bluuebunny/crossref_metadata_2025 huggingface dataset:
MEDITASI MINDFULNESS SEBAGAI MANAJEMEN KECEMASAN DALAM MENGHADAPI PERSALINAN
Authors: Palifiana Dheska Arthyka , Khadijah Sitti , Widayati Ririn Wahyu , Anggraini Dita Septian
Published: November 2024

Perubahan pada kehamilan terjadi karena peningkatan hormon estrogen dan progesterone yang dapat menimbulkan berbagai permasalahan psikis salah satunya adalah kecemasan. Kecemasan pada ibu hamil yang tidak segera ditangani dapat menyebabkan kelahiran bayi prematur (BBLR). Metode terapi komplementer untuk mengurangi kecemasan salah satunya adalah meditasi mindfulness. Penelitian ini dilakukan untuk mengetahui efektifitas meditasi mindfulness terhadap kecemasan ibu hamil dalam menghadapi persalinan. Penelitian ini menggunakan desain quasi eksperimen dengan rancangan pretest-posttest design with control group. Teknik pengambilan sampel menggunakan Purposive Sampling dan Sampel penelitian yaitu 40 ibu hamil trimester III dengan pembagian kelompok perlakuan sebanyak 20 ibu hamil diberikan intervensi meditasi mindfulness sedangkan kelompok kontrol 20 ibu hamil diberikan intervensi teknik nafas dalam. Data kecemasan diukur menggunakan kuesioner Zung Self Rating Anxiety Scale, intervensi dilakukan sebanyak 4 kali. Data diolah menggunakan uji Wilcoxon. Didapatkan hasil untuk kelompok perlakuan terjadi penurunan kecemasan yaitu saat pretest (13 orang (65%) cemas sedang dan 7 orang (35%) cemas berat, sedangkan saat posttest 12 orang (60%) menjadi cemas ringan, 8 orang (40%) cemas sedang dan tidak terdapat kategori cemas berat. Untuk kelompok kontrol terjadi peningkatan kecemasan Dimana saat pretest kategori cemas sedang 11 orang (55%) dan 9 oran g(45%) cemas ringan, sedangkan saat posttest 11 orang (55%) cemas sedang, 6 orang (30%) cemas ringan dan 3 orang (15%) cemas berat. Hasil analisis data didapatkan p value 0,001 disimpulkan bahwa Meditasi Minfulness Efektif digunakan Sebagai Manajemen Kecemasan dalam Menghadapi Persalinan.
DILEMA IBU BERKARIR: MAMPUKAH ASI EKSKLUSIF TETAP TERPENUHI?
Authors: Sulastri Eni , Sari Lutfiana Puspita , Adillah Izzah Kholidatul
Published: November 2024

Pada tahun 2022, cakupan pemberian ASI eksklusif di Indonesia menurun dari 69,7% menjadi 67,96%. Ketidakpatuhan ini berdampak negatif terhadap kesehatan ibu dan bayi. Diantara hambatan utama dalam pemberiannya adalah pekerjaan, di mana ibu bekerja sering mengalami keterbatasan karena masa cuti melahirkan yang lebih singkat dari durasi menyusui yang direkomendasikan, sehingga banyak yang beralih ke susu formula. Penelitian ini bertujuan untuk mengidentifikasi korelasi status pekerjaan dengan keberhasilan pemberian ASI eksklusif di wilayah kerja Puskesmas Wedi, Klaten. Studi ini merupakan penelitian kuantitatif dengan pendekatan observasional analitik, menggunakan desain cross-sectional. Populasi penelitian terdiri dari ibu yang memiliki bayi berusia 6-12 bulan, dengan total 77 responden yang dipilih melalui teknik cluster random sampling. Data dianalisis dengan uji chi-square. Hasil penelitian menunjukkan bahwa 14 responden (18,2%) merupakan ibu bekerja, sementara 63 responden (81,8%) tidak bekerja. Dari jumlah tersebut, 62 responden (80,5%) berhasil memberikan ASI eksklusif, sedangkan 15 responden (19,5%) tidak berhasil. Uji statistik menunjukkan nilai ρ value = 0,024 (ρ<0,05), yang menandakan adanya hubungan signifikan antara status pekerjaan dan keberhasilan pemberian ASI eksklusif.
THE VIEWS OF STUDENTS AT DIFFERENT SUCCESS LEVELS ON THE FACTORS AFFECTING MATHEMATICS ACHIEVEMENT
Authors: Can Aran Özge , Ekemen Hatice
Published: November 2024

