bluuebunny/crossref_metadata_2025 huggingface dataset:
Apical Periodontitis and Cardiovascular Disease in Adults: A Systematic Review with Meta-Analysis
Authors: Noites Rita , Teixeira Manuel , Cavero-Redondo Ivan , Alvarez-Bueno Celia , Ribeiro Fernando
Published: March 2022

Background: A potential relationship between oral health and cardiovascular diseases has been proposed. However, uncertainty remains as to whether there is sufficient data to support this association. This review aims to appraise the relationship between apical periodontitis and cardiovascular disease based on data from observational studies. Methods: The databases Medline (via PubMed) and EMBASE (via Scopus) were searched up to August 2020 for observational studies (case-control, cross-sectional, and cohort) assessing the association of apical periodontitis with cardiovascular disease among adults. Pooled relative risk/odds ratio and 95% confidence interval (CI) were estimated using a random-effects model. Sensitivity analyses and random-effects meta-regressions were performed. Results: The initial search yielded 2537 documents, of which 15 were eligible for inclusion, including 8 cross-sectional studies, 5 case-control studies, and 2 cohort studies. The majority of studies enrolled both men and women, with mean age ranging from 41 to 66 years. In cross-sectional studies, the presence of apical periodontitis was significantly associated with cardiovascular disease with a combined odds ratio of 1.53 (95% CI: 1.02–2.29, p = 0.039; I2 = 75.0%; p < 0.001). In the case-control studies, the combined odds ratio did not show a significant association of apical periodontitis with cardiovascular disease (OR = 1.24; 95% CI: 0.67–2.29, p = 0.494; I2 = 82.1%; p < 0.001). The pooled risk ratio from the 2 cohort studies showed (RR = 1.27; 95% CI: 0.71–2.27, p = 0.413; I2 = 69.1%; p = 0.072) also showed no significant association between apical periodontitis and cardiovascular disease. These results should be interpreted with caution due to the high heterogeneity. Conclusions: Data derived from cross-sectional studies suggest a weak association between apical periodontitis and cardiovascular disease. As the results were not consistent across study designs, further research is recommended, namely longitudinal studies with long-term follow-up. Registration: PROSPERO database (CRD42020204379).
Concomitant surgical ablation for treatment of atrial fibrillation in patients undergoing cardiac surgery
Authors: Dominici Carmelo , Chello Massimo
Published: March 2022

Surgical ablation is a well-established therapy for patients with atrial fibrillation (AF) undergoing cardiac surgery. However, it is not clear if this translates to an improvement in patient important outcomes such as mortality, stroke, and quality of life (QoL). Electronic searches were performed of Ovid Medline and PubMed from their inception to October 2021. Eligible literature included comparative studies with patient undergoing surgical ablative treatment for AF concomitant to any cardiac surgery procedure and patients without specific AF treatment. For this paper, the studies listed are presented descriptively without statistical processing or collection of a meta-analysis. Freedom from AF at 1 year was consistently shown to be improved by surgical ablation. No differences in 30-day mortality or in safety outcomes were observed between the group who received ablation and the control group. A significant increase in pacemaker implantation in the ablation group was generally detected among studies, especially if the lesions were biatrial. Amongst the studies that reported on health-related quality of life (HRQoL) a statistically significant improvement was seen in the ablation group over the control, especially in the physical domains. Surgical ablation is the most effective procedure to treat AF during cardiac surgery, and it is a unique opportunity to return to sinus rhythm with no added mortality risk and a potential improvement in quality of life. There is however an increased risk of pacemaker implantation and complications such as renal failure which must be weighed with tailored treatment and patient selection. It is also not clear how long-term outcomes are affected due to underpowered randomized controlled trials. This review summarized short term outcomes of concomitant AF treatment during cardiac surgery and highlight the importance of reporting long-term outcomes to confirm the benefits.
Insights into Concomitant Atrial Fibrillation and Chronic Kidney Disease
Authors: Wang Yanan , Yang Yi , He Fan
Published: March 2022

Chronic kidney disease (CKD) shows a high prevalence and is characterized by progressive and irreversible loss of renal function. It is also associated with a high risk of cardiovascular disease. The CKD population often suffers from atrial fibrillation (AF), which is associated with cardiovascular and all-cause mortality. There is a pernicious bidirectional relationship between CKD and AF: renal dysfunction can help promote AF initiation and maintenance, while unmanageable AF often accelerates kidney function deterioration. Therefore, it is necessary to determine the interactive mechanisms between CKD and AF for optimal management of patients. However, due to renal function impairment and changes in the pharmacokinetics of anticoagulants, it is still elusive to formulate a normative therapeutic schedule for the AF population concomitant with CKD especially those with end-stage kidney failure. This review describes the possible molecular mechanisms linking CKD to AF and existing therapeutic options.
Cardiorenal Impact of SGLT-2 Inhibitors: A Conceptual Revolution in The Management of Type 2 Diabetes, Heart Failure and Chronic Kidney Disease
Authors: Nevola Riccardo , Alfano Maria , Pafundi Pia Clara , Brin Chiara , Gragnano Felice , Calabrò Paolo , Adinolfi Luigi Elio , Rinaldi Luca , Sasso Ferdinando Carlo , Caturano Alfredo
Published: March 2022

Type 2 Diabetes Mellitus (T2DM) is associated with an elevated incidence of cardiovascular and renal diseases, responsible for mortality rates significantly higher than in the general population. The management of both cardiovascular risk and progression of kidney disease thus seem crucial in the treatment of the diabetic patient. The availability of new classes of drugs which positively affect both cardiovascular and renal risk, regardless of the glycemic control, represents a revolution in the treatment of T2DM and shifts the attention from the intensive glycemic control to a holistic management of the diabetic patient. Among these, sodium-glucose cotransporter-2 inhibitors (SGLT2i) have been associated with a remarkable reduction of cardiovascular and renal mortality, lower hospitalization rates for heart failure and lower progression of renal damage and albuminuria. Thus, their use in selected subpopulations seems mandatory. Aim of this review was the assessment of the current evidence on SGLT2i and their related impact on the cardiovascular and renal profiles.
Restrictive cardiomyopathy: from genetics and clinical overview to animal modeling
Authors: Chintanaphol Michelle , Orgil Buyan-Ochir , Alberson Neely R. , Towbin Jeffrey A. , Purevjav Enkhsaikhan
Published: March 2022

Restrictive cardiomyopathy (RCM), a potentially devastating heart muscle disorder, is characterized by diastolic dysfunction due to abnormal muscle relaxation and myocardial stiffness resulting in restrictive filling of the ventricles. Diastolic dysfunction is often accompanied by left atrial or bi-atrial enlargement and normal ventricular size and systolic function. RCM is the rarest form of cardiomyopathy, accounting for 2–5% of pediatric cardiomyopathy cases, however, survival rates have been reported to be 82%, 80%, and 68% at 1-, 2-, and 5-years after diagnosis, respectively. RCM can be idiopathic, familial, or secondary to a systemic disorder, such as amyloidosis, sarcoidosis, and hereditary hemochromatosis. Approximately 30% of cases are familial RCM, and the genes that have been linked to RCM are cTnT, cTnI, MyBP-C, MYH7, MYL2, MYL3, DES, MYPN, TTN, BAG3, DCBLD2, LNMA, and FLNC. Increased Ca2+ sensitivity, sarcomere disruption, and protein aggregates are some of the few mechanisms of pathogenesis that have been revealed by studies utilizing cell lines and animal models. Additional exploration into the pathogenesis of RCM is necessary to create novel therapeutic strategies to reverse restrictive cardiomyopathic phenotypes.
ASR-aware end-to-end neural diarization
Authors: Khare Aparna , Han Eunjung , Yang Yuguang , Stolcke Andreas
Published: March 2022

We present a Conformer-based end-to-end neural diarization (EEND) model that uses both acoustic input and features derived from an automatic speech recognition (ASR) model. Two categories of features are explored: features derived directly from ASR output (phones, position-in-word and word boundaries) and features derived from a lexical speaker change detection model, trained by fine-tuning a pretrained BERT model on the ASR output. Three modifications to the Conformer-based EEND architecture are proposed to incorporate the features. First, ASR features are concatenated with acoustic features. Second, we propose a new attention mechanism called contextualized self-attention that utilizes ASR features to build robust speaker representations. Finally, multi-task learning is used to train the model to minimize classification loss for the ASR features along with diarization loss. Experiments on the two-speaker English conversations of Switchboard+SRE data sets show that multi-task learning with position-in-word information is the most effective way of utilizing ASR features, reducing the diarization error rate (DER) by 20\% relative to the baseline.
REVITALISASI KURIKULUM PROGRAM STUDI PENDIDIKAN BAHASA MANDARIN YANG BERORIENTASI PADA LITERASI BARU
Authors: Trihardini Ayu
Published: March 2022

Menghadapi era disrupsi teknologi industri 4.0, Indonesia sebagai bangsa perlu berbenah diri demi memanfaatkan peluang dan daya saing. Program Studi Pendidikan Bahasa Mandarin Universitas Negeri Jakarta (PSPBM UNJ) sebagai bagian dari Lembaga Pendidikan Tenaga Kependidikan (LPTK), mempunyai peranan penting dalam mencetak calon tenaga pendidik yang kompetitif di era disrupsi teknologi melalui penguasaan literasi lama, literasi baru dan literasi keilmuan secara padu. Tulisan ini bertujuan memaparkan praktik baik penyusunan kurikulum PSPBM UNJ yang berorientasi pada literasi baru.
Multi-target Joint Tracking and Classification Using the Trajectory PHD Filter
Authors: Wei Shaoxiu , Zhang Boxiang , Yi Wei
Published: March 2022

To account for joint tracking and classification (JTC) of multiple targets from observation sets in presence of detection uncertainty, noise and clutter, this paper develops a new trajectory probability hypothesis density (TPHD) filter, which is referred to as the JTC-TPHD filter. The JTC-TPHD filter classifies different targets based on their motion models and each target is assigned with multiple class hypotheses. By using this strategy, we can not only obtain the category information of the targets, but also a more accurate trajectory estimation than the traditional TPHD filter. The JTC-TPHD filter is derived by finding the best Poisson posterior approximation over trajectories on an augmented state space using the Kullback-Leibler divergence (KLD) minimization. The Gaussian mixture is adopted for the implementation, which is referred to as the GM-JTC-TPHD filter. The $L$-scan approximation is also presented for the GM-JTC-TPHD filter, which possesses lower computational burden. Simulation results show that the GM-JTC-TPHD filter can classify targets correctly and obtain accurate trajectory estimation.
Polyphonic audio event detection: multi-label or multi-class multi-task classification problem?
Authors: Phan Huy , Nguyen Thi Ngoc Tho , Koch Philipp , Mertins Alfred
Published: March 2022

Polyphonic events are the main error source of audio event detection (AED) systems. In deep-learning context, the most common approach to deal with event overlaps is to treat the AED task as a multi-label classification problem. By doing this, we inherently consider multiple one-vs.-rest classification problems, which are jointly solved by a single (i.e. shared) network. In this work, to better handle polyphonic mixtures, we propose to frame the task as a multi-class classification problem by considering each possible label combination as one class. To circumvent the large number of arising classes due to combinatorial explosion, we divide the event categories into multiple groups and construct a multi-task problem in a divide-and-conquer fashion, where each of the tasks is a multi-class classification problem. A network architecture is then devised for multi-class multi-task modelling. The network is composed of a backbone subnet and multiple task-specific subnets. The task-specific subnets are designed to learn time-frequency and channel attention masks to extract features for the task at hand from the common feature maps learned by the backbone. Experiments on the TUT-SED-Synthetic-2016 with high degree of event overlap show that the proposed approach results in more favorable performance than the common multi-label approach.
Hospitalitas dan Kepemimpinan Kristen/Tradisional
Authors: Masirri Mei
Published: March 2022

