bluuebunny/crossref_metadata_2025 huggingface dataset:
Familial atrial fibrillation as a polygenic disease with structural cardiac abnormalities: assessment of genetic risk and possibilities for gene therapy
Authors: Iskenderov B. G.
Published: July 2023

The prevalence of familial atrial fibrillation (AF) in the general population and in the structure of AF is considered, and genetic predictors of AF and pathogenetic mechanisms of atrial remodeling are analyzed. The assessment of the genetic risk of AF occurrence, the prediction of its outcomes and the effectiveness of AF therapy, as well as the prospects for AF gene therapy are discussed.
THE IMPORTANCE OF MANAGEMENT ACCOUNTING PRACTICES (MAPs) IN CREATING SUSTAINABILITY OF SMEs IN MALAYSIA
Authors: Razak Syuhaila , Nik Wan Nik Zam , San Suzana , Saidi Noraida , Abd Aziz Azilawati , Hussin Siti Nor Adawiah , Tumiran Siti Dalina
Published: July 2023

Small and medium-sized firms (SMEs) have a vital social and economic role because they make up roughly 97 percent of all active businesses in Malaysia. SMEs, which are at the core of every economic system, have a significant impact on sustainable growth. Unfortunately, many SMEs struggle for survival in the contemporary worldwide economic environment as a result of the pandemic COVID-19. SMEs are essential to the health of any economy because of their contributions to GDP and employment. Apart from pandemic, there are numerous more causes for the decline in business among SMEs. These include a lack of sufficient operating capital, ineffective management, and insufficient application of crucial business and management techniques. Since SMEs prioritize economic performance over social and environmental factors in order to remain competitive, sustainability is a big challenge. The use of Management Accounting Practices (MAPs) that can provide essential information to management is crucial to ensuring the business's effectiveness and efficiency. Management accounting is a part of accounting that provides economic and relevant financial information to managers and other internal users for them to make business-related decisions. Thus, management accounting information has an important part to play with respect to planning, monitoring, and controlling of the activities of SMEs. MAPs which comprise financial and non-financial information is one of the important management accounting information that should be utilized by the SMEs in order to enhance their sustainability. Consequently, the goal of this study is to outline the MAPs that SME's can use to improve their sustainability.
MOTIVATION AND CHARACTER FORMATION THROUGH DRAMA TECHNIQUES USING A CONSTRUCTIVIST LEARNING APPROACH IN THE TEACHING AND LEARNING OF LITERARY COMPONENT IN SECONDARY SCHOOL
Authors: Sabinus Suzeety , Siew Nyet Moi , Ibrahim Habibie
Published: July 2023

This qualitative study was conducted to explore the constructivist learning approach, motivation and student character formation in the teaching and learning of the Literary Component (LC) in Malay language using drama techniques. This study was conducted at a secondary school in Tambunan, Sabah and involved six informants who were second-grade students who followed LC teaching and learning using drama techniques. The data collection methods used are interviews, structured observations and document analysis. The findings of the study found that the use of drama techniques involving five constructivist learning approaches had a positive impact on student motivation and character formation. Students were found to gain intrinsic motivation and extrinsic motivation after following this drama technique. Ethical values are found as an aspect formed in the student's character. The findings of the study show that drama techniques using a constructivist learning approach have a positive impact on student motivation and character formation in the teaching and learning of LC.
Detalles técnicos para prevenir la Enfermedad por Reflujo Gastroesofágico durante la Gastrectomía en manga
Authors: Braghetto Italo
Published: July 2023

La gastrectomía en manga es el procedimiento bariátrico más frecuentemente efectuada en la actualidad. La complicación alejada más frecuente  es el aumento de la tasa de enfermedad por reflujo gastro-esofágico. Se han descrita las razones anatómicas y fisiopatológicas de su origen.En este artículo se describen los puntos claves de la técnica quirúrgica de la manga gástrica para su prevención como también otros procedimientos que han sugerido tanto para su prevención como tratamiento.
PELATIHAN PEMELIHARAAN KESEHATAN GIGI DAN MULUT SEJAK DINI DI PANTI ASUHAN KOTA PALEMBANG
Authors: Hanum Nur Adiba , Ismalayani Ismalayani , Wahyuni Sri
Published: July 2023

the pandemic, dental health interventions in the community directly in the field could not be carried out in connection with breaking the chain of transmission of Covid 19. Now that field activities have been allowed in the community, we are conducting dental health interventions at the Marfuah Orphanage in Palembang based on our assessment in February of 2020 before the pandemic, the dental hygiene of the children at the Marfu'ah Palembang Orphanage was still low, with an average plaque score of 2.8 (bad criteria). Plaque is the main cause of caries disease. The goal of PKM is that the children of the Marfu'ah Palembang orphanage are able to care for their teeth independently to get optimal dental and oral health. The targets were 10 orphans and 40 orphans. The training method for teaching theory and skills is through lectures, games, demonstrations, video screenings and simulations. The results after the activity were an increase in knowledge about daily dental care in 90% of children who had good knowledge and only 10% of children had moderate knowledge, there was also an increase in brushing skills properly as many as 92.5% of children, and there was an increase in the level of oral hygiene in children with an average plaque score of 0.75 (good criteria), then 10 orphanage caregivers can be empowered as a companion, supervisor and control of children's dental and oral health.
PENERAPAN PRENATAL YOGA DAN HYPNOPRENATAL PADA IBU HAMIL
Authors: Franciska Yunetra , Yuka Aprilia Ayu Shinta , Jasmi Jasmi , Setiawati Desy , Virgian Kharisma
Published: July 2023

