bluuebunny/crossref_metadata_2025 huggingface dataset:
“I Have to Take A Deep Breath”: Emotional Geography of EFL Lecturers During Undergraduate Thesis Supervision
Authors: Sukarsono  , Rahayu Nanik Sri , Syahsurya Muhammad Andrean
Published: November 2023

Myriad of publications concerning students’ experiences during their final project completion process have been well documented. However, little discussed the supervisors’ emotional geography in fulfilling their task as supervisors for final projects. Therefore, the present study attempts to have an in-depth narrative case study that explores the emotional journeys of two EFL teachers supervising undergraduate thesis. Grounded on Hargreaves' (2001) emotional geography framework, this narrative case study employed direct interviews with EFL lecturers over the course of one month provided the source of the study's data. The study's findings showed that the participant experienced sustainable adaptation through negotiated emotional changes in their experiences as undergraduate thesis supervisors which were anchored by that focuses on physical, social, moral, professional, and political aspects. The findings of this study informed that supervisors experienced different degrees of emotional geographies one of which is caused by the length of supervisory process they have undergone. Pedagogical implications and further studies are also presented.
The Implementation of Merdeka Belajar Curriculum At English Department of Indonesian Universities
Authors: Wahyuni Sri , Fitriyah Ima , Hasanah Imroatul
Published: November 2023

This article aims at investigating the implementation of Merdeka Belajar curriculum at some English Language Education of Indonesian universities. The stake holders of English Language Education Study Programs of a State University in Malang and a State Islamic Institute in Kediri are purposely selected as the subject of the study. In addition, semi structured interview and documentation are used to collect the data. The data collected in this study are analyzed based on Miles and Huberman’s interactive model of data analysis. The finding shows that both institutions have different terms in the implementation. English Language Education Study Program of a State University in Malang uses terms adaptive curriculum with MBKM (Merdeka Belajar Kampus Merdeka) programs without changing the existing curriculum used. Differently, English Language Education Study Program of a State Islamic Institute in Kediri develops a new curriculum which is compatible with MBKM policy. The new curriculum is developed from the existing curriculum, KKNI, and inserting the MBKM programs in the new curriculum structure
Challenges in Implementing Kurikulum Merdeka for EFL Teachers
Authors: Reza Fahrani , Rohmah Zuliati , Abdullah Nur Nabilah
Published: November 2023

Indonesia's new Kurikulum Merdeka, introduced for post-COVID-19 recovery and educational improvement, presents unique challenges, especially requiring teachers to create teaching materials from scratch. This article explores the challenges the English teachers face in executing Kurikulum Merdeka. This study employed a mixed-method approach to examine the challenges faced by English teachers when implementing Kurikulum Merdeka. Quantitative data were collected through a Google Form questionnaire distributed to 170 English teachers in secondary schools across Indonesia. Qualitative insights were obtained through two separate Focus Group Discussions (FGD) sessions, one involving junior high school (SMP) teachers and another with high school (SMA) teachers, in the cities of Malang and Mataram, Indonesia. The current study unveils a myriad of challenges faced by English teachers in connection with the curriculum. These challenges are ascribed to various factors encompassing insufficient teacher training, limited access to support facilities, reduced self-efficacy levels, inadequate information technology skills, students' diverse backgrounds, financial constraints, limited resources, comprehension and implementation obstacles associated with differentiated learning strategies, and issues related to time allocation and management.
Assessment of the psychotropic medicines availability in the Kyrgyz Republic
Authors: Kubanychbek A. , Zurdinova A.A. , Alimov N.K.
Published: November 2023

Mental disorders account for a significant proportion of the total global burden of disease, with depression and anxiety being among the top ten causes of disability between the ages of 10 and 49. Pharmacological treatments for mental disorders are effective and are often used as first-line treatment in countries where psychological interventions are difficult to access. The World Health Organization (WHO) has recognized that health systems in selected countries around the world are not yet responding adequately to the burden of mental disorders and there is often a significant gap between the need for mental health care and its availability, especially in countries where psychological in- terventions are difficult to access, especially in low- and middle-income coun- tries. Global monitoring of consumption trends of psychotropic medicines at the country level can provide information on the extent of pharmacological interventions for mental disorders and the availability of psychotropic medicines. Moreover, data on the consumption of psychotropic medicines can be used to assess future policies, especially in middle-income countries where these data are lacking. Therefore, we conducted a pharmacoepidemiological study examining the market structure and costs of psychotropic medicines in the country. In order to assess the availability of psychotropic medicines, we assessed their physical and economic accessibility, which are included in the Essential Medicines List of the Kyrgyz Republic and the Compulsory Health Insurance Fund Reimbursement Handbook.
THE SYSTEM OF PREFERENTIAL PROVISION OF MEDICINES IN SMOLENSK REGION: MODERN FEATURES AND PROBLEMS
Authors: Pavluchenkova N.A.
Published: November 2023

