bluuebunny/crossref_metadata_2025 huggingface dataset:
Parental Stress, Familial Burden and Quality of Life in Parents of Children with Down Syndrome
Authors: Mahmood Areej , Gul Afsheen
Published: March 2023

The current study was conducted to explore the severity of parental stress, familial burden and how it effects on quality of life of those parents having children with Down Syndrome in Pakistan. Correlational research design was used to recruit the sample. The participants N= 110 (M=55; F=55) were recruited through purposive sampling from different institutes of special education and outpatient departments of psychiatry hospitals. Those who completed the inclusion criteria participated in the study by signing written informed consent. Parental Stress Scale (Berry & Jones, 1995) was used to determine the stress level.  Burden Scale for Family Caregivers (Grau et al., 2014) was used to analyze the burden severity, and Family Quality of Life Scale (Hoffman et al., 2006) was used to determine their effected life due to having children with Down Syndrome. The results found a negative relationship between parental stress (r=-.20, p < .05), and familial burden against quality of life among parents having children with Down syndrome. Also, there is significant positive relationship among parental stress and familial burden (r = .37, p < .001), that shows the parental stress increases with the increase in familial burden. However, independent samples t test showed fathers to have high stress and burden as compared to mothers. The study has implications in the field of clinical psychology. The results will be able to help practitioners to consider the proliferating factors of stress and burden among the parents of children having Down Syndrome.
Role of Psychological Capital Interventions in reducing Perceived Academic Stress amongst University Students
Authors: Ally Wakqas Khalid , Ahmad Kiran Bashir , Bhutto Zainab Hussain
Published: March 2023

The study focused to examine the role, Psychological Capital (PsyCap) Interventions (PCI) play in reducing perceived academic stress amongst university students. Other objectives of the study were to check the level and prevalence of these variables and impact of different demographics on study variables in our culture. A group comprising of 8 participants, studying in different public/private universities of Islamabad/ Rawalpindi area - scoring high on perceived academic stress scale was selected. In backdrop of theoretical background and the literature review, it was hypothesized that Psychological Capital (PsyCap) Interventions (PCI) would facilitate in reducing the stress symptoms. The study was comparative, wherein; academic stress of students was assessed by applying Perceptions of Academic Stress Scale (PAS) before (pre) and after (post) the administration of Psychological Capital (PsyCap) Interventions (PCI).  Format of the study was 4 group therapy sessions; 75-90 minutes session per week.  A positive change in the mental health of the group was witnessed regarding presenting problems and management of behavior all the way through these interventions. Post intervention results validated the hypothesis and established considerable diminution in stress symptoms after Psychological Capital Interventions (PCI) administration.
Emotion Regulation as Predictor of Academic Performance in University Students
Authors: Nadeem Arif , Umer Faiza , Anwar Muhammad Jawad
Published: March 2023

The current study intended to examine the association between emotion regulation (i.e., cognitive reappraisal and expressive suppression) and academic performance in university students. In this correlational study, a sample of 300 (men=119; women=181) university students (BS and MS programs) in the age range of 18-29 years (M=21.45; SD=2.14) was selected randomly from a public sector university in Faisalabad city, Pakistan. The Emotion Regulation Questionnaire (Gross & John, 2003) was used to assess emotion regulation whereas the percentages of obtained marks in the last semester/degree program served as the measure of the academic performance of the participants. The results depicted a significant correlation between emotion regulation and academic performance indicating a significant positive association between cognitive reappraisal and academic performance while, a significant negative association between expressive suppression and academic performance in university students. Moreover, cognitive reappraisal and expressive suppression were found to be significant predictors of academic performance. Besides the significant implications of this study highlighting the role of relevant policymakers, university authorities, students’ counselors, and mental health professionals, suggestions for future studies are discussed based on the current findings.
Role of Psychologists in Creating Resilience in Victims of Earthquake
Authors: Abbasi Najam ul Hasan , Nasir Sania
Published: March 2023

N/A
Investigating the Maximum Electrical Demand of Arghandab and Shah Wali-kot Districts in Kandahar City
Authors:   Assistant Professor in Energy Engineering Department, Ghazni Technical University, Afghanistan, Serat Zainullah , Danishmal Massoud ,   Assistant Professor in Electrical Power Engineering Department, Ghazni Technical University, Afghanistan, Fatemi Sayed ,   Assistant Professor in Energy Engineering Department, Ghazni Technical University, Afghanistan
Published: March 2023