The aim of this study was to explore the opinions of secondary school students with different achievement levels about mathematics course. In this study, in which qualitative research design was used, interviews were conducted with 36 middle school students, divided into three groups based on their achievement levels: high, average, and low. The interviews focused on the factors influencing their success in mathematics. The findings were presented under three themes: attitudes and beliefs towards mathematics, self-efficacy, and teaching-learning processes. Results of this study indicated that the majority of students across high, average and low achievement levels agreed that mathematics was necessary in daily life under the attitudes and beliefs theme and that they had belief of being successful in mathematics under the self-efficacy theme. In addition, for the teaching learning process theme, the most of the students stated that making lessons in enjoyable ways facilitated learning whereas the noise in the classroom hindered it. Also, in this study, high-achieving students, unlike students at other success levels, stated that they were disciplined, had meta-cognitive skills, use of reinforcement, individualized instruction, and assignment of project facilitated learning mathematics, and that difficult formulas, too much emphasis on the same content, lack of prior knowledge, and teacher quality hindered learning mathematics. Besides, only students with average success stated that mathematics was necessary for school grade point average and was a course that required memorization, that explaining the importance of the subject facilitated learning mathematics, and that students' inability to focus on the lesson hindered learning more. In addition, only low-achieving students stated that they saw mathematics as torture, a necessary and demanding course for upper grades, that participation in class and the interest of teachers facilitated learning mathematics, but that poor physical conditions, the abstract nature of mathematics, and too much writing hindered mathematics.
INNOVATIVE WAYS OF THE SYSTEM IMPROVING OF GRADUATED PROFESSIONAL TRAINING OF OFFICERS OF THE SECURITY AND DEFENSE SECTOR OF UKRAINE THROUGH THE PRISM OF VIRTUAL AND AUGMENTED REALITY
Authors: Аніщенко Вікторія
Published: November 2024

Modern realities place new demands on the transformation of the paradigm of military education in general, especially on the professional training of officers of the security and defense sector of Ukraine, which should result in professional competence and a high level of readiness to perform complex situational, including combat, tasks in various types of professional activities. Approaches amendments to the acquisition of innovative knowledge, skills and abilities by officers of the security and defense sector of Ukraine are laid down in a number of domestic legal acts and the adoption of international experience in training officers using innovative technologies. The results of the study made it possible to identify a number of statements, namely: the result of the graduated professional training of officers of the security and defense sector of Ukraine should not only be the higher military education obtained by officers, but also the formation of professional competence, a high level of readiness to perform complex situational, including combat, tasks in various types of professional activities; to ensure the quality of the results (acquisition of innovative knowledge, skills and abilities by officers while studying in higher education institutions with specific learning conditions) is possible through the introduction of an innovative set of actions aimed at creating a new educational environment, revision of approaches to improving the didactic support of curricula and the choice of modern methods and teaching technologies; a special role in the realization of the research objective is played by understanding the use of innovative educational technologies, including virtual and augmented reality. Such technologies can significantly improve not only the learning outcomes, which can be determined by a number of criteria (innovativeness of the formed competencies, timeliness of their updating, importance for a particular type of professional activity, etc.), but also significantly deepen the personal understanding of the development of critical thinking, communication skills, leadership qualities, the level of responsibility for ensuring the safety of all personnel, making certain leadership decisions on actions in the context of preparation and conduct of combat operations, officers’ understanding of their personality, purpose, aspirations and values in their professional and daily life.
The Local Wisdom of Mathematical Language of Malay Community of Pangkalpinang: An Ethnographic Study
Authors: Yudi Yunika Putra  , Sasih Karnita Arafatun
Published: November 2024

Pangkalpinang is the capital of Bangka Belitung Province by occupied most Melayu people with a rich culture. There are a number of cultures Pangkalpinang public relates to context learning mathematics. However, not many of the teachers in Pangkalpinang apply culture in learning mathematics.  Whereas culture can be a starting point in learning mathematics. So the aim of the research for explore local wisdom quantity mathematics language public melayu Pangkalpinang which can used starting point in learning mathematics. The research used an exploration method with an approach of ethnography sourced from a literature review, field observation, and interviews with elders or the public who live in the area research place. Analysis of data through reduction data, presentation data, and concluding. The stages of research with a beginning observation about the context of public culture who made starting point learning. The next is the research theme which explores the language culture melayu Pangkalpinang public with related ethnomathematics, the next determine data source, data collection, analysis data, and drafting report and reflection. The result of the research shows that there is a quantity of language mathematics used by the Pangkalpinag public, and that matter can become a starting point in learning mathematics. Quantity language covers units, tens, twenties, hundreds, thousands, tens of thousands, hundreds of thousands, and millions, and also produces fractional numbers and indefinite numbers.
Implementation of Self-Evaluation Exit Tickets in Self-Organized Learning Environments (SOLEs) in Online Learning
Authors: Nicky Dwi Puspaningtyas  , Sugama Maskar  , Putri Sukma Dewi  , Yurizka Melia Sari
Published: November 2024

Effectiveness is one of the main problems in the online learning process. This becomes a benchmark for success in achieving learning objectives. Therefore, educators must be careful in choosing creative and innovative strategies both in terms of learning strategies and assessment strategies. Like the Self-Evaluation Exit Ticket assessment strategy which offers various advantages for educators and students. This research aims to determine the effectiveness of applying the Self-Evaluation Exit Ticket technique as an assessment strategy in learning. The subjects in this research were eighteen Mathematics Education students at a private higher education institution in Indonesia who took Number Theory courses online. Where, the material that will be covered in this course is the basic concept of congruence, complete residue systems, reduced residue systems, Euler's concept, and Euler's theorem. This type of research is quantitative descriptive. Based on the research results, all subjects experienced improvement while implementing the Self-Evaluation Exit Ticket assessment strategy. This increase was seen at meeting 2, namely as many as 55% of students were able to determine their learning outcomes, whereas previously at meeting 1 only 33% of students were able to determine their learning outcomes. Subjects thought that learning implemented using Self-Evaluation Exit Tickets was more fun, interesting, and encouraged subjects to continue learning. This means that the Self-Evaluation Exit Ticket assessment strategy can be effective and possible to apply in online learning.
Development of STEM-PjBL Learning Media to Improve Students' Critical Thinking Skills for Counting Whole Number and Fraction
Authors: Helen Novi Antika  , Erina Ellen Rusmana  , Annisa Salsabila  , Ahmad Wachidul Kohar
Published: November 2024

