bluuebunny/crossref_metadata_2025 huggingface dataset:
Gambaran Aktivitas Fisik Pasien Pasca Covid-19
Authors: Widarti Rini , Pudjianto Maskun
Published: March 2023

Pasien yang sudah dinyatakan sembuh tentunya juga harus memperhatikan aktivitas fisiknya antara sebelum terkena penyakit Covid-19 dan sesudah sembuh dari penyakit tersebut. Kurangnya melakukan aktivitas fisik dapat berpengaruh pada kekebalan tubuh karena pada dasarnya saat tubuh tidak di paksa melakukan aktifitas fisik maka imunitas tubuh juga bisa menurun dan mudah terserang penyakit/virus namun dengan memperhatikan intensitas dari latihan fisik yang akan di lakukan. Tujuan dari penelitian ini adalah untuk mengetahui gambaran aktivitas fisik pasien pasca Covid-19. Jenis penelitian menggunakan deskriptif kualitatif dan dengan desain penelitian observasional dalam bentuk survei. Penelitian dilaksanakan pada bulan Maret-April 2021 di Kota Surakarta. Yang menjadi informan sebanyak 7 orang responden. Instrumen penelitian yaitu International Physical Activity Questionnaire (IPAQ). Hasil penelitian berdasarkan kuesioner aktivitas fisik didapatkan bahwa sebagain besar responden memiliki tingkat aktivitas fisik kategori sedang dengan jumlah 6 orang (85,7%), sedangkan aktivitas fisik kategori tinggi dengan jumlah 1 orang (14,3%). Peneliti melihat seluruh responden melakukan minimal 150 menit perminggu dalam melakukan aktivitas fisik moderat sesuai dengan yang di rekomendasikan.
Program Exercise Therapy dan Edukasi pada Pasien Post Hip Arthroplasty di Ruang Rawat Inap RS Ortopedi Prof. Dr. R. Soeharso: A Case Report
Authors: Mustiko Prihantoro Larasati , Pristianto Arif
Published: March 2023

Berjalan merupakan aktifitas sehari-hari yang dilakukan oleh manusia. Proses berjalan merupakan kombinasi dari kekuatan otot, gaya berat dan kekuatan momentum khususnya pada tungkai. Salah satu sendi penting yang bergerak serta menopang berat badan saat berjalan adalah sendi hip/panggul. Bagian ini merupakan penghubung antara bagian axial tubuh dengan ekstremitas bawah. Dalam menjalankan fungsinya, sendi hip seringkali mengalami beberapa masalah baik yang bersifat degeneratif maupun non-degeneratif misalnya fracture dan hip osteoarthritis. Pada tahap lanjut tindakan yang dilakukan berupa operasi penggantian sendi hip dengan arthroplasty. Hip arthroplasty merupakan sebuah prosedur bedah penggantian sendi (joint replacement) pada sendi panggul yang mengalami destruksi. Pasien post hip arthroplasty akan mengalami beberapa perubahan dalam melakukan aktifitas fungsional dan rutinitasnya dalam sehari-harinya. Dalam hal terjadi perubahan fungsi sendi dan otot serta ligamen karena kekuatan yang menurun serta adanya rasa nyeri paska operasi.Â  Keterbatasan gerak yang akan terjadi setelah operasi arthroplasty menjadi pekerjaan besar yang harus diselesaikan agar tidak mengakibatkan kecacatan. Kecacatan ini akan mengganggu fungsional dan gaya berjalan pada individu tersebut. Case report ini disusun untuk melihat sejauh mana perbaikan yang terjadi pada pasien dengan kondisi post hip arthroplasty. Tindakan yang diberikan berupa program exercise therapy sejak awal paska operasi dan edukasi untuk mendukung program. Program exercise baik latihan di bed maupun latihan berdiri, berjalan menggunakan alat bantu hingga pada kondisi rawat jalan. Pengukuran yang dilakukan menggunakan VAS dan HHS untuk melihat perkembangan subjek. Hasil dari tindakan cepat ini didapatkan pasien mengalami penurunan keluhan serta perbaikan pada kemampuan fungsional post hip arthroplasty.
Peran Fisioterapi Pada Kasus Anak dengan Diagnosa Infeksi Saluran Pernafasan Akut
Authors: Naufal Adnan Faris , Riskia Aura Anisa Caesar , Dewi Annisa Fitri , Ismara Pramudita Widi
Published: March 2023

Tujuan dalam penelitian ini adalah untuk mereview pengaruh penatalaksanaan fisioterapi pada kasus ISPA (Infeksi Saluran Pernapasan Akut). Metode yang digunakan dalam penelitian ini yaitu case study dengan populasi penderita ISPA anak di Klinik Fisioterapi dan Tumbuh Kembang Diena Prambanan. Intervensi fisioterapi yang digunakan dalam penelitian ini yaitu inframerah, nebulizer, massage ISPA dan mobilisasi scapula serta chest therapy. Hasil dalam penelitian ini yaitu terdapat pengaruh terhadap penurunan bunyi ronchi pada lobus kiri dan kanan bawah serta terjadi penurunan spasme otot-otot pernapasan.
Manajemen Fisioterapi pada Gangguan Fungsional Tangan Penyintas Tennis elbow Tipe 2: Case Report
Authors: Murtafiah Murtafiah , Zahra Nastiti Az , Susilo Taufik Eko , Pristianto Arif
Published: March 2023

Tennis elbow atau yang biasa dikenal sebagai lateral epicondylitis merupakan masalah yang terjadi di sekitar tendon siku, yang bekerja sebagai penggerak otot ekstensor tangan. Selain pada pemain tenis, kasus ini juga sering terjadi pada pekerja yang menggunakan alat berat atau melakukan tugas mencengkram, mengangkat dengan gerakan yang berulang, atau gerakan memutar pada lengan secara berulang dan berlebihan. Tujuan penelitian ini adalah untuk mengetahui apakah modalitas Fisioterapi berupa microwave diathermy (MWD), millâ€™s manipulation, pain free grip strength dan kinesio taping efektif digunakan dalam penanganan kasus tennis elbow tipe 2. Dengan metode penelitian case report (studi kasus) yang dilakukan pada seorang pasien tennis elbow di klinik Fisioterapi Muskuloskeletal Esa Unggul yang dilakukan pada bulan Desember 2021. Hasil penelitian di dapatkan bahwa intervensi Fisioterap yang dilakukan selama 4 kali pertemuan menunjukkan hasil akhir berupa penurunan nyeri, peningkatan kekuatan otot tangan dan peningkatan kemampuan fungsional pasien.
PENGARUH PEMBERIAN TENDON GLIDING EXERCISE PADA KASUS CARPAL TUNNEL SYNDROME (CTS) : CASE REPORTS
Authors: Asmoro Imas Winda , Pristianto Arif
Published: March 2023

Efek kumulatif dari pekerjaan menjadi indikator kesehatan di kemudian hari pada proses penuaan, pada usia tua memiliki kecenderungan secara signifikan untukÂ  mempengaruhi beberapa karakteristik dari saraf perifer. Nyeri dan paresthesia pada carpal tunnel muncul sebagai akibat dari iskemia saraf dikarenakan padatnya strukturÂ  pada carpal tunnel yang berisi jalan untuk 8 digital flexor tendon (2 masing masing untuk 4 jari medial), tendon flexor policic longus untuk ibu jari, selubung synovial, median nerve ditambah dengan keadaan yang dapat dapat meningkatkan volume struktur di dalamnya akan menyebabkan kompresi pada nerve medianus. Penatalaksaan fisoterapi yang diberikan ialah tendon gliding exercise, setelah dilakukan latihan selama tiga kali didapatkan hasil bahwa nyeri diam pada T0:2 menjadi T3:1, nyeri tekan T0:4 menjadi T3:2 dan nyeri gerak T0:7 menjadi T3:4. Derajad paresthesia pada saat diam T0 hingga T3:1, paresthesia saat ditekan T0:3 menjadi T3:2, paresthesia saat bergerak T0:4 menjadi T3:2. Pemberian Tendon Gliding Exercise pada Carpal Tunnel Syndrome (CTS) dapat menurunkan nyeri dan paresthesia.Â
DAMPAK KECEMASAN AKAN JATUH DAN DEPRESI TERHADAP KUALITAS HIDUP LANSIA DI DESA BENDOSARI, SUKOHARJO
Authors: Fitri Salsabila Nurul , Komalasari Dwi Rosella , Supriyadi Arin , - Wijianto
Published: March 2023

Latar Belakang: Kualitas hidup lanjut usia di rural mempunyai peran penting dalam kebijakan pembangunan pedesaan. Penurunan fungsi pada lansia menurunkan performa fisik yang akan meningkatkan kecemasan lansia akan jatuh. Depresi pada lansia di duga menjadi faktor psikologi tertinggi yang menurunkan kualitas hidup lansia. Tujuan: untuk mengetahui pengaruh depresi dan kecemasan akan jatuh terhadap kualitas hidup lansia di daerah rural kota Surakarta serta mencari faktor dominan apa saja yang mempengaruhi kualitas hidup lansia di daerah rural kota Surakarta. Metode: study cross sectional dengan teknik pengambilan sampel quota sampling, jumlah responden sebanyak 94 lansia. Falls Efficacy Scale International (FES-I), Geriatric Depression Scale 15 (GDS-15), WHOQOL BREF-Ina digunakan untuk mengukur kecemasan akan jatuh, depresi dan kualitas hidup. Hasil: Terdapat pengaruh antara kecemasan akan jatuh terhadap kualitas hidu lansi sebesar 0.304 (30.4%). Depresi dan kualitas hidup lansia tidak saling mempengaruhi koefisein determinasi sebesar 0,080 (8%). Faktor dominan yang paling mempengaruhi kualitas hidup lansia yaitu status perkawinan [OR -1.537, 95% CI: (-3,015) â€“ (-0.058), P=0.042)] Body Mass Index [OR 0.366, 95% CI: 0.011-0.721, P= 0.043] dan kecemasan akan jatuh [OR -0.322, 95% CI: (-0.565)-(-0.079), P=0.010] Kesimpulan: Variabel yang paling dominan mempengaruhi kualitas hidup lansia di daerah rural adalah status perkawinan, Body Mass Index dan kecemasan akan jatuh.
The Formation of a New Geopolitical Picture of the World Under the Conditions of the Russian-Ukrainian Military Conflict
Authors: Chuprii Leonid
Published: March 2023

The article examines the geopolitical orientations of Ukraine in the context of modern challenges, in particular full-scale aggression by Russia. In particular, it is noted. that in the conditions of intensification of modern challenges and in particular military aggression against Ukraine, the geopolitical role of the USA as a world leader has significantly strengthened. Today, the European Union, whose countries also actively help Ukraine, is strengthening its role in the world. However, there are certain contradictions within the European Union. Thus, the countries of Eastern Europe and the Baltic States are very actively helping Ukraine, because they understand that if Ukraine falls under the blows of Russia, then they will be next. But the countries of Western Europe, in particular Germany and France, although they help Ukraine, are in favor of negotiations with Russia, believing that Putin needs to save face, although how can we talk about certain negotiations when the Kremlin leader destroys tens of thousands of the civilian population of Ukraine. Therefore, today even Germany and France are gradually changing their rhetoric, providing Ukraine with all the necessary weapons to defeat the Russian aggressor. As for the countries of the Global South, most of them take a neutral position, trying not to intervene in the conflict. However, international support for Ukraine is gradually increasing, as even the countries of the global South are gradually realizing that it is not worth supporting the aggressor country - Russia, which is gradually turning into a geopolitical pariah.
Validitas dan reliabilitas kuesioner literasi gizi pada remaja (Nulit) di Wilayah Pascabencana
Authors: Dewi Nikmah Utami , Khomsan Ali , Dwiriani Cesilia Meti , Riyadi Hadi , Ekayanti Ikeu
Published: March 2023

The validation of the nutritional literacy questionnaire with a broader concept has never been published in Indonesia. This study aims to describe the validation of a nutritional literacy questionnaire (Nulit) in adolescents in post-disaster areas. Content validation was carried out qualitatively and quantitatively. They involve nine panellists by calculating the content validity index (CVI) and multi-rater kappa statistics. Face validation involved ten adolescents living with their mothers in Palu during the 2018 natural disaster. The face validation, item validity, and reliability were assessed by the impact score, the correlation score of each item with the total score, and the value of Cronbach's Coefficient Alpha. The results found that the I-CVI on all items was between 0,78 - 1, which is considered very good. The validation of the questionnaire display found the statement items to be essential and appropriate in the daily life of adolescents, and the impact factor value was 3,9 - 4,3. A total of 21 items are valid; the Cronbach's alpha value is FNL= 0,73, INL= 0,70 and CNL= 0,71. In conclusion, the Nulit Questionnaire is valid and reliable for measuring nutritional literacy in adolescents in post-disaster areas.
Fast Tempo Increases Attention: The Effect of Music Tempo on Attention
Authors: Kinanti Aulia Diaz , Maharani Chyntia , Syahputri Dyah Anggi , Yogiswara Aditya , Farisandy Ellyana Dwi
Published: March 2023

Music is an inseparable part of daily activities, one of which is student activities. Attention is an effort in mental processes to focus and pay attention to a particular object effectively and selectively. This study aims to see how fast and slow music tempos can affect students' attention, especially during this pandemic. This study used a between-subject design with three groups; One control group and two experimental groups. A total of 36 participants are students. The Concentration Grid Test is used as the measuring instrument. The results of the Kruskal-Wallis test showed a value of p = 0.040, p <0.05. The post-hoc analysis results showed that participants who listened to pop instrumental music with a fast tempo had a significantly higher score than those without music (p=0.042, MD=-1.083) and with a slow tempo (p=0.007, MD=1.583). There was no significant difference between no music with a slow tempo (p=0,229, MD=0,500). This result shows that the music tempo is not distracting and can increase students' attention.Musik menjadi bagian yang tak terpisahkan dari aktivitas sehari-hari, salah satunya dalam kegiatan yang dilakukan mahasiswa. Atensi merupakan usaha dalam proses mental yang dilakukan untuk memfokuskan dan memperhatikan suatu objek tertentu secara efektif dan selektif.  Penelitian ini bertujuan melihat bagaimana musik dengan tempo cepat dan lambat mampu memengaruhi atensi mahasiswa, terutama selama masa pandemik. Penelitian ini menggunakan desain between subject dengan tiga kelompok, satu kelompok kontrol dan dua kelompok eksperimen. Partisipan pada penelitian ini sebanyak 36 mahasiswa dan alat ukur yang digunakan adalah Concentration Grid Test. Hasil uji beda pada perhitungan Kruskal-Wallis menunjukkan nilai p = 0,040, p < 0,05. Hasil analisis post-hoc menunjukkan bahwa partisipan yang mendengarkan musik pop instrumental dengan tempo cepat memiliki skor yang secara signifikan lebih tinggi daripada tanpa musik (p=0,042, MD=-1.083) dan tempo lambat (p=0.007, MD=1,583), tetapi antara tanpa musik dengan tempo lambat tidak terdapat perbedaan yang signifikan (p=0,229, MD=0,500). Hasil ini menunjukkan bahwa tempo musik tidak menjadi sebuah distraksi, melainkan mampu meningkatkan atensi mahasiswa saat melakukan kegiatan kognitif.
Psychological Well-Being for Women Working as Members of the TNI/Polri
Authors: Pramitadewi R.R. Karina Putri , Hendriani Wiwin
Published: March 2023

The purpose of this study is to collaborate the results of previous research on psychological well-being in women who work as members of the TNI/Polri into a study. This study uses literature studies. The usefulness of literature review itself is to synthesize a variety of relevant research results, so that the facts presented can be more balanced and comprehensive. A total of four journals will be reviewed after going through the selection process, all of which are journals with quantitative studies. The results of the study described on the condition of psychological well-being in women who worked as members of the TNI/Polri based on the results of measurements in the journal 1 showed that most (71%) were in the high category. While the results of measurements in journal 4 showed 62.5% of psychological well-being was in the high category and 37.5% very high. Based on the results of this study, it can be used as reinforcing evidence for the importance of paying more attention, especially to the psychological well-being of women who work as members of the TNI/Polri, which have a positive or negative relationship with several other variables such as Dual Role Conflict (Work-Family), Hardiness, Perceptions of Career Development and Fear of Success.Penelitian ini bertujuan untuk mengkolaborasikan hasil penelitian sebelum-sebelumnya perihal kesejahteraan psikologi pada wanita yang bekerja sebagai anggota TNI/Polri menjadi sebuah kajian. Penelitian ini menggunakan kajian literatur. Kegunaan dari tinjauan literatur sendiri adalah untuk mensintesis berbagai hasil penelitian yang relevan, sehingga fakta yang dipaparkan dapat lebih berimbang dan juga komprehensif. Sebanyak empat jurnal akan ditinjau setelah melalui proses seleksi, yang semuanya merupakan jurnal dengan studi kuantitatif. Hasil penelitian yang digambarkan perihal kondisi kesejahteraan psikologis pada wanita yang bekerja sebagai anggota TNI/Polri berdasarkan dari hasil pengukuran dalam jurnal 1 menunjukkan bahwa sebagian besar (71%) berada pada kategori tinggi. Sedangkan hasil pengukuran pada jurnal 4 menunjukkan 62,5% kesejahteraan psikologis berada pada kategori tinggi dan 37,5% sangat tinggi. Hasil penelitian ini dapat dijadikan sebagai bukti penguat pentingnya untuk memberikan perhatian lebih khususnya terhadap kondisi kesejahteraan psikologis pada wanita yang bekerja sebagai anggota TNI/Polri yang memiliki hubungan baik secara positif maupun negatif dengan beberapa variabel lain seperti Konflik Peran Ganda (Pekerjaan-Keluarga), Hardiness, Persepsi Pengembangan Karier dan Fear of Success.
Application of Transformational Leadership Method to Increase Job Satisfaction
Authors: Amiruddin Jemmi Halil , Yudiarso Ananta
Published: March 2023

This study used meta-analysis through a literature review of 20 international research journals involving 5,047 participants from various professional backgrounds according to the research. This study aims to look at the relationship between leadership style (transformational leadership) and job satisfaction. The method used is meta-analysis with jamovi 1.2.27.0 using the Multifactor Leadership Questionnaire, Minnesota Satisfaction Questionnaire, Path-Goal Theory of Leadership Questionnaire and Job Satisfaction Survey/Scale measurement tools. The results obtained are that Transformational Leadership is effective in increasing job satisfaction (d=0.68; large effect size). The results of this study indicate that the transformational leadership style has a significant effect on increasing job satisfaction. The style of transformational leadership has a significant effect on job satisfaction in a good work environment, a good salary system, and certainty of the status of employees. It will be different if this leadership style is applied to organizations that still need a good work environment, a salary system that is not yet good, and the status of employee is uncertain.Penelitian ini menggunakan meta-analisis melalui review literatur 20 jurnal penelitian internasional melibatkan 5.047 partisipan dari berbagai latar belakang profesi sesuai penelitian. Penelitian ini bertujuan untuk melihat hubungan antara leadership style dan job satisfaction. Metode yang digunakan adalah meta-analisis dengan jamovi 1.2.27.0 menggunakan alat ukur Multifactor Leadership Questionnaire, Minnesota Satisfaction Questionnaire, Path-Goal Theory of Leadership Questionnaire dan Job Satisfaction Survey/Scale. Hasil yang didapatkan ialah Transformational Leadership efektif dalam meningkatkan job satisfaction (d=0,68; large effect size). Dari penelitian ini dapat disimpulkan bahwa gaya kepemimpinan transformasional (transformational leadership) berpengaruh signifikan untuk meningkatkan kepuasan kerja (job satisfaction). Gaya kepemimpinan transformasional (transformational leadership) berpengaruh signifikan terhadap kepuasan kerja (job satisfaction) pada lingkungan kerja yang bagus, sistem penggajian yang bagus, dan kepastian status pegawai/karyawan. Akan berbeda apabila gaya kepemimpinan tersebut diterapkan pada organisasi yang masih membutuhkan lingkungan kerja yang bagus, sistem penggajian yang belum bagus, dan status karyawan/pegawai yang belum pasti.
Employer Branding and E-recruitment Against Interest in Applying for Generation Z Jobs
Authors: Geofanny Ravika , Faraz Faraz
Published: March 2023

This study aims to determine how employer branding and e-recruitment influence the intention to apply for a job of Z Generation. This research is a quantitative study with 203 Z Generation As the Samples. This study uses three kinds of scales, including employer branding scale, Acceptance model of e-recruitment scale to measure how Z Generation’s Intention toward using e-recruitment, and an Intention towards company scale to measure how much Intention that Z Generation  had to Apply for a job. The data analysis technique used in this research is multiple linear. The results of this study indicate that there is an influence of employer branding to the interest in applying for jobs of Z generation (t = 0.000 < 0.05). There is an influence from e-recruitment to the interest in applying for jobs of Z generation  (t = 0.007  < 0.05). There is an effect of employer branding and e-recruitment on the interest in applying for generation Z jobs F count 40,520 with a significance value of 0.000 <0.05 (α = 5%). Based on the results, companies can use employer branding and e-recruitment as strategies to  attract the interest of Z Generation in applying for jobs. This is also a solution to overcome the tendency of many generations Z who refuse to work in a company.Penelitian ini bertujuan untuk mengetahui bagaimana pengaruh employer branding dan e-rekrutmen terhadap minat melamar pekerjaan Generasi Z. Penelitian ini merupakan penelitian kuantitatif dengan Sampel 203 orang generasi Z. Penelitian ini menggunakan tiga jenis skala, yaitu skala employer branding, Skala model penerimaan e-recruitment untuk mengukur bagaimana minat Generasi Z dalam menggunakan e-recruitment, dan skala minat terhadap perusahaan untuk mengukur seberapa besar minat Generasi Z untuk melamar pekerjaan. Teknik analisis data yang digunakan dalam penelitian ini adalah regresi linier berganda. Hasil penelitian ini menunjukkan bahwa terdapat pengaruh employer branding terhadap minat melamar pekerjaan generasi Z (t=0,000 < 0,05). Terdapat pengaruh e-recruitment terhadap minat melamar pekerjaan generasi Z (t=0.007 < 0,05). Terdapat pengaruh employer branding dan e-rekrutmen terhadap minat melamar pekerjaan generasi Z dengan F hitung sebesar 40.520 dengan nilai signifikansi 0,000 < 0,05 (α=5%). Berdasarkan hal tersebut, perusahaan dapat menggunakan employer branding dan e-recruitment sebagai strategi menarik minat melamar pekerjaan Generasi Z.  Hal ini  sekaligus menjadi solusi mengatasi kecenderungan banyaknya Generasi Z yang menolak bekerja di sebuah perusahaan.
Husserls Irreversibilitätsargument gegen den Materialismus
Authors: Erhard Christopher
Published: March 2023

In this paper I offer a reconstruction of one of Husserl’s various anti-materialist arguments. Husserl hints at this argument in Ideas II & III where he exposes essential differences between mental and material reality (Realität). At its core, Husserl claims that mental entities by their very essence can never be in the same qualitative condition at different times. By sharp contrast, for purely material or physical entities such a cyclical development is not essentially excluded. Accordingly, I will speak of Husserl’s argument from irreversibility. I argue that this argument is modal in nature, and that it can be used to make a case against materialism based on the necessary supervenience of the mental on the physical. My primary goal is to elucidate this argument, and to offer a logical reconstruction using basic modal logic and contemporary notions of supervenience. I conclude that Husserl’s argument is formally valid, and that it can even held to be sound, although the premise regarding the necessary irreversibility of the mental requires further clarification.
Child Protection in the Church of Pentecost in Winneba Municipality, Ghana
Authors: Kpalam Ebenezer Tetteh
Published: March 2023

Child abuse is a common phenomenon in Africa, and Ghana is no exception. Where child abuse exists, the appropriate response is child protection. Child protection involves policies, structures and practical steps to ensure children are safeguarded. The Church of Pentecost is one of the fastest-growing Church in Ghana, with a local congregation in almost every community. Winneba, a predominantly fishing community, is affected by several forms of child abuse – child labour, child prostitution, child neglect and trafficking. The Church has 37 local congregations across the length and breadth of the Winneba municipality. In recent times, churches have been recognized as strategic partners in child protection efforts in the communities which they serve. This paper examines the child protection ministry of the Church of Pentecost in Winneba in relation to insights from biblical and practical perspectives on child protection. The findings point to insufficient child protection in the Church of Pentecost congregations in Winneba. The current situation only views children in terms of God’s salvific plan that includes children (conversion and sanctification). The paper posits that something far broader is required in the light of child abuse throughout the world and in Winneba. Consequently, certain recommendations are made to enable the churches to take more concrete measures to safeguard children.
Application of BI-V for contact children and adolescents from focies of multidrug-resistant tuberculous infection: evaluation of effectiveness
Authors: Sakhelashvili M.I. , Piskur Z.I. , Sakhelashvili­–Bil O.I. , Didyk J.J. , Letz Yu.O. , Matseh G.S. , Davydiv M.R. , Yakimchuk O.S. , Ilnytska L.S. , Shepta N.B. , Sosnova O.L.
Published: March 2023

Objective — to study the need of using the natural immunomodulator ВІ-V for contact children and adolescents from focies of multidrug-resistant tuberculous infection (MDR-TBI) for a non-specific immunoprevention of tuberculosis (TB).
Materials and methods. A retrospective analysis of the medical records of 120 contacts (75 children and 45 adolescents) from focies of MDR-TBI and 102 adult with TB, who became the source of infection was carried out. Microbiological examination in adults included the detection of Mycobacterium tuberculosis (MBT) in sputum by smear microscopy, sowing of material on Levenstein—Jensen medium, typing of isolated MBT on BACTEC MGIT 960, determination of the drug susceptibility test (DST) of MBT to antimycobacterial drugs (AMBDs) of first- and second-line, as well as molecular genetic researched of sputum, in particular by the method of GeneXpert MTB/RIF and linear probe analysis. In the contact children from focies of MDR-TBI the determination of the population and subpopulation composition of blood lymphocytes was carried out among 25 children before and among 22 children after immuno­preven­tion.
Results and discussion. Most contact children and adolescents (61.7 %) from focies of MDR-TBI had concomitant diseases. The prophylactic administration of the BI-V immunomodulator reduced the frequency of acute respiratory viral infections and exacerbations of non-specific bronchopulmonary diseases by 2.0 times, the development of an active process from the latent tuberculous infection by 2.6 times, the frequency of transformation of latent tuberculosis infection into an active process by 2.6 times, improved appetite, memory, learning outcomes and increased physical activity. The latent tuberculous infection based on the Mantoux test results was found in 82.5 % (99) children. The quantiferon test confirmed the presence of a latent form of tuberculosis in 104 (86.7 %) contacts, the rest of the test results were negative. In children who received ВІ-V, latent tuberculous infection turned into an active process 2.8 times less often than in infected children who did not take this immunomodulator. The existing deviations into the regulatory system and the cellular response system disappeared after the autumn-spring course of ВІ-V.
Conclusions. Immunomodulator ВІ-V is an effective preventive means for bronchopulmonary diseases, including MDR-TB among contact children and adolescents from focies of MDR-TBI.
A rare case of bilateral arteriovenous malformation of the lungs
Authors: Opanasenko M.S. , Konik B.M. , Tereshkovich O.V. , Levanda L.I. , Shamray M.Yu. , Shalagay S.M. , Lysenko V.I. , Kalenychenko M.I. , Stepaniuk A.M. , Shestakova O.D.
Published: March 2023

Arteriovenous malformation of the lungs is a disease characterized by a pathological «direct» connection of the vessels of the pulmonary artery system with the pulmonary veins and the formation of a right-left intrapulmonary shunt. The incidence of arteriovenous malformation of the lungs (AVML) is 2—3 cases per 100,000 population, 10 % cases are diagnosed in children. The degree of manifestation of symptoms in arteriovenous malformation of the lungs directly depends on the vessels diameter at the level of which blood shunting occurs. The disease is characterized by a typical triad of clinical manifestations: cyanosis (SaO2 < 85 %), polycythemia (Hb > 185 g/l, Ht > 52 %, RBC > 5.1 · 1012/l), changes in the end phalanges of the fingers in the form of «drumsticks». The most severe complications of arteriovenous malformation of the lungs are hemoptysis (pulmonary bleeding), hemothorax, abscess and cerebral infarction. The basis for the diagnosis of the disease are radiological methods, in particular, helical computed angiography of the pulmonary vessels. Treatment of arteriovenous malformation of the lungs can be carried out by embolization of the arterial vessels of the site of the malformation by resection interventions on the lungs or a combination of the two methods described above. Over the past 32 years, in the clinic of thoracic surgery and invasive diagnostic methods of the SI «National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky NAMS of Ukraine» 20 were treated with a diagnosis of arteriovenous malformation of the lungs. In the literature, there are very few reports on the treatment of bilateral arteriovenous malformation of the lungs, so we would like to give a clinical example of just such a case.The article presents a clinical example of bilateral arteriovenous malformation of the lungs.
Ferritin as proinflamatory biomarker of iron metabolism in tuberculosis patients (review)
Authors: Shevchenko O.S. , Matvieieva S.L. , Ovcharenko I.A. , Shvets O.M. , Pohorielova O.O.
Published: March 2023

Traditional methods of tuberculosis (TB) diagnosis, including sputum microscopy and culture for Mycobacterium tuberculosis detection, are time-consuming or have unsatisfactory sensitivity. However, early diagnosis of TB with high accuracy and sensitivity is very important for disease outcomes and prevention. Therefore, there is an urgent need for new TB diagnostic methods based on TB-associated biomarkers, with rapid availability of results that do not require sputum analysis, are inexpensive, and have high sensitivity and specificity.
Objective — to study the mechanisms of ferritin participation in the pathogenesis of tuberculosis basing on the literature data.
Materials and methods. 242 literature sources were found in the PubMed system by the query «Ferritin AND Tuberculosis» and 40 of them were selected for further detailed study.
Results and discussion. Studies have shown that serum iron and transferrin concentrations are lower and ferritin levels are higher in patients with TB compared to those without TB. These deviations in the concentration of ferritin and transferrin usually normalize after treatment. Lower transferrin levels are associated with both early and late TB progression, and higher ferritin and hepcidin levels are associated with a higher risk of early TB progression in TB contacts. In addition, the status of biomarkers of iron metabolism can be used as an indicator of treatment failure (low ferritin) and mortality (high ferritin). Finally, low levels of transferrin and serum iron, as well as high ferritin concentrations in HIV-infected patients predict an increased risk of TB disease and relapse.
Conclusions. Iron metabolism between M. tuberculosis and the host organism is closely related and plays an important role in the pathogenesis of tuberculosis. Parameters of iron metabolism are promising markers of both the course and effectiveness of tuberculosis treatment. In particular, changes in the level of ferritin can be predictors of both the ineffectiveness of tuberculosis treatment and mortality from this disease, so the prognostic value of this marker requires further detailed study.
Arterial hypertension in military personnel and veterans of various wars. Literature review
Authors: Koval S. M. , Snihurska I. O. , Mysnychenko O. V. , Penkova M. Y.
Published: March 2023

The article provides a review of the literature on the problem of arterial hypertension (AH) in military personnel and veterans of various wars. It has been shown that this hypertension can be considered as one of the variants of stress‑induced hypertension (SIH) and is one of the most common cardiovascular diseases among these population groups. It is this form of AН that acquires special importance in Ukraine, taking into account the war that was unleashed by the Russian Federation. SIH is characterized by the increased blood pressure, primarily under the influence of psycho‑emotional factors. One of the important factors causing the body’s increased reaction to stress are genetic factors, first of all, burdened heredity for hypertension.The initial and key pathogenetic mechanism of the development and progression of hypertension under the influence of psycho‑emotional stress is activation of the sympathoadrenal system. Important and prognostically unfavorable features of hypertension in military personnel and war veterans include: frequent development at a young age, resistance to antihypertensive therapy, rapid progression with the development of hypertensive crises, damage to target organs, the development of atherosclerotic damage to various vascular beds, coronary heart disease, heart rhythm disorders and stroke.One of the early pathological changes that occur under the influence of stress are adaptation disorders of various degrees of intensity. Post‑traumatic stress disorder is singled out, which is the most severe and long‑lasting post‑stress disorder and at the same time a powerful factor in the development and progression of hypertension and its complications.The analyzed literature data indicate that AH in military personnel and war veterans is a major and far from solved medical and social problem. It is necessary to conduct a comprehensive and in‑depth examination of these categories of patients in order to develop the most effective approaches to their treatment and prevention of complications.
"Lalu Lintas Pakaianku": Learning Media for Sex Education for Early Childhood
Authors: Adyani Kartika , Hudaya Isna , Aisyaroh Noveri
Published: March 2023

The increase in sexual violence against children makes sex education for early childhood an increasingly serious and urgent subject. It is caused by the lack of educational media for sex education. Puppets are the right media for learning because they can further develop imagination and absorption, and teach children to empathize. This study aimed to find out whether the puppets “Lalu Lintas Pakaianku” were suitable to be used to help parents or teachers provide sex education in early childhood. The Development Research was applied in this study. The results showed that the media of "Lalu Lintas Pakaianku” hand puppet were valid  and the manual book indicated a valid category so that the media could be used as the learning media of sex education in early childhood
The Effect of Instructional Media and Interpersonal Intelligence on Early Reading Skills
Authors: Jannah Siti Roudhotul , Yusuf Muhammad , Choirudin Choirudin , Darmayanti Rani , Ningtyas Dhita Paranita
Published: March 2023

The interaction of kindergarten students with others is dominant in individual activities. It causes low early reading skills. The application of innovative learning media would attract students' interest in interacting with other children and optimize children's interpersonal intelligence. The study examined the effect of instructional media and interpersonal intelligence on early reading skills. This study used to design treatment by level 2 x 2. The selection of this method is based on the existence of treatment with variable attributes based on Interpersonal intelligence levels. Using simple random sampling 44 children were divided into four groups —data Analysis of Variance (ANOVA) and Tukey test. The study concluded that there was a significant difference between the effect of instructional media and media fun thinkers and big books for early reading skills. There was a significant interaction between instructional media and interpersonal intelligence on the early reading skills, (3) for a group that has a high degree of interpersonal intelligence and use fun thinkers media the effect early reading skills is higher than that used big books treatment media. For groups who have lower levels of interpersonal intelligence and used media fun thinkers treatment early reading skills lower than that used big books treatment media
Literasi Budaya Lokal bagi Anak di Desa Jatisura
Authors: Triwardhani Ike Junita , Mulyani Dewi , Pratama Raditya
Published: March 2023

Anak merupakan pewaris peradaban. Mereka perlu dipersiapkan guna melanjutkan nilai-nilai luhur menjadi penerus. Untuk itu anak-anak perlu mengenal lingkungan dirinya, memahami sosial dan budaya sebagai jari dirinya. Pengenalan budaya dalam bingkai literasi budaya perlu dilakukan kepada anak-anak agar mereka mamahami budaya leluhurnya yang penuh dengan nilai kearifan. Desa Jatisura memiliki karifan lokal salah satunya memuliakan tanah sehingga menjadi sumber kehidupan dan penghidupan masyarakatnya. Hal ini perlu diwariskan kepada anak-anak di Jatisura. Proses literasi budaya ini penting untuk diteliti dengan tujuan untuk mengungkap pengembangan literasi budaya lokal di desa Jatisura. Informasi digali dari sejumlah informan yaitu kepala Desa, tokoh masyarakat, JAF, Guru dan masyarakat.  Metode penelitian deskriptif analitik dengan pendekatan fenomenologi untuk mengungkap proses literasi budaya lokal di desa Jatisura. Hasil penelitian mengungkap bahwa upaya literasi budaya lokal di Desa Jatisura dilakukan dengan inisiasi JAF (Jatiwangi Art Factori) yang mengajarkan nilai-nilai kearifan lokal dalam rangka literasi budaya melalui : (1) Program Edukasi; (2) Wahana Ekspresi; (3) Apresiasi Karya; (4) Identifikasi nilai-nilai kearifan lokal; dan (5) Implementasi nilai-nilai kearifan lokal.
Implementation of Experimental Methods to Improve the Learning Outcomes of Science Class I School Students
Authors: Sekali Pelista Br Karo , Marasabesy Anwar , Nasution Nurhidaya Fithriyah , Sekali Endalina Br Karo
Published: March 2023

This study aims to describe the application of the experimental method to improve science learning outcomes for second grade elementary school students. This type of research is action research. This study uses a qualitative descriptive analysis technique. The results of the research show that increasing activeness and learning outcomes through the application of experimental methods to science subjects has been successful. This can be proven by the results of cycle tests showing a significant increase as evidenced by an increase in activity and student learning outcomes. The percentage of completeness of student learning outcomes based on preliminary data is in the good category with a percentage of 63.92%. First cycle of research it increased to a good category with a percentage of 73.54% and in the second cycle it became a very good category with a percentage of 80.13% which had achieved the KKM value that had been set.
Anti-Black Racism and Asian American Local Educational Activism: A Critical Race Discourse Analysis
Authors: Liu Rossina Zamora , Liu William Ming , Wong Janelle S. , Shin Richard Q.
Published: March 2023

In this critical race discourse analysis of legal documents and correspondence, we discuss how a small number of highly organized and visible groups of Asian American parent activists oppose admissions policy reforms intended to diversify student enrollment to specialized high schools. We identify two narratives deployed by this vocal minority: anti-Asian discrimination and Asian American exceptionalism. These narratives prioritize the historical and interpersonal racialized experiences of Asian Americans over institutionalized racial inequality experienced by Black students, namely, residential housing and school segregation. By valorizing Asian American exceptionalism and meritocracy, these claims relegate racism as a historical problem, mirroring ideologies of white supremacy and anti-Blackness while reconstituting anti-racism.
МАТЕМАТИЧНА ОСНОВА КРИПТОМЕРЕЖІ
Authors: Листопадова Валентина , Халаїм Діана
Published: March 2023

Людську спільноту неможливо уявити без грошових операцій. Гроші – це специфічний термін, який є універсальним еквівалентом вартості послуг чи товарів. Історія розвитку коштів тісно пов’язана з невпинним розвитком людської цивілізації. Продукти, товари, зброя, бумажняні банкноти, акції – це всього лиш частина того, що раніше використовувалось людиною і продовжує мати попит до сьогоднішнього часу.
Розвиток технологій не стоїть на місці. Тож нині дедалі актуальними є так звані “електронні кошти”, які не випускаються національними центральними банками. Реальні гроші та монети поступово відходять на задній план. Їм на заміну стають пластикові картки та платіжні системи в мережі Інтернет.
Сьогодні спостерігається пришвидшений ріст криптовалюти. Вона є новою платіжною системою, яка має ряд переваг на відміну від інших електронних грошей. Криптовалютою користуються мільйони людей у всьому світі. Однією з причин такої популярності є сувора математична база, за допомогою якої будується біткоїн.
Математика є основою будь-якої платформи на основі блокчейну. Замість посередників, регуляторів, законів чи лідерів ці платформи покладаються на незаперечну логіку математичних моделей для створення екосистеми, яка працює для кожного користувача. Біткоїн є, мабуть, найяскравішим прикладом того, як ці моделі можуть змінити світ. Генерація монети повністю залежить від обчислювальної потужності ноутбука, що використовується для вирішення математичних задач.
У поданій статті основний акцент зроблено не лише на історії появи біткоїну, а й на математичному апараті дії криптосистеми.
Розглянуто математичні принципи роботи криптовалют на прикладі біткоїна, який сьогодні володіє найпоширенішою мережею.
Розглянуто головний інструмент криптографії, який є базовим при розробці біткоїну - еліптичні криві.
Наведено одні з основних властивостей даних кривих, а також принцип їх застосування під час створення криптовалюти.
Вказані математичні формули обчислення публічного ключа з приватного ключа.
Виділено основні причини використання еліптичних кривих, покладених в основу роботи криптосистеми.
РОЗВИТОК УМІНЬ ТА НАВИКІВ КУЛЬТУРИ ЗДОРОВ’ЯЗБЕРЕЖЕННЯ СТУДЕНТІВ НА ЗАСАДАХ МІЖДИСЦИПЛІНАРНОЇ ІНТЕГРАЦІЇ
Authors: Мартинів Олег , Шукатка Оксана , Борисевич Леся , Кушнір Роман
Published: March 2023

