bluuebunny/crossref_metadata_2025 huggingface dataset:
Serological and bacteriological evaluation of brucellosis in milk of small ruminants
Authors: Almashhadany D.A.
Published: August 2021

Brucellosis continues to be a serious infection to human and animal populations in
developing countries with detrimental impacts on public health and food animal
production. This work aimed to estimate the prevalence of brucellosis in sheep and goats’
raw milk samples at Kirkuk Governorate, Iraq by identifying anti-Brucella antibodies and
isolation of Brucella species. A total of 430 raw milk samples (210 sheep milk and 220
goats’ milk) were randomly collected from dairy females during the period from July to
December 2019. The results showed an overall prevalence of Brucella antibodies in
12.3% and 10.7% of animals according to MRT and indirect ELISA, respectively. The
overall isolation of Brucella species from raw milk samples was 10.0%. The isolated
species of Brucella were B. abortus (37.2%) and B. melitensis (62.8%). An observable
increase in occurrence during autumn (September to November) was detected, while
autumn progress was associated with declining in brucellosis. In conclusion, brucellosis is
still a significant public health hazard in Kirkuk Governorate. Based on test performance,
the study recommends MRT as a rapid screening test for detecting brucellosis in milk in
farms, centres, and dairy factories. Consumers are also recommended to sufficiently
pasteurize the milk in order to kill this milk-borne pathogen before consumption.
A Third Space: Architecture Through a Lens of Decolonisation
Authors:   , Tuckey Ellie
Published: August 2021

In Aotearoa New Zealand our history of colonisation means that Western structures imbue all areas of our lives and the world in which we live is based upon Western ideologies. In its many states – buildings, space, process and theory – architecture holds an important role in society as a physical and abstract framework that structures the ways in which we live. Architects have the agency and power to represent identity in built form and this places responsibility on them to ensure that the values and worldviews of others are represented genuinely.

This thesis explores how architects (particularly Pākehā) can enable Third Space in the design process. Third Space is the culmination of a theoretical framework that examines decolonisation, architecture and identity, and design process. It is a figurative environment in which contributors from different backgrounds can bring forth ideas, values and opinions to be meaningfully discussed and valued. A flexible strategy – informed by ‘a kind of Kaupapa Pākehā way’ and participatory action research methodologies – utilises immersive tools such as PC games, virtual and augmented realities to explore the catalysation of Third Space in three projects. The first two projects resulted in the development of two different PC games that aimed to aid the architect’s collaboration with Christchurch and Kiribati youth respectively. The lessons learnt from these two incubator projects were brought into the third project which explored decolonising education with Ngāti Toa rangatahi.

This research found that for meaningful discussion and negotiation to occur in this conceptual Third Space, there needs to be a balance of power and agency between designers and community end-users. It found that high-quality relationships based on the concept of Third Space can be enabled through greater spatial understanding, something that can be supported by visuospatial languages such as computer games and immersive virtual and augmented reality experiences. This is represented in a collaboratively developed process with fellow student Mitra Homolja and called A Mana ki te Mana Process.
A Third Space: Architecture Through a Lens of Decolonisation
Authors: Tuckey Ellie
Published: August 2021

In Aotearoa New Zealand our history of colonisation means that Western structures imbue all areas of our lives and the world in which we live is based upon Western ideologies. In its many states – buildings, space, process and theory – architecture holds an important role in society as a physical and abstract framework that structures the ways in which we live. Architects have the agency and power to represent identity in built form and this places responsibility on them to ensure that the values and worldviews of others are represented genuinely.

This thesis explores how architects (particularly Pākehā) can enable Third Space in the design process. Third Space is the culmination of a theoretical framework that examines decolonisation, architecture and identity, and design process. It is a figurative environment in which contributors from different backgrounds can bring forth ideas, values and opinions to be meaningfully discussed and valued. A flexible strategy – informed by ‘a kind of Kaupapa Pākehā way’ and participatory action research methodologies – utilises immersive tools such as PC games, virtual and augmented realities to explore the catalysation of Third Space in three projects. The first two projects resulted in the development of two different PC games that aimed to aid the architect’s collaboration with Christchurch and Kiribati youth respectively. The lessons learnt from these two incubator projects were brought into the third project which explored decolonising education with Ngāti Toa rangatahi.

This research found that for meaningful discussion and negotiation to occur in this conceptual Third Space, there needs to be a balance of power and agency between designers and community end-users. It found that high-quality relationships based on the concept of Third Space can be enabled through greater spatial understanding, something that can be supported by visuospatial languages such as computer games and immersive virtual and augmented reality experiences. This is represented in a collaboratively developed process with fellow student Mitra Homolja and called A Mana ki te Mana Process.
The evolving appreciation of projects – a study of stakeholder dynamics
Authors:   , La Van
Published: August 2021

