bluuebunny/crossref_metadata_2025 huggingface dataset:
Endoscopic mucosal resection of colorectal polyps: results, adverse events and two-year outcome
Authors: Chaoui I , Demedts I , Roelandt P , Willekens H , Bisschops R
Published: March 2022

Background and study aims: Endoscopic mucosal resection (EMR) is the first-line treatment for large sessile and flat colorectal polyps in Western centres, however recurrence after EMR continues to be a challenge. The aim of this study is to assess efficacy, safety and recurrence rate of EMR in a tertiary centre and to identify risk factors for recurrence at first surveillance endoscopy (SE1).

Patients and methods: We performed a retrospective study of 165 sessile and flat colorectal lesions ≥15 mm, treated by EMR between 2017-2019. We used multivariate logistic regression to identify independent risk factors for recurrence at SE1.

Results: EMR was performed for 165 colorectal polyps in 142 patients with technical success in 158 cases (95,2%). SE1 data for 117 of 135 eligible cases (86,7%) showed recurrent adenoma in 19 cases (16,2%) after a median time of 6,2 months (IQR 5-9,9). This was primarily treated endoscopically (78,9%). Independent risk factors for recurrence at SE1 were lesion size ≥40 mm (OR 4,03; p=0,018) and presence of high-grade dysplasia (HGD) (OR 3,89; p=0,034). Early adverse event occurred in 4 patients (2,4%), with 3 bleeding complications and one perforation. Twelve patients (7,2%) presented with delayed bleeding of which 3 required transfusion, with radiological intervention in one case. All other complications were managed either conservatively (n=8) or endoscopically (n=5).

Conclusions: EMR is a safe and effective treatment for large sessile and flat colorectal lesions with low recurrence rates. Lesion size ≥40 mm and presence of HGD were identified as risk factors for early recurrence, highlighting the importance of compliance to follow-up in these cases.
Perspektif etis, yuridis dan teologis terhadap perkawinan sejenis
Authors: Setiawan Tjutjun , Simanjuntak Ferry , Hermanto Yanto Paulus
Published: March 2022

Kaum homoseksual berharap masyarakat banyak menerima keberadaan mereka dan tidak lagi memberikan stigma negatif. Mereka juga berharap untuk mendapat perlakuan yang sama seperti kepada kaum heteroseksual, di mana mereka dapat menikah dengan pasangannya. Penelitian ini membahas tentang perspektif etis, yuridis dan teologis terhadap perkawinan sejenis. Adapun penelitian ini menggunakan metode kualitatif dengan pendekatan studi kepustakaan. Melalui penelitian ini diharapkan gereja mempunyai pemahaman dan tahu bagaimana harus bersikap terhadap kaum homoseksual dan tuntutannya untuk dapat melakukan perkawinan dengan pasangannya yang sejenis. Juga diharapkan kaum homoseksual dapat menyadari dan bertobat bahwa perilakunya tersebut adalah salah dan menyimpang secara etis, melanggar aturan secara yuridis bahkan perilakunya tersebut adalah dosa dihadapan Tuhan.
Imamat am orang percaya dan relevansinya bagi pengembangan misi dalam konteks pluralisme di Indonesia
Authors: Hudaya Nofia
Published: March 2022

Imamat Am Orang Percaya merupakan salah satu pengajaran utama dalam reformasi gereja di abad pertengahan, namun sayangnya implementasinya dalam praktik hidup jemaat masih sering disalahpahami atau diabaikan. Tulisan ini hendak meneliti hakikat dan relevansi Imamat Am Orang Percaya sebagai landasan misi bagi setiap orang percaya, khususnya dalam konteks kemajemukan di Indonesia. Metode penelitian yang dipergunakan adalah kepustakaan. Di akhir tulisan ini ditemukan bahwa setiap orang Kristen harus memahami bahwa apapun profesinya di dunia sekuler merupakan panggilan Tuhan atas dirinya, yang harus dilihat sebagai penghayatan imannya kepada Allah. Dalam konteks kemajemukan di Indonesia setiap orang Kristen dipanggil untuk mewujudkan kerukunan dan kedamaian di tengah masyarakat. Kaum awam memiliki peran yang strategis untuk melakukan pelayanan misi yang inklusif sehingga menghindarkan gereja dari sifat eksklusivisme.
Maria sebagai "role model" bagi wanita Kristen masa kini berdasarkan kitab Injil Matius dan Lukas
Authors: Laurencia Frida , Nassa Grace Son
Published: March 2022

Penelitian ini menyoroti profil kehidupan Maria, ibu Yesus, yang dikaji berdasarkan kitab Injil khususnya Injil Matius dan Lukas. Di dalamnya ada lima aspek kehidupan Maria yakni kehidupan spiritualitas, karakter, moralitas, mentalitas, dan peranan domestiknya sebagai seorang istri maupun seorang ibu. Tujuannya adalah kelima sisi profil Maria yang diteliti tersebut dapat menjadi role model bagi wanita Kristen yang hidup di masa kini, yang berfungsi sebagai penolong bagi suami dan teladan bagi anak-anak yang Tuhan percayakan padanya. Penelitian ini menggunakan pendekatan kualitatif, dengan metode deskriptif-analitik. Hasil penelitian menunjukkan bahwa kehidupan spiritualitas, karakter, mentalitas, moralitas, serta peran Maria sebagai istri dan ibu dapat dikatakan sangat berkualitas sesuai dengan firman Tuhan. Dengan demikian, nilai-nilai kehidupan Maria masih sangat relevan dan dapat diimplementasikan ke dalam kehidupan sehari-hari dari wanita Kristen masa kini.
PENDEKATAN SAINTIFIK-ICM BERBASIS LKPD TINGKATKAN HASIL BELAJAR IPS MATERI EKONOMI KREATIF PADA KELAS IXD SMPN 3 CEPIRING
Authors: HERLINA HERLINA
Published: March 2022

Tujuan Penelitian ini memaparkan penerapan pendekatan Saintifik-Index Card Match (ICM) berbasis LKPD dalam pembelajaran IPS materi Ekonomi Kreatif pada kelas IXD SMPN 3 Cepiring Semester Genap Tahun Pelajaran 2021/2022 dan mengetahui peningkatan hasil belajar IPS materi Ekonomi Kreatif pada kelas IXD SMPN 3 Cepiring Semester Genap Tahun Pelajaran 2021/2022, melalui penerapan pendekatan Saintifik-Index Card Match (ICM) berbasis LKPD.

