bluuebunny/crossref_metadata_2025 huggingface dataset:
Tumandari System and Electoral Politics; A Case of D. G. Khan District
Authors: Anwar Abaid Ullah , Usman Muhammad , Akhtar Dr. Sohail
Published: October 2022

This study deals with electoral politics and its relationship with Tumandarana System (a local landlordism) in Dera Ghazi Khan, a historic base camp of such a unique feudal system. This study is an exploration of Tumandars involvement in politics and elections of National Assembly and Provincial Assembly from 1988 to 2013. So, there is a scarcity of scholarly literature on this issue and this study is an attempt to fill this gap. The concept of Tumandar derived from Mangol history which means of ten thousand armed men. It has been modified time-to-time. Now, these Tumandars of Dera Ghazi Khan called as Tribal leader. Why Tumandarana System is dominating electoral politics of this region? This is a primary research question which have been explored. by applying qualitative and quantitative approaches and concludes that the patterns of tribal society are related to reliance upon horticultural system farming, having a strong grip over social economic resources. Tribal leaders have used this system to remain in power politics as well. Tribal leaders not only lead the tribe but, they are also political and administrative head of their tribe. Moreover, Tumandars or Tribal leaders create hurdle for vote casting and in the way of democratic system in district politics.
Civil-Military Relations in Pakistan: Quest for Power and the Role of National Security Council
Authors: Hussain Muhammad Akmal , Salyana Prof. Dr. Javed Akhtar , Faiz Dr. Muhammad Aslam
Published: October 2022

The military has always played a dominant role in Pakistan for the last seventy years or so. From an administrative and political point of view, Pakistan has inherited a highly imbalanced institutional development. It was working with strong and organized civil and military bureaucracies and disorganized political parties led by self-seeker politicians. The main reason for this institutional imbalance was factional-ridden politics which weakened the political rule in Pakistan. The civilian control of the military is managed in Pakistan if the ruling political group is ready in sharing power and responsibility with the military elites. Since Pakistan is a developing country and the military cannot be an exit from the decision-making process. The sharing of power on particular subjects can take the military away from any direct intervention. The sharing of power and responsibilities can be managed with the application of the convergence theory of Morris Janowitz and the National Security Council is an ideal forum for the interconnectedness of the two main pillars: the civilian and military elites.
Effect of the Tax Rate on Economic Growth: A Panel Analysis
Authors: Taqi Muhammad , Rizwan Muhammad , Ahmad Waqar , Umair Muhammad
Published: October 2022

The tax has a vital role in the economy. All the progress of the country depends upon tax collection and tax policy. This study is to find the impact of tax revenue on the economic growth of the USA, UK, India, and Kenya. The current study explored tax structure is different in developed and developing countries. It clears that developed countries such as the UK and the United States have a powerful, effective, and efficient system for tax collection. A significant source of tax revenue is collected through direct taxes. Moreover, if we compare it with developing countries, developed countries collect more tax revenue, and many individuals pay taxes in developed countries. The PMG ARDL techniques are used to find the objective of the study. The outcome of the study indicates that tax has positive and significant related to economic growth.
Tawfiq Al-Hakim, The Pioneer of Introduction of Literature into Dramatics
Authors: Nazar Dr. Shabana , Ahmad Dr. Ghulam
Published: October 2022

In ancient prehistoric times of the beginning of 20th century, Arabic world in general and Egypt in particular was thought to be the hub of knowledge and political practices. The basic political approach was to prevent foreign invaders from getting into Arab world and to maintain their own national sanctity. In this regards, one of the most prominent literary figures in Arab world is Tawfiq al-Hakim. This paper is a literature review of Al Hakim' literary contribution and thus, the main conclusion obtained from this is that Tawfiq al-Hakim has a significant position in maintaining true quintessence of literature in terms of tragedy because he kept the religion alive in his dramas and literary figures.  He denied the fact that Islamic cultural civilization has to be ignored in order to understand the essence of Greek mythology. Only if there was a bond developed between the cultures of Islam and Greeks, it would have enriched not only Arabic but European cultural boundaries as well. He also went against the concept of the fact that Islam cannot sustain the tragic events because they believe in the concept of predestination.
Analysis of Profitability of Banks; Comparatives Study of Domestic and Foreign Banks in Pakistan
Authors: Parhyar Amanullah , Nahrio Muhibullah , Tunio Raza Ali , Sethar Waqar Ahmed
Published: October 2022

This study was conducted to observe the determinants of profitability among domestic banks and foreign banks, owned organizations listed in Pakistan, whatever the analysis which dependents variable return on assets, others independent variables equity assets, deposit to total assets and loans to total assets which are the measured with annual financial statements reports of bank's organizations. The research aimed among the domestic banks as well as foreign banks, sampling of data is based on the availability of data, annual  financial statements of the bank's listed companies, because reliability and availability of data source are selected, such as data is analyzed by using descriptive and multivariate statistical techniques containing descriptive correlation and regression model techniques. According to the results abstracted from analysis, equity to assets have a negative relationship with return on assets in term of both foreign banks and domestic banks, while the loan to assets and deposit to assets have a positive relationship with return on assets with a high significance level, while these variables have same sought of relationship with lowest significance level. That’s why the hypotheses related to the foreign banks are accepted and the hypotheses related to the domestic banks may be challenged. From this study, we have conducted recommendations to enterprises as well as executives banking sector of Pakistan. Financial statements through return assets increase their profitability; banks should decrease the level of baking kinds of loans. The interest rate of domestic and foreign banks is high level, difficult for a customer who took a loan from that organization.
Impact of Climate Change on Income of Developing Countries
Authors: Zahid Khush Bukhat , Khan Zafir Ullah , Zubair Muhammad
Published: October 2022

