bluuebunny/crossref_metadata_2025 huggingface dataset:
PENYULUHAN KESEHATAN TENTANG PENGGUNAAN ALAT PELINDUNG DIRI UNTUK MENCEGAH PENYAKIT DERMATITIS PADA NELAYAN
Authors: Sirait Reni Aprinawaty , Samura Zul Asdar Putra
Published: July 2021

Fishermen are prone to skin diseases due to the influence of sunlight where the splash of sea air on the skin can cause itching due to its thickness by the salt pulling from the skin. sea ​​water is a cause of dermatitis with primary stimulation properties. Occupational contact dermatitis that occurs on the hands and the incidence rate for dermatitis varies from 2% to 10%. It is estimated that 5% to 7% of people with dermatitis develop chronic and 2% to 4% of whom are difficult to cure topical treatment. This method of community service consists of two stages, namely the first stage is planning the activities to be carried out, these activities are indications of needs, indications of weaknesses and solutions that will be carried out. The second stage is the implementation of which the village head has obtained permission to carry out the activity, the implementation of the activity is carried out for two days. Based on the results of community service, it was found that 80 fishermen 31 people (38.8%) had no complaints of dermatitis, 49 people (61.2%) had complaints of dermatitis. This can enable fishermen to deal with complaints of dermatitis because working as a fisherman requires that a person is often exposed directly to open weather and the irritant agent will directly damage the skin by changing the skin's pH, reacting with protein (denaturation), extracting fat from the skin layer or by reducing it. skin resistance and skin disorders are caused because the body is too long in a wet state and then it is under the sun after which it returns in a wet condition. Meanwhile, fishermen who do not experience complaints of dermatitis, fishermen who have good immunity
SOSIALISASI PROBLEM SOLVING KLAIM BPJS DI RUMAH SAKIT
Authors: Rambey Harris , Irmayani Irmayani , Panjaitan Delita Br , Sudjatmiko Arif
Published: July 2021

Indonesia as a welfare state aims to realize public welfare. This underlies the development of social security by the Indonesian government, which one is through health insurance. In Practice, the goal of creating BPJS is not compatible with reality, provable by a wide variety of issues that are difficult to solve. One of them is the problem with the management of claims for the BPJS. As for the subject of this study is health insurance, specifically management claims. The study uses normative legal research methods to adopt a statute approach, a conceptual approach, and a case approach. Studies have shown that despite efforts by the government to address the problem, but those efforts didn’t work because of some inhibitory factors. Needed solutions to the formation and application of the IMP (Identity Monitoring Program) concept and it is integrated with Disduk Capil to BPJS. The concept of IMP’s implementation is expected to a minimized deficit on BPJS and solving gone of the causes problems is claim management.
WORKSHOP NERVE GLIDING EXERCISE DAN PEMBERIAN ULTRA SOUND (US) TERHADAP PENURUNAN NYERI PADA KASUS CARPAL TUNNEL SYNDROME DI GRANDMED LUBUK PAKAM
Authors: Ginting Raynald Ignasius , Berampu Sabirin , Bintang Siti Sarah , Hardis Ni Nyoman Ayu Tamala , Teja Engraini
Published: July 2021

The problem that often occurs for workers is Carpal tunnel syndrome (CTS). Carpal tunnel syndrome is a disorder of the hand due to compression of the median nerve in the carpal tunnel, either due to adhesions or abnormalities of the small bones of the hand. The median nerve innervates the thumb, index finger, middle finger and part of the ring finger, so that pain and parathesia can be felt in these areas. One way of non-pharmacological therapy that can be used in CTS is through the provision of nerve gliding exercise. Nerve gliding exercise and the administration of ultra sound (US) modality are done with the aim of reducing pressure on the wrist so that pain can be reduced. The results of this service activity stated that as many as 94% of participants as physiotherapists had understood and were able to use nerve gliding exercise and Ultra Sound (US) for pain reduction in CTS cases.
PENGARUH MINYAK ZAITUN (OLIVE OIL) TERHADAP KERUSAKAN INTEGRITAS KULIT PADA PASIEN DM TIPE II DI KECAMATAN PAGAR MERBAU
Authors: Hayati Kardina , Simarmata Pratiwi Christa , Sitepu Sari Desi Esta Ulina , Ginting Raynald Ignasius , Widya Widya
Published: July 2021

The success of changing the damage to the integrity of the skin in patients with Diabetes Mellitus Type II depends not only on early detection, but also on understanding the causative mechanism. One condition that can cause damage to the integrity of the skin was the xerosis and pruritus on skin . The purpose of this study to determine the effect of Oil Olive to damage the integrity of the skin in patients with DM type II in the District of Pagar Merbau. This type of research uses the Quasy Experiment Method using the One-Group Pretest-Posttest Design research design. Determination of the sample was done by purposive sampling, with a total sample of 22 people. Data analysis was performed using Paired Sample T Test with 95% confidence interval and α= 0.05. The results of this study indicate the change in damage to the integrity of the skin before and after given a basting oil olives with a p-value = 0.000 (α> 0.05). Conclusion, there was an influence of olive oil on damage to skin integrity in patients with type II DM in Pagar Merbau District which was carried out in accordance with standards. For Health Institutions the need for supervision and counseling to the community that the importance of maintaining skin health especially in patients with diabetes mellitus in Pagar Merbau District
PENGGUNAAN HAND SANITIZER TERHADAP KEPATUHAN REMAJA MENCUCI TANGAN DI KELURAHAN LUBUK PAKAM PEKAN
Authors: Ani Pitri , Simarmata Juni Mariati , Ginting Samuel , Wati Syatria , Jawak Efpik Fantanti , Ginting Luci Riani
Published: July 2021

