bluuebunny/crossref_metadata_2025 huggingface dataset:
The Pengaruh Terapi Healing Garden Terhadap Tingkat Kecemasan Pasien Rawat Inap Di Rumah Sakit Panti Nugroho Pakem
Authors: Yuliati Agnes , Oktri Hastuti Agustina Sri , Rina Setyani Fransisca Anjar
Published: December 2022

Latar belakang : Healing garden atau taman penyembuh merupakan sebuah sarana terapi alam bagi pasien dengan menghadirkan suasana alam sehingga pasien dapat berinteraksi dengan alam disekitarnya dengan tujuan membuat pasien merasa nyaman, relaks, optimis, dan bersemangat. Terapi healing adalah terapi rehabilitasi dan terapi secara fisik maupun nonfisik dengan cara mengajak pasien ke suatu taman yang berada di lingkungan RS untuk dilakukan entertain (media musik, menyanyi) dan edukasi yang bertujuan memberikan efek relaksasi kepada pasien Pasien yang dirawat dirumah sakit merupakan salah satu kelompok yang rawan mengalami kecemasan. Keberadaan taman di lingkungan rumah sakit diharapkan  menjadi faktor penunjang dalam membantu proses penyembuhan pasien
Hubungan Antara Beban Kerja Dengan Kepatuhan Perawat Dalam Pendokumentasian Early Warning System (EWS) Di Ruang Rawat Inap Rumah Sakit Panti Rahayu Gunung Kidul
Authors: Widegdo Hernyu , Marti Eva , Ratnawati Emmelia
Published: December 2022

ABSTRAK

 

Latar belakang: Beban kerja yang tinggi menyebabkan perawat menjadi tidak patuh melakukan dokumentasi, sehingga menyebabkan beberapa bagian kecil dokumentasi terlewat. Terutama pada malam hari dimana jumlah perawat pada malam sedikit sedangkan pasien yang dirawat banyak.

Tujuan: Penelitian ini mengetahui hubungan antara beban kerja perawat dengan kepatuhan pendokumentasian EWS di rawat inap Rumah Sakit Panti Rahayu.

Metode: Desain penelitian ini mengunakan kuantitatif dengan survey observasional analitik dengan pendekatan cross sectional. Populasi pada penelitian ini berjumlah 41 perawat. Dan diambil sample sejumlah 38 responden yang mengisi kuisioner, dengan teknik sampling berupa total sampling dengan teknik pengumpulan data dengan kuisioner google form.

Result: Dari hasil unvariat didapatkan responden yang bekerja di Rumah Sakit Panti Rahayu Hampir setengah berada dalam rentang umur, remaja akhir sebanyak 44,7%, Hampir seluruhnya berjenis kelamin perempuan sebanyak 84,2%, Hampir seluruhnya berlatar belakang pendidikan D3 Keperawatan sebanyak 86,8%, Hampir setengahnya perawat dengan jabatan fungsional PKWT sebanyak 55,3%. Dari hasil bivariate didapatkan hampir setengahnya perawat memiliki beban kerja yang sedang sebanyak 42,10% dan sebagian besar memiliki tingkat kepatuhan yang cukup sebanyak 65,8%, dengan menggunakan uji spearmant rank didapatkan hasil koefisien korelasi bernilai -510 dengan p-value 0,001 (< 0,05), yang berarti beban kerja semakin tinggi, maka kepatuhan semakin menurun.

Simpulan: Adanya hubungan antara variable beban kerja dengan kepatuhan dalam pendokumentasian EWS. Diharapkan bagi keperawatan hasil penelitian ini dapat mengurangi beban kerja yang dirasakan perawat dan dapat meningkatkan kepatuhan perawat dalam melakukan dokumentasi EWS di Rumah Sakit Panti Rahayu

Keyword : Beban Kerja, Kepatuhan, Pendokumentasian EWS.
Some Results Related to New Jordan Totient Double Sequence Spaces
Authors: ERDEM Sezer , DEMİRİZ Serkan
Published: December 2022

The 4 dimensional (4d) Jordan totient matrix which is described by the aid of the famous Jordan's function and some new Jordan totient double sequence spaces described as the domain of this aforementioned matrix have been examined by Erdem and Demiriz . In the present paper, first of all we define two new double sequence spaces by using the 4d Jordan totient matrix and we show that this newly described double sequence spaces are Banach spaces with their norm. Then, we give some inclusion relations including this spaces. Moreover, we compute the $\alpha$-, $\beta(bp)$- and $\gamma$-duals and finally, we characterize some new 4d matrix transformation classes and complete this work with some significant results.
Matrices with Hyperbolic Number Entries
Authors: KURUZ Ferhat , DAĞDEVİREN Ali
Published: December 2022

In this study, firstly, we will present some properties of hyperbolic numbers. Then, we will introduce hyperbolic matrices, which are matrices with hyperbolic number entries. Additionally, we will examine the algebraic properties of these matrices and reveal its difference from other matrix structures such as real, dual, and complex matrices. As a result of comparing the results found in this work with real, dual, and complex matrices, it will be revealed that there are similarities in additive properties and differences in some multiplicative properties. Finally, we will define some special hyperbolic matrices and give their properties and relations with real matrices.
On the Essential Element Graph of a Lattice
Authors: ÜLKER Alper
Published: December 2022

Let $\mathcal{L}$ be a bounded lattice. The essential element graph of $\mathcal{L}$ is a simple undirected graph $\varepsilon_{\mathcal{L}}$ such that the elements $x,y$ of $\mathcal{L}$ form an edge in $\varepsilon_{\mathcal{L}}$, whenever $x \vee y $ is an essential element of $\mathcal{L}$. In this paper, we study properties of the essential elements of lattices and essential element graphs. We study the lattices whose zero-divisor graphs and incomparability graphs are isomorphic to its essential element graphs. Moreover, the line essential element graphs are investigated.
Maternal and Fetal Best Interests in Day-to-Day Obstetrics
Authors: Yeo George SH , Lim May Li
Published: December 2022

