bluuebunny/crossref_metadata_2025 huggingface dataset:
PALEOGENE PALYNOLOGY OF THE CENTRAL SUMATERA BASIN
Authors: Lelono Eko Budi , Setyaningsih Christina Ani , Nugrahaningsih L
Published: February 2022

Unlike rich pollen assemblage of other Paleogene sediments in western Indonesia (as seen in NanggulanFormation of Central Java, Tanjung Formation of South Kalimantan and Malawa Formation of SouthSulawesi), pollen assemblage of Paleogene sediments in the Central Sumatera Basin is considerablylow. Referring to the occurrence of Oligocene spore Cicatricosisporites dorogensis supported by pollenPalmaepollenites kutchensis and Meyeripollis naharkotensis, it is inferred that the studied sediment isassigned to Oligocene age. This is strengthened by the disappearance of many key Indian affi nities whicharrived in the Sundaland during Eocene. Palynologically, this study separates the Brown Shale from theUpper Red Bed. The Brown Shale is dominated by fresh water pollen without brackish element suggestingnon-marine environment. This sequence might have been formed in syn-rift setting. Surprisingly, lacustrineindicators of fresh water algae Botriococcus and Pediastrum (as found in the lacustrine sediment of TalangAkar Formation of Sunda-Asri Basin) are absent. Mean while, the Upper Red Bed is marked by signifi cantoccurrence of brackish palynomorphs suggesting the infl uence of marine environment during post-rift period.This condition proves the existence of the transgressive phase where sedimentation started in freshwaterenvironment during the Brown Shale deposition which gradually shifted into transition (shallow marine)environment during the Upper Red Bed sedimentation.
EVALUATION OF SURFACTANT WITH THIN FILM SPREADING MECHANISM FOR EOR IMPLEMENTATION
Authors: Sugihardjo Sugihardjo
Published: February 2022

Wettability plays an important role of two phase Àuids Àow in porous media. The displacement efficiency of oil by injected Àuid is also dictated by wettability characteristic of reservoir rocks. This papers contents a highlight of the reservoir wettability modification by injecting TFSA (Thin Film Spreading Agent) surfactant for EOR applications through a laboratory study . TFSA used in this study is called Coconut Ethanolamide with a HLB (Hydrophilic-Lipophilic Balance) level around 13 to 15 which is very suitable for TFSA purposes. Several laboratory evaluations have been done to screen this surfactant with the aim of getting the best properties that fulfill the criteria for EOR chemical injection. Then TFSA solution tests have been carried out including compatibility, thermal stability, phase behavior, and filtration test. The results suggest that all measured parameters are suitable for chemical injection. Others parameters measuring rock Àuid interactions for instance: adsorption, wettability, imbibition, relative permeability, and core Àood experiments has been done to find the quantitative numbers for screening this surfactant. All experiment results categorize as moderate levels for passing the screening criteria for chemical injection except for the adsorption which is excellent. Even though the results of laboratory tests show this TFSA is valid for chemical injection, improvement by adding some chemicals is still suggested to find a better TFSA formula.
EFFECT OF TEMPERATURE ON RUMEN MICROBES ACTIVITY TO PRODUCE METHANE FROM COAL
Authors: W Bambang Agus
Published: February 2022

This paper is intended to show the effect of temperature on utilization microbes of rumen Àuid to produce methane from coal (lignite, sub-bituminous and bituminous). By considering to field applications, where the CBM reservoir temperature is higher than the microbes natural living conditions in the cow's body, the experiment is carried out at a temperature of 30ºC and 50ºC with an incubation period time of 105 days. Laboratory scale study was conducted by mixing the coal, formation water and rumen Àuid (1: 1: 1). This mixture were inserted into a closed chamber equipped with a hose to measuring the volume of gas produced. The experiment results showed that the microbes of the rumen Àuid can grow on different type of coal and temperatures. The volume of gas production increased during the incubation time for all treatments. Obtained the highest methane production occurs at a temperature treatment of 50ºC for the sub-bituminous coal with a volume of 0.627liters/kg (22.14 cf/ton) from the total volume of gas produced as much as 7.25liters/kg (256 cf/ton).
Diagnostic accuracy of computed tomography scoring index in predicting mortality among suspected patients of acute pancreatitis
Authors: Omair Uzma , Azmat Uzma , Rakhshani Abdul Q
Published: February 2022

Background: Acute pancreatitis (AP) is challenging, varying from subtle edema to parenchymal necrosis in severity. Several clinical and radiological scoring criteria have been formulated over the years to predict the disease intensity of AP to guide monitoring and intervention. This study aimed to establish the diagnostic accuracy of high Balthazar’s computed tomography scoring index (CTSI) in predicting outcomes in terms of mortality and morbidity among suspected cases of the acutely inflamed pancreas.

Methodology: A cross-sectional study was carried out at the Radiology Department of Jinnah Postgraduate Medical Center (JPMC), Karachi. A total of 1434 clinically suspected AP patients were included in this study. The initial diagnosis was made through contrast-enhanced computed tomography (CECT) of the abdomen. Balthazar's CTSI ascertained the disease severity, and outcomes were recorded in terms of survival and death.

