bluuebunny/crossref_metadata_2025 huggingface dataset:
Kidney health for all: preparedness for the unexpected in supporting the vulnerable
Authors: Hsiao Li-Li , Shah Kavya M. , Liew Adrian , Abdellatif Dina , Balducci Alessandro , Haris A´gnes , Kumaraswami Latha A. , Liakopoulos Vassilios , Lui Siu-Fai , Ulasi Ifeoma , Langham Robyn G.
Published: June 2023

As the rate of natural disasters and other devastating events caused by human activities increases, the burden on the health and well-being of those affected by kidney disease has been immeasurable. Health system preparedness, which involves creating a resilient system that is able to deal with the health needs of the entire community during times of unexpected disruptions to usual care, has become globally important. In the wake of the COVID-19 pandemic, there is a heightened awareness of the amplification of negative effects on the renal community. Paradoxically, the complex medical needs of those who have kidney diseases are not met by systems handling crises, often compounded by an acute increase in burden via new patients as a result of the crisis itself. Disruptions in kidney care as a result of unexpected events are becoming more prevalent and likely to increase in the years to come. It is therefore only appropriate that the theme for this year’s World Kidney Day will focus on Kidney Health for All: preparedness for the unexpected in supporting the vulnerable.
Fatores associados à adesão ao tratamento em diabéticos, atendidos em núcleo do idoso de uma Universidade Pública do Nordeste
Authors: Silva da Costa Dominique Hellen , Da Silva Morais Everton Glebson , Maio Regiane , Souza Sequeira-de-Andrade Leopoldina Augusta , Martins Calado Cinthia Katiane , Pessoa de Araújo Burgos Maria Goretti
Published: June 2023

Objetivo: avaliar a adesão ao tratamento medicamentoso, físico e nutricional em idosos com diabetes mellitus tipo 2 e variáveis associadas. Metodologia: o desenho é uma coorte transversal, com amostra obtida por conveniência, uma vez que precisam atender aos critérios de inclusão e exclusão da pesquisa. O estudo foi realizado no Ambulatório de Nutrição/Diabetes, do Núcleo de Apoio ao idoso (NAI/UFPE), com pacientes atendidos regularmente no período de 2011-2019. A população foi constituída por 147 idosos portadores de diabetes tipo 2. Resultados:  houve adesão significativa ao tratamento medicamentoso, baixa em relação ao plano alimentar e moderada em atividade física, sendo influenciados por fatores relacionados às limitações socioeconômicas, geográficas e de cunho educativo. Conclusão: apesar da alta adesão ao tratamento medicamentoso, é importante ressaltar que os parâmetros que estão mais relacionados com mudanças no estilo de vida apresentam evidências insuficientes na literatura que apontem adesão significativa a longo prazo, concordando com os achados encontrados no presente estudo.
Alone in the Lone Star State: How a Lack of Centralized Public Defender Offices Fails Rural Indigent Defendants
Authors: Park Aiden
Published: June 2023

The criminal justice system is stacked against indigent defendants. The disadvantages indigent defendants face are exacerbated when mixed with the unique qualities of rural America.

For instance, rural court-assigned attorneys are often picked through ad hoc systems by the very judges these attorneys must appear in front of, creating a judicial conflict of interest. The financial realities of rural public defense work often force counsel to manage a private practice while also balancing court-appointed cases. To the extent integral resources like investigators or experts are present in rural spaces, they are seldom used. This Note highlights the way Texas organizes its public defense system as an example of how the unique properties of rural America interact with our criminal justice system to create substandard representation. As a solution, this Note proposes that rural counties should pool together resources to create centralized, regional public defender offices that serve multiple counties. Centralized offices, rather than private attorneys selected by judges to represent indigent defendants on an ad hoc basis, would sever judicial conflicts of interest; they would allow defenders to focus on their indigent clients rather than be forced to manage a separate practice; and they would have the ability to retain in-house services like investigators. Because establishing these centralized offices requires increased state funding and political will, this Note concludes by analyzing impact litigation lawsuits in several states that successfully improved rural public defense.
Former Whistleblowers: Why the False Claims Act's Anti-Retaliation Provision Should Protect Former Employees
Authors: Stehlin Jim
Published: June 2023

Since the Civil War, the False Claims Act has served as a tool to combat fraud perpetrated against the government. Early fraud by government contractors during the Civil War was quaint: contractors selling the same horse twice or filling a Union Army contract for sugar with sand. Today, the government recovers billions of dollars annually through actions under the FCA.

Essential to the FCA’s functioning are “relators,” private citizens who serve as whistleblowers incentivized to report fraud by receipt of a percentage of whatever amount the government recovers in damages. The government relies on relators to blow the whistle on fraud—over two-thirds of FCA recoveries since 1986 come from cases brought by relators as whistleblowers. So important are these relators that in 1986 Congress amended the FCA and included an anti-retaliation provision to provide relief for employees who experience retaliation from their employers for reporting fraud.

