bluuebunny/crossref_metadata_2025 huggingface dataset:
SAUSŲ AKIŲ SINDROMAS PO LASIK REFRAKCIJOS KOREKCIJOS OPERACIJOS IR JO GYDYMAS
Authors: Kučinskaitė Agilė , Galgauskas Saulius
Published: January 2025

LASIK operacija – modernus refrakcinių ydų korekcijos metodas. Sausų akių sindromas – dažniausia šios proce­dūros komplikacija. Manoma, kad sausų akių po LASIK etiologija – jatrogeninis ragenos nervų pažeidimas. Pa­cientai, sergantys sausų akių sindromu, skundžiasi sau­sumo pojūčiu ar svetimkūnio akyje jausmu, akių nuo­vargiu, skausmu, deginimu ir niežėjimu. Šie simptomai reikšmingai paveikia jų gyvenimo kokybę. Sausų akių sindromas diagnozuojamas remiantis anamneze, klini­kiniu vaizdu ir specifinių tyrimų rezultatais. Ši liga taip pat gali sukelti komplikacijas, iš kurių dažniausios yra įvairios epiteliopatijos. Sausų akių sindromo po LASIK prevencijai svarbu atidžiai įvertinti rizikos grupei pri­skiriamus pacientus, jaučiančius sausų akių simptomus, pradėti gydyti iki operacijos ir tinkamai pasirinkti refrak­cinės operacijos tipą bei techniką. Sausų akių sindromo gydymas apima drėkinančius akių lašus, ašarų kanalėlio užkimšimą, vietiškai veikiančius imunosupresinius vais­tus ir, tam tikrais atvejais, šiltus kompresus ar lašinamus antibiotikus.
Efectividad del ejercicio terapéutico en adultos mayores con síntomas depresivos, en el contexto de pandemia covid-19, en Corrientes Capital, desde el 2020 al año 2022
Authors: Joana Gisela Córdoba  , Rocío Amparo Codutti  , Valeria Fedoriachak
Published: January 2025

Introduction: Population aging, exacerbated by the COVID-19 pandemic, has shown a significant increase in mood disorders, especially depression, in older adults. Immobility, social isolation and fear of contagion have aggravated this situation. This is where the importance of the Bachelor of Kinesiology and his humanized action towards this age group lies. Objective: To describe the effectiveness of therapeutic exercise in states of depression in older adults and Kinesic intervention in exercise planning. Methodology: A quantitative, descriptive and cross-sectional study was carried out in a sample of 70 older adults (60-99 years) with symptoms of depression, treated at the Geriatric Hospital of Corrientes between 2020 and 2022. The participants were selected by convenience and met inclusion criteria. The information was collected with a structured questionnaire of variables such as age, sex, physical exercises, depressive symptoms, activities of daily living. Results: 90% of participants reported a significant improvement in their mood and a decrease in depressive symptoms after the physical therapy intervention. In addition, an increase in muscle strength, flexibility, and aerobic capacity was observed in the participants. Conclusion: The results support the efficacy of therapeutic exercise as a non-pharmacological intervention to improve the mental and physical health of older adults with depression. However, longitudinal studies with larger samples are needed and therapeutic exercise programs should be implemented in geriatric institutions with professional training in this area.
Dose Equivalence of Remimazolam and Propofol for Loss of Consciousness in Pediatric Patients: A Randomized Clinical Trial
Authors: Zhang Ma-Zhong
Published: January 2025

BACKGROUND: Remimazolam and propofol can be used interchangeably for general anesthesia. However, no dosing recommendations exist for the intravenous bolus administration of remimazolam during general anesthesia induction in pediatric patients. Determining the appropriate dose for anesthesia induction in pediatric patients is crucial for safe and effective surgical procedures.

OBJECTIVES: The study aimed to determine the median effective dose (ED50) for loss of consciousness (LOC) with remimazolam and propofol in pediatric patients and establish the dose equivalence between these anesthetics.

STUDY DESIGN: A prospective, randomized, single-center trial.

SETTING: A tertiary pediatric hospital in China from January 2023 to July 2023.

METHODS: Pediatric patients aged 3 to 15 years, undergoing elective surgery under general anesthesia, were included. Patients were randomized to receive either remimazolam (in doses of 0.1, 0.15, 0.2, 0.25, and 0.3 mg/kg-1) or propofol (in doses of 0.75, 1.0, 1.25, and 1.5 mg/kg-1) via intravenous bolus. The primary measure consisted of determining the ED50 for LOC with remimazolam, and the secondary measure consisted of establishing the dose equivalence between remimazolam and propofol.

RESULTS: The calculated ED50 for remimazolam was 0.19 mg/kg-1 (95% CI: 0.10–0.35), and that for propofol was 1.11 mg/kg-1 (95% CI: 0.53–2.15). This finding indicates that remimazolam is approximately 5.8 times more potent than propofol.

LIMITATIONS: In this study, the anesthesiologist could not be blinded to the different appearances of remimazolam and propofol, and the LOC assessment method may have introduced bias. Furthermore, the recommended dose for remimazolam induction was not tested directly within this trial, suggesting a need for further research.

CONCLUSIONS: Remimazolam demonstrates significantly higher sedative efficacy for pediatric patients than does propofol. An induction dose of 0.34 mg/kg-1 remimazolam could be recommended for general anesthesia induction, considering the safety and effectiveness of a 2 mg/kg-1 dose of propofol.

KEY WORDS: Remimazolam, propofol, pediatric anesthesia, loss of consciousness (LOC), median effective dose (ED50), dose equivalence, intravenous bolus administration
L5-S3 Compared to L5-S2 Full-Endoscopic Rhizotomy and Ablation Under a Navigation System for Sacroiliac Joint Pain: A Comparative Study
Authors: Chen Chien-Min
Published: January 2025

BACKGROUND: Chronic low back pain (CLBP) with sacroiliac joint (SIJ) involvement is a prevalent issue in health care. Surgical intervention, employing an endoscopic technique with a navigation system, targets and ablates nociceptive nerve fibers associated with SIJ pain, although the clinical effect of omitting rhizotomy of the lateral sacral branch of S3 remains uncertain.