This study estimates the impact of climatic factors on developing countries income level by incorporating the geographic, demographic and climatic variable.  The correlation between these variables indicated significant relationship among these variables with expected direction through different linkage. First Ordinary Least Square regression is estimated by adding one or more variable then the model with two Stage Least Square is used to solve the endogeneity problem caused by institution quality by taking energy production and mortality rate as an instrument variables. Results indicated population growth and temperature has negative and significant impact on per capita GDP while precipitation, carbon dioxide and institution has positive impacts while variable for latitude dummy is insignificant.
Impact of Code Switching on ESL Learners during Pandemic at The Islamia University of Bahawalpur, Rahim Yar Khan Campus
Authors: Ramzan Fozia , Majeed Marium , Ahsan Dr. Muhammad
Published: October 2022

This study investigated the impact of code-switching on ESL learners specifically during pandemic situations. The population was the language teachers of The Islamia University of Bahawalpur, Rahim Yar Khan. The basic focus of the study was to find out the advantages that teachers achieved through code-switching in ESL classrooms during pandemics. It tried to find out how code-switching is efficient to increase the learning proficiency among ESL learners. Actually, COVID-19 added to the sufferings of the world and caused the immeasurable loss. After health, the greatest loss was observed in the field of education. This pandemic slowed down the pace of learning by creating a lot of hurdles in the way of gaining knowledge. Physical classes were extinct and the online system was new for the learners and instructors both. In the present era, a good number of educational institutions in Pakistan have declared that the language of instruction in the classrooms should be English, which is the chief second language in the country. When a language user jumps from one language to another language, this process is called code-switching. This technique is widely used in Pakistani classrooms. It is believed to be beneficial to switch from one code to another in an ESL class. Sociolinguistics measures code-switching not only as a constituent of communal social life but surrounds the societal strata of speakers’ linguistic differences, societal variables, and societal settings. Seemingly language teachers deliberately choose code-switching for the promotion, comprehension, and improvement of second language (L2) learning. This paper puts light on the advantages of code-switching on the track of language learning, investigates a few strands of code-switching and then its efficacy in developing L2 knowledge amongst the students at The Islamia University of Bahawalpur, Rahim Yar Khan Campus. The findings of the study make clear that code-switching causes learning sessions to connect and it facilitates the learners to switch from L2 to L1. It can be implied that code-switching has a strong impact on language teaching.
Corporate Social Responsibility and Firm’s Financial Performance: Evidence from the Banking Industry of Pakistan
Authors: Khan Amin Ullah , Rahman Dr. Haseeb Ur , Khan Dr. Muhammad Zubair , Khan Dr. Zafir Ullah
Published: October 2022

The present work examines the effects of corporate social responsibility on profitability (CSR) of banking sector of Pakistan. The existing literature mainly focused on manufacturing industry of developed countries, while this study investigating the impact of CSR on financial sector of Pakistan. Secondary data were collected from 15 different banks from their annual reports for the period 2007-2016. Furthermore, study used summary statistics and two step system GMM to analyse the impact of corporate social responsibility on the financial performance of banks and found significant positive impact of CSR on financial sector performance. Moreover, the present work also observe that banks with good history of CSR spends less at present as they have established good reputation in society. Our study provides important empirical insights for regulators and other key stakeholders especially State Bank of Pakistan and banking industry of Pakistan for improvement in firm performance and profitability.
Television Advertising and Its Impact on Children
Authors: Malik Omaima , Perveen Dr. Abida , Khanam Dr. Masroor
Published: October 2022

Advertising is a form of communication that is done to influence the sale of a service, product or commodity, to promote or propagate a thought, or to bring about any other change desired by those financing or executing the advertisement or commercial. Advertising tends to have the strongest influence on children, who are considered the most susceptible target group. With impressionable minds, they tend to retain the message of advertisements more lucidly and without judgment. Furthermore, they tend to spend more time watching television and also have limited exposure to the outside world as opposed to adults. Therefore, the onus lies with parents to regulate the content that is available and accessible to children. Such content moderation must be done in accordance with societal norms and the teachings of Islam. This paper explores the potential impact of advertising on children in Pakistani society, with special emphasis in the context of Islamic teachings. As a religion, Islam provides a comprehensive code of ethics for raising children. This study analyzes a sample of commercials that have been developed for children through a survey to determine its effects on the intended audience.
Strategic Supplier Partnership and Responsive Supply Chain in Covid-19: The Mediating Role of E-Procurement
Authors: Memon Afzal Khan , Junejo Dr. Ikramuddin , Bughio Abdul Qadir , Saeed Saqib
Published: October 2022

Nowadays the covid-19 has created number of problem for effectives of global supply chain and in this situation only the strategic supplier partnership can help to address this global issue especially in context of developing country. In the present study primary data is collected through adopted questionnaire from previous studies. There are 200 respondents are considered from manufacturing companies of Sindh, Pakistan, who directly involve the supply chain management functions including procurement, operation and logistics management. Results of this study confirmed the partial mediation between strategic supplier partnership and responsive supply chain in the presence of e-procurement as a mediating variable. In previous studies research scholars find out the direct relationship between strategic supplier partnership and responsive supply chain. However, in this study mediating effect has been checked in presence of mediator e-procurement.
A molecular analysis of Escherichia coli O157:H7 strains isolated from cow and buffalo milk by the use of PCR in Karbala province
Authors: Shlash Nada Gasid , Al-Nassir Hikmat , Fadhil Ali H.
Published: October 2022

