bluuebunny/crossref_metadata_2025 huggingface dataset:
Optimalisasi Pengetahuan Ibu Postpartum tentang Teknik Menyusui untuk Mencegah Masalah Laktasi di Puskesmas Watu Alo
Authors: Afrinita Maria , Padeng Eufrasi P. , Trisnawati Reineldis , Halu Silvia Angela Norce
Published: September 2024

ABSTRAK Penyebab kegagalan dalam menyusui salah satu diantaranya adalah kurang atau tidak sama sekali mempunyai pengalaman serta pengetahuan tentang bagaimana cara menyusui yang benar. Sehingga sangat penting dilakukan penyuluhan tentang Kesehatan selama menyusui dan Teknik menyusui yang benar untuk mempersiapkan fisik dan psikologis ibu untuk memberikan ASI pada bayi. Memberikan asuhan pada ibu nifas dengan melakukan penyuuluhan dan demonstrasi cara menyusui yang benar untuk mengatasi masalah laktasi. Pemecahan masalah yang dilakukan dalam kegiatan pengabdian masyarakat ini adalah memberikan edukasi dengan media leaflet dan demonstrasi tentang Teknik menyusui yang baik. Dari edukasi dan demonstrasi yang dilakukan diperoleh hasil bahwa ibu mengerti dan dapat mempraktikan cara menyusui dengan baik. Adanya peningkatan pengetahuan ibu dimana dapat mempraktikan kembali Teknik menyusui yang benar dan cara meningkatkan produksi ASI sehingga diharapkam kepada ibu-ibu postpartum yang telaah diberikan edukasi dan pelatihan Teknik menyusui ini dapat mewujudkan tercapainya ASI Ekslusif. Kata Kunci: Pengetahuan, Teknik Menyusui, Postpartum ABSTRACT One of the causes of failure in breastfeeding is lack or no experience and knowledge of how to breastfeed correctly. So it is very important to carry out counseling about health during breastfeeding and correct breastfeeding techniques to prepare the mother physically and psychologically to give breast milk to the baby. Provide care to postpartum mothers by conducting counseling and demonstration of the correct way to breastfeed to overcome lactation problems. The problem solving carried out in this community service activity is to provide education with leaflet media and demonstrations about good breastfeeding techniques. From the education and demonstrations carried out, the results were obtained that mothers understood and could practice breastfeeding properly. there is an increase in maternal knowledge where they can practice the correct breastfeeding techniques and how to increase breast milk production so that it is hoped that postpartum mothers who are studied to be given education and training in breastfeeding techniques can realize the achievement of Exclusive Breastfeeding. Keywords: Knowledge, Postpartum Breastfeeding Techniques, Lactation Problems
Pendidikan Kesehatan tentang Spiritual Emosional Freedom Technique (SEFT) dan dampaknya terhadap Penderita Stroke
Authors: Utomo Budi Setia , Zainaro M. Arifki , Isnainy Usastiawaty Cik Ayu Saadiah
Published: September 2024

ABSTRAK Spiritual emotional freedom technique (SEFT) merupakan salah satu teknik pengobatan alternatif yang telah cukup lama dikenal. Teknik ini merupakan pengembangan dari teknik lain yang diperkenalkan oleh anak bangsa. SEFT termasuk tehnik relaksasi, merupakan salah satu bentuk pengobatan alternatif yang lebih mudah dan aman dibandingkan akupuntur dan akupresur. Karena sifatnya yang mudah dan murah maka penyebarluasan teknik ini lebih mudah untuk dilakukan, salah satunya pada warga Dusun GG. salak II, kemiling permai, kec,kemiling permai, kab. bandar lampung. Warga Dusun GG. salak II, kemiling permai, kec,kemiling permai, kab. bandar lampung yang telah memperoleh informasi tentang metode ini dapat menggunakannya sebagai pengobatan alternatif dan terapi SEFT (spiritual emotional freedom technique) adalah terapi dengan menggunakan gerakan sederhana yang dilakukan untuk membantu menyelesaikan masalah permasalahan sakit fisik maupun psikis, meningkatkan kinerja dan prestasi, meraih kedamaian dan prestasi serta kebermaknaan hidup. Kata Kunci: SEFT,Terapi SEFT, Stroke  ABSTRACT Spiritual emotional freedom technique (SEFT) is an alternative medicine technique that has been known for a long time. This technique is a development of other techniques introduced by the nation's children. SEFT, including relaxation techniques, is a for-m of alternative treatment that is easier and safer than acupuncture and acupressure. Because it is easy and cheap, it is easier to disseminate this technique, one of which is to the residents of GG Hamlet. salak II, kemiling permai, kec, kemiling permai, kab. Bandar Lampung. Residents of GG Hamlet. salak II, kemiling permai, kec, kemiling permai, kab. Bandar Lampung who have received information about this method can use it as an alternative treatment and SEFT therapy (spiritual emotional freedom technique) is a therapy using simple movements that is carried out to help solve problems of physical and psychological pain, improve performance and achievement, achieve peace and achievement. and the meaning of life. Keyword: Seft, Seft Therapy,Stroke
Pelatihan Tanda Tanda Vital (TTV), Bantuan Hidup Dasar (BHD) Awam dan Pencatatan Pengkajian Berbasis Digital untuk Peningkatan Pengetahuan dan Skill Kader Kesehatan
Authors: Badrujamaludin Asep , Jatnika Galih , Ardiansyah Diki , Hastuti Dwi , Yulita Rita Fitri , Ropei Oop , Kumala Tria Firza
Published: September 2024