It is necessary to study the possibilities for the sale of electric power by considering the plans for development, the probable number of consumers, the power requirements of each type of load, the time at which loads might be required, the types of loads to be supplied, and various other factors that determine the total power that should be made available at the power station to cope with the need. The maximum power consumption demand of Arghandab and Shahwali-kot districts of Kandahar province has been assessed in this paper using the load survey method and computer-based for four seasons. In the spring season, the maximum demand, average load, and load factor of Arghandab and Shahwali-kot districts per home in a 24-hour period are 1450 W, 388 W, and 0.27 or 27%, respectively. For the summer season maximum demand, the average load and load factor are 1500 W, 636 W, and 0.42 or 42%, respectively. For the fall season maximum demand, the average load and load factor are 1250 W, 340.5 W, and 0.27 or 27%, respectively. And for winter season maximum demand, the average load and load factor are 1960 W, 465.5 W, and 0.24 or 24%, respectively.
“Here comes John Curtin”: The historical consciousness of a journalists’ hero
Authors:   University of Southern Queensland, Coatney Caryn
Published: March 2023

This article reveals fresh insights into the central, largely unexplored role of journalists as agents of memory for shaping a sense of historical consciousness among public audiences. Journalism has been anchored in the retelling of dramatic stories about heroic characters representing national values. Rüsen (2004) refers to this technique as exemplary narration, which he defines as a type of historical consciousness. This article draws on Rüsen’s theory to provide new views of journalists’ ongoing work in developing the story of an exemplary national hero. Many studies have focused on a single message dominating collective memories. This study shows how journalists helped to create, then disrupt and later reconstruct memories of Australian World War II Prime Minister John Curtin as an example of hope during a major crisis. They developed diverse narratives that portrayed a heroic leader representing national values within the theme of nation building. Recognising exemplary narratives as an ongoing, changing work helps to illuminate journalists’ efforts to orient public views of history that suggest future possibilities.
Linear transmission of “whiteness”: A textual analysis of a year 9 “timeline”
Authors:   Deakin University, Garrard Kerri Anne
Published: March 2023

This paper draws on theories of history and interculturality to explore how a ‘timeline’ and its visual language as a ‘crystallised text’ constructs the linear transmission of ‘whiteness’. When the concept of interculturality or associated term of Intercultural Understanding (ICU) is related to history education, it carries connotations of disruption to dominant narratives. The absence of difference, diversity, and the stories of ‘other’, are explicated in critical inclusions and exclusions of historical content knowledge and the way it is organised within key pedagogies such as ‘chronology’. In addition to focus group interviews with history teachers, the study conducted a textual analysis of a ‘timeline’ used at Year 9 (students aged 13-15) defined here as a ‘Western Drama’, underpinned by linear progress as a basic theme. It was analysed through the lens of a ‘crystal prism’ which conceptually draws on the foundational work of educationalist Jörn Rüsen to explore intersections between history, interculturality and discourse.
The History teacher as public historian
Authors:   The University of Newcastle, Australia, Parkes Robert , Donnelly Debra ,   The University of Newcastle, Australia, Sharp Heather ,   The University of Newcastle, Australia
Published: March 2023

Educators have long been aware of the role that schools, and specific school subjects, play in nation-building, including the ways in which national consciousness is perceived to be shaped within the classroom. This makes the historical narratives that future history teachers mobilise of particular interest to researchers. This paper draws on research from the Remembering Australia’s Past (RAP) project conducted with pre-service History teachers from the University of Newcastle, who studied history at school during the period of the ‘history wars’ (Clark, 2008). Drawing on a methodology developed by Létourneau (2006), 97 pre-service History teachers (consisting of 27 males and 70 females, the overwhelming majority of whom identified as either or both European and Anglo-Celtic) were asked to “Tell us the history of Australia in your own words.” The participants were given 45 minutes to write their personal account of the nation’s past. The analysis of the stories of the nation collected from the pre-service teachers, reveal that they have largely adopted popular discourses circulating in contemporary Australian society, demonstrating that our pre-service History teachers are successful consumers of public history in general, and the dominant discourses of Australia’s past in particular; and that given the opportunity, it is these dominant discourses that they readily mobilise. This underscores the importance of engaging public history directly in the classroom, in order to assist pre-service history teachers to deconstruct the narratives ‘truths’ they have inherited and taken for granted.
Properties, forms and biological effects of vitamin C in skin therapies
Authors:   Wyższa Szkoła Fizjoterapii z siedzibą we Wrocławiu, Janecka Aleksandra
Published: March 2023

Due to its properties, vitamin C is one of the most popular ingredients in cosmetic products. It is found in ampoules, serums, masks, or creams. Depending on the form of the vitamin that is contained in a particular product, its action may differ. The aim of this article was to collect the latest information and analyze the results of studies on the effects of different forms of vitamin C on the skin. Vitamin C is one of the leading substances used in beauty salons as well as in-home care. It exhibits a strong antioxidant effect, protects the skin against the appearance of premature signs of skin aging, and is used in the treatment of the discoloration. There are also published reports on the use of vitamin C in therapies supporting the treatment of cancer.
Medicinal plants in nutricosmetics
Authors:   Chair and Department of Pharmaceutical Botany and Herbalism, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia in Katowice, Porębska Anna
Published: March 2023