In medicine, it is the physician’s obligation to promote and protect the patient’s interest. In obstetrics, the ethical principles of beneficence and autonomy provide the fundamental framework which guides the management of all pregnant patients. As there is the need for consideration of the fetus, autonomy can become a complex issue giving rise to what is sometimes called “maternal-fetal conflict.” In this paper, we aim to discuss some scenarios we encounter in our day-to-day obstetric practice such as pre-eclampsia, fetal growth restriction and labour induction when the best interests of the mother and fetus may be conflicted. We hope to illustrate that logical consideration for maternal and fetal best interests is only possible when there is adequate knowledge to support linical practice. Certainly, with the rapid availability of newer knowledge and technology, it is the duty of the physician to be educated continuously so as to protect the patient from harm.

Key words: Autonomy, Beneficence, Conflict, Ethics, Pregnant
Providing Hope in Terminal Cancer: When is it Appropriate and When is it Not?
Authors: Toh Han Chong
Published: December 2022

Hope is essential in the face of terminal cancer. Generally in Western societies, patients and their families prefer their doctor to engage them in transparent, realistic, authoritative, empathic and open communication about the diagnosis and prognosis of cancer but this topic is not well studied in the Asian context. With the exponential increase in information about cancer and the many permutations in cancer treatment, rational and otherwise, the doctor-patient relationship is even more critical in planning the best treatment strategy and also in rendering both particular and general hope in the patient’s war against cancer. Overall, the majority of drugs tested against cancer have failed to reach the market, and those that have, only provide modest benefits, several major therapeutic breakthroughs notwithstanding. Commoditised medicalisation of the dying process ingrained into the contemporary consciousness can potentially create unrealistic or false hope, therapeutic nihilism and a drain on the resources of both the patient and society. These factors can also detract from the dignity of dying as an acceptable natural process. Hope cannot be confined only to focusing merely on the existential dimension of improving survival through technological intervention. Psychosocial and, where appropriate, spiritual interventions and support also play major roles in relieving suffering and providing hope to the patient. Hope cannot be a victim of misinformation from self-interested external parties, nor be an obsession with just buying promises of extending survival time without sufficient regard for quality of life and achieving a good death. Key words: Communicating prognosis, Dying well, Therapeutic nihilism
Handling Request for Non-Disclosure of Clinical Information in Paediatrics
Authors: Lim Sok Bee
Published: December 2022

Non-disclosure in Paediatric Practice is a controversial issue. There was a time when the care of children was solely the responsibility of parents and any decision with respect to treatment or non-treatment would have been the joint responsibility of the parents and of the attending medical professionals. This practice, viewed as adopting a more paternalistic approach, has been challenged in many parts of the world. In essence what is being challenged is the notion that the sole responsibility of decision-making rests with parents.

Key words: Decision-making capacity, Gillick competence, Minor's rights
15th Yahya Cohen Memorial Lecture — The Relationship between the Air-bone Gap and the Size of Superior Semicircular Canal Dehiscence
Authors: Yuen Heng Wai , Boeddinghaus Rudolf , Eikelboom Robert H , Atlas Marcus D
Published: December 2022

Introduction: This study aimed to examine the relationship between the air-bone gap (ABG) and the size of the superior semicircular canal dehiscence (SSCD) as measured on a computed tomography (CT) scan. Materials and Methods: The study design was a case series with chart review. Twenty-three patients (28 ears) from a tertiary referral centre were diagnosed with SSCD. The size of the dehiscence on CT scans and the ABG on pure-tone audiometry were recorded. Results: The size of the dehiscence ranged from 1.0 to 6.0 mm (mean, 3.5 ± 1.6 mm). Six ears with a dehiscence measuring less than 3.0 mm did not have an ABG (0 dB). The remaining 18 ears showed an average ABG at 500, 1000, and 2000 Hz (AvABG500-2000) ranging from 3.3 to 27.0 dB (mean, 11.6 ± 5.7 dB). The analysis of the relationship between the dehiscence size and AvABG500-2000 revealed a correlation of R2 = 0.828 (P <0.001, quadratic fit) and R2 = 0.780 (P <0.001, linear fit). Therefore, the larger the dehiscence, the larger the ABG at lower frequencies on pure-tone audiometry. Conclusion: In SSCD patients, an ABG is consistently shown at the low frequency when the dehiscence is larger than 3 mm. The size of the average ABG correlates with the size of the dehiscence. These findings highlight the effect of the dehiscence size on conductive hearing loss in SSCD and contribute to a better understanding of the symptomatology of patients with SSCD.

Key words: CT scan, Hyperacusis, Tullio's phenomenon, Vertigo
Çalışma Hayatında Bilinçli Farkındalık Ve Empatik Öfkenin Demografik Değişkenler Açısından İrdelenmesi
Authors: FETTAHLİOĞLU Ömer Okan , GÜL Necmettin
Published: December 2022

Bu çalışma, işletmelerde çalışanların bilinçli farkındalık ve empatik öfke algılamalarını tespit etmeye, bu iki değişken arasında ilişki olup olmadığını belirlemeye ve bilinçli farkındalık ile empatik öfke algılamalarının demografik özellikler açısından fark yaratıp yaratmayacağını belirleme amacına yöneliktir. Çalışmada, değişkenler arasında ilişkisel model biçiminde desenlenmiş bir yöntem kullanılmıştır. Çalışmanın örneklemi, Mersin ilinde sigorta acentesi olarak faaliyet gösteren firmalarda çalışan 338 kişiden oluşmaktadır. Çalışmada veri toplayabilmek için anket yönteminden yararlanılmıştır. Yapılan analizler sonucunda iki değişken arasında bir ilişkinin olmadığı görülmüştür. Ancak bu sonucun sebeplerinden biri, bilinçli farkındalık kavramının empatik öfke gibi olumsuz durumların bireylerde ortaya çıkmasına engel olabileceği şeklinde ifade edilebilir. Bununla birlikte demografik özelliklerdeki farklılıkların, iki değişken üzerinde kısmen de olsa algı farkı meydana getirebildiğini söylemek mümkündür.
Discourse on Gayo through Historical Narration: Linge Kingdom, Loyang Mendale, and Loyang Ujung Karang
Authors:   History Education Postgraduate Program, Sebelas Maret University, Jl. Ir. Sutami No.36, Surakarta,57125, Indonesia., Prasetiya Angga , Warto Warto , Sudiyanto Sudiyanto
Published: December 2022

