bluuebunny/crossref_metadata_2025 huggingface dataset:
Edukasi Personal Hygiene Selama Mestruasi Pada Remaja Putri
Authors: Bandur Patrisia M.S , Centis Maria Conchita Leyla , Mami Geusepina D. , Serni Elisabeth J. , Talun Yuliana , Delasetia Maria S. , Letra Oktaviani , Hartiarni Tekla , Yudit Oktaviani , Pagung Astriana , Anut Apolonia
Published: July 2024

ABSTRAK Kesehatan reproduksi merupakan salah satu aspek yang penting yang perlu dijag dengan baik oleh remaja putri. Saat ini banyak terjadi infeksi pada system reproduksi akibat kurangnya kebersihan selama menstruasi salah satunya adalah flour albus. Memberikan edukasi kepada remaja putri tentang personal hygiene selama menstruasi. Kegiatan ini menggunakan metode penyuluhan. Sasaran pada kegiatan ini adalah remaja putri di SMA berjumlah 50 orang. Evaluasi kegiatan dilakukan dengan pre test dan post test. Sebelum dilakukan kegiatan penyuluhan, tim kegiatan melakukan pre test terelbih dahulu, pre test dilakukan hanya pada remaja putri. Diketahui bahwa dari 50 orang remaja putri, 13 orang memiliki pengetahuan yang kurang dan 37 orang memiliki pengetahuan yang cukup. Setelah diberikan penyuluhan dilakukan lagi post test untuk mengetahui pemahaman remaja putri. Dari 50 orang remaja putri 47 memiliki pengetahuan yang baik dan 3 orang memiliki pengetahuan yang cukup tentang personal hygiene selama menstruasi. Edukasi tentag personal hygiene selama menstruasi memberikan peningkatan terhadap pengetahuan remaja putri. Kata Kunci: Edukasi, Personal Hygiene, Menstruasi, Remaja Putri  ABSTRACT Health Reproductive health is one of the important aspects that needs to be taken care of well by adolescent girls. Currently there are many infections in the reproductive system due to lack of hygiene during menstruation, one of which is flour albus. To educate adolescent girls about personal hygiene during menstruation. during menstruation. This activity uses the method of counseling method. The targets of this activity were 50 adolescent girls in high school. people. The evaluation of the activity was carried out by pre-test and post-test. Before the activity was carried out counseling activities, the activity team conducted a pre-test first, the pre-test was conducted only on adolescent girls. only on adolescent girls. It was found that out of 50 adolescent girls, 13 people had insufficient knowledge and 37 people had sufficient knowledge. After being given counseling, a post test was conducted again to find out understanding of adolescent girls. Of the 50 adolescent girls 47 had good knowledge and 3 had sufficient knowledge about and 3 people have sufficient knowledge about personal hygiene during menstruation. during menstruation. Education about personal hygiene during menstruation provides an increase inknowledge of adolescent girls. keywords: Education, Personal Hygiene, Menstruation, Adolescent Girls
Kesiapan Perempuan dalam Menghadapi Menopause Pada Kader Posyandu Balita Gisikcemandi
Authors: Kurniawaty Yuni , Silalahi Veronica , Winarni Sri
Published: July 2024

ABSTRAK Perempuan Kader Posyandu di Gisikcemandi beberapa perempuan bertanya mengenai ketidaknyamanan kondisi tubuh dan terdapat beberapa perempuan yang sudah berusia sekitar 50 tahun menanyakan tentanga berhentinya menstruasi. Tujuan kegiatan ini adalah meningkatkan pengetahuan dan meningkatkan kesiapan mitra yaitu Kader Posyandu Balita Belanak Gisikcemandi dalam menghadapi menopause. Metode yang dilakukan metode partisipatoris Participatory Rural Apraissal (PRA). Pelaksanaan kegiatan pengabdian kepada masyarakat diawali dengan perijinan kepada Kepala Desa Gisikcemandi, koordinasi dengan mitra, pembagian tugas diantara tim pelaksana. Partisipasi mitra dilakukan dengan mempersiapkan tempat dan alat pengeras suara. Proses diskusi berlangsung dengan lancar, mitra sangat memperhatikan penjelasan yang diberikan, beberapa pertanyaan diajukan kepada tim pelaksana. Hasil terdapat peningkatan pengetahuan mitra tentang menopause dengan tingkat pengetahuan baik 81,25% setelah diberikan pendidikan kesehatan kepada mitra. Tingkat pengetahuan cukup dan kurang mengalami penurunan. Tingkat stress mengalami penurunan 50% menjadi mayoritas stres ringan. Diharapkan dengan adanya peningkatan pengetahuan dan penurunan stres dalam menghadapi menopause maka kesiapan mitra dalam menghadapi menopause semakin baik. Kata Kunci: Pendidikan Kesehatan, Manajemen Stre, Kesiapan Menghadapi Menopause   ABSTRACT Female Posyandu Cadres in Gisikcemandi, several women asked about discomfort in their bodies and there were several women who were around 50 years old asking about the cessation of menstruation. The objective of this activity is to increase knowledge and improve the readiness of partners, namely Posyandu Toddler Belanak Gisikcemandi Cadres in facing menopause. The method used is the Participatory Rural Appraisal (PRA) method. The implementation of community service activities begins with permission from the Head of Gisikcemandi Village, coordination with partners, and division of tasks among the implementing team. Partner participation is carried out by preparing a place and a loudspeaker. The discussion process went smoothly, partners paid close attention to the explanation given, several questions were asked to the implementing team. The results showed an increase in partner knowledge about menopause with a good level of knowledge of 81.25% after health education was given to partners. The level of knowledge was sufficient and lacking decreased. Stress levels decreased by 50% to a majority of mild stress. It is hoped that with increased knowledge and decreased stress in facing menopause, partner readiness in facing menopause will be better.  Keywords: Health Education, Stress Management, Readiness for Menopause
Stress Coping Framework As an Effort To Improve Quality of Life Patients with Chronic Obstructive Pulmonary Disease: A Literature Review
Authors: Sutrisno Sutrisno , Rondhianto Rondhianto , Susanto Tantut
Published: July 2024