The aim of this study was an assay of key indicators of preferential provision of medicines in Smolensk region during 2015-2021. Methods. The preferential provision of medicines was carried out by the economic and sta- tistical analysis of data from Smolensk department of health and completed by an assessment of infrastructure availability of medicinal support. Results. There was an increase financing for program of medical support 2.32 times over the past 7 years. The number of prescriptions increased equally the number of ben- eficiaries who did not refuse a set of social services (1.05 times). The rate for one pa- tient was stable and tended to increase. The actual costs for one person increased (2.47 times) and exceeded state’s standards. The number of points of sale is grow- ing and leading to the increase of availability of medicines. There was a decrease of infrastructure burden with an increase of financial burden on 1 pharmacy. Conclusion. The growth financing with decrease in the number of beneficiaries, including those who retained the right of the preferential provision, with a decrease in the population, can be explained by an increase in costs for each citizen per month. This fact may indicate that there are patients with chronic diseases in the system. The decrease in those who refuse drugaccess program allows to think about insig- nificant returning of citizens to the system. However, a sufficient number of those who replaces medicines into cash, the discrepancy between the standard and the actual costs of treatment for one person indicate problems associated with incom- plete coverage of the need of medicines and require to revise approaches of system in region. Transferring the purchase of expensive drugs for treatment of rare (orphan) diseases including spinal muscular atrophy, paroxysmal nocturnal hemoglo- binuria, Fabry disease and a defect in the complement system to the state level can reduce the burden on the regional budget.
THE STUDY OF THE SOCIAL DEMAND FOR EXTEMPORALLY MANUFACTURED MEDICINES BY THE PHARMACY ORGANIZATION OF THE ROSTOV REGION
Authors: Kosyakova N.V. , Karnysheva N.G. , Stadnikova L.A.
Published: November 2023

The study of the main economic processes of the pharmacy organization’s activity was carried out and quantitative indicators were obtained. The structure of inven- tory values is dominated by medicines and medical products. The comparative analysis revealed a decrease in retail turnover by 36.7%, a decrease in realized income from 19.7% to 17.8% and an increase of 7.7% in expenses over the same period. The level of the trade margin on the goods amounted to 20.96% in 2021, and already 18.68% in 2022., there is a decrease in the margin on medical devices, suture material and specialized nutrition. The current situation contributed to the formation of a loss from sales in 2022.
ALTERNATIF MENINGKATKAN KETUNTASAN BELAJAR PERMAINAN BOLA VOLI MELALUI METODE EKSPERIMEN
Authors: Parlindungan Silalahi Franky
Published: November 2023

Proses belajar mengajar merupakan suatu interaksi dari berbagai komponen : materi, metode, media, siswa  dan guru  yang terjadi pada saat proses pembelajaran berlangsung. Harapannya adalah  siswa mencapai tujuan belajar. Untuk setiap materi pelajaran, siswa harus mencapai tingkat ketuntasan  yang ditetapkan yaitu 85 % dengan nilai kriteria ketuntasan minimal 75 Mata Pelajaran Pendidikan Jasmani Olah Raga dan Kesehatan di kelas VII.A  yang ditetapkan melalui kegiatan musyawarah guru mata pelajaran di awal tahun pelajaran. Apabila hasil evaluasi siswa menunjukkan perolehan nilai   75  atau lebih maka siswa tersebut dinyatakan telah tuntas. Sebaliknya jika seorang siswa memperoleh nilai kurang dari 75 maka siswa tersebut dinyatakan tidak tuntas. Kegiatan Penelitian tindakan kelas ini Penulis memilih metode eksperimen agar suasana pembelajaran menjadi aktif dalam menyelesaikan masalah permainan bola voli yang guru berikan. Sehingga tujuan pembelajaran yang diharapkan dapat mudah tercapai.  Penelitian tindakan kelas ini dilakukan dalam empat  kelompok kegiatan yang meliputi kegiatan perencanaan tindakan, pelaksanaan tindakan, observasi dan refleksi. Dari hasil penelitian menunjukkan bahwa pembelajaran dengan menggunakan Model eksperimen   terjadi adanya peningkatan hasil belajar dan ketuntasan. Hasil yang diperoleh dari test akhir uji kompetensi (postes) siklus II  memperoleh nilai rata-rata kelas 78,93 yang semula 63,17. Peningkatan ketuntasan sebesar 43,33%.  Dari hasil isian angket yang diberikan kepada 30 siswa menyatakan  proses belajar mengajar menggunakan model eksperimen  menyenangkan.
PELAKSANAAN METODE ROLE PLAYING UNTUK MENINGKATKAN MINAT BELAJAR SISWA PADA MATA PELAJARAN AKIDAH AKHLAK DI MTS NURUL AMAL KUALA KABUPATEN LANGKAT
Authors: Tanjung Alfian , Khairuddin Ahmad , Melly Melly
Published: November 2023

Penelitian ini dilakukan bertujuan untuk mengetahui apakah pelaksanaan metode role playing deapat meningkatkan minat belajar siswa pada mata pelajaran akidah akhlak. Metode yang digunakan dalam penelitian ini adalah metode role playing. Dengan menerapkan metode yang menyenangkan, maka siswa akan lebih tertarik dan memperhatikan ketika belajar. Penelitian ini mengkaji tentang tiga hal, pertama, Pelaksanaan metode role playing pada mata pelajaran akidah akhlak di MTs Nurul Amal Kuala Kab, Langkat; kedua, upaya guru dalam meningkatkan minat belajar siswa pada mata pelajaran akidah akhlak di MTs Nurul Amal Kuala Kab, Langkat; ketiga, Pelaksanaan metode role playing untuk meningkatkan minat belajar siswa pada mata pelajaran akidah akhlak di MTs Nurul Amal Kuala Kab, Langkat.  Penelitian ini dikaji dengan menggunakan pendekatan kualitatif dengan analisis data menggunakan deskriptif analis. Sumber data penelitian adalah kepala sekolah, Guru serta Siswa kelas IX-A di MTs Nurul Amal Kuala Kab, Langkat. Prosedur pengempulan data yang digunakan dalam penelitian ini adalah observasi, wawancara dan studi dokumentasi. Hasil penelitian ini menunjukkan bahwa Pelaksanaan metode role playing pada mata pelajaran akidah akhlak di MTs Nurul Amal Kuala Kab, Langkat dapat meningkatkan minat belajar siswa. Hal ini ditunjukkan dengan siswa yang lebih antusias dan aktif ketika belajar.
Study of the Effectiveness of Combined Use Dietary Supplements for Sexual Disorders in Men with Chronic Prostatitis
Authors: Lytvynets Yevhen , Lytvynets Vladyslava , Lytvynets-Golutiak Uliana
Published: November 2023