Nyeri yang hebat pada proses persalinan dapat membuat ibu merasa khawatir dan cemas. Hubungan antara nyeri dan kecemasan ini bersifat kompleks dan saling mempengaruhi antara satu dan lainnya. Ketika ibu bersalin merasa takut, cemas dan tidak dapat mentolerir rasa nyeri yang dirasakan, maka secara spontan tubuh akan meningkatkan pelepasan hormon katekolamin yaitu epinefrin dan norepinefrin. Peningkatan hormon menyebabkan vaso kontriksi pembuluh darah sehingga meningkatkan tekanan darah ibu, menurunkan aliran darah ke uterus, aliran uteroplasenta dan aktivitas uterus sehingga menyebabkan persalinan lama. Keadaan ini berdampak pada pola denyut jantung janin menjadi tidak normal. Berbagai metode mengatasi nyeri persalinan dapat dilakukan baik secara farmakologi maupun nonfarmakologi. Metode farmakologi lebih efektif dibandingkan dengan nonfarmakologi, namun berpotensi memberikan efek samping yang kurang baik bagi ibu maupun janin. Sedangkan metode nonfarmakologi lebih mudah dan aman untuk diberikan. Metode nonfarmakologi tersebut antara lain hipnosis, acupressure, yoga, sentuhan terapeutik, aromatherapy, relaksasi, mendengarkan musik, kompres hangat, kompres dingin dan pemberian birth ball. Tujuan kegiatan ini adalah mampu memanfaatkan hypnoprenatal dan yoga prenatal dalam mengurangi nyeri persalanan. Manfaat program ini mampu memberikan informasi mengenai teknik pengurangan nyeri persalinan dengan memanfaatkan hypnoprenatal dan yoga prenatal. Hasil pengabdian kepada masyarakat;  adalah penurunan  persentase ibu yang mengalami nyeri persalinan menjadi 25%.
PELATIHAN YOGA CHILD POSE SEBAGAI UPAYA PEMBERDAYAAN REMAJA DALAM MENGATASI DISMENORE DI SMA KOTA PALEMBANG
Authors: Sumastri Heni , Novita Nesi
Published: July 2023

This Community Service activity aims to utilize yoga child pose to reduce menstrual pain in young women. The benefit of the program is to provide information and education to young women about yoga child pose so that it can be used as an alternative method of reducing menstrual pain besides taking medication. to adopt policies on UKS activities, especially those related to menstrual pain in young women and with movement guidelines (SOP) and in dealing with adolescents who experience menstrual pain. By holding yoga child pose training, young women can do child pose yoga movements independently to deal with menstrual pain they are experiencing. Young women feel relaxed and comfortable with the child pose yoga movement, besides that it is also easy to do independently.
OPTIMALISASI INISIASI MENYUSUI DINI (IMD) SEBAGAI UPAYA MOTIVASI MENYUSUI SECARA EKLUSIF PADA IBU HAMIL
Authors: Nursanti Rina , Suprida Suprida , Eprila Eprila , Wilma Wilma
Published: July 2023

Di Indonesia saat ini cakupan pemberian ASI eksklusif masih jauh dari target 80% cakupan ASI esklusif Dinas Kesehatan tahun 2018 60.7%, sedangkan target Dinas Kesehatan kota Palembang 76.5%. ASI merupakan makanan utama bagi bayi baru lahir sampai enam bulan pertama kehidupan. ASI eksklusif diartikan pemberian ASI saja kepada bayi tanpa tambahan makanan atau minuman lain kecuali obat, vitamin dan mineral. Motivasi menyusui kepada ibu hamil dalam pemberian ASI sangat diperlukan. Motivasi ibu untuk menyusui  bayinya menjadi stimulasi terproduksinya ASI, sehingga hanya ASI yang diberikan ibu kepada bayi selama 6 bulan pertama kehidupan. Keberhasilan menyusui berpengaruh dari tingkat pengetahuan yang dimiliki ibu. Diharapkan dengan memberikan dukungan kepada ibu hamil melalui peningkatan pengetahuan dan motivasi menyusui ibu akan memberikan ASI kepada bayinya sebagai upaya mendukung masa 1000 hari kehidupan. Tujuan dari kegiatan ini terlaksananya pendidikan kesehatan mengenai motivasi menyusui oleh ibu hamil melalui pendidikan kesehatan. Metode pelaksanaan Program Pengabdian Masyarakat ini adalah ceramah, diskusi dan demonstrasi. Jumlah peserta yang hadir dalam pelatihan ini berjumlah 9 orang ibu hamil yang melakukan pemeriksaan ANC di BPM Husniyati. Berdasarkan hasil evaluasi yang dilakukan dengan membandingkan hasil kuesioner pre test dan post test. Kesimpulan ada peningkatan motivasi dalam menyusui ibu hamil sebelum dan sesudah mengikuti pendidikan kesehatan.
LAPAROSCOPIC COMMON BILE DUCT EXPLORATION A BETTER PROCEDURE THAN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IN CASES OF COMMON BILE DUCT DIAMETER >10MM
Authors: D Yadav G. , Shukla Vigya , Bhagchandani Mohit
Published: July 2023

Choledocholithiasis (Common Bile duct stones) along with cholelithiasis is a commonly diagnosed problem in adults in 4 -5 th th decade of life. 10-15% cases of cholelithiasis are associated with common bile duct stones. Choledocholithiasis are generally silent and seen in up to 10% patients undergoing biliary imaging. Primary common duct stones arise de novo in bile duct and are generally brown pigment stones, a combination of precipitated bile pigments and cholesterol. Brown pigment stones are associated with bacterial infections where free bilirubin is formed by hydrolysing enzymes released by bacteria and then precipitates. Brown pigment stones are more common in Asian population. Secondary common duct stones pass from gallbladder into bile duct. Secondary stones are common in western countries. Retained stones are secondary stones found in bile duct within 2 years of cholecystectomy and occur in 1 to 2% of patients. Choledocholithiasis represents a signicant danger to patients as it can lead to biliary colic, obstructive jaundice, cholangitis or pancreatitis. Various treatment modalities available for diagnosed case of common bile duct stone are Endoscopic retrograde cholangiopancreatography accompanied with sphincterotomy with or without stone extraction/stenting, Laparoscopic CBD exploration with stone extraction, open CBD exploration or other biliary drainage procedures.
ПРОГРАМНИЙ АЛГОРИТМ ПІДБОРУ ОПТИМАЛЬНИХ ПАРАМЕТРІВ СОНЯЧНОЇ ЕЛЕКТРОСТАН-ЦІЇ ДЛЯ ПОКРИТТЯ ВЛАСНОГО СПОЖИВАННЯ ЕЛЕКТРИЧНОЇ ЕНЕРГІЇ ОБ’ЄКТА
Authors: Будько В. I. , Вайнштейн Я. В.
Published: July 2023