The construction of an understanding of Gayo is greatly influenced by how the discourse on Gayo is produced. Discourse about Gayo can only be traced through historical texts that document various narrations about Gayo. This study aims to describe how the historical discourse contained in the text is used as legitimacy in building constructions about Gayo. To analyze the various narratives about Gayo in the text, this research uses qualitative research methods with the DHA (Discourse Historical Approach). Through DHA, the construction of an understanding of Gayo in the present which was built based on historical discourse found the context. The results of this study indicate that: (1) the texts about Gayo which are grouped into three sets “Linge Kingdom Texts 1”, “Linge Kingdom Texts 2”, and “Loyang Mendale and Loyang Ujung Karang Texts” are narratively contradictory to each other; (2) the three sets of texts become a discourse that legitimizes its narrative based on historical events; (3) The “Text of the Kingdom of Linge 1” becomes the understanding of the dominant group in reproducing the understanding of the dichotomy between the Acehnese as the dominant group and the Gayo tribe as a minority through discursive practices.
Monitoreo de contaminantes y detección de genes alkb en la Zona Común de Pesca Argentino-Uruguaya
Authors: Peressutti Silvia R. , Zorzoli Pablo A.
Published: December 2022

En este estudio se determinó la presencia de diversos contaminantes en muestras de sedimentos en el Río de la Plata y la Zona Común de Pesca Argentino-Uruguaya (ZCPAU, 35° S-38° S). Además, se analizó la ocurrencia de genes alkB microbianos, utilizados como biomarcadores funcionales para determinar el potencial de degradación de hidrocarburos a lo largo de este ambiente marino. Se detectaron metales pesados en las estaciones UY1, RdP4 y AR2. El Cr se encontró en un rango entre < 5,0 y 20,7 mg kg-1, y el Pb entre no detectable (ND) y 26,0 mg kg-1. Tanto el Cd como el Hg mostraron valores por debajo de los límites de detección (< 0,2 mg kg-1 y < 0,01 mg kg-1, respectivamente). El Cu varió entre ND y 24,6 mg kg-1, y fue el único metal que sobrepasó los valores recomendados por la ISQG (Interim Sediment Quality Guideline), en los niveles guía en sedimentos para la protección de la biota (CCME, Canadian Council of Ministers of the Environment). Los valores de hidrocarburos, atrazina, glifosato + AMPA (ácido aminometil fosfónico) y pesticidas estuvieron por debajo del límite de cuantificación, mientras que los PCBs (desde < 20,0 a 77,7 µg kg-1) excedieron el nivel de acción A de las “Recomendaciones para la Gestión del Material de Dragado en los Puertos Españoles”. Se obtuvo ADN genómico microbiano purificado en ocho de las nueve muestras analizadas y se logró la amplificación del gen catabólico alkB en las estaciones UY2, UY1, RdP4, AR2 y AR1. Es necesario realizar estudios adicionales para evaluar el potencial de biodegradación microbiana en esta área. Estas investigaciones representan un valioso aporte para evaluar el impacto de las alteraciones antropogénicas sobre los ecosistemas marinos y para comprender los mecanismos de la atenuación natural.
Photosynthetic strategies and Phosphorus use efficiency of Asteraceae species in Campo Rupestre
Authors:   , Braga Cecília Tavares Neves
Published: December 2022

The threatened brazilian ferruginous campo rupestre, also known as canga is a fire prone and nutrient impoverished landscape, with high diversity of functional traits. The plant species found in this environment are generally characterized as of slow growth, higher leaf mass per area (LMA) and leaf dry mass content (LDMC), limited more by phosphorus (P) than nitrogen (N) when compared to other grasslands. In chapter one, a bibliographical review was conducted in order to establish the current state of P nutrition in those landscapes. In chapter two, the field work, conducted in the Serra da Calçada (MG, Brazil) during the rainy season of 2021 and 2022 was described. This work’s main goal was to understand the diversity of strategies to acquire and use P in Asteraceae species from ferruginous campo rupestre, regarding their functional traits and photosynthetic performance. To accomplish this, five Asteraceae species were selected: Dasyphyllum velutinum, Baccharis reticularia, Lychnophora pinaster, Trixis vauthieri and Hololepis pedunculata. A high diversity of functional traits, such as LMA, LDMC, foliar area and nutrient concentration was found. Some of which can be directly and indirectly related to the diversity of strategies to better absorb and use P. The species showed, in general, 70% mycorrhizal colonization and retranslocation rates of 77% and 65% for P and N, respectively. Even though these species have a diversity of functional traits, their photosynthetic P-use efficiency and P fractions (metabolic, nucleic acid, lipidic and residual) showed no significant difference. Finally, it was concluded that the diversity of functional traits found in Asteraceae species is most likely related by its phylogeny and the history of evolution of Asteraceae in the ferruginous campo rupestre. The ecological filters imposed by nutrient availability pressure during their evolutionary path have converged into a similar physiological performance. Keywords: P-fractions. Canga. Nutritional strategies. Photosynthetic P-use efficiency. Mycorrhiza. Convergence.
PELATIHAN WIRAUSAHA DAN KEMANDIRIAN FINANSIAL PADA PONDOK PESANTREN YATIM DHUAFA AL-FIRDAUS KEMILING PERMAI BANDAR LAMPUNG
Authors: Ruslaini Ruslaini , Abizar Abizar , Ramadhani Nina
Published: December 2022

