bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Teknik Relaksasi dan Mobilisasi untuk Mengatasi Nyeri pada Ibu Post Sectio Caesarea
Authors: Rahmadyanti Rahmadyanti , Nani Nani
Published: August 2024

This study aims to determine the effect of the Benson relaxation technique on the pain scale in post-SC surgery patients at RSU Proklik Karawang in 2023. The research method used pre-experiment with a research design of one group pre and post test design. The results of the research showed that there was a decrease in the average pain score before and after Benson relaxation by 6.13 on the pain scale and the results of the t-test showed that there was a significant difference in pain scores before and after Benson relaxation intervention in patients after caesarean section Sig. (2-tailed) of 0.000 <0.005. In conclusion, there is an effect of Benson relaxation on reducing pain in post-SC surgery patients at RSU Proklik and it is hoped that Benson relaxation can be used as a reference for alternative treatment to reduce pain in post-SC surgery patients.
Keywords: Mobilization, Post-operative SC, Pain Scale, Benson Relaxation Technique
Intervensi Senam Kaki Berdasarkan Self Care terhadap Sensitifitas Kaki Pasien Diabetes Melitus
Authors: Ariyanto Topan , Nurharlinah Nurharlinah , Riyanto Agus , Inayah Iin , Safarina Lina
Published: August 2024

This study aims to identify the effect of self-care based foot gymnastics intervention on foot sensitivity, The method used is Quasi Experimental Design with Pretest Posttest Nonequivalent Control Group Design design that provides pretest before undergoing intervention. Based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 < 0.05, where there is an effect of Foot Exercises Based on Self care on Diabetes Foot Sensitivity in the intervention group before and after the foot exercise intervention based on self care, Conclusion that there is an effect of Self care Based Foot Exercises on Foot Sensitivity.
 
Keywords: Diabetes Mellitus, Foot Sensitivity, Foot Gymnastics, Self Care.
Kandungan Antioksidan pada Suplemen Daun Kelor terhadap Kadar Acyl Ghrelin pada Subjek Obesitas
Authors: Mahabatillah Desty , Afifah Diana Nur , Pramono Adriyan
Published: August 2024

This study aims to explore the effect of antioxidant content on acyl ghrelin levels in obese subjects. This research method is a systematic literature review approach by searching for journal articles in the PubMed database. Inclusion criteria were articles published in the last 10 years using RCT methods on experimental animals and humans with obese nutritional status and providing Moringa leaf intervention. The research results showed that of 69 articles identified, only 7 articles met the inclusion criteria. The findings obtained indicate that the high antioxidant content of Moringa leaves has great potential as a functional food source and is beneficial for body health. The conclusion of the research is that the antioxidant content in Moringa leaves has an effect on obesity and still needs to be studied for its effect on acyl ghrelin.
 
Keywords: Acyl ghrelin, Moringa Leaf Supplements, Antioxidants, Obesity
Perawatan Topikal Berbasis Minyak pada Pasien Pruritus Uremik dengan Gagal Ginjal Kronis
Authors: Philipus Vitta Margareth , Yetti Krisna , Maria Riri
Published: August 2024

The aim of this study was to look at oil-based topical treatments that are effective in reducing and reducing the scale of uremic pruritus in patients with chronic kidney failure. The research method used in writing this systematic review was a literature search conducted through the Pubmed, Proquest, Science direct, Scopus databases with articles selected from 2010-2022. The results of this study showed a significant reduction in the scale of uremic pruritus in chronic kidney failure patients within 1-4 weeks of oil-based topical treatment. In conclusion, oil-based topical treatments are effective in reducing complaints of itching and pruritus in chronic kidney failure patients so that they can be used in nursing treatment.
 
Key Word: Chronic Renal Failure; Oil Based Treatment ; Uremic Pruritus
Teknologi Edukasi Perawatan Bayi Prematur
Authors: Wardhani Rachmayanti Purawita , Allenidekania Allenidekania , Rustina Yeni
Published: August 2024

This study aims to identify the most effective technology for preterm infant care, so as to improve knowledge, maternal skills and growth of preterm infants. The research method used was systematic review using five databases, namely Proquest, ScienceDirect, Emeraldinsight, PubMed, ClinicalKey. The results showed that 10 research articles could improve the knowledge, skills, and growth of preterm infants, such as: Booklet, tele-rehabilitation-based educational technology EI (Early Intervention), Family Integrated Care and Mobile Technology (m-FiCare m-Health, Telenursing education of premature, web application. Conclusion The most effective educational technology and has the advantage of accessing education is the web.
 
Keywords: Baby Care, Premature, Technology
Konversi Dokumentasi Keperawatan Berbasis Elektronik
Authors: Kalimah Siti , Fitryasari P.K Rizki , Mariyanti Herdina
Published: August 2024

This research aims to improve the quality of nursing services, increase time and cost efficiency, optimize patient data management, improve care coordination, and provide better outcomes for patients overall. The method used was a systematic review carried out using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method. The databases used are Scopus, Science Direct, Pubmed and the Ners journal. The research results show that electronic-based documentation offers optimization for nurses in providing nursing care to patients. This includes more effective and efficient documentation, more integrated nursing care, and reducing the use of paper (paperless) which can contribute to reducing the impact of global warming and reducing hospital expenditure. In conclusion, changing nursing documentation in paper form to electronic documentation in hospitals requires careful preparation. Preparation for preparing the instruments used, supporting infrastructure and the readiness of nurses to carry out nursing documentation.
 