Hand washing is a process that mechanically removes dirt and debris from the skin of the hands using plain soap and water. The purpose of this community service is to use hand sanitizers for adolescent compliance with washing hands in the Lubuk Pakam Village, Weekend. The community service method uses this form of pre-experimental research carried out with a one-group pretest-posttest design in which there is a pretest (before treatment). The population of this community service is 41 teenagers with a sampling technique using total sampling. The results of community service for hand washing compliance before using hand sanitizers obtained the number of "obedient" as many as 8 people (19.5%), compared to 30 (73.2%). -test obtained p-value = 0.000 < a = 0.05, then the hypothesis is accepted, so it can be concluded that there is the use of hand sanitizers on hand washing compliance in Lubuk Pakam weekend. Conclusion: teenagers want to wash their hands using hand sanitizer after direct contact with strangers to prevent cross infection with the covid 19 virus.
PENGARUH TERAPI MADU TERHADAP PENURUNAN FREKUENSI BUANG AIR BESAR PADA ANAK USIA 0-2 TAHUN YANG MENGALAMI DIARE DI RUMAH SAKIT UMUM DAERAH DELI SERDANG LUBUK PAKAM TAHUN 2020
Authors: Simarmata Juni Mariati , Ani Pitri , Astuti Dwi , Suhaimi Syatriawati , Tarigan Beti Susanti , Ginting Samuel , Ginting Rosita , Siregar Wilda Wahyuni
Published: July 2021

Diarrhea is a disease characterized by changes in the shape and consistency of stools were soft until melted and increased frequency of bowel movements than usual, which is 3 times or more a day which may be accompanied by vomiting or bloody stools. Diarrheal disease is still a global problem with the degree of morbidity and mortality are high in many countries, especially in developing countries and as one of the major causes of morbidity and mortality of children in the world. From laboratory studies and clinical trials, pure honey has bactericidal activity against several organisms that can entropathogenic, including species of Salmonella, Shigella, and E. coli. The goal of this research was to determine the effect of honey therapy to decrease the frequency of bowel movements in children aged 0-2 years who had diarrhea in district general hospitals deli serdang Lubuk pakam 2020. This research was conducted by quasi experimental research design through the design time series design , The sample in this study using the technique of sampling purvosive the number of 10 people as respondent data obtained using observation sheets and tested by t-test (paired sample t-test) and computer assistance. From the results of research conducted on 10 respondents obtained results p <α (0.005 <0.05), which describes the influence of honey therapy to decrease the frequency of bowel movements in children aged 0-2 years who had diarrhea in hospital common areas serdang deli depths Pakam. Thus Ho is rejected and Ha accepted.
SOSIALISASI PEMENUHAN ASUPAN GIZI MELALUI EDUKASI NUTRISI PADA IBU HAMIL
Authors: Gulo Adventy Riang Bevy , Hasibuan Eva Kartika , Etty Christina Roos
Published: July 2021

Asupan gizi selama hamil diperlukan untuk persiapan asi serta tumbuh kembang bayi. Salah satu indikator terpenuhinya kebutuhan gizi selama hamil adalah adanya penambahan berat badan ibu. Pelaksanaan kegiatan sosialisasi pemenuhan asupan gizi melalui edukasi nutrisi pada ibu hamil agar ibu hamil dapat mengetahui, paham dan dapat menerapkannya dalam pemenuhan nutrisi baginya dan janin yang di kandung. Media dan alat yang disediakan berupa leaflet dan LCD proyektor. Metode yang digunakan adalah ceramah, tanya jawab kemudian evaluasi. Hasil pengabdian masyakat diperoleh bahwa pengetahuan responden sebelum dilakukan sosialisasi pemenuhan asupan gizi melalui edukasi nutrisi pada ibu hamil agar ibu hamil diperoleh pengetahuan baik sebanyak 6 orang (40%), pengetahuan cukup sebanyak 6 orang (40%) dan pengetahuan kurang sebanyak 3 orang (20%). Sedangkan pengetahuan responden sesudah dilakukan sosialisasi pemenuhan asupan gizi melalui edukasi nutrisi pada ibu hamil agar ibu hamil diperoleh pengetahuan baik sebanyak 10 orang (67%), pengetahuan cukup sebanyak 5 orang (33%). Disarankan kepada masyarakat agar lebih meningkatkan pemahaman tentang nutrisi pada ibu hamil dandapat menerapkannya dalam pemenuhan nutrisi baginya dan janin yang di kandung.
EVALUATING OPTICAL DENSITY OF ALVEOLAR BONE IN PATIENTS WITH DIABETES MELLITUS USING CONE-BEAM COMPUTED TOMOGRAPHY
Authors: Prozorova Natalya , Fadeev Roman , Weber Victor , Chibisova Marina , Robakidze Natalia , Prozorova Irina , Sokolova Sofya , Shkarin Vladimir
Published: July 2021

The study involved an analysis of optical density of the maxillary and mandibular bone tissue based on cone-beam computed tomography data. It has been shown that the structure and bone tissue density depend on the severity of diabetes mellitus and complications. The results of the study revealed a significant decrease in the bone tissue optical density at the tooth necks in people suffering from diabetes mellitus, whereas fewer changes were manifested at the middle third of the dental roots. Minor changes or even an increase in the optical density were observed at the dental root tips.
Factores de riesgo cardiovascular y evolución de pacientes con COVID-19 atendidos en un Hospital Nacional de Referencia de Lima, P
Authors: Valenzuela-Rodríguez Germán V. , Rodriguez-Morales Alfonso J. , Mamani-Quiroz Roxana , Ayala-García Ricardo , Pérez Katherine , Sarmiento Cynthia , Calcino Jessica , García-Carrión Luis , Amado-Tineo José
Published: July 2021

