bluuebunny/crossref_metadata_2025 huggingface dataset:
Understanding Red Panda Breeding Behavior: What is the breeding behavior of red pandas?
Authors: Frey Erzsebet
Published: November 2024

Red Panda Mating Habits Red pandas are known for their distinctive looks, but their breeding behavior is just as fascinating. These small tree-dwelling mammals are native to the eastern Himalayas and southwestern China, where they inhabit cool temperate forests.
The Quiet Evolution in International Tax: Domestic Law and Double Taxation
Authors: Elliffe C.
Published: November 2024

This article describes the respective roles of international tax law (predominantly tax treaties) and domestic tax law and their relationship with each other. This is a complex and interdependent relationship, with treaties, as special law, generally overriding domestic law. The article discusses the founding principle of tax treaties preventing double taxation, reflecting the original purpose of tax treaties. Subsequent developments over time have vigorously established the second principle of treaties: that the purpose of tax conventions is also to prevent tax avoidance and evasion. Such an increasingly important principle heralds the rise of anti-avoidance rules, prevention of abuse and the preservation of domestic taxing rights. The thesis in this article is that domestic law has prevailed against the more specialized law of treaties and at an increasing rate. This evolution has occurred in situations where the special law of treaties is “watered down” by the principle that treaties should not be allowed to be abused or in situations where they facilitate tax avoidance. What are the implications of this trend on the development of international tax policy? The article reflects on the respective roles of international and domestic law and guides us to suggestions on how to preserve important international tax principles in good faith and limit expedient domestic tax law changes when they are not driven by taxpayers’ abusive actions.
El arte de comunicar lo inevitable: estrategias para entregar malas noticias en salud
Authors:   Universidad de Antioquia, Martínez Castro Natalia
Published: November 2024

Danny, es un joven de 18 años, estudiante de segundo semestre de administración de empresas, sin antecedentes personales o familiares reportados, acude a la consulta acompañado por su madre debido a cambios significativos en su comportamiento observados en los últimos cinco meses.
Enfoque del paciente con epilepsia
Authors:   Corporación Universitaria Remington, Tamayo Arias Valeria
Published: November 2024

"Paciente masculino de 65 años, profesor jubilado. Acudió a la consulta de Neurología por un detrimento progresivo en su memoria durante el último año. Su hija refiere que en algunas ocasiones su padre no le contesta cuando le pregunta algo, aunque sí se queda observándola; estos episodios duran un minuto y medio y posteriormente el paciente manifiesta confusión. "
Precision Medicine: Utilizing Genomic Insights for Customized Therapeutic Strategies
Authors: Yunita Purba Sinar
Published: November 2024

Precision medicine represents a revolutionary shift in healthcare by utilizing genomic insights to develop customized therapeutic strategies tailored to an individual’s genetic makeup. This article explores the integration of genomic data into personalized treatment plans, focusing on how advances in genetic sequencing and bioinformatics are enabling more targeted and effective medical interventions. By analyzing a patient’s genome, precision medicine allows for more accurate diagnosis, prediction of disease risk, and optimization of treatment options, particularly in fields such as oncology, cardiology, and rare genetic disorders. The study highlights key advancements in pharmacogenomics, which plays a critical role in determining how individuals respond to specific drugs based on their genetic profiles. Case studies in cancer treatment illustrate the success of precision therapies like targeted gene therapy and immunotherapy, which have significantly improved patient outcomes. Despite these advancements, challenges such as the high cost of genomic sequencing, ethical considerations, and the need for standardized clinical guidelines remain barriers to widespread adoption. The article concludes by emphasizing the potential of precision medicine to transform healthcare by shifting from a one-size-fits-all model to a more individualized and efficient approach to disease management.
Analisis Mobilisasi Dini Post Sectio Caesaria dengan Proses Penyembuhan Luka Operasi di Rumah Sakit Umum Ulfuadi Kota Binjai
Authors: Jeny Ersarika Sitepu  , Riska Susanti Pasaribu  , Ninsah Mandala Putri Sembiring
Published: November 2024

World Health Organization (WHO) data estimates that every year there are 230 million major caesarean section operations performed worldwide, one for every 25 people alive (Haynes, 2015). WHO recommends caesarean section operations for only around 10-15% of the number of births. WHO's recommendation is certainly based on an analysis of the risks that arise due to caesarean section, both risks for the mother and the baby (Sudiharjani, 2014). In 2016, the demand for caesarean section was 50%, and currently more than 60% of pregnant women want caesarean section operations for various reasons. This study aims to conduct an Analysis of Early Mobilization Post-Caesarean Section With the Healing Process of Surgical Wounds at Ulfuadi General Hospital, Binjai City. The population in this study were all mothers who gave birth by caesarean section. The number of mothers who gave birth by caesarean section at Ulfuadi General Hospital, Binjai City was 135 people. The research sample was 43 people. Analysis of early mobilization with the process of healing post-section caesarean wounds. According to researchers, the results of this study indicate that by carrying out early mobilization, post-section caesarean patients can improve blood circulation which can help repair wound tissue better. The faster the post-section caesarean mother moves, the faster she can go home and the faster the wound heals. Wound healing is faster when compared to not doing early mobilization. The results of the chi-square test have a p value of 0.001 where the p value <0.05, it can be concluded that the Analysis of Early Mobilization Post-Cesarean Sectio with the Process of Healing Surgical Wounds at Ulfuadi General Hospital, Binjai City.
Hubungan Dukungan Keluarga dan Dukungan Teman Sebaya dengan Tingkat Stres pada Mahasiswa Sarjana Keperawatan dalam Menghadapi Tugas Akhir di Universitas ‘Aisyiyah Surakarta
Authors: Nanda Dhona Bhertayana  , Eska Dwi Prajayanti
Published: November 2024

