bluuebunny/crossref_metadata_2025 huggingface dataset:
Morphological characteristics of Şebap Pigeons (Columba livia domestica)
Authors: ÇELİK Romedi
Published: May 2023

Şebap pigeon is unique to Şanlıurfa region, which is one of the domestication centers of pigeons in Turkey. In this region pigeon breeding is a tradition. In Şanlıurfa there are 5 varieties of Şebap, including Miski, Kürenk, Çakmaklı, Gök and Arap, which were determined by Şebap Pigeon Association and Federation. The objective of this study is to determine the phenotypic characteristics of the Şebap pigeon. Animal material (n=132) of the study consists of stated varieties, which were analysed according to age and as well as gender (n=66 male, n=66 female). Age groups were formed on the basis of 4 development periods, including 06-12 months (Group 1, n=28), 13-24 months (Group 2, n=35), 25-36 months (Group 3, n=37) and >36 months (Group 4, n=32). The distribution of varieties was as follows: Miski (57.5%), Kürenk (16.7%), Çakmaklı (11.4%), Gök (11.4%) and Arap (3.0%). According to morphological characteristics analysed in the study, the difference between the gender groups in terms of body length was found to be statistically significant (p < 0.01). The findings of this study support the view that Şebap pigeons are breed. However, it would be meaningful to support the results obtained for morphometric characterization with future genetic characterization studies.
Provenienzforschung zu menschlichen Überresten aus den anthropologischen Sammlungen des Ethnologischen Museums in Berlin
Authors: Labischinski Ilja
Published: May 2023

Der Provenienzforschung an menschlichen Überresten kommt eine besondere Bedeutung zu. So befinden sich bis heute die Überreste zehntausender verstorbener Menschen in deutschen Museumssammlungen. Dabei handelt es sich um eine große Bandbreite an unterschiedlichem Sammlungsgut: von Haaren an Rasseln bis hin zu Knochen aus Gräbern. So groß die Bandbreite an menschlichen Überresten in Museen ist, so unterschiedlich waren auch die Motive, diese Sammlungen anzulegen.
Unter den ca. 2000 menschlichen Überresten im Ethnologischen Museum Berlin befinden sich bis heute 38 Schädel aus der sog. S-Sammlung, die unter der Leitung Felix von Luschans angelegt wurde. Ihnen gemein ist, dass sie lange Zeit nicht als verstorbene Menschen, sondern als Objekte behandelt wurden.
Anhand von zwei Beispielen soll auf die Geschichte dieser menschlichen Schädel eingegangen, die Möglichkeiten, Grenzen und Ziele der Provenienzforschung aufgezeigt und diskutiert werden, wie sich den Biografien von verstorbenen Individuen in Museumssammlungen angenähert werden kann.
Exploring TVET Institution Directors’ Barriers in Managing Malaysian TVET Institutions-Industry Partnership
Authors:   The National University of Malaysia, Mohamad Norazlinda , Mohd Affandi Haryanti ,   The National University of Malaysia, Sohimi Nurul Eizzaty ,   The National University of Malaysia, Kamal Mohd Firdaus Mustaffa ,   Sultan Idris Education University Malaysia, Herrera Lazaro Moreno ,   Stockholm University, Zulkifli Rabihah Munirah ,   Sultan Idris Education University Malaysia, Abas Nor Haslinda ,   Universiti Tun Hussein Onn Malaysia
Published: May 2023

Fordeveloping nations to meet the demand for skills in the twenty-first century, TVET is essential. The TVET institution actively creates a skilled workforce to meet the needs of the nation's labourmarket to meet those demands. As a result, efforts are being made to improve the existing TVET institutions. This study looked into the difficulties faced by TVET institution managers when handling their relationships with collaboration. The quantitative approach used in this study was the survey design approach. The right respondents are chosen for this study using purposeful sampling techniques. A total of 53 directors of TVET institutions in Malaysia and 30 representatives from industry were chosen as respondents for this study. The Rasch measurement model was used to analyze the data. This study identified managerial skills and common barriers as the two main obstacles to the collaboration between Malaysian TVET institutions and industries. Technical, human, and conceptual skills are the three categories used tocategorize managerial skill barriers. Technically, directors are unable to put knowledge into practice because they lack computer proficiency, managerial knowledge and experience, and methods and techniques for performance monitoring tools. Conceptually, directors struggle to plan long-term objectives, articulate strategies and comprehend the organizational structure of their industry. Finally, directors lack the ability to manage relationships between organizations and the drive to launch partnerships with the sector. While this was going on, the common TVET institution-industry collaboration barriers were grouped into four categories: governance issues, funding and financial issues, management issues in collaboration, and industry-institutionculture issues.
THE EFFECT OF QUICK RATIO DEBT TO RATIO AND FIXED ASSETS TURNOVER ON FINANCIAL PERFORMANCE IN THE FOOD AND BEVERAGE SUB SECTOR OF MANUFACTURING COMPANIES LISTED IN INDONESIAN STOCK EXCHANGE
Authors: Paringga Aprilia Megawati , Kurniawati O
Published: May 2023

The aims of this study were to anayzed the effect of Quick Ratio, Debt to Ratio, and Fixwd Assest Turnover on Financial Performance in the Food and Baverage Sub Sector of Manufacturing Companies Listed in Indonesian Stock Exchange. The sample in this study consisted of 20 companies into 54 financial reports and annual reports of 20 the food and beverage sub-sector of manufacturing companies listed in Indonesia Stock Exchange (IDX) in 2018-2020 using the purposive sampling method. The results of this study shows that the t-test calculation proves that partially Quick Ratio and Fixed Assets Turnover have no significant effect on Return On Assets, but for Debt to Equity Ratio partially have an effect on Return On Assets. The calculation of the F test results simultaneously proves that the Quick Ratio, Debt to Equity Ratio, and Fixed Assets Turnover have a significant effect on Return On Assets. The Coefficient of Determination test is known that the R square value is 0.328 or 32.8% which indicates that ROA can be explained by QR, DER and FATO while the remaining 67.2% is explained by other variables
PENGALAMAN HIDUP PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI INISIASI HEMODIALISIS
Authors: Putri Riska Subhianti , Raveinal Raveinal , Lenggogeni Devia Putri
Published: May 2023

