bluuebunny/crossref_metadata_2025 huggingface dataset:
Microbial spectrum and susceptibility profile of opportunistic pathogens isolated from cancer patients attending a tertiary healthcare centre in Akure, Nigeria
Authors: Oluyele Olumide , Oladunmoye Muftau Kolawole , Ogundare Ayodele Oluwayemisi , Onifade Anthony Kayode , Okunnuga Ndidi Aishat
Published: December 2023

Introduction. Cancer constitutes a formidable global public health challenge, infection complicates effective treatment regimen and detrimentally impacts survival in cancer-patients. This predicament is exacerbated by the rising specter of antimicrobial resistance. Methods. The study was conducted amongst clinically diagnosed cancer patients attending University of Medical Sciences Teaching Hospital, Akure. Characterization of bacterial and fungal isolates from blood samples of the patients was performed using standard microbiological procedures. Antimicrobial susceptibility assessment was performed using disk diffusion and microdilution methods. Results. Overall, 40.3% of cancer cases manifested in individuals aged above 60 years, with breast cancer emerging as the predominant malignancy, accounting for 68.1% of cases. Moreover, retirees constituted the demographic with the highest representation among the cancer patients, encompassing 36.8% of the study population. The prevailing bacterial isolates comprised Klebsiella pneumoniae (25%) and Klebsiella aerogenes (18.75%), while Aspergillus fumigatus (30.12%) and Candida albicans (24.09%) constituted the predominant fungal isolates. Remarkably, the antimicrobial agents Cefuroxime, Cotrimoxazole, and Amphotericin-B exhibited suboptimal efficacy against these isolates. Conclusion. This study shows the increased vulnerability of cancer patients to opportunistic bacterial and fungal pathogens, many of which show resistance to conventional antimicrobial agents. Strict infection prevention and antimicrobial stewardship measures are advocated to reduce infections in this susceptible population.
The Effect of Clean Intermittent Catheterization-Based Nursing Interventions on the Knowledge, Skill, Coping, Adaptation, Anxiety in Caregivers and Infection in Children: A Randomized Controlled Study Protocol
Authors: SARI Canan , DEMİRBAĞ Birsel Canan
Published: December 2023

Objective: To explore the effect of clean intermittent catheterization training based on android application-supported Roy Adaptation Model (RAMTAKE) given by nurses to caregivers on their knowledge, skills, coping, adaptation and anxiety levels and the development of infection in the child.

Material and Method: The study is a single-center, single-blind, prospective, randomized controlled trial. This randomized controlled trial was reported according to SPRIT. The sample of the study consisted of 42 patients and their caregivers who underwent clean intermittent catheterization in a university hospital. Participants were divided into two separate groups, experimental and control, by simple random sampling method. Participants in the experimental group will be given RAMTAKE, and after being discharged from the hospital, home visits and telephone counseling will be applied by the researchers. The caregivers in the control group will not be subjected to any intervention by the researchers and will be provided with routine clean intermittent catheterization training in the hospital. Study data will be collected using The knowledge, skill level of the caregiver, The Roy Adaptation Model (RAM) psychosocial adaptation areas scale, Coping and Adaptation Scale, The State/Trait Anxiety Scale and UTI development in children. Knowledge, skills, coping, adaptation and anxiety levels of caregivers in both groups will be measured three times. In addition, after discharge from the hospital, children in both groups will be tested for urine culture three times with an interval of one month. Researchers will not interfere with caregivers during the data collection and urine culture analysis phase of the study.

Results: How beneficial clean intermittent catheterization is for children who cannot urinate on their own is quite clear. However, the effect of RAMTAKE knowledge/skills, anxiety level and coping/adaptation of the caregivers and the development of infection in children is yet unknown. Within the scope of the study, it is aimed that the knowledge/skills, coping and adaptation levels of the caregivers who receive RAMTAKE will increase and their anxiety level will decrease. In addition, it is thought that the frequency of urinary tract infection will decrease in the children of caregivers who receive RAMTAKE.

