dari 20 minggu (Manuaba, 2010). Dalam menyusun karya tulis ilmiah ini, peneliti menggunakan data sekunder dari recam medic ( Medical record) di RSUD Kabupaten Tangerang. Desain penelitian yang digunakan bersifat deskriptif dengan menggunakan pendekatan cross sectional dengan variable usia ibu, paritas ibu, anemia,Tingkat pendidikan. Jumlah populasi dalam penelitian ini sebanyak 46 orang. Berdasarkan Hasil penelitian dari 46 ibu hamil yang mengalami IUFD pada usia kehamilan 20-28 minggu sebanyak 7 orang (15,2%), usia kehamilan >28 minggu sebanyak 39 orang (84,8%) . Dari hasil penelitian menunjukkan bahwa ada hubungan antara IUFD dengan Usia ibu (P value = 0,000) dan nilai OR = 1,875, Paritas (P = 0,000) ada hubungan antara IUFD dengan Uisa ibu dan nilai OR = 0,019, Anemia (P = 0,003) ada hubungan antara IUFD dengan Anemia dan nilai OR = 0,059, Pendidikan (P = 0,119) tidak ada hubungan antara IUFD dengan pendidikan ibu dan nilai OR = 0,0774. Maka dapat disimpulkan bahwa dari empat variabel yang diteliti yang memiliki peluang terbesar yaitu pada factor Usia ibu dengan peluang sebesar 1,875 kali untuk mengalami kehamilan dengan IUFD. Maka dari hasil penelitian diharapkan dapat memberikan masukan kepada tenaga kesehatan untuk dapat memberikan penyuluhan tentang usia yang tepat untuk hamil .
FAKTOR YANG MEMPENGARUHI KEBERHASILAN IBU MENYUSUI SECARA ASI EKSKLUSIF
Authors: Samsinar  , Munawaroh
Published: September 2022

ASI ekslusif menurut (Word Health Organization 2011) adalah memberikan hanya asi saja tanpa memberikanmakanan dan minuman lain kepada bayi sejak lahir sampai berumur 6 bulan, kecuali obat vitamin, namun bukan berarti setelah pemberian ASI ekslusif dihentikan, akan tetapi tetap diberikan kepada bayi sampai bayi berusia 2 tahun. Penelitian ini bertujuan untuk mengetahui factor mempengaruhi keberhasilan ibu menyusui secara ASI Ekslusif di Puskesmas Kronjo tahun 2020. Penelitian ini bersifat deskriptif analitik dengan rancangan kasus kontrol dan jenis data yang diambil adalah data primer dengan yang dilaksanakan pada bulan April-Mei Tahun 2020 sebanyak 39 responden ibu menyusui. Hasil yang didapatkan adalah ada hubungan antara pengetahuan (p value = 0,039 dan nilai OR = 3,542), Ada hubungan antara peran nakes (p value = 0,001 dan nilai OR = 0.667), Ada hubungan antara pekerjaan (p value = 0,027 dan nilai OR = 6.045) dengan keberhasilan menyusui secara asi eksklusif. Dan tidak ada hubungan antara sikap (p value = 0,075 dan nilai OR = 0.411) dan sumber informasi (p value = 0,081 dan nilai OR = 1.200). maka dari itu, Diharapkan Tenaga kesehatan baik bidan maupun kader kelompok pendukung asi dapat terus meningkatkan keaktifannya dalam kegiatan kelompok pendukung asi. dan dalam kegiatan tersebut hendaknya dapat meningkatkan kesadaran ibu untuk dapat menyusui bayinya
PENGARUH KONSELING BIDAN TERHADAP KEPUASAN KLIEN KELUARGA BERENCANA
Authors: Wisudawati Wida , Fitriani Soleha Dian
Published: September 2022