Pasien dengan penyakit ginjal kronik tahap akhir akan mengalami kehilangan fungsi ginjalnya sampai 90 % atau lebih, sehingga kemampuan tubuh untuk mempertahankan keseimbangan cairan dan elektrolit terganggu dan fungsi ekskresi menjadi tidak adekuat. Terapi pada penyakit ginjal kronik yang paling banyak di gunakan yaitu hemodialisis. Penelitian ini bertujuan untuk mengetahui dan mengeksplorasi pengalaman hidup pada pasien penyakit ginjal kronik yang menjalani inisiasi hemodialisis. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Partisipan dalam penelitian ini berjumlah tujuh orang yang merupakan pasien penyakit ginjal kronik yang menjalani inisiasi hemodialisis di RSUP M. Djamil Padang. Hasil analisis data menghasilkan lima tema, yaitu penolakan terhadap tindakan inisiasi hemodialisis, perubahan bio-psiko-sosial-spiritual pasca hemodialisis, kendala pasca hemodialisis, dukungan yang diterima pasien pasca hemodialisis, dan harapan pasien terhadap hemodialisis. Penelitian ini menunjukkan bahwa awalnya pasien dengan penyakit ginjal kronik akan menolak dilakukannya tindakan dan inisiasi hemodialisis ini sendiri akan memberikan berbagai dampak bio-psiko-sosial-spiritual yang berkaitan dengan perubahan pasca inisiasi hemodialisis. Kesimpulan penelitian ini yaitu adanya ponalakan terhadap tindakan dan perubahan yang terjadi terhadap pasien penyakit ginjal kronik yang menjalani inisiasi hemodialisis. Disarankan kepada pelayanan kesehatan untuk bisa memberikan edukasi mengenai hemodialisis untuk mendorong pasien melakukan inisiasi hemodialisis.
HUBUNGAN MOTIVASI PERAWAT DENGAN KINERJA KELENGKAPAN PENDOKUMENTASIANASUHAN KEPERAWATAN DI ISTALASI RAWAT INAPRSUD H. HANAFIE MUARA BUNGO
Authors: Z Zahlimar
Published: May 2023

Pelayanan Keperawatan adalah suatu bentuk pelayanan profesional yang merupakan bagian integral dari pelayanan kesehatan yang didasarkan pada ilmu dan kiat Keperawatan ditujukan kepada individu, keluarga, kelompok, atau masyarakat, baik sehat maupun sakit. Menururt data World Health Organization (WHO) melaporkan bahwa sekarang ada lebih dari 9 juta perawat dan bidan dari 141 negara,  dan menurut data di Indonesia jumlah perawat sekitar (472.650 orang). Asuhan keperawatan merupakan salah satu indikator dalam menentukan kualitas pelayanan dari suatu rumah sakit. Perawat merupakan profesi yang memberikan pelayanan kepada pasien dimana salah satu aspek terpenting kinerja adalah dokumentasi keperawatan. Motivasi menyangkut perilaku manusia dan merupakan sebuah unsur yang vital dalam manajemen. Motivasi dapat didefenisikan sebagai sesuatu yang membuat seseorang menyelesaikan pekerjaan dengan semangat, karena orang itu ingin melakukannya. Motivasi berbeda beda di antara orang-orang, tergantung dari banyak faktor-faktor seperti kewibawaan, ambisi, pendidikan, dan umur. Metode Penelitian yang digunakan yaitu menghubungkan dua variabel independen diantaranya motivasi perawat dengan variabel dependen yaitu kelengkapan pendokumentasian Asuhan Keperawatan. berdasarkan Hasil dari penelitian ini terdapat 51% perawat yang mempunyai motivasi  kerja yang tinggi, 78,4% perawat mempunyai kinerja yang baik. Hampir separoh perawat yang terdapat di Instalasi Rawat Inap RSUD H. Hanafie Muara Bungo memiliki motivasi Yang tinggi dan memiliki Kinerja yang baik.
GAMBARAN KUALITAS HIDUP LANSIA DENGAN PENYAKIT OSTEOARTHRITIS DI WILAYAH KERJA PUSKESMAS PANGEAN KABUPATEN KUANTAN SINGINGI
Authors: PRATIWI HILDA , ARNELIWATI ARNELIWATI , NOPRIADI NOPRIADI
Published: May 2023

Semakin bertambah usia seseorang semakin tinggi kemungkinannya terkena OA,  lansia dengan OA diketahui memiliki keterbatasan dalam gerakan sebanyak 80% dan sulit untuk melakukan kegiatan sehari-hari sebanyak 25% sehingga hal ini berpotensi semakin menurunkan kualitas hidupnya. Penelitian ini bertujuan untuk mengetahui gambaran kualitas hidup lansia pada penyakit Osteoarthritis di Wilayah Kerja Puskesmas Pangean Kabupaten Kuantan Singingi. Penelitian ini berjenis kuantitatif dengan desain deskriptif. Populasi penelitian ini adalah pasien lansia yang mengalami OA yang berjumlah jumlah 87 orang yang seluruhnya dijadikan sampel dengan teknik sampling jenuh. Pengumpulan data dilakukan dengan menggunakan kuesioner yang disebar langsung. Analisis data dilakukan dengan analisis univariat dengan menggunakan analisis deskriptif. Penelitian ini memperoleh hasil bahwa mayoritas lansia yang menjadi responden penelitian berada pada kelompok umur 60-65 tahun (40,2%), yang berjenis kelamin perempuan (86,2%), dan menamatkan pendidikan Sekolah Dasar (39,1%). Sebagian besar lansia memiliki pekerjaan (57,5%), sudah menikah (74,7%), telah menderita OA 1 - 5 tahun (46%) serta memiliki indeks masa tubuh yang normal (65,5%). Secara umum kualitas hidup lansia masih berada pada kualitas hidup yang baik (72,41%). Kualitas hidup lansia pada domain kesehatan fisik, sebagian besar memiliki kualitas hidup yang buruk, domain psikologis sebagian besar lansia memiliki kualitas hidup yang juga buruk, domain hubungan sosial, sebagian besar lansia mengalami kualitas hidup yang baik, begitu juga pada domain lingkungan, juga memiliki kualitas hidup yang baik. Disarankan kepada lansia agar lebih memperhatikan kualitas hidup nya terutama pada kesehatan fisik dan psikologisnya
Perlindungan Hukum Bagi Perawat dalam Menjalankan Tugas Pelayanan Keperawatan di Rumah Sakit
Authors: Hasibuan Ahmad Akbar , Sidi Redyanto
Published: May 2023

