bluuebunny/crossref_metadata_2025 huggingface dataset:
Roro Jonggrang: Animation Of Folklore For National Cultural Education Media
Authors: - Nurlaila , Nursalim Agus
Published: April 2022

Penelitian ini berawal dari keprihatinan penulis akan tontonan anak-anak pada masa kini.  Seiring berjalannya waktu mereka mengonsumsi tontonan edukasi yang semakin sedikit.  Dengan ragam tontonan tersebut, anak-anak kini mulai melupakan kebudayaan mereka, dongeng.  Dongeng merupakan salah satu kekayaan budaya dan historis dari bangsa Indonesia.  Sebagai sebuah media hiburan, seharusnya tersematkan sebuah pesan Pendidikan moral yang dapat disampaikan kepada generasi mendatang dari negeri ini. Penelitian ini bertujuan untuk menciptakan media pendidikan budaya dengan menggunakan dongeng berupa film animasi untuk menarik lebih banyak perhatian anak-anak.  Penyajian dongeng melalui film animasi adalah media yang paling disukai anak-anak sehingga penyampaiannya akan lebih mudah untuk diterima.  Metode yang digunakan dalam penelitian ini adalah pendekatan sejarah yang menggunakan kejadian masa lampau sebagai sumber data dengan berlatar belakang Jawa pada abad ke-9.  Untuk bagian desainnya, animasi yang dimaksud dalam hal ini adalah dalam bentuk film animasi  2-D dengan menggunakan Bahasa setempat, yaitu Bahasa Jawa.  This research was initiated by the author’s concern for the spectacle of children today. At times, they watch fewer educational shows.  With all these spectacles, today‘s children have also begun to forget their own culture, folklore. Folklore is one of the cultural and historical treasures of the Indonesian nation. As an entertainment medium, there should be a moral education message that can be delivered to the next generation of this nation. This research aims to create a cultural education media using folklore with animated films to attract more attention from children. The form of presenting folklore through animated films is a medium favored by children so that the delivery is more readily accepted. The method used in this research is a historical approach that uses past events as a source of data by taking the background in Java in the 9th-century era. For the design, this animation is in the form of a 2D animated film using the local language, namely Javanese.
TINGKAT KECEMASAN REMAJA DALAM PENERIMAAN VAKSIN COVID-19
Authors: Haumeni Wilfredo John , Elon Yunus
Published: April 2022

Face-to-face learning has now been implemented in various schools. However, with the ongoing Covid-19 pandemic conditions, the community, especially students, still have to implement health protocols. In addition to wearing masks, washing hands, maintaining a distance of 1 meter, and limiting mobilization, carrying out Covid-19 vaccinations are steps that need to be taken. The Covid-19 vaccine is currently available for teenagers who take face-to-face learning. However, in practice, teenagers experience anxiety before and after receiving the Covid-19 vaccination. This study aims to determine the level of adolescent anxiety in receiving Covid-19 vaccination with a descriptive method with a quantitative approach. The respondents of this study were 60 teenagers who took part in face-to-face learning at Alor Adventist College in Kupang, which were obtained using purposive sampling technique. The results showed that as many as 23 people (38,3%) had moderate anxiety, 22 people (36,7%) had mild anxiety, 8 people (13,3%) were not anxious, and 7 people (11,7%) had severe anxiety. The average anxiety experienced by adolescents is in the category of mild anxiety with a mean of 49,55. Education is needed for adolescents in receiving Covid-19 vaccinations regarding handling side effects of vaccination.
HUBUNGAN TINGKAT PENGETAHUAN IBU TENTANG GIZI SEIMBANG DENGAN KEJADIAN STUNTING PADA BALITA USIA 2-5 TAHUN
Authors: Darmini Ni Wayan , Fitriana Lala Budi , Vidayanti Venny
Published: April 2022

Stunting is a condition of failure to thrive in children under five due to chronic malnutrition with a z-score (TB/U) less than -2 SD (Standard Deviation). The prevalence of stunting in Indonesia is still high, with value above 25%. Mother's knowledge about balanced nutrition is very important to reduce incidence of stunting in toddlers. The higher the mother's knowledge about balanced nutrition, the better the provision of nutrition or food substances to toddlers will be. The purpose of this study was to determine the relationship between the level of knowledge of mothers about balanced nutrition with incidence of stunting in toddlers aged 2-5 years at the Puskesmas. This research is quantitative research with cross-sectional design. The research subjects were mother and child. The sample in this study amounted to 77 toddlers. The sampling technique used was purposive sampling. The inclusion criteria in the study were respondents who were willing to participate in the study and be able to read and write. The instrument was questionnaire and height was measured using microtoise. Bivariate analysis using Chi-Square test. The results showed that the mother's level of knowledge was mostly good (50,6%) and the highest incidence of stunting was not stunting (67,5%), the p-value of the bivariate analysis was 0,000 (<0,05). The conclusion in this study is there is significant relationship between the mother's level of knowledge about balanced nutrition and the incidence of stunting in toddlers aged 2-5 years at the Puskesmas.
GAMBARAN TINGKAT STRES MAHASISWA KEPERAWATAN UNIVERSITAS UDAYANA DALAM PROSES PEMBELAJARAN SELAMA PANDEMI COVID-19
Authors: Khrismadani Putu Herma , Sawitri Ni Komang Ari , Nurhesti Putu Oka Yuli
Published: April 2022

