bluuebunny/crossref_metadata_2025 huggingface dataset:
SGLT2 inhibitors: Salty or Just Sweet?
Authors:   , Scholtes Rosalie Annemien
Published: November 2023

• Dapagliflozin lowers blood pressure without clear effects on sodium excretion in people with T2D and preserved kidney function

• Dapagliflozin did not induce prolonged changes in plasma volume, extracellular volume, and intracellular volume

• Other nondiuretic-related effects cannot be ruled out in the CV protective effects conferred by SGLT2 inhibitors, including reductions in arterial stiffness, inhibition of the sympathetic nervous system, or restoration of endothelial function.

• Multiple intra-kidney compensatory mechanisms are activated to counteract dapagliflozin-induced osmotic diuresis, including
1) an increase in co-peptin
2) decrease in free water clearance that facilitate maintenance of normal urinary volumes
3) a decrease in fractional urea excretion and 4) activation of RAS.

• Dapagliflozin decreased blood pressure despite no clear changes in 24-hr sodium and volume excretion in patients with CKD without T2D.

• Dapagliflozin activates kidney specific adaptive mechanisms to maintain body fluid and sodium balance to prevent volume depletion, including activation of RAS and stimulation of ADH release, in patients with CKD without T2D.

• Kidney-active drugs do not seem to alter the effect of SGLT2 inhibitors on hard kidney endpoints in large outcome trials.

• Dapagliflozin over 24 weeks provides similar clinically relevant improvements in urinary albumin- creatinine ratio (UACR), eGFR, HbA1c, and hematocrit, irrespective of treatment with RAS inhibitors at baseline, in people with T2D and increased albuminuria.

• The use of RAS inhibitors in combination with SGLT2 inhibitors does not impact the biomarkers associated with CV and kidney function.

• Empagliflozin+losartan combination therapy induced a greater placebo-controlled reduction in mGFR and estimated glomerular pressure compared to either of the agents alone.

• This reduction in mGFR was accompanied by a trend towards a reduction in renal vascular resistance (RVR), suggesting that the clinically observed mGFR decline may be explained by postglomerular vasodilation.

• These data support combined beneficial effects of RAS and SGLT2 inhibitors.

• Empagliflozin+losartan combination therapy has a larger blood pressure-lowering effect than either of the agents alone when compared to placebo.

• Both drugs lower blood pressure by reductions in arterial stiffness and sympathetic nervous system (SNS) activity

• The mechanisms underlying the blood pressure reductions at least partially differ between empagliflozin and losartan, since empagliflozin additionally seems to induce volume contraction.
Exploiting Hardware from Software
Authors:   , Frigo Pietro
Published: November 2023

In recent years we observed a deepening integration between hardware and software; we now have dedicated hardware for all sorts of applications and software heavily optimized for the underlying hardware. And while this allowed modern systems to keep up with the increasing demand for performance, this new paradigm came at the cost of a more complex hardware-software stack.
Unfortunately, between the cracks of these two domains, we notice a new class of attacks gaining momentum: software-based hardware attacks. As the name suggests, these attacks target underlying hardware vulnerabilities while being leveraged from software—notorious examples being the Rowhammer bug, Spectre, and Meltdown.
In this thesis, we perform an in-depth attack surface analysis of different software-based hardware vulnerabilities while revisiting some of the assumptions upon which the current attacks and defenses are built. More specifically, we deepen the understanding of the DRAM Rowhammer bug from various perspectives: we show how it represents a serious threat to various targets such as mobile devices, web browsers, and Deep Neural Networks; and, we demonstrate that the silver-bullet defense introduced on DDR4 devices against the issue—in-DRAM Target Row Refresh—does not prevent an attacker from triggering bit-flips on millions of devices previously deemed safe.
On top of that, we investigate the effectiveness of hardware defenses introduced against the recent Spectre bug and show how those deployed to prevent cross-privilege Spectre attacks are incomplete, allowing attackers to build new exploits.
The Political Theology of Richard Wurmbrand
Authors:   , Nemeti Mihai-Francisc
Published: November 2023

The objective of this work was to answer the research question of: How did Richard Wurmbrand approach and manage the tension between Christianity and Communism, against the background of his Romanian experiences in the Communist era? An oversimplified answer to this question, which still encapsulates the essence of his political theology, can be, using his mission’s motto, "Hate the evil systems (communism), but love your persecutors (communists). Love their souls, and try to win them for Christ. Wurmbrand hated communism as a political system because of its devastating impact on Romania, his home country, upon the Christian Churches, and because of the devastating effect it had upon his family’s life. Also, Communism, for Wurmbrand, had profound metaphysical issues.
How could Wurmbrand hate communism as a political system and still love the communists and endeavor to win them for Christ? The answer to this question lies in Wurmbrand’s reflection on the Christian Church. Only in this context love for the communist persecutors could exist. The Christian Church had to adapt to the communist regimes in order to survive taking different shapes like the Official Church and the Underground Church. Still, according to Wurmbrand, the Underground Church with her lack of complacency, denial of collaboration, and cooperation with the communist regime was the correct way the Christian Church should respond to oppressive regimes.
Research on Urban-Rural Integration and Regional Coordinated Development of Anqing City, Anhui Province in the Context of Digital Economy
Authors: Chu Yanyi , Lv Wei , Zheng Haiqin , Chen Deqin
Published: November 2023

In the context of the rapid development of the digital economy, the promotion of the digital urban-rural integration plan is conducive to the modernisation of rural industrial development and the promotion of regional coordinated development. This project is based on the drive of digital urban-rural integration, using the methods of literature analysis, field research and big data analysis to analyse the process, results of urban-rural integration and regional coordinated development. Under the guidance of the spirit of the Twentieth National Congress, it provides some lessons for the existing problems related to urban-rural integration and regional coordinated development, so as to promote urban-rural integration and regional coordinated development.
Dark Light
Authors: Li Yanrong
Published: November 2023