ABSTRAK  Kader kesehatan merupakan hal penting dalam peningkatan derajat Kesehatan di desa. Desa wangunjaya merupakan desa yang berada di garut Selatan yang telah memiliki 12 posyandu. Hanya ada 1 posko Kesehatan di desa yang masih belum optimal dalam penggunaannya. Para kader Kesehatan desa belum pernah di lakukan pelatihan terkait pengukuran tanda tanda vital dan BHD pada awam. Pemberian pelatihan kepada kader Kesehatan desa cara pengukuran tanda tanda vital, Bantuan hidup dasar dan juga infut data hasil pengkajian secara online melalui Gform. Setelah di lakukan pre test dan post test terkait aspek pengetahuan terkait TTV dan BHD di dapat rata rata pre test 47 dan rata rata post test 87. Selain itu hasil pelatihan dan pendampingan langsung terkait Observasi pelatihan TTV dan BHD dari 5 meningkat tajam ke 85. Hasil dari pengabdian masyarakat terkait dengan pelatihan dan workshop Pengukuran TTV, BHD dan infut data Kesehatan Masyarakat secara online menggunakan Gform efektif dalam peningkatan pengetahuan dan skill kader Kesehatan di Desa Wangunjaya Bungbulang. Di harapakan peran serta dari Stakeholders di Desa terutama Bidan desa dan pengurus Desa untuk melanjutkan kegiatan TTV, BHD dan infut data dengan monitoring dan evaluasi pada kegiatan kader Kesehatan desa. Selain itu perlunya di sediakan alat alat TTV untuk setiap Posyandu yang di Desa Wangunjaya. Kata Kunci: TTV, BHD, Pengkajian, Digital  ABSTRACT  Health cadres are important in improving the level of health in the village. Wangunjaya Village is a village in South Garut which has 12 posyandu. There is only 1 health post in the village whose use is still not optimal. Village Health cadres have never received training related to measuring vital signs and BHD among laypeople. providing training to village Health cadres on how to measure vital signs, basic life support and also inputting assessment results data online via Gform. After After conducting a pre-test and post-test related to knowledge aspects related to TTV and BHD, the average pre-test was 47 and the average post-test was 87. Apart from that, the results of direct training and mentoring related to TTV and BHD training observations increased sharply from 5 to 85. The results of community service related to training and workshops on measuring TTV, BHD and online input of Public Health data using Gform were effective in increasing the knowledge and skills of Health cadres in Wangunjaya Bungbulang Village. It is hoped that the participation of stakeholders in the village, especially the village midwife and village administrators, will continue TTV, BHD and data input activities by monitoring and evaluating the activities of village health cadres. Apart from that, it is necessary to provide TTV equipment for each Posyandu in Wangunjaya Village. Keywords: TTV, BHD, Study, Digital
Edukasi dan Implementasi Prenatal Yoga untuk Mengurangi Kecemasan dan Nyeri Punggung pada Ibu Hamil Trimester III
Authors: Ginting Ade Krisna , Lathifah Maulida , Amalia Mayta Tazkiya , Setiawati Yeni Tegar Dian , Amalia Siti Aam , Maulida Hilda
Published: September 2024

ABSTRAK Prenatal yoga merupakan salah satu bentuk olahraga yang dapat dilakukan ibu hamil untuk meningkatkan kebugaran fisik dan mental. Beberapa penelitian menunjukkan bahwa yoga prenatal dapat mengurangi kecemasan dan nyeri punggung saat hamil. Kegiatan bertujuan untuk mengurangi kecemasan serta nyeri punggung yang dirasakan oleh ibu hamil trimester III selama masa kehamilannya. Pelaksanaan pengabdian kepada masyarakat ini menggunakan metode  ceramah dan implementasi berupa demontrasi prenatal yoga pada ibu hamil trimester III serta melakukan pre dan post test. Analisis data dengan Microsoft office. Adanya peningkatan pengetahuan Ibu hamil trimester III dengan respon positif yang dapat dilihat dengan hasil pre test ibu hamil timester III yang memiliki pengetahuan dengan kategori baik sebanyak 42.8% (9 orang) dan setelah dilakukan post test Ibu hamil trismester III memiliki pengetahuan dengan kategori baik sebanyak 76.1% (16 orang). Prenatal yoga adalah salah satu intervensi yang efektif untuk mengurangi kecemasan dan nyeri punggung yang dialami oleh ibu hamil trimester III. Kata Kunci: Prenatal Yoga, Edukasi, Ibu Hamil Trimester III  ABSTRACT Prenatal yoga is a form of exercise that pregnant women can do to improve physical and mental fitness. Some studies show that prenatal yoga can reduce anxiety and back pain during pregnancy. The activity aims to reduce anxiety and back pain felt by pregnant women in the third trimester during their pregnancy. Research. This community service implementation uses lecture and implementation methods in the form of prenatal yoga demonstrations for third trimester pregnant women as well as conducting pre and post tests. Data analysis with Microsoft office. There was an increase in the knowledge of third trimester pregnant women with a positive response which can be seen from the pre test results of third trimester pregnant women who had knowledge in the good category as much as 42.8% (9 people) and after the post test third trimester pregnant women had knowledge in the good category as many as 76.1% (16 people). Prenatal yoga is an effective intervention to reduce anxiety and back pain experienced by third trimester pregnant women. Keywords: Prenatal Yoga, Education, Third Trimester Pregnant Women
Fenomenologi Pengalaman Pasien Pra Operasi di Instalasi Bedah Sentral RSUD dr. H. JUSUF SK
Authors: Agustin Marlinda , Hasriana Hasriana , Ose Maria Imaculata , Handayani Fitria , Darni Darni , Damayanti Ana
Published: September 2024

ABSTRACT Waiting time for surgery, worry about the results of surgery, separation from family, anticipation of post-operative pain, loss of sense of independence, fear off surgical procedures and death are things that patient experience when facing surgery. The purpose of this study was to describe the experience off preoperative patients. This study used a qualitative design with a phenomenological study approach. The sample in the study amounted to 10 Participants who were taken according to predetermined inclusion criteria. Data were collected using structure interview and observation methods. The collected data were analyzed using the Colaizzi method. From the result of the participant interview, five themes were produced in the study, which described the patient’s experience of facing surgery, namely (1) Preparing well, (2) Feeling confident about the operation to be undertaken, (3) External support increasing readiness for surgery, (4) Optimism towards operating results. Based on this study, patients described their surgical experience positively and had confidence in the result of the operations they had undergone. Keywords: Experience, Pre-Operative Phenomenological Study.  ABSTRAK Waktu tunggu operasi, kekhawatiran pada hasil operasi, perpisahan dengan keluarga, antisipasi terhadap nyeri pasca operasi, kehilangan rasa kemandirian, ketakutan akan prosedur operasi dan kematian merupakan hal yang dialami oleh pasien saat menghadapi operasi. Tujuan penelitian ini adalah untuk mengetahui gambaran pengalaman pasien pra operasi. Penelitian ini menggunakan desain kualitatif dengan pendekatan studi fenomenologi. Sampel pada penelitian berjumlah 10 partisipan yang diambil sesuai dengan kriteria inklusi yang telah ditentukan. Teknik pengambilan data dengan metode wawancara terstruktur dan observasi. Analisis data menggunakan metode Colaizzi. Hasil wawancara partisipan didapatkan lima tema yang dihasilkan dalam penelitian yang menggambarkan pengalaman pasien menghadapi operasi yaitu (1) Mempersiapan dengan baik, (2) Perasaan yakin terhadap operasi yang akan dijalani, (3) dukungan eksternal meningkatkan kesiapan menjalani operasi (4) Optimisme terhadap hasil operasi. Kesimpulan penelitian ini pasien menggambarkan pengalaman operasi dengan positif dan keyakinan terhadap hasil operasi yang telah dijalani. Kata Kunci: Pengalaman, Pra Operasi, Studi Fenomenologi
Low Serum Vitamin E Levels Positively Correlate with the Severity of Acne Vulgaris
Authors: Sutiawan Indry Salonika , Winaya Ketut Kwartantaya , Suryawati Nyoman , Rusyati Luh Made Mas , Karmila I Gusti Ayu Agung Dwi , Puspawati Ni Made Dwi
Published: September 2024

ABSTRACT Acne vulgaris (AV) is a common disorder of the pilosebaceous, especially prevalent in adolescents. Acne vulgaris ranks among the top ten most prevalent diseases globally. Although AV may resolve spontaneously, sequelae such as scar formation can persist, causing aesthetic and psychological disturbances. There is an antioxidant to counteract acne-causing oxidative stress, vitamin E, which is an important antioxidant in the human body. Therefore, vitamin E in the skin can reduce the formation of squalene peroxide and prevent the occurrence of AV. This is an analytical observational study using a cross-sectional design. The investigation was conducted at the Dermatology and Venereology Clinic of Prof. Dr. I.G.N.G. Ngoerah Denpasar Hospital and the laboratory of the Faculty of Medicine, Udayana University, from February 2024 until the sample size was fulfilled. The sample consisted of patients aged 12-45 years with acne vulgaris who visited the clinic and were then selected through consecutive sampling according to the inclusion and exclusion criteria. In the non-AV group, the mean serum vitamin E level was 19.3 ± 0.99 µg/ml, whereas in the AV group, it was 4.49 ± 19.1 µg/ml, indicating a significant variance. There was a positive correlation between low vitamin E levels and the severity of AV. The linearity graph shows the direction of the relationship between serum vitamin E levels and the severity of AV, which leads to the lower right, indicating that the higher the severity of AV, the lower the serum vitamin E levels. The mean levels differed significantly between the non-AV and AV groups. A favorable association was found between low vitamin E levels and the severity of AV. Keywords: Acne Vulgaris, Severity, Serum Vitamin E, Reactive Oxygen Species (ROS)
Hubungan Tingkat Pengetahuan Keputihan dengan Perilaku Hygiene Genitalia Pada Wanita Usia Produktif
Authors: Widyaningrum Dwi , Hardianto Gatut , Djuari Lilik
Published: September 2024

ABSTRACT Vaginal discharge is a common complaint among women of childbearing age, reproductive age, and puberty. It can occur at all ages, including the productive age. Of all the diseases experienced by women worldwide, 33% are reproductive health problems caused by a lack of knowledge about vaginal discharge. This research is an analytical observational study with a cross-sectional approach. The sample was obtained using purposive sampling, and data from 78 productive-age female respondents. Research instrument using a questionnaire. The statistical test used was Spearman's Rank correlation test. The study shows that 33 individuals (42%) have good knowledge about vaginal discharge, while 41 respondents (53%) have sufficient genital hygiene behavior. The statistical test result with α=0.01 obtained a significance value of p=0.000 and a correlation coefficient value of 0.494. The value of p < α indicates a significant relationship between the level of knowledge about vaginal discharge and genital hygiene behavior with a moderate correlation. The statistical test results with α=0.05 indicate a significant relationship (p<0.001) with a correlation coefficient of α =0.494 means that there is a significant relationship between the level of knowledge about vaginal discharge and genital hygiene behavior with a moderate correlation. Keywords: Vaginal Discharge, Genital Hygiene, Knowledge, Behavior, Productive Age Women  ABSTRAK Keputihan merupakan keluhan umum dikalangan wanita usia subur, usia reproduksi, dan pubertas. Keputihan dapat terjadi pada semua usia termasuk usia produktif. Dari semua penyakit yang dialami wanita di dunia, 33% adalah masalah kesehatan reproduksi yang diakibatkan oleh minimnya pengetahuan tentang keputihan. Penelitian ini bersifat analitik observasional dengan pendekatan cross sectional. Teknik pengambilan sampel  dengan purposive sampling didapatkan data 78 responden wanita usia produktif. Instrument penelitian menggunakan kuisioner. Uji statistik yang digunakan adalah uji Spearman's Rank. penelitian menunjukkan 33 responden(42%) memiliki pengetahuan yang baik tentang keputihan, sedangkan 41 responden (53%) memiliki perilaku hygiene genitalia yang cukup. Hasil uji statistik dengan α=0,05 diperoleh nilai signifikansi p<0,001 nilai koefisien korelasi (0,494) terdapat hubungan yang bermakna antara tingkat pengetahuan tentang keputihan dengan perilaku hygiene genitalia dengan korelasi sedang. Kata Kunci : Keputihan, Hygiene Genitalia, Pengetahuan, Perilaku, Wanita Usia Produktif
Pengaruh Inisiasi Menyusui Dini (IMD) terhadap Suhu dan Kehilangan Panas pada Bayi Baru Lahir
Authors: Kurianti Kurianti , Sitorus Kony Enjeli , Malau Kristina Juni Br , Manalu Latipah Br
Published: September 2024