Nutricosmetics are nutritional supplements that affect the condition of the skin and its appendages. They are available as ampoules, capsules, or tablets which improve skin elasticity and tone, as well as increase its hydration. Supplements, that prevent excessive hair loss and support the proper growth of nails, are also classified as nutricosmetics. Many supplements contain compounds of plant origin that are rich in active ingredients and exhibit a beneficial effect on the physiology of the skin and its appendages. The aim of this study was to assess the health-promoting effects of selected species of medicinal plants used in nutricosmetics based on the latest literature reports. During the analysis of specific species, the herbal raw material, main biologically active substances, their action, and application were taken into account. Active ingredients are obtained from many parts of plants, including fruits, leaves, and herbs. They are a source of flavonoids, mineral salts, vitamins, and antioxidants of antiaging, and anti-inflammatory properties. The wide use of plant raw materials of popular species and the richness of active ingredients of multidimensional action obtained from them, creates great opportunities for the dietary supplement industry.
Mature acne as a common female dermatosis – detailing of the endocrine system
Authors:   Wydział Nauk o Zdrowiu, Uniwersytet Opolski, Stepków Weronika
Published: March 2023

One of the most common skin diseases in women is mature acne. The mechanisms that are responsible for the visible skin lesions are still being recognized, and it is impossible to put a single factor that is culpable for the development of this dermatosis. The aim of the article is to describe the possible pathogenesis of adult acne with a description of the disorders occurring at the level of skin cells. The main focus is directed to the particular role of the endocrine system in the development of adult acne in women over 25 years of age and related diseases such as polycystic ovarian syndrome. Current specialized and cosmetological therapies were also described.
The use of radiofrequency and vacuum-mechanical massage in cellulite reduction. A case report
Authors:   Śląska Wyższa Szkoła Medyczna w Katowicach, Bartosiewicz Julia , Faruga-Lewicka Wioleta ,   Śląska Wyższa Szkoła Medyczna w Katowicach
Published: March 2023

Cellulite is one of the most common skin defects in women, of multifactorial etiology. The dominant hypotheses that aim to explain the pathophysiology of cellulite indicate an excessive accumulation of water in the intercellular matrix, negative changes in tissue microcirculation, differentiated anatomical structure of tissues depending on sex, race, biological type, hormonal changes in the body, lifestyle together with diet and physical activity. Predispositions to the development of lipodystrophy are genetically and hormonally conditioned, however, environmental factors are also important. The study aimed to assess the effectiveness of combined therapy with the use of radio waves and vacuum-mechanical massage in a 27-year-old woman.
Improving Student Knowledge on Selected History Topics through Tiktok Platform as Digital Learning Tool
Authors: Decenilla Shelly April , Apolinario Rona C. , Cuaton Zaldy T. , Clarido Cathyleen
Published: March 2023

According to several studies, many students perceive History as rigid, static, and boring because of its reliance on narration pedagogy, limiting their ability to develop critical-thinking abilities. To address the issue, the researchers applied utilization of Self-made mini-lecture Tiktok videos as intervention to enhance the knowledge of thirty-three (33) second year Education students in selected topics in their history course subject. After 5 weeks duration of implementation phase, results unveiled that students’ knowledge in selected history topics were improved as data showed that the knowledge gained by students were analysed as comprehensive and reflective, compared to their knowledge in pre-intervention that were categorized as general and lack of knowledge. In this regard, students demonstrated that using self-made mini-lecture Tiktok video has positive influence on students' learning behavior by triggering their desire to learn in order to gain confidence in educating their audience while making learning history fun and entertaining.
Meta-Analysis: Correlation Study Between Science Process Skills and Learning Outcomes
Authors: Agus Ahmad Rasyid Ridho
Published: March 2023

Science process skills are essential for students to obtain and apply knowledge in science education. This meta-analysis aims to estimate the correlation between science process skills and academic achievement in science subjects. The data were collected from 10 journal articles that reported the correlation between science process skills and academic achievement in physics, chemistry, or biology. The results showed a significant positive correlation between science process skills and academic achievement (z = 2.978; p = 0.032; 95% CI [0.039; 0.879]). The effect size of science process skills on academic achievement was moderate (rRE = 0.459). This study suggests that enhancing science process skills can improve students’ learning outcomes in science subjects.
Online Learning Impacts on Academic Burnout: A Literature Review
Authors: Nurani Gita Aulia , Nafis Raissa Yulian , Ramadhani Afifah Nurfitria , Prastiwi Maharani , Hanif Naufal , Ardianto Dio
Published: March 2023

Several reasons contribute to specific students' academic burnout due to the ongoing transformations in online learning. This literature review aims to determine how and to what extent students experienced burnout during the COVID-19 epidemic. Utilizing Google Scholar, 16 journals with the keyword "student's academic burnout" are uncovered through a study of the relevant literature. The analysis results of 15 journal papers indicate that students' learning processes induce academic burnout, so they exhibit emotional and physical tiredness, a tendency to depersonalize, and a lack of learning motivation. This has numerous effects on students, including rapid emotional change and heightened sensitivity. In addition, burnout has several adverse effects, including poor academic accomplishment, academic procrastination by students, decreased sleep quality, and suboptimal academic work, which calls for additional research to address academic burnout issues in students. This review concludes that most students during this epidemic reported burnout at medium to severe levels.
Meta-Analysis: The Effect of Implementing the STEM (Science, Technology, Engineering, Mathematics) Approach on Biology Learning
Authors: Julita Wuri , Fitri Rahmadhani , Arsih Fitri
Published: March 2023

