bluuebunny/crossref_metadata_2025 huggingface dataset:
Умовні зобов’язання в системі об’єктів бухгалтерського обліку: питання розкриття інформації
Authors: Орлов Ігор
Published: September 2024

В статті вивчаються теоретико-методологічні питання, пов'язані з визначенням умовних зобов'язань у системі обліку об'єктів бухгалтерського обліку. Засновуючись на проведенні порівняльного аналізу критеріїв визнання фактичних зобов'язань, умовних зобов'язань та забезпечень, в статті розглянуто різноманітні аспекти цього питання. Недосконалість стандартів бухгалтерського обліку та складність застосування міжнародних стандартів у зв’язку з відсутністю методичних роз’яснень від регуляторних органів призводять до недостовірного розкриття такої інформації у фінансовій звітності. Дослідження аргументує перелік подій, які можуть стати підставою для визнання в бухгалтерському обліку умовних зобов'язань, та надається детальний опис підходів до їх оцінки. Розкрито питання доцільності визнання умовних зобов'язань з метою дотримання принципів бухгалтерського обліку. Розглянуто аналітичні аспекти відображення умовних зобов'язань, зокрема їх потенційне використання для підвищення фінансової стійкості та ефективності управління підприємством. Дослідження показало відмінності умовних зобов’язань в порівняльному аспекті з реальними зобов’язаннями, такими як кредиторська заборгованість та забезпечення Обґрунтовано доцільність ведення розширеного аналітичного обліку умовних зобов’язань за орієнтованим терміном погашення зобов’язання після дати балансу та за видом господарської діяльності. Це дозволить оцінити вплив умовних зобов’язань на фінансовий стан підприємства та результативність його діяльності. Надано обґрунтування та описано методологічний підхід до ідентифікації та визначення умовних зобов'язань, що може послужити основою для подальших досліджень. Стаття розширює розуміння та способи використання умовних зобов'язань у бухгалтерському обліку й управлінні. Дослідження сприяє розвитку теорії та практики бухгалтерського обліку, а також створює основу для подальших наукових досліджень в частині розробки рекомендацій щодо використання умовних зобов’язань  метою підвищення ефективності управління ресурсами підприємства.
Оцінювання звітності емітентів зелених облігацій
Authors: Фролов Андрій
Published: September 2024

Подання звітності емітентами є одним з основоположних принципів на ринку зелених облігацій. Розкриття інформації в звітах допомагає емітентам запевнити інвесторів, що залучені від випуску зелених облігацій кошти, використовуються ефективно та сприяють досягненню екологічних цілей. Але для цього емітентам потрібно вибудовувати внутрішню систему звітування, бути обізнаними в деталях проєктів, і знати як оцінювати їх можливий екологічний та соціальний вплив. Метою статті є формування методологічних підходів оцінювання звітності емітентів зелених облігацій відповідно до міжнародних стандартів і вимог. В статті досліджено світові практики подання звітності на ринку зелених облігацій. Охарактеризовано види звітності, які подаються емітентами зелених облігацій. Узагальнено принципи на міжнародному та європейському ринках, яких рекомендовано дотримуватись емітентам зелених облігацій під час підготовки звітів. Проведене дослідження дало можливість виокремити 4 критерії розкриття інформації емітентами зелених облігацій під час подання звітів: періодичність, достовірність, прозорість та деталізація. На основі обраних критеріїв запропоновано методологію здійснення бальної оцінки розкриття інформації в звітності емітента і дотримання принципів, викладених в міжнародних рекомендованих актах. В статті представлено «матрицю відповідності», що містить вимоги яким повинен відповідати емітент зелених облігацій. Перевірка звітів на предмет виконання встановлених вимог дозволяє встановити рівень розкриття інформації емітентом. Запропонована методологія оцінювання розкриття інформації може бути корисною емітентам зелених облігацій для здійснення оцінки власних звітів та розуміння їх відповідності міжнародним стандартам. Разом з тим, застосування методології може бути корисним третім сторонам під час незалежної експертизи випусків зелених облігацій та оцінки повноти подання звітів. Методологічні підходи дослідження матимуть особливу користь під час розробки принципів звітності для національної рамки, регламенту або стандарту зелених облігацій.
Media Hegemony and the Suppression of Counter-Hegemony in Nigeria
Authors: Garison Anthony , Yakubu Dangana Deborah , Tsokwa Solomon Blessing
Published: September 2024

Media are realized to be the powerful tools in the dissemination and reinforcement of dominant ideologies in order to maintain the status quo thereby serving the interest of the powerful groups at the detriment of the nation’s social justice, economic equality and national development. This study therefore, examines the phenomenon of media hegemony and its impact on the suppression of counter-hegemony in Nigeria. Using Antonio Gramsci's concept of hegemony as a framework, this research investigates how the dominant media landscape in Nigeria reinforces existing power structures, marginalizes alternative voices, and limits the emergence of counter-hegemonic narratives. Through a critical discourse analysis of media operations in Nigeria, their orientations and contents. The study reveals the ways in which media hegemony is maintained and contested in Nigeria. The concentration of media ownership, censorship, and the manipulation of public opinion are key strategies used to suppress counter-hegemony in Nigeria. Furthermore, the study highlights the challenges faced by alternative voices and social movements in promoting counter-hegemonic discourses and resisting dominant narratives. The research contributes to our understanding of the complex dynamics of media hegemony, how media shape power structures, normalizes the views of the ruling class and suppress counter-hegemony in Nigeria; and underscores the need for a more inclusive and diverse media landscape that promotes critical thinking, democratic participation, social equality and social justice.
Palliative Care in Epidermolysis Bullosa: Beyond Skin
Authors:   Pediatrics, Unidade Local de Saúde de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal., Camacho-Sampaio Margarida , Leuzinger-Dias Catarina ,   Pediatric Palliative Care team, Unidade Local de Saúde de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal., Grilo Ema , Ramos Leonor , Cancelinha Candida
Published: September 2024