Al-firdaus Islamic boarding school is located in the Kemiling Permai Village, Kemiling Bandar Lampung District. This boarding school has students from various levels of education, starting from elementary, junior high and senior high school. This pesantren has a unique geographic location, which is located on the outskirts of the Bukit Kemiling Permai housing complex. Pesantren Al-firdaus want to form cottage business units and the independence of students in entrepreneurship so that they do not depend only on donors and the government. At the level of entrepreneurship fostering and financial independence of pondok still not well managed, some of the potential that can be developed for the establishment of cottage business charities is still not optimally exploited so it requires assistance. The method of community service activities carried out is to explore problems, an urgent problem was found, namely the lack of entrepreneurial skills and poor marketing techniques as well as financial management, so that entrepreneurial training, assistance in management aspects and marketing technology were carried out. The result of this activity was an increase in entrepreneurial skills, financial management and good marketing for students and administrators, promising the independence of the cottage
IMPROVING DIGITAL LITERACY FOR AISYIYAH ENTREPRENEURS TO WIN BUSINESS COMPETITION IN THE PANDEMIC PERIOD (SURAKARTA RESIDENCY STUDY)
Authors: Eko Waluyo Dwi , Jati Kusuma Pradana , Eric S. W. Mochammad
Published: December 2022

Digital literacy training for women entrepreneurs Aisyiyah at the Surakarta Residency provides a series of activities in winning business competition during the pandemic. The purpose of this training to increase digital literacy, to provide knowledge and skills about basic concepts in product planning and marketing, including pricing, product life cycle, utilization of marketing channels and integrated marketing efficiency. The methods used in this training include in-depth interviews, discussions, practicals, and interactive counseling. This training provides by creating an online store and understanding the concept and understanding of building a competitive business and marketing. It is hoped that The Aisyiyah Entrepreneurial School can add insight, ideas, and business opportunities effectively and overcome the obstacles and faced in running a business during the Covid-19 pandemic and also can develop their business so that they can increase their income and welfare and be able to become a sustainable business in the future.
PENYULUHAN KESEHATAN TENTANG GIZI SEIMBANG DALAM RANGKA MENGATASI STUNTING DI TPQ TAHFIDZ NURUSSALAM
Authors: Aryastuti Nurul , Pratiwi Yolandha Adinda , Wulandari Sri , Salsabilla Farra Hayka , Rudi Renna Oktavia
Published: December 2022

Balanced nutrition is a daily food composition containing nutrients in the type and amount according to the body's needs, taking into account the principles of food diversity, physical activity, clean living behavior, and monitoring body weight regularly in order to pay attention to normal weight to prevent nutritional problems. The purpose of this counseling activity is so that respondents can know, understand about balanced nutrition and stunting. The method used in health education about balanced nutrition in order to overcome stunting at Tahfidz Nurussalam TPQ was carried out in 3 stages, firstly, the students of the Public Health Study Program distributed posters about balanced nutrition, the two presenters explained about balanced nutrition using poster media and also presentations in the form of video, and the three students of the Public Health Study Program asked and answered questions about the material that had been delivered. After the counseling was carried out, the children of TPQ Tahfidz Nurussalam could understand about balanced nutrition and stunting. From these activities, it was concluded that it was important to provide nutrition/nutrition to children in accordance with the nutritional adequacy rate for children whose purpose was to process children's growth and development.
A STUDY ON DETERMINING THE RELATIONSHIPS BETWEEN CONSUMER INNOVATIVENESS AND SHOPPING STYLES
Authors: DENİZ ÇAKIROĞLU Arzu
Published: December 2022

The success of businesses that offer new products to the market is possible by appealing to consumers who can adapt and use these innovations. Innovative consumers adopted innovations faster than other consumers can be considered a target market for these businesses. To reach innovators and respond to their needs, it is necessary to examine how they behave. Consumers’ shopping style is one of the variables considered to evaluate their behavior. Therefore, businesses targeting innovative consumers can develop successful marketing strategies by determining their shopping styles. From this point of view, this research is aimed to determine the relationships between the innovativeness of consumers and their shopping styles. For this purpose, the study was conducted in Giresun. Based on the results, various suggestions were offered for researchers and practitioners. University students were preferred in the sample selection by considering both the Consumer Style Inventory (CSI), which was developed to quantify shopping styles, and the studies in the literature. The data obtained from 386 students at Giresun University were collected using a survey and analyzed via SPSS 23.0 statistical program. Factor and correlation analysis were used to analyze the data. The study findings indicated that there were significant relationships between cognitive innovativeness and quality and price consciousness in shopping styles. There were also substantial relationships between sensory innovativeness and fashion consciousness and impulsiveness in shopping styles. Accordingly, cognitive innovators consider the products’ price and quality at shopping whereas sensory innovators pay attention to the products’ trendiness and do unplanned buying.
PENYULUHAN PERILAKU HIDUP BERSIH DAN SEHAT PADA SISWA MTS DAN PESANTREN DI ERA NEW NORMAL
Authors: Yuliasari Alfiyana , Anantama Agam , Armila Armila , Achfandhy Mochammad Irfan
Published: December 2022

