bluuebunny/crossref_metadata_2025 huggingface dataset:
Reconstruction of Acetabular and Femoral Bone Defects With Impaction Bone Grafting in Revision Hip Arthroplasty: A Case Report
Authors: Golnik Vadim N. , Peleganchuk Vladimir A. , Batrak Yuriy M. , Pavlov Vitaliy V. , Kirilova Irina A.
Published: August 2023

Background. For many years, the main reasons for revision surgeries after hip arthroplasty remain aseptic loosening and osteolysis, which lead to formation of bone defects of various size and localization. Given the relatively young age of patients undergoing revision, the methods of biological restoration of the bone tissue, such as impaction bone grafting (IBG), are of particular interest.
Aim of the report to demonstrate the delayed outcome of impaction bone grafting using compacted morselized bone allograft.
Case presentation. Complicated clinical case of a 62-year-old patient with Paprosky type IIA bone deficiency in the acetabulum and Paprosky type II bone deficiency in the proximal femur with aseptic loosening of the acetabular and femoral components of the hip prosthesis is presented. During revision arthroplasty with cemented components, IBG of the acetabulum and femur was performed with a reconstructive mesh augmentation of the acetabulum using Stryker X-Change technology. Bone allograft prepared with the use of heat disinfection method served as an osteoplastic material. Follow-up period was 4 years. Control X-rays demonstrate restoration of the center of rotation of the hip, presence of bone masses in the areas of pelvic and femoral bone defects, absence of osteoplastic material resorption and migration of implants during the follow-up period. Clinical assessment shows an improvement of the Harris Hip Score from 34 to 85 points.
Conclusion. Obtained results showed the efficacy of impaction bone grafting with the bone allograft prepared with the use of heat disinfection method in the mid-term period.
Exploring Lived Experiences of Public Elementary School Teachers' Perceptions of Cognitive Engagement in Distributed, Virtual Professional Learning Experiences in Their Place of Work
Authors:   , McCloskey Ryan  Christopher , Phillips Joy C.
Published: August 2023

Engagement of learners is a critical determinant of efficacy in any educational program, and presents a unique challenge in a distributed, virtual method of delivery. The purpose of this phenomenological study is to explore lived experiences and perceptions of K-12 teachers and administrators about cognitive engagement in distributed, virtual learning environments in order to understand the pedagogical strategies that influence effective learning experiences in such settings. Finding actionable solutions to this problem will benefit organizations that utilize distributed, virtual professional education experiences by recommending key strategies for increasing student engagement and building effective learning communities in programs. The research questions that guide this study are: (1) What are the most significant pedagogical factors that affect cognitive engagement of adult participants in distributed, virtual professional education experiences? (2) What are the non-pedagogical factors that affect cognitive engagement of adult participants in distributed, virtual professional education experiences? (3) How do adult learners in a distributed, virtual professional learning experience conceptualize an effective professional education experience? This research aligns to prominent instructional theory, including: Garrison's Communities of Inquiry, Vygotsky's Social Development Theory, Bruner's Constructivist Education Theory, and the work of Coates and Kuh on engagement in online learning. Knowledge gathered from the subjective experiences of participants will be used for data collection on factors that most significantly affect cognitive engagement in such learning experiences. After a reflection on the possible methods of data collection, the researcher has concluded that semi-structured interviews and focus will be the most appropriate research tools for data collection in this study. Once the interviews are each transcribed for analysis, the researcher will employ first and second cycle coding methods to analyze data for findings. Keywords: professional development, distributed learning experiences, virtual education, cognitive engagement, organizational learning, professional education
Why are so many individuals with bulimia nervosa low in weight suppression?
Authors:   , Fisher Sarah Marie , Lowe Michael R
Published: August 2023

Weight suppression (WS), or the difference between one's highest past weight and current weight, is associated with many problematic characteristics in individuals with bulimia nervosa (BN). It is theorized that WS contributes to eating disorder (ED) characteristics through the initiation of metabolic and appetitive responses that lead to dysregulated food intake and weight gain. However, many individuals with BN exhibit little or no WS, raising a question about the WS model, and little work has been done to understand this phenomenon. Therefore, this thesis aimed to provide the first investigation into individuals with BN and low WS through an examination of broader weight history. Specifically, we compared individuals with low and high WS on four weight variables of interest (i.e., premorbid high, postmorbid high, postmorbid low, and current weight), in addition to ED psychopathology and first reported ED sign. In addition to utilizing the traditional WS measure (TWS), we conducted analyses using a new, developmentally sensitive measure (DWS) to add to the growing body of literature on this proposed formulation. Our results revealed starkly different weight histories between low and high WS groups, in which the high WS groups displayed dramatic weight losses and only partial weight regain, and the low WS groups demonstrated modest weight losses and a pattern of weight gain over time; thus, it appears that those with currently low WS were always relatively low in WS, and other factors may be responsible for their symptoms. We also found that those with low WS were lower on measures of restraint and purging, and higher on binge eating to self-induced vomiting frequency, than those with high WS, so that their binge eating might be more hedonically driven. However, no differences were found on first reported ED sign. Finally, these analyses provided support for the DWS measure and suggested that those with high DWS may be under even greater biobehavioral pressures than previously imagined with the TWS formulation. Limitations and future directions are explored.
Обзор GUI среды Python
Authors: Асабаев И.А. , Пахаев Х.Х.
Published: August 2023