This study aims to describe the process and results of the development of PjBL-based learning media integrated with STEM to improve students' critical thinking skills on the material of counting operations of whole numbers and fractions. This research is a development research with Plomp development model to develop learning tools in the form of Teaching Modules and Project Worksheets on arithmetic operations of whole numbers and fractions with STEM integrated project learning design. The instruments of this research are project worksheets, teaching modules, student response sheets, and pre-test and post-test sheets. Data collection techniques used questionnaires (validation sheets and student responses) and tests. Data analysis was conducted by testing the validity, practicality, and effectiveness of learning devices. The results showed that the learning devices obtained validity criteria of 87.9% for the Project Worksheet while 84.375% for the validity of the Teaching Module and each was classified as very valid.   For the effectiveness criteria, the N-gain was 0.7512 in the limited trial and 0.7091 in the class trial and each obtained high effectiveness criteria.  The learning tools obtained practical criteria for implementation with an average student response of 79.3% and 80.45% for project learning design. Thus, the learning tools are declared valid, effective, and practical to use.
The Effect of REACT Learning Strategy Assisted Structured Worksheet on Mathematical Problem-Solving Ability
Authors: Ratna Juwita  , Dwi Antari Wijayanti  , Leny Dhianti Haeruman
Published: November 2024

This research aims to determine the effect of the REACT learning strategy assisted by structured student worksheets on mathematical problem-solving ability. This study design employs a quasi-experiment with a posttest-only control group design. The sampling technique was carried out using purposive sampling and cluster random sampling. Students from classes X7 and X9 at SMA Negeri 3 Karawang were used for the research samples. The instrument in this research consisted of four description questions on linear program material that had been tested for validity and reliability. The results of hypothesis testing with an independent sample test (t-test) at the 5% significance level show that there is an effect of the implementation of the REACT learning strategy assisted by structured student worksheet on mathematical problem-solving ability
Development of LKPD Based on Higher Order Thinking Skills using Canva in Combination Material
Authors: Rahma Siska Utari  , Putri Ratu Ilma Indra , Sari Novita , Encang S. Farindi  , Hapsari Maharani  , Naila Aqila Nur Dzakira  , Nathanael Putera Rasjid Ginting
Published: November 2024

In the present era of digital technology, students are expected to possess metacognitive abilities that are closely associated with Higher Order Thinking Skills (HOTS). The significance of creating Learning and Teaching Materials (LKPD) based on HOTS to enhance the metacognitive capacities of high school students. This study is a qualitative descriptive research aimed at describing the process of generating LKPD based on HOTS using combination materials. The LKPD was created using Canva. The stages employed are the preliminary and prototyping stages. The data was gathered through the conduct of tests and conducting interviews. The participants in this study consisted of students from SMA Negeri 1 Indralaya Utara who possessed high, moderate, and low levels of mathematical proficiency. The HOTS-based LKPD, created using Canva, undergoes expert evaluation for validation in terms of content, construct, and language. The outcomes of the review are used to modify the LKPD until it is officially validated by the expert. Subsequently, the efficacy of the legitimate LKPD was assessed on the research participants. The trial results are given in a qualitative manner to assess the feasibility of using HOTS-based LKPD. This study generates Higher Order Thinking Skills (HOTS)-based Learning and Teaching Materials (LKPD) that are both valid and practical.
Arama Kurtarma Çalışanlarının Bilgi Teknolojilerine Yönelik Tutumları ve Kullanımları
Authors: Tazegül Bekci Ayşe , Şahinöz Saime
Published: November 2024

Her yıl çok sayıda doğa olayı meydana gelmekte ve doğa kaynaklı olaylardan meydana gelen kayıpların önde gelen nedenlerinden biri bilgi ve teknoloji eksikliği olarak görülmektedir. Bununla birlikte teknolojideki değişimler ve bilgi birikimindeki hızlı artış, toplumda önemli değişiklikler meydana getirmiştir. Bu çalışma, Türkiye'nin Adana ilindeki AFAD ve İtfaiye çalışanlarının teknoloji tutumlarını ve bilgi teknolojileri kullanım düzeylerini araştırmayı amaçlamaktadır. Araştırma kesitsel bir tasarım kullanılarak gerçekleştirilmiş ve bu kuruluşlardaki hem yöneticilere hem de çalışanlara anket uygulanmıştır. Demografik bilgilerin yer aldığı bilgi formu, teknolojiye ilişkin tutumlara yönelik ölçek ve bilgi teknolojileri kullanım düzeyini ölçen bir ölçek olmak üzere üç ölçek kullanılmıştır. Toplanan veriler, açımlayıcı faktör analizi (AFA) ve doğrulayıcı faktör analizi (DFA) gibi çeşitli istatistiksel teknikler kullanılarak analiz edilmiştir. Sonuçlar, genel olarak, çalışanların müdahalelerinde ve işle ilgili diğer görevlerinde teknoloji kullanımına yönelik olumlu bir tutum sergilediklerini ortaya koymuştur. Bununla birlikte, çalışanların teknolojiye ilişkin tutum düzeylerinin reel kullanım düzeylerinden daha fazla olduğu anlaşılmıştır. Ayrıca, çalışmada sayısal harita uygulamaları ve coğrafi bilgi sistemi gibi en az kullanılan bazı teknolojiler tespit edilmiştir. Bu bulgular, kuruluşların çalışanları arasında teknolojinin benimsenmesini ve kullanımını artırmaları için değerli bilgiler sağlamaktadır.
FORMATION OF THE SYSTEM OF STATE REGULATION OF THE EXPORT POTENTIAL OF THE AGRO-FOOD SECTOR OF UKRAINE ON THE WAY TO EU MEMBERSHIP
Authors: Ibatullin Marat , Ostapenko Serhiy , Prysiazhniuk Natalia , Udovychenko Oleksandr
Published: November 2024

Introduction. The export potential of agricultural products is one of the organic elements of the national economy. The main objective of the export of agricultural products is the ability to improve the current state of the agricultural sector of Ukraine and the economy of the country as a whole, using and intensifying the existing competitive development prospects. Methods. The following methods were used to achieve the goal: abstract and logical, in particular the methods of generalization, analogy, analysis and synthesis, induction and deduction (deepening the essence of the category “export potential of the agricultural sector”, when classifying factors of globalization depending on their impact on the export activity of enterprises, as well as highlighting the problems of realizing the export potential of the industry). A statistical and economic method was used in order to analyze the export activity of enterprises in the grain industry, in particular techniques: comparison (comparison of the data of the reporting year with previous ones), series of dynamics (consideration of trends in the development of export of products of agricultural enterprises), tabular and graphic methods (display of analytical and statistical information). The monographic method was used in the analysis of foreign experience in stimulating export operations. Results. It has been proven that in order to realize the export potential of the agricultural sector of Ukraine, an appropriate regulatory and legal framework should be formed, regulating the use of state and regional support methods, including at the level of united territorial communities. The effectiveness of the applied models for increasing the level of utilization of the export potential of the agricultural sector of Ukraine will be significantly higher with the activation of network interaction at the interregional level; improving the quality of management of united territorial communities; participation of regions in joint projects coordinated only at the level of regions. Discussion. In the post-war period of development of the country's agrarian economy, domestic agricultural producers should become the main exporters of agricultural products. For this, it is necessary to develop and implement in a practical area measures of state and regional support for the production and processing of agro-food with a high level of added value. It also requires the development of a Strategy for the development of the export of agricultural products and food, which should include a number of measures aimed at realizing the export potential of the agricultural sector of Ukraine. Keywords: export potential, agricultural sector, state support, food security, added value.
Практический пример применения методики МИ 2220-13 для измерения расхода сточной воды в подающих каналах аэротенков ГОКС
Authors: И.Е. Яковлев , Т.А. Стрелкова , О.И. Нестеренко , Д.А. Абибуллаев
Published: November 2024

Рассматривается практический пример применения МИ 2220-13 «Методика измерений в безнапорных водоводах по уровню заполнения с предварительной калибровкой измерительного створа» для измерения расходов сточной воды в подающих каналах аэротенков Городских очистных канализационных сооружений городского округа Самара. Излагается последовательность шагов и операций калибровки и нахождения зависимости расхода от измеряемого уровня в подающем канале аэротенка. Преимущества применения данной методики заключаются в том, что она позволяет определять расход воды по измеряемому значению уровня с помощью сравнительно простых и дешевых датчиков уровня. Этот подход активно используется проектными организациями при проектировании, в том числе, очистных сооружений, но на этапе пусконаладки часто возникают сложности у пусконаладочных организаций с настройкой и отладкой работы таких расходомеров.

Case study of using MI 2220-13 «Method of measuring in gravity water pipelines by the filling level with preliminary calibration of the measuring section» for measuring wastewater flow rate in the feed channels of the aeration tanks at the Municipal Wastewater Treatment Facilities of the Urban District of Samara is considered. The sequence of steps and operations of calibrating and finding the dependence of the flow rate on the measured level in the feed channel of the aeration tank is presented. The advantages of using this method lie in the possibility of determining the water flow rate from the measured level value using relatively simple and inexpensive level sensors. This approach is actively used by engineering companies while designing, including treatment facilities; however, at the stage of commissioning, the organizations responsible for commissioning often experience problems with setting up and debugging the operation of such flow meters.
Drug resistance of tuberculosis patients at the makassar city community lung health center hospital: Case Study
Authors: Kondolele Teresia Talantan , Togubu Dian Mirza , Achmad Musfirah
Published: November 2024