Biology learning is a field of science that requires students to think critically, creatively, and analytically in order to solve problems in each material they study. It is important for students to have the right strategies for learning, and teachers as professionals who teach students must be able to develop effective and efficient learning for students. According to various research, the implementation of STEM (Science, Technology, Engineering, and Mathematics) based learning has a significant impact on students' learning skills. STEM is a suitable alternative for 21st century learning. Through the interconnections of science, technology, engineering, and mathematics, students can solve real-life problems in a systematic manner. The purpose of this article is to analyze the effect of implementing the STEM approach on biology learning. The method used in this article is a literature review method through a review of literature from various sources relevant to the discussion. The results obtained from this article are the influence of the implementation of the STEM approach on biology learning, namely, in improving students' learning outcomes, students' science literacy skills, students' critical thinking skills, students' creativity, and students' scientific thinking skills. Therefore, the application of STEM-based learning can be used as an alternative solution to empower 21st century skills of students, especially in biology learning.
Contextual learning of new meanings for familiar wordforms from reading and listening to stories (PhD Celebration)
Authors: Jelani Nurul Aini Mohd
Published: March 2023

Both first (L1) and second (L2) language speakers learn new meanings of known words through reading and listening. This learning results in changes in the mental lexicon, including adjustments to how existing (old) meanings are accessed. To investigate how the lexical-semantic space changes as a result of learning new meanings through encountering them multiple times in context, two studies were conducted. Two text-related factors were investigated: number of exposures (Study 1) and context variability (Study 2). In this seminar, I will detail how the two studies were conducted, share some of the main findings and provide suggestions for future research.
Examination of Student Cross-Country Runners’ Task and Ego Orientations, Challenge and Threat Levels
Authors: Yağız Kadir , Dinç Ahmet , Sanlav Ramazan
Published: March 2023

The aim of this research is to examine the level of task and ego orientations, challenge and threat experiences of student cross-country runners as well as investigate their dispositional differences in goal orientations, challenge and threat levels according to demographic variables, and the link between ego orientations and challenge and threat experiences. 118 student-athletes voluntarily participated in this research. Since the data were not normally distributed, the Kruskal-Wallis test was used for group comparisons, and the Mann-Whitney U test was used for pairwise comparisons from nonparametric test methods. Results showed no significant differences in the task and ego orientations, challenge and threat levels of the participants in terms of their gender and whether they had a club license (p > 0.05). Significant differences, however, were found in the participants’ task and ego orientation levels (p < 0.05), while there were no significant differences in challenge and threat levels (p > 0.05) in terms of the department studied. There were significant differences in the participants’ task and ego orientations and challenge levels in terms of duration to be an athlete (p < 0.05) but there was no significant difference found in the participants’ threat level (p > 0.05). Overall, the results of this research provided valuable information to sports psychologists, managers, and coaches at universities to guide efforts to improve student athletes’ performance.
Exploring female siblings as social media influencers in the Arab World
Authors:   University of Rovira i Virgili, Spain, Ezzat Hanan
Published: March 2023

This paper aims to explore a new phenomenon sweeping across the Arab World of female sibling social media influencers. Social media influencers are well known for having started as informed bloggers and social networkers. They built for themselves an aura of authority in certain areas thus attracting people to follow them; some of their followers become fans. This paper will give an overview of the phenomenon of female sibling social media influencers, drawing upon the case study of a number of examples of female sibling social media influencers from the Arab World. It will look at why this is an important phenomenon, how female social media influencers behave online and the common characteristics they have. This paper is of exploratory nature and draws the attention to a growing phenomenon worth exploring and researching further. The paper identifies a number of potential areas and opportunities for future research.
Strength of a bent sandwich beam with clamped ends
Authors: Kustosz Joanna , Magnucki Krzysztof , Goliwąs Damian
Published: March 2023

The subject of the work is a symmetrical sandwich beam with clamped ends under uniformly distributed load. The system of two equilibrium equations, formulated taking into account the literature, was solved analytically. The function of the shear effect and the maximum deflection of the beam were determined. The stress state at the clamped end of the beam is described in detail. The significant influence of the shear effect on the normal stresses in the outer layers of the beam near the clamped end was indicated. Exemplary calculations were made for the adopted family of beams. Moreover, the numerical FEM model of the beam was developed and calculations were made for this adopted family of beams. A comparative analysis of the obtained results was carried out.
A dynamic simulation model to assess farm-level effects of pasture intensification strategies on beef herd outputs and carbon footprints in acid soil savannas of Eastern Colombia
Authors: Vera-Infanzón Raul R. , Rao Idupulapati M. , Ramírez-Restrepo Carlos A.
Published: March 2023