Nowadays chronic prostatitis (CP) is considered as the inflammatory disease of infectious genesis with the possible addition of the autoimmune disorders, which are characterized by the damage of both parenchymal tissue and interstitial tissue of prostate. Despite more than a century history of studying different pathogenetic links of the development of CP, this disease still remains insufficiently studied. The epidemiology details of CP are contradictory and they are studied quite fragmented. 25% of men with the urological diseases have symptoms of prostatitis, which very often leads to sexual disorders. One of the important triggers of CP is the tissue damage of prostate, which is caused by the violation of hemodynamics.
Experimental studies have shown that the venous stasis causes damage to endothelium followed by the migration of the leukocytes through the venous wall. The venous stasis or the deceleration of venous blood flow in prostate leads to the damage of its tisuses.
The objective: to study of the effectiveness and safety of the combined use of dietary supplements based on extracts from cordyceps, guarana, ginkgo-biloba, grape seeds and Peruvian maca extract for the treatment of patients with CP against the background of standard treatment.
Material and methods. 38 patients with chronic bacterial prostatitis were examined. The age of the patients ranged from 19 to 49 years (average age – 37.3±3.5 years). Patients were divided into two groups. The first group consisted of 18 patients who received basic therapy. Patients of the II group (20 patients) received basic treatment in combination with nutritional supplements.
Results. As a result of the treatment it was found that all 20 patients with the CP, who were taking capsels of Potenza and Longsil for 30 days noticed the positive effect. At the same time a pronounced positive effect noticed 11 (31,4%) patients, good effect noticed 14 (40,0%) patients and satisfying effect noticed 10 (28,6%) patients.
Against the background of standard treatment with the addition of dietary supplements based on extracts of cordyceps, guarana, ginkgo-biloba, grape seeds and Peruvian maca extract, reliable positive dynamics of the vast majority of hemodynamic indicators were obtained, namely: peak arterial blood flow velocity, diastolic velocity. , pulsation index, resistance index.
Conclusions. The application of combination therapy: basic anti-inflammatory therapy based on antibiogram, a set of Kegel exercises and dietary supplements based on extracts of cordyceps, guarana, ginkgo-biloba, grape seeds, and Peruvian maca extract in most cases allows to reach sustainable clinical effect in patients, suffering from chronic bacterial prostatitis.
The Effect of Triple Elimination Health Education to Knowledge and Intention Level of Pregnant Women in Screening Triple Elimination Implementation
Authors: Wiantini Ni Nyoman , Widiastini Luh Putu , Risna Ni Made
Published: November 2023

Human Immuno Deficiency Virus (HIV), hepatitis B and syphilis are very likely to be experienced by mothers during pregnancy and have the potential to cause disability or death. Although there has been an increase in the scope of the implementation of HIV and Hepatitis B screening for pregnant women in Indonesia, there are still cases of pregnant women detected positive for both diseases. This study aims to analyze the effect of triple elimination health education on the level of knowledge and intention of pregnant mothers in the implementation of triple elimination screening. This research is a type of quantitative research with one group pre-post test design method involved 47 respondents of first trimester pregnant women who were selected used purposive sampling technique. The research instrument used was a questionnaire filled out by respondents before and after the triple elimination health education was carried out. The results of the Wilcoxon test analysis showed that there was an effect of triple elimination health education on the level of knowledge and intentions of pregnant women in the implementation of triple elimination screening with p-values of 0.000 and 0.001 (<0.05), respectively. The conclusion of this study is that there is an effect of triple elimination health education on the level of knowledge and intentions of pregnant women in the implementation of triple elimination screening. It is expected that midwives in hospitals need to enhance the knowledge and practice of midwives in the delivery of obstetric health knowledge so that pregnant women can maximize the use of antenatal care services by professional health workers.
Determinants of Factors Affecting Timeliness of Measles Rubella Immunization During the Covid-19 Pandemic
Authors: Oktadevi Dianti , Sriatmi Ayun , Kusumastuti Wulan
Published: November 2023