Even though many project management techniques and methods have been developed and established, project managers and practitioners still find themselves unprepared and overwhelmed by the complexity and changing nature of stakeholder thinking and behaviour. The literature of stakeholder management and stakeholders in projects indicates that this complexity can be explained by the dynamics, complex interactions, and individual differences of project stakeholders. Thus, stakeholder perception and their social networks are dynamic and influence each other during project implementation. Both of them are also affected by the individual characteristics of stakeholders, which are linked to their past experience and background. However, while studies have focused on stakeholder dynamics as influenced by their social networks, very few of them focus on these dynamics as influenced by both the social networks and individual characteristics of stakeholders. This research addresses this gap by considering both aspects in the analysis of stakeholder dynamics or in other words, stakeholder dynamics at individual levels. The research follows the social constructionist paradigm and uses Vickers’ concept of appreciative systems as the theoretical lens. Through this lens, the above dynamics of stakeholder perception are described as the dynamics of their appreciation of projects as influenced by their standards and perceptions of events and ideas. The Repertory Grid Technique was the main data collection and analysis method. Data were collected from 47 interviews with ten participants who were each involved with one of three university accreditation projects, two in Vietnam and one in New Zealand. Data analysis consisted of the principal component analysis of repertory grids to identify the changes in standards and appreciation, the integration of these changes with the participants’ perceptions of events and ideas through the lens of Vickers’ concept, and the identification of the common themes.

 The research found that stakeholders may change the interactions that they focus on and their levels of concern about these interactions during project implementation. The drivers of these dynamics are the changes in the standards and social networks of stakeholders. A framework is proposed to summarise these dynamics and drivers. Overall, the research provides further understanding of the complex dynamics of stakeholders as influenced by their individual characteristics. Based on this understanding, the research identifies empirical strategies for project managers to understand and address stakeholders at individual levels. Finally, the research suggests potential directions for future research of stakeholder dynamics in projects.
The evolving appreciation of projects – a study of stakeholder dynamics
Authors: La Van
Published: August 2021

Even though many project management techniques and methods have been developed and established, project managers and practitioners still find themselves unprepared and overwhelmed by the complexity and changing nature of stakeholder thinking and behaviour. The literature of stakeholder management and stakeholders in projects indicates that this complexity can be explained by the dynamics, complex interactions, and individual differences of project stakeholders. Thus, stakeholder perception and their social networks are dynamic and influence each other during project implementation. Both of them are also affected by the individual characteristics of stakeholders, which are linked to their past experience and background. However, while studies have focused on stakeholder dynamics as influenced by their social networks, very few of them focus on these dynamics as influenced by both the social networks and individual characteristics of stakeholders. This research addresses this gap by considering both aspects in the analysis of stakeholder dynamics or in other words, stakeholder dynamics at individual levels. The research follows the social constructionist paradigm and uses Vickers’ concept of appreciative systems as the theoretical lens. Through this lens, the above dynamics of stakeholder perception are described as the dynamics of their appreciation of projects as influenced by their standards and perceptions of events and ideas. The Repertory Grid Technique was the main data collection and analysis method. Data were collected from 47 interviews with ten participants who were each involved with one of three university accreditation projects, two in Vietnam and one in New Zealand. Data analysis consisted of the principal component analysis of repertory grids to identify the changes in standards and appreciation, the integration of these changes with the participants’ perceptions of events and ideas through the lens of Vickers’ concept, and the identification of the common themes.

 The research found that stakeholders may change the interactions that they focus on and their levels of concern about these interactions during project implementation. The drivers of these dynamics are the changes in the standards and social networks of stakeholders. A framework is proposed to summarise these dynamics and drivers. Overall, the research provides further understanding of the complex dynamics of stakeholders as influenced by their individual characteristics. Based on this understanding, the research identifies empirical strategies for project managers to understand and address stakeholders at individual levels. Finally, the research suggests potential directions for future research of stakeholder dynamics in projects.
The Past, Present, and Future of Tuna at Lake Moāwhitu: Drawing on the two knowledge baskets of Mātauranga Māori and Western Science
Authors:   , Parai Russleigh
Published: August 2021

Knowledge generated through experience and understanding relies on the senses, one of which is listening. This thesis provides an opportunity to hear the diminishing voice of tuna utilizing paleolimnological techniques and our natural senses through traditional Indigenous methodologies in order to track the presence of tuna back in time.

This study provides historical environmental context of Lake Moāwhitu catchment (Rangitoto ki te Tonga) as a once significant mahinga kai site for manawhenua, Ngāti Koata. The strong connection to place is not lost on Ngāti Koata despite for many their geographic detachment to their turangawaewae. They hear the voice of tuna calling them back to sustain them as they have sustained Māori from the beginning of time. Now considered wāhi tapu due to significant degradation, Moāwhitu is currently undergoing remedial intervention by Ngāti Koata, DoC, Lakes380 and stakeholders to restore the mauri (life force) of the Lake and adjacent wetland ecosystem.

Drawing from two distinct knowledge streams of western science and mātauranga Māori, this study draws new (on-site) understandings about the anthropogenic impacts on tuna as well as their status and relationship as tuākana (older sibling) to Māori. Through this journey a ‘te ao Māori’ (Māori worldview) is explored, revealing a historically healthy and abundant tuna population and thriving tuākana-teina relationship up until recent decades. This information complements the environmental reconstruction derived from western science methods applied to a lake Moawhitu sediment core spanning the last 1000 years or so. Through a combination of palynology, hyperspectral scanning and bacterial environmental DNA metabarcoding, it is clear that lake water quality remained high despite various historical land cover and land use changes, until recent decades when deteriorating quality has accompanied a rise in cyanobacteria and toxic algal blooms. These changes appear to coincide with intensified pastoralism accompanying draining of the lake and fringing wetlands since the mid-twentieth century. How tuna have endured these recent human impacts and why their survival and sustainability is important to Aotearoa today is at the heart of this thesis which seeks to explore how two vastly different knowledge streams converge and navigate unchartered waters. The two knowledge baskets (with their respective world views) are held up for the reader to view and consider what an effective collaborative partnership looks like by recognising basic intrinsic values of respect, reciprocity and kindness. The challenge remains to draw out the very best of people (he tangata) as a way to bring about urgent regenerative solutions for our tuākana, tuna, and in turn humanity itself.
The Past, Present, and Future of Tuna at Lake Moāwhitu: Drawing on the two knowledge baskets of Mātauranga Māori and Western Science
Authors: Parai Russleigh
Published: August 2021