Keywords: Nursing Documentation,Electronic Nursing Documentation
Latihan Relaksasi Secara General terhadap Tingkat Mual dan Muntah pada Pasien Kanker dengan Induksi Kemoterapi
Authors: Ningsih Indarti Dwi , Nuraini Tuti , Afiyanti Yati
Published: August 2024

This study aims to determine the effectiveness of general relaxation exercises on the level of nausea and vomiting in cancer patients receiving chemotherapy induction. The method used in this research is a systematic review of several databases through searches of trusted journals, such as Scopus, EBSCOhost, Springer Link, Proquest and Science Direck, Google Schooler with article analysis using the PRISMA method. The results of the study showed that a total of 10 articles had been analyzed in which there were several relaxation exercise interventions that were given generally and successively proven to reduce the level of nausea and vomiting in cancer patients who received chemotherapy induction. Conclusion: Providing relaxation exercise interventions in general is flexible, simple, easy to learn, and helps reduce the level of nausea and vomiting in cancer patients receiving chemotherapy induction.
 
Keywords: General relaxation exercises, Cancer, Nausea, Vomiting
Efektivitas Self-Management Pasien Kanker di Rumah Sakit
Authors: Sopiah Siti Herlina Ali , Waluyo Agung , Afiyanti Yati
Published: August 2024

This study aims to determine the effectiveness of self-management carried out by cancer patients while in hospital. The method used was a systematic review of several databases, namely Proquest, Science Direct, Sage Pub, Scopus, Ebsco, ClicalKey Nursing, and PubMed, resulting in 15 articles that could be analyzed. The research results show that the self-management behavior that cancer patients can use to overcome symptoms during treatment in hospital is effective in its use, starting from managing symptoms of fatigue, severe pain, anxiety, the effects of specific diseases such as urinary elimination disorders, lymphedema, and mucositis. Conclusion: Strategies that can be used by patients to manage symptoms are by making lifestyle changes, including resting, reducing activity, changing diet, consuming supplements, reading books, doing light sports activities, yoga and meditation. These strategies are expected to improve the quality of life of cancer patients. who is in the hospital.
 
Keywords: Cancer Patients, Hospitals, Self-Management
Intervensi Spiritualitas untuk Menurunkan Tingkat Kecemasan dan Depresi terhadap Pasien Kanker
Authors: Yanti Ida , Nuraini Tuti , Edison Chiyar , Gayatri Dewi
Published: August 2024

This study aims to determine the factors that influence the level of spirituality and the level of anxiety and depression in cancer patients. The method used was a systematic review of several databases, such as Scopus, Google Scholar, PubMed, ProQuest, and EBSCOHost, which were used in the search for relevant articles. The research results show that there are a total of 9 articles that have been analyzed, one of which is the complex condition of cancer-causing sufferers to face various clinical symptoms, both physical and psychological, and the spirituality needed by cancer patients to provide comfort. In this context, the need for aspects of spirituality cannot be ignored because it can give comfort and positively impact the health and healing of patients. Therefore, fulfilling spiritual needs is very important, apart from paying attention to other aspects of needs in individuals experiencing cancer. Conclusion: The spiritual interventions carried out are suitable for reducing levels of anxiety and depression in cancer patients, including dhikr therapy, reading books about religion, spiritual counseling, nursing care based on a support-based spiritual care model, religious-spiritual psychotherapy, and Al-based group spiritual interventions. -Quran and Islam.
 Keywords: Anxiety, Depression, Cancer, Spirituality
Peer Education Sadari terhadap Perilaku Remaja dalam Deteksi Dini Kanker Payudara
Authors: Sitindaon Sry Rumondang , Nasution Siti Zahara , Nurhidayah Rika Endah
Published: August 2024

This study aims to analyze the influence of breast self-examination peer education on adolescent behavior in early breast cancer detection. This research method is quantitative with a pre-experimental research design, one group pretest-posttest design. The sampling method in this study used proportional stratified random sampling, so the total sample in this study was 114 respondents. This research began in September 2023 – February 2024. Based on the results of statistical tests using the Wilcoxon signed rank test, the P-value was obtained, namely 0.000 < α = 0.05. In conclusion, there is an influence before and after breast self-examination peer education is carried out on adolescent behavior in early detection of breast cancer.
 
Keywords: Adolescent Behavior, Breast Cancer, Breast Self-Examination, Peer Education
CBT-I Online Efektif Meningkatkan Kualitas Tidur Lansia
Authors: Faridah Ida , Rekawati Etty , Sahar Junaiti
Published: August 2024

This study aims to examine the effectiveness of implementing online CBT-I on older adults with sleep disorders. The method used is a Systematic Review guiding a search of 4 databases, ScienceDirect, Scopus, PubMed, and UI Lib, in October 2023 with article publication years starting from 2019-2023 to identify all relevant journal articles. The search technique follows the PRISMA flow. The research results showed that online CBT-I was proven to be effective in treating insomnia sleep disorders in the elderly. CBT-I can even treat secondary disorders due to insomnia, such as depression and anxiety. In conclusion, Online CBT-I can be implemented in health services provided that there is adequate computer and internet accessibility.
 Keywords: Online CBT, Insomnia, Sleep Disorders, Elderly
Pengetahuan dan Perilaku Merokok pada Pasien Hipertensi
Authors: Nainggolan Citra Wachyuni , Siagian Ernawaty
Published: August 2024