Peilayanan keiseihatan meirupakan salah satu tugas dari seiorang peirawat, seibagai suatu beintuk peilayanan profeisional yang meirupakan bagian inteigral dari peilayanan keiseihatan yang didasarkan pada ilmu dan kiat Keipeirawatan ditujukan keipada individu, keiluarga, keilompok, atau masyarakat, baik seihat maupun sakit seihingga teintu dalam meilaksanakan tugas teirseibut teirdapat keikurangan dan keileibihan yang dapat meinghambat hingga meingancam seiorang peirawat, untuk itu dipeirlukan peirlindungan hukum bagi dirinya. Peineilitian ini beirtujuan untuk meinganalisis (1) Bagaimanakah Peingaturan Hukum Peirlindungan Hukum Bagi Peirawat Dalam Meinjalankan Peilayanan Keipeirawatan Di Rumah Sakit? (2) Bagaimanakah Peirtanggungjawaban Hukum Bagi Peilaku Tindak Pidana Keikeirasan Teirhadap Peirawat Dalam Meinjalankan Peilayanan Keipeirawatan Di Rumah Sakit?. Peineilitian ini dilakukan deingan meinggunakan meitodei peineilitian hukum doktrinal atau peineilitian hukum normativei (normativei leigal reiseiarch) yakni peineilitian yang akan meineilah hukum positif, asas dan kaidah hukum, sinkronisasi veirtikal dan horizontal beirkeinan teintang Peirlindungan hukum bagi peirawat dalam meinjalankan tugas peilayanan keipeirawatan di rumah sakit untuk meineimukan jawaban atas peirmasalahan yang akan diteiliti. Hasil peineilitian meinunjukan bahwa: 1) Peingaturan hukum bagi peirawat dalam meinjalankan tugas peilayanan keipeirawatan diatur dalam Pasal 36 huruf a Undang-Undang Keipeirawatan teilah meineigaskan bahwa Peirawat dalam meilaksanakan Praktik Keipeirawatan beirhak meimpeiroleih peilindungan hukum seipanjang meilaksanakan tugas seisuai deingan standar peilayanan, standar profeisi, standar proseidur opeirasional, dan keiteintuan Peiraturan Peirundang-undangan. 2) Peirtanggungjawaban Hukum Bagi Peilaku Tindak Pidana Keikeirasan Teirhadap Peirawat Dalam Meinjalankan Peilayanan Keipeirawatan Di Rumah Sakit diatur dalam Pasal 351 KUHPidana deingan ancaman pidana peinjara paling lama dua tahun deilapan bulan atau pidana deinda paling banyak eimpat ribu lima ratus rupiah; Jika peirbuatan meingakibatkan luka-luka beirat, yang beirsalah diancam deingan pidana peinjara paling lama lima tahun; Jika meingakibatkan mati, diancam deingan pidana peinjara paling lama tujuh tahun;
Hubungan Kualitas Pelayanan Informasi Obat dengan Kepuasan Pelayanan Obat di Kecamatan Kluwut, Kabupaten Brebes
Authors: Cahyani Hanniza Dwi , Susanto Agus , Santoso Joko
Published: May 2023

Pelayanan kesehatan yang berkualitas dan menyatu dengan masyarakat sangat penting dalam dunia kesehatan, dengan tujuan menciptakan pola hidup masyarakat yang peduli, mengerti, dan tanggap akan permasalahan kesehatan. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas pelayanan informasi obat (PIO) dengan kepuasan pelayanan obat di Puskesmas Kluwut. Metode penelitian yang digunakan adalah analitik kuantitatif dengan desain cross sectional. Populasi penelitian ini adalah pasien yang mendapatkan pelayanan informasi obat di Puskesmas Kluwut, Kabupaten Brebes. Besar sampel penelitian ini  adalah 106 orang yang telah memenuhi kriteria penelitian. Pengambilan sampel dilakukan dengan metode accidental sampling. Kuesioner digunakan sebagai alat pengumpulan data dengan skala Ordinal. Analisis data dengan menggunakan metode Chi-Square 0,05. Hasil penelitian bahwa kualitas PIO adalah pada kategori sangat baik (52,8%)  dan kepuasan pelayan obat pada kategori sangat puas (77%). Hasil uji Chi-Square didapatkan p-value sebesar 0,000 (pV<0,05).  Hasil ini menunjukkan bahwa terdapat hubungan yang signifikan antara kualitas PIO dengan kepuasaan pelayanan obat.
EFEKTIVITAS KOYO HAID TERHADAP DISMENORE PADA REMAJA PUTRI DI SMP NEGERI 4 BANDUNG
Authors: Fadzrin Regina Nur , Sukaesih Nunung Siti , Puspanditaning Amanda
Published: May 2023

Menstruasi merupakan salah satu tanda kematangan fisik yang dialami oleh remaja putri dan biasa disebut dengan pubertas. Permasalahan yang sering timbul saat menstruasi pada remaja putri ialah rasa nyeri pada perut bagian bawah dan menjalar sampai ke punggung serta paha yang disebut dengan dismenore. Kondisi tersebut berakibat pada aktivitas pembelajaran menjadi terganggu sehingga dismenore perlu diatasi. salah satunya dengan menggunakan koyo haid. Penelitian ini bertujuan untuk mengetahui efektivitas koyo haid terhadap dismenore pada remaja putri. Desain pada penelitian ini berupa quasi eksperimen dengan rancangan pra-eksperimen dalam satu kelompok (one group pre test – post test design). Populasi dalam penelitian ini adalah remaja putri di SMPN 4 Bandung. Penarikan sampel melalui metode purposive sampling yang berjumlah 47 remaja putri yang mengalami dismenore pada bulan Maret 2023. Intsrumen penelitian ini menggunakan Numeric Ratung Scale (NRS) dan lembar informed consent. Hasil setelah di Uji Wilcoxon Signed Ranks menunjukan P-value = 0,000 dimana P-value <  0,05, sehingga Ho ditolak Ha diterima, yang berarti terdapat efektivitas penggunaan koyo haid terhadap penurunan nyeri haid (dismenore) pada remaja putri di SMPN 4 Bandung.
Technological Challenges in Online Learning During Covid-19 Pandemic: A Focus Group Discussion Exploring Nursing Students’ Perspectives
Authors: Tambunan Evelyn
Published: May 2023

