bluuebunny/crossref_metadata_2025 huggingface dataset:
Impact of Non-Farm Activities on Income: A Case of Rural Areas of District Bahawalpur
Authors: Kazmi Syed Mumtaz Ali , Imran Syed Muhammad , Nasim Ismat , Ayub Muahammad
Published: April 2023

Over 68% of Pakistan's population lives in rural areas, and they primarily rely on agriculture to make a living. Pakistan's rural non-farm economy is diverse, encompassing a wide range of activities. The objective of the current study is to quantify the effect of rural non-farm activities on rural household's income in Punjab, Pakistan's district of Bahawalpur. For households with lower incomes, the non-farm market is one of their main sources of income. The study's respondents were chosen using a multistage sampling process. A standardized questionnaire was used to collect data throughout five stages. The findings demonstrate that non-farm activities increase the rural household's income and employment. The income of the household is positively and significantly influenced by education and experience. The results also shows that non-farm activities as well as non-farm participants augments rural income. From the policy prospective, it is recommended that in rural areas non-farm activities should be promoted.
Institutional Performance and Tourism Arrival Nexus in BRICS Countries: Evidence from Nonlinear ARDL Cointegration Approach
Authors: Awan Ayesha , Rahman Saif Ur , Ali Mubashar , Zafar Mahwish
Published: May 2023

Tourism is significantly influenced by institutional quality. The strength of institutions is also important for the growth of tourism because poor institutions may inhibit tourists from entering a region. Over the years, there have been rare studies on the association between institutional quality and tourism in BRICS Nations by using NARDL. Using the NARDL model & institutional theories, this study looks at the asymmetric effects of institutional quality on tourist arrival in the BRICS countries from 1996 to 2021. The findings suggest that a gain in institutional quality will boost Tourist arrival for the BRICS countries to examine the interrelationships among variables both long and short run and NARDL shows a positive relation between the expansion of tourism in the BRICS countries. This study examines the asymmetric effects of institutional quality and energy consumption on visitor arrival. The long-run asymmetries between institutional quality, energy use, and tourism in the BRICS countries. Furthermore, the study finds that neglecting the series’ inherent nonlinearities may lead to misleading inferences. The policy argued that in order to increase investment in institutional quality and energy consumption, appropriate measures must be taken, including deregulation of economic activity, the development of The implementation of adequate regulatory frameworks and tax constructions, the development of port infrastructure, a road network, a rail system, and telecommunications facilities, the achievement of trade-related clarity trade-related adaptability and the expansion of the nation's infrastructure in to accommodate more tourists. As a result, recommendations for measures to improve tourist arrival, promote high-quality institutions, and stop environmental damage were suggested. As a result, the present study offers the BRICS countries a foundation for their policies.
THE INFLUENCE OF ANTHROPGENIC ACTIVITIES ON THE WATER AND SEDIMENT QUALITY INDEX IN THE KRUENG BARO RIVER FLOW IN PIDIE REGENCY
Authors: Rizky Said Ary , Mulyati Sri , M. Faisal  , Syahriza Fahlevi Dini
Published: May 2023

In the Pidie Regency area in general, there are still problems with its watershed (DAS), namely pollution due to domestic and non-domestic waste disposal and illegal mining which is part of the population's activities (anthropogenic) which continues to increase as a form of the population's efforts to meet their needs. In PIDIE District the watershed consists of the Teunom River Watershed, the Baro River Watershed, and the Krueng Baro River Watershed. With the increasing anthropogenic activity in the Watershed in PIDIE Regency, especially in the Kreung Baro River Watershed, this indicates the need to take action through the identification, mapping and assessment of the Watershed as an important effort to prevent further pollution and decrease water quality and sedimentation. This study uses the Pollution Index (PI) method so that the quality of water in the watershed will be easily controlled and in accordance with water quality standards and in accordance with what has been set by the government. and the Sediment Quality Guidelines (SQGs) method which can determine the appropriate levels in sediments in the watershed. The water quality of the Krueng Baro River, Pidie Regency using the Pollutant Index (PI) method with a value of 3.8062 for drinking water designation (class 1) is moderately polluted, different when compared to data obtained from the Aceh Provincial Government in 2022 with a value 2.5496 classified as moderately polluted. The water for agricultural purposes (class IV) with a value of 0.4569 is classified as fulfilling the water quality standard requirements. Likewise, the data carried out by the Government of Aceh with a value of 0.2848 is classified as fulfilling the water quality standard requirements for agriculture. Sediment quality in Krueng Baro, Pidie Regency with data processing using the Sediment Quality Guidelines (SQGs) method with a value of 0.0002, this value is the same as the value carried out by the Aceh Provincial Government, which is classified as a moderate negative effect of heavy metals on biota
Development of DNA Barcoding Student Worksheet for Biology Undergraduate Students in Invertebrate Taxonomy Course
Authors: Manurung Eunike , Diningrat DS , Manurung Binari
Published: April 2023

DNA barcodes have revolutionized the insect taxonomy field and made the learning process of taxonomy more accessible to everyone. This study aims to create student worksheets on DNA barcoding to improve student achievement in the learning process of insect taxonomy. The research was conducted from September to December 2022 using the 4D model ((define, design, develop, and disseminate). The study involved experts in material/content and learning approach, subject lecturers, and students. The developed student worksheet product underwent validation, assessment, and response from material/content experts (95.83%), learning approach experts (95%), subject lecturers (83.33%), small group test (94.66%), and big group test (94.90%), which indicated that it was very feasible to use. Before implementation, the results of paired t-test between the control and experiment pretest results was t count = 1.76 (p = 0.08); df =31), meaning there was no significant difference between the control and experiment pretest results. However, after implementing the student worksheets that have developed, the paired t-test between the control and experiment posttest results was t count = 6.67 (p = 0.00; df = 31), meaning there was a significant difference in learning outcome between the control and experiment posttest results. Moreover, the N-gain value obtained in the experiment class was 0.9107 means "high," indicating that applying student worksheets are more effective than just using a collection of books in increasing student achievement.