Stress occurs when someone experiences difficulties in their life caused by internal and external factors which every human being must experience, including students. Students' relationships with close people around them, such as family and peers, influence students' stress levels. Objective; To determine the relationship between family support and peer support with stress levels in Bachelor of Nursing students in facing their final assignment at Aisyiyah University of Surakarta. Methods; This research uses correlation analytics with a cross sectional approach. Sampling used random sampling with a total of 53 respondents with an instrument in the form of a questionnaire. The normality test used the Kolmogorov Smirnov Test and analyzed using the Spearman Rank Test. Results; There is a significant relationship between family support and stress levels and there is a significant relationship between peer support and stress levels. Conclusion; The relationship between family support and stress levels and the relationship between peer support and stress levels are not unidirectional, meaning that if family support is high then stress levels are low and vice versa.
Manajemen Kanker Kolorektal di Rumah Sakit Umum Daerah Cut Meutia Aceh Utara Tahun 2021-2023
Authors: Salmiah Salmiah  , Muhammad Sayuti
Published: November 2024

Colorectal cancer is a disorder that occurs exclusively in the colon or rectum and is caused by the abnormal proliferation of intestinal glandular epithelial cells. This cancer is the second most cancer-related death worldwide. Around 9.4% of cancer-related deaths were caused by colorectal cancer in 2020. Routine examinations are very important for early detection and the prognosis of colorectal cancer also varies depending on the stage at diagnosis so that with good screening and management, the death rate from colorectal cancer can be reduced . This study aims to determine the management of colorectal cancer patients at the Cut Meutia Regional General Hospital. The type of research used is descriptive research with a cross sectional design. This research was conducted at Cut Meutia Regional Hospital in August 2023-September 2023. The population and sample used was 27 people using total sampling as the sampling technique. The samples were selected according to the inclusion and exclusion criteria. The material used in this research is secondary data in the form of medical records taken from Cut Meutia Regional Hospital. The results of the research show that based on the characteristics of respondents, the gender that most suffers from colorectal cancer is women compared to men, in terms of age, the majority are in late adulthood and work as housewives. Based on the location of the cancer, the most common is Adeno Ca Recti. Based on the results of anatomical pathology examination, the most common is Adeno carcinoma well differentiated. Based on the type of procedure most often performed is laparotomy. Based on chemotherapy status, patients more often did not receive chemotherapy and based on radiation therapy status, patients also more often did not receive radiation therapy.
Tingkat Pengetahuan dan Stres Terhadap Siklus Menstruasi Pada Siswi Pondok Pesantren terpadu Babul Magfirah
Authors: Fauziah Fauziah  , Yadi Putra  , Miftahul Khairus
Published: November 2024

Menstruation that is respeate every month eventually forms the menstrual cycle. The menstrual cycle is calculated from the first day of menstruation until exactly one day before the next month’s menstruation. Stress should not be underestimated because it will disrupt the metabolic system in the body. If the metabolism is disturbed, the menstrual cycle also is disturbed. This study uses a descriptive quantitative research design. The population of this study were female students at the Babul Magfirah Integrated Islamic Boarding School Totaling105female students, the sample in the study was 51 people using the Purposive Sampling technique. Data collecton tool the from of a questionnaire whit 51 question that the researchers made themselves. The location of the research was at the Babul Magfirah Integrated Islamic Boarding School on March 13 to 24. The results showed that the level of knowledge and stress on menstruation among students at the Integrated Islamic Boarding School Of Babul Magfirah, the level of knowledge in the high category was 31 respondents (6.8%). Based on the level of high category stress as many as 32 respondents (62.8%). Based on the menstrual cycly level, the normal category was 38 respondents (72.5%). In conclusion, the repondents in this studi had high knowledge and low stress abuot the menstrual cycle. It is recommended that the knowledge level and stress on menstruation collect information from several sources, especially uks officers and teachers to obtain accurate information.
Penerapan Abdominal Stretching Exercise Untuk Mengurangi Dismenore Pada Mahasiswi DIII Keperawatan Universitas ‘Aisyiyah Surakarta
Authors: Khoirunnisa Nur Istiqomah  , Erika Dewi Noorratri
Published: November 2024