Generalized severe junctional epidermolysis bullosa (JEB) is the rarest and most severe form of epidermolysis bullosa (EB), often leading to a 90% mortality rate within the first year of life. This case report describes a 35-week premature male infant diagnosed with JEB, and highlights the critical role of pediatric palliative care teams (PPCT) in managing complex clinical challenges. Initially treated for suspected bullous impetigo, JEB was confirmed through genetic testing at one month old. Patient presented with severe symptoms, including extensive mucocutaneous lesions, impaired wound healing, sepsis, anemia, protein loss, and failure to thrive. Despite pharmacological interventions, including albumin infusions, red blood cell transfusions, oral iron supplementation, IgG and plasma infusions, and rounds of antibiotics, the patient's condition deteriorated overtime. Following the JEB diagnosis, invasive procedures were withheld to prioritize comfort. Pain management was maintained with continuous morphine infusion and oral gabapentin until venous access was lost. Afterwards an oral-only analgesic regimen with morphine and transmucosal fentanyl provided relief, as transdermal or subcutaneous analgesia was not feasible due to extensive skin involvement. Patient died at two months old, one month after admission, and 48 hours after starting sedoanalgesia. This case underscores the importance of early PPCT involvement for symptomatic management and holistic support, highlighting the need for timely genetic diagnosis to guide care decisions. Despite significant challenges, the palliative approach effectively met the needs of the patient and family, emphasizing the value of compassionate care in the management of terminal conditions such as JEB.
Implementation of Face Recognition for Lecturer Attendance Using Deep Learning CNN Algorithm
Authors: Fajhar Muhammad  , Agung Triayudi  , Eri Mardiani
Published: September 2024

Using the Convolutional Neural Network (CNN) algorithm, this research aims to create a better lecturer attendance application that improves the attendance system and creates peace of mind when lecturers arrive at national universities. The author analyzes the results of applying deep learning algorithms to an experimental face recognition system that uses convolutional neural networks. The purpose of this study is to show that deep learning algorithms can improve the accuracy and efficiency of recording presence. In addition, the goal of this research is to create a timekeeping application using face recognition technology that is expected to have a high level of accuracy. In addition, this research includes a modification of the CNN model. This modification resulted in an epoch value of 75 for training of 100% and test of 95%. Analysis of results, drawing conclusions, and suggestions for additional development are the final stages of this research. Evaluation of the integrated system is done by collecting actual attendance data and comparing it with the attendance records created by the system. This validation will help explain the performance of the system and find problems or vulnerabilities that may need to be fixed
Miopatía por micofenolato posterior a trasplante hepático: reporte de caso
Authors: Lloreda-Aranzazú Kevin Aníbal , Montenegro-Apráez Álvaro Andrés , Gómez-Ramírez Diego Mauricio , Aragón-Delgado Mauricio , Acosta-Castillo Lady Viviana
Published: September 2024

Las miopatías inducidas por medicamentos son una causa relativamente frecuente de debilidad muscular aguda. En muchos casos, los síntomas comienzan poco después del inicio de la medicación causante; sin embargo, el diagnóstico puede ser difícil debido a la polifarmacia o ala asociación inicial de los síntomas con otras patologías. Esto puede provocar un retraso en la retirada del medicamento, lo cual es fundamental para el tratamiento. Se presenta el caso de un paciente de 62 años de edad con antecedentes de hepatocarcinoma, quien presentó debilidad muscular aguda en el posoperatorio de un trasplante hepático temprano. Se documentó una asociación excepcional con miopatía inducida por micofenolato. Tras suspender este fármaco, el paciente recuperó completamente la fuerza muscular, confirmando así el diagnóstico. De hecho, este caso es el segundo reportado en la literatura médica sobre miopatía inducida por micofenolato.
Knowledge, attitude and practice of basic life support among nursing staffs at a tertiary care hospital
Authors: Gyawali Sangya , Shah Rajat , Shah Sanjay
Published: September 2024

Introduction: Basic life support is medical care that is provided for life threatening illnesses or injuries until a medical team arrives.  The conditions can be cardiac arrest, respiratory distress or airway obstruction. This care can be provided by trained medical personnel or qualified bystanders. If basic life support is provided on time after prompt recognition of the situation, this helps to increase the chance of survival of the patient.
 
Method: This is a hospital based cross-sectional study done for the duration of three months (June 15, 2023-September 15, 2023). Questionnaire sets were distributed to all the participants after taking ethical clearance and their response was evaluated. The data were analyzed using Statistical Package for the Social Sciences (SPSS version 23). Descriptive statistics were used for demographic variables. Categorical data were presented as number (n) or percentage (%). Chi-square test was applied between two categorical variables. Pearson's correlation analysis was used to investigate the relationship between knowledge, attitude and practice.
 