ABSTRACT  COPD patients usually experience a decrease in quality of life due to COPD symptoms such as coughing, shortness of breath,exacerbationAcute disease and comorbidities that occur in COPD patients cause limitations in daily activities. Stress coping is one of the factors that causes good or bad self-care behavior in COPD patients. To describe the influence, stress coping and level of selfcare in COPD patients on their quality of life. The method of this study is a literature review. Literature searches using electronic databases such as PubMed, Google Scholar and Science Direct. A literature review was carried out on international journals published in the last 5 years, available in full text. The keywords used were "self-care", stress coping" and "quality of life" for COPD patients. The selection of articles followed the PRISMA approach. This review summarizes eighteen articles. Five articles discussed self-care, the SelfEfficacy scale, and discriminative validity with higher self-care scale scores in individuals with greater COPD severity and poorer health status. Five articles discuss coping stress in COPD sufferers. COPD patients who have good knowledge will have more coping mechanism strategies so that their quality of life becomes more prosperous. Seven articles discussed the quality of life of COPD sufferers. If a COPD patient has good stress coping and strong confidence and confidence in his or her abilities, this will influence self-care actions and improve the COPD patient's quality of life. Future researchers are encouraged to explore similar research themes using other journal search engines to enrich the study. Keywords: Self Care, Stress Coping, Quality Of Life, COPD
Relationship Between Level of Maternal Knowledge about Nutrition of Pregnant Women with the Incidence of Stunting in Children Under Five
Authors: Johan Erik , Firdaus Achmad Dafir , Febriani Reny Tri , Trigantara Regista
Published: July 2024

ABSTRACT Stunting can be caused by several factors, including poor nutritional intake during pregnancy in toddlers. Some of them are readiness to become mothers where this is motivated by a very high rate of early marriage. Unpreparedness in facing motherhood can affect perceptions in parenting. This study aims to determine the relationship between the level of maternal knowledge about nutrition of pregnant women with the incidence of stunting in children under five in Sisir Village, Batu City with a cross-sectional analytical descriptive design involving 56 respondents consisting of maternal respondents and toddlers aged 1-5 years with purposive sampling techniques.  Data were collected with maternal knowledge level questionnaires during pregnancy and z score graphs. Results: Data analysis using Spearman Rank test with α = 0.05. The results showed that the significance value (sig) or p value was 0.009. Because the value of sig (0.009) > (0.05) with a correlation value of 0.347, the results of the data obtained from respondents mean h0 rejected h1 accepted. There is a relationship between the level of knowledge of parents and the incidence of stunting in toddlers.  The results of the study concluded that there is a significant relationship between the level of knowledge of parents and the incidence of stunting in toddlers. Discussion: In Batu city comb sub-district. It is hoped that mothers can try to find knowledge and information related to nutrition and other factors that can cause stunting, and mothers can start paying attention to nutrition during pregnancy for preventive measures against the impact of stunting on the development of the next child at birth. Keywords: Maternal Knowledge, Gestation Period, Incidence Of Stunting
Economic issues in the activity of the Russian Academy of Sciences in the pre-revolutionary period
Authors: Urunov Asror A. ,   State University of Management, Usmanov Daler I. , Rybina Marina N. , Morozova Irina M. ,   Market Economy Institute of RAS,   Financial University under the Government of the Russian Federation,   State University of Management,   State University of Management
Published: July 2024

A significant place in the activities of the Russian Academy of Sciences for two centuries was occupied by both purely economic issues and research that directly influenced the economic development of the country and overcoming its economic backwardness. In different years of the Academy’s existence, in difficult conditions of external and internal influence, academicians carried out consistent work, which allowed the Russian scientific community to give worthy answers to the challenges of the time. An appeal to scientific research and specific purely practical activities of prominent figures of pre-revolutionary Russia is, on the one hand, a tribute to the memory of our great compatriots, and, on the other hand, an actualization of the rich heritage of their ideas, plans and deeds in the context of modern problems of the country’s socio-economic development.
Histomorphological assessment of the germanium-doped calcium phosphate ceramics on reparative osteogenesis in rabbits with systemic osteoporosis
Authors: Todosiuk T. , Rublenko А.
Published: July 2024