Keywords: Student Worksheet, DNA Barcoding, Insect, Research & Development (R&D)
Study of Clinicopathological Pattern and Outcome of Adnexal Masses in Females from Puberty to Perimenopause at LD Hospital
Authors: Choudhary Nargis , Farooq Ofayra , Dar Farooq Ahmad
Published: April 2023

Background: An adnexal mass, which refers to a mass located in the ovary, fallopian tube, or surrounding connective tissues, is a common problem in gynecology. A significant number of females present with adnexal masses, and the clinicopathological pattern and outcome of these masses are not well characterized. Therefore, a study was undertaken to evaluate the clinicopathological features and outcomes of adnexal masses in females from puberty to perimenopause.
Methods: This study was a prospective observational study that was conducted over a period of one and a half years in the postgraduate department of Obstetrics and Gynaecology at Lalla Ded Hospital, GMC Srinagar. Ethical clearance was obtained from the Institution Ethics Committee (IEC) prior to conducting the study.
Results: For patients aged 12-20, the chief complaints were pain abdomen (66.7%) and menorrhagia (33.3%). For patients aged 21-30, the chief complaints were pain abdomen (70.3%), dysmenorrhea (11.1%), secondary infertility (7.4%), and incidental finding during LSCS (11.1%). For patients aged 31-40, the chief complaints were pain abdomen (96%) and incidental finding during LSCS (4%). For patients aged 41-50, the chief complaints were distension and menorrhagia (both 50%). The chief complaints associated with these masses include Pain abdomen, Dysmenorrhea, Secondary infertility, Menorrhagia, Distension, Polymenorrhea, and Incidendal finding. The percentage of patients associated with each type of adnexal mass varies from 1% to 100%, depending on the type and chief complaint.
Conclusion: The study found that adnexal masses were more prevalent in married women aged 21 to 40 years, with abdominal pain being the primary presenting symptom. Most of the masses were less than 100cc, and the majority of neoplastic lesions were surface epithelial tumors. The study also showed that non-neoplastic lesions were more common than neoplastic lesions, with only one malignant tumor found among the neoplastic lesions.

Keywords: Adnexal mass, ovarian cancer, clinical presentation, histopathology
Effectiveness of Brisk Walking on VO2 Max, Agility and Flexibility in Physically Inactive Children
Authors: Francis Anju , Mathew Lija
Published: April 2023

Background and Objectives: Physical inactivity is on the ascent in today's technology environment, and it is one of the main risk factors for noncommunicable diseases and death worldwide. It raises the risk of a broad range of lifestyle diseases. Physical inactivity is the world's fourth largest cause of death. The use of tech gadgets and transportation infrastructure may lead to a higher level of physical inactivity in children and adolescents, which has an impact on their physical fitness and academic performance. To encourage physical exercise and fitness, early intervention is required. Therefore, this study was undertaken to determine the effect of brisk walking on VO2 Max, agility, and flexibility in physically inactive children
Methodology: Thirty subjects were selected based on inclusion and exclusion criteria, then divided in to two groups. Group A (Experimental group = 15) received warm up exercise, brisk walking and cool down exercises. Group B (control group = 15) does not receive any exercise. Exercise programme was held for 3 days per week for 40 minutes for 6 weeks. Pre and post measurements were taken using queen college step test for VO2 Max, agility t test and modified sit and reach test for flexibility.
Results & Discussion: Paired t test is used to analyze the results within the group and independent t test were used to analyze the results between the group. The significant level kept at p ≤ 0.05. From pre to post six week intervention, a statistically significant changes were observed in all outcome measures. In paired t test VO2 Max, flexibility and agility expressed significant improvement in experimental group. In case of independent t test all the three parameters of the experimental group expressed significant improvement compared to control group.
Conclusion: The study concluded that brisk walking exercise is effective in improving VO2 Max, agility and flexibility in physically inactive children. The experimental group shows significant improvement in all three parameters compared to control group.

Keywords: Brisk walking, VO2 Max, agility, Flexibility, Physical inactivity, Queen college step test, modified sit and reach test, Agility t test.
Prevalence of Fibromyalgia and Its Correlation with Insomnia Among Housewives - A Cross Sectional Study
Authors: George Susan Annie , NB Anagha , PA Anna Rose
Published: April 2023

BACKGROUND: Fibromyalgia and Insomnia are increasingly recognized problems now a day. This preliminary study investigates the prevalence of Fibromyalgia and insomnia among housewives. Since the studies among housewives are rare ,we chose housewives as our study sample.
METHODS: A survey method of study was used. A sample consists of 206 subjects at a range of 20-60yrs were recruited. A self structured demographic data, Widespread Pain Index, Symptom Severity Scale and Insomnia Severity Index were used to collect the data.
RESULT: This cross-sectional study shows that there is a prevalence of Fibromyalgia and Insomnia among housewives. From the study we found that, out of 206 subjects 37 (17.96%)had fibromyalgia and 106 (51.45%) had insomnia. After analyzing this we concluded that there is a positive correlation between Fibromyalgia and Insomnia among housewives.
CONCLUSION: This study concluded that there is a prevalence of Fibromyalgia and Insomnia among house wives. There is a positive correlation between fibromyalgia and insomnia with advancing age. Hence our study emphasise the importance of conventional physiotherapy exercises with relaxation techniques to prevent the occurrence of fibromyalgia associated with insomnia. It is important to give awareness about the condition and prevention of it to improve the quality of life, as they are playing a vital role in the development of our society.