Clean and healthy living behavior (PHBS) is an effort to spread experiences regarding healthy lifestyles through individuals, groups and the wider community with communication channels as a medium for sharing information. In the era of the new normal of the Covid-19 pandemic, clean and healthy living behaviors must continue to be applied to prevent the transmission of various diseases that cause illness and death. The main purpose of PHBS counseling is to create school communities who are health conscious and have the knowledge and awareness to live a life that maintains cleanliness and meets health standards. Counseling was carried out to 22 students of class VII MTs Riyadlatul Ulum who are also students of Islamic boarding schools. The counseling program started with an opening and remarks from representatives from the school, pre-test, counseling session, post-test, and the last closing and photo session. Overall, there is an increase of the average score from pre test and post test with  the rise 0.14. Students are very enthusiastic about participating in outreach activities and it is hoped that there will be more health counseling held in their school so that students are more motivated to improve their health and the environment.
Spirituality and Anxiety In Elderly With Hypertension
Authors: Arifuddin Yusuf Waliyyun , Fredika Whisky , Rudiyanto Rudiyanto , Anitarini Fany
Published: December 2022

Anxiety is an emotional condition that causes discomfort which is characterized by feelings of worry, anxiety and fear so that it can interfere with life. One of the factors that cause anxiety in the elderly is spiritual activity. The higher the spiritual level of the elderly, the lower the level of anxiety will be. This study aimed to determine the correlation between spiritual level and anxiety in the hypertensive elderly. The design of this study was correlational with a cross sectional approach. The sample was 31 respondents. The sampling technique used was purposive sampling and the statistical test used was Rank Spearman. The measuring instruments used were the Daily Spiritual Experience Scale (DSES) and Geriatric Anxiety Scale (GAS) questionnaires. The research results showed that most of the respondents were at a moderate spiritual level (58.1%) and most of the respondents were at a moderate level of anxiety (71.0%). The Spearman Rank test result showed a Significance (2-tailed) result of 0.000 (ρ < 0.05). So, it can be concluded that there was a significant correlation between Spiritual and Anxiety Level with a very strong relationship. The higher the spiritual level, the lower the level of anxiety felt. Therefore, spiritual activities such as getting closer to God, participating in studies, reading holy books or holy Qur’an that are believed to be, and having a good relationship with the surrounding environment are very beneficial for the elderly to control their anxiety, especially for the elderly who have chronic diseases.
POLA ASUH IBU DALAM MENDUKUNG STATUS GIZI BAIK ANAK
Authors: Mawarni Elita Endah , Anitarini Fany , Sudarsono Anggi
Published: December 2022

The nutritional status of toddlers is the most important factor that must be considered because toddlerhood is the golden period of development. At the age of toddlers a child's growth is very rapid so that it requires nutritional intake according to its needs, in addition to nutritional intake during toddler growth it also requires good parenting from both parents and family, so that toddler growth and development will be more optimal. The purpose of this study was to determine the relationship between maternal parenting and the nutritional status of toddlers at the Kertosari Health Center in 2021.This study used a correlation design, with a total sampling technique. The number of samples is 48 respondents used in the study. Data was collected using a mother's parenting questionnaire sheet & KMS Observation Sheet.This study showed that most of the respondents had good parenting styles for 27 out of 48 respondents (56.2%) and normal nutritional status for 19 out of 48 respondents (60.4%). Statistical analysis using the Spearman rank test obtained an alpha value of 0.01% meaning 0.01 > 0.084. So there is no significant relationship between Mother's Parenting Style and the Nutritional Status of Toddlers in 2021.Most of the respondents in this study had good parenting styles with normal nutritional status supported by productive age of the mother so that mothers can seek information through social media and have sufficient income to support family needs and nutritional intake for toddlers. In addition, mothers with not busy work status will be able to pay more attention to the growth and development of their toddlers than mothers who don't have much time for their toddlers.
EFEKTIFITAS EKSTRAK ETANOL DAUN SIRSAK (Annona Muricata L.) TERHADAP KADAR GLUKOSA DARAH TIKUS PUTIH (Rattus norvegicus) YANG DIINDUKSI ALOKSAN
Authors: Najib Ainun , Tyas Wahyuni Leny Eka , Hayya Adieba Warda , Rajab Alfian Abdul
Published: December 2022

Soursop leaves (Annona muricata L.) contain flavonoid compounds. Flavonoid compounds act as diabetes drugs. This study aimed to determine the effect of soursop leaf ethanol extract on alloxan-induced hypoglycemia in white male rats. In this study, four treatment groups were used, namely. negative control received no treatment, positive control received treatment with metformin 9 mg, the first treatment 7.2 mg and the last group was treated with a second dose of 14.4 mg. Rats were satisfied first before being treated, then measured blood sugar levels were. Rats were induced with alloxan intraperitoneally (IP), then observed the development of their blood sugar levels for three days, and their blood sugar levels were checked once a day. For seven days, then given ethanol extract of Soursop leaves daily for five days. The results showed that soursop leaf ethanol extract could reduce blood glucose on days H4-H8, which decreased by 6.67 mg / mL in the treatment group 1 sample and 5.66 mg / mL in the treatment sample.2. The test results with the Kruskal-Wallis test at the level of 0.05 showed that there was no significant difference between the use of soursop leaf ethanol extract and metformin against blood sugar reduction.
Çevrim İçi Beden Eğitimi ve Spor Dersine Yönelik Öğrenci Memnuniyet Ölçeğinin Geliştirilmesi
Authors: EREN Hande Buşra , GÜLER Yağmur , GÜLER Damla , ÇOKLUK-BÖKEOGLU Ömay , TUNCEL Semiyha
Published: December 2022