This Note discusses a recent circuit split over whether the anti-retaliation provision of the FCA protects former employees against post-termination retaliation by their employers, arguing that the anti-retaliation provision extends to retaliation against former employees. In arguing in favor of a more inclusive definition of “employee” in the FCA’s anti-retaliation provision, this Note explores the history and purpose of the FCA, the legislative history of the FCA’s anti-retaliation provision, and the arguments for and against the inclusion of former employees under the provision’s protections. Finally, this Note calls for Supreme Court intervention or congressional action to clarify that the FCA’s anti-retaliation provision protects former employees from post-termination retaliation.
Inequitable by Design: The Patent Culture, Law, and Politics Behind COVID-19 Vaccine Global Access
Authors: Benavides Ximena
Published: June 2023

COVID-19 vaccine access has been highly inequitable worldwide, with coverage depending largely on a country’s wealth. By the end of 2021, 64.1% of people living in high-income countries had received at least one dose of the vaccine, compared to only 5.4% of those in low-income countries. Similarly, only high- and upper-middle-income countries had received the most effective vaccines.

The uneven distribution of these lifesaving vaccines is made complex due to the convergence of several factors, but it suggests that the extraordinary expanding and ossifying market and political power of a few vaccine manufacturers founded on intellectual property and complementary policies is a decisive factor in shaping our healthcare systems and securing equitable access to vaccines.

This Article analyzes the power dynamics of vaccine manufacturing and distribution of U.S. pharmaceutical companies in the context of global COVID-19 vaccination. Drawing on the health-justice and law-and-political-economy scholarship of the last decade, this Article demonstrates how a “patent culture” shaped by intellectual property law fundamentally neglects health-equity principles while politicizing healthcare access. These contemporary frameworks suggest that the global COVID-19 vaccine-access problem is the result of avoidable policy choices made by big manufacturers and affluent governments. Despite a long history of inequities in access to healthcare, policy choices—as predicted by Hart’s inverse equity theory—have favored a purposely inequitable-by-design vaccination program driven by the wealth and power of those allowed to control vaccine production and supply globally.

Finally, this Article proposes ways to challenge the normalized and institutionalized patent culture that has commodified access to lifesaving medicines beyond national borders. As it examines national and international legal strategies to address the vaccine-access problem, the Article suggests equity-based principles of public value, transparency, and inclusivity to guide healthcare governance and future reformation of the vaccine-access landscape. An interdisciplinary analysis of the first year of the global vaccine rollout provides an account critical to future policies aiming to address the structural conditions needed to attain equitable health outcomes, even after the pandemic.
Why Do Corporations Merge and Why Should Law Care?
Authors: Sagers Chris
Published: June 2023

Mergers and acquisitions are extraordinarily prevalent in the United States, generating massive expenditures every year. However, a serious empirical puzzle lies at the heart of all that activity. That empirical phenomenon’s most remarkable feature by far is that even though it is well established in an extensive literature and implies far-reaching policy consequences, American law ignores it entirely.

Generations of researchers have failed to find evidence that merger and acquisition activity generates any lasting benefits for the combining firms’ owners or anyone else. No one seriously doubts that efficiencies of scale or technological integration are real or that acquisitions sometimes achieve them. Still, the evidence strongly implies that they are mostly available in small deals among small firms. While the results are no longer very seriously contested, no one has any conclusive explanation for the several puzzles they pose.

This paper comprehensively reviews the empirical literature and works through the policy implications for the major bodies of law it affects. The most important insights are two. First, the evidence should undermine the confidence among scholars of corporation law in the regulatory self-sufficiency of market institutions, on which corporation theory depends so heavily. In particular, a major hope for controlling managerial agency cost—one of the theory’s chief preoccupations—remains the hope that the so-called “market for corporate control” governing hostile takeovers will discipline underperforming managers. The evidence discussed here suggests that the market produces no meaningful benefits at all. The second lesson is simpler. The other major legal regime governing mergers and acquisitions—antitrust—should return to the simpler, pro-enforcement presumptions by which it once more effectively limited market concentration. The fear of jeopardizing pro-competitive gains, on which antitrust merger law has been rendered largely inert, is no longer very defensible. The balance between false positive and false negative should be reset.
ASSESSING THE ECONOMIC IMPLICATIONS OF EGYPT'S POTENTIAL MEMBERSHIP IN BRICS: OPPORTUNITIES, CHALLENGES, AND PROSPECTS
Authors: Muhammad Eid BALBAA
Published: June 2023

This research article explores the potential economic implications of Egypt's hypothetical membership in the BRICS (Brazil, Russia, India, China, and South Africa) group. The study assesses the opportunities, challenges, and prospects that Egypt may encounter by joining this influential association of major emerging economies. Through a comprehensive analysis, the article examines the potential benefits of enhanced economic cooperation, increased market access, and investment opportunities for Egypt within the BRICS framework. Additionally, it addresses the challenges related to economic diversification, trade imbalances, competition with existing BRICS members, and policy alignment. By examining these factors, this article sheds light on the possible outcomes of Egypt's involvement in the BRICS, providing valuable insights for policymakers, researchers, and stakeholders interested in understanding the economic prospects of this potential partnership.
KEYWORDS: BRICS, Economic implications, Investment opportunities, Market access, Egypt, Emerging economies.
EFEKTIVITAS EKSTRAK DAUN KIRINYUH (Chomolaena Odorata L) TERHADAP KELANGSUNGAN HIDUP IKAN LELE DUMBO (Clarias gariepinus) PADA PERSIAPAN DAN REKAYASA TRANSPORTASI TERTUTUP
Authors: Julfinri Yani Sitohang  , Noor Syarifuddin Yusuf  , Inga Torang
Published: June 2023

