bluuebunny/crossref_metadata_2025 huggingface dataset:
Kepemimpinan Ayah Muntasir dalam Mengelola Pendidikan Formal di Pesantren Jamiah Al-Aziziyah Samalanga Bireuen-Aceh
Authors: Muhajjir Muhajjir , Ustman Fadli
Published: June 2024

Pesantren Jamiah Al-Aziziyah Samalanga Bireuen Aceh merupakan lembaga pendidikan Islam tradisional yang mengelola pendidikan formal didalamnya dari jenjang SMP, SMK, Perguruan Tinggi dan pendidikan pesantren. Namun berbeda dengan fenomena di atas yang berjalan secara dinamis kedua jenis pendidikan formal dan non formal. Maka penulis ingin meneliti lebih lanjut tentang pesantren tersebut dengan judul “Kepemimpinan Ayah Muntasir Dalam Mengelola Pendidikan Formal di Pesantren Jamiah Al-Aziziyah Samalanga Bireuen-Aceh”. Metode penelitian adalah metode kualitatif bersifat deskriptif serta dengan pendekatan implementatif. Penelitian ini dilakukan di Pesantren Jamiah Al-Aziziyah Samalanga Bireuen Aceh di mulai April 2023 sampai dengan Agustus 2023. Adapun subyek penelitian adalah Kepemimpinan Ayah Muntasir Dalam Mengelola Pendidikan Formal di Pesantren. Informan penelitian antara lain Pimpinan, Wakil Pimpinan, Kepala SMK, Kepala SMP, Kepala Bidang Pendidikan Pesantren, Kepala Bidang Ibadah, Kepala Bidang Kehumasan, guru-guru dan santri-santri. Teknik pengumpulan data meliputi: Wawancara, Observasi, dan Dokumentasi. Teknik analisis data menggunakan reduksi data, penyajian data dan penarikan kesimpulan.  Hasil penelitian pertama, Kepemimpinan Ayah Muntasir menggambarkan gaya kepemimpinan demokratis-spiritualistik yaitu pimpinan yang ikut berbaur dan berada ditengah-tengah kegiatan dan keberlangsungan pendidikan serta memiliki kharisma yang diwarnai oleh usaha dalam mewujudkan hubungan manusia yang efektif yang berlandaskan keagamaan. Maka perannya dalam proses pendidikan meliputi peran sebagai pengasuh,  motivator, edukator, manager, pengambilkeputusan, pencapai tujuan organisasi, teladan dan sebagai supervisor. Kedua, Kendala dan upaya Ayah Muntasir dalam mengelola pendidikan formal di pesantren meliputi kendala internal dan eksternal. Upaya juga sudah dilakukan pada tiap kendala yang dihadapi dalam mengelola pendidikan formal. Semua upaya yang telah ditempuh belum semuanya sukses secara maksimal. Ada beberapa langkah upaya masih dalam tahapan proses penyelesaian.
Influence of Teaching Strategies on Reading Comprehension of Learners with Learning Disabilities in Selected Public Primary Schools in Kyuso Sub-County, Kenya.
Authors: Wakati Purity Kebebe , Muthee Dr. Jessina , Abuom Dr. Tom
Published: June 2024

This study evaluated the influence of teaching strategies on reading comprehension of learners with learning disabilities in selected public primary schools in Kyuso Sub-County, Kenya. The choice of this locality was based on the fact that it is home to most learners with learning disabilities in the entire County and the performance of these learners in reading comprehension has continuously been poor. The study area also has a mixed demography with some public primary schools located in wealthy areas while majority are in poor areas. The study was guided by Bandura’s Social Learning Theory as advanced in 1977. The study employed quasi-experimental study design. The target population for this study was 420 consisting of 20 class five teachers and 400 class five learners with learning disabilities within the available 20 public primary schools in Kitui County Kenya. Purposive and simple random sampling techniques were used to select the respondents. Primary data was collected by use of structured questionnaires. Data was grouped, coded, cleaned and analyzed descriptively using SPSS version 21.0 to generate frequencies and percentages. The collected data were presented in tables created with SPSS and figures created with Microsoft Excel 2010. The study found that common teaching strategies had a negative effect on reading comprehension test scores of students with learning disabilities, while learners-centered strategies improved these learners test scores in reading comprehension. The study therefore concluded that learners with learning disabilities underperformed in reading comprehension due to the use of traditional teaching strategies which are teacher centered. The study recommends that learners-centered instructional methods be employed to improve reading comprehension among learners in Kyuso Sub-County in selected public primary schools.
HOMOCYSTEINE AS A CARDIOVASCULAR RISK FACTOR
Authors: Flavio G Jardim Filho Marcelo
Published: June 2024

This article aims to review the evidence on the relationship between homocysteine and cardiovascular disease (CVD), as well as the possible mechanisms involved and therapeutic strategies to reduce homocysteine levels. Homocysteine is an amino acid that can accumulate in the blood for various reasons, such as enzymatic defects, nutritional deficiencies, or changes in liver or kidney function. Hyperhomocysteinemia is considered an independent risk factor for CVD as it affects the vascular endothelium, promotes LDL oxidation, and stimulates thrombosis. The article presents a meta-analysis of clinical and experimental studies that investigated the association between homocysteine and CVD, the mechanisms by which homocysteine can cause vascular damage, and ways to treat hyperhomocysteinemia, mainly through supplementation with B vitamins. The article concludes that homocysteine is both a marker and a causal factor of CVD, and that reducing its levels can prevent or slow the progression of the disease.
COMPREHENSIVE ANALYSIS OF TEACHER EMOTIONAL EXHAUSTION AT KHAZAR DISTRICT HIGH SCHOOL USING THE MASLACH BURNOUT INVENTORY
Authors: Mir Jalalli Narmin
Published: June 2024