Introduction: Drug-resistant tuberculosis (TB-RO) is still a health problem because of its rapid transmission with an increasing number of cases.
Objective: This study aims to discover in-depth patient knowledge about tuberculosis and the family's role in treating drug-resistant tuberculosis patients.
Methods: This research uses a qualitative case study approach with nine informants. The selection of informants was determined using a purposive sampling technique. Data collection was obtained through interviews and observations. Data analysis was carried out qualitatively.
Result: The research shows that informants' knowledge about drug-resistant tuberculosis depends on their educational history. In contrast, informants with low educational backgrounds only know the term tuberculosis but do not know the causes and dangers of drug-resistant tuberculosis. Another thing that was found was that the family also played a role in the patient's treatment by providing support and encouragement for the informant during the treatment period.
Conclusion: This research concludes that the informant's knowledge about tuberculosis plays an essential role in the occurrence of drug-resistant tuberculosis. The role of the family does not contribute to the occurrence of drug-resistant tuberculosis in the informant. It can be concluded that the earlier the age of menarche increases the risk of uterine myoma later in life. In contrast, slower menarche may be associated with a reduced risk of myomas. Other factors such as genetic, environmental, and lifestyle factors also influence the incidence of uterine myomas, but menarche age is one of the significant hormonal indicators of risk.
Public health nurses' caring behaviour can increase homecare patients' satisfaction
Authors: Syaharuddin Syaharuddin , Wijayanti Yoga Tri , Kana Mery , Suprapto Suprapto , Napolion Kens
Published: November 2024

Background: Caring behavior plays a vital role in the nursing profession, especially in public health settings. In-home care services, where patients receive medical attention in the comfort of their homes, the quality of care and patient satisfaction depends heavily on the nurse's ability to exhibit caring behavior.
Objective: This study aims to analyze and identify the relationship between the caring behavior of public health nurses and the level of patient satisfaction in homecare services.
Methods: In this study, the design used is a quantitative research design with a cross-sectional study approach. According to the formula found by Isaac and Micheal, the population in this study amounted to 402 respondents, so a sample of 162 respondents was obtained. The sampling technique was Probability Sampling with a proportional random sampling type.
Results: Based on the results of the cross-tabulation that has been carried out between caring behavior and patient satisfaction using the Fisher Exact test statistical test, the result is in the form of a p-value of 0.001 with a significant level of <0.05 and with this value (0.001) means less than the value a (0.05). It can indicate that Ha is accepted and Ho is rejected, and it can be concluded that caring behavior can increase patient satisfaction.
Conclusion: Researchers suggest that the caring behavior of public health nurses has a vital role in increasing patient satisfaction with homecare services. Nurses can help patients feel more comfortable and supported in their home environment through more personalised attention, effective communication, and emotional support. This contributes directly to increased patient satisfaction, which feels valued and cared for holistically in home care.
Analysis of social determinants with quality of life in people with HIV/AIDS at the voluntary counseling test clinic
Authors: Mulyanti Mulyanti , Yulis Dian Meiliani , K Hairuddin
Published: November 2024

Introduction: HIV and AIDS are known to have become an emergency problem around the world, where infection transmission, morbidity rates, and mortality rates are still high. The existence of the HIV/AIDS epidemic is one of the scary scourges among the community because of its unexpected transmission by HIV due to human behaviour.
Objective: This study aims to analyze social determinants with quality of life in people with HIV/AIDS in the Voluntary Counseling and Testing Clinic.
Methods: This study is an analytical study using a cross-sectional study research design. The population in this study is all HIV/AIDS patients domiciled in Kendari City. The number of samples was 177 respondents which was determined by simple random sampling. Data analysis uses the chi-square test and the multiple logistics test.
Result: The results of the study showed that there was a stigma relationship with Odhiv's quality of life at the VCT Clinic of Kendari City Hospital (p = 0.000) and there was a relationship between social support and Odhiv's quality of life at the VCT Clinic of Kendari City Hospital (p = 0.000). The variable that has the greatest influence on the quality of life of ODHIV is the social support variable with an OR of 0.353.
Conclusion: The variable that has the greatest influence on the quality of life of People with HIV/AIDS (ODHIV) is social support. Social support has proven to be a very significant factor in improving the quality of life of people living with HIV. Individuals with strong social support, whether from family, friends, or the community, tend to have a better quality of life than those who receive less social support. Social support plays a role in helping people with HIV cope with stigma, reduce psychological pressure, and provide a sense of security and comfort that can have a positive impact on their physical and mental well-being.
Analysis of factors related to stunting prevention behavior in toddlers
Authors: Asmalinda Andi , Rahayu Mesra
Published: November 2024

Introduction: Stunting or failure to grow is a condition that describes the nutritional status of a child with a chronic nature during the growth and development of the child from the beginning of life, characterized by a child's height that is shorter than the age.
Objective: This study analyzes factors related to stunting prevention behavior in children under five.
Methods: This type of research is an observational study with a Cross-Sectional Study approach, where the researcher only observes a phenomenon at a certain point in time that explains the relationship between one variable and another variable in the studied population. Data collection was carried out using a questionnaire. The sample of this study is 20 mothers under five. Data analysis was carried out using Fisher's Exact Test.
Result: The results of the Fisher's Exact Test statistic test obtained a value of p-value = 0.018; family support obtained a value of p-value = 0.004; sociocultural obtained a value of p-value = 0.004; Knowledge obtained a value of p-value = 0.000 < an alpha value (α = 0.05).
Conclusion: This study shows a significant relationship between Education, family support, socio-culture, Knowledge, and stunting prevention behavior in children under five. Maternal Education, family support, sociocultural aspects, and mothers' Knowledge are essential in stunting prevention efforts.
Analysis of blood calcium levels in calcium water consumers
Authors: Rubak Bonni , Umar Ani , Reymon Reymon , Jannah Nanda Reski
Published: November 2024

