bluuebunny/crossref_metadata_2025 huggingface dataset:
Kecerdasan Emosional Perawat terhadap Komunikasi Interpersonal dengan Pasien
Authors: Prihandhani IGAA Sherlyna , Hakim Nina Rismawati
Published: August 2021

This study aims to determine the relationship between nurses' emotional intelligence and interpersonal communication with patients at Siloam Hospital Bali. This research method is an observational analytic study using a cross-sectional approach. The survey results to 180 respondents using the Chi-Square correlation analysis technique obtained a p-value of 0.001 with a value of α = 0.05. In conclusion, there is a significant relationship between nurses' emotional intelligence and interpersonal communication with patients at Siloam Hospital Bali. The most influential variables were self-motivation, social relations, and empathy, and nurses who had high heart had 2.716 times the chance of having high interpersonal communication compared to nurses who had low heart.

 

Keywords: Emotional Intelligence, Interpersonal Communication, Nurse
Perawatan Diri Ibu Primipara Selama Periode Nifas
Authors: Nandia Jumiati Riskiyani Dwi , Anggorowati Anggorowati , Asmara Fatikhu Yatuni
Published: August 2021

This study aims to describe how primiparous mothers perform self-care during the postpartum period. The method used is a literature review study by searching for several articles and journals through a search process from Pubmed, Proquest, Scopus Ebsco, and Google scholar. The results showed that many primiparous mothers needed self-care education to take care of themselves and their babies during the postpartum period. Self-care for each primiparous mother during childbirth is very different, one of which is due to the knowledge and age of the mother. Primiparous mothers are more likely to learn to understand themselves in terms of self-care during the puerperium than are multiparous who have had previous experiences. In conclusion, most primiparous mothers are still less able to do self-care because primiparous mothers have no experience caring for themselves and their babies, so they still tend to learn and try harder to adjust to their conditions.

 

Keywords: Independence, Postpartum, Primipara
Asupan Karbohidrat Harian terhadap Risiko Kejadian Diabetes Melitus Gestasi (GDM) melalui Glyco-Hemoglobin Ibu Hamil
Authors: Primal Def , Putri Tetra Anestasia , Meiriza Wira
Published: August 2021

This study aims to identify the relationship between the amount of carbohydrate intake in pregnant women in the third trimester with the incidence of gestational diabetes mellitus (GDM) in the health office area of the City of Bukittinggi. This research method is a cross-sectional study using an experimental approach. The results showed that the daily intake of carbohydrates (grams) of pregnant women in the third trimester had a significant relationship with the incidence of GDM in the working area of the Bukittinggi City Health Office based on 34 pregnant women who had been examined. This can be seen from the higher the daily intake of carbohydrates for pregnant women, the increase in the percentage value of HbA1c. In conclusion, there is a correlation between the consistent daily intake of carbohydrates and the HbA1c weight, which refers to pre-diabetes status and gestational diabetes in the third trimester of pregnant women.

 

Keywords: Carbohydrate Intake; Gestational Diabetes Mellitus; HbA1c
Peran Perawat dan Bidan terhadap Pelaksanaan Inisiasi Menyusu Dini (IMD)
Authors: Sukoco Bekti , Purwanti Endah , Wibowo Ade Ragil Agung , Sari Devvyta Ferika
Published: August 2021

This study aims to see how the role of officers in the implementation of early initiation of breastfeeding (IMD) and coverage of IMD in newborns. The method used is quantitative with a descriptive analysis approach. The results showed that the role of nurses and midwives in the implementation of IMD was included in the category with the mean score of 95.39. The IMD success rate is also included in the high category with an average score of 93.75. In conclusion, the role of nurses and midwives in the implementation of IMD is in the good category and the success of IMD is also in the high category.

 

Keywords: Mother's Milk, Early Initiation of Breastfeeding, Role of Nurses and Midwives
Kemampuan Kepemimpinan Klinis Perawat Pelaksana Berdasarkan Pendekatan Clinical Leadership Competency Framework dan Faktor-Faktor Determinannya
Authors: Yusnaini Yusnaini , Arif Yulastri , Dorisnita Dorisnita
Published: August 2021

This study aims to analyze nurses' clinical leadership abilities based on the clinical leadership competency framework approach and its determinants in the inpatient room of Padangsidimpuan Hospital. The research design in this study used a descriptive-analytic correlation. The results showed that there was a significant relationship between the availability of nursing resources, management support, and work environment support with clinical leadership abilities, with a p-value for each variable, namely the availability of nurse resources (p = 0.043), management support (p = 0.000) and support work environment (p = 0.005). Meanwhile, competence has no significant relationship with nurses' clinical leadership ability in the inpatient room of RSUD Padangsidimpuan (p = 0.084). Multivariate analysis shows that management support is the most dominant variable associated with clinical leadership skills, with an Odds Ratio (OR) value of 4.476. In conclusion, nurses' clinical leadership ability must be supported by the availability of nurse resources, work environment support, and management support to obtain quality nursing services.