Gothic novels have a long history. This article starts with Neil Gaiman's short story "The Daughter of Owls " and interprets the terrifying charm of Gothic novels "The Daughter of Owls" from the perspectives of symbolic expression, foreshadowing, the author's time choice, environmental description, and the terrifying characteristics of the characters' hearts. The aim is to explore how the work creates a terrifying atmosphere and enable readers to experience the lingering horror, thereby generating a sense of sublime beauty, conducting moral exploration and self purification and thus generating a positive and upward personality power to resist evil.
Comprehensive Ability Evaluation of Cold Chain Emergency Logistics of Anhui Dazhong Company
Authors: Yu Danling , Zhang Fan , Li Shuo
Published: November 2023

Cold chain logistics industry is the product of social and economic development, cross-regional transportation demand, is to maintain the low temperature environment as the core requirements, to maintain product quality, reduce product loss for the purpose of the system engineering. Cold chain logistics has high requirements for timeliness, safety, reliability and technical stability. However, China's cold chain logistics started late. In the early stage of development, many enterprises do not have the concept of "cold chain logistics", cold chain facilities and equipment are generally missing and backward, and the development of cold chain logistics is in the stage of resource shortage. This article focuses on the research object of Anhui Dazhong Cold chain Logistics Company, focuses on the company's emergency measures capability, and finds that the emergency logistics capacity of Anhui Dazhong cold chain logistics needs to be upgraded. In recent years, major public health events have occurred frequently, and Volkswagen lacks systematic evaluation in the implementation of emergency measures. According to the above problems, based on the public emergency logistics process management build public company cold chain emergency logistics ability evaluation index system, the hierarchical analysis and entropy method integrated empowerment of evaluation index, and use multi-level fuzzy comprehensive evaluation method for comprehensive evaluation, finally get the public emergency logistics level.
DESAIN TUNING PID MENGGUNAKAN DIFFERENTIAL EVOLUTION (DE) UNTUK SISTEM PENGATURAN SUHU PADA INKUBATOR
Authors: Utama Yoga Alif Kurnia , Dhaniswara Erwin
Published: November 2023

The temperature in the room is very dependent on the temperature outside the room. If the temperature outside is unstable, the impact will be reflected on the temperature instability in the room. This creates challenges in controlling room temperature that require a level of consistency, such as in a baby incubator machine, oven, or egg hatcher. Thus, a temperature regulation strategy is needed to overcome disturbances arising from external temperature fluctuations. This research proposes a solution through the use of innovative control methods, namely by making conventional PID control and PID Disturbance Observer. The value of the PID constant will use the Differential Evaluation (DE) method. Both will be tested on an incubator system through simulations at MATLAB2014a with performance index criteria in the form of ITAE. Interference will be introduced into the system by magnifying the temperature difference between inside and outside the incubator so that heat transfer occurs which will affect the temperature inside the incubator. The results showed that the ITAE value of the Distubance Observer PID control was 0.035, while the ITAE of conventional PID control was 0.242. This shows that the PID Disturbance Observer control is an effective control in controlling the temperature inside the incubator and maintaining that temperature from outside interference.
SISTEM PERENCANAAN RUMAH CERDAS BERBASIS INTERNET OF THINGS
Authors: Masarrang Maryantho , Sutapa I Wayan , Rahman Yuli Asmi
Published: November 2023

The Internet of Things concept is based on expanding the use and benefits of the internet by embedding controllers and sensors that can connect and share data continuously. A Smart Home prototype that can control door locks, lights and electrical pathways with easy control access. In this design, the device that will be used is an IoT-based controller, namely nodeMCU with connected actuators, namely servo motors, relays, and an IR sensor. The method used is to press a button on the web page and the system will respond to the request from the web page and convert it into an action, namely locking the door, or cutting off the electricity. To access it globally, by opening port forwarding on the router you can then access the web page of the smart home system prototype via the connected IP address so that the system can be controlled via the internet. With this system, it is hoped that users can increase time efficiency.
RANCANG BANGUN SISTEM MONITORING THERMAL OVERLOAD RELAY PADA MOTOR INDUKSI 3 PHASA
Authors: Mispan Mispan , Adam Ahamd Antares , Amin Nurhani , Pirade Yulius S.
Published: November 2023

Thermal Overload Relay (TOR) is a tool that works based on heat (temperature) where the flowing current will be converted into heat to affect the bimetal. The length of trip time on the Thermal Overload Relay (TOR) varies depending on the setting value and the magnitude of the load current flowing. This prompted researchers to conduct trials and analyze Thermal Overload Relay (TOR). The research to be carried out here is to conduct a Thermal Overload Relay (TOR) test by adjusting the setting value and giving it more load, then analyzing whether the setting value works according to the setting value. When the motor is loaded, by holding the motor shaft, nothing happens or does not work on thermal overload, because the setting on the thermal overload relay is 2.5 A while the current obtained when the motor shaft is held is 0.40 A
Đánh giá kiến thức chăm sóc dinh dưỡng cho người bệnh bỏng của điều dưỡng Bệnh viện Bỏng Quốc gia Lê Hữu Trác
Authors: Đỗ Thị Ngọc Anh
Published: November 2023