Introduction: Coronavirus disease 2019 (COVID-19) fatal outcomes have been associated with multiple cardiovascular risk factors. In new epidemic areas, such as Latin America, there is a lack of studies about this. Objectives: To evaluate demographic data, signs and symptoms during emergency arrival, prevalence of cardiovascular risk factors, laboratory and ECG findings and their influence in mortality, in a retrospective cohort of patients in a national reference hospital of Lima, Peru. Methods: Review the clinical records of the patients attended at Hospital Rebagliati Hospital during March 6th and April 30th, 2020, using rRT-PCR was used for the detection of the RNA of SARS-CoV-2 following the protocol Charité, Berlin, Germany, from nasopharyngeal swabs at the National Institute of Health. Bivariate analysis and multivariate analysis using logistic regression was done. Values of p < 0.05 were considered significant for all analyses. Results: One hundred six hospitalized patients were evaluated. The mean age of patients was 61.58 years (SD 16.81). Cardiovascular risk factors among them were hypertension (46.2%), diabetes (28.3%), and obesity (28.3%), among others. Fifty-six patients died (52.8%). Mortality associated factors at the multivariate analysis were arterial hypertension (OR=1.343, 95% 1.089-1.667), myocardial injury (OR=1.303, 95% 1.031-1.642), and mechanical ventilation (OR 1.262, 95% 1.034-1.665), as associated factors. Conclusion: Cardiovascular risk factors and cardiovascular signs or symptoms are common during emergency arrival in patients with COVID-19. Arterial hypertension, myocardial injury and mechanical ventilation were associated with mortality in multivariate analysis, as observed in other regions of the world.
Estudio transversal: Satisfacción de usuarios del programa Cajas de alimentos del Gobierno de Chile por Covid-19
Authors: Rodríguez-Palleres Ximena , Baltierra-Reyes Francesca , González-Muñoz Fernanda
Published: July 2021

La pandemia del COVID-19 identificada en diciembre del 2019 no solo ha impactado negativamente en la salud de las personas, sino que además a las economías mundiales. Chile ha puesto en marcha una serie de medidas para combatir la crisis económica producto de la emergencia sanitaria, una de ellas es ayuda alimentaria. Objetivo: Conocer la percepción de satisfacción de usuarios relacionada al suministro de cajas alimentarias distribuidas por el Gobierno en Chile producto de la pandemia del Covid-19. Metodología: Estudio transversal descriptivo observacional. Se reclutaron 485 (365 mujeres y 120 hombres) habitantes de Santiago de Chile. Se diseñó un cuestionario online constituido por cinco ítems. Resultados: La caja de alimentos recibió una aceptabilidad promedio de un 5,1 de 7 puntos calificado como “bueno”. El 85,5% de los participantes considera que los alimentos que contienen las cajas son de primera necesidad. El 31,9% estuvo totalmente de acuerdo que los alimentos entregados son un apoyo a los hogares. Al menos un cuarto de los usuarios (20,7%) considera que la caja de alimentos los ayudó a ir con menor frecuencia al supermercado. Mientras que solo el 14,2% declaró estar totalmente de acuerdo respecto a que las cajas cubren las necesidades nutricionales. Conclusiones: El conocer la percepción de los beneficiarios sobre la ayuda alimentaria como parte de un programa de Gobierno proporciona información oportuna que permite mejorarlas frente a futuras crisis sanitarias, ambientales y/o económicas.
PENGARUH PAJAK DAN TUNNELING INCENTIVE TERHADAP INDIKASI MELAKUKAN TRANSFER PRICING (STUDI KASUS PADA PERUSAHAAN LQ-45 YANG TERINDEKS DI BURSA EFEK INDONESIA)
Authors: Maulani Silma Taqiya , Ismatullah Ismet , Rinaldi Rinaldi
Published: July 2021

ABSTRAKSalah satu indikasi perusahaan melakukan transfer pricing adalah menginginkan laba yang tinggi dengan membayar pajak yang rendah. Struktur kepemilikikan juga mempengaruhi manajemen untuk mengalihkan kekayaan kepada mereka sendiri atau pemegang saham mayoritas. Penelitian ini bertujuan untuk meneliti pengaruh pajak dan tunneling incentive terhadap indikasi melakukan transfer pricing pada perusahaan LQ 45 yang terindeks di  Bursa Efek Indonesia. Sampel penelitian yang digunakan dalam penelitian ini adalah perusahaan LQ-45 yang terdaftar secara konsisten selama periode 2015-2019 dengan metode purposive sampling. Hasil dari penelitian ini menunjukkan bahwa pajak tidak berpengaruh signifikan terhadap indikasi transfer pricing, sementara tunneling incentive berpengaruh signifikan terhadap transfer pricing. Hal ini dibuktikan dengan nilai probabilitas 0.05 lebih kecil nilai probabilitas variabel pajak atau 0,05 < 0,13. Sementara nilai probabilitas 0.05 lebih besar dari nilai probabilitas variabel Tunneling incentive atau 0,05 > 0,01. Kata Kunci : Pajak, Tunneling Incentive, Transfer Pricing ABSTRACTOne indication of a company doing transfer pricing is wanting high profits by paying low taxes. The ownership structure also influences management to transfer wealth to themselves or the majority shareholder. This study aims to examine the effect of taxes and tunneling incentives on indications of transfer pricing on LQ 45 companies indexed on the Indonesia Stock Exchange. The research sample used in this study was LQ-45 companies that were consistently registered during the 2015-2019 period with the purposive sampling method. The results of this study indicate that taxes have no significant effect on transfer pricing indications, while tunneling incentives have a significant effect on transfer pricing. This is evidenced by the probability value of 0.05 which is smaller than the probability value of the tax variable or 0.05 < 0.13. While the probability value of 0.05 is greater than the probability value of the Tunneling incentive variable or 0.05 > 0.01.                                               Keywords: Tax, Tunneling Incentive, Transfer Pricing
Evaluating the Effects of the Home Affordable Modification Program
Authors: Cóndor Richard
Published: July 2021