Keywords: Determinants, Respondent Characteristics, Clinical Leadership
Model Keperawatan Keluarga Peka Budaya Sunda dalam Meningkatkan Pengetahuan Keluarga dan Menurunkan Kadar Gula Darah pada Diabetisi Lansia
Authors: Badriah Siti
Published: August 2021

This study aims to determine the Sundanese culture-sensitive family nursing model's effectiveness in increasing family knowledge and reducing blood sugar levels in older people with diabetes. The research design used in this study was a quasi-experimental pre and post-test. The results showed an increase in the mean family knowledge and blood sugar levels of older people with diabetes in the intervention group was higher than the control group with a p-value of 0.000. In conclusion, the Sundanese culture-sensitive family nursing model can increase family knowledge in caring for older people with diabetes and impact controlling blood sugar levels after the model intervention.

 

Keywords: Sundanese Culture, Older People with Diabetes, Blood Sugar, Knowledge
Gaya Kepemimpinan Demokratis Direktur Rumah Sakit terhadap Kedisiplinan Karyawan
Authors: Sandi Fadilla Delima , Damayanti Nyoman Anita
Published: August 2021

This study aims to determine the effect of the democratic leadership style of the hospital director on the discipline of the employees of RSU DR Moedjito Dwidjosiswojo. This research method uses a survey method carried out by collecting data through a questionnaire (questionnaire). The results showed three leadership styles at Dr. Moedjito Dwidjosiswojo General Hospital, 6 with SD 0, democracy with 21 points with 5 SD, and accessible 1 with 1 SD. In conclusion, Dr. Moedjito Dwidjosiswojo's director's democratic leadership style influenced employee discipline with no evidence. Undisciplined employees based on predetermined work hours.

Keywords: Leadership Style, Employee Discipline
Faktor Demografi, Faktor Penyakit, dan Faktor Psikologis terhadap Makna Spiritual Pengalaman Sakit pada ODHA
Authors: Nurhayati Nurhayati , Azzam Rohman , Mustikasari Mustikasari
Published: August 2021

This study aims to identify the relationship between demographic factors (age, gender, latest education, occupation, religion, economic status, marital status), disease factors (initial diagnosis, opportunistic infections, medication adherence), and psychological factors (anxiety and depression). the spiritual meaning of the experience of illness in people with HIV / AIDS (PLWHA) in East Jakarta. This research method uses a descriptive-analytic method with a cross-sectional study approach. The results of this study in the bivariate analysis obtained a p-value of 0.043, meaning that there is a relationship between age and the spiritual meaning of the experience of pain, in the multivariate analysis, opportunistic infections are the dominant factor associated with the spiritual meaning of pain experiences. In conclusion, opportunistic infections are the dominant factor related to the spiritual meaning of the experience of pain.

 

Keywords: Demography, Spiritual Meaning, PLWHA, Illness, Psychology
Latihan ROM Pasif Unilateral dan Bilateral terhadap Peningkatan Kekuatan Otot Akibat Stroke Iskemik
Authors: Sholihany Ratna Fithriyah , Waluyo Agung , Irawati Diana
Published: August 2021

This study aims to compare the effectiveness of unilateral ROM and bilateral ROM exercises to increase muscle strength in post-hospitalized clients with hemiparesis due to ischemic stroke. The research method used is a quasi experimental two group pre and post test design. The results showed that there was an effect of both groups on increasing muscle strength with a p-value of 0.000, in conclusion, bilateral ROM exercises had a higher impact on increasing muscle strength compared to unilateral ROM exercises.

 

Keywords: Muscle Strength, Bilateral ROM, Unilateral ROM, Ischemic Stroke
Hipnoterapi Sugesti Langsung dan Anchoring terhadap Penurunan Kecemasan dan Tingkat Depresi pada Pasien ODHA
Authors: Sugiyono Sugiyono , Azzam Rohman , Mustikasari Mustikasari , Jumaiyah Wati , Novianti K Dian
Published: August 2021

This study aims to determine the effect of direct suggestion hypnotherapy and anchoring on reducing levels of anxiety and depression in PLWHA patients at Tarakan Hospital, Central Jakarta. This research method uses Quasi Experiment Design. The results of the Chi-square test showed that after the intervention, the level of anxiety and depression was obtained in the intervention and control groups for the anxiety variables p: 1,000 (> 0.05) and depression p: 0.621 (> 0.05). However, before and after, there was a significant change in the value of anxiety (16.7%), depression (33%) after hypnotherapy. In conclusion, there is no effect of giving direct suggestion hypnotherapy and anchoring techniques on reducing levels of anxiety and depression in PLWHA patients.

 

Keywords: Anchoring, Depression, Direct Suggestion Hypnotherapy, Anxiety, PLWHA
Stimulasi Auditori Menggunakan Murottal terhadap Vital Signs Pasien Stroke Fase Akut
Authors: Irman Irman , Natashia Dhea , Gayatri Dewi
Published: August 2021

This study aims to determine the effect of auditory stimulus therapy using murotal on changes in vital signs in acute phase stroke patients. This research is a Randomized Controlled Trial (RCT) with the single-blind method and parallel design without matching. The results of statistical tests using the T-test to determine the difference in the mean decrease in the five vital signs showed that there was a decrease in the average pain scale, blood pressure, and heart rate in the intervention group, which was more significant than the control group (p-value < 0,05). In conclusion, auditory stimulation therapy using murotal significantly reduces pain scale, blood pressure, and heart rate in acute phase stroke patients.