Result: The total number of participants were 145. Our study showed good knowledge 126 (86.9%), good practice 120(82.81%) and poor attitude 90 (62.1%) among the nurses. Significant correlation was seen between knowledge and practice with p value 0.0
 
Conclusion: The nursing staff had good knowledge and practice regarding basic life support. They had a poor attitude regarding the same. Majority of them have provided basic life support voluntarily and thought it should be a part of their curriculum. Most of them were interested in undergoing basic life support training in a workshop center with hands-on practice under supervision.
Comparison of the rapid emergency medicine score and rapid acute physiology score in non-surgical emergency department patients
Authors: Yadav Jyoti , Mansuri Md. Islam , Yadav Abhiyendra Khirhari , Thakur Nishant
Published: September 2024

Introduction: Emergency medical admissions pose a significant burden, necessitating effective risk stratification tools for mortality estimation. The current study aims to compare the prognostic accuracy of existing severity scoring systems, Rapid Acute Physiology Score (RAPS) and Rapid Emergency Medicine Score (REMS) in estimating mortality risk among non-surgical patients.
 
Method:  This cross-sectional study, conducted at a teaching Hospital in Nepal for three months. Data collection involved clinical assessments and estimating RAPS and REMS scores. Chi-square test and correlation analysis were employed to assess the significance of severity scores and their association with clinical parameters. The predictive accuracy of RAPS and REMS for in-hospital mortality was determined.
 
Result: The study encompassed 154 patients admitted to the emergency department and moved to Medicine, ICU, Emergency Room, and ENT departments. Both scores had similar overall performance, but REMS showed slightly higher sensitivity (95.93%) compared to RAPS (85.37%). Positive correlations were observed between REMS and age (p<0.001, r=0.755), Mean Arterial Pressure (p=0.005, r=0.226), and Pulse Rate (p=0.009, r=0.210), while negative correlations were noted with Oxygen saturation (SpO2) (p<0.001, r=-0.430) and Glasgow Coma Scale (p<0.001, r=-0.386). RAPS showed positive correlations with age (p<0.05, r=0.15), Pulse Rate (p<0.001, r=0.176), and negative correlations with SpO2 (p<0.001, r=-0.347) and Glasgow Coma Scale (p<0.001, r=-0.405). Both RAPS and REMS demonstrated significant associations with Chronic obstructive pulmonary disease, hypertension, and diabetes mellitus. Majority of non-survivors had intermediate-risk (6-13) REMS score (70.58%), but low (<6) RAPS score (76.47%).
 
Conclusion: The study compared RAPS and REMS in predicting mortality among non-surgical emergency patients, finding comparable effectiveness. While both had similar overall performance, REMS showed slightly higher sensitivity (95.93%) compared to RAPS (85.37%).
General Practice Reformative Agenda, 2024
Authors: Shrestha Ashis , Ghimire Rajan , Bajracharya Sumana , Bom Rabin , Samal Anup , Dangal Binod , Maharjan Kripa , Maharjan Rony , Raj Bhandari Bibek , Joshi Arabind , Kharal Puspa Mani , Dawadi Bishwa Raj , Shah Arati , Shrestha Grishma
Published: September 2024

Introduction: General Practice, a longstanding specialty in Nepal, requires reformation due to changing professional context and growing health needs of the country. This study aims to identify key areas supported by evidence for the reformation of GP in the country.
Method: A qualitative study based on grounded theory was designed to explore the area of general practice and emergency medicine physician’s working in Nepal. Focused group discussions, key-person interviews, polls, and debates were conducted. In the first round, key issues were identified, and in the second round, potential solutions were explored. Data was collected from 15 January to 23 March 2024. There was a panel discussion during the conference of General Practice and Emergency Medicine Association of Nepal in March 2024.
Result: Ten important themes that are important to reform the General Practice and Emergency Medicine physcian’s situation in Nepal were identified. Important themes include: leading primary health care service considering a one-door policy, defined roles in all three tiers of health care system, adequate job posts, career ladder in sub-specialty, incorporating primary and emergency healthcare in academic curriculum, developing consistent competency based academic curriculum, advocacy for research wing in the association, ensuring primary teacher position during post graduate trainings, inclusion of general practice and emergency medicine subject in undergraduate curriculum, continuous knowledge and skill enhancement, and standardize specialty name.
Conclusion: This study has identified key areas to reformation which included diverse range of academics, curriculum, professional roles, job security, and research.
Study of fingerprint pattern among medical students in a tertiary hospital in Nepal: a descriptive cross-sectional study
Authors: Yadav Salmalee
Published: September 2024

Introduction: The fingerprints are most reliable form of identification because they do not change from birth to death. Fingerprints have different variations in their patterns and have great importance in scientific, morphological, criminological, biological and anthropological studies. We studied the fingerprint patterns among the medical students and difference of fingerprint pattern in male and female students.
Method: A descriptive cross-sectional study was conducted among 250 medical students of Maharajgunj Medical College. The study was carried from 1st August 2019 to 1st August 2020 after receiving ethical approval from the ethical committee. The fingerprint patterns of both hands were collected and identified with magnifying glass and loops, whorls, arches and composite are documented and analyzed in SPSS 16 version.
Result:  The most predominant pattern was loop 1092(43.68%) followed by whorls 1035(41.40%), arches 225(9%) and composite 148(5.92%). The males had higher incidence of loops 599(47.9%) compared to females 493(39.40%).
Conclusion: Loop fingerprint was predominant pattern in most of the fingers. The loops fingerprint pattern was found to be more prevalent in males than that of females.
Tính toán tải trọng gió tác dụng lên tấm năng lượng mặt trời theo tiêu chuẩn Nhật Bản JIS C 8955 : 2017
Authors: Phạm Quang Vinh
Published: September 2024