Mục tiêu: Mô tả thực trạng kiến thức của điều dưỡng về chăm sóc dinh dưỡng cho người bệnh bỏng tại Bệnh viện Bỏng Quốc gia Lê Hữu Trác.Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 100 điều dưỡng ở các khoa lâm sàng tại Bệnh viện Bỏng Quốc gia Lê Hữu Trác. Sử dụng bộ câu hỏi soạn sẵn tự điền. Nghiên cứu được triển khai từ 8/2022 đến 2/2023Kết quả: Cao nhất là tỷ lệ điều dưỡng nhận biết được các quy định về nhiệm vụ chăm sóc dinh dưỡng của điều dưỡng đạt 76%, kiến thức về hỗ trợ dinh dưỡng cho người bệnh là 73%, kiến thức về dinh dưỡng cho người bệnh bỏng là 61% và thấp nhất là kiến thức về sàng lọc nguy cơ dinh dưỡng cho người bệnh bỏng có tỷ lệ đạt 55%.Kết luận: Kiến thức chung về chăm sóc dinh dưỡng người bệnh bỏng của điều dưỡng tại Bệnh viện Bỏng Quốc gia Lê Hữu Trác ở mức khá, tốt có tỉ lệ là 57%.
Donor Darah dengan tema Setetes Darah dapat Menyelamatkan Satu Nyawa Saudara Kita
Authors: Haryati Sahrir  , Ricky Zainuddin  , Rianti Rumbia
Published: November 2023

Blood is an important component for the human body, therefore blood supplies at the Indonesian Red Cross must be maintained. After the Covid-19 pandemic that hit Indonesia, the number of blood supplies at the Indonesian Red Cross decreased. Seeing this condition, lecturers and students from the D3 Midwifery Study Program at the Makassar College of Health Sciences initiated community service activities in the form of blood donations with the aim of attracting public interest and becoming agents of change for the Blood Donation movement to increase the number of blood bag supplies at PMI Makassar City, an effort humanity to help others and a concrete manifestation of community service as one of the Tri Dharma of Higher Education. The activity was carried out on July 20 2022 at Mbuuk Coffee and Resto, Makassar City, while still implementing health protocols and 3M principles. There were 85 participants who registered, and 58 participants met the requirements as donors. The amount of blood collected was 58 bags. Overall, the event ran smoothly and orderly and was expected.
Optimalisasi Peningkatan Pengetahuan Ibu Tentang Pola Makan Sebagai Upaya Pencegahan Terjadinya Kegawatdaruratan Gizi Buruk dan Gizi Kurang pada Anak
Authors: Isra Nur Utari Syachnara Potabuga
Published: November 2023

Malnutrition is currently a global problem in the world, including in Indonesia. Malnutrition is a nutritional status based on a weight-for-age index (BB/U) < -3 SD which is the equivalent of a very underweight body weight. One of the problems of malnutrition that is still quite high in Indonesia, especially the problem of stunting and wasting in toddlers. Toddlers are an age group that is vulnerable to nutritional disorders because at this time they need optimal nutrition for their growth and development. According to the World Health Organization (WHO) malnutrition causes 54% of infant and child deaths. The incidence of malnutrition in Indonesia among toddlers in 2018 is still high, namely 17.7% compared to the 2019 target of the National Medium Term Development Plan (RPJMN) of 17%. Getting into the habit of eating nutritious and varied foods is the key to preventing malnutrition and malnutrition. This community service is carried out with the aim of Optimizing Increasing Mother's Knowledge About Diet as an Effort to Prevent Emergencies of Malnutrition and Undernutrition in Children. The expected outputs from this activity are health education, an increase in knowledge, products and implementation for mothers to anticipate emergencies of malnutrition and undernutrition in children. Plans for implementation in March 2022 at the Toddler Teratai Posyandu, using the seminar method, and discussion/question and answer. The media used are LCD, ppt, and Leafalet/Flyer.
PENDAMPINGAN DAN PEMBINAAN PROGRAM USAHA KESEHATAN SEKOLAH DI TK ABA 37 KOTA MALANG
Authors: Edi Purwanto  , Indah Dwi Pratiwi  , Muhammad Fajar Ratanca Duri  , Ahmad Muhyidin
Published: November 2023

Usaha Kesehatan Sekolah (UKS) sebagai salah satu program yang langsung berhubungan dengan peserta didik sudah dirilis sejak tahun 1976 dan diperkuat tahun 1984 dengan terbitnya SKB 4 Menteri yaitu Menteri Pendidikan dan Kebudayaan, Menteri Agama, Menteri Kesehatan dan Menteri Dalam Negeri yang diperbaharui pada tahun 2003. Program Usaha Kesehatan Sekolah yang dikenal dengan Trias UKS yaitu Pendidikan Kesehatan, Pelayanan Kesehatan dan Pembinaan Lingkungan Sekolah Sehat merupakan hal yang sangat penting dalam mewujudkan peserta didik yang sehat dan cerdas. Tujuan program pengabdian ini adalah 1). Membina usaha kesehatan sekolah; 2). Mengembangkan usaha kesehatan sekolah; 3). Meningkatkan sarana dan prasarana usaha kesehatan sekolah. Luaran pengabdian masyarakat anatara lain 1). Masyarakat sekolah menerapkan PHBS; mengenali makanan dengan kandungan bahan kimia berbahaya, menerakan cara mencuci tangan dengan benar; 2). Terbentuk satuan tugas UKS; 3). Tercipta lingkungan belajar masyarakat sekolah yang bersih dan sehat; 4). Pembinaan secara berkelanjutan terhadap PHBS pada masyarakat sekolah; 5). Pendidikan kesehatan dan pelatihan kader Kesehatan Sekolah pendidikan dan pelayanan kesehatan; 6). Tersedianya sarana dan prasarana UKS, seperti UKS kit, informasi media seperti poster, leaflet, lembar balik, dan lain-lain; 7).Tersedianya buku pencatatan dan pelaporan keaktifan dan kunjungan usaha kesehatan sekolah
KONSELING MANFAAT PEMBERIAN KOLOSTRUM DAN PEMBERIAN ASI ESKLUSIF PADA BAYI BARU LAHIR DI POSYANDU FLAMBOYAN VI PUSKESMAS KAPASA TAHUN 2023
Authors: Sarina Ali
Published: November 2023