Teachers play a crucial role in shaping the lives of the students. They influence their academic development, personal growth, and character formation. However, the proficient health of teachers is the foundation of their significant work in modern academia. Sadly, recent studies have shown increased professional deformations, particularly emotional burnout. Therefore, preventing and correcting burnout syndrome in their professional lives has become increasingly important. This study delves into the intricate dynamics of emotional exhaustion among 53 educators within the Khazar District, employing the Maslach Burnout Inventory as the principal diagnostic tool. The findings serve as a foundation for targeted interventions and policy formulation aimed at mitigating burnout and fostering a conducive work environment conducive to teacher well-being and student success. The quantitative component of the study involves administering the Maslach Burnout Inventory to teachers in order to assess their levels of emotional exhaustion, as well as factors such as depersonalization and reduced personal accomplishment. These data will be analyzed to identify patterns and trends in teacher burnout, as well as correlations with demographic variables such as years of experience and gender.This article highlights the issue of emotional burnout in teachers as a problem of their professional deformation and psychological health.
Cristóbal Colón y la elección del sitio donde fue fundada la ciudad de Santo Domingo
Authors: Julián Amadeo
Published: June 2024

La curiosidad geográfica y la ambición económica que animaban las actividades de Cristóbal Colón lo llevaron a realizar un viaje de exploración a la isla de Cuba y sus islas contiguas, y a Jamaica. A su regreso de ese viaje, se dedicó a explorar la parte meridional de la isla Española, para conocer sus diferentes entradas, y accidentes, que pudieran ser utilizados para la fundación de ciudades, con acceso al mar, que permitieran contar con puertos y entradas al territorio, las islas que existían en sus cercanías, y las minas de oro que pudieran encontrarse en sus inmediaciones. Después de tener información sobre esos factores, antes de realizar su segundo viaje a España, ya el Almirante tenía la idea de fundar una ciudad en uno de los lugares que observó y que además se encontraba cerca de las minas de oro de San Cristóbal. En posesión de esas informaciones, encargó a su hermano Bartolomé Colón de fundar una ciudad, en la parte meridional de la isla Española, que se encontrara cerca de las minas de San Cristóbal. La fundación de la ciudad debió ser hecha en una fecha indeterminada, entre el 10 de marzo de 1496, fecha de su segundo viaje a España y el 31 de agosto de 1498, fecha de su regreso a la isla en su tercer viaje, con su entrada al puerto de la ciudad de Santo Domingo, que ya había sido fundada por Bartolomé Colón. En ese espacio de tiempo fue abandonada la ciudad de la Isabela, que había sido fundada por Colón en la parte septentrional de la isla, en 1493, a su regreso a la isla en su segundo viaje.
Design and Verification of Spacecraft Pose Estimation Algorithm using
Deep Learning
Authors: Moon Shinhye , Park Sang-Young , Jeon Seunggwon , Kang Dae-Eun
Published: June 2024

This study developed a real-time spacecraft pose estimation algorithm that
combined a deep learning model and the least-squares method. Pose estimation in
space is crucial for automatic rendezvous docking and inter-spacecraft
communication. Owing to the difficulty in training deep learning models in
space, we showed that actual experimental results could be predicted through
software simulations on the ground. We integrated deep learning with nonlinear
least squares (NLS) to predict the pose from a single spacecraft image in real
time. We constructed a virtual environment capable of mass-producing synthetic
images to train a deep learning model. This study proposed a method for training
a deep learning model using pure synthetic images. Further, a visual-based
real-time estimation system suitable for use in a flight testbed was
constructed. Consequently, it was verified that the hardware experimental
results could be predicted from software simulations with the same environment
and relative distance. This study showed that a deep learning model trained
using only synthetic images can be sufficiently applied to real images. Thus,
this study proposed a real-time pose estimation software for automatic docking
and demonstrated that the method constructed with only synthetic data was
applicable in space.
Multi-Objective Genetic Algorithm Optimization of Thermal Limit Parameters for Low-Frequency Oscillation Control in Power Systems
Authors: Abubakar Aliyu , Mohammad Mohammad Buhari
Published: June 2024

This work presents the optimization of thermal limit parameters constraint using a multi-objective genetic algorithm. By optimizing the constraint parameters of the formulated objective function, the power transfer capabilities of the system can be maximized, thereby reducing the chances of oscillations in the power system. The study involves formulating an objective function and constraints, implemented in MATLAB Simulink. Initialization of generation fitness and optimal mean value precedes computation of fitness function and mean value. Fitness values are compared against predefined benchmarks to gauge optimization levels, with verification ensuring mean fitness meets a predetermined threshold. Achieving the threshold to 1.05706 resulted to better power transfer efficiency by decreasing oscillations that previously impacted power stability. Optimized thermal limit parameters enhance power transfer capabilities, minimizing oscillations, ensuring stable operation, and reducing the risk of system instability.
ETIKA KEPEMIMPINAN KEPALA DAERAH DI INDONESIA DALAM TATA KELOLA PEMERINTAHAN YANG BAIK
Authors: Rodzi Muhammad Fakhrur
Published: June 2024

Etika kepemimpinan daerah merupakan hal yang utama dalam proses penyelenggaraan pemerintah dan pembangunan. Tata kelola pemerintahan yang baik sangatlah ditentukan dari proses kepemimpinan daerah yang baik. Tujuan penulisan artikel ini ingin mengetahui terkait dengan etika kepemimpinan daerah dalam proses penyelenggaraan tata kelola yang baik. Metode yang digunakan dalam penulisan ini yakni metode kualitatif deskriptif dengan mengumpulkan data berdasarkan jurnal-jurnal penelitian orang-orang terdahulu, dokumen-dokumen referensi atau informasi, berita. Berdasarkan hasil penelitian ini terkait persoalan etika dan tantangan kepemimpinan daerah dalam penyelenggaraan tata kelola pemerintahan yang baik etika dalam penyalahgunaan kekuasaan kepala daerah terkait dengan masalah korupsi, gratifikasi, suap-menyuap disebabkan karena biaya politik yang mahal, mahar politik yang tinggi dalam kepemimpinan daerah sehingga dalam penyelenggaraan pemerintahan daerah menjadi terhambat bagi pembangunan dan kemajuan dalam daerah.
Kata kunci : Etika, Kepemimpinan, Pemerintahan daerah
KONSTRUKSI SOSIAL MASYARAKAT DALAM FENOMENA PERNIKAHAN DINI DI DESA KARANGHARJO, KABUPATEN JEMBER
Authors: Barisa Wildan
Published: June 2024