Cakupan imunisasi measles rubella (MR) di Kabupaten Magelang, Jawa Tengah tahun 2017 sampai 2019 mengalami peningkatan dengan puskesmas yang memiliki cakupan tiga terendah berturut – turut di Puskesmas Tempuran. Tahun 2020 terjadi penurunan yang signifikan cakupan imunisasi MR di Puskesmas Tempuran dengan sebanyak 22% ibu tidak tepat waktu dalam imunisasi. Penelitian bertujuan untuk menganalisis faktor yang berhubungan dengan ketepatan waktu imunisasi MR selama pandemi Covid-19 di Puskesmas Tempuran Kabupaten Magelang. Penelitian kuantitatif dengan pendekatan cross sectional. Populasi penelitian ini ibu yang memiliki bayi usia 9 – 12 bulan, dengan teknik sampling cluster sampling pada 100 responden di seluruh kelurahan. Instrumen yang digunakan yaitu kuesioner, data dianalisis secara univariat dan bivariat dengan uji Chi-Square. Hasil menunjukkan bahwa ketepatan waktu dalam imunisasi MR selama pandemi Covid-19 masih rendah (8%) hasil uji Chi-Square menunjukkan bahwa variabel sikap ibu terhadap imunisasi berhubungan dengan ketepatan waktu imunisasi MR, sedangkan pengetahuan ibu, persepsi beban kerja, akses ke layanan imunisasi, persepsi sistem layanan imunisasi, dukungan kader, keanggotaan dalam grup whatsapp imunisasi, dan persepsi kebutuhan imunisasi tidak berhubungan dengan ketepatan waktu imunisasi MR. Pandemi Covid-19 membuat sikap ibu tidak dapat optimal dikarenakan ketakutan orang tua akan tertular virus Covid-19 di tempat pelayanan, keterbatasan stok vaksin dan pelaksanaan imunisasi tidak sesuai jadwal sehingga pihak puskeskmas perlu melakukan berbagai upaya dengan memberikan promosi terkait imunisasi yang aman dimasa pandemi serta pentingnya melakukan imunisasi secara tepat waktu  dengan memanfaatkan media whatsapp dan sosial lain dan berkoordinasi dengan dinas kesehatan terkait pengadaan stok vaksin
The Effectiveness of Social Support in Adolescents to Overcome Low Self-Esteem: Scoping Review
Authors: Kurniawan Kurniawan , Khoirunnisa Khoirunnisa , Casman Casman , Wijoyo Eriyono Budi , Azjunia Atiq Rizka , Nurpadillah Euis Irna , Cahyani Gita , Fajri Ilham , Wardani Lubna Najwa , Nurfadillah Nisa Nizhan , Kumala Rana , Srirahayu Windi , Nurrohmah Yulia Agnia
Published: November 2023

Background: self-esteem is important and plays a vital role in the development of self-esteem during adolescence. Individuals with low self-esteem are characterized by a negative view of themselves and an avoidance focus to protect themselves from possible harm, whereas individuals with self-esteem have the motivation to maintain and increase self-esteem. Purpose: This study aims to determine the sources of support in adolescence and the relationship to the incidence of low self-esteem in adolescents. Methods: This study was a literature review, which searched data using dome databases, namely PubMed, Science Direct, and Google Scholar. Articles are then selected based on inclusion and exclusion criteria based on the PRISMA flow chart. Result: The findings were 18.467 articles, and 5 articles selected that met the criteria for this study. The data showed there is a strong relationship between social support and adolescent self-esteem, social support does affect the person's self-esteem in every way in a positive way. Conclusion: There are several kinds of social support obtained by teenagers from the surrounding environment as a form of self-esteem in adolescents including social support from teenagers' parents, friends, schools, teachers, and the surrounding community. Various forms of support that adolescents get such as emotional support and instrumental support.Keywords:  adolescence; self-esteem; social support
Relationship between Spirituality and Coping Strategies in Diabetes Mellitus Patients at Tk IV Hospital AryokoSorong
Authors: Hardianti Rina , Fitriani Fitriani , Fatimah Fatimah
Published: November 2023

AbstrakLatarBelakang:Spiritual digunakansebagaistrategikopinguntukmembantuindividudalammengatasistrespsikis yang dialamidanmenurunkanpengeluaranhormon-hormonstresterutamakortisolsehinggakadarglukosadarahterkontrol.Meningkatnya spiritualitas bagi seorang individu maka kemampuan koping terhadap masalahnya juga semakinefektif.Strategikoping yang burukakanmengakibatkandepresi, ansietas, stresdandampakpsikologinegatiflainnya. Metodepenelitian:Jenispenelitian ini menggunakan metode observasi analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah 81 pasien rawat inap dan rawat jalan yang menderita penyakit diabetes melitus. Sampel dalam penelitian ini adalah 45 pasien yang diambil menggunakan teknik purposive sampling. Angket yang digunakan adalah kuesioner dengan uji chi-square.HasilPenelitian:Pasien diabetes melitus yang memiliki spiritualitas baik sebanyak 28 responden (62,2%) paling banyak dari pasien diabetes melitus yang memiliki spiritualitas kurang yaitu 0 responden (0%). Pasien diabetes melitus yang memiliki strategi koping baik sebanyak 27 responden (60,0%) paling banyak dari pasien diabetes melitus yang memiliki strategi koping kurang yaitu 0 responden (0%). Hasil uji chi-square menunjukan p value 0,000 < 0,05 yang berarti ada hubungan spiritualitas dengan strategi koping pada pasien diabetes melitus di RS TK IV dr. Aryoko Sorong.Kesimpulan:Ada hubungan spiritualitas dengan strategi koping pada pasien diabetes melitus di RS TK IV dr. Aryoko Sorong. Saranbagipelayanan kesehatan agarmemberikan edukasi mengenai pentingnya spiritualitas kepada pasien dan keluarga pasien yang menderita diabetes melitusuntukmengoptimalkan strategi koping pasien diabetes melitus sehinggaglukosa darahdapatterkontrolsecararutin.Kata Kunci :Spiritualitas, Strategi Koping, Diabetes Melitus
The Effect of Interactive Media on Adolescent Behavior to Prevent Risky Sexual in Manado City
Authors: Simak Valen Fridolin , Renteng Septriani , Kristamuliana Kristamuliana
Published: November 2023