According to the 2018 American Pregnancy Association (APA), colostrum is able to form a lining in the baby's stomach and intestines to prevent germs/pathogens from attacking. Helps prevent jaundice in babies by removing residual substances that are harmful to the baby's body, providing sufficient nutrients for the development and growth of the baby's brain, eyes and heart (APA, 2018). The purpose of this community service is to provide information or knowledge to the public about the importance of giving colostrum and giving exclusive breastfeeding to newborns. This Community Service activity was carried out at Posyandu Flamboyan VI using the Lecture and Question and Answer method regarding colostrum administration and exclusive breastfeeding for newborns to the target group. Counseling was attended by 25 mothers with good knowledge, namely 17 respondents (68%), sufficiently knowledgeable as many as 8 respondents (32%). Counseling about the benefits of colostrum and exclusive breastfeeding is a form of providing information to every mother who has a baby or expectant mother.
Penataan dan Pemeliharaan hewan ternak serta Pengolahan Sampah di Desa Sambueja Kabupaten Maros
Authors: Irmawati RJ  , Akmal Novrian Syahruddin  , Sitti Nurfaizah
Published: November 2023

Penataan dan Pemeliharaan ternak di Desa Sambueja seharusnya senantiasa diperhatikan oleh pemiliknya,  karena dapat menimbulkan buruknya sanitasi lingkungan, menimbulkan bau tak sedap, rumah yang tidak enak untuk dipandang, dan kotoran yang tidak dibersihkan dapat menimbulkan bibit penyakit. membiarkan ternaknya lepas tanpa pengawasan dapat beresiko menimbulkan kerugian terhadap orang lain, sehingga hal ini perlu menjadi perhatian bagi pemiliknya,   Selain itu Permasalahan sampah juga menjadi persoalan di daerah tersebut.  Meningkatnya populasi penduduk  memicu kenaikan produksi sampah organik maupun sampah anorganik.. Kurangnya TPS (tempat pembuanagn sementara) menjadi inti permasalahan, sehingga perlu adanya upaya pengolahan sampah berupa  3R (Reduce, Reuse, Recyle) menggunakan sampah yang masih bisa digunakan kembali, mengurangi sampah dan mendaur ulang sampah agar bisa menanggulangi masalah tersebut. Tujuan dari kegiatan pengabdian ini adalah memberikan edukasi melalui penyuluhan mengenai penataan ternak dan pengolahan sampah dengan baik untuk meningkatkan pengetahuan Masyarakat terkait hal tersebut. pengadaan sarana prasarana  berupa poster dan tempat sampah percontohan. Hasilnya, diperoleh pengetahuan cukup saat pre tes sebanyak (25%) dan saat post test menjadi (75,0%) artinya ada peningkatan pengetahuan tentang penataan dan pemeliharaan hewan ternak. Begitu juga dengan pengetahuan tentang pengolahan sampah  diperoleh pengetahuan cukup saat pre tes sebanyak (27,27%) dan saat post test menjadi (68,75%).
Pemanfaatan Pisang Kepok Pada Ibu Hamil Terhadap Penurunan Tekanan Darah Pada Hipertensi
Authors: Sutrani Syarif
Published: November 2023

Hipertensi ditemukan pada ibu hamil baik pada penyakit sebelumnya (5-15% dari total ibu hamil) atau sebagai gangguan yang berhubungan dengan kehamilan, pre-eklamsia (Lyoyd, dalam Wylie). Menurut laporan bulanan (LB.3) KIA tahun 2006, Angka Kematian Ibu Maternal (AKI) di Jawa Timur sebesar 168 per 100.000 kelahiran hidup dan keracunan kehamilan (Preeklamsi) adalah 14,01%. Upaya yang bisa dilakukan untuk mengurangi hipertensi pada ibu hamil yaitu dengan farmakologi dan non farmakologi, menurut Anonim (2009) adalah: Secara farmakologi yaitu dengan obat-obatan penurun tekanan darah untuk tekanan darah tinggi. Secara non-farmakologi yaitu dengan: pengawasan ketat, pembatasan aktivitas, istirahat di tempat tidur dengan posisi lateral kiri yang bergantung pada tingginya tekanan darah, umur kehamilan, serta faktor resiko yang ada pada ibu dan janin, dan buah pisang. Sedangkan buah pisang itu sendiri mempunyai kandungan kalium yang tinggi dapat membantu mengurangi dan menurunkan tekanan darah. Diharapkan setelah penyuluhan ini, para ibu hamil dapat mengetahui cara mencegah terjadinya hipertensi pada masa kehamilan.
Skrining Tumbuh Kembang Pada Anak
Authors: Yulia Devi Putri  , Isna Aglusi Badri  , Dedy Siska
Published: November 2023

Basically, parents are obliged and responsible in the task of educating children by providing various matters concerning the interests of their children, such as developing abilities, knowledge, skills, and maintaining children's health. This is because the activities carried out by children at home are more about emphasizing the ability to speak and tell stories, activities carried out by the question and answer method. While early childhood is easier to understand and understand if learning is applied directly to practice/using media, children will easily remember it because they are directly involved in the learning activity.
Mocavita: The Healthy Noodles As A Functional Food Inovation For Stunting Prevention
Authors: Musabbih Najil Hakim Rachmat  , Chiquita Kamila  , Hilda Wulan Cahyani  , Rucika Galvani Putri  , Musa’adah Musa’adah  , Ateng Supriatna
Published: November 2023