The Home Affordable Modification Program (HAMP) was a loan modification program introduced in 2009, in the U.S., to assist highly indebted homeowners with avoiding foreclosure. This program also encouraged private lenders to offer more sustainable modifications. This paper studies the role of HAMP in preventing higher foreclosures rates during and after the Great Recession, in the context of a general-equilibrium heterogeneous-agents model with two types of households (Borrowers and Savers), uninsurable idiosyncratic risk, and both private and HAMP modifications. The main result is that, without HAMP, the peak in the foreclosure rate could have been 50% larger (3.2 percent vs 2.2 percent in data).
FARUL3S: a New Framework for Agile Regulated Ultra-Large-Scale Software Systems
Authors: KSIKSI Amira , Lazzez Onsa , Ltifi Hela , Hamdani Tarek M. , Alimi Adel M.
Published: July 2021

The Ultra-Large Scale Software (ULSS) system is a novel generation of software systems that requires to be managed and developed across multiple organizations. Such a system challenges the existing agile methods and scaled agile methods as they address only the intra-organizational cooperation. In fact, for inter-organizational coordinations, the ULSS systems have to be regulated as a city rather than being engineered as a building. This paper provides the first Framework for Agile Regulated Ultra-Large-Scale Software System (FARUL3S) that intends to regulate the ULSS systems by constraining the design spaces’ exploration. To this end, we introduced the System Design Rules Hierarchy (SDRH) as a hierarchy of dominance relations that covers the system, platform and application levels. The SDRH, which is the main artifact of our framework, ensures a distributed design spaces’ exploration and helps to provide the interoperability between the different component parts of the ULSS system. The NOV-based analysis of two case studies from the Smart City System prove that the ULSS system regulation improves the added value over its engineering. Thus, to conclude, regulating the ULSS systems makes the system more than the sum of its elements. 
PENDAMPINGAN IBU HAMIL DI DESA FOKUS STUNTING KABUPATEN LAMPUNG TIMUR
Authors: Bertalina Bertalina , Rahmadi Antun
Published: July 2021

Stunting is a condition of failure to thrive in children under five as a result of chronic malnutrition so that the child is too short for his age. Stunting can occur in the womb due to inadequate nutritional intake during pregnancy. This study aims to examine the effect of mentoring on the knowledge and behavior of pregnant women in focus-stunting villages. The intervention is nutritional counseling using standard operating procedures and booklets. Mentoring is carried out by nutritionist one times a week for one month. The study is a quasi-experiment with a non-randomized control group design pre-test - post-test design. The subjects were 60 people who were selected purposively from the population of pregnant women in 6 villages in East Lampung Regency. Data analysis used Wilcoxon Rank Test and Mann Whitney. The results showed that there were significant differences in knowledge energy and protein intake. No difference in consumption of sulfas ferosus supplements between the two groups. Nutritional assistance for pregnant women increases knowledge and nutritional intake. A nutritionist can take the mother's class to strengthen nutrition assistance to pregnant women. Assistance to breastfeeding mothers can be used as a topic in further research.ABSTRAK        Stunting adalah kondisi gagal tumbuh pada anak balita akibat dari kekurangan gizi kronis sehingga anak terlalu pendek untuk usianya. Stunting dapat terjadi sejak dalam kandungan yang disebabkan karena asupan gizi yang tidak memadai selama kehamilan. Penelitian bertujuan untuk mengkaji pengaruh pendampingan terhadap pengetahuan dan perilaku ibu hamil  di desa fokus stunting. Bentuk  intervensi pendampingan adalah konseling gizi menggunakan standar operasional prosedur dan booklet. Pendampingan dilakukan oleh nutrisionis selama satu bulan dengan frekuensi satu kali seminggu. Jenis penelitian ini adalah quasi experiment dengan rancangan non randomized control group pre test – post test design. Subjek penelitian berjumlah 60 orang yang dipilih secara purposiv dari populasi ibu hamil di 6 desa di Kabupaten Lampung Timur. Analisis data menggunakan Wilcoxon Rank Test dan Mann Whitney. Hasil penelitian menunjukkan ada perbedaan signifikan pengetahuan, asupan energi dan protein. Tidak ada perbedaan konsumsi suplemen  tablet tambah darah (TTD) antara kelompok perlakuan dan kelompok kontrol. Pendampingan nutrisionis kepada ibu hamil meningkatkan pengetahuan dan asupan gizi. Nutrisionis agar memanfaatkan kelas ibu untuk memperkuat pendampingan gizi kepada ibu hamil. Pendampingan kepada ibu menyusui dapat dijadikan topik dalam penelitian lanjutan.Kata kunci: stunting, pendampingan ibu hamil, pengetahuan, asupan energi dan protein
Paula Vogel And The Modern American Female Playwrights
Authors:   University of Baghdad, College of Languages, Department of English Language, Abdulmunem Azeez Rasha
Published: July 2021

Reading and analyzing Paula Vogel’s plays, the readers can attest that she achieves success in drama or theater because she is passionate about theater. Vogel is a modern American playwright who won the 1998 Pulitzer Prize for drama. Her success and insight in playwriting or in adapting do not come all of a sudden; she is influenced by many writers. Vogel is influenced by many American dramatists, including Eugene O’ Neill, Arthur Miller, Tennessee Williams, and Edward Albee, and by other non-American writers, including August Strindberg, Anton Chekhove, and Bertolt Brecht. Certainly, there were female playwrights who wrote preeminent plays and they influence Vogel as well. Nevertheless, dramas by female writers, as a matter of fact, remain marginalized. This paper focuses on the influence of some female playwrights on Vogel.
A Multimodal Analysis of Hyperbolic Devices in Advertisements of Health and Beauty Products
Authors:   Mustansiriyah University - College of Arts – Department of English Language, Sadeq Naser Hayder
Published: July 2021