Bu çalışmanın amacı, çevrim içi ortamda yürütülen beden eğitimi ve spor dersine yönelik öğrenci memnuniyetini belirlemede kullanılabilecek geçerli ve güvenilir bir ölçme aracı geliştirmektir. Ölçek çevrim içi beden eğitimi ve spor dersi alan 953 öğrenciye uygulanmıştır. Ölçeğin yapı geçerliğinin belirlenmesi için açımlayıcı ve doğrulayıcı faktör analizi uygulanmıştır. Açımlayıcı faktör analizi sonucunda ölçekte yer alan maddelerin; Öğrenci-İçerik Etkileşimi, Öğrenci-Öğrenci Etkileşimi, Öğrenci- Öğretmen Etkileşimi, Öğrenci-Arayüz Etkileşimi olmak üzere toplam 4 alt boyuttan ve beşli Likert tipi 25 maddeden oluştuğu belirlenmiştir. Ölçeğin dört faktörlü yapısı, doğrulayıcı faktör analizi ile de doğrulanmaktadır. Ölçeğin güvenirliğinin belirlenmesi için hesaplanan Cronbach alpha güvenirlik katsaysayılarının alt boyutları için ,87 ile ,92 arasında değiştiği bulunmuştur. Bu çalışmada elde edilen bulgular sonucunda, Çevrim İçi Beden Eğitimi ve Spor Dersi Memnuniyet Ölçeği’nin çevrim içi ortamda yürütülen beden eğitimi ve spor dersine yönelik öğrenci memnuniyetini belirlemede kullanılabilecek geçerli ve güvenilir bir ölçme aracı olduğu ortaya konulmuştur.
3º CONGRESSO INTERDISCIPLINAR DA ÁREA MÉDICA
Authors: Recima 21 Revista
Published: December 2022

Com o apoio do Conselho Regional de Medicina de Minas Gerais, Sociedade Brasileira de Urologia e Sociedade Brasileira de Ortopedia e Traumatologia Regional Minas Gerais, o 3º Congresso Interdisciplinar da Área Médica, 3º CIAM, foi um evento 100% on-line, que ocorreu nos dias 23, 24 e 25 de setembro de 2022 contando com estudantes de todas as faculdades de medicina do Brasil. O evento contou com cerca de 72 palestrantes, que, com propriedade, ensinaram uma medicina baseada em evidência e que tem a humanização como sua defesa. O congresso foi realizado ao vivo e com até 3 palestras ocorrendo de maneira simultânea, dando assim a oportunidade de o inscrito optar por qual palestra de maior interesse gostaria de assistir. Mesmo a distância física, o 3º CIAM foi realizado ao vivo, e buscou maneiras para se manter próximo de seus congressistas, fornecendo em sua plataforma ferramentas de interação entre congressistas, mediadores e palestrantes através de chat de dúvidas e enquetes ao decorrer de toda transmissão do evento, mostrando ser possível se transformar a discussão em saúde através do ambiente virtual. Ademais, todas as palestras ficaram disponíveis na plataforma, posteriormente ao evento, por 60 dias, dando a oportunidade de o inscrito assistir todas as palestras novamente.  O congresso abordou o tema “A medicina 4.0: Tecnologia, inovação no conhecimento e desenvolvimento de habilidades fora da curva”, com intuito de debater novas inovações tecnológicas no campo da medicina pós-pandemia e os seus benefícios para a sociedade.
USO DE 3,4-METILENODIOXMETANFETAMINA NO TRATAMENTO DE TRANSTORNO DE ESTRESSE PÓS-TRAUMÁTICO
Authors: Oliveira Rodrigues Estela , Bastos e Gomes Ana Carolina , Reis Couto Maria Victoria , Willian Rodarte Rafael , Alencastro Costa Moreira Camila , Vaz Kochhann Elisangela , Mattar Marangoni Matheus , Vilela Neves Júnior Afonso , Dessimoni de Oliveira Ana Laura , Rocha Carollayne Mendonça
Published: December 2022

Introdução: O transtorno de estresse pós-traumático (TEPT) se caracteriza pela persistência de reações intensas a lembranças de um evento traumático. Nos últimos anos, houve uma série de estudos neurocientíficos e clínicos examinando o potencial de 3,4-metilenodioxmetanfetamina (MDMA) como um tratamento para transtorno do estresse pós-traumático. O objetivo desse estudo é sintetizar os estudos disponíveis em busca de melhores informações sobre o uso do MDMA como um novo tratamento para TEPT. Metodologia: Trata-se de uma revisão integrativa de literatura. A busca ocorreu nas principais bases de dados, com os descritores “N-Methyl-3,4-methylenedioxyamphetamine”, “MDMA”, “ecstasy”, “Stress Disorders”, “Post-Traumatic”, “PTSD”, combinados entre si por operadores booleanos. Após a avaliação crítica, obteve-se uma amostra final de 5 estudos. Resultados e discussão: Estudos apontaram que o uso de MDMA em pacientes com TEPT foi capaz de promover melhora dos sintomas em comparação ao uso de placebo, além de atenuar de maneira expressiva os escores de CAPS-5 e Escala de Incapacidade de Sheehan. Não foram observados efeitos adversos graves, porém devem ser feitos mais estudos para atestar a segurança dessa substância. Conclusão: Portanto, o uso do MDMA se mostrou eficaz no tratamento de transtorno de estresse pós-traumático em todos os estudos analisados, tendo boa tolerabilidade entre os pacientes e com melhora prolongada dos sintomas após o fim do tratamento. Mais estudos devem ser conduzidos para que seja atestada a segurança em diferentes perfis de pacientes.
A IMPORTÂNCIA DA ALTERAÇÃO DOS ÍNDICES DO TESTE DA CORRIDA DE 12 MINUTOS DA PORTARIA DO COMANDO-GERAL Nº 076-2016 - PMPR.
Authors: Camargo Felipe Furquim de , Lima Elizangela Cristina de
Published: December 2022