Dalam memberikan pelayanan Keluarga Berencana, tenaga kesehatan khususnya bidan harus memberikan pelayanan konseling yang baik untuk membantu klien mendapatkan pengetahuan dan sikap mengenai keputusan penggunaan alah konrasepsi yang akan digunakan. Kepuasan klien adalah suatu tingkat perasaan klien yang timbul sebagai akibat dari kinerja layanan kesehatan yang diperolehnya setelah pasien membandingkan dengan apa yang diharapkannya. Tujuan penelitian ini adalah ingin mengetahui apakah ada pengaruh antara keterampilan konseling bidan terhadap kepuasan klien dalam menerima pelayanan Keluarga Berencana di Klinik AzZahra. Desain penelitian yang digunakan adalah penelitian analitik dengan menggunakan pendekatan cross sectional dan merupakan penelitian korelasi yang bertujuan mengungkapkan hubungan korelatif antara variable. Sampel dalam penelitian ini menggunakan teknik incidental sampling yaitu klien yang datang ke Klinik Azzahra Tangerang untuk mendapatkan layanan KB yaitu sebanyak 258 responden. Berdasarkan hasil analisa bivariat didapatkan nilai signifkasi 0,000 dimana apabila terdapat nilai < 0,05 pada nilai signifikasi dapat disimpulkan bahwa bahwa terdapat pengaruh yang sigifikan antara keterampilan konseling Bidan terhadap kepuasan klien dalam pelayanan Keluarga Berencana di Klinik AzZahra Tangerang.
FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN ANEMIA PADA IBU HAMIL DI PUSKESMAS KRONJO KABUPATEN TANGERANG
Authors: Pratiwi Deastri
Published: September 2022

Anemia pada kehamilan merupakan masalah nasional karena mencerminkan nilai kesejahteraan sosial ekonomi masyarakat, dan pengaruhnya sangat besar terhadap kualitas sumber daya manusia. Menurut WHO, kejadian anemia kehamilan berkisar antara 20% sampai 89% dengan menetapkan Hb 11g% (g/dl) sebagai dasarnya. Angka kejadian anemia di Indonesia menunjukkan nilai yang cukup tinggi. Hoo Swie Tjiong menemukan angka anemia kehamilan sebear 3,8% pada trimester I, 13,6% pada trimester II dan 24,8% pada trimester III. Untuk itu dilakukan penelitian yang bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kejadian Anemia Pada Ibu hamil di Puskesmas Kronjo Tahun 2020. Menggunakan desainpenelitian cross sectional dengan teknik acak sistematis. Sampel yang digunakan sebanyak 40 responden. Instrument penelitian menggunakan data primer dan sekunder yang diambil di kemudian hasilnya diolah dengan menggunakan aplikasi spss versi 22 yang di presentasikan dalam tabel. Hasil penelitian ini didapatkan ada hubungan yang signifikan antara pengetahuan (P value = 0.001), ada hubungan antara social ekonomi dengan anemia pada ibu hamil (P Value= 0.029), ada hubungan antara Pendidikan dengan anemia pada ibu hamil (P value= 0.0278) dan tidak ada hubungan antara pengetahuan dengan kepatuhan konsumsi Tablet Fe (Pvalue 0.123) Dapat di simpulkan bahwa ada hubungan yang signifikan antara pengetahuan, socialekonomi, dan Pendidikan dengan anemia pada ibu hamil. Namun tidak ada hubungan antara kepatuhan konsumsi tablet Fe dengan kejadian anemia. Sehingga diperlukan peningkatan pelayaan kepada masyarakat dengan memberikan dukungan emosional dan terus menerus melibatkan suami dalam segala hal agar ibu hamil tidak mengalami anemia dalam kehamilannya.
HUBUNGAN HYPNOBIRTHING TERHADAP KECEMASAN IBU HAMIL TRIMESTER III PRIMIGRAVIDA
Authors: Anggraeni Liza , Maisaroh Siti
Published: September 2022

Hypnobirthing merupakan satu teknik terapi perilaku untuk menurunkan ketegangan fisiologis dan kecemasan terutama saat persalinan. Pentingnya hypnobirthing adalah karena masih kurangnya pengetahuan ibu hamil tentang hypnobirthing serta perlunya peningkatan pemahaman ibu hamil tentangi hypnobirthing. Tujuan penelitian ini adalah untuk mengetahui Hubungan Hypnobirthing dengan Tingkat Kecemasan Pada Ibu Hamil TM III Primigravida di PMB S Tahun 2020. Jenis penelitian ini bersifat quasy eksperimen yang dilaknasanakan di PMB Syafyeni yang dilaksanakan pada bulan Oktober-November dengan melibatkan dengan sampel 10 orang sebagai kelompok control (penyuluhan) dan 10 orang sebagai kelompok intervensi (hypnobirthing). Hasil penelitian berdasarkan posttest pada kelompok intervensi 3 orang (30%) tidak mengalami kecemasan,2 orang (20.0%) mengalami kecemasan ringan, 2 orang (20%) mengalami kecemasan tingkatsedang, 3 orang (30%) mengalami tingkat kecemasan berat. Hasil uji-t berpasangan (paired-t test) memperlihatkan bahwa nilai mean tingkat kecemasan pretest (sebelum perlakuan hypnobirthing) adalah 2.50 dan nilai mean tingkat kecemasan postest (setelah perlakuan hypnobirthing) adalah 2.50. Hal ini berarti terjadi penurunan tingkat kecemasan setelah perlakuan hypnobirthing. Dengan demikian, dapat disimpulkan bahwa perlakuan hypnobirthing berpengaruh signifikan terhadap penurunan tingkat kecemasan ibu hamil TM III Primigravida. Sehingga diperlukan penerapan perlakuan hypnobirthing untuk mengurangi tingkat kecemasan
Panorama e perspectivas sobre a formação profissional na graduação para a Indústria Brasileira de Jogos Digitais
Authors: Carvalho Alan Henrique Pardo de
Published: September 2022