Jenis Penelitian yang dilakukan adalah penelitian tindakan kelas, yang dilakukan dalam dua siklus. Tiap siklus terdiri dari 4 tahap yaitu perencanaan, pelaksanaan tindakan, observasi dan refleksi. Penelitian ini dilakukan di SMPN 3 Cepiring, kecamatan Kangkung kabupaten Kendal, Jawa Tengah dengan subjek penelitian peserta didik kelas IXD berjumlah 24 orang, terdiri atas 12 orang laki-laki, 12 orang perempuan dan Herlina, SE guru IPS kelas IXD SMPN 3 Cepiring. Teknik pengumpulan data berupa observasi keterampilan guru, sikap spiritual dan sosial, tes tertulis, tes lisan, dan penugasan serta dokumentasi berupa foto proses pembelajaran. Indikator keberhasilan penelitian ini adalah apabila pendekatan saintifik-Index Card Match (ICM) berbasis LKPD di kelas IXD SMPN 3 Cepiring Semester Genap Tahun Pelajaran 2021/2022 dapat diterapkan dengan kriteria baik, dan mampu meningkatkan hasil belajar kompetensi sikap dengan predikat baik, kompetensi pengetahuan dan keterampilan ? KKM sekolah (75).

Hasil penelitian ini menunjukan pendekatan Saintifik-Index Card Match (ICM) berbasis LKPD berhasil diterapkan dalam pembelajaran IPS materi Ekonomi Kreatif pada kelas IXD SMPN 3 Cepiring Semester Genap Tahun Pelajaran 2021/2022, dengan kriteria tingkat keberhasilan baik, dan penerapan pendekatan Saintifik-Index Card Match (ICM) berbasis LKPD berhasil meningkatkan ketuntasan hasil belajar IPS materi Ekonomi Kreatif pada kelas IXD SMPN 3 Cepiring Semester Genap Tahun Pelajaran 2021/2022. yaitu: peningkatan ketuntasan hasil belajar kompetensi sikap spiritual dan sikap sosial sebesar 33,34, peningkatan ketuntasan hasil belajar kompetensi pengetahuan sebesar 29,17%, peningkatan ketuntasan hasil belajar kompetensi keterampilan sebesar 25,00%.

Simpulan penelitian ini bahwa pendekatan Saintifik-Index Card Match (ICM) berbasis LKPD berhasil meningkatkan ketuntasan hasil belajar IPS Materi Ekonomi Kreatif kelas IXD SMPN 3 Cepiring Semester Genap Tahun Pelajaran 2021/2022. Oleh karena itu disarankan penggunaan pendekatan Saintifik-Index Card Match (ICM) berbasis LKPD dalam proses pembelajaran khususnya pembelajaran IPS.
Lightning activity in northern Europe during a stormy winter: disruptions of weather patterns originating in global climate phenomena
Authors: Kolmašová Ivana , Santolík Ondřej , Rosická Kateřina
Published: March 2022

Abstract. In this study, we use World Wide Lightning Location Network data and investigate properties of more than 90 000 lightning strokes which
hit northern Europe during an unusually stormy winter in 2014/15. Thunderstorm days with at least two strokes hitting an area of
0.5∘ × 0.5∘ occurred 5–13 times per month in the stormiest regions. Such frequency of thunderstorm days is about 5 times higher than the mean annual number calculated for the same region over winter months in 2008–2017. The number of individual winter lightning strokes was about 4 times larger than the long-term median calculated over the last decade. In the colder months of December, January and February, the mean energy of detected strokes was 2 orders of magnitude larger than the global mean stroke energy of 1 kJ. We show for the first time that winter superbolts with radiated electromagnetic energies above 1 MJ appeared at night and in the morning hours, while the diurnal distribution of all detected lightning was nearly uniform. We also show that the superbolts were often single stroke flashes and that their subsequent strokes never reached megajoule energies. The lightning strokes were concentrated above the ocean close to the western coastal areas. All these lightning characteristics presume anomalously efficient winter thundercloud charging in the eastern North Atlantic, especially at the sea–land boundary. We found that the resulting unusual production of lightning could not be explained solely by an anomalously warm sea surface caused by a
positive phase of the North Atlantic Oscillation and by a starting super El Niño event. Increased updraft strengths, which are believed to accompany the cold-to-warm transition phase of El Niño, might have acted as another charging driver. We speculate that a combination of both these large-scale
climatic events might have been needed to produce the observed enormous amount of winter lightning in winter 2014/15.
Analytic characterization of random errors in spectral dual-polarized cloud radar observations
Authors: Myagkov Alexander , Ori Davide
Published: March 2022

Abstract. This study presents the first-ever complete characterization of random errors in dual-polarimetric spectral observations of meteorological targets by cloud radars. The characterization is given by means of mathematical equations for joint probability density functions (PDFs) and error covariance matrices. The derived equations are checked for consistency using real radar measurements. One of the main conclusions of the study is that the convenient representation of spectral polarimetric measurements including differential reflectivity ZDR, correlation coefficient ρHV, and differential phase ΦDP is not suited for the proper characterization of the error covariance matrix. This is because the aforementioned quantities are complex, non-linear functions of the radar raw data, and thus their error covariance matrix is commonly derived using simplified linear relations and by neglecting the correlation of errors. This study formulates the spectral polarimetric measurements in terms of a different set of quantities that allows for a proper analytic treatment of their error covariance matrix. The results given in this study allow for utilization of spectral polarimetric measurements for advanced meteorological applications, among which are variational retrieval techniques, data assimilation, and sensitivity analysis.
Adaptive robust observer-based control for structural load mitigation of wind turbines
Authors: Kipchirchir Edwin , Do Manh Hung , Njiri Jackson Githu , Söffker Dirk
Published: March 2022