ABSTRACT Premature babies have a high risk of diseases related to prematurity, including idiopathic respiratory distress syndrome (hyaline membrane disease), aspiration pneumonia due to incomplete swallowing and coughing, spontaneous bleeding and lateral cerebral ventricles, due to cerebral anoxia (closely related to respiratory disorders, hyperbiliruninemia due to immature liver function), and hypothermia. The aim of this research is the Relationship between Baby Care Procedures and Neonatal Infections in Premature Babies. This type of research uses descriptive analytical survey research with a cross sectional design. The population in this study was all 50 premature baby patients at the Royal Prima Medan Hospital. analysis of the effect of IMD on conduction heat loss. Heat loss by conduction in the IMD group was lower than in the non-IMD group but statistically using the t-test technique there was no significant difference with a p value > 0.05. There is an effect of early initiation of breastfeeding on axillary temperature in babies after one hour of birth. Dry heat loss was lower in the IMD group compared to the non-IMD group but was not statistically significant Keywords: Early Initiation of Breastfeeding, Temperature, Heat Loss, Infant, Newborn  ABSTRAK Bayi prematur mempunyai risiko tinggi terhadap penyakit-penyakit yang berhubungan dengan prematuritas, antara lain sindrom gangguan pernafasan idiopatik (penyakit membrane hialin), aspirasi pneumonia karena refleksi menelan dan batuk belum sempurna, perdarahan spontan dan ventrikel otak lateral, akibat anoksia otak (erat kaitannya dengan gangguan pernafasan, hiperbiliruninemia karena fungsi hati belum matang), dan hipotermia. Tujuan penelitian ini Hubungan Prosedur Perawatan Bayi Dengan Infeksi Neonatal Bayi Prematur. Jenis penelitian ini menggunaan penelitian survei bersifat deskriptif analitik dengan rancangan Cross Sectional. Populasi dalam penelitian ini adalah Semua pasien bayi prematur  sebanyak 50 orang di Rumah Sakit Royal Prima Medan. analisis pengaruh IMD ter-hadap kehilangan panas konduksi. Kehilangan panas secara konduksi pada kelompok IMD lebih rendah dari pada kelompok non IMD namun secara statitik dengan teknik t-test tidak terdapat perbedaan bermakna dengan nilai p value > 0,05. Terdapat pengaruh inisiasi menyusu dini terhadap suhu aksila pada bayi setelah satu jam kelahiran. Kehilangan panas kering lebih rendah pada kelompok IMD dibandingkan dengan kelompok non IMD tetapi tidak bermakna secara statistik Kata Kunci: Inisiasi Menyusui Dini, Suhu, Kehilangan Panas, Bayi, Baru Lahir
Relaksasi Autogenik untuk Menurunkan Nyeri Saat Perawatan Luka
Authors: Supriyanti Endang , Kustriyani Menik
Published: September 2024

ABSTRACT Wound care is one of the actions that cause pain. Pain during wound care is very disturbing to patients because the level of pain felt is mostly at the level of moderate to severe pain. Autogenic relaxation is one of the non-pharmacological techniques to overcome pain in the form of self-suggestion abilities using short sentences that provide comfort effects. The purpose of this study was to determine the effect of autogenic relaxation on pain in patients during wound care. This type of research is a quasi-experiment pre and post test without control. The number of samples was 20 respondents who underwent wound treatment at the Lanang Children's Wound Clinic Semarang with total sampling technique. Respondents measured their pain levels using the Numeric Rating Scale (NRS). Autogenic relaxation intervention was given for 20 minutes during wound care. The results of the Wilcoxon test showed that most respondents, namely 16 respondents, experienced a decrease in pain levels after being given autogenic relaxation with an average score of 8.5. While 4 respondents did not experience changes in pain levels after being given autogenic relaxation but still experienced a decrease in pain scores. The significance value obtained was 0.001 with an α = 0.05 value.  Based on these results it can be concluded that there is an effect of autogenic relaxation on pain during wound care in patients at the Lanang Children's Clinic Semarang. Keywords: Pain, Wound Care, Autogenic Relaxation  ABSTRAK Perawatan luka merupakan salah satu tindakan yang menimbulkan nyeri. Nyeri saat perawatan luka sangat menganggu pasien karena tingkat nyeri yang dirasakan sebagian besar berada pada tingkat nyeri sedang sampai dengan berat. Relaksasi autogenik merupakan salah satu teknik nonfarmakologi untuk mengatasi nyeri berupa kemampuan sugesti diri menggunakan kalimat pendek yang memberikan efek kenyamanan. Tujuan penelitian ini untuk mengetahui pengaruh relaksasi autogenik terhadap nyeri pada pasien saat dilakukan perawatan luka. Jenis penelitian ini adalah quasi-eksperiment pre and post test without control. Jumlah sampel sebanyak 20 responden yang menjalani perawatan luka di Klinik Luka Anak Lanang Semarang dengan teknik total sampling. Responden diukur tingkat nyerinya dengan menggunakan Numeric Rating Scale (NRS). Intervensi relaksasi autogenik diberikan selama 20 menit pada saat perawatan luka. Hasil uji wilcoxon test menunjukkan sebagian besar responden yaitu sebanyak 16 responden mengalami penurunan tingkat nyeri setelah diberikan relaksasi autogenik dengan skor rata-rata 8,5. Sedangkan 4 responden tidak mengalami perubahan tingkat nyeri setelah diberikan relaksasi autogenik akan tetapi tetap mengalami penuruan skor nyeri.Nilai signifikansi yang didapat sebesar 0.001 dengan nilai α = 0,05. Berdasarkan hasil tersebut dapat disimpulkan bahwa terdapat pengaruh relaksasi autogenic terhadap nyeri saat perawatan luka pada pasien di Klinik Anak Lanang Semarang. Kata Kunci: Nyeri, Perawatan Luka, Relaksasi Autogenik
Efektifitas Terapi Wim Hoff terhadap Respirasi, Saturasi Oksigen dan Denyut Jantung Pada Pasien TB Paru di Isolasi RSUD PROF. DR. ALOEI SABOE
Authors: Habu Izrak , Nurlia Nurlia , Syamsuddin Fadli , Ibrahim Mohamad Taifan
Published: September 2024