Stunting is one of the global scale problems in the health sector. Stunting is the condition of impaired growth and development of the children. Stunting is related to the increases in morbidity, death, and decreased or inhibited physical, motoric or functional body and mental growth especially in children. Based on Riset Kesehatan Dasar (Riskedas), Indonesia is ranked 2nd highest stunting cases in Southeast Asia and the 5th highest in the world in 2018. One of the major causes of stunting is nutritional fulfillment or nutrient intake, absorption and utilization of mother or children. Therefore, it is needed to make functional food innovation that can solve this problem. This study aim is to make a functional food innovation based on healthy noodles for children also mother to prevent stunting. This study was carried out by making healthy noodles namely Mocavita. Mocavita is made from kenikir, pumpkin, mocaf flour and mung beans flour as ingredients which then creates into 3 formulas (F1, F2 and F3). Organoleptic test was conducted to know which one of the formulas that is most liked by people. It is found that Mocavita made from Formula 1 is the best and the most liked by 30 panelists.
Pendidikan Kesehatan Pencegahan Demam Berdarah Dengue Pada Mahasiswa Prodi MIK Stikes Santa Elisabeth Medan
Authors: Pomarida Simbolon  , Anthonyus Anthonyus  , Urim Gabriel Dinasti Laowo  , Lea Sri Ita Br. P.A  , Irma Novita Sari Sihotang
Published: November 2023

Dengue Hemorrhagic Fever is a disease caused by the Dengue virus which is classified as an Arthropod-borne Virus, the Flavivirus genus and the Flaviviridae family. Dengue fever is transmitted to humans through the bite of mosquito vectors from the Aedes genus, one of which is Aedes Aegypti or Aedes Albopictus. Dengue Hemorrhagic Fever can appear at any time of the year and can attack all age groups. This disease is closely related to environmental conditions and community behavior, therefore preventive measures must be taken by every community. It is very important to prevent dengue fever in all levels of society to avoid dengue fever. The targets of community service activities are students of the Health Information Management Study Program. Interview results: Some MIK Study Program students still do not understand the precautions that must be taken to avoid contracting dengue fever and therefore are at risk of contracting dengue fever. Paying attention to the results of the survey that has been carried out, efforts that can be made to increase knowledge in preventing dengue fever are through health education efforts. The aim of Health Education is to increase students' knowledge about dengue prevention. The method used to achieve the goal is to carry out health education about dengue prevention. The results of health education activities show that there is a difference in the average knowledge scores before and after implementing health education. The conclusion from community service is that there has been an increase in knowledge about dengue prevention.
ASUHAN KEBIDANAN PADA BAYI BERAT BADAN LAHIR RENDAH PADA BY. NY. M DI KLINIK BERSALIN ROSLENA MEDAN TAHUN 2019
Authors: Eka Afrilia Barkah  , Ingati Ndruru  , Feradvent Sitanggang  , Mirna Aprilia  , Cici Framita Lbn Gaol  , Alfi Syahrina
Published: November 2023

Penyebab kematian bayi baru lahir menunjukkan bahwa proporsi penyebab kematian neonatal kelompok umur 0-7 hari tertinggi adalah premature dan berat badan lahir rendah / LBW (35%), kemungkinan asfiksia lahir (33%). Penyakit penyebab kematian neonatal kelompok umur 8-28 hari tertinggi adalah infeksi sebesar (57,1%), (termasuk sepsis, pneumoni, diare), kemudian feeding problem (24,3%). Tujuan: untuk melaksanakan Asuhan Kebidanan Berat Badan Lahir Rendah pada By,Ny.M Di Klinik Bersalin Roslena Medan Tahun 2019 dengan menggunakan metode SOAP. Metode studi kasus: studi kasus ini menggunakan metode deskrtiptif. Kesimpulan: Asuhan kebidanan  dilaksanakan menggunakan pendekatan dengan pendokumentasian SOAP (Subjektif, Objektif, Assasment, Planning). Tidak ditemukan kesenjangan pada  hasil data Subjektif dan Objektif. Sehingga setelah semua data terkumpul dapat disimpulkan Analisa dan melakukan Penatalaksanaan sesuai dengan teori.
ASUHAN KEBIDANAN PERSALINAN KALA I PADA NY.A DENGAN TEKNIK RELAKSASI MASASE EFFLEURAGE DI KLINIK PRATAMA MARKO KECAMATAN MEDAN JOHOR TAHUN 2020
Authors: Kristina Natalia Sidabalok  , Nur Alvi Sayhrin  , Dina Junita Br Katare  , Rifa Lumban Gaol  , Lusiana Andika Situmorang  , Malinda Bahra
Published: November 2023

The MDG`s national target is to reduce the maternal mortality rate by three quarters from the maternal mortality rate in 1990 of 405 per 100,000 live births to 102 per 100,000 live births in 2015. World Health Organization (WHO) Maternal Mortality Rate (MMR) in the world that is, 289,000 people, and estimates that 800 women die each day due to complications of pregnancy and childbirth. Approximately 99% of all maternal deaths occur in developing countries, about 80% of maternal deaths are the result of increased complications during pregnancy, childbirth and after delivery. The Health Profile of North Sumatra Province in 2016 states that the coverage of deliveries assisted by health workers shows an increasing trend, namely from 86.73% in 2010 to 90.05% in 2016, even the achievement in 2016 was the highest achievement in terms of delivery assistance by health worker in 7 years Effleurage technique is a massage technique using the palms of the hands in a circular motion pattern on the lower part of the waist. Massase effleurage technique can reduce labor pain during the first stage of the active phase if it is done correctly, which is done every time there is a contraction and done for about 20 minutes. The general objective of this study was to provide midwifery care for the first stage of labor to Mrs. A with the Effleurage Massage Relaxation Technique at the Pratama Marko clinic using Helen Varney's 7 steps midwifery management. In making this report the authors use descriptive methods with a case study model. The results showed that the respondent Ny. A 28 years old during the first stage of labor with massage relaxation technique at effleurage at the Pratama Clinic, Jl. Floodgate IV kec. Medan Johor.
ASUHAN KEBIDANAN BAYI BARU LAHIR BY. S DENGAN ASFIKSIA SEDANG DI RUMAH SAKIT MITRA SEJATI TAHUN 2020
Authors: Lince Karlina Wati  , Putri Malini Sibarani  , Marantika Marantika  , Maya Sari Sargih  , Roy Saputra Berutu  , Etha Lusia
Published: November 2023