This study aims to examine the relationship between the level of knowledge and smoking behavior in hypertensive patients at the Bandar Lampung Adventist Hospital. This research is a simple descriptive quantitative research. The results of the study showed that the relationship between knowledge and smoking behavior in hypertensive patients at Bandar Lampung Adventist Hospital had a significance value of 0.047 (p <0.05) and r = 0.272, which means there was a relationship between knowledge and smoking behavior and smoking behavior in patients at the hospital. Bandar Lampung Adventist. In conclusion, a person's knowledge has a significant relationship with the smoking behavior of patients with hypertension.
 Keywords: Hypertension, Knowledge, Smoking Behavior
Hubungan Pengetahuan dan Sikap dengan Perilaku Hygiene Penjamah Makanan pada Warung Makan
Authors: Alghifari Razhiqa Syahru , Porusia Mitoriana
Published: August 2024

This research aims to determine the relationship between knowledge and attitudes and the hygiene behavior of food handlers at food stalls. This research was located at a food stall in the Gonilan Village area, Kartasura District, Sukoharjo Regency. The method used is analytical observational and uses a cross-sectional design. The sampling technique used in this research was purposive sampling using the inclusion criteria of the respondent being a food handler, aged >18 years, and the inclusion criteria for a food stall being a fixed or permanent building located in the Gonilan area. This research used questionnaire instruments and observation sheets with a sample size of 106 food handler respondents from 40 food stalls in Gonilan Village. The results showed that (36.8%) the majority of food handler respondents were aged 26-35 years, (63.2%) the majority of food handler respondents were men, (78.3%) of food handler respondents had completed high school education. /Equivalent, and (50.9%) food handler respondents have worked for < 5 years. From the results of the univariate analysis, 55 (51.9%) food handler respondents tended to have good knowledge, 60 (56.6%) food handler respondents tended to have a positive attitude, and 55 (51.9%) food handler respondents had good behavior. The research conclusion shows that there is a relationship between knowledge (p-value 0.020) and attitude (p-value 0.013) with the hygiene behavior of food handlers at food stalls in the Gonilan Village area. There needs to be increased supervision and better guidance by food stall owners, health centers and related agencies.
 
Keywords: Hygiene, Food Handlers, Knowledge, Behavior, Attitudes.
Edukasi Ergonomi dalam Mencegah Gangguan Muskuloskeletal pada Perawat yang Bekerja di Rumah Sakit
Authors: Enta Syafri , Masfuri Masfuri
Published: August 2024

This study aims to determine the relationship between ergonomics education and reducing musculoskeletal disorders for nurses and also to determine appropriate educational methods for nurses working in Hospitals. The research method used was a systematic review by searching for this article using the keywords education, ergonomics, musculoskeletal disorders, and nursing. Inclusion criteria involved nurses working in hospitals, articles with an RCT or clinical trial research design, published within the last 10 years, and interventions that included ergonomics education for nurses. Articles were found through searches in several electronic databases, including PubMed, ProQuest, Science Direct, Scopus, Sage Journal, and Embassy. The research results show that from the 7 articles that have been reviewed, the results of the ergonomics education program have succeeded in reducing the prevalence and risk of musculoskeletal disorders in nursing staff working in hospitals. In addition, there has been a significant reduction in the prevalence of musculoskeletal disorders in various parts of the body. In conclusion, providing ergonomics education to nurses working in hospitals can reduce complaints of work-related musculoskeletal disorders.
 
Keywords: Education, Ergonomics, Musculoskeletal, Nursing.
Efektivitas Breathing Exercise dalam Menurunkan Kecemasan pada Pasien dengan Kanker Paru
Authors: Jelang Destya Wenny , Kariasa I Made , Yona Sri
Published: August 2024

The aim of this research is to determine the effectiveness of breathing exercises, which is one of the independent nursing interventions to reduce anxiety in patients with lung cancer. The research method used was a systematic review carried out on journals originating from three databases, namely, ScienceDirect, Scopus and PubMed which were published between 2020-2023. The research results showed that there were seven articles that showed the effectiveness of breathing exercise programs on anxiety in patients with lung cancer. The conclusion obtained is that breathing exercises using the three-ball apparatus exercise technique, ACBT (Active Cycle Of Breathing Technique), ADOPT-Breathing Training and Qigong Breathing Exercise are considered effective in reducing anxiety significantly in patients with lung cancer.
 
Keywords: Breathing Exercise, Anxiety, Lung Cancer
Efektifitas Edukasi Berbasis Family Centered Maternity Care terhadap Dukungan Keluarga dan Self Efficacy pada Ibu Postpartum dalam Pemberian Asi
Authors: Winarti Gusti , Nasution Siti Zahara , Siregar Farida Linda Sari
Published: August 2024

This study aims to analyze the effectiveness of family centered maternity care-based education on family support and self-efficacy for postpartum mothers in breastfeeding. The method used is quantitative research with a quasi-experimental design with a pretest and posttest design with a control group. The sample in this study consisted of 52 respondents. The research instrument used a family support questionnaire modified from Nasution's family support questionnaire (2007) and a self-efficacy instrument using the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF). Data analysis used the Paired T-Test and Independent T-Test. The results of research on the effectiveness of interventions on family support, P-Value 0.000 and self-efficacy 0.004. The conclusion is that education based on Family Centered Maternity Care is effective in increasing family support and self-efficacy for postpartum mothers in breastfeeding.
 
Keywords: Education, Family Support, Family Centered Maternity Care, Self efficacy
Psikoedukasi Keluarga Digital terhadap Kesehatan Mental Keluarga dengan Pasien Gangguan Jiwa
Authors: Batmanlussy Viona Alfonsa , Keliat Budi Anna , Chandra Yudi Ariesta
Published: August 2024

This study aims to determine the usefulness of digital family psychoeducation on the mental health of families caring for mentally ill patients. The method used was a systematic review which began with selecting articles using the PIO formulation. The results showed that there was a decrease in burden, depression, anxiety, and family conflict, as well as an increase in quality of life, hope, emotional expression, attitudes, knowledge, and family behavior as caregivers. It is concluded that digital family psychoeducation can be beneficial for the mental health of families caring for mentally ill patients.
 