Background: Dysmenorrhea is still experienced by many women, menstrual pain appears for several days during menstruation. Dysmenorrhea or menstrual pain can have an impact on teenagers' daily activities. The prevalence of dysmenorrhea in Surakarta is 89.8%. Efforts to reduce dysmenorrhea can be done in two ways, namely pharmacological and non-pharmacological. One non-pharmacological therapy that can be done is abdominal stretching exercise. Objective: To describe the results of applying the Abdominal Stretching Exercise to reduce dysmenorrhea pain in DIII Nursing students at 'Aisyiyah University, Surakarta. Method: This application uses the case study method. This method focuses more on the actions or behavior produced, in this method the variable measured is the level of pain in adolescents with dysmenorrhea who have been given intervention for 3 days. Results: After carrying out the Abdominal Stretching Exercise on two respondents who experienced dysmenorrhea for three consecutive days, it showed a change in pain level, Ms. K's pain scale decreased by 2 and Ms. N's pain scale decreased by 3. Conclusion: The application of Abdominal Stretching Exercise can reduce the level of dysmenorrhea pain in DIII Nursing students at 'Aisyiyah University, Surakarta.
Pengaruh Prenatal Yoga terhadap Penurunan Nyeri Punggung pada Ibu Hamil Trimester III di PMB Usmalanah Bandar Lampung Tahun 2024
Authors: Halima Tusakdiyah  , Astriana Astriana  , Febriyantina Parina  , Anissa Ermasari
Published: November 2024

Based on data in the United States, Europe and several regions of Africa, back pain affects 30% to 78% of pregnant women.Pre-survey results conducted at PMB UsmalanahdatIn the April 2024 period, the number of TM III pregnant women was 37 people. Of the 10 third trimester pregnant women through interviews, 7 (70%) had back pain and 3 (30%) had no back pain.This type of quantitative research with an experimental design.The population of third trimester pregnant women who complained of back pain at PMB Usmalanah was 34 respondents. The sample size in this study was the entire population. Independent variable: prenatal yoga and dependent variable: back pain. The sampling technique used ispurposive sampling technique.Data were collected using the NRS pain scale observation sheet. Data were analyzed univariately and bivariately, the test used was the dependent T-test.The results of the study showed: the average back pain score before prenatal yoga was 4.76 (in the moderate pain category), the average back pain score after prenatal yoga was 2.55 (in the mild pain category). Based on the results of the Wilcoxon Signed Test calculation, the z value obtained is – 5.143 with a p value of 0.000. The conclusion of this research is that there is an effect of Prenatal Yoga on reducing back pain in TM III pregnant women at PMB Usmalanah Bandar Lampung. Advice for pregnant womenIt is hoped that non-pharmacological therapy will be preferred to reduce back pain. Because not all medicines can be consumed by pregnant women.
Faktor-Faktor yang Berhubungan dengan Kelelahan Mata pada Mahasiswa Universitas Negeri Semarang
Authors: Laura Marulia Subroto
Published: November 2024

According to Asosiasi Pengguna Jasa Internet Indonesia (APJII) in 2018, around 49.52% of all internet users in Indonesia are between 19 and 34 years old. The majority of this group are university students. The purpose of this study was to determine the factors associated with eyestrain in Universitas Negeri semarang students. This research is a quantitative research with cross sectional study design. The population of this study were students of Universitas Negeri Semarang in 2024 with a sample size of 125 people. This research was conducted in April-June 2024. The instrument used in this study was an online questionnaire in the form of Google Forms. The research analysis technique used the Spearman Rank test with SPSS. The results showed 108 students out of 125 students experienced eye fatigue (86.4%). The variables associated with this study were gender (p-value 0.047) and use of glasses (p-value 0.009), The study concluded that gender and use of glasses were associated with eyestrain.
Asuhan Kebidanan Komprehensif pada Ny. M di Puskesmas Slawi Kabupaten Tegal Tahun 2023 (Studi Kasus Anemia Ringan dengan Penerapan Pijat Oksitosin)
Authors: Nabila Syafa Gunawan  , Seventina Nurul Hidayah  , Nora Rahmanindar
Published: November 2024

The Maternal Mortality Rate (MMR) in Tegal Regency has increased drastically since the Covid-19 pandemic. The number of maternal deaths in Tegal Regency in 2021 and 2022 was recorded at 30 deaths each year. Meanwhile, in 2023 until the end of June, there were 9 cases of maternal deaths. Based on data obtained from the Slawi Health Center in 2023, there were 142 cases, including high-risk pregnant women, with causes of age, pregnancy spacing, maternal height less than 145 cm, grandemultipara, KEK, hypertension, history of CS, gemelli, and fetal abnormalities. For anemia itself, there were 34 cases. The purpose of this case study is to obtain a real picture and experience in providing comprehensive midwifery care to Mrs. M at the Slawi Health Center, Tegal Regency in 2023 (Case Study of Mild Anemia with the Application of Oxytocin Massage). This study uses a case study approach. The subjects of the study were pregnant women Mrs. M is 29 years old with Mild Anemia. Data was taken from September to November 2023. Data was taken using interviews, observations, and documentation, the results during pregnancy the subject accepted to have an Hb check, and the results of the subject at the 3rd visit Hb increased and was normal. Pregnant women with anemia can cause bleeding, premature birth, and death. Suggestion: If the same case is found, collaboration with a doctor is needed during pregnancy until postpartum, in addition it is necessary to involve the family, especially children during pregnancy and after the baby is born.
Asuhan Keperawatan pada Tn. S dengan Post Operasi Benigna Prostate Hyperplasia di Ruang Mawar 2 RSUD dr. Soeselo Kabupaten Tegal
Authors: Riko Feli Alfakon  , Ahmad Zakiudin  , Sukirno Sukirno
Published: November 2024