Зростання тарифів та підвищення соціальної складової сонячної енергетики призводить до збільшення темпів впровадження сонячних електростанцій як складової внутрішніх електромереж підприємств. Поряд з цим постає питання оптимального, кваліфікованого й водночас швидкого вирішення проблеми з підбором потужності, відповідної до характеру споживання підприємства, чому й присвячена ця робота. В статті проведено аналіз залежностей генерації електричної енергії сонячною електростанцією від параметрів конфігурації масиву фотомодулів за допомогою програмного середовища PVsyst. Результатом статті є розроблений програмний алгоритм з підбору потужності сонячної електростанції відповідно до характеристики споживання та поставленого завдання, результати роботи якого проілюстровані відповідними рисунками.
Factores asociados a los conocimientos actitudes y prácticas sobre COVID-19 en pacientes en hemodiálisis
Authors: Christopher Rivera-Santos Alexis Henry , Palacios-Castro Katherine Mishell
Published: July 2023

Introducción: Durante la pandemia del COVID-19 se evidenciaron varios defectos en el sistema de salud, en particular en el sector del primernivel de atención, siendo la población renal crónica una de las más afectadas Objetivos: Determinar la asociación entre factores epidemiológicos y los “conocimientos, actitudes y prácticas” de la población con enfermedad renal crónica (ERC) en hemodiálisis de la provincia de Huancayo, Perú, durante el 2022.Material y métodos: Estudio observacional analítico transversal realizado en el Hospital Nacional Ramiro Prialé Prialé, Huancayo, Junín, entre enero y marzo del 2022. Se administró una ficha de recolección de datos que valoró y cuantificó el nivel de “conocimientos, actitudes y prácticas” de los pacientes. Se aplicó la prueba de chi cuadrado para evaluar la asociación. Resultados: Se estudiaron 76 pacientes con enfermedad renal crónica (ERC) en hemodiálisis. La mayor parte de la población era adulta mayor (51,32 %), contaba con grado de instrucción superior (40,78 %) y procedían de la provincia de Huancayo (73,68 %). La principal causa de ERC fue hipertensión arterial (40,7 %), y un 19,7 % tuvo diabetes mellitus como antecedente. Se encontró asociación estadísticamente significativa entre el grado de instrucción y el nivel de conocimientos sobre COVID-19 en los pacientes en hemodiálisis (p<0,05). No se encontrócorrelación entre las variables edad y tiempo de hemodiálisis con respecto a los “conocimientos, actitudes y prácticas” sobre COVID-19. Conclusión: Hubo asociación entre el grado de instrucción y el nivel de conocimientos sobre COVID-19 en la población en hemodiálisis.
AKTIVITAS ANTIOKSIDAN KOMPLEKS KITOSAN MONOSAKARIDA (Chitosan Monossacharides Complex)
Authors: Sari Selly Ratna , Baehaki Ace , Lestari Shanti Dwita
Published: July 2023

The purpose of this research was to observe antioxidative activity of chitosan monosaccharides complex. The research was conducted in May until June 2013 at chemistry and microbiology laboratory, study program of agricultural technology. All treatment are chitosan, chitosan glucose complex, chitosan galactose complex and chitosan fructose complex using a invitro testing. The parameters were brown color analysis, analysis antioxidant activity with DPPH and reducing power method . The result showed that all chitosan monosaccharides complex demonstrated better antioxidative than chitosan. It is indicated that Maillard reaction product (MRP) exhibited antioxidant activity. The brown color analysis (0.031-0.224), antioxidant antioxidant analysis with DPPH method of IC50 (92-131 ppm) and reducing power method was 1.059-1.274. Chitosan galactose complex (A2) is the best to antioxidative from all treatments. Chitosan monosaccharides complex could be used as natural preservatives, edible packaging (film and couting) and food additive.
Penempatan Kapasitor Paralel pada Penyulang Pajajaran GI Jakabaring
Authors: Wiwin A Oktaviani  , Suhendra Supri , Barlian Taufik , Apriani Yosi
Published: July 2023

In order to compensate for reactive power on electrical power distribution lines, parallel capacitors have been utilized extensively. Capacitor placement does not constantly improve the total voltage and power factor. Therefore, it is crucial to establish the ideal capacitance (size) and position of the capacitors to reduce power losses in the distribution line. Palembang City's New Jakabaring Substation is a substation situated in a region with a rapid load increase. Pajajaran Feeder, one of the several feeders at this substation, carries the weight of numerous significant loads as well as expanding residential areas. Reactive power computation and optimal capacitor placement (OCP) were the two simulation techniques used in the study, which were carried out using ETAP 19.0. The study's findings demonstrate that using reactive power calculations, the original Padjajaran feeder voltage drop is improved from 93.26% to 98.98% while utilizing OCP, the voltage drop is improved from 93.26% to 100.1%. However, OCP provides a more consistent capacitance value of the capacitors in the range of 930 kVAR compared to reactive power calculations, whose results are more inconsistent. Calculations using OCP gives more capacitors, namely as many as 20 more than those produced by calculating the reactive power of 14 capacitors. The location of parallel capacitors in the Padjajaran feeder can function optimally and support a load of up to 80% of the transformer capacity rating.
Professores de Matemática estão preparados para o ensino de Estatística e Probabilidade?
Authors: Frei Fernando , Rosa Jussara Santos , Biazi Ângelo Henrique
Published: July 2023