Knowledge generated through experience and understanding relies on the senses, one of which is listening. This thesis provides an opportunity to hear the diminishing voice of tuna utilizing paleolimnological techniques and our natural senses through traditional Indigenous methodologies in order to track the presence of tuna back in time.

This study provides historical environmental context of Lake Moāwhitu catchment (Rangitoto ki te Tonga) as a once significant mahinga kai site for manawhenua, Ngāti Koata. The strong connection to place is not lost on Ngāti Koata despite for many their geographic detachment to their turangawaewae. They hear the voice of tuna calling them back to sustain them as they have sustained Māori from the beginning of time. Now considered wāhi tapu due to significant degradation, Moāwhitu is currently undergoing remedial intervention by Ngāti Koata, DoC, Lakes380 and stakeholders to restore the mauri (life force) of the Lake and adjacent wetland ecosystem.

Drawing from two distinct knowledge streams of western science and mātauranga Māori, this study draws new (on-site) understandings about the anthropogenic impacts on tuna as well as their status and relationship as tuākana (older sibling) to Māori. Through this journey a ‘te ao Māori’ (Māori worldview) is explored, revealing a historically healthy and abundant tuna population and thriving tuākana-teina relationship up until recent decades. This information complements the environmental reconstruction derived from western science methods applied to a lake Moawhitu sediment core spanning the last 1000 years or so. Through a combination of palynology, hyperspectral scanning and bacterial environmental DNA metabarcoding, it is clear that lake water quality remained high despite various historical land cover and land use changes, until recent decades when deteriorating quality has accompanied a rise in cyanobacteria and toxic algal blooms. These changes appear to coincide with intensified pastoralism accompanying draining of the lake and fringing wetlands since the mid-twentieth century. How tuna have endured these recent human impacts and why their survival and sustainability is important to Aotearoa today is at the heart of this thesis which seeks to explore how two vastly different knowledge streams converge and navigate unchartered waters. The two knowledge baskets (with their respective world views) are held up for the reader to view and consider what an effective collaborative partnership looks like by recognising basic intrinsic values of respect, reciprocity and kindness. The challenge remains to draw out the very best of people (he tangata) as a way to bring about urgent regenerative solutions for our tuākana, tuna, and in turn humanity itself.
The impacts of camera placement on species detectability in an Indonesian terrestrial community
Authors:   , Van Dam Eric
Published: August 2021

Ecologists have increasingly favoured the use of camera traps in studies of animal populations and their behaviour. Because camera trap study design commonly implements non-random selective placement, we must consider how this placement strategy affects the integrity of our data collection. Selective placement of camera traps have the benefits of 1) maximizing the probability of encounter events by sampling habitats or microhabitats of known significance to a focus or closely-related species and 2) reducing data collection and maintenance effort in the field by situating cameras along more easily-accessible landscape features. Introducing a non-random survey method, such as selective placement, into a project studying a species or community that also expresses non-random habitat use may lead to unintentionally biased data and inaccurate results. By using a paired on-trail/off-trail camera-trap study design, my aim is to investigate potential differences in popular ecological indices, species detection probability (p) using multi-method occupancy models, and intraspecific temporal activity for a terrestrial community in Gunung Palung National Park in Indonesian Borneo. Differences in detection probability between on and off-trail cameras were compared against species characteristics (including body size, diet, and taxonomic group) to find potential correlations. While several species exhibited a significant difference in detection probability between cameras placed on foot trails and those placed randomly off-trail, there was no measured community trend. This stresses my conclusion further that a non-random study design leaves results open to bias from unknown patterns in detection due to underlying variation in behaviour and microhabitat use. Selective placement may be effective for increasing detection probability for some species but can also lead to substantial bias if the features selected for are not explicitly taken into account within the analysis or balanced with a control in the study design. In addition, a positive interactive effect was found between on trail species detection and body size for the terrestrial omnivore guild, and three species presented significant variation in temporal activity between camera placement types. This provides evidence that camera placement not only affects species state parameters and indices but has a noticeable impact on behavioural observations that require accountability as well.
Leadership toward positive workplace culture in Aotearoa New Zealand: clinical nurse manager perspectives
Authors:   , Graham Krystle
Published: August 2021

Clinical nurse managers play a vital role in the healthcare system. They are responsible for the day to day running of departments and ensuring that patients are safely cared for. The leadership behaviour and practices of a clinical nurse manager are fundamental for establishing and maintaining positive workplace culture, which is important for nurse performance and quality patient outcomes. This research sought to understand how clinical nurse managers build positive culture in their workplace and to identify leadership attributes and actions that they perceive to be important for generating positive workplace culture. Furthermore, it aimed to identify the challenges of creating positive workplace culture in Aotearoa New Zealand.