In nursing education, the use of technology can have a significant influence on the online learning process. However, in the Covid-19 pandemic era of nursing education, many challenges in online learning were encountered. Within this context, the present study aimed to explore undergraduate nursing students’ perceptions regarding the technological challenges in online learning during Covid-19 pandemic. A qualitative study was conducted using zoom focus group discussions synchronously with the help of a discussion guide consisting of five open-ended questions. Overall, 34 nursing students were recruited using a maximum variation sampling technique; these students then participated in four focus group discussions. All interviews were recorded, transcribed verbatim, and analyzed for thematic contents using the standard created by Kyngas content analysis framework. A thematic content analysis yielded four core themes: (1) technical issues, (2) technology cost, (3) inexperience in ICT, (4) clinical learning issues. The seven sub-theme emerged: (1) incompatibility technological devices, (2) unstable internet connectivity, (3) purchase adequate technology devices, (4) purchase additional study quota, (5) students’ new experience, (6) faculties’ new experience, (7) inadequate clinical learning platform. Technological challenges were encountered in online learning during Covid-19 pandemic. This represents a significant picture perceived by nursing students. The challenges in online nursing education should be rigorously evaluated to monitor its effectiveness.
HUBUNGAN KEKERASAN VERBAL (VERBAL ABUSE) ORANG TUA DENGAN TINGKAT KEPERCAYAAN DIRI PADA REMAJA
Authors: Antu Mihrawaty , Zees Rini Fahriani , Nusi Ramlia
Published: May 2023

Kepercayaan diri merupakan suatu perasaan dan keyakinan terhadap kemampuan untuk menunjang potensi yang dimiliki. Data KPPPA pada tahun 2018 sebanyak 56% remaja Indonesia memiliki kepercayaan diri rendah. Data KPAI pada 2020 jumlah anak yang mengalami kekerasan verbal sebanyak 49,2 juta jiwa. Kekerasan verbal ini dapat berdampak pada psikologis anak termasuk gangguan kepercayaan diri. Penelitian ini bertujuan untuk mengetahui hubungan kekerasan verbal orang tua dengan tingkat kepercayaan diri pada remaja di MTs Negeri 2 Boalemo. Penelitian ini merupakan penelitian kuantitatif, dengan desain deskriptif korelasional. Populasi penelitian adalah siswa-siswi kelas 7 dan 8 di MTs Negeri 2 Boalemo sebanyak 114 orang dengan jumlah responden 84 siswa. Analisis data menggunakan uji Kendal Tau. Hasil penelitian didapatkan bahwa tingkat kekerasan verbal tinggi berjumlah 46 responden (54%) dan tingkat kepercayaan diri rendah berjumlah 37 reponden (44%). Hasil uji Kendal Tau-b menunjukan bahwa nilai p-value 0,000 (p<0.05) Artinya, terdapat hubungan antara kekerasan verbal (verbal abuse) orang tua dengan tingkat kepercayaan diri pada remaja di MTs Negeri 2 Boalemo. Nilai koefisien korelasi sebesar -0,626 yang artinya terdapat pengaruh negatif antar dua variabel, sehingga semakin tinggi kekerasan verbal yang dilakukan oleh orang tua maka semakin rendah tingkat kepercayaan yang dimiliki oleh remaja.
Key words: verbal abuse, self-confidence, adolescents.
PERAN ARTIFICIAL INTELLIGENCE DALAM PELAYANAN KESEHATAN : A SYSTEMATIC REVIEW
Authors: Trenggono Patriot Haryo , Bachtiar Adang
Published: May 2023

Penerapan Artificial Intelligence (AI) pada dunia kedokteran diharapkan memiliki dampak yang signifikan pada praktik klinis. Perusahaan-perusahaan kesehatan dan kelompok akademis di seluruh dunia telah mengakui dan mempelajari lebih dalam potensi teknologi AI untuk meningkatkan bidang kesehatan, dan banyak tim peneliti sekarang berlomba untuk menghasilkan sistem AI agar semakin bertambah, atau bahkan untuk mengganti posisi dokter. AI berpotensi mengungguli kemampuan manusia, namun orang-orang masih enggan menggunakannya. Penelitian ini merupakan Systematic Review dengan menggunakan metode Preferred Reporting Item for Systematic Reviews and Meta-Analyses PRISMA. Pencarian artikel dilakukan dengan menggunakan beberapa database ProQuest dan Scopus dengan kata kunci yaitu artificial intelligence, medical artificial inteligence, dan artificial intelligence in health care. Semua artikel yang diterbitkan dalam bahasa Inggris dari tahun 2017 sampai 2022. Potensi AI untuk berkontribusi dalam mendukung proses diagnostik hingga menggantikan peran dokter semakin besar. Tidak hanya itu, AI juga berpeluang untuk memberikan pengalaman kemudahan dalam akses seperti rekam medis elektronik, pemberian rekomendasi obat, sebagai peringatan untuk keamanan pasien jatuh, dan lain sebagainya. Banyak sekali peran AI dalam perkembangan teknologi di bidang kesehatan, cepat atau lambat semua potensi yang dimiliki AI akan memberikan dampak baik tentunya dengan perbaikan-perbaikan yang agresif dan dukungan dari semua pemangku kepentingan dan juga para praktisi.
HEALTH PROMOTION MODEL TERHADAP PENGETAHUAN PEREMPUAN PADA PERUBAHAN MASA MENOPAUSE
Authors: Amir Sriargianti
Published: May 2023