В статье описывается понятие графического интерфейса, перечислены все базовые элементы для графических библиотек и рассматривается практическое применение.
Применение информационных технологий для обеспечения экономической безопасности
Authors: Гартман Д.С. , Кумратова А.М. , Лещенко К.Д.
Published: August 2023

В данной статье рассмотрена роль применения информационных технологий в обеспечении и поддержки экономической безопасности как государства, так и определенных экономических субъектов. Также, отражена суть определений информационной и экономической безопасности, произведена классификация угроз и определены основные направления обеспечения информационной безопасности.
Мехатроника и его системы
Authors: Ибрагимов И.Р. , Кудусова М.И.
Published: August 2023

Человеческая цивилизация и современное производство объединили умные машины, высокотехнологичное программное обеспечение, оборудование и продукты, которые повышают качество жизни. Мехатроника позволяет создавать умные машины, которые осознают себя и могут принимать решения. Проектирование и производство таких продуктов, как смартфоны, а также футуристических транспортных средств, стало возможным благодаря плавному слиянию механики и технологий.
Использование систем автоматического распознавания личности для повышения безопасности и удобства людей
Authors: Петровская М.А. , Кумратова А.М. , Лещенко К.Д.
Published: August 2023

Статья посвящена общему обзору систем автоматического распознавания лиц. В ходе исследования был применен метод анализа некоторых показателей уже используемых систем, а также областей их применения с целью определения возможных преимуществ от внедрения в образовательной среде.
Разработка мобильных приложений
Authors: Сугаипов С-А.А. , Матыгов М.М.
Published: August 2023

Если стремится сделать карьеру в области разработки мобильных приложений, то список языков программирования будет полезен для любого заинтересованного этой областью программирования. В этой статье рассматриваются лучшие языки для разработки мобильных приложений с их подробным описанием.
Методика оценки эффективности деятельности строительной организации
Authors: Медведева О.Н.
Published: August 2023

В статье рассмотрены вопросы оценки эффективности деятельности строительных организаций.
К вопросу о формировании новой архитектуры в контексте понятия эмерджентности
Authors: Печѐнкин Д.И.
Published: August 2023

С приходом новой парадигмы в XXI веке, обусловленной появлением множества научных и технических открытий, расширяющих область архитектурной мысли, сопровождающихся огромным количеством информации и расширением всевозможных коммуникаций, архитектура не только реагирует на новую парадигму, но и сама открывает новое знание и стимулирует науку на новые изобретения.
Виброизоляция в сейсмостойких зданиях
Authors: Суслова К.Ю.
Published: August 2023

В статье рассмотрены системы виброизоляция в сейсмостойких зданиях и сооружениях. Проблема проектирования и строительства зданий и сооружений в сейсмически активных районах получает большое развитие в наше время. Особое место занимает вопрос обеспечения прочности, устойчивости, жесткости и безопасности зданий и сооружений, подвергаемых такому типу особых нагрузок
Обзор пенополимеров под микроскопом
Authors: Акимова В.М.
Published: August 2023

В статье исследованы вопросы перспективного применения в качестве теплогидроизоляционного материала для теплопроводов высоконаполненных пенополимеров, а также их структура и свойства.
Types of Nursing Care Delivery to Improve Student's Resilience in Online Learning: A Systematic Scoping Review
Authors: Yosep Iyus , Hikmat Rohman , Mardhiyah Ai , Lesmana Wati Nenden , Lukman Mamat
Published: August 2023

The Covid-19 pandemic has led to a shift from traditional classroom instruction to online learning. Students who learn online, experience mental health issues because of these developments. To solve this issue, people must be resilient enough to modify their learning styles. The study aims to identify the nursing care delivery modalities that can improve students’ resilience during the online learning phase. Scoping review was employed in this study with the help of articles from the databases of CINAHL, PubMed, and ProQuest. The words ”resilience” and ”student OR undergraduate student” and ”pandemic covid-19 OR covid-19” were used in the English language. Full text, randomized control trial or quasi-experiment research designs, the use of the English language, student populations and samples, and publication dates within the last 10 years were the requirements for inclusion in this study (2013-2022). We found 10 articles discussing about nursing interventions to increase resilience in students who learning online. There are training interventions mindfulness interventions, and internet-based interventions. The three interventions can increase student resilience in online learning so that student achievement increases and can adapt to changes in learning methods. There are three types of nursing interventions to increase resilience during the Covid- 19 pandemic for students, namely training, mindfulness, and Internet-based intervention.
Keywords: online learning, resilience, students
Effectiveness of ``Paket BerSIH'' on Prenatal Distress
Authors: Puspasari Ay Ike , Alifiani Herna , Alpredo David , Al-Hurry Saputra
Published: August 2023