Stress is a psychological response experienced by each individual where the individual is faced with things that are felt to have exceeded the limit or are considered difficult to deal with. Students are one of the groups that are very vulnerable to stress. Moderate to severe stress levels experienced by students can hinder the learning process. This study aims to describe the stress level of Udayana University nursing students in the learning process during the Covid-19 pandemic. This research uses descriptive quantitative method with cross sectional design. One hundred and sixty-one out of 270 students were selected by stratified random sampling method. Data were collected using a research adaptation questionnaire. The results of this study indicate that most students experience moderate stress. Stress is seen from several aspects, namely physical, emotional, intellectual, and interpersonal. Based on gender, the stress level was found to be high in female students compared to male students. Based on the class, the highest stress level was found in the class of 2020. Based on the GPA, the stress level was high in the GPA with praise. Based on the status of residence, the stress level was found to be high in students with the status of living with their parents. Changes in learning methods are one of the triggering factors for psychological changes. The adaptation process is able to cause a stressful impact for students, because the readiness of students in online learning is not yet mature.
FAKTOR DETERMINAN KEJADIAN IKTERIK NEONATORUM PADA BAYI DI RSUD SAWAHLUNTO
Authors: Merianti Liza
Published: April 2022

Neonatal jaundice occurs in newborns in the form of physiological and pathological. Neonates produce two to three times higher bilirubin than adults. Many factors can directly or indirectly cause jaundice, such as maternal, perinatal, and neonatal factors. The purpose of this study was to determine the determinants of the incidence of neonatal jaundice in infants. This type of research is a correlation with a cross sectional research design. The population is all infants aged 0-28 days with a sampling technique using total sampling as many as 31 samples. Data analysis used univariate and bivariate. The results showed that 58,1% of the respondents had a caesarean section, 51,6% had insufficient breast milk intake, 67,7% of the respondents were born with normal weight and 64,5% of respondents were born at term. The results of the bivariate test showed that there was a relationship between gestational period, breast milk intake, birth weight with the incidence of neonatal jaundice (p value 0,003; 0,001; and 0,015). There was no relationship between the type of delivery and the incidence of neonatal jaundice (p value 0,696). The factor that most influenced the incidence of neonatal jaundice was breast milk intake (p value 0,001).
STUDI DESKRIPTIF PENGETAHUAN DAN KECEMASAN MENGENAI LONG COVID-19 PADA MASYARAKAT DI KABUPATEN SEMARANG
Authors: Rafika Widha Nur , Purwaningsih Puji , Wakhid Abdul
Published: April 2022

The level of public knowledge is still low regarding the long Covid-19 requiring massive campaigns and learning. Lack of knowledge in society has an impact on the emergence of various views to cause anxiety. This study aims to describe the level of knowledge and anxiety in patients experiencing long Covid-19. The research design used is a survey design. The population of this study was patients who were confirmed positive for Covid-19 and the remaining symptoms did not disappear or did not decrease for up to 4 weeks. The research sample was carried out using purposive sampling technique and obtained a total of 50 respondents in Semarang Regency. The research instrument used to measure knowledge was compiled by the researcher himself with a validity value of 0,460-0,889 and reliability value of 0,766. The instrument for measuring anxiety uses the Generalized Anxiety Disorder instrument with a validity value 0,46 - 0,76 and a reliability value of 0,86. Statistical analysis of this study used frequency distribution analysis. The results obtained from the assessment of knowledge about the long Covid-19 were found that 74,0% had less knowledge and 54,0% experienced mild anxiety. The provision of massive information through various media related to the long Covid-19 disease can be done to reduce anxiety in the community.
PENGARUH PROFITABILITAS DAN PERTUMBUHAN PENJUALAN PADA NILAI PERUSAHAAN
Authors: Candani Novi , Badera I Dewa Nyoman
Published: April 2022

Companies that have gone public generally seek to increase investor prosperity by increasing the value of the company. Company value is a condition that can be achieved by a company as an illustration of public trust in the company after going through a process of activity since the company was founded to its current state. The study was conducted to identify and empirically test the effect of profitability and sales growth on firm value. The research was conducted on basic and chemical industrial sector companies for the 2017-2019 period with a research sample of 51 companies so that 151 observations were obtained. The results of the data analysis carried out obtained 1) profitability has a positive effect on firm value, meaning that the higher the firm's profitability, the higher the firm value. 2) sales growth has a positive effect on the value of the company, this shows that sales growth that increases will cause the value of the company to also increase, and vice versa. Based on the results obtained, the research can be used as a reference and material for further research development and supports signaling theory which explains that good quality companies deliberately give signals to the market.
MENAKAR KESUKSESAN PEGAWAI OUTSOURCING DI SEKTOR IRIGASI
Authors: Wahyuni Desak Made , Darma Gede Sri
Published: April 2022

Penelitian ini bertujuan untuk mengkaji lebih dalam mengenai pengaruh manajemen pengelolaan tenaga outsourcing aspek controlling(pengawasan kerja) terhadap kinerja tenaga outsource Balai Wilayah Sungai Bali - Penida dalam pekerjaan irigasi. Sampel yang digunakan merupakan jumlah keseluruhan populasi yaitu sebanyak 146 tenaga kerja outsource yang tersebar di setiap Kabupaten di Bali. Pengumpulan data dilakukan melalui Google Form dan dianalisis melalui pendekatan Structural Equation Model (SEM) dengan software Smart PLS 3.2.9. Studi ini telah membuktikan bahwa semakin baik manajemen pengelolaan tenaga outsourcing aspek controlling (pengawasan kerja), maka semakin baik kinerja tenaga outsource di sektor pekerjaan irigasi. Adapun kontribusi yang diberikan dari hasil penelitian ini yaitu secara teoritis mampu menambah literatur dibidang manajemen sumber daya manusia, khususnya terkait dengan kinerja tenaga outsource. Secara praktis, penelitian ini akan sangat bermanfaat bagi Instansi dan Perusahaan penyedia outsourcing untuk dapat mengoptimalkan kinerja pegawai outsourcing dengan pengelolaan manajemen tenaga outsourcing yang baik.
PENGARUH STAKEHOLDER PRESSURE DAN DEWAN KOMISARIS INDEPENDEN TERHADAP KUALITAS SUSTAINABILITY REPORT
Authors: Putri Rahmadani Desita , Pratama Febrial , Muslih Muhammad
Published: April 2022