Conclusion: This study is expected to provide reliable evidence to increase the knowledge, skill, coping, adherence level of caregivers who apply clean intermittent catheterization to their children, and to reduce the anxiety level of caregivers with urinary tract infections in children.
Sağlığın Geliştirilmesinde Hayvan Destekli Uygulamaların Rolü
Authors: DOST Ayşe , GENCER Sümeyye , YAŞAR Senanur , KORKMAZ Zehra , DOĞRU Rabia Nur
Published: December 2023

Hasta bakımında kullanılan rutin tedavilerin yanında destekleyici uygulamaları dahil etmek, biyopsikososyal yönden tam bir iyilik halinin kazanılması ve korunmasına yardımcı olacaktır. Bunu sağlamak adına bireylerin üzerindeki hastalık etkilerini en aza indirmek ve yaşam standartlarını optimum seviyeye çıkarmak için rehabilitasyon programları geliştirilmelidir. Rehabilitasyon programlarının istenilen amaçlara ulaşabilmesi için destek alınan uygulamalardan biri de hayvan destekli uygulamalardır. Hayvan destekli uygulamanın yaygın gelişimsel bozukluklar, davranış bozukluğu, anksiyete, yalnızlık duygusu, ajitasyon, ağrı, stres ve depresyon, şizofreni, demans, Alzheimer gibi ruhsal semptom ve hastalıklarda ve kanser, AIDS, afazi, kardiyovasküler hastalıklar, diyabet, solunum sistemi hastalıkları, inme gibi fiziksel hastalıklarda hastalık semptomlarını hafifletmek ve yaşam kalitesini artırmada olumlu etkileri olduğu belirtilmiştir. Literatür incelendiğinde hayvan destekli uygulamalarla ilgili çalışmaların yurt dışında yaygın olduğu ancak ülkemizde yok denecek kadar az olduğu bildirilmektedir. Hemşirelik girişimi olarak hayvan destekli uygulamalara yönelik çalışmaların artırılmasına ihtiyaç vardır. Bu derlemenin amacı sağlığın geliştirilmesinde hayvan destekli uygulamaların rolünü literatür eşliğinde incelemektir.
Health-Related Work Loss: Wellness Profiles of Information Technology Employees
Authors: KURU Hakan , SAKMAR Elcin , SON Yeşim Aydın , İNCE Mustafa Levent
Published: December 2023

Understanding health-related work loss and creating a comprehensive approach requires the identification of lifestyle behavior patterns. An essential part of this process is the examination of different profiles within the target population to develop effective intervention strategies. This study explored the wellness profiles of information technology (IT) employees regarding lifestyle behaviors and health-related work loss. The cross-sectional study surveyed 405 employees (174 women and 231 men) in six cities in Türkiye to examine lifestyle behaviors (exercise, nutrition, stress management, health responsibility, mental development, and interpersonal relations) and health-related work loss (presenteeism and absenteeism). Data analysis was conducted using independent samples t-test, ANOVA, multiple linear regression, and two-step cluster analysis. Regression findings indicated that physical activity, nutrition, and stress management behaviors statistically predict work performance in IT employees (p
An Improved Approach for Modeling Bank Loan Default in Pursuit of Sustainable Banking
Authors:   University of Sharjah, Sharjah, UAE, Metawa Noura ,   University of Sharjah, Sharjah, UAE, Itani Rania
Published: December 2023

This article presents our research effort to explore the convergence of sustainable banking practices and predictive modeling for bank loan defaults, with a primary emphasis on addressing the pressing need for resilient financial systems. To this end, an applied methodology is presented in this study to model bank loan defaults, emphasizing the incorporation of sustainability criteria into predictive analytics. Given the temporal nature of load data, our approach leverages Long Short-Term Memory (LSTM) networks as its backbone process for predictive modeling. The empirical results of the public case study underscored the enhanced predictive accuracy completed through this approach, emphasizing the pivotal function of integrating sustainability metrics in predicting mortgage defaults inside the banking area.
Bridging the gap
Authors:   , Reus Bas
Published: December 2023

The title of my dissertation, ‘Bridging the gap: Brokering online organizational groups’, refers to the role of brokering, and particularly within an online environment such as an Employee Social Network (ESN). Employees who have access to an ESN are able to start online groups, share knowledge, discuss ideas, and find colleagues based on interest. A number of employees will engage in multiple groups at the same time, and as such bring those groups closer together, as the groups share one or more members. As a result, a network of groups arises. I view these employees who are active in multiple groups as brokers.

In order to gain more understanding of what is going on beneath the surface of ESNs, I turned towards social networks theory. Brokers connect groups, which results in a social network of groups. Also, employees interact with other employees, which results in a social network of individual actors. My aim for this dissertation was to understand the dynamics of these different kinds of networks, and I depart from the following overall research question: How do brokers enact brokering on an Enterprise Social Network, and which brokering mechanisms are at play at multiple organizational levels over time?