Bone fractures are mostly urgent in nature, complex in pathogenetic, diagnostic and therapeutic aspects, and reparative osteogenesis is multimodal and depends on the balanced and reciprocal interaction of many factors. The results of histological studies for osteoreplacement of bone defects in rabbits with systemic osteoporosis are presented. The purpose of the work is histomorphological evaluation of bone regenerates after osteoreplacement with germanium-doped hydroxyapatite ceramics in rabbits with secondary osteoporosis. Experimental osteoporosis in rabbits (n=18) was induced by administration of 0.4% dexamethasone solution. In animals of the experimental group, bone defects were replaced with granules of hydroxyapatite ceramics doped with germanium, and in animals of the control group, they healed under a blood clot. Histological sections were made on a rotary microtome with a thickness of 5 to 10 μm and stained with Weigert's iron hematoxylin and 1% alcohol-based eosin solution (manufactured by Diapath, Italy). On the 60th day of reparative osteogenesis in the animals of the experimental group, the site of the bone defect was flled with compact bone tissue with minor remnants of spongy bone tissue. Slightly expanded Haversian canals were noted. In the control group, the defect site was flled with coarse and spongy bone tissue. Bone beams of various thicknesses with a small number of osteoblasts and single walled osteocytes were visualized. A signifcant number of osteocyte lacunae were empty due to the process of osteocyte lysis. Haversian canals are signifcantly dilated with a small number of vessels. Also, lacunae of bone tissue resorption and acellular areas were observed on histological specimens. Histomorphological assessment of bone regenerates confrms the realization of osteoconductive, osteointegrative and osteoinductive properties of calcium-phosphate ceramics doped with germanium in conditions of osteoporotic fractures of tubular bones.
Keywords: systemic osteoporosis, bone fractures, cancellous and compact bone tissue, histological sections, histomorphological changes, rabbits.
Stone fruit crops market development in Ukraine and throughout the world
Authors: Salo I. , Zavalniuk O. , Skakun V.
Published: July 2024

he current state of the stone fruit market in Ukraine, the price situation, and the development of foreign trade are analyzed. The issue of production and sale of fruits in the world is considered. It has been established that peaches and nectarines occupy the first place among stone fruits in terms of world production. China is the leader among world producers of stone fruits.
It was determined that the needs of the population of Ukraine in stone fruits relative to the consumption rate, due to its low paying demand, are met by only 70%. Due to the concentration of the main production of these fruits in households, there is differentiation in the level of consumption. After all, the chaotic nature of their production and sale cannot ensure uniformity and sufficiency.
In our opinion, Ukrainian stone fruits remain less competitive in terms of prices than imported ones due to undeveloped infrastructure and insufficient government support for the horticulture market.
The purpose of the research is to reveal the features of the formation of the conjuncture of the global and domestic stone fruit market and further development prospects.
The variability of the market of stone fruits is manifested in the change of its conjuncture. The study of the latter was carried out based on a set of economic indicators divided into groups: production, internal turnover, foreign trade, price. In the process of research, the dialectical method of understanding market processes and the systematic approach, analytical generalizations, statistical comparison, constructive-calculation, abstract-logical method were used.
It was established that the structure and saturation of the stone fruit market is insufficiently efficient and requires an additional expansion of the quality product offer to meet the needs of consumers. The basis for this should be an increase in production volumes by horticultural enterprises. This requires additional state support, in particular for solving pricing, investment, lending and insurance issues. The problem of selling stone fruits remains acute. This is due to the insufficient development of the processing industry and the lack of storage facilities for enterprises. This limits the formation of marketable batches of fruits for export.
We believe that in the near future, in order to optimally meet the needs of consumers with fruits, it is necessary to develop a long-term program for the development of the internal market of stone fruits. It is necessary to take into account the possibilities of financial state support of the horticulture industry and forecast indicators of demand provision.
Key words: market, stone fruits, consumption, supply, demand, export, import, price.
Longevity of dairy cows depending on the age of first calving
Authors: Kompanets I.
Published: July 2024

Research to study the traits of duration of use and cows productive longevity of Ukrainian Black-andWhite dairy (UBWD) and Holstein breeds, depending on the age of frst calving, was carried out in the herd of PE "Burynske" Pidlisniv branch of Sumy district. The division of animals into gradations, depending on the age of frst calving, established that higher indicators of the duration and efciency of lifelong use were observed in animals of both breeds that frst calved at the age of 25.1-26 months. Early, before 24, and late, over 26 months, frst calving shortened lifetime, productive period, number of calvings, and reduced lifelong milk yield and milk fat. With an increase in the age of frst calving in UBWD and Holstein cows, a gradual reduction in lifetime and productive use reached a difference in these indicators between the best (25.1-26 months) and the frst calving group of more than 30 months, respectively 332 and 491 and 523 and 628 days (P<0.001). The inﬂuence of the age of frst calving on the lifetime productivity of cows of the UBWD breed was evidenced by a signifcant difference in favor of animals with the frst calving at 25.1-26 months, compared to the group of frst calving before 24 months, which was 3432 and 127 kg, respectively, in terms of lifetime milk yield and milk fat (P<0.001). The difference when comparing the groups of the frst calving older than 26.1 months by lifetime milk yield and milk fat was, respectively, 2082-12896 and 70-486 kg (P<0.001). The highest indicators of traits characterizing the longevity of Holstein cows, lifetime and productive use, were also obtained from the group of animals of the frst calving at the age of 25.1-26 months. According to these traits, there was a signifcant difference in their favor compared to the group of frst calving up to 24 months (282 and 173 days; P <0.05) and groups older than 26.1 months. (247-523 days; P<0.05-0.001 and 337-628 days; P<0.01-0.001). Animals of the frst calving at the age of 25.1-26 months, with a milk yield during life of 29337 kg, exceeded in this trait cows that frst calved earlier 24 months of age, with a difference in 3679 kg of milk (P <0.001) and animals with an age of frst calving older 26.1 months with a difference of 1790-12990 kg (P<0.05-0.001). By lifetime milk fat yield, the difference between these comparisons was 135 kg (P<0.001) and 56-486 kg (P<0.05-0.001), respectively.
Key words: Ukrainian Black-and-White dairy, Holstein, lifespan, productive use, frst calving, lifetime productivity.
Theoretical aspects of innovative technologies in pig production
Authors: Fesenko V. , Karkach P. , Mashkin Y. , Kuzmenko P.
Published: July 2024