Distress during the prenatal period arises because of the inability of pregnant women to adapt. A comprehensive assessment is needed so that prenatal distress can be immediately intervened. One of them was provided education using various media and packaged in “Paket BerSIH”. “Paket BerSIH” contains health education in which there is a variety of information about stress in pregnancy, especially overcoming prenatal distress. The research design used a quasi-experimental pre- and post-test approach with 30 respondents in intervention groups and 30 respondents in control groups. The independent variables researched included “Paket BerSIH” and prenatal distress as the dependent variables. Instruments used include the observation sheet for giving “Paket BerSIH” and prenatal distress questionnaire (PDQ). The bivariate analysis carried out in this study was an independent t-test (unpaired t-test). The results showed that that there was a significant difference in the mean of prenatal distress between the control groups and the intervention groups after giving “Paket BerSIH” (p = 0.001). Health workers can provide “Paket BerSIH” during ANC, which has been proven to be effective for pregnant women, and pregnant women were expected to take advantage of this package, so that they do not experience long periods of stress during pregnancy.
Keywords: distress, paket BerSIH, prenatal
Factors Affecting Stunting Among Toddlers Aged 24-25 Months
Authors: Ervina Anis , Zulmi Daini , Ariesta Rita , . Roslina , . Aminah , Aridawarni Yulica
Published: August 2023

Toddler growth disorders with indicators of relatively short heights are usually called stunting. This study aims to determine factors related to stunting in toddlers aged 24-59 months in Tambakbaya Village, Cibadak Public Health Center. A case-control method was used for this research. The population in this study were all mothers who had toddlers aged 24-59 months in Tambakbaya Village. The sample used was 44 mothers, where the case and control groups had a ratio of 1:1. The Chi-square test was used to analyze the data. Statistical analysis found no association between maternal nutrition during pregnancy and child growth (height/weight) at 24–59 months (p = 0.472), birth weight (p = 0.488), birth length (p = 0.698), vaccination status (p = 0.412), growth (height/weight) at 24–59 months (p = 0.698). However, this study showed a potential risk of stunting as shown by the odds ratio (OR) value. This result was due to the high awareness of participation in the Integrated Health Center every month, which can detect stunting cases easily and quickly. This condition affects health workers’ immediate action to prevent and address the issues by providing additional nutrition. Maternal nutrition needs to be considered through monitoring the mother’s nutritional status during pregnancy through ANC and monitoring and improving child nutrition after birth, namely the first 1000 days of life.
Keywords: birth length, birth weight stunting, immunization, nutrition
Implementation of Abortion Regulations on Medical Emergency Indications in Hospitals Based on Legal Aspects
Authors: . Asmariah , Rochman Dadang
Published: August 2023

Abortion is one method to prevent unwanted births. This method was born along with the development of human life with various reasons and considerations, both legal and medical considerations. Abortion is a crucial law in health law. But abortion for several medical reasons is a legal way to provide solutions to safety problems related to pregnancy. As the executors of the abortion act, namely medical personnel who are closely related to existing regulations or policies, it is still a pro and contra polemic. Therefore, it is necessary to do an analysis to determine the clarity of the legality of the implementation of abortion on indications of medical emergencies in hospitals associated with abortion law regulations. The research design used in this study is qualitative through a descriptive analysis approach related to the legality issue of abortion regulations indicating medical emergencies between the Health Act and the Abortion Criminal Code. The sample in this study was an obstetrician with a medical team, namely midwives who worked in the delivery room. This study aims to determine the factors that influence the implementation of abortion regulations based on indications of medical emergencies in hospitals, specifically referring to Health Law No. 36 of 2009 with the Criminal Code on abortion. The factors that influence the implementation of abortion in hospitals are: the discovery of indicators or triggers that an abortion must be carried out in accordance with the Health Law Number 36 of 2009; it must be carried out as soon as possible because it endangers the patient’s life; carried out according to health standards and applicable laws; and the approval of both the parties to carry out official and legal abortion procedures and mechanisms according to legal and applicable rules. Based on this, abortions with indications of medical emergencies are often carried out in hospitals and can be justified by the principle of legitime defense. Legal issues regarding the regulation of abortion indicative of a medical emergency, as long as they refer to the procedures according to the Health Law, the legal issue of the Criminal Code cannot be brought to the surface, because abortion on the indication of a medical emergency is a medical action that must be carried out.
Keywords: abortion, health law, hospital
The Effect of Cupping Therapy on Blood pressure: Literature Review
Authors: Agung Riyanto Dwi
Published: August 2023