This paper examines the use of one of the most common linguistic devices which is hyperbole. It shows how hyperbolic devices are used as an aspect of exaggeration or overstatement for an extra effect in which the speaker can use hyperbole to add something extra to a situation in order to exaggerate his idea or speech. It is, like other figures of speech, used to express a negative or positive attitude of a specific unit of language. Thus, this paper is set against a background of using hyperbole concerning two main fields (advertisements and propaganda). So, the use of hyperbole will be implied by analyzing them concerning their meaning) literal and non-literal). Methodology of this study follows the specific model of analysis adopted from Barthes (1977) cited in Machin (2007).
BLACK-HOLE HAVING ELECTRIC HAIRS FOR POSITIVE COSMOLOGICAL CONSTANT Λ>0 ON A COSMIC HORIZON SCALE ~1/√Λ
Authors: Sanjeevan Singha Roy  , Aruna Harikant  , Deep Bhattacharjee
Published: July 2021

This paper is a technical review for a more deliberate paper (Bhattacharya & Lahiri, 2007) where it has been shown that on a positive cosmological scale with Λ>0 having a cosmic horizon scale ~1/√Λ, there exists the soft electric hairs for the solution having the T_00 components of the stress-energy tensor T_μν i.e., ρ=0 on black hole horizon B_H having the maximum density at black hole singularity B_S where cosmic horizon C_H and black hole horizon B_H has only been considered.
KEYWORDS: Black Hole – Cosmic Horizon – TOV Limit – Stress-Energy Tensor – Positive Cosmological Constant
ANALISIS PEMBERDAYAAN KADER KESEHATAN MELALUI METODE PROMOTIF DAN PREVENTIF DALAM KETAHANAN GERAKAN MASYARAKAT HIDUP SEHAT UNTUK PENCEHAHAN TRIPEL BURDEN DI KABUPATEN BIMA
Authors: Zulkarnain Zulkarnain , Sahriana Sahriana
Published: July 2021

The development of the health sector in Indonesia is facing a health problem that must receive serious attention, namely the triple burden. The three health problems are the high number of infectious diseases, the increase in non-communicable diseases, and the re-emergence of diseases that should have been resolved. This study aims to analyze the empowerment of health cadres through promotive and preventive methods in the resistance of the healthy life community movement to prevent triple burden in Bima district. This research method uses Action Research, through quantitative and qualitative approaches but not too strict. Data collection was carried out using participatory observation, observation, tests (pre-post test), interviews, field notes and documentation. The results of the study, after empowerment through counseling to 30 respondents, it was found that there was an influence before and after giving counseling on the knowledge of health cadres about the roles and duties of health cadres (sig.0.000), knowledge of cadres about triple burden disease (sig. 0.027) and knowledge of Germas. (sig. 0.001).
STATUS ANEMIA KAITANNYA DENGAN SIKLUS MENSTRUASI PADA SISWI SMA TRI SAKTI LUBUK PAKAM
Authors: Sihotang Urbanus
Published: July 2021

Nutritional problems that often help adolescents are multiple nutritional problems, namely excess nutrition such as overweight and malnutrition, deficiency of iron (Fe) which causes anemia. The direct impact of anemia on adolescent girls is easily tired, mental development and learning concentration decrease, the immune system decreases work productivity. Young women who affect growth, organ function and disruption of the function of one of the menstrual cycles.
The aim of the study was to see the relationship between anemia and the menstrual cycle in adolescent girls at Trisakti Lubuk Pakam Private High School. This type of research is observational with a cross sectional research design. In this study, the sample used is the entire population called total sampling with a total of 60 female teenage students and the data collected using the chi-square test.
The results of the study of female students with anemia status were 48.3% and menstrual cycles were abnormal 48.3%. At 5% alpha, it was found that there was no significant relationship between anemia status and the menstrual cycle of Trisakti Lubuk Pakam high school students.
Key words: anemia status; menstrual cycle; high school student
ANALISIS FAKTOR YANG MEMPENGARUHI KUALITAS TIDUR PENDERITA HIPERTENSI
Authors: Melizza Nur , Prasetyo Yoyok Bekti , Masruroh Nur Lailatul , Kurnia Anggraini Dwi
Published: July 2021

The incidence of hypertension is still very high in various ages and genders. Hypertension itself is caused by several factors, namely stress and consumption of foods that contain excessive salt. While the risk factors include family history, lifestyle, poor diet, smoking, racial sex, and age. Another factor that is often overlooked is sleep patterns. This study aims to determine what factors can affect the quality of sleep in patients with hypertension. The research design used a cross-sectional study approach with a total sample of 57 hypertension patients under the work area of ??Puskesmas Ciptomulyo Malang City and the sampling technique used was accidental sampling. The questionnaires used included the Pittsburgh Sleep Quality Index (PSQI) and DASS 42. The results showed that the demographic data of respondents with the category of the late elderly 56-65 years were 22 respondents (38.6%), female gender was 35 respondents (61, 4%), SD education level was 32 respondents (40.4%), and worked as many as 35 respondents (61.4%). The results of the correlation test showed that the characteristics of respondents that affected the quality of sleep in patients with hypertension were age (p = 0.014) and gender (p = 0.005). Meanwhile, the factors that affect the sleep quality of hypertensive patients are psychosocial stress with a p-value = 0.001. So it can be concluded that the factors that affect the quality of sleep in patients with hypertension are age, gender, and psychosocial stress.
FAKTOR-FAKTOR YANG MEMPENGARUHI TINGKAT KEDISIPLINAN KARYAWAN
Authors: Effendi Nahar , Sari Kurnia
Published: July 2021

Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kedisiplinan karyawan pada PT. Sari Dumai Sejati. Populasi penelitian adalah seluruh karyawan PT. Sari Dumai Sejati. Sampel diambil 47 orang dengan metode purposive sampling. Teknik pengumpulan data adalah angket dan wawancara. Analisis data menggunakan statistik deskriptif. Hasil penelitian menunjukkan bahwa tingkat disiplin karyawan dalam pelaksanaan pekerjaan cukup tinggi. Faktor yang mempunyai derajat tinggi dalam mempengaruhi tingkat kedisiplinan adalah kemampuan yang dimiliki karyawan dan pengawasan melekat. Faktor yang paling lemah adalah kurangnya rasa keadilan dan sanksi hukum.
PERSEPSI MASYARAKAT TERHADAP KINERJA PELAYANAN UNIT REGIDENT SAT LANTAS POLRES DUMAI
Authors: Hildawati Hildawati
Published: July 2021

Salah satu tugas penting instansi pemerintah adalah melakukan pelayanan publik. Termasuk juga Unit Regident Sat Lantas Polres Dumai yang bertanggung jawab memberikan pelayanan kepada masyarakat dalam pengurusan penerbitan beberapa surat berkendara seperti SIM, STNK, BPKB dan TNKB. Dalam pelaksanaannya, pelayanan ini banyak mendapatkan respon masyarakat terutama dalam pengurusan yang dianggap terlalu rumit. Untuk itu penelitian ini berusaha untuk memaparkan persepsi masyarakat tentang: Kinerja Pelayanan Unit Regident Satlantas Polres Dumai. Adapun teori yang dgunakan adalah pendapat Zeithaml dan Berry dalam Sudarmanto (2010:103) yang menjelaskan ada 10 indikator yang dapat digunakan untuk mengukurkinerja pelayanan yaitu a) Kehandalan; b) Daya tanggap; c) Kompetensi; d) Akses; e) Kesopanan; f) Komunikasi; g) Kejujuran; h) Keamanan; i) Pengetahuan; j) Bukti langsung. Teknik pengumpulan data adalah observasi, angket dan wawancara. Sampel yang digunakan sebanyak 57 orang dengan teknik incidental sampling. Analisa data menggunakan statistik deskriptif. Dari hasil penelitian diperoleh tanggapan responden tentang Kinerja Pelayanan Unit Regident dinyatakan Baik dengan skor yang didapat sebesar 10544 yang berada pada rentang Baik yaitu 8916-11013.
ANALISIS NILAI-NILAI SOSIAL DAN BUDAYA DALAM MENDUKUNG PERTUMBUHAN EKONOMI MASYARAKAT NELAYAN DI KABUPATEN PADANG PARIAMAN
Authors: Ardieansyah Ardieansyah
Published: July 2021

Tujuan dari penelitian ini adalah menganalisi potensi sosial dan budaya terhadap pertumbuhan ekonomi di Kampong nelayan Kecamatan Sungai Limau Kabupaten Padang Pariaman. Konsep yang digunakan dalam kajian menurut Chavoshbashi et.al (2012) mendefinisikan nilai-nilai budaya terdiri atas nilai-nilai individu dan nilai-nilai sosial. Nilai-nilai individu mencakup nilai kerja, kreativitas dan inovasi, etika, penghematan, kebahagiaan personal, kedisiplinan, keuntungan, dan pembelajaran. Nilai-nilai sosial meliputi rasa saling percaya, keadilan dan kesetaraan, tanggung jawab sosial, kerjasama, keterampilan interaktif, akuntabilitas, kesejajaran, taat hukum, dan hal lainnya. Metode yang digunakan dalam penelitian ini dengan pendekatan deskriptif kualitatif dengan teknik pengumplan data dengan wawancara, observasi serta dokumentasi. Analisis  data dilakukan dengan Berdasarkan hasil penelitian ini, Analisis menganalisis nilai-nilai sosial di Kampung Nelayan Sungai Limau Kabupaten Padang Pariaman tahun 2014-2018 dilihat dari nilai-nilai sosial bahwa masyarakat nelayan mempunyai rasa saling percaya yang baik karena disebabkan adat dan budaya minangkabau yang masih memegang teguh adat basandi syarak, syarak basandi kitabullah.Analisis sosial budaya terhadap pertumbuhan ekonomi di Kampung Nelayan Sungai limau dapat dilihat dari analisis nilai-nilai individu terhadap pertumbuhan ekonomi dimana mencakup nilai kerja ,etika, kebahagiaan personal, kedisiplinan  dan pembelajaran memberikan respon positif terhadap pertumbuhan ekonomi masyarakat nelayan. Sedangkan Nilai-nilai kreativitas dan inovasi, etika, penghematan dan keuntungan justru cenderung negative terhadap pertumbuhan ekonomi. Analisis Nilai-nilai sosial dalam pertumbuhan ekonomi dapat dilihat dari tanggung jawab sosial, keterampilan interaktif, akuntabilitas dan kesetaraan lain-lain yang berdampak positif. Sedangkan nilai-nilai rasa saling percaya, kesetaraan dan keadilan dan kesetaraan taat hokum lebih cenderung negative.
Features of emotional burnout in neurological and mental health workers
Authors: Maruta Natalia , Chaban Oleg
Published: July 2021

We examined 196 people from all regions in Ukraine who worked in the field of neurological and mental health (128 neurologists and 68 psychiatrists). Among the surveyed women prevailed (157 women and 39 men), whose average age was (48.6 ± 2.8) years. Studies have shown that signs of emotional burnout syndrome (EBS) of varying severity were identified in 68.4 % of the surveyed. Only 31.6 % of the individuals did not find any signs of EBS. During the analysis of the EBS structure, it was found that the stage of stress was found in 30.6 % of the examined, the stage of resistance — in 20.4 % and the stage of depletion — in 17.3 %. The effectiveness of MemoProve in persons with EBS includes regression of asthenia (physical and mental), increased activity and motivation, as well as an improvement in the processes of concentration and working capacity, that is, it allows to eliminate manifestations of EBS.
DETERMINAN BID-ASK SPREAD PERUSAHAAN YANG MELAKSANAKAN KEBIJAKAN STOCK SPLIT TAHUN 2016-2019
Authors: Amalia Yuni , Pertiwi Tri Kartika
Published: July 2021