Abstract. With growth in the physical size of wind turbines, an increased structural loading of wind turbine components affecting operational reliability is expected. To mitigate structural loading in wind turbines, a novel strategy for structural load mitigation and rotor speed regulation of utility-scale wind turbines in above-rated wind speed region is proposed in this contribution. Spatial and temporal variation of wind speed is responsible for fatigue loading during power production. Previous attempts have proposed advanced control schemes incorporating disturbance models for cancelling the effects of wind disturbances. These controllers are usually designed based on reduced order models of nonlinear wind turbines, hence do not account for modeling errors and nonlinearities. Although robust controllers have been proposed to handle nonlinearities during wind turbine operation, these controllers are designed about specific operating points, hence suffer performance deterioration in changing operating conditions. In this contribution, a robust disturbance accommodating controller (RDAC), which is robust against modeling errors and nonlinearities, is combined with an adaptive independent pitch controller (aIPC), designed to be adaptive to changing operating points due to wind speed variability, to mitigate structural loads in rotor blades and tower and to regulate rotor speed. The proposed control scheme is tested on a 1.5 MW National Renewable Energy Laboratory (NREL) reference wind turbine (RWT). Simulation results show that the proposed method successfully mitigates structural loading in rotor blades and tower without sacrificing rotor speed and power regulation performance in the presence of model uncertainties and changing operating conditions.
A theoretical framework for the study of power capture enhancement for wind turbines operating at low wind speeds
Authors: Miquelez-Madariaga Irene , Díaz de Corcuera Asier , Elso Jorge
Published: March 2022

Abstract. At below rated operation, wind turbines must track changes in the wind speed to ensure optimal power production. Traditionally, a nonlinear feedback of the generator speed is used for that purpose. In this paper, a linear frequency domain approach to the problem is proposed, that studies the efficiency of the baseline control and the possible benefits of additional strategies. Then, a frequency domain nonlinear relation between wind and energy, that validates the results obtained for the linear model. Lastly, the benefits and costs of an optimal LIDAR based torque signal are discussed
PEDULI AKAN LINGKUNGAN DESA BENCOY SUKABUMI
Authors: Saprudin Udin , Hasan Abdul , Saputra Dian , Almayda Austyn , Saepudin Sudin
Published: March 2022

Kebersihan lingkungan merupakan hal yang tak terpisahkan dari kehidupan manusia, kebersihan lingkungan itu sendiri adalah keadaan tempat yang bebas dari kotoran termasuk diantaranya debu,sampah,dan bau serta bebas dari virus dan bakteri.[1]Di Zaman modern ini , tidak banyak masyarakat yang mempunyai kesadaran mengenai pentingnya menjaga kebersihan dilingkungan sekitar,masyarakat terlalu meremehkan kebiasaan mereka sehingga tanpa kita sadari sampah-sampah menggunung dan mengakibatkan kerusakan lingkungan salah satunya yaitu banjir dan lingkungan yang tidak sehat untuk dihuni.Oleh karena itu perlunya kepedulian dalam hal kebersihan lingkungan untuk dapat menciptakan lingkungan yang sehat dan bersih, Demi tercapainya hal tersebut kita harus saling mendukung karena  pada dasarnya menjaga kebersihan lingkungan itu merupakan kewajiban setiap individu.
EDUKASI DAN SOSIALIASI COVID-19 SERTA PEMBUATAN TEMPAT CUCI TANGAN DI DESA KARANGJAYA KECAMATAN GEGERBITUNG SUKABUMI
Authors: Atmami Harry , Saputra Dharma , Bahrul Alam Taufik , Nur Octafiani Fauziah , Alinda Wahyumi Wulan , Gustian Dudih
Published: March 2022

Corona Virus Disease 2019 (Covid-19) adalah virus jenis baru yang belum diketahui oleh manusia.  Virus penyebab Covid-19.  Virus ini sudah menyebar ke berbagai negara, salah satunya adalah Indonesia. Wabah penyakit ini telah menciptakan krisis kesehatan global dengan dampak yang mendalam pada pola kehidupan kita sehari-hari.  Upaya untuk pencegahan telah dilakukan oleh Lembaga kesehatan untuk dapat menyelesaikan pandemi ini. Akan tetapi dalam pelaksanannya masih banyak masyarakat yang tidak mengindahkan himbauan ini. berangkat dari kondisi tersebut, Kuliah Kerja Nyata (KKN) Kelompok 6 Nusa Putra melakukan pengabdian kepada masyarakat pada saat masa pandemi covid-19.  Dengan melakukan kegiatan pengabdian dengan memberikan informasi kepada warga tentang covid-19, vaksinasi dan memberikan fasilitas tempat cuci tangan. Hasil dari kegiatan ini diharapkan dapat merubah perilaku masyarakat yang sebelumnya abai menjadi peduli terhadap penerapan protocol kesehatan demi mencegah dan menanggulangi pandemic covid-19
SISTEM PEMBELAJARAN DI SDN CILUBANG DESA BENCOY KECAMATAN CIREUNGHAS SELAMA MASA PANDEMI COVID-19
Authors: Saepudin Udin , Wisnu perkasa Rahmat , Setiawati Lastri , Yuthika Ghaida , Saepudin Sudin , Kurniawan  , Pradifta Junfithrana Anggy
Published: March 2022

Corona virus is an unexpected outbreak which can be said to be a health crisis, at this time social distancing is very much used to break the chain of transmission of this epidemic so as to do all work and education. Technological developments are very influential in being able to help activities to keep going properly, even if they are done only from home. Everyone is required to be able to use technology which continues to evolve every day. The purpose of this research is to find information about the learning systems and techniques in Cilubang State Schools during the pandemic period and how to respond as education personnel and students to deal with the current pandemic.online
A Criminological Analysis of Trans-Border Crimes of Illela-Birnin Konni Corridor
Authors: USMAN Ishaq Karofi
Published: March 2022

The paper explores the causes and effects of trans-border crime on two border communities: Illela and Birnin Konni border towns. The persistence and consistency of trans-border crime issue inspired the desire to carry out a study from which this paper emanates. The strain/ anomy theory and differential association theories were used as guides to the problem examined in the paper. Snowball and purposive or judgmental sampling procedures were adopted and a sample size of 271 respondents was chosen. This figure was arrived using Raosoft 2004 sample size of calculator by using 5% marginal error, 90% confidential level and 50% respondent distribution. Mixed methods of qualitative and quantitative were adopted. While questionnaire was designed and administered to designated respondents for the qualitative method, interview sessions were conducted with one each selected staff from the Customs, Immigration, Police Force, NDLEA and Civil Defense. There was 57.6 % response rate as 156 respondents out of 271 returned the questionnaire given to them and three (3) key informants were interviewed. The paper found smuggling of petroleum products as the major (89%) trans-border crime with poverty as the leading cause of trans-border crime as indicated by (38.3%) of the respondents. The paper then recommends that parent should instill discipline on their wards/children and proper socialization to avoid peer group influence on their children. Keywords: Trans-border Crime, Illela-Birnin Konni Border, Drug Trafficking, Human Trafficking, Smuggling.
Satisfaction of Online Payment Application Users in terms of Ease of Use and Shopping Experience
Authors: Nuryani Nuryani , Wiwaha Arjuna , Chandra Mandagie Wenny
Published: March 2022

The Indonesian demand for online payment services keeps rising steadily. Consequently, various new applications have sprung up, including Sepulsa and OVO. However, the success of companies providing these services largely depends on the user satisfaction factor along with ease of use to determine their shopping experience. This research aimed to determine the effect of ease of use and shopping experience on user satisfaction derived from Sepulsa and OVO online payment applications. The data from a sample size of 105 respondents drawn from Jakarta was collected using questionnaires distributed through Google Form. The data collected was then processed using regression and correlation methods with the help of SPSS 25 software. The results concluded that user satisfaction on Sepulsa and OVO applications was 72.8% jointly shared by the ease of use and shopping experience, while 27.2% is represented by factors/variables, which were not covered in this research. This calls for online payment application companies to improve their services.
Analisis Pengaruh Obligasi Ritel Indonesia dan Inflasi terhadap Dana Pihak Ketiga Bank Konvensional
Authors: Mahameru Muhammad , Susanto Agus , Haryono Haryono
Published: March 2022

Bank dalam operasionalnya senantiasa menerapkan fungsi intermediasi, yang merupakan fungsi penghubung antara dana yang dihimpun dari masyarakat serta selanjutnya disalurkan kembali ke masyarakat dalam bentuk pinjaman. Disamping menerapkan fungsi intermediasi, Bank memberikan layanan kepada masyarakat berupa jasa transfer, collection, forfaiting, trade financing, bank garansi, e-banking, ATM dan sebagainya. Bank sebagai lembaga keuangan memiliki dana yang sebagian besar merupakan dana dari masyarakat atau disebut Dana Pihak Ketiga (DPK). Bentuk dari DPK tersebut berupa Giro, Tabungan, dan Deposito. Saat ini bank menjadi institusi yang penting bagi perekonomian suatu negara, penerbitan Surat Berharga Negara (SBN) yang merupakan investasi bebas risiko seperti Deposito tentu akan mempengaruhi DPK yang bisa dikumpulkan. Penerbitan SBN dengan seri Obligasi Ritel Indonesia (ORI) terhadap pertumbuhan DPK merupakan tujuan dari penelitian ini. Penelitian ini dilakukan dari bulan Februari sampai dengan Agustus 2020 di Otoritas Jasa keuangan (OJK). Metodologi yang digunakan dalam penelitian ini adalah analisis regresi data panel dengan menggunakan program Eviews 9. Penelitian ini mendapatkan hasil secara parsial ORI tidak berpengaruh terhadap DPK. Inflasi secara parsial berpengaruh negatif terhadap DPK. Secara simultan ORI dan inflasi berpengaruh secara simultan terhadap DPK.
MODEL KAMPANYE POLITIK BUPATI DAN WAKIL BUPATI TERPILIH PADA TAHUN 2017 (Studi Di Kelurahan Boneoge Kecamatan Lakudo Kabupaten Buton Tengah)
Authors: Kasim Syaifuddin , Sarpin Sarpin , Kurnia Kurnia
Published: March 2022

ABSTRAK Tujuan penelitian ini untuk mengetahui model kampanye politik dalam pemilihan Bupati dan Wakil Bupati Kabupaten Buton Tengah. Penelitian ini dilaksanakan di Kelurahan Boneoge Kecamatan Lakudo Kabupaten Buton Tengah Provinsi Sulawesi Tenggara. Penelitian ini menggunakan teknik pemilihan informan secara non-probability sampling (pengambilan sampel tidak berdasarkan peluang) dan dalam penentuan informan ini, peneliti menggunakan teknik purposive sampling. Data penelitian ini diperoleh melalui observasi (pengamatan), interview (wawancara). Dianalisis secara deskriptif kualitatif.Hasil penelitian ini menunjukan bahwa, terdapat model kampanye politik dalam pemilihan bupati dan wakil bupati yang menggunakan model kampanye The Five Stages Development yang diantaranya yaitu sebagai berikut : (a). Tahap identifikasi merupakan tahap penerapan atau pelaksanaan identitas kampanye yang digunakan untuk mengenalkan atribut-atribut kampanye. (b). Tahap legitimasi merupakan  tahap adanya pasangan yang telah masuk sebagai daftar kandidat. (c). Tahap partisipasi merupakan  tahap pelaksanaan atau implementasi masyarakat yang secara sukarela atau dukungan secara partisipatif (d). Tahap penetrasi merupakan tahap adanya penerapan bupati dan wakil bupati dalam mengembangkan gagasan atau ide. Dan (e). Tahap distribusi merupakan tahap membuktikan atau merealisasikan semua janji-janji politik bupati dan wakil bupati terpilih yang telah disampaikan di dalam masyarakat. Kata Kunci : Model Kampanye dan Politik.
FAKTOR PENYEBAB ANAK MELAKUKAN TINDAK PIDANA DI KOTA TANJUNGPINANG
Authors: Prastiyo Endri Bagus , Irawati Mila , Lasmaria Dewi Chrisma , Hermawan Yulius
Published: March 2022