Results: The gender distribution showed a male majority, i.e. 789(55%), and most patients were in the 45-55 year age group comprising 650 patients (45.3%). Moreover, out of 1434 patients, 397(28%) died while the rest survived. This study showed that high CTSI is a prognostic indicator of mortality in suspected cases of AP. It has a sensitivity of 91.9%, specificity of 88.72%, a positive predictive value (PPV) of 94.5% and a negative predictive value (NPV) of 83.98%. Overall diagnostic accuracy (DA) was found to be 90.9%.  

Conclusion: It is concluded from the study results that Balthazar’s CT severity index is reliable in establishing severity and disease outcome in AP. Thus, its routine application should be encouraged for timely detection and appropriate management of AP.
Prevalence of Anosmia & Ageusia in confirmed COVID-19 patients at teaching hospitals of District Bannu and Swat, Pakistan.
Authors: Muhammad Iqbal  , Fawad Khan Shahibzada , Khan Sohail , Ahmad Wasim
Published: February 2022

Background: Recent evidence suggests olfactory and gustatory sensory deficits among Coronavirus Disease 2019 (COVID-19) patients. It is important to assess the occurrence of anosmia and ageusia among infected individuals as it may be the potential symptom and assist in controlling the viral load. The objective of the present study was to determine the prevalence of ageusia and anosmia among COVID-19 patients admitted to the teaching hospitals of District Bannu and Swat-Pakistan.

Methodology: This retrospective cohort study was conducted between April to November 2020. A total of 100 confirmed COVID-19 cases, tested through polymerase chain reaction (PCR), were included in the study. Data including gender, age, smoking status, recent travelling history, nasal and paranasal disorder (NPND) history and COVID-19 severity were obtained from the patients’ records. The symptomatology, including frequency of anosmia and ageusia was recorded.

Results: Out of 100 patients, 43.75% of patients had anosmia and 31.25% had ageusia, while 68% of patients were presented without olfactory and gustatory dysfunction. Most of the enrolled patients had no recent travel history (91.46%) and none of them were asymptomatic. Moreover, 88% of patients with a previous history of NPND did not have olfactory and gustatory dysfunction. Various characteristics features, including recent travel history, smoking, gender and disease severity, were significantly associated with anosmia and ageusia.

Conclusion: The COVID-19 patients were exclusively suffering from ageusia and anosmia. It can be concluded that amongst asymptomatic-to-mild disease severity patients, the existence of smell and taste might be an important differential demonstration for the apprehension and analysis of COVID-19.
Can simulation-based education replace the hands-on experience learning during the COVID-19 pandemic?
Authors: Sohail Fadieleh A , Iqbal Marium , Perwaiz Khan Saima , Izhar Safia
Published: February 2022

Background: Although simulation-based learning is expensive but cost-effective and advantageous as well if utilized appropriately. It is known to enhance clinical competence among medical students. There is a dire need to enhance the utilization of simulation-based clinical teaching skills to replace hands-on experience involving patients. The objective of this article was to highlight the importance of simulation-based education (SBE) in medical training.

Methodology: For the study purpose, literature focusing on the use of SBE in medical training was reviewed. The databases including Google Scholar, PubMed, Research gate, Scopus, The Nation news, BBC news were searched using the keywords Simulation-Based Education, Clinical Skills, Vygotsky’s Zone of Proximal Development, Objectively Structured Clinical Examination and COVID-19. We also designed a pilot study to demonstrate the effect of simulator-based training among medical students.

Results: Efforts are being made to support SBE as an alternative method for clinical skill training in medical and dental undergraduate students during this pandemic. As it is cost-effective, ensures patient safety, and reduces the risk of health hazards by refining the medical provider's abilities.

 Conclusion: Due to the pandemic, skill training sessions on simulators via zoom can play a significant role in improving skills among medical students with the least exposure to COVID-19 infection.
The effect of reduced tidal volume on Post Percutaneous Nephrolithotomy Pulmonary complications- A Retrospective Case Control Study.
Authors: Yousuf Fakhir , Khalid Salman El , Mahmood Abdul Wasay , Zafar Iqbal  , Kazmi Zehra , Hassan Waqar , Siddique Shakeel Haseeb uddin , Khan Mujeeb Ahmed
Published: February 2022

Background: Percutaneous nephrolithotomy (PCNL) is the treatment of choice for large or complex renal stones. The upper pole (supra-costal access) is associated with pulmonary and cardiac complications post-operatively, owing to its proximity to the diaphragm. The prone position also causes restricted chest expansion and decreased pulmonary compliance. In this study, we aim to evaluate pulmonary complications after percutaneous nephrolithotomy by reducing the tidal volume intra-operatively and to assess the appropriate tidal volume for patients undergoing PCNL.

Methodology: A retrospective chart review was performed over a period of one year (2019-2020). All patients who underwent PCNL and fulfilled the inclusion criteria were included in the study. They were divided into two groups: low tidal volume (Cases), and normal tidal volume (Controls). The records were evaluated for any pulmonary complications post-operatively, and this was compared between the two groups.

Results: A total of 114 patients were included in the study. When patients with low tidal volume were compared to patients with normal tidal volume, no significant difference in pulmonary complications was observed (p-value < 0.05).

Conclusion: There was no significant difference between the two groups, in terms of post-PCNL pulmonary complications, with respect to the tidal volume. Further multicenter studies can better elucidate these findings.
Effect of education on perception of patients regarding dental treatment and oral hygiene practices during Ramadan.
Authors: Tariq Khaloud , Arooj ul Hassan  , Muhammad Hassan  , Iqbal Zunaira , Malik Ahmad Azam , Tariq Amina , Baig Moghees A
Published: February 2022

Background: Fasting places prohibitions on eating and drinking for a certain period. Although many dental treatments have been said to be safe and can be performed while fasting, others may break the fast. The study aims to evaluate the perception of dental patients regarding the effect of such treatments and hygiene measures during fasting.

Methodology: A cross-sectional survey was carried out in two dental teaching hospitals of Lahore, Pakistan. A self-administered structured questionnaire was developed to assess the knowledge and perception of patients regarding dental treatments and hygiene practices while fasting. The chi-squared test was used to observe differences between knowledge amongst gender, occupation and education status. Moreover, multinomial regression analysis was performed to assess the relationship between these variables.

Results: Among 374 responses, about 76.2% of respondents believed that undergoing extraction broke fast. Scaling thought to nullify the fast by 45.5%. 52.9% perceived root canal treatment (RCT) to break the fast, along with 67.6%, who believed anesthesia administration broke fast. Brushing was reported to break the fast by 57.5%, with mouthwash invalidating fast by 63.4%.

Conclusion: Most respondents thought most oral hygiene measures broke the fast, whereas responses were split regarding procedures where few were perceived to break the fast, and the rest did not.
Association Association of genetic variant of OXTR (rs53576) and MTNR-1B (rs10830963 and rs1387153) with symptoms of stress in Pakistani women with Gestational Diabetes.
Authors: Abid Fatima , Ahmed Sadaf , Fatima Syeda Sadia , Noushad Shamoon
Published: February 2022

Background: Pregnancy continues to be an event full of risks, complications and adverse outcomes for women despite advanced clinical and diagnostic methods and treatment options available in medicine. Diabetes, as a multifactorial and complex disease, is a possible outcome of a blend of numerous genetic variants of differing scarcities. The exact etiology of gestational diabetes mellitus (GDM) is unclear; however, the interaction of genetic and environmental factors, especially the genetic variants identified as the genetic loci for type 2 diabetes as candidate genes for GDM.

Methodology: It will be a case-control study with a genetic analysis of single nucleotide polymorphisms (SNPs) of candidate genes expressed using real-time PCR with sequencing. The study will also evaluate the primer sequence of SNPs.

Discussion: We will be able to share the findings after the completion of our research. The results of this study will able helpful in addressing the psycho-physiological needs of women with GDM, which may also be used to devise strategies to benefit the sustainable long-term behavioural change following the affected pregnancy.
COVID-19 immunization phase; Acceptance & understandings about the vaccine.
Authors: Nesar Shagufta , Rafiq Kiran , Parveen Shaheen , Mumtaz Tayyaba
Published: February 2022

Background: In the current scenario of global immunization against Coronavirus, people do have an uncertain thought regarding the efficacy and effects of the vaccine. The purpose of this study was to assess the knowledge, awareness, and acceptability of vaccines among the general population of Karachi.
Methodology: For the purpose of the study, literature focusing on the knowledge, awareness, and acceptance regarding COVID-19 immunization was reviewed. Google Scholar, PubMed, Research Gate, and Scopus were searched using the keywords COVID-19, non-pharmaceutical Interventions, immunization-related knowledge, awareness, and acceptance. A pilot study was designed to demonstrate the COVID-19 immunization understanding and acceptability.   
Results: Low rate of acceptability for getting vaccinated is observed in the local population. Most perceptions indicated vaccines to be not healthy, harmful, and life-threatening.
Conclusion: The current situation of fast-spreading of the virus and the non-acceptance of vaccines is highly alarming for community and health authorities and demands strong health care measures and campaigns to control the disaster.
Assessing the nurse’s knowledge regarding occupational hazards, its pre-disposing and preventive factors.
Authors: Joseph Sonia , Nasir Alia , Sayani Amber
Published: February 2022

Background: Nurses are an essential part of the healthcare team and require sound knowledge, safety, and protection from occupational health hazards they encounter at work. Therefore, this study aimed to assess the nurse's knowledge regarding occupational hazards, their pre-disposing, and preventive factors.  

Methodology: A descriptive cross-sectional study was conducted among nurses working in surgical, general, ENT, ICU, and gyne ward of the Ziauddin and Civil hospital located in Karachi, Pakistan. A total of 157 registered nurses with a minimum of 6 months of work experience with a valid PNC license were included in the study. Systematic random sampling was used to select participants for the research. The knowledge regarding occupational hazards, pre-disposing factors, and preventive measures were recorded using a structured questionnaire. 

Results: Among 157 participants, the highest occurring occupational hazard was neck and back pain, 52.9%. The assessment of pre-disposing factors to occupational hazards revealed that 70.1% of nurses distinguished lack of adequate protective aids and equipment as one of the most common reasons for the occupational hazards. However, it is revealed by 77.7% of participants that proper training and retraining on safety measures, provision of protective aids and equipment could be possible ways of preventing occupational hazards.

Conclusion: It is concluded that occupational health hazards are prevalent among nursing professionals, which can be reduced through owing responsibility, gaining appropriate knowledge and skills, warrant precautionary actions for avoidance to ensure their own and others' health and well-being.
PRISM score as a predictor of mortality among pediatric intensive care units.
Authors: Akhtar Hina , Ehsan Shaista , Muhammad Imran  , Kunwar Muhammad Aqeel
Published: February 2022

Background: The pediatric risk of mortality (PRISM) score predicts mortality in the pediatric intensive care unit (PICU). This study aimed to evaluate the application of PRISM score as a predictor of mortality in intensive care units of a tertiary hospital.

Methodology: A descriptive cross-sectional study of one year was conducted within the Department of Pediatrics at Ziauddin University and Hospital, located in Karachi, Pakistan. The total number of 263 admitted neonates and children up to the age of 12 years were included. Patients more than 12 years of age admitted in wards and plane for any surgery were excluded from the study; the PRISM score tool was used to collect the data of the neonates and children.

Results: The mean PRISM score was high among non-survivors (15.3 ± 7.2) as compared to survivors (12.7 ± 9.2) (p=0.023). The predictability of the PRISM score regarding pediatric mortality was shown by the area under the curve (AUC) i.e., 0.636.

Conclusion: The PRISM score found a significant difference between survival and death groups. Therefore the implication of the PRISM score can be needed in PICU to reduce the mortality rate.
Uterine arteriovenous malformation: A rare yet perilous entity.
Authors: Mannan Gul-e-Rana Abdul , Niaz Rabiya , Hayat Dur-e-Shahwar , Buch Vyomesh , Ansari Sarwat
Published: February 2022

Background: Uterine Arteriovenous Malformation (AVM) is a rare diagnosis. Although rare, it can cause massive and life-threatening hemorrhage, eventually leading to considerable morbidity and mortality. Healthcare professionals need to have a high index of suspicion in order to avoid the morbidity associated with Uterine Arteriovenous Malformation. We shed light on this relatively under-researched gynecologic diagnosis.

Case Presentation: We describe the presentation, workup, including radiological studies, and subsequent management of Uterine Arteriovenous Malformation in two reproductive-age females who presented to our hospital with abnormal vaginal bleeding. Both patients had a history of primary hemorrhage after abortion, requiring blood transfusion. Both patients underwent Magnetic resonance imaging (MRI) and showed a tortuous serpentine tangle of mixed signals extending from the deep myometrium into the endometrium.

Management & Results: Diagnosis of Uterine AVM was established months later when they presented with continuous abnormal vaginal bleeding. The diagnosis was established based on clinical examination and imaging studies. Patients were managed with hormonal treatment and responded well; one of them eventually got a successful pregnancy.

Conclusion: Uterine arteriovenous malformation, causing significant vaginal bleeding, can be managed timely with accurate diagnosis and prompt management, with an array of modalities including conservative, medical or surgical methods. The modality of treatment depends upon the patient’s clinical condition and fertility wishes.
Effects of physiotherapy in the management of cancer-related pain and fatigue: A systematic review of randomized controlled trials.
Authors: Ameer Shaikh Hajra , Anjum Okasha , Iqbal Kiran , Zaidi Syeda Wajeeha Raza
Published: February 2022

Background: Cancer is ranked as the 2nd common deadliest disorder worldwide, and the growing incidence demands updating and optimizing the treatment strategies for cancer survivors. However, evidence regarding this area is scarce; therefore, this systematic review aimed to evaluate the effects of Physiotherapy (PT) in managing cancer-related pain and fatigue.

Methodology: Electronic search conducted utilizing Google Scholar, Embase.com, Cochrane CENTRAL via Wiley, Web of Science Core Collection, MEDLINE via Ovid, PEDro, and PubMed. Randomized controlled trials published from 2014 to April 2021 analyzing the effects of PT approaches for cancer-related pain and/or fatigue management in adult cancer patients were included in the review. Sixteen eligible trials were evaluated, of which eight trials addressed Cancer-Related Pain (CRP) while others addressed Cancer-Related Fatigue (CRF). The risks of bias and trials credibility were analyzed via the Cochrane tool to assess bias risk.

Results: Strong evidence favors the effectiveness of various PT approaches mainly, aerobic and resistance exercises for CRF and CRP management. However, endurance exercises, high-intensity interval training, and myofascial release were effective in CRF management. In contrast, Xbox Kinect-based games, stretching, lymphatic drainage, and passive mobilization effectively reduced CRF.

Conclusion: Large body of evidence supports the effectiveness of PT exercises mainly, aerobic and resistance exercises, in cancer-associated pain and fatigue management. Hence exercises prescriptions should be implemented in the treatment plan of cancer patients.
CLASSIFICATION OF VEGETATION OF LOWER TANAWAL, PAKISTAN BY CLUSTER ANALYSIS ON THE BASIS OF ALTITUDE
Authors: Bibi Adeela , Iqbal Zafar , Shah Ghulam Mujtaba , Nawaz Sarfaraz
Published: February 2022

During this research study on the basis of altitude 5 altitudinal ranges were formed from 2396 to 6742 ft. from Lower Tanawal, Abbottabad Pakistan.  From these 05 altitudinal ranges 17 plant communities were established, 3 plant communities were documented from altitudinal range I (2396-3054 ft). Four plant communities were formed from altitudinal range II (3142-3613 ft). Three plant communities were recognized from altitudinal range III (3708-4182 ft). Four plant communities were recorded from altitudinal range IV (4220-4666 ft). Three plant communities were established from altitudinal range V (4827-6742 ft). The ordination techniques Two-way Indicator Species Analysis (TWINSPAN) were used to classify the data.
ANALYSIS OF THE EFFECT OF CUSTOMER BUYING INTENTION ON THE SELECTION OF THE NEW NORMAL KIT IN THE COVID-19 PANDEMIC
Authors: Golan Hasan  , Richart
Published: February 2022

This study aims to analyze the effect of Health benefit, Brand Quality, Brand Trust, and Price by mediating Perceived Value on Buying Intention. according to the requirements in the known population of 1.1 million people have visited, then based on Krejcie and Morgan table, the number of samples that must be required is 384 respondents. The data used in this study were 384 respondents. Results obtained from the Partial Least Square (PLS) approach for data analysis it is said that the Health Benefit variable has a significant effect on Perceived value, as well as Brand Quality, Brand Trust, Price variables which also have a significant effect on Perceived value. and then also has a significant effect on the perceived value variable on buying intention, as well as the health benefit variable with price which also has a significant effect on buying intention.
Pengenalan Teknologi Pertanian Berkelanjutan Kepada Petani Di Lahan Kering Desa Gumantar, Kabupaten Lombok Utara
Authors: Jaya I Komang Damar , Santoso Bambang Budi , Jayaputra Jayaputra
Published: February 2022

The main obstacle faced in the development of seasonal crops on dryland is the availability of water and low soil fertility. As a result, the cropping index (IP) of dryland is very low because crops are grown in the rainy season only. The use of inorganic fertilizers is also very high in order to obtain adequate crop yields. Such practices can result in a reduction in the organic carbon content in the soil in the long term. Soil fertility can be maintained if the soil contains a lot of organic carbon. Organic carbon in the soil can increase soil fertility by preventing nutrient loss, increasing soil physical stability, increasing the soil's ability to retain water and increasing the consortium of microorganisms. An introduction of sustainable agriculture technology was carried out to provide understanding to farmers in the dryland of Gumantar Village, North Lombok Regency (KLU) about the importance of sustainable agriculture in order to maintain soil fertility and land productivity. The activity was carried out by making a demonstration plot of aerobic composting of mungbean waste and then followed by an in-situ test of the benefits of compost for chili plants. As a comparison, plots were made for planting chili plants without compost treatment. Aerobic composting was done by using BeKa decomposer (PT. Indo Acidatama Tbk). Several formal and informal meetings were held with farmers to increase their understanding of sustainable agriculture. The results of the activities indicated that the target farmers did not understand at all about sustainable agriculture. The good news was that the farmers passionate about understanding the benefits of sustainable agriculture. At the end, the participants understanding and beliefs about sustainable agriculture improved after seeing the yields of chili plants in the compost treatment which were much higher than those without compost treatment.
Deteksi Dini Penurunan Status Fungsi Kognitif dan Edukasi Terkait Upaya Pencegahannya pada Pasien Stroke Iskemik di Rumah Sakit Islam Siti Hajar Mataram
Authors: Harahap Herpan Syafii , Indrayana Yanna , Putra Hendra Susana , Retnowati Indah , Asriningrum Asriningrum , Wijaya Christabella Natalia , Setiadi Qisthinadia Hazhiyah , Alifiya Silmina , Fatarosdiana Fatarosdiana
Published: February 2022

Penurunan fungsi kognitif merupakan salah satu komplikasi penting dari stroke, terutama pada stroke iskemik. Prevalensi penurunan kognitif pada pasien stroke iskemik sendiri saat ini diatas 70%. Deteksi dini terhadap penurunan fungsi kognitif terkait stroke iskemik dan faktor-faktor yang menyertainya dapat memberikan luaran klinis yang baik pada pasiennya. Dengan demikian, kegiatan pengabdian kepada masyarakat yang ditujukan untuk deteksi dini penurunan kognitif pada pasien stroke iskemik dan edukasi terkait upaya pencegahannya sangat penting untuk dilakukan. Sebanyak 51 pasien stroke iskemik dewan waktu awitan stroke iskemik 3 bulan pertama yang datang ke Poliklinik Saraf RSI Siti Hajar Mataram mampu menyelesaikan partisipasinya secara penuh dalam kegiatan ini. Sebagian besar pasien memiliki rerata usia 54 tahun, sebagian besar laki-laki, memiliki pendidikan SMA, awitan stroke dalam 4 minggu pertama, dan memiliki hipertensi dan dislipidemia. Karakteristik pasien yang berhubungan secara signifikan dengan frekuensi terjadinya penurunan fungsi kognitif terkait stroke iskemik antara lain usia pasien, hipertensi, dan atrial fibrilasi (p<0.05). Seluruh pasien dan anggota keluarga penyerta menunjukkan antusiasme yang tinggi. Kegiatan deteksi dini penurunan fungsi kognitif ini sangat bermanfaat bagi pasien stroke iskemik dan edukasi yang diberikan bermanfaat dalam meningkatkan pengetahuan mereka terkait langkah-langkah yang harus dilakukan untuk mencegah terjadinya penurunan fungsi kognitif terkait stroke iskemik.
Pemeriksaan Elektroensefalografi dan Edukasi Kontrol Bangkitan pada Pasien Epilepsi di Rumah Sakit Jiwa Mutiara Sukma
Authors: Harahap Herpan Syafii , Sahidu Muhammad Ghalvan , Hunaifi Ilsa , Indrayana Yanna , Indriyani Enny Ratna , Adwiatin Mega , Rosmalasari Rosmalasari
Published: February 2022

Epilepsi merupakan salah satu penyakit dibidang neurologi dengan prevalensi yang tinggi. Pasien epilepsi merupakan merupakan pengunjung terbanyak di poli saraf Rumah Sakit Jiwa (RSJ) Mutiara Sukma. Jika tidak ditangani dengan baik, penyakit epilepsi menimbulkan beban sosial dan ekonomi bagi pasien dan keluarganya. Pengabdian kepada masyarakat ini bertujuan untuk melakukan pemeriksaan elektroensefalografi (EEG) untuk konfirmasi diagnosis dan menentukan lokasi lesi pada pasien rawat jalan epilepsi di RSJ Mutiara Sukma dan memberikan edukasi kepada mereka mengenai upaya mencapai kontrol bangkitan yang baik. Sebanyak 59 pasien epilepsi di RSJ Mutiara Sukma turut berpatisipasi dalam kegiatan ini, dengan karakteristik sebagian besar berjenis kelamin laki-laki, berusia lebih dari 20 tahun, dan memiliki tingkat pendidikan rendah (sekolah dasar). Sekitar 40,7% dari jumlah tersebut menunjukkan hasil abnormal pada pemeriksaan EEG dengan lokasi terbanyak di lobus temporal. Seluruh pasien epilepsi dan anggota keluarga pendampingnya menunjukkan perhatian yang tinggi terhadap seluruh rangkaian kegiatan ini, termasuk pada sesi edukasi. Kegiatan ini memberikan manfaat yang besar bagi pasien dan keluarga pengasuhnya. Perlu dilakukan evaluasi secara berkala terkait jumlah pasien epilepsi yang dilakukan pemeriksaan EEG dan yang mencapai kontrol bangkitan epileptik optimal sebagai indikator penting dari keberhasilan kegiatan ini.
Pencegahan Penularan Covid-19 melalui Pembagian Masker dan Desain Infografis di Pasar Badung, Denpasar-Bali
Authors: Hanindharputri Made Arini , Pradnyanita A.A Sagung Intan , Utami Sri
Published: February 2022

The COVID-19 pandemic, which has hit almost all countries in the world, requires all people to comply with health protocols to face new life, such as using masks in everyday life. In Denpasar, Bali itself, the number of COVID-19 transmissions continues to increase, so masks are mandatory items that must be owned by the community. However, conditions in the field, there are still many people who do not use masks in their daily activities, such as at Badung Market, Denpasar. The market as a place of buying and selling that involves the interaction of many people, should have more health protocols so that it does not become a new cluster in the spread of COVID-19. Therefore, community service was made by involving lecturers and students of all Study Programs at the Bali Design and Business Institute, in the form of distributing cloth masks and infographics to provide education to the public, especially traders and the community in the Badung Market area, Denpasar-Bali. The methods used are choosing the location for distributing masks, collecting cloth materials for mask production, producing masks, designing infographics and mask packaging, packaging, and distributing masks in the Badung Market area. The resulting cloth masks are packaged together with infographics, so that people can easily get education on preventing COVID-19 by using masks.
Pelatihan dan Pendampingan Pengelolaan Sampah Organik Menjadi Kompos Dengan Metode Takakura di Desa Waduwani
Authors: Irawati Ika , Fitrianingsih Nur , Yanti Sri , Ihsan Ihsan , Meirawan Deddy
Published: February 2022

Garbage have been become big problem for our environment, especially the garbage at Waste Processing Site (TPA) on Waduwani Village. Several efforts have been made by government to reduce garbage volume. But these efforts have not been fully realized in the community. So that it is urgently needed an appropriate and comprehensive solution to reduce the volume of the garbage and its negative effect on environment. Training and assistance to make organic garbage to be the compost by using “Takakura method” is the one solution to reduce garbage problems. This activity is a Community Service for the community, especially women in Waduwani village, Woha sub-district of Bima, NTB. The objectives of this community service activity includes (1) Counseling the community to improve community knowledge and skills to make organic garbage properly and sustainably. (2) The management and training can reduce the volume of organic garbage generated from the house. (3) The results of training of compost made can be utilized by the community, especially to fertilize their plants. The method of implementing this activity is carried out in four stages, namely; socialization, Implementation program, Garbage processing, and finally Program evaluation. The results of Takakura Method are (1) IncreaseMothers knowledge and skills to manage the garbage (2) Reduce the garbage volume which generated at household/kitchen. (3) The results of make Takakura compost can be used directly by mothers to fertilize their plants.
Analysis Of Baitul Maal Wat Tamwil Problems Due To The Covid-19 Pandemic In Tasikmalaya
Authors: Nasrulloh Agus Ahmad , Nurhasanah Elis , Wijaya Trisna
Published: February 2022

This study aims to determine the most dominant impact of the COVID-19 on Baitul Maal wa Tamwil (BMT) and to find the right solution to the problems faced by BMTs in Tasikmalaya. The method used in this research is descriptive mixed method (qualitative and quantitative) using Analytic Network Process (ANP). The results show that the impact of the pandemic on BMT finances is an increase the NPF ratio, and the solution to overcome this financial impact is the institutions should be more selective in terms of financing management, collateral, surveys, and financing risk. Impact on personnel or employees is the decrease in employee productivity, the solution is providing rewards to increase productivity, while the external impact affects the business stability of MSMEs who are the member of BMT, starting to get bottlenecks and went out of their business, and the solution is to provide business education to businessman.
Pelatihan Komunikasi Persuasif Dalam Menarik Minat Konsumen Pada Komunitas Wirausaha Perempuan
Authors: Safitri Dini , Romli Nada Arina , Siregar Dania
Published: February 2022

The women’s entrepreneurial community in Johar Baru Subdistrict, Central Jakarta consists of approximately 30 underprivileged entrepreneurs fostered by Yayasan Senyum Ibu Indonesia (YSII). The problem in the partner environment is the number of community members who do not use promotional media on social media. Even if anyone uses social media, just rely on promotions on whatsapp groups. They do not have enough about communication technology, especially the features on social media and their functions and uses. Therefore, they do not understand marketing and business communication and carry out persuasive product promotions in attracting consumer interest on social media. The purpose of holding this PKM is that the Women Entrepreneurs Community in Johar Baru District, Central Jakarta can activate on social media, so that their business activities are published to citizens. The PKM method is carried out online through the zoom application by providing a balanced time between material and discussion with participants. The result of this activity is that persuasive communication training in attracting consumers can improve UMKM skills in using social media while increasing the number of sales. The participants are also equipped with the importance of educational content on social media to increase consumer interest in buying products. Komunitas perempuan wirausaha di Kecamatan Johar Baru, Jakarta Pusat terdiri dari kurang lebih 30 pengusaha prasejahtera binaan Yayasan Senyum Ibu Indonesia (YSII). Permasalahan di lingkungan mitra adalah banyaknya anggota masyarakat yang tidak menggunakan media promosi di media sosial. Kalaupun ada yang menggunakan media sosial, hanya mengandalkan promosi di grup whatsapp. Mereka tidak memiliki cukup pengetahuan tentang teknologi komunikasi, terutama fitur-fitur di media sosial serta fungsi dan kegunaannya. Oleh karena itu, mereka kurang memahami pemasaran dan komunikasi bisnis serta melakukan promosi produk secara persuasif dalam menarik minat konsumen di media sosial. Tujuan diadakannya PKM ini agar Komunitas Wanita Pengusaha di Kecamatan Johar Baru, Jakarta Pusat dapat aktif di media sosial, sehingga kegiatan usahanya terpublikasi kepada warga. Metode PKM dilakukan secara online melalui aplikasi zoom dengan memberikan waktu yang seimbang antara materi dan diskusi dengan peserta. Hasil dari kegiatan ini adalah pelatihan komunikasi persuasif dalam menarik konsumen dapat meningkatkan keterampilan UMKM dalam menggunakan media sosial sekaligus meningkatkan jumlah penjualan. Para peserta juga dibekali dengan pentingnya konten edukasi di media sosial untuk meningkatkan minat konsumen dalam membeli produk.
Happiness Related Mothering, Study of Mother with Young Children
Authors: Suganda Gitta , Ninin Retno Hanggarani
Published: February 2022

The way parents take care of young children varied greatly. One of the study showed that parents with young children were more stressed than when their children were adults. Another study explained that when children were very young, they could get more emotional benefits, new meanings, and feelings for children. The purpose of this study was to understand the determinants of happiness for parents with young children. This study used a qualitative approach to semi-structured interviews. There were five subjects, and the participant criteria in this study was a married woman with children aged 2-5 and directly participating in childcare. Obtained results about the factors that determine the mother’s happiness, namely: 1) When children get better care than what they (mothers) got as a child. 2) Parent consciously, healthily, happily, and not promote negative emotions in children. 3) Understand, master, and enjoy parenting challenges. 4) Establish close and flexible relationships with children. 5) Be able to respond to children's bad behavior constructively towards the mother-child relationship. 6) Successfully carry out their role with confidence so that there was no need to compare themself with others or compare their children with other children. 7) Accept all abilities and limitations as a mother. 8) When children grow up healthy, happy, and adaptive.
The Development of Papi Opung Media to Improve Children's Logical-Mathematics Intellingence
Authors: Novanti Tanaya Susilatama , Wijaya Intan Prastihastari , Utomo Hanggara Budi
Published: February 2022

This research is conducted to develop a product in the form of learning media which is called as Papi Opung to improving logical-mathematics intelligence in early childhood. Moreover, the method used in this research was the research and development (R&D) model from Borg and Gall. Furthermore, we use 6 stages of the existing 10 stages. These stages consist of: (1) potential and problem analysis, (2) literature study, (3) product design, (4) design validation, (5) design revision, and (6) product trial. Data analysis was conducted descriptively quantitatively. In addition, data were obtained from instrument assessments in the form of validation sheets for media experts and material experts, validation sheets for convenience and attractiveness by teachers group B, observation sheets in small group trials and observation sheets in field trials. The results of the study show that papi opung media are relevant, feasible, and valid for increasing logical-mathematics intelligence in early childhood.
MOUTHWASH OF Amaranthus hybridus L. LEAF EXTRACT WITH ETHYL ACETATE AS A Streptococcus mutans ANTIBACTERIAL
Authors: Yelfi Yelfi , Susilo Hadi , Kurnia Nia Marlina
Published: February 2022

Caries and dental plaque are oral and dental problems. Green spinach (Amaranthus hybridus L.) can be used as medicine and has antibacterial activity. It also benefits human health and is a nutrition source. The phytochemical results of the leaf extract showed that A. hybridus L. contains alkaloids, flavonoids, steroids, saponins, and tannins. This study aimed to determine the inhibitory action of A. hybridus L. leaf extract against the growth of Streptococcus mutans and to formulate A. hybridus L. leaf extract in a mouthwash. The disk diffusion method and brain heart infusion agar medium were used in this study, with five treatment groups: extract concentrations of 25%, 50%, and 100%, positive and negative control were studied. Physical tests, including organoleptic, pH, and viscosity tests, were performed. The pH of A. hybridus L. leaf extract in the mouthwash was 4.80, with a viscosity of 1.2456–1.378 cP. The inhibition zones of antibacterial activity against S. mutans in the extract concentrations of 25%, 50%, and 100% were 1.13, 1.73, and 2.90 mm, respectively. The ethyl acetate extract of A. hybridus L. leaves in mouthwash displayed antibacterial activity against S. mutans, with an average inhibition zone of 0.57 mm. The mouthwash formulation produced an inhibition zone with an average F1 of 0.57 mm and F2 of 1.67 mm.
Baby Girl with Mesoblastic Nephroma Kidney Tumor (NM)
Authors: Komaladewi Dian , Tambunan Freedy LP , Akbar Edwam
Published: February 2022

AbstractBackground: Mesoblastic nephroma (NM) is the most common benign kidney tumor in infants, mostly occurring in the first six months of life; it is still very rare. These tumors are almost always diagnosed in children under two years of age. Radical nephrectomy as curative therapy.Case presentation: We report the case of a 22-day-old baby girl with complaints of enlarged abdomen which was known since the patient was born. The patient was born to G3P0A0 mother, 9 months of gestation, through normal delivery. Babies are born crying immediately. Birth weight 3100 grams. Abdominal examination, convex, normal bowel sounds, soft palpation, palpable solid mass on both flank, well defined, fixed, painless, size 15x15x10 cm. Renal ultrasound examination revealed bilateral renal masses ec DD/ Wilm's tumor, mesoblastic nephroma. Abdomen CT examination with contrast revealed a solid mass in the upper to lower abdomen bilaterally obliterating both kidneys, pressing the intestines to the middle abdomen, superiorly pressing the liver and spleen, anteriorly attached to the abdominal wall, posteriorly attached to the vertebral bodies ec DD/ mesoblastic nephroma, Wilm's tumor. Anatomical pathology examination revealed benign cystic lesions on both kidneys bilaterally.Conclusion: Radiological imaging has a major role in establishing the diagnosis of NM, so it will assist in the selection of fast and appropriate treatment.
Exploitation & Social Discrimination Portrayed in the Joker Movie (2019): A Study of Class Analysis
Authors: Baharuddin Andi Farid , Gosal Amelia Novita
Published: February 2022

Film is a cultural instrument that can educate people. Through an interesting film, people can activate their intellectualisation in seeing the social situation that occurred in the film. This research examines Joker (2019) a movie containing the discourse ofexploitation  and the social discrimination system related to this era. In this study, researchers elaborate (1) what forms of exploitation and social discrimination does the Joker film have?; and (2)  what are the impacts of the exploitation and social discrimination in the film. The research method used is qualitative. Then in collecting data, the researchers first classify three types of data, namely primary  data, secondary data, and supporting data. These three data are an effort to strengthen the arguments of this study. Furthermore, to analyze the research problem above, the researchers use one of the branches of the sociological theory of Marxism, namely class contradiction analysis and also the theory of communication science called critical discourse analysis to analyse the issue of news media coverage in this film. The results of this study indicate that the form of exploitation and social discrimination in the Joker film is divided into three areas, namely (1) the Health Sector, (2) the Labor Sector and (3) the Media News Sector.
Foucault Dan Diskursus Media Siber
Authors: Febriana Poppy , Puspa Ratih
Published: February 2022

The availability of cybermedia offers many options that vary for discovering and consuming information similar to the ability to generate it. Cybermedia has also given rise to new methods for people to interact and build relationships in society, posing problems for researchers in the communication study field, particularly in dissecting new kinds of multi-modal communication. The research objective is to learn more about how Michel Foucault's discourse analysis applies to the cybermedia discourse. The findings of this study show that Foucault's notions, as found in The Birth of the Clinic, The Archeology of Knowledge, and Technology of the Self, are still relevant in addressing the difficulties of cybermedia research. The Foucaultian approach to social media focuses on sharing processes, which are the foundation of social media. Another aspect of Foucault's media philosophy is "constant awareness and visibility."
Service Communication On Unisba Student Satisfaction During The Covid-19 Pandemic
Authors: Wiwitan Tresna , Drajat Mohammad Subur , Nurrahmawati Nurrahmawati
Published: February 2022

One of the indicators of stakeholder assessment of higher education institutions is the service factor provided by the institution.  Online lectures and lecturer services – educators to students – are part of the communication services that Unisba provides to its students. Student dissatisfaction with the services that faculties and universities provide is usually conveyed on social media and it can be a boomerang effect for Unisba. Customer Relationship Management (CRM) is a form of service communication that is based on building relationships with customers.  The purpose of this study was to determine and analyze the effect of service communication on student satisfaction. This study uses quantitative analysis method to test the influences. The population is Unisba strata-1 (S1) active students in the 2020/2021 academic year, totaling 12,854 students.  To determine the sample size, the authors used the Slovin formula with a margin of error of 0.09 and the number of samples is 132 students.  The sampling technique that the authors used was the stratified probability one. The data analysis that we used was simple linear regression to see the influence of people, process, and technology aspects on Unisba student satisfaction.  The research results show that human, process, and information technology aspects have a significant influence on Unisba student satisfaction.