All key findings are rooted in what I refer to as collective dynamic brokering behavior. This dissertation adds to the debate on brokering from a collective point of view, which so far left unanswered the aspect of multiple brokers sharing the same brokerage position and the influence this may have on brokering outcomes. I also add to the debate on dynamic brokering. As brokering activities of various brokers increase or decrease in intensity, connections between groups become more fluid. Finally, this dissertation makes a contribution to our understanding of brokering behavior by unpacking how brokers experience the networked environment in which they operate.
Systematic Literature Review: On Green Innovation
Authors: L.R. Rupasinghe  , Pushpakumari Maldeniyage  , G. D. N. Perera
Published: December 2023

Green innovations (GI) help reduce the negative impact on the environment. Because of their dynamic activities and resulting in more economic performance, customers are willing to pay the premium price for environmental health products. Hence, GI is an important tool for businesses to increase their market share and sustainability. The objective of this article is to identify research gaps in green Innovation and to discuss future implications. This study used the systematic literature review (SLR) methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Following the predetermined inclusion criteria, 60 articles from the Google Scholar and lens.org databases, were included for review as the findings research gaps were identified namely theoretical gaps, thematic area gaps (empirical gaps) contextual gaps, and methodological gaps. Further, it provides some theoretical and future research implications. This study contributes to the body of knowledge on green innovation by addressing significant knowledge gaps. This knowledge contributes to future researchers designing and carrying out a study to fill these identified research gaps and practitioners who need to benefit from an understanding of the different aspects of GI.
Paduan Massage Effleurage dan Zingiber Officinale Oil Dalam Menurunkan Intensitas Dismenore Primer Pada Remaja
Authors: Solichatin Solichatin , Nyna Puspita Ningrum
Published: December 2023

Menstruation and breast enlargement in female adolescents are physical characteristics that these adolescents are entering puberty. The menstrual period begins when the reproductive organs are mature or capable of producing eggs. Menstruation is a physiological thing that occurs in female adolescents. Although physiologically, menstrual complaints are considered as disturbing things such as pain, nausea, joint pain or often called dysmenorrhea. Efforts were made to take medicine and sleep, but some claimed to have allergic reactions such as swollen eyes and even shortness of breath. Treatment with natural methods or ingredients is currently believed to be used to overcome dysmenorrhea complaints. The methods are effleurage massages that scientifically proven to reduce menstrual pain and the ingredients used are Ginger (Zingiber officinale oil) which contains shogaol and gingerol compounds that can effectively reduce menstrual pain.

Objectives: This study aims to examine the effects of combinations treatments between massages and herbal medicine which can overcome complaints of dysmenorrhea.

Methods: This study used a pre-experimental design with a one group pretest posttest design. The population was female students at SMK 2 Malang who were selected by purposive sampling to obtain a sample size of 74 respondents. Then the data were tested for homogeneity and analyzed by paired t test.

Results: Based on the data collected from the research respondents, it is known that the results of the Fisher homogeneity test have a P value (0.522), which means that the data is homogeneous. The results of the paired T test show that T count (21.182) which is greater than T table (1.993).

Conclusions: Based on the test results, there was a decrease in the pain experienced by the respondents, this proves that the application of zingiber oil can prevent or reduce the rate of dysmenorrhea in respondents.
PENGALAMAN IBU MENYUSUI DI MASA PANDEMI COVID-19
Authors: Wulan Wulan Wijaya , Oktavia Limbong Tetty , Yulianti Devi , Amelia Fitra
Published: December 2023

Background: The COVID-19 pandemic first occurred in China in December 2019 which has become a public health problem. WHO has declared Covid-19 a global pandemic. Almost all countries in the world are affected by Covid-19. Research objective: to review the experience of breastfeeding mothers during the Covid-19 pandemic. Method: This scoping review method consists of several steps, namely Identifying Scoping Review Questions, Identifying Relevant Literature Sources, Literature Selection, Compiling, summarizing, and reporting the results. Results: based on critical appraisal, 14 articles were obtained. The results found 3 themes, namely emotional burden, impact on breastfeeding practices, support and social needs. Conclusion: the experience of breastfeeding mothers during the Covid-19 pandemic can foster confidence and self-confidence for mothers to continue giving breast milk to their babies. The findings from this study can be used as a basis or input for future researchers to support breastfeeding practices and overcome challenges that arose during the COVID-19 pandemic
The Influence Of Personal Protective Equipment (PPE)Based On The Biological And Psychological Aspects Of Nurses In The Covid-19 Pandemic
Authors: Anisa Tria , Ni Kadek diah  , Bella Shinta , Ana Pinata  , Melania Belqis  , Alfi Dwi Agustina
Published: December 2023

Introduction : The Covid-19 pandemic is a big challenge in the world of health, including nursing. Nurses are the main stronghold in patient care because nurses meet patients more frequently and longer than other medical personnel. The use of PPE is urgently needed in treating patients with Covid-19, the impact of using PPE cannot be avoided and can affect nurses, feelings of discomfort and poor physical condition can result in a decrease in both physical and psychological health.

