bluuebunny/crossref_metadata_2025 huggingface dataset:
VISUALISASI GEDUNG STMIK BANDUNG UNTUK PENGENALAN MAHASISWA BARU BERBASISAUGMENTED REALITY (AR) CONTROL DAN VIRTUAL REALITY (VR)
Authors: Rahayu Mina Ismu , Faiqunisa  , Herdiyansah Robby
Published: September 2024

STMIK Bandung campus features various rooms, including classrooms, faculty offices, computer labs, and other facilities. Currently, room navigation relies on information displayed on campus walls or by asking staff, campus employees, and other students. A new application has been developed to visualize the STMIK Bandung building in the form of three-dimensional (3D) objects, serving as a medium to convey campus environment information through a building layout using AR (Augmented Reality) FPS (Control) and VR (Virtual Reality) technology. This application facilitates prospective students in obtaining information about the buildings on the STMIK Bandung campus. The software development methodology used is the waterfall method to address issues that arise during the creation of the AR FPS (Control) and VR application. The system design utilizes UML (Unified Modeling Language). The application is built using markerless techniques, a joystick, and virtual buttons. The tools used include Unity3D as the editor and Blender for designing the three-dimensional (3D) models.
As Ciências Humanas na Base Nacional Comum Curricular: a alteridade sob a ótica da filosofia do ato responsável de Mikhail Bakhtin
Authors: Petracca Ricardo
Published: September 2024

Este artigo estabelece uma relação entre a abordagem do sujeito e suas relações de alteridade no âmbito das Ciências Humanas no ensino fundamental e médio presentes na Base Nacional Comum Curricular (BNCC) e a filosofia do ato responsável do filósofo russo Mikhail Bakhtin (1895-1975), com o intuito de debatê-los e interpretá-los sob esta perspectiva. Por meio de uma pesquisa bibliográfica e qualitativa, utiliza-se como referência principal a obra Para uma Filosofia do Ato Responsável de Bakhtin. Inicialmente é indicado no texto da BNCC algumas questões que podem subsidiar e contextualizar o debate. Depois, são apresentados alguns conceitos de Bakhtin, para, na sequência, estabelecer um diálogo entre a BNCC e filosofia do ato responsável, indicando no documento os trechos que ratificam os argumentos utilizados. Como resultado da pesquisa, ao visualizar sob a ótica do filósofo russo as questões relacionadas à alteridade no documento da BNCC, são constatadas semelhanças e divergências na concepção de “sujeito” e “agir ético”. Por último, e levando em consideração as dimensões continentais do Brasil e a necessidade de convivência harmoniosa entre grupos que possuem diferentes sotaques, costumes e tradições, conclui-se que o debate aqui proposto é urgente e necessário.
Presentación atípica de falla hepática aguda por Salmonella Typhi: reporte de un caso
Authors: Pillasagua-García José Eduardo , Gutiérrez-Gómez Roberto René , Morales-Mayorga Evelyn Gabriela , Minchala-Ávila Juan Pablo
Published: September 2024

La falla hepática aguda (FHA) es una enfermedad infrecuente con diversas etiologías, entre las cuales se encuentran las infecciones bacterianas, como la fiebre entérica por Salmonella Typhi. Esta enfermedad presenta una clínica variable, que va desde síntomas leves hasta daños graves, como sepsis, hemorragia intestinal, perforación intestinal, falla hepática aguda, falla multiorgánica y muerte. Se describe el caso clínico de una paciente con diagnóstico inicial de falla hepática aguda no filiada, que, tras los resultados de hemocultivos, se diagnosticó con falla hepática aguda secundaria a fiebre entérica. Dentro de las complicaciones de la fiebre entérica, la falla hepática aguda es infrecuente, con pocos casos reportados en la literatura médica. Se recomienda la detección del agente causal, lo cual repercute en el pronóstico a corto y largo plazo.
Evaluación de calidad y cumplimiento del rotulado en bebidas energizantes, deportivas y sueros orales de acuerdo a la normativa ecuatoriana
Authors: Bautista Ruano Melanie Jessenia , Cantos Salavarría Josselyn Cecibel , Jiménez Delgado Ronald Ricardo
Published: September 2024

En Ecuador la Ley Orgánica de Defensa del Consumidor menciona en el Art. 14 el rotulado mínimo de alimentos, sin perjuicio de lo que dispongan las Normas Técnicas Ecuatorianas (NTE) del Instituto Ecuatoriano de Normalización (INEN), los fabricantes y proveedores deben exhibir de manera obligatoria el rotulado cuya información debe ser adecuada, veraz, oportuna, y completa sobre los productos alimenticios para consumo humano. Esta investigación se realizó con el propósito de evaluar la calidad, según la NTE INEN 2411-1 requisitos de las bebidas energizantes y NTE INEN 2304-1 requisitos de las bebidas no carbonatadas; mediante los ensayos de pH, sólidos solubles (°Brix), contenido neto (mL) y porcentaje de acidez titulable (%), además el cumplimiento de los criterios mínimos de rotulado de acuerdo a la (NTE) INEN 1334 Requisitos para el rotulado de alimentos para consumo humano, parte 1-2-3 de bebidas energizantes, deportivas y sueros orales que se comercializan en la ciudad de Santo Domingo-Ecuador. Se seleccionaron cinco marcas comerciales de cada tipo de bebida, adquiridas en tiendas, farmacias y supermercados locales. El pH de 2,0 a 5,0; sólidos solubles 0-15°Brix y acidez titulable 0,1 a 0,5% establecidos en la NTE 2411-1 y 2304-1 podemos decir que todos los tipos de bebidas y marcas cumplen los requisitos. Mediante una lista de verificación de los criterios de rotulado establecido en la NTE INEN 1334 Requisitos para el rotulado de alimentos para consumo humano, podemos mencionar que las bebidas analizadas cumplen con la normativa, garantizando así la calidad y seguridad a los consumidores.
Efecto de aditivos alimentarios sobre la calidad del queso criollo durante su almacenamiento
Authors: Carlos Paúl Lombeida Galeas , Mónica Rubí Lombeida Galeas , Miryan Rocio Urbano Borja
Published: September 2024