Keywords: Fibromyalgia, Insomnia, Housewives, Widespread pain index, Symptom severity scale, Insomnia severity index.
El Mal en el Ethos Contemporáneo
Authors:   Unicatólica Cali, Escobar Henry , Botero Granobles Juan Sebastian ,   Colegio Americano Cali, Chicunque Alvaro ,   Unicatólica Cali, Ramírez Murillo Jhonan Jacob ,   Unicatólica Cali, Rodriguez Tapia Wilson ,   Unicatólica Cali
Published: April 2023

Este libro tiene como objeto acercarse al problema del mal desde lo contemporáneo. Por ello, propone cinco vías para entender el mal, a saber: crueldad, corrupción, manipulación, groserías y el totalitarismo. Estas cinco vías están lejos de agotar la esencia del mal. Se trata de recorrer diversas rutas que con la ayuda de algunos conceptos podamos entender el misterio que encierra el velo del mal y reconocer su forma cuando se manifieste. Cualquier ámbito es propicio para el mal, la crueldad expresa su potencia tanto en la guerra como en la convivencia; la corrupción se manifiesta en una cultura permisiva que vuelve cómplice al ciudadano que no se pronuncia y se mantiene indiferente; la manipulación en la vida individual como ideal de autoexplotación, al igual que la violencia.
Användning av robot vid äldre personers ­läkemedelshantering – intervjustudie med sjuksköterskor inom hemsjukvård i Sverige
Authors: Hasanacevic Dijana , Johansson Linda
Published: May 2023

Syftet med denna studie var att beskriva sjuksköterskors erfarenheter av att använda robotar vid läkemedelshantering bland äldre personer. Tolv sjuk­sköterskor intervjuades via telefon med hjälp av en fråge­guide. Insamlade data analyserades sedan genom en ­induktiv kvalitativ innehållsanalys.

Studien identifierade tre övergripande kategorier. Skapar självständighet handlar om hur roboten bidrar till äldre personers oberoende samt ökade ansvar, engagemang och trygghet i samband med läkemedelshantering. Ökad patientsäkerhet syftar på att rätt patient får rätt läke­medel i rätt tid, vilket bidrar till färre läkemedelsavvikelser. Resurssparande tydliggör såväl miljöbesparingar, som att mindre tid och personalresurser behöver läggas på läkemedelsadministrering.

Att använda läkemedelsrobot kan således generera vinster på både individ-, grupp- och organisatorisk nivå, men det är viktigt att införande och användande anpassas till varje enskild individ.

 

Robot use in older people’s medication ­management – an interview study with community nurses ­in Sweden

The aim of this study was to describe nurses’ experiences of using robots in medication management among older persons. Twelve nurses were interviewed by telephone, using an interview ­guide. Collected data were analysed using an inductive qualitative content analysis.

Three main categories were identified; Creating independence regards how the medicine dispensing robot contributes to the independence and autonomy of older people as well as increased responsibility, engagement, and feelings of security. Increased patient safety means that the right patient gets the right medicine at the right time, contributing to fewer adverse drug events. Saving resources highlights savings, both regarding the environment and human resources, as staff spend less time administering medication.

The use of medicine dispensing robots can generate profits on individual, group, and organizational levels. However, it is important that implementation and use are individually adjusted.
Building the character of unity through a STEAM approach in elementary schools
Authors: Hidayah Yayuk , Iskandar Rossi , Kusmayanti Intan , Saylendra Nadya Putri
Published: April 2023

Using the STEAM approach in civics education in elementary schools is an idea to update students' skills in building a unified character by using STEAM in Civics. In particular, this study aims to analyze, study and explore the building of the character of unity using the STEAM approach in civics education in elementary schools. This study uses a qualitative literature study. After conducting the study, the researcher can confirm that building the character of unity in civics education in Elementary Schools by using the STEAM approach can be emphasized in two stages, namely 1) Strengthening civics education in STEAM-based Elementary Schools, 2) The character of the 3rd precept through STEAM in civics education in Elementary Schools . The conclusion of this study is that the STEAM approach in PPKn in Elementary Schools will begin to be applied, especially in facing the new normal era in the world of education.
Improving exposition writing proficiency through the application of problem based learning method for senior high school students
Authors: Rasyimah Rasyimah , Ayadi Ayadi , Sari Dewi Kumala
Published: April 2023

The low level of proficiency among students, coupled with the fact that teaching writing in schools in particular receives little attention, is the driving reason behind the research. The majority of students psychologically perceive writing assignments as a hardship since they feel less capable of using the Indonesian language accurately and effectively. Teachers typically lack variety in the methods they use from a methodological standpoint. These factors led to the use and testing of a problem-based learning approach at SMA Negeri No 2 Dewantara, North Aceh. This study sought to ascertain whether problem-based learning techniques could enhance students' expository writing skill. From the result, it can be inferred that there are differences between how well students who learn using the PBL model and those who learn using a traditional approach write exposition texts. The pupils in the experimental class's mean post-test score of 91.3 serves as evidence for this. This is greater than the control class students' post-test mean score of 62.0. It is concluded that using a problem-based approach enhances students' ability to produce expositions that adhere to the exposition's criteria.
Analysis of labor productivity on the production of parts bs-62632-60m00 at Putra Kemuning Company
Authors: Arba Arbaeni
Published: April 2023

In a company, several aspects can increase profit, one of which is productivity. Productivity measurement can improve productivity in the future by taking into account the calculation of all raw material inputs, energy, labor, and capital used in a company to show the productivity of the products produced. In general, the concept of productivity is a comparison between output and input per unit of time. This study uses observational data collection techniques to observe production results and the number of workers working every day. This study also uses data collection techniques by interviewing company parties, especially in the production department at PT. Yellow Son. PT. Putra Kemuning is one of the manufacturing companies in Karawang Regency which is engaged in stamping, assy welding, jigs and dies, automotive and non-automotive. Value of labor productivity in the production section against Bracket production results from April to June 2021 at PT. Putra Kemuning is good enough because the calculation results are more than 100% or 1 (one) every month. The partial productivity value of the total workforce for a year is 42.92% with an average value of 14.2%. And all factors are said to be productive and the company still gets profit because there is no productivity value below 1 (one).
Local government policy in the watershed management of cisadane river on Banten Province
Authors: Nuralifah Chika Putri , Maula Syarifah Izzatul , Pangestu Ilham Aji , Samudra Muhammad Mpu
Published: April 2023

River is the main source of water which is used to support the primary needed of surrounding community. One of these rivers is the Cisadane River, which is located in Tangerang. This study aims to find out how the Banten Provincial Government's policies are related to the management of the Cisadane River Basin Area. This research belongs to Normative Law research which has Prescriptive sight. The legal source of this study is obtain through the library research. This reseach used statute approach and case approach. Based on the results of research and discussion, showed that there is no policy related to the management of the Cisadane River Basin Area, neither in Tangerang City, nor in South Tangerang, nor in Tangerang Regency. The recommended solution that can be given is wether the Regional Governments in Banten Province, or South Tangerang, or Tangerang Regency, to legislate the Regional Policy related to the Management of the Cisadane River Basin Area. Second, optimizing the role of  surrounding community of the Cisadane River Basin Area in Banten Province for caring and maintaining enviromental hygiene, wether in the river or surrounding environment near to the river which can be minimized the impact of river pollution.
Analisis Brand Switching Model Markov Chain Konsumen Rumah Sakit Pemerintah ke Rumah Sakit Swasta diKota Bandar Lampung
Authors: Yunada  , Susilawati
Published: April 2023

Untuk mencapai tujuan pembangunan kesehatan diselenggarakan berbagai upaya kesehatan secara menyeluruh, berjenjang, dan terpadu. Rumah Sakit merupakan salah satu sarana pembangunan kesehatan, hal ini ditunjukkan oleh kontribusi Rumah sakit dalam mendukung keberhasilan pembangunan kesehatan. Untuk dapat memberikan kontribusi yang optimal, Rumah Sakit dituntut untuk menunjukkan kinerja yang optimal. Kepuasan perlu dipahami oleh pemasar karena hal tersebut akan berpengaruh pada perilaku konsumen selanjutnya. Jika konsumen tidak puas maka akan berakibat kepada perubahan keputusan pembelian terhadap suatu merek tertentu kemudian pelanggan akan mencari informasi mengenai alternatif produk dan jasa lain. Perpindahan mencerminkan pergantian dari merek produk yang biasa dikonsumsi dengan produk merek lain.Tujuan Penelitian, untuk mengukur besarnya kemungkinan konsumen melakukan perpindahan dari konsumen Rumah Sakit Pemerintah ke Rumah Sakit Swastadi Kota Bandar Lampung.Besarnya rasio perpindahan merek dari Rumah Sakit Pemerintah ke Rumah Sakit Swasta lain adalah 52% dan besarnya rasio perpindahan Rumah Sakit Swasta lain ke Rumah Sakit Pemerintah adalah sebesar 4%.
A Place for All: Three Stories of Integration in Pennsylvania
Authors: Burg Steven
Published: May 2023

A review of the new long-term exhibit at the State Museum of Pennsylvania, A Place for All: Three Stories of Integration in Pennsylvania, is presented.
Time From Uterine Incision to Fetal Delivery in Caesarean Sections and Neonatal Outcome
Authors: Alia Asifa , Hussain Maria , Manzoor Nusrat , Firdous Tabassum , Saher Sadaf , Bajwa Zunaira
Published: May 2023

Objective: The purpose of this study is to evaluate the factors that influence the period from when the skin incisions are made to delivery and to identify the influence that these surgical intervals have on the immediate neonatal outcome. Study Design: This will be a prospective cohort study Place of Study: Doctors Trust Teaching Hospital Sargodha Duration of Study: December 2020 to April 2022 Materials and Methods: Tachypnea, persistence for at least 12 hours, one of the chest X-ray abnormalities, and elimination of other respiratory or non-respiratory illnesses helped the paediatric team diagnose TTN. Tachypnea produces fast, shallow breathing. These criteria diagnosed TTN. Tachypnea within six hours of delivery, persistence for at least twelve hours, a chest X-ray abnormality, and elimination of other respiratory or non-respiratory illnesses were the criteria. Result: There was a correlation between the development of TTN and the demographic age (GA), which was statistically significant; however, there was no correlation between the development of TTN and any of the other parameters that were evaluated. There was no evidence to suggest that any of the other risk factors that were investigated were significantly linked with the development of TTN. Practical Implication: Correlation between the development of TTN and the demographic age (GA), but no correlation between the development of TTN and any of the other parameters that were evaluated Conclusion: The authors have concluded that there is no association between TTN and the time between the beginning of the surgical procedure and the delivery of the baby when the patient is under spinal anaesthesia. They argue for the importance of research with larger populations to determine the safest time limit for the delivery of foetal tissue and other potential risks associated with the development of TTN. Keywords: Caesarean section, Decision to delivery interval, Feto-maternal outcome
Death by suicide during COVID-19 infection: Two case reports
Authors: Alabdulla Majid , Kumar Rajeev
Published: May 2023

A range of psychiatric disorders has been recognized with coronavirus disease 2019 (COVID-19) infection, including acute stress, anxiety, depression, suicidal behavior, and post-traumatic stress disorder. Among those, the most worrying is death by suicide, which has been associated with COVID-19-related psychiatric disorders and psychosocial stressors. We report the first two cases of death by suicide, unlikely due to any current psychiatric disorders, while undergoing treatment in two inpatient facilities designated for COVID-19 patients. Case 1 was a 40-year-old man who presented to the emergency department with symptoms of a viral infection. This led to the diagnosis of COVID-19. While undergoing treatment in an inpatient facility, 3 weeks later, he died by hanging. Case 2 was a 25-year-old man with COVID-19-related upper respiratory tract symptoms and a possible undiagnosed pre-existing anxiety disorder. While undergoing treatment in a medical unit of a COVID-19-designated hospital, a week after the diagnosis of COVID-19, the patient died after jumping off the multistory hospital building. In both cases, there had been a diagnosis of COVID-19, and treatment was provided within an inpatient facility. Both patients were unvaccinated and had no evidence of a current psychiatric disorder or any warning signs of suicidal intent. Death by suicide can occur in COVID-19 patients without any warning signs of a psychiatric disorder or evidence of any apparent distress. Therefore, even without a diagnosable mental disorder, clinicians should still be vigilant about potential suicidal risk in patients with COVID-19 infection.
Adjusting background insulin therapy in type 2 diabetes when initiating a glucagon-like peptide 1 receptor agonist: A case series
Authors: P Whitley Heather , D Smith Warren
Published: April 2023

Introduction: Guidelines recommend preferential use of antihyperglycemic medications with proven cardiovascular benefit for the treatment of patients with type 2 diabetes with established atherosclerotic cardiovascular disease (ASCVD), high risk factors for ASCVD, kidney disease, or heart failure. However, current guidelines offer little to no practical recommendations for adding these therapies to a patient’s current regimen while avoiding hyperglycemia or hypoglycemia. Nevertheless, considering background therapy in a proactive effort to avoid undesirable glycemic excursions when initiating any new antidiabetic medication remains paramount.

Case Series: A six-patient case series investigates adjustments to background therapies and glycemic outcomes surrounding the initiation and titration of long-acting glucagon-like peptide 1 receptor agonists (GLP-1 RAs) to shed light on practical methods to manage patient care during this tenuous phase. Overarching findings regarding background therapy adjustments to avoid hypoglycemia when initiating a GLP-1 RA include: (1) safe continuation of metformin regardless of baseline A1C or concurrent glycemic background therapy; (2) continuation of background therapy when the baseline A1C is above 9%; (3) consideration of a proactive 15–20% basal insulin dose reduction when the baseline A1C is below 7.5%; (4) proactive bolus insulin dose reduction by 25% or complete discontinuation at the time of GLP-1 RA initiation.

Conclusion: No dose adjustments are necessary when A1C > 9%, and possibly >8%. When A1C is <7.5% and possibly <8%, discontinue or reduce bolus insulin by 25% and/or reduce basal insulin by 15–25%. Adjust background therapy using shared-decision making while considering fasting blood glucose, A1C, hypoglycemia risk, and chosen GLP-1 RA therapy.
Bimbingan Orang Tua Dalam Mencegah Kecanduan Game Online Remaja Di Nagari Padang Ganting Tanah
Authors: Akmal Akmal , Afnibar Afnibar , Nasril Nasril , Marnola Ilham
Published: April 2023

Remaja adalah generasi penerus bangsa, yang diharapkan menjadi anggota masyarakat berpendidikan dan berperilaku baik, kenyataanya banyak remaja yang kecanduan bermain game online. Tujuan penelitian ini adalah untuk mengetahui bentuk bimbingan orang tua untuk menghadapi remaja yang kecanduan game online. Penelitian ini menggunakan metode kualitatif yang bersifat deskriptif. Informan dalam penelitian ini adalah orang tua yang memiliki remaja kecanduan game online, dengan menggunakan teknik purposive sampling diperoleh 12 orang remaja yang dijadikan sebagai sampel. Teknik pengumpulan data adalah observasi dan wawancara. Hasil penelitian menunjukkan, bahwa: 1) terdapat sebagian besar orang tua memberikan nasehat kepada remaja yang kecanduan bermain game online dan sebagian kecil lainnya tidak memberi atau jarang memberikan nasehat kepada remaja yang kecanduan game online, adapun nasehat yang diberikan dalam bentuk menegur anaknya yang kecanduan game online. 2) terdapat sebagian kecil yang memberikan keteladanan dan sebagian besarnya tidak memberikan keteladanan, adapun bentuk keteladanan yang diberikan orang tua yaitu memberikan keteladanan yang baik pada anak dengan bentuk menyuruh anak untuk melakukan hal-hal yang berkaitan dengan keagamaan. dan 3) terdapat sebagian besar yang memberikan pengawasan dengan cara mengontrol waktu bermain HP kepada remaja yang kecanduan game online dan sebagian kecil lainnya tidak memberikan atau jarang.
Supervisi Pembelajaran dalam Implementasi Kurikulum Merdeka pada Pembelajaran di Madrasah Ibtidaiyah
Authors: Wahyuni Sri
Published: April 2023

Tujuan penelitian ini adalah untuk mengetahui supervisi pembelajaran dalam implementasi Kurikulum Merdeka pada pembelajaran di Madrasah Ibtidaiyah. Pendekatan penelitian yang digunakan adalah penelitian kualitatif. Subjek penelitian adalah pengawas madrasah, kepala madrasah, dan guru. Penelitian dilaksanakan pada kegiatan supervisi pengawas madrasah di MI Al-Karim Gondang Nganjuk. Hasil penelitian menunjukkan pengawas madrasah melaksanakan supervisi pembelajaran dengan kunjungan kelas dalam pengawasan dan pembinaan tentang implementasi kurikulum merdeka pada madrasah ibtidaiyah binaan. Beberapa tahapan kegiatan supervisi pembelajaran dengan kunjungan kelas yang dilakukan oleh pengawas madrasah, meliputi (1) tahap perencanaan, (2) tahap pelaksanaan, dan (3) tahap evaluasi dan tindak lanjut. Faktor penunjang dari kegiatan supervisi pembelajaran adalah sikap kerjasama yang baik antara pengawas madrasah, kepala madrasah, dan guru. Adapun faktor penghambatnya adalah belum terpenuhinya secara lengkap perangkat pembelajaran kurikulum merdeka yang disiapkan oleh guru, sehingga solusi yang dilakukan oleh pengawas madrasah adalah memberikan pembinaan dan pendampingan kepada guru dalam penyusunan perangkat pembelajaran yang dibutuhkan pada implementasi kurikulum merdeka.
Pelatihan Pembuatan Preparat Biologi sebagai Sarana Peningkatan Media Pembelajaran Bagi Guru-Guru Biologi di Kabupaten Bangka
Authors: Robika Robika
Published: May 2023

One of the learning models with a scientific approach is the practicum method. In practical activities, students will carry out observation, experiment, and reasoning activities. A lot of knowledge about the phenomena that occur in living things that must be supported by direct observations and experiments. Therefore, this community service aims to provide skills to biology teachers in junior and senior high schools in terms of making biological preparations as a means of improving biology learning. The method used in facilitating the improvement of preparation skills by conducting training is through (1) the lecture method, namely providing the basic theory of making preparations and (2) the practical method, namely the participants carry out direct practice of making preparations using two methods namely whole mount and free hand-technic accompanied by a servant. . The results of the activity showed that the participants were able to make preparations well, marked by the results of the incision using two methods that were more than 70% observable. The results of measuring participant responses indicate that the majority stated that the methods used during the training could be applied in school
EDUKASI PENYADARAN TERTIB BERLALU LINTAS DAN INFORMASI TERKAIT ETLE DIT LANTAS POLDA SUMSEL”
Authors: Maharani Putri , Mutia Mawardah
Published: May 2023

Tujuan dari KKN-PPM ini adalah untuk memberikan edukasi kepada masyarakat terkait penyadaran untuk tertib berlalu lintas dan untuk memberikan pemahaman terkait proses penyelesaian tilang ETLE untuk mengurangi angka kecelakaan lalu lintas. Metode pelaksanaan pengabdian ini meliputi, perencanaan, persiapan, pelaksanaan, dan evaluasi. Hasil kegiatan pengabdian ini adalah Masyarakat yang berkendara terutama di kota Palembang  mulai kendur terkait ketertiban dalam berlalu lintas sejak ditiadakanya tilang manual sehingga tidak memikirkan keselamatan sehingga berkendara karena tidak takut dengan petugas karena tidak akan dilakukan penilangan, dan masyarakat juga acuh dengan adanya ETLE di Kota Palembang
PENDAMPINGAN PEMBUATAN APBKal SEBAGAI BENTUK TRANSPARANSI PUBLIK PEMERINTAH KALURAHAN ARGOREJO, KAPANEWON SEDAYU, KABUPATEN BANTUL
Authors: Darmawati Nadya Putri Ayu , Budiantara Martinus
Published: May 2023

Rencana keuangan yang melingkupi landasan manajemen terhadap pendapatan, biaya pada kurun waktu satu tahun disebut anggaran. Setiap pemerintah desa wajib membuat Anggaran Pendapatan dan Belanja Kalurahan (APBKal) sebagai dasar penggunaan dana desa. Pembuatan Anggaran Pendapatan dan Belanja Kalurahan (APBKal) adalah salah satu bentuk transparansi yang dilakukan pemerintah untuk publik. Tahap pembuatan anggaran merupakan tahap yang sangat penting karena anggaran yang tidak efektif dan tidak berpusat pada kinerja akan bisa menggagalkan program yang telah disusun sebelumnya. Dengan adanya transparansi pemerintah akan menampilkan pemerintahan yang bekerja sesuai dengan peraturan yang berlaku. Begitu pentingnya APBKal dibuat setiap tahun, maka diperlukan pengetahuan dan pemahaman terkait bagaimana tahapan pembuatan Anggaran Pendapatan dan Belanja Kalurahan (APBKal) sesuai dengan peraturan pemerintah yang berlaku bagi pihak-pihak yang terlibat. Artikel ini memaparkan kegiatan pengabdian masyarakat yang dilakukan dengan memberikan pendampingan pembuatan Anggaran Pendapatan dan Belanja Kalurahan (APBKal) kepada perangkat desa, di Kalurahan Argorejo, Kapanewon Sedayu, Kabupaten Bantul.
PEMANFAATAN VIDEO PROFIL KAMPUNG KERAJINAN DAUR ULANG SAMPAH DAN SERIBU KERIPIK SEBAGAI SARANA PROMOSI DAN PENGEMBANGAN KAMPUNG TEMATIK KELURAHAN BATU GADANG KECAMATAN LUBUK KILANGAN PADANG
Authors: Wahyuni Nini , Silvia Djonnaidi  , Fithratul Miladiyenti  , Astuti Pratiwi Ramadhani
Published: May 2023

Kampung Kerajinan Daur Ulang Sampah dan Seribu Keripik yang berada di Kelurahan Batu Gadang Kecamatan Lubuk Kilangan merupakan salah satu Kampung Tematik yang dicanangkan oleh Walikota Padang pada tahun 2021. Kampung ini memiliki potensi besar karena memiliki Bank Sampah dan Usaha Mikro Kecil dan Menengah (UMKM) yang bergerak dibidang industri keripik. Namun, dalam pelaksanaan pengembangan Kampung Tematik ini, terdapat beberapa kendala, salah satunya adalah masih kurangnya pemasaran berbasis informasi teknologi. Karenanya, tim pengabdian Politeknik Negeri Padang, melakukan pembuatan video profil yang dimanfaatkan sebagai sarana informasi dan promosi. Proses pembuatan video dilakukan melalui 3 tahapan yaitu Pre-Production; survey lapangan, observasi, dan pembuatan storyline, Production; pengambilan gambar dan video serta interview, dan Post Production; editing dan mixing. Hasil dari kegiatan pengabdian ini adalah Video Profil berdurasi 8 menit 30 detik yang digunakan untuk membantu mitra dalam menginformasikan dan mempromosikan kegiatan dan produk yang dihasilkan masyarakat.
PELATIHAN REFLECTIVE PRACTICE AND EXPLORATORY PRACTICE (RPEP) BAGI GURU BAHASA INGGRIS SMP DI KABUPATEN KARAWANG
Authors: Sutisna Yanto Elih , Chaerul Andrie , Budiman Indra
Published: May 2023

Pengembangan profesional guru sangat penting untuk meningkatkan kualitas proses belajar mengajar. Namun praktik pengembangan keahlian guru selama ini belum mampu menjadikan guru sebagai guru yang profesional, sehingga guru belum mampu menciptakan hasil pendidikan. pembelajaran yang bermanfaat. Oleh karena itu, penulis makalah kegiatan pengabdian masyarakat ini akan membekali para guru dengan penelitian pembelajaran yang dapat dilakukan guru ketika mengajar di kelas. Ilmu dan praktik penelitian yang akan ditanamkan kepada guru adalah praktik reflektif (Reflective Practice) dan praktik eksplorasi kelas (Exploratory Practice) (RPEP). Kedua jenis penelitian ini ditujukan bagi guru yang ingin menciptakan kelas yang lebih baik dengan mendukung guru dalam perencanaan, pelaksanaan dan evaluasi pembelajaran. RPEP menyediakan proses pembelajaran praktis dan refleksi praktis atas hasil pembelajaran. Oleh karena itu, penting untuk membekali guru dengan pelatihan dan strategi pembelajaran berdasarkan RPEP. Studi ini menggunakan penelitian tindakan partisipatif untuk fokus pada mengidentifikasi cara efektif untuk mengubah cara kita mengajar melalui praktik dan penelitian reflektif. Guru akan berpartisipasi sebagai mitra penelitian dalam penelitian ini. Observasi, kuesioner dan wawancara mendalam terstruktur digunakan untuk pengumpulan data.
INOVASI DIGITAL BISNIS PADA BUMDES DAN UMKM DI DESA TIRTAWANGUNAN, KECAMATAN SINDANGAGUNG, KABUPATEN KUNINGAN
Authors: Dodi Dodi , Winda Oktaviani  , Januar Habibi Mahsyar
Published: May 2023

One of the factors in economic growth and development is the increasing competence of human resources, especially human resources, which in this case is an increase in the entrepreneurial spirit of the community. Tirtawangunan Village is a village that has a BUMDes named Permata Tirta, Administratively Tirtawangunan village is located in Sindangagung District, Kuningan Regency, 7 km from the city center. However, BUMDes and SMEs in Tirtawangunan village are not well developed. Therefore, to increase business scale and manage entrepreneurial activities, Community Service for MSME actors and BUMDes Tirtawangunan managers, Sindangagung District, Kuningan Regency was held on November 16, 2021. The method used was Lectures and Discussions. The result of this Community Service activity is that BUMDes managers know that business scale can be increased by managing MSMEs in Tirtawangunan village using digital innovation, namely e-commerce so that both BUMDes and MSMEs can provide mutual benefits for village development.
EDUKASI DAN PELATIHAN SLOW DEEP BREATHING EXERCISE PADA LANSIA PENDERITA HIPERTENSI DI POSYANDU LANSIA SEMI WREDA
Authors: Astari Rahmi Windhy , Noviani Desi
Published: May 2023

Tekanan darah tinggi atau yang biasa dikenal masyarakat sebagai hipertensi, merupakan kondisi medis yang harus ditangani dengan serius. Hipertensi sering disebut sebagai pembunuh dalam diam karena termasuk penyakit yang mematikan. Penyakit hipertensi yang tidak terkontrol dapat menimbulkan berbagai komplikasi penyakit lainnya. Tingginya prevalensi lansia dengan hipertensi di Indonesia, maka diperlukan adanya usaha untuk menurunkan tekanan darah pada lansia penderita hipertensi. Adapun pengobatan yang bisa dilakukan untuk pasien dengan hipertensi adalah dengan melakukan slow deep breathing exercise. Slow deep breathing exercise sangat efektif untuk menurunkan tekanan darah istirahat pada pasien dengan hipertensi. Pengabdian Masyarakat ini dilakukan di Posyandu Lansia Semi Wreda, Yogyakarta. Tujuan dilaksanakan kegiatan ini yaitu memberikan edukasi mengenai hipertensi dan memberikan program pelatihan berupa slow deep breathing exercise untuk mengontrol tekanan darah pada lansia penderita hipertensi. Media yang digunakan pada kegiatan ini berupa stopwatch dan tensimeter. Hasil dari kegiatan ini terdapat peningkatan pengetahuan para kader dan lansia terhadap penyakit hipertensi dan bagaimana cara penanganan hipertensi yang bisa dilakukan dengan mudah.
PELATIHAN BAHASA INGGRIS DASAR DENGAN METODE LEARNING BY DOING BAGI ANAK NELAYAN DI PESISIR PANTAI SIRE, LOMBOK UTARA - NTB
Authors: Etika Ariyani
Published: May 2023

This community service program aims to equip basic English for fisherman’s children at Sire coast, North Lombok – West Nusa Tenggara Province. This training held for ten weeks, twice a week with time allocation 60 minutes for every session. Topics in this training consists of introducing language functions such as greeting, asking permission, asking direction, apologizing, requesting, explaining something or someone and offering something. Participants  consists of 16 (sixteen) fisherman’s children which lived near Sire coast.  This program used learning by doing mehod which covering orientation, discussion, demonstration, feedback and repetition. Learning by doing method  aroused the children motivation  to learn English  by direct experiences  not only demonstrating or telling. Data collected from tests ( orally - writtenly)  and interview. Participants performance measured by using  criterion referenced tests, based on the result of the evaluation which covered three language function showed  that there are 12 participants (75%)  got A (80 – 100) and only 4 participants (25%) got B (65 – 79). It means that there are no participants got score under minimum criterion (65).  The result of the program indicated  that there is an improvement at their English performance significantly, we can concluded that the implementation  of  learning by doing method  in learning English effective
Histórico de saúde de pacientes internados em UTI-COVID-19 em dois momentos críticos da pandemia: estudo observacional e exploratório
Authors: Nassar Patricia Oehlmeyer , Stroparo João Victor Santos , Fedrigo Karina , Ghiggi Emily Cristina , Popiolek Isabela Mangue , Nassar Carlos Augusto
Published: April 2023

Objetivo: Comparar idade, sexo, condição periodontal, desfecho clínico e histórico de saúde de pacientes internados em UTI-COVID-19 e comparar dois períodos da pandemia. Métodos: Trata-se de um estudo clínico observacional e exploratório em pacientes com COVID, sendo levantados: idade, sexo, histórico de saúde, condição periodontal e desfecho clínico. Os dados foram comparados em dois momentos, associando as variáveis com os diferentes momentos (1º - 2020/2º - 2021). Resultados: Observou-se que somente a variável “sexo" teve associação estatística, onde no ano de 2020 houve uma frequência maior de homens, e no ano de 2021 foi maior em mulheres. A idade mais prevalente foi acima de 55 anos e em ambos os momentos a maioria dos pacientes não apresentou nenhuma comorbidade. Na condição periodontal, não houve associação estatística entre as diferentes classificações de periodontite e os diferentes desfechos (alta/óbito) em nenhum dos momentos. Conclusão: Ao comparar os dois momentos, notou-se que somente em relação ao sexo houve uma diferença onde no ano de 2020 houve uma frequência maior de homens, e o ano de 2021 uma frequência maior de mulheres, não havendo diferenças nos outros parâmetros avaliados.
Instrumento para avaliação da autopercepção de competências sobre violência doméstica contra a mulher
Authors: Duarte Grein Taiana Aparecida , Rondelo Duarte Lúcia
Published: April 2023

O objetivo do estudo foi elaborar e validar o conteúdo de um instrumento para avaliação da autopercepção de Agentes Comunitários de Saúde sobre competências para atender mulheres em situação de violência doméstica. Trata-se de estudo metodológico realizado em duas etapas: revisão integrativa da literatura para elaboração do instrumento e validação de conteúdo por meio da técnica Delphi com a participação de 30 juízes na primeira rodada e 22 na segunda. Para análise de dados utilizou-se o índice de validade de conteúdo (IVC) com nível de concordância igual ou maior que 0,80. Nas sugestões e comentários para ajustes dos itens adotou-se a análise temática de conteúdo. A primeira versão do instrumento, produzida com base na revisão da literatura, constava de 25 itens. Após a primeira fase Delphi foram acrescidas 17 questões, excluídas duas (IVC < 0,80) e 20 foram reformuladas. Na segunda fase obteve-se IVC ≥ 0,90 em todos os itens além de quatro sugestões de modificação da redação. O instrumento final com 40 itens apresentou conteúdo validado quanto a abrangência, clareza e relevância por especialistas.
The social function of possession through its interversion
Authors: Cardoso Kelly , Araújo Fabio Caldas de
Published: April 2023

Changes in social relations require overcoming paradigms. In this context, it is observed that there is a failure in legislative predictability and in the doctrinal discussion about intervention due to the thesis nemo sibi ipse causa possessionis mutare potest (no one can change the cause of possession for himself).In order to better adapt the norm to the factual situations, through an analysis of comparative law, it is intended to demonstrate the absence of discipline expressed by the Brazilian legislation and to identify the phenomenal modes of manifestation of the interversion of possession (interversion by act of a third party and intervention by own act), as well as the intervention of detention in possession, as current forms of possibility of original acquisition of property. Dealing with the theme is relevant due to the need to effectively comply with the constitutional principle of social function. The argumentative construct is made up of the deductive method of research, discussing the legislation in force, jurisprudence and doctrines.