Designing wind load resistance for solar panel support structures is crucial to minimize economic losses and safety risks when solar panels and their supporting structures are subjected to strong winds. This paper presents a calculation of wind loads on the solar panel according to the Japanese standard JIS C 8955:2017. The study focuses on the impact of the solar panel's tilt angle and the surface roughness class on the calculated wind load acting on the solar panel. Additionally, the calculation method and the results are compared with the Vietnamese standard TCVN 2737-2023. The findings indicate that wind loads increase with the tilt angle of the solar panels. The gust effect factor of the wind load increases with the surface roughness class. Furthermore, there are notable differences in the coefficients and calculated wind loads acting on the solar panels between the JIS C 8955-2017 and the TCVN 2737-2023. For the JIS C 8955-2017, the wind load in negative pressure direction is always greater than the wind load in positive pressure direction, whereas for the TCVN 2737-2023, the wind load in positive pressure direction is always greater than the wind load in negative pressure direction. The results highlight the need for more detailed studies and standards tailored to this type of structure, suitable for conditions in Vietnam.
Families and Teachers Doing Mathematics Tasks Together: Considering Funds of Knowledge and Positioning
Authors: Gutiérrez Maura Varley , Napp-Avelli Carolina , Quintos Beatriz , Salazar Fany , Turner Erin , Civil Marta
Published: September 2024

In this article, we explore the power relationships and positioning that occurred between caregivers and teachers who engaged in mathematics tasks as a part of a year-long project involving workshops. Specifically, we explore the shifts in power and positioning that occurred when the tasks were grounded in the caregivers’ funds of knowledge, in contrast to the positioning that occurred during problem-solving tasks that were not. Our analysis indicates that using funds of knowledge in mathematics has the potential to create collaborative and not hierarchical relationships between caregivers and teachers. This result has implications for the mathematics classrooms of multilingual learners.
The Power of an Opening Problem: A Pathway for Mathematics Teachers to Explore Formative Assessment
Authors: Flint Rochy , Zelbo Sian
Published: September 2024

In this Perspective on Practice, we describe an application of recommendations made in “Formative Assessment in Secondary ­Mathematics: Moving Theory to Recommendations for Evidence-Based Practice” (Kenney et al., 2022), which was recently published in this journal. The authors made recommendations for mathematics teacher educators about conducting professional development sessions related to formative assessment. After conducting our own workshop for K–5 teachers and considering the recommendations of Kenney and her colleagues, we share our observations about the benefits of a good opening task for jumpstarting a productive session on formative assessment.
Yüksek Gerilim İzolatörleri Çözümlü Problemleri
Authors: GÜNEY İrfan , AY Selim
Published: September 2024

Yüksek gerilim izolatörler ile ilgili çözümlü problem kitabı gerek Türkçe literatürde gerekse yabancı literatürde yayımlanmış değildir. Bu boşluğu doldurmak için Yüksek gerilim izolatörlerine yönelik çözümlü problemler kitabı hazırlanmıştır. Yüksek Gerilim İzolatörleri Çözümlü Problemleri başlıklı bu kitapta, izolatörler ile ilgili çeşitli teorik konulara, testlere ve işletmeye yönelik tamamı çözümlü -hem elektriksel hem de mekanik içerikli- 293 adet problem yer almaktadır. Söz konusu problemlerin çok büyük bir bölümü özgün niteliktedir. Kitaptaki çözümlü problemlerin daha kolay anlaşılmasına katkı sağlamak için problemlerden önce iki bölüm (“Genel Bilgiler” ve “İzolatörler ile ilişkili çeşitli hesaplamalar”) eklenmiş bulunmaktadır.
Hubungan Pemberian Asi Ekslusif Terhadap Involusi Uteri di Wilayah Kerja Puskesmas Telaga
Authors: Abdul Kadim Masaong  , Sabirin B. Syukur  , Devi Saraswati
Published: September 2024

Breastfeeding is one of the important roles for mothers and baby because apart from having great benefits for mothers and babies it also has the side effect of improving uterine involution. The Objective of research was to analyze the relationship between exclusive breastfeeding and uterine involution in Telaga Health Center. This research is a type of quantitative research with a cross sectional approach. The sampling technique used the total sampling technique. The statistical test results obtained the value of Chi-Square p = 0.038 with ? ? 0.05. the benefits of breastfeeding help mothers recover from the birth process. Breastfeeding during the first few days makes the uterus contract quickly and slows down bleeding (sucking on the nipples stimulates the release of natural oxytocin which will help uterine contractions). Breastfeeding is an important way for mothers to express love to their babies and make them feel comfortable. Thus, it can be concluded, there is a relationship between exclusive breastfeeding and uterine involution in the Telaga Health Center Work Area. It is expected the Telaga Health Center will provide data or information from this research to provide and improve the quality of services for pregnant/postpartum women in preventing uterine subinvolution.
Penerapan Terapi Aktivitas Kelompok Sosialisasi Pada Lansia Dengan Harga Diri Rendah di Panti Griya Lansia Jannati
Authors: Hamna Vonny Lasanudin  , Rosmin Ilham  , Roman Sabali
Published: September 2024