Há um crescente reconhecimento da importância da alfabetização estatística em nossas vidas diárias. Nos Ensinos Fundamental e Médio, o professor de Matemática é o responsável pelo ensino de Estatística. Para o sucesso do aprendizado, é fundamental uma infraestrutura adequada nas escolas e também professores preparados para o ensino dessa disciplina. O objetivo deste trabalho foi avaliar como o professor de Matemática considera sua qualificação para o ensino de Estatística e Probabilidade. Foram entrevistados 657 professores de todos os Estados brasileiros. Os resultados mostram que, em comparação com outras áreas da Matemática, a Estatística e Probabilidade foram as duas com maior dificuldade autoavaliadas e que um terço desses professores acreditam que o tempo destinado aos conteúdos dessas unidades foi insuficiente durante sua formação. Ações como cursos continuados podem auxiliar professores de Matemática a ampliar e aprofundar o conhecimento de Estatística e Probabilidade, bem como desenvolver habilidades e estratégias didáticas específicas.
Solar Assisted Relift Luo Converter with UPQC for Voltage Unbalance Mitigation Using DDSRF Theory
Authors: Pakkiraiah B. , Venkateswarlu M. , Rao B. Loveswara
Published: July 2023

The upsurge seen in integration of sensitive non-linear loads and Photovoltaic (PV) system based power generation has strengthened the demand for enhanced Power Quality (PQ) in distributed power system. Thereby, a Unified Power Quality Conditioner (UPQC), which is a custom power device is proposed in this work for improving the PQ of the overall network. The load side PQ issues is mitigated using the shunt compensator, while the source side PQ issues is mitigated using the series compensator of the UPQC. The active power to the load is provided from the PV system through a shunt compensator. The voltage level of the output obtained from the PV is improved with the aid of Re-lift Luo converter, which is a DC-DC converter of high efficiency and voltage gain. Moreover, in order to provide a stabilized voltage supply to the UPQC, an Adaptive Proportional Integral (PI) controller is selected and its gains are adjusted with the application of Fuzzy Logic Controller (FLC). The Decoupled Double Synchronous Reference Frame (DDSRF) theory is applied to derive the reference voltage and reference current for balancing source voltage variations and load current harmonics, respectively. The series and shunt compensators are controlled using Cascaded Type-2 FLC (CT2FLC). The effectiveness of the proposed PV-UPQC configuration in eliminating load current harmonics and source voltage fluctuations is evaluated on the basis of MATLAB simulations.
Wavelet Based Detection and Classification Power Quality Disturbance using SVM and PSO
Authors: Kanirajan Dr. P.
Published: July 2023

This paper introduces a novel approach to detect and classify power quality disturbance in the power system using Support Vector Machine (SVM). The proposed method requires less number of features as compared to conventional approach for the identification. For the classification, 8 types of disturbances are taken in to account. The classification performance of SVM is compared with Radial basis Function neural network (RBNN).The classification accuracy of the SVM network is improved, just by rewriting the weights and updating the weights with the help of cognitive as well as the social behaviour of particles along with fitness value by using Particle Swarm Optimization (PSO). The simulation results possess significant improvement over existing methods in signal detection and classification with lesser number of features
An enigmatic new octocoral species (Anthozoa, Octocorallia, Malacalcyonacea) from Isla del Coco National Park
Authors: Breedy Odalisca , McFadden Catherine S. , Cortés Jorge
Published: July 2023

Aliena parvagen. et sp. nov.is described from Cocos Island, Costa Rica. The species was found at various islets and rocky outcrops north and northwest of the island, 20–30 m in depth. The genus is characterised by polyps, retracting into calyces, that form thin encrusting mats extending on dead or live substrates. Sclerites are mostly asymmetrical spindles. Anthocodial rods are arranged in points, not forming a collaret. Colonies and coenenchymal sclerites are red, and polyps are transparent. Using an integrative taxonomic approach, we found the new genus to morphologically and genetically differ from all other described taxa. The molecular phylogenetic analyses provide strong support for the placement of this new genus in the family Pterogorgiidae. Morphologically it is unlike any of the other members of this family, necessitating an amendment to the diagnosis of Pterogorgiidae. Like several other known taxa of octocorals with encrusting growth forms,Alienagen. nov.appears to have evolved from a gorgonian ancestor by loss of an internal skeletal axis. It is the first member of Pterogorgiidae to be reported from the eastern Pacific, contributing further to the knowledge of marine biodiversity in the eastern tropical Pacific and to the octocoral biodiversity of Cocos Island in particular.
A Comparative Analysis of series and parallel topologies of Perturb and Observe (P&O) and Incremental Conductance (InC) MPPT Algorithms for Photovoltaic System
Authors: Seba Samah , Mouhoub Birane , Benmouiza Khalil
Published: July 2023

Photovoltaic (PV) is considered one of the most important sources of energy in the world, owing to its inherent advantages of being cheap, environmental friendliness, and energy-efficient. To increase the output power of the solar PV system, it is most important to enforce it to operate at the highest possible maximum power point tracking (MPPT) algorithm lead an important role in optimization the performance of a photovoltaic (PV) generation systems. This paper compares two widely used MPPT algorithms, namely the Perturb and Observe (P&O) method and the Incremental Conductance (IC) method, known for their low cost and eases of realization. The algorithms were evaluated based on important parameters such as voltage, current, and power output for different combinations, with and without shading. The performance of the photovoltaic array was evaluated using the MATLAB Simulink toolbox. The simulation results demonstrate that the IC method can rapidly detect the maximum power point (MPP) when irradiance changes suddenly, with faster convergence and higher accuracy than the P&O algorithm. Simulations are performed to test the controller's capability oftracking the MPP when sudden variations in weather condition
Transforming the Yardstick Used to Measure Benefits From the Farm Sector
Authors: Sharma Parul , Verma Madhu , Tiwari Charu , Kadekodi Gopal , Ninan K.N. , Guha Asi
Published: July 2023

Traditional systems of accounting for agricultural productivity focus solely on yield-based contributions and totally ignore the biodiversity and ecosystem services derived from agriculture. The study uses a framework and approaches developed under ‘The Economics of Ecosystems and Biodiversity (TEEB) AgriFood ‘initiative to demonstrate the hidden values of Agri-systems through valuation of agro-ecological elements using subsidies for hidden costs and incentivizing unaccounted benefits. These unaccounted benefits could be monetized through policy and economic instruments to supplement farmers’ income. The paper recommends a mix of policy and fiscal interventions such as Payment for Ecosystem Services (PES) or Remuneration of Positive Externalities (RPE), tax rebates, and subsidies which can promote sustainable agricultural practices.
Tingkat Kepercayaan Masyarakat terhadap Kinerja Polri Tahun 2021
Authors: Saputra Azis
Published: July 2023

Penelitian tentang tingkat kepercayaan masyarakat terhadap kinerja Polri tahun 2021 ini bertujuan untuk mengukur sejauh mana tingkat kepercayaan masyarakat terhadap kinerja Polri di bidang fungsi operasional kepolisian, yakni Binmas, Intelkam, Lantas, Reskrim dan Sabhara.. Penelitian ini menggunakan mix method yang merupakan gabungan dari kuantitatif dan kualitatif. Metode kuantitatif yang digunakan adalah survei dengan jumlah responden sebanyak 44.516 orang yang tersebar di 185 Polres di 34 Polda dengan margin error yang ditolerir sebesar 5%. Adapun metode kualitatif yang digunakan adalah Focus Group Discussion (FGD) dan wawancara mendalam (in-depth interview). Hasil penelitian ini menunjukkan bahwa nilai Indeks Kepercayaan Masyarakat (IKM) Polri pada tahun 2021 sebesar 83,14 dengan kategori Sangat Baik. Skor IKM Polri pada masing-masing fungsi operasional, yaitu fungsi Binmas 85,25; fungsi Intelkam 80,99; fungsi Lantas 83,53; fungsi Reskrim 82,97; dan fungsi Sabhara 82,94. Berdasarkan hasil regresi pada data kuesioner maka faktor yang berpengaruh terhadap IKM Polri pada masing-masing fungsi operasional dikategorikan menjadi; a) layanan unggulan, b) layanan perlu peningkatan, c) layanan perlu pembenahan. Adapun persepsi dan ekspektasi masyarakat juga beragam yang menunjukkan bahwa masyarakat sangat antusias terhadap program-program layanan yang diberikan kepolisian, seperti: pola pendekatan Bhabinkamtibmas dengan basis keagamaan dan kultral, peningkatan sarana dan prasarana teknologi di bidang pelayanan, peningkatan kemampuan penyidikan kejahatan siber di era digital, dan patroli di tempat-tempat rawan. Sementara itu, perspektif internal kepolisian juga telah melakukan terobosan dan inovasi layanan untuk meningkatkan kepercayaan masyarakat, seperti: optimalisasi keberadaan polisi di lingkungan tempat tinggal, penerapan teknologi di bidang layanan operasional, dan pembentukan tim-tim khusus untuk penanggulangan kejahatan. Namun demikian, masih ada kendala personil Polri di dalam memberikan layanan prima kepada masyarakat, seperti terbatasnya jumlah personil, keterbatasan sarana dan prasarana teknologi yang tidak merata di wilayah, minimnya budaya tertib lalu lintas masyarakat, serta terbatasnya kualitas SDM penyidik. Oleh karena itu, rekomendasi yang diberikan disesuaikan dari hasil uji regresi di masing-masing fungsi, yakni 1) melakukan langkah-langkah untuk mempertahankan layanan kategori unggulan, 2) melakukan langkah-langkah untuk meningkatkan layanan kategori perlu ditingkatkan, dan 3) melakukan langkah-langkah untuk revitalisasi layanan yang perlu pembenahan.
Pengaruh Disiplin Kerja, Psychological Capital dan Perceived Organizational Support Terhadap Kinerja Pegawai Negeri Pada Bareskrim Polri (Studi Terhadap Penyidik Polri)
Authors: Hartanti Herawati Supristyaning
Published: July 2023

Penyidik merupakan anggota Polri yang diberi tugas khussu melakukan penyidikan. Kinerja penyidik akan sangat terlihat oleh masyarakat sehingga bisa mempengaruhi tingkat kepercayaan masyarakat terhadap institusi Polri. Kinerja penyidik perlu ditigkatkan sebagai upaya untuk meningkatkan kepercayaan masyarakat terhadap institusi Polri dan mengatasi permasalahan criminal dengan prefesional dan proporsional. Penelitian ini bertujuan untuk mengetahui pengaruh Disiplin Kerja, Psychological Capital dan Perceived Organizational Support Terhadap Kinerja Penyidik Bareskrim Polri. Adapun variabel bebas pada penelitian ini yaitu Disiplin Kerja. sychological Capital dan Perceived Organizational Support. Sedangkan variabel terikat dalam penelitian ini yaitu Kinerja Pegawai Negeri pada Bareskrim Polri (Studi terhadap Penyidik Bareskrim Polri). Pengambilan data menggunakan kuesioner pada 198 responden yang terpilih secara acak. Analisis data menggunakan Structural Equation Model (SEM) dengan aplikasi The Partial Least Square (PLS). Hasil analisis penelitian menunjukkan bahwa: 1) Variable Disiplin Kerja berpengaruh positif terhadap variabel Kinerja Penyidik pada Bareskrim Polri; 2) Psychological Capital berpengaruh positif terhadap tingkat kinerja Penyidik pada bareskrim Polril; 3) Adanya pengaruh positif dari Perceived Organizational Support terhadap Kinerja Penyidik Bareskrim Polri; dan 4) Disiplin kerja, Psychological Capital dan Perceived Organizational Support terbukti berpengaruh positif dan signifikan terhadap Kinerja.

Kata Kunci: Disiplin Kerja, Psychological Capital, Perceived Organizational, Kinerja
Strategi Dalam Penanganan Penyebaran Covid-19 Melalui Kebijakan PSBB
Authors: Aziz M Asrul
Published: July 2023

Strategi pemerintah dalam mencegah pandemi covid-19 adalah dengan menerapkan social distancing atau physical distancing dan mulai diterapkan pemerintah pusat pada tanggal 15 Maret 2020. Semua ini dilakukan dalam rangka memutus mata rantai dari penyebaran virus SARS-COV-2 penyebab covid-19. Namun kenyataannya, jumlah kasus atau jumlah kematian yang terdampak dari virus covid-19 semakin hari semakin meningkat. Virus covid-19 menyebar secara signifikan dan cepat ke beberapa wilayah, sehingga pemerintah kembali menerapkan Pembatasan Sosial Berskala Besar (PSBB) pada tanggal 31 Maret 2020. Penelitian ini bertujuan untuk mengkaji strategi penanganan penyebaran covid-19 melalui kebijakan PSBB dan dampak pandemi Covid-19 terhadap kesehatan, ekonomi, sosial, keamanan serta politik. Dan dari kajian ini, diharapkan dapat mendesain model strategi yang ideal dalam penanganan penyebaran covid-19 dalam rangka mencegah terjadinya gangguan keamanan dan ketertiban dalam masyarakat pada masa pandemi covid-19. Metode pendekatan dalam mengungkap atau membedah persoalan penelitian ini adalah menggunakan pendekatan kuantitatif dan kualitatif (mix method) dengan teknik pengumpulan data wawancara mendalam dan Focus Group Discussion (FGD) serta pengumpulan dokumen yang berkait dengan permasalahan penelitian. Key informan penelitian adalah Tim Gugus Tugas Covid-19 dan personil Polri yang terlibat langsung dalam pelaksanaan PSBB serta masyarakat yang terdampak Covid-19. Hasil penelitian yang dilakukan pada 3 (tiga) Kepolisian Daerah (Polda) di Indonesia menunjukkan, bahwa secara sosio-kultural nilai atau tujuan utama kebijakan PSBB yang diterapkan oleh pemerintah dalam penanganan dan penanggulangan pandemi Covid-19 belum sesuai harapan. Akibat implementasi yang tidak maksimal dan sesuai harapan yang berimplikasi pada terganggunya pelayanan kesehatan secara umum (aspek kesehatan), melonjaknya beban biaya hidup dan frustasi masyarakat (aspek sosial), penutupan pada sektor kegiatan usaha yang berdampak pada peningkatan pengangguran (aspek ekonomi), terjadi peningkatan eskalasi kejahatan ± 5 -10 % terutama kejahatan konvesional (penyelewengan Bansos, dan berita hoax) serta rendahnya dukungan politik dari institusi pembuat undang-undang terkait penanganan Covid-19.
Rampant use of Nimesulide in Pakistan, a drug associated with hepatotoxicity
Authors: Muhammad Umar  , Muhammad Ahrar Bin Naeem
Published: July 2023

Madam,
Nimesulide is a drug very commonly used in Pakistan. It is a non-steroidal anti-inflammatory drug (NSAID) with selectivity for cyclooxygenase-2 (COX-2) (1). Nimesulide is used as an analgesic, anti-inflammatory, and antipyretic (2). This drug which was first introduced in Italy, has been successfully marketed in more than 50 countries except for the US (3). Moreover, as a result of its extensive and rapid absorption, it allows effective pain control. Nimesulide has been known to induce hepatotoxicity (4), with the first case being reported in 1997, followed by many reports of severe or even fatal cases of liver injury. Consequently, it was restricted or withheld from the market in Spain and France since 2002, with other countries following suit.
Recent publications point to the formation of reactive metabolites leading to liver damage. Some factors highly prevalent in our demographics, such as metabolic syndrome, also increase the risk of developing hepatotoxicity (5).
These factors alarm us to increase awareness campaigns directed at restricting the use of Nimesulide and potentially leading to the ban of this drug.
Nimesulide, NSAIDs, antibiotics and most other drugs are available over the counter in Pakistan. Self-medication of these drugs is a common practice. Measures are needed to restrict the availability of such drugs, the extensive use of which can lead to antibiotic resistance and potentially lethal side effects. These drugs should only be dispensed upon proper prescription, so as to achieve better control in the population.
Glyphosate - A Silent, Slow Killer?
Authors: Hira Saleem  , Awan Abdul Rafeh
Published: July 2023

Madam,
Glyphosate, commercially known as Round Up, is one of the most widely used herbicides and pesticides worldwide. As a synthetic organophosphate compound, it comes in a crystalline, odourless and colourless form. Most of the human exposure to this compound occurs during the process of its manufacturing, formulation and transport. Further exposure may come from the inhaling toxic fumes of nitrogen gas and phosphorus oxides produced when this pesticide undergoes decomposition, when farmers and gardeners use it on their crops, and when individuals come in contact with products containing it as the active ingredient (1).
As of right now, there is a multitude of studies that link glyphosate to several morbidities.
When a combined 9229 cases of farmers from North America, the European Union and Australia were assessed, glyphosate was directly linked to an increase in the onset of follicular lymphoma (2). It was also associated with allergic and non-allergic wheezing among farm women in the Agricultural Health Study (2005-2010), which focused on farmers in Iowa and North Carolina (3). Additionally, when tested on mice, exposure to glyphosate was found to increase TNFa in the brain and plasma, and the levels of soluble Amyloid Beta in the brain, suggesting a detrimental role to general health. Furthermore, glyphosate was one of the 11 pesticides studied and then found to have a direct correlation with the increase in overall cancer cases in Brazil. (5)
Taking into consideration the aforementioned facts, it is vital to regulate the exposure of individuals to glyphosate to reduce the rising rate of morbidities. More guidelines and policies should be formulated to protect the health of individuals involved in glyphosate manufacturing, due to their exposure risk high. Pesticide leching into water sources should also be prevented to ensure that the general population does not end up consume them indirectly.
Tocilizumab; A potential remedy against the ever-evolving threat of Coronavirus-2 (SARS-CoV-2)
Authors: Ali Malik Ghulam Mustafa , Faheem Samar
Published: July 2023

Madam, Coronavirus-2 (SARS-CoV-2) is a novel positive single-strand RNA virus that is the causative agent of COVID-19, which originated in Wuhan, China, at the end of December 2019. Since the beginning of 2020, this virus has taken the world by storm, brought the globe to an absolute crawl for the last two years, and overburdened healthcare facilities in numerous countries. The Coronavirus-2 (SARS-CoV-2) virus is transmitted via aerosolized droplets, and once the virus finds itself inside the host's body, it undergoes an incubation period between 6-7 days. After the viral incubation period passes, the patient suffers from fever, cough, dyspnea, myalgia, and, in severe cases, hypoxia that requires hospitalization and mechanical ventilation.1 The pathogenesis of COVID-19 involves the dysregulation of the host immune response, which may lead to the development of acute respiratory distress syndrome in the host. The dysfunction of the host's immune response involves the hyperactivation of the humoral pathway, resulting in the overproduction of interleukin-6. Elevated levels of Interleukin-6 may lead to the development of numerous pathologies like respiratory failure, shock, and multiorgan dysfunction. This derangement of the host immune response would act as a potential target for several therapeutic agents to relieve COVID-19 symptoms.2 One such therapeutic agent is Toculimizab, which is a recombinant humanized anti-interleukin 6 receptor monoclonal antibody that functions by binding to membrane IL-6 R, thus preventing the formation of the complex with IL-6 and blocking the signal transmission. It is used in several inflammatory immune diseases such as Systemic Sclerosis, Giant Cell Arteritis, Takayasu Arteritis, etc. Tocilizumab has been shown to improve the hyperinflammatory and hypercoagulable state of COVID- 19 patients by reducing the circulating inflammatory biomarkers.3 To support the use and clinical efficacy of Tocilizumab in the hospitalized patient, a 2021 metaanalysis by Kyriakopoilous C. et al. showed the effects of Tocilizumab on mortality amongst Hospitalized COVID-19 patients and to see whether mechanical ventilation would be necessary once Tocilizumab was administered. This research was a combination of observational studies and randomized control trials. The results revealed a reduction in mortalities among 27,004 hospitalized COVID-19 patients. In the meta-analysis observational studies, there was an overall 31% decrease in mortality In the randomized control trials, there was an 11% decrease in mortality, along with a 19% decrease in the need for mechanical ventilation, showing that Tocilizumab was beneficial for all hospitalized patients.4
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PEMERIKSAAN KESEHATAN PADA SAMPEL FESES DAN KEROKAN KULIT MASYARAKAT TPST BANTAR GEBANG BEKASI
Authors: Pramitaningrum Intan Kurniawati , Inggraini Maulin , Ilsan Noor Adryan , Nurfajriah Siti , Amelia Ria , Sari Elfira Maya
Published: July 2023

Daerah Bantar Gebang merupakan tempat pembuangan sampah terbesar di Indonesia. Daerah di sekitar TPST Bantar Gebang memiliki kondisi sanitasi dan sarana air bersih yang kurang. Kondisi lingkungan tersebut sangat potensial dengan masalah kesehatan. Tujuan penelitian ini adalah untuk melakukan pemeriksaan kesehatan pada sampel feses dan kerokan kulit pada siswa di Yayasan Dinamika Indonesia dan Yayasan Tunas Mulia. Metode yang digunakan adalah dengam melakukan pemeriksan natif feses dan pemeriksaan kerokan kulit menggunakan KOH. Dari hasil pemeriksaan 2 dari 61 siswa Yayasan Dinamika Indonesia positif Trichuris trichiura. .Hasil Isolasi bakteri patogen dari feses siswa di Yayasan Dinamika Indonesia dan Yayasan Tunas Mulia, Bantar Gebang Bekasi menunjukkan bahwa sebanyak 16 siswa (26,2 %) terdapat Salmonella sp., 3 siswa (4 %) terdapat Shigella sp. dan 42 siswa (68,8%) terdapat E. coli. Siswa yang diduga terinfeksi jamur kulit di Yayasan Tunas Mulia berjumlah 7 siswa, 6 siswa diantaranya positif dan 1 negatif. Sedangkan pada Yayasan Dinamika Indonesia terdapat 34 siswa yang diduga terinfeksi jamur kulit tetapi hanya 10 siswa yang positif sedangkan 24 siswa negatif
PENCEGAHAN CACINGAN MELALUI PEMERIKSAAN TELUR CACING ASCARIS LUMBRICOIDES DAN PEMBERIAN OBAT CACING PADA ANAK KELAS 3 di SDN 04 DAN 08 KELURAHAN PENGASINAN, BEKASI TIMUR
Authors: Amelia Ria , Nurfajriah Siti , Pramitaningrum Intan Kurniawati , Inggriani Maulin , Mayasari Elfira , Arshita Neni
Published: July 2023

Tingkat infeksi penyakit cacingan di Indonesia sampai saat ini masih tinggi dan cacing usus yang memiliki nilai prevalensi yang tinggi ialah Ascaris lumbricoides. Infeksi penyakit askariasis dapat ditularkan melalui tanah (Soil TransmittedHelminth/ STH) sering terdapat pada anak-anak dan remaja. Salah satu cara strategi yang dapat dilakukan ialah dengan melakukan data prevalensi cacingan disetiap sekolah karena infeksi cacingan lebih dominan terjadi pada usia anak dan remaja dari umur 6-15 tahun. Kegiatan PKM ini bertujuan untuk memperoleh prevalensi cacingan pada siswa kelas 3 di SDN 04 dan 08 Pengasinan bekerjasama dengan Puskesmas Pengasinan pada bulan agustus. Jumlah responden kegiatan ini 114 siswa. Ada tiga kegiatan yang dilakukan yaitu peragaan gerakan enam langkah cuci tangan, pemeriksaan telur cacing, dan pemberiam obat cacing. Pemeriksaan telur cacing dilakukan dengan metode naïf dengan 2 kali pengamatan menggunakan larutan eosin 2% dan larutan NaCl 0.9%. Hasil data prevalensi infeksi penyakit cacingan siswa kelas 3 di SDN 04 pengasinan dan SDN 08 pengasinan, Bekasi Timur adalah 0%.
INOVASI PRODUK UBI GARUT SEBAGAI ALTERNATIF SUMBER PANGAN
Authors: Sugiarti Sugiarti , Irawati Poppy , Kartini Kartini , Habibi Alpan
Published: July 2023

Jenis tanaman yang masih tumbuh secara “semiliar” atau semi alami diIndonesiakhususnya pulau jawa namanya Garut atau Umbi Garut (Maranta Arundinacea). Tujuan dariPengolahan tepung garut adalah untuk mewujudkan industri kecil berskala menengah pembuatantepung pati garut sebagai pangan lokal potensial di Desa Mlale, Kecamatan Jenar, KabupatenSragen. Target khusus yang harus dicapai adalah untuk mendapatkan alat penggiling garut, alatpembuatan cookies, strategi promosi yang modern dan pembuatan website. Metode yang akandilakukan untuk mencapai target adalah dengan pengadaan alat penggiling garut, pengadaan alatpembuatan cookies agar mampu meningkatkan volume produksi. Selain itu, metode yangdilakukan dalam rangka meningkatkan tingkat penjualan tepung pati garut adalah model promosidengan menggunakan facebook,whatssapp,BBM messenger, pembuatan website dan sebagainya
INTRADIALYTIC EXERCISE SEBAGAI EVIDENCE BASE PRACTICE UNTUK MENGURANGI KELELAHAN PADA PASIEN HEMODIALISIS
Authors: Herabare Rizky Amalia , Hudiyawati Dian , Purnama Arif Putra
Published: July 2023

Hemodialisa merupakan terapi yang dilakukan oleh pasien yang mengalami Chronic Kidney Disease (CKD). Kelelahan sering dialami oleh pasien CKD yang menjalani hemodialisa. Studi ini bertujuan untuk menerapkan evidence base practice yaitu terapi intradialytic exercise pada pasien hemodialisa. Desain studi ini menggunakan pre-post design. Studi ini menggunakan kuesioner FAS (Fatigue Assesment Scale) dengan interpretasi tingkat kelelahan normal (skor <22), ringan (skor 23-32), sedang (skor 33-34), berat (skor >35). Sampel penelitian berjumlah 3 responden. Penelitian dilakukan pada bulan September 2022 di unit Hemodialisa RS PKU Aisyiyah Boyolali. Terapi intradialytic exercise dilakukan pada 1 jam terakhir selama sesi hemodialisa dengan durasi waktu 10 menit dalam satu kali pertemuan. Hasil penelitian menunjukkan terdapat penurunan tingkat kelelahan pada responden setelah dilakukan terapi intradialytic exercise. Didapatkan data pada 2 responden saat pretest menunjukkan skor FAS dalam kategori berat yaitu dengan skor 36 dan 1 responden dalam kategori sedang yaitu 33. Saat posttest, ketiga responden mengalami penurunan skor FAS yaitu responden dalam kategori skor FAS berat menurun menjadi kategori sedang, sedangkan responden dengan kategori sedang mengalami penurunan menjadi kategori ringan. Penerapan evidence base practice berupa terapi intradialytic exercise yang dilakukan dapat menurunkan skor FAS yang menandakan adanya penurunan tingkat kelelahan pada pasien yang menjalani hemodialisis di RS PKU Aisyiyah Boyolali.
KOMUNIKASI TERAPEUTIK PERAWAT DENGAN TINGKAT KECEMASAN PASIEN DALAM TATANAN MANAJEMEN DI RUMAH SAKIT
Authors: Afandi Alfid Tri , Putri Prestasianita , Darmawan Taufan Citra , Ardiana Anisah
Published: July 2023

Komunikasi terapeutik merupakan kegiatan yang dilakukan perawat dalam melakukan asuhan keperawatan. Mekanisme dalam melakukan komunikasi terapeutik tidak lepas dari tuntutan pelayanan kepada pasien dan keluarga. Masalah utama ketika pasien dan keluarga menerima pelayanan di Rumah Sakit yaitu kurangnya pengetahuan sehingga dapat meningkatkan kecemasan. Tujuan dari penelitian ini yaitu untuk mengetahui hubungan antara komunikasi terapeutik dan tingkat kecemasan dari pasien. Penelitian ini memiliki 118 responden dan menggunakan teknik sampling purposive. Desain penelitian ini menggunakan jenis korelasi dengan pendekatan cross sectional. Hasil dari penelitian ini yaitu memiliki hubungan antara komunikasi terapeutik dengan tingkat kecemasan pasien dengan nilai p = 0,036 (p<0,05). Komunikasi perawat mayoritas hasilnya adalah cukup (55,9%) dan tingkat kecemasan pasien mayoritas cemas ringan (56,8%). Sehingga dapat disimpulkan bahwa komunikasi perawat dan kecemasan pasien memiliki hubungan yang tidak bisa dipisahkan. Meningkatnya komunikasi perawat secara maksimal dapat menurunkan tingkat kecemasan pasien dalam menjalani pengobatan selama di Rumah Sakit. Sehingga hasil akhir yang diharapkan yaitu dapat meningkatkan kepuasan pasien dalam menerima pelayanan di tatanan klinik.
Women Empowerment through Kudumbashree Unit: An Empirical Examination
Authors: Febin .T Ameena
Published: July 2023

Women are the good source of man power and contribute effectively towards human capital for which they have to be adequately equipped. Kudumbashree units are today one of the largest women empowering project in our country. Women empowerment is one of the important objectives of kudumbashree along with poverty eradication. The main aim of the kudumbashree scheme is to improve the standard of living of poor women in rural areas by setting up micro credit and productive enterprises. Rural women are treated as voiceless and defenseless. So they have to be empowered to fight against the evils faced by them. As per the documents associated with Kudumbashree, women want to identify their inner strength, opportunities for growth and their role in reshaping their own destiny. The main objective of this paper is to know to what extend this programme has influenced the rural women for their empowerment. Kerala is considered as literate state as compared to other states of our country. The study indicates that majority of the women of kudumbashree units are working on daily wages and their total income is low. The women empowerment is achieved only a limited extend by Kudumbashree members.