Tindak pidana merupakan konsekuensi hukum yang harus diterima ketika seseorang melakukan kesalahan, dan tindak pidana bukan saja diterima oleh orang dewasa namun usia anak-anak juga sudah banyak yang melakukan kriminalitas yang membawanya kepada sanksi hukum. Kriminalitas banyak terjadi di perkotaan, salah satunya di Kota Tanjung Pinang, diketahui berdasarkan data yang diperoleh, tindak pidana anak yang terjadi di Kota Tanjungpinang ditahun 2019 mencapai 20 kasus. Hal ini perlu diketahui faktor penyebab anak melakukan perilaku menyimpang sampai keranah hukum, dan penelitian yang akan dilakukan bersifat deskriptif dengan pendekatan kualitatif, data diperoleh melalui proses wawancara dari 11 kasus yang ada di Kota Tanjung Pinang. Berdasarkan hasil penelitian, diketahui ada dua penyebab anak melakukan tindak pidana yaitu pertama, Motivasi instrinsik, yaitu anak sudah mengetahui hal yang dilakukannya merupakan hal yang salah namun karena faktor sosialisasi negatif yang diperoleh dari lingkungannya, membuat nya berani melakukan penyimpangan yang melanggar hukum. Kedua, motivasi ekstrinsik, adanya dorongan atau keinginan dari luar diri anak itu sendiri untuk melakukan perbuatan tindak pidana dapat dilihat dari faktor lingkungan keluarga, lingkungan pergaulan, ekonomi dan media massa (elektronik) yang mempengaruhinya
Analisis Sosial Budaya Masyarakat Dalam Upgrading Agribisnis Di Kabupaten Tapin Kalimantan Selatan
Authors: Mariani Mariani , Akbar Dhani
Published: March 2022

Kabupaten Tapin pada tahun 2019 merupakan Kabupaten ketiga terbesar dalam produksi padinya.  Padahal untuk tahun 2016 Kabupaten Tapin pernah menjadi konstributor terbesar produksi padi (padi sawah dan ladang) di Kalsel dengan produksi total sekitar 339.504 ton di mana Barito Kuala saat itu produksi hanya 334.345 ton. tujuan dari ditulisnya artikel ini adalah untuk mendapatkan perumusan model pemberdayaan masyarakat yang efektif dan efisien untuk mengembangkan (scaling out) agribisnis komoditas padi yang menguntungkan tersebut dalam skala yang lebih besar kegiatan penelitian ini dirancang sebagai bentuk penelitian kaji tindak (action research). Budaya masyarakat Kabupaten Tapin dalam usahatani padi sangat mendukung pengembangan model agribisnis padi dan motivasi petani yang besar, dimana motivasi dikarenakan pembinaan sebesar 51,61 % dan motivasi yang terjadi akibat kebutuhan sebesar 45,16 % membuat usaha pengembangan model agribisnis padi (padi-jeruk, padi-cabe dan padi-sayuran) bisa sukses. sebanyak 29,03 % masyarakat berpartisipasi, walaupun partisipasi pasif/manipulative, yaitu partisipasi dimana masyarakat yang diberitahu oleh apa yang sedang atau telah terjadi, serta pengumuman sepihak oleh pelaksanaan program tanpa memperhatikan tanggapan masyarakat. Sebanyak 64,52 % kerjasama/kemitraan yang dijalin dan menguntungkan dan 12,90% kerjasama yang dijalin menguntungkan secara finansial dan non finansial.
A study to assess the effectiveness of antenatal Exercises in reduction of labour pain among primi mothers in selected hospital, Erode.
Authors: K. Vijayalakshmi , P. Padmavathi
Published: March 2022

Giving birth is a life-changing event, and the care that a woman receives during labour has the potential to affect her both physically and emotionally the short and longer term. Therefore, improving the quality of maternity care in both developed and developing countries is an important part of attempts made to decrease maternal and neonatal mortality and morbidity. In obstetric care, many interventions are complex, containing a number of different components which may have an effect on the impact of the interventions in healthcare settings. Objective: To determine the effectiveness of antenatal exercises in reduction of labour pain among primi gravida mothers in both the groups. Methodology: A quantitative approach and evaluate in nature and true experimental design where post test only with control group design. The study population were Primi mothers, 30(15 control and 15 experimental group) mothers attending antenatal OPD in private maternity Hospital, Erode District. Visual analog scale was used to assess the level of pain. Result: The findings revealed that after the antenatal exercise the visual analog pain scale score was reduced in experimental group compared to the control group among primi mothers. In control group there was no significant association between the level of labour pain and demographic variables. In experimental group there was no significant association between the level of pain and demographic variables such as age, family, living area, habit of regular exercise and previous source of information and highly significant association in education, occupation and income. Conclusion: The antenatal exercise was more effective in reduction pain during labour among the primi mothers in experimental group.
Aids Case Study
Authors: N. Kapadiya Manthankumar
Published: March 2022

Acquired immunodeficiency syndrome (AIDS) is a chronic, potentially life-threatening condition caused by the human immunodeficiency virus (HIV). By damaging immune system, HIV interferes with your body's ability to fight infection and disease. AIDS incidences are increasing by nearly 2.6 million every year. Objective: The purpose of this study to understand the cause, clinical manifestations and treatment course for AIDS. Material and methods: detailed clinical history and physical examination was done. All the pertinent investigations were studied thoroughly of the selected case. Results: the AIDS is confirmed with the help of Western Blot, Viral Load Test, ELISA Test Conclusion: AIDS is the serious chronic, potentially life-threatening disease Western Blot, Viral Load Test, ELISA Test are the diagnostics methods. The prognosis is depend usually better if treatment received on time.
A study to assess depression anxiety stress among the college students in selected college of Goa
Authors: Fernandes Stephanie , Komarpant Akshada , Dessai Vaishnavi , Gaude Mrunali , Naik Karishma , Gawas Snehal , Naik Vaishali , Vaz Qutandy , Naik Shanti , Naik Neha , Fernades Florine Clara
Published: March 2022