Benign Prostatic Hyperplasia (BPH) is a condition characterized by enlargement of the prostate gland, resulting from the proliferation of non-cancerous cells. The condition mostly affects older men, significant for men whose prevalence increases with age. Prostate hyperplasia is a health problem in people aged 50 years and older, leading to a decline in their quality of life. The World Health Organization (WHO) informs that there are 70 million cases of degenerative diseases including conditions such as Benign Prostatic Hyperplasia (BPH). In developed countries, BPH is found in 19% of the population, while in developing countries, the prevalence is 5.35% (Ritonga, 2022).
Asuhan Keperawatan Pada An.K Dengan Gangguan Sistem Pernapasan: Bronkopneumonia di Ruang Anggrek 2 RSUD Dr. Soeselo Kabupaten Tegal
Authors: Farida Erlany  , Esti Nurjanah  , Ahmad Zakiudin
Published: November 2024

Bronchopneumoia is type of pneumonia, namely inflammation of the lungs due to viral, bacterial and fungal infection (Damayanti & Nurhayati, 2019). The purpose of this writing is to find out and provide nursing care to An.K with respiratory system disorders: bronchopneumonia in the anggrek ward 2 RSUD dr.Soeselo Kabupaten Tegall in accordance with nursing standards. The method used is data collection methods in the form of interviews, observation, consultation, examination. From the case review, it was found that An.H’s mother’s main complaint was that An.K was experiencing shortness of breath. Three diagnoses were found, namely ineffective airway clearance, anxiety and knowledge deficit about bronchopneumonia. Interventions are prepared based on the theory of SDK, SLKI and SIKI as well as on the client’s condition and can be implemented.
Asuhan Keperawatan Pada An.E Dengan Gangguan Sistem Muskuloskeletal : Pre Operasi Fraktur Klavicula Dextra di Ruang Mawar 2 RSUD Dr.Soeselo Kabupaten Tegal
Authors: Tri Niar Sari  , Ahmad Zakiudin  , Sujono Sujono
Published: November 2024

A fracture is a broken bone that is usually caused by trauma or physical force. Upper extremity fractures occur due to traffic accidents, the signs and symptoms caused by fracture sufferers are severe pain, discoloration, swelling, numbness or tingling in the fingers or decreased hand movement (Susanti & Surya Purnama, 2021). The purpose of this writing is to find out and provide nursing care to An.E with musculoskeletal system disorders: pre-operative right clavicle fracture in Rose Room 2 Dr. Soeselo Tegal Regency in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that An.E's main complaint was pain. There were three diagnoses found, namely acute pain, anxiety and impaired physical mobility. Interventions are prepared based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.
Asuhan Keperawatan pada Tn. S dengan Post Operasi Hernioraphy pada Hernia Inguinalis Lateralis Dextra di Ruang Mawar 2 RSUD dr. Soeselo Kabupaten Tegal
Authors: Khikmatul Khoeriyah  , Ahmad Zakiudin  , Sukirno Sukirno
Published: November 2024

A hernia is a protrusion or protusion of the contents of a cavity through a defect or weak part of the abdominal wall. A hernia consists of a ring, a sac and the contents of the hernia. The occurrence of a hernia is triggered by an increase in intra-abdominal pressure that is repeated or continuous (Sayuti, et al., 2023). The purpose of this paper is to find out and provide nursing care to Mr. S with post-operative hernioraphy on the right lateral inguinal hernia in the mawar 2 ward of dr. Soeselo Hospital, Tegal Regency according to nursing standards. The method used is the data collection method in the form of interviews, observations and examinations. From the case review, it was found that the client’s main complaint was pain in the surgical wound, P: pain when moving, Q: like being pulled, R: upper right groin, S: 6, T: continuous pain. The nursing problems found were acute pain, impaired physical mobility and knowledge deficit. Interventions were arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and could be implemented.
Asuhan Keperawatan Keluarga Tn. M dengan Gangguan Sistem Muskuloskeletal : Rheumatoid Arthritis di Desa Kalibuntu RT 02 RW 02 Kecamatan Losari Kabupate Brebes
Authors: Nur Huda  , Siti Fatimah  , Sujono Sujono
Published: November 2024

Rheumatoid arthritis is a degenerative disease that attacks the joints, especially in the elderly. The purpose of this paper is to determine and provide nursing care for Mr. M’s family with musculoskeletal system disorders: rheumatoid arthritis in Kalibuntu Village Rt 02 Rw 02 Losari District Brebes Regency according to nursing standards. The method used is a data collection method in the form of interviews, observation, research documentation and physical examination. From the case review, it was found that the client’s main complaint was pain in the nape of the neck and right and left knees especially when waking up, P: pain in the morning when waking up, Q: pain like being cut into pieces, R: nape, right and left knees, S: scale 4, T: intermittent. The nursing problems found were acute pain and knowledge deficit. Interventions were arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and could be implemented.
Asuhan Keperawatan Jiwa Pada Ny. T Dengan Masalah Utama Risiko Perilaku Kekerasan Akibat Skizofrenia Paranoid di Ruang Dewaruci RSJD Dr. Amino Gondohutomo Provinsi Jawa Tengah
Authors: Cici Afriani  , Titi Sri Suyanti  , Tati Karyawati
Published: November 2024