Purpose: This article review aims to determine the impact of using PPE on nurses' physical and psychological health during a pandemic.

Method: This article was reviewed by identifying articles in the last 5 years with the theme of the effect of the use of PPE on the physiology and psychology of nurses during a pandemic with the original article inclusion criteria.

Results: This article review collects articles from Google Scholar and ScienceDirect keywords used PPE, covid19, nurse, physical aspect, and biological aspect. The results of the identification resulted in 15 articles that met the inclusion and exclusion criteria.

Conclusion: PPE has an impact on the physical aspects, namely respiratory disorders and fatigue. Influences on the psychological aspects are stress, depression, and anxiety. Nurses must have physical and mental health preparations to face various challenges in patient care processes and procedures during the Covid-19 pandemic.
HUBUNGAN POLA ASUH ORANG TUA DENGAN KEJADIAN STUNTING PADA BALITA DI PAUD MELATI KECAMATAN SEMENDAWAI TIMUR KABUPATEN OKU TIMUR TAHUN 2023
Authors: Nisa Hanik Khairun
Published: December 2023

Introduction : Stunting is a condition of failure to thrive in children under five years of age due to chronic malnutrition so that children are too short for their age. Factors that cause stunting are maternal factors and poor parenting, especially in the behavior and practice of feeding their children. Parenting is very closely related to the growth and development of children, where children really need an adequate supply of food and nutrition. The World Health Organization (WHO) states that the prevalence of stunting under five is still a public health problem. Purpose : This study aims to determine the relationship between parenting styles. parents with the incidence of stunting in toddlers. Methods : The research design used in this study was analytic with a cross-sectional approach using primary data by measuring the height of toddlers. Sampling was carried out at Early Childhood Education Melati, East Semendawai District, East Oku Regency. The sample used in this study was 30 people who met the inclusion criteria. Data analysis using Chi Square. Results : The results of this study are that there is a relationship between parenting style and the incidence of stunting in toddlers in Early Childhood Education, Semendawai Timur District, East Oku Regency with a p-value = 0.000. Conclusion : From the results of this study it can be concluded that the parenting style applied by parents can influence the occurrence of stunting.
Peran Bidan Dengan Implementasi Senam Nifas di Praktek Mandiri Bidan Se-kabupaten Banyuwangi
Authors: Christiana Indah , Rizkya Danti Renita , Widyawati Aan
Published: December 2023

Peran bidan sebagai komunikator, fasilitator, konselor, dan motivator seharusnya dapat digunakan untuk menunjang pelaksanaan senam nifas. Karena pada dasarnya ada beberapa hal yang dapat timbul jika ibu tidak melakukan senam nifas, salah satunya adalah infeksi karena involusi uterus, perdarahan yang abnormal, dan timbulnya varises. Tujuan dilakukan penelitian ini adalah mengidentifikasi peran bidan dengan implementasi senam nifas, mengetahui implementasi senam nifas di praktek mandiri bidan, dan mengidentifikasi peran bidan dengan implementasi senam nifas. Jenis penelitian ini adalah kuantitatif dengan desain penelitian crosssectional. Jumlah sempel sebanyak 166 bidan dengan tehnik pengambilan sempel simple random sampling. kriteria inklusi meliputi, bersedia menjadi responden, memiliki PMB, memiliki SIPB, memberikan pertolongan persalinan, bersedia mengisi kuisioner secara lengkap. Instrumen yang digunakan adalah kuesioner. Analisis data menggunakan uji uji statistik Rank spearman. Hasil penelitian menunjukan bahwa peran bidan paling banyak termasuk dalam kategori baik (66%), akan tetapi bidan yang tidak melakukan implementasi senam nifas sebanyak (87%). Berdasarkan hasil uji rank spearman didapatkan nilai sig. (2-tailed) < α, yang berarti ada hubungan antara Peran Bidan Dengan Implementasi Senam Nifas di Praktek Mandiri bidan Sekabupaten Banyuwangi. Sebaiknya bidan mrncari inovasi untuk permasalahan atau hambatan dalam melakukan pelayanan senam nifas, motivasi dan rekomendasi Kerjasama lintas sector untuk meningkatkan pembukaan layanan senam nifas.
Performance In House Maintenance Peralatan Medis Terhadap Kepuasan Penggunaan Alat Medis Menggunakan Kanos Model dan Quality Function Development (studi kasus RS X Jakarta Pusat)
Authors: Metere Sulaiman , Dewi Kristianti Yasinta , Zenita Siti Fatimah Okta
Published: December 2023

Sulaiman Metere1, Yasinta Dewi Kristianti2, Okta Zenita Siti Fatimