bluuebunny/crossref_metadata_2025 huggingface dataset:
Ankara İli Tarım İşletmelerinde Mekanizasyon Durumu ve İlaçlama Makinelerinin Teknik Özellikleri
Authors: SEYFİOĞLU Bahar , BARAN Mehmet Fırat , BOLAT Ali
Published: July 2023

Bu çalışmada Ankara ilinde faaliyet gösteren tarım işletmelerinde mekanizasyon durumu ve kullanılan ilaçlama makinelerinin teknik özelliklerinin belirlenmesi amaçlanmıştır. Bu amaçla Ankara ilinde 19 ilçede 381 tarım işletmesi ile anket yapılarak veriler elde edilmiştir. İşletmelerin gruplara ayrılarak incelenmesinin daha doğru olacağına karar verilmiş olup, grupların belirlenmesi amacıyla kümeleme analizi yapılmıştır. Yapılan analiz sonucunda 1. grup işletmeler (149 işletme) ve 2. grup işletmeler (232 işletme) olmak üzere iki grup oluşmuştur. Araştırmada tanımlayıcı istatistikler ve gruplar arasındaki farkların belirlenmesinde ki kare analizi ve t testi uygulanmıştır. Araştırma sonuçlarına göre, ortalama arazi büyüklüğü 1. gruptaki işletmelerde 21.75 ha, 2. gruptaki işletmelerde 15.67 ha olarak bulunmuştur. İşletmelerdeki pülverizatör/işletme sayısı ortalama 1. gruptaki işletmelerde 1.06 adet, 2. gruptaki işletmelerde 1.02 adet, pülverizatör/traktör sayısı ise ortalama 1. gruptaki işletmelerde 0.77 adet, 2. gruptaki işletmelerde 0.90 adet olarak belirlenmiştir. İşletmelerin büyük çoğunluğunda (%83.73) bir traktör mevcut olup, traktörlerin çoğunlukla 10 yaş altı olduğu belirlenmiştir. İşletmeler ortalamasına göre pülverizatörlerin %90.36’sı tarla, %6.60’ı bahçe ve %3.04’ü sırt pülverizatörlerinden oluşmakta olup, tüm pülverizatör tiplerinin büyük çoğunluğunun 10 yaş altı olduğu belirlenmiştir. Araştırma alanında işletmelerin büyük çoğunluğunda kuyruk milinden hareketli ilaçlama makinelerinin varlığı, üreticilerin kimyasal mücadeleye önem verdiklerini göstermektedir.
COVİD-19 ve Fonksiyonel Gıda Tüketim Durumları: Adana İli Örneği
Authors: İKİKAT TÜMER Emine , KOŞAR Ceren
Published: July 2023

Dünyayı etkileyen COVİD-19 salgını, 2019 yılı Aralık ayında Çin’in Wuhan kentinde ortaya çıkmış ve Dünya Sağlık Örgütü tarafından pandemi olarak ilan edilmiştir. Dünya tarihinde salgın dönemleri toplumların tüketim alışkanlıklarını değiştirmiş ve geliştirmiştir. Bu dönemlerde bağışıklık sistemini güçlü tutmak, virüse yakalanılması durumunda hastalık dönemini kolay geçirmek isteyen bireylerin takviye ve fonksiyonel gıda tüketimleri artmıştır. Bu gıdalar çok sayıda hastalığı önlemek, büyümeyi hızlandırmak ve bağışıklığı arttırmak için kullanılmakta ve yeterli miktarda, düzenli olarak alındığında sağlığa faydalıdır. Bu çalışmada Adana ilinde hanehalkının COVİD-19 pandemi döneminde fonksiyonel gıda tüketimlerini etkileyen faktörlerin belirlenmesi amaçlanmıştır. Bu amaçla Adana ilinde 384 tüketici ile anket yapılmıştır. Elde edilen verilere göre araştırma bölgesinde bireylerin %59.9’u pandemi döneminde fonksiyonel gıda, %67.8’i takviye gıda ve %42.4’ü organik gıda tüketmişlerdir. Anket verilerinin değerlendirilmesinde Ki-kare testi kullanılmıştır. Test sonucuna göre bireylerin fonksiyonel gıda tüketimlerinde medeni durum, yaş, sağlıklı yaşama önem verme, düzenli olarak spor yapma, kronik hastalığı olma, yakın akrabalardan birinin COVİD-19 virüsüne yakalanma durumu, ankete katılan kişinin COVİD-19 virüsüne yakalanma durumu, takviye gıda ve organik gıda tüketme ile pandemi koşullarına uyum sağlama durumu istatistiksel olarak önemli bulunmuştur. Pandemi dönemi ve sonrasında sağlıklı bir toplum olmak için bireylerin, fonksiyonel gıda ve bu gıdaların tüketimi konusunda yetkili kurum ve kuruluşlar tarafından bilgilendirilmesi önem arz etmektedir.
Children in the poems of Mehmet Akif Ersoy, Muhammad Iqbal, and Bakhtiyar Vahabzadeh
Authors:   Department of Turkish Education, Faculty of Education, Afyon Kocatepe University, ANS Campus, Afyonkarahisar, Türkiye, Akdağ Erhan
Published: July 2023

Mehmet Akif Ersoy, Muhammad Iqbal, and Bakhtiyar Vahabzadeh are among the leading literary figures in the world of emotions, thought, and culture of the nations to which they belong. Children play an important role in the poems of these three intellectual leaders of Türkiye, Pakistan, and Azerbaijan. In Mehmet Akif Ersoy’s Safahat, Muhammad Iqbal’s A Mother’s Dream, and Bakhtiyar Vahabzadeh’s Autumn Thoughts, A Day Worth A Thousand Months, and Talking to Myself, poems, children are the heirs and bearers of the civilization to which they belong and are carefully emphasized. In their poems, all three poets see children as the assurance of the future and try to approach them with love and compassion. In the poems of all three poets who see children as the architects of the future, it is emphasized that they should be well-raised, hardworking, religiously sensitive, and well-educated. All three poets emphasized the importance of raising children as educated and conscious individuals; they share the idea that generations that respect their religion, culture, customs, traditions, elders, and ancestors will glorify Islamic civilization. This study analyzes the representation of children in the poems of Mehmet Akif Ersoy, Muhammad Iqbal, and Bakhtiyar Vahabzadeh. The poems analyzed in this study include Mehmet Akif’s Safahat, Muhammad Iqbal’s A Mother’s Dream, and Bakhtiyar Vahabzadeh’s Autumn Thoughts, A Day Worth A Thousand Months, and Talking to Myself, poems. On the basis of the poems examined under the title “Child”, the perceptions of children and the purposes of value transfer to children of all three poets were comparatively analyzed.
Arquitecturas de la incertidumbre: comparación entre “Un sueño realizado” de J.C. Onetti y “Amor a la distancia” de E. Paz Soldán
Authors: Breusa Luca
Published: July 2023

A partir de la primera mitad del siglo XX, tanto en el ámbito de la ciencia como en el del arte, el conocimientoy la creación se vieron afectados por la centralidad que asumió el concepto de incertidumbre. Por un lado, la frontera borrosa entre lo fantástico y lo real constituye un espacio narrativo prolífico; por otro, el arte posmoderno experimenta las posibilidades narrativas surgidas en la frontera metaliteraria entre realidad y ficción: el resultado de estos dos hitos podría leerse como una literatura de la incertidumbre. Esa tipología de la literatura exige una arquitectura narrativa específica; es decir, una estructura de sostén interior al relato yno fácilmente visible a la mirada del lector. En mi opinión, a pesar del resultado parecido alcanzadopor Juan Carlos Onetti y Edmundo Paz Soldán, sus respectivos cuentos “Un sueño realizado” y “Amor a la distancia” constituyen dos modelos distintos y en cierto sentido opuestos de la misma estructura narrativa. Después de haber analizado y comparado los dos relatos entre sí, será posible identificar lo que llamaría una arquitectura de la incertidumbre estática y por asimilación en el cuento “Un sueño realizado”, de Onetti, y una arquitectura de la incertidumbre dinámica y por alternancia en el  cuento “Amor a la distancia”, de Paz Soldán.
Observaciones metodológicas sobre el estudio de lenguas extintas en el nororiente peruano: el caso del chacha
Authors: Ziemendorff Michaela , Valqui Culqui Jairo , Ziemendorff Stefan
Published: July 2023

El presente artículo discute tres publicaciones recientes acerca de la filiación lingüística del chacha, lengua  atribuida a las etnias del área geográfica Chachapoyas, en la parte sur del departamento de Amazonas, Perú. Se examina la comparación entre el chacha y las lenguas cahuapana, emprendida por Rojas-Berscia (2020), así  como los estudios comparativos realizados por Jolkesky (2016) y Urban (2020), que agrupan el chacha en la familia denominada cholonoide. El análisis se enfoca en las metodologías aplicadas por los autores, discutiendo el potencial y las limitaciones de comparaciones léxicas y fonéticas entre los idiomas implicados, los métodos y restricciones de la investigación toponímica, el uso crítico de fuentes históricas, así como el método de la triangulación. Igualmente, se discuten y evalúan las fuentes disponibles para un potencial análisis comparativo del idioma chacha con idiomas vecinos, llegando a la conclusión de que, por el momento, la escasez del material no permite ninguna clasificación del chacha. Finalmente, se discuten los enfoques metodológicos más propicios para la investigación tanto del chacha como también de otros idiomas extintos y no documentados de la región en general, proponiendo, entre otros, una ampliación de la base de datos toponímicos y  antroponímicos antes de proceder con cualquier tipo de análisis.
Provincianos de este mundo: las políticas culturales de Arguedas y Cortázar en la literatura mundial
Authors: Diaz Zanelli José Carlos
Published: July 2023

El creciente debate de la literatura mundial ha generado una serie de discusiones en torno al rol de las literaturas poscoloniales, lo que promete rediseñar el entendimiento, la circulación y la enseñanza de determinados campos culturales. En ese entramado, la literatura latinoamericana ocupa una posición particularmente problemática que este artículo explora a través del análisis de la polémica y las políticas culturales de dos escritores emblemáticos: el peruano José María Arguedas y el argentino Julio Cortázar. Examinando el impasse sostenido por ambos escritores, así como sus formulaciones sobre la necesidad de universalizar/globalizar a la literatura latinoamericana, este trabajo explora cómo estos autores anticipan algunos términos claves sobre discusiones actuales en la esfera de la literatura mundial aplicada a la literatura latinoamericana. A través del análisis de sus escritos públicos como cartas, artículos periodísticos, entrevistas y discursos, conceptos como universalidad y cosmopolitismo son explorados en sus dimensiones ideológicas dentro de un marco analítico que abarca a la crítica decolonial y la teoría de sistema-mundo. De ese modo, se contrasta el constructo universalizante y cosmopolitizante que corre a través de los argumentos formulados por estos dos reconocidos autores cuyas etapas productivas ocurrieron en paralelo con el asimétrico proceso de globalización cultural en América Latina.
Efforts To Promote Exclusive Breastfeeding Education For Stunting Prevention Through Booklet Media For Third Trimester Pregnant
Authors: Dhita Kris Prasetyanti  , Anis Nikmatul Nikmah  , Rahma Kusuma Dewi  , Hilda Oktafia Sukmawati
Published: July 2023

Stunting is malnutrition that occurs over a long period of time, resulting in impaired growth of children's height shorter than their age standard. One of the prevention of stunting is by providing exclusive breastfeeding to infants. Exclusive breastfeeding helps adequate nutritional intake so as to minimize the risk of stunting in children. The purpose of this study is to determine the promotional efforts of exclusive breastfeeding education for stunting prevention in third trimester pregnant women in the Sukorame Health Center Working Area of Kediri City in 2023.Type of pre-experimental research type one group pre post test design, the population in this study is all third trimester pregnant women of East Nusa Tenggara Province, as many as 32 third trimester pregnant women in the Sukorame Health Center Working Area of Kediri City, with a sample of 16 third trimester pregnant women using purposive sampling techniques.  Statistical test using wilcoxon.The results of statistical tests using Wilcoxon obtained that p = 0.000 with a confidence level of 95% (α = 0.05) can be said if the value of ρ < α H0 is rejected and H1 is accepted, meaning that there is an influence on exclusive breastfeeding education promotion efforts for stunting prevention in third trimester pregnant in the Sukorame Health Center Working Area of Kediri City in 2023.It is expected that respondents can use booklet media to read in order to increase knowledge and provide information about the importance of exclusive breastfeeding for stunting prevention.
Teacher Self-Care Mandates as Institutional Gaslighting in a Neoliberal System
Authors: Dunn Alyssa Hadley
Published: July 2023

In this manuscript, I argue that narratives of self-care for educators in the midst of pandemic teaching are a form of gaslighting, supported and exacerbated by a neoliberal school system that reinforces individualist, White-normed conceptions of teaching and learning. To make this argument, I use several excerpts from practicing teachers’ writing to illustrate the deep sense of frustration and betrayal that teachers felt when inundated with self-care messages without regard for more systemic support and change.
Studi Literarure: Konsep Psikologis Perawat di Masa Pandemi Covid-19
Authors: Pragholapati Andria , Hidayati Eni
Published: July 2023

The Covid-19 pandemic is a major health crisis affecting the World today, with over178,202,610 confirmed cases and 3,865,738 deaths from this disease having been reported todate. The widespread Covid-19 outbreak is associated with adverse mental healthconsequences including that of nurses. With this in mind, the existing literature on nursepsychology in the Covid-19 pandemic was retrieved through a literature search from theGoogle Scholar database, PubMed, Sciencedirect, Garuda, WHO, and KEMENKES.Published articles are classified according to the overall theme and are summarized. Theavailable literature emerges from only a few of the countries affected, and may not reflect theexperiences of people living in other parts of the world. In conclusion, nurses' psychologicalproblems are a common response to the COVID-19 pandemic. There is a need for morerepresentative research from other affected countries, especially in vulnerable populations.
Computational models can distinguish the contribution from different mechanisms to familiarity recognition
Authors: Read John , Delhaye Emma , Sougné Jacques
Published: July 2023

Familiarity is the strange feeling of knowing that something has already been seen in our past. Over the past decades, several attempts have been made to model familiarity using artificial neural networks. Recently, two learning algorithms successfully reproduced the functioning of the perirhinal cortex, a key structure involved during familiarity: Hebbian and anti-Hebbian learning. However, performance of these learning rules is very different from one to another thus raising the question of their complementarity. In this work, we designed two distinct computational models that combined Deep Learning and a Hebbian learning rule to reproduce familiarity on natural images, the Hebbian model and the anti-Hebbian model respectively. We compared the performance of both models during different simulations to highlight the inner functioning of both learning rules. We showed that the anti-Hebbian model fits human behavioral data whereas the Hebbian model fails to fit the data under large training set sizes. Besides, we observed that only our Hebbian model is highly sensitive to homogeneity between images. Taken together, we interpreted these results considering the distinction between absolute and relative familiarity. With our framework, we proposed a novel way to distinguish the contribution of these familiarity mechanisms to the overall feeling of familiarity. By viewing them as complementary, our two models allow us to make new testable predictions that could be of interest to shed light on the familiarity phenomenon.
Projections of human kinship for all countries
Authors: Alburez-Gutierrez Diego , Williams Iván , Caswell Hal
Published: July 2023

Demographers have long attempted to project future changes in the size and composition of populations, but have ignored what these processes will mean for the size, composition, and age distribution of family networks. Kinship structures matter because family solidarity--a crucial source of informal care for millions of people around the world--is conditional on kin being alive. Here, we present innovative projections of biological kin for the 1950-2100 period, and discuss what they imply for the global supply of informal care. Overall, we project that kin availability for individuals will decline dramatically. While a 65 yo woman in 1950 could expect to have 41 living kin, a 65 yo woman in 2095 is projected to have just 25 [18.8-34.7] relatives (lower and upper 80% projection intervals). This represents a 38% [15-54] global decline. The composition of family networks is also expected to change, with the numbers of living grandparents and great-grandparents markedly increasing, and the numbers of cousins, nieces and nephews, and grandchildren declining. Family networks will age considerably, as we project a widening age gap between individuals and their kin due to lower and later fertility and longer lifespans. In Italy, for example, the average age of a grandparent of a newborn is expected to increase from 78 y in 1950 to 88 y [87-88.5] in 2095. The projected changes in kin availability will put pressure on the already stretched institutional systems of social support, as more individuals age with smaller networks of family support.
Urbanization and Carbon Emission in South Asia
Authors: Acharya Khubi Ram , Acharya Himal
Published: July 2023

Background:  Rapid urbanization in South Asia has led to increased energy consumption, transportation, and construction of new infrastructure, resulting in high carbon emissions. South Asia is the world's fastest urbanizing region, and its carbon emissions are influenced by the building industry, which accounts for more than 30% of the region's energy-related carbon emissions. This issue poses a serious policy concern as South Asia is vulnerable to the impact of carbon emissions and climate change. The relationship between urbanization and carbon emissions in South Asia is the concern of this paper.
Objective: To analyze the relationship between urbanization and carbon emissions in South Asia and to test the validity of urbanization Kuznets' curve for the region.
Method: Modified version of the Influence, Population, Affluence, and Technology (IPAT) model framework is used to study the relationship between carbon emissions and urbanization in South Asia. The data spans from 1970-2019.
Results: The study finds a significant positive relationship between carbon emissions and urbanization, population, and population structure. The existence of Urbanization in Kuznets’ Curve for South Asia is proved.
Implication: The positive relationship between carbon emissions and urbanization poses a major policy challenge in South Asia. With increasing population and economic growth, sustainable urbanization must be a top priority for policymakers in order to mitigate the effects of climate change.
Performance Evaluation of Technical Analysis in the Nepalese Stock Market: Implications for Investment Strategies
Authors: Karki Dipendra , Dahal Rewan Kumar , Bhattarai Ganesh , Balla Sudeep , Lama Arun
Published: July 2023

Purpose: This study aims to examine the performance of five widely used technical indicators on Nepal Stock Exchange (NEPSE) indexes. Specifically, the study evaluates indicators such as the simple moving average, moving average convergence and divergence, relative strength index, stochastic oscillator, and Bollinger Band.
Design/methodology/approach: The study utilizes a descriptive and quantitative research design. Daily closing index data of NEPSE and its six sub-indices are analyzed for a substantial period, ranging from 1st September 2012 to 31st August 2022. The performance of the technical indicators is examined through modeling, backtesting, and statistical analysis. The technical trading rules of each indicator are incorporated into the modeling process, and the results are analyzed using different performance metrics. Furthermore, the predictability of the indicators is tested through standard statistical analysis and bootstrap techniques utilizing a random walk model.
Findings: The results of the study reveal that the technical strategies, as represented by the analyzed indicators, generally support the effectiveness of technical analysis in the NEPSE. However, the relative strength index stands out as an exception, generating negative returns. The second stage of the analysis indicates that the simple moving average, relative strength, and Bollinger band fail to generate significant returns in certain indices. The findings from the bootstrap techniques further contradict the forecasting ability of technical strategies in the NEPSE, raising questions about their real performance in the Nepalese stock market.
Practical Implications: This research provides valuable insights for investors, traders, and market participants in understanding the nuances and limitations of technical analysis in the context of the NEPSE. The findings suggest that technical indicators, notably the relative strength index, should be interpreted cautiously and that investing decisions should take into account additional factors. The study contributes to the ongoing discussion on the effectiveness of technical analysis in the Nepalese stock market, assisting practitioners to make informed decisions and better understand market dynamics.
Comparison of energy consumption, CO2 emissions between normal concrete and UHPC in rural bridge application
Authors: Kien Tong Ton
Published: July 2023

Due to its outstanding mechanical properties and durability, Ultra High-Performance Concrete (UHPC) hasbeen gradually used for different types of structures in recent years. However, the analysis of environmental impacts and the assessment of the overall sustainability performance of UHPC applications is quite limited.This study presents the results of determining the total energy embodied and CO2 emissions causing the greenhouse effect of a rural bridge using UHPC compare to the normal concrete (NC) one by the life-cycle analysis (LCA) method. Environmental impacts are comprehensively considered at all stages from material production; materials and structures transportation; in-situ construction and installation; maintenance and repair during the service life; and finally demolished at the end of the project’s life. The analysis shows that the UHPC application in rural bridge construction can reduce the total volume of materials used by 40-58%, lower 65% total energy consumption and eliminate up to 76% CO2 emissions compared with a conventional concrete bridge. The results also confirm that using UHPC is a viable technical and eco-friendly option for rural bridge construction in Vietnam.
Pengaruh posisi tindakan suction terhadap perubahan saturasi oksigen pada pasien yang terpasang ventilasi mekanik di Ruang Intensive Care Unit (ICU)
Authors: Irawati Popy , Apriana Fitri , Hasan Roswita
Published: July 2023

One of the conditions that cause respiratory failure is airway obstruction. Including obstruction of the Endotracheal Tube (ETT). Endotracheal Tube (ETT) that has been installed requires special attention in maintaining the cleanliness of the accumulation of secretions. Therefore, it is necessary to suction mucus (suction) which aims to maintain a patent airway due to accumulation of secretions. The purpose of this study is to analyze the effect of the suction position on changes in oxygen saturation in mechanically ventilated patients. This type of research is a quasi-experimental research design with one group pre-post test design. The sample technique used by the researcher is a total sampling technique with a total sample of 20 respondents. The respondents of this study were patients in the ICU who received suction. The action taken is the provision of a semi-Fowler position and a supine position when suction is performed. The statistical test used is the dependent t test. The average SpO2 before suction in the semi-Fowler position was 97.10 and after that it was 90.50. The average SpO2 before suction in the supine position was 97.75 and after that it was 85.30. The results of the comparison test between before and after the intervention obtained a p value of 0.000 (p value < 0.05). The conclusion of this study is that there is an effect of the semi-Fowler suction position and the supine/supine position on oxygen saturation in patients who are mechanically ventilated.
Eksplanasi penyuluhan multimedia tentang pencegahan anemia terhadap perilaku remaja putri mencegah anemia
Authors: Kasjono Heru Subaris , Agustiani Mia Dwi , Sunartono Sunartono
Published: July 2023

The way to cut off the chain of stunting is by inplanting clean and healthy living behaviors and consuming balanced nutrition in adolescent girls. Counseling using multimedia is more interesting than audio and visual, so it makes easier for teenagers to understand in stunting prevention.this study aims to analyze the explanation of multimedia counseling about prevention of anemia on adolescent girls behavior to prevent anemia. This study used pretest - posttest with control group design, with a quasi-experimental. The study population was 259, the samples were 90 respondents who were devided equally, they were 45 respondents to experiment groups and control groups selected by simple random sampling. Experiment groups used multimedia, while control groups used lecture and PPT. Respondents were given multimedia counseling about anemia prevention, behavioral questionnaire. Capillary blood test was conducted using Quik-Check, and the respondents were followed up every week and evaluated for 5 weeks. The results were tested using T-Test and linear regression. The results of this study obtained multimedia counseling had an effect on behavior (t = -2.22; CI = 95%; -4.628- -0.260; p value = 0.029). There was a multimedia explanation of the behavior of adolescent girls in preventing anemia.
Potret media yang digunakan untuk mendapatkan informasi MP-ASI
Authors: Widayanti Tri , Sidauruk Acihmah , Jamroni Jamroni , Anggoro Sarni , Amry Riza Yulina
Published: July 2023

Mother's knowledge about MP-ASI is a determining factor for practice of giving MP-ASI correctly. MP-ASI or complementary feeding is food or drink given to toddlers aged 6-24 months to meet nutritional needs other than breast milk. Information is the support needed to increase mothers' understanding of complementary feeding according to the needs of their age. The government has carried out several socializations both in print and electronic media related to MP-ASI in collaboration with several professions. This study was conducted to determine the media used by mothers of toddlers when getting information about MP-ASI. The method used was a case study on mothers of toddlers who have babies aged 6-24 months at the Posyandu, Sosromenduran Gedongtengen Region, Yogyakarta City. Sampling used total sampling with the instruments used to collect data about the media and mother's knowledge were questionnaires and questionnaires. The technique of collecting and presenting data uses descriptive statistics. The results of the study were as many as 27 people (52.94%) got information about complementary feeding from the internet, 15 people (29.41%) from television, 6 people (11.76%) from the smartphone group, 2 people (3.92 %) from newspapers, and 2 (3.92%) people from bulletin boards. Mother's level of knowledge about MP-ASI for toddlers aged 6-24 months at the Posyandu, Sosromenduran Gedongtengen Region, Yogyakarta City is in the good category with internet and television as information media that provide a lot of information about MP-ASI.
Evaluasi penggunaan profilaksis antibiotik bedah umum di Rumah Sakit Pemerintah di Yogyakarta
Authors: Murdiana Happy Elda
Published: July 2023

Surgical Site Infections (SSI) is an infection with surgery and surgical procedure, which occurs in the incision area or around the tissue. SSI increases the incidence of patients being admitted to the Intensive Care Units (ICU) by 60%, 5 times being hospitalized and 2 times dying. Giving prophylactic antibiotics before and after surgery will help reduce SSI if the administration of the appropriate type of drug, appropriate dose, appropriate time, and route of administration. The purpose of the study is to analyze the accuracy of the selection to reduce the incidence of SSI. This study is a cross-sectional study with retrospective data collection through the medical records of patients with general surgery in March 2019 with data from January until February 2019. The data collection technique was in the form of total sampling with inclusion and exclusion criteria. Data analysis was carried out by evaluating the use of prophylactic antibiotics and accompanying drugs descriptively and analytically in percentage. The result of the study using prophylactic antibiotics in 51 general surgery patients received the result that preoperative antibiotics were given in 98% of patients, all of the patients received antibiotics with the appropriate indication, an appropriate type of drug, and appropriate route of administration but 78,42% of patients received underdose for cefuroxime and ceftriaxone.Â  Postoperative antibiotics were given to 80,39% of patients and all patients received appropriate indication and route of drug administration, but 15,68% of patients received an inappropriate type of antibiotic, namely ceftriaxone, and 52.93% of patients received an inappropriate dose, namely cefuroxime (underdose), cefazolin (underdose) and metronidazole (overdose). The results of this study can be used as a consideration for the selection of appropriate prophylactic antibiotics to prevent the occurrence of SSI.Â Keywords: prophylactic antibiotic, general surgery, cephalosporin
Formulasi tablet kitosan cangkang kepiting bakau (Scylla serrata) dari co-processed excipient dengan PEG 4000 sebagai meltable binder
Authors: Imtihani Hilya Nur , Natarani Mutia , Sandy Yessy Kurnia
Published: July 2023

Chitosan has many functions in the health sector, one of which can be used as an anti cholesterol supplement. Co-processing is a technique carried out to obtain new additives by combining two or more existing additives, where the combinations of these materials will complement each other, so that new additives with better (superior) properties are obtained. The purpose of this study was to determine the formulation and evaluation of mud crab shell (Scylla serrata) chitosan tablets from co-processed excipients with PEG 4000 as a meltable binder with a ratio of 10% (F1) and 20% (F2). Co-processed excipients are made using the melt granulation method with additional ingredients, namely lactose as a filler and primogel as a disintegrant. Tablets were printed using the direct compression method with the addition of Mg Stearate as a lubricant. The results of the co-processed excipient evaluation showed that each granule met the requirements for the flow rate test, angle of repose test, compressibility test and Hausner's ratio. From the results of statistical tests using the Mann-whitney test method, there is a significant difference between co-processed excipient PEG 4000 10% and PEG 4000 20% as a meltable binder for the parameters of water content with F2 moisture content (1.67%) lower than in F1 (3.33%). In the evaluation of chitosan tablets, they produced tablets that met the test requirements for weight uniformity, tablet friability (F1), tablet hardness, disintegration time (F2) and did not meet the requirements for the tablet size uniformity test. The selected formula for this study was F2 with a PEG 4000 meltable binder of 20% because it produced tablets that met disintegration time with low water content.
Profil Biaya Pengobatan Serangan Asma berdasarkan Kelas Rawat Inap
Authors: Pratama Anggara Martha , Lorensia Amelia
Published: July 2023

ABSTRACTBackground of Study: Asthma is a chronic disease that requires long-term treatment. Treatment costs are one of the important things that need attention in asthma attack treatment strategies.Methods : The design of this study was non-experimental with a retrospective method, during the period January 2017 - December 2018, following the patient's medical record data. The research variable is the cost of the patient while the respondent is hospitalized. The study was conducted in a hospital in Jember City, East Java. Data collection is carried out in the data collection form, the data collection form contains the patient's identity and data on the cost of treatment while in the hospital. Then, descriptive and chi-square data analysis was carried out to see the differences between inpatient rooms.Results : The total research respondents were 99 people. Most of the respondents in all inpatient classes were at the level of mild asthma. There was no difference in the total cost of the severity of mild asthma attacks between the inpatient groups in class 2 and 3 (from the t-test with P value = 0.003), while in class 1 there is a significant difference when compared to classes 2 and 3. Meanwhile, at the moderate level of asthma attack severity, there is a significant difference when compared to classes 1 and 2.Conclusion : Most of the asthma attacks that are treated are mild and the higher the severity, the higher the cost.Keywords : cost, inpatient class, asthma attack
Perbedaan Hasil Pemeriksaan Tajam Penglihatan dan Refraksi pada Anak Usia 4-12 tahun pada Pemeriksaan Non Sikloplegik dan Sikloplegik
Authors: Boengas Sawitri , Suryadinata Rivan Virlando
Published: July 2023

ABSTRACTBackground of Study: Globally,Â  there are 19 million children with visual impairment, 12 million are caused by uncorrected refractive errors. Uncorrected refractive errors in children have the potential to cause amblyopia, severe visual impairment and even blindness. Refractive errors in children must receive proper management. Cycloplegic refraction is a gold standart method for children to minimize the effect of strong accommodation in childhood. The purpose of the study: to analyze the differences between the results of the visual acuity examination and refractive examination between the non-cycloplegic and the cycloplegic examination in children aged 4-12 years. Methods: This study is an analytical observational study through recording medical records of patients 4-12 y.o between November 2020-October 2021, which were carried out with non-cycloplegic and cycloplegic refraction. Data were analyzed by SPSS with WilcoxonTest. Results: There were 106 eyes of children consisting of 62(58%) boys and 44(42%) girls. Based on statistical tests, there was no difference in natural visual acuity on non-cycloplegic and cycloplegic examinations. There were differences between non-cycloplegic and cycloplegic refractions. The difference in refraction results towards the positive spherical 75(70,75%) children towards the negative spherical 21(19.81%) children, only 10(9,4%) children showed the same results between the two refractive stages. Conclusion: There was no difference in children's visual acuity between the non-cycloplegic examination and the cycloplegic examination, but there were differences in the results of non-cycloplegic and cycloplegic refraction in children aged 4-12 years. Therefore, the determination of the size of the glasses in children must be done through cycloplegic refraction.Keywords : Refraction, Cycloplegic Refraction, Visual Acquity, Children
Hubungan Kekuatan Otot dengan ADL pada Pasien Stroke
Authors: Sukma Dewi Nur , Fatmawati Baiq Ruli , Arifin Zaenal
Published: July 2023

Background: Stroke is a condition that occurs when the blood supply to the brain is disrupted or reduced due to a blockage. It can caused temporary or permanent loss of brain function in movement, thinking, speech, or sensation. This limitation causes stroke patients to depend on their family or others to fulfill their basic needs to carry out activities of daily living. Objective: The purpose of this study is to determine the relationship between Muscle strength and activities of daily living in stroke patients.Methods: The design used in this research is descriptive analytic with a cross sectional approach. Data analysis using Chi Square Test.Results: The results showed that respondents who experienced a mild level of dependence on Daily Living Activities were 21 people (84%) and respondents with moderate levels of dependence on Activities of Daily Living Â were 4 people (16%) from all of the 25 respondents. , the test results obtained p- value = 0.041 (<0.05).Conclusion: So it can be concluded that there is a relationship between Muscle strength and activities of daily livingÂ  in stroke patients. For further researchers, it is expected to conduct further research on other variables that can affect the daily life activities of stroke patients..Keywords: Activities of Daily Living, Muscle strength, Stroke
Statistical channel model for 6G communication networks in Banda Aceh City
Authors: Walidainy Hubbul , Nashirah Nawal , Adriman Ramzi , Away Yuwaldi , Nasaruddin Nasaruddin
Published: July 2023

Wireless technology is expected to undergo considerable transformation because of the numerous services offered by 6G communication networks, which virtually entirely encompass every part of everyday life and use a variety of devices. Channel modeling is an essential factor in designing 6G communication networks. To meet the channel requirements of future 6G communication networks, it is crucial to measure the channel to consider path loss, multi-band, fading, blocking effect, multipath clustering, transmitter, and receiver moving speed/direction/time. The goal of this paper is to design and evaluate a 6G communication network in Banda Aceh City using a statistical channel model. The channel model is associated with environmental conditions such as rainfall and humidity. The method is then based on computer simulation using the NYUSIM simulator to complete the channel modeling using an operating frequency of 95 GHz with a bandwidth of 800 MHz. In the simulator, the designed 6G channel model is evaluated in both line-of-sight (LOS) and non-line-of-sight (NLOS) network environments. In addition, the designated network parameters, such as the coverage area, angle of arrival (AoA), angle of departure (AoD), and power delay profile (PDP), are simulated.  The results, at AoA, the value of received power for LOS conditions ranges from -86 dBm to -101 dBm, while the value for NLOS conditions ranges from -91 dBm to -111 dBm. Under LOS conditions, the received power for AoD ranges from -86 dBm to -101 dBm, whereas under NLOS conditions, it ranges from -91 dBm to -111 dBm. In the omnidirectional PDP, the pathloss value for the LOS condition is 99.8 dB and the delay is 17.9 ns, while the pathloss value for the NLOS condition is 104.2 dB with a delay of 28.1 ns. For the directional PDP, the LOS condition yields a path loss of 106.4 dB and a delay of 2.9 ns, while the NLOS condition yields a path loss of 110.5 dB and a delay of 3 ns. Conclusions. The simulation indicated that the AoA, AoD, and PDP in terms of received power, pathloss, and propagation delay are in acceptable conditions for a 6G network in Banda Aceh City in the two observed environments. Therefore, it is conceivable to establish a 6G network in Banda Aceh City in the future.
Legacy Refugee Claimants in Canada: Integration and Substantive Citizenship Within a Liminal Space
Authors: Postelnyak Mariya
Published: July 2023

In 2012, during a period of refugee policy reform in Canada, nearly 32 000 asylum claimants were pushed behind in the waitlist to finalize their claim (Refugee Board of Canada, 2019). Refugee claimants who had arrived prior to enacted changes found themselves suspended within a state of undetermined status. This group, acquiring the title of â€˜legacy claimantsâ€™, was faced with establishing life in Canada inside a zone of â€˜liminalityâ€™, that is, â€œbetween recognized fixed points in space-time of structural classificationâ€ (Turner 1967, p. 96; Menjivar, 2003, p. 1007). This study seeks to explore how the obstacles faced by legacy claimants due to undetermined status impact integration and substantive citizenship. The research goals are met through a narrative analysis of legacy claimant experiences using the lens of social constructivism and by foregrounding the zone of â€˜liminal legalityâ€™ as both restrictive and conductive to new forms of inclusion and citizenship (Menjivar, 2006).

Key words: Refugees; citizenship; liminality; substantive citizenship; narrative analysis
Hubungan Persepsi Brand Image dengan Sikap Kunjungan Ulang Pasien Pelayanan Rawat Jalan di Poli Spesialis Rumah Sakit Umum Muhammadiyah Babat
Authors: Angga Delima Sari  , Satriya Wijaya  , Mursyidul Ibad
Published: July 2023

Brand image sebuah sumber keunggulan Rumah Sakit dalam menghadapi persaingan, RSMUB tergolong Rumah Sakit baru sehingga brand image masih menjadi ancaman bagi kesuksesan Rumah Sakit. Persepsi brand image dimiliki RSUMB secara keseluruhan sudah baik, akan tetapi Rumah Sakit tergolong mahal dalam segi obat dan terdapat masalah dalam komponen brand image. Tujuan Penelitian untuk menganalisis hubungan persepsi brand image dengan sikap kunjungan ulang pasien. Penelitian ini merupakan kuantitatif analitik dengan studi cross sectional. Populasi terdiri dari seluruh pasien. Sampel yang diambil sebesar 67 responden dengan teknik Systematic Probability Sampling. Teknik pengumpulan data menggunakan kuesioner. Penelitian dilakukan dalam kurun waktu 2 bulan yaitu bulan April sampai Juni. Data dianalisis menggunakan uji Rank Spearman. Hasil uji analisis statistik Rank Spearmanâ€™s didapatkan nilai signifikasi atau Sig.(2-tailed) sebesar (0,005 < 0,05). Berdasarkan hasil uji tersebut Ha yang dirumuskan diterima sehingga terdapat hubungan yang signifikan. Simpulan yang ditarik yaitu terdapat hubungan antara persepsi brand image dengan sikap kunjungan ulang pasien pelayanan rawat jalan. Saran yang direkomendasikan adalah mempertahankan brand image, evaluasi manajemen dan petugas kesehatan, dan memperbaiki serta menambah fasilitas.
Efektivitas Alumunium Sulfat dalam Menurunkan Kadar Fosfat pada Limbah Cair RSUP Dr. Tadjuddin Chalid Makassar
Authors: Rasmi Utamy Basri  , Hidayat  , Nasruddin Syam  , Alfina Baharuddin  , Abd. Gafur
Published: July 2023

WHO melaporkan limbah yang dihasilkan pelayanan kesehatan (rumah Sakit) hampir 80% berupa limbah umum dan 20% barupa limbah bahan berbahaya yang mungkin menular, beracun atau radioaktif. Salah satu karakteristik dari limbah cair rumah sakit yaitu memiliki kadar Fosfat. Tujuan dari penelitian untuk mengetahui efektifitas dan efisien alluminium sulfat dalam menurunkan kadar fosfat pada limbah cair di RSUP dr. Tadjuddin Chalid Makassar.Jenis penelitian ini adalah jenis penelitian eksperimen dengan desain pre test dan post test yang akan diuji secara deskriptif. Penelitian ini bertujuan untuk mengetahui mengetahui efektifitas dan efisien alluminium sulfat dalam menurunkan kadar fosfat pada limbah cair di RSUP dr. Tadjuddin Chalid Makassar berjumlah 6 sampel inlet limbah cair yang diambil secara langsung dibak penampungan awal serta teknik analisis data univariat dan bivariat dengan menggunakan uji statistik Paired sample t test. Hasil penelitian yang diperoleh ada perbedaan pada rata-rata pre test dan post test pada kelompok perlakuan. kadar Fosfat dengan varasi 0,25 gr/l mengalami penurunan dengan rata-rata fosfat sebelum diberi perlakuan sebesar 0,18 dan setelah diberi perlakuan mengalami perubahan sebesar 0,062.
Pengaruh Pemberian Jus Jambu Biji terhadap Peningkatan Kadar Hemoglobin pada Remaja Putri Anemia
Authors: Nurhidayah  , Sumiaty  , Yuliaty
Published: July 2023

World Health Organization (WHO) dalam worldwide prevalence of anemia tahun 2015 menunjukkan bahwa prevalensi anemia di dunia berkisar 40- 88%. Di Asia Tenggara, 25-40% remaja putri mengalami kejadian anemia tingkat ringan dan berat. Jumlah penduduk usia remaja (10-19 tahun) di Indonesia sebesar 26,2% yang terdiri dari 50,9% laki-laki dan 49,1% perempuan (Kemenkes, 2018). Prevelensi anemia anak remaja berusia 15 sampai 24 tahun di Indonesia sebesar 32%, jauh di atas standar Badan Kesehatan Dunia (WHO) sebesar 20%. Dengan   merujuk   data   Riskesdas   2018, Penelitian ini merupakan penelitian eksperimen dengan desain pre-test pos-test, penelitian ini dilaksanakan dilingkungan desa panciro kec.bajeng kab.gowa dengan sampel 28 orang remaja putri Anemia subjek dibagi menjadi 2 kelompok,kelompok kontrol dan kelompok perlakuan, kelompok perlakuan diberikan jus jambu biji sebanyak 100 gr selama 14  analisis data menggunakan uji statistik t-dependent dengan derajat kemaknaan 0,05 rata-rata hb pre-test 10,72 gr/dl (intervesi) dan 10,92 gr/dl (kontrol). Rata-rata kadar hb post-test 10,87 gr/dl (intervesi) 10,92 gr/dl (kontrol) . selisih rata-rata kadar hemogblobin sebelum dan sesudah pemberian jus jambu biji yaitu 0,002 (intervesi) dan 0,350 (kontrol) Secara statistik dengan uji paired t test menunjukkan hasil bahwa terdapat perbedaan yang bermakna dengan nilai sig= 0.002 pada nilai kadar hb sebelum dan sesudah pemberian jus jambu biji pada 14 responden kelompok intervensi. Meskipun kenaikan kadar hb sebelum dan sesudah pemberian jus jambu biji hanya sekitar 0,15 g/dL. Akan tetapi, dapat dikatakan bahwa meminum jus jambu biji dapat meningkatkan kadar hb pada responden kelompok intervensi. Dimana pemberian jus jambu ini bertujuan untuk meningkatkan kadar Hb pada penderita Anemia.
Gambaran Perilaku Pencegahan Covid-19 Pada Pedagang Di Pasar Liu Kabupaten Wajo
Authors: Afiana Rahmi  , Nurul Ulfah Mutthalib  , Ulfa Sulaeman
Published: July 2023

Virus corona atau severe acute respiratory syndrome coronavirus (Covid-19) yang menyebabkan gangguan pada system pernapasan. Masih ditemukan pedagang pasar yang tidak paham pentingnya pencegahan Covid-19. Tujuan dari penelitian ini untuk melihat gambaran perilaku pedagang pencegahan Covid-19 di Pasar Liu Kabupaten Wajo. Jenis penelitian ini adalah jenis penelitian kuantitatif dengan desain deskriptif. Pengambilan sampel dengan metode accidental sampling sebanyak 78 responden. Analisis data menggunakan distribusi frekuensi. Hasil penelitian menunjukkan bahwa sebagian besar sekitar 60% perilaku pedagang kurang baik dalam menerapkan pencegahan Covid-19 dan sekitar 40% perilaku pedagang baik dalam menerapkan pencegahan Covid-19, karena masih banyak pedagang yang kurang pengetahuan tentang pentingnya pencegahan Covid-19. Penelitian ini menyarankan kepada petugas kesehatan dan pengurus pasar untuk memperbanyak melalukan penyuluhan kepada pedagang tentang pencegahan Covid-19 sehingga dapat meningkatkan pengetahuan pedagang tentang pencegahan Covid-19.
Hubungan Beban Kerja Mental Tenaga Kesehatan Dengan Patient Safety di Puskesmas Padongko Kabupaten Barru
Authors: Nur Ainun Sabirin  , Nurfardiansyah Bur  , Yuliaty
Published: July 2023

Keselamatan pasien (patient safety) adalah pasien terbebas dari cedera yang seharusnya tidak terjadi atau bebas dari harm yang potensial akan terjadi terkait dengan pelayanan kesehatan. Penelitian ini bertujuan untuk mengetahui hubungan beban kerja mental tenaga kesehatan dengan patient safety di Puskesmas Padongko Kabupaten Barru. Jenis penelitian adalah penelitian kuantitatif dengan pendekatan cross sectional study. Sampel dalam penelitian ini sebanyak 84 responden sampel diambil dengan cara probability sampling dengan teknik proportionate strafied random sampling. Analisis data dilakukan secara univariat dan bivariat menggunakan uji chi square dengan derajat kemaknaan 0,05. Hasil analisis uji chi square menunjukkan bahwa tidak ada hubungan antara beban kerja mental dengan patient safety (p=0.170< α= 0,05), ada hubungan antara tuntutan kerja dengan patient safety  (p=0.000 < α=0,05). Ada hubungan antara motivasi kerja dengan patient safety (p=0.017< α=0,05), ada hubungan kapasitas kerja dengan patient safety (p=0,001< α=0.05), dan ada hubungan indeks massa tubuh dengan patient safety (p=0,005< α=0.05). Disarankan perlu adanya tuntutan tugas sesuai kinerja, pemberian motivasi dengan pemberian reward kepada tenaga kesehatan, sehingga kapasitas kerja pegawai akan membaik sesuai dengan standar.