La presente investigación tuvo con objetivo evaluar el efecto de aditivos alimentarios sobre la calidad del queso criollo durante su almacenamiento. Para evaluar su calidad se realizaron análisis fisicoquímicos, sensoriales, microbiológicos, rendimiento y costos. Los resultados se analizaron bajo un diseño Tri Factorial de (AxBxC) donde A evalúa aditivos alimentarios, B condiciones de almacenamiento y C los días de evaluación con tres repeticiones. Se obtuvo un queso criollo semiduro con un máximo de humedad del 55% de acuerdo a la Normativa NTE INEN 1528, el pH alcanzó un promedio de 5.3 a 6.5 con una dureza de 6.05 a 6.81 N evidenciándose diferencias significativas entre los tratamientos. El queso criollo tratado con citrato de sodio y almacenado en refrigeración durante 15 días presentó mejores características sensoriales en comparación con el resto de los tratamientos, exhibiendo un color blanco cremoso, olor y sabor fermentado, y una textura semiblanda, mientras que al ambiente se mantuvo con buenas características sensoriales hasta los 5 días de almacenamiento. El uso de aditivos alimentarios en condiciones de refrigeración permitió extender la vida útil del queso criollo, manteniendo características sensoriales aceptables hasta los 15 días de evaluación, y con una estimación de vida útil de al menos 10 días más en condiciones óptimas. En todos los tratamientos mostraron ausencia de coliformes totales y E. coli, lo que los hace aptos para el consumo. Con un rendimiento del 14% y un costo de $2.50 dólares por libra, el queso criollo resulta accesible para los consumidores.
Health facility readiness, facilitators, and implementation challenges of package of essential non-communicable disease program in selected municipality of Lalitpur district: a mixed method study
Authors: Rimal Saroj , Bhandary Shital , Subedi Anjana
Published: September 2024

Introduction: The global burden of non-communicable diseases constitutes a major public health challenge as well as a serious threat to social and economic development. The Nepal package of essential non-communicable disease (PEN) began in October 2016 with two pilot districts. The program was expanded to 77 Districts of Nepal by the year of 2021.The Program covers major NCDs like cardiovascular disease (CVD), diabetes, cancers (Breast and Cervical) and chronic respiratory diseases. This study assessed its status in Lalitpur district, Nepal. Aim of the study was to assess the health facility readiness, facilitators and implementation challenges of PEN program.
 
Method:  A cross-sectional design with concurrent triangulation mixed method was used. All the primary government health facilities of Lalitpur metropolitan city and Mahalaxmi municipality were included in study. Duration of the study was one month. Readiness for PEN program was assessed using pre-validated tools. By using purposive sampling for qualitative data and it was analyzed by using Braun and Clarke’s six steps thematic analysis.
 
Result: The overall readiness index for PEN services was 2526(71.4%) but it was less than 70%(not read) in Lalitpur metropolitan city and more than 70% in the Mahalaxmi municipality. Nearby tertiary hospital, positive leadership and availability of medicines were identified as facilitators while lack of trained health workers, unavailability of equipments and essential medicines were considered as major implementation challenges for the program.
 
Conclusion: Despite of 71.4% overall readiness for PEN services, disparities exist between municipalities. Facilitators such as nearby tertiary hospital and positive leadership contrast with challenges like a shortage of trained health workers and essential supplies. Addressing these disparities and challenges is crucial for successful implementation of PEN program.
Use of national early warning score in emergency department among adults with febrile illness to predict admission, ICU admission and mortality
Authors: Maharjan Rony , Shrestha John , Mangal Joshi Dipesh , House Darlene Rose
Published: September 2024

Introduction: National Early Warning Score (NEWS) is now a well-known tool used by many countries in the Emergency Department (ED) to predict the severity of the disease and intervene on time. The main aim of this study is to check the sensitivity of the national early warning score in finding sick cases that require possible ICU admission and possible mortality cases.
 
Method: A cross-sectional study was conducted in the Emergency Department at Patan Academy of Health Science (PAHS) over one year. The inclusion criteria of the data for this study were age>15 years old and patients with febrile illness (temperature ≥38°C) presenting to the Emergency Department. Data was analyzed using Microsoft Excel and Statistical Package for Social Sciences version 28.0.
 
Result: Predictive sensitivity of medical severity of overall cases was observed. The National Early Warning Score was highly sensitive in foreseeing and finding severe cases that required immediate ICU admission (0.74) or cases with high mortality (0. 94).
 