Hypertension is one of the diseases with the highest risk in the world for cardiovascular disease, making it a primary factor in Indonesia as it causes damage to the heart, blood vessels, kidneys, lungs, and sensory-motor nerve cells, which may lead to death. This literature review aims to identify cupping therapy for clients’ hypertension to decrease blood pressure according to results from studies from the last 5 years. Cupping therapy is one of the complementary therapies that is effective for prevention and treatment of some health problems in the body. The research method uses literature review designs as much as fifth journal from secondary databases, Google Scholar, and Science Direct on journals published between 2017 and 2022, according to keyword articles for a review. The article review uses the PICOS method in accordance with keyword of journal selection from the abstract, which include inclusion and exclusion criteria for the article to be reviewed. Overall, the journal research on cupping therapy intervention has shown results for patients with high blood pressure, so getting cupping therapy periodically can be effective in decreasing blood pressure.
Keywords: cupping therapy, hypertension, complementary
Overview of AEFI on Survivors and Non-survivors After the Administration of the Covid-19 Vaccine
Authors: Ernawati Ernawati , Nurhayati Isnaini
Published: August 2023

Follow-up events post-Covid-19 Vaccine (KIPI) is one of a person’s considerations in deciding whether or not to participate in the Covid-19 vaccine. Adverse events after the Covid-19 vaccine vary widely, several studies have been carried out to look at the characteristics of AEFI after the Covid-19 vaccine. Several things still require study, one of which is the AEFI category for survivors and non-survivors. This study aims to describe the characteristics of post-vaccine adverse events, as well as the AEFI categories for survivors and non-survivors after the Covid-19 vaccine is given. The research design is descriptive with a cross-sectional research method. The research subjects were 128 people in the West Banten Region who had received the Covid-19 vaccine. The data were obtained by using Google-form which had been shared through WhatsApp groups. This research was conducted in December 2021. The data collection technique used in this study was random sampling. The results showed 8 respondents who complained of post-vaccine fever (6.3), 14 complained of dizziness after the vaccine (10.9), 31 complained of muscle pain (24.2), 2 complained of shortness of breath after getting the vaccine (1.2), 2 complained of nausea after getting the vaccine (1.6), and 4 complained of itching all over the body (3,4). The majority of research respondents experienced mild AEFI in both the survivors and the non-survivors. Information related to the lightness of AEFI after the covid vaccine is a mandatory consumption material that must be given to the community; besides that, it can also be used as a basis for the government to set policies.
Keywords: AEFI, survivors and non-survivors, COVID-19 vaccine
Effectiveness of Wudhu to Reducing Anxiety During Competency Test on Students
Authors: Fatoni Fatoni , Sumartini Rina , Mulyat Mulyati , Jamaludin Jamaludin
Published: August 2023

Anxiety is an emotional response to individuals perspective thas was subjective and an unknown cause. National competency exams anxiety is one of psychological problems that nursing students often experience that is a fear of failure, getting bad grades, or cannot get through the exams. Therefore, there is a need to minimize anxiety. The treatment of anxiety can be with nonpharmacological therapy. One of the nonpharmacological therapy using hydotheraphy with wudu’ technique. This research aims to identify the effect of wudu’ on changes toward anxiety for nursing students in the national competency exam. The research design used in this research is preexperiment with single group design, pre- and post-test design. The research samples in this research were 24 respondents with simple random sampling technique. Instrument used in this research is Visual Analog Scale for Anxiety (VAS-A). Statistical test was doneusing wilcoxon signed-rank test, the obtained p-value = 0.000 (< 0.05), showed the influence of wudu’ on changes of anxiety for Universitas Faletehan nursing students anxiety in the national competency examination. Wudu’ contains elements of relaxation to reduce anxiety and provides benefits for physical, psyclogical, and emotional control. The results of this research can be used as a reference of nonpharmacological therapy to treat anxiety in national competency examination.
Keywords: anxiety, national competency test, wudhu’
Applications of Prenatal Yoga and Maryam Exercise for Reducing Back Pain in Pregnant Women at Third Trimester
Authors: Khotimah Husnul , Miki Yulieti Pertasari Ratu , Azkiya Fadhila
Published: August 2023