O objetivo deste estudo foi demonstrar a importância da alteração dos índices do teste de corrida de 12 minutos estabelecidos pela Portaria do Comando-Geral nº 076/2016.Tratou-se de estudo de caráter descritivo, transversal, envolvendo pesquisas bibliográficas para desenvolvimento de revisão de literatura e pesquisa de campo para analisar os resultados de desempenho dos militares do estado do Paraná, considerados aptos nos Testes de Aptidão Física, mais especificamente o teste de corrida de 12 minutos realizados entre o período compreendido de agosto de 2019 a agosto de 2022. Os resultados da pesquisa realizada neste estudo apontaram que, apesar de 100% dos militares analisados terem sido aptos no teste de aptidão física aplicado pela Comissão de Inspeção de Promoção de praças e oficiais, 49,23% apresentaram índices insatisfatórios na corrida de 12 minutos, de acordo com os parâmetros estabelecidos pelo Colégio Americano de Medicina Esportiva (ACSM). Cabe salientar que, conforme estabelecido pela ACSM, 25,04% dos policiais militares apresentaram resultados definidos como “muito precários” e 24,18%  como “precários”. Dessa forma, constata-se que os índices estabelecidos na corrida de 12 min. pela Portaria nº 076/2016 CG/PMPR, anteriormente à mudança instituída pela Portaria do Comando-Geral nº 384, de 03 de maio de 2022, para homens e mulheres, estavam abaixo do mínimo estabelecido internacionalmente. Concluiu-se que a alteração na Portaria do Comando-Geral nº 076/2016, aumentando a exigência nos índices da corrida de 12 minutos, mostra-se acertada e adequada para análise da condição de saúde e aptidão física do efetivo da Corporação.
Therapeutic Evaluation of Ethanolic Bee Pollen Extract from Malaysian Stingless Bee in MCF-7 and MCF-10A Cell Lines
Authors: Fadzilah Nurdianah Harif , Wan Omar Wan Adnan
Published: December 2022

Bee pollen is a complete food containing comprehensive nutrients and therapeutic properties that could eliminate free radicals. Three stingless bee species native to Malaysia were used to prepare bee pollen ethanolic extracts (BPE): Geniotrigona thoracica, Heterotrigona itama, and Tetrigona apicalis. The methodology used in this study was a trypan blue exclusion assay for cell proliferation activity in cultured breast adenocarcinoma human cell lines (MCF-7) and mammary epithelial human cell lines (MCF-10A). In addition, the therapeutic index (TI) was analyzed to assess the relative antiproliferative activity of BPE on cancer versus normal cells. Geniotrigona thoracica, BPE exhibited the highest therapeutic index (TI = 3.12) compared to H. itama (TI = 1.16) and T. apicalis (TI = 0.90) BPE. Each species represents different bioactive compounds due to different pollen foraging activities. Therefore, the highest TI species (G. thoracica) could be a potential candidate to be developed as a potential chemotherapeutic agent.
A Prototype Continuous Passive Motion Device Compatible with the Hinged Elbow Ilizarov Fixator
Authors: Javier Juanito S. , Dychioco Jose Mari S. , Rusiana Eunice O.
Published: December 2022

Background. Joint stiffness is a frequent concern in trauma or surgery of the elbow joint. Early resumption of elbow joint motion is said to limit the complication of stiffness. The Hinged Elbow Ilizarov Fixator has been reported to be useful in the management of elbow dislocations. However, early range of motion is not consistent in these cases since elbow movement were done only through patient-initiated exercises. The use of a continuous passive motion (CPM) device can potentially resolve this issue. However, presently available continuous passive motion devices for the elbow are not compatible with the Hinged Elbow Ilizarov Fixator.Objective. The objective of the study is to determine the feasibility of using a specially designed continuous passive motion device on a Hinged Elbow Ilizarov Fixator as applied in a cadaver simulation model.Methods. A Hinged Elbow Ilizarov Fixator was fixed in the elbow of a Thiel-preserved cadaver. The specially designed continuous passive motion device was applied.Results. Test run showed sufficient continuous flexion-extension motion not accompanied by dislocation, subluxation, or disruption of the elbow joint. A point of stress in the current prototype was noted at the motor-screw interface. Limitations in programming and control were also noted.Conclusion. A continuous passive machine adopted to the Hinged Ilizarov Fixator is a viable device. Furtherimprovement in the design of the motor-screw interface needs to be made. Further improvement in programming and control are needed. Likewise, study on the safety and service life of the CPM device needs to be done.
Indications for Surgery and Functional Status of Patients with Congenital Hand Anomalies Persisting beyond Childhood
Authors: Orillaza  Jr. Nathaniel S. , Ruanto Mark Anthony R.
Published: December 2022

Background. Reconstruction for congenital hand anomalies, if indicated, is generally recommended during early childhood to optimize function before formal education starts and minimize the psychosocial impact. There have been limited reports on these conditions persisting beyond the recommended age for surgery.Objective. The research aimed to explore the common reasons why patients consult for late surgery and determine the baseline function of the patients prior to reconstructive surgery using the Filipino Disability of Arm Shoulder and Hand (Fil-DASH).Methods. An observational, chart review of cases from 2013-2021 was done. The reasons and indications wereextracted from the history and Fil-DASH scores were recorded with available data. The results were presented using summary statistics and tabulation of qualitative data.Results. Twenty-five hands in 20 patients underwent reconstruction of congenital anomalies persisting beyondchildhood. The most common indication for surgery was concerns regarding work opportunities. Hope for a better function, cosmesis, social pressure and hygiene were the other reasons mentioned. Most of the patients did not complain of significant problems in doing activities of daily living. This was supported by their Fil-DASH scores and employment status prior to surgery.Conclusion. In this population, the indications to request for reconstruction of congenital anomalies beyondchildhood were not necessarily due to loss of function but to increase opportunities for employment, improvedappearance and hope for increased function. The results may aid in the understanding of the natural history ofcongenital hand anomalies and guide the physicians with more specific advice for parents with children presenting with these conditions.
A Tale of Two Dragons
Authors: Wong Wayne
Published: December 2022

This article argues that the effacement of the carnivalesque qualities in contemporary kung fu comedy films due to censorship and propaganda presents a dilemma for China’s culturally conservative soft power agenda. Alluding to Mikhail Bakhtin’s idea of carnival, the highly adaptive yet grotesque kung fu comedic body in late 1970s Hong Kong poses a challenge to the austere image of traditional kung fu masters established after 1949. With China’s attempt to nationalise kung fu cinema as a propaganda platform after the 1997 handover, the carnivalesque body in kung fu comedy has come to be seen by censorship bodies as regressive and dangerous, undermining not only the nation’s geopolitical ambitions but also the film industry’s continuing efforts to resist the cultural influence of global Hollywood. With the political correctness of the kung fu imaginary emphasising the traditional, the assiduous, and the virtuous, the comedic kung fu body, characteristic of the subversive, the indolent, and the vulgar, can no longer serve as an outlet for the expression of resentments and frustrations. Not only does this change limit the genre’s diversity and development, but it also undermines China’s political imperative of reaffirming the status quo through kung fu comedy. I will illustrate this dilemma through readings of Tanigaki Kenji’s Enter the Fat Dragon (2020) and Dayo Wong’s The Grand Grandmaster (2020).
“I wish my films would bring hopes to the spectators”
Authors: Yeung Jessica Siu-yin
Published: December 2022

Michael Hui received the Lifetime Achievement Award at the 40th Hong Kong FilmAwards and the Award for Outstanding Contribution in Arts at the 15th Hong Kong ArtsDevelopment Awards. Hui was also featured as the “Filmmaker in Focus” at the 44thHong Kong International Film Festival. Although the South China Morning Post (2022),Art and Piece (2022), Michael Hui, Filmmaker in Focus (2020), Karen Fang (2018), and TimYoungs (2011) have also published interviews with Hui, they were more interested inthe biographical and the industrial aspects of Hui’s career. This interview focuses onHui’s insights into comedy’s versatility and how it consoles people in a time of gloom.
Covid-19 ile Hemşirelik Eğitiminde Yeni Bir Yaklaşım: Harmanlanmış Öğrenme
Authors: KOCAAĞALAR AKİNCE Elif , GÜNGÖR Duygu Ceren , ÖZKÜTÜK Nilay , ORGUN Fatma
Published: December 2022

21. yüzyılda bilgi ve iletişim teknolojilerindeki hızlı gelişmeler ve değişimler insan yaşamının her alanını etkilediği gibi, hemşirelik eğitim sistemini de etkilemekte olup, öğrenme-öğretme süreçlerinin değişime uğramasını ve yeni gelişmelere ayak uydurmasını zorunlu hale getirmektedir. Bu değişim ve gelişmelerin entegrasyonu, özellikle COVID-19 pandemisi ile mevcut eğitim sisteminin aniden çökmesine ve durmasına sebep olmasıyla daha çok önem kazanmıştır. Hemşirelik eğitimi teorik ve uygulamalı derslerden oluşması nedeniyle uzaktan eğitim yetersiz kalmış, uzaktan ve geleneksel eğitimin birleşimi olan harmanlanmış öğrenme önem kazanmıştır. Bu bağlamda hem ulusal hem de uluslararası hemşirelik eğitim kurumları harmanlanmış öğrenmeye COVID-19 pandemisi ile geçiş yapmak zorunda kalmışlardır. Harmanlanmış öğrenme ile hemşirelik öğrencileri 21. yy becerilerinden problem çözme, eleştirel düşünme, akıl yürütme, analitik düşünme becerilerini geliştirmekte, aynı zamanda hemşirelik öğrencilerinin akademik başarılarını, öğrenen motivasyonunu, eğitimin etkililiğini, aktif katılımı olumlu yönde etkilenmektedir. Bu derleme ile harmanlanmış öğrenme tanımları, kuramsal ve tarihsel gelişimi, modelleri, bileşenleri, avantajları ve dezavantajları sunularak, hemşirelik eğitim programına entegrasyon sürecinde harmanlanmış öğrenmenin desteklenmesi amaçlanmıştır.
Application of Ice Cube prior to Subcutaneous Injection of Heparin in Pain Perception and Ecchymosis of Patients with Cardiovascular Problems
Authors: Batra Gaytri
Published: December 2022

In this experimental study of patients with cardiovascular problems, conducted at Safdarjung Hospital, New Delhi, purposive sampling technique was done from cardiology ward and CCU to obtain adequate samples. The sample comprised of 30 experimental group patients and 30 control group patients. The conceptual framework was based on the system model proposed by Ludwig Van Bertalanffy in 1957. Quasi experimental research approach was adopted for the study with post-test only control group design. The independent variable for the study was the ice cube application for 3 min and the dependent variables were pain perception and ecchymosis. The tools used for data collection were, structured interview schedule for sample characteristics, numerical rating scale for pain for subjective assessment, transparent ruler scale to measure the total surface area of ecchymosis, and for treatment ice-cubes in latex glove for giving cold compress. Subjects were asked to rate pain by showing the flash chart of standard pain rating scale immediately after the needle was withdrawn and ecchymosis was observed 48 hrs after the day of injection. The obtained difference between experimental and control group ecchymosis score and pain perception score was statistically significant as evident from t-value at 0.05 level of significance.
Anxiety and Depression Levels in Clients with Epilepsy in Selected Hospital of Pune City
Authors: Dumbray Shubhangi , Naik Sugandha
Published: December 2022

In clients with epilepsy, the psychosocial impact of epilepsy is overwhelming. Epilepsy is chronic disease and needs long term management. The study was conducted with the purpose to assess the level of anxiety and depression in the client with epilepsy. Results showed that there was a presence of anxiety in 40 percent cases and depression in 15 percent cases with epilepsy. The findings of this study reveal that there is no significant correlation present between the anxiety and depression level with selected sociodemographic variables. It also shows that type of family, monthly income and effect on work are potential risk factors for developing anxiety and depression in clients with epilepsy. Education and support can help clients to deal with the emotional impact of epilepsy.