Schizophrenia is a serious mental disorder with clinical manifestations such as: delusions (false beliefs), hallucinations, loss of contact wit reality (psychoisis), risk of violent behavior, abnormal thoughts that can inhibit daily activities that give rise to emotions, perceptions, thoughts, movement and behavior (Pertiwi et al., 2023). The purpose of this paper is to determine and provide psychiatric nursing care to Mrs. T with the main problem of the risk of violent behavior due to paranoid schizophrenia in the Dewaruci ward of dr. Amino Gondohutomo Mental Hospital, Cental Java Province in accordance with nursing standards. The method used is a descriptive method in the form of interviews, observations, documentation studies and literature studies. From the case review, it was found that the patients main complaint said “I was angry, shouted and even punched the door twice, ma’am”. There are 3 nursing problems, namely the risk of violent behavior, self-care deficit. Interventions are arranged base on TUM and TUK as well as on the client’s condition and can be implemented.
Profil Kadar Enzim Serum Glutamat Piruvat Transaminase (SGPT) dan Serum Glutamat Oksaloasetat Transaminase (SGOT) Mencit Model Diabetes Melitus Pasca Pemberian Ekstrak Kulit Batang Cinnamomum burmanii
Authors: Abdul M Ukratalo
Published: November 2024

Diabetes mellitus is a chronic metabolic disease characterized by hyperglycemia. Prolonged hyperglycemia leads to oxidative stress, which plays a crucial role in causing further complications, including liver damage characterized by increased levels of Serum Glutamate Pyruvate Transaminase (SGPT) and Serum Glutamate Oxaloacetate Transaminase (SGOT). This study aimed to examine the effects of Cinnamomum burmanii bark extract on SGPT and SGOT levels in a mouse model of diabetes mellitus. The research employed an experimental design using a completely randomized design. It consisted of five treatment groups: K- (normal mice), K+ (diabetic mice), P1, P2, and P3 (diabetic mice treated with Cinnamomum burmanii bark extract at doses of 125, 250, and 500 mg/kg BW). Streptozotocin was injected into groups K+, P1, P2, and P3 at a dose of 0.1 ml per mouse for 14 days. If blood glucose levels increased, extracts were administered to groups P1, P2, and P3 according to the predetermined doses for 14 days. On day 28, surgery was performed to collect blood serum for SGPT and SGOT analysis.. The results of the study indicated that Cinnamomum burmanii bark extract could reduce SGPT and SGOT levels in the diabetic mouse model. This demonstrates the potential of Cinnamomum burmanii as a therapeutic agent that may help reduce liver damage often observed in diabetes mellitus
Factors That Influence Third-Trimester Pregnant Women in Choosing To Give Birth at Health Facilities in The Working Area of Public Health Centre Siak Hulu 2 Siak Hulu 2 District In 2023
Authors: Heni Heriyeni  , Zuliyana Zuliyana  , Siska Indrayani  , Rizki Natia Wiji
Published: November 2024

The maternal mortality rate is still relatively high, so it needs continuous effort between health service providers and patients to make birth decisions. As per the SDGs program, to reduce the risk of maternal death in childbirth, childbirth must be carried out by trained professional health workers and in health services. This study aimed to determine the factors that influence third-trimester pregnant women in choosing to give birth at health facilities in the working area of Public health Center Siak Hulu 2, Siak Hulu 2 District. The research design was a correlational descriptive study. The research was conducted on the active site of the Public health center Siak Hulu 2. The population in this study was 35 pregnant women. The sample in this study was 35 pregnant women using total sampling. Data analysis was done univariately, bivariate, using the Chi-Square statistical test. The results showed that there was a relationship between age and the choice of place of delivery in the Siak Hulu 2 Working Area, with a P-Value of 0.03, there was a relationship between parity and the choice of place of delivery with a value P-Value 0.01, and there is a relationship between distance and choice of area of delivery with a P-Value of 0.001. This study concludes that all factors related to the will of the place of delivery in third-trimester pregnant women have a relationship. Suggestions are expected for health workers to be able to provide more information to pregnant women that it is essential to give birth at a health facility.
Factors Related to Household Waste Water Channels (SPAL) in the Working Area of the Sanggaran Agung Community Health Center, Kerinci Regency in 2023
Authors: Andy Amir  , Ameliza Qamara Dinda  , Fitria Eka Putri  , Dwi Noerjoedianto  , Oka Lesmana S
Published: November 2024