A formação de profissionais para a Indústria Brasileira de Jogos Digitais ocorre em diversos formatos e níveis, como os cursos livres, técnicos de nível médio e graduações. Com esse trabalho objetivou-se apresentar informações a respeito dos cursos de graduação oferecidos no Brasil, desde sua caracterização, dados quantitativos de ofertas e cursos, além das instituições que os oferecem e onde são oferecidos, além de informações sobre crescimento e avaliações realizadas pelo MEC, finalizando com reflexões e perspectivas a partir do cenário apresentado e dando indicações de futuras pesquisas que possam contribuir para uma maior compreensão dos cursos de graduação em suas especificidades e de seu papel na formação de profissionais para a Indústria Brasileira de Jogos Digitais.
Desenvolvimento de NPCs com comportamentos engajados
Authors: Silva Guilherme Alves da , Ribeiro Marcos Wagner de Souza
Published: September 2022

NPCs (Non-Player Character) ou personagens não jogáveis nem sempre possuem comportamentos considerados adequados e responsivos. E, esta artificialidade pode gerar problemas de qualidade em um jogo e até reduzir o interesse do jogador. Com base nesta afirmação, este trabalho apresenta uma Revisão Sistemática de Literatura (RSL) sobre o desenvolvimento de NPCs com comportamentos engajados. A revisão possibilitou o mapeamento e o conhecimento do estado atual dos estudos correlatos, extraindo 18 artigos relacionados ao estado da arte. A partir da análise, verificou-se que determinadas técnicas tradicionalmente usadas pela indústria de jogos digitais têm se tornado um grande obstáculo na geração de comportamento de NPCs mais engajados ao ambiente virtual.
Cobalt Electrodeposition in Nanoporous Anodic Aluminium Oxide Films with Different Oxidation Time
Authors: MA Di , LI Shubai , YU Dongmei , WANG Bin , CHEN Zou , HOU Danan
Published: September 2022

The anodic aluminum oxide films with different oxidation times were investigated using electrochemical techniques including electrochemical impedance spectroscopy (EIS), cyclic voltammetry (CV), and open-circuit potential versus time. The stable open-circuit potential versus time indicates that the longer anodization time provides a larger block for cobalt electrodeposition. The EIS monitoring revealed the capacitance characteristics of the barrier layer. When the oxidation time is 4 h, the thickness and porosity of AAO film are 1517 nm and 16.4 % corespondingly, and the radius of the capacitive reactance arc is the smallest. The reduction peak current of CV is attributed to the change in diffusion coefficient of cobalt when oxidation time changes.
Detailed Analysis of the UCMR 3 Database: Implications for Future Groundwater Monitoring
Authors: Eaton Andrew , Bartrand Tim , Rosen Saul
Published: September 2022

Under the Safe Drinking Water Act, the US Environmental Protection Agency requires monitoring every five years for up to 30 unregulated contaminants under the Unregulated Contaminant Monitoring Rule (UCMR). Results include analyte concentrations and additional metadata. The third iteration of the UCMR (UCMR 3) is as unique as the first, with a variety of detection frequencies, from <0.1% to nearly 100%. Groundwater systems are required to sample twice, five to seven months apart. A detailed analysis of results for groundwater systems in UCMR 3 demonstrates that other than for chlorate, a disinfection byproduct, there is no significant difference in either concentrations or overall occurrence frequency between the two events. For future UCMRs, depending on the selected contaminants, a single sample would generate the same information for overall distributions, even if individual locations might have differences between events. There are differences in occurrence as a function of population for most contaminants. Either fewer sample events and/or stratified sampling could save utilities as much as $10–20 million over the course of the UCMR three‐year monitoring period without changing the overall conclusions regarding occurrence frequency.
Upper bound errors in far-field antenna parameters determined from planar near-filled measurements :
Authors: Newell Allen C
Published: September 2022