This study was conducted at Karbala governorate through the months of November 2021 until March 2022. Total number of 240 sampling was carried out from street vender and local store (milk, yogurts and cheese) from cow and buffalo. These samples were collected from different locations in Karbala in the Iraqi province. Escherichia coli O157H7 serotype prevalence rate from cow and buffalo was the major focus of this study of the research was conducted. 120 cow products and 120 buffalo products with different Karbala regions (local shops and street vendors) consisting a total of 240 samples. After initial enrichment, samples were streaked on Chromagar TM E. coli O157:H7 and sorbitole Maconkey agar. Escherichia coli O157h7 isolates were serotyped for to be detectable of the o157 and h7 antigens non-sorbitol fermenting (NSF) Isolates. Additionally, the virulent factor was examined. (rfbO157 and fliCH7) genes by PCR procedures. 14 isolates from 120 Escherichia coli O157:H7 in cow 11% and 18 from 120 (15%) buffalo. All fourteen samples isolates from produced milk became observed to be positive (rfbO157andfliCH7) (100%) genes, but just 13 from 18 isolates from buffalo.
Characteristic study of microplastics distribution and response to human activities in nine highland lakes in Yunnan province
Authors: Tian Chen , Jun Zhou , Omar Wan Maznah Wan
Published: October 2022

Nine highland lakes in Yunnan Province—Dian Lake, Erhai Lake, Fuxian Lake, Qilu Lake, Yilong Lake, Xingyun Lake, Yangzonghai Lake, Chenghai Lake, and Lugu Lake—were the principal objects of this study. To investigate the microplastic pollution patterns in highland lakes and to identify the most effective microplastic monitoring techniques, the distribution characteristics, abundance, and species of microplastics in the water bodies and sediments of nine highland lakes were scientifically sampled and analyzed in this study. To better understand the relationship between the level of economic development, the intensity of human activity and the level of governmental attention to environmental protection, the strength of the general public's environmental awareness, and the level of microplastic pollution in the Yunnan region, this study also looked into the areas surrounding nine highland lakes. To analyze and study the relationship between the distribution characteristics of microplastics in water bodies and sediments in the nine lakes and external natural conditions, additional external factors, such as geographic location and climatic conditions of the study area of the nine highland lakes, were collected and collated.
Factors leading to alcohol use among adolescents in Asia
Authors: Baskar Baskar , Avinash N. , Nagar Kaushal
Published: October 2022

Drinking indecently is a severe public health issue. Sipping or tasting frequently leads to regular alcohol or worsening habits such dangerous excessive drinking or addiction, alcoholism, or even death. Social and structural factors that have an impact on adolescents' health at the individual, family, community, and societal levels have a significant impact. Violence, mental health issues, creating the risk but rather self-harm, HIV or other viral infections, poor educational performance and dropout rates, limited employment opportunities, and accidents here on road or other unintentional injuries are just a slew of negative effects of adolescent alcohol consumption. The purpose of this review is to look at the research and determine what factors lead to teen consumption in Asian countries. The study made extensive use of internet resources including Pubmed and CINHAL. The study made extensive use of internet resources including Pubmed and CINHAL. After that, databases were accessed to conduct a more extensive literature search using key phrases and chemical operator to find publications pertinent to the issue. 64 records were found. Duplicate entries and those that didn't fit the criteria were removed. A criteria for inclusion/exclusion was used to filter 8 items.
Morphometric analysis of bregma and lambda and presence of any Wormian bone in bregma in north Indian population
Authors: Joshi Asha , Yadav Yogesh , Verma Ranjana , Kaul Nisha V. , Vineel Pulimi
Published: October 2022

Determination of sex from the skeletal remains is of medico legal importance for establishing the identity of an individual. The determination of deceased sex is first step in skeletal analysis since estimation of age at death, race,and stature depends on sex of the deceased. Total 100 adult dry skull were of unknown sex available in the Department of Anatomy Santosh medical college and hospital,Gaziabad and Government Institute of Medical Sciences,Greater Noida, were studied. Distance between bregma and lambda were obtained and presence of any sutural bone was observed in bregma. The results were compared with the present literature. Still there is a demand for further research to validate the distance from bregma to lambda for anthropometric use for particular race and various other surgical procedures.
Assessment of inhaler techniques and the impact of critical errors on clinical outcomes
Authors: Ee Xuan Wen , Jamil Nurdiana , Zaid Wan Sazrina Wan
Published: October 2022

Introduction: The use of inhaled medications remained as the pillar in pharmacological management of asthma and chronic obstructive pulmonary disease. Incorrect inhalation technique can impact drug delivery to the lung, compromised bronchodilation and lead to deteriorated disease control and worse disease outcomes. However, devices for inhaled medications can be difficult to learn and prone to mishandling despite presence of newer and more user-friendly inhalers. Objectives: This study aimed to assess and compare between patients’ self-rated confidence with their actual technique in using inhalers This study also aimed to determine factors associated with incorrect inhalation technique and impact of inhaler critical errors on clinical outcomes. Methodology: This was a cross-sectional study among patients with chronic respiratory disease who were users of inhalers, who visited outpatient pharmacy department and respiratory clinic, Serdang Hospital from 15th July to 15th August 2019. The patients were screened using convenient sampling according to inclusion and exclusion criteria. Pertinent data and inhalation techniques were identified during interview sessions. Results and discussion: Nearly a third of the patients who were confident with their inhalation technique had incorrect inhalation techniques and performed critical errors.
Factors influencing delay in sputum conversion in smear-positive pulmonary tuberculosis patients in primary care in Kuala Lipis Pahang
Authors: Baskaran Narasimman , Lian Leong Siew , Jamludin Nurul Ashikin
Published: October 2022