Asfiksia neonatorum merupakan suatu keadaan pada bayi baru lahir yang mengalami gagal bernapas secara spontan dan teratur segera setelah lahir, sehingga bayi tidak dapat memasukkan oksigen dan tidak dapat mengeluarkan zat asam arang dari tubuhnya. World Health Organization (WHO) menyatakan bahwa angka kematian bayi sebagian besar disebabkan oleh asfiksia (20-60%), infeksi (25-30%), bayi dengan berat lahir rendah (25-30%), dan trauma persalinan (5-10%). Indonesia merupakan negara dengan AKB dengan asfiksia tertinggi kelima untuk negara ASEAN pada tahun 2011 yaitu 35 kematian per 1000 kelahiran. angka kematian bayi (AKB) di indonesia adalah 32/1000 kelahiran hidup dan kematian neonatal 19/1000 kelahiran hidup. Tujuan penelitian adalah Memberikan Asuhan kebidanan Bayi Baru Lahir pada By. S Dengan Asfiksia sedang Di Rumah Sakit Mitra Sejati kota Medan Tahun 2020 dengan menggunakan 7 langkah varney. Jenis penelitian ini adalah penelitan deskriptif. Subjek penelitian adalah By Ny. S dengan Asfiksia Sedang. Penelitian ini dilakukan di Rumah Sakit Mitra Sejati dilakukan dari bulan Maret pada tanggal 27 maret- 29 maret 2020. Hasil penelitian ini adalah tidak terdapat kesenjangan teori dan praktek. Setelah di berikan KIE dan tindakan yang benar masalah asfiksia sedang pada bayi yang di alami dapat teratasi dan keadaan pasien menjadi lebih baik. Disarankan kepada tenaga kesehatan untuk dapat meningkatkan mutu pelayan bayi baru lahir dengan asfiksia sedang yang komprehensip untuk mencegah komplikasi ataupun kelainan pada bayi.
Gambaran Kelelahan Pada Nelayan Di Desa Waisarissa Kecamatan Kairatu Barat Kabupaten Seram Bagian Barat
Authors: Ellen Lombonaung  , Maryam Lihi
Published: November 2023

Fatigue is a problem that needs attention. All types of work both formal and informal cause fatiguehWork. Fatiguehwork will reduce performance and increase work errors. Fishermen are one of the marine communities that need to receive government attention in the health sector, namely fishermen, because fishermen's work is dangerous to health. The purpose of this study was to describe work fatigue in fishermen in Waisarisa Village, Kairatu Barat District, West Seram Regency. The type of research used is descriptive research. with a total sample of 20 respondents. By way of sampling, namely Total Sampling. The data that has been collected is then tabulated in a table according to the variable to be measured. Data analysis was carried out through the stages of editing, coding, tabulation and statistical testing. The statistical test used was univariate. The results showed that 12 people (60%) had a work attitude that was considered the most at risk, and 35% had work fatigue. It was concluded that what can be described in this study shows that work attitudesrespondentor fisherman is best described with a heavy risk attitude. And in the most fatigue described there are respondents who experience a lot of fatigue at work.
GAMBARAN TINGKAT STRES MAHASISWA STIKES HANGTUAH PEKANBARU DALAM MENJALANKAN PROSES PEMBELAJARAN JARAK JAUH SELAMA PANDEMI COVID-19
Authors: Meylani Pristiwati Sitorus  , Dewi Kurnia Putri  , Sekani Niriyah
Published: November 2023

Perubahan proses belajar dari tatap muka menjadi pembelajaran jarak jauh pada masa pandemi menuai berbagai macam respon pada mahasiswa, salah satunya adalah stres. Stres yang dialami dapat mempengaruhi hasil pembelajaran. Penelitian ini bertujuan untuk mengetahui gambaran tingkat stres mahasiswa STIKes Hang Tuah Pekanbaru saat menjalani pembelajaran jarak jauh selama pandemi covid-19. Jenis penelitian ini adalah kuantitatif dengan menggunakan metode deskriptif. Populasi dalam penelitian ini adalah seluruh mahasiswa/i program studi sarjana keperawatan yang berjumlah 242 mahasiswa dan dipilih 151 mahasiswa dengan propotionate random sampling. Alat ukur yang digunakan adalah kuesioner DASS-42. Hasil penelitian yang dilakukan di STIKes Hang Tuah diketahui bahwa mahasiswa memiliki tingkat stres berat yaitu sebesar 17,2% stres berat dan 11,9% stres sedang, kemudian pada penelitian ini umur rata-rata responden adalah 20 tahun, mayoritas responden berjenis kelamin perempuan, dengan karakteristik responden berdasarkan tempat tinggal, mayoritas responden tinggal dengan orang tua, serta lokasi tempat tinggal mayoritas berada di luar Kota Pekanbaru. Dari hasil penelitian ini diharapkan mahasiswa dengan kondisi tingkat stres sedang dan berat untuk melakukan konsultasi dengan dosen pengampu atau ahli agar dapat beradaptasi dalam menghadapi situasi dan kondisi yang dapat menyebabkan stres.
Hubungan Dukungan Keluarga Dengan Kualitas Hidup Pasien Pasca-Percutaneous Coronary Intervention (PCI) Di Klinik Jantung RSUD Raden Mattaher Jambi Tahun 2023
Authors: Silvi Salsabila  , Nurhusna Nurhusna  , Andi Subandi
Published: November 2023

Heart attacks are caused by a blockage that keeps blood from flowing to the heart and to the brain, resulting in further complications such as failure of the heart muscle to get oxygen supply which results in a person's death. Therefore, patients with heart disease require Percutaneous Coronary Intervention to deal with their treatment. PCI is also known as cardiac angioplasty or percutaneous coronary intervention. PCI installation in patients with heart disease can affect physical activity so that patients really need family support. Family support will increase self-confidence and motivation to face problems and increase the standard of living to improve the patient's quality of life. This type of research uses a quantitative technique with a cross sectional approach. Sampling was carried out by purposive sampling technique with a total sample of 54 people.The results showed that the majority of respondents had good family support, with all dimensions of family support having a good percentage which showed a significant good percentage (100.00%), and had a very good quality of life (75.93%) , with those who have a good quality of life (24.07%). There is a significant relationship between family support and the quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room of Raden Mattaher Hospital, Jambi, with the Sig. (2-tailed) is 0.032 less than α (0.05). In addition to the analysis significance value, a correlation coefficient (cc) value of 0.293* was also obtained.The relationship between family support and quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room at Raden Mattaher Hospital Jambi in 2023 resulted in a relationship that was sufficient or strong enough and led to a positive relationship, that is, better family support.
Efektivitas Konsumsi Buah Naga dan Fe terhadap Peningkatan Kadar Hemoglobin pada Ibu Hamil dengan Anemia
Authors: Mardiana Mardiana  , Meldawati Meldawati  , Nurul Hidayah
Published: November 2023

The government has carried out a TTD program but the prevalence of anemia still cannot be reduced. The red Dragon Fruit (Hylocereus polyrhizus) is effective for controlling iron deficiency and is almost entirely absorbable and helps increase iron absorption from food through the formation of ferrous ascorbate complexes. This study aims to determine the tendency of increasing hemoglobin (Hb) levels in anemic pregnant women before and after giving blood enhancer supplements and dragon fruit. This research method uses a quasy experiment research design. The population of this study is anemic pregnant women recorded in the Awayan Health Center area in December – January 2023. The final hemoglobin content of the intervention group was mostly not anemic amounted to 14 people (93.33%), while the hemoglobin content of the control group was mostly mild anemia amounted to 9 people (29.97%). Research shows that there is a significant increase in hemoglobin levels between before and after blood enhancer tablets and dragon fruit additives where p value = 0.000 and there is an effect of Hb levels after intervention from test results 1.1 times with a confidence level of 95%.
Hubungan Usia, Pekerjaan, dan Dukungan Suami Terhadap Keikutsertaan Ibu Hamil Primigravida Pada Kelas Prenatal Yoga
Authors: Putri Ancila Citra Prasetya
Published: November 2023

Background Maternal Mortality Rate (MMR) is the main indicator for assessing the success of maternal health programs because of its sensitivity to improving health services, both in terms of accessibility and quality. Acceleration in reducing MMR can be achieved by improving health services for pregnant women in prenatal yoga classes which have the benefit of improving maternal health, both physical, mental and emotional. The aim of this research is to determine the relationship between maternal age, maternal employment and husband's support on maternal participation in prenatal yoga classes. Methode This research method is quantitative research with a cross sectional approach. The subjects were 42 primigravida. The sampling used was consecutive sampling. Data were collected using a questionnaire list, then the data was processed using the Chi Square test. Result The results of the bivariate test using the chi square test showed that there was a significant relationship between husband's support (p value = 0.009), there was no significant relationship between mother's age (p value = 0.559) and mother's employment (p value = 0.525) with the participation of primigravida pregnant women in taking prenatal yoga classes. Conclussion Husband's support is associated with mother's participation in prenatal yoga classes.
Efektifitas Pemberian Edukasi Dengan Menggunakan Metode Penyuluhan Mengenai KB Terhadap Pengetahuan Ibu-Ibu Di Gampong Paya Baroh Bandar Dua Pidie Jaya
Authors: Ambia Nurdin  , Rizka Auva Rafiqi  , Bukhari Bukhari  , Amiruddin Amiruddin  , Zakiyuddin Zakiyuddin  , Ricky Dear Fitria  , Fauzi Aldina  , Hendra Cipta  , Muhammad Haikal
Published: November 2023

Family Planning (KB) is a government program to limit the number of children by preventing pregnancy, births that can delay pregnancy, the desired spacing of children to regulate the rate of population growth. This study used a pre-experimental design with the type of one group pretest-posttest design. The population in this study are mothers. The sampling technique used is total sampling. In the study the independent variable was the provision of counseling about family planning, while the dependent variable was the knowledge of the women of Paya Baroh village, kec. City of two, district. Pidie triumph. The type of instrument used in this research is a questionnaire. The number of samples taken was 25 respondents. It is known that most of the respondents were female as many as 25 respondents with a percentage of 100%, while most of them were aged 25-34 years as many as 10 respondents with a percentage of 40%. The level of knowledge before being given counseling was categorized as high by 6 respondents or 24%. The level of knowledge after being given counseling is categorized as high by 25 respondents or 100%. The level of family planning knowledge before and after most of the respondents increased from an average value of 2.12 to 1.00. From these results it can be concluded that there were positive results from the counseling process carried out.
Evaluasi Nilai CTDIvol Dan DLP Pada Pemeriksaan MSCT Abdomen Kontras Selama Periode Januari-Maret 2023 Di RSUP Dr Hasan Sadikin Bandung : Dengan Pendekatan ALADAIP
Authors: Anjelina Merry  , Anak Agung Aris Diartama  , I Kadek Sukadana
Published: November 2023

Background: Abdominal MSCT examination is a type of radiodiagnostic examination that uses the MSCT device. Considering that the abdomen is close to organs that have radiosensitive properties such as the gonads and ovaries, it is necessary to monitor the radiation dose received so that it does not exceed the predetermined I-DRL value. The prevalence of contrast Abdominal MSCT examinations in the Radiodiagnostic Installation at Dr Hasan Sadikin Bandung Hospital was recorded during the last 3 months, there were 327 Contrast Abdominal MSCT examinations out of a total of 880 examinations with a percentage of contrast Abdominal MSCT examinations of 0.37%. This proves that contrast Abdominal MSCT examinations are often carried out but evaluation has never been carried out regarding the radiation dose received by the patient.