Di negara Indonesia angka presentasi wanita mengalami menopause mencapai 16,1% untuk umur 30-49 tahun dengan jumlah 28.767 wanita. Terjadi peningkatan jumlah proporsi wanita yang mengalami menopause seiring bertambahnya usia pada umu 30-34 tahun dari angka 10% kemudian menjadi 17% pada wanita umur 44-45, dan menjadi 43% pada wanita umur 48-49 tahun. Gejala yang biasanya dirasakan ketika menjelang menopause seperti insomnia, rasa panas (hot flashes), berkurangnya daya ingat serta banyak berkeringat.  Tujuan: Mengetahui pengaruh health promotion model terhadap pengetahuan perempuan pada perubahan masa menopause. Metode penelitian: Penelitian ini merupakan penelitian kuantitatif dengan desain pra eksperimental. Dalam penelitian ini menggunakan one group pre-post test. Penarikan sampel dilakukan secara tidak acak dengan tehnik quota sampling sejumlah 32 responden. Hasil: setelah dilakukan intervensi health promotion model menggunakan media leaflet pengetahuan resonden yang berkaitan dengan menopause terjadi peningkatan ditandai dengan pengetahuan baik 30 (93,8%) dan pengetahuan cukup 6 (6,3%). Hal ini dibuktikan dengan nilai hasil uji analisis Mcnemar didapatkan p value=0,000 kurang <0,05 yang berarti terdapat perbedaan signifikan terhadap pengetahuan sebelum dan sesudah diberikan health promotion. Kesimpulan: health promotion model menggunakan leaflet menjadi salah satu alternatif untuk meningkatkan pengetahuan namun, untuk peneliti selanjutnya mencoba media yang lain
FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP HIPERTENSI PADA DEWASA MUDA
Authors: Saragih Marianawati , Karimah Ima
Published: May 2023

Hipertensi adalah peningkatan tekanan darah arteri yang bersifat sistemik atau berlangsung terus menerus untuk jangka waktu lama. Hipertensi tidak terjadi tiba–tiba, melainkan melalui proses yang berlangsung lama. Tekanan darah tinggi yang tidak terkontrol untuk periode tertentu akan menyebabkan  tekanan darah tinggi permanen atau hipertensi. Tekanan darah tinggi atau hipertensi disebabkan tingginya tekanan darah sistole atau diastole didalam tubuh seseorang yaitu tekanan darah sistole lebih dari sama dengan 140 mmHg dan tekanan darah diastole lebih dari sama dengan 90 mmHg. Meskipun risiko hipertensi pada dewasa muda tinggi, tetapi dengan perubahan gaya hidup seperti peningkatan asupan kalium, natrium dan status gizi, risiko tersebut bisa berkurang. Oleh karena itu, peneliti tertarik untuk mengetahui asupan kalium, natrium dan indeks masa tubuh pada dewasa muda penderita hipertensi. Penelitian ini menggunakan desain penelitian deskriptif dengan pendekatan survey. Metode pengambilan data secara observasional, wawancara, dan pengisian kuesioner. Penelitian dilaksanakan di Puskesmas Kahuripan dan waktu penelitian pada bulan Mei -September 2019. Sampel dipilih secara purposive sampling sesuai dengan kriteria inklusi dan eksklusi yang ditentukan, yaitu pasien hipertensi dewasa muda. Hasil penelitian menunjukan bahwa terdapat hubungan antara umur dengan hipertensi tetapi tidak terdapat hubungan antara status gizi, asupan kalium, asupan natrium dengan hipertensi
PERBANDINGAN EFEKTIVITAS RIVAROXABAN DAN WARFARIN DALAM MENGATASI KEJADIAN EMBOLI PADA PASIEN DENGAN ATRIAL FIBRILASI
Authors: Tamara Filipo David
Published: May 2023

Atrial Fibrillation (AF) is one of the most common types of cardiac arrhythmias caused by abnormal electrical activity in the heart's atria. A study conducted in Indonesia on the urban population in Jakarta obtained an AF incidence rate of 0.2% with a male to female ratio of 3:2. Oral anticoagulant therapy is the standard therapy for AF to prevent stroke and systemic embolism. The most widely used oral anticoagulants are Vitamin K Antagonist (VKA) such as Warfarin and Direct Oral Anticoagulants such as Rivaroxaban. This literature author conducted to compare the effectiveness. Warfarin and Rivaroxaban in dealing with embolic events in AF patients to find out which type of anticoagulant should be used. The literature sources used were Pubmed, Google Scholar, Medline, Ebsco, Hindawi, Science Direct and Cochrane. Anticoagulants have been used to prevent embolic disease in AF patients and the drug classes used are DOAC and VKA. Based on a literature search it was found that Rivaroxaban can reduce the risk of stroke and systemic embolism as well as major bleeding events compared to Warfarin. Rivaroxaban has been shown to have superior effectiveness compared to warfarin and can be used as an alternative drug in treating embolic events in AF patients.
Hubungan Antara Kedekatan dan Lama Domisili Di Sekitar TPA Kebon Kongok Desa Suka Makmur Gerung NTB Dengan Arus Puncak Ekspirasi Pada Ibu Rumah Tangga
Authors: Bhagaskara Hafidz Reginald , Priono Risky Irawan Putra , Zoraya Sabrina Intan , Winangun I Gusti Putu
Published: May 2023

Peak Expiratory Flow (PEF) is a simple measurement of the maximal flow rate achieved during a strong expiration following a full inspiration. PEF is used as an indicator of lung function. Decreased lung function can be caused by gases emitted from landfill sites. TPA Kebon Kongok is the largest landfill in the province of NTB, which has been operating since 1993. The landfill used open dumping system for a long time before switching to sanitary landfill in 2021. This situation can lead to gas exposure for residents living near the landfill, especially for housewives who spend a lot of time at home. Therefore, this study aims to investigate the relationship between proximity and length of residency around TPA and PEF in housewives. The study was conducted in Suka Makmur village by comparing two hamlets near and far from the landfill. The nearest hamlet (0-1 km) from the landfill was Kedatuk, while the farthest hamlet (1-2 km) was Ketejer. The study used a cross-sectional design with proportionate stratified random sampling technique. The total sample in this study was 183, consisting of 110 samples from the near hamlet of Kedatuk and 73 samples from the far hamlet of Ketejer.There was a significant statistical relationship between proximity to the landfill and PEF (p-value 0.001), while there was no significant relationship between length of residency and PEF (p-value 0.421).There is a significant relationship between proximity to the landfill and PEF, while there is no significant relationship between length of residency and PEF.
HUBUNGAN FUNGSI KOGNITIF DENGAN KUALITAS HIDUP LANSIA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS CIMALAKA
Authors: Noviyanti Hani , Haryeti Popon , Nuryani Reni
Published: May 2023