In the context of the globalization of the economy, the development of pig breeding enterprises is possible based on the highly efcient production of livestock products. A constraining factor for development is the lack of innovative technologies in most enterprises and the insignifcant impact of the introduction of innovative activities on improving production efciency. There is an important need to implement innovative transformations that would improve the economic performance of pig breeding enterprises, saturate the market with domestically produced products, and satisfy the social demand for cheap pork. The innovative model of pig production development ensures the competitiveness of enterprises in the industry, increases the level of food security of the state, and helps to solve problems related to environmental pollution and uncontrolled use of various additives in pork production. These issues necessitate substantiation of approaches to innovative development of enterprises in the pig industry and improvement of their efciency. The experience of domestic enterprises and foreign pork producers shows that in times of economic instability, it is important to be prepared for changes in the meat market. Such readiness is ensured by the planning and implementation of innovative approaches to the pig industry at enterprises. The innovative activity of enterprises in modern conditions should be aimed at social and economic satisfaction of the population's needs and environmental safety. The article focuses on theoretical and methodological aspects of the innovative development of the pig industry. The issues of modern technologies, innovations, and innovative activity are highlighted, and the defnition of "innovative development of enterprise" is analyzed. The article analyses the direction of development of competitive pig farms, taking into account the level of technological development of production and changes in the market share of enterprises. A special approach to the formation of the development of pig enterprises based on the transition to an innovative model of ensuring their competitiveness and modernisation of production according to the criteria that meet the capital replenishment, satisfaction of market demand for pork, and a slight negative environmental impact on the environment is noted. Key words: innovations, innovative activity, innovative development of pig breeding enterprises, economic indicators, innovative approaches, pork market, food security, environmental pollution, environmental safety.
Modified Open Technique for First Port Insertion in Laparoscopic Surgery
Authors: Das Chittaranjan , Mazumder Suzon Kumar , Siddique Md Ibrahim
Published: July 2024

Laparoscopy has become the method of excellence for abdominal surgeries in modern age. The significance of a secure and dependable approach for the initial trocar insertion cannot be overstated in this surgical procedure. Our preferred method involves employing a modified open technique to access the peritoneal cavity. This study was conducted to evaluate the laparoscopic surgery of modified open technique. This cross sectional follow-up study was conducted in the Department of General Surgery Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from January 2019 to December 2022. The umbilicus was everted to make it tubular, an infra-umbilical incision was given to cut the linea alba for making an opening and advanced bluntly to introduce the first port. A total of 197 patients were studied after completion of surgery. Cholecystectomy was the most common surgical indication. The mean entry time was 3.1±0.6 minutes. Regarding the postoperative complication port site infection was 2.03% and port site hernia was 1%. There was no incidence of pre-peritoneal placement of port, port site seroma, haematoma. No mortality was found during the hospital stay of patients. Modified open technique is a quick and safe procedure for insertion of the first port in laparoscopic surgery.
Bangladesh Med J. 2023 May; 52(2): 11-14
Clinical, Microbiological Profile and Antibiotics Use in Admitted Patients of Urinary Tract Infection
Authors: Singh Harpreet , Suri Vikas , Mohan Balvinder , Mohindra Ritin , Taneja Neelam , Bhalla Ashish
Published: July 2024

Urinary tract infections (UTI) can vary from simple cystitis to pyelonephritis with severe sepsis. The objective of this study is to provide information about the clinical and microbiological profile of admitted patients of urinary tract infection, patterns of organisms isolated, antibiotic sensitivity pattern and antibiotics use. It was a prospective observational study conducted on 40 patients age >14 years admitted with diagnosis of UTI based on clinical and microbiological criteria over 8 months at a tertiary care hospital in North India. Data was collected for the clinical, microbiological profile, empirical and definite antibiotics use with duration of stay and outcome of patients. Among 40 cases of UTI; male to female ratio was 1:1 with mean age of 51.3± 16.32 years. Fever was present in almost all (97.5%) of the patients and three-fourth (75%) of them had dysuria. Type-2 Diabetes Mellitus was most common (55%) underlying condition and mean HbA1c was 9.37±2.27 followed by obstructive uropathy (17.50%). Most of cases (82.5%) were of complicated UTI; where Pyelonephritis was 42%, Emphysematous Pyelonephritis 12.5% and Renal Abscess 7.5%. Most common (37.5%) organism isolated from urine/ pus culture was Escherichia coli. More than half of the patients (55%) were given empirical antibiotics injection piperacillin tazobactam and carbapenems was used in more than one third (35%) of patients. The mean  duration of antibiotics use was 14.55±4.94 days. Two (5.0%) patients expired out during the study period. Uncontrolled Diabetes Mellitus remains the major underlying condition in cases of complicated UTI. E coli is the most common organism isolated from urine/ pus culture. Most of the patients had favourable outcome with guided antibiotics and interventions.
Bangladesh Med J. 2023 May; 52(2): 15-19
Spectrum of Upper Gastrointestinal Endoscopy Findings in Patients with Dyspepsia
Authors: Faruque Chowdhury Md Nahian , Saha Modhusudhan , Sur Chowdhury Moloy Kumar
Published: July 2024