The neotropical savannas of Eastern Colombia (Llanos) are subjected to changes in land use associated with intensification of beef production and there is limited knowledge on the long-term impacts of these change processes. Furthermore, the effects of spatial and temporal intensification at farm level via the introduction of sown pastures on beef herd outputs, their greenhouse gas (GHG) emissions and the resulting carbon (C) footprints in contrasting savanna landscapes of of the Llanos are unknown. This study was aimed to assess the consequences of gradual system intensification via introduction of sown tropical pastures in two contrasting landscapes, the tillable, flat savannas and the highly dissected rangelands, of the well-drained Eastern savannas of Colombia, in terms of cow-calf production and GHG emissions and the resulting C footprints. A dynamic model was developed to simulate the gradual introduction of two types of tropical pastures in a region with dissected and steep slopes and limited tillable areas where cattle would also have access to Serrania savanna and sown pastures, versus one located in the Plains that are fully transformed over time with the exclusion of native rangelands. Marked changes in herd demography, animal outputs, and emissions were found over time. The C footprint of all systems varied over time depending upon the length of time that pastures contributed to soil organic carbon accumulation and the balance between savanna and sown pasture areas at a whole farm level. In conclusion, the dynamics of the systems subject to intensification were marked and were dependent on the temporal and spatial deployment of sown forage resources. Therefore, generalizing the trends for the region as a whole result in uncertainty. Nevertheless, examination of simulated prototypes may shed light on the expected trends and provides guidance for decision-making
Parenting Patterns and Adolescent Self-Efficacy in Prevention of HIV/AIDS Risky Behavior
Authors: Kurniyawan Enggal Hadi , Lisnawati  , Rifai Ahmad , Widayati Nur , Rasni Hanny , Dewi Erti Ikhtiarini , Wuryaningsih Emi Wuri
Published: March 2023

The parenting style given by parents is inappropriate, it will have an impact on the occurrence of HIV/AIDS risky behavior in adolescents. One of the main factors causing risky behavior in adolescents is the low level of self-efficacy in staying away from risky behavior. This study aimed to analyze the relationship between parenting style and self-efficacy in preventing HIV/AIDS risk behavior in adolescents. The design in this study is a descriptive correlation with a cross-sectional approach. The sampling technique used in this study was proportionate stratified random sampling. Respondents in this study were teenagers at Darus Sholihin Puger Jember Vocational School, many as 84 respondents. Parenting style was measured using a parenting style questionnaire. Self-efficacy was measured using the Self-Efficacy Questionnaire for Prevention of HIV/AIDS Risky Behavior. The analysis in this study used the Chi-square test. The parenting style that is widely applied to adolescents is democratic parenting, and the majority have self-efficacy while preventing HIV/AIDS risky behavior. There is a significant relationship between parenting style and self-efficacy in preventing HIV/AIDS risky behavior with a p-value of 0.026. Health services can educate parents about the importance of parenting to increase self-efficacy in adolescents, especially in terms of preventing HIV/AIDS risky behavior.
Relationship Religious Coping with Smoking Behavior of Adolescent Students Islamic Boarding School Al Amin Paciran Lamongan
Authors: Basri Rizal Faisal , Juliningrum Peni Perdani , Rahmawati Iis
Published: March 2023

Smoking behavior in adolescents is caused by a lack of self-control, stress and imitating their peers. Religious coping is expected to reduce maladaptive behavior in adolescents. This study aims to determine the Relationship of Religuisity Coping with Smoking Behavior of Adolescent Students Islamic Boarding School Al Amin Paciran Lamongan. Research method uses correlational quantitative with a cross-sectional approach. Sampling used a total sampling method, the total sample was 32 respondents. The results of this study were 17 respondets had positive religiosity coping, 15 respondets had negative religiosity coping. Regarding smoking behavior, there were 16 respondets who did not smoke, 7 respondets adolescents had light smoking behavior, 4 respondets adolescents had moderate smoking behavior and 5 respondets had heavy smoking behavior. The results of the variable correlation test using the Kendal tau test obtained the Asymp.Sig (2-tailed) value of 0,000 where the value is less than <0.005 The correlation coefficient value is 0.654. Conclusion that there is a relationship between coping religiosity with smoking behavior of adolescent students islamic boarding school Al Amin Paciran Lamongan. Hopefully the results can be used to reduce smoking behavior in adolescents
The Effect of Feet Reflection Massage on Blood Pressure in Hypertension Patients at Community Health Centers II Petang
Authors: Ni Kadek Yuni Lestari Yuni , Ni Luh Putu Thrisna Dewi  , Ni Made Era Mahayani
Published: March 2023

Complications of hypertension cause various health problems such as kidney damage, heart attack, stroke, glaucoma, erectile dysfunction, dementia and alzheimer's. One of the non-pharmacological treatments to avoid the long-term effects of hypertension is foot reflexology therapy. Foot reflexology therapy is a therapy that suppresses the zones and nerve points on the right and left soles of the feet. This study aims to determine the effect of foot reflexology on blood pressure in patients with hypertension. This type of research is a Quasi Experiment with a Non-Equivalent Control Group Design. The population in this study were all 102 people with hypertension in Pelaga village. The sample selection used was purposive sampling with a total of 36 people. Foot reflexology intervention is given 3 times a week for 20 minutes. The average difference in blood pressure before and after the foot reflexology intervention in the treatment group was 10.39 mmHg and the average difference in the control group was 0.94 mmHg. The results of the analysis used was Mann-Whitney analysis that is p-value of 0.000 (p <0.05), so it can be concluded that there is an effect of foot reflexology on blood pressure in hypertension sufferers in Community Health Center II Petang. Foot reflexology can be used as an alternative to non-pharmacological treatment programs for patients to prevent further complications from uncontrolled hypertension.
Nurses Self-Efficacy Caring for COVID-19 Patients: A Qualitative Study
Authors: Pande Rai Dewi Damayanthi , Saurmauli Lubis Dinar , Bagus Jaya Lesmana Cokorda
Published: March 2023

The Covid-19 pandemic causes nurses to experience various physical and mental stresses to deal with rapid case escalation with severe patient conditions. The workload of nurses is increasing and they are required to quickly adapt to the change in the function of the treatment room into a Covid-19 Isolation Room. High self-efficacy is needed for motivation and performance as well as controlling stress. This study aims to obtain an overview of the sources of nurse self-efficacy and explore other themes related to nurse self-efficacy in the Covid-19 Isolation Room. This research is a qualitative research by conducting semi-structured in-depth interviews with 12 informants. The informants were selected by purposive sampling consisting of the shift nurse, the team leader and the head nurse. Data analysis techniques with manual thematic analysis. The stress faced by nurses in the Covid-19 Isolation Room is related to workload, job risks and relational relationships at work and in the community. Sources of informants' self-efficacy were obtained from mastery experiences  through internships, vicarious experiences from role models and social persuasion from friends and superiors. Three themes were found that affect self-efficacy, namely personal, organizational and external variables. In each theme also found several sub-themes. In order to increase nurse's self-efficacy, it is necessary to utilize self-efficacy sources, maximize personal variables and get support from family and organizations.
The The Effectiveness of Poster Media on Increasing Nurses' Knowledge about the Australasian Triage Scale (ATS)
Authors: Antara I Gusti Ngurah Putu Jaya , Emy Darma Yanti Ni Putu , Md Vera Susiladewi Ida Ayu , Mariany Purnama Sari Putu
Published: March 2023

The nurses who working in Emergency Room (ER) are require to be able to provide fast and appropriate treatment according to the priority of the patient's condition. Triage is the process of sorting out patients according to their level of emergency. Australasian Triage Scale (ATS) is one of the triage systems implemented in ER. In practice, sometimes the triage carried out by nurses is not appropriate based on the guidelines, resulting over triage or under triage in patients. The aims of this study is to determine the effectiveness of poster media on increasing nurses knowledge about ATS in Emergency Room Bali Mandara Hospital. This research is a quasi-experimental research design with One Group Pretest-Posttest Design Without Group Control. The number of samples in this study were 26 nurses obtained by total sampling. The instrument in this study used a questionnaire and ATS poster. Data analysis used Paired Sample T-Test. This research obtained the average score of nurses knowledge about ATS on pretest 6,08 and posttest increased to 7,58. Bivariate analysis obtained p-value of <0.001 which means that there is a significant effect of poster media on increasing nurses knowledge about ATS. Nurses should have a good understanding of triage so that they can perform optimal management of the patient in emergency situation.
Factors Influencing Caregiver Burden among Family Caregivers of Post-Stroke Persons in Wenzhou, China
Authors: Qian Fengfan
Published: March 2023

Providing care to post-stroke persons who are dependent at home may lead to a burden for the family caregivers and there are various factors influencing the burden. This predictive correlational study aimed to examine the caregiver burden at three months after providing care for post-stroke persons and examine whether caregiver health status, caregiver amount of caregiving activities, and caregiver mutuality can predict caregiver burden at three months after providing care for the post-stroke persons in Wenzhou, China. A simple random sampling was used to recruit 101 family caregivers who took the patients to follow-up at the outpatient department of the First Affiliated Hospital of Wenzhou Medical University in China. Data were collected using questionnaires including the demographic questionnaire, The SF-12 Health Survey Version 2, The Caregiving Activities Scale, The Mutuality Scale, and The 12-item Zarit Burden Interview. Data were analyzed using descriptive statistics and standard multiple regression. The results showed that the family caregiver burden was at a mild to moderate level with a mean score of 18.29 (SD = 4.9). Standard multiple regression revealed health status (β = -.30, p < .001), caregiver amount of caregiving activities (β = .24, p < .001), caregiver mutuality (β = -.38, p < .001) as the predictor of caregiver burden. The findings provided information for developing an appropriate nursing intervention to prevent progressive caregiver burden, and, in turn, will enable post-stroke persons to receive effective care by targeting caregiver health status, caregiver amount of caregiving activities, and caregiver mutuality.
The Effect of Self-Help Group (SHG) on Family's Ability in Treating Person with Mental Illness (PWMI)
Authors: Hadi Kurniyawan Enggal , Ikhtiarini Dewi Erti , Wuri Wuryaningsih Emi , Deviantony Fitrio , Fitria Yeni
Published: March 2023