Common mental health problems seen among the college students are depression, suicide, anxiety disorder, eating disorder, substance use etc. which may rise in young adulthood. This study was done to assess depression anxiety stress (DAS) among the college students in selected area of Goa. The objectives of the study were a) To assess Depression Anxiety stress (DAS) among the college students based on Depression Anxiety Stress Scale – 42 (DASS- 42). b) To associate the level of Depression, Anxiety and Stress (DASS) score with selected demographic variables of the college students. A quantitative approach was used with descriptive research design. Convenient sampling technique was used. Sample size was 85. The investigator used Depression Anxiety Stress Scale (DASS)-42 tool to assess Depression Anxiety Stress (D, A, S) among students. Descriptive and inferential statistics were used to analyze the data. The results revealed that 47(55.3%) had normal level of Depression, 20 (23.5%) had moderate level of Depression yet 2 (2.4%) suffered from severe depression, Majority of the subjects 24 (28.2%) has moderate Anxiety, 15 (17.6%) has severe Anxiety and 6 (7%) has very severe Anxiety. Majority of the subjects 12 (14.1%) has moderate Stress, 2 (2.4%) had severe and none had very severe Stress. The finding of the study showed varied levels of depression, anxiety and stress among the college students. So, screening and creating more awareness and intervention strategies may be needed for the better mental health of the students.
A study to assess the effect of planned teaching programme on knowledge regarding immune boosting diet among housewives in selected areas at Alappuzha district
Authors: S Chikku , Clement Nahomi
Published: March 2022

A quantitative research study was done to evaluate the effect of planned teaching programme on knowledge regarding immune boosting diet among housewife in selected areas at Alappuzha district. The objective s were to assess the pretest level of knowledge regarding immune boosting diet among housewives in selected areas at Alappuzha district, to assess the effect of planned teaching programme on knowledge immune boosting diet among housewives in selected area at Alappuzha district and to find out the association between pretest level of knowledge regarding immune boosting diet among housewives in selected areas in Alappuzha district. The Quantitative research approach was selected with Quasi experimental one group pretest post test control group design.The study was conducted in housewives at selected areas at Alappuzha district. 60 Samples were selected according to the non-probability convenient sampling techniques.Screening test was done for the population with screening criteria. The pretest was conducted for 60 housewives on first day followed by implementation of planned teaching programme and 7th day post test were conducted. The average time taken to conduct pre-test and post test. The Planned teaching programme was 45 minutes with the help of Audio visual Aids like charts, slides. The findings were that, mean between post test knowledge score of experimental group (P<0.05) indicates that there is a significant increase knowledge score of experimental group knowledge regarding immune boosting diet among housewives after planned teaching programme. The association between knowledge score with various demographic variables shows 0.05 level of significance and it shows there is a significant association between knowledge score and demographic variables like sex, diet and habbit except age in years, education, Occupation, body weight. Present study suggests the need for planned teaching programme to improve the knowledge regarding immune boosting diet among housewives.
Ethical and Legal Issues in Paediatric Nursing
Authors: Manoharam. B Prathiba
Published: March 2022

Ethical rules are regularly composed for grown-up patients and, therefore, they might be hard to apply to kids and families. Uncommon contemplations are expected to comprehend the youngster's ability to settle on treatment choices, clashing legitimate and moral measures associated with the treatment of kids, contrasting necessities of kids and their relatives, and the extraordinary vulnerabilities of children1.The nurse should follow the ethical principles and should have good knowledge regarding legal safeguards of nursing. The paediatric nurse must be aware of the different rights of the children as well as the acts related to the child welfare so that she/he can provide quality care to her paediatric patients. The nurse should be aware of the ethical considerations of children as well as the dying children.
Some Records of Skippers (Lepidoptera: Hesperioidea: Hesperiidae) from Balochistan Province, Pakistan
Authors: Rafi Muhammad Ather , Mengal Fariha , Durrani Saima , Parveen Gulnaz , Ullah Qudrat , Qasim Muhammad , Khan Imtiaz Ali , Sami Adnan , Saeed Muhammad , Urooj Zara , Rasul Ghulam
Published: March 2022

Skipper fauna of Balochistan province is not properly studied. To fill this gap, a study was conducted to explore the skipper's fauna from previous literature and new collection from Balochistan, Pakistan. We report 21 species of skippers from two subfamilies, Coeliadinae and Hesperiinae. Out of 21 species five species namely Hesperia comma (Linnaeus, 1758), Parnara guttatus (Bremer and Grey, 1852), Pyrgus cashmirensis Moore (1874), Pyrgus darwazicus Grum-Grshimailo (1890) and Pyrgus sidae (Esper, 1784) under subfamily Hesperiinae are recorded for the first time from Balochistan. Out of five reported species from Balochistan, two species Pyrgus darwazicus and Pyrgus sidae are new records for Pakistan.
Assessing Interactive Response of Humic Acid Amended Media and IBA on the Growth and Propagative Capacity of Fig (Ficus carica L.) Stem Cuttings
Authors: Nadeem Muhammad , Waseem Kashif , Khan Muhammad Sohail , Fatima Saba , Khan Ilham , Muhammad Dost , Arslanoglu Sahane Funda , Khan Sabaz Ali
Published: March 2022

This study assessed the interactive effects of humic acid (HA) amended growing media (GM) and indole butyric acid (IBA) on a range of parameters determining growth and propagative capacity of Fig (Ficus carica L., var Black Mission) stem cuttings. Cuttings were treated varying IBA concentration (0, 500, 1000 and 1500 mg/L) and propagated in nine GM consisted of sandy loam and clay soils amended with four levels of HA (0, 2.5, 5.0, 7.5 g/m2) and a mixture of sandy loam and clay soils (1:1 v/v) without HA. Ranking of GM changed across IBA concentrations for the majority of parameters, including plant survivability (PS) indicated significant GMxIBA interaction. PS increased with rising IBA concentration (500-1000 mg/L) under lower levels of HA (2.5-5.0 g/m2) across GM. However, the relative response was better in sandy loam based GM. Based on stepwise multiple linear regression, seven parameters viz., percent bud sprout (PBS), shoot length (SL), shoot diameter (SD), leaf area (LA), leaf chlorophyll content (LCC), root to shoot ratio (R/S) and plant N uptake (NUP) explained most of the variance (R2= 99.8%) in plant survival (PS) and acted as the critical determinants of survivability in Fig propagation via stem cuttings. Strong inter relationships existed among the critical traits, thus creating complex trade-offs affecting the overall propagative capacity of Fig stem cuttings. Our approach could be useful in developing indirect selection criterion determining success rates in propagation via stem cuttings.
一位慢性阻塞肺病重症個案肺部復健之案例報告
Authors: 黃思緯 黃思緯 , 王文璇 王文璇 , 沈郁惠 沈郁惠
Published: March 2022