Introduction: This retrospective study was designed to see the endoscopic findings in patients with dyspepsia. Materials and Methods: This was a hospital-based retrospective observational study which included adult patients who underwent upper gastrointestinal endoscopy for dyspepsia from December 2020 to November 2022. Result: Total of 802 patients, male 405 (50.5%) and female 397 (49.5%), age ranging from 14 to 87 years (mean 42.2382 and SD 15.45) were included in this study. Most common abnormal endoscopic finding was non erosive antral gastritis seen in 341 patients (42.5%), followed by pangastritis in 63 (7.86%) and erosive antral gastritis in 52 (6.48%) patients, duodenal ulcer disease including active, with or without outlet obstruction and remission phase 127 (15.82%), gastric ulcer 34 (4.24%) and oesophageal varices 21 (2.62%). In addition, 24 (2.99%), seven (0.87%) and five (0.62%) patients had carcinoma stomach, carcinoma oesophagus and carcinoma duodenum respectively with higher incidence among elderly patients. While, duodenal malignancy and haital hernia were more common in elderly patients, erosive antral gastritis and pangastritis were more common at younger age groups. However, oesophageal varix, duodenal ulcer and antral carcinoma were more common among male patients. Conclusion: Gastritis was the most common endoscopic finding among dyspeptic patients. The incidence of upper GI malignancy was low, but comparatively higher in elderly patients.
Medicine Today 2024, Vol.36 (2): 90-94
Exploring the Incidence of Malignancy in Thyroid Swelling: A Cross-Sectional Perspective
Authors: Alam Mazumder Md Jahangir , Delwar A H M , Morshed Khan Arif , Hoque Mazumder Md Monirul , Zaman Saad , Javed Aqiv , Akter Dilruba , Uddin Miah Md Taslim
Published: July 2024

Introduction: Thyroid malignancy is a global health problem. It is the most common among all endocrine malignancies. The incidence of thyroid cancer is increasing all over the world. Bangladesh is not exempted. The worldwide prevalence of goiter in the general population is estimated at 4-7%. The incidence of malignancy in goitrous thyroid is about 10%. An increased incidence of thyroid carcinoma has been noted in endemic goiter zones. Bangladesh also has some goitrous zones. The frequency of carcinoma is two times higher in solitary thyroid nodules than in multinodular goiter. Male patients with thyroid swelling showed a high incidence of malignancy. Objective: The study aims to find out the incidence of malignancy in thyroid swelling in a tertiary level hospital of Bangladesh. Materials and Methods: It is a cross-sectional observational study done in the department of ENT & HNS, Cumilla Medical College Hospital from January 2023 to December 2023 with 60 hospitalized patients of different thyroid swelling undergone surgery. Results: In this series of 60 patients of thyroid swelling the age of the patients ranged from 15 to 80, the mean age was 37.73. There were 53 females (88.33%) and 07 males (11.66%) with female to male ratio of 7.6:1. Among the non-neoplastic group (n=33;55%) nodular goitre had the highest incidence (n=20;33.33%) followed by multinodular goitre (n=11;18.33%). The incidence of papillary cell carcinoma was predominant. Among 60 patients with thyroid swelling, it was 28.33% (n=17) and among the malignant lesions (n=22) it was 77.27%. (n=17). The incidence of malignancy (n=22;36.66%)) is more than that of benign (n=5;8.33%). A high incidence of malignancy is observed in male sex. 05 male patients out of 07 were malignant bearing an incidence of 71.42%. In relation to the age of the malignant patients, the incidence is high in 31–40-year group (27.27%). The incidence of malignancy is high in extreme ages also noted. Conclusion: The incidence of thyroid malignancy in thyroid swelling is high. Females of middle age are in a risk group and papillary carcinoma is the commonest of all thyroid malignancies. Appropriate medical attention is warranted for early diagnosis and proper management to reduce morbidity and mortality.
Medicine Today 2024, Vol.36 (2): 99-103
Association of Chronic Stress with Cardiovascular Diseases: A Single Centre Experience
Authors: Shawqat Ali Md , Mahfuz Rabbani Golam , Touhidul Islam Mohammad , Haque Khalid Muhammad Fazlul , Islam Md Monirul , Uddin Md Hamid
Published: July 2024

Introduction: Cardiovascular diseases (CVD) pose a growing global health threat, with a 42.4% increase in deaths between 1990 and 2015 despite a 27.3% decline in age-standardized CVD mortality rates. Risk factors like smoking, inactivity, high blood pressure, obesity, hyperinsulinemia, hypercholesterolemia, and psychological stress contribute to CVD. Aim of the study: The study aims to assess the prevalence of stress and its association with cardiovascular diseases (CVD). Materials and Methods: This prospective study at Jessore Medical College and Hospital, Bangladesh, involved 110 patients aged 25-64 with cardiovascular diseases (CVDs) and chronic stress. The study duration was one year from January 2022 to December 2022. Result: The majority (54.55%) were aged 31-40, with females constituting 57.00% of the total sample. Work experience distribution revealed 50.91% with 1-10 years, 21.82% with 11-20 years, and 27.27% with over 20 years. Stress intensity analysis showed no mild stress, 71.82% with "Average to acute stress," 25.45% with "Average stress," and 2.73% with acute stress. Cardiovascular risk factors included 19.00% lacking sleep, 15.00% with low physical activity, and 12.00% each for smoking, hypercholesterolemia, and arterial hypertension. Conclusion: Research indicates that individuals experiencing stress face significant cardiovascular risk factors. However, the connections between stress and these risk factors appear complex and must be more apparent. This underscores the necessity for additional investigation into the relationship between stress and other cardiovascular risk factors while considering factors such as age, gender, and socio-economic characteristics within the population.
Medicine Today 2024, Vol.36 (2): 127-131
The Effect of Murotal Al-Qur’an Therapy Againt Anxiety Level of Hemodialysis Patients at X Tangerang Hospital
Authors: Febriyanti Hana
Published: July 2024

Pendahuluan: Dunia semakin dihadapkan kepada masalah serius di bidang kesehatan. Seluruh dunia termasuk Indonesia berhadapan dengan perkembangan penyakit non-communicable disease, salah satunya adalah gagal ginjal kronik. Penyakit ini merupakan penyakit yang disebabkan karena kegagalan fungsi ginjal yang bersifat irreversible atau tidak dapat diperbaiki dimana terjadi penumpukan zat sisa hasil metabolisme. Berdasarkan data Epidemiologi Kidney International Supplement tahun 2022, penyakit gagal ginjal kronik mempengaruhi lebih dari 10% populasi diseluruh Indonesia. Pasien yang mengalami gagal ginjal kronik membutuhkan tindakan hemodialisa. Selama proses tindakan akan muncul rasa khawatir, stress, dan cemas. Pendekatan yang bisa digunakan untuk menurunkan tingkat kecemasan salah satunya adalah dengan distraksi. Tehnik distraksi yang dapat digunakan salah satunya adalah Murrotal Al-Qur’an. Tujuan: Mengetahui pengaruh terapi Murotal Al-Qur’an terhadap tingkat kecemasan pasien Hemodialisa di Rumah Sakit X Tangerang. Metode: Jenis peneltian ini adalah penelitian kuantitaif dengan pendekatan pre-experimental design. Penelitian dilakukan dengan memberikan intervensi terapi Murrotal Al-Qur’an dengan melakukan pengukuran tingkat kecemasan sebelum dan setelah diberikan intervensi. Pengambilan sampel dengan teknik non-probability Sampling yaitu Purposive sampling dengan jumlah 20 sampel. Pengukuran tingkat kecemasan menggunakan Zung Self-Rating Anxiety Scale. Uji Statistik menggunakan uji Chi-Square. Hasil: Hasil Analisis Bivariat menunjukkan bahwa ada pengaruh terapi Murotal Al-Qur’am terhadap penurunan tingkat kecemasan pasien Hemodialisa di Rumah Sakit X Tangerang dengan nilai p-value 0,000 < ? (0,05). Kesimpulan: Terjadi penurunan tingkat kecemasan sebelum dan setelah diberikan intervensi Murotal Al-Qur’an
TELEHEALTH SEBAGAI UPAYA PENINGKATAN KEPUASAN PASIEN DALAM MEMANFAATKAN PELAYANAN KESEHATAN : META ANALISIS
Authors: Kurniawan Hendra Dwi
Published: July 2024

Latar Belakang : Kepuasan pasien merupakan salah satu hal yang perlu diperhatikan oleh seluruh penyedia pelayanan kesehatan. Dengan tingkat kepuasan yang tinggi diharapkan dapat meningkatkan kepercayaan masyarakat dalam bidang pelayanan kesehatan, sehingga masyarakat tidak ragu dalam memanfaatkannya. Era digitalisasi memberikan dampak yang luas pada bidang kesehatan salah satunya adalah munculnya fasilitas layanan telehealth. Banyak penyedia pelayanan kesehatan yang sudah menerapkan fasilitas layanan telehealth untuk memberikan pelayanan kesehatan yang dibutuhkan oleh pasien. Adanya layanan telehealth, diharapkan dapat membantu kebutuhan pasien dalam pemanfaatan pelayanan kesehatan yang dibutuhkannya, sehingga tingkat kesehatan masyarakat dapat meningkat. Tujuan : untuk menganalisis keefektifan layanan telehealth terhadap peningkatan kepuasan pasien dalam memanfaatkan pelayanan kesehatan. Metode : Penelitian ini merupakan penelitian meta analisis dan systematic review dengan PICO (Population = pasien yang menggunakan telehealth, Intervention = telehealth, Comparison = tanpa menggunakan telehealth, Outcome = kepuasan pasien). Artikel yang digunakan dalam penelitian ini diperoleh dari beberapa database diantaranya yaitu PubMed, Springer Link, ScienceDirect, dan Google Scholar. Artikel yang digunakan adalah artikel full-text dari tahun 2019 hingga 2024. Artikel dipilih menggunakan diagram PRISMA flow. Artikel dianalisis menggunakan aplikasi RevMan 5.3. Hasil : Sebanyak 7 artikel yang dianalisis yang diulas dalam studi meta analisis ini berasal dari Amerika, Ethiopia, Iran, dan Kanada. Studi menunjukkan bahwa layanan telehealth dapat meningkatkan kepuasan pasien dalam memanfaatkan pelayanan kesehatan (aOR 1.51; CI 95% = 1.07 hingga 1.24; p = 0.01). Kesimpulan : Pasien yang menggunakan layanan telehealth dalam memanfaatkan fasilitas pelayanan kesehatan dapat meningkatkan kepuasan pasien sebanyak 1.51 kali dibandingkan pasien yang tidak menggunakan telehealth.
 
Kata Kunci:
Kepuasan pasien, pelayanan kesehatan, telehealth
Latihan Fisik : Gait Training Exercise Terhadap Penurunan Risiko Jatuh pada Lansia dengan Penyakit Tidak Menular
Authors: Maula Anita Nikmal
Published: July 2024

Introduction: Falls are a physical problem that often occurs in the elderly, with increasing age physical, mental and bodily function conditions decline. Preventing the risk of falls can be done through gait training exercises. Objective: To determine the effect of gait training exercise on reducing the risk of falls in elderly people with non-communicable diseases. Method: This research design used Quasy Experimental pre & post tests in the intervention group. The number of samples in this study was 58 respondents with the sampling technique used was simple random sampling. This research was carried out in Plombokan Village on March 27-April 15 2023. The measuring tool used in this research used the time up and go test (TUGT). Results: There was a significant effect between before and after being given gait training exercise on reducing the risk of falls in the elderly with a p value = 0.001 (p ? 0.05). This research suggests that physical exercise, gait training exercise, can reduce the risk of falls in the elderly.
Pencapaian Hasil Belajar Fisika dan Perilaku Berkarakter Siswa dengan Menggunakan Model Pembelajaran Problem Based Instruction
Authors: Indayani Mawar , Silawane Fahrizal
Published: July 2024

Penelitian ini bertujuan untuk mengetahui pencapaian hasil belajar fisika dan perilaku berkarakter siswa yang diajarkan dengan menggunakan model problem based instruction. Penelitian ini dilaksanakan bertempat di SMPN Satu Atap Oki Baru. Data dikumpulkan menggunakan tes hasil belajar, lembaran penilaian afektif, lembaran penilaian psikomotor, dan lembaran angket. Teknik analisis data dalam penelitian ini adalah analisis deskriptif untuk mengetahui pencapaian hasil belajar fisika dan perilaku berkarakter siswa. Hasil penelitian pada kelas IX1 SMPN Satu Atap Oki Baru menunjukkan bahwa ada perbedaan setelah diajarkan dengan menggunakan model problem based Instruction materi tata surya dari 25 siswa yaitu (16%) sangat baik 4 siswa, (80%) baik 20 siswa dan (4%) cukup 1 siswa memiliki nilai tuntas yaitu memenuhi nilai KKM berbeda dengan sebelum diajarkan dengan menggunakan model problem based instruction dari 25 siswa yang tuntas hanya 6 siswa yaitu (8%) baik 2 siswa, (16%) cukup 4 siswa dan (76%) gagal 19 siswa tidak memenuhi nilai KKM sedangkan pada hasil respon siswa tehadap perilaku berkarakter menunjukan bahwa hasilnya sangat baik (88%) dan baik (12%) pada lembar angket terdapat (54%) sangat setuju dan (45%) setuju. Kesimpulan dari penelitian ini yakni melalui penerapan model problem based instruction dapat meningkatkan hasil belajar dan mewujudkan perilaku yang sangat baik dan baik.
An Analysis of Differentiated Learning Strategies in the Implementation of Kurikulum Merdeka Belajar in Teaching English Writing Skills
Authors: Fikni Zahratul , Surayya Siti Ayu , Sholihah Putri Hariza , Husnu Muhammad
Published: July 2024

The present study aimed to disclose the state of English writing proficiency among students and analyze how differentiated learning strategies in Kurikulum Merdeka Belajar approaches address the needs of different student populations when teaching writing English. This study used descriptive qualitative methods which employed observation, questionnaire and interview to collect the data. The participants of this study were one English subject teacher and 35 grade XK of students of MA. Muallimat NWDI Pancor in the academic year 2023-2024. The study's findings demonstrated that, while students' writing is currently in fairly good condition, it is far from perfect, as shown by the percentage data presented. The occasionally answer had the highest percentage data presentation, totaling 42.86%. There were 24 students who thought that they had difficulty to found an interesting idea to write about. Differentiated learning strategies can meet the needs of divers students in teaching writing English throuhg deviding students based on learning styles, namely visual, auditory and kinesthetic. It supports the quality of students' English writing learning, especially in finding interesting topics to write about because this learning provides suitability of materials, processes and tasks or projects according to the needs, abilities and creativity of students in the learning process.
The Impact of Nonverbal Communication on Effective Public Speaking in English
Authors: Jasuli Jasuli , Hartatik Sri Fatmaning , Astuti Endang Setiyo
Published: July 2024