Lansia adalah situasi bertambahnya usia seiring waktu, dalam kondisi ini individu lebih rentan mengalami masalah kesehatan seperti hipertensi, atau penurunan fungsi tubuh seperti menurunnya fungsi kognitif yang ditandai dengan menurunnya memory, Intelligent Quotient (IQ), pemahaman, pemecahan masalah, pengambilan keputusan, dan motivasi. Kondisi seperti ini menyebabkan penurunan kualitas hidup seperti timbulnya masalah ekonomi, sosial, kesehatan, dan psikososial. Penelitian dilakukan untuk mengetahui hubungan fungsi kognitif dengan kualitas hidup lansia hipertensi. Penelitian ini menggunakan metode kuantitatif dengan pendekatan korelasional. Populasi dalam penelitian ini adalah 104 orang dengan pengambillan sampel berjumlah 51 orang yang diambil dengan teknik cluster sampling. Pengumpulan data menggunakan kuesioner MMSE untuk mengukur nilai fungsi kognitif lansia dan WHOQOL-BREF. Hasil analisis menunjukkan sebanyak 18 orang (35,3%) mengalami gangguan fungsi kognitif ringan, begitu pula 18 orang (35,3%) mengalami gangguan fungsi kognitif berat. Dan sebanyak 26 orang mengalami kualitas hidup yang baik (51,0%). Hasil uji Chi square didapatkan nilai p=0,000, sehingga menunjukkan ada hubungan antara fungsi kognitif dengan kualitas hidup lansia penderita hipertensi di wilayah kerja Puskesmas Cimalaka. Pengaruh ini ditimbulkan karena adanya faktor penurunan fungsi kognitif sehingga berdampak pada kemampuan lansia menjalankan aktivitas sehari-hari. Maka disarankan agar lansia memelihara kesehatan fisik dan psikologis, sehingga aktivitas sehari-hari dapat berjalan dengan baik.
HUBUNGAN STATUS GIZI TERHADAP KADAR ALBUMIN SERUM PADA IBU HAMIL: LITERATURE REVIEW
Authors: Irna Lista , Sitorus Rico J. , Flora Rostika
Published: May 2023

Albumin adalah sebuah indikator spesifik untuk menilai kekurangan energi kronis (KEK) pada wanita hamil. Studi ini bertujuan untuk menilai hubungan antara asupan protein dengan kadar albumin serum ibu hamil pada trimester pertama KEK. Untuk semua studi yang relevan, tiga database (PubMed, Embase, dan Perpustakaan Cochrane) ditelusuri hingga 27 Mei, 2021. Tidak ada batasan bahasa yang diterapkan. Studi yang memenuhi kriteria inklusi berupa: (1) penelitian yang melaporkan kadar albumin serum ibu hamil; (2) yang dirancang sebagai uji coba terkontrol secara acak atau studi observasional; (3) yang menyediakan kuantitatif ukuran kadar albumin serum dan perkiraan yang sesuai efek. Data dari setiap studi diekstraksi berdasarkan inklusi yang ditentukan sebelumnya kriteria, termasuk penulis pertama, tahun publikasi, geografis lokasi, jenis studi, peserta (jenis kelamin, usia, dan ukuran sampel), penyesuaian untuk perancu, kategori albumin serum dan odds ratio yang disesuaikan (OR) dengan interval kepercayaan 95% (CI) untuk setiap kategori albumin serum. Hasil analisa dari 10 artikel menunjukkan bahwa terdapat hubungan yang signifikan antara asupan protein dan kadar serum pada ibu hamil timester pertama dengan KEK. Kesimpulan dari studi ini adalah terdapat hubungan asupan protein dengan kadar serum albumin pada wanita hamil trimester pertama dengan KEK.
Behavior of Partially Saturated Cohesive Soil under Strip Footing
Authors: Fattah Mohammed Yousif , Ahmed Mahmood Diab , Mohammed Hadeel Ammar
Published: May 2023

In this paper, a shallow foundation (strip footing), 1 m in width is assumed to be constructed on fully saturated and partially saturated Iraqi soils, and analyzed by finite element method. A procedure is proposed to define the H – modulus function from the soil water characteristic curve which is measured by the filter paper method. Fitting methods are applied through the program (SoilVision). Then, the soil water characteristic curve is converted to relation correlating the void ratio and matric suction. The slope of the latter relation can be used to define the H – modulus function. The finite element programs SIGMA/W and SEEP/W are then used in the analysis. Eight nodded isoparametric quadrilateral elements are used for modeling both the soil skeleton and pore water pressure. A parametric study was carried out and different parameters were changed to study their effects on the behavior of partially saturated soil. These parameters include the degree of saturation of the soil (S) and depth of water table. The study reveals that when the soil becomes partially saturated by dropping water table at different depths with different degrees of saturation, the bearing capacity of shallow foundation increases about (4 – 7) times higher than the bearing capacity of the same soil under saturated conditions. This result is attributed to matric suction value (i.e negative pore water pressure). The behavior of soil in partially saturated condition is likethat of fully saturated condition but with smaller values of displacement. It is found that the settlement is reduced when the water table drops to a depth of 2 m (i.e. twice the foundation width) by about (92 %).
Evaluation of Convective Heat Transfer and Natural Circulation in an Evacuated Tube Solar Collector
Authors: Al-Mashat Saad M. Saleh , Hasan Abbas Ahmed
Published: May 2023