Penelitian ini bertujuan untuk menguji efektivitas penggunaan rendaman ekstrak daun Kirinyuh (Chromolaena odorata L) untukpengangkutan ikan Lele Dumbo (Clarias gariepinus) dengan sistem tertutup. Penelitian ini menggunakan metode eksperimentalnon-faktorial. Rancangan yang digunakan adalah Rancangan Acak Lengkap (RAL) dengan 4 taraf perlakuan dan masing-masing3 ulangan. Pemberian rendaman ekstrak daun Kirinyuh untuk transportasi benih ikan Lele Dumbo selama 48 jam berpengaruhterhadap kelulushidupan benih ikan Lele Dumbo ( f-hit > f-tabel). Kelangsungan hidup yang tertinggi terdapat pada perlakuan PIdengan ekstrak daun Kirinyuh (Chromolaena odorata L) dengan konsentrasi 50 ppm dan tingkat kelulushidupan sebesar 99 %.P2 dengan ekstrak daun Kirinyuh dengan konsentrasi 100 ppm dengan tingkat kelulushidupan sebesar 87,3 % dan P2 denganekstrak daun Kirinyuh dengan konsentrasi 150 ppm dengan tingkat kelulushidupan sebesar 84,7 %.
POLA PERTUMBUHAN DAN JENIS MAKANAN IKAN BETUTU (Oxyeleotris marmorata) DI DANAU SABUAH KECAMATAN KAHAYAN TENGAH KABUPATEN PULANG PISAU
Authors: Eltary Sifrayelan Hutauruk  , Edison Harteman  , Anang Najamuddin  , Linda Wulandari
Published: June 2023

Penelitian ini bertujuan untuk mengetahui pola pertumbuhan dan jenis makanan ikan Betutu (Oxyeleotris marmorata), serta mengetahui kondisi beberapa parameter kualitas air di Danau Sabuah Kecamatan Kahayan Tengah, Kabupaten Pulang Pisau. Pengambilan sampel ikan dilakukan dengan jaring insang (gillnet) selama 3 kali masa pengamatan dengan interval waktu 7 hari. Pengukuran parameter kualitas air meliputi suhu, kecerahan, kedalaman, kekeruhan, pH dan DO dilakukan pada lokasi yang sama dengan pengambilan sampel ikan. Berdasarkan hasil penelitian, diperoleh total hasil tangkapan ikan Betutu sebanyak 98 ekor dengan sebaran panjang berkisar antara 18-40 cm dan sebaran berat berkisar antara 69-893 gram. Hasil analisis regresi hubungan panjang dan berat ikan Betutu menunjukkan persamaan regresi y = 0,0135x2,9667 dan nilai koefisien determinasi (R2) = 0,927. Nilai b sebesar 2,9667 pada hasil regresi menunjukkan nilai < 3 menjelaskan bahwa pola pertumbuhan ikan Betutu yang tertangkap di Danau Sabuah adalah allometrik negatif. Hasil identifikasi isi lambung ikan Betutu menunjukkan nilai Index of Preponderance tertinggi sebesar 62% dari makanan ikan Betutu adalah ikan, diikuti oleh Nematoda 14%, debris hewan dan serasah masing-masing 11,4%, dan fitoplankton 1,2%. Kondisi kualitas air parameter fisika dan kimia menunjukkan nilai suhu, kedalaman, pH dan DO masih sesuai untuk mendukung pertumbuhan ikan kecuali parameter kecerahan dan kekeruhan
Catasthropic Health Expenditure Analysis Based on Cataracts Severity at Public & Private Hospital in Surabaya
Authors: Putri Linta Meyla , Rochmah Thinni Nurul , Ernawaty Ernawaty
Published: June 2023

Latar Belakang: Tingkat gangguan penglihatan karena katarak di Indonesia menempati posisi pertama di  wilayah Asia Tenggara dan berada di urutan ketiga di dunia yaitu sebesar 1,47%. Adapun prevalensi katarak di Provinsi Jawa Timur berdasarkan Riskesdas tahun 2013 adalah sebesar 1,6%. %. Sebanyak lebih dari 38.000 masyarakat provinsi Jawa Timur berisiko tmenderita katarak.

Tujuan: Penelitian bertujuan untuk melakukan Analisis Health Expenditure pasien katarak di rumah sakit khusus mata milik pemerintah dan swasta di Kota Surabaya.

Metode: Penelitian analitik observasional yang menggunakan metode kuantitatif. Pendekatan waktu digunakan untuk penelitian ini yaitu dengan rancang bangun prospektif,. Sampel dalam penelitian ini sebanyak 174 pasien.

Hasil: Berdasarkan hasil penelitian diperoleh informasi dimana perbedaan yang signifikan (p-value= 0,001) antara Health Expenditure pasien katarak di RS Swasta dan RS Pemerintah.Rata-rata health expenditure pada rumah sakit mata swasta lebih tinggi dibandingkan dengan rumah sakit mata pemerintah, dengan selisih rata-rata Rp 4.240.030 per pasien.  Meskipun begitu pasien yang bersaal dari RS Swasta maupun Pemeirintah mengalami catasthropic health expenditure Berdasarkan hasil uji chi-square terdapat hubungan yang signifikan severity katarak (p-value¬= 0,001) dengan kejadian catasthropic health expenditure.