Pada masa pandemi Covid-19 sikap etis hospitalitas Kristen merupakan model perumusan dalam tujuan penulisan ini. Deskriptif sosial dan teologis adalah jenis penelitian menggunakan pendekatan kualitatif dalam penelitian ini. Hospitalitas tidak boleh hilang dari kehidupan orang Kristen, walaupun dalam menghadapi pandemi Covid-19 sekarang ini. Memang kita ketahui bahwa Covid-19 itu dapat menular secara cepat dan mematikan. Justru dalam keadaan seperti ini orang Kristen harus menampakkan kasih kepada orang-orang yang membutuhkan, bukan menjauhi. Menampakkan kasih kepada semua orang baik itu internal maunpun eksternal dengan selalu mengikuti protocol kesehatan dari pemerintah. Sebagai seorang pemimpin juga harus bisa membangun relasi terhadap semua orang dengan tidak memandang agama, ras dan etnis.
Internal Planetary Feedbacks, Mantle Dynamics, and Plate Tectonics
Authors: Lenardic Adrian , Seales Johnny
Published: March 2022

Isolating planetary feedbacks, and feedback analysis, are prevalent aspects of climate and Earth surface process science. An under appreciation of internal planet feedbacks, and feedback analysis for plate tectonics research, motivate this chapter. We review feedbacks that influence the Earth's thermal evolution and expand them to include magmatic history and planetary water budgets. The predictions from feedback models are shown to be consistent with petrological constraints on the Earth's cooling. From there, we isolate feedbacks that connect structural elements within the mantle dynamics and plate tectonics system. The feedbacks allow for a reciprocal causality between plates, plumes, the asthenosphere, and mantle flow patterns, with each element being co-dependent on the others. The linked elements and feedbacks define plate tectonics are part of a self-sustaining flow system that can bootstrap itself into existence. Within that framework, plate tectonics involves the co-arising of critical system factors. No single factor is the cause of another. Rather, they emerge with the links between them and the generation of functional elements coincides, within relatively narrow time windows, with the co-emergence of factors that are critical for the maintenance of the elements themselves. What emerges is not a tectonic state but a process. That is, a set of feedbacks that can transform the tectonics of a planet and/or maintain plate tectonics. The feedback functions are not permanent but can operate over extended time frames such that plate tectonics can remain stable. The nature of the feedbacks, and their stability, can be studied at various levels of detail but questions of origin can become ill-defined. Observational tests of a feedback framework for plate tectonics and mantle dynamics are presented, along with research paths that apply feedback methodology to solid planet dynamics and comparative planetology.
The Measurement of Goal Dimensions - A Critical Review
Authors: Kiendl Korbinian , Hennecke Marie
Published: March 2022

Goals represent a central construct in the analysis of human motivation. How people appraise their own goals on various quantitative dimensions, like commitment or difficulty, predicts important outcomes like goal attainment and psychological well-being. Unfortunately, however, there appears to be little agreement in the literature on how to best measure goal dimensions. To get an overview of current measurement practices, we conducted a systematic literature review that yielded 693 publications including 1,166 different terms for goal dimensions and 3,244 reported items. Up to 79 different items were found to indicate single goal dimensions and 80% of scales consisted of one item, which mostly asked for the term of the goal dimension name. We further extracted 358 different item facets, that is, different meaning-bearing terms (e.g., “engrossed” or “deeply involved”). 28% of item facets were found only once in individual items and 52% of item facets were used to measure more than one goal dimension. We find that for 42% of items, sources were not reported or items were created ad hoc. Hence, we recommend being cautious of jingle fallacies when comparing similar goal dimensions across publications and being cautious of jangle fallacies when comparing different goal dimensions. We advocate considering construct validity and content validity more thoroughly in the development of goal dimension items and enhancing transparency in reporting of study items. Furthermore, we advocate factor analysis methodology to narrow down the abundance of goal dimension terms and developing parsimonious and comprehensive theories of goal dimensions.
“Who Wants to Silence Us?” Perceived Discrimination of Conspiracy Theory Believers Increases “Conspiracy Theorist” Identification When it Comes From Powerholders – But not From the General Public
Authors: Nera Kenzo , Jetten Jolanda , Biddlestone Mikey , Klein Olivier
Published: March 2022

We examined how individuals that may be labelled “conspiracy theorists” respond to discrimination against “conspiracy theorists”. In line with the Rejection-Identification Model (Branscombe et al., 1999), we hypothesised that perceived group-based discrimination against conspiracy theorists would strengthen identification with the “conspiracy theorist” ingroup. We propose that this relationship might be mediated by meta-conspiracy beliefs, that is, the belief that the discrimination of conspiracy theorists is itself a conspiracy. Three studies (Ns = 97, 364, 747) among participants who had been labelled as “conspiracy theorist” in the past (Studies 1-2) or who had been labelled as such at the beginning of the experiment (Study 3) revealed robust positive relationships between perceived discrimination of conspiracy theorists, meta conspiracy beliefs, and identification. Furthermore, in Studies 2-3, identification was strongly associated with positive intergroup differentiation and pride to be a conspiracy theorist. However, there was no evidence that a manipulation of discrimination with bogus public opinion polls affected “conspiracy theorist” identification or meta-conspiracy beliefs. A Bayesian internal meta-analysis of the studies returned moderate (for group identification) to strong (for meta-conspiracy beliefs) support for the null hypothesis. In contrast, in Study 3, a manipulation of discrimination by powerholders enhanced both identification and meta-conspiracy beliefs. This suggests that the source of discrimination moderates the causal relationship between perceived discrimination of conspiracy theorists and group identification.
Musical expertise attenuates cross-modal fast-“same” effect of pitches: an ERP study
Authors: Zhang Mingmin , Lu Zitong , Su Huihang , Kwok Sze Chai , Li Xiaonuo , Wang Zhaoxin
Published: March 2022