In recent years, planar near-field antenna measurements have been developed and used in a number of applications. One of the primary concerns with this, or any, measurement approach is the accuracy of the results; that is, how do errors in measured near field quantities affect the accuracies of far-field parameters such as gain, sidelobe levels, monopulse difference level, beam width, etc. Some efforts have been made in the past to estimate these errors, but the results have been limited in generality and primarily of a qualitative nature. A two-fold approach is used in this study to obtain equations giving reasonable upper-bound errors resulting from systematic errors in the near-field measurements. The strategy has been to derive error expressions from the equations relating near and far field quantities and also to computer simulate errors using actual measured near-field data. The simulation has both given some direction to, and confirmed the results of the analysis. The errors which have been investigated are: x, y, and z-position errors of the probe, amplitude and phase uncertainties of the measured data, and multiple reflections between the probe and test antenna. The results not only give the effects of errors in a given quantity, but also specify the form of the error (i.e., linear, quadratic, periodic, etc.) which will produce the largest effect in the far-field parameters. This information is very valuable in designing the measuring equipment so that these types of errors can be avoided, or minimized.
Contacts with deep vein thrombosis and pulmonary embolism in the Danish healthcare system from 2005-2016
Authors: Bentsen Lasse Paludan
Published: September 2022

Background: The combination of Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE), Venous Thromboembolism (VTE), is the third most frequent cardiovascular disease. It can lead to chronic complications and can be lethal in the acute phase. As age is a risk factor for an increasing incidence of VTE, the growing elderly population is expected to increase the number of VTE. With this study, we aimed to investigate the number of VTE contacts in the Danish healthcare system from 2005-2016 with focus on yearly, monthly and daily variation.

Methods: We extracted data on patient contacts to all public Danish hospitals in the period from 2005-2016 with a diagnosis of either DVT or PE (ICD-10 diagnosis of I801, I802, I803, I808, I269, I269, I260 or I817D). Data will be presented descriptively as combined numbers but also stratified by weekday, month and year.Results: We observed 57,804 contacts with DVT and 46,161 PE in the study period. DVT contacts was 5,005 (8.7%) in 2005 and decreased by 5.5% to 4,734 (8.2%) in 2016.  For PE it we observed an increase of 96.8% from 2,579 (5.6%) in 2005 to 5,075 (11.0%) in 2016. When sampling months of all years, the month with the highest number of contacts for DVT were March with 5,150 (8.9%) and lowest being February with 4,550 (7.9%). For PE it was January with 4,350 (9.4%) and April with 3,505 (7.6%), respectively.  Contacts with either DVT or PE was most likely during weekdays, Monday being the higher with 11,096 (19.2%) for DVT and 8,222 (17.8%) for PE. Weekends was least likely with Saturday being the lowest with 5,085 (8.8%) for DVT and 4,301 (9.3%) for PE.

Conclusion: Number of patient contacts to Danish hospitals in the period of 2005-2016 has been decreasing for DVT but increased for PE. We found a small variation in contacts with either diagnosis each month. For day of contact, the most likely was Monday and least likely Saturday.
Diphoterine® for chemical burns of the skin
Authors: Dinesen Felicia
Published: September 2022

Background: Chemical burns represent a small part of burn injuries, but the incidence seems to increase. Traditionally a chemical burn is rinsed with water or water and soap. Diphoterine is an amphoteric, chelating, polyvalent, slightly hypertonic solution made for decontamination of chemical splashes proposing one treatment suitable for most kinds of chemical burns.  Objective: In this systematic review we aimed to assess the effect of Diphoterine on chemical burns compared with water or no treatment. The primary endpoint was depth of burn and secondary outcomes included pain, duration of hospitalization, time to return to work, need for surgery, pH, and complications associated with using Diphoterine. 