Adaptation to adolescent growth and development needs to be optimized, this is because it will harm adolescent health when that age is confused. Various health problems in adolescents include risky sexual (kissing, masturbation, sex). Various previous studies have stated that the misuse of media or technology (smartphones, internet) to access various information including pornographic sites can increase adolescents' engagement in sexual activity because when adolescents continue to be exposed to it, adolescents will feel challenged to do so in real life. Therefore, it is necessary to increase the behavior (Knowledge, Attitude, and Skills) of adolescents through the implementation of interactive media interventions to prevent risky sexual behavior in adolescents. The purpose of this study is to analyze the effect of interactive media on the ability of adolescents through increasing knowledge, attitudes, and skills in preventing risky sexual behavior. The target of the research is teenagers who are in school and are included in the inclusion criteria, including 10-19 years old and unmarried with a large sample of 109 people. The method used in this study is a quasi-experimental without a control group which compares before (pre-test) and after (post-test) the intervention. Each intervention session has different media including lectures, videos, card games, and role plays. Each session will be conducted 1-2x every week with a total of 8 intervention sessions. The results of this study indicate that there is a significant effect between the implementation of interactive media and the knowledge, attitudes, and skills of adolescents to prevent risky sexual intercourse with p-values of 0.002,; 0.001; 0.014. This study concludes that it is hoped that it can improve the ability of adolescents and can be used as a pilot project that continues to be developed into nursing interventions in community settings so that adolescents can avoid deviant behavior, especially risky sexual behavior.
Are you infected COVID-19? For Your Safety, Keep It Secret
Authors: Puspasari Jehan , Rosliany Nia , Silalahi Malianti , Casman Casman
Published: November 2023

The world is currently in a humanitarian crisis, with the effects of the COVID-19 pandemic creating a negative stigma in society toward people infected with COVID-19. Breastfeeding mothers are among the vulnerable groups, and they are not without stigma. The purpose of this study is to investigate the experiences of breastfeeding mothers who are positive for COVID-19 in carrying out self-quarantine. This qualitative study employs a phenomenological approach with a snowball sample selection. This research used a semi-structured approach to conduct in-depth interview. This study reached saturation in fifteen participants. Four themes appear related to  keeping a positive COVID-19 status secret was the best decision for safety. Themes that emerged from this research was that keeping a positive COVID-19 status secret was the best decision for safety. This theme emerges from the decision to keep it hidden as well as the reasons for doing so. The decision to keep it hidden was deemed appropriate in order to avoid the negative stigma that could lead to ostracization and blame from the community, family, and health workers.
Diet Adherence among Elderly with Diabetes Melitus in Health Care Center Rapak Mahang Tenggarong, East Borneo: A Kuantitative Descriptive Study
Authors: Solichin Solichin , Azzahhra Kartika Neni , Layun Rining Marina Kristi , Khumaidi Khumaidi , Syahrun Syahrun
Published: November 2023

Latar Belakang: Diabetes Mellitus merupakan penyakit kronis yang ditandai dengan ciri-ciri berupa tingginya kadar gula (glukosa) darah. Kepatuhan diet merupakan      faktor penting dalam pelaksanaan diet diabetes mellitus. Penurunan fungsi tubuh pada populasi lansia lebih rentan terkena komplikasi diabetes. Tujuan: Mendiskripsikan tingkat kepatuhan diet diabetes mellitus pada lansia. Metode: Penelitian menggunakan metode desain deskriptif dan menggunakan Teknik sampling total sampling sehingga didapatkan sampel berjumlah 100 responden lansia. Instrumen yang digunakan adalah kuesioner kepatuhan diet. Hasil: Kepatuhan diet penderita diabetes mellitus di Pusat Pelayanan Kesehatan Rapak Mahang Tenggarong sebagian besar kategori patuh (55%), didapatkan hasil usia responden terbanyak pada usia 55-66 tahun dengan jenis kelamin Wanita 64%. Responden yang mengalami diabetes mellitus pendidikan terakhir SMA sebesar 40%. Responden yang mengalami diabetes mellitus dan tidak bekerja sebesar 75% dam responden yang mengalami lama menderita diabetes mellitus 1-10 tahun sebesar 56%. Kesimpulan: Tingkat kepatuhan diet DM pada lansia menunjukkan hasil lebih banyak responden yang patuh dibandingkan yang tidak patuh di Pusat Pelayanan Kesehatan Rapak Mahang Tenggarong. Bagi penelitian selanjutnya diharapkan dapat lebih mengembangkan penelitian ini dan desain penelitian ini.
Social Media Fatigue Management among Adolescents: Rapid Review
Authors: Kurniawan Kurniawan , Nur’aeni Yuni , Mujahidah Shafira Aulia , Nugraha Puput , Zahra Siti , Aquino Afnani
Published: November 2023

Background: Fatigue is when the body feels tired, lethargic, and has no energy. Fatigue is a medical condition that can range from mild to severe. One form of fatigue is social media fatigue. This fatigue is experienced mainly by teenagers as active social media users. Purpose: This rapid review aims to determine which social media management can be implemented by teenagers to overcome fatigue. Methods: This study was a rapid review, in which the search for journal articles uses the PubMed, CINAHL, Google Scholar, Cochrane Library, and The Lancet databases with full-text inclusion criteria from 2012-2022 and in Indonesian and English and selected using PRISMA. Result: found five journal articles explaining several interventions, namely Fatigue In Teenagers on the Internet (FITNET), Cognitive Behavioral Therapy (CBT), Cognitive-Behavioral Group Therapy (CBGT), and family or parent counseling therapy. Conclusion: Social media fatigue can be managed to control internet use for internet addicts and teenagers with fatigue.
Application of Cutaneous Stimulus Slow Stroke Back Massage to Reducing Pain Intensity in Patients with Rheumatoid Arthritis
Authors: Tulak Grace Tedy , Saputri Ekawati , Susanti Risqi Wahyu , Anitasari Bestfy
Published: November 2023