The same-different judgment (SDJ) is a fundamental cognitive ability and previous studies often found that a "same" response usually takes less time than does a "different" response if visual stimuli were presented, i.e., the fast-“same” effect. Yet, it is unknown whether the fast-“same” effect exists in cross-modal SDJ. In this event-related potential (ERP) study, we investigated this issue and the underlying neural processes with a cross-modal SDJ task with visual notations and auditory pitches, and further investigated the effects of musical expertise on the fast-“same” effect. Twenty-eight nonmusicians and 27 musicians without absolute pitch participated in this study. In nonmusicians, an obvious fast-“same” effect and a difference between “same” and “different” judgment in the N400 were found. Moreover, the N400 was downregulated by music expertise, while a difference in N400 between “same” and “different” judgment was also found in musicians, together with a weaker fast-“same” effect behaviorally. Furthermore, the RTs were positively correlated with the N400 in musicians. We concluded that the present study provided evidence of the existence of fast-“same” effect of cross-modal SDJ of pitches as well as its underlying ERP neural correlates, i.e., N400, and further showed the N400 can be modulated by musical expertise, which led to a weakened fast-“same” effect in musicians.
RELATIONSHIP BETWEEN NURSE WORK STRESS AND NURSE COMPLIANCE IN THE IMPLEMENTATION OF SURGICAL SAFETY CHECKLIST (SSC)
Authors: Rachmawati Agustinna Laili , Herawati Tutik , Ciptaningtyas Maria Dyah
Published: March 2022

Work stress negatively impacts if one's ability to deal with stress is low. Excessive stress leads to a decrease in performance. One of the performance of nurse surgical room is the implementation of SSC. The purpose of this study is to determine the relationship of nurses work stress with nurse obedience in the implementation of SSC in the surgery room Mardi Waluyo Blitar Hospital. This research uses correlational research design with cross-sectional approach. The population is all nurses in the surgery room of RSUD Mardi Waluyo Blitar number of 23 people, by using purposive sampling technique got sample as much 16 person (circular nurse). The instrument used is a questionnaire about work stress and an observation sheet about SSC. The result of univariate analysis was found that most of surgical nurses of Mardi Waluyo Blitar Hospital experienced mild stress, 13 people (81%). Then, most of surgical nurses Mardi Waluyo Blitar RSUD did not obey the whole point in the SSC that is 10 people (63%). The result of bivariate analysis using Spearman correlation test obtained p = 0,039, it means there is relation between nurses work stress with nurse compliance in SSC implementation in RSUD Mardi Waluyo Blitar surgery room. The recommendation of the results of this study is that you can find factors that may affect patients in the surgical safety checklist (SSC) aside from occupational stress factors.
KEPUASAN PELAYANAN RAWAT JALAN PASIEN JAMINAN KESEHATAN NASIONAL PADA RUMAH SAKIT UMUM UNIVERSITAS MUHAMMADIYAH MALANG
Authors: Laila Aulia Maghfirotul , Setiawan Eko Rahman
Published: March 2022

Tingkat kepuasan pasien terhadap pelayanan merupakan faktor penting yang mengembangkan suatu sistem penyedia pelayanan yang tanggap terhadap keluhan pasien, meminimalkan biaya dan waktu serta memaksimalkan pelayanan terhadap pasien. Kepuasan pasien dilihat berdasarkan dimensi kehandalan, jaminan, bukti fisik, empati, dan daya tanggap.  Mengidentifikasi kepuasan pasien terhadap pelayanan rawat jalan berdasarkan lima dimensi kepuasan pada Rumah Sakit Umum Universitas Muhammadiyah Malang tahun 2019. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian deskriptif kuantitatif. Sampel diambil dengan teknik purposive sampling yaitu 100 responden. Instrumen penelitian ini adalah kuesioner. Dengan penilaian menggunakan lima indikator, rata rata nilai jawaban responden menunjukkan nilai rata rata jawaban responden untuk indikator kehandalan atau reliabilility sebesar 80,15 persen, indikator jaminan atau assurance 79,4 persen, indikator bukti fisik atau tangibles sebesar 76.45 persen, indikator perhatian atau emphaty sebesar 76,54 persen, dan indikator daya tanggap atau responsiveness sebesar 79,10 persen. Penilaian kepuasan tertinggi terdapat pada indikator kehandalan atau reliabilility, kehandalan petugas dalam memberikan pelayanan. Meskipun penilaian kepuasan pasien telah menujukkan bahwa pasien cukup puas akan tetapi hasil nilai yang diperoleh belum menunjukkan nilai 100 persen. Penelitian ini dapat menjadi masukan untuk mempertahankan dan meningkatkan pelayanan sehingga memunculkan kepuasan pasien saat melakukan pengobatan rawat jalan
DIIT PENYAKIT HIPERTENSI, PENGOBATAN TRADISIONAL SERTA PENCEGAHAN UNTUK PENYAKIT HIPERTENSI
Authors: Parrela Riska , Nurhuda Muh Aldi , Setyawati Devi Dewi , Wahyu Indah
Published: March 2022

Hipertensi adalah sebagai peningkatan tekanan darah sistolik sedikitnya 140 mmHg atau tekanan diastolic sedikitnya 90 mmHg. Hipertensi akan beresiko terjadinya Stroke, Serangan jantung, Gagal jantung, dan merupakan penyebab utama terjadinya gagal jantung kronis. Pengobatan tradisional hipertensi di anjurkan untuk penderita hipertensi. Tujuan penelitian ini adalah untuk mengetahui riwayat hipertensi pada lansia di kalangan sekitar. Penelitian ini merupakan literature review dengan menggunakan alat pencarian pubmed. Kata kunci yang di gunakan adalah Traditional hypertension treatment. Dari hasil penelitiaan kepada penderita hipertensi kami menganalisis bahwa kebanyakan penderita hipertensi masih belum menerapkan diet yang dilarang
PENGEMBANGAN TEKNIK RELAKSASI NAPAS DALAM KOMBINASI GERAK TANGAN UNTUK MENSTABILKAN TEKANAN DARAH PENDERITA HIPERTENSI
Authors: Yuliani Nina , - Mujito - , Setijaningsih Triana , Sepdianto Tri Cahyo
Published: March 2022

Hipertensi merupakan faktor risiko terbesar ketiga yang menyebabkan kematian dini. Teknik relaksasi napas dalam merupakan salah satu terapi non farmakologi yang dapat diintroduksikan pada klien hipertensi. Relaksasi nafas dalam mampu membuat tubuh menjadi harmonis dan tenang serta dapat memberdayakan tubuh untuk melawan hipertensi. Pengembangan teknik relaksasi napas dalam kombinasi gerak tangan diharapkan dapat memelihara stabilitas tekanan darah pada klien hipertensi. Tujuan penelitian ini adalah mengidentifikasi proses pengembangan dan kelayakan teknik relaksasi napas dalam kombinasi gerak tangan untuk menstabilkan tekanan darah klien hipertensi. Metode yang digunakan dalam penelitian ini adalah Research and Development dengan prosedur pengembangan ADDIE sampai pada tahap implementasi yaitu membuat produk akhir. Penelitian ini dilaksanakan di Posbindu PTM Kelurahan Bendogerit Kota Blitar dengan 8 partisipan uji coba. Hasil  penelitian ini menunjukkan produk teknik relaksasi napas dalam kombinasi gerak tangan memenuhi kriteria layak untuk digunakan berdasarkan penilaian ahli dan partisipan uji coba. Terciptanya produk akhir ini diharapkan peneliti berikutnya dapat melakukan penelitian tentang efektifitas produk ini untuk menjaga stabilitas tekanan darah pada klien hipertensi.
PENGARUH MOTIVASI SUAMI DAN PARITAS TERHADAP KECEMASAN IBU HAMIL MENJELANG PERSALINAN
Authors: Dinopawe Asriaty , Makatita Bazrul , Alerbitu Kharisma L
Published: March 2022

Penelitian ini bertujuan untuk mengetahui hubungan motivasi suami dan paritas terhadap kecemasan ibu hamil menjelang persalinan di kecamatan Lakor kabupaten Maluku Barat Daya. Ini adalah penelitian observasi analitik dengan pendekatan cross section. Populasi dan sampel dalam penelitian ini adalah ibu hamil di Desa Yamluly Kecamatan Lakor Kabupaten Maluku Barat Daya berjumlah 32 orang dengan menggunakan teknik total sampling. Metode pengumpulan data menggunakan kuesioner. Hasil penelitian menunjukkan bahwa sebagian besar responden di Desa Yamluly, Kecamatan Lakor, Kabupaten Maluku Barat Daya memiliki motivasi suami dalam katagori kurang mendukung berjumlah 18 responden atau 56,2 persen, paritas berkatagori primipara berjumlah 21 responden atau 65,6 persen dan memiliki kecemasan berjumlah 22 responden atau 68,8 persen. Hasil analisis dengan menggunakan Fishers Exact Test diddapatkan P value sebesar 0,001, P value kurang dari 0,05. Kesimpulannya yaitu terdapat hubungan antara motivasi suami dan paritas terhadap kecemasan ibu hamil dalam menghadapi persalinan di desa Yamluly, kecamatan Lakor, kabupaten Maluku Barat Daya.
HUBUNGAN PENGETAHUAN IBU DAN DUKUNGAN SUAMI DENGAN MOTIVASI IBU DALAM MEMBERIKAN ASI EKSLUSIF PADA BAYI DI PUSKESMAS BENTENG KOTA AMBON
Authors: Wakano Melawati , Mahmud Petriana E. , Torimtubun Ivonny
Published: March 2022

Tingginya angka kematian bayi di Indonesia salah satu disebabkan oleh rendahnya pemberian ASI eksklusif selama 6 bulan pertama kehidupan bayi. Tujuan Penelitian ini adalah menganalisis hubungan pengetahuan dan dukungan suami dengan motivasi ibu dalam memberikan ASI pada bayi. Jenis penelitian ini survey analitik dengan desain penelitian Cross sectional study. karena pada penelitian ini variabel independen dan dependen akan diamati pada waktu  yang sama, jadi tidak ada follow up pada penelitian ini. Teknik pengambilan sampel Total sampling dengan 71 responden. Data penelitian diperoleh dengan cara memberikan Kuesioner untuk melihat Pengetahuan Ibu dan Dukungan Suami Dengan Motivasi Ibu Dalam Memberikan Asi Ekslusif, Analisa data menggunakan uji statistik Chi Square. Hasil penelitian diperoleh ada hubungan pengetahuan ibu dengan motivasi ibu dalam memberikan ASI Eksklusif  dengan nilai P sama dengan 0,000, Sedangkan dukungan suami dengan motivasi terhadap pemberian ASI Eksklusif diperoleh ada hubungan dengan nilai P sama dengan 0,000, Oleh karena itu motivasi ibu dalam Pemberian ASI Eksklusif sangat di dukung oleh pengetahuan ibu dan dukungan dari suami.
Faktor-Faktor yang Mempengaruhi Onset Laktasi pada Ibu Post Partum di Rumah Sakit Ibu dan Anak Puri Bunda Malang
Authors: Pramesi Dina Yusi Ayu , Toyibah Afnani , Wahyu Reni
Published: March 2022