本文探討一位罹患慢性阻塞肺病,首次因急性呼吸衰竭,放置氣管內管入住加 護病房之護理經驗,於 2017/12/18 至 2018/01/20 護理期間,以直接照護、觀察、 身體評估與家屬會談及病歷查閱等方式蒐集資料。運用羅氏適應模式進行整體性系 統評估,確立護理問題有:呼吸道清除功能失效、活動無耐力及家庭因應能力失 調。照護過程中,透過良好護病關係的建立,提供照護措施,在呼吸道清除功能失 效方面:教導正確呼吸且有效的咳嗽技巧及胸腔物理治療,以利清除痰液;在活動 無耐力方面:偕同跨領域團隊與個案及家屬規劃肺部復健運動,增強呼吸肌耐力, 順利拔除氣管內管;在家庭因應能力失調方面 : 安排家庭會議,增加家人間對後續返 家的共識及照護,增強其家庭因應能力。建議運用跨團隊合作建立一套國台語雙聲 帶的肺部復健運動多媒體影音光碟,在急重症等重負荷的工作下,短時有效的指導 此類個案,又能提升個案之學習成效,因此改善呼吸道症狀與減少急性發作次數及 再住院率,得以減輕家庭負擔,藉此照護經驗分享,以供臨床實務參考之用。

 

This paper aims to explore the nursing experience for a patient with chronic obstructive pulmonary disease who was hospitalized in an intensive care unit for the first time because of acute respiratory failure requiring endotracheal tube intubation. The data were collected through direct nursing care, observations,physical evaluations, interviews and reviews of medical record during the nursing period from December 18 2017 to January 20 2018. Roy’s adaptation model was applied to carry out comprehensive system assessments. The problems observed from the nursing process were as follows: ineffective airway clearance, activity intolerance and family adjustment disorders. During the nursing processes, good relationships were established between medical staff and the patient in order to provide necessary nursing measures. Regarding ineffective airway clearance, the patient was taught to breath in an appropriate way, effective coughing techniques and chest physical therapy for better sputum clearance. As to activity intolerance, an inter-professional collaborative team was invited to work with the patient and the family for planning pulmonary rehabilitation exercises in order to strengthen respiratory muscle endurance followed by smoothly removing the endotracheal tube. When it comes to improving family adjustment disorders, meetings with the family were arranged to enhance the family’s consensus and nursing skills for the patient after returning home. It is suggested that an inter-professional team can work together to produce a set of multimedia DVDs both in Chinese and Taiwan- ese to provide guidance on pulmonary rehabilitation exercise. This set of DVDs can help effectively instruct patients like this case for the short-term when there are heavy workloads from acute and severe diseases and then increase patients’learning results. Therefore, respiratory tract symptoms can be improved and the numbers of acute attacks and readmission rates can be reduced. After these steps, the burdens imposed on families can be relieved accordingly. This nursingexperi- ence is hereby shared and serves as a reference for clinical practices.

 
一位初診斷毛毛樣腦血管症併發冠狀動脈疾病之護理經驗
Authors: 黃思緯 黃思緯 , 王旭菁 王旭菁
Published: March 2022

本文探討一位初診斷毛毛樣腦血管症併發冠狀動脈疾病之護理經驗,於 2019 年2 月 28 日至 3 月 11 日運用 Gordon 十一項健康功能型態評估,經由觀察、會談、身 體評估及病歷查閱等方式蒐集資料,確立護理問題有健康維護能力改變、心輸出量減少、焦慮。藉由共同討論自我照顧學習計畫,重建健康生活型態;教導罹患冠狀 動脈疾病後正確的照護及心肺復健運動計畫介入,維護現存的心肺功能;以傾聽、鼓勵使個案宣洩負向情緒,主動召開跨專業領域會議,規劃出院返家後的各項事 宜,及引導重要家人照護,緩解焦慮的情緒。毛毛樣腦血管症屬罕見疾病,醫療團隊在鮮少有例可循,又無實際照護經驗之下,能有足夠的訊息討論如何提供最適切 的照護,是一大困難;而後續返家照護僅只能由電訪了解及關心,這是在照顧個案時,所感到的限制,因此建議,醫院可成立罕見疾病的個案管理師及資料庫,協助 居家訪視且定期召開團隊的討論會,將獨特疾病案例完整建構,以提供往後臨床護理同仁,照護此類個案有足夠的訊息,提供最適當的照顧。盼藉此經驗可作為未來 照護此類病人之參考。

 

This paper explores a nursing experience with a patient diagnosed with Moyamoya disease associated with coronary artery disease for the first time. The patient’s medical state was measured using Gordon‘s Functional Health Patterns Assessment between Feb. 28 and Mar. 11, 2019. This assessment, coupled with data collection using observation, conversation, physical examination, and medical history, helped to identify the patient’s health issues that required the nursing staff’s special attention: a compromised self-care ability, decreased cardiac output, and symptoms of anxiety. By discussing the self-care learning plan with the patient, the nursing team helped the patient to re-create a healthy lifestyle. The patient was also taught about a good self-care routine to manage his coronary artery disease, and was urged to engage in a cardiac rehabilitation program, so as to prevent her heart and lungs from deterioration. The nursing staff listened closely to the patient’s complaints, so she could let her negative emotions out. A cross-field meeting was convened, so as to pre-arrange everything that should be prepared for the patient after she was discharged from hospital, help her immediate family members to take better care of her, and assuage her anxiety. Moyamoya disease is a rare disorder, so there were very few examples to be followed. Hence it was a big challenge to decide how to provide the most appropriate care to the patient as the nursing team did not have actual care expe- rience and lacked sufficient information regarding this area. Another limitation arose when nurses could only check her conditions via phone calls after she was discharged from hospital. For that reason, it is advisable to recruit rare disease case managers and create a database, in order to help with paying home visits and convening discussion meetings on a regular basis. In so doing, cases of rare diseases can be more completely compiled, so clinical nursing staff will have sufficient information in this regard, and will be able to offer the best possible care to their patients. This nursing experience is hereby shared and serves as a reference for clinical practices.