 

Keywords: Murotal, Auditory Stimulation, Acute Phase Stroke, TTV
Persepsi Penyakit dan Perawatan Diri dengan Kualitas Hidup Diabetes Mellitus Type 2
Authors: Nurdin Fitriyanti
Published: August 2021

This study aims to determine the relationship between pain perception and self-care with the quality of life of people with type 2 diabetes. This research method is a quantitative study with a cross-sectional study approach. The results showed that the majority of respondents were female, the age of the majority of respondents was 54.7 years, the majority of respondents' education was SMA-PT, the majority of DM treatment used pills / oral drugs, the majority of DM complications were neuropathy, the majority had long suffered from DM, which was an average of 7, 85 years, there is a significant relationship between pain perception and self-care, there is an important relationship between pain perception and DM quality of life, there is no critical relationship. In conclusion, there is no significant relationship between pain perception and quality of life for type 2 diabetes. There is no meaningful relationship between self-care and quality of life for type 2 diabetes.

 

Keywords: Type 2 Diabetes Mellitus, Quality of Life, Self Care, Perception of Disease
Depresi Postpartum Berhubungan dengan Motivasi Pemberian Asi Ekslusif Satu Bulan Pertama pada Bayi
Authors: Islamiyah Islamiyah , Wasil Sardjan Umi Rachmawati
Published: August 2021

This study aims to determine the relationship between postpartum depression and the motivation of exclusive breastfeeding for the first month of infants. This research is observational research with a cross-sectional study design with a quantitative approach. The study results using the Mann Whitney test, the significance value indicated a p-value of 0.000. In conclusion, there is a relationship between postpartum depression and mothers' motivation in exclusive breastfeeding in the first month.

 

Keywords: Exclusive Breastfeeding, Postpartum Depression, Breastfeeding, Motivation
Intervensi Health Coaching dalam Meningkatkan Self-Care Management Pasien Heart Failure
Authors: Hamid Asriyani , Sjattar Elly L , Kadar Kusrini S
Published: August 2021

This study aims to identify the literature that explores health coaching interventions in improving Heart Failure (HF) self-care management, focusing on the total duration and type of health coaching media. The research method uses literature reviews by tracing publications between 2017-2020, the Cochrane database, PubMed, ScienceDirect, ProQuest, and Garuda. The results identified five health coaching studies according to inclusion criteria and resulted in significant improvements in HF self-care management, including symptom reporting, increased physical activity, low-salt diet, fluid and drug intake, self-efficacy, adherence to measuring body weight and blood pressure, and changes. Lifestyle, even though there are differences in the health training methods used. In conclusion, the duration and different media from each study did not significantly influence improving HF self-care management.

 

Keywords: Heart Failure, Self-Care Management, Health Development
Penggunaan Madu Topikal Efektif terhadap Penyembuhan Luka Kronis
Authors: Etty Etty , Syam Yuliana , Yusuf Saldy
Published: August 2021

The aim of this study was to determine the effectiveness of topical honey in chronic wound healing. This research method uses a literature review method using five databases in search of articles, namely Pubmed, ProQuest, Science Direct, Wiley Online Library, and Google Scholar. The results of the literature review are from six research articles analyzed, five research articles showed that honey was effective against chronic wound healing compared to normal saline, povidone iodine and other therapies (p value <0.05), but one article was not statistically significant. In conclusion, the use of honey as a topical therapy which is effective in treating chronic wounds is due to the nutritional content or properties of honey.

 

Keywords: Chronic Wounds, Honey, Wound Healing, Ulcers
Terapi Musik Efektif terhadap Penurunan Kecemasan pada Pasien Kanker
Authors: Nurlina Nurlina , Syam Yuliana , Saleh Ariyanti
Published: August 2021

This study aims to determine the effectiveness of music therapy in reducing anxiety in cancer patients. The research method is a literature review using five databases, namely PubMed, ProQuest, Science Direct, Clinicalkey, and Google Scholar, using keywords based on PICO. The results showed that the five articles analyzed all articles reported that music therapy effectively reduced anxiety in cancer patients. Music has psychological, physical, social, and spiritual effects that can increase support for cancer patient care, improve mood, and improve the quality of life of cancer patients to provide nursing interventions to reduce anxiety. In conclusion, music therapy is an effective therapy to reduce anxiety from children, adults to the elderly.

 

Keywords: Cancer, Anxiety, Music Therapy
Pelatihan Kebidanan Lanjutan pada Bidan terhadap Penurunan Angka Kematian Ibu
Authors: Setiawan Arif , Chalidyanto Djazuly
Published: August 2021

This study aims to determine the effectiveness of advanced midwifery training in reducing maternal mortality. The method used is using training, discussion, and demonstration. This type of research is descriptive using secondary data on birth data and maternal mortality. Continuous training carried out during 2016 and 2017 was proven to reduce maternal mortality in Surabaya. The MMR in 10 sub-districts trained in 2015 was 113.7 per 100,000 births; this figure is still above the MDGs standard. After the MMR training was carried out in 10 sub-districts that received training in 2016, it was 81.8 per 100,000 births, and in 2017 it was 66.5 per 100,000 births. The results of the simple T-test showed a significant reduction in maternal mortality with p=0.04 (p<0.05). In conclusion, continuous training for midwives reduces maternal mortality in Surabaya.