ABSTRACT Pulmonary TB disease After initial infection, an individual may develop active disease due to impaired or inadequate immune system response. One of the non-pharmacological therapies that can be done is Wim Hoff therapy to overcome the symptoms caused by tuberculosis (TB) disease. to determine whether the effectiveness of Wim Hoff therapy on respiration, heart rate and oxygen saturation in pulmonary TB patients in the isolation room of RSUD. Prof. Dr. Aloei Saboe Gorontalo City. Pre-experimental with a one-group pre-post test design approach. The sample used was patients with a medical diagnosis of Pulmonary TB in the isolation room of Aloei Saboe Hospital, Gorontalo City with a total of 15 respondents. Based on the results of statistical tests, it is known that the effectiveness of Wim Hoff therapy on respiration where the P-value = 0.000 is obtained with a value of α < 0.05, Oxygen Saturation (SaO2) is obtained P-value = 0.000 or α < 0.05, and heart rate is obtained P-value = 0.003 with a value of α < 0.05 which means that Wim Hoff therapy is effective on respiration, oxygen saturation (SaO2) and heart rate in pulmonary TB patients in the Isolation Room of the RSUD. Prof. Dr. Aloei Saboe Gorontalo City. This study can apply the Wim Hoff method as a non-pharmacological therapy in pulmonary TB patients who have problems with breathing, oxygen saturation and heart frequency. Keywords: Heart Rate, Respiration, Oxygen Saturation, Wim Hoff  ABSTRAK Penyakit TB paru setelah infeksi awal, sesorang dapat mengalami penyakit aktif karena gangguan atau respon yang inadekuat dari respon sistem imun. . Terapi non-farmakologi yang dapat dilakukan salah satunya adalah terapi Wim Hoff untuk mengatasi gejala yang ditimbulkan oleh penyakit tuberkulosis (TB). untuk mengetahui apakah efektifitas terapi wim hoff terhadap respirasi, denyut jantung dan saturasi oksigen pada pasien TB paru ruangan isolasi RSUD. Prof. Dr. Aloei Saboe Kota Gorontalo. Pra-eksperimental dengan pendekatan one-group pra-post test design. Sampel yang digunakan yaitu pasien dengan diagnosa medis TB Paru di ruang isolasi RSUD Aloei Saboe Kota Gorontalo dengan jumlah 15 responden. Berdasarkan hasil uji statistik diketahui efektifitas terapi Wim Hoff terhadap respirasi dimana diperoleh nilai P-value=0,000 dengan nilai α <0,05, Saturasi Oksigen (SaO2) yaitu diperoleh nilai P-value=0,000 atau α<0,05, dan denyut jantung di peroleh nilai P-value=0.003 dengan nilai α < 0.05 yang artinya bermakna efektif terapi wim hoff terhadap respirasi, saturasi oksigen (SaO2) dan denyut jantung pada pasien TB paru Ruangan Isolasi RSUD. Prof. Dr. Aloei Saboe Kota Gorontalo. Penelitian ini dapat menerapkan metode wim hoff sebagai terapi non-farmakologi pada pasien TB paru yang memiliki masalah pada pernafasan, saturasi oksigen dan frekuensi jantung. Kata Kunci: Denyut Jantung, Respirasi, Saturasi Oksigen, Wim Hoff
Sixteen-Year Secular Trends in Sleep Duration Among Korean Children and Adolescents
Authors: Sunwoo Hyun , Lee Yaeji , Kwon Yu-Jin
Published: September 2024

Objective: This study aimed to analyze trends in adolescent sleep duration over a 16-year period according to sex, educational level, residential area, and obesity.Methods: In this cross-sectional study, data from the 2007–2022 Korean National Health and Nutrition Examination Survey were analyzed. Total sleep duration was measured using a self-administered questionnaire, and a survey-weighted linear regression analysis, considering the survey year as a continuous variable, was performed to examine the trend. Total sleep duration trends were also analyzed across subgroups categorized according to sex, educational level, residential area, and obesity level.Results: Total sleep duration showed an overall increasing trend in boys (coefficient=0.027, ptrend<0.001), but no substantial trend was observed in girls (coefficient=0.002, ptrend=0.816). In the residential area-specific analyses, total sleep duration increased only in boys whose residential areas were urban (coefficient=0.017, ptrend<0.001). When classified by educational level, statistically significant increases in total sleep duration were observed among elementary school graduates or less (coefficient=0.018, ptrend=0.001) and middle school graduates (coefficient=0.015, ptrend=0.015). Depending on the obesity level, total sleep duration increased in normal-weight and overweight boys (normal weight: coefficient=0.014, ptrend=0.003; overweight: coefficient=0.038, ptrend=0.025).Conclusion: This study found increasing or stable trends in sleep duration among adolescents aged 13 to 18 in Korea, with variations observed across subgroups based on sex, residential area, educational level, and obesity status.
Could Timed Targeting of the Circadian-Controlled NLRP3 Inflammasome Be a Potential Therapeutic Strategy for Treatment of COVID-19–Induced Encephalitis?
Authors: Chukwunyere Ugochukwu
Published: September 2024

The new coronavirus disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has several manifestations including neurological complications like encephalitis. The NOD-like receptor family pyrin domain-containing 3 (NLRP3) inflammasomes, which are regulated by the circadian clock genes, are key signaling proteins that detect pathogenic microorganisms and sterile stressors and activate the pro-inflammatory cytokines such as interleukin-1β and -18 (IL-1β and IL-18). The disruption of circadian rhythms following SARS-CoV-2 binding to angiotensin-converting enzyme 2 (ACE2) receptors in the capillary endothelium could lead to hyperactivation of the NLRP3 inflammasome, contributing to an enhanced inflammatory response in the central nervous system, thereby increasing susceptibility to or severity of coronavirus disease 2019 (COVID-19)-induced encephalitis. This review highlights the role of the circadian-controlled NLRP3 inflammasome in the pathogenesis of COVID-19-induced encephalitis and suggests targeting the NLRP3 circadian axis for timely intervention as a potential therapeutic target for the treatment of COVID-19-induced encephalitis.
Amalan Wakalah Pengurusan Zakat di Institusi Pengajian Tinggi Malaysia
Authors: Rahman Azman Ab , Romli Ammar Badruddin , Abd Shakor Muhammad Faiz , Daud Mohd Noor , Matali Azme
Published: September 2024

Kewujudan unit pengurusan zakat IPT dan pelantikan amil IPT telah meningkatkan keberkesanan kutipan dan agihan zakat di Malaysia. Pelantikan amil IPT adalah sesuai dengan kedudukan mereka yang lebih dekat dengan kelompok pembayar dan penerima zakat di IPT.  Justeru, artikel ini akan memfokuskan kepada amalan wakalah pengurusan zakat institusi pengajian tinggi di Malaysia. Kajian kualitatif ini menggunakan kaedah dokumentasi dan pemerhatian bagi mencapai objektif kajian.  Hasil kajian mendapati bahawa amalan wakalah melibatkan kerjasama di antara institusi zakat dengan IPT yang terpilih. Pelaksanaannya adalah tertakluk kepada syarat-syarat dan garis panduan yang telah ditetapkan oleh institusi zakat negeri masing-masing. Kajian  ini  amat penting untuk dijadikan panduan model pelaksanaan wakalah dalam pengurusan zakat khususnya di institusi pendidikan di Malaysia.
Comparison of Covid-19 Treatment Strategies: A Systematic Review
Authors: Nabi Husain Mahato Gulam Husain , Dhwani Manishbhai Patel , Ronak Brijeshkumar Upadhyay , Urja Mukeshbhai Mehta , Malavika Krishnan , Koshy Varghese Mohan , . Manisha , Amer Sohail Mohammad , Manideep Reddy Mungi ,   Department of Internal Medicine, Our Lady of Fatima University, Valenzuela City, Philippines
Published: September 2024

The novel coronavirus (COVID-19) which had its first outbreak in Wuhan, China went on to create a global health crisis. From contemplating the disease as a mere virus to formulating systematic strategies to contain the same, most of the countries had to revamp their healthcare systems. While some countries were able to cease the proliferation of the virus, others failed to do the same. This study in particular aims to evaluate the planned resistance of selected countries (U.S.A, France, India, and Brazil) against COVID-19 in both pharmacological and non-pharmacological aspects and solidarity trial of treatment of COVID -19 by WHO, to come up with a universal treatment guideline that can be followed by countries worldwide.
“From Preparation to Consumption.” Food Safety Practices among Public Food Handler’s in Enugu Metropolis
Authors:   University of Nigeria Teaching Hospital, Enugu State, Nigeria, Wilson Kassy Chukwukasi , Chidinma Ojielo Nwadiuto , Iloabachie Ugenyi Victoria , Ochie Casmir Ndubuisi , Ogugua Ifeoma Juliet , Ntat Ibiok Charles , Onyedinma Chioma Amarachi , Ndu Anne Chigedu , Aguwa Nwabueze Emmanuel , Okeke Adaeze Theodora ,   University of Nigeria Teaching Hospital, Enugu State, Nigeria, Chime Onyinye Hope , Arinze Onyia Uzoamaka Susan ,   Enugu State University Teaching Hospital, Parklane, Nigeria
Published: September 2024

Background Increased demand for public prepared food with numerous food handlers creates uncertainties in the quality of safe foods and possible food contamination. This study aimed to ascertain the food safety hygiene practices and associated factors among public food handlers in Enugu Metropolis, Nigeria. Methodology This was a cross-sectional study conducted among 400 public food handlers in Enugu Metropolis, Nigeria. Samples were selected using multistage sampling technique. Data was collected using pretested structured questionnaire and analyzed using proportion, mean and multiple regression. Statistical significance was set at < 0.05. Results The mean age of respondents were 31.16 ± 8.242 years. About two – thirds, 66.5% of respondents were found to have good knowledge of food hygiene safety practices. The overall food safety hygiene practice mean score was 80.10 ± 10.25 with 70.5% showing good practice. Environmental safety hygiene had good practice of 35.0% and mean score of 24.17 ± 2.29. The factors which statistically significantly predicted overall food safety practices, F (11, 388) = 42.957, P < 0.0001, R2 = 0.536 were educational level (β = 0.148, C.I = 0.860 – 3.082), knowledge level (β = 8.594, C.I = 5.635 – 8.979) and safety trainings (β = 0.517, C.I = 4.102 – 5.474). Conclusion There was good knowledge of food safety hygiene practices with high mean scores except on environmental safety hygiene practices component. Safety training, knowledge level and educational level were the predictors of good practices. Frequent trainings are most needed to prevent or control food contamination and consequent food borne diseases.
Features of the continental volcanic-plutonic belts of the Junggar-Balkhash fold system
Authors: Seitmuratova Eleonora , Ping Shen , Baratov Refat , Dautbekov Diyas , Mashrapova Moldir , Shadiyev Nurgali , Arshamov Yalkunzhan
Published: September 2024