A qualitative descriptive design was used to capture rich in-depth understanding and insight into clinical nurse manager experiences of positive workplace culture from their position in nursing leadership. Ten clinical nurse managers from one secondary hospital within the North Island of Aotearoa participated in semi structured face-to-face interviews. Data was transcribed and analysed using thematic analysis with assistance of NVIVO 12 coding software to manage the process of analysing transcripts.

Findings demonstrated that clinical nurse managers deliberately engage in strategies to build positive workplace culture and the more prepared they were for their role, the better equipped they were to do so. Three themes were identified: role preparation, achieving perspective, and intentionality. The theme of role preparation describes the actions clinical nurse managers use to cope with realities of the job, build good teams, and manage uncertainty. The second theme achieving perspective represents the internal processes clinical nurse managers use to understand situations and make decisions. The final theme intentionality describes the leadership strategies clinical nurse managers use to enhance collaborative behaviour and positive relationships within the team.

To prepare and develop nurses into leadership positions, organisations and executive leadership teams must actively invest in the preparation of this workforce. Establishing educational prerequisites and having structured orientation and mentoring programmes will build a clinical nurse manager workforce that is equipped to foster positive workplace culture in Aotearoa. Furthermore, conducting performance appraisals habitually will provide a foundation for training and development that is needed to keep nurses motivated and engaged in their workplace.
Leadership toward positive workplace culture in Aotearoa New Zealand: clinical nurse manager perspectives
Authors: Graham Krystle
Published: August 2021

Clinical nurse managers play a vital role in the healthcare system. They are responsible for the day to day running of departments and ensuring that patients are safely cared for. The leadership behaviour and practices of a clinical nurse manager are fundamental for establishing and maintaining positive workplace culture, which is important for nurse performance and quality patient outcomes. This research sought to understand how clinical nurse managers build positive culture in their workplace and to identify leadership attributes and actions that they perceive to be important for generating positive workplace culture. Furthermore, it aimed to identify the challenges of creating positive workplace culture in Aotearoa New Zealand.

A qualitative descriptive design was used to capture rich in-depth understanding and insight into clinical nurse manager experiences of positive workplace culture from their position in nursing leadership. Ten clinical nurse managers from one secondary hospital within the North Island of Aotearoa participated in semi structured face-to-face interviews. Data was transcribed and analysed using thematic analysis with assistance of NVIVO 12 coding software to manage the process of analysing transcripts.

Findings demonstrated that clinical nurse managers deliberately engage in strategies to build positive workplace culture and the more prepared they were for their role, the better equipped they were to do so. Three themes were identified: role preparation, achieving perspective, and intentionality. The theme of role preparation describes the actions clinical nurse managers use to cope with realities of the job, build good teams, and manage uncertainty. The second theme achieving perspective represents the internal processes clinical nurse managers use to understand situations and make decisions. The final theme intentionality describes the leadership strategies clinical nurse managers use to enhance collaborative behaviour and positive relationships within the team.

To prepare and develop nurses into leadership positions, organisations and executive leadership teams must actively invest in the preparation of this workforce. Establishing educational prerequisites and having structured orientation and mentoring programmes will build a clinical nurse manager workforce that is equipped to foster positive workplace culture in Aotearoa. Furthermore, conducting performance appraisals habitually will provide a foundation for training and development that is needed to keep nurses motivated and engaged in their workplace.
Creating a Relational Participatory Space: Insights from a Youth Participatory Action Research Project
Authors:   , Davis-Rae Edward
Published: August 2021

Since the ratification of Article 12 of the United Nations Convention on the Rights of the Child, there has been a heightened focus on youth participation as a way of upholding young people’s right to have their say on decisions that affect them. However, programmes that attempt to engage young people in decision-making processes have often been poorly enacted and have failed to adequately address the barriers that limit young people’s ability to participate meaningfully and therefore rarely result in sustained change. This study examined processes with a youth participatory action research [YPAR] project in order to identify and explore processes and practices that might serve to sustain young people’s involvement and support authentic and meaningful participation. The research used an instrumental case study approach to examine an 18-month-long YPAR project operated through an existing youthwork programme. Data were collected through autoethnography, artefact analysis and participant interviews and reflections with youth participants.

The study found that peer-to-peer and peer-to-leader relationships were foundational to youth participants’ ongoing involvement over the 18-month period. Such relationships appeared to drive much of the momentum of the action research and enable at times dynamic flows of power between youth participants and adults that encouraged an inter-generational space within the YPAR project. Young people stepped into leadership roles at different phases of the project while adult leaders managed the pace and progress of the project. The study identified five factors that helped to create this relational participatory space: reduced leader direction; valuing youth voice; openness of other participants, reworking adult-centric processes and the implementation of a variety of sharing activities. A number of factors that constrained youth voice were also identified. The study highlights how strong relationships were an integral part of the processes and practices of YPAR, rather than merely a positive outcome of participatory processes. These findings challenge traditional individualistic models of youth participation that frequently fail to acknowledge the importance of intergenerational and collective relationships within youth participatory action research projects. The study therefore calls for a heightened focus on relationship building within participatory processes both at a policy and practical level.
Creating a Relational Participatory Space:
Insights from a Youth Participatory Action Research Project
Authors: Davis-Rae Edward
Published: August 2021