Kesimpulan: Kejadian catasthropic health expenditure bisa dialami oleh pasien baik di RS Swasta maupun RS Pemerintah.
Factors Causing the Intention to Stop Smoking in Teenagers
Authors: Kurniawan Afif , Tjokro Silvia Haniwijaya , Sari Etika Purnama , Geonarso Roberto A
Published: June 2023

Background: the trend of teenagers hanging out with their friends nowadays is smoking. Many teenagers in Indonesia smoke because they are carried away by their environment. According to The Tobacco Control Atlas ASEAN Region 5th shows that Indonesia is the country with the highest number of smokers. The younger the smoking age, the longer the smoking habit. The longer a person's smoking habit, the greater the chance that person will get sick from smoking

Aims: This study aims to look at factors from within adolescents to be able to bring up the intention to quit smoking.

Methods: This study used a cross-sectional design. The sample selection used purposive technical sampling with a vulnerable age of 13-21 years. The independent variables in this study are attitudes, subjective norms, perceptions, and self-efficacy. The dependent variable is the intention to quit smoking.

Results: 30 teenagers were sampled in this study, aged 13-20 years, and the majority were in grade 3 of junior high school. Self-confidence or self-efficacy is the variable that has the greatest influence on the emergence of intention to stop smoking (0.000; 0.845). The existence of a very strong self-confidence to be able to quit smoking will bring up a very strong intention as well.

Conclusion: smoking is an activity that is very detrimental to oneself and others. Many teenagers today since junior high school already have a smoking habit. Therefore, it is necessary to have a special method to bring out the intention of teenagers to quit smoking
The relationship between workload and nurse stress levels
Authors: Tjokro Silvia Haniwijaya , Saputera Ariawan Wangsa , Marga Irawati
Published: June 2023

Background: Hospitals are public health service providers, which have a very important position, so the services provided must be considered and taken into account. One of the professional human resources in accordance with their fields in providing services to patients is nurses.

Aims: The purpose of this study was to determine the relationship between workload and nurse stress levels in the Cempaka room of RS X.

Methods: This study used a study correlation design, a Cross-Sectional approach. The study population was all nurses in the Cempaka room of the hospital. X as many as 44 nurses, using the total sampling technique, The independent variable is the workload, the dependent variable is the stress level. Data retrieval using questionnaire sheets, ordinal data scales. Analysis using spearman rank corelation test with alpha 0.05.

Results: The results of the study found that most respondents (59.1%) had a moderate workload, and most respondents (61.4%) had moderate stress levels. The Spearman rank corelation test showed there was a meaningful relationship between workload and nurse stress levels (p = 0.001 < 0.05 then H0 was rejected).

Conclusion: The workload is so much in meeting needs, handling problems and ultimately very draining energy both physical and cognitive abilities, which has an impact on the nurse's stressor
Congruence, personality and centrality in small organization social networks
Authors:   Jonatan Santana Batista, Sônia Maria Guedes Gondim, Elaine Rabelo Neiva and Evandro Minuce Mazo
Published: June 2023

Objective: To analyze the associations between congruence, personality and centrality in two intra-organizational networks: search for support and selection of professional teams. Originality: Investigate how person-environment adaptation works in work groups using social networks. Method: 61 professionals linked to a tertiary sector organization participated. The Vocational Interest Scale (VIS) and the Occupational Classification Inventory Revised (OCI-R) were used to estimate congruence, and the Next Big Five Inventory (BFI-2) was used to measure personality, as well as centrality measures using the Social Networks Analysis. Results: Congruence was positively associated with Out Closeness Centrality (OCC) for the two investigated networks. Only in the support network were found negative associations between Agreeableness and Out Closeness Centrality (OCC) and also between Neuroticism and In Degree Centrality (IDC) and In Closeness Centrality (ICC). Limitations and implications are at the end of the study.
CHOOSING A REASONABLE GRIP WIDTH OF ROTARY RAKES WITH CONTROLLED RAKES
Authors: Kondratuk Dmytro
Published: June 2023

It is advisable to use rotary rakes with controlled rakes for raking hay in the windrows. On the agricultural machinery market of Ukraine, foreign companies offer models of rotary rakes with controlled rakes, which differ in the width of the grip from 2.8 to 14.0 m, the number of rotors and other features. This creates difficulties in choosing a rake with a rational width of grip. It is possible to choose the rational width of the rake, based on the estimated volume of hay harvesting in the farm and operational costs of money for the performance of mechanized work. It is obvious that with a rational grip width of the rake, operating costs will be minimal. The purpose of the work is to reduce operating costs when harvesting hay by developing an algorithm for choosing a rational rake width with controlled rakes. It was established that the given operating costs for hay raking decrease as the width of the catch increases from 3 to 6 m. At a width of 5-7 m, the minimum values are taken, and with further growth, the width of the grip increases. This is explained by the fact that with a small grip width of rakes, they have low productivity, which leads to relatively high operating costs. The increase in specific operating costs with a width of more than 6 m is associated with an increase in the cost of the rake. In order to reduce the cost of hay, it is advisable to use a rake with a width of 5 to 7 m for its raking. The necessary width of the rake can also be selected based on the estimated amount of hay harvested. Graphical dependences of the change in standard rake production (product of productivity per standard annual loading) on the width of the grip were obtained. It has been established that under the condition of one-time use of a rake with a grip width of 7 m, it will allow harvesting from 2,500 to 2,800 tons of hay per year.
Efektifitas ROM Pasif terhadap Pemulihan Peristaltik Usus pada Pasien Post Operasi dengan General Anastesi: Systematic Review
Authors: Suyanto Sutriyono , Nugroho Rio Kristian
Published: June 2023