Studi ini dilakukan guna mencari tahu adakah  kontribusi harga saham, volume perdagangan saham, dan return saham atas bid-ask sread pada perusahaan yang melaksanakan kebijakan stock split  di Bursa Efek Indonesia tahun 2016 hingga 2019. Penelitian tergolong dalam  penelitian kuantitatif. Pengambilan sampel ditentukan dengan memakai purposive sampling. Terdapat beberapa pengujian yang dipakai pada  penelitian  ini yaitu uji outlier, uji normalitas, uji asumsi klasik, analisis regresi linear berganda, uji hipotesis. Berdasarkan uji parsial yang dilakukan diperoleh hasil yaitu harga saham dan volume perdagangan saham bepengaruh negatif signifikan terhadap bid-ask, serta  return saham berpengaruh positif signifikan terhadap bid-ask spread. Thisstudy aims to determine the effect ofstockprices,tradingvolumeactivity,andstockreturns on  thebid-askspreadin companiesthatdostocksplitslistedontheIndonesiaStockExchangein 2016 to 2019. Thisresearchisincludedinthecategoryofquantitativeresearch. Sampling in this study was determined by using purposive sampling method. There are several tests used in this study, the analytical method used, outlier test, normality test, classical assumptions, consists of multiple regression analysis , hypothesis testing (t test) and the coefficient of determination test.Based on the partial test conducted, the results obtained that stock prices and tradingvolumeactivity have anegativeandsignificant effect on the bid-ask spread, and stock returns have apositive andsignificant effect on the bid-ask spread
Implementasi Metode SAW dalam Penilaian Kinerja Tenaga Harian Lepas
Authors: Khairil  , Aspriyono Hari
Published: July 2021

The performance assessment of Civil Servants at the Bengkulu Province Communication, Informatics, and Statistics Service (Diskominkotik) process has utilized an e-performance application. However, the assessment of daily workers' performance is not included, which means evaluating their performance and competence would take a long time. This study aims to determine daily workers to get the best performance rewards using the Simple Additive Weighting (SAW) method. The research method used was the waterfall method, supported by data from observations, interviews, and questionnaires. Unified Modeling Language (UML) was used to analyze and design the system and in the coding stage, Microsoft Visual Studio 2010 software connected to a MySQL database was used, and in the testing stage, a Black-box testing approach was employed. The results showed that the implementation of the SAW method in the decision support system application could speed up the process of evaluating the performance of daily workers at Bengkulu Province Diskominkotik. Furthermore, daily workers’ performance appraisal became more objective because it involves the participation of many parties so that the results of the best daily worker employee performance appraisal can be accepted by various parties.
Menakar Jenis Investasi Muslim di Kabupaten Bintan
Authors: Rahardi Mohamad Teddy , Gusnita Elina
Published: July 2021

Artikel ini memuat tentang investasi yang menjadi pilihan masyarakat dengan tujuan mendalami karakteristik jenis investasi di masyarakat Kabupaten Bintan, Provinsi Kepulauan Riau. Pendekatan investasi yang digunakan investasi berbasis syariah sebab sebagai daerah dengan mayoritas muslim melayu, Islam menjadi norma yang hidup dalam praktik keseharian. Ini adalah penelitian kuantitatif yang datanya dihimpun dari survei yang telah dilakukan melalui responten terpilih. Penelitian ini memperlihatkan bahwa usia dan pengalaman sangat mempengaruhi pilihan investasi masyarakat dan pilihan investasi yang paling banyak ialah untuk aset riil dan keuangan. Pilihan investasi masyarakat Bintan sangat bergantung dengan tingkat literasi terhadap bidang-bidang investasinya, sebab semakin besar keuntungan di masa depan, maka semakin tinggi pula risiko suatu investasi. Sebab itu, pilihan aset riil yang paling banyak ialah pada bidang tanah, sedangkan keuagan yakni dalam bentuk tabungan. Masyarakat juga sangat mempertimbangkan perihal norma Islam dalam pilihan investasinya sehingga banyak masyarakat yang memilih untuk berinvestasi di bidang aset riil. Dari penelitian ini, setidaknya bisa dijadikan pintu masuk untuk penelitian tentang investasi lebih lanjut sebab saat ini jenis investasi sudah semakin beragam.
Trunk's Papules, and If It was a Leukemia Cutis
Authors: Amraoui Nissrine
Published: July 2021

Leukemia cutis characteristically demonstrates the infiltration of the skin by neoplastic leukocytes [1]. In clinical practice, the most common types seen are chronic lymphocytic leukemia (CLL) and acute myeloid leukemia (AML) often in patients who have a prior diagnosis of systemic leukemia [2]. However, cutaneous lesions may present as the primary manifestation of chronic myeloid leukemia (CML) in rare cases. It is generally synonymous of advanced disease and must encourage the search of other extramedullary sites involvement [3,4].
Coronavirus and Medical Ethics
Authors: Oberoi Jaspal Kaur
Published: July 2021