Conclusion: As per the findings from the study, introducing a National Early Warning Score tool for screening at the Emergency Department in Nepal can be very helpful in identification of deteriorating cases which need ICU admission or risk of mortality.
Managing major postpartum hemorrhage following acute uterine inversion in rural setting in Nepal: A case report
Authors: Sapkota Bishal , Aryal Divya , Bhandari Jeetendra , Bhandari Narendra
Published: September 2024

Inversion of the uterus is a complication during the third stage of labor. Various factors have been associated with uterine inversion, though no obvious causes are found. Mismanagement of the third stage of labor is the leading cause. It must be diagnosed in the early stages to ensure proper treatment. In case of delayed diagnosis and reversal of the uterus, can lead to hypotension and difficulty in repositioning the uterus, which can result in death. Management of the patient with uterine inversion includes early diagnosis, maternal resuscitation to correct hypovolemia and shock, and uterine replacement. We report a 20-year-old primigravida case with acute uterine inversion during the third stage of labor at hospital setting in rural Nepal.
Vitamin-D status and metabolic syndrome in patients with type 2 diabetes mellitus
Authors: Shrestha Pradeep , Rauniyar Nabin Kumar , Sharma Lucky , Adhikari Krishna
Published: September 2024

Introduction: Vitamin-D, besides its role in calcium and phosphorus homeostasis, has been increasingly recognized to affect various other metabolic processes including insulin secretion and sensitivity. Thus Vitamin-D has a potential role in development of type 2 diabetes mellitus and metabolic syndrome. This study aims to evaluate the status of Vitamin-D and metabolic syndrome among patients with type 2 DM.
Method: This is a hospital based cross-sectional observational study conducted at Bir Hospital, Kathmandu, Nepal from October 2017 to March 2018. Adult patients above 18 years with newly diagnosed type 2 diabetes or those already diagnosed and under medication were included in this study. Baseline characters, Vitamin-D status, metabolic syndrome were evaluated. Statistical package for social sciences (SPSS) version 20 was used for data analysis.
Result: Fifty-eight participants; 38 (65.52%) males and 20 (34.48%) females were enrolled. Fifty-two (89.67%) participants had low Vitamin-D levels (either deficiency or insufficiency). The mean vitamin D level was 18.78 ng/ml. Metabolic syndrome was seen among 37 (63.8%) participants. Low Vitamin-D (deficient or insufficient) was more common among those with metabolic syndrome (97.3%) compared to those without metabolic syndrome (76.19%).
Conclusion: Type 2 diabetes patients have high prevalence of hypovitaminosis-D and metabolic syndrome. Vitamin-D deficiency is more common in those with metabolic syndrome.
The unprecedented surge in mumps cases; time to think about vaccination in Nepal?
Authors: Twanabasu Sajal , Homagain Sushan , Tuladhar Sucharita , Mahaseth Ashika , Subedi Bhusan Kumar , Maskey Sujina , Regmi Dinesh , Rijal Ram Chandra
Published: September 2024

Introduction: Mumps is a self-limiting, common vaccine preventable viral disease characterized by fever and swelling of the unilateral or bilateral parotid gland. . Nepal has not included mumps containing vaccines in the national immunization schedule and hence there are occasional outbreaks but the actual incidence is not known.  We are trying to represent the burden of mumps in Nepal by reporting the cases visiting our center during the recent outbreak.
 
Method: This is a cross sectional study conducted at Dhading hospital for the period of 3 months from 15th of May 2023 to 14th of July 2023. All children that presented to pediatric OPD with age less than 14 years of age with symptoms of fever and parotid swelling were included in the study. Follow up was done after 5 days of presentation or immediately if any complications were noticed. Diagnosis of mumps was done clinically using Centers for Disease Control and Prevention (CDC)’s criteria. The data was analyzed using Microsoft Excel 2016.
 
Result: Out of 1875 outpatients, 124 (6.61%)  were diagnosed as mumps among which67 (54.03%) were male. Mean age of the patient was 5.9 years (±1.71SD). All the patients complained of fever and swelling of the cheek with abdominal pain 10 (8.06%) as predominant additional symptom. All the patients presented at the pediatric outpatient clinic and none of the cases developed complications.
 
Conclusion: The burden of mumps is underestimated in Nepal due to lack of surveillance and documentation as it is not a notifiable disease.. It is evident that mumps pose a significant disease burden in Nepal and hence mumps vaccine should be considered in national immunization programme.
Suicidal death among autopsied cases in a tertiary care centre in Nepal: a descriptive cross-sectional study
Authors: Kunwar Srijana , Poudel Aashis , Yadav Salmalee , Giri Aashish , Barma Aachal , Mandal Manisha , Bajgai Dinesh
Published: September 2024

Introduction: Globally 10,58,746 suicides occurred in the year 2022. In Nepal, 6792 suicides occurred in the year 2022 according to the data from Nepal Police.Suicide is a public health problem that can be prevented however, the prevention has not been adequately addressed.Our study aimed to find out the prevalence of suicidal death among autopsied cases in the Department of Forensic Medicine and Toxicology of a tertiary care centre in Nepal.
Method: A descriptive cross-sectional study was conducted among autopsies in the Department of Forensic Medicine and Toxicology, Patan Hospital, Lalitpur, Nepal. Data from 1 January 2020 to 31 December 2022 was collected after receiving ethical approval from the ethical committee. The point estimate was calculated at a 95% Confidence Interval (CI).
Result: Among 665 medico-legal autopsies, the manner of death was found to be suicide in 354 (53.23%) (C.I= 53.19- 53.27, 95% ). Hanging was the most common cause of suicidal death followed by poisoning. Suicidal death was increasing yearly with maximum death in the year 2022(37.01%).
Conclusion: The prevalence of suicidal death among autopsied cases was high and the trend was rising.
Knowledge of warfarin among patients on warfarin therapy, using anticoagulant knowledge assessment tool, in Patan Hospital
Authors: Das Sunil Kumar
Published: September 2024