objective. This study was conducted to investigate factors associated with delay in sputum conversion at first and second months during pulmonary tuberculosis treatment.           Methods. A retrospective cross-sectional study was conducted in multicentre at primary care clinics in the district of kuala lipis pahang among newly diagnosed pulmonary tuberculosis patients in 2015-2019. Sociodemographic, clinical, and treatment-related data on patients' medical charts were collected using a standardized data collection form. Results. This study enrolled 147 participants with a mean age of 47.34 years. The sputum conversion rate at the end of the second month was 78.9%. Multiple logistic regression analysis was used to predict the factors that influence the delay in sputum conversion. The results found a statistically significant association (p <0.05) to those patients with diabetes mellitus (aor 2.51) during the 1st and 2nd months (aor 1.52), smokers (aor 2.66) during the 1st and 2nd months (aor 4.56), being underweight (aor 4.56) at 1st month and (aor 3.34) at 2nd month and hiv positive status during the 1st month (aor 1.18) and 2nd month (aor 2.406) were found to be predicted factors that influencing with delayed sputum smear conversion at 1st and 2nd month during pulmonary tuberculosis treatment.
Qualitative study on processes, issues and challenges in implementation of islamic obligatory cleansing (Sertu) in halal pharmaceutical industry
Authors: Rahman Suraiya Abdul , Azhar Ahmad Aiman Syazwan , Majeed Abdul Bakar , Nizaruddin Mariani Ahmad
Published: October 2022

Islamic obligatory cleansing known as sertu  in Malay language is one of the essential elements to ensure the halal integrity of products including in pharmaceuticals [1], [2]. It is an islamic cleansing required to be conducted when tools and equipment in the production facility are contaminated with severe najs (Naj Mughallazah) which are of pork or dog-based contaminant.  Islamic law has prescribed the way to cleanse Naj Mughallazah by using one time of clay and clean water suspension followed by six times of rinsing with pure water (mutlaq) [3]. The study on the implementation of sertu  cleansing especially in halal pharmaceutical industry is very limited if any [4]. Hence this study was conducted to explore the process, issues, and challenges as well as to discover the success factors in the implementation of sertu cleansing in pharmaceutical facilities from the perspective of sertu providers. This study used the qualitative in-depth interview and purposive sampling technique where participants were selected among sertu providers who have the experience of conducting sertu cleansing in pharmaceutical facilities.  Data were analysed using thematic analysis and validated through triangulation with data from a few sources.
Knowledge and attitudes towards child vaccination among public in Cyberjaya, Selangor and their level of vaccine hesitancy
Authors: Aziz Izzati Shahirah , Zainal Zainol Akbar , Nasiruddin Aina Yazrin Ali , Jamil Nurdiana , Hisham Shairyzah Ahmad , Hashim Rosnani , Jamaluddin Nurul Adilla@Hayat , Jamludin Nurul Ashikin , Chee Chin Shin , Qader Amelah Mohammed Abdul , Wahab Izyan A. , Huri Hasniza Zaman , Redzuan Adyani Md.
Published: October 2022

Vaccination is regarded as one of the greatest public health achievements and one of the most cost-effective interventions to prevent childhood major illnesses and mortality. However, despite being recognized as one of the most successful public health measures, vaccination is perceived as unsafe and unnecessary by a growing number of individuals that lead to vaccine hesitancy. This study aimed to determine public level of knowledge, attitudes and hesitancy towards child vaccination in Cyberjaya, Selangor. This study also aimed to measure the association between level of knowledge and attitudes with different respondents’ demographic data. Another aim of this study is to measure correlation between knowledge and attitudes with hesitancy towards child vaccination. A guided self-administered questionnaire was used to assess the knowledge, attitudes and hesitancy of the respondents. This cross-sectional study involved 300 respondents identified from the public. Majority of the respondents were females (65.0%), age between 18-29 years (74.7%), Malay (82.3%), Muslim (84.0%), with tertiary education level (78.7%), students (50.0%) and unmarried (70.7%). This study found that the respondents had an overall poor knowledge towards child vaccination (mean knowledge score = 51.3 ± 20.1).
Antimicrobial activity of Mentha Viridis
Authors: Ahmad Muntaha Mahmood
Published: October 2022

An increasing number of people in various regions of the globe are worried about contracting an illness caused by bacteria. It has been observed that the number of antimicrobial agents has reduced significantly since the early 1990s. But at the same time, new molecular mechanisms have been rapidly emerging, increasing the proportion of bacteria that are resistant to some of these drugs. These reasons explain why there is a surge in research into characterizing the hemodynamic and antimicrobial activity functioning of extracts of medicinal plants. Advanced medicine advancements there in the treatment of a wide range of disorders are likely to have contributed to this heightened curiosity. Mint (Mentha sp. ), additional plant species from which plant oils are derived, is widely used as a flavor enhancer in cosmetics, medicinal medications, food (such as candies and gum), and liqueur across the globe. Plant oils are now extracted from a variety of plant materials, and mint is one among them. Mint for essential oil is gathered from both the leaves and the stems of the plant. And there are about 25 different species of kinds of large herbaceous flowering Mentha, which is part of the family Labiatae.
Incidence and risk factors for genitourinary infection in individuals with type 2 diabetes using SGLT2 inhibitors
Authors: Rauf Hafiz Abdul , Khan Fahad Aman , Kumari Kiran , Khan Imran , Ali Kashif , Kalhoro Muhammad Amjad
Published: October 2022

Aim: To assess the frequency and risk factors for genitourinary infections in people with type 2 diabetes who are using SGLT2 inhibitors. Study design: A retrospective study. Place and Duration: Jinnah Hospital Lahore from March 2021 to March 2022. Methodology: This study included 57 people with type 2 diabetes who were using SGLT2 inhibitors.The parameters linked to genitourinary infections were observed via the use of multiple logistic regression analyses. This study utilized patients' medical records for observation and analysis. At the beginning of SGLT2 inhibitor therapy, data on the patient's age, gender, height, weight, duration of diabetes, menopausal status, HbA1c, and creatinine levels were collected. Two independent teams of scientists looked through the results of the investigation before concluding the final hypothesis. Results: Genitourinary infection occurred at a rate of 2.37 percent in the first month and 21.78 percent in the second month of the therapy. Genitourinary infections are more likely in individuals with HbA1c values between 7.0 and 8.0% (OR=3.45, p=0.001), 8.0% to 9.0% (OR=8.56, p=0.0001), and 9.0% (OR=11.45, p=0.0001), as well as diabetes medications such as SUR (OR=4.13, p0.001) and insulin (OR=3.81, p0.001).
Multiple cranial palsy in pasein with cerebral cavernoma malformations on the brain stem
Authors: Wulandari Wulandari , Sani Achmad Firdaus , Kurniawan Dedy
Published: October 2022

Facial palsy is a condition that is often encountered in neurological practice. The weakness of closing the eyes can be found in cases of central facial paralysis. Facial palsy is characterized by acute, unilateral, partial, or complete facial paralysis. Cerebral cavernous malformation is one rare form of lesion, accounting for about 5 to 13% of blood vessel anomalies in the central nervous system. Brain stem cavernomas are rare and less than 20% intracerebral cavernomas. Most patients with cerebral cavernoma of the brain stem have symptoms of acute neurological deficits. The inferior cerebellar pedunkel, vestibular nucleus, trigeminal nucleus of the spine, and ambiguous nucleus are usually affected. Clinical signs include vestibulocerebellar symptoms such as vertigo, falling to the side of lesions, diplopia, multidirectional nystagmus, ipsilateral Horner syndrome, hiccups, contralateral body weakness, pain and sensation of temperature, motion, dysphonia, dysphagia, dysarthria, and decreased gag reflex (Sciacca et al., 2019). A 26-year-old man with a right eye cannot close, the right face cannot be moved since 4 months, the right side face feels thick from the right cheek to the right chin. The patient has no previous history of stroke. In the examination obtained hipestesi NV2 and NV3 right, facial palsy peripheral right.
OAT Lotion Reduces Itching Sensation Due to Pruritus in Hemodialysis Patients
Authors: Sari Dede Wita Juwita Wulan
Published: October 2022

Background: Hemodialysis is the most commonly used renal replacement therapy for chronic kidney disease. Symptoms caused if the patient has chronic kidney failure include uremia. Uremic pruritus is an uncomfortable condition for the patient, so it requires medication or treatment to help relieve it. Pruritus that occurs in hemodialysis patients causes itching and dryness of the skin.
Objectives: The purpose of this study was to determine the effect of giving oat lotion on itching sensation in hemodialysis patients who experienced pruritus at the RS UMMI Bogor in 2020.
Methods: This study used a quantitative method with a pre-experimental design and a one-group pre/post-test design. The sample selection used purposive sampling with a total of 20 respondents. The therapeutic action given is oat lotion which is applied to the part of the body that has uremic pruritus. Given 2 times a day (about 5 ml) for 7 days. The bivariate test used the Wilcoxon test.
Results: the results showed that there was an effect of oat lotion on the itching sensation of hemodialysis patients who experienced pruritus, as evidenced by a decrease in the mean pre-test from 26.10 to 12.85 post-test with a p-value = 0.000.
Conclusion: The itching sensation in pruritic patients undergoing hemodialysis will decrease by being given oat lotion.
Sleep Quality of Hypertensive Patients can be Influenced by the Effectiveness of Back Massage
Authors: Jamilah Jamilah
Published: October 2022

Background: Hypertension has an impact on cardiovascular disease which can cause death. One of the factors that affect blood pressure is sleep disorders.
Objectives: This study aims to determine the effectiveness of back massage on the sleep quality of hypertensive patients
Methods: The design of this study used quasi-experimental research (Quasi Experiment). The population of this study was hypertensive patients in the Rumkital Inpatient Room, Dr. Mintohardjo. The sample in this study was 20 respondents. This research instrument uses a standard instrument, namely the Sleep Quality Questionnaire (KKT). This study uses the Paired Sample T-Test. This research uses the IBM SPSS statistic 24 in the data processing. Data analysis in this study was carried out bivariate.
Results: The characteristics of most respondents are female by 13 (65%), final age (56-65 years) by 12 (60%), sleep satisfaction before being given a back massage by 13 (65%), sleep satisfaction after being given a back massage by 14 ( 70%). The results of statistical tests obtained P-Value = 0.000.
Conclusion: There is an effect of the effectiveness of the back massage on the sleep quality of hypertensive patients.
Asuhan Keperawatan Pada Klien Pasca Stroke Dengan Gangguan Komunikasi Verbal di Wilayah Puskesmas Jenangan Ponorogo
Authors: Kartika Amelia Agnes , Suwanto Agus Wiwit , Wiratmoko Heru
Published: October 2022

Latar Belakang: Stroke merupakan penyakit serebrovaskular ditandai dengan adanya kematian jaringan otak akibat kekurangan suplai darah dan oksigen, sehingga dapat menimbulkan manifestasi klinis yaitu kesulitan berbahasa. Afasia merupakan gangguan berbahasa yang terjadi akibat adanya kerusakan otak di bagian kiri,  hal ini menyebabkan penderita sulit berbicara, membaca, dan menulis.
Tujuan: Penelitian ini bertujuan untuk menganalisa asuhan keperawatan pada pasien pasca stroke dengan gangguan komunikasi verbal.
Metode: Penelitian ini dirancang dengan metode deskriptif kualitatif berbentuk studi kasus. Asuhan keperawatan diberikan kepada Ny.S selama 7 hari. Teknik pengumpulan data diperoleh dari hasil wawancara, observasi, dan pemeriksaan fisik.
Hasil: Hasil penelitian ini menunjukkan pasien mengalami afasia dibuktikan hasil skrining FAST ditemukan skor 16 pada usia 56 tahun, serta hasil komunikasi verbal pasien mengalami peningkatan dengan pemberian terapi wicara AIUEO selama 7x24 jam dengan penilaian DFCS didapatkan pada hari pertama total skor 12 dan mengalami peningkatan pada hari keenam hingga hari ketujuh dengan total skor 18. Hal ini menunjukkan terdapat pengaruh pemberian terapi wicara AIUEO dengan penilaian skala komunikasi fungsional derby (DFCS) pada pasien pasca stroke yang mengalami gangguan komunikasi verbal di wilayah Puskesmas Jenangan Ponorogo.
Kesimpulan: Terapi wicara AIUEO dengan penilaian DFCS terbukti efektif dilakukan untuk meningkatkan kemampuan komunikasi verbal pada klien pasca stroke yang ditunjukkan adanya peningkatan dari afasia sedang menjadi afais ringan pada hari ke-6 hingga ke-7 setelah pemberian terapi wicara AIUEO berdasarkan penilaian skala komunikasi fungsional derby (DFCS). Sehingga asuhan keperawatan pada pasien pasca stroke dengan gangguan komunikasi verbal di wilayah puskesmas jenangan ponorogo dapat teratasi sebagian.
Asuhan Keperawatan Dengan Gangguan Oksigenasi Bersihan Jalan Nafas Tidak Efektif pada Pasien TB Paru
Authors: Novitasari Dwi , Abdurrosidi Abdurrosidi
Published: October 2022

Pendahuluan: Bersihan jalan napas tidak efektif ialah salah satu gangguan sistem pernafasan, dimana  saluran pernafasan mengalami penyempitan akibat adanya benda asing di jalan nafas juga adanya sputum yang tertahan sehingga dapat menghambat suplai oksigen yang masuk pada saluran pernafasan dan jalan nafas tidak paten. Hal ini dimanifestasikan adanya batuk, peningkatan sputum, suara nafas tambahan, nyeri saat bernafas, sulit bicara, bentuk dada ortopnea, pasien gelisah, terdapat sianosis, perubahan dalam bernafas.
Tujuan: Penelitian ini bertujuan untuk mendeskripsikan asuhan keperawatan dari tahap pengkajian hingga evaluasi keperawatan pada pasien TB Paru.
Metode: Penelitian ini adalah deskriptif melalui studi kasus pada pasien Ny. T dengan gangguan kebutuhan dasar oksigenasi bersihan jalan nafas tidak efektif dengan diagnosa medis TB Paru selama 3 hari di ruang Edelweis Bawah RSUD Kardinah Tegal. Peneliti dalam mengumpulkan data melalui tahapan proses anamnesis, pengamatan, phsysical assessment, dan dokumentasi.
Hasil: Penelitian ini menunjukkan adanya perkembangan kondisi pasien dari sebelum dan sesudah diberikan implementasi ditandai dengan frekuensi nafas 24x/menit, sesak nafas berkurang, batuk berkurang dan dahak bisa dikeluarkan.
Kesimpulan: Masalah keperawatan bersihan jalan nafas tidak efektif dapat teratasi pada hari ke-3 dengan tindakan keperawatan meliputi pemantauan nafas pasien, pemantauan sekret pasien, pemberian oksigen nasal kanul 6 lpm, memposisikan semi fowler, memberikan minuman hangat, mengajarkan batuk efektif, kolaborasi pemberian terapi nebulizer combivent 2,5 ml.
Pemberian Komunikasi, Informasi dan Edukasi (KIE) Tenaga Kesehatan, Personal Hygiene dan Dukungan Suami dengan Pencegahan Infeksi Luka Perineum pada Ibu Postpartum
Authors: Gaimau Efriana
Published: October 2022