The evacuated tube solar collector ETC is studied intensively and extensively by experimental andtheoretical works, in order to investigate its performance and enhancement of heat transfer, for Baghdad climatefrom April 2011 till the end of March 2012. Experimental work is carried out on a well instrumented collectorconsists of 16 evacuated tubes of aspect ratio 38.6 and thermally insulated tank of volume 112L. The relationbetween convective heat transfer and natural circulation inside the tube is estimated, collector efficiency, effect oftube tilt angles, incidence angle modifier, The solar heating system is investigated under different loads pattern (i.eclosed and open flow) to evaluate the heat loss coefficient from tank and tubes, test the collector with variousaspect ratios (32.9 and 27.2). The enhancement in collector performance is studied by using two reflectors (FlatPlate and Curved Plate) and nanofluid (Water-AL2O3).Theoretical work is run by software (Fluent 6.3), to computethe velocity and temperature profiles within the tube, for different tube diameters, effect of tube junction angle andstagnant region in the bottom of the evacuated tube. The experimental results shows that the heat loss coefficientfor tube is W/m2.K and for tank is W/m2.K, the maximum collector temperature is 79°C in winter and99°C in summer, while that belong to nanofluid collector is 99°C in winter. The best tilted angle (optimum) ofevacuated tube is 41° annually. The collector efficiency increased when using nanofluid of (1, 0.6, 0.3)% volumefraction as(28.4, 6.8, 0.6)% respectively. The efficiency decreases as (33, 62)% when decreasing tube aspect ratiofrom 38.6% to 32.9% and 27.2% respectively. An increase of (16.9 and 7.08)% in collector efficiency is obtainedwhen using curved and flat plate reflectors respectively. From simulation the best junction angle of the tank is22.5°. The stagnant region is influenced with changing heat flux, tilted angle and aspect ratio.
Theoritical and Experimental Investigation of the Dynamical Behaviour of Complex Configuration Rotors
Authors: Jweeg Mohsin Juber , Ismail Mahmud Rasheed , Hwady Zainab Mohammed Hwady
Published: May 2023

The present work considers an alternative solution for a complex configuration of rotor discs by applying Galerkin Method. The theoretical model consists of elastic shaft carrying number of discs and supported on number of journal bearings. The equation of motion was discretized to finite degree of freedom in terms of the system generalized coordinates. The various effects of the dynamical forces and moments arising from the bearing, discs and shaft were included. Rayleigh beam model is used for analyzing the shaft while the discs are considered rigid . The validity and convergence of the present analysis was carefully checked by comparing with the Finite Element solution. An example of rotor consists of three different size discs and supported by two journal bearing was considered for the numerical solution .The results shows good agreements between the two methods ,where the maximum error not exceeds 5%. The convergence test showed that using few modes (not more than 6) are sufficient for the accurate analysis. The forward and backward whirl was investigated experimentally .The experimental results of a two discs rotor ,show a reasonable agreement where the maximum error not exceeds 11%. The unbalance response, Cambpell diagram, orbit response were plotted .The effects of geometry, disc sizes , location and arrangement on the unbalance response and natural frequencies of three discs rotor were further investigated .
An Experimental Study of the Effects of Coolant Fluid on Surface Roughness in Turning Operation for Brass Alloy
Authors: Hussein Suhair Ghazi
Published: May 2023

The effect of different cutting fluids on surface roughness of brass alloy workpiece during turning operation was carried out in this research. This was performed with different cutting speed, while other cutting parameters had been regarded as constants(feeding rate , and depth of cut). Surface roughness of machined parts that will be tested by electronic surface roughness tester .The results show that the standard coolant gives the best values of surface roughness for fixed cutting speed ,followed by sun flower oil that has approximately the same effect, while the air stream as a coolant gave unsatisfied results for the evaluation of surface roughness.

In the other hand the best values of surface roughness were recorded for maximum cutting speed with all other types of cutting fluids.
Role of Hysteroscopy on Infertility: The Eternal Dilemma
Authors: Gulisano Marianna , Gulino Ferdinando Antonio , Incognito Giosuè Giordano , Cimino Monia , Dilisi Valentina , Di Stefano Alessandra , D’Urso Valentina , Cannone Francesco , Martire Francesco Giuseppe , Palumbo Marco
Published: May 2023

Hysteroscopy is the gold standard tool for endoscopic visualization of the uterine cavity and it assesses a simultaneous detection and treatment of intracavitary anomalies with greater accuracy than other methods. The most common uterine abnormalities, including endometrial polyps, submucosal myomas, uterine septum and intrauterine adhesions, are common in infertile women. It is object of debate whether diagnostic and/or operative hysteroscopy should be considered in the basic work-up of infertile couples.
Does Closed Incision Negative Pressure Wound Therapy Reduce Surgical Site Infection in Endometrial Carcinoma Patients Undergoing Laparotomy? A Multicentre Retrospective Cohort Study
Authors: Montgomery Alison , van Eeden Lulu , Boo Marilyn , Maul Kayleigh , de Silva Karl , Klasan Antonio , Sedgwick Philip Martin , Eva Lois , Bergzoll Cecile
Published: May 2023

Background: Endometrial cancer is the most common gynaecological cancer and has a strong association with obesity. Surgical site infection (SSI) carries high morbidity and is more frequent in obese patients. Closed incision negative pressure wound therapy (ciNPWT) has been proposed to reduce wound morbidity but is more expensive than standard dressings whilst the evidence has been very heterogenous. There is limited evidence to justify this expensive dressing as related to its effectiveness in gynaecological oncology patients. ciNPWT was introduced in New Zealand in 2017 based on the available evidence from studies on SSI in the obstetric population. The aim of this study is to investigate the rate of SSI in patients with endometrial carcinoma undergoing laparotomy using standard surgical dressings compared to ciNPWT. Methods: We performed a retrospective analysis of 170 patients who underwent a laparotomy for endometrial carcinoma between 2018 and 2019 across three hospitals in New Zealand after the introduction of ciNPWT. Dressings were applied according to individual surgeons’ preferences. Standard dressings and ciNPWT were compared in the occurrence of SSI, wound dehiscence, readmission and return to theatre rates using logistic regression in order to account for potential confounding due to the patient demographics and oncologic and surgical characteristics. Results: There were 129 patients in the standard dressing group and 41 patients in the ciNPWT group. The mean age was 60.4 years (range 25–86). The mean body mass index (BMI) was 38.2 kg/m2 (range 20–69 kg/m2). The percentage of patients who experienced a SSI was higher in the ciNPWT group (34.2% vs. 20.9%; p = 0.159). There was no significant difference between the dressing groups in the occurrence of superficial SSI rate, return to theatre, or readmission. Wound dehiscence and deep/organ space SSI were however worse with ciNPWT (adjusted odds ratio (aOR) 4.09 and aOR 7.19, respectively). Conclusions: This study demonstrated no evidence for the benefit of ciNPWT, and higher rates of deep/organ space SSI. More randomised trials are needed to investigate whether gynaecological oncology patients may benefit from ciNPWT thus justifying the extra cost of this dressing.
Overweight might Affect the Live Birth Rate after Frozen Thawed Embryo Transfer Cycles in Chinese Women
Authors: Cai Meihong , Jiang Sushi , Luo Xiaohuan , Zhu Yaqiao , Wang Wei , Peng Yaya , Xia Wei
Published: May 2023