Introduction: Warfarin is commonly used to prevent and treat cardiac, thromboembolic, and hypercoagulable conditions Despite its benefits, it was one of the top ten drugs with the most serious adverse events reported to the FDA during the 1990s and 2000s. Warfarin’s narrow therapeutic window necessitates careful management to avoid bleeding from over-anticoagulation or thrombosis from under-anticoagulation. Various tools exist to assess patient knowledge of warfarin, including the validated Anticoagulation Knowledge Assessment (AKA) questionnaire. This study uses the AKA tool to evaluate warfarin knowledge among patients at Patan Hospital, Lalitpur, Nepal.
Method: It was a single center, cross-sectional study done among 85 patients. Study was done for one year from Nov  2020 to Oct 2021. Convenient sampling was employed. The Anticoagulation Knowledge Assessment (AKA) questionnaire was translated into Nepali, modified for local relevance, and validated. Adequate knowledge was defined as correctly answering at least 70% of the questions.
Result: The study included 85 participants, 54 (63.5%) male and 31 (36.5%) female, with a mean age of 40.5 years (range: 16-91 years). Majority of participants attended primary level education 27 (31.8%). Only 17.6% of participantsdemonstrated adequate knowledge of warfarin, with a higher proportion of males (12) than females (3). Adequate knowledge was significantly associated with education level, but not with sex or age.
Conclusion: The analysis revealed that 17.6% of patients had adequate knowledge of warfarin. Education level showed a significant association with knowledge, with a p-value of 0.002.
Multi-level Analysis of Environmental Justice Perception's Influence on Public Participation in Urban Planning
Authors: Yi Jiaxin , Zou Tao
Published: September 2024

This study investigates the multi-level effects of environmental justice perceptions on public participation willingness in urban planning. Employing a hierarchical linear modeling approach, we analyzed data from 816 residents across three major U.S. cities. Results reveal that procedural justice is the strongest predictor of participation willingness, followed by distributive and recognition justice. Significant cross-level interactions were observed, with neighborhood social capital amplifying the effect of procedural justice, and city-level environmental quality moderating the impact of distributive justice. Socioeconomic factors exhibited both direct and indirect effects, with income level positively moderating the relationship between procedural justice and participation. The study contributes to environmental justice theory by demonstrating the differential impacts of justice dimensions and their contextual variations. It also bridges environmental justice and public participation literature through an integrated multi-level framework. Practical implications include the importance of transparent decision-making processes, context-sensitive participation strategies, and initiatives to build community social capital. These findings provide valuable insights for urban planners and policymakers seeking to enhance public engagement in environmental planning and promote more just, sustainable urban environments.
A Collective Reflection for Change Framework: Structured Support for Mathematics Teacher Educator Practice Transformation
Authors: Anderson Robin Keturah , Donaldson Sara , Troudt Melissa , Baker Courtney K. , Woods Dawn M.
Published: September 2024

This article reports on a framework for collective professional learning and its influence on the development of four early-career mathematics teacher educators as they work to transform their practice. The Collective Reflection for Change (CRC) framework centers on a shared referent to orient collaborative noticing and wondering. Findings from an initial pilot of the CRC framework indicate that integrating a structured framework for collective reflection grounded in the use of a shared referent within the practice of noticing and wondering can support groups of professionals, regardless of familiarity or relationship, as they participate in dialogue around transforming practice.
Cultivating K-8 Teachers’ Critical Consciousness Through Social Justice Mathematical Modeling: The Teacher Pay Task
Authors: Wickstrom Megan H. , Lopez-Mercado Christian , Jung Hyunyi
Published: September 2024

Social justice mathematical modeling is powerful in helping teachers build awareness of social issues, critique existing systems, and engage in rich mathematical reasoning. In this article, we document a task in which 28 preservice teachers (PSTs) explored if teacher pay is fair and how to define “fair” mathematically. Through qualitative analysis of PSTs’ reflections, we studied the effectiveness of the task through the lens of critical consciousness. Twenty-six of the participants reported developing social and mathematical agency with respect to the task. Because the task related to PSTs’ lived experiences, it allowed them to examine their assumptions about teacher pay, empowered them to use mathematics to explore different perspectives, and helped them envision ways they could enact change.
KANADA RESİM SANATINDA TOM THOMSON
Authors: ÇETİN Ufuk
Published: September 2024

Tom Thomson, göz kamaştırıcı renkler ve mevsimlerin değişimleriyle uyum içinde Kanada manzaralarının benzersiz özelliklerini yakalayan sanatsal bir dil geliştirmiştir. Thomson’ın ani ölümünün ardından arkadaşları onu anmak için bir sergi düzenlemiş ve bunu Kanada sanat tarihinin muhtemelen en ünlü sanatsal gücü olan Group of Seven (Yedili Grup'u) oluşturarak yaptılar.Bu ressamlar arasında Lawren Harris, J.E.H. Mac Donald, Arthur Lismer, Frederick Varley, Frank Johnston, Franklin Carmichael ve A. Y. Jackson olup, Thomson’la bugüne kadar Kanadalıların kendi ülkelerini görselleştirme şeklini etkileyen bir manzara stili yarattılar. Kanada'da büyük saygı duyulan bu sanatçılar, Kanada dışında neredeyse hiç tanınmamaktadır. Bu kitap Thomson’ı yalnızca biyografisi ve çalışmalarıyla değil, aynı zamanda yaşadığı dönem ile birlikte pek çok farklı açıdan incelemektedir.
Building a Stronger Principalship, Vol. 5: The Principal Pipeline Initiative in Action
Authors: Turnbull Brenda J. , Anderson, Leslie M , Riley Derek L. , MacFarlane Jaclyn R. , Aladjem Daniel K.
Published: September 2024