The community health center in Jember Regency has not been optimal in overcoming mental disorders in the community, causing increasingly complex mental health problems and impacting not only individuals but families and society itself. The family approach using self-help group (SHG) therapy is one way to be able to provide treatment for Person With Mental Illness (PWMI). The role of mental nurses is to explore mental health problems in PWMI and psychosocial problems in families with PWMI by giving SHG therapy. This study aimed to analyze the effect of self-help groups on the family's ability to care for PWMI. This study uses a pre-experimental design approach with a one-shot case study method. The measuring instruments used were self-help group SOP, PWMI daily living activity observation sheets, and a questionnaire on the family's ability to care for PWMI. The SHG will be held for four sessions involving PWMI, families, and the person in charge of mental health programs at the community health center. The results showed a significant increase in the family's cognitive abilities before and after getting a self-help group with a P-value of 0.040. and a significant increase in psychomotor abilities with a P-value of 0.043. It is hoped that nurses can form SHG to improve PWMI care in the community
Implementation of Intravenous Catheter Treatment to Prevent Phlebitis: A Cross-Sectional Study
Authors: Md Vera Susiladewi Ida Ayu , Maya Maheri Ni Luh , Yanti Ni Putu Emy Darma , Ngurah Putu Jaya Antara I Gusti
Published: March 2023

Peripheral vein cannulation is commonly performed for rapid and accurate administration of medications. Phlebitis is the most common complication of intravenous catheter insertion. This study aims to investigate the implementation of intravenous catheter care to prevent phlebitis that was implied on a patient's cannulation conditions. This study was a cross sectional observational study conducted on patients at a hospital in Bali. Study conducted on 35 patients who were admitted to inpatient ward of the hospital in April 2022. The factors studied were age, gender, site of insertion, precision of dressing, dressing integrity, date on dressing, administration set integrity, date on administration set, and VIP score documentation. The results show that the mean age of the patient was 45.31 years old and 60% of the patients were men. 48,6% cannula was inserted in the movement area (wrist and ankle) while only 51,4% dressing was used properly so cannulation sites can be observed. All dressing were intact, dry and clean, but only 48.6% cannulation date documented on the dressing. Majority the administration sets were in good performance (94.3%) but there were only 31,4% with the installation date. The monitoring of peripheral vein cannulation using VIP score has not been widely applied (11,4%). Further intervention is needed to improve adherence to peripheral vein cannulation care so that phlebitis can be prevented optimally.
An Overview of Ocular Transmission as Alternative Route Transmission Coronavirus Disease 2019 (COVID-19): Literature Review
Authors: Nur Hakiki Ahmad Rizki , Siswoyo  , Hafan Sutawardana Jon , Murtaqib  , Adi Yunanto Rismawan
Published: March 2023

Coronavirus Disease 2019 (COVID-19) becomes a health crisis in the world. The main route of spreading COVID-19 is through the respiratory tract, but this virus also spread through extra respiratory route. This literature review aimed to describe the ocular transmission as an alternative route of COVID-19 transmission. This literature review study used sources of article obtained through ProQuest, Springer, ScienceDirect, PubMed, and Google Scholar with range 2019-2020 publication years and were traced using a combination of search term for ocular transmission, virus receptor, eye manifestation and COVID-19. Previous research used Experimental design, Case study, and Cross-sectional study, and published from 2019 to 2020. Then analyzed by PRISMA diagram method with four stages starting from identification, screening, eligibility, and included. 4 articles used Experimental study design, 4 articles used Cross-sectional study design, and 2 articles used case study design.  This study showed that COVID-19 RNA was found on ocular (conjunctiva and cornea) in a low percentage (2.23%-24%). Patients with confirmed COVID-19 could have ocular manifestations. COVID-19 enter the human body through the eye by spike protein binds to eye receptors that are: ACE2, CD147/Basigin/EMMPRIN, TMPRSS2, ANPEP and AGTR2. Then this virus transferred to the respiratory tract through the nasolacrimal duct. The study showed that ocular transmission can be an alternative route of COVID-19 transmission even with a low percentage level, so it is important for health worker to wear eye protector.
Effect Effect of Foot Massage Therapy on Patient’s Non-Invasive Hemodynamic Status in The Intensive Care Unit
Authors: Ni Putu Wisma Dewi , Sukraandini Ni Komang , Dharma Wiasa I Nyoman , Sudarmika Putu
Published: March 2023