Nonverbal communication (NVC) plays a crucial role in effective public speaking, particularly for English language learners (ELLs) who may face unique challenges in navigating both linguistic and cultural aspects of communication. This study is carried out through a literature review method, following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, to examine the impact of NVC on public speaking among ELLs in higher education settings, and synthesize findings from diverse studies. The review reveals that effective use of NVC significantly enhances perceived credibility, audience engagement, and message clarity for ELLs. Specific nonverbal behaviors, such as maintaining eye contact, using open gestures, and adopting a confident posture, are associated with increased speaker effectiveness. Additionally, the literature highlights the importance of cultural sensitivity in NVC instruction, as nonverbal cues can carry different meanings across cultures. The findings underscore the need for explicit instruction in NVC strategies within English language curricula, emphasizing cultural responsiveness and creating inclusive learning environments that empower ELLs to become confident and effective communicators. This review contributes to the growing body of research on NVC in educational contexts and offers practical implications for English language educators seeking to enhance their students' public speaking skills.
Slovakia's Public Debt - the Greek Path?
Authors: Pčolinská Lenka ,   Pavol Jozef Šafárik University in Košice, Kaluzhnyi Dmytro
Published: July 2024

The article focuses on the analysis of public finances of Slovakia in the context of public debt. The article covers the overview of empirical literature on indebtedness and debt management framework of Slovakia and the EU. It describes the current status of public debt, deficit, and long-term sustainability of Slovakia. The views of different economists on whether public finances are evolving according to the "Greek" scenario are also discussed. The main objective is to provide an empirical basis for assessing the veracity of these narratives by comparing the evolution of indicators of the long-term sustainability of public finances in Slovakia and Greece.
Accessing Ping Sonar Echosounder Produksi ROVMAKER pada Mikrokontroler dan Data Noise Reduction dengan Kalman Filter
Authors: Adam Maulana Adam Maulana
Published: July 2024

Two-thirds of Indonesia's territory is waters that have a high risk of flooding. Bathymetric surveys are important for flood management because they provide depth and topography data to determine the need for dredging of a water area. Traditional bathymetric surveys produce less than optimal coverage due to limited ship movements. This research aims to develop an automatic bathymetry system using a ping sonar echosounder sensor integrated with a USV (Unmanned Surface Vehicle). The ping sonar echosounder produced by ROVMAKER can generally only be accessed using the built-in software from the ROVMAKER manufacturer and can now be integrated with the microcontroller system on the USV to increase the efficiency of bathymetric system performance. This research also uses the Kalman filter method to reduce sensor reading noise. Validation of the suitability of the sensor shows an average error of 2.94% at a depth of 1400mm and 2.195% at a depth of 2200mm, which shows that the sensor is classified as suitable for use. The optimal noise reduction in the Kalman filter experiment is at a variance ratio (R/Q) of 1000 with an RMSE of 5.05mm at a depth of 1400mm and 3.99mm at a depth of 2200mm. This system has been proven to increase the accuracy of bathymetric data and system access efficiency.
Integrasi teachable machine dengan arduino untuk pengklasifikasian bentuk objek secara real-time
Authors: Syafriyadi Nor  , Annisa Maulidia Damayanti  , Sarifudin
Published: July 2024

Penelitian ini membahas integrasi Teachable Machine dengan Arduino untuk pengklasifikasian bentuk objek secara real-time. Dengan memanfaatkan model pembelajaran mesin yang dilatih menggunakan Teachable Machine, sistem ini mampu mengenali berbagai bentuk objek seperti buku, pulpen, dan spidol, serta kondisi tanpa objek (no object), dan merespons dengan cepat melalui komunikasi serial Arduino. Metode yang digunakan meliputi pengumpulan data gambar untuk pelatihan model, implementasi model ke dalam format TensorFlow.js, dan penggunaan pustaka p5.js serta ml5.js untuk membuat aplikasi web interaktif yang menggunakan pembelajaran mesin, termasuk penggunaan pustaka p5.serialport untuk komunikasi serial antara model dan Arduino. Komunikasi serial antara Arduino dan p5.js dilakukan melalui p5.serialcontrol, yang memastikan transfer data yang cepat dan andal. Hasil pengujian menunjukkan akurasi pengenalan di atas 90% dengan waktu respons yang minimal, memungkinkan aplikasi dalam berbagai konteks seperti pendidikan dan otomatisasi. Penelitian ini menegaskan bahwa kombinasi Teachable Machine dan Arduino merupakan solusi efisien untuk pengenalan objek dalam aplikasi real-time, dengan potensi untuk pengembangan lebih lanjut di bidang interaksi manusia-komputer (Human Machine Interface).
Preparing Future-ready Learners: 21st Century Skills in an Open and Distance Learning Education in Malaysia
Authors: Ismail Zulaihan , Che Aziz Raziana , Chooi Chea Chiam
Published: July 2024

The 21st century requires a dynamic, flexible and highly skilled workforce to ensure that the sustainability of economic growth remains viable in a period of volatility, uncertainty, complexity and ambiguity. Furthermore, digitalization which is a driving force for economic growth in the 21st century has also changed the way of practice in every aspect of life and its rising significance could not be taken lightly. Education is no exception and has undergone significant changes over the years, such as the introduction of online learning compared to brick-and-mortar education, and the emergence and adoption of new technologies. Graduates produced by the education system must be globally competent and competitive for the 21st century. A transformative educational approach is needed to nurture an adaptive, inquisitive person with strong skills and values to meet the demands of the 21st century and beyond. It is vital to be future-ready in education moving away from the conventional teaching method. This paper aims to study the significance of 21st century skills in preparing future-ready learners in an open and distance learning (ODL) institution in Malaysia. The results of this paper could provide insights to the various stakeholders to formulate appropriate teaching and learning processes, to develop and nurture 21st century skills among graduates in ODL institutions while sustaining the economic growth in Malaysia.