Pembedahan merupakan salah satu pelayaan kesehatan yang terdapat dirumah sakit. Pembedahan atau operasi di laksanakan karena terdapat penyakit sulit diobati dengan obat-obatan atau terapi lainnya. Selama operasi, pasien akan dibius untuk mengurangi rasa sakit selama operasi. Efek anestesi akan menurunkan peristaltik usus dan berimplikasi pada peningkatan resiko paralisis usus dengan distensi otot-otot abdomen dan timbulnya gejala obstruksi usus. Obstruksi usus dapat dicegah dengan berbagai cara salah satunya ROM. Tujuan dari penelitian ini adalah unutk mengetahui efektivitas ROM terhadapat pemulihan peristaltic usus pasien post operasi dengan General. Penelitian ini menggunakan sistematik review mengkaji secara kritis pada jurnal kesehatan yang berkualitas, yang telah disaring dengan kriterian inklusi serta menggunakan beberapa data base Pubmed, Science Direct dan Google Scholar Terdapat 680 artikel sesuai kata kunci yang disaring menjadi 6 artikel sesuai tema dan dianalisis yang mengaki efek dari ROM terhadap pemulihan peristaltic usus. Hasil yang didapat dari 6 artikel menunjukan bahwa terdapat efek dari ROM terhadap pemulihan peristaltic usus.
Perilaku Tenaga Kesehatan dalam Pemilahan Limbah Medis Padat
Authors: Istiqomah Alfi Noor , Prasetyo Endro , Suwandi Jhons Fatriyadi
Published: June 2023

Perilaku manusia merupakan kapasitas secara mental, fisik, dan sosial. Salah satu perilaku tenaga kesehatan adalah pemilahan limbah medis padat. Tujuan penulisan artikel ini adalah untuk mengidentifikasi perilaku tenaga kesehatan dalam pemilahan limbah medis padat. Artikel ini ditulis dengan menggunakan metode studi literatur melalui penelusuran literatur dari berbagai jurnal nasional dan internasional. Artikel yang digunakan adalah dari tahun 2013 hingga tahun 2023. Artikel yang digunakan sebanyak 12 artikel dari 28 artikel yang ditemukan. Penulis menggunakan database Pubmed, NCBI dan Google Scholar menggunakan kata kunci “perilaku”, “pemilahan”, “limbah padat” dan “faktor risiko”. Peneliti selanjutnya menganalisis dan menginterpretasikan dengan cara membuat rangkuman dari hasil penelitian pada artikel terpilih. Hasil penelitian dianalisis sesuai dengan kriteria yang telah ditentukan.  Berdasarkan beberapa kajian hasil penelitian didapatkan bahwa faktor-faktor yang berhubungan dengan perilaku pemilahan limbah medis padat pada tenaga kesehatan adalah pengetahuan, sikap, nilai, tindakan, masa kerja, ketersediaan informasi dan kebijakan. Beberapa institusi pelayanan kesehatan ada yang sudah melakukan pengelolaan limbah medis padat sesuai ketentuan, seperti pemilahan, pengumpulan/ penyimpanan, transportasi, pemusnahan dan pembuangan akhir. Tetapi masih ada juga yang belum melakukan sesuai standar dikarenakan dana operasional dan pemeliharaan serta tidak adanya mesin incinerator yang tidak berfungsi dengan baik.
Studi Kasus Implementasi Teknik Distraksi pada Pasien Hematemesis
Authors: Hidayah Risfa Rinayatul , Sumarni Tri , Inayah Ulfah
Published: June 2023

Hematemesis adalah muntah darah dan melena adalah pengeluaran feses atau tinja yang berwarna hitam seperti yang disebabkan oleh adanya perdarahan saluran makan bagian atas. Tujuan dilakukan studi kasus ini adalah untuk mengetahui hasil dari implementasi terap distraksi pada pasien dengan gangguan rasa nyaman: nyeri akut. Metode yang digunakan adalah studi kasus dengan wawancara, observasi, pemeriksaan fisik dan studi dokumentasi. Partisipan yang digunakan dalam implementasi ini adalah Tn. A dengan diagnosa medis Hematemesis di Ruang Dewadaru RSUD Kardinah Tegal. Analisis data yang digunakan dengan evaluasi setelah dan sesudah pemberian implementasi terapi distraksi. Hasil studi kasus menjelaskan bahwa pasien mampu mengidentifikasi, kapan terjadinya, berapa lama terjadinya nyeri serta pasien mampu mengontrol nyerinya, nyeri pada pasien menjadi berkurang.
Hubungan Pengetahuan Konsumsi Minuman Berpemanis dengan Status Gizi Remaja
Authors: Rahmawati Afifah Nurliana , Setiadi Diding Kelana , Sukaesih Nunung Siti
Published: June 2023

Obesitas adalah penimbunan lemak berlebih pada manusia yang berdampak buruk pada kesehatan, ini merupakan peningkatan akumulasi lemak dalam tubuh, dan menyebabkan resiko terhadap kesehatan. Tingginya konsumsi minuman yang mengandung pemanis dikaitkan dengan peningkatan angka kematian dan kejadian penyakit akibat kelebihan berat badan (obesitas). Penelitian ini bertujuan untuk meneliti hubungan antara pengetahuan konsumsi minuman berpemanis dan status gizi remaja. Desain survei lintas-seksional digunakan dalam mengumpulkan data dari sampel remaja. Data diperoleh melalui penggunaan kuesioner yang dikembangkan langsung oleh peneliti dengan hasil uji validitas rentang pearson correlation 0,309-0,677 dan reabilitas diperoleh Alpha sebesar 0,801 untuk mengevaluasi pengetahuan tentang konsumsi minuman berpemanis serta status gizi. Untuk menganalisis hubungan antara variabel-variabel tersebut, dilakukan analisis korelasi menggunakan spearman rank correlation dengan uji non-parametric test. Namun, hasil penelitian yang mengejutkan menunjukkan bahwa nilai p-value dari pengetahuan dan status gizi 0,183 > 0,05 yang berarti tidak terdapat hubungan yang signifikan antara pengetahuan konsumsi minuman berpemanis dengan status gizi remaja. Lebih spesifik lagi, ditemukan bahwa individu dengan Indeks Massa Tubuh (IMT) yang normal tidak selalu memiliki pengetahuan yang lebih baik, begitu pula sebaliknya, individu dengan IMT yang lebih tinggi tidak selalu memiliki pengetahuan yang lebih buruk. Temuan ini menekankan bahwa status gizi tidak hanya ditentukan oleh pengetahuan tentang konsumsi minuman berpemanis semata.
Authoritarian Parenting and Bullying Behavior in Adolescents in Bali
Authors: Febianingsih Ni Putu Eka , Muryani Ni Made Sri
Published: June 2023

Introduction: Bullying in adolescents harms all parties involved, the victims, perpetrators, bystanders present during the bullying event, and even the institution or schools. One important factor related to bullying among adolescents is parenting style.

Methods: This study was a survey study involving the population of adolescents in Bali. A total of 783 eligible students recruited by consecutive sampling technique were participated in the study. Data was collected using a Google form questionnaire that was distributed through a Whatsapp group. Data were analyzed using the simple logistic regression analysis to discover the relationship between authoritarian parenting style and bullying behavior among adolescents.

Results: Findings revealed that adolescents with authoritarian parenting styles posed a risk of being bullies by 3.87 higher than adolescents who received permissive and democratic parenting styles (95% CI:1.75 – 8.57) with a significance value of 0.001.

Conclusion: This study showed that adolescents with authoritarian parenting have a 3.87 times higher risk of becoming bullies than adolescents who received permissive and democratic parenting.
Intervention Compliance of Diet and Fluids to Interdialytic Weight Gain in Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Systematic Review
Authors: Roni Aprilia Safaroni , Awaludin Sidik
Published: June 2023

ABSTRACT

Background: Increased fluid as manifested by weight gain in patients with chronic kidney failure hemodialysis programs have a risk impact on fluid accumulation, cardiovascular disorders, hypertension, cognitive impairment, increased hospital stay and death. The low adherence to the diet program is one of the factors causing the interdialyst weight gain value to increase.

Objective: To find out the interdialyst weight gain intervention that has been carried out in previous research to improve diet adherence in chronic kidney failure patients with a hemodialysis program.

Method :This study studied literature using the PRISMA method, search techniques using PICO from the PuBmed database, Google Scolar, ProQuest, Science Direc, SAGE journals with the keywords chronic kidney failure, hemodialysis, interdialyst weight gain, diet adherence with established inclusion and inclusion criteria. Assess and analyze the quality of the methodology in each study using The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for quasi-experimental.

Results: Of the 10 articles reviewed, the journal quality analysis uses analysis from The Joanna Briggs Institute (JBI) according to the criteria of at least 50% meeting the critical appraisal criteria which are then included in the data synthesis. Those 10 articles in the last screening achieved scores higher than 50%. It was found that the interdialyst weight gain intervention proved to be influential in increasing the diet adherence of chronic kidney failure patients with the hemodialysis program. The form of this intervention is fluid management calendar IDWG calculator,smartphone-based health education and reminders.

Conclusion: the value of interdialyst weight gain is influenced by dietary adherence in chronic kidney failure patients. Family support is expected to play an active role in dietary compliance, knowledge level, activity control and thirst can be managed properly so that the interdialyst weight gain remains within normal limits.
Overview of Motivation among Nursing students
Authors: Putri Prestasianita , Said Mardijanto  , Ika Adelia Susanti
Published: June 2023

Introduction: Motivation is a condition that can influence a person's behavior to carry out an activity in achieving goals. Motivation in students of the Nurse profession can influence their performance in implementing the Nurse profession. This study aims to describe the motivation of students in the nursing profession.

Method: The research design is non-experimental with a descriptive method. The research population was nursing professional students in the Jember district, with an accidental sampling technique totaling 255 students

Result: The results showed that nursing students' motivation had a mean value of 28.17 and a minimum-maximum of 20-36. Indicators of motivation need for achievement with a mean (9.66) and min-max value (7-12), the need for affiliation with a mean value (13.48) and a min-max value (7-16), and the need for power with a mean value (5.02) with min-max value (0-8).