Desa Karangharjo, Kecamatan Silo, Kabupaten Jember adalah salah satu wilayah yang rentan terhadap kenyataan kejadian pernikahan dini pada mencakup masyarakatnya. Fenomena pernikahan dini di Desa Karangharjo masuk ke dalam realitas yang marak terjadi pada kalangan masyarakat setempat sehingga menjadi permasalahan yang cukup serius. Masalah pernikahan dini yang terjadi di Desa Karangharjo merupakan masalah yang kompleks, dengan dampak yang mempengaruhinya, misal faktor budaya, ataupun kondisi sosial ekonominya. Dari penjabaran tersebut, rumusan masalah dalam penelitian ini adalah “bagaimana konstruksi sosial masyarakat Desa Karangharjo dalam fenomena pernikahan dini di Kecamatan Silo, Kabupaten Jember?”. Dalam penelitian ini menggunakan teori konstruksi sosial karya Peter L. Berger & Thomas Luckmann melalui tiga proses yaitu eksternalisasi, objektivasi, internalisasi sebagai analisisnya. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Hasil yang ditemukan di lapangan adalah penyebab terjadinya pernikahan dini di Desa Karangharjo antara lain faktor stigma, pergaulan bebas antar laki-laki dan perempuan, orang tua menikah, dan faktor ekonomi masyarakat. Dari adanya faktor tersebut menjadi hal dalam terbentuknya pernikahan dini. Di sisi lain, konstruksi pernikahan dini di Desa Karangharjo dibentuk dari adanya 3 tahap konstruksi sosial yang terjadi pada kalangan tersebut. Tindakan dari transmisi suatu proses sosial ini adalah merekonstruksi kesadaran masyarakat dalam menyikapi pernikahan dini yang terjadi pada kalangan remaja. Berdasarkan temuan data di lapangan, dapat disimpulkan terdapat penyikapan yang berbeda. Penyikapan yang pertama berasal dari kedua informan dari kalangan menikah dini beranggapan bahwasanya pernikahan itu salah satu ibadah dan menghindari dari perzinahan, kemudian salah satu informan beranggapan bahwa pernikahan dini merupakan kelakuan yang tidak baik, yang nantinya akan berdampak pada kekerasan dalam rumah tangga.
Kata kunci: konstruksi sosial, pernikahan dini, masyarakat, budaya, sosial ekonomi
KEARIFAN LOKAL TRADISI REWANG DALAM MEMBANGUN SOLIDARITAS MASYARAKAT PERDESAAN JAWA
Authors: Setiawan Eko
Published: June 2024

Kearifan lokal dalam tradisi rewang mengandung nilai-nilai positif yang menjadi pedoman masyarakat perdesaan. Dalam tradisi rewang terdapat unsur gotong royong dalam membangun solidaritas masyarakat. Menggunakan teori interaksionisme simbolik dilakukan masyarakat atas dasar makna yang terkandung didalamnya. Jenis penelitian ini termasuk penelitian pustaka (library research), menggunakan metode pengumpulan data meliputi buku, koran, majalah, naskah, dokumentasi. Sedangkan analisa data menggunakan model interaktif. Hasil penelitian menunjukkan kearifan lokal dalam tradisi rewang terdapat nilai-nilai gotong royong, solidaritas, sebagai keunggulan budaya masyarakat perdesaan
Indonesia IMPLEMETASI PROGRAM BERKAS PELAYANAN JALAN SENDIRI BANGKIT (BPJS BANGKIT) SEBAGAI BENTUK INOVASI PELAYANAN PUBLIK : STUDI KASUS KECAMATAN KADEMANGAN KOTA PROBOLINGGO
Authors: Halima Nur Halima
Published: June 2024

Keberadaan inovasi pelayanan publik semakin berkembang dengan menggunakan Electric Government. Electric Government memudahkan proses pengelolaan data dengan memanfaatkan kemajuan teknologi utamanya internet. Kemudahan tersebut memudahkan pemerintah baik pusat dan daerah berinovasi dengan layanan publik. Namun kemudahan dalam pelayanan publik yang berbasis Electric Government masyarakat masih belum dimanfaatkan maksimal. Untuk itu, BPJS Bangkit hadir sebagai solusi guna meningkatkan pemanfaatan Eletric Government secara maksimal. Program Berkas Pelayan Berjalan Sendiri Bangkit merupakan program yang dikeluarkan oleh Kecamatan Kademangan Kota Probolinggo, untuk mempercepat pelayanan administrasi. Penelitian ini dilakukan bertujuan untuk menganalisis bahwa implemetasi inovasi pelayan publik yang berbasis Electric Government dapat bejalan dengan baik dan mempermudah dalam pengiriman dan pengelolaan datanya. Dengan memberikan hasil penelitian yang menunjukkan bahwa penyelenggaraan administrasi kependudukan dalam bentuk inovasi pelayanan publik berbasis Electric Government telah mengalami serangkaian proses pengelolaan data mulai dari input hingga output. Hal itu dapat terlihat dari fitur aplikasi pelayan publik.  
Kata kunci : Electric Government, Inovasi, Pelayanan Publik, Program BPJS Bangkit.
Factors Effective on Farmer Satisfaction for the Forage Crops Supports and the Tendency to Continue Forage Crop Production (TRA-1)
Authors: Kadıoğlu Sibel
Published: June 2024