Methods: PubMed, Embase, Cochrane Library, Web of Science, and Google Scholar were systematically searched on March 22, 2021 using the term “Diphoterine”. Interventional, observational, and cohort studies were included. No language restrictions were applied. Risk of bias was assessed using the Cochrane Risk of Bias assessment tool for randomized trials and the Newcastle-Ottawa Scale (NOS 0-9) for non-randomized studies.Results: A total of 8 studies were included. Only 1 retrospective study evaluated the depth of a chemical burn and found no difference between the Diphoterine group and the control group. Three studies reported on pain and found a more pronounced decrease in pain when using Diphoterine compared to the control groups. Two studies found significant improvement of pH when using Diphoterine. No studies found a difference in time to return to work or duration of hospitalization. No studies addressed the need for surgery. No studies found any complications associated to the use of Diphoterine. Risk of bias was judged high in the included RCT and the rest of the studies was awarded between 3 and 7 stars on NOS.

Conclusion: This systematic review found no difference between Diphoterine compared with water or no treatment on depth of a chemical burn. Diphoterine seems to be associated with less pain compared to water or no treatment, and Diphoterine seems to have a neutralizing effect of chemical burns.
Disease severity of ambulance patients with non-specific diagnoses
Authors: Søvsø Morten Breinholt
Published: September 2022

Emergency department (ED) and emergency medical services (EMS) contacts are increasing and one third of ED patients receive non-specific diagnoses (ICD-10 chapters R ‘symptoms and signs’ and Z ‘other factors’). We hypothesize that non-specific diagnoses may be assigned to 1) frail patients with potentially serious conditions presenting with unclear symptoms and 2) patients with unclear symptoms due to low disease acuity or severity. Thus, in EMS patients discharged with non-specific diagnoses, we investigated renewed contacts within 30 days, changes in diagnoses and corresponding changes in 30-day mortality.

Observational cohort study of patients brought to hospital after emergency call and discharged with an ICD-10 chapter Z or R diagnosis during 2016-2018 in the North Denmark Region. Mortality and renewed contacts (new contact within 30 days) were modelled by Poisson regression. Comorbidity groups was determined according to Charlson Comorbidity Index (CCI).Of 73783 EMS patients with hospital contact following an 1-1-2 emergency call, 32% (N=24229) were assigned a non-specific diagnosis upon discharge. Median age 56.0 years (32.7;73.1), 48.9% were female and 65.7% had no comorbidity (CCI=0), 25.9% had moderate (CCI= 1-2) and 8.4% had high comorbidity (CCI: 3-). Mortality within 30 days was 2.9% and 2095 patients had a renewed contact. Of these, 59.8% received a specific ICD-10 diagnosis; circulatory (17.5%), injury/poisoning (12.0%), mental/behavioral (11.1%), respiratory (8.2%) and digestive diseases (6.2%). In renewed contacts, patients with different diagnoses had more than a twofold increase in 30-day mortality (adjusted RR (95%CI)): 2.52 (1.27-4.98), higher mean age (58.3 vs. 54.2) and high comorbidity was more frequent (14.9% vs. 7.7%) when compared to patients with non-specific diagnoses.

One third of included patients were assigned a non-specific diagnosis, and less than 10% had renewed contact within 30 days. Compared to patients with a non-specific diagnosis, patients given a specific ICD-10 diagnosis upon renewed contact had more comorbidity and more than a twofold increase in adjusted mortality risk. The most frequent specific diagnoses for renewed contact were circulatory diseases, injury/poisoning and mental/behavioral disorders. Most emergency ambulance patients with non-specific diagnoses had low mortality and no renewed contact, however 5% had potentially serious underlying conditions and high mortality.
Fewer emergency ambulances during the Covid-19-pandemic in North Denmark Region
Authors: Lindskou Tim
Published: September 2022

Background: The Covid-19 pandemic have led to decreases in hospital admissions during the first period in the spring 2020, also among acute patients. However, it is not known if the pandemic had any influence on the most severely acutely ill and injured, that is patients calling the emergency number and requesting an ambulance. Prehospital data, both logistic and medical journals, are present in all of Denmark’s five health care regions, as are in-hospital data. The aim was to study hospital diagnoses and 1-and 30-days mortality among the ambulance-patient population in the North Denmark Region in 2020 compared to previous years.