Pemberian ASI eksklusif masih sangat jauh dari target nasional sebesar 80 persen. Bayi yang tidak mendapatkan ASI akan mengalami peningkatan resiko infeksi pernapasan, infeksi gastrointestinal, mengganggu pertumbuhan dan perkembangan dan pertahanan tubuh yang kurang baik. Beberapa penelitian menunjukkan bahwa onset laktasi merupakan salah satu faktor keberhasilan ASI eksklusif. Onset Laktasi adalah persepsi ibu ketika payudara terasa keras, penuh atau berat dan sampai air susu atau kolostrum keluar. Penelitian ini bertujuan untuk mengetahui faktor faktor yang mempengaruhi onset laktasi pada ibu post partum yaitu faktor paritas, metode persalinan dan kecemasan. Penelitian ini merupakan penelitian analitik dengan metode pendekata cross sectional, sampel dalam penelitian ini 74 ibu post partum dengan menggunakan metode purposive sampling. Pengumpulan data menggunakan kuesioner onset laktasi dan kuesioner kecemasan Hamilton Rating Skale for Anxiety atau HRS A. Analisa data dilakukan secara univariat dan bivariat menggunakan uji Chi Square yang menunjukkan bahwa semua faktor yaitu paritas, metode persalinan dan kecemasan dapat mempengaruhi onset laktasi pada ibu post partum. Faktor paritas didapatkan nilai p sama dengan 0,023, faktor metode persalinan p sama dengan 0,037, dan faktor kecemasan p sama dengan 0,002. Kesimpulan berdasarkan hasil penelitian adalah ibu multipara mengalami onset laktasi lebih cepat daripada ibu primipara, ibu dengan persalinan normal lebih cepat mengalami onset laktasi dibandingkan dengan ibu dengan persalinan seksio sesarea dan ibu yang mengalami kecemasan akan lebih lambat dalam onset laktasi dibandingkan dengan ibu yang tidak cemas. Dengan diketahui adanya pengaruh paritas, metode persalinan dan kecemasan dengan onset laktasi diharapkan dapat meningkatkan pemberian ASI pada bayi di RSIA Puri Bunda Malang.
Physical Mobility In Non-Hemoragic Stroke Upper Extreme With Rom On (Cylindrical Grip) At Upt Pelayanan Sosial Lanjut Usia Binjai
Authors: Pangaribuan Resmi , Manjani Yuri Sutri , Tarigan Jemaulana
Published: March 2022

Stroke or Cerebrovascular Accident or CVA is a disease that attacks anyone with a very sudden occurrence and can increase with age. Growing old is a natural process of a person after going through several stages, ie neonates, toddler, praschool, adolescents, adults and the elderly. Cylindrical Grip is a functional hand exercise by gripping a cylindrical object. The study used descriptive case study method. The subjects of the study were conducted in two patients with the same case, specifically the elderly patients who had non hemorrhagic stroke with physical mobility problem. The results of the study was obtained in both patients with the decreased of physical mobility in the upper extremities of the right and the left hand. Nursing intervention and implementation were carried out by monitoring the patient blood pressure, determining the factors that related to the patient general condition, providing range of motion exercise or Cylindrical Grip by placing a roll of tissue paper to the patient who had the hand grip weakness, monitoring muscle strength, and taking the collaboration with the doctors and other health team or physiotherapist for stroke.The evaluation was carried out for 3 days and the result obtained by doing Cylindrical Grip for 3 days, namely 2 times a day, and it was found that the physical weakness of the patients with stroke were partially resolved. It is recommended to another researchers to examine more deeply about the effectiveness of providing Cylindrical Grip in accordance with the Standard Operating Procedure or SOP in the orphanages.
PENGEMBANGAN ASUHAN PERSALINAN NORMAL (APN) BERBASIS CARING APPROACH TERHADAP UPAYA PENINGKATAN KOMPETENSI BIDAN DI PRAKTIK MANDIRI BIDAN KABUPATEN JEMBER
Authors: Umami Riza , Prijatni Ida
Published: March 2022

Bidan dalam menolong persalinan menggunakan Standart Asuhan Persalinan  Normal  atau APN sehingga pertolongan persalinan benar dan aman, akan tetapi faktanya Angka Kematian Ibu dan bayi masih tinggi.  Caring adalah  bentuk  asuhan  yang diberikan  oleh bidan  kepada  klien yang didasari  dengan  rasa peduli, ikhlas, lembut dan penuh kasih sayang serta menggangap  bahwa klien merupakan keluarga kita sendiri. Perilaku caring sangat diperlukan  karena caring merupakan  inti dari kinerja bidan untuk memenuhi kesejahteraan klien. Penelitian ini bertujuan untuk mengembangkan APN  dengan  mengintegrasikan  unsur  caring. Jenis penelitian yang digunakan adalah  Research  and Development dengan tujuan mengembangkan  APN  berbasis Caring Approach dalam  rangka meningkatkan kompetensi bidan.  Desain penelitian  ini  adalah  quasi  eksperimen.    Pengambilan  sampel  menggunakan    purposive sampling sebesar  45 responden  bidan yang   memiliki PMB di wilayah Kabupaten Jember. Instrumen menggunakan kuesioner.  Analisis data menggunakan  uji Wilcoxon Signed Rank Test dengan signifikansi p sama dengan 0,05. Dari hasil penelitian ini hampir seluruh standart perlu diintegrasikan  caring, dengan   mengintegrasikan caring pada langkah Asuhan Persalinan Normal dalam   meningkatkan   kompetensi bidan ini dapat mengurangi kejadian kematiian pada ibu dan bayi sehingga kesejahteraan dan kepuasan klien terpenuhi
Percutaneous Minimally Invasive Fetoscopic Surgery: Ramah Ibu dan Janin
Authors: Marshalita Nadya
Published: March 2022

Spina bifida is a neural tube defect in which incomplete closing of the spine membrane that occurs in the lumbar and sacral. The defect of spina bifida can be motoric defect or sensoric defect. Clinical manifestation of spina bifida can be appear as limb anaesthesia, total paralysis, incontinensia urine and alvi that can cause recurrent uronary tract infection, renal insufficiency, and nephropathy reflux. Spina bifida can cause hindbrain herniation and hydrocephalus. Diagnosis of spina bifida can use 2D ultrasonography, 3D ultrasonography, and MRI. Procedure surgery of spina bifida can be done with postnatal surgery, prenatal surgery, or percutaneous minimally invasive fetoscopic surgery. Percutaneous minimally invasive fetoscopic surgery is a procedure to close the defect of fetus while intrauterine using minimal access with three or four trocar and using partial amniotic carbon dioxide insufflation (PACI) without laparotomy or hysterectomy. The adventage of percutaneous minimally invasive fetoscopic surgery compare with postnatal surgery and prenatal surgery is improve baby’s motoric function, decrease risk of ventriculoperitoneal (VP) shunt, decrease hindbrain herniation, decrease fluid in hydrocephalus, decrease risk of preterm birth, decrease risk of spontaneous membrane rupture, oligohydramnione, uterine dehiscence, uterine rupture, less pain in two days, and mother can go home from the hospital in a weeks.

Keywords: Spina bifida, percutaneous minimally invasive fetoscopic surgery, partial amniotic carbon dioxide insufflation (PACI)
Strengthening GTRA Institutions in Responding to the Challenges of Agrarian Reform in Rejang Lebong Regency
Authors: Rineksi Trisnanti Widi
Published: March 2022

To accomplish agrarian reform (RA) which aims to improve people's welfare by rearranging the structure of land tenure along with community empo¬wer¬ment, organizational elements with solid synergy are required. The Rejang Lebong Regency Government, BPN, the Alliance of Indigenous Peoples of the Archipelago (AMAN), and other elements of the Agrarian Reform Task Force (GTRA) supported by the Presidential Staff Office (KSP) have been trying to carry out this mandate since 2017. This paper aims to provide an overview of the implementation of RA, the challenges faced by the RA institutions in Rejang Lebong Regency. The method used is descriptive qualitative research. The collected data and information is then analyzed into several categories, namely the settlement of potential land objects for agrarian reform (TORA), agrarian conflict resolution, asset management which is followed up with com¬munity empowerment as outlined in the Kampung Reforma Agraria Project, and the role of RA institutions. The findings in this study are that the implementation of RA in Rejang Lebong Regency, which is fully supported by the commitment of the local government, initiatives from the community, and support from the ministry of vertical institutions (especially the Ministry of ATR/BPN, KLHK, and KSP), answers various challenges that arise, especially in terms of cross-sectoral coordination. However, there needs to be a more operational implementing regulation as a derivative of Perpres no. 86 of 2018 as a supporter and reinforcement of the policies issued by GTRA.
Meningkatkan Kinerja Backpropagation Neural Network Menggunakan Algoritma Adaptif
Authors: Bohari Abdul Rahman
Published: March 2022

The application of Artificial Neural Networks in various fields of human life is getting wider, especially in the industrial sector. One of the artificial neural network structures that are quite often used is the Feedforward Neural Network with its well-known learning algorithm, namely Backpropagation. However, as reported by several researchers, Backpropagation has several weaknesses such as it takes a long time to converge in the training process, it is quite sensitive to initial weight conditions and is relatively often trapped in a local minima which can thwart the training process. In this study, the Adaptive algorithm is proposed as an alternative to the Backpropagation learning algorithm. The proposed algorithm provides hope in overcoming the weaknesses faced by Bakpropagation. As reported in the test results, compared to Backpropagation, the Adaptive algorithm is much stronger in dealing with variations in the initial weight conditions. From 100 tests in this study for each Backpropagation and Adaptive algorithm, with random variations for the initial weight value, the success rate of the Adaptive algorithm training process reaches 100% compared to Backpropagation which is at the level of 77%. In terms of speed, the Adaptive algorithm has successfully carried out the training process with an average number of iterations of 37 times compared to Backpropagation which requires an average of 162 iterations.
Pengendalian Kualitas Produk Tas Di Megatama Group Menggunakan Six Sigma
Authors: Putri Destiana , Pangastuti Nova , Hidayat Miwan , Parningotan Sepriandi , Waruwu Agustian
Published: March 2022

Business competition in the fashion industry will certainly greatly affect the level of quality that must be achieved by a company. Companies are competing to do many product innovations and improve quality and reduce reject products so that companies achieve the expected benefits or profits. If the company cannot control the quality properly, it can be imagined that the reject product will be high and this will certainly harm the company, not to mention the availability of uncertain materials can also be one of the factors hindering production. In one production of 5000 products there are 100 defective products that must be repaired. Defective products occur mostly in manual processes, namely in the gluing process. This research was conducted to find out related to quality control to reduce rejects that have been happening so far. The method used is Six Sigma DMAIC. Based on the calculation of the average DPMO value and the average sigma value of 3.7 with the possibility of damage to the production of 12,000 pcs when producing 1,000,000 pcs of bags.
EVALUASI PROGRAM KETERAMPILAN DI MADRASAH ALIYAH MENGGUNAKAN MODEL CIPPO
Authors: Muzayanah Umi
Published: March 2022