Introduction: Water is a primary and basic human need. One of the chemical parameters that must be met for drinking water needs is mineral content, such as calcium and magnesium. Water hardness is a condition in which there is excessive calcium and magnesium content, which is commonly known as calcareous water. If consumed long-term, high-water hardness that exceeds normal limits can interfere with body health. Specifically, excess calcium in the body can cause hypercalcemia, hyperparathyroidism, kidney stones, and muscle tissue damage (muscle weakness).
Objective: This study aims to determine blood calcium levels in individuals who consume calcareous healthy water.
Methods: The type of research used is descriptive-analytical, with blood calcium level analysis carried out using the Ion Selective Electrode (ISE) method through the Electrolyte Analyzer (CBS400).
Result: Based on the results of the study, it was obtained that blood calcium levels in 30 community respondents in Ranomeeto District (100%) were above the reference value, indicating high blood calcium levels.
Conclusion: blood calcium levels in people who consume lime juice indicate high blood calcium levels. Consuming water with a high lime content can hurt health. Therefore, people need to consider the quality of the drinking water they drink, especially those that have a high lime content, to maintain heart and kidney health in the long term.
The effectiveness of giving young coconut water in reducing dysmenorrhea symptoms: A case study of midwifery care
Authors: Dahniar Dahniar , Fauziah Putri , Marbun Uliarta , Hasnaeni Hasnaeni
Published: November 2024

Introduction: Dysmenorrhea is a common condition in women during menstruation, characterized by severe pain that can interfere with daily activities. The administration of medical therapy is often used to treat these symptoms, but natural approaches such as giving young coconut water are also starting to be considered.
Objective: This study aims to analyze the effectiveness of giving young coconut water in reducing pain intensity in dysmenorrhea patients and provide an overview of the application of natural therapy-based obstetric care in patients with menstrual complaints.
Methods: This study uses a case study design with a qualitative approach. The subject of the study was an adult woman who experienced primary dysmenorrhea. Data were collected through in-depth interviews, direct observation, and assessment of pain intensity using the VAS (Visual Analog Scale) scale before and after administering young coconut water.
Result: The study showed a significant decrease in the intensity of dysmenorrhea pain after administering young coconut water. Before the administration of therapy, patients reported pain intensity at level 8 (scale 0-10), and after three days of administration of young coconut water, pain intensity decreased to level 3. Patients also reported feeling more comfortable and being able to continue their daily activities better. No significant side effects were found related to the consumption of young coconut water. I am injuring kei three mestiuia such does not feel jealous, the nature of the blood of meirah can bioactivity deingan good to know the absence of the current suidah in the absence of good.
Conclusion: Giving young coconut water can be effective in reducing the symptoms of dysmenorrhea in patients who experience it. This therapy can be a safe and natural alternative to help relieve menstrual pain. It can be applied in obstetrics as part of a comprehensive approach to reproductive health care. Further research with larger samples is needed to reinforce these findings and explore the mechanism of action of young coconut water in dysmenorrhea
Analisis Kinerja Keuangan Sebelum dan Setelah Akuisisi Pada Perusahaan Sektor Non Keuangan di Bursa Efek Indonesia (BEI) Periode 2015-2017
Authors: Julia Putri Irena , Rokhmawati Andewi , Fitri
Published: November 2024

Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan kinerja keuangan antara 5 tahun sebelum dan 5 tahun setelah dilakukannya akuisisi pada periode 2015-2017. Kinerja keuangan dianalisis menggunakan rasio keuangan yaitu current ratio, quick ratio, DAR, DER, TATO, ROA, ROE, NPM, dan EPS. Penelitian ini merupakan penelitian kuantitatif. Terdapat 23 populasi perusahaan yang melakukan akuisisi, dengan total sampel 13 perusahaan yang diperoleh melalui teknik purposive sampling, menghasilkan 130 data pengamatan selama periode pengamatan 10 tahun. Data diperoleh dari situs web Komisi Pengawas Persaingan Usaha (KPPU), serta laporan keuangan yang diperoleh dari situs web Bursa Efek Indonesia atau situs web masing-masing perusahaan. Teknik analisis data menggunakan SPSS 26, uji Wilcoxon signed-rank, dan paired sample t-test. Hasil penelitian menunjukkan adanya perbedaan signifikan dalam kinerja keuangan sebelum dan setelah akuisisi yang diukur dengan quick ratio, DER, dan TATO. Namun, enam rasio keuangan—current ratio, DAR, ROA, ROE, NPM, dan EPS—tidak menunjukkan perbedaan signifikan antara periode sebelum dan setelah akuisisi. Setelah akuisisi, perusahaan belum mencapai sinergi yang diharapkan.
Building an Inclusive Work Environment: Challenges and Opportunities in HR Management
Authors: Rambe Muhammad Taher
Published: November 2024