Methods: This is a regional pilot study in preparation of a nationwide study, designed as a population based historic cohort study of patients calling the emergency number in North Denmark Region in 2020 compared to the years 2017-2019. Prehospital data were linked with patient administrative data on hospital diagnoses (ICD-10) and date of death. Outcomes were prevalence and mortality. Proportions were estimated using Poisson regression and proportions were compared by relative risks (RR) with 95% confidence intervals (CI).Results: Compared with 2017-19, there were 6.5 % (95%CI 3.6;9.2) fewer patients in 2020. The proportion of hospitalizes patients increased 1% (RR 1.01, 95%CI 1.01;1.02), whereas patients not brought to a hospital decreased 5% (RR 0.95, 95%CI 0.92;0.97). Proportion of patients with respiratory diseases was reduced, from mean 2042/year to 1479 in 2020 (RR 0.76, 95%CI: 0.72;081), particularly during the first period of the Covid-19 pandemic in March-June. There was no difference for other major diagnoses, such as cardiovascular disease with mean 3046/year versus 3083 in 2020. There was no difference in over-all 1 and 1-30-day mortality in 2020 compared to 2017-19, neither for patients with nor without hospital contact, and no difference in mortality for respiratory and cardiovascular diseases.

Conclusion: In the North Denmark Region the overall number of emergency calls decreased during the Covid-19 pandemic. Respiratory diseases decreased markedly by 24% in 2020. Opposed to other studies we found no difference for cardiovascular diseases. This may be a regional pattern, and a nationwide study is needed to elucidate this.
Higher paediatric readiness in emergency departments and trauma centres with a paediatrician on-site
Authors: Thoft Jensen Liva
Published: September 2022

Background: Critically ill and injured children are frequently admitted to mixed adult/paediatric emergency departments and trauma centres. Children constitute a smaller proportion of patients in these facilities, thus leading to the risk of poor quality of paediatric emergency care being provided. Studies show that day-to-day readiness for the emergency care of children affect paediatric patient safety and is associated with a reduced risk of mortality among critically ill children. This study aimed to assess the level of paediatric readiness in Danish emergency departments and trauma centres. We hypothesised that trauma centres had a higher paediatric readiness than emergency departments.

Methods: From November 2020 to January 2021, a nationwide survey was conducted in all 18 Danish emergency departments and four trauma centres. The questionnaire was a Danish translation of the 2013 American assessment of paediatric readiness provided by the National Pediatric Readiness Project. Facility chief physicians were approached by phone and for those willing to participate, the questionnaire was e-mailed for completion by designated healthcare professionals working in the emergency department or trauma centre. Primary outcome was paediatric readiness, which was assessed using the weighted paediatric readiness score based on a scale from 0-100. A score of 100 points indicated full compliance with the 2009 American Guidelines for Care of Children in the Emergency Department. The weighted paediatric readiness score was presented as median with interquartile range (IQR). Our hypothesis was tested using the Mann-Whitney U test, and a P-value of less than 0.05 was considered statistically significant.

Results: A total of 13 emergency departments and three trauma centres replied resulting in a response rate of 73%. There was no significant difference in weighted paediatric readiness scores between emergency departments, median (IQR) 70.0 (56.1-78.2) and trauma centres 75.6 (70.9-78.4); (P = 0.42). Facilities with a paediatrician on-site 24/7 (n=12) had higher paediatric readiness scores 75.5 (67.7-78.8) than four facilities without an on-site paediatrician 53.8 (44.9-63.1); (P = 0.02).

Conclusion: Trauma centres did not have a higher paediatric readiness than emergency departments. However, we found a higher paediatric readiness in facilities with a paediatrician on-site.
Length of stay after admission for traumatic injury
Authors: Christiansen Nanna Marie
Published: September 2022

Background: There has been a large reconfiguration within the Danish emergency departments since 2007, including merging of hospitals and establishing joint emergency departments with larger populations, leading to an enhancement in experienced healthcare personnel, specialized equipment and the availability of medical specialists. The aim of this study was to investigate the association between length of stay at the hospital after a physical traumatic injury and the reconfiguration of emergency departments.

Methods: The study was conducted as a retrospective cohort study including patients admitted as trauma patients at Hospital of South West Jutland within the Region of Southern Denmark and in the years 2007-2016. Statistical analyses were conducted using multiple linear regressions.

Results: A total of 1693 trauma patients were included, of which 580 patients were admitted before the reconfiguration and 1113 were admitted after. The results showed a beta coefficient of -0.32 with a p-value <0.001 and 95% confidence interval of -0.48 to -0.15, giving a 27.1% decrease in length of stay after the reconfiguration compared to before.