OBJECTIVES: This study aimed to compare the clinical outcomes of 2 full-endoscopic rhizotomy and ablation (FERA) techniques for SIJ pain and to determine the effect of omitting rhizotomy of the lateral sacral branch of S3 on patient outcomes.

STUDY DESIGN: This study adopted a retrospective cohort study design.

SETTING: This study was conducted at a single medical institution by a neurosurgeon.

METHODS: From January 2018 through March 2021, the records of 73 patients undergoing L5–S3 or L5–S2 FERA for SIJ pain associated with CLBP were retrospectively reviewed. The patients were evaluated using the Visual Analog Scale (VAS) for pain, Oswestry Disability Index (ODI) for functional disability, and MacNab criteria for satisfaction. The procedures were guided by 3-D robotic C-arm navigation. The L5–S3 FERA group underwent rhizotomy and ablation of the L5–S3 lateral branches, whereas the L5–S2 FERA group did not undergo rhizotomy of the S3 lateral sacral branch.

RESULTS: Both groups showed significant improvements at one year in VAS and ODI scores with similar trends. The L5–S2 FERA group had a shorter operative time, particularly bilaterally, without complications. Although the L5–S3 FERA group initially presented a slightly higher recurrence rate at 6 months, their recurrence rate was equal with that of the L5–S2 FERA group at one year. Furthermore, the MacNab criteria showed comparable satisfaction rates in both groups.

LIMITATION: This was a small retrospective study.

CONCLUSION: L5–S2 FERA demonstrated clinical outcomes similar to those of L5–S3 FERA for pain relief, functional improvement, and satisfaction. Omitting S3 lateral branch rhizotomy did not adversely affect the outcomes. Surgeons may consider omitting S3 lateral branch rhizotomy for SIJ pain treatment, thereby reducing operative time while maintaining patient benefits.

KEY WORDS: Low back pain, sacroiliac joint, rhizotomy, ablation, surgical navigation systems, robotics, minimally invasive surgical procedures
The Relationship Between the Coverage of Antenatal Care (K4) Visits to Flood Incidents
Authors: Ummah Kholifatul
Published: January 2025

Antenatal care or pregnancy care/examination is one of the factors that is very important to be considered and carried out by pregnant women to prevent complications until death occurs during childbirth, in addition to that, it is also very important to maintain and monitor the health and growth of the fetus. The main problem that is the highest is the maternal and infant mortality rate. The KIA program is responsible for providing health services to pregnant women, mothers giving birth, and neonatal babies. Floods are a form of disaster in Indonesia that occurs almost every year. In the last ten years, flood disasters have always occupied the first position of disaster events. Ngrame Village is one of the villages in the Pungging Mojokerto sub-district that experienced a flood event. The flood incident was caused by the collapse of barriers in two rivers in the Mojosari Region, and 4 points broke. The initial survey results in March 2024 showed that ten pregnant women in TM III and 20 pregnant women in TM III were evacuated to other villages due to the flood disaster in Ngrame village. Using the chi-square test, this study uses the cross-sectional method located in Polindes, Ngrame Village, with a sample of 20 TM III pregnant women. The results of the calculation of the chi-square test using SPSS (value = 0.00) can be concluded so that it can be concluded that Ho was accepted as having a relationship between the coverage of antenatal care (K4) visits to flood events in Polindes, Ngrame Village, Watukenongo Health Center, Mojokerto Regency.
Effectiveness of Administration of Papaya Leaf Capsule Extract (Carica Papaya) and Moringa Leaves (Moringa Oleifera) on Increasing Prolactin Hormones in Breastfeeding Mothers
Authors: Mawaddah Sofia
Published: January 2025

This research aimed to determine the effectiveness of administering papaya (Carica Papaya) and Moringa leaf (Moringa oleifera) capsule extracts on prolactin hormone levels in breastfeeding mothers in PMB M Palangka Raya City. The research used was Quasy Experimental, Two Group Pretest – Posttest design (two groups pretest – posttest). The sampling technique used was purposive sampling, with a total sample of 66 respondents who met or met the inclusion criteria. The statistical test used is the Independent T-test. Based on the significance results, the resulting Z statistic is -3.531 with a probability of 0.000. This means that probability < significance level (alpha = 5%). Thus, it can be stated that there is a significant difference in the levels of the hormone prolactin in breastfeeding mothers in PMB M Palangka Raya City before and after administering Moringa leaf capsule extract.
The Influence of Parenting Styles and Parental Attitudes on The Behavioral Development of Children Aged 3- 5 Years
Authors: Mudlikah Siti
Published: January 2025

Developmental abnormalities in children can occur as a result of parental inattention and attitudes. The purpose of this study is to understand better the association between parenting methods and parental attitudes and the conduct of children aged three to five. The research method is descriptive-analytical, with a cross-sectional approach. TKM NU 166 Nahdlatul Ummah Goloka Kanjeng Sepuh Gresik is home to 34 parents with children aged 3-5 years. Purposive sampling was utilized, with 30 parents as the sample size. Questionnaires were used to collect data on parenting techniques, parental views, and children's conduct. Observation checklists were also used. Data were processed using frequency distribution tables and examined using the Lamda statistical test. The outcomes of the data analysis were triangulated using interviews, observations, and documentation. The study found that 11 children (84.6percent) with democratic parenting exhibited prosocial behavior, but authoritarian and permissive parenting styles were linked to antisocial behavior. All children (100percent) of parents with negative attitudes engaged in antisocial behavior. The conclusion is that parenting techniques and parental attitudes influence children's conduct.
The Effect of Baby Massage on Sleep Quantity in Infants Aged 6-12 Months With Cough and Cold
Authors: Firdawanti Wahyu Asih Winda , Umami Nurrahmi , Sari Agus Purnama
Published: January 2025

Sleep quantity is very important for infant growth and development. If the baby’s sleep quantity is poor, it can cause the baby’s physiology and psychology to be disturbed. In infant with cough and cold, the most common problem is sleeping disturbance. One of the non-pharmacological therapies that can be given to babies who are coughing and cold is baby massage. Baby massage can also cause a decrease in alpha waves and beta waves, so that theta waves will increase. This study aims to determine the effect of baby massage on the quantity of sleep-in infant aged 6-12 months with a cold cough in the working area of Karang Rejo Health Centre, Tarakan. This research was quantitative research with quasi experimental design pre and post with out control. The population in this study amounted to 124 babies. The sample size was 33 respondents. The result showed the quantity of sleep infants aged 6-12 month with a cold cough before being given a massage intervention 33 infant (100percent) with a bad category, after being given a baby massage intervention the quantity of sleep of infant aged 6-12 months with a cold cough increased to a good category namely 27 infants (81,8percent). Bivariate analysis Wilcoxon test showed p-value= 0,001 (p-value less than 0,05) which means that there was an effect of giving baby massage on the quantity of sleep of infant aged 6-12 months with a cold cough in the working area of Karang Rejo Health Centre, Tarakan.
The Influence of Progressive Relaxation on Anxiety in Pregnant Women with Hypertension
Authors: Rosyadah Ning Arum Nur , Kundarti Finta Isti , Rahmaningtyas Indah , Rahayu Dwi Estuning
Published: January 2025

Hypertensive disorders during pregnancy are a serious issue affecting between 5 percent to 10 percent of all pregnancies globally. Women experiencing hypertension during pregnancy may suffer significant psychological impacts, including anxiety. Progressive muscle relaxation exercises can help reduce muscle tension, enhance feelings of happiness, and alleviate stress and anxiety during pregnancy. The purpose of the study was to determine the effect of progressive relaxation on anxiety in pregnant women with hypertension. The research employed a Quasi-Experimental approach using a pretest-posttest control group design with 60 participants. The participants were split into two groups: the intervention group (30 participants), who received progressive relaxation twice a day for 14 days, and the control group (30 participants), who received standard care. The Paired Sample T-Test revealed a noteworthy reduction in anxiety levels (p equal 0.000) among the intervention group. In contrast, the control group did not exhibit significant alterations in anxiety levels (p equal 0.746) after the treatment. Thus, progressive relaxation proves effective in reducing anxiety levels among pregnant women with hypertension. Future research should consider increasing the frequency and duration of interventions and exploring alternative approaches to further address hypertension issues during pregnancy.
The Effect of the Unting Debt Game (Anti-Stunting Snake and Ladder) on Increasing Knowledge About Stunting
Authors: Lestari Cahaya Indah , Pamungkas Catur Esty , WD Siti Mardiyah , Amilia Rizkia , Adiputri Ni Wayan Ari , Rospia Evi Diliana , Makmun Indriyani , Amini Aulia , Cahyaningtyas Dwi Kartika
Published: January 2025

The prevalence of stunting in the world, as collected by WHO in 2020, was 150.8 million (22.2%). WHO has designated five regions as stunting prevalence, including Indonesia in the Southeast Asian region with a prevalence rate (36.4%). Adolescents are a group that has the potential to be agents of behavior change. For this reason, adolescents need to be given education to increase knowledge and build awareness of the impact of stunting in the future. This study aims to determine the influence of Uting Debt Media (Snake and Ladder Stunting) in increasing adolescents' knowledge about stunting. This research is quantitative. The type of research used was Quasy Experimental pretest and posttest with the control group. The population in this study is all young women of MTS Jamaluddin Bagik Nyaka Village in August 2024, with a sample of 30 people divided into two groups with 15 members each and using purposive sampling techniques. Data collection was carried out using a questionnaire to determine the level of knowledge of adolescent girls about stunting before and after the intervention. The statistical results of the post-test of the experimental and control groups using the Mann-Whitney techniques showed Asymp. signature. (2-tailed) 0.012 < 0.050, with the mean rank of the experimental group of 19.00 and the mean rank of the control group of 12.00. So, it can be concluded that there is a significant difference in the results of the post-test of the experimental group and the control group, which affects the increase of knowledge in the experimental group before and after being given treatment to increase adolescent knowledge about stunting
The Role of Parents in Overcoming Feeding Refusal and Preventing Iron Deficiency Anemia in Toddlers
Authors: Ummah Kholifatul
Published: January 2025

Feeding refusal, commonly observed in infants, particularly during their first year of life, is when infants experience difficulty eating or refuse to eat. This can lead to nutritional deficiencies or malnutrition. Additionally, feeding refusal can be triggered by the inappropriate introduction of complementary foods regarding composition, texture, and feeding methods. Iron deficiency is the most common nutritional problem worldwide, especially in developing countries. Anemia in children is a hemoglobin level significantly below the average for their age. Based on surveys conducted by the Ministry of Health and several health reports, the prevalence of anemia in toddlers ranges from 40percent to 50percent . The results of a preliminary study conducted at Brondong Health Center, Brondong District, Lamongan Regency, from May to July 2024, found that 25percent of toddlers exhibited feeding refusal. Hemoglobin tests on these 11 toddlers revealed an average below 11 gr/dl. The research aims to determine the role of parents in overcoming food refusal and preventing iron deficiency anemia in toddlers. This study can use a quantitative approach with an observational analytical design at Brondong Health Center, Brondong District, Lamongan Regency. The population is toddlers aged 6-24 months with feeding refusal problems and their parents/mothers, with a sample size of 20 respondents. The measuring instrument used in this study is a questionnaire using the KAP scale, and the test used is the Chi-Square test. From this test, it was concluded that the p-value is 0.000, indicating the role of parents in addressing feeding refusal and anemia in toddlers at Brondong Health Center, Brondong District, Lamongan Regency.
Inhalation of Cinnamon Aromatherapy (Cinnamon Burmanii) to Reduce Postpartum Pain in Normal Delivery
Authors: Iswati Retno Setyo
Published: January 2025

After delivery, uterine contractions will occur, which cause pain. Postpartum pain is physiological and lasts for several days after the delivery process. Postpartum pain that is not handled properly and correctly can cause discomfort, including disrupting activities, disturbing the mother's rest time, or when breastfeeding, and can cause trauma. Handling postpartum pain using cinnamon aromatherapy inhalation can be an alternative to non-pharmacological therapy. Cinnamon contains the main compounds, namely cinnamaldehyde and eugenol, which have anti-inflammatory effects and can reduce pain. In addition, the content of essential oils helps relax tense muscles, increase circulation, and relieve stomach cramps. The study aimed to determine the effectiveness of cinnamon aromatherapy inhalation in reducing postpartum pain in normal delivery. The type of research is Quasy Experimental with a pre-test and post-test design. The research sample consisted of 30 postpartum mothers divided into control and intervention groups. The sampling technique was purposive sampling. The research instrument used was the Visual Analague Scale (VAS), which measured the pain level, and an observation sheet. Cinnamon inhalation was given to the intervention group by dripping cinnamon onto a tissue and inhaling it at a distance of plus minus 1 cm from the nostrils for 30 minutes starting 6 hours postpartum until the 3rd day. The control group was given deep breathing relaxation, starting 6 hours postpartum and continuing until the 3rd day. Data analysis used the Mann-Whitney test. The results of the Mann-Whitney test showed a p-value of 0.001. Cinnamon aromatherapy inhalation is effective in reducing postpartum pain in normal delivery
Decrease in Labour Pain at First Stage with Birthing Ball Techniques in Primigravida Mothers
Authors: Anandita Mella Yuria Rachma , Gustina Irwanti
Published: January 2025

Labour pain causes the release of stress hormones, resulting in decreased uterine contractions and uteroplacental circulation, reduced blood flow and oxygen to the uterus, which makes pain impulses multiply. One technique to reduce labour pain non-pharmacologically is with a birthing ball. This study aims to determine the effectiveness of birthing balls in reducing first-stage labor pain in primigravida. This study used a quick experiment with a Nonequivalent Control Group Design. The population was all mothers giving birth in three Depok City maternity centers. The sample used a purposive sampling technique, with as many as 50 samples of experimental and control groups. Data analysis using two dependent means or dependent T-test (paired T-test). Before the birthing ball intervention, the experimental group felt moderate labour pain by 76%, after the birthing ball technique experienced a decrease in the moderate pain scale by 64%. Analysis results show an average decrease in pain levels of labouring mothers who use the Birthing Ball 0.38. The results of statistical calculations also mention a p-value of 0.0001, meaning that the use of the Birthing Ball has proven effective in reducing first-stage labour pain. Birthing Ball in labour increases endorphin release, effectively reducing labour pain.
Implementation of Critical Chain Project Management Method on Controlling the Pipeline Project
Authors: Sandora Rina , Tridya Dini Rosyadah
Published: January 2025

In the implementation of construction projects, the incompatibility between plan and actual schedule that cause an additional time and cost is oftenly occurring. The Pipeline Project started in July 2022 and scheduled for completion in November 2022. However, in actuality the project finished in July 2023. Based on this case, an acceleration method needs to be implemented so that the project can be completed quickly and efficiently. One of the methods applied is Critical Chain Project Management (CCPM). Scheduling is carried out using the actual duration of the project that applied with CCPM. The actual duration of the project is 318 days. Furthermore, by using the CCPM, the duration is become 216 days. So, by using the CCPM, the project is completed 32.08% faster than the actual duration of the project. Based on the results of the analysis, by applying the CCPM method is able to make an optimal duration of the project.
ANALISIS PREDIKSI RADIASI MATAHARI DENGAN ALGORITMA MACHINE LEARNING DAN IMPLEMENTASI BAYESIAN OPTIMIZATION DI PROVINSI DKI JAKARTA
Authors: Oktaviani Anisa Nur , Atmaja Anugerah Surya , Putri Khuzaimah , Aprianto Stenislaus Angga , Kartiasih Fitri
Published: January 2025

Peningkatan populasi menyebabkan peningkatan permintaan energi. Hingga saat ini, masalah terkait energi adalah sumber daya yang terbatas. Energi alternatif terbarukan dapat dimanfaatkan secara optimal di masa depan. Salah satu sumber energi terbarukan adalah energi matahari karena jumlahnya melebihi kebutuhan energi saat ini dan masa depan. Hal ini sejalan dengan target 7.2 dalam Sustainable Development Goals (SDGs) 2030, yaitu meningkatkan porsi energi terbarukan secara signifikan dalam bauran energi global. Indonesia memiliki potensi energi matahari melalui radiasi matahari. Namun, pemanfaatan potensi energi surya sebagai pembangkit listrik di Provinsi DKI Jakarta belum optimal. Penelitian ini bertujuan untuk memprediksi nilai radiasi matahari melalui Global Horizontal Irradiance (GHI) harian di DKI Jakarta menggunakan Support Vector Regression (SVR) dengan Bayesian Optimization dan membandingkannya dengan XGBoost untuk menemukan model terbaik dari hasil prediksi. Metode BO-SVR terbukti memberikan hasil prediksi yang baik dan kuat pada data yang digunakan karena MAPE dan RMSE untuk data pengujian masing-masing adalah 0,182 dan 34,412. Penerapan Bayesian Optimization dalam menentukan hiperparameter optimal dalam membentuk model prediksi telah terbukti meningkatkan kinerja model. Penelitian ini menghasilkan prediksi radiasi matahari yang memberikan informasi bagi pemerintah, khususnya PT Perusahaan Listrik Negara (PLN) dan peneliti terkait karakteristik radiasi matahari.
EVALUASI KEPUASAN PENGGUNA DAN IDENTIFIKASI DIMENSI PRIORITAS PADA APLIKASI HR SIDAWAI DENGAN KERANGKA EUCS
Authors: Kiki Haerani  , Muhamad Rodi  , Muhammad Fauzi Zulkarnaen  , Mardi
Published: January 2025

Aplikasi SIDAWAI bertujuan untuk meningkatkan manajemen sumber daya manusia melalui solusi digital. Penelitian ini mengevaluasi kepuasan pengguna menggunakan kerangka End-User Computing Satisfaction (EUCS), dengan fokus pada lima dimensi: konten, format, keakuratan, kemudahan penggunaan, dan ketepatan waktu. Pendekatan kuantitatif deskriptif digunakan, dengan data dikumpulkan melalui survei dari 30 pengguna aktif. Analisis data melibatkan perhitungan skor rata-rata untuk setiap dimensi, yang dilengkapi dengan kategorisasi berdasarkan tingkat kepuasan. Hasil menunjukkan bahwa pengguna sangat puas pada dimensi kemudahan penggunaan (4,30), ketepatan waktu (4,27), dan keakuratan konten (4,20). Namun, dimensi format memperoleh skor terendah (3,50), yang mengindikasikan masalah signifikan pada desain visual dan kejelasan antarmuka. Temuan ini menekankan perlunya perancangan ulang antarmuka dan optimalisasi konten untuk lebih selaras dengan ekspektasi pengguna. Selain itu, peningkatan infrastruktur sistem dapat mengatasi masalah responsivitas selama penggunaan puncak.
EDUKASI DAN PENYULUHAN PEMBUATAN SEDIAAN EMULSIGEL ANTI ACNE DARI MINYAK BUNGA CENGKEH (Syzygium aromaticum L.) TERHADAP SISWA/I DI SMA NEGERI 1 DELI TUA
Authors: Sembiring Pintata
Published: January 2025

Acne is a skin disease where the pores are clogged, causing inflamed pus pockets due to the activity of oil glands called sebaceous glands under the skin and this activity is stimulated by increased androgen hormones. Cloves are herbal plants that contain essential oil chemicals. The chemical composition of clove leaf oil mainly consists of eugenol. Eugenol has pharmacological effects as an antibacterial, analgesic and anti-inflammatory. Emulsion is a skin barrier that has received a lot of attention because of its small particle size so that it can be thermodynamically stable and can increase drug penetration. Recent advances in nanoemulsion research have created new prospects in a number of industries, including pharmaceuticals, biotechnology, food, and cosmetics. The main objective of this counseling is to provide information related to the manufacture of emulsigel preparations as anti-acne so that students at SMA Negeri 1 Deli Tua can make and through this counseling program it is hoped that there will be an increase in understanding and skill development. Thus, students can create one Anti Acne skincare product that they need and create a healthier, safer and more sustainable environment.
PENGENALAN PROFESI APOTEKER SERTA PENYULUHAN DAN EDUKASI TENTANG BEYOND USE DATE DALAM SEDIAAN SIRUP DAN TETES MATA DI SMA NEGERI 1 MEDAN
Authors: Sianipar Masria Phetheresia , Sembiring Pintata , Harahap Nina Irmayanti , . Nadiya , . Erdiwan
Published: January 2025

Kegriatan pengabdrian keprada marsyarakat irni bertujuan untruk membrerikan edukasi terrkait konsep Beyrond Usre Drate (BUD) dalam sediaan sirup dan tetes mata, terutama pada siswa SMA. Breyond Usre Drate (BUrD) adalrah batras wakrtu penggrunaan orbat sertelah kemasran primernya dribuka atrau dirusak, yang berbeda dengan tanrggal kedarluwarsa yarng tercrantum padra kemasran. Informasi mengenai BUD sangat penting untuk menghindari penggunaan obat yang telah melewati masa stabilitasnya, sehingga tetap aman dan efektif. Melalui kegiatan penyuluhan ini, siswa diperkenalkan pada batas waktu penggunaan obat sediaan sirup dan tetes mata, serta diberikan pemahaman mengenai cara penyimpanan obat yang benar. Metode yang digunakan meliputi ceramah, diskusi interaktif, dan permainan edukatif untuk memperkuat pemahaman. Diharapkan kegiatan ini dapat meningkatkan kesadaran siswa tentang pentingnya BUD, serta membekali mereka untuk menyebarkan informasi ini kerpada kelruarga dan masyarrakat sekirtar.
PENYULUHAN TENTANG KEBERSIHAN LINGKUNGAN RUMAH MAKAN PADA DAERAH LUBUK PAKAM
Authors: Sitepu Rahmadani
Published: January 2025

Wirausaha kuliner mendominasi bisnis di Indonesia, terlihat dari banyaknya pilihan makanan di GoFood, GrabFood, dan ShopeeFood. Meskipun memberikan variasi makanan yang luas, persaingan ketat memaksa beberapa pelaku usaha mengurangi kualitas untuk menekan harga. Banyak rumah makan belum memenuhi standar hygiene sanitasi, yang penting untuk mencegah keracunan makanan. Data menunjukkan kasus keracunan makanan di Indonesia meningkat, dengan angka signifikan pada anak-anak akibat sanitasi buruk. Penyuluhan sanitasi di Lubuk Pakam bertujuan meningkatkan kesadaran pentingnya hygiene. Metode observasional digunakan untuk mengumpulkan data melalui observasi dan wawancara. Hasilnya, kesadaran pemilik usaha meningkat, mendukung kesehatan masyarakat. Penyuluhan ini efektif dan perlu dilanjutkan untuk meningkatkan kualitas hidup setempat.
SOSIALISASI DAN EDUKASI DAGUSIBU PADA SISWA SMK AL RAZI SINAR HARAPAN MEDAN JOHOR
Authors: Gultom Evi Depiana
Published: January 2025

Background: Drug-related health problems in Indonesian society continue to increase over time. The majority of these problems arise because of the public's perspective which does not yet understand the proper and correct use and handling of medicines. The DAGUSIBU drug program is one of the right solutions to overcome this problem. Objective: This service aims to increase the knowledge of students at Al Razi Sinar Harapan Vocational School Medan Johor regarding how to obtain, use, store and dispose of medicines properly. Method: This activity is carried out using an educational method starting from how to use it to the correct disposal of medicines, then interactive discussions, demonstrations as well as eval_uation and monitoring through post tests and pre tests. Results: The socialization activities ran smoothly with participants who were cooperative and enthusiastic in participating in the program. On the other hand, based on the post-test results, it shows that participants better understand the concept of DAGUSIBU medication correctly, so they can minimize errors in drug use. Conclusion: With this socialization, students at Al Razi Sinar Harapan Vocational School Medan Johor can apply the knowledge they have gained to their environment and family.
EDUKASI KESEHATAN PENINGKATAN KESADARAN TENTANG RESISTENSI ANTIBIOTIK DI RUMAH SAKIT UMUM SEMBIRING
Authors: Br Barus Lidia Klorida
Published: January 2025

Resistensi antibiotik merupakan masalah kesehatan global yang semakin meningkat dan dapat mengancam efektivitas pengobatan infeksi bakteri. Penyebab utama dari fenomena ini adalah penggunaan antibiotik yang tidak tepat. Peningkatan kesadaran tentang bahaya resistensi antibiotik di kalangan masyarakat, tenaga medis, dan pembuat kebijakan menjadi langkah penting dalam memerangi penyebarannya. Artikel ini bertujuan untuk membahas pentingnya peningkatan kesadaran tentang resistensi antibiotik. Peningkatan pengetahuan mengenai penggunaan antibiotik yang bijak promosi kebijakan yang mendukung penggunaan antibiotik secara rasional dapat menjadi kunci dalam menanggulangi resistensi antibiotik.
PENINGKATAN KESADARAN REMAJA TENTANG DAMPAK BULLYING TERHADAP KESEHATAN MENTAL
Authors: Marlina Siti , Syahri Alfi , Effendi Intan Indriani , Sitepu Stefani Anastasia , Hayati Erlina
Published: January 2025

Kekerasan dalam dunia pendikan adalah fakta yang sudah terjadi di kalangan Masyarakat bahkan sudah mulai semakin marak. Pada umumnya kasus kekerasan yang terkenal dan di ketahui adalah tawuran pelajar saja, namun faktanya salah satu kekerasan pada sekolah yang banyak di alami oleh siswa dan siswi di sekolah Indonesia adalah bullying. Tujuan penelitian buat mengetahui interaksi bullying menggunakan kesehatan mental dalam remaja. Penelitian ini menggunakan metode analisis korelasi. Populasi penelitian ini seluruhnya terdiri dari siswa. Berdasarkan data survey awal di peroleh sebanyak 288  siswa. Pengambilan sampel dilakukan dengan menggunakan teknik simple random sampling, yang melibatkan sejumlah 74 orang sebagai sampel. Instrumen yang digunakan dalam penelitian ini adalah lembar kuesioner, sementara analisis hipotesis dilakukan dengan metode chi-square. Hasil penelitian ini yaitu sebagian besar responden mendapat bullying ringan 38 orang (51,4%) dan minoritas tidak mendapat bullying sebanyak 14 orang (19,4%), untuke kesehatan mental pada remaja sebagian besar cukup baik sebanyak 42 orang (56,8%) dan minoritas kurang baik sebanyak 8 orang (10,8%). Kesimpulan penelitian ada hubungan bullying dengan kesehatan mental pada remaja di SMP Negeri 22 Medan Tahun 2024 dengan nilai p- value = 0,000 < nilai α 0,05.
PEMBERDAYAAN DAN OPTIMALISASI PEMBERIAN ASI BAGI PEDAGANG PASAR TRADISIONAL DAN IBU PEKERJA INFORMAL DI KECAMATAN DELI TUA TAHUN 2024
Authors: Krisna Putri , Ariani Peny , . Fitriani , Sari Ria Novita , Sari Mediana
Published: January 2025

Exclusive breastfeeding is one of the indicators of the success of feeding babies aged 0-6 months which is the basis for providing nutrition in the first 1000 years of life. Most provinces still have a percentage of exclusive breastfeeding below the national average, including North Sumatra at 57,83% (BPS, 2021). The conditionof traditional markets in Indonesia, especially in North Sumatra, is very risky for the health of babies during the breastfeeding process (BPS, 2020).To overcome the obstacles and problems during breastfeeding that have been reported, it can be strengthened by carrying out empowerment which aims to obtain sufficient knowledge and skills for traders who breastfeed, comprehensive support such as providing breastfeeding facilitation, as well as guarantees regarding the right quality and quantity of breast milk.
PENYULUHAN K3 PADA TENAGA MEDIS DI RS GRANDMED LUBUK PAKAM: MENINGKATKAN KESADARAN DAN KETERAMPILAN DALAM MENGHADAPI RISIKO KERJA
Authors: Mazzasa Deby Astrid anindya
Published: January 2025

Keselamatan dan Kesehatan Kerja (K3) merupakan elemen penting dalam melindungi tenaga kerja. Berbagai kecelakaan kerja yang kerap dialami tenaga medis meliputi tertusuk jarum saat menyuntik pasien, teriris benda tajam, tertimpa reruntuhan, terpeleset, dan terkena tumpahan cairan. Berdasarkan data, insiden kecelakaan kerja di kalangan tenaga medis terjadi di Rumah Sakit Granmed pada tahun 2023. Pengabdian kepada masyarakat ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan kecelakaan kerja yang terjadi pada tenaga medis selama tahun tersebut.pengandia kepada masyarakat dilaksanakan pada 18  Februari 2023. Teknik pengambilan sampel dilakukan dengan total sampling, melibatkan 68 tenaga medis di Rumah Sakit Granmed Lubuk Pakam sebagai responden. Data dikumpulkan melalui kuesioner, kemudian dianalisis menggunakan uji chi-square dengan bantuan aplikasi SPSS. Hubungan antara variabel dianggap signifikan jika nilai p kurang dari 0,05.
Kesimpulannya, faktor seperti usia, masa kerja, tingkat pengetahuan, dan penggunaan APD berpengaruh signifikan terhadap insiden kecelakaan kerja pada tenaga medis di Rumah Sakit Granmed Lubuk Pakam selama tahun 2023.
Edukasi Pengelolaan Peralatan Medis di Rumah Sakit GrandMed Lubuk Pakam Tahun 2022
Authors: Laia Sar Damai
Published: January 2025

Dalam meningkatkan kualitas pelayanan kesehatan di rumah sakit, diperlukan peralatan medis yang dikelola dengan baik, khususnya dalam hal pemeliharaan dan pengawasan untuk menghindari kerusakan pada perangkat medis. Kesalahan dalam diagnosis dapat menghambat pemberian layanan kesehatan kepada pasien, sehingga diperlukan ketelitian dalam pemeliharaan dan pengawasan semua peralatan medis. Metode kajian ini menggunakan metode mixed method, yaitu data kualitatif dengan mengumpulkan informasi menggunakan panduan elemen penilaian PMK 1128/2022, diikuti dengan hasil wawancara mendalam sebagai data kuantitatif dengan 7 informan. Tujuan kajian adalah untuk mengetahui bagaimana implementasi manajemen peralatan medis sebagai Standar Akreditasi Rumah Sakit dan apakah Rumah Sakit Grandmed telah memenuhi Standar Akreditasi pada Elemen Penilaian MFK 7 berdasarkan PMK 1128 Tahun 2022. Hasil kajian menunjukkan bahwa implementasi manajemen peralatan medis di Rumah Sakit Grandmed berdasarkan Elemen Penilaian MFK 7 PMK 1128 Tahun 2022 mencapai 83%, yang berarti telah memenuhi standar dalam akreditasi rumah sakit.
PENINGKATAN PENILAIAN PRESTASI BERBICARA SISWA KELAS DUA BELAS PROGRAM AUDIO VISUAL DI SMK NEGERI 4 MEDAN
Authors: Mutia Maulidina
Published: January 2025

Penelitian ini bertujuan untuk mengeksplorasi efektivitas penilaian performa berbicara dalam meningkatkan keterampilan berbicara siswa kelas 12 Program Audio Visual di SMK Negeri 4 Medan. Pendekatan campuran digunakan, melibatkan penilaian kuantitatif dan umpan balik kualitatif dari siswa dan guru. Intervensi yang dilakukan mencakup tugas berbicara interaktif seperti bermain peran, diskusi kelompok, dan penilaian berbasis multimedia seperti presentasi video. Hasil penelitian menunjukkan peningkatan signifikan pada pengucapan, kelancaran, kepercayaan diri, kosakata, dan tata bahasa siswa. Skor pengucapan meningkat sebesar 15%, kelancaran sebesar 18%, dan kepercayaan diri sebesar 20%, menunjukkan dampak positif dari strategi pembelajaran interaktif dan berbasis multimedia. Temuan ini juga mengindikasikan bahwa penilaian yang diselaraskan dengan skenario dunia nyata di bidang audio visual sangat penting untuk keterlibatan siswa dan pengembangan keterampilan mereka. Penelitian ini menyimpulkan bahwa metode penilaian yang efektif, dikombinasikan dengan lingkungan belajar yang mendukung, secara signifikan meningkatkan performa berbicara siswa, mempersiapkan mereka untuk tantangan profesional dan akademik di masa depan.
Penerapan Pemberian Asi Eksklusif dan MP-ASI Pada Pertumbuhan Balita di Desa Sidomulyo Kecamatan Biru-Biru Kabupaten Deli Serdang
Authors: Manik Maria Hermita , Samura Maximilianus Dasril , Rosaulina Meta , Hasian Muhammad Tsawaby
Published: January 2025

The growth and development of babies is mainly influenced by the nutrients contained in breast milk, which include proteins, carbohydrates, minerals and vitamins which are important for health and growth. Entering the age of 6-24 months, toddlers' energy needs increase and require additional nutritional support through providing appropriate complementary foods (MP-ASI) to encourage optimal growth and development. The purpose of this public work is to secure exceptional breastfeeding and MP-ASI education in the growth of babies in the village of Sidomulyo and Deliserdang regency. This counseling is given to Mothers with children aged 0 to 5 years. Thirty-two mothers and toddlers participated in this outreach activity. It is hoped that this counseling can provide parents with an understanding of the importance of exclusive breastfeeding and how to provide MPASI appropriately to prevent the risk of malnutrition and stunting.
PENYULUHAN PENGGUNAAN APD PADA KARYAWAN DI PT PAJ TAHUN 2022
Authors: Apriana Ana -
Published: January 2025

Personal Protective Equipment (PPE) is equipment that functions to protect workers from potential accident risks while carrying out their duties. The use of PPE is an important step in efforts to reduce the number of accidents in the workplace. This study aims to eval_uate worker behavior in using PPE at PT PAJ. The study was conducted with an observational analytical approach, involving all employees as a population, while the sample consisted of 50 workers. Based on the results of the study, the majority of workers (88%) have a good level of knowledge, more than half (54%) have a supportive attitude, but most (80%) still do not use PPE completely. Therefore, it is recommended to increase workers' understanding and awareness of the importance of using PPE to prevent work accidents.
RADIOTERAPIA E QUIMIOTERAPIA NO CÂNCER DE CABEÇA E PESCOÇO: BENEFÍCIOS E DESAFIOS
Authors: Rocha Carla Biatriz Melo da , Feitosa Júnior Valdenor Neves
Published: January 2025