Data from the Gorontalo Provincial Health Office, show that the target data for the Gorontalo province in 2019 total elderly people reached 125,762, consisting of 22,384 total elderly people in the city of Gorontalo and 40,340 in the district of Gorontalo. And in 2020 the target for the Gorontalo province total elderly to reach 134,958 consisting of 23,678 total elderly living in the city of Gorontalo and 45,312 total elderly in Gorontalo district. Method: The type of research used in this research is an experimental design (one group pre-test post-test design). The object of this research is the elderly who have low self-esteem at Griya Lansia Jannati, Gorontalo City. Subjects in this case study were clients with low self-esteem as many as 3 respondents. Results: Low self-esteem before social group activity therapy was carried out on client 1, namely unable to control emotions and on clients 2 and 3, namely the lack of social interaction after social group activity therapy was carried out on client 1, they were able to control the emotions of clients 2 and 3, they were able to interact social. Conclusion: there is an effect of giving group activity therapy to patients with low self-
Analisis Asuhan Keperawatan Pada Lansia dengan Gastritis di Panti Griya Lansia Jannati
Authors: Ferawati Gintulangi  , Rosmin Ilham  , Hamna Vonny Lasanuddin  , Marlina Malik
Published: September 2024

In the body is needed a balanced amount of stomach acid, excessive stomach acid causes erosion of the gastric mucosa causing pain in the epigastric area and causing gastritis. The elderly with gastritis are a vulnerable population and changes in the lifestyle of the elderly discomfort due to gastritis which often recurs due to peptic ulcers. The purpose of this study was to be able to provide and apply nursing care in the elderly with gastritis. Descriptive quantitative research method, a sample of 3 people who met the sample criteria, the instrument used is a nursing care sheet, the data analysis technique used was descriptive statistical analysis. The findings of the study were obtained from the assessment of complaints felt between client 1, client 2 and client 3 at the time of the assessment had similarities where there were complaints of pain in the heartburn, pain felt like being stabbed, pain was lost, pain caused by poor diet. Nursing diagnoses include acute pain, knowledge deficit, nausea and anxiety. Nursing action planning and nursing implementation are carried out based on observation, therapeutic, education and co-widening. Nursing evaluation found that the nursing problems experienced by 12 patients were resolved.
Identifikasi Escherichia Coli Pada Es Batu Yang Dijual Di Warung Makan Kelurahan Liliba Kupang
Authors: I Gede Putu  Arnawa  , Ni Made Susilawati  , Marselina Sanbein
Published: September 2024

Ice cubes are a food product that is often consumed by the community. Ice cubes are usually mixed in drinks to add freshness. Ice cubes are made from drinking water frozen at 0°C, although low temperatures can inhibit the growth of microorganism cells, ice cubes still have the possibility of containing contaminant microorganisms. Ice cubes that can cause diarrhea are ice cubes that contain pathogenic bacteria, one of which is Escherichia coli. Therefore it is necessary to check the quality of ice cubes microbiologically. This study aims to detect the presence of Escherichia coli in ice cubes sold by food stalls in the Liliba Village, Kupang. This type of research uses a descriptive method, where the population in this study is ice cubes which are sold in 10 different stalls in Liliba Kupang Village. The method used is Most Probable Number (MPN) with a variance of 5-1-1 followed by Gram staining and IMVIC test. From the results of the study, it can be found that ice cubes are sold in food stalls in Liliba Kupang Village, from 10 samples of ice cubes there is 1 sample that contains 10% Escherichia coli bacteria.
PENGEMBANGAN DAN PEMBERDAYAAN MASYARAKAT MELALUI GERAKAN SERENTAK PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) PADA TATANAN RUMAH TANGGA
Authors: Fitra Nadhilla Siregar
Published: September 2024

Perilaku hidup bersih sehat (PHBS) di rumah adalah kegiatan berbasis pengetahuan diri yang dilakukan oleh setiap anggota keluarga dengan tujuan untuk berpartisipasi aktif dalam pencegahan penyakit dan meningkatkan kesehatan keluarga. Salah satu indikator PHBS dalam rumah tangga adalah penggunaan jamban sehat oleh keluarga. Tujuan pengabdian ini adalah mengidentifikasi pemberdayaan masyarakat melalui gerakan PHBS serentak pada rumah tangga di Dusun Cung Belut, Desa Semen, Kecamatan Paron, Kabupaten Ngawi. Metode yang digunakan adalah penyuluhan jamban, stimulasi sederhana jamban dan pembentukan kerangka STBM. Populasi sasaran adalah warga Dusun Cung Belut sebanyak 142 Somah. Setelah dilakukan penyuluhan tentang jamban sehat, pengetahuan masyarakat tentang jamban sehat meningkat 75%, jumlah warga yang siap membuat jamban sehat sebanyak 6 orang dengan konsep stimulasi, terbentuklah kabinet STBM muda yang beranggotakan 15 orang anak. Kesimpulan gerakan PHBS serentak dalam rumah tangga efektif mengatasi permasalahan PHBS di Dusun Cung Belut, Desa Semen, Kecamatan Paron, Kabupaten Ngawi.
Penerapan Perawatan Payudara (Breast Care) Terhadap Pembengkakan Payudara Pada Ibu Menyusui Post Partum Di Bangsal Cempaka RSUD dr. Soehadi Prijonegoro Sragen
Authors: Khisan Fajri Nur Khasanah  , Maryatun Maryatun  , Neny Utami
Published: September 2024