Latar Belakang: Pencegahan infeksi luka perineum dapat dilakukan dengan perilaku hidup bersih dan sehat termasuk kebersihan diri, melakukan vulva hygiene dan  perawatan  luka perineum yang benar.
Tujuan: Penelitian ini bertujuan untuk mengetahui  adanya hubungan antara pemberian KIE tenaga kesehatan, personal hygiene, dan dukungan suami dengan pencegahan infeksi luka perineum.
Metode: Penelitian ini menggunakan pendekatan kuantitatif dan cross-sectional. Populasinya ibu postpartum yang mengalami ruptur perineum sebanyak 55 orang. Sampel diambil dengan teknik total sampling sebanyak 55 orang, pengumpulan data menggunakan kuesioner dan di uji statistik SPSS dengan analisis chi-square.
Hasil: Dari 55 responden terdapat 24 ibu (43,6%) kurang mendapat KIE tenaga kesehatan,  43 ibu (78,2%) yang melakukan personal hygiene dan  29 ibu (52,7%) mendapat dukungan suami. Hasil uji statistik menunjukkan  hubungan pemberian KIE tenaga kesehatan dengan pencegahan infeksi luka perineum dengan  p-value = 0,5  OR = 0, hubungan personal hygiene dengan pencegahan infeksi luka perineum pada ibu postpartum dengan p-value = 0,02 OR = 7,556, hubungan dukungan suami dengan pencegahan  infeksi luka perineum pada ibu postpartum dengan p-value = 0,04 OR = 6,250.
Kesimpulan: Tidak ada hubungan pemberian KIE tenaga kesehatan dengan pencegahan  infeksi luka perineum pada ibu postpartum dan ada hubungan personal hygiene dan dukungan suami dengan pencegahan  infeksi luka perineum pada ibu postpartum.
Analisis Penerapan Peraturan Pemerintah No. 50 Tahun 2012 di Puskesmas Karadenan Kabupaten Bogor Tahun 2021
Authors: Wara Martinus
Published: October 2022

Latar Belakang: Kesehatan dan Keselamatan Kerja (K3) adalah instrumen yang mencegah terjadinya kecelakaan kerja dari pekerja, perusahaan dan lingkungan. Perlindungan dalam sistem K3 melibatkan beberapa unsur, yaitu manajemen, tenaga kerja dan juga lingkungan kerja, hal ini berguna untuk meminimalisir terjadinya kecelakaan kerja dan penyakit akibat kerja sehingga tempat kerja menjadi aman, efisien.
Tujuan: Untuk mengetahui penerapan K3 sudah berjalan dengan baik atau belum sesuai peraturan Pemerintah No 50 Tahun 2012 di Puskesmas Karadenan Kabupaten Bogor Tahun 2021
Metode: Penelitian kualitatif dengan metode pengumpulan data  wawancara, pengamatan, dan dokumentasi. Teknik penentuan informan yang digunakan dalam penelitian ini adalah pengambilan sampel purposive.
Hasil: Pelaksanaan program kesehatan dan keselamatan kerja di Puskesmas Karadenan, Kabupaten Bogor, dianalisa dari aspek perencanaan, pelaksanaan dan pengawasan yang belum optimal.
Kesimpulan: Dari hasil analisis yang peneliti lakukan maka dapat disimpulkan bahwa penerapan K3 belum berjalan dengan baik sesuai PP No 50 Tahun 2012.
Intervensi Slow Deep Breathing Exercise untuk Menurunkan Tekanan Darah pada Pasien Hipertensi
Authors: Dewi Nurvita , Anie Anie , Olivia Lovi , Annisa Hanif , Irwanti Liria , Anie W Anie W , Hasanah Iis , Agustiani Herlina , Sobrina Nurlaili , Nurtika Baiq Laely , Mulyawati Mariam , Nia Nia , Eny Eny
Published: October 2022

Latar Belakang: Hipertensi diperkirakan menjadi penyebab kematian sekitar 7,1 juta orang diseluruh dunia atau sekitar 13% dari total kematian. Lebih dari 60 juta rakyat Amerika Serikat mengalami tekanan darah tinggi. Menurut National Health and Nutrition Examination Survey (NHNES III), di Amerika terdapat paling sedikit 30% pasien hipertensi yang tidak menyadari kondisi mereka, dan 31% pasien yang di obati mencapai target tekanan darah yang diinginkan dibawah 140/90 mmHg. Hipertensi apabila tidak disembuhkan dalam jangka panjang dapat merusak pembuluh-pembuluh darah dalam jantung, otak dan ginjal. Tekanan darah tinggi atau hipertensi dapat menyebabkan penyakit jantung koroner, infark, serangan jantung, stroke, dan gagal ginjal, sehingga terlihat bahwa hipertensi berdampak negatif pada organ-organ tubuh bahkan dapat mengakibatkan kematian.
Tujuan: Case study ini adalah untuk melihat efektifitas slow deep breathing exercise dalam mengatasi masalah keperawatan intoleransi aktivitas dengan intervensi pendukung manajemen program latihan tehnik pernafasan yang tepat selama aktifitas fisik.
Metode: Pada case study kali ini adalah dua orang pasien hipertensi dengan rentang umur 45 - 50 tahun berjenis kelamin wanita dan mempunyai riwayat hipertensi serta bersuku jawa.
Hasil: Hasil dari case study dari dua pasien hipertensi yang kami ambil adalah terjadi penurunan tekanan darah sistolik dan diastol setelah dilakukan implementasi slow deep breathing selama 3 hari dalam masalah keperawatan intoleransi aktivitas dengan intervensi manajemen program latihan.
Kesimpulan: slow deep breathing efektif dalam membantu proses penurunan tekanan darah hal itu dikonfirmasi dari dua kasus yang diuji pada dua responden dengan hipertensi menunjukan sistolik dan diastolik yang menurun sehingga intervensi ini bisa direkomendasikan dalam membantu mengatasi masalah keperawatan intoleransi aktivitas khususnya dalam intervensi keperawatan manajemen  program pelatihan.
Dukungan Suami, Dukungan Petugas Kesehatan, Status Ekonomi Dengan Perilaku Ibu Dalam Pemilihan KB MKJP
Authors: Farkhanah Anah , Ginting Agus Santi Br , Pujianti Purwani
Published: October 2022