Keberadaan program keterampilan di madrasah aliyah non vokasi sesungguhnya telah lama dipraktikkan di beberapa madrasah. Seiring kebutuhan pendidikan keterampilan di madrasah aliyah, Kementerian Agama terus membuka peluang bagi madrasah aliyah untuk menyelenggarakan program keterampilan. Dengan menggunakan metode kualitatif, penelitian ini bertujuan untuk megevaluasi program keterampilan pada MAN 1 Surakarta dan MAN 1 Karanganyar Jawa Tengah. Model evaluasi yang digunakan adalah evaluasi Context, Input, Process, Product, dan Outcome (CIPPO). Hasil penelitian menunjukkan bahwa implementasi program keterampilan di MAN 1 Surakarta dan MAN 1 Karanganyar berjalan cukup baik. Dari lima aspek yang dievaluasi, aspek product memperoleh skor yang paling rendah dibanding empat aspek lainnya. Hal ini dikarenakan belum adanya sertifikasi keahlian dari lembaga pelatihan bagi lulusan program keterampilan, produk keterampilan belum memiliki standar nasional, dan masih sedikit alumni program keterampilan yang bekerja atau membuka usaha sesuai dengan keahlian yang diperoleh di madrasah. Oleh karena itu, madrasah aliyah program keterampilan perlu meningkatkan kerjasama dengan lembaga pelatihan dan dunia industri sampai kepada penerbitan sertifikat keahlian bagi lulusan program keteranpilan dan rekrutmen tenaga kerja dari alumni program keterampilan.
MODEL PENDIDIKAN ENTREPRENEURSHIP DI PESANTREN API TEGALREJO MAGELANG
Authors: Ahyadi Ahyadi , Ghofur Abdul , Musthofa Musthofa , Sunjana Sunjana , Zainudin Zainudin
Published: March 2022

Pondok pesantren memiliki peran yang signifikan dalam pembangunan nasional terutama dalam bidang pendidikan agama. Pondok pesantren di Indonesia selain mengajarkan agama, di beberapa pesantren juga membekali santrinya dengan pendidikan kewirausahaan. Salah satu pondok pesantren yang memberikan pendidikan kewirausahaan adalah di Pondok Pesantren API Tegalrejo Magelang. Penelitian ini bertujuan untuk mengetahui model pendidikan entrepreneurship di pesantren di pondok pesantren tersebut. Penelitian ini termasuk jenis kualitatif dengan pendekatan studi pustaka. Analisis data penelitian dideskripsikan berdasarkan temuan data secara deskriptif kualitatif. Hasil penelitian menunjukkan bahwa, di pondok pesantren API Tegalrejo Magelang sudah menerapkan pendidikan entrepreneurship. Pesantren entrepeneur (PARTNER) berdiri tahun 2010 dan sebagai direkturnya adalah KH. M Yusuf Chudori. Setiap tahun PARTNER meluluskan kurang lebih 250 santri entrepreneur. Dalam bidang pendidikan, pesantren  ini menggunakan kurikulum khusus tentang entrepreneur. Model yang diterapkan dalam implementasi pesantren entrepreneur adalah observasi, mentoring atau soft brain wash, dan workshop.
KEPEMIMPINAN LOKAL, MODERASI BERAGAMA DAN PEMBANGUNAN BERKELANJUTAN DI PURWAKARTA
Authors: Kosasih Kustini , Eko Putro Moh Zaenal Abidin , Mardamin Asnawati
Published: March 2022

Moderasi beragama masih terus dikampanyekan oleh pemerintah karena dipandang memiliki nilai strategis untuk pembangunan pemahaman keagamaan anak bangsa di bidang keagamaan. Penelitian moderasi beragama dari sudut teks-teks telah banyak dilakukan. Namun untuk aspek konteks sosial dengan mengarah pada institusi sosial dan kenegaraan masih belum banyak dilakukan. Artikel ini bertujuan untuk menggambarkan implementasi konsep moderasi beragama yang tanpa tersadari telah dicanangkan oleh pemerintah daerah Purwakarta, Jawa Barat. Dengan menggunakan pedekatan kualitatif, penelitian ini bertujuan menggali implementasi moderasi beragama  di Kabupaten Purwakarta melalui inisiatif Bupati Dedi Mulyadi dalam memperkuat budaya lokal, pembangunan berkelanjutan serta pelembagaan moderasi beragama. Hasil penelitian ini menegaskan bahwa tokoh agama dan tokoh pemerintahan tersebut menerima inisiatif Dedi Mulyadi terkait kebijakan dalam penguatan aspek budaya seiring dengan semangat pembangunan berkelanjutan serta moderasi beragama.
PENANAMAN KARAKTER NASIONALISME DI PONDOK PESANTREN SALAFI
Authors: Anwar Sumarsih
Published: March 2022

Pesantren sebagai bagian sistem pendidikan nasional mempunyai peran yang penting dan kehadirannya terus dibutuhkan dalam menumbuhkan nilai-nilai karakter nasionalisme. Dalam perkembangannya, terdapat 2 (dua) jenis pesentren yaitu Salaf dan Salafi. Pesantren Salafi cenderung berideologi Wahabi dan dikenal sebagai gerakan Islam â€œRadikalâ€. Pesantren Darul Sunnah Al Atsary Bekasi ternyata memiliki wajah yang berbeda, walaupun memiliki ciri khas salafi, penanaman karakter nasionalisme terus dilakukan dan dikembangkan. Pimpinan berpandangan bahwa penanaman karakter nasionalisme bagi santri sangat penting. Hal itu sesuai dengan ajaran agama, bahwa mencintai negara sebagian dari iman dan setiap muslim wajib memilikinya. Pendekatan yang diterapkan melalui pembiasaan, indoktrinasi (aturan yang jelas dan konsisten), klarifikasi (mendiskusikan tentang baik buruknya sesuatu hal), contoh tauladan dari pimpinan dan pendidik  dengan menempatkan dirinya sebagai fasilitator, pemimpin, dan orang tua dan bahkan tempat menyandarkan kepercayaan, serta membantu orang lain dalam melakukan refleksi. Bentuk kegiatan penanaman karakter nasionalisme bersifat rutin dan temporer. Data diperoleh melalui wawancara observasi dan dokumentasi.