Medical ethics has been followed in most nations for decades. But during COVID 19 pandemic situation, again every nation has to deal with the ethics related to categorizing patients and health care distribution while maintaining community health. To solve the dilemma of consequentialist and non-consequentialist theories, the major focus was driven on community health. But while looking at the rate of infected, cured, and death, it’s an alarming sign to India to strengthen the medical resources and follow the common good approach. Every Indian citizen has the right to get proper treatment and funerals after death. Considering the problem associated with the spreading of the virus through dead bodies, cremation was done by medical staff. Due to the limited availability of medical staff and lack of an electric furnace, many dead bodies were cremated after a long time. Due to inadequate medical professionals and technical constraints, the infectivity rate is increasing which is affecting the economy, mental strength, and social values. Hence, now we have to start thinking and working on strengthening hospitals, diagnostic labs, and sophisticated cremation centers to avoid negligence and to follow ethics.
Cross-Resistance in Anti-Tubercular Drugs - A Conundrum in the Management of Drug-Resistant Tuberculosis
Authors: Sharma Amit
Published: July 2021

The problem of DR-TB especially MDR-TB/RR-TB, Pre-XDR TB, and XDR TB is menacing the world in a fearsome manner. The treatment of patients with such complicated forms of TB is fraught with difficulties owing to the toxicity of second-line drugs and decreased efficacy, not to mention poor compliance by patients keeping in view the adverse effects and long duration of treatment. To add to all these strictures in the successful outcome of DR-TB outcomes, the phenomenon of Cross-Resistance amongst anti-tubercular drugs has also to be reckoned with. In this review, we have tried to address this particular aspect which plays one of the key roles in the final treatment outcome of patients with such complicated forms of TB.
Critical Care Neurocardiology
Authors: Rao Prof  S Manimala
Published: July 2021

Cardiac disturbances are quite frequent in a stroke patient be it arrhythmia or LV dysfunction. It is becoming quite common to observe the heart and brain interaction in the ICU. Critical care at its core takes into consideration the human body in its entirety. Hence the clinical management of the brain and heart disorders cannot be isolated. The care of neurologic patient is influenced by cardiac diseases, and likewise neurological consideration is essential in many types of heart diseases. Cardiologists and Neurologists view heart and brain alone respectively and ignore the other. There is a lot of literature with evidence regarding the importance of brain–heart interactions from the 80s onwards. However, many do not view them together for management.These relationships in terms of physiological, clinical and management issues daily are of utmost importance in critical care.So, the questions are, can we consider the term Neurocardiology in critical care on a daily basis?What are the interactions between the brain and the heart and what is the concerned pathophysiology? How does it influence in the management and outcomes of patients?In the setting of Critical care, time and proper decision making is a crucial factor. How hemodynamic & intracranial dynamic monitoring helps to determine the immediate and long-term management of the patient and how it influences the outcome will be discussed. We present here a series of two cases which clearly depicted the alterations in the neuro-cardiac axis to reiterate the importance of neurocardiology once again in the critical care setting.
One Lung Ventilation in a Patient with Central Airway Obstruction: Fluoroscopic Guided Bronchial Blocker Placement
Authors: Gupta Ankit A
Published: July 2021

Thyroidectomy is the most common endocrine surgical treatment performed worldwide. Medullary thyroid carcinoma which accounts for less than 1.5 percent of these cases is different from other types of thyroid cancers in a way that it is a neuroendocrine malignancy that originates from the parafollicular C cells of the thyroid gland secreting calcitonin and it frequently spreads to lymph nodes and other organs. Anesthetic management in a case of a large thyroid mass with central airway obstruction is a task cut out for an anesthesiologist and the need to provide one-lung ventilation in these patients for thoracoscopic dissection of mediastinal lymph nodes adds to the challenges. In this case report, we describe fluoroscopic guided bronchial blocker placement as a novel technique for delivering one-lung ventilation in such patients, when the traditional approach of bronchial blocker placement with concomitant use of a fiber optic bronchoscope was not practicable due to the small size of the endotracheal tube in the presence of central airway obstruction.
What is Wrong with Recreational Scuba Diver Databases?
Authors: Cummins Terrence L.
Published: July 2021

This commentary draws attention to the challenges for researchers in accessing and using recreational scuba diver training agency and other dive industry databases. These challenges may lead to biased conclusions as to the size and nature of scuba diver populations, falsely identify
the diver in specific sectors, distort potentials for scuba diving tourism, and incorrectly ascertain what exactly motivates diver travel preferences. The commentary aims to raise awareness of the challenges of gaining access to meaningful recreational scuba diver data and a need to exercise
caution when using available scuba diving industry databases.
Youth Employability: Fostering University-Industry Links in Syllabus Design
Authors: Maroko Geoffrey Mokua , Ndivo Larry Mutinda
Published: July 2021

The potential of young people to be agents of social and economic progress continues to be undermined by massive unemployment. According to statistics on the Ministry of Public Service, Youth and Gender affairs website, youth unemployment in Kenya stands at 61%. This is very alarming yet according to the Global Youth Development Index and Report of 2016. Young people are a force for peace, democracy, equality and good governance, a catalyst for global consensus-building, and an essential resource for sustainable development and poverty eradication. It is interesting that among the unemployed youth are certificate, diploma and degree holders! Is there a disconnect between academic training and resultant qualifications on the one hand and youth employability on the other? Why are the youth unemployed when social media platforms, print and electronic media, and the internet are full of job advertisements day in day out? My hypothesis is that syllabi for the implementation of academic programmes in the Universities are devoid of employability skills which are a critical link in the University-Industry interface. To explore the hypothesis, this paper began by describing the 21st Century employability skills which are self-management and taking responsibility, working effectively with other people, business and customer awareness, decision-making and problem-solving, initiative and enterprise, communication and literacy, numeracy, and using ICT. Focusing on teaching in selected higher education institutions, this paper further reviews selected job advertisements to identify the salient skills that industry players seek in job applications. Next, the paper evaluates university course syllabi with the aim of establishing how these skills have been integrated. The paper recommends that University-Industry stakeholder engagement is integral to syllabus design and implementation in addition to fostering youth employability.