Rheumatoid Arthritis is a disease of the musculoskeletal system characterized by inflammation of the lining of the synovial joints. The most common symptoms are pain and deformity. One of the non-pharmacological pain management that can be done is Slow Strike Back Massage (SSBM). This study aims to apply Slow Stroke Back Massage (SSBM) to reduce pain intensity in patients with Rheumatoid Arthritis. This study used a pre-experimental method with a pretest-posttest design, observations were made with a total sample of 16 people. Sampling was done by accidental sampling technique. The results of data analysis using the Wilcoxon test obtained a value of p = 0.000 which means that there is an effect of SSBM on reducing pain intensity in patients with Rheumatoid Arthritis. From the results of this study it is hoped that the SSBM technique can be applied as a non-pharmacological therapy to reduce pain in patients with Rheumatoid Arthritis.
Strategi Sanggar Seni Karya Budi dalam Menjaga Kesenian Tingkilan Tradisional Kutai di Kalimantan Timur
Authors: Fahrurazi Fahrurazi , Gunawan Asril , Pratama Zamrud Whidas
Published: November 2023

Karya Budi merupakan salah satu sanggar seni yang masih mempertahankan kesenian tingkilan tradisi di era modern. Sanggar seni Karya Budi telah mempertahankan kesenian tingkilan tradisi hingga saat ini. Penelitian ini bertujuan cara atau strategi yang dilakukan sanggar seni Karya Budi dalam menjaga kesenian tingkilan tradisional Kutai di Kalimantan Timur. Penelitian ini menggunakan metode kualitatif, meliputi teknik pengumpulan data, observasi, dan teknik analisis data. Pengumpulan data dilakukan dengan studi pustaka, wawancara, dan dokumentasi. Analisis data dilakukan dengan memanfaatkan data-data yang telah ditemukan di lapangan. Hasil penelitian menunjukan bahwa sanggar seni Karya Budi memiliki strategi atau cara tersendiri dalam menjaga keaslian tingkilan tradisi di Kabupaten Kutai Kartanegara, Kalimantan Timur. Strategi yang dijalankan oleh sanggar seni Karya Budi, antara lain (a) menyesuaikan lirik musik dengan tema acara disetiap penampilannya, (b) mengajarkan kesenian tingkilan melalui ekstrakurikuler, serta (c) memiliki kerja sama dengan beberapa tokoh kebudayaan dan instansi pemerintah daerah.
Nilai-Nilai Pendidikan Karakter dalam Kesenian Sakeco di Kabupaten Sumbawa Besar, Nusa Tenggara Barat
Authors: Afriandayani Disfi , Heldisari Hana Permata , Indrawati Antonia
Published: November 2023

Kurangnya pemahaman tentang pendidikan karakter menyebabkan menurunnya kesopanan dan meningkatnya kejahatan yang dilakukan oleh anak di bawah umur maupun orang dewasa. Pendidikan karakter dapat ditanamkan melalui kesenian tradisional, khususnya kesenian Sakeco yang terdapat di Kabupaten Sumbawa Besar, Nusa Tenggara Barat. Melihat kesenian Sakeco tanpa pesan dan makna menimbulkan permasalahan. Tujuan penelitian ini adalah untuk mengungkapkan dan mendeskripsikan nilai-nilai pendidikan karakter yang terkandung dalam kesenian Sakeco Kabupaten Sumbawa Besar. Penelitian ini merupakan penelitian deskriptif kualitatif. Observasi, wawancara dan dokumentasi digunakan sebagai teknik pengumpulan data. Subyek penelitian ini adalah ketua adat, seniman, pembuat lawas dan perancang busana. Teknik validasi yang digunakan adalah teknik triangulasi. Menganalisis data yang diperoleh mereduksi data, menyajikan data, dan menarik kesimpulan dari sumber data primer dan sekunder. Hasil penelitian menunjukkan bahwa kesenian Sakeco mengandung nilai-nilai pendidikan karakter pada busana, syair/lawas, penabuh, dan tata rias. Nilai pendidikan karakter tersebut meliputi nilai religius, kerja keras, rasa ingin tahu, semangat kebangsaan, peduli sosial, cinta tanah air, kreatif, dan tanggung jawab.
Hibridisasi pada Musik Keroncong dalam Lagu Bugih Lamo oleh Grup Orkes Keroncong Buana Lestari Sawahlunto
Authors: Yulfita Ade Febri , Asril Asril
Published: November 2023

Minang pop song Bugih Lamo was composed by Syahrul Tarun Yusuf and arranged by the Buana Lestari Keroncong orchestra to become keroncong music. Bugih Lamo songs are already in the form of hybrid music between local and global cultures. The original musical arrangement uses modern musical instruments and uses diatonic tones. Keroncong music is also a hybrid music, so the two musical genres have adapted music globally following the western diatonic scale. The concept of the musical arrangement performed by the Buana Lestari Keroncong Orchestra in the Bugih Lamo song in the form of keroncong, by incorporating elements of keroncong music and other elements of Minang traditional music. The purpose of this study was to see the hybridization process in the keroncong music of the Buana Lestari Keroncong Orchestra. The method used is a qualitative method with the presentation of data is descriptive analysis. The results of this study indicate that there is hybridization and ambivalence in the arrangement of Bugih Lamo’s songs, where there is an assimilation between pop, keroncong, and traditional music. Data collection was carried out based on observation, documentation, and interviews with the artist’s work.
Технология приготовления вермимуки из компостного червя для кормления объектов аквакультуры
Authors: Поддубная Ирина Васильевна , Руднева Оксана Николаевна , Гуркина Оксана Александровна , Тарасов Петр Сергеевич , Орленко Евгений Викторович
Published: November 2023