Keywords: Mental Disorders, Family Mental Health, Digital Family Psychoeducation
Penerapan Massage Kaki Kombinasi Relaksasi Napas Dalam terhadap Kecemasan pada Asuhan Keperawatan Pasien Hipertensi
Authors: Rantesigi Nirva
Published: August 2024

This study aims to determine the Application of foot massage combined with deep breathing relaxation for anxiety in nursing care for hypertensive patients. The research method used is descriptive with a case study approach. The results showed that the pain scale was 6 (moderate), blood pressure 160/100 mmHg, pulse 110 x/minute, heart palpitations, and the patient said he was worried that the disease was getting worse, had difficulty sleeping and often woke up at night, anxiety score 21 (moderate), and the patient complained of difficulty moving his right hand, his condition was weak. His family helped him with his activities. Evaluation After carrying out nursing procedures for four days, the patient stated that the pain from the head to the nape of the neck had decreased, the patient looked relaxed, the pain scale was 3, the patient's blood pressure was 130/80 mmHg, the patient was calm, the patient slept soundly, the anxiety was reduced, and the anxiety scale was 13. Conclusion: The Application of foot massage combined with deep breathing relaxation can reduce stress in hypertensive patients.
Keywords: Hypertension, Anxiety, Foot Massage, Deep Breathing Relaxation
Faktor Kejadian Balita Stunting Tahun 2022
Authors: Faujannor Akhmad , Nurzajuli Nurzajuli , Suhartono Suhartono
Published: August 2024

This research aims to determine the factors that influence the incidence of stunting in toddlers in East Kotawaringin Regency, Central Kalimantan. The method used is a quantitative analytical survey with a cross-sectional study approach, and the data analysis used is the chi-square test. The research results show a relationship between family knowledge and the incidence of stunting with a value of p = 0.008. There is a relationship between exclusive breastfeeding and the incidence of stunting with a value of p = 0.005. There is a relationship between the birth weight of the baby and the incidence of stunting with a value of p = 0.000. There is a relationship between a history of diarrhea and the incidence of stunting with a p-value = 0.000. In conclusion, there is a relationship between family knowledge, exclusive breastfeeding, birth weight, and history of diarrheal disease and the incidence of stunting.
 
Keywords: Exclusive Breastfeeding, Birth Weight, Family Knowledge, History of Diarrhea, Stunting
Faktor Mobilisasi Dini, Obesitas dan Usia Tua Sebagai Prediktor Lama Rawat Inap Pasien Fraktur Femur Pasca Bedah
Authors: Indra Muhammad Fikri , Masfuri Masfuri , Yona Sri
Published: August 2024

This study aims to explore the factors that influence the length of stay in post-surgical femur fracture patients, specifically the interaction between early mobilization, obesity, and old age as potential predictors of hospitalization. The research method used was a systematic review using the PRISMA search strategy. The databases used in this research are ProQuest, Sage Journal, Embrace, Science Direct, and Scopus. The results of the study show that factors that influence the length of stay of postoperative femur fracture patients from the results of the literature review are mobility, comorbidities, related fractures, intraoperative blood loss, postoperative blood transfusion, occurrence of pressure ulcers, higher BMI or obesity, choice of anesthesia, and drainage status. The average length of stay in the literature review is 5.64 days to 14.4 days. In conclusion, many factors influence LOS such as mobility, comorbidities, related fractures, intraoperative blood loss, postoperative blood transfusion, and the occurrence of wounds. pressure, higher BMI or obesity, choice of anesthesia, drainage status. The average length of stay in research journals is 5.64 days to 14.4 days.
 
Keywords: Fracture, Femur, Early Mobilization, Obesity, Old Age.
Hubungan Burnout dengan Kinerja Perawat di Ruangan Rawat Inap
Authors: Lumbantoruan Hanna Ceria , Nurhidayah Rika Endah , Purba Jenny Marlindawani
Published: August 2024

This study aims to analyze the relationship between burnout and nurse performance at Prof Dr. Hospital Chairuddin Panususnan Lubis USU. The Type of research used is Analytical survey method with cross-sectional approach is employed. The research sample amounted to 62 nurses on duty in the patient room using with total sampling. Data was collected using primary and secondary data and anlyzed using Chi- Square statistical test with a confidence level 0f 95%. The results showed that nurse burnout p=0,001. Conclusion, there is relathionship between burnout and nurse performance.
 
Keywords: Burnout, Nurse performance
Efektivitas Konsumsi Mixed Jus Mentimun dan Belimbing terhadap Penurunan Tekanan Darah pada Klien Hipertensi
Authors: Leniwita Hasian , Adventus Adventus , Mertajaya I Made
Published: August 2024

This study aims to determine the effect of giving a mixture of star fruit and cucumber juice on reducing blood pressure in the elderly at Panti Sasana Tresna Werdha (PSTW) Ria, Jakarta development. The method used is a one-group pre-test and post-test design approach. Population and sampling used simple random sampling techniques with a total of 30 respondents. The research results show the results of univariate and bivariate analysis with the t-test p.value = 0.000. This shows that the administration of a mixture of star fruit and cucumber juice has a significant effect on reducing blood pressure. In conclusion, there is an effect of giving a mixture of star fruit and cucumber juice in reducing blood pressure in hypertension sufferers.
 