Method: The type of research used in this research is descriptive quantitative with an observational approach by collecting data from patients with contrast Abdominal MSCT examinations during the period January-March 2023 with a sample of 128 patients. The local DRL value is calculated using the 2nd quart formula in the SPSS statistical application, then this local DRL value is compared with the I-DRL value determined by BAPETEN.

Results: Calculation of the 50th percentile value of CTDIvol and DLP on 128 samples. The results show a CTDIvol value of 15.91 mGy and DLP of 740 mGy*cm. The DRL (50 percentile) values ​​based on gender are 13.71 mGy and 743 mGy*cm for men, and 17.74 mGy and 792 mGy*cm for women. Based on abdominal thickness, patients with a thickness of 10-19 cm have values ​​of 12.19 mGy and 587 mGy*cm, while patients with a thickness of 20-30 cm have values ​​of 22.57 mGy and 965 mGy*cm. For the most clinical cases (Ca Recti) the values ​​were 11.27 mGy and 586 mGy*cm.

Conclusion: The 2nd quartile value (50 percentile) of CTDIvol and DLP received by patients during the Contrast Abdominal MSCT examination at the Radiodiagnostic Installation of RSUP Dr. Hasan Sadikin Bandung is in accordance with the standard values ​​set by BAPETEN/I-DRL 2021. However, special attention is needed for patients with an abdominal thickness of 20-30 cm, where the CTDIvol value exceeds the standards set by BAPETEN/I-DRL 2021.
Hubungan Tingkat Pengetahuan Dan Usia Calon Pengantin Putri dengan Persiapan Kehamilan Pertama di KUA Kecamatan Tanjung Agung Kabupaten Muara Enim Tahun 2023
Authors: Yeni Yusita  , Sabtian Sarwoko  , Berita Afriani
Published: November 2023

Facts show that more than 350,000 worldwide die every year due to complications of pregnancy and childbirth. Indonesia's National Maternal Mortality Rate (MMR) in 2017 and 2019 did not change, namely 305 per 100,000 live births. Prospective brides and grooms are a strategic target group in efforts to improve their health before pregnancy. The aim of the research is to determine the relationship between the level of knowledge and age of the prospective bride and groom with preparation for their first pregnancy in KUA, Tanjung Agung District, Muara Enim Regency. The research method is descriptive analytical with a cross sectional approach. This research began in April – June 2023 at KUA, Tanjung Agung District, Muara Enim Regency. Sampling technique using a total sampling of 50 respondents. The data collection method in this research uses a questionnaire. Data analysis used the Chi-Square test. The results of this study show that there is a relationship between knowledge (p= 0.000) and age (p= 0.004) of the prospective bride and groom and preparation for their first pregnancy in KUA Tanjung Agung District, Muara Enim Regency. The conclusion is that knowledge and age are related to preparation for the first pregnancy.
Hubungan Karakteristik Perawat Dan Beban Kerja Dengan Kelelahan Kerja Perawat Di Ruang Rawat Inap RSUD Kota Tanjungpinang
Authors: Dame Maria Pakpahan  , Fitriany Suangga  , Rizki Sari Utami
Published: November 2023

A nurse is someone who works and provides excellent and quality service 24 hours a day, so a nurse must be in good physical condition. The condition of the body which should be in the rest phase must be conditioned on working conditions which can result in work stress and end in work fatigue. Work fatigue is a tired condition felt by a person which is also characterized by a decrease in work productivity. Workload is the volume of work of nurses in a hospital unit. This study aims to determine the relationship between nurse characteristics and workload with work fatigue in inpatient rooms at the Tanjungpinang City Regional Hospital. The design of this research is cross sectional. The sample in this study was 86 patients treated at the Tanjungpinang City Regional Hospital using a total sampling technique and the data were analyzed using the chi square test. The results show that there is a relationship between workload and the level of fatigue in inpatient nurses at Tanjungpinang City Regional Hospital with a p value of 0.000. It is recommended that nurses should carry out Benson therapy after providing nursing care so that the level of fatigue can be reduced, understand the work and duties of nursing so that nurses can carry out their duties according to applicable regulations, and make the best use of rest time.
Hubungan Efikasi Diri Dengan Kepatuhan Minum Obat Pada Pasien HIV/AIDS Di RSUD Kota Tanjungpinang
Authors: Lisbet Siagian  , Rizki Sari Utami  , Mira Agusthia
Published: November 2023

Acquired Immunodeficiency Syndrome (AIDS) is a collection of symptoms that arise due to an acquired decline in the body's immune system, caused by infection with the Human Immunodeficiency Virus (HIV). Indonesia experienced an increase in 2020, the cumulative number in Indonesia reached 911,877 HIV/AIDS cases. The cumulative number of HIV/AIDS cases in the Riau Islands reported through the SIHA report up to December 2020 was 11,436 cases. In 2021 in Tanjungpinang City, 11,356 blood samples were screened for HIV and 100 samples were found to be HIV positive. Of the 100 people who are HIV positive, 58 people have reached the AIDS stage. The aim of this research has been carried out and it is known that there is a relationship between self-efficacy and medication adherence in HIV/AIDS patients at the Tanjungpinang City Regional Hospital. This research method uses quantitative descriptive with a cross sectional approach. Data were processed using the Chi-square test. The results showed that univariate data for the high self-efficacy variable was 74.5% and low self-efficacy was 25.5%. for the medication adherence variable, the high category was 74.5% and the low category was 25.5%. The conclusion is that there is a relationship between self-efficacy and adherence to taking medication in HIV/AIDS patients at the Tanjungpinang City Regional Hospital. Recommendation: Nurses and health workers can provide more intensive education to HIV/AIDS patients about the importance of self-efficacy in undergoing treatment.