In this study, a face-to-face survey was conducted with 196 forage crops producers in Erzincan, Erzurum and Bayburt provinces in order to determine the problems and expectations of forage crop producers who benefit from forage crops supports. Descriptive statistical methods and binary logistic regression model were used to analyze the data examined in terms of demographic variables, agricultural characteristics and characteristics related to farm structures. Farmers who benefit from forage crop support are on average 46 years old and 30.6% are high school graduates. 55.1% of the farms carry out plant and animal production together. It was determined that 35.2% of the farmers had non-agricultural income and 17.3% had social security. The average land size of the enterprises is 92 decares. Alfalfa (212,960 da) is grown the most as a forage crop in farms. There are an average of 10 BB and 14 sheep per farm. 60% of the producers state that they are not satisfied with the support, 22.4% state that they grow forage crops for the support, and approximately 59% state that they have to or want to continue forage crops farming despite being dissatisfied. Their satisfaction with the support; Insufficiency of pasture land (5%), high productivity of forage crops (1%), to be livestock farming in farms (1%), low cost of production of forage crops (10%) and sufficient support amount (5%) affect the factors. Factors affecting the tendency to continue forage crops agriculture are; high level of education (5%), lack of migration tendency (1%), lack of alternative products (5%), insufficient pasture areas (1%), lack of experience factors.
PENGARUH PENINGKATAN KUALITAS LAYANAN TERHADAP SERVICE LEVEL AGREEMENT (SLA) PADA BANK BRI KC. KENDAL
Authors: PUTRANSYAH SEPTIAN NAZHIF
Published: June 2024

This research aims to determine the effect of improving service quality on the Service Level Agreement (SLA) at BRI KC bank. KENDAL. This research uses a qualitative approach method. The subjects of this research consisted of a sample of 50 BRI KC Bank customer respondents. Kendal. The sources and data in this research were obtained directly from Bank BRI KC. Kendal, the data sources used by researchers are primary data sources and secondary data sources. Data collection techniques use questionnaires, collection of company documents, and observation. Data analysis uses research results involving field research and library research. The results of this research, improving the service quality of the BRI KC Kendal Regional Office in processing customer complaints with a predetermined Service Level Agreement (SLA), has resulted in a significant increase in the speed of complaint resolution and a high level of customer satisfaction. The impact of increasing the Service Level Agreement (SLA) on service quality is increasing service efficiency, reliability and responsiveness. With a stricter Service Level Agreement (SLA), BRI KC Kendal tends to focus more on fulfilling predetermined standards, which in turn increases customer satisfaction and overall company reputation.
ABSTRAKPenelitian ini bertujuan untuk mengetahui pengaruh peningkatan kualitas layanan terhadap Service Level Agreement (SLA) pada bank BRI KC. KENDAL. Penelitian ini menggunakan metode pendekatan kualitatif. Subjek penelitian ini terdiri dari sampel 50 responden nasabah Bank BRI KC. Kendal. Sumber dan data dalam penelitian ini diperoleh secara langsung Bank BRI KC. Kendal, dengan sumber data yang digunakan peneliti adalah sumber data primer dan sumber data sekunder. Teknik pengumpulan data menggunakan kuisioner, pengumpulan dokumen perusahaan, dan observasi. Analisis data menggunakan dari hasil penelitian yang melibatkan penelitian lapangan serta penelitian kepustakaan. Hasil penelitian ini peningkatan kualitas layanan Kantor Wilayah BRI KC Kendal dalam memproses komplain nasabah dengan Service Level Agreement (SLA) yang telah ditetapkan telah menghasilkan peningkatan yang signifikan dalam kecepatan penyelesaian komplain dan tingkat kepuasan nasabah yang tinggi. Dampak dari peningkatan Service Level Agreement (SLA) terhadap kualitas pelayanan adalah peningkatan efisiensi, keandalan, dan responsivitas layanan. Dengan Service Level Agreement (SLA) yang lebih ketat, BRI KC Kendal cenderung lebih fokus pada pemenuhan standar yang telah ditetapkan, yang pada gilirannya meningkatkan kepuasan pelanggan dan reputasi perusahaan secara keseluruhan.
ALEITAMENTO: A IMPORTÂNCIA DO ENFERMEIRO NO BANCO DE LEITE HUMANO
Authors: Ribeiro Bruna Eduarda Santos , Santos Diana Góis dos
Published: June 2024

O aleitamento materno é fundamental para o desenvolvimento saudável dos recém-nascidos, oferecendo nutrientes essenciais e anticorpos que protegem os pequenos contra diversas doenças. Por sua vez, os Bancos de Leite Humano (BLH) desempenham um papel crucial ao fornecer leite materno para bebês que não podem ser amamentados diretamente. Nesse contexto, os enfermeiros atuam desde a coleta até a distribuição do leite materno. Eles instruem e apoiam as mães na coleta correta do leite, garantindo sua qualidade e segurança. Além disso, os enfermeiros são responsáveis pelo processamento, que inclui a pasteurização, e pelo armazenamento adequado do leite. Na distribuição, monitoram a condição dos bebês receptores e ajustam as quantidades de leite conforme necessário. Esses profissionais também educam as mães doadoras sobre a importância da doação e fornecem suporte emocional, ajudando a resolver dúvidas e preocupações. Para as mães receptoras, os enfermeiros ensinam sobre os benefícios do leite materno e como lidar com possíveis dificuldades durante o processo. Assim, os BLHs, com a assistência dos enfermeiros, têm um impacto significativo na saúde pública, reduzindo a mortalidade infantil e melhorando a saúde neonatal. Fortalecer o papel dos enfermeiros nos BLHs é fundamental para continuar promovendo a saúde infantil e o aleitamento materno.
SEDAÇÃO E ANALGESIA EM UTI: PROTOCOLOS ATUAIS E MELHORES PRÁTICAS
Authors: Pedra Raíssa Andreina Vieira , Ferreira Mateus Lelis , Pureza Jean Astoni Barros , Lelis Guilherme Novais , Andrade Eduarda Carnevale Villanova
Published: June 2024