Latar Belakang: Rendahnya keikutsertaan ibu dalam menyukseskan program keluarga berencana terutama dalam pemilihan kontrasepsi MKJP, masyarakat masih takut dan beranggapan menggunakan kontrasepsi MKJP itu mengerikan dan memiliki efek samping yang sangat berbahaya sehingga pencapaian kontrasepsi MKJP masih rendah. Pencapaian KB MKJP di klinik harapan ibu sebesar 22,15% jumlah tersebut merupakan jumlah pencapaian KB yang paling rendah.
Tujuan: Mengetahui hubungan dukungan suami, dukungan petugas kesehatan, status ekonomi dengan perilaku ibu dalam pemilihan KB MKJP di Klinik Harapan Ibu Kabupaten Bogor tahun 2021
Metode: Menggunakan metode cross-sectional. Populasi yang digunakan dalam penelitian ini yaitu Wanita Usia Subur sebanyak 124 orang. Sampel yang digunakan pada penelitian ini menggunakan berjumlah 54 wanita usia subur dengan menggunakan purposive sampling yang memenuhi kriteria inklusi dan ekslusi. Instrumen menggunakan kuesioner dan di uji menggunakan analisis Chi-Squere.
Hasil: Hasil analisis menunjukan Dukungan Suami (p-value = 0,013 < 0,05), Status Ekonomi (p-value = 0,002 < 0,05) dan Petugas Kesehatan (p-value 0,785 > 0,05)
Kesimpulan: Ada hubungan bermakna antara Dukungan Suami dan Status Ekonomi (p-value = 0,002 < 0,05) dengan perilaku ibu  dalam pemilihan KB MKJP. Dan tidak ada hubungan Dukungan Petugas Kesehatan dengan perilaku ibu  dalam pemilihan KB MKJP. Status Ekonomi merupakan variabel yang paling besar hubungannya dengan perilaku ibu dalam pemilihan KB MKJP (OR = 9,026).
Hubungan Dukungan Keluarga, Dukungan Sosial, Persepsi Pandemi Covid-19 Dengan Tingkat Kecemasan Ibu Hamil
Authors: Suraily Lely
Published: October 2022

Pendahuluan: Angka kejadian kecemasan pada ibu hamil di Indonesia mencapai 373 juta orang. Sebanyak 107.000.000 atau 28,7% diantaranya kecemasan terjadi pada ibu hamil sebelum proses persalinan. Kecemasan pada ibu hamil merupakan masalah yang tidak dapat diabaikan begitu saja, karena jika dibiarkan dapat membahayakan nyawa ibu dan berdampak buruk pada janin.
Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara dukungan keluarga, dukungan sosial dan persepsi risiko pandemi Covid-19 terhadap tingkat kecemasan ibu hamil trimester III dalam menghadapi persalinan pada masa pandemic Covid-19.
Metode: Penelitian ini merupakan penelitian deskriptif kuantitatif analitik dengan desain Cross-Sectional. Sampel penelitian adalah 58 ibu hamil trimester III yang diambil dengan teknik Simple Random Sampling di PMB Suraily, Am.Keb Desa Sasak Panjang Kecamatan Tajurhalang Kabupaten Bogor dengan menggunakan kuesioner. Pengukuran tingkat kecemasan menggunakan HARS (Hamiloton Anxiety Rating Scale). Alat uji menggunakan analisis Chi-Squere.
Hasil: Berdasarkan hasil uji Chi-Square, Dukungan Sosial   menunjukan p-value (0,030) < dari alpha (α) (0,05) dan Dukungan Keluarga  menunjukan p-value > dari alpha (α) (0,05).
Kesimpulan: Ditemukan adanya hubungan antara dukungan sosial  dengan tingkat kecemasan ibu hamil trimester III dalam menghadapi persalinan pada masa pandemi Covid-19. Namun, tidak ada hubungan antara dukungan keluarga dengan persepsi risiko pandemi Covid-19.
Peran Bidan, Peran Keluarga dan Persepsi Ibu Terhadap Perilaku Pencegahan Anemia Pada Ibu Hamil
Authors: Mulya Indah Kresna , Kusumastuti Istiana
Published: October 2022

Introduction: Anemia in pregnant women is also said to be potentially harmful not only to the mother but also to the child she is carrying. The impact that will occur from anemia is the higher risk of miscarriage, premature birth, low birth weight, disorders that occur in the fetus and can increase maternal and fetal morbidity and mortality
Objectives: The purpose of this study was to determine the relationship between the role of the midwife, the role of the family, and the mother's perception of the behavior of preventing anemia in pregnant women in the Lawang Gintung Public Health Center in 2021
Method: The method used in this study was a descriptive quantitative and analytical approach using a cross-sectional design. The population of this study was 149 pregnant women and the sample used was 65 pregnant women as respondents. The sampling technique is simple random sampling. The measuring instrument used is a questionnaire. The analytical method used is Chi-Square with 0.05 using IBM spss v25
Result: The results showed that anemia prevention behavior in pregnant women was included in the good category (50.8%), the role of the midwife was supportive (72.3%), the role of the family good (63.1%), good mother perception (53.8%) in anemia prevention behavior in pregnant women in the Lawang Gintung Health Center area in 2021.
Conclusion: In conclusion, there is a significant relationship between the role of the midwife (P-value = 0.044), the role of the family (P-value = 0.016), and the  mother's perception (P-value = 0.004) of anemia prevention behavior in pregnant women in the Lawang Gintung Public Health Center area in 2021. Mother's perception is the variable most related to anemia prevention behavior in pregnant women. The better the mother's perception, the better the anemia prevention behavior.