 

Keywords: Midwifery Maternal Mortality Rate, Midwifery Training
Intervensi Pencegahan Bullying pada Anak Berbasis Sekolah
Authors: Suci Ike Sintia , Ramdhanie Gusgus Ghraha , Mediani Henny Suzana
Published: August 2021

This study aims to review or review the literature related to school-based bullying prevention interventions in children. Methods This research was conducted using a literature review method. Articles were identified using an electronic database, including PubMed, Science Direct, DOAJ, and ERIC, using keywords to answer research questions formulated using the PICOS method. The results showed that five articles were selected from 40 reports that matched the eligibility criteria. Based on the analysis results, the 5 articles had a significant effect on school-based bullying prevention interventions, such as including prevention programs in the curriculum or school extracurricular activities by involving various stakeholders. In conclusion, school-based intervention proved to be effective as an intervention to prevent bullying.

 

Keywords: Bullying, Intervention, Prevention, School
Posisi Pasien terhadap Tekanan Vena Sentral
Authors: Armi Armi , Sartika Mila
Published: August 2021

This study aims to identify an increase in central venous pressure in patients given lateral or prone position interventions and to identify the rise in central venous pressure in patients given semi-fowler position intervention in the intensive care unit. This study uses a Quasi-Experimental method with a Case-Control design. The results obtained are the p-value of 0.000, meaning that the research significantly affects the positioning of the central venous pressure (CVP). In conclusion, there was an increase in the average CVP value before and after the passive position intervention was -1,967 cmH2O; on the other hand, there was a decrease in the average CVP value before and after the semi fowler position intervention was 1,867 cmH2O.

 

Keywords: Supine and Semi Fowler Position, Central Venous Pressure
Therapy Brain Gym terhadap Short Memory Anak Retardasi Mental
Authors: Panzilion Panzilion , Andri Juli , Padila Padila
Published: August 2021

This study aims to determine the effect of brain gym therapy on increasing short memory of school-age mentally retarded children. This type of research is a quantitative study with a quasi-experimental design, one groups pre and post test design. The results showed that the t-dependent value of the brain gym pre-post test, with a p-value of 0.000 and the mean value for children who were given brain gym intervention was 10.60 with a standard deviation of 0.996. In conclusion, there is an effect of brain gym therapy on increasing short memory of school-age children at State Elementary School 05 Bengkulu City.

 

Keywords: Brain Gym, Mental Retardation, Short Memory, School Age
Teknik Alexander terhadap Tingkat Kenyamanan pada Ibu Hamil Trimester III
Authors: Apriyani Weni , Hadi Muhammad , Idriani Idriani
Published: August 2021

This study aims to determine the effect of the Alexander technique on the comfort level of pregnant women in the third trimester. This research uses a quasi-experimental design approach with a pretest-posttest design with a control group design. The paired sample t-test analysis results showed that there was a difference in the average level of comfort in the intervention group before and after being given the intervention with a p-value of 0.000. In the control group, a p-value of 0.282 was obtained. This indicates that there is no difference in the level of comfort before and after. The results of the GLM-RM test showed that the greenhouse-geisser (Sig) value was 0.000 < 0.005, and the most significant partial eta square value was in the 7th measurement (0.454). In conclusion, the alexander technique can increase comfort in third-trimester pregnant women.

 

Keywords: Third-Trimester Pregnant Women, Comfort, Alexander Technique
Obesity and Heredity for Diabetes Mellitus among Elderly
Authors: Setyawati Asih Dewi , Ngo Thi Hai Ly , Padila Padila , Andri Juli
Published: August 2021

The study has a purpose to determine obesity and heredity in diabetes mellitus case among elderly in Bengkulu. The method in this study was descriptive correlation design with the total samples were 42 elderly in Primary Health Center calls Sukamerindu, Bengkulu. The data has collected from January until March 2019. The results of unvaried study shows there were 21 people (50%) of elderly who are obese, 21 people (50%) of respondents with heredity,14 people (33.3%) with diabetes mellitus. According to the results of chi-square test, it found there was a significant correlation with obesity and genetic factor for diabetic mellitus among elderly in Bengkulu with p-value 0.003 and OR 12.667. In summary, obesity and genetic factors can increase the case of diabetes mellitus among elderly in Primary Health Center, Bengkulu. By giving an enough education and counseling by expert that will reduce the incidence of diabetes mellitus among in Primary health Center Sukamerindu, Bengkulu.

 

Keywords: Diabetes Mellitus, Heredity, Obesity
Hypnobirthing Pain Management for Maternal Pain Adaptation along Labor Process
Authors: Andriani Yessi , Primal Def , Delima Mera
Published: August 2021

The purpose of this study was to determine the effect of hypnobirthing pain management on the adaptability of maternal pain spontaneously. This study uses a quantitative approach to the design quasi-experimental design with treatment replications ( pretest posttest with control group.  Research results showed the existence difference in pain adaptation in mothers who are given hypnobirthing pain management intervention is 1,00 (able to adapt). No differences in pain adaptation in women who were not given pain management interventions hipnobirthing ie -0.62 (not able to adapt). Bivariate results revealed the influence of hypnobirthing pain management on the adaptation ability of maternal pain that gave birth spontaneously (p=0.002). We conclude that there is an influence of hypnobirthing pain management on pain adaptability. It is expected that medical services are able to apply hypnobirthing pain management to maternity mothers, and expected to make standardized services procedures on hypnobirthing management for pain relaxations.