Since the ratification of Article 12 of the United Nations Convention on the Rights of the Child, there has been a heightened focus on youth participation as a way of upholding young people’s right to have their say on decisions that affect them. However, programmes that attempt to engage young people in decision-making processes have often been poorly enacted and have failed to adequately address the barriers that limit young people’s ability to participate meaningfully and therefore rarely result in sustained change. This study examined processes with a youth participatory action research [YPAR] project in order to identify and explore processes and practices that might serve to sustain young people’s involvement and support authentic and meaningful participation. The research used an instrumental case study approach to examine an 18-month-long YPAR project operated through an existing youthwork programme. Data were collected through autoethnography, artefact analysis and participant interviews and reflections with youth participants.

The study found that peer-to-peer and peer-to-leader relationships were foundational to youth participants’ ongoing involvement over the 18-month period. Such relationships appeared to drive much of the momentum of the action research and enable at times dynamic flows of power between youth participants and adults that encouraged an inter-generational space within the YPAR project. Young people stepped into leadership roles at different phases of the project while adult leaders managed the pace and progress of the project. The study identified five factors that helped to create this relational participatory space: reduced leader direction; valuing youth voice; openness of other participants, reworking adult-centric processes and the implementation of a variety of sharing activities. A number of factors that constrained youth voice were also identified. The study highlights how strong relationships were an integral part of the processes and practices of YPAR, rather than merely a positive outcome of participatory processes. These findings challenge traditional individualistic models of youth participation that frequently fail to acknowledge the importance of intergenerational and collective relationships within youth participatory action research projects. The study therefore calls for a heightened focus on relationship building within participatory processes both at a policy and practical level.
Penurunan Nyeri Pasien Post Sectio Caesarea Menggunakan Terapi Teknik Relaksasi Benson
Authors: Febiantri Novia , Machmudah Machmudah
Published: August 2021

Sectio caesarea adalah suatu tindakan pembedahan yaitu dengan cara memberikan sayatan pada dinding depan uterus untuk membantu proses persalinan. Untuk tindakan Sectio Caesarea dengan memutus kontuitas jaringan atau dengan persambungan jaringan pada insisi yang akan mengeluarkan reseptor nyeri terutama setelah efek anastesi habis. Salah satu terapi yang dapat menurunkan nyeri dengan tindakan non farmakologi yaitu dengan terapi relaksasi Benson.Dari penerapan ini yaitu untuk mengetahui penurunan nyeri Pada Klien Post Sectio Caesarea di RSUP DR. Kariadi Semarang dengan menggunakan Tehnik Relaksasi Benson. Studi kasus ini termasuk jenis kasus desain deskriptif. Dengan pendekatan pre-post test. Studi kasus ini adalah semua pasien Post Sectio Caesarea hari ke-2 di ruang Obsetri RSUP DR. Kariadi Semarang. Jumlah responden berjumlah 2 orang. Terapi relaksasi benson dilakukan 10-15 menit selama 3 hari. Alat pengumpulan data menggunkan skala nyeri NRS. Hasil menunjukkan adanya penurunan skala nyeri pada klien Post Sectio Caesarea dengan Tehnik Relaksasi Benson dengan penurunan skala sedang menjadi ringan. Analisis 1 kasus hari pertama skala nyeri 4 hingga hari ke-3 skala nyeri mengalami penurunan menjadi skala 2, sedangkan kasus kedua pertama skala nyeri 5  hingga hari ke-3 mengalami penurunan menjadi skala 3. Hasil studi kasus ini menunjukkan bahwa Tehnik Relaksasi Benson mampu menurunkan skala nyeri. Pada kasus ini peneliti menggunkan 2 responden pasien post section caesarea hari ke 2. Terapi non farmakologi Tehnik Relaksasi Benson dapat menurunkan nyeri pada klien Post Sectio Caesarea.
Penurunan Mual Muntah Pasien Acute Limfoblastik Leukimia yang Menjalani Kemoterapi dengan Terapi Akupresur Pada Titik P6 (Neiguan) dan Titik ST36 (Zusanli)
Authors: Rahmah Siti , Alfiyanti Dera
Published: August 2021

Leukemia ialah jenis karsinoma yang menyerang sel darah dan sum-sum tulang tempat di mana sel-sel darah dibuat. Kemoterapi merupakan perawatan yang dilakukan secara berulang dan teratur, diberikan secara kombinasi, dengan lama pengobatan selama dua sampai tiga tahun bagi pasien ALL. Akupresur merupakan tindakan berupa pendekatan atau memberikan stimulus dan tekanan pada titik-titik strategis tubuh dengan menggunakan atau tanpa alat bantu. Studi kasus ini bertujuan untuk mengetahui penurunan mual dan muntah setelah kemoterapi. Studi kasus ini menggunakan metode deskriptif berbasis pendekatan asuhan keperawatan yang menerapkan teknik akupresur pada titik P6 dan ST36 yang diberikan selama 3 menit setiap 6 jam sekali setelah kemoterapi selama 24 jam. Subjek pada studi kasus ini adalah pasien anak dengan ALL post kemoterapi. Subjek studi kasus berjumlah 2 orang didapatkan berdasarkan kriteria inklusi. Hasil dari kedua subjek, dilihat dari skoring pada observasi keller index of nausea (KIN)  dengan diberikan teknik akupresur menunjukkan ada penuruan mual muntah pada pasien yang diberikan tindakan akupresur. Akupresur pada titik P6 dan titik ST36 mampu menurunkan mual dan muntah pasca kemoterapi pada anak penderita ALL.
Penerapan Perubahan Posisi Terhadap Perubahan Hemodinamik Pada Asuhan Keperawatan Pasien Congestive Heart Failure
Authors: Yulianti Yulianti , Chanif Chanif
Published: August 2021