Conclusion: The conclusion of the research shows that the motivation of students in the Nursing profession is not optimal. The motivation of students of the Nursing profession can be increased using the surrounding environment, namely family, educational institutions, and places of practice providing support to students of the Nursing profession. The recommendation for nursing professional students is to keep self-motivated in pursuing the ners profession.
The Development of Banjar-Based e-Parenting Education Model in Improving Adaptive Behaviour of Elementary School Children
Authors: Sulisnadewi Ni Luh , Gama I Ketut , Labir I Ketut
Published: June 2023

Introduction. Parenting during the COVID-19 pandemic is a challenge that needs to be addressed. Behaviour change as a result of restrictions requires that children and parents must adapt. For this reason, a parenting model is needed so that the process of behavioural education in children by parents continues and is able to be adapted by children. Objective. This research was conducted to find a parenting model during a pandemic so that children are adaptive in playing, learning, doing PHBS and conducting social interactions. Methods  This study was an exploratory and experimental study with subjects of parents and children with a control group of 60 and treatment of 63. This research was conducted in Denpasar, Gianyar and Klungkung. The data were analysed by t-test. Result. The results of the analysis showed that there were differences in parenting abilities in mothers who were educated with digital modules with p = 0.00.  Digital parenting in mothers has a good influence on children's adaptation in playing p=0.00, in learning 0.00 and socialization p= 0.006, but not significantly to PHBS p= 0.177 at p (<0.005). This means that during a pandemic, digital education is very appropriate to improve maternal parenting for children to adapt to a pandemic situation.  Conclusions. Good parenting knowledge is very significant in improving children's adaptability to play, learn and socialize. For this reason, during a pandemic, digital parenting education is very appropriate to do.
Factors Affecting Work Effectiveness of Nurses at Bontang Taman Husada Hospital
Authors: Hajar ST , Melda Byba , Wardani Ratna
Published: June 2023

Introduction: Medical services are inseparable from the services provided by health workers, especially nurses. The achievement of optimal work effectiveness is an assessment of the effectiveness of nurses' work as an effort to assess nurses' achievements at work. Assessment of work effectiveness in performance indicators is a reliable tool as a control of human resources and productivity, but in fact nurse performance is a problem in all nursing services. The purpose of the study was to analyze the factors that affect the effectiveness of nurses' work at Taman Husada Bontang Hospital.

Methods: The research design was in the form of observational research using a cross sectional design. The population of all nurses at Taman Husada Bontang Hospital was 212 respondents. The sample in this study was nurses at Taman Husada Bontang Hospital totaling 136 respondents with simple random sampling. Independent variables factor productivity, satisfaction, and competence. Dependent variable of the effectiveness of the nurse's work.

Results: The results showed that there was a relationship between productivity factors (p = 0.021), satisfaction (p = 0.000), competence (p = 0.000) on the effectiveness of nurses' work. Multivariate analysis shows that the most influential variable on the effectiveness of nurses' work at Taman Husada Bontang Hospital is satisfaction with the significance level of p = 0.000 and B = 0.333.

Conclusion: Work effectiveness is needed in improving the quality of services in hospitals, so that improving the quality of human resources must be optimized. Work effectiveness is a deliberate ability to do something better to achieve certain goals by emphasizing compliance at work and relating to work results. So that leaders in hospitals must continue to pay attention to the welfare of nurses to improve the effectiveness of their work in providing excellent health services.
INDUSTRIALIZED RESEARCH EXAMPLES FOR TEACHING INNOVATIVE IDEAS IN UNDERGRADUATE RESEARCH AND PRACTICE: THE EXAMPLE OF METALLOADED ZSM-5-CATALYZED MTA REACTION
Authors: Yu Du  , Guo Dacheng , Zhang Wei , Zheng Guanglin , Xiaoyi Ji
Published: June 2023

With the rapid development of industry in the new era, green, efficient energy utilization occupies an important position, thus posing new requirements for practical and innovative skills of undergraduate students. In this paper, we use metal-loaded ZSM-5 catalyzed MTA reaction as an industrial practice example to investigate the process and significance of students' design in practical innovation courses. The catalyst research example is used to create a training system for students' problem identification, practical process evaluation and other competency development processes, to explore the influence of subjective or objective aspects that may be encountered during the practical process, and to investigate the significance of industrialized practical experiments for students' competency development.
APPLYING CONSTRUCTIVIST THEORY IN TEACHING MATHEMATICS AT GRADE 2
Authors: Thi Thu Huong Le , Thi Thu Huong Tran
Published: June 2023

Constructivism theory emphasizes the active role of students in the learning process to create knowledge for themselves. This initiative is reflected in the fact that students are placed in situations where they find it necessary, capable, and need to solve the given problem. Through problem-solving, students create knowledge for themselves. In this paper, we present the concept of constructivist-based teaching and types of constructivism; analyze the role of constructivist-based in teaching Math, and propose some design principles and processes of lesson design according to constructivist theory.
STUDY OF SOCIAL SPACE IN OPEN SPACE CASE STUDY OF KAMPUNG KELING, MEDAN CITY
Authors: Siregar Abi Bhisry , Siagian Morida , M Siahaan Nelson
Published: June 2023

To survive and be sustainable, urban villages certainly face big challenges due to the dynamics of development and changes occurring in a form of need in planned open space settlements due to the need for meeting places and joint activities in the open air. With joint meetings and relationships between people, it is likely that various kinds of activities will arise in open public spaces. As a form of need in open space settlements that are planned because of the need for meeting places and joint activities in open spaces. With joint meetings and relationships between people, it is likely that various kinds of activities will arise in these open public spaces. Spatial circulation occurs due to activities and series of activities that form pathways and connect existing activities. The circulation geometry with which it accommodates and the combination of several paths will form a configuration of the t activities that are traversed. Open space is a public place where people carry out routine and functional activities that bind a community, both in the normal routine of daily life and in periodic celebrations. Public space is generally defined as a physical and visible place in the city or wherever we gather. As the third room, a special place outside the home or office where people can gather. Open space which is always located outside the mass of the building that can be utilized and used by everyone and provides opportunities to carry out various activities. As a form of need in open space settlements that are planned because of the need for meeting places and joint activities in open spaces. With joint meetings and relationships between people, it is likely that various kinds of activities will arise in these open public spaces. Spatial circulation occurs due to activities and series of activities that form pathways and connect existing activities. The development of urban areas as centers of economic and governmental activity has triggered an increase in the need for space. Until the 1960s Kampung Keling was still dominated by the Tamil community, after that they gradually sold their land to the Chinese community. In the 1970s this residential area developed into the most elite commercial area in Medan City.
EFFECT OF HAJAT PRAYER ON LEADERSHIP SUCCESS (CASE STUDY OF FAVORITE ISLAMIC JUNIOR HIGH SCHOOL PRINCIPAL IN SURABAYA)
Authors: Hartono Djoko , Agustina Fitri Dwi
Published: June 2023

This study aims to empirically determine the influence of spirituality on leadership success. This study includes descriptive research with a quantitative approach. Quantitative data was obtained by distributing closed questionnaires to 30 principals of the Favorite Islamic Junior High Schools in Surabaya. In addition, the technique of data collection is also through interviews with school principals. The data analysis technique used descriptive analysis and chi squared with the SPSS 15 program. The results showed that the Hajat prayer had a significant effect on leadership success with an average closeness of 67.67%. Therefore, accepting the research hypothesis which reads: spirituality (Hajat prayer) has a significant influence on the success of the leader. The Hajat prayer can achieve leadership success if the Hajat prayer is performed before and while serving as the principal of the school with increased intensity. The motivation to carry out the Hajat prayers in the good close to perfect category to achieve leadership success is to achieve success.
DIGITALIZATION OF EDUCATION AND STUDENTS' ABILITY TO LEARN POST COVID 19 PANDEMICS
Authors: Syaktanti Rifqi Firda , Mundayat Aris Arif , Utami Trisni
Published: June 2023

This research focuses on the topic of students' ability to receive material in digital learning. This research aims to see in detail how students receive material, where different student abilities are motivated by geographical, economic and social conditions in their lives. The differences that exist will distinguish the range of students in capturing material delivered digitally. This research uses a qualitative method with a phenomenological approach to see the real experiences experienced by students. Determination of informants using probability design and purposive sampling. Data collection techniques used primary and secondary data by conducting semi-structured interviews. Data analysis uses data processing, analysis and making conclusions on the results of the study. The results show that the digitalization of education has a positive impact on students' abilities in online-based learning, especially in the aspects of technology skills and the ability to learn independently. However, there are still obstacles in using technology and limited access that need to be overcome. The implication of this research is the importance of technology integration in the learning process and the expansion of digital access for all students to optimize students' ability to learn based on technology.
U.S. INSTITUTIONS’ ENGAGEMENT IN THE EDUCATION OF THE REPUBLIC OF VIETNAM - AN UNCONVENTIONAL PATH IN THE WAR CONTEXT (1954-1975)
Authors: Dung Truong Thuy
Published: June 2023

Whether it comes from the desire to build a solid pro-American government in South Vietnam of the United States or from the aspiration for independent development of the Republic of Vietnam government, we can see that the two governments, the United States and the Republic of Vietnam, did cooperate in developing civil affairs, such as education, rather than solely focused on military issues during wartime. This study by analyzing the involvement of U.S. institutions in the education of the Republic of Vietnam in the years 1954-1975 with three studied cases: SEADAG, The Center for Vietnamese Studies and Programs at Southern Illinois University, and the Asia Foundation, not only contributes to pointing out the characteristics of the United States - Republic of Vietnam’s cooperation in education in the twentieth century but also provides an opportunity to gain a deeper understanding about South Vietnam in another face of the war. Based on research findings, this study also hopes to review trends and lessons learned in building cooperative relations between two countries.
WRITING INDONESIAN ARGUMENTATIVE TEXT: A DEVELOPMENT OF EFFECTIVE TEACHING MODULES AT SMPN 6 IN GORONTALO, INDONESIA
Authors: Dj.T.Isa Iswan , Malabar Sayama , Lihawa Kartin , Lihawa  , Fatsah Hasanuddin
Published: June 2023

This study aims to (1) describe the design of the teaching module, (2) to develop the teaching module, (3) explore the quality of the teaching module, and (4) produce a practical teaching module, "Writing Argumentative Texts" for Indonesian Language Subjects to support learning at Junior High School in Gorontalo City. The research method is Research and Development (R&D). Data collected by conducting a needs analysis through field observations and interviews with students and teachers of SMP Negeri 6 Gorontalo City in 2022 concerning Teaching Modules for Writing Argumentative Texts in Indonesian Language Subjects used in the learning process, difficulties experienced during carrying out the learning process and material which students have not mastered. Data were analyzed using quantitative descriptive statistics. The results showed that all aspects of the module assessment, including linguistic, visual, content feasibility, and presentation, met the applicable and valid criteria with an average of 3.77. The results of the first and second phase trials showed that the teaching modules were attractive to students. In addition, the evaluation results of the test subjects met the specified Minimum Completeness Criteria so that it could be concluded that each test subject could understand the material for writing argumentation texts. These results show that the module was effectively used in a limited trial of two small groups. Thus, the teaching module developed is valid, practical, and effective for learning Indonesian in the material of writing argumentative texts.