Keywords: Hypertension, Mixed Juice,Blood Pressure
Pengaruh Edukasi Keluarga terhadap Pengetahuan Keluarga dan Kepatuhan Penderita Hipertensi
Authors: Tahan Tahan , Nasution Siti Zahara , Siregar Farida Linda Sari
Published: August 2024

This study aims to analyze the effect of family education on family knowledge and compliance with hypertension sufferers in carrying out treatment. The research method used was pre-experiment with a one-group pretest-posttest design approach. The sample in this study amounted to 83 respondents. Data analysis used the Wilcoxon test. The results of research on the influence of family education on family knowledge about hypertension treatment, P-Value < 0.000 and compliance of hypertension sufferers in carrying out P-Value treatment < 0.000. In conclusion, there is an influence of family education on family knowledge and compliance with hypertension sufferers in carrying out treatment.
 
Keywords: Education, Family, Knowledge, Compliance with Hypertension Sufferers
Pemanfaatan Teknologi dan Intervensi Digital dalam Pencegahan Risiko Jatuh pada Lansia
Authors: Wairata Blandina Easter Grace , Indarwati Retno , Sari Dianis Wulan
Published: August 2024

The aim of this research is to evaluate digital interventions aimed at preventing falls among individuals aged 65 and older. The methodology employed involves a literature review assessing the effectiveness of various technologies in reducing fall risks, as well as identifying the strengths and weaknesses of each approach. The study includes elderly participants using digital technology or interventions compared to a control group receiving standard care or no intervention. Outcomes considered include reduced fall risk, fall incidents, or severity of fall-related injuries. Studies meeting inclusion criteria encompass experimental designs (randomized controlled trials, controlled trials) or observational studies with adequate controls, available in English. PubMed, Scopus, and IEEE Xplore databases were utilized up to June 19, 2024, with additional reference searches. Research findings indicate that out of 608 identified articles, 10 studies met inclusion criteria following screening processes. These studies utilized a variety of technologies such as mobile applications, virtual reality (VR), augmented reality (AR), machine learning, and robotics. Conducted in various countries, these studies demonstrate diverse applications; for instance, UK studies used mobile apps and 3D games for fall awareness, Chinese studies employed VR for rehabilitation, and German studies explored robotics for fall prevention. The research concludes by highlighting the potential of technologies like VR, AR, machine learning, and robotics in reducing fall risks among the elderly, thereby enhancing healthcare practices and quality of life.
 
Keywords: Elderly, Falls Risk, Prevention, Technology
Penjelasan Dokter dan Durasi Pengambilan Obat terhadap Loyalitas Pasien BPJS dengan Variabel Kepuasan Pasien sebagai Variabel Intervening
Authors: Ginting Chrismis Novalinda , Agatha Yuti Paramitha , Wau Herbert
Published: August 2024

This study aims to determine the effect of a doctor's explanation and duration of drug intake on BPJS patient loyalty, with patient satisfaction as an intervening variable. The research method used cross-sectional. The results showed that there was an effect of doctor's explanation on BPJS patient loyalty at RSU Royal Prima Medan P value <0.05, there was an effect of drug intake duration on BPJS patient loyalty at RSU Royal Prima Medan P value <0.05, there was an effect of doctor's explanation on patient satisfaction, there was an effect of drug intake duration on patient satisfaction, there was an effect of patient satisfaction mediating doctor's explanation on patient loyalty, there was an effect of patient satisfaction mediating drug intake duration on patient loyalty, and there was an effect of patient satisfaction on patient loyalty. This study concludes that the doctor's explanation and duration of drug intake affect patient loyalty.
 
Keywords: Drug Taking Duration, Satisfaction, Loyalty, Doctor's Explanation
References in Speech of Selena Gomez Billboard Music Award: Discourse Analysis Study
Authors: Setyowati Widya , Sari Puspita
Published: August 2024

The purpose of this study is to analyze the function of references within Selena Gomez's Billboard Woman of the Year speech through a comprehensive analysis. The research employs a qualitative descriptive method, with data obtained from a YouTube video posted by the Global TV team on December 2, 2018. To analyze the data, this research utilizes discourse analysis theory from Halliday and Hasan (2013). The study focuses on identifying types of references and what grammatical cohesion is found in each type of reference within the framework of discourse analysis. The distribution of found references is as follows: 49 (35.8%) data for anaphoric reference, 16 (11.7%) for cataphoric reference, and 5 (3.6%) for exophoric reference. In terms of grammatical cohesion, the data are distributed as follows: 32 (23.4%) data for pronouns, 33 (24.1%) for lexical cohesion, and 1 (0.7%) for ellipsis. The study employs systemic functional linguistics (SFL) to delve into speech functions, emphasizing the importance of grammar and language in effective communication. By examining Selena Gomez's speech, the research aims to uncover underlying meanings and cultural influences embedded in her references. Discourse analysis, as a tool, allows for a broader understanding of language's role in society communication, particularly within the realm of celebrity culture.
Keywords: Anaphoric, Cataphoric, Exophoric, Discourse Analysis, Reference, Youtube Video
Opting Out of The Maxim in Kung fu Panda 2 Movie: Pragmatics Study
Authors: Amelia Putri Mega , Hendar Hendar
Published: August 2024

This research aims to identify the types of opting out of maxim strategies and to analyze the reason of conflict found in the Kung Fu Panda 2 movie. This research uses descriptive qualitative method as the purpose of making this research is to analyze the type of opting out strategies and the reason of conflict the use of opting out strategies. The main theory used to identify opting out strategies is taken from Grice (1975) and Perrine (1984:56)  in Amanda, A  (2017)  dealing with reason of conflict. The results type of opting out of the research showed that there were 23 data obtained which respectively consisted of 5 data (22%) on opting out of maxim quantity, 6 data (26%) on opting out of maxim quality, 7 data (31%) on opting out of maxim manner, and 5 data (21,7%) on opting out of maxim relation. Meanwhile, the reason of conflict that influenced the use of opting out strategies consisted of 15 data (65,2%) on internal conflict, 8 data (34,7%) on external conflict. Based on the data obtained above, it could be clearly seen that the most common type of opting out strategies found in Kung Fu Panda 2 movie was opting out of quality (31%) and the most common type of conflict found in the use of opting out strategies was internal conflict (65,2%).
Keywords: Conflict,  Maxim, Opting Out, Pragmatics Study
English Language Learning Through The Use of Digital Technology: A Literature Review
Authors: Indriani Cyntia Lady , Muth’im Abdul , Febriyanti Emma Rosana
Published: August 2024

This research aims to evaluate the impact of digital technology on English language learning by synthesizing findings from various studies to understand its role in enhancing language skills. This review explores the potential of digital resources such as games, mobile applications, and online platforms in improving writing skills, particularly in higher education contexts. The research method is inspired by socio-cultural, cognitive, and constructivist theories, focusing on the complex interaction between technology and language acquisition, with notable achievements in pronunciation training and chat platforms. The research findings indicate that this review supports cautious optimism, encouraging educators to integrate technology wisely in line with pedagogical principles. The conclusion is a balanced approach that leverages the strengths of technology to create more meaningful and effective English language learning experiences for all learners.
Keywords: Digital Literacy; Digital Technology; English Language Learning; Language Acquisition; Pedagogical Integration
Scattergories Game on Junior High School Students’ Vocabulary Mastery in Language Learning
Authors: Anggraini Dwi Liza , Salmiah Maryati
Published: August 2024

This article aims to determine the effect of using Scattergories Game on students' vocabulary mastery. The method used is a pre-experimental design with a quantitative approach. The population that was the research subject was 8th grade students at one of the MTs in Sampali. Consisting of 30 students in it. The researcher gave a pre-test - treatment – post-test to all samples to collect the required data. After that, the data was processed using the T-test in SPSS. The result showed that there is a significant influence between variable X on variable Y and decision making because sig .000 <0.05 and the average score on the post test (25.36) was higher than pre-test (13.63). From the results of data processing carried out by researchers, it can be concluded that the Scattergories game has an effect on students' vocabulary mastery
Keywords: Effect, Scattergories Game, Vocabulary Mastery
Kajian Pemerolehan Bahasa Kedua Pada Anak Campuran Sasak-Jawa: Perspektif Pendidikan Multibahasa
Authors: Mispalah Mispalah , Wangi Baiq Addina Azza Awlia , Elmiati Elmiati , Nursaly Baiq Rismarini
Published: August 2024

Tujuan penelitian ini adalah untuk mengeksplorasi pengaruh budaya Jawa dan Sasak dalam proses pemerolehan bahasa kedua anak-anak campuran serta mengidentifikasi tantangan utama yang dihadapi dan strategi penyelesaiannya. Metode penelitian yang digunakan adalah kualitatif dengan pendekatan studi kasus, melibatkan lima orang tua sebagai informan dari beberapa lokasi di Lombok Timur. Data dikumpulkan melalui wawancara, observasi, dan pengisian Google Form. Hasil analisis menunjukkan bahwa perbedaan dialek dan kosa kata, komunikasi multibahasa, penggunaan bahasa dominan, dan kurangnya referensi bahasa daerah merupakan tantangan utama dalam pemerolehan bahasa kedua anak-anak campuran. Teori Variabilitas Bahasa, Interlanguage, dan Sosiolinguistik digunakan untuk mendukung pemahaman atas hasil penelitian. Dukungan dari pendidik, komunitas lokal, dan orang tua penting dalam menciptakan lingkungan yang mendukung pengembangan kemampuan berbahasa kedua. Dengan demikian, strategi pendidikan yang inklusif dan holistik perlu dirancang untuk mendukung pemerolehan bahasa kedua anak-anak campuran.
 
Kata kunci: Anak campuran, Pemerolehan bahasa kedua, Pendidikan multibahasa
Memahami Pesan dalam Film Laskar Pelangi 1 dengan Tinjauan Semiotik
Authors: Haq Isnaini Mutiara , Rahma Naswa Syafira , Febriani Septi , Arfianti Suci Dian , Arochman Taufik
Published: August 2024

Film Laskar Pelangi merupakan salah satu film adaptasi bertemakan pendidikan yang populer di Indonesia. Untuk itu banyak pesan yang dapat diambil dari film “Laskar Pelangi” tersebut, pesan tersebut dapat kita ambil dari beberapa aspek, salah satunya adalah menggunakan tinjauan semiotik. Tujuan pembuatan artikel ini adalah untuk mengkaji pesan yang terkandung dalam film “Laskar Pelangi 1” berfokus pada elemen semiotik dengan mengurai tanda-tanda, simbol, dan makna dalam konteks film guna menyoroti makna yang mungkin terlewatkan. Kajian ini menggunakan studi literatur. Penulis melakukan analisis secara mendalam terhadap konteks sejarah dan budaya dalam film untuk memahami penggunaan semiotik dalam konteks yang lebih luas lagi. Teknik pengumpulan data melibatkan penelusuran elemen semiotik yang didapatkan langsung dari film dengan didukung oleh studi literatur yang terkait dengan teori semiotik dan studi literatur film. Hasil dari kajian artikel ini adalah film "Laskar Pelangi" menunjukkan bahwa film ini memanfaatkan berbagai simbol dengan makna masing-masing yang dapat ditinjau secara semiotik. Kesimpulan yang dapat diambil yaitu film "Laskar Pelangi 1" dengan tinjauan semiotik mengungkapkan keragaman simbol yang masing-masing membawa makna penting serta memikat penonton melalui penggunaan simbolisme yang dalam dan bermakna.
 
Kata Kunci: Film, Laskar Pelangi, Semiotika.
Pemerolehan Bahasa Pada Anak Usia Tiga Tahun Ditinjau dari Segi Sintaksis (Kajian Pskilolinguistik)
Authors: Nuraini Arvina , Harras Kholid Abdullah
Published: August 2024

Penelitian ini bertujuan untuk mendeskripsikan pemerolehan bahasa anak usia 3 tahun. Pemerolehan bahasa anak usia 3 tahun ini ditinjau dari segi sintaksis. Data dalam penelitian ini adalah tuturan anak usia 3 tahun. Metode kualitatif digunakan untuk mengidentifikasi pemerolehan bahasa anak usia 3 tahun melalui wawancara dan analisis isi sintaksis. Hasil penelitian menunjukkan bahwa pada usia tiga tahun, Alvin sudah mampu mengucapkan beberapa jenis kata verba, kata nomina, kata numeralia, kata adjectiva, dan kata adverbial.
 
Kata kunci: Linguistic, Pemerolehan Bahasa, Sintaksis
Modern Views about the Association of Non-Alcoholic Fatty Liver Disease and Cardiovascular Pathology
Authors:   Federal Research Centre “Krasnoyarsk Science Centre” of the Siberian Branch of Russian Academy of Science, separate division “Scientific Research Institute of medical problems of the North”, Tonkikh Yu.L. ,   Krasnoyarsk, Russian Federation, Vasyutin A.V. ,   Federal Research Centre “Krasnoyarsk Science Centre” of the Siberian Branch of Russian Academy of Science, separate division “Scientific Research Institute of medical problems of the North”; Krasnoyarsk, Russian Federation, Tsukanov V.V. ,   Federal Research Centre “Krasnoyarsk Science Centre” of the Siberian Branch of Russian Academy of Science, separate division “Scientific Research Institute of medical problems of the North”; Krasnoyarsk, Russian Federation
Published: August 2024

Aim. Based on current literature data, to evaluate the association between non-alcoholic fatty liver disease (NAFLD) and cardiovascular diseases (CVD), to consider the pathophysiological mechanisms underlying this relationship, and to indicate methods for reducing cardiometabolic risk in patients with NAFLD. Key points. NAFLD occupies a leading position in the structure of chronic liver diseases, is one of the manifestations of metabolic syndrome and is closely associated with CVD. The relationship between the prevalence of NAFLD and CVD has been established in numerous studies. CVD is significantly more severe in patients with NAFLD. A number of meta-analyses have documented a direct association between NAFLD and cardiovascular mortality. Many pathophysiological mechanisms of development of these two diseases coincide. Some molecular changes that play an important role in NAFLD are also involved in the formation of CVD. Patients with NAFLD often have atherosclerosis, which also underlies the formation of CVD. Conclusion. All modern international and Russian recommendations for the management of patients with NAFLD pay significant attention to the advisability of CVD screening and the need to reduce cardiometabolic risk in patients with NAFLD through lifestyle modification (optimizing diet, weight loss, increasing physical activity), using statin medications, ursodeoxycholic acid and ademetionine. Keywords: non-alcoholic fatty liver disease, liver steatosis, steatohepatitis, cardiovascular diseases, prevalence, risk factors.
The Effect of Dulaglutide on Metabolic Adaptation in Patients with Type 2 Diabetes Mellitus and Obesity
Authors:   Russian Medical Academy of Continuous Professional Education, Gusenbekova D.G. ,   Moscow, Russian Federation,   City Clinic No. 219 of the Moscow Health Department; Moscow, Russian Federation, Ametov A.S. ,   Russian Medical Academy of Continuous Professional Education; Moscow, Russian Federation,   Botkin Hospital; Moscow, Russian Federation, Korotkova T.N. ,   Federal Research Centre of Nutrition, Biotechnology and Food Safety; Moscow, Russian Federation
Published: August 2024

Aim. To evaluate the effect of dulaglutide, a glucose-lowering drug from the group of glucagon-like peptide 1 receptor (GLP-1) agonists, on indicators of fat metabolism and irisin. Design. Open pilot study. Materials and methods. 85 people (56 women, 29 men) with type 2 diabetes mellitus and obesity of varying severity took part in the study. 17 of them had a history of myocardial infarction, 2 patients had stroke (acute cerebrovascular accident), and all the rest had arterial hypertension. All patients were prescribed dulaglutide, a GLP-1 agonist, for ongoing glucose-lowering therapy for the purpose of intensification. Results. After 12 months of therapy, a statistically significant (р < 0.05) decrease in anthropometric parameters was obtained: body weight decreased from 110 (70–185) to 105.5 (60–159) kg, waist circumference decreased from 124.5 (46.4–150) to 119 (90–146) cm. The levels of glycated hemoglobin statistically significantly decreased — from 7.1% (5.4–10.6%) to 6.5% (6.2–12.4%) (р < 0.05), total cholesterol — from 4.89 (2.07–15) to 4.55 (2.19–8.33) mmol/l (р < 0.05), leptin — from 32.9 (14.9–127.6) to 24.5 (13.5–133.7) ng/ml (р < 0.05), C-reactive protein — from 3.37 (0.01–64.2) to 2.24 (0.01–54.1) mg/ml (р < 0.05), the HOMA β level statistically significantly increased — from 80 (4–359) to 110 (12.2–755) (р < 0.05). In addition, the thickness of epicardial fat according to echocardiography significantly decreased — from 11 (2.5–20) to 10 (7–15) mm (р < 0.05), as well as the amount of adipose tissue according to bioimpedance measurements from 52.3 (26.6–99.8) to 44.7 (28.2–73.9) kg (р < 0.05). Conclusion. In patients with type 2 diabetes and obesity, therapy with GLP-1 agonist dulaglutide after 12 months contributed to a significant improvement in glycemic control and pancreatic β-cell function. In patients with type 2 diabetes and obesity, therapy with GLP-1 agonist the dulaglutide after 12 months, a significant decrease in body weight, the amount of adipose tissue, and epicardial fat was observed. Regression of adipose tissue according to bioimpedansometry data was accompanied by a significant decrease in the level of leptin, a marker of inflammation C-reactive protein, and a tendency to increase the level of adiponectin and irisin. Keywords: dulaglutide, obesity, type 2 diabetes mellitus, irisin, fat metabolism.
The Effect of Bariatric Surgery on Ovarian Reserve in Obese Patients with Primary Infertility
Authors:   Academician I.P. Pavlov First Saint Petersburg State Medical University, Dora S.V. ,   Saint Petersburg, Russian Federation, Shvets Z.V. ,   Academician I.P. Pavlov First Saint Petersburg State Medical University; Saint Petersburg, Russian Federation, Semikova G.V. ,   Academician I.P. Pavlov First Saint Petersburg State Medical University; Saint Petersburg, Russian Federation, Azizova K.V. ,   Academician I.P. Pavlov First Saint Petersburg State Medical University; Saint Petersburg, Russian Federation, Volkova A.R. ,   Academician I.P. Pavlov First Saint Petersburg State Medical University; Saint Petersburg, Russian Federation, Khalimov Yu.Sh. ,   Academician I.P. Pavlov First Saint Petersburg State Medical University; Saint Petersburg, Russian Federation
Published: August 2024

Aim. To describe two clinical cases of obese female patients with primary infertility who underwent sleeve gastrectomy. Key points. The presented clinical cases demonstrate the multidirectional impact of bariatric surgery on ovarian reserve indicators in two patients of reproductive age with primary infertility, comparable in degree of obesity and concomitant diseases. In both patients, 12 months after surgery, body weight was successfully reduced and carbohydrate metabolism levels were normalized. However, in the first patient, the level of anti-Mullerian hormone (AMH) increased slightly, and pregnancy occurred, while in the second patient, on the contrary, the level of AMH decreased compared to the preoperative level, and the desired pregnancy did not occur at the time of writing. Conclusion. Literary data on the impact of bariatric surgery on women's reproductive function are scarce and contradictory. Determining the contribution of metabolic surgical interventions to restoring ovarian reserve, normalizing AMH levels and overcoming infertility will allow individualizing treatment tactics in obese patients. Keywords: obesity, infertility, anti-Mullerian hormone, bariatric surgery, sleeve gastrectomy.
Intuitionistic Possibility Shadow Soft Sets Theory and its Applications
Authors: Al-Daragmeha Tasneem , Alkhazaleh Shawkat
Published: August 2024

Shadow soft set is a new concept defined as a new tool with uncertainty where the values of membership taken from 0, 1 and [0,1]. In this thesis as a generalization of shadow soft set we introduce a new concept which is an Intuitionistic possibility shadow soft set and study its properties. Furthermore, some examples of Intuitionistic possibility shadow soft set and its properties are presented. We also introduce some of the operations of this concept and give some results related to these operations. Finally, the definitions of (AND) and (OR) operations are given and the properties of these operations in their application to decision-making problems are shown.
Life-Saving Extracorporeal Membrane Oxygenation Combined with Hemoperfusion for a Pregnant Woman with COVID-19 Severe Acute Respiratory Distress Syndrome
Authors: Phongphithakchai Atthaphong , Saipetch Niwat , Praditau-krit Suntornwit , Boonsrirat Ussanee , Sathaporn Natthaka , Konwai Sirihatai
Published: August 2024

The pandemic of the novel coronavirus (COVID-19) affected millions of people worldwide, causing high mortality and morbidity, especially in pregnancy. The management of COVID-19, which progresses to severe acute respiratory distress syndrome during pregnancy, is very challenging. Herein we report a 35-year-old pregnant woman in her second trimester (16 weeks of gestational age) who presented with a productive cough and progressive dyspnea. She was diagnosed with a severe COVID-19 infection, confirmed by PCR testing. During hospitalization, she developed severe acute respiratory distress syndrome (ARDS) and was referred to a tertiary hospital. Despite the use of antiviral therapy, steroids, mechanical ventilators, and muscle relaxants, she still had significant hypoxemia. Thus, she underwent veno-venous extracorporeal membrane oxygenation (VV-ECMO). Due to the limitations of immunomodulatory therapy in pregnancy, our team decided to perform extracorporeal cytokine removal therapy with HA330 adsorbent hemoperfusion to remove circulatory cytokines and proinflammatory mediators and suppress the hyperinflammatory response. After 3 consecutive days of hemoperfusion, her C-reactive protein and interleukin-6 were controlled. On the 13th day of ICU admission, her clinical conditions, including pulmonary function, were improving, and she was successfully weaned off the VV-ECMO. A chest X-ray showed she was completely free of ARDs. The patient left the hospital with good clinical status and a viable fetus. We conclude that pregnant women infected with COVID-19 who develop refractory hypoxemia with cytokine storm syndrome may benefit from combined VV-ECMO and hemoperfusion as a rescue therapy.