 
新型冠狀病毒病患呼吸器使用的感染控制及拔管後使用高流量氧氣鼻導管之呼吸照護經驗
Authors: 林佳誼 林佳誼 , 張恩銘 張恩銘 , 侯建良 侯建良
Published: March 2022

嚴重特殊傳染性肺炎是受嚴重急性呼吸系統症候群冠狀病毒 2 型(severe acute respiratory syndrome coronavirus 2, SARS-CoV-2)所感染而引發的肺炎,嚴重特殊 傳染性肺炎重症患者常會導致呼吸衰竭,機械通氣是發生嚴重呼吸衰竭的患者最有 效的治療策略之一。本個案是因感染嚴重特殊傳染性肺炎導致低血氧性呼吸衰竭因 而插管使用侵襲式呼吸器,照護過程中,侵襲式呼吸器的管路和相關的零組件可能 成為主要的污染源,因此,如何在使用侵襲式呼吸器的過程中同時保護醫護人員與 病患的安全,以及在拔管後該如何善用侵襲式呼吸器以外的治療策略來縮短病患使 用侵襲式呼吸器的時間與預防病患重插管率,就顯得十分重要。因此,本個案報告 主要是在探討使用呼吸器時的感染控制與拔管後使用高流量鼻導管氧氣治療於嚴重 特殊傳染性肺炎病患之治療策略及氧合療效。

 

Severe pneumonia with novel pathogens presents as pneumonia caused by the infection of severe acute respiratory syndrome coronavirus type 2 (SARS- CoV-2). Severe pneumonia with novel pathogens often leads to respiratory failure, and mechanical ventilation is one of the most effective treatment strate- gies for patients who are suffering from severe respiratory failure. In this case, mechanical ventilation was used due to severe pneumonia with novel pathogens leading to hypoxic respiratory failure. However, the ventilator circuit and related components of the ventilator may become the main source of pollution. There- fore, preventing infection when using a ventilator to protect the safety of medical staff and patients, and making good use of treatment strategies after extubation to prevent patients from reintubation are very important. As a result, this case report mainly discusses infection control during the use of ventilators and treat- ment strategy and oxygenation efficacy of high flow nasal cannula in patients with severe and severe pneumonia with novel pathogens after extubation.

 
日本腦炎併發身體功能障礙合併症護理經驗
Authors: 黃維瑢 黃維瑢 , 林美華 林美華 , 沈郁惠 沈郁惠 , Yu-Hui Shen 黃梅 , 謝嘉琪 謝嘉琪 , Chia-Chi Hsieh 李銘宗
Published: March 2022

本文描述個案因日本腦炎導致身體活動出現異常,併發痰液清除功能不佳需長期照護而住入慢性病房,以及長期住院產生心理反應等相關問題。護理期間 2018/9/27-11/19 以 Gordon 進行十一項功能性評估,藉由觀察、身體評估、查閱病歷等收集資料,健康護理問題有呼吸道清除功能失效;身體活動功能障礙;焦 慮。護理措施 : 維持半坐臥式;背部叩擊;深呼吸及有效咳嗽技巧,強化咳痰能力;漸進式復健計劃合併中醫療法,提升肢體功能及自我照顧能力,讓個案拾獲自信心 參與復健;主動關懷讓個案表達更換管路感受,陪伴降低不適。藉由音樂、嗅覺 /冥想等減輕焦慮程度,正向因應疾病,建議未來住院的病人,在中醫醫療有針灸治 療健保給付,提供日後照護此類個案之經驗參考。

 

This article describes the care experience of a case of Japanese encephalitis complicated with physical disability from September 27, 2018 to November 19, 2018. The patient was admitted to a chronic ward due to poor sputum clearance, required long-term care and had psychological problems due to a long hospital stay. Gordon’s Functional Health Patterns were applied for health assessment. Data collection was completed through observation, physical assessment, and medical records review. Health problems were identified as ineffective airway clearance/thick sputum, impaired physical mobility/Japanese encephalitis infec- tion with neuromuscular injury, and anxiety/worry about disease prognosis. Nursing interventions included: maintaining semi-Fowler’s position; chest percus- sion; deep breathing and effective coughing techniques to strengthen sputum production; a progressive rehabilitation plan combined with acupuncture treat- ment of Chinese medicine to improve part of the physical function and self-care ability, so that the case could find self-confidence and participate in rehabilita- tion; active care and letting the case to express feelings about changing tubes, and accompanying reduction of discomfort; and relieving anxiety by listening to Taiwanese songs, practicing meditation, and responding positively to the illness. It is recommended that future hospitalized patients using traditional Chinese acupuncture therapy should be covered by health insurance. We hope the sharing of this nursing experience can be beneficial to the care of similar patients.

 
老年病患發生譫妄症的診斷與處置
Authors: 陳 杰 陳 杰
Published: March 2022

譫妄症是急性腦功能受損的一種表現,同時譫妄症也是一種以意識障礙為主的 急性症狀;發生譫妄症之後往往會造成龐大的醫療花費(例如延長住院天數),且 臨床上容易被忽略,造成老年疾病的預後不佳,更可能進一步造成病患的死亡,是 病患安全重要指標;基於其病因的多重因子特性,且與其他老年病症候群(如:跌 倒、失禁)的高度聯結性,因此在處置上也需要多方向並進的治療,針對譫妄症的 完善處理,可明顯改善病患預後,並增進醫療的品質。本文為敘述性文獻回顧,以 老年症候群及急性譫妄症處置為關鍵字,藉由文獻搜尋並整理譫妄症的診斷與處 置,期望可作為醫療人員遭遇病患時不只使用約束帶或藥物,可以有更周全的評估 與治療。

 

Delirium is a manifestation of acute impaired brain function. At the same time, delirium is also an acute sign/symptom dominated by disturbances in consciousness. The occurrence of delirium often causes huge medical expenses (ex: prolonged hospitalization days) and often results in poor prognoses for senile diseases. It is more likely to cause further death of patients, which is an important indicator of patient safety, based on its multifactorial etiology and high connectivity with other senile diseases (such as falls, incontinence, etc.). It is also necessary for patients to receive multi-directional treatment that can signifi- cantly improve the prognoses of patients and improve the quality of medication. This article is a narrative literature review with geriatric syndrome and acute delirium management as the keywords. Through a literature survey and sorting out the diagnosis and treatment of delirium, it is hoped that medical staff can not only use restraint bands or sedative drugs when encountering patients, but also provide comprehensive assessment, evaluation and treatment.

 