Background: Overweight affects about 34.3% of Chinese adults, especially women of childbearing age. The purpose of this study was to investigate whether overweight affect the live birth rate of frozen-thawed embryo transfer (FET) cycles in Chinese mothers. Methods: This retrospective case-control study was conducted in all patients undergoing FET cycles from May 2016 to October 2020 at a single center. A total of 969 FET cycles performed in 632 patients were included in the analysis. Patients were divided into the four groups based on the mother’s body mass index (BMI): Group 1: BMI <18.5 kg/m2; Group 2: 18.5 kg/m2 ≤ BMI <24 kg/m2; Group 3: 24 kg/m2 ≤ BMI <28 kg/m2; Group 4: BMI ≥28 kg/m2. The main outcome indicator was the live birth rate per FET cycle. The secondary endpoints included rates of biochemical clinical pregnancy, clinical pregnancy, implantation, multiple pregnancy and miscarriage. Results: Ovarian reserve parameters were similar among the four groups (p = 0.382 for anti-Müllerian hormone and p = 0.195 for antral follicle count). Additionally, the rates of chemical pregnancy, clinical pregnancy, implantation and live birth were comparable in the four groups. Pregnancy outcomes were similar among the four groups using logistic regression analysis adjusting for age, anti-Müllerian hormone (AMH), antral follicle count (AFC), endometrial thickness, indication combined with polycystic ovarian syndrome (PCOS), duration of infertility (years), stage of embryos transferred, previous attempts, protocol of endometrial preparation, number of embryos transferred, and BMI. A decreasing tendency in the rates of clinical pregnancy (p = 0.032) and live birth (p = 0.011) with BMI change was observed through Chi Square for Trend test. Conclusions: Overweight might reduce the possibility of live birth after FET cycles in Chinese mothers.
Conservative Laparoscopic Surgery for Intramural Ectopic Pregnancy: A Summary of Twelve Case Reports
Authors: Xie Haixia , Liu Bao , Huang Jianrong
Published: May 2023

Background: Intramural pregnancy (IMP) is a special type of ectopic pregnancy. The cause of the disorder nor a uniform effective treatment plan, either pharmacological or surgical treatment, has been reported. Pharmacological treatments have been associated with poor clinical outcomes and a higher risk of bleeding during treatment. Laparoscopic surgery for intramural pregnancy has been reported and timely diagnosis and early treatment by laparoscopy can reduce the adverse impact on female fertility. However, the safety and efficacy of laparoscopic treatment of intramural pregnancy has not been adequately evaluated. Methods: To evaluate the effectiveness of laparoscopic therapy of intramural pregnancy, we retrospectively selected clinical data from 12 patients with IMP treated by laparoscopy in our gynecology department (From January 2010 to December 2021). We collected clinical data from medical records, including: maternal age, gestational sac location, duration of amenorrhea, clinical symptoms, previous surgical history, pregnancy history, serum β-HCG (human chorionic gonadotropin) level, intraoperative bleeding and time of postoperative hospital stay. Results: All patients with intramural pregnancy who underwent laparoscopic surgery had their uterus preserved. Serum β-hCG decreased significantly after the operation and the average intraoperative blood loss was (50.9 ± 5.5) mL. The average length of stay was (5.4 ± 0.6) days resulting in an average hospital cost of 10,487 ± 548 RMB. Conclusions: Laparoscopic surgery is an effective and beneficial method for treating early intramural pregnancy preserving women’s uterus and protecting her future fertility.
Danggui-Shaoyao-San Promotes Amyloid-β Clearance through Regulating Microglia Polarization via Trem2 in BV2 Cells
Authors: Chen Gongcan , Han Mengmeng , Chen Yi , Lei Yaling , Li Min , Wang Li , Wang Chen , Hu Yangxue , Niu Jinghu , Yang Cong , Mo Yousheng , Wang Qi , Yang Lin , Chang Xiang
Published: May 2023

Background: Alzheimer’s disease (AD) is a chronic neurodegenerative brain disorder currently without satisfactory therapeutic treatments. Triggering receptors expressed on a myeloid cells-2 (Trem2) gene mutation has been reported as a powerful AD risk factor that induces Trem2 gene deletion aggravated microglia disfunction and Amyloid-β (Aβ) aggregation in the brain. The traditional Chinese medicine (TCM) formula Danggui-Shaoyao-San (DSS) has shown therapeutic effect on alleviating the symptoms of AD. However, the neuroprotective effect and underlying mechanism of DSS against AD is still far from fully understood. Methods: Double-label immunofluorescence and Western blotting were employed to evaluate the different polarization states of mouse BV2 microglial (BV2) cells after lipopolysaccharide (LPS) or interleukin (IL)-4 treatment. Trem2 over-expression lentiviral vector and Trem2 siRNA were used respectively to evaluate the effect of Trem2 on microglia polarization via detecting the proteins expression of iNOS and arginase1 (Arg1) by Western blotting while the Aβ-scavenging capacity of BV2 cells was assessed by flow cytometry. Cell counting kit-8 (CCK8) assay was performed to assess the effect of DSS on the viability of BV2 cells. Flow cytometry was used to investigate the effect of DSS on the Aβ-scavenging capacity of BV2 cells treated with corresponding concentration of DSS-containing serum. Protein of Trem2 and the gene expression of the M1 or M2 phenotype in BV2 cells treated with DSS after Trem2 over-expression or silence were detected by Western blot and RT-qPCR, respectively. Results: In vitro experiments. DSS exhibited anti-inflammatory and neuroprotective functions. It was found that Trem2 had an effect on inducing a shift of M1 microglia towards the M2 phenotype and enhanced the Aβ-scavenging capacity of BV2 cells, further that DSS administration relieved inflammation by engulfing Aβ through the activities of Trem2. Importantly, DSS treatment effectively increased the Aβ-scavenging capacity of BV2 cells through accelerating the shift of M1 microglia towards an M2 phenotype via increasing Trem2 expression. Conclusions: Results demonstrated that DSS promoted the clearance of Aβ through the regulation of microglia polarization via increased expression of Trem2 in BV2 cells.