Breastfeeding-related problems such as breast milk dams, mastitis, nipple blisters and others are widely experienced by breastfeeding mothers. Factors that can cause breast swelling and inhibition of ASi, one of which is the feeling of anxiety or stress felt by postpartum mothers.  Breast care has tremendous benefits, especially for postpartum mothers in the process of breastfeeding their babies. The benefits of breast care are that mothers understand how to keep breasts clean, make nipples stronger and flexible, care for flat or inverted nipples, and facilitate the release of breast milk. To find out the results of breast care implementation in the cempaka ward of RSUD dr. Soehadi Prijonegoro Sragen. This study used quasi-experiment, one group with pretest-posttes Without Control Group Design with 2 respondents postpartum mothers. The instrument used is a Checklist containing six-point engorgement scale (SPES) and Breast Care Procedure.: the  results of the application of breast care carried out 3 days in a row obtained the value of the Six Point Engorgement Scale questionnaire there was a decrease in scores, namely 2 and 1 from the original values of 5 and 4 which means there was a decrease in breast swelling. there was a significant difference in the Six Point Engorgement Scale (SPES) score in postpartum maternal patients between before and after breast care every 30 minutes for 3 days.
Identifikasi dan Uji Aktivitas Antimikroba Senyawa Kimia Fraksi Air Buah Leunca (Solanum Nigrum L.)
Authors: Afni Panggar Besi  , Devy Octarina  , Aprianto Aprianto
Published: September 2024

This study was conducted to determine the antimicrobial effectiveness of chemical compounds from the water fraction of leunca fruit. Leunca fruit extract was obtained by maceration, then the results of maceration were evaporated and then fractionated. Antimicrobial activity testing was carried out using the agar diffusion method against Staphylococcus aureus ATCC 25923, Escherichia coli ATCC 25922 and Candida albicans ATCC 01231. The concentration variations of leunca fruit water fraction used were 10%, 20%, 30%, 40%, and 50%. The results of the antimicrobial activity test of leunca fruit water fraction compounds obtained the average inhibition diameter of Staphylococcus aureus ATCC 25923 microbes respectively 7.5 mm; 8.3 mm; 8.8 mm; 9.5 mm; and 10.4 mm. On the microbe Escherichia coli ATCC 25922 consecutively 7.8 mm; 8.1 mm; 9.3 mm; 10 mm; and 11.4 mm. while on the microbe Candida albicans ATCC 01231 the diameter of the bland chemical compound of leunca fruit water fraction is only found in the 50% concentration variation with an average inhibition diameter of 9.1 mm. Based on the results obtained, it can be concluded that the water fraction of leunca fruit (Solanum Nigrum L.) has activity as an antimicrobial against Staphylococcus aureus ATCC 25923, Escherichia coli ATCC 25922 and Candida albicans ATCC 01231 with the largest inhibition zone diameter shown in the 50% concentration variation.
Faktor – Faktor Yang Mempengaruhi Terjadinya Infertilitas Primer Pada Pasangan Usia Subur Di Puskesmas Pegajahan Kec. Pegajahan Kab. Serdang Bedagai Tahun 2023
Authors: Ernawati Napitupulu  , Isyos Sari Sembiring  , Titin Suherni  , Elnia Elnia  , Rizky Andriani
Published: September 2024

BACKGROUND The exact incidence of infertility is not yet known with certainty, it varies greatly depending on geographical conditions, culture and social status of the country. Women who marry at an old age or mature and work actively will greatly affect a woman's fertility. It is estimated that around 2 million new infertile couples appear every year and this number continues to increase. It is estimated that a healthy couple will get fertilized within 1 year (Nuparma, 2017). Infertility data in the world according to the World Health Organization (WHO) and other reports estimates that 8-12% of couples experience infertility problems during their reproductive years. If eight percent of the global population figure is around 60-80 million couples who have not had children. OBJECTIVE To analyze the factors that influence the occurrence of primary infertility in couples of childbearing age at the Pegajahan Community Health Center, Pegajahan District, Serdang Bedagai District in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. RESULTS: There is a significant relationship between age, menstrual cycle and no history of PMS and employment with the incidence of infertility and is a risk factor that has a significant influence on the incidence of infertility. Suggestions are given for research and for research sites and for educational institutions regarding exclusive breastfeeding and the implementation of IMD for newborn babies
Faktor - Faktor Yang Mempengaruhi Kejadian Anemia pada Ibu Hamil Trimester III Di PMB Kunti Sari Lubis Kec. Perbaungan Tahun 2023
Authors: Fitriani Fitriani  , Basaria Manurung  , Diah Pitaloka
Published: September 2024