O câncer de cabeça e pescoço representa um desafio significativo para a saúde pública mundial devido à sua alta incidência e mortalidade. Esses tumores compreendem um grupo heterogêneo de neoplasias que afetam regiões como cavidade oral, faringe, laringe e glândulas salivares. Diversos fatores de risco estão associados ao desenvolvimento desse tipo de câncer, incluindo o consumo de álcool e tabaco, infecções pelo vírus do papiloma humano (HPV) e exposição a agentes ambientais prejudiciais. O presente estudo tem como objetivo analisar os benefícios e barreiras das terapias de tratamento radioterápico e quimioterapia no tratamento do câncer de cabeça e pescoço. Para isso, realizou-se uma revisão narrativa de literatura a qual consultou as seguintes bases de dados: PubMed, Scielo, Lilacs e Google Acadêmico. Como critérios de inclusão consideraram artigos publicados nos últimos sete anos, disponíveis em português, inglês ou espanhol, que abordassem aspectos clínicos, avanços tecnológicos e desafios relacionados às terapias mencionadas. Foram excluídos estudos que não apresentavam relevância direta ao tema ou que se restringiam a relatos de casos isolados, fora do período selecionado ou duplicados. Os resultados obtidos que a radioterapia e a quimioterapia representam abordagens essenciais no tratamento do câncer de cabeça e pescoço, proporcionando benefícios como o controle local da doença e a redução das taxas de recidiva. As pesquisas evidenciadas indicam que o uso da radioterapia por meio da técnica de intensidade modulada (IMRT) possibilita uma aplicação mais precisa da dose de radiação, preservando os tecidos saudáveis adjacentes e minimizando efeitos adversos, como mucosite e xerostomia. Com isso, conclui-se que que as estratégias que conciliam tecnologia, gerenciamento de efeitos colaterais e suporte emocional são fundamentais para melhorar o prognóstico e a qualidade.
THE MEDIATING EFFECT OF TEACHER SUPPORT ON THE RELATIONSHIP BETWEEN TECHNOLOGY INTEGRATION AND LEARNING ATTITUDES OF MATHEMATICS EDUCATION STUDENTS IN LEARNING MATHEMATICS
Authors: Sarah Mae A. Licomes  , Elealeh S. Timosa
Published: January 2025

The research examines how teacher support mediate the relationship between technology integration and learning attitudes of mathematics education students in learning mathematics. The quantitative, no experimental investigation uses descriptive-correlational and mediation analyses. Using stratified random sampling with proportionate allocation and Slovin's algorithm with 0.05 margin of error, 150 randomly chosen mathematics education students answered the questionnaires on the three variables. Results indicated is at a high level, technology integration and learning attitudes, as well as high level of teacher support. Results also showed a significant relationship between technology integration, teacher support, and learning attitudes of mathematics education students. The findings also reveal that teacher support partially mediated technology integration and learning attitudes. This study shows that technology integration of mathematics education students is linked to learning attitudes in mathematics, so teachers should consider other factors that affect learning attitudes rather than just how students perceive their technology integration. They should examine different teacher support for students. Teachers should additionally consider students' academic support, interpersonal support and emotional support which partially moderate or considerably alter the relationship between technology integration and learning attitudes.
KEYWORDS: Technology Integration, Learning Attitudes, Teacher Support, Mathematics
The prevalence of nutritional knowledge among soccer athletes within different levels of participant status
Authors: Kamarudin Harris Kamal , Sabri Nor Azrin Natasya , Nordin Najmuddin Arief , Japilus Siti Jameelah , Jamaludin Masshera , Mohd Mujar Noor Mastura , Mohd Kassim Ahmad Fikri
Published: January 2025

Nutrition knowledge of an athlete, as well as practice, is expected to influence an athlete’s performance. Dietary awareness plays an important role in implementing optimal nutrition practices. The purpose of this study is to assess the prevalence of nutritional knowledge of soccer athletes (n = 95; age 21 ± 1.742; years of involvement 9.72 ± 1.674) within difference level of participation (university vs club). Nutritional knowledge was assessed using a psychometrically validated and reliable questionnaire. Eighty-seven questions were used to assess the knowledge about nutrition which consist of 5 domains which are general nutrition, fluid, recovery, weight control and supplements. The questionnaire was given immediately before and after training. Repeated measure ANOVA revealed a significant difference in nutritional knowledge between university and club level athletes (p = 0.024) with a mean score of 0.461 ± 0.116 vs 0.404 ± 0.125, respectively. The nutrient and fluid domains shown were significantly higher in university with a mean score of 0.516 ± .097 for nutrient and 0.573 ± 0.159 for fluid, respectively. However, no significant difference in other nutritional domains (p < 0.05). The findings of the study provide evidence that they have a significant implication of university involvement concerning their nutritional knowledge.
Improved Transmission Line Relay Algorithm Based on Signum Function of Incremental Currents
Authors: Kumar Abdul Waheed , Verma Harish Kumar , Singh Shashank
Published: January 2025

Transmission lines are a key part of the power system because they carry power from one end to the other. In case of a fault, the power transfer is perturbed, and the equipments on generation side as well as on the load side can get damaged. Transmission lines carry power from generation end to load end, so it is very important to keep the transmission lines protected. A swift protection system is necessary for the power system. For a quick protection system, rapid fault detection is crucial. A novel method for detecting as well as classifying the faults on transmission lines is reported in this paper. The direction of incremental current along the transmission line's two ends forms the base of this technique and uses a modified signum function. The effectiveness of the said technique is validated by simulating signals in a PSCAD/EMTDC environment on a 50 Hz, 230 kV, 5-bus network. The parameters considered in this study are the line loading, DC offset, fault location and the fault resistance (FR). The FR values considered for simulation purposes range from 0.01 ohm to 1000 ohms. Two types of line structures have been adopted, viz., first, a line connecting generator bus (PV bus) to a load bus (PQ bus) (LGL) and second, a line connecting two generator buses (LGG). Detailed results of this study show that the relay detects all internal faults with different loading levels and various FR values. The maximum operating time of the relay is ascertained as 4 ms. The technique has also been validated on IEEE 30-bus system.