Penyakit Congestive Heart Failure (CHF) memiliki tanda dan gejala utama yaitu sesak napas yang dapat mempengaruhi terjadinya penurunan saturasi oksigen dan peningkatan respirasi rate, karena pada pasien CHF jantung tidak mampu untuk mempertahankan curah jantung yang adekuat guna memenuhi kebutuhan metabolik dan kebutuhan oksigen pada jaringan meskipun aliran balik vena adekuat. Perubahan posisi dapat membantu untuk memberikan posisi tubuh dalam meningkatkan kesejahteraan atau kenyamanan fisik dan psikologis.Studi kasus ini bertujuan menerapkan perubahan posisi (head up 30o, semi fowler 45o dan high fowler 90o) untuk peningkatan saturasi oksigen & penurunan respirasi rate pada asuhan keperawatan pasien congestive heart failure di IGD RSUD Tugurejo Semarang. Studi kasus ini menggunakan metode deskriptif dengan pendekatan proses asuhan keperawatan. Subjek studi kasus adalah pasien penyakit CHF. Subjek studi kasus berjumlah 3 orang, yang didapatkan secara insidental. Subjek studi kasus telah menandatangani informed consent sebelum dilakukan pengambilan data. Hasil studi kasus menunjukkan bahwa posisi semi fowler 45o dapat meningkatkan saturasi oksigen dengan rata-rata 6 poin dan menurunkan respirasi rate dengan rata-rata 10 poin. Perubahan posisi dapat menjadi implementasi keperawatan dalam meningkatkan saturasi oksigen dan menurunkan respirasi rate.
Penurunan Nyeri Kepala Pada Pasien Hipertensi Menggunakan Terapi Relaksasi Otot Progresif
Authors: Ferdisa Richa Jannet , Ernawati Ernawati
Published: August 2021

Peningkatan tekanan darah pada penderita hipertensi dengan kepala, mulai dari nyeri ringan hingga berat. Nyeri ini sapa tidak dikelola dengan baik dapat menyebabkan timbulnya masalah seperti gangguan jantung dan gangguan syaraf. Salah satu intervensi keperawatan mandiri untuk mengurangi nyeri kepala dengan terapi relaksasi otot progresif. Studi kasus ini untuk mengatahui pemberian terapi relaksasi otot progresif dalam menurunkan skala nyeri pasien hipertensi. Studi kasus menggunakan desain deskriptif dengan pendekatan studi kasus penerapan Evidence Based Nursing Practice yaitu terapi otot progresif terhadap nyeri kepala.Jumlah sampel sebanyak 2 orang pasien dengan hipertensi dengan kriteria yang sudah ditentukan yaitu skala nyeri 2-5. Pengukuran yang digunakan hingga pengukuran skala nyeri menggunakan Numeric Rating Scale (NRS). Hasil studi kasus antara kedua pasien sebelum dan sesudah diberikan terapi terapi otot progresif menunjukkan penurunan. Hal ini dibuktikan dengan pasien pertama dari skala 4 menjadi 2 dan pasien kedua dari skala 5 menjadi 2. Terapi relaksasi yang dapat menurunkan nyeri kepala pada pasien hipertensi. Mekanismenya relaksasi otot progresif dapat meningkatkan ventilasi paru, meningkatkan oksigenasi darah, menurunkan tekanan otot, dan mengurangi sakit kepala tegang .
Terapi Psikoreligius: Dzikir Pada Pasien Halusinasi Pendengaran
Authors: Akbar Akbar , Rahayu Desi Ariyana
Published: August 2021

Prevalensi gangguan jiwa di Indonesia mencapai 15,3% dari 259,9 juta jiwa penduduk Indonesia Kasus gangguan jiwa di Jawa Tengah pada tahun 2010 sebanyak 317.504 orang. Prevalensi halusinasi di Jawa Tengah yaitu 0,23 % dari jumlah penduduk melebihi angka nasional 0,17 %. Cara meminimalkan komplikasi atau dampak halusinasi dibutuhkan pendekatan dan memberikan penatalaksanaan untuk mengatasi gejala halusinasi dengan cara memberikan terapi psikoreligius: dzikir. Tujuan studi kasus ini untuk mengetahui tingkat kemampuan pasien dalam mengontrol halusinasi pendengaran menggunakan terapi psikoreligius: dzikir. Metode studi kasus ini menggunakan metode deskriptif dengan pendekatan proses keperawatan pada 2 pasien yang difokuskan pada salah satu masalah penting dalam kasus asuhan keperawatan halusinasi pendengaran. Intervensi yang diberikan berupa terapi generalis cara mengontrol halusinasi pendengaran dan terapi psikoreligius: dzikir selama 3 hari dengan durasi waktu 10-20 menit. Hasil studi kasus pada pasien halusinasi pendengaran di ruang UPIP RSJD Dr. Amino Gondohutomo Semarang menunjukkan adanya peningkatan kemampuan mengontrol halusinasi setelah pemberian terapi psikoreligius: dzikir sebagai suatu upaya terapi non farmakologi pada pasien halusinasi pendengaran. Kemampuan mengontrol halusinasi pendengaran pada kedua klien didapatkan hasil 6 (baik) setelah pemberian terapi psikoreligius: dzikir sebagai suatu upaya terapi non farmakologi pada pasien halusinasi pendengaran.
Penurunan Tingkat Kecemasan Dengan Biblioterapi Pada Anak Saat Pemasangan Infus
Authors: Kusuma Anggraini Nila , Nurhidayati Tri
Published: August 2021