Conclusion: After reconfiguring emergency departments, the length of stay for trauma patients has decreased, suggesting enhanced efficiency and increased the quality of care for trauma patients.
Reorganisation of emergency departments: From policy to practice
Authors: Tipsmark Line Stjernholm
Published: September 2022

Background: In 2007, a national policy of emergency department reorganisation was announced in Denmark. To obtain the expected benefits of the policy, the policy must be put into practice. The aim of this study is to assess the relation between policy and practice after this policy announcement.

Methods: The study was designed as a cross-sectional study and we conducted a survey across all Danish emergency departments (n=21), to assess the policy implementation from 2007-2017. The questionnaire was answered by executive staff at the EDs (100% response rate). We applied the multi-contingency theory as an analytical framework to classify policy recommendations (specialised equipment, centralisation, multidisciplinary teams, triage, flow coordinator, senior physician, qualification upgrade) according to key organisational design dimensions (strategy, structure, coordination, staff, incentive structure) known to affect patient outcome. The framework further guides our analysis and expectations of the policy implementation process and ED impact.

 

Results: The implementation rate varied across organisational dimensions: Coordination (multidisciplinary teams, triage, flow coordinator) was first implemented and terminated at the highest rates from 86-100%, whereas the implementation of structure (specialised equipment and centralisation) and staff (senior physicians and qualification upgrade) were more sluggish with implementations rates from 10-76% and 33-90%, respectively. The policy did not adhere to the multi-contingency theory and strategy and incentive structure were identified as missing organisational design dimensions of the policy.

Conclusion: We found hesitant and heterogeneous translation from policy to practice, probably due to cooperation and recruitment challenges. According to our analytical framework, these issues might be caused by a lack of linkage between policy and theory. However, most of the Danish EDs developed new coordination strategies to resolve these issues. Since the policy did not suggest a complete design plan, it is not surprising, that the EDs have tried to develop independent solutions. It also shows that if only a partial design is specified with no time limits, the implementation may take different routes.
Shock index as a predictor for mortality in trauma patients
Authors: Vang Malene
Published: September 2022

Background: Traumatic injury accounts for 7.8% of all deaths globally, and 30% to 40% of those deaths are due to hemorrhage. Shock Index (SI) has been found to be useful in the recognition of hemorrhage but no definite threshold for predicting mortality has been determined. Our aim was to determine whether a SI ≥ 1 in adult trauma patients was associated with increased in-hospital mortality compared to a SI < 1.

Methods: We conducted a systematic review and meta-analysis using Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. EMBASE, MEDLINE, and Cochrane Library were searched using controlled vocabulary, and retrospective observational studies were included. Studies were included if they reported in-hospital mortality in trauma patients aged ≥ 16 years, with a measurement of SI from the emergency department or trauma center, dividing patients in groups of SI ≥ 1 and SI < 1. Risk of bias was assessed by using the Newcastle-Ottawa Scale, and the strength and quality of the body of evidence was assessed according to GRADE. Data was pooled using a random effects model.Results: We screened 1239 citations with an inter-rater reliability (Cohen’s kappa) of 0.90 (95% CI 0.88-0.93). Thirteen comparative cohort studies including 639210 patients were included. All studies reported a significant higher in-hospital mortality in adult trauma patients with a SI ≥ 1 compared to those having a SI < 1 at first assessment in the emergency department or trauma center. Eleven studies were included in the meta-analysis. The pooled risk ratio (RR) of in-hospital mortality was RR 4.29 (95% confidence interval 3.00 - 6.12). The overall quality of evidence was low.

Conclusion: This systematic review found a fourfold risk of in-hospital mortality in adult trauma patients with an initial SI ≥ 1 in the emergency department or trauma center.
Disinfection of Drinking Water and Trihalomethanes
Authors: Kvaternik Marin , Protić Marina
Published: September 2022

Best known by-products of chlorination of drinking water are trihalomethanes (THMs) which can have negative effects on human health. The research goals in this paper were to emphasise the importance of THMs as by-products of disinfecting drinking water, to show the practice of controlling the THMs in drinking water on the example of three water supply systems in the Republic of Srpska and to propose measures for reducing formation of THMs in drinking water. The results have shown that values of THMs in drinking water in these three water supply systems were within the reference values, but the level of the proscribed control is significantly below the minimal requirements.