Six large school districts aiming to develop a large corps of effective school leaders built strong pipelines to the principalship.
The Impact of Climate Change on Biodiversity and Ecosystem Functioning
Authors: Alahin Arif Salman Yosif Al Bayati
Published: September 2024

Climate change refers to a long-term alteration in worldwide climate patterns, particularly those brought on by the increase of greenhouse gases in the atmosphere. The results of climate change are clear: warming of the Earth system and more typical extreme weather events. Indeed, there is no domestic or worldly community which has yet escaped the results, and climate change is expected to become stronger in the future. Biotic and abiotic pressures on natural ecosystems, as well as biodiversity and its associated ecosystem services, are made stronger by climatic changes. Thus, this paper aims to reflect the influence of climate change on biodiversity and linked ecosystem functioning. [1,2]
The planet's diversity is usually referred to as biodiversity, involving the millions of various life forms, such as plants and animals, as well as their connections and manifestations in ecosystems. Ecosystem functioning deals with the biological processes of the ecosystem as an entity. It has been confirmed that the global biodiversity of the planet diminishes, as well as human forces continue to place extra constraints on biodiversity, i.e., elevating inherent extinction risks of species. Climate patterns have a significant influence on biodiversity by affecting the spatial allocation of species, their population characteristics, reproduction, and broods, leading to the reproduction of seasons, the timing of habit alterations and morphological characteristics, and, to a point, damage distributions. Moreover, it is anticipated that the organization and interaction of communities, ecosystems, as well as the processes associated with services change because of the effects on biodiversity. [3, 4]
HUBUNGAN KECERDASAN SPIRITUAL PERAWAT DENGAN PEMENUHAN KEBUTUHAN SPIRITUAL PASIEN DI RUANG RAWAT INAP
Authors: Muhammad Arifandi  , Fitriya Putri  , Sofyan Salmanan
Published: September 2024

Kebutuhan spiritual adalah kebutuhan dasar manusia yang harus dipenuhi. Kebutuhan spiritual menunjukkan iman dalam pendekatan, harapan dan keyakinan kepada Tuhan dan kebutuhan untuk melatih agama yang di anut, yang harus dihargai dan dimaafkan oleh Tuhan yang sepenuhnya di katakan dan harus di pertahankan oleh individu secara konsisten untuk mendapatkan bantuan, kedamaian, keamanan, kekuatan, penghiburan dan pemulihan (Hardianto, 2017)
Pengaruh Pemberian Kompres Hangat Jahe Merah Terhadap Nyeri Pada Pasien Gout Arthritis di Kelurahan Mahawu Manado
Authors: Faradilla Mifta Suranata  , Rahmat H. Djalil  , Ratna Novitasari
Published: September 2024

Gout Arthritis is a disease characterized by pain that occurs repeatedly caused by deposits of monosodium urate crystals that accumulate in the joints as a result of high levels of uric acid in the blood. One of the complementary therapeutic measures is a warm red ginger compress in gout arthritis patients. The purpose of this research is to determine the Effect of Giving Warm Red Ginger Compresses to Pain in Gout Arthritis Patients in Mahawu Village, Manado. The design of this study used a pre- experimental (one-group, pre-post test design). The sample in this study was 35 respondents taken using a total sampling instrument. The study used observation sheets and SOPs for measurement using the NRS (Numeric Rating Scale). The data were then analyzed using the Wilcoxon statistical test with a significance level of = 0.05. The results of this study indicate that there is an effect of giving red ginger warm compresses to pain in gout arthritis patients with p value = 0.000 <0.05 so Ha is accepted and Ho is rejected. So it can be concluded that there is an effect of giving red ginger warm compresses to reducing pain in gout arthritis patients in Mahawu Village, Manado. The conclusion of the study is that there is an effect of warm red ginger compresses on Gout Arthritis patients in Mahawu Village, Manad.
Pemberian Supportive Educative System Tentang Otot Progresif Pada Keluarga Untuk Menurunkan Tekanan Darah Lansia Dengan Hipertensi
Authors: Rona Febriyona  , Nur Uyuun I. Biahimo  , Febrianto Adam
Published: September 2024

Introduction : Hypertension is a non-communicable disease which is a serious health problem because its prevalence continues to increase. Hypertension often does not show signs and symptoms, so it is often called the silent killer of death and is one of the main triggers for diseases such as heart disease, stroke and kidney disease. Method: Research design is a strategy used in research to achieve the goals of the researcher. The research design of the Nursing Final Scientific Work is pre-experimental with the pretest-posttests one group design approach. Results: showed that before giving Progressive Muscle, the blood pressure of Client 1 was 160/100 mmHg, Client 2 was 150/100 mmHg, and Client 3 was 180/100 mmHg. And after being given juice for 3 consecutive days, the blood pressure of client 1 was 130/100 mmHg, Client 2 was 130/90 mmHg, and Client 3 was 140/100 mmHg. Conclusion: The overall evaluation results after nursing actions are carried out, namely observing that the patient's blood pressure decreases, the patient can feel pain independently, as well as health education for patients and their families. Families can care for patients suffering from hypertension
Penerapan Terapi Relaksasi Otot Progresif Terhadap Kecemasan Pasien STEMI di Ruangan CVCU RSUD Prof.Aloei Saboe
Authors: Tiara Nurbaiti Nusa  , Haslinda Damansyah  , Susanti Monoarfa  , Agusalim Dali
Published: September 2024

Symptoms of stemi can cause patients to feel more anxious, this anxiety can be overcome pharmacologically and nonpharmacologically. However, pharmacological therapy can cause various side effects. Therefore, nonpharmacological therapies can be recommended including progressive relaxation techniques. The purpose of this study was to determine the application of progressive muscle relaxation therapy to anxiety using the HARS scale in stemi patients in the CVCU Room of Prof. Aloei Saboe Hospital. Pre-experimental research method with one group pre post test design, a sample of 4 people who met the sample criteria, the instrument used HARS (Hamilton Anxiety Rating Scale) and the data analysis used was univariate analysis. The study findings are that progressive relaxation techniques carried out by researchers for 3 days can reduce the HARS score of the first patient from a score of 11 to 4, the second patient from a score of 12 to 6, the third patient from a score of 13 to 7 and the fourth patient from a score of 12 to 6, so that progressive muscle relaxation therapy can be applied in reducing anxiety of stemi patients in the CVCU Room of Prof. Aloei Saboe Hospital. The implication of this study is that the nursing profession is expected to improve the provision of nursing interventions in carrying out the nursing care process comprehensively, namely from bio to psychosocial patients so that it can help patients overcome psychosocial problems in this case the anxiety experienced by patients.
Penerapan Asuhan Keperawatan Kepada Pasien Dengan Fraktur Tibia Di Ruang Dewasa RSUD Maren Hi. Noho Renuat Kota Tual
Authors: Yerry Soumokil  , Siti Rochmaedah  , Riada Ohoirenan
Published: September 2024

Fracture is a break in bone continuity as a result of a collision or blunt trauma from a certain object. Treatment of fractures can be surgical or splinting, including immobilization, reduction and rehabilitation. Fractures require immediate and appropriate treatment, because inaccurate or incorrect handling will result in further complications, such as infection, nerve and blood vessel damage, to further soft tissue damage. The most common cause of fractures is accidents, be it work accidents, traffic accidents and so on
Determinan Stunting Anak Usia 0-2 Tahun Di Indonesia: Bukti Survei Cross Sectional Menunjukkan Peran Penting Pemberian Tablet Tambah Darah Pada Ibu Hamil Dalam Penurunan Stunting
Authors: Nina Fentiana  , Daniel Ginting
Published: September 2024

There has been a shift in the age group of stunting children between 2018-2019 in Indonesia. The decline in the prevalence of stunting occurred in the younger age group, namely 0-5 months, 6-11 months and 12-23 months. This study aims to analyze the determinants of stunting in children aged 0-2 years in Indonesia based on cross-sectional survey evidence. This research is a retrospective study to get an overview of the incidence of stunting in children 0-23 months in Indonesia in 2013 as a basis for seeing the achievement of reducing stunting. The research analyzed secondary data from the 2013 Basic Health Research which measured 27,779 heights of children 0-2 years in 33 provinces in Indonesia. The results showed that a history of giving iron tablets to pregnant women was the factor most related to the incidence of stunting in children 0-2 years in Indonesia. The program to accelerate the reduction of stunting in Indonesia in 2024 to 14% needs to consider increasing the coverage of iron supplement administration to pregnant women and women of childbearing age..
Hubungan Self-Efficacy Terhadap Kualitas Hidup Pasien Kanker Serviks Di RSUD Dr. Moewardi
Authors: Sindi Lutfiana Dariska  , Rinda Intan Sari  , Diffa Risqa Arisdiani
Published: September 2024

Background: Cervical cancer is a type of deadly malignant cancer that attacks women. So that it can affect the quality of life for sufferers and Self Efficacy is needed. Purpose: Knowing the relationship of self-efficacy to the quality of life of cervical cancer patients. Research method: Quantitative research design with a sample of 50 respondents, the technique used is purposive sampling. Results: Based on age, education, and length of illness, bivariate results obtained using the sperman rank correlation test showed that the p-value was 0.002 (<0.05) meaning that there was a significant relationship between self-efficacy and the quality of life of cervical cancer patients. The correlation coefficient value obtained was 0.429, meaning that the relationship between self-efficacy and the quality of life of cervical cancer patients showed a moderate relationship with a positive direction, meaning that the higher the self-efficacy, the better the quality of life of cervical cancer patients. Suggestion: Future researchers can focus on one respondent who is undergoing chemotherapy or who is currently on an outpatient basis.
Faktor-Faktor Yang Berhubungan dengan Kurang Energi Kronik (KEK) pada Ibu Hamil di UPTD Puskesmas Cibugel
Authors: Yeti Yeti , Nunung Nurjanah  , Diani Magasida
Published: September 2024

Background: Based on data from the World Health Organization for 2021, it is stated that the number of maternal deaths in the world reaches 830 people every day caused by complications of pregnancy or childbirth and most maternal deaths occur in developing countries including Indonesia. AKI in Indonesia in 2021 will reach 830 people. At the UPTD Puskesmas Cibugel, it was recorded that the number of pregnant women with CED in 2022 was 47 out of 359 people with a percentage of 13.2%. Objective: to determine the factors associated with Chronic Energy Deficiency (CED) in Pregnant Women at the UPTD Health Center Cibugel, Sumedang Regency in 2023. Design: quantitative study using a cross-sectional survey approach. The study population was 32 pregnant women in the working area of the UPTD Puskesmas Cibugel in the period April - May 2023. The sample technique used total sampling. Results: there is a relationship between health conditions (nutrition status) and KEK in pregnant women. There is a relationship between age and CED in pregnant women and there is no relationship between parity and CED in pregnant women. Conclusion: factors associated with the incidence of CED include nutritional status and age. Meanwhile, parity has no relationship with the occurrence of KEK. It is recommended to increase cooperation in efforts to prevent and reduce KEK in pregnant women through cross-programs and cross-sectors.
Hubungan Inisiasi Menyusui Dini Dengan Kelancaran Pengeluaran ASIPada Ibu Post Partum KF 1 Di PMB Tuti Khairina Kabupaten Serdang Bedagai Tahun 2023
Authors: Misdawati Misdawati  , Nopalina Suyanti Damanik
Published: September 2024