Sewerage is a drain used to dispose and collect waste water from bathrooms, washing places, kitchens (not from latrines). Data from the Kerinci District Health Office shows that the percentage of SPAL ownership in the working area of the Sanggaran Agung Health Center is 76.20%. This study aims to determine factors related to the management of household wastewater sewerage (SPAL) in the working area of the Sanggaran Agung Health Center, Kerinci Regency in 2023. This type of research is Quantitative with Cross Sectional approach. The sampling technique uses the Proportionate Stratified Random Sampling Technique with a sampling of 104 households. The study instrument used questionnaires and observation sheets. The analysis of this study used univariate and biavariate analysis with chi square test. The results of the analysis showed that 66.3% of respondents did not meet the SPAL requirements and there was a relationship between education (P-Value = 0.002), Knowledge (P-Value = 0.000), Attitude (P-Value = 0.000) towards household wastewater sewerage management (SPAL) in the working area of the Sanggaran Agung Health Center.
The Effect of ULLTT on Reducing Pain in Carpal Tunel Syndrome Cases
Authors: Lilik Sigit Wibisono  , Fitratun Najizah  , Ni Kadek Krisna Dwi Patrisia  , Lulu'ah Feby Purwanti
Published: November 2024

Background: Carpal tunnel syndrome (CTS) is a disorder of the wrist due to narrowing of the carpal tunnel, either due to edema of the fascia in the carpal tunnel or due to abnormalities in the small bones of the hand (carpal bones) resulting in pressure on the median nerve. on the wrist. CTS is defined as weakness in the hands accompanied by pain in the distribution area of the median nerve (Sidharta, 2004). Nerve mobilization is a manipulation technique by moving and stretching nerve tissue to increase axonal transportation so that it can improve nerve conduction. Nerve mobilization can reduce the pressure in the nerves so that there is an increase in blood flow to the nerves, which can have a regenerative and healing effect on injured nerves (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment for musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Upper Limb Tension Test (ULTT) is carried out at the branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses ULTT on the median nerve, namely ULTT 1 which is related to CTS.
The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the ULTT 1 method in cases of Carpal Tunnel Syndrome on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. Research Place: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating CTS patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.
The Influence of Counseling Toward The Level of Knowledge About Contraception Tool in Family Planning Acceptor in Public Health Centre of Kassi-Kassi Makassar
Authors: Nurul Fitri Sugiarti Syam  , Rahmawati Rahmawati  , Abdul Malik Iskandar
Published: November 2024

The less knowledge of mother about the celection of contraception type that they are going to consume is caused by the less counseling from paramedic particularly midwives. Childbearing age couple a who visit the health service centre commonly choose general contraception tool such as pill and injection, it is caused by uneffective counseling about contraception tool. This study aims at knowing the factors of infection in postpartum period. Type of research in analytical survey research with cross sectional study research. Total sample is 55 people who were choosen by using purposive sampling technique. Data collection did by delivering questionnaire as primary data and the data analysis did by using SPSS program and were analyzed with chi square test with level of significance ?=0,05. Based on the continuity correction, it showed the result of cross test where there I relationship between counseling and the level of knowledge where the value of p ? value or =0,002 <?=0,05. It is suggested to mother to use contraception which met to their urge and not to focus with one certain contraception tool and use it in long period.
The Effectiveness of SEFT Complementary Therapy (Spiritual Emotional Freedom Technique) In Assist of Hypertension Treatment Program at Elderly
Authors: Indra Ruswadi  , Ike Puspitaningrum  , Niken Wulan Hasthi Murti
Published: November 2024

Hypertension is a silent disease that causes of unexpected death for sufferers. They do not know that they have hypertension before checking their blood pressure. Various methods can be used to manage hypertension is using SEFT (Spiritual Emotional Freedom Technique). SEFT is a combination of spirituality such as prayer, sincerity, surrender with psychology energy. The purpose of this research is to determine the level of effectiveness of SEFT complementary therapy in assist of hypertension treatment programs at elderly.
Method: The method of this research is a quantitative using Quasy Experiment Approach with pre-post test control group design. The statistic analyzed descriptive and statistical test using Wilcoxon Signed Ranks Test.
Results: The results of the statistical test on the blood pressure of the experimental group showed that there was a significant difference in the systolic and diastolic blood pressure of hypertension sufferers (experimental group), before and after the SEFT complementary and the result of the statistical test on the blood pressure of the control group concluded that there was no significant difference on the blood pressure of hypertension sufferers without being given SEFT complementary therapy at the beginning of the treatment and at the end of the treatment.
The finding of this study is the use of SEFT therapy that given together with hypertension therapy program can help to control the blood pressure of hypertension sufferers.
The effect of the William Exercise on reducing lower back pain in patients at FPM Sunny Surakarta
Authors: Shella Dhika Rahmawati  , Aulia Ayu Kusuma W  , Lulu'ah Feby Purwanti
Published: November 2024

In everyday life, work is important for every individual to fulfill life's needs, every job definitely requires movement activities in the body. Lifting heavy weights and sitting for too long are examples of activities that humans often do. If this activity is done repeatedly, it will trigger health problems, one of which is lower back pain.
Low back pain is a symptom caused by various abnormalities, whether known or unknown, low back pain is one of the many problems that are often encountered in society. As many as 84% of people will experience lower back pain problems. This pain is located between the thoracic area 12 to the gluteus (Cahya et al., 2016).
The Relationship of Knowledge and Husband's Support With The Use of Injective Contraceptions
Authors: Lanita Usi , Sarah Soldia Oktavia  , Puspita Sari  , Kasyani Kasyani  , Sri Astuti Siregar
Published: November 2024