An inclusive work environment is crucial in enhancing the workforce well-being and organizational performance. The research in this paper conducted by the researcher is a critical analysis of some kind of challenges and solutions for management facing towards an inclusive work environment completely implemented I out there. The effectiveness of various policies and strategic steps in achieving inclusivity is assessed from a human resource management perspective by the researcher. The author reviews in Ms the different paths designed from an analysis of scientific approaches implemented in various sectors and institutions, details how legal regulations made these programs more challenging to include. The results of this study suggest that significant institutional biases are omnipresent, there remains a paucity of conceptual understanding and minimal adequate training in HR but also indicates opportunities to overcome these barriers. These findings suggest that some organizational policies may be inadvertently breeding subtle forms of discrimination while keeping in place continuining biases, which are harmful for particular groups as our societies converge toward artificial intelligence-led recruitment. Therefore, the method should not be one-size-fits-all there are different strategic approaches which can help create sustainable and lasting changes in building a truly inclusive work environment.
The Role of Leadership Styles in Project Management: Systematic Literature Review
Authors: Ghafory Hamayoon , Sahnosh Faqeed Ahmad
Published: November 2024

This article examines the role of leadership styles in project management through a systematic literature review and focuses on three main leadership styles, i.e., transformational, transactional, and servant leadership. Leadership is one of the critical factors that have a direct impact on project outcomes, team dynamics, and stakeholder satisfaction. The bottom line is that choosing the right leadership style directly impacts the success or failure of projects, team dynamics, and stakeholder satisfaction. Transformational leadership is associated with greater project success, better team cohesion, and increased stakeholder satisfaction by inspiring and motivating teams to achieve a common goal. This research aims to identify the effects of these leadership styles in different project environments and determine the conditions in which each style has the most significant advantage. Transactional leadership, which emphasizes structures, rewards, and punishments, is effective in environments where strict adherence to processes is required but may limit creativity. On the other hand, by prioritizing the growth and well-being of team members, servant leadership leads to increased creativity, cooperation, and improved team morale. The research method is a systematic review of existing articles and studies from reliable scientific sources to gain a deeper understanding of the impact of leadership styles on project management by analyzing their results. This study summarizes the various findings and evaluates the effects of these leadership styles in different project contexts. Finally, the importance of matching leadership styles to project needs is highlighted to improve performance, enhance team dynamics, and achieve successful outcomes.
PERCEPÇÃO DE CASAIS SOBRE O CONSUMO DE PORNOGRAFIA
Authors: Pelissari Camila , Schlosser Adriano
Published: November 2024

A pornografia constitui-se como um fenômeno multifacetado, com avaliações dissonantes frente ao seu uso. No contexto da conjugalidade, sua usabilidade merece destaque, considerando que, de acordo com a percepção da díade conjugal, pode ser entendido tanto como instrumento de psicoeducação sexual, quanto potencial gerador de conflitos. Esta pesquisa teve por objetivo identificar a percepção de casais sobre o consumo de pornografia. Metodologicamente, participaram 181 pessoas, distribuídos homogeneamente entre homens e mulheres, por meio de um questionário on-line autoaplicável de respostas abertas e fechadas, e posteriormente analisadas por meio de análise estatística e relacional. Os resultados revelaram diferenças estatisticamente significativas frente ao maior consumo de pornografia pelo sexo masculino, com mulheres associando de forma significativa a pornografia como forma de infidelidade. Esses achados corroboram a literatura, indicando que o uso de pornografia tende a ser socialmente aceitável para homens, refletindo diferenças comportamentais atribuídas aos sexos no contexto cultural atual.
Palavras-chave: Pornografia. Relacionamento amoroso. Conjugalidade.
A RARE CASE REPORT OF A HAND SURVIVAL
Authors: Samira Sharma , Naivedya Bhandari
Published: November 2024

The primary source of arterial blood supply to the hand is from radial and ulnar arteries. At least one of
these is required for hand survival however sometimes in their absence the collateral circulation alone
provides the essential palmar circulation. We describe here a rare case where both arteries got damaged, whole muscle mass
and both bones of forearm got lost as a result of crush injury but hand though functionless, survived.
AUTOLOGOUS PERICARDIAL PATCH VS. DIRECT SUTURE CLOSURE OF OSTIUM SECONDUM ATRIAL SEPTAL DEFECT (ASD): SYSTEMATIC REVIEW OF OUR EXPERIENCE
Authors: Kumar Rakesh
Published: November 2024

Background: Systematic experience of Patch versus direct suture closure of ostium secundum Atrial
Septal Defect (ASD) our experience of 60 cases of last 4 years. Introduction : There are three major types
of ASD or interatrial communications: ostium secundum, ostium primum and sinus venosus defects. The ostium secundum is a
true defect of atrial septum and involves the region of fossa ovalis. Surgical repair of an atrial septal defects is a safe and
effective operation with minimal mortality and morbidity.
COMPARISION OF CONJUNCTIVAL LIMBAL AUTOGRAFT AND AMNIOTIC MEMBRANE GRAFT FOR PTERYGIUM EXCISION
Authors: Janaswamy Sahiti , Rao A. Narasimha , Hima Bindhu V. , Paul Sabita
Published: November 2024