Sustainability Report is a report expressed by the company as a means to communicate economy, environmental, and social aspects to its stakeholders. A Sustainability Report is expected to have good quality. In fact, there are still many companies that are not maximal in publishing Sustainability Report quality, especially in companies listed in the LQ45 index in 2016 to2019. The purpose of this research is to determine the effect of stakeholder pressure and independent board of commissioners on the Sustainability Report quality on companies listed in the LQ45 index for the period 22016-2019. This research is a descriptive research using purposive sampling in sampling techniques so that a total of 64 samples were obtained from companies listed in the LQ45 index during the period 2016-2019 with the regression model used is data panel regression model. The results showed that pressure from the environment as stakeholders positively influence the sustainability report quality. While the pressure from employees and shareholder as stakeholders has no effect on the Sustainability Report quality. The independent board of commissioners has no effect on the sustainability Report quality.
DAMPAK KEBIJAKAN PEMBATASAN SOSIAL TERHADAP KINERJA PENDAPATAN RESTORAN DI PROVINSI BALI
Authors: Cahyadi Ni Made Ayu Krisna , Prima Suci Rahmawati
Published: April 2022

The Covid-19 pandemic has a major impact on the development of the Indonesian economic. Several business sectors, particularly in the industrial and service sectors, experienced a drastic decline in their performance due to the policy of restricting the mobility of goods and services. This policy was adopted by the government as a step to prevent and reduce the spread and number of Covid-19 cases. The province of Bali, which is synonymous with tourism industry and services is the area with the deepest impact in Indonesia. The Accommodation and Food and Drink Provision Sector, which has been the main contributor in terms of the business sector, experienced a contraction of -27.52%. The purpose of this study is to observe the extent of the impact of these restrictive policies on the performance of restaurant income as one of the main sub-sectors in Bali Province. The data analysis technique used is panel data regression using primary data and also data processing result using Google Mobility Index. The research sample was 97 restaurants spread across 9 regencies/cities in Bali Province. Meanwhile, for the social restriction policy variable, a dummy variable is used. The results showed that there were differences in restaurant performance when there was no restriction policy and when there was a restriction policy.
Медный кельт из курганного могильника Светлое Поле II
Authors: Волкова Екатерина Вячеславовна , Денисов Алексей Владимирович , Кормилицын Дмитрий Викторович , Платонов Владимир Игоревич
Published: April 2022

В статье представлены результаты изучения медного кельта, происходящего из насыпи курганного могильника Светлое Поле II, расположенного в лесостепной зоне Самарского Поволжья, в междуречье Сока и Кондурчи. Сравнительному исследованию подверглись аспекты морфологии, технологии, орнаментики орудия, а также химический состав металла. По совокупности морфологических, технологических и орнаментальных признаков орудие соотносится с самыми поздними лобноушковыми маклашеевскими кельтами и имеет переходную к раннеананьинским типам форму. Кельт датируется X–IX вв. до н.э., с возможным заходом в VIII в. до н.э. Наиболее вероятно появление данного кельта в связи с продвижением части маклашеевского населения из района Нижней Белой вниз по р. Сок в финале позднего бронзового века. Менее вероятно, что жертвенный комплекс с кельтом оставили ранние кочевники, которые появляются в Самарском Поволжье около IX в. до н.э.
Бронзовый кельт раннего железного века с верховьев р. Конды
Authors: Кузьминых Сергей Владимирович , Труфанов Александр Яковлевич , Рассомахин Михаил Анатольевич , Мызников Сергей Анатольевич
Published: April 2022

Статья посвящена результатам изучения бронзового кельта, происходящего с поселения Толум 1, расположенного на западе таежной зоны Западно-Сибирской равнины – в верхнем течении р. Конды. Сравнительному исследованию подверглись аспекты морфологии, технологии, орнаментики орудия, а также химический состав металла. Кельт из Толума вместе с миниатюрной подвеской топора-кельта, найденной близ с. Таборы (северо-восток Свердловской области), по совокупности морфологических, технологических и орнаментальных признаков образуют оригинальную группу орудий, характерную для таежных древностей Среднего и Верхнего Зауралья раннего железного века. Она сформировалась, вероятно, в VI–IV вв. до н.э. в процессе тесного взаимодействия бронзолитейных традиций ананьинской, иткульской и кулайской культур Волго-Камья, Урала и Западной Сибири.
Ольвийские дельфины и проблема связей Нижнего Побужья с Волго-Уральем
Authors: Ольговский Сергей Яковлевич
Published: April 2022

В статье рассматриваются первые литые монеты Северо-Западного Причерноморья – бронзовые монеты-стрелки и дельфины. Если монеты-стрелки характеризуются постоянством формы и стабильностью химико-металлургических характеристик, то ольвийские анепиграфные дельфины, кроме типологических различий, показали разнообразие металла, из которого они отливались, а это может свидетельствовать о том, что в их изготовлении участвовали различные мастера, в том числе выходцы из различных областей Причерноморья. Высокое содержание мышьяка и сурьмы в металле некоторых дельфинов позволяет связать его происхождение с Волго-Камскими месторождениями, откуда медь могла поступать к скифским ремесленникам в Среднее Поднепровье, а они распространяли свою деятельность на античные памятники Нижнего Побужья.
THE EVALUATION OF PHYSICAL ACTIVITY AND PHYSICAL FITNESS LEVELS IN ADOLESCENT INDIVIDUALS WITH CEREBRAL PALSY
Authors: EROL Hanifi , SERTEL Meral , ALPCAN Ayşegül , ARSLAN Mutluay
Published: April 2022

Objective: This study aimed to evaluate physical activity and physical fitness in adolescents with cerebral palsy.Material and Methods: Forty individuals (20 cerebral palsy and 20 asymptomatic adolescents) were included in the study. Physical activity levels were measured by Physical Activity Questionnaire for Adolescents; balance, agility, flexibility and arm movement speed, which are physical fitness parameters, were evaluated with Eurofit test battery; lower extremity muscle strength was evaluated with Muscle Force Evaluation Form; functional independence in the quality of life the individuals was evaluated with Functional Independence Measurement scales and cardiopulmonary endurance was assessed by 6-minute walking test.Results: In statistical analysis, there was no significant difference between two groups for the assessment of agility, 6-minute walk test, flexibility, arm movement speed, balance. There was a significant difference in physical activity and functional independence in favor of asymptomatic group.Conclusion: As a result of our study, it was determined that the levels of physical activity and physical fitness of the adolescents with cerebral palsy were lower. We believe that it is important to direct these individuals to sports and recreational activities, to increase their physical activity and fitness levels, and to reduce difference with their asymptomatic peers.
SPORCULARDA KULLANILAN MANUEL TERAPİ TEKNİKLERİNİN PERFORMANS VE TOPARLANMA ÜZERİNE ETKİLERİNİN İNCELENMESİ: SİSTEMATİK DERLEME
Authors: ÖZYILMAZ Erkan , ŞENEL Ömer , KILIÇ Rabia Tuğba , UYSAL Emre , İNCE Abdullah Yener
Published: April 2022

Amaç: Sporcularda kullanılan manuel terapi tekniklerinin performans ve toparlanma üzerine etkilerinin incelenmesi amaçlandı.Gereç ve Yöntemler: Manuel terapi tekniklerinin sporcular üzerindeki performans ve/veya toparlanma ölçümleri üzerindeki etkisini değerlendiren çalışmaları belirlemek için PubMed, Scopus ve Web of Science veri tabanları araştırıldı. Belirlenen anahtar kelimeler uygun kombinasyonlarla birleştirilerek arama gerçekleştirildi. Çalışmamızda 2010 yılından günümüze kadar olan çalışmalar incelendi.Bulgular: Manuel terapinin etkilerini inceleyen 12 uygun çalışma belirlendi. Dahil edilen çalışmalarda sporcularda manuel terapi için kullanılan teknikler; spor masajı, kas enerji tekniği, thai masajı, spinal manipülasyon, İsveç masajı ve derin transvers friksiyon masajı olarak bulundu. Performans ve toparlanma ölçümlerinde herhangi bir yardımcı cihaz kullanılmadan uygulanan manuel terapinin iyileşmeye pozitif yönde etkisi olduğunu gösteren 5 çalışma, negatif yönde etkisi olduğunu gösteren 1 çalışma ve etkisi olmadığını gösteren 6 çalışma mevcuttu.Sonuç: Yapılan derleme sonucunda sporcularda kullanılan manuel terapinin performansın doğrudan iyileştirilmesi ve/veya toparlanmaya olumlu etkilerin gösterilmesi bakımından sürece dahil edilmesini haklı çıkaracak net bir kanıt bulunamamıştır.
INVESTIGATION OF 18F-FDG PET / CT AND CLINICOPATHOLOGICAL DATA OF DIFFUSE TYPE GASTRIC CANCERS
Authors: GÖMEÇ Muhammed , HASBEK Zekiye
Published: April 2022

Objective: One of the subtypes of stomach cancer, which is one of the leading causes of cancer-related deaths, is diffuse-type stomach cancer. In our study, it was aimed to retrospectively investigate the results of F-18-labeled fluorodeoxyglucose positron emission tomography, which is an imaging method frequently used in the diagnosis and follow-up of gastric cancer, in diffuse type gastric cancer subtypes and to review patient data in the light of the literatüreMaterial and Methods: Forty-four patients diagnosed with diffuse-type gastric cancer in a single center were included in the study. Clinical, pathological and positron emission tomography data of the patients were analyzed.Results: The mean age of the patients was 61.93. Sixteen (36.4%) of the patients were female, 28 (63.5%) were male. When the histopathological results of specimens obtained by endoscopic and surgical methods are examined, diffuse-type stomach cancer patients; 36 (81.8%) were Signet-Ring Cell, 8 (18.2%) were weak poorly cohesive type gastric cancer. Low F-18-labeled fluorodeoxyglucose involvement was observed in 8 (18.2%) patients, while high involvement was observed in 36 (81.8%). Nineteen of the patients had metastases. When SUVmax, SUVmean, metabolic tumor volume and total lesion glycolysis values were compared, a significant correlation was found between signet ring cell gastric cancers and weak cohesive type gastric cancers, and between presence and absence of metastasis (p <0.05).Conclusion: Although SUVmax values were lower in our diffuse type gastric cancer patient series compared to other gastric cancer patients, it was observed that it was higher in advanced diffuse type gastric cancers than in early stage patients. In addition, when the diffuse type gastric cancer subtypes signet-ring cell and weak poorly cohesive type gastric cancers were compared in terms of positron emission tomography results, it was observed that there was no significant difference, and this is an information that is not available in the literature.
THE EFFECTS OF EXENATIDE TREATMENT ON METABOLIC PARAMETERS, GHRELIN, GDF-15 AND FGF-21 IN OBESE TYPE 2 DIABETIC PATIENTS
Authors: ÖZSAN YILMAZ Müge , ÖZCAN Oğuzhan
Published: April 2022

Objective: Exenatide and similar drugs which have Glucagon Like Peptide-1(GLP-1) like effects have been used frequently in the treatment of diabetes and obesity in recent years. In this study we aimed to investigate the effects of exenatide on ghrelin, FGF-21 and GDF-15 which are known to be associated with appetite and metabolic disorders.Material and Methods: Thirty patients with Type 2 Diabetes Mellitus with a Body Mass Index of 35 kg/m2 and above who are still ongoing treatment for diabetes but not on target (HbA1c>7%) and exenatide treatment was started were included in the study. Venous blood samples were collected for the measurements of complete blood count, biochemical parameters, HbA1c, ghrelin, FGF-21, GDF-15. After 3 months of treatment initial evaluations and biochemical tests were repeated.Results: Mean age of the patients was 50.43±10.35 years. Twenty-one (70%) were female and 9 (30%) were male. Mean Hb A1c of the patients was 9.68±2.02%. After 3 months of exenatide treatment a significant decrease in body weight and body mass index was observed (p<0.001). There was also significant decrease in Ghrelin and GDF-15 levels (p<0.001).Conclusion: Our study is the first study in which these three markers were evaluated together in obese type 2 diabetics. It is thought to be that Ghrelin, FGF-21 and GDF-15 are play role in obesity and type 2 diabetes mellitus pathogenesis together in different ways.
LİTYUM ZEHİRLENMESİNDE EKSTRAKORPOREAL TEDAVİ: 10 YILLIK KLİNİK TECRÜBE
Authors: ÇALIŞKAN Fatih , TÜRKER Orhan Utku , KATI Celal
Published: April 2022

Amaç: Lityum zehirlenmesinde hemodiyaliz tedavisini öngörmede kullanılabilecek faktörleri belirlemeyi amaçladık.Gereç ve Yöntemler: 01 Ocak 2010 ile 31 Aralık 2020 tarihleri arasında acil servise başvuran ve lityum zehirlenmesi tanısı alan 111 hastanın verileri retrospektif olarak incelendi. Hastaların sosyodemografik özellikleri, vital bulguları, başvuru anında Glasgow Koma Skalası skoru, laboratuvar sonuçları, lityum içeren ilacı kullanma amacı, kullanılan diğer ilaçlar, bulantı, kusma, halsizlik, lityumla ilişkili nörolojik semptomlar, diyare, tedavi şekli ve hastanede kalış süresileri kayıt altına alındı. Tek ve çok değişkenli lojistik regresyon modeli kullanılarak hemodiyaliz tedavisi için risk faktörleri incelendi.Bulgular: Lityum zehirlenmesi olan hastalarda en sık görülen semptom halsizlik (%81.1) olup en sık görülen nörolojik semptom tremordu (%73). Yirmi iki hastanın hemodiyaliz tedavisine alındığı tespit edildi. Hemodiyalize alınan tüm hastaların en az bir nörolojik semptomu vardı. Çalışmaya alınan 111 hastanın serum lityum düzeylerinin ortalaması 2.24±0.88 mmol/L, ölçülen en yüksek serum lityum düzeyi 6.30 mmol/L olarak saptandı. Uygulanan tedaviler, lityum alım nedenleri açısından karşılaştırıldığında istatistiksel anlamlı fark tespit edildi (p=0.006). Hemodiyaliz tedavisi uygulanan hastaların çoğu (n=17; %77.3) önerilen lityum tedavi dozu üzerinde yüksek doz ilaç içen hastalardan oluşmaktadır.Sonuç: Acil servise başvuran zehirlenme olguları içinde az görülen lityum zehirlenmesinin tedavisinde ekstrakorporeal tedavinin öngörücü faktörleri olarak yeni gelişen EKG değişikliği ve GKS skorunda gerililik saptanmıştır. Lityum zehirlenmesi yönetiminde özellikle EKG değişikliği, bilinç değişikliği ve nörolojik değişikliği olan hastaların başvuru anında ciddi serum düzey yüksekliği olmasa bile tedavide ekstrakorporeal tedavinin kullanımı düşünülmelidir.
EVALUATION OF CONTRACEPTIVE METHOD USAGE CHANGES AND SATISFACTION OF WOMEN DURING THE COVID-19 PANDEMIC
Authors: CAN İlkin Seda
Published: April 2022

Objective: In addition to being a global epidemic, Coronavirus disease creates some disruptions in the health system, especially in family planning services. Our study aimed to assess the contraceptive method preferences of female patients who applied to our university hospital, their satisfaction levels, and whether their method usage had changed due to the pandemic.Material and Methods: We included 286 female patients aged 18-49 who were admitted to our obstetrics and gynecology outpatient clinic between January 2021 and April 2021 in our study. We conducted a descriptive cross-sectional study to identify women's contraceptive method preferences, complaints about the method, and usage information before and during the pandemic.Results: While 187 (65.4%) of 286 women participating in our study used modern and traditional family planning methods, 99 (34.6%) did not use any method. We found a statistically significant decrease in the use of oral contraceptives during the pandemic (p=0.041). While the number of women who did not use any method before the pandemic was 83 (29%), 99 (34.6%) women did not use any method during the pandemic.Conclusion: Family planning service is one of the foremost sexual and reproductive health services. The factors such as social distance, isolation at home, and increased stress during the pandemic have increased the need for sexual and reproductive health services. Moreover, movement restrictions and clinical closures make sexual and reproductive health services, including birth control, less accessible. All of these conditions will raise the number of erroneous, unplanned, and undesired pregnancies. In our study, the most preferred method of contraception was found to be condoms (27.3%), while the least used method was injectable contraceptive (1.4%). Clinicians should counsel women on contraception options in the event that further social distancing measures are implemented.
COVID-19 İLE EŞ ZAMANLI ENFEKTİF ENDOKARDİT OLAN BİR GEBE HASTA: OLGU SUNUMU
Authors: AYDIN Nurten Nur , İBA YILMAZ Sibel , AYDIN Murat
Published: April 2022

COVID-19 pandemisi halen ciddi bir halk sağlığı problemi olarak etkisini sürdürmektedir. Bu salgının gebeliğin immunsupresif durumu nedeni ile gebelerde ve fetüs üzerindeki etkileri hakkında endişeler bulunmaktadır. Gebe COVID-19 hastalarının yönetimi gebe olmayan hastalar gibi yapılmalıdır; ancak düşük, erken doğum, preeklampsi gibi komplikasyonlarda artış görülebilmektedir. Gebe COVID-19 hastaları enfektif endokardit gibi diğer enfeksiyon hastalıkları ile benzer nonspesifik semptom ve bulgularla başvurabilmektedir. Bu nedenle eşlik edebilecek diğer enfeksiyon hastalıklarının araştırılması, tanısının gecikmeden konulması olabilecek komplikasyonları engelleme açısından önemlidir. Olgumuz ateş, halsizlik, öksürük yakınması ile acil servise başvuran COVID-19 ile enfektif endokardit tanısı konan gebe bir hasta olup teşhisi, yönetimi ve sonucu bildirilmiştir.
ÇOCUKLARDA AKUT APANDİSİT TANISINDA ALVARADO SKORU İLE ULTRASONOGRAFİ BULGULARI, LABORATUVAR PARAMETRELERİ, CRP / ALBÜMİN ORANI VE TROMBOSİT KİTLE İNDEKSİNİN KORELASYONUNUN DEĞERLENDİRİLMESİ
Authors: DULKADİR Ramazan , ÇELTİK Ülgen , GUZELKUCUK Zeliha
Published: April 2022

Amaç: Akut apandisit tanısında öykü ve fizik muayene en güvenilir yöntem olmasına rağmen çocuk yaş grubunda olan hastalarda fizik muayene sırasında yaşanan zorluklar apandisit tanısının laboratuvar belirteçleri ile desteklenmesini gerektirebilir. Bu amaçla çalışma, Alvarado skoru ile ultrasonografik bulguların, bazı hematolojik parametrelerin, C reaktif protein / albümin oranı ve trombosit kitle indeksinin tek tek veya birlikte kullanımının akut apandisit tanısında etkinliğini belirlemek amacıyla planlandı.Gereç ve Yöntemler: Mart 2019- Mart 2020 tarihleri arasında merkezimizde akut apandisit tanısı ile opere edilen hastalar retrospektif olarak incelendi. Demografik özellikler, biyokimyasal parametreler, radyolojik bulgular, Alvarado skorlaması dosya kayıtlarından temin edildi.Bulgular: Çalışmaya toplam 68 (E/K:44/24) hasta dahil edildi. Hastaların yaş ortalaması 11.04±3.71 yıldı. Alvarado skoru ile nötrofil / lenfosit değeri, C reaktif protein düzeyi, C reaktif protein düzeyi / albümin değeri ve apendiks çapı ile hematokrit düzeyi arasında pozitif yönde korelasyon tespit edilmiştir (ρ=0.268, P<0.05). Buna rağmen Alvarado skoru ile ortalama trombosit hacmi ve trombosit kitle indeksi arasında ilişki saptanmamıştır (p>0.05).Sonuç: Nötrofil / lenfosit değeri, C reaktif protein düzeyi düzeyi, C reaktif protein düzeyi / albümin değeri ve hematokrit düzeyindeki artışın Alvarado skoru ile kullanılması ultrasonografinin ulaşılamadığı ve apendiksin görüntülenemediği durumlarda apandisitli çocuklarda tanısal belirteç olarak değerlendirilebilir.
KULAK BURUN BOĞAZ ALANINDA ÇALIŞAN SAĞLIK ÇALIŞANLARINDA COVİD-19’A BAĞLI KAYGI DÜZEYİNİN ARAŞTIRILMASI
Authors: FIRAT KOCA Çiğdem
Published: April 2022

Amaç: Enfeksiyon hastalıklarına bağlı pandemilerin tüm toplumda ve özellikle ön saflarda hastalıklarla mücadele veren sağlık çalışanları üzerinde psikolojik olumsuz etkileri vardır. Dünyada 11 Mart 2020 tarihinde Covid-19 pandemisi ilan edilmiştir. Bu çalışmada amacımız Kulak Burun Boğaz alanında çalışmakta olan sağlık çalışanlarında Covid-19 pandemisine bağlı kaygı düzeyini incelemektir.Gereç ve Yöntemler: Çalışmaya Malatya ilinde görev yapan Kulak Burun Boğaz uzmanı, Kulak Burun Boğaz hemşiresi, odyometrist ve Kulak Burun Boğaz alanında çalışan tıbbi sekreterlerden oluşan 63 katılımcı dahil edildi. Hazırlanan anket katılımcılara anketi “online” olarak ulaştırıldı. Anket, demografik sorulardan ve anksiyete düzeyini ölçmeye yönelik sorulardan oluşuyordu. Anksiyete düzeyini değerlendirmede, Lee tarafından Covid-19 kriziyle ilişkili olası anksiyete vakalarını tanımlamak için geliştirilmiş kısa bir ruh sağlığı taraması olan Koronavirüs Anksiyete Ölçeği (KAÖ) kullanıldı.Bulgular: Çalışmamızda Kulak Burun Boğaz alanında çalışmakta olan meslek gruplarının Covid-19 anksiyete düzeyleri karşılaştırıldığında, Kulak Burun Boğaz hemşirelerinin anksiyete düzeylerinin diğer meslek gruplarına göre genel olarak daha yüksek olduğunu tespit edildi (p< 0.05).Sonuç: Covid-19 için en yüksek risk grubu sağlık çalışanlarıdır. Bu nedenle; sağlık çalışanlarında mental sağlık durumunun ortaya konması önemlidir. Hükümetlerin birincil hedeflerinden biri sağlık çalışanlarında pandemiye bağlı gelişen anksiyeteyi azaltacak efektif önlemler almak olmalıdır.
ULNAR SİNİR YARALANMALARINDA STİMÜLASYON: OLGU SUNUMU
Authors: KAPAN Nazife , KAPAN Merve , KARMIŞ Busenur , ARAS Müyesser , BAŞKAN Bedriye
Published: April 2022