The family planning (KB) program is a government effort to prevent risky pregnancies due to the 4Ts (too young, too old, too close, and too frequent). One of the birth control methods most widely used by women of childbearing age (WUS) is injectable birth control. The research aims to determine the relationship between a husband's knowledge and support and the use of injectable contraceptives in women of childbearing age. Method: quantitative research using a cross-sectional design with a cluster random sampling technique. Data were collected using a questionnaire, and analysis was carried out using the Chi-Square statistical test. Results: There is a relationship between knowledge (p-value 0.046) and husband's support (0.001) with the use of injectable contraceptives in women of childbearing age (WUS) in the Tanjung Pinang Health Center Working Area, Jambi. Conclusion: There is a relationship between a husband's knowledge and support and the use of injectable contraceptives in WUS, so it is hoped that health workers will routinely provide outreach regarding the use and benefits of injectable contraceptives to couples of childbearing age (PUS).
Maternal Age and Parity As Risk Factors Affecting The Incidence of Iron Deficiency Anemia in Pregnant Women in The Working Area of The Bungus Health Center, Padang City
Authors: Sri Astuti Siregar  , Febby Oktariani  , Asparian Asparian  , Usi Lanita  , La Ode Reskiaddin
Published: November 2024

Anemia is a serious health problem in pregnant women because red blood cells play an important role in distributing supplements and oxygen for fetal development. Based on WHO data (2019), the number of people in the world who suffer from anemia is more than 2 billion people or 30% of the total population. Pregnant women who experience anemia worldwide reach 41.8%. The prevalence of anemia in pregnant women at the Bungus Community Health Center in 2021 is 36% and is the highest incidence of anemia among all community health centers in Padang City. Among the risk factors that cause iron deficiency anemia in pregnant women are age and parity. This research uses quantitative methods through a cross sectional approach with a sample of 67 pregnant women in the Bungus Community Health Center working area. Random sampling technique proportional simple random sampling and data analysis using tests Chi-Square. The results of the study showed that there was a relationship between maternal age (p=0,046) with the incidence of anemia, while parity showed no significant relationship (p=0,119). It is hoped that Bungus Community Health Center officers can increase intensive outreach strategies so that the incidence of anemia in pregnant women can be prevented from an early age.
The Influence of Knowledge and Economic Status on Early Marriage in Keliling Danau District, Kerinci Regency in 2022
Authors: Sri Astuti Siregar  , Aysah Aysah  , Marta Butar Butar  , Usi Lanita
Published: November 2024

According to WHO, early marriage is a marriage between a couple or one of the partners is still categorized as a child or teenager under the age of 19 years. Jambi Province ranks ninth in the rate of marriage at a young age in Indonesia, amounting to 14.8% in 2019, where the percentage for Kerinci Regency is 21%. Among the factors that influence early marriage are low knowledge and economic status. This research aims to determine the influence of knowledge and economic status on early marriage in Keliling Danau district, Kerinci regency. The method used in this research was an analytical survey with a cross-sectional approach where 92 women from couples of childbearing age were the research sample. The sampling technique was simple random sampling and the data was analyzed using chi-square test analysis. Early marriage among respondents was 48.9%, the majority of respondents had good knowledge (65.2%) and high economic status (81.5%). The results of statistical tests show that there is an influence between the knowledge variable (p-value=0.003) and economic status (p-value=0.025) on early marriage. Therefore, it is hoped that regional governments can coordinate across the health sector to increase outreach regarding the prevention of early marriage and the negative impacts it causes.
Application Of Modern Wound Care Using Moist Wound Healing Techniques In Diabetes Mellitus Patients
Authors: Rafika Nur Siregar
Published: November 2024

Diabetes Mellitus often becomes a serious health problem in various developing and developed countries in the world. Most people with diabetes mellitus are at risk of developing diabetic ulcers. If not treated quickly it can develop into an infection. The newest wound healing methods currently have an important role in treating diabetic ulcers, one of which is Modern Dressing with Moist Wound Healing. The aim of this research is to identify the effectiveness of modern wound care using moist wound healing dressing techniques in healing diabetic ulcers at the Sering Road. The research design used in this study used a quasi-experimental design with a cross- sectional method approach. The sampling used was accidental sampling, namely 30 respondents. Based on the results of the Paired T-Test and Independent T-Test, the p- value was obtained (0.000 < ? 0.05), in the control group, p value ? = 0.080 (p > 0.05). Thus, it can be said that there is no effectiveness of modern wound care using moist wound healing dressing techniques in healing diabetic ulcers at the Sering Road. It is hoped that Sering Road can improve the quality and quality of modern wound care services using moist wound healing dressing techniques for diabetic ulcer sufferers.
The Relationship Between Knowledge And Anthropometric Measurement Skills In Cadres In The Meureubo Health Center Working Area, West Aceh Regency, Meulaboh 2023
Authors: Laila Apriani Hasanah Harahap  , Itza Mulyani  , Adico Notarza Aulia  , Enda Silvia Putri  , Cukri Rahma  , Eva Flourentina Kusuma Wardani  , Renita Fransisca Siahaan
Published: November 2024