Introduction: Pterygium is a common ocular condition occurring in tropical countries like India.It can
cause signicant visual disturbance if left untreated.Recurrence of pterygium post surgery is
undesirable but one of the common complications.This study was undertaken to compare two commonly used surgical
techniques for pterygium excision. : To compare the efcacy and recurrence rates of Amniotic Membr Aim ane Graft(AMG)
and Conjunctival Limbal Autograft(CLAG) after the excision of primary pterygium. A prospective,compa Methods: rative,
interventional study was conducted from March 2024 to August 2024 in the Department of Ophthalmology, Gayatri Vidya
Parishad Institute Of Health Care And Medical Technology, Marikavalasa, Visakhapatnam. 60 eyes of 60 patients underwent
primary pterygium excision followed by grafting with CLAG(n=30) or AMG(n=30).They were followed up 6 months post
operatively for recurrence and other complications. Results: 18 males and 42 females were operated with majority falling in
40+/-11 age group.Pterygium is present nasally in 55(91.7%) cases and temporally in 5(8.3%) cases.Most of the patients(n=33)
presented with Grade 2 pterygium (55%). Recurrence was seen in 6 cases following AMG(20%) and in 2 cases after
CLAG(6.7%).Other complications included graft retraction in 3 cases of CLAG, pyogenic granuloma in 2 cases of CLAG and 1
case of AMG, epithelial inclusion cyst in 1 case each of AMG and CLAG, symblepharon in 1 case of AMG. Amniotic Conclusion:
membrane graft had a higher recurrence rate than conjunctival limbal autograft in the management of primary pterygium but
the differrence was not statistically signicant.AMG is useful in advanced cases with bilateral heads,to preserve conjunctiva
for future glaucoma surgeries.
RUPTURED BAKER'S CYST WITH DISTAL EXTENSION
Authors: Naik Tejashkumar , Verma Subham , Soni Bharat , Gajjar Mansee , Patel Ishit
Published: November 2024

Baker's cyst is a sac lled with uid that forms in the popliteal fossa in the posterior aspect of the knee. Baker's cyst is commonly seen in conditions
like degenerative conditions of the knee. Sometimes, this cyst can rupture and show intra-muscular extension proximally or distally. Such
conditions can lead to complications like compartment syndrome, dissection, rupture, pseudo thrombophlebitis, leg ischemia & nerve entrapment.
Here we describe one such case of ruptured baker's cyst with distal inferomedial extension.
A CASE STUDY OF RECURRENT PHYLLODES TUMOR IN A 16-YEAR-OLD ADOLESCENT
Authors: Salika Sana , Saxena Shubham , Zia Mohd. Arif
Published: November 2024

Phyllodes tumors are rare fibroepithelial breast neoplasms, accounting for less than 1% of all breast tumors. They exhibit a spectrum of behaviors
ranging from benign to malignant, with a significant potential for local recurrence. Diagnosing and managing these tumors, particularly in young
patients, is challenging, as they often mimic benign conditions like fibroadenoma. This case report presents a 16-year-old adolescent tribal female
with a recurrent benign phyllodes tumor, initially misdiagnosed as a giant fibroadenoma. Six months post-lumpectomy, the patient experienced
tumor recurrence, prompting further surgical intervention.
UNIFIED AIRWAY DISEASE - OUR EXPERIENCE
Authors: P. Soundarya Susan . , Chandrasekhar SBV. , Heera R. , Priya KGGL Shiva , Reddy N. Venkatrama , Devi S. Indira , Ramakrishnaiah P.
Published: November 2024

Chronic Rhino Sinusitis and Bronchial Asthma have been studied together in many instances as Unified Airway Disease. The Link between the
above two diseases has been many a times proved and is supposed to be the base for common treatment and referrals. Chronic Rhinosinusitis may
be associated with polyps and mucosal edema , which can well hinder in the management of the same. Various parameters should be considered
while commonly treating the conditions which include FEV 1 , FVC , DNE picture and various scores needed to stratify and treat the disease. Our
study aims at linking an association between CRS and Bronchial Asthma by looking into treatment outcomes and proving the statistical
significance. Results : Atotal of 100 patients , mean age was 34± 9 years consisting of 61% females and 39% males presenting with the symptoms
of nasal block, nasal discharge, facial pain and headache and olfactory dysfunction. The prevalence of bronchial asthma was 29%. DNE showed
mucosal edema in 92% and polyps in 27%. Among the 29 BApatients 59.3% had polyps and 17.8% without polyps. The absolute eosinophil count
was increased in 54% and IgE increased in 47% subjects. In the present study the mean FEV1 before treatment was 1.51Lt and the mean
FEV1(%Pred) was 58.83 which improved to mean FEV1 of 1.93 Lt and mean FEV1(%Pred) 77.38 after treatment. The mean FVC before
treatment was 2.57 Lt and the mean FVC(%Pred) was 84.03 which improved to mean FVC of 2.79 Lt and mean FVC(%Pred) of 90.17 after
treatment of CRS. Statistically significant association was seen between DNE and CRS, before and after FEV1 and FVC. The study also found a
significant association between AEC, IgE and bronchial asthma. Objective analysis of the impact of endoscopic sinus surgery (ESS) on asthma was
conducted using pulmonary function tests (PFTs). Multiple readings were tabulated for each patient before and after surgery, and the mean of the
various spiro-metric parameters was calculated as a percentage of the predicted value for that patient, considering their height, age, weight, and sex.
An improvement was observed in the values of FEV1, FVC in asthmatic patients post-ESS.Conclusion :Treating chronic rhinosinusitis (CRS) can
significantly enhance asthma control, particularly by alleviating symptoms and improving patients quality of life. Both medical and surgical
interventions for CRS effectively manage respiratory symptoms; however, their direct impact on asthma control can vary, highlighting the
importance of individualized treatment plans. Further research is essential to fully understand the inter-connected pathophysiology of CRS and
asthma and to develop optimal treatment strategies for patients with both conditions.