 

 Keywords : Hypnobirthing, Pain Adaptation, Pain Management
Stimulation of Preschool Motor Development Through Brain Gym and Puzzle
Authors: Panzilion Panzilion , Padila Padila , Setyawati Asih Dewi , J Harsismanto , Sartika Andry
Published: August 2021

The purpose of this study was to determine the effectiveness of brain Gymnastics and playing puzzles on improving the motor skills in preschool children in the work area of the Basuki Rahmad Health Center in Bengkulu. The Quantitative research design used the quasy experiment design, one group pre-post test equivalent without control design. The results of the univariate analysis with brain gymnastics and playing puzzles intervention showed the 15 respondents before doing brain gymnastics and puzzle, there were nine children (60%) experiencing motor skills deviations and after giving therapy ten children (66.7%) experienced standard motor skills. The bivariate results of the Wilcoxon test have a significant effect between before and after brain gymnastics and puzzle intervention with p-value = 0.001 on motor development  at the preschool children. It can conclude that an increase in the average motor picture before and after brain gymnastics and playing puzzles interventions in the Basuki Rahmad Community Health Center in Bengkulu.

 

Keywords: Brain gym, Puzzle, Motor, Preschool
Discharge Education for Mild Traumatic Brain Injury Patients at Emergency Department
Authors: Songwathana Praneed , Nurhayati Nurhayati
Published: August 2021

This study aims to review the literature on educational interventions for the discharge of mild traumatic brain injury (mTBI) patients in the Emergency Room (IGD). Database searches were performed based on PICO queries and keywords. using ProQuest, ScienceDirect, Scopus, and PubMed for the period 2012-2019. Ten studies were reviewed. The findings revealed the contents of discharge information for mTBI patients including diagnosis, signs and symptoms, treatment and medication, pain management, home care, and ED return instructions. Four methods of discharge intervention are commonly used in the ED; written, spoken, animated and moving videos, and printed instructions measured over two time periods, either pre-discharge in the ED or follow-up 1-2 weeks post-discharge at home. In conclusion, combined teaching was more effective in terms of level of knowledge, understanding, and ED repeat visits.

 

Keywords: Discharge education, Emergency, Minor Traumatic Brain Injury
Mothers Awareness of Pneumonia and the Toddler Breastfeeding Duration Affect Pneumonia Incidence
Authors: Primal Def , Jafri Yendrizal , Fernandes Andrye
Published: August 2021

This study aims to determine the relationship between the mother's level of awareness about the pathology of pneumonia and the duration of breastfeeding under five with the incidence of pneumonia in DR. M.A. Hospital Hanafiah. This research is a retrospective analytic descriptive study with a cross-sectional design. The results showed that mothers' awareness of pneumonia was lower by 71.8%, they breastfed their babies for less than six months (71.8%), and more than two-thirds of children under five (76.9%) were diagnosed with pneumonia. Furthermore, statistical analysis significantly correlated the mothers' awareness of pneumonia and the duration of breastfeeding they performed on their children with pneumonia. The conclusion is that the mother's understanding of pneumonia has a linear effect on the incidence of pneumonia in infants and toddlers. The duration of breastfeeding has a significant impact. We assume that non-exclusive breastfeeding in infants stimulates underweight and immunological disorders that accelerate the incidence of pneumonia.

 

Keywords: Mother's Awareness, Length of Breastfeeding, Toddler Pneumonia
Changes of Blood Pressure in Hypertension Patients Through Isometric Handgrip Exercise
Authors: Andri Juli , Padila Padila , Sartika Andry , Andrianto Muhammad Bagus , J Harsismanto
Published: August 2021

This study aims to identify the effect of isometric handgrip exercise on changes in blood pressure in people with hypertension. Quasi experimental research design with two group pretest postest research design on 16 respondents. The results showed that there were changes in systolic and diastolic blood pressure after the isometric handgrip exercise intervention (t = 8,279, p = 0,000), (t = 6,154, p = 0,000). In conclusion, there was a difference between the decrease in systolic and diastolic blood pressure in the isometric handgrip exercise intervention group.

 

Keywords: Blood Pressure, Hypertension, Isometric Handgrip Exercise
Glomangiomyoma of Uncertain Malignant Potential in the Urinary Bladder: A Case Report
Authors: Chalise Sanat , Jha Abhimanyu , Neupane Prakash Raj
Published: August 2021

Glomus tumour typically occurs in subcutaneous tissue but rarely in the visceral organs. Most glomus tumours are benign but few atypical glomus tumours have been reported. Herein, we report a case of a 44-year-old male who presented with hematuria. Transurethral resection of bladder tumour was done. Microscopic examination showed nests and sheets of tumor around the blood vessels. Spindle cells resembling smooth muscle were also observed. An increase in mitosis was observed. These tumour cells show diffuse and strong cytoplasmic positivity for smooth muscle actin and negative for Pancytokeratin, Desmin, Synaptophysin, Chromogranin, S100, and Cluster of Differentiation 34. Ki-67 index was approximately 5%. To our knowledge, this is the first report of Glomangiomyoma of uncertain malignant potential in the urinary bladder which is considered as an unusual variant of atypical glomus tumor. This case emphasizes the importance of broad differential diagnosis which has to be considered in the urinary bladder mass.
Depression among Medical Students of a Medical College in Nepal during COVID-19 Pandemic: A Descriptive Cross-sectional Study
Authors: Adhikari Aarshee , Sujakhu Ezna , GC Sandervee , Zoowa Sabin
Published: August 2021

Introduction: Depression is a common mental disorder. Medical school is a stressful environment. The outbreak of COVID-19 has added to the plight of medical students. This study was conducted to determine the prevalence of depression among medical students of a medical college in Nepal during the COVID-19 pandemic.
Methods: A descriptive cross-sectional study was conducted among medical students of a medical college in Nepal from August 2020 to September 2020. The sample size of our study was 223. A convenient sampling method was adopted for the selection of respondents. The study was approved by the Institutional Review Committee (Reference no:321). The data were analyzed using Statistical Package for Social Sciences version 22. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. The study instrument consisted of the Patient Health Questionnaire and socio-demographic information.
Results: Out of 223 participants, the prevalence of depression was seen among 52 (23.3%) (17.7%-28.9% at 95% Confidence Interval) students in our study. Among them, 25 (48.1%) females and 27 (51.9%) males were depressed. The prevalence of depression was higher in preclinical years (first and second year) than in clinical years (third, fourth and final year).
Conclusions: The prevalence of depression among medical students in Nepal during the pandemic was less than the findings of similar studies conducted in Nepal before the pandemic. Further studies are required to get more knowledge about the factors associated with mental health of medical students.
Indigenous people’s education, career aspirations, career choice and challenges among senior high school students in rural communities in Palawan
Authors: Perez Andrea Josefa D. , Perez David R. , Illescas Carolyn M.
Published: August 2021

The study aims to determine the Indigenous people’s education, career aspirations, career choice, and challenges among senior high school students in rural communities in Palawan. The qualitative and quantitative methods used in the study. Mean, frequency counts, percentages, T-test, and Pearson Moment Correlation were employed. Results revealed that most of the parents had ages 39-44 years old, female, high school level, farmers, and earned below 1,000. As for ethnicity, most of them belong to the Palawan tribe, had 3-4 number of children, and a cash conditional transfer recipient. It also revealed that most of the learners had ages between 18-19 years old, female, Palawan, the first child in the family, enrolled under Technical Vocational and Livelihood, and traveled 5 kilometers distance of residence to the school. There is no significant relationship Between Parent-Respondents Profile and Career Aspirations of the Learners except in parents’ age. There is no significant Relationship Between Learner-Respondents Profile and their Career Aspirations except in age, sex, and track profile. There is no significant relationship between the demographic profile of the parents and the educational challenges except in parent’s occupation, cash conditional transfer recipient, and several children. There is no significant relationship between the learner’s demographic profile and the educational challenges except in distance from school, birth order, and sex. There is a significant difference between career aspirations among learners and their parents, while there is no significant difference between the career choice among indigenous learners and their parents and educational challenges among learners and parents.
The development of leadership through islamic education: An empirical inquiry into religiosity and the styles of educational leadership experienced
Authors: Suddahazai Imran Hussain Khan
Published: August 2021

The research undertaken sought to address a critical vacuity within contemporary Muslim scholarship on 'educational leadership. The empirical investigation explored the relationship between the formation of 'Religiosity' and the styles of 'Educational Leadership' as experienced by graduates of Muslim Institutes of Higher Education in the UK (MIHEUK). The study was conducted via a single case design with embedded units of analysis. The instruments utilized for data collection were the Muslim Subjectivity Interview Schedule (MSIS), Semi- Structured Interviews (SSI), and Focus Group Discussions (FGD). The data was analyzed to deduce the participants' mode of subjectivity by adopting an established criterion developed by Sahin. The study concluded that the educational leadership' styles of Muslim educators working within traditional and hybrid MIHEUK influenced modes of 'religiosity' and 'subjectivity' of Muslim students.
Principal leadership and school performance: Intergrating instructional and transformational leadership in South African schools context
Authors: Shava George Nervious
Published: August 2021

This study aimed to examine the integration of instructional and transformational models of leadership in sustaining school improvement. The question of how the integration of instructional and transformational leadership in schools can influence learners' performance has received a significant amount of interest among researchers. Literature reviews have found two key approaches: educational and transformational leadership models to establish the most appropriate school leadership model. Therefore, this article reports on qualitative research used to arrive at an in-depth understanding of integrating instructional and transformational leadership in enhancing school performance. Data was collected through semi-structured interviews with principals in one educational province. Purposive sampling techniques were used to select participants for the study. Findings from the study established that integrating the two models had the potential to enhance learner performance. This study has shown that the integration of instructional and transformational leadership models led to a climate that promotes a culture of teaching and learning, hence increasing quality learning outcomes.
Addressing english reading comprehension difficulties by Somali origin pupils in England primary schools: Using parents as resources
Authors: Abikar Shamsudin
Published: August 2021

The question of whether classroom reading activities in primary schools in England can be solely relied on to be sufficient for English as additional language (EAL) pupils to comprehend English text was the focus of the paper. Two case studies where Somali origin EAL pupils involved in learning English reading comprehension were utilized as a springboard to develop my argument that parents are an intrinsic part of developing pupils’ English comprehension as they may constitute financially less expensive and rich resources in terms of cultural experiences. Furthermore, England’s education policy regarding EAL pupils, reading for comprehension, and factors that influence it: vocabulary knowledge, teacher -students ratio in England school and parental involvement in schools were explored to provide an answer for the question of whether only reading for comprehension activities in the classroom is enough to promote the understanding of EAL Somali origin. It was argued that only those activities are not sufficient, and there is a need for the use of parents as resources to enrich the text input, which potentially increases the comprehension skills of Somali origin EAL pupils.
The religion in higher education curriculum referring to Indonesian qualification framework: The inclusion of neuroscience and anti-corruption education
Authors: Suyadi Suyadi , Nuryana Zalik , Sutrisno Sutrisno
Published: August 2021

The research aims to develop the curriculum of the Higher Education Curriculum, specifically Islamic religion, referring to the Indonesian National Qualification Framework (KKNI). The problem raised in this research is the redesign of the curriculum in Indonesia, especially the formation of new courses such as the neuroscience of Islamic education and anti-corruption education, which have not considered the breadth of study material and calculation semester credit units that are not accountable. This research was conducted in three stages: curriculum analysis, curriculum matrix design, and curriculum matrix experimentation. The research subjects involved 133 lecturers in the Higher Education Institutions of Religion, both Islamic, Catholic, and Hindu in Indonesia. The findings indicate that the developed matrix design can be used as an integrative tool for forming subjects and calculating semester credit unit weights in a mathematical and accountable manner, and accommodating the development of Islamic education, particularly neuroscience and anti-corruption education. This matrix can complement Kim's research on syllabus ontology identification and lesson study innovation developed by E. Purwaningsih and D. Nurhadi.
The Place of Histochemical Stains for Differential Diagnosis in Duodenal Biopsies
Authors: Altındal Susem Ebru , Eroğlu Mehtap , Acar Elif , Bayram İrfan
Published: August 2021

The biopsy is the primary examination method in diagnosing duodenal pathologies and Gluten enteropathy that can cause symptoms such as gas, diarrhea, weight loss, anemia, osteoporosis. Allows monitoring of response to therapy. Histochemical studies are inevitable in specific findings such as reactive changes, giardia, subepithelial collagen thickening, fibrosis, and gastric metaplasia. We aimed to understand the contribution of histochemical applications to differential diagnosis and to show their superiority compared to hematoxylin-eosin sections in routine use by simultaneously making histomorphological evaluations on hematoxylin and eosin sections. This research is a retrospective study conducted in 2011, using the archives of Yüzüncü Yıl University, Faculty of Medicine, Department of Pathology, between 2001-2010. Ten normal, 50 Gluten enteropathy and 50 duodenitis samples; Along with histopathological examinations, we applied Masson Trichrome, Periodic acid-Schiff, Periodic acid-Schiff with diastasis, Periodic acid Schiff-Alcian Blue, High Iron Diamine-Alcian Blue. Chi-square, likelihood ratio tests, and SPSS (ver: 13) statistical package program used. We detected microscopic findings parallel to diagnostic criteria. While the number of goblet cells and intraepithelial neutrophils did not differ in the groups (P =0.176 and P=0.096), there was a significant variation in the intraepithelial lymphocyte count (P=0.010). The frequency of flattening and blunting of the villi, crypt hyperplasia, and Brunner gland hyperplasia were significant in gluten enteropathies (P=0.000). Conclusion We could not find any difference in specific pathologies associated with histochemical studies in our group, so hematoxylin-eosin sections are more valuable in the differential diagnosis.
Risk Of Malignancy Index 4 Performance as a Predictor Advanced Stage Epithelial Ovarian Carcinoma Used for Neoadjuvant Chemotherapy
Authors: Nurseta Tatit , Harnandari Dhian Eka Putri , Herliawati Putu Arik , Nooryanto Mukhamad , Handayani Puspita
Published: August 2021

The relatively low survival rate in patients with advanced-stage carcinoma ovaries requires early detection to improve treatment outcomes. The method currently used to determine the administration of neoadjuvant chemotherapy is ascites cytology and laparoscopic. This study aims to find a non-invasive technique in determining preoperative Neoadjuvant Chemotherapy administration, and that method can use as a predictor of advanced epithelial ovarian carcinoma. The benefit of this study is to help clinicians consider administering neoadjuvant chemotherapy with a Risk Of Malignancy Index 4 score. An analytical observational study with a retrospective cross-sectional type study with samples of all patients from January 2016 to January 2020 diagnosed at the dr. Saiful Anwar Hospital in Malang indonesia. The number of initial samples of this study is 106 samples. Between the results of the Risk Of Malignancy Index 4 score and the histopathological results, it finds that the p-value was less than 0.05 (p<0.05) indicates that the Risk Of Malignancy Index 4 score is very good for predicting advanced epithelial ovarian carcinoma. With a sensitivity of 86,2%, specificity of 87,5%, the cut of value Risk Of Malignancy Index 4 to be a predictor of advanced ovarian carcinoma is 2982. This study indicates that the Risk Of Malignancy Index 4 score is excellent for predicting the stage of Epithelial Ovarian Carcinoma. This cut-off value can reference preoperative neoadjuvant therapy to avoid morbidity and mortality due to the high risk of surgery.
Early Relapse After Autologous Stem Cell Transplantation in Multiple Myeloma is Still Prognostic in The Era of Novel Agents
Authors: Başcı Semih , Yiğenoğlu Tuğçe Nur , Uncu Ulu Bahar , Bakırtaş Mehmet , Şahin Derya , Darçın Tahir , Yıldız Jale , Merdin Alparslan , Baysal Nuran Ahu , İskender Dicle , Kızıl Çakar Merih , Dal Mehmet Sinan , Hacıbekiroğlu Tuba , Altuntaş Fevzi
Published: August 2021

Significant improvements in the prognosis of Multiple Myeloma(MM) have recently observed in the era of novel agents. Induction treatment, including new agents followed by conditioning regimen and upfront autologous stem cell transplantation(ASCT), has been accepted as the standard treatment approach for newly diagnosed eligible MM patients. Despite novel agents, upfront ASCT is still superior to conventional chemotherapy alone. Previous studies revealed that the duration between ASCT and relapse had predicted overall survival(OS), and meantime, it was widely used to determine the potential benefit from a second ASCT. However, the majority of the data collected reflects the treatment modalities before novel agents. In this study, we aimed to investigate the impact of post-transplantation early relapse(ER) on survival in the era of novel agents. The results of 155 MM patients that underwent ASCT at our center between January 2010 and May 2018 were analyzed retrospectively. The median follow-up duration was 20 months in the ER group, 27 months in the non-ER group, and 24 months in all patients. 33.3% of patients in the ER group and 71.4% of patients in the non-ER group were alive at the time of analysis. Median OS was 20.77±3.66 months in the ER group and 40.89±4.21 months in the non-ER group. We found a statistically significant relationship between the ER and the poor OS (p:<0.001). Our study reveals that in the era of novel agents, ER still related to poor survival. Therefore, comprehensive studies needed to develop new strategies for early relapsed patients.
Comparative Test of Ret-He Examination in Diagnosis of Iron Deficiency in Pregnant Women
Authors: Nugraha Gilang , Masruroh Nur , Kurniasari Diyan Wahyu
Published: August 2021

The most common cause of anemia is iron deficiency, which found in 50% of anemia cases. There are 66.7% of pregnant women in Indonesia that still lack iron intake. Reticulocyte hemoglobin equivalent (Ret-He) examination as a single parameter is the initial indicator of iron deficiency, considered more sensitive in detecting iron reserves in the body. This study aims to determine the effectivity of the Ret-He examination as a single parameter in establishing the diagnosis of iron deficiency in pregnant women. This research was conducted on 30 pregnant women. The sensitivity, specificity, and predictive value of Ret-He were determined by comparing the results of the biochemical examination of iron profiles. Iron deficiency defined as an abnormal examination result on two or more biochemical parameters, which were SI <50 µg/dL, TIBC >425 µg/dL, serum ferritin <10 ng/mL and Transferrin Saturation <15.0%. Between 30 pregnant women, there were 18 (60%) with iron deficiency and 12 (40%) without iron deficiency. Ret-He levels were significantly lower in pregnant women with iron deficiency (P=0.008). A decrease in the Ret-He level in iron deficiency positively correlated with serum Ferritin (r=0.433). The effectivity of the Ret-He examination had an AUC value of 0.785 (P=0.009). Ret-He diagnostic reliability had at a cut-off value of 27.2 pg with sensitivity (87.5%), specificity (50.0%), positive predictive value (38.9%), and negative predictive value (91.7%). Ret-He examination is a useful marker of iron deficiency in pregnant women so that it can be applied for screening or as a routine examination.
Stability of Routine Hematology Sample Using The Medonic M-Series Analyzer
Authors: Maharani Eva Ayu , Astuti Dewi
Published: August 2021

Routine hematology tests (Hb, Hct, RBC, WBC, PLT) generally done by automation methods using a hematology analyzer. Ideally, the examinations should be done as soon as possible, although, in some circumstances, it can be delayed. Based on the literature, the sample for routine hematology testing should be processed within 4 – 8 hours of venesection. Some studies revealed that the sample could be stored for up to 48 hours, and it can be influenced by the technology applied to the hematology analyzer. Studies conducted to see the stability of the samples using a hematology analyzer with impedance technology. Tests performed on whole blood samples collected from 12 ostensibly healthy individuals, immediately after collection (fresh sample, <1hour) and 2h, 4h, 6h, 8h, 24h, 48h afterward. The samples stored at room temperature (20-240C) and 2-60C. There are no significant differences after 48 h under different storage conditions for Hb, Hct, RBC, PLT count, except for WBC count that has a significant difference at temperature 2-60C. CV for Hb, Hct, RBC, PLT, WBC count is less than 5% at room temperature. WBC and PLT count have a CV of more than 5% at 2-60 C. Sample for Hb, Hct, RBC was found to be stable up to 48 h at room temperature and 2-60C. PLT and WBC count were stable for 48 h if stored at room temperature.