Intensive care is a care service for critical, acute, and life-threatening patients with hemodynamic instability. The use of a ventilator can make discomfort to the patients and then affect the patient's hemodynamics. Foot massage can be applied to intensive patients. This study aims to determine the effect of foot massage on non-invasive hemodynamic status patients in the ICU of the Sanglah General Public Hospital. The quasi-experimental design with a time series approach used, involve 12 patients using a purposive sampling technique. A foot massage was carried out for 30 minutes and hemodynamic measurements were taken 30 minutes later. The research data were analyzed using the Friedman test then continued with the post-hoc Wilcoxon Sign Rank test analysis. Foot massage therapy was given a significant effect on non-invasive hemodynamic status in patients in ICU, including decreasing respiratory frequency (p=0.002), decreasing MAP (p=0.002), decreasing heart rate (p=0.002), and increasing oxygen saturation (p=0.002). It provides a relaxation response that stimulates the sympathetic nervous system to decrease its activity and increase the work of the parasympathetic nerves which influence decreasing heart rate and blood pressure so that there is a balance between oxygen and carbon dioxide in the tissues then reduce the respiratory rate to become normal.
Assessment of dental anxiety by using graphological scale among 8-13-aged children
Authors: Dedgaonkar Amruta K. , Patel Alok , Patil Smita , Patil Krishna , Kunte Sanket , Lakade Laxmi , Jangam Vinod B.
Published: March 2023

Background: Dental anxiety is an important component of distress to patients in the dental operatory. If the dentist is aware of the level of anxiety of his patient, he is not only forewarned about the patient’s behavior but can also take measures to help reduce the anxiety during the operative procedure. Patients who are highly anxious about dental treatment may react differently than do those who are less anxious. We have many anxiety scales to detect in dental operatory but none of them have objectivity about reveling anxiety. Patients’ perceptions may change from time to time and so does their response. So we need an objective type of scale that will help to diagnose anxiety. Methodology: participants were divided into two groups 20 in each group. The children of both groups were given ACDAS scale to solve. (by patient and parent as this scale has an opinion of parents too) For detecting anxiety through graphology, Navrang Anxiety Scale (NAS), require unruled paper, writing matter, and pen was given to participants to write the essay and obtain the handwriting sample from the patient. Result: The significant association was seen between the graphological scale and the ACDAS scale.
biochemistry of ketogenesis and its role in weight management, neurological disease and oxidative stress
Authors: Khattak Muhammad Bilal , Zaman Nayyer Uz , Asad Jamal , Ullah Maaz , Khan Sara Yar , Marwat Zahid Irfan
Published: March 2023

The section of mammalian metabolism known as ketogenesis is responsible for creating ketone bodies. In this mechanism, the liver responds to decreased glucose availability by producing the tiny, water-soluble molecules acetoacetate, D-3-hydroxybutyrate, and propanone. While ketone bodies are always present in small amounts in healthy people, dietary changes and some pathological circumstances can raise the concentrations of these substances in living organisms. The systemic effects of ketogenic diet (KD), despite its recent widespread usage, are poorly known and can range from potentially dangerous results to medically advantageous outcomes depending on the situation. Here, we discuss the metabolism and molecular signaling of ketone bodies before relating the biology of ketone bodies to debates about their potential or actual health benefits. According to the findings of this research, a KD can be used as a natural treatment for weight loss in fat individuals. This is a one-of-a-kind research that will follow the effects of a KD for 24 weeks. The patients' lipid, total cholesterol, LDL cholesterol, and glucose levels all decreased significantly, while their HDL cholesterol levels increased significantly. The adverse effects of medications widely used for weight loss in such individuals were not noted in patients on the KD.
Analisis Penggunaan Narkotika dengan Alasan Kesehatan dalam Perspektif Hukum Pidana Islam dan Undang-Undang No 35 Tahun 2009 Tentang Narkotika
Authors: Nasiri Nasiri , Isa Abdullah
Published: March 2023

In Islamic teachings, there are five main objectives of Islamic law that appear. One of the five goals is maintenance of the mind. Therefore, in order to maintain the purity of the mind, it is forbidden to consume food or drink that damages the health of the human mind. Like narcotics, methamphetamine, and all kinds of other illegal drugs. However, this law does not apply to people who are sick and can only recover by consuming the drug. In other words, illegal drugs may be consumed when needed in order to achieve one's health. One of the uses of Narcotics for health reasons in Indonesia is legalized as contained in the law of the Republic of Indonesia Number 35 of 2009 concerning Narcotics, especially in article 7. Treatment is a step that is always related to society, where people always need treatment. Drugs containing narcotics are drugs that require special supervision from the pharmacy and are supervised by the government so that their use and circulation are not misused. The definition of narcotics is a substance or drug derived from a plant, both synthetic and semi-synthetic, which can cause a decrease or change in consciousness, relieve pain, and even cause dependence on the user. However, it is different for medical needs, narcotics can still be used. However, the use of narcotics in Indonesia must refer to the rules set by the Ministry of Health.