Service quality can be measured by comparing perceptions between the expected service and the service received and felt by the patient. Patient satisfaction is the level of patient feelings after comparing with his expectations. If a patient is satisfied with the value provided by a product or service, it is very likely that they will become a customer for a long time. The aim of this research is to analyze the relationship between service quality in the registration section and patient satisfaction for pregnant women at the Highlands Assistant Health Center, Highlands District, Binjai City in 2023. The type of research used in this study is analytical with a cross-sectional approach with the research sampling technique being non-probability sampling. or non-random sampling was carried out at PMB Tuti Khairina, Serdang Bedagai Regency with a sample of 32 KF 1 post partum mothers from February to May 2023. The results of the chi-square test obtained a p value = 0.001 (p <0.05). This means that there is The Relationship between Early Initiation and the Smooth Expenditure of Breast Milk in Post Partum KF 1 Mothers in PMB Tuti Khairina Serdang Bedagai Regency in 2023
Penyuluhan Knee Osteoarthritis kepada Pasien Prolanis di Puskesmas Kendalkerep Malang
Authors: Siti Chairun Ni’mah  , Anita Faradilla Rahim
Published: September 2024

Osteoarthritis is a degenerative joint disorder that often occurs with age. This joint disorder can cause various kinds of problems that can interfere with daily activities, such as walking, going up and down stairs, sitting to standing position, prayer activities, standing too long, and so on. Community service activities are carried out by conducting counseling activities related to knee osteoarthritis. The purpose of the outreach activities carried out in the Prolanis community consisting of the elderly or elderly is to increase knowledge and understanding of the role of physiotherapy, especially regarding the management of physiotherapy related to the treatment of osteoarthritis through exercises that can be done independently at home. Physiotherapy management in osteoarthritis can be done using hamstring stretch exercises and quadriceps setting exercises.
Perbandingan Nilai Metabolik Pada Mr-Spectroscopy Dengan Dan Tanpa Media Kontras Di Rsup Persahabatan Jakarta Timur
Authors: Ici Zuhra Wulandari Sekedang  , I Putu Eka Juliantara  , I Bagus Gede Dharmawan
Published: September 2024

Comparison Of Metabolic Value On MR-Spectroscopy With and Without Contrast Media at Persahabatan Hospital, East Jakarta.
Magnetic Resonance Spectroscopy is a non-invasive technique that can be used to measure the metabolism of several biochemical components in body tissue, especially the brain. Based on observations made by the author at Persahabatan Hospital, the spectroscopy technique used at Persahabatan Hospital is a multi-voxle technique, with sequences selction namely s2D_PRESS_144, where the spectroscopy images are taken after administering contrast and prevalence for tumor cases in the Radiology Installation at Persahabatan Hospital, with 5 data from the month May-August 2023. To determine the validity of this opinion, the authors performed pre and post- contrast MR-Spectroscopy on patients with contrast and compared the results with patients without contrast. In this study the author used a quantitative analysis type of research with an experimental approach aimed at whether the administration of contrast material affects the results of MR-Spectroscopy in patients with brain tumor cases. Where the research data comes from primary data in the Radiology installation at Persahabatan Hospital from May - August 2023 using 5 patient data. Results: Based on an observational study carried out on primary data from 5 patients, there were differences in metabolic values with and without contrast media in brain tumor cases. And MR-Spectroscopy examination without contrast is better to use than with contrast, although from the overall data it turns out there are some data that say post- contrast is higher.
Hubungan Stress Dan Pola Makan Dengan Kejadian Hipertensi Di Rumah Sakit Bakti Timah Karimun
Authors: Pamela Afianti Pangaribuan
Published: September 2024

Hypertension is the medical definition of high blood pressure. This condition can cause various complications and even death. There are several risk factors that can cause hypertension such as stress levels and poor dietary habits. Objective: to determine the relationship between stress and diet with the incidence of hypertension at the bakti tin hospital in karimun. Methods: This study used a quantitative design with a cross-sectional approach in 92 hypertensive patients using Chi-Square analysis techniques. Results: It is known that respondents who have mild stress are 34 patients (37%) more than patients with moderate and severe stress. Patients who have a good diet as many as 57 patients (62%) are greater than patients who have a poor diet. In this study, patients who had normal blood pressure were 31 patients (33.%), while first-degree hypertension was 27 patients (29.3%), second-degree hypertension was 32 patients (34.8%), third-degree hypertension was 2 patients (2.2%). The results of the analysis show that stress and diet have a relationship with the incidence of hypertension with p value (stress = 0.015, diet = 0.001). Conclusion: there is a relationship between stress and diet with the incidence of hypertension in the bakti tin hospital in karimun. Suggestion: In this case the nurse should be able to provide education to patients so that they can control their minds to avoid stress and regulate their diet to avoid the risk of increasing blood pressure.
Optimalisasi Citra MRI Ankle Joint Dengan Penerapan Oblique 3D FSPGR Di Instalasi Radiologi RSUD Dr. Moewardi
Authors: Dewa Ayu Made Pramita Dewi  , I Putu Eka Juliantara  , I Putu Sugiartha
Published: September 2024