Tindakan pemasangan infus merupakan jenis tindakan yang membuat cemas pada pasien terutama pasien anak–anak, dimana dilakukan penusukan jarum atau abocate untuk memasukkan obat atau cairan langsung ke pemuluh darah vena sehingga anak merasa dilukai. Salah satu cara untuk mengurangi kecemasan pada anak yaitu dengan distraksi atau alih perhatian dengan buku cerita bergambar atau buku ilustras yang disebut dengan biblioterapi. Metode studi kasus ini adalah metode deskriptif yaitu mengambarkan asuhan keperawatan pada anak. Kriteria responden dalam studi kasus ini yaitu anak-anak  dengan usia 3 – 10  tahun yang akan dilakukan tindakan pemasangan infus. Sampel yang diambil 2 anak dengan dilakukan intervensi selama 10 – 15 menit sebelum tindakan pemasangan infus dengan blibioterapi. Alat yang digunakan untuk pengumpulan data adalah lembar observasi kecemasan m-YPAS. Setelah dilakukan intervensi pada kedua pasien dapat di gambaran bahwasanya respon kedua anak dikategorikan cemas sesuai skor m-YPAS, jika dilihat  berdasarkan respon fisiologis dari ke dua pasien anak terjadi perubahan / penurunan nadi, respiratori dan tingkat kecemasan setelah di berikan blibioterapi melalui buku cerita yang diberikan sebelum pelaksaan infus selama 10 menit. Pasien anak dengan masalah keperawatan kecemasan karena akan dilakukan tindakan pemasangan infus sangat efektif untuk menguragi tingkat kecemasan anak dengan melakukan teknik biblioterapi melalui media buku cerita bergambar. Rekomendasi: Aplikasi biblioterapi melalui buku cerita bergambar agar bisa di terapkan pada semua pasien anak yang akan dilakukan pemasangan infus.
Penurunan Tekanan Darah Pada Pasien Usia Lanjut Menggunakan Terapi Musik
Authors: Suryaningsih Mella , Armiyati Yunie
Published: August 2021

Prevalensi hipertensi pada kelompok lansia di Indonesia berdasarkan Rikesdas tahun 2018 sebanya 63,2%. Hipetensi perlu mendapat penananganan dengan tepat agar tidak terjadi komplikasi. Salah satu penanganan untuk mengobati hipertensi dapat dilakukan dengan menggunakan terapi nonfarmakologi menggunakan terapi musik tradisional kecapi suling Sunda. Tujuan studi kasus ini adalah untuk mengetahui penurunan tekanan darah setelah dilberikan terapi musik pada pasien lansia. Desain studi kasus ini menggunakan deskriptif dengan pendekatan asuhan keperawatan dan Sampel berjumlah 2 pasien, yang didapatkan secara purposive dan random sampling. Pengambilan data menggunakan instrumen Sphygmomanometer, mp3, Aerphone. Pengambilan data tekanan darah dilakukan sebelum dan sesudah diberikan terapi musik tradisional berupa kecapi suling Sunda selama 15 menit sebelum pemberian obat hipertensi. Pasien telah menandatangani surat persetujuan. Setelah dilakukan pemberian terapi musik tradisional berupa kecapi suling sunda terdapat rata-rata penurunan tekanan darah yang terajadi pada kedua pasien sebanyak 3,48%. Pemberian terapi musik tradisional berupa kecapi suling sunda mampu menurunkan tekanan darah pada pasien lansia.
Pendidikan Kesehatan Hipertensi Untuk Penurunan Resiko Komorbid Covid-19 di Pengungsian Ngrajek Magelang
Authors: Munawaroh Dina Madinatul , Nugroho Heryanto Adi
Published: August 2021

Hipertensi merupakan komorbid Covid-19 yang meningkatkan resiko kematian dan 2,7 kali berpeluang mengalami resiko pemburukan. Komorbid tertinggi di Indonesia adalah hipertensi (50,4%), dimana 11,8 % diantaranya meninggal dunia. Hasil kunjungan yang dilakukan di tempat pengungsian gunung merapi di Desa Ngrajek Kabupaten Magelang ditemukan dari 24 pengungsi 19 diantaranya lansia dan 16 pengungsi menderita hipertensi. Mayoritas pengungsi tidak mengetahui tentang hipertensi dan perawatan hipertensi, serta masih banyak pengungsi yang tidak menggunkan masker, tidak menjaga jarak serta tidak menjaga kebersihan tangan. Hal tersebut menyebabkan penderita hipertensi rawan tertular Covid-19 yang bahkan bisa menyebabkan kematian. Studi ini bertujuan untuk meningkatkan pengetahuan klien tentang hipertensi dan cara perawatanya. Desain studi kasus ini menggunakan deskriptif dengan pendekatan proses asuhan keperawatan, klien berjumlah dua orang. Pendidikan kesehatan dilakukan dengan menggunakan metode ceramah dan media leaflet selama 60 menit yang sebelumnya sudah dilakukan oleh Istichomah (2020). Tingkat pengetahuan diukur menggunakan kuesioner yang berisi 15 pernyataan benar dan salah. Tingkat pengetahuan klien I dan II sebelum dilakukan pendidikan kesehatan termasuk dalam kategori kurang, dan setelah dilakukan pendidikan kesehatan tingkat pengetahuan klien I berubah menjadi cukup, klien II menjadi baik. Pemberian pendidikan kesehatan pada klien hipertensi efektif untuk meningkatkan pengetahuan tentang hipertensi dan cara perawatannya.
Exploring Vocational High School Students’ Entrepreneurial Intention: Preliminary Study
Authors: Swaramarinda Darma Rika , Isa Badrul , Yusof Norhayati Mohd , Abdul Kadir Mohd Ali Bahari
Published: August 2021

This paper presents an ongoing doctoral study exploring the entrepreneurial intention of pilot public vocational high school students in entrepreneurship development programs in Jakarta, Indonesia. This paper is a preliminary study that employed two methods of data collection, namely questionnaires and interviews. The method allows for triangulation of the data and to establish the reliability and validity of data. Due the Covid-19 pandemic, this study was conducted online to garner information from the participants. The discussion in this paper focuses on the data derived from a questionnaire. Using a purposive sampling method, open-ended questions were posed to 111 students and 60 alumni. Interviews were also conducted with three students using open-ended questions. Data were analyzed inductively by using thematic analysis. The five stages of Creswell's qualitative data analysis were used: arranging and preparing data; reading all data; coding the data; connecting the themes; and interpreting the meaning of those themes. The various themes and sub-themes from the questionnaires and interviews have identified several sub-themes. The findings of the study may be of interest to governments, schools, and researchers. The results will enable those parties to determine the entrepreneurial intention needed to prevent and reduce unemployment among vocational high school graduates.
School Support Received and the Challenges Encountered in Distance Learning Education by Filipino Teachers during the Covid-19 Pandemic
Authors: Bautista Angelito Palma , Bleza Doris Gelvoligaya , Buhain Cielito Bernardino , Balibrea Dianne Morta
Published: August 2021

Distance learning has become the sole modality of the teaching and learning process in the Philippines due to the Covid-19 pandemic. Since face-to-face classes are still prohibited with no end in sight, it is important to assess the experience of teachers handling distance learning education in terms of the support they have received, and the challenges encountered. This study examines the support provided by the schools, the challenges encountered by the teachers, and the support they need to thrive in distance learning education. By applying a quantitative approach through an online survey, 151 teachers - including 108 women, 41 men, and 2 respondents who did not mention their gender - served as the respondents of this study. The study derived promising results in that the majority of the respondents received adequate support from their respective schools in terms of capacity building, technical and data privacy matters, systems of information dissemination, and online learning management. Financial and emotional support mechanisms are two areas for improvement. The common problems encountered include motivating the students, using ICT, managing the time allotted for online sessions, and evaluating the learners’ knowledge. The teachers were also looking for more free resources and tools, webinars to share ideas and challenges, and professional development. Overall, the respondents were confident handling remote classes during the pandemic. The Department of Education (DepEd) and the schools may devise targeted programs, training, and support mechanisms to ensure that no one in the education sector is left behind.
Peningkatan Keterampilan Menulis Puisi Melalui Penggunaan Media Gambar dan Glosarium Diksi Peserta Didik SMPN 6 Bontang
Authors: Kartini Kartini
Published: August 2021

Permasalahan dalam penelitian ini adalah rendahnya keterampilan menulis puisi peserta didik kelas VIII Sekolah Menengah Pertama Negeri 6 Bontang. Jenis penelitian ini adalah penelitian tindakan kelas. Pengambilan data menggunakan observasi, tes, dan wawancara. Penulis melakukan dua perlakuan dalam penelitian ini. Yang pertama tanpa menggunakan media dan yang kedua menggunakan media gambar dan glosarium diksi. Hasil penelitian menunjukkan bahwa pembelajaran dengan menggunakan media gambar dan glosarium diksi dapat meningkatkan keaktifan dan keterampilan menulis puisi peserta didik kelas VIII.             Keterampilan menulis puisi pada peserta didik mengalami peningkatan dapat kita lihat dari nilai rata-rata peserta didik. Pada kondisi awal rata-rata nilai 40, di siklus I meningkat menjadi rata-rata 60, (masih belum mencapai nilai KKM) pada siklus II mengalami peningkatan cukup signifikan menjadi rata-rata nilai 85. Dapat dikatakan bahwa penerapan media gambar dan glosarium diksi cukup signifikan dalam meningkatkan keterampilan menulis puisi peserta didik kelas VIII SMP Negeri 6 Bontang.