Maternal Mortality Rate (MMR) is one indicator to see the success of maternal health efforts. MMR is the ratio of maternal deaths during pregnancy, childbirth and postpartum which are caused by pregnancy, childbirth and postpartum or its management but not due to other causes such as accidents for every 100,000 live births. This research aims to analyze the factors that influence the incidence of anemia in Third Trimester Pregnant Women at PMB Kunti Sari Lubis District. Perbauangan 2023. The type of research used is an analytical survey with a cross sectional approach. The population is all pregnant women in the third trimester of PMB Kunti Sari Lubis Kec. Perbauangan in 2023 and the sample in this study was 48 people. The data analysis technique used chi square. Based on statistical tests, the results obtained were p = 0.001 < 0.05, which can be interpreted that there is an influence between maternal age and the incidence of anemia in third trimester pregnant women. . p value = 0.021 < 0.05, which means that there is an influence between maternal education and the incidence of anemia in third trimester pregnant women. p value = 0.010 < 0.05, which means that there is an influence between maternal knowledge and the incidence of anemia in third trimester pregnant women. p value = 0.038 < 0.05, which means that there is an influence between maternal parity and the incidence of anemia in third trimester pregnant women.
Pemberian Intervensi Pijat Refleksi Kaki Pada Lansia Dengan Hipertensi Yang Mengalami Masalah Gangguan Pola Tidur Di PPSLU Dewanata Cilacap
Authors: Wahyu Adi Arbianto  , Prasanti Adriani
Published: September 2024

Introduction: Older adult with hypertension often experience several problems, one of which is disturbed sleep patterns. Disorders of sleep patterns experienced by the elderly have an impact on the recurrence of the disease, therefore the problem of sleep quality in the elderly must be addressed immediately One of them is providing foot massage reflexology Methods: This study uses a descriptive research design with a case study approach. This research is a study of the application of foot reflexology in the elderly with hypertension with nursing problems with sleep pattern disorders Result: The results of the study at the beginning of the study, on 3 Mey 2023 it was known that the respondent had problems with sleep patterns with a PSQI score of 18. Based on the evaluation results on 5 Mey 2023, it can be concluded that there was an increase in the quality of sleep of respondents with a PSQI score of 9 by giving intervention for 3 days starting from 3-5 Mey 2023 Discussion: Providing an effective foot massage reflexology intervention to overcome the problem of sleep pattern disorders in the elderly with hypertension, foot massage reflexology can relax the body so that sleep will feel more restful, foot massage reflexology intervention is recommended to be given every bedtime.
Pengaruh Penggunaan Rebusan Air Daun Sirih Hijau (Green Betel Leaf) Pada Wanita Usia Subur Dengan Flour Albous Di PMB Hj.Masdewati Pohan Palembang
Authors: Novi Rida Eriyani
Published: September 2024

Flour albus or vaginal discharge is a problem that often occurs in women. Efforts that can be made to reduce the occurrence of flour albus include pharmacological (drugs from doctors) and non-pharmacological. The use of natural ingredients as herbal medicine is considered safer than the use of modern medicine because the side effects of herbal medicine are relatively small if used correctly. Betel leaves can be used as a cure for flour albus because they have the power to kill germs. The content of betel leaves is usually used in cleaning soap specifically for women. Objective: to determine the effect of green betel leaf decoction in reducing vaginal discharge in women of childbearing age. Method: pre-experimental research design (one-group pre-post test design). The sampling technique used purposive sampling totaling 15 people. Data analysis used the dependent t test to see the effect before (pre test) and after (post test) using boiled green betel leaf water by washing it directly into the vaginal area. Research results: respondents experienced a decrease in the scale of vaginal discharge from itchy to non-itchy, a reduction in the level of turbidity and viscosity. increased breast milk production obtained from the pretest and posttest. The results of the dependent t test showed a Z value of -2.111 and Asymp Sig of 0.004 <0.005. The conclusion of this study states that there is an effect of betel leaf decoction on vaginal discharge in women of childbearing age
Penatalaksanaan Penyinaran Radioterapi Eksterna Pada Kanker Vagina Menggunakan Teknik Intensity Modulated Radiation Therapy (IMRT) Di Cancer Center Radioterapi Santosa Hospital Bandung Kopo
Authors: Mohd Alimin  , Ni Putu Rita Jeniyanti  , Leni Sri Wahyuni
Published: September 2024

Management Of External Radiotherapy Irradiation In Vaginal Cancer Using Intensity Modulated Radiation Therapy (IMRT) Technique At The Cancer Center Radiotherapy Santosa Hospital Bandung Kopo. Vaginal carcinoma constitutes approximately 2% of all malignant neoplasms that occur in the female genital tract. Vaginal carcinoma can arise from various types of cells within the vaginal wall and is often associated with risk factors such as exposure to certain carcinogens (8). Cancer is one of the main causes of death throughout the world. Based on GLOBOCAN data, the International Agency for Research on Cancer (IARC) in 2018, deaths caused by cancer reached around 9.5 million people, with 60% of cancer deaths in Asia. (7) Radiotherapy is a cancer treatment approach that uses light. ionizer to damage tumor cells while maintaining the integrity of surrounding healthy tissue. The main focus is to eliminate as many cancer cells as possible while reducing the negative impact on normal tissue around the tumor area. (20) There are several treatments for patients suffering from vaginal cancer, namely surgery, radiation, brachytherapy, and  external radiation based on the size and stage of the tumor suffered by the patient. (3) Based on the book "Target Volume Dileniation And Filed Setup" (a practical guide for conformal and Intensity-Modulated Radioation Therapy), Arno.J, (2013: 201), all vaginal cancer patients who undergo radiation using the IMRT technique must simulated in a supine position and the patient's legs straight with a thermoplastic immobilization mask and adjusted immobilization of the upper and lower body (16).
Pengaruh Teh DBW (Daun Belimbing Wuluh) Terhadap Penurunan Kadar Gula Darah Pada Penderita Diabetes Melitus di Wilayah Kerja Puskesmas Kadudampit
Authors: Anggrum Widya Lestari  , Burhanuddin Basri  , Arfatul Makiyah
Published: September 2024

Background: Diabetes is a chronic metabolic disorder characterized by high blood glucose levels and accompanied by disorders of carbohydrate, lipid and protein metabolism as a result of insufficient insulin function. Diabetes is a chronic disease characterized by blood glucose levels that exceed normal values (hyperglycemia). Research Objective: To determine the effect of DBW (Wuluh Starfruit Leaves) tea on reducing blood sugar levels in diabetes mellitus sufferers in the Kadudampit Community Health Center working area. Research Method: The research design used is Quasi Experimental research with a one group pretest-posttest design approach. The number of respondents was 16 respondents. The data collection technique used non-probability sampling technique with purposive sampling type. Results: the results of statistical tests using the Paired Samples Test, the resulting P value was 0.001 < 0.05. Conclusion: There is an effect of giving DBW (Starfruit Leaf) tea on reducing blood sugar levels in Diabetes Mellitus sufferers in the Kadudampit Community Health Center working area. Suggestion: It is hoped that the results of the research conducted can be used as information regarding complementary therapies, namely Starfruit Leaf tea, one of the complementary therapies for Diabetes Mellitus sufferers.
Hubungan Dokumentasi Keperawatan Elektronik Dengan Mutu Handover
Authors: Sitah Umu Hakim  , Solehudin Solehudin  , Lannasari Lannasari
Published: September 2024

As technology develops in health, hospitals are using electronic health records. SOAP method nursing documentation is an important element in nursing services, one of the documentation that uses electronics is nursing documentation regarding handover. The aim of this research is to determine the relationship between electronic nursing documentation and handover quality. This type of quantitative research is Analytic Correlation using a cross sectional design. The population in this study was 69 nurses. Sampling used a total sampling technique so that a sample of 69 respondents was obtained. The research instrument is an observation sheet. The statistical test in this study used the Chisquare test. The results of the research obtained an overview of the relationship between the completeness of electronic nursing documentation and the quality of handover. Of the 20.3% of incomplete nursing documentation, 5.8% had good handover quality, and for complete nursing documentation 26.1% had good handover quality of 47.8%. In the chi-square analysis, the significance was p < 0.002. So Ha is accepted, meaning there is a relationship between the completeness of nursing documentation and the quality of electronic-based handover. In conclusion, the results obtained from electronic nursing documentation were mostly complete, and the quality of handover was mostly good. So it can be concluded that there is a relationship between the completeness of electronic documentation and the quality of handover.
Hubungan Praktik Pemberian ASI Eksklusif dan Pemberian MP ASI terhadap Kejadian Diare di Wilayah Kerja Puskesmas Gondang
Authors: Gigih Pambudi M  , Hartati Eko Wardani  , Dian Mawarni
Published: September 2024

Diarrheal disease is the second leading cause of death in toddlers worldwide with the death of around 525,000 children under five each year. Diarrhoea can last several days and can result in dehydration or lack of fluids necessary for survival. Diarrhoeal diseases still often cause extraordinary events with a large number of sufferers in a short time. The purpose of this study was to determine the relationship of exclusive breastfeeding and weaning food practices to the incidence of diarrhoea in the Gondang Health Centre Working Area. This study used descriptive method with cross sectional approach. The population in this study were mothers who had children aged 6-24 months, in the working area of the Gondang Health Centre. The sample in this study was 75 respondents. Research sampling using cluster random sampling method with the subject of children aged 6-24 months. Data collection using questionnaires distributed directly to respondents and the analysis used is univariate and bivariate analysis using the chi-square test method. Based on the chi-square test, the results obtained (p=0.038) for the exclusive breastfeeding variable and weaning food variable obtained the results (p=0.000). From the results of the chi-square test conducted, the variables of exclusive breastfeeding and weaning food have a strong relationship with the incidence of diarrhoea.
Hubungan Mutu Pelayanan Asuhan Keperawatan Dengan Kepuasan Pasien Di Ruang Rawat Inap Bougenville RSUD dr. Murjani Sampit
Authors: Suryagustina Suryagustina  , Tomi Satalar  , Sarmawati Sarmawati
Published: September 2024

The quality of nursing care services is a form of professional service and an integral part of healthcare. Patient satisfaction with nursing care is when patients and their families feel that everything meets their expectations. The current phenomenon is that some patients still report not receiving optimal nursing care, lack of communication in providing services, leading to dissatisfaction during their hospital stay. The aim of this research is to determine the relationship between the quality of nursing care services and patient satisfaction in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. The research method uses a correlation research design with a cross-sectional method. The instruments used in this study were questionnaires and the Rank Spearman statistical test aimed at 66 patients in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. The Spearman rho test result is 1.000, and the P-value is 0.000, which means the alpha value is 0.05, indicating that H1 is accepted. Therefore, there is a positive and significant relationship between the quality of nursing care services and patient satisfaction. The conclusion of this study is that there is a relationship between the quality of nursing care services and patient satisfaction in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. It is recommended for dr. Murjani Regional General Hospital Sampit to evaluate service satisfaction, especially improving the quality of nursing care services in the Bougenville Room.