MRI (Magnetic Resonance Imaging) examination becomes tool diagnostic important in evaluation the soft tissue anatomy of the human body. MRI examination of the ankle joint role crucial in detect soft tissue impingement in the ankle joint. Fast Spoiled Gradient Echo (FSPGR) is an MRI method with high sensitivity in diagnose soft tissue problems in the ankle joint. Ankle joint MRI protocol at RSUD Dr. Moewardi uses several types of sequences with addition 3D sequences but not routinely. This study aims to examine the use of the 3D FSPGR oblique sequence in MRI ankle joint, while comparing it with the Sagittal T1 FSE and Sagittal FSE STIR sequences. This quantitative study involved 5 people to compare imaging 3D oblique FSPGR, sagittal T1 FSE and sagittal FSE STIR sequences. Analysis was carried out using the intraclass correlation coefficient (ICC) test, Friedman test, and Kruskal Wallis test. The results study showed there is difference information MRI ankle joint anatomy with oblique 3D FSPGR, sagittal T1 FSE, and sagittal FSE STIR sequences (p-value = 0.000). Test Kruskal Wallis show sequence 3D FSPGR and sagittal T1 FSE produce imaging different on every type anatomy (p-value= 0.045; 0.020), whereas Sagittal FSE STIR sequence shows results No different significant (p-value= 0.065. 3D oblique sequence of FSPGR is proven effective show anatomy ankle joint and posterior talofibular ligament.
Efektivitas Permainan Melipat Kertas dan Puzzle terhadap Perkembangan Motorik Halus Anak
Authors: Dia Rahmatillah  , Ainul Yaqin Salam  , Nafolion Nur Rahmat
Published: September 2024

Fine motor development is a movement that uses fine muscles or parts of certain limbs that are influenced by opportunities to learn and practice. This study aims to analyse the effectiveness of folding paper and puzzle games on children's fine motor development. The study's research design was a pre-experimental type one-group pretest-posttest design. The population of this study were all children aged 4-5 years at PAUD Ceria Panji Lor Village in September 2023, as many as 28 people with the Total Sampling technique—data collection using DDST Denver II measurement. Analytical test used with Wilcoxon Test. The results showed that children's fine motor development before therapy mainly developed as expected, namely 15 children (54%); after treatment, most developed very well, namely 19 children (68%). This study shows an influence between the value before and after being given folding paper and puzzle game therapy on the fine motor development of children aged 4-5 years.
Hubungan Tingkat Aktivitas Fisik Dengan Resiko Terjadi Demensia Pada Lansia Di Posyandu Lansia RW 03 Kelurahan Dinoyo
Authors: Ega Halima Ramdini  , Siti Ainun Ma’rufa
Published: September 2024

Background: The prevalence of elderly people continues to increase every year. This is directly proportional to the problems that continue to occur. One of them is a decrease in cognitive abilities which results in dementia. One of the risk factors for dementia is the level of physical activity. Decreased physical activity is believed to be one of the causes of dementia in the elderly, along with other risk factors.
Objective: To determine the relationship between physical activity levels and risk factors for dementia in elderly posyandu participants in RW 03, Dinoyo Village.
Research Method: This research uses descriptive analytical methods with a cross-sectional design. The method with sampling of both variables is carried out in the same time period. The total sample was 51 elderly posyandu participants in RW 03 Dinoyo Village who met the inclusion criteria. The measurement instrument uses the IPAQ-SF questionnaire to measure physical activity levels and the MMSE questionnaire to measure cognitive abilities. The correlation test used the Spearman Rho test with IBM SPSS 25. Results: Based on the Spearman Rho correlation test, the result was p = 0.339 (p > 0.05). The results showed that there was no relationship between the level of physical activity and the risk of dementia. Conclusion: There is no significant relationship between the level of physical activity and the risk of dementia in respondents. The lack of results in this study was caused by several factors, namely the limited research design and other supporting factors that were not studied.
Pengaruh Hypnobreastfeeding Terhadap Kelancaran Pengeluaran ASI Pada Ibu Nifas Di PMB Soraya Palembang
Authors: Devina Anggrainy Dencik
Published: September 2024

Babies get their main nutrition, namely breast milk, through the breastfeeding process. However, in some cases breast milk can be low, one of the reasons is the mother's psychological condition. Mothers who feel unhappy, not calm, not relaxed, this will affect their breast milk. Hypnobreastfeeding is a relaxation technique to help smooth the breastfeeding process, by adding positive affirmations to your mind when you relax. Deep and regular relaxation makes the endocrine system, blood flow and other systems in the body function better because the endorphins produced by the mother will flow to the baby through breast milk and also make the baby feel comfortable and calm. Research objective: to determine the effect of hypnobreastfeeding on the smooth flow of breast milk in postpartum mothers at PMB Soraya Palembang. Method: This research uses a pre-experimental research design (one-group pre-post test design). The sampling technique used was total sampling with a total of 32 people. Univariate data analysis for homogeneity and bivariate tests used the dependent t test. The results of this study showed that respondents experienced an increase in breast milk production obtained from the pretest and posttest. The results of the dependent t test obtained a Z value of -2.129 and Asymp Sig of 0.001 < 0.005. The conclusion of this research states that there is an influence of the hypnobreastfeeding technique in expressing breast milk to the mother