Çocuklarda ön kol kırıkları radius ve/veya ulna şaftındaki herhangi bir kırığı içerir ve bu yaralanmaya bağlı sinir hasarı meydana gelebilir. Bu olgu sunumu, ön kol kırığına bağlı gelişen ulnar sinir yaralanması olan çocuk hastada uygulanan monofazik kare dalga akım formunun, sinir iyileşmesi üzerine etkisini göstermek amacıyla yapıldı.On yaşında kız çocuğu, paten kayarken düşme sonucu sağ radius ve ulna kırığına bağlı ulnar sinir yaralanması sonrası rehabilitasyon programına alındı. Rehabilitasyon programı altı hafta boyunca, haftada beş gün, 45’er dakikalık seanslar şeklinde toplam 30 seans uygulandı. Ayrıca egzersizler gün içerisinde her set on tekrar olmak üzere beş set ev programı olarak verildi.Rehabilitasyon programı öncesi ve sonrasında fizik muayene ve elektronöromiyografi bulguları karşılaştırıldığında denerve kasa uygulanan elektrik stimülasyonu ve rehabilitasyon programının sinir iyileşme sürecini olumlu yönde etkilediği görüldü.
Cooperative Orientation in Earnings Calls
Authors: Hirsto Heidi , Koskela Merja , Penttinen Kaisa
Published: April 2022

Financial communication refers to the meaning-making practices by which listed companies interact with their publics to exchange information about issues that may have an effect on the share price. An important site for financial communication is the so-called earnings call, where companies present their quarterly or yearly results and engage in dialogue with analysts and other interested parties. In this paper, we analyze earnings calls from the perspective of the cooperative principle presented by Grice. Our aim is to shed light on how the maxims of cooperation are enacted by expert members of the business community in order to construct joint understanding in the potentially conflicting setting of the earnings call. The empirical data consists of the transcripts of four earnings calls held by globally operating stock-listed companies. Our analysis indicates that earnings calls rely on particularized conversational implicatures, whereby participants may strategically breach the cooperative maxims on the formal level while at the same time orienting to each other’s practical goals and performing as a cooperative team of professionals in a strictly regulated context. One recurring way of doing this is by asking questions that cannot be answered directly but prompt responses with incremental or “soft” information. We argue that the specialized practices of cooperation are linked to the nature of the earnings call as a public performance where participants need to orient to self-presentational and relational concerns as well as regulative restrictions.
Pengembangan Zig-Zag Card Remind Sebagai Media Edukasi Gizi pada Penderita Hipertensi di Puskesmas Labruk Kidul Lumajang
Authors: Febriyatna Ayu , Mardyana Putri
Published: April 2022

Salah satu penyakit yang saat ini menjadi prioritas oleh dunia kesehatan secara global atau dunia adalah hipertensi. Prevalensi penderita hipertensi di Puskesmas Labruk Kidul Kabupaten Lumajang sebesar 43,91%. Penderita hipertensi tidak dapat mengontrol tekanan darahnya karena beberapa penderita hipertensi sebelumnya kurang memiliki edukasi tentang hipertensi. Hal ini dikarenakan media yang hanya berupa leaflet yang monoton dan tidak adanya media poster yang menarik tentang hipertensi, sehingga tidak efektif dalam mengatasi kejadian hipertensi. Oleh karena itu, dilakukan penelitian tentang pengembangan Zig Zag Card Remind sebagai media nutrisi bagi penderita hipertensi di Puskesmas Labruk Kidul Lumajang. Metode penelitian ini menggunakan penelitian Research and Development (R&D) dengan menggunakan model ADDIE (Analyze, Design, Development, Implementation, Evaluation). Jumlah subjek dalam penelitian ini adalah 50 pasien hipertensi di Puskesmas Labruk Kidul yang diambil secara accidental sampling. Hasil penelitian pengembangan media zigzag card pengingat bagi penderita hipertensi dari uji kelayakan oleh ahli materi sebesar 95% dan ahli media 92%, hasil tersebut termasuk kategori layak pada uji coba lapangan tanpa revisi maka hasil uji kelayakan media sebesar 83,78 %, artinya produk tersebut sangat cocok digunakan sebagai media edukasi gizi. Disarankan agar produk pengingat kartu zig-zag ini digunakan sebagai media pendidikan untuk kepentingan penelitian kesehatan lebih lanjut yang melibatkan tindakan intervensi pendidikan bagi orang lain.
Perbedaan Pengetahuan, Sikap, dan Persiapan Kegawatdaruratan Obstetri Ibu Hamil Sebelum dan Sesudah Pendampingan oleh Kelompok Perempuan “Bundo”
Authors: Wildayani Desi , Syarief Devi , Listia Ningsih Winda
Published: April 2022

Kematian ibu masih menjadi tantangan besar kesehatan masyarakat di seluruh dunia. Untuk mencegah kematian ibu, upaya lebih lanjut difokuskan pada pemberdayaan masyarakat yang lebih baik, pemberdayaan perempuan dan penguatan sistem layanan kesehatan termasuk kualitas layanan kegawatdaruratan obstetric. Tujuan dari penelitian ini adalah untuk mengetahui perbedaan pengetahuan, sikap, dan persiapan kegawatdaruratan obstetri pada ibu hamil sebelum dan sesudah pendampingan kelompok perempuan. Jenis penelitian adalah kuantitatif dengan rancangan quasi experiment pre-posttest with one group design. Penelitian telah dilaksanakan di Kelurahan Kurao Pagang Kota, dilakukan selama 3 bulan, dimulai bulan Agustus sampai Oktober 2021. Populasi penelitian adalah ibu hamil trimester 1, 2 dan 3 di wilayah kerja Kelurahan Kurao Pagang Kota Padang. Jumlah populasi sebanyak 24 orang. Seluruh populasi akan dijadikan sampel penelitian (total population). Data diolah menggunakan uji Wilcoxon test. Hasil penelitian didapatkan bahwa terdapat perbedaan yang signifikan antara skor sebelum dan sesudah dilakukan pendampingan pada ibu hamil oleh kelompok perempuan dengan nilai p = 0,000 tentang pengetahuan, sikap dan persiapan kegawatdaruratan obstetri. Diharapkan program pendampingan oleh kelompok perempuan ini tetap dilaksanakan dan dapat juga diterapkan pada wilayah yang lain. Pemberdayaan masyarakat ini hendaknya juga dapat menjadi prioritas program bagi pihak yang berwenang agar dapat menekan angka kematian ibu di Indonesia.
Sistem Monitoring Jumlah Pengunjung Ruang Rawat Inap Rumah Sakit Berbasis Android
Authors: Karmita Daputri , Yendri Dodon
Published: April 2022