У статті здійснено аналіз проблем професійної підготовки майбутніх фахівців до здоров’язбережувальної діяльності. Аналіз сучасних наукових досліджень свідчить, що більшість зарубіжних науковців більшу увагу приділяють питанням пропаганди здорового способу життя на робочих місцях, в малих і середніх трудових колективах. Припущено, що розвиток умінь та навиків культури здоров’язбереження студентів необхідно починати з першого курсу навчання у закладах вищої освіти. У цьому контексті ми погоджуємося з думкою науковців, що оcвітній аcпект прoблеми фoрмування здорового cпocoбу життя є актуальним на сучасному етапі розвитку освіти, особливо для студентів, в яких спеціальності пов’язані з такими здоров’яруйнівними факторами, як гіподинамія, висока емоційна затратність і стресовість, напруженість органів зору внаслідок відповідальної роботи з фінансовими документами, роботи з комп’ютерною технікою, а також недостатньою підготовленістю до здоров’язбережувальної діяльності в процесі здобуття вищої освіти З’ясовано, що фoрмування ocнoв здорового cпocoбу життя може здійснюватися шляхом міждисциплінарної інтеграції та використання інноваційних технологій. Запропоновано використання можливостей різних дисциплін, які не дотичні до проблем здоров’я, із здоров’язбережувальним змістом. Здійснено перевірку рівня вмінь та навиків студентів до формування культури здоров’язбереження на засадах міждисциплінарної інтеграції шляхом використання авторської методики підготовки майбутніх фахівців з таких дисциплін, як: «Безпека життєдіяльності», «Філософія», «Історія української культури», «Фізичне виховання». Отримані дані свідчать про доцільність і необхідність використання міждисциплінарної інтеграції в процесі професійної підготовки майбутніх фахівців. Підсумовано, що здобуття вмінь та навиків культури здоров’язбереження на засадах міждисциплінарної інтеграції, необхідне молоді для здорового способу життя.
Geriatrik Kadınlarda Üriner İnkontinans Şiddeti ile Kırılganlık Düzeyi Arasındaki İlişki: Korelasyonel Bir Çalışma
Authors: Ünver Gamze , Zorba Bahçeli Pınar , Özcan Münevver , Kapucu Sevgisun
Published: March 2023

Amaç: Bu araştırma, geriatrik kadınlarda üriner inkontinans şiddeti ile kırılganlık düzeyleri arasındaki ilişkiyi belirlemek amacıyla yapılmıştır.
Gereç ve Yöntem: İlişki arayıcı tipte olan bu araştırma, bir üniversite hastanesinin Geriatri Ünitesinde1 Kasım 2015-30 Ağustos 2017 tarihleri arasında yatarak tedavi alan 65 yaş ve üzeri 142 kadınla yapılmıştır. Araştırmanın verileri, Tanıtıcı Bilgi Formu, Edmonton Kırılganlık Ölçeği (EFS-TR) ve İnkontinans Şiddet İndeksi (İŞİ) kullanılarak yüz yüze toplanmıştır. Veriler, tanımlayıcı istatistikler ve Spearman korelasyonu kullanılarak analiz edilmiştir.
Bulgular: Çalışmada geriatrik kadınların yaklaşık olarak yarısının (%48.6) kırılgan olduğu ve dörtte birinin ise kırılganlık öncesi evrede olduğu belirlenmiştir. Kadınların %81’inin ise bir yıl ve üzeri devam eden üriner inkontinans şikayeti olduğu saptanmıştır. Geriatrik kadınların beden kütle indeksleri ve kullandıkları ilaç sayıları arttıkça üriner inkontinans şiddetinin arttığı; gebelik sayısı ve kullandıkları ilaç sayısı arttıkça ise kırılganlık düzeylerinin arttığı bulunmuştur. Ayrıca kadınların inkontinans şiddeti ve miktarı ile kırılganlık düzeyleri arasında pozitif yönde zayıf bir anlamlı ilişki olduğu tespit edilmiştir (p = 0.000).
Sonuç: Araştırmadan elde edilen sonuçlar, geriatrik kadınların üriner inkontinans durumlarının ve kırılganlık düzeylerinin multidisipliner sağlık ekibi tarafından kapsamlı olarak değerlendirilmesinin ve bu konu ile ilgili danışmanlık verilmesinin önemini vurgulamaktadır.
Hemşirelerin Profesyonel Değerler Algısı ve Etkileyen Faktörlerin İncelenmesi
Authors: Daştan Buket , Akçakaya Can Aysun , Demirağ Hatice , Hintistan Sevilay
Published: March 2023

Amaç: Bu çalışmada, hemşirelerin profesyonel değerler algısı ve bu algıyı etkileyen faktörleri incelemek amaçlanmıştır.
Gereç ve Yöntem: Tanımlayıcı tipte gerçekleştirilen bu çalışmanın örneklemini Bayburt Devlet Hastanesi ve Kelkit Devlet Hastanesi’nde Ekim 2019 - Kasım 2019 tarihleri arasında çalışan 228 hemşire oluşturdu. Çalışmanın verileri bu tarihler arasında “Hemşire Bilgi Formu” ve “Hemşirelerin Profesyonel Değerler Ölçeği (HPDÖ)” kullanılarak toplandı. Verilerin analizinde t-testi, ANOVA, Tukey Post Hoc testleri kullanılmıştır.
Bulgular: Hemşirelerin, %52.2’si 30 yaş ve altında, %78.9’u kadın olduğu ve kadınların HPDÖ toplam ve alt boyut puan ortalamalarının erkeklere göre anlamlı olarak yüksek olduğu bulundu. Hemşirelerin HPDÖ toplam puan ortalaması ise 152.5±20.81 olarak yüksek bulundu. Evli hemşirelerin HPDÖ toplam puan ortalaması 153.96±21.31 olup, sorumluluk alt boyutu anlamlı olarak yüksek bulundu. Hemşirelik veya sağlık alanında bilimsel yayınları takip eden hemşirelerin toplam puan ortalaması ve alt boyut puan ortalamaları takip etmeyen hemşirelere göre anlamlı derecede yüksek bulundu (p<0.05).
Sonuç: Hemşirelerin mesleki profesyonel değerleri etkileyen farklılıkları göz önüne alınarak yapılacak sürekli eğitimler ve mesleki değerlerle ilgili bilimsel etkinlikler düzenlenmesi önerilmektedir.