The incidence of back pain in pregnant women occurs in all countries including Indonesia due to fetal growth, hormonal factors, activity, and other factors. Prenatal yoga and Maryam exercise can overcome back pain complaints in pregnant women; however, they are rarely studied. The study aims to analyze the application of prenatal yoga and Maryam exercise so that the third trimester pregnant women do not feel back pain. This type of research was experimental observation with a pretest-posttest design. The study was conducted at Masita Clinic, Cilegon in April-May 2022. The sample is 15 people with total population sampling technique. The research instruments were back pain questionnaire sheets and pregnancy exercise checklist sheets. Using the paired sample t-test, the data were normally distributed with the value of the One-Sample Kolmogorov-Smirnov Test, 0.2. The results of data analysis showed that there was a reduction in back pain during pregnancy in pregnant women who did prenatal yoga and Maryam exercise with (p-value: 0,000). Yoga and exercise can train the pelvic floor muscles and Maryam exercise can make pregnant women more calm, relaxed, and incorporate religious elements so that back pain complaints can be reduced.
Keywords: prenatal yoga, Maryam exercise, back pain
Path Analysis of the Factors Affecting the Quality of Life of Chronic Kidney Failure Patients Receiving Hemodialysis
Authors: Budhiana Johan , Elengoe Asita , Saefulaman Mohamed Said Mohamed
Published: August 2023

Patients undergoing hemodialysis for chronic kidney failure will experience physical and psychosocial changes that affect their physical, psychological, social, and economic quality of life. Several factors can affect the quality of life of patients with chronic kidney failure, including self-management, self-efficacy, and religiosity. This study aimed to determine the effects of religiosity, self-efficacy, and self-management on the quality of life of hemodialysis patients with chronic kidney failure. This research is a correlational study. The sample size was 71, and the sampling strategy was total sampling. The instrument employs the KDQoL to assess the quality of life, the general self-efficacy (GSE) questionnaire to assess self-efficacy, the hemodialysis self-management instrument (HDSMI) to assess self-management, and the Duke University Religion Index to assess religious affiliation (DUREL). Utilizing path analysis for statistical analysis. Results indicated that the mean and standard deviation of quality of life was 62.76 (8.36), self-management was 51.56 (5.64), self-efficacy was 71.11 (8.44), and religiosity was 21.02. (2.78). Self-management (b = 0.280, p = 0.006), self-efficacy (b = 0.270, p = 0.013), and religiosity (b = 0.425, p = 0.000) have a direct influence on the quality of life. Religiosity indirectly influences the quality of life via self-efficacy and self-management. Through self-management, self-efficacy has an indirect effect on the quality of life. The conclusion is that religiosity, self-efficacy, and self-management can enhance the quality of life for patients with chronic kidney failure. In order for the hospital to improve the patient’s quality of life, intensive education concerning the three variables is therefore anticipated.
Keywords: quality of life, religiosity, self-management, self-ef
Knowledge and Attitudes Against Covid-19 Prevention Behavior of Public Health Students
Authors: Mukhlasin Mukhlasin , Hayat Fauzul
Published: August 2023

This observational quantitative research uses cross-sectional approach. The sample in this study amounted to 42 respondents who were taken using accidental sampling. Data were collected in the form of primary data using mixed questionnaires. The research was conducted in May – Juni 2022 at Faletehan University. Data were analyzed through univariate and bivariate analysis. The results of the univariate analysis showed that from 42 respondents, 15 (35,7%) public health students had poor behavior, 16 (38,1%) had poor knowledge levels, and 13 (31,0%) public health students behaved unfavorably. The results of the bivariate analysis with α = 0.05 showed that one variable related to Covid-19 prevention behavior, namely attitude with (p-value = 0.0035). On the other hand, the variable which was not related to Covid-19 prevention behavior was in knowledge level with (p-value = 08875). The conclusion is that there is a relationship between the attitude of public health students of Universitas Faletehan with Covid-19 prevention behavior. The most important and most instrumental thing in preventing Covid-19 behavior is to use a mask and wash hands using soap after handling something.
Keywords: attitude, Covid-19, knowledge level, prevention behavior
Determination of Policy Development Priorities in Integrated Waste Management Site at Bantargebang Bekasi
Authors: Sukwika Tatan , Sulistyadi Yohanes , B Sukamdani Nugroho
Published: August 2023

The garbage problem from DKI Jakarta in the integrated waste management (IWM) site at Bantargebang Bekasi is still interesting for study. The existing studies generally relate to water, soil, air pollution, social conflict, institutional, and area expansion. This study focuses on determining priority strategies for policy development at the IWM Site. The analytical hierarchy process (AHP), analysis method was used to measure priority options regarding integrated Jakarta waste management policies at the IWM site. They collected data by interviewing experts, primary data sources, and other information from various related agencies. The existing condition performance graphs and dynamic sensitivity results show that alternative strategies for improving human resources are a priority for policy development at the IWM Site. The next priority in a row is facilities and infrastructure development, waste utilization management regulations, and increased stakeholder cooperation and coordination. The conclusion is that the policy to raise human resources is most relevant to the current needs of the implementing management unit of the IWM site. It is recommended that further studies related to risks and disasters from the existence of technology-based waste processing have the potential to cause new problems from environmental and social aspects.
Keywords: AHP, alternative priority, human resources, integrated waste management
Psychosocial Problems on Adolescents with Thalassemia Major: A Systematic Scoping Review
Authors: Mardhiyah Ai , Suzana Mediani Henny , Letcmi Panduragan Santhna , Yosep Iyus
Published: August 2023