A Hospital is a health facility that aims to provide good health services for patients. The physical environment of the inpatient room also affects the patient's psychological condition. The inpatient room should raise optimism so that it can help the patient's healing process. Standard operating procedures in a hospital limit the number of visitors in each inpatient room. This is especially true in the class 1 inpatient room, where the number of patients is limited to two people and the maximum number of visitors limited to 2 people. However, even though the number of visitors to the hospital has been determined, many of the patients' families or relatives who want to visit violate these rules. This happens even though it has been prohibited or without the knowledge of the hospital staff. This paper describes the development of an Android based system to monitor the number of visitors to the hospital's inpatient room, streamlining the number of visitors to the hospital's inpatient room.  The researcher uses a camera so that he can immediately capture the number of visitors in the room. The captured picture are processed in a Raspberry pi to count the number of visitors in the room, using tensorflow as an object detector (visitor). The system can then send notifications to the application when the number of visitors exceeds the safe limit. Researchers also use a mobile application to display monitoring results. so that with this system, the head of the hospital room and the hospital security guard can find out the number of visitors who are in the hospital inpatient room and the number of visitors who exceed the maximum limit.
ROBOT FOLLOWER PEMBAWA INFUS PASIEN RUMAH SAKIT BERBASIS MIKROKONTROLER
Authors: Sauki Ibnu , Ferdian Rian
Published: April 2022

This study has the aim of designing a system that can carry intravenous fluids without human assistance, so it does not bother the patient in moving, this system is made of 2 components in the form of hardware where as hardware and software as software media, for hardware will use assistance from Arduino microcontroller, proximity sensor HC-SR04, DC motor, 11,1volt battery. which consists of 3 batteries, to be able to connect hardware, software or software is needed so that they can be connected to each other, the microcontroller used is an Arduino Uno, the system can run with input from the proximity sensor, which will read the position of the object that has been determined by the distance readings from the sensor, if the position of the object is known, the sensor will send input to the Arduino and process the input, after processing the Arduino will issue input which will be received by the L298N Driver where this driver regulates the rotational speed of the DC motor which will also rotate the wheels. so the robot can move and approach the object.
Treatment of aggressive periodontitis with photodynamic therapy and ozonated water irrigation as an adjunct to scaling and root planing: A case report
Authors: Ikbal Sheikh Aziz , Siddiqui Zeba Rahman , Mehrotra Roopanshi , Ahlawat Sapna
Published: April 2022

Aggressive periodontitis (AgP) is a type of periodontitis which causes rapid destruction of periodontal ligament and alveolar bone and occurs in otherwise systemically healthy individuals generally of a younger age group, but patients may be older. Ozonated water strongly inhibits the formation of oral biofilm and reduces the number of subgingival microbes. The photodynamic therapy (PDT) leads to formation of highly reactive nacent oxygen which causes bacterial cell death. This case report compares the treatment outcome of AgP with antimicrobial photodynamic therapy and ozonized water. The right side of a AgP diagnosed patient was treated by scaling and root planing (SRP) followed by subgingival irrigation with ozone water, while the left side was treated with SRP followed by PDT. After four sessions of irrigation, higher pocket reduction, more clinical attachment gain, and lower bacterial load were found in the segment treated with PDT.
The gray zone squamous lesions: ASC-US / ASC-H
Authors: Kattoor Jayasree , Kamal Meherbano M.
Published: April 2022

The unequivocal and easily recognizable entities of LSIL and HSIL pose no diagnostic problems for a trained eye. However, when the defining morphologic features are either qualitatively or quantitatively insufficient, it is then that the borderline category of “Atypical Squamous cells” (ASC) may have to be used. Scant and suboptimal preparations (mainly in conventional smears) are the common causes that hinder confident decision-making. The binary classification of the ASC category has been retained in The Bethesda System 2014. It includes ASC of undetermined significance (ASC-US) when the atypia is seen in mature cells and ASC-cannot rule out high-grade lesion (ASC-H) when borderline changes are seen in less mature, smaller metaplastic cells or smaller basaloid cells. There are many criticisms of the ASC category. The major one is its subjective and inconsistent applications and the low interobserver and intraobserver reproducibility. However, studies have shown that if we eliminate ASC-US, the LSIL rate will increase. If ASC-H is eliminated, the chances of detecting true lesions are reduced. Hence, there are strong reasons to retain the ASC category. The usual problems leading to the categorization of such cells as atypical are hyperchromasia beyond that acceptable as reactive change; abnormal chromatin pattern that is not overt dyskaryosis; minor variations in nuclear shape; and membrane outlines. Qualifying the atypical cells precisely in one of the categories has bearing on the clinical management and follow-up of the patient. Surveillance of women under the ASC-US category is either by repeat smear at 6 months and 1 year or by reflex human papillomaviruses DNA testing. Women with a Pap smear interpretation of ASC-H are directed to undergo immediate colposcopy. This article describes in detail the morphologic features of the ASC category, doubts about the correct interpretation of the chromatin pattern of the cells in question, and the differential diagnosis between normal, reactive, or inflammatory conditions, and LSIL/HSIL.