A sedação e analgesia são componentes fundamentais no manejo de pacientes críticos em unidades de terapia intensiva (UTI), sendo essenciais para o alívio da dor, redução da ansiedade e facilitação de procedimentos invasivos. Esta revisão integrativa tem como objetivo sintetizar os protocolos atuais e as melhores práticas para a sedação e analgesia em UTIs, baseando-se nas evidências mais recentes para otimizar os cuidados e melhorar os desfechos clínicos dos pacientes. Foi realizada uma revisão integrativa abrangente, incluindo estudos publicados entre janeiro de 2010 e junho de 2023. As fontes de dados incluíram PubMed, Cochrane Library, Embase, CINAHL e Scopus. Critérios de inclusão englobaram estudos em inglês, português e espanhol, focados em pacientes adultos em UTI e abordando agentes farmacológicos, estratégias de monitoramento e intervenções não farmacológicas. Foram excluídos estudos com populações pediátricas e aqueles focados exclusivamente em condições específicas. A qualidade metodológica dos estudos foi avaliada com ferramentas apropriadas para cada tipo de estudo, e os dados foram extraídos e analisados qualitativamente. Propofol, midazolam, dexmedetomidina e cetamina são amplamente utilizados, cada um com perfis específicos de eficácia e segurança. Dexmedetomidina se destaca por reduzir a incidência de delírio e preservar a função respiratória. Escalas como RASS e BPS são comumente utilizadas, complementadas por ferramentas objetivas como o índice bispectral (BIS) para uma avaliação mais precisa da sedação profunda. Técnicas psicológicas, modificação do ambiente de cuidado e mobilização precoce são eficazes na redução da agitação, prevenção do delírio e melhoria da recuperação funcional. Protocolos baseados em evidências estão associados a uma redução na incidência de delírio, diminuição do tempo de ventilação mecânica e menor tempo de internação hospitalar. Os achados reforçam a importância de uma abordagem personalizada e multidisciplinar para o manejo da sedação e analgesia em UTIs. A seleção de agentes farmacológicos deve ser individualizada, e o monitoramento contínuo é crucial para ajustar as terapias adequadamente. Intervenções não farmacológicas desempenham um papel significativo na melhoria dos desfechos clínicos. A implementação de protocolos padronizados e baseados em evidências é essencial para otimizar o cuidado aos pacientes críticos. A revisão destaca que a gestão eficaz da sedação e analgesia em UTIs, quando baseada em protocolos atualizados e personalização do tratamento, pode melhorar significativamente os desfechos dos pacientes. A educação contínua da equipe de saúde e a adoção de estratégias de monitoramento precisas e intervenções não farmacológicas são fundamentais para proporcionar um cuidado de alta qualidade. A contínua pesquisa e atualização das práticas clínicas são necessárias para manter e melhorar os padrões de cuidado em UTIs.
PENGARUH SISTIM PEMBUATAN POLA DASAR TERHADAP PASSUAI GAUN CASUAL UNTUK POSTUR TUBUH GEMUK PENDEK
Authors: Hasibuan Elfi Husnita , Butar - butar Khairunnisa , - Nurlaila , Mon Harahap Olivia Feby , Handayani Fitri Rahma
Published: June 2024

ABSTRAK
Penelitian ini bertujuan untuk mengetahui: (1) mengetahui passuai gaun casual untuk wanita dengan postur tubuh gemuk pendek yang dibuat menggunakan pola dasar Praktis. (2) mengetahui passuai gaun casual untuk wanita dengan postur tubuh gemuk pendek yang dibuat menggunakan pola dasar Bunka I. (3) membuktikan pengaruh sistim pola dasar terhadap passuai gaun casual untuk wanita dengan postur tubuh gemuk pendek. Penelitian ini merupakan penelitian eksperimen murni dengan desain factorial 2x1. Validitas penelitian menggunakan teknik judgement expert dan reliabilitas menggunakan reliabilitas rattings. Metode pengumpulan data dengan angket skala Likert.. Hasil penelitian menunjukkan bahwa (1) passuai gaun casual untuk postur tubuh gemuk pendek menggunakan pola dasar Praktis termasuk dalam kategori tepat. (2) passuai gaun casual untuk postur tubuh gemuk pendek menggunakan pola dasar Bunka termasuk dalam kategori tepat. (3) terdapat pengaruh sistim pembuatan pola dasar terhadap passuai gaun casual untuk postur tubuh gemuk pendek dengan hasil pola dasar bunka lebih tepat dengan signifikansi 5% maupun 1% (2,11<31,129>2,90).
 
Kata Kunci : Sistim Pembuatan Pola, Passuai Gaun Casual , dan Gemuk Pendek.
 
 
ABSTRACT
This study aims to determine:(1) (1) knowing of fit for short fat body shape with the basic pattern of practical system. (2) knowing of fit for short body shape with the bunka I basic pattern. (3) prove a impact of making basic pattern system have an impact on fitting casual dresses for short fat body fat. This was an true experimental study with 2x1 factorial design. Validity used judgement expert and reliability used reliability rattings. Metod for data collection with Likert scale. The results showed that:(1) fitting result of casual dress for short fat body shape with the basic pattern of practical systems is in a good category.(2) fitting result of casual dress for short fat body shape with basic bunka systems pattern is in a good category.(3) there is influence basic pattern of practical systems and basic bunka I pattern systems with result Bunka basic pattern is good and precise to apply with significancy 5% or 1% (2,11<31,129>2,90).
 
Keywords : making pattern system, fitting casual dress, and short fat body shape.
SURVEI PENGETAHUAN IBU HAMIL PRIMIGRAVIDA TENTANG NYERI PERSALINAN KALA I
Authors: Batubara Novita Sari
Published: June 2024

ABSTRAK
Nyeri yang timbul merupakan suatu tanda awal proses persalinan kala I dan akan berlanjut sampai kala IV persalinan. Intensitas nyeri yang dialami ibu semakin lama akan semakin meningkat akibat kontraksi yang semakin lama semakin meningkat. World health Organization sebanyak 90% wanita hamil dan melahirkan mengalami rasa nyeri, rasa takut saat persalinan. Rasa nyeri yang terjadi dapat mempengaruhi kondisi ibu berupa kelelahan, rasa takut, khawatir dan menimbulkan stres. Tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan ibu hamil primigravida tentang nyeri persalinan kala I di Wilayah Kerja Puskesmas Pinangsori Kabupaten Tapanuli Tengah Tahun 2022. Jenis penelitian adalah kuantitatif dengan desain deskruptif. Populasi dalam penelitian ini adalah semua ibu hamil primigravida di Wilayah Kerja Puskesmas Pinangsori Kabupaten Tapanuli Tengah sebanyak 38 orang Januari-Juli 2022. Sampel dalam penelitian ini adalah semua ibu hamil primigravida sebanyak 38 orang dengan menggunakan metode total sampling. Analisa yang digunakan adalah univariat dengan hasil menunjukkan bahwa pengetahuan ibu hamil tentang nyeri persalinan kala I berada pada pengetahuan kurang sebanyak 25 orang (65,8%).Disarankan pada ibu hamil dapat aktif menambah pengetahuan ibu tentang kehamilannya terutama tentang nyeri persalinan kala I sehingga dalam kehamilan ibu dapat segera diatasi dan dapat menurunkan angka kesakitan ibu.
Kata Kunci: Pengetahuan, Ibu Hamil Primigravida, Nyeri Persalinan
 
 
ABSTRACK
Pain arising is an early sign of the first stage of labor and will continue until the fourth stage of labor. The pain intensity of mother will increase over time due to increasing contractions. According to the World Health Organization, 90% of pregnant and childbirth women had pain and fear during childbirth. Pain arising can affect the mother's condition in the form of fatigue, fear, worry and lead to stress. The purpose of this study was to describe Primigravida Pregnant Women's Knowledge of First Stage of Labor Pain in ​​Pinangsori Health Center the Working Area, Central Tapanuli Regency 2022. The study used quantitative method with a descriptive design. The population was all primigravida pregnant women in Pinangsori Health Center Working Area, Central Tapanuli Regency about 38 people from January to July 2022. The sample in this study was all 38 primigravida pregnant women by using the total sampling method. The data were analysed by using univariate. The results showed that the knowledge of pregnant women about the first stage of labor pain was lack about 25 people (65.8%). It is suggested that pregnant women can be more active to explore knowledge of their pregnancies especially about first stage of labor pain in order to be treated immediately and can reduce maternal morbidity.
Keywords: Knowledge, Primigravida Pregnant Women, Labor Pain
GAMBARAN PENGETAHUAN IBU HAMIL TENTANG MANFAAT SUNTIK TT (TETANUS TOXOID) DI DESA SABAHOTANG KABPATEN PADANG LAWAS
Authors: Lubis Mutia Sari , Nasution Nurmaidah , Siregar Putri Runggu , Juliana Juliana , Harahap Tina Marito
Published: June 2024

The immunization given to women of childbearing age and pregnant women is the TT immunization which is useful for preventing tetanus. Cases of tetanus are often found in a number of tropical countries and countries that still have low health conditions. This study aims to describe the knowledge of pregnant women about TT immunization. Immunization is giving the body immunity against a disease by putting something into the body so that the body is resistant to diseases that are epidemic or dangerous to someone. Cases of tetanus are often found in a number of tropical countries and countries that still have low health conditions. The method in this research is descriptive. The population in the study were all pregnant women in the village of Sabahotang as many as 42 people. There were 42 samples in this study using a total sampling technique. The results showed that 26 people (61.9%) had insufficient knowledge, 4 people (9.5%) had sufficient knowledge and 12 people (28.6%) had good knowledge. It is hoped that pregnant women and those closest to them are given an understanding of the benefits of getting TT immunization in pregnant women by health workers
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEIKUTSERTAAN KELAS IBU HAMIL TERHADAP PERSIAPAN PERSALINAN DI PUSKESMAS BATANGTORU
Authors: Sari Lumongga
Published: June 2024

ABSTRAK
Kelas ibu hamil merupakan kelompok belajar yang berisikan ibu-ibu hamil dengan jumlah peserta maksimal 10 orang. Peserta kelas ibu hamil sebaiknya ibu hamil pada umur kehamilan 20-32 minggu, karena pada umur kehamilan ini kondisi ibu sudah kuat, tidak takut terjadi keguguran, efektif untuk melakukan senam hamil. Tujuan penelitian ini yaitu untuk mengetahui faktor-faktor yang berhubungan dengan keikutsertaan kelas ibu hamil terhadap persiapan persalinan di Puskesmas Batangtoru. Penelitian ini berjenis Kuantitatif dengan desain korelasi observasional study. Populasi pada penelitian ini adalah seluruh ibu hamil trimester III yang ada di wilayah kerja Puskesmas Batangtoru yaitu sebanyak 112 orang. Tehnik pengambilan sampel dilakukan secara random dengan menggunakan rumus slovin, sehingga jumlah sampel 52 orang. Uji statistik menggunakan chi-square dengan tingkat kepercayaan 95%  (α=0,05) diperoleh hasil berupa adanya hubungan yang signifikan antara pengetahuan (p-value=0,004<0,05), Sikap (p-value=0,003<0,05) dan Pekerjaan (p-value=0,001<0,05) dengan persiapan persalinan. Hasil penelitian ini diharapkan dapat menjadi masukan agar dapat meningkatkan pelayanan kelas ibu hamil.
 
Kata kunci : Pengetahuan, Sikap, Pekerjaan, Persiapan Persalinan.
 
ABSTRACT
The class for pregnant women is a study group consisting of pregnant women with a maximum number of participants of 10 people. Pregnant women class participants should get pregnant at 20-32 weeks of gestation, because at this gestational age the mother's condition is strong, not afraid of miscarriage, it is effective to do pregnancy exercises. The purpose of this study was to determine the factors related to the participation of pregnant women in preparing for childbirth at the Batangtoru Health Center. This research is a quantitative type research with an observational correlation study design. The population in this study were all third trimester pregnant women in the Batangtoru Health Center working area, namely 112 people. The sampling technique was carried out randomly using the slovin formula, so that the total sample was 52 people. Statistical test using chi-square with a confidence level of 95% (α = 0.05) obtained results in the form of a significant relationship between knowledge (p-value = 0.004 <0.05), attitude (p-value = 0.003 <0.05 ) and Occupation (p-value=0.001<0.05) with preparation for delivery. The results of this study are expected to be input in order to improve class services for pregnant women.
 
Keywords : knowledge, attitude, occupation, labor preparation
Isolasi Senyawa Antimikroba Pada Daun Senduduk (Melastoama malabathricum L. )
Authors: Dongoran Rini Fitriani , Hasibuan Elmi Sariani , Diningsih Ayus
Published: June 2024

ABSTRACT
Background: Senduduk leaves (Melastoma malabathricum L.) are plants from the Melastomaceae family, contains steroids which can provide antimicrobial activity based on the results of the KLT-Bioautography test.
Objective: To determine the activity of senduduk leaf extract (Melastoma malabathricum L.) to several test microbes and to find out the chemical components of senduduk leaf extract (Melastoma malabathricum L.) which provides antimicrobial activity.
 Method: The extract of senduduk leaves which have been fractionated with n-hexane and ethyl acetate, then tested the antimicrobial activity by using paper foil to determine a better fractionate result, after which the antimicrobial fraction was carried out by antimicrobial testing by KLT- bioautography.
 Result : there is a clear zone on the media that has been bottled by ethyl acetate fraction on Staphylococcus aureus, Escherichia coli, and Candida albicans.
 Conclusion: The results of this study concluded that the antimicrobial activity of the senduduk ethyl acetate leaf fraction (Melastoma malabathricum L.) was carried out by the KLT-bioautography test, where the compounds that gave antimicrobial activity were thought to be flavonoids, tannins, saponins, glycosides and alkaloids.
Keywords : Antimicrobial, senduduk leaf extract, KLT- bioautograph

ABSTRAK
Latar Belakang: Daun senduduk (Melastoma malabathricum L.) merupakan tanaman dari famili Melastomaceae, mengandung senyawa flavonoid, tannin, glikosida, dan alkaloid yang dapat memberikan aktivitas antimikroba berdasarkan hasil uji secara Klt- Bioautografi.
Tujuan: Mengetahui aktivitas ekstrak daun senduduk (Melastoma malabathricum L.) yang telah difraksi kemudian diuji terhadap beberapa mikroba uji dan untuk mengetahui kandungan kimia ekstrak daun senduduk (Melastoma malabathricum L.) yang memberikan aktivitas antimikroba.
Metode: Ekstrak daun senduduk (Melastoma malabathricum L.) yang telah difraksinasi dengan n-heksan dan etil asetat, kemudian di uji aktivitas antimikrobanya dengan kertas pencadang untuk menentukan hasil fraksinat yang lebih baik, setelah itu hasil fraksi etil asetat dilakukan uji antimikroba secara KLT bioautografi.
Hasil: Terdapat zona bening pada media yang telah ditotol oleh fraksi etil asetat pada Staphylococcus aureus, Eschericia coli, dan Candida albicans.
Kesimpulan: Hasil penelitian dapat disimpulkan bahwa aktivitas antimikroba terhadap fraksi etil asetat daun senduduk (Melastoma malabathricum L.) dilakukan dengan uji KLT-bioautografi, dimana senyawa yang memberikan aktivitas antimikroba diduga adalah golongan flavonoid, tannin, saponin, glikosida, dan alkaloid.
Kata kunci : Antimikroba, daun senduduk, KLT-bioautografi
Gambaran Perilaku Hidup Sehat Pasien Hipertensi Rawat Jalan di Puskesmas Temajuk
Authors: Pane Mustika Dewi , Rambe Muhammad Arsyad Elfiqah
Published: June 2024

Behavior is an action that can be observed and has a specific frequency, duration and purpose both
consciously and unconsciously. One of the efforts to prevent hypertension and other non
communicable diseases recommended by the Government is by implementing the CERDIK program
(regular health checks, Get rid of cigarette smoke, Diligent physical activity, Balanced diet, Adequate
rest, and Manage stress). This study aims to describe the healthy behavior of outpatient hypertension
at the Temajuk Health Center. This study used a descriptive quantitative design, with a total sample of
223 people using purposive sampling method. The results of this study indicate that based on exposure
to cigarette smoke, the majority were high, namely 134 people (60.1%), based on physical activity, the
majority were not sufficient, as many as 129 people (57.8%), based on eating and drinking habits, the
majority were not good, as many as 134 people (60 .1%), based on the stress level, the majority of them
had mild stress, as many as 88 people (39.5%). Based on the results of this study, it is hoped that people
with hypertension will take better care of their health, especially in terms of smoking, physical activity,
and a balanced diet.
GAMBARAN PENGETAHUAN IBU HAMIL PRIMIGRAVIDA TENTANG NYERI PERSALINAN KALA I
Authors: Siregar Srianty , Siregar Ratna Dewi , Batubara Novita Sari
Published: June 2024

ABSTRAK
Nyeri yang timbul merupakan suatu tanda awal proses persalinan kala I dan akan berlanjut sampai kala IV persalinan. Intensitas nyeri yang dialami ibu semakin lama akan semakin meningkat akibat kontraksi yang semakin lama semakin meningkat. World health Organization sebanyak 90% wanita hamil dan melahirkan mengalami rasa nyeri, rasa takut saat persalinan. Rasa nyeri yang terjadi dapat mempengaruhi kondisi ibu berupa kelelahan, rasa takut, khawatir dan menimbulkan stres. Tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan ibu hamil primigravida tentang nyeri persalinan kala I di Wilayah Kerja Puskesmas Pinangsori Kabupaten Tapanuli Tengah Tahun 2022. Jenis penelitian adalah kuantitatif dengan desain deskruptif. Populasi dalam penelitian ini adalah semua ibu hamil primigravida di Wilayah Kerja Puskesmas Pinangsori Kabupaten Tapanuli Tengah sebanyak 38 orang Januari-Juli 2022. Sampel dalam penelitian ini adalah semua ibu hamil primigravida sebanyak 38 orang dengan menggunakan metode total sampling. Analisa yang digunakan adalah univariat dengan hasil menunjukkan bahwa pengetahuan ibu hamil tentang nyeri persalinan kala I berada pada pengetahuan kurang sebanyak 25 orang (65,8%).Disarankan pada ibu hamil dapat aktif menambah pengetahuan ibu tentang kehamilannya terutama tentang nyeri persalinan kala I sehingga dalam kehamilan ibu dapat segera diatasi dan dapat menurunkan angka kesakitan ibu.
Kata Kunci: Pengetahuan, Ibu Hamil Primigravida, Nyeri Persalinan
 
 
ABSTRACK
Pain arising is an early sign of the first stage of labor and will continue until the fourth stage of labor. The pain intensity of mother will increase over time due to increasing contractions. According to the World Health Organization, 90% of pregnant and childbirth women had pain and fear during childbirth. Pain arising can affect the mother's condition in the form of fatigue, fear, worry and lead to stress. The purpose of this study was to describe Primigravida Pregnant Women's Knowledge of First Stage of Labor Pain in ​​Pinangsori Health Center the Working Area, Central Tapanuli Regency 2022. The study used quantitative method with a descriptive design. The population was all primigravida pregnant women in Pinangsori Health Center Working Area, Central Tapanuli Regency about 38 people from January to July 2022. The sample in this study was all 38 primigravida pregnant women by using the total sampling method. The data were analysed by using univariate. The results showed that the knowledge of pregnant women about the first stage of labor pain was lack about 25 people (65.8%). It is suggested that pregnant women can be more active to explore knowledge of their pregnancies especially about first stage of labor pain in order to be treated immediately and can reduce maternal morbidity.
Keywords: Knowledge, Primigravida Pregnant Women, Labor Pain
Pengaruh Metode 5’s (Swaddling, Side/Stomach Position, Sushing, Swinging Dan Sucking) Terhadap Respon Nyeri Pada Bayi Setelah Imunisasi Dasar
Authors: Hidayah Arinil , Habibah Nursalmah
Published: June 2024

Immunization that is injected into the baby's body can cause pain or disomport  in the baby. The pain experienced by baby when  immunization is an emotional experience that makes baby  uncomfortable due to tissues damag on the baby's body. The purpose of this research is to find out  Effect of the 5'S method (Swaddling, Side/Stomach Position, Sushi, Swinging and Sucking) on ​​reduce  pain in infants after basic immunization injections. This research method uses a quasi-experimental, use the  One Group Pre-test research design and Post-test without  control group. The sample used in this study was total sampling, namely  mothers who came for immunization in Juli, namely as  many as 33 people. Statistical test using Wilcoxon test, used to see the effect between two variables with a 95% confidence degree. The results of this study  the pain  response in infants after injection  immunization  before doing  the 5'S method the majority experienced severe pain. There was a decrease in pain in the  baby after immunization after done  the 5'S method the majority experienced moderate pain. The conclusion of giving the 5'S method is effective in reduce  the pain response of infants aged 0-4 months, based on the concept that 4 months after birth, the baby is not fully ready to be outside the womb,  baby longs for  comfortable sensation like  in the womb. Suggestions for Public Health Center it is hoped that the results of this study can be new information to health workers who is on duty at the time of  immunization and can inform the mother, that 5'S action is very useful  for babies and explains the negative effects of pain and cries  that are not treated immediately addresed
Analisis Asuhan Keperawatan pada Ibu Post Sectio Caesarea dengan Penerapan Terapi Guided Imagery Untuk Mengatasi Nyeri
Authors: Yani Sari Rahma
Published: June 2024

Sectio caesarea adalah tindakan mengeluarkan janin, dengan melakukan penyayatan dinding abdomen dan uterus untuk mengeluarkan janin atas indikasi medis dan non medis. Adanya luka sayatan yang dibuat akan menyebabkan terjadinya kerusakan jaringan sehingga akan menimbulkan sensasi nyeri. Ketika ibu merasakan nyeri akan mengakibatkan beberapa gangguan seperti kualitas tidur menjadi buruk, mengurangi produksi ASI, dan malas untuk melakukan mobilisasi dini sehingga mengakibatkan penyembuhan luka menjadi lama. Salah satu intervensi non farmakologi yang dapat dilakukan untuk mengurangi rasa nyeri yaitu dengan teknik guided imagery. Guided imagery adalah terapi relaksasi yang cukup mudah dan praktis dilakukan, dan memiliki manfaat dalam mengatasi nyeri, serta membuat tubuh dan pikiran menjadi tenang, dan lebih rileks dan tidak memiliki efek samping yang dapat membahayakan. Berdasarkan hasil penerapan yang dilakukan pada klien dengan skala nyeri 5 (sedang) dan setelah dilakukan penerapan terapi guided imagery didapatkan skala nyeri berkurang menjadi 3 (ringan). Dapat ditarik kesimpulan penerapan evidance based terapi guided imagery tersebut efektif terhadap penurunan skala nyeri pada ibu post sectio caesarea di Ruangan Teratai RSUD Arifin Achmad Provinsi Riau. Hasil dari penerapan ini dapat memberikan informasi tentan terapi guided imagery dalam mengatasi nyeri dan sebagai referensi untuk peneltian selanjutnya.
Analisis Asuhan Keperawatan pada Pasien Post Operasi Laparatomi dengan Penerapan Hand Message untuk Mengurangi Nyeri
Authors: Ani Riska Afri
Published: June 2024

Laparatomi merupakan salah satu prosedur pembedahan mayor dengan melakukan penyayatan pada lapisan dinding abdomen. Keluhan yang paling sering sampaikan oleh pasien post operasi laparatomi yaitu nyeri akut. Terapi nonfarmakologi yang dapat dilakukan untuk mengurangi keluhan nyeri salah satunya dengan teknik hand massage yang dapat memberikan efek rileksasi dan menurunkan intensitas nyeri. Responden dalam penerapan hand massage ini berjumlah 1 orang yang mengeluhkan nyeri dan post operasi laparatomi hari pertama. Penerapan intervensi dilakukan selama tiga hari berturut-turut dengan durasi 10 menit dan dilakukan tiga jam setelah pemberian analgetik. Hasil yang didapatkan dari penerapan intervensi pada Ny. I yang dilakukan selama tiga hari dengan hasil penerapan pre-test ­rata-rata skala nyeri 4 (nyeri sedang) dan terdapat penurunan skala nyeri pada nilai rata-rata post-test yaitu skala nyeri 3 (nyeri ringan). Sehingga dapat simpulkan penerapan teknik hand massage efektif dalam menurunkan skala nyeri post operasi laparatomi. Oleh karena di sarankan kepada perawat ruangan di RSUD Arifin Achmad untuk dapat menggunakan SOP teknik hand massage sebagai tindakan mandiri yang diberikan kepada pasien post operasi untuk mengurangi nyeri yang dirasakan pasien post operasi laparatomi.