Disease and treatment of thalassemia major that are carried out for life can cause physical and psychological problems in sufferers. Adolescents with thalassemia major will experience disturbances at a stage of development that is undergoing dynamic changes. Nurses, as health workers who provide holistic services, need to know what psychosocial problems may arise in adolescents with thalassemia major. This study aims to describe psychosocial problems in adolescents with thalassemia major. This study uses a scoping review design by searching English literature through the CINAHL, PubMed, and Scopus databases. The keywords used are psychosocial problems, thalassemia major, and adolescence. The criteria for the article in this study where the patient was a teenager with thalassemia, open access full text, and the time setting was the last 10 years (2013-2022). We found 9 articles discussing psychosocial problems in adolescents with thalassemia. Psychosocial problems that arise in the form of disturbances in several functions, namely physical, emotional, social, and school functions. Psychosocial disorders that occur in adolescents with thalassemia cause disturbances at the stage of adolescent development. Psychosocial problems that occur in adolescents with thalassemia include impaired physical, emotional, social, and school functions.
Keywords: adolescence, psychosocial problems, thalassemia major
The Relationship Between Self-efficacy and Coping Mechanisms with Quality of Life in Breast Cancer Patients
Authors: Dewi Rosliana , Letchmi Panduragan Santhna , Syazana Umar Nur
Published: August 2023

The exponential increase in incidence and mortality from breast cancer is of global concern. Breast cancer patients experience physical, psychological, social, and economic changes that reduce their quality of life. Several factors, such as self-efficacy and coping mechanisms, can affect the quality of life of breast cancer patients. This study aims to explain how self-efficacy and coping mechanisms affect the quality of life of breast cancer patients. This research is a correlational study with a cross sectional design. A sample of 320 respondents used total sampling as a sampling method. This tool measures the quality of life using the EORTC QLQ-C30, self-efficacy with the breast cancer survivor self-efficiency scale questionnaire, and coping mechanisms with the cancer management questionnaire (CCQ). The statistical analysis was based on multiple linear regression. The results showed that self-efficacy had a significant effect on quality of life (p = 0.000), coping mechanisms had a significant effect on quality of life (p = 0.000), and the joint effect of self-efficacy and coping mechanisms. For the quality of life of breast cancer patients (p-value 0.000). Self-efficacy and coping mechanisms have a partial or simultaneous positive impact on the quality of life of breast cancer patients. Therefore, follow-up interventions to improve self-efficacy and coping mechanisms in breast cancer patients are urgently needed.
Keywords: self-efficacy, coping mechanisms, quality of life of breast cancer patients
Interpersonal Communication Skills of Nurse and Patient Satisfaction in Outpatient Unit
Authors: Mujiyanti Sri , . Rosmayasari , Haryani Ani , Rahmawati Dina
Published: August 2023

Interpersonal communication skills are one of the important things in nursing care. These skills mediate patient and nurse trust. Trust in health services is also stated as a factor that mediates patient loyalty to health services. Satisfaction is not always directly related to loyalty but its mediated by trust. This research aimed to identify a correlation between the interpersonal communication skills of nurses with the satisfaction of outpatients in hospitals. The research design used was a cross-sectional analytic design. Total 100 respondents in the outpatient unit were recruited using cluster random sampling. All instruments of interpersonal communication skills and patient satisfaction were based on validity and reliability test. Data analysis was done using Chi-square. The result showed that more than half of respondents (54%) said that the interpersonal communication skills of the nurse were good, and they were satisfied (51%). Bivariate analysis showed that there was a correlation between the interpersonal communication skills of the nurse with patient satisfaction (p < 0.001, OR 2.946). This finding recommends that the interpersonal communication skills of nurses need to be developed by training to increase patient satisfaction.
Keywords: interpersonal communication, patient satisfaction, nurse communication
Caring for Schizophrenia at Relapse: Study Phenomenology
Authors: Obar Obar , Fauziah Sifa , Malikal Balqis Ummi , Hartati Sri
Published: August 2023

Relapse in schizophrenic patients is a challenge that must be faced by patients and their families being treated. Family, especially those who are caregivers, have an important responsibility in handling and preventing relapse in schizophrenia patients in all situations.. This study was to explore family life experiences in treating schizophrenia who had a relapse at Cianjur City. This study uses a qualitative method with a phenomenological approach. Participants in this study were 6 families with the criteria of being a Schizophrenic family, caring for and living with schizophrenia for more than 2 years, and having a minimum high school education. Family experiences were explored through unstructured in-depth interviews and data analysis using the Colaizzi method. The results of the study obtained 3 themes, namely experiencing a heavy burden, needing support, being patient, and seeking God’s help in caring for. It was concluded that the families felt the burden for taking care of members who experienced a relapse. Nurses holding mental programs need to carry out visitation programs for families who have members experiencing recurrence and carry out health promotions related to Schizophrenia care.
Keywords: caregiver, relapse, schizophrenia
The Relationship Between Self-esteem and School Engagement with Academic Burnout Among Nursing Students in Sukabumi
Authors: Novianty Lia , Mohd Said Faridah , Nambiar Nisha
Published: August 2023

The inability to handle lectures efficiently makes students vulnerable to academic burnout. To reduce the incidence of academic burnout in students, it is very necessary to strengthen internal and external factors, based on the theory that factors such as self-esteem and student engagement can reduce academic burnout in students. This study aims to determine the effect of self-esteem and school engagement on academic burnout of nursing students. This type of research is correlational with the cross-sectional approach. A sample of 196 undergraduate nursing students of STIKes Sukabumi with a sampling technique using stratified random sampling. The data collection tool uses the Rosenberg self-esteem scale (RSES), school engagement measure (SEM) and Maslach Burnout Inventory-Student Survey (MBI-SS) questionnaires. Statistical analysis uses multiple linear regression. The results showed that there was a significant negative influence of self-esteem on academic burnout (p-value of 0.000), school engagement on academic burnout (p-value 0.000), and there was a simultaneous influence of self-esteem and school engagement on academic burnout of students (p-value 0.000). Engagement has an influence on students academic burnout both partially and simultaneously. The educational institution provides counseling to students to increase self-esteem and school engagement to avoid academic burnout.
Keywords: Academic Burnout, Self Esteem, School Engagement, Student
Effectiveness of Household Landslide Preparedness Education on the Preparedness Capacity of Families
Authors: Permana Iwan , Mohd Said Faridah , Umar Syazana
Published: August 2023

Disasters are events that threaten and disrupt people’s lives and livelihoods due to natural and/or non-natural factors as well as human factors that cause human casualties, environmental damage, property losses, and psychological. The implementation of disaster preparedness has not been carried out comprehensively and continuously throughout Indonesia. This study aimed to determine the effectiveness of landslide preparedness education interventions in increasing the landslide preparedness capacity of households in the Sukabumi Regency. The minimum sample was 118 for each intervention and control group. Random sampling was used for sampling technique. Data analysis was done using an independent t-test. The results of the study mean that the difference in knowledge scores showed a significant difference between the intervention group and the control group (F = 23.41, p-value = 0.000). In addition, the average difference in household preparedness scores for landslides showed a significant difference between the intervention and control groups (F = 190.08, p-value = 0.000). After the intervention, the intervention group’s household disaster preparedness improved significantly. Meanwhile, no significant increase was observed in the control group’s household disaster preparedness score after the intervention. Household disaster preparedness training may have an impact on the knowledge, attitudes, and behavior of individuals and families. Trainings such as online and simulation using live or recorded demonstrations should be developed and evaluated for their effectiveness.
Keywords: household landslide preparedness, education, preparedness capacity
Family Support in Online Learning for the Student's Semester Achievement Index During the Covid-19 Pandemic
Authors: Wirawati Desmon , Awalin Fischa
Published: August 2023

The background of the research is the unfinished Covid-19 pandemic in Indonesia, and it makes public adapt to all situations and conditions that are lived, including the learning process in the study place. The government issued a regulation to reduce the Covid-19 incidence rate by applying online learning or distance learning. This condition is certainly not an easy thing for families, students, and the education management to achieve the learning purpose. This study aims to know the relationship of family support in the implementation of online learning with Student Semester Achievement Index during the Covid-19 pandemic in 2021. The research method used an analytic description, using a cross-sectional approach. The research was conducted in November 2021 in Faculty of Nursing, Cendekia Abditama University. The instrument used a questionnare, with 144 respondents of research samples. The results showed significant relationship between family support in the implementation online learning with Student Semester Achievement Index with p-value = 0.00. Studies indicate that family is a main support in the educational process.
Keywords: Covid-19, family support, grade point average
Fluoride Contamination and Water Quality Status
Authors: Hayat Fauzul , Mukhlasin Mukhlasin , Kurniatillah Nia
Published: August 2023

River fluoride contamination is one of public health problems. This study aims to determine the water quality status and fluoride contamination analyses of Cirarab River, Banten-Indonesia. Water sampling was conducted along the Cirarab River from up to downstream at eight (8) stations from February to June 2016. Water fluoride was analyzed using SPADNS method and STORET method for determining water quality status. Results show that the average water fluoride ranges from 2-2.24 mg/L. The maximum fluoride concentration obtained in station 4 (3 mg/L) was recorded in April 2016. Based on the World Health Organization’s (WHO) maximum acceptable fluoride levels of 1.50 mg/l, the overall results show that the water quality status of the Cirarab River was heavily polluted. In some situations, there was a need for continuous monitoring and warning drinking water management resources to minimize the long term health effects on communities consuming, and also the policies that are necessary to achieve sustainable water quality.
Keywords: fluoride, Cirarab Rivers, water quality
Technological Advances and Evolution of Biowarfare: A Threat to Public Health and Security
Authors: Jha Ashima
Published: August 2023

Research in public health and medical sciences has always placed a high priority in managing disease outbreaks, effective treatment capacities, and overall human health and wellbeing. Despite the fact that advances in biology, biotechnology, and medical research have proven to have sufficient value in terms of lifesaving treatments, these have also presented major challenges in their effective utilization. Hence, potentially posing serious risks in the form of bioweapons, thereby, endangering governance frameworks that prioritize biosecurity and counter-biological warfare. In this review paper, a thorough literature review has been conducted to explore the critical aspects between advances in biology and their potential misuse, which could result in serious risks to public health and security. The history of biowarfare has been studied, and the results identify major criteria that have been used in deeming a biological agent fit for the use in mass destruction programs. Five historical biological warfare agents (Bacillus anthracis, smallpox, Yersinia pestis, Vibrio cholerae, and Francisella tularensis) have been studied critically to conclude that not all biological agents may act as bioweapons, but only those agents meeting these criteria may cause catastrophic damage. This paper examines key risks associated with bioweaponry posed by the convergence of biotechnology and artificial intelligence as evident in today’s world of innovation. Based on the situational analysis of the COVID-19 pandemic, the author also discusses some of the major shortcomings of the international framework and the healthcare system in handling future biological attacks having the potential of mass destruction. Through this paper, associations between different stakeholders, scientific communities, and research groups are highly recommended along with identifying the problem at its roots.
Keywords: bioweapons, biological toxin, biotechnology, artificial intelligence
Analysis of Mother's Pregnancy Knowledge at Az-Zahra Primary Clinic Tangerang
Authors: Ikhlasiah Marthia , Arifiati Nurce , Faadhilah Astrisa , Ajeng Atnesia , Oktaviani Ika
Published: August 2023

The prevalence of cesarean sections as much as 80% have exceeded the figure recommended by WHO, about 10-15%, supported by several factors. One of them is self-autonomy which is not owned by the mother causing a lack of knowledge about pregnancy. Knowledge has an effect of 1.8 times on readiness for pregnancy, childbirth, and postpartum. Antenatal education is a service requested by most pregnant women worldwide such as childbirth education programs or birth preparation classes. This research uses a qualitative research design. Data collection was done through in-depth interviews using a sample of 9 main informants (pregnant women). The primary and secondary qualitative data were collected through data processing and analysis techniques, imported into NVivo and classified according to the type of data to facilitate the processing and analysis of data in NVivo 12 Plus. Knowledge of the pregnancy process of pregnant women with low results; Knowledge of pregnancy signs of pregnant women with low results; Knowledge of the benefits of pregnancy examination with high results; Knowledge of the examination schedule of pregnant women is high; Knowledge of physical changes of pregnant women with low results; Knowledge of gestational age with high results; Knowledge of pregnancy danger signs with low results. Knowledge of pregnant women about pregnancy with results is still lacking, namely the knowledge of the pregnancy process, signs of pregnancy, physical changes, and signs of danger of pregna Therefore, it is necessary to provide educational services at Pratama Az-Zahra Tangerang Clinic.
Keywords: section caesarea, knowledge, pregnant women, pregnancy
The Effect of Peer Group Discussion (PGD)-Based Health Education in the Attitude and Behavior Toward Among Student in Boarding School
Authors: Arfa Syukrowardi Delly , Nuru Alfiah Siti , Rachmaniah Dini , Ernawati Eka
Published: August 2023

The high incidence of scabies disease in boarding schools is due to the lack of knowledge among Islamic Boarding School Students about scabies prevention. Absence of exposure to health information about scabies is the cause of their lack of knowledge. This study was aimed to determine the effect of peer group discussion (PGD)-based health education on the attitude and behavior toward among students in boarding school in Serang district. This study uses a quasi-experimental design with one group pre and post-test. The intervention in this study was PGD-based health education with two stages, the first was a lecture about scabies prevention, and the second was PGD about how to prevent scabies. A total of 22 respondents were recruited for this study. Questionnaires of attitude and behavior to prevent scabies were used as data collection instruments. Data collection was performed in 3 stages: before the intervention, one hour after the intervention, and two days after the intervention. The mean scores for attitudes before, one hour, and two days after the intervention were 19.86, 22.59, and 25.27 respectively, and the mean scores for behavior before, one hour, and two days after the intervention were 89.23, 96.27, and 106.95 respectively. The result of a one-way within-subject ANOVA test showed that the mean scores of attitudes and behaviors of students were significantly different during one of the time points. This study recommends the school runs a sustainable program of PGD-based health education about scabies to increase awareness of scabies disease prevention among Islamic Boarding School Students.
Keywords: student, health education, peer group discussion, scabies, attitude, behavior