Nutritional problems in Aceh, especially West Aceh, include stunting, wasting, underwight and overwight which until now nutritional status. There is a relationship between knowledge and anthropometric measurement skills in cadres with p value 0,000 where good knowledge will create awareness someone and finally trigger someone with the appropriate skills with knowledge. Respondents who have good knowledge and finally trigger someone with the appropriate skills with knowledge. Respondents who have good knowledge towards anthropomeric measurements, namely 28 respondents  (44.4 %). It is suggested that posyandu cadres make posters contains appropriate measurements and weighing standards, in order to serve as a reference for making measurements
Review:Medical Benefits Of Stearic Acid For Skin And Its Role In Treatment Of Some Diseases
Authors: Hala M.Sabre
Published: November 2024

Stearic acid is one of the most common fatty acids. It is a glycerol ester found in most lipids from plants and animals. Being an emollient, stearic acid acts by smoothing and softening the skin.  It has been consistently shown that, in comparison to other saturated fats, stearic acid either has no effect on low blood cholesterol or has a neutral effect. A diet high in stearic acid was found to reduce fasting levels of coagulation factor VII that causes blood clotting. There doesn't seem to be any connection between stearic acid and a higher incidence of heart attacks or ischemic heart disease. Stearic acid preferentially stimulates apoptosis, or programmed cell death, in malignant vs non-cancerous breast cancer cells and suppresses important cell cycle checkpoints, preventing breast cancer cells from proliferating. In neurodegenerative illnesses such as Parkinson's disease, stearic acid might be protective.
Analysis Of Dental Service Characteristics From A Dentist’s View In The Clinics Of Primary Health Care Sector In Baghdad
Authors: Muna Abdullah Saleem
Published: November 2024

Dentist rely on his arrangement for dental service characteristics, represented by tangibility, reliability, responsiveness, assurance, and empathy. A research attempts to measure a view of dentist for these characteristics and it determines their relative importance and it diagnose a gap of each characteristic to save his prevention performance. Research adopts checklists for dentists in the dental clinics of Primary Health Care Sector in Baghdad whose number reached to (74) dentists. The results were present in tables and analyzed using illustrative Pi and Pareto diagrams, it showed that dental service applied but with a varying and unequal level of attention. Dentist concerned with dental service characteristics, and he considers them essence of preventive dentistry.
Modification of Sulfadiazine Antibacterial to Promising Anticancer Schiff Base Derivatives: Synthesis and in Vitro Studies
Authors: Tasnim Tariq Mohammed  , Aula Hassoon Obaid  , Ghasaq Farouq Hammeed  , Abbas K. Abbas
Published: November 2024

The study displays a novel approach for synthesizing imine-sulfadiazine compounds (A and B) by reacting Sulfadiazine with various aldehydes, including 2-chlorobenzaldehyde and 4-pentoxybenzaldehyde. The derivatives (A and B) were characterized using spectroscopic techniques, specifically FT?IR spectroscopy. The synthesized compounds were assessed in vitro against various bacteria, including Streptococcus pneumoniae and E. coli, using the zone inhibition method. The results indicated that specific derivatives possess enhanced antibacterial characteristics compared to the effectiveness of the regular medications. The derivative A was assessed for its anticancer activity against breast cancer MCF-7 cells using the MTT assay, which yielded a favorable outcome within 24 hours.
Exploration of Risk Factors for Suicidal Ideation in Depressed Adolescents
Authors: Mariyati Mariyati  , Arifianto Arifianto
Published: November 2024

Background: Adolescents are a vulnerable group for mental health problems, one of which is depression. Research on adolescents with depression with suicidal ideation in the General Hospital Polyclinic is still very rare. Adolescents who undergo depression treatment while in the RSU Polyclinic need to know the cause and how resilient they are to their suicidal ideation to be the basis for further intervention. Research Objective: This study aims to explore the risk factors for suicidal ideation in adolescents who experience depression in the Mental Health Polyclinic of Permata Medika Hospital. Methodology: Phenomenological studies are used as an appropriate method to explore the resilience experiences of adolescents with suicidal ideation who experience depression. Data collection was carried out through in-depth interviews with semi-structured interview guidelines. The participants in this study were 6 young adults who experienced depression. Data analysis used Colaizzi's theory with the stages of data transcription, significant statements, formulating categories, sub-themes and themes contained in significant statements. Results: The data analysis process found 2 themes consisting of risk factors for suicidal ideation: 1) Internal factors consisting of a closed and ambitious personality and physical illness, 2) External factors consisting of unpleasant experiences (bullying, loss, trauma, parental separation), parenting patterns, and unfulfilled desires. Conclusion: Depression and suicidal behaviour are closely related. The causes of suicide from parenting patterns in the family, closed personality, bullying, relationship problems and physical illnesses that result in prolonged sadness, distrust, depression, self-harm behavior to suicide.