Purpose. The study aims to investigate the formation composition and structural-formation zoning of the Late Paleozoic continental volcanic and volcano-sedimentary formations of the Junggar-Balkhash fold system (JBFS). It also seeks to define the geological-geophysical characteristics and metallogenic specialization of the volcanic-plutonic belts (VPB) in the region. Methods. The research utilizes data from detailed mapping and analysis of Late Paleozoic magmatites in JBFS over the past 10-40 years. Structural-formation zoning of the region was performed from an actualistic perspective, along with the formation typification of stratified and intrusive ore formations. The study of metallogenic specialization was conducted considering modern geophysical research methods. Findings. Two main volcanic-plutonic belts have been identified: the Carboniferous marginal-continental Tasty-Kusak-Kotyryasan-Altunemel Belt and the Carboniferous-Permian intracontinental Balkhash-Ili Belt, which together cover about 80% of the JBFS territory. The geological-geophysical characteristics and metallogenic specialization of these belts have been defined. In particular, the findings highlight significant prospects for epithermal gold-silver and copper-porphyry mineralization. Originality. For the first time, a structural-formation zoning of JBFS has been conducted, and the typification of volcanic-Plutonic Belts has been substantiated. Additionally, their metallogenic specialization has been determined, revealing patterns of localization for epithermal gold-silver and copper-porphyry deposits. Practical implications. The study’s results are of great importance for exploration geology, contributing to the improved efficiency of searching for ore deposits in the region, particularly epithermal gold-silver and copper-porphyry targets.
إدارة العلاقات العامة للهوية الوطنية في المعارض الدولية
Authors: محمد عراك غانم , صالح إيلاف مهدي
Published: September 2024

يهدف البحث إلى دراسة كيف تستثمر العلاقات العامة المناسبات الدولية لإدارة وتسويق الهوية الوطنية للدولة عبر المنصات الإعلامية الرقمية، وقد اعتمد الباحثان على تحليل الصفحة الرسمية لمعارض (أكسبو2020) عبر انستغرام، وتم استخدام المنهج المسحي، وأداة تحليل المحتوى الكيفي، واعتمدا اسلوب الحصر الشامل لتحليل الصور الخاصة بالرموز الوطنية لدولة الامارات والتي بلغت (862) منشورًا.توصل البحث إلى جملة نتائج أهمها: إن إدارة العلاقات العامة ركزت باختصار على الفلسفة الوطنية للدولة في الشعار الأيقوني المصور، واعتمدت على مجموعة من الرموز الحضارية والثقافية، والسياسية، والتأريخية، والجغرافية، والعسكرية في إدارة الهوية الوطنية، فكانت حريصة بأن تذكر أكبر عدد من الرموز لتكون تغطيتها شاملة لتراثها الحضاري القديم، كما وأوصى البحث إن دراسة الهوية الوطنية من الدراسات التي يجب إعطائها حيز في البحوث الأكاديمية؛ للخروج بنتائج دقيقة تعطينا فهم عميق عن دور العلاقات العامة في تسويق الهوية الوطنية، على أساس إنّ الهوية هي المرحلة الأولى من مراحل بناء السمعة.
Characteristics of Chemotherapy Treatments for Breast Cancer Patients at Bhayangkara Tk.1 Pudsdokkes Polri Hospital, Jakarta
Authors: Febriani Amelia , Pujiastuti Fitria , Teodhora Teodhora
Published: September 2024

Background: Breast cancer is a malignant breast tumor that develops in the ductal or lobular epithelium and usually attacks women. Chemotherapy is a cornerstone of breast cancer treatment, particularly for patients with advanced disease or those who are not candidates for surgery or radiation therapy. This research aims to observe the use of chemotherapy drugs for breast cancer patients in terms of chemotherapy regimens and cycles at Bhayangkara Tk.1 Pudsdokkes Polri  Hospital. Methods: This study employs descriptive quantitative approaches. Data were gathered retrospectively from medical records of breast cancer patients receiving chemotherapy at Bhayangkara Tk.1 Pudsdokkes Polri  Hospital Jakarta from July to December 2021. Results: From 110 patients, 86 (78.18%) patients used the CAF regimen, 18 (16.36%) patients used the AC regimen, and 3 (2.73%) patients used the TAC regimen, while the regimen that did not comply with the guidelines was 2 (1.82%) patients using the combination of paclitaxel and epirubicin, 1 patient utilizing the combination of paclitaxel and doxorubicin. Forty-six (41.82%) patients with the CAF regimen had completed six cycles of chemotherapy with intervals of 3 weeks or 21 days, while only 5 patients (3.63%) completed four cycles of the AC regimen at 3-week or 21-day intervals. At the time of data collection, 11 patients, and 1 patient utilizing the AC regimen. This was because 59 patients had not yet finished the chemotherapy cycle, specifically in the advanced stage. Conclusions: The CAF regimen was the most commonly used chemotherapy regimen, followed by the AC and TAC regimens. This finding aligns with current clinical guidelines for breast cancer treatment. A significant number of patients had not yet completed their chemotherapy cycles, particularly those with advanced-stage breast cancer. This highlights the challenges associated with treating advanced disease and the need for more effective and less toxic treatment options.
Characterization of Classic Meningioma with Use of Conventional Magnetic Resonance and Diffusion Tensor Imaging
Authors: Fatmawati Heni , Adji Novan Krisno , Bumi Candra , Putri Komang Yunita Wiryaning
Published: September 2024

Introduction: The conventional magnetic resonance imaging (MRI) method is widely considered ‘with limited success’ in differentiating the meningioma types but may fail to localize the tumor occupation of white-matter fiber bundles accurately. Diffusion tensor imaging (DTI) is considered as an imaging modality that may elucidate the microstructure of brain tumors. We provide characteristics of meningioma using DTI-based-three-dimensional tracing of white matter to portray meningioma in a noninvasive approach and its structural contact to contiguous tumors and elucidate the influence of occupying lesions on white-matter fiber bundles. Case Presentation: A 28-year-old female presented with visuospatial disturbances and persistent headaches for 2 years. Conventional and advanced MRI studies were performed. Diffusion-weighted Images (DWI) and Apparent Diffusion Coefficient (ADC) values were measured in the lesion using routine MRI sequences. Advanced MRI using DTI was also performed. Conventional MRI outcomes showed tumor parenchyma, peritumoral edema, and compression on the circumnavigated brain tissue. There was hyperintense on DW trace image and isointense on ADC map. On T2-weighted image (T2WI) and Fluid-Attenuated Inversion Recovery (FLAIR) images, there was an increased signal intensity that demonstrated an extra-axial lesion, while T1-weighted imaging signals showed hypointensity. DTI fractional anisotropy (FA) marker is an unclear optic radiation in the concerned area, indicating the shift or destruction of the optic radiation. The mean FA values of solid-enhancing areas of meningioma were 0.28 ± 0.17. Mean ADC values (103 mm2/s) were 0.764 ± 0.172. Conclusions: Classic meningioma in this case has low intratumoral FA and high ADC. DTI displayed that intratumoral microscopic water motion is disorganized.
Exogenous Reactive Oxygen Species Augments SMAD4 Expression And TGF-β Paradox in Human Breast Cancer
Authors: Roy Avany Vinod , Padmanabhan Renjini Ambika , Ramachandran Rajesh
Published: September 2024

Background: The Transforming growth factor-β (TGF-β) functions to induce apoptosis, cell cycle arrest, and differentiation is central to sustaining tissue homeostasis and maintaining genomic stability. TGF-β normally, an effective tumor-suppressor that restricts the uncontrolled division of cells augments the development and progression of human malignancies when cytostatic activities of TGF-β are resisted by genetic and epigenetic events caused by tumorigenesis. This dichotomic nature of TGF-β during oncogenesis termed as “TGF-β Paradox,” persists to be the most crucial and puzzling query regarding its physio-pathological function and the role of cellular antioxidant status is highly interrelated which warrants more studies on the role of endogenous reactive oxygen species (ROS) in deciding epithelial-mesenchymal transition (EMT) process. The objective of the study was to check whether enhanced ROS augments the TGF-β pathway facilitating EMT. Methods: In vitro toxicity assay was performed to assess the appropriate concentration of hydrogen peroxide (H2O2) imparting oxidative stress. Comet assay and   8-OHdG (8-hydroxy-2’-deoxyguanosine) enzyme-linked immunosorbent assay (ELISA) were performed to check the extent of DNA damage and adduct production respectively. Mitogen-activated protein kinase (MAPK) p38 ELISA and mRNA gene expression analysis of TGF-β and SMAD were done to verify the effect of H2O2 on these signaling. Results: The objective of the study was to check whether enhanced ROS augments the TGF-β pathway facilitating EMT. Along with morphological alterations, a dose-dependent decrease in cell viability was seen at 300µM of H2O2 compared to 75µM. DCFDA labeling discovered the dose-dependent gradation of intracellular ROS generation and this was correlated to increased cellular DNA damage and DNA adduct production which was increased linearly with increasing H2O2 as evident with comet test and 8-OHdG ELISA. Significantly reduced MAPK p38 activity revealed by indirect ELISA analysis suggests lessened suppression of cell growth. Conclusions: The study establishes that higher intracellular ROS will facilitate the TGF-β paradox leading to epithelial mesenchymal transition which can adversely affect therapeutic strategies targeting EMT
Epidural Analgesia for Palliative Pain Management for A Patient with An Advanced Stage Prostate Cancer: A Case Report
Authors: Susilo Astrid Pratidina , Pryambodho Pryambodho
Published: September 2024

Introduction: Patients with advanced-stage cancer should be able to stay at home with their families without suffering from pain. This case report aims to discuss challenges in pain management of a patient with bone metastasis of prostate cancer who received epidural analgesia at home. Challenges were related to the patients, health professionals, and system. Understanding each factor will bring insights to develop a workable pain management program in the palliative setting. Case Presentation: A 66-year-old male was diagnosed with left sacroiliac joint pain due to metastatic prostate cancer. After a three-year history of prostate cancer and ineffective chemotherapy, the patient complained of pain in the left hip that did not improve with conventional medications (paracetamol, tramadol, and Morphine Sustained Release/MST). In response, the consideration of an epidural implant emerged as a potential solution, offering the prospect of home-based care and autonomous medication administration through an epidural continuous block with intermittent drug injection. Conclusions: This case highlights home-based interventional pain management for cancer, addressing challenges at the patient, health professional, and system level. Overcoming these challenges requires a multidisciplinary approach and robust institutional policies. The insights gained offer valuable lessons for hospitals aiming to enhance the competence of pain and palliative care teams and establish comprehensive support systems in hospital and home settings.
The Role of Stereotactic Body Radiation Therapy for Hepatocellular Carcinoma Patients: A Literature Review
Authors: Giselvania Angela , Sekarutami Sri Mutya , Munandar Arie , Halim Devina Adella , Wijovi Felix
Published: September 2024

Background: Globally, hepatocellular carcinoma (HCC) is the most prevalent kind of primary liver cancer. Treatment options for HCC include radiotherapy, immunotherapy, surgery, targeted therapy, transarterial chemoembolization, and hepatic arterial infusion chemotherapy. Limited efficacy was observed since 70-80% of cases are diagnosed late and unresectable. Growing evidence reported that SBRT is a viable option for locoregional treatments like radiofrequency ablation (RFA) or transarterial chemoembolization (TACE) for patients who did not respond to those treatments. Methods: A thorough search of electronic databases including PubMed, Cochrane Library, and Embase was conducted for studies on Stereotactic Body Radiation Therapy for Hepatocellular Carcinoma published in English over the past 10 years. The review process followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to ensure a systematic approach. Inclusion criteria encompassed studies focusing on SBRT use in HCC treatment, with extracted data synthesized to provide a comprehensive overview of current evidence. Any discrepancies during the review were resolved through consultation with a third reviewer when necessary. Results: In comparison to conventional radiation therapy, Stereotactic Body Radiation Therapy (SBRT) offers precise administration of the high dose of radiotherapy, given in fewer fractions, and may be used in conjunction with other therapy modalities. Global guidelines, including in Indonesia, have proposed the implementation of SBRT. Local control was reportedly achieved in around 90–95% of HCC patients. Multimodal therapies, combined with TACE, showed superior results regarding the local control and overall survival. SBRT may eventually become the definitive treatment for early-stage HCC patients and has a critical role as a transitional therapy for patients awaiting liver transplantation. Improved outcomes and quality of life were also observed in patients with portal vein thrombosis (PVT) and extrahepatic metastases who underwent SBRT. Conclusions: SBRT results in promising local control, raises overall survival, and improves the quality of life in HCC patients with various stages.