В настоящее время производится поиск высокоценных кормовых компонентов, используемых при выращивании объектов аквакультуры. Ткани компостных червей соответствуют высококачественному животному протеину, поэтому мука из них способна заменить привычные белковые добавки. Особенно продуктивными считаются компостные черви вида Eisenia fetida. Представлена технология получения кормовой муки из компостного червя для кормления рыб. Описаны основные этапы технологического процесса приготовления вермимуки. Преимуществом предложенного способа получения является сокращение времени получения муки, поскольку исключается процесс бланшировки червя. В процессе сушки температура в сушильном шкафу составляет 60 °C, что позволяет предотвратить процесс денатурации белка. Сушеная вермимука представляет собой порошок с высокой кормовой ценностью и оптимальным соотношением белка и жира. Данный продукт может выступать в качестве альтернативы дефицитной рыбной муки.
Эффективность системы удобрения и разноглубинной заделки соломисто-пожнивных остатков в накоплении органического углерода и общего азота на посевах ячменя в условиях Верхневолжья
Authors: Шевченко В. А. , Матюк Н. С. , Соловьев А. М. , Кобозева Т. П.
Published: November 2023

Достоинством соломы и пожнивно-корневых остатков зерновых культур является высокое содержание органического вещества, созданного непосредственно на месте потребления. Рассмотрена эффективность системы удобрения и разноглубинной заделки соломы и пожнивно-корневых остатков в накоплении органического углерода и общего азота на посевах ячменя. Опыты проводили в 2011 – 2020 гг. в 2 ротациях полевого плодосменного зернопропашного пятипольного севооборота на испытательном участке Конаковского района Тверской области. Использование в качестве основного удобрения соломы и пожнивно-корневых остатков на фоне внесения жидких животноводческих стоков и твердой фракции навоза в безопасных дозах существенно сужает соотношение C:N как при отвальной вспашке, так и при минимальной обработке, замедляет процесс денитрификации, снижает потери общего азота от нитрификации и вымывания, что в конечном итоге способствует закреплению азота и органического углерода в гумусовых веществах корнеобитаемого слоя легкосуглинистой дерново-подзолистой почвы.
Healing Wounds in Joy Harjo’s Conflict Resolution for Holy Beings and An American Sunrise
Authors: Hanna Sally Michael
Published: November 2023

This paper deals with the healing of trauma of memory and history in Joy Harjo’s two recent volumes Conflict Resolution for Holy Beings (2015) and An American Sunrise (2019). Such a task is achieved by rewriting the story from the perspective of the victimized by drawing upon themes of unison with nature, unity and fluidity of time, and music as an alternative language of nature, along with the English language, once considered a space of personal erasure, is now presented as the transformational space of naming and claiming. Healing through forgiveness ensues leading to transcendence over loss through the grace of letting go. The process presented is one of circular journeying in places and spaces of memory to transform anger into grace and forgiveness, and to perceive home as an internal space of memory rather than a place lost to an atrocious past. Keywords: healing, trauma, memory, history, alternative language of nature, grace, circular journeying, transcendence, naming and claiming
Alterations in the fibrinolysis system and plasma cytokine profile following COVID-19 in patients with chronic cerebral ischemia
Authors: Melnyk V.S. , Mykhailichenko M.O.
Published: November 2023

This review examines the pathogenetic mechanisms of nervous system damage in patients with chronic cerebral ischemia and COVID-19. It is believed that in cases of coronavirus disease, nervous system damage can occur due to various reasons: direct viral invasion, excessive activation of the immune response (cytokine storm), and the development of systemic hypoxemia. The affinity of SARS-CoV-2 for ACE2 receptors also leads to direct damage to intracranial arteries. These processes are accompanied by changes in blood coagulation/anticoagulation systems, significantly impacting the pathogenesis of both diseases. Due to the activation of pro-inflammatory cytokines and endothelial dysfunction, there is increased permeability of the blood-brain barrier (BBB), leading to the migration of T-lymphocytes and inflammatory mediators into the interstitial space of the brain. The immune-mediated inflammatory reaction leads to the formation of subcortical demyelination and the activation of astrocytes. Fibrinogen, transforming into fibrin, enters the central nervous system, activating local inflammation processes, blocking the maturation of oligodendrocytes, disrupting myelinogenesis, and promoting the formation of beta-amyloid plaques. The existing state of hypercoagulation increases the risk of developing ischemic foci in the brain in patients with COVID-19. Simultaneously, the activation of the fibrinolysis system occurs, with increased levels of type 1 tissue plasminogen activator (PAI-1), a key marker of endothelial dysfunction, and a factor regulating fibrinolysis.Targeted inhibition of PAI-1 may hold promise as a new therapeutic strategy to improve treatment outcomes and prevent complications from the nervous system.
Rare non-heritable causes of acute cerebrovascular disorders
Authors: Kopchak О.О. , Odintsova T.A.
Published: November 2023

Acute cerebrovascular disorder remains one of the main causes of disability and death of the population in developed countries. Among acute cerebrovascular disorders, the ischemic type (approximately 80 % of all cases) is more common than the hemorrhagic type (including intracerebral and subarachnoid hemorrhage). Traditionally, among the risk factors for the development of acute cerebrovascular disorders, we distinguish non-modified factors (age, sex, hereditary predisposition to acute cerebrovascular disorders, congenital heart defects) and modified factors (arterial hypertension, diabetes, hematocrit level, low-density lipoprotein, and cholesterol levels in the blood). However, there is a separate category of risk factors, namely, non-heritable pathology that leads to the development of acute cerebrovascular disorders. This category includes diseases such as primary angiitis of the central nervous system, Sneddon’s syndrome, reversible cerebral vasoconstriction syndrome, Susac’s syndrome, Takotsubo syndrome, and Moyamoya angiopathy. These pathological conditions are characterized by damage to cerebral vessels of different calibers, accompanied by a variety of clinical manifestations (ranging from skin rash and abnormalities in cardiac chambers to mental disorders). These pathological conditions can mimic other diseases, making it challenging to establish a correct diagnosis and provide appropriate treatment to such patients. The diagnosis of these disorders is quite complex and requires the use of neuroimaging methods and, in some cases, a multidisciplinary approach. It is believed that by understanding and recognizing the non-heritable risk factors, we will be able to prevent a significant percentage of acute cerebrovascular disorders in the population and provide timely assistance in case of their occurrence.
Indicators of bioelectrical activity of the brain in duodenal ulcer in the acute stage depending on the presence of Helicobacter pylori in patientss
Authors: Tkachenko O.V. , Demydas O.V.
Published: November 2023

Duodenal ulcer disease (DU) is one of the leading gastrointestinal disorders today. Research on the role of Helicobacter pylori (H. pylori) in the pathogenetic mechanisms of various pathological conditions in the human body, including DU, is highly relevant.
Objective — to investigate the impact of H. pylori presence in patients with acute-stage DU on indicators of brain bioelectrical activity using electroencephalography (EEG).
Materials and methods. This study focused on assessing the bioelectrical activity of the brain through EEG in patients with acute-stage DU. A total of 60 patients were subjected to neurological examinations, and they were assigned into two groups based on the presence or absence of H. pylori infection. The age range of the patients was 25 to 60 years, with an average age of (39.80 ± 1.29) years. The majority of patients were male (43 (71.7 %)). A control group consisting of 30 relatively healthy individuals without somatic pathology, aged between 25 and 60 years with an average age of (31.20 ± 1.27) years, was also formed. This control group had a predominance of male subjects (19 (63.3 %)). Statistical methods were employed to process the data.
Results. Significant differences were observed in the indicators of brain bioelectrical activity between H. pylori-positive patients and H. pylori-negative patients, particularly in terms of the average amplitude of waves of different frequencies, the dominant frequency in each rhythm, interhemispheric asymmetry coefficients, and indices and power indices of general spectrum ranges.
Conclusions. The differences in brain bioelectrical activity revealed by EEG data between patients with or without H. pylori in their microbiome suggest potential pathophysiological significance of H. pylori in somatoneurological interactions in cases of DU.
Study of associations between the -108C/T Polymorphism of the PON1 gene and clinical syndromes, neuroimaging changes indicated by transcranial doppler sonography of cerebral vessels, and cognitive dysfunction in patients with chronic alcohol-induced encep
Authors: Duve K.V. , Shkrobot S.I.
Published: November 2023

Objective — to establish probable associations of the -108C/T polymorphic variant of the PON1 gene with clinical-neurological, neuroimaging hemodynamic characteristics, and cognitive dysfunction in patients with Chronic Alcohol-Induced Encephalopathy (CAIE).
Materials and methods. A total of 102 patients with CAIE undergoing inpatient treatment at Ternopil Regional Clinical Psychoneurological Hospital during 2021—2022 were examined, and 26 patients underwent molecular genetic research. The control group consisted of 12 healthy individuals, matched for age and gender. Clinical and neurological examinations followed a standard protocol, neuroimaging of the brain was conducted using multispiral computed tomography or magnetic resonance imaging, cerebral blood flow was studied using transcranial duplex scanning on a Philips HDI device (the Netherlands); and cognitive functions were assessed using the Montreal Cognitive Test (MoCA). Molecular genetic research of the -108C/T polymorphic variant of the PON1 gene was performed in the molecular genetic laboratory of the State Institution «Reference Center for Molecular Diagnostics of the Ministry of Health of Ukraine», Kyiv. Statistical data analysis was conducted using the «Statistica 13.0» software.
Results. Analysis of the dependence of clinical-neurological syndromes, neuroimaging, hemodynamic characteristics, and cognitive dysfunction based on the results of the MoCA test on the -108C/T polymorphic variant of the PON1 gene in patients with CAIE revealed significant differences in genotype distribution only concerning cognitive dysfunction (χ2 = 10.13, p = 0.038). Notably, carriers of the T/T genotype predominated among individuals with a moderate cognitive defect (66.67 %), while carriers of the S/T genotype were more common among those with a mild cognitive defect (62.50 %). Regarding the distribution of allele frequencies of the -108C/T polymorphic variant of the PON1 gene in patients with CAIE, it was determined that among individuals with a moderate cognitive defect, 83.33%, and among those with a mild cognitive defect, 62.50 % were carriers of T alleles (χ2 = 6.93, p = 0.031).
Conclusions. The study results suggest the need for further exploration of the association between the allelic polymorphism of the PON1 gene and cognitive functioning involving a larger sample of CAIE patients. This will help elucidate the molecular mechanisms underlying cognitive disorders and assess the diagnostic significance of including the -108C/T polymorphic variant of the PON1 gene in the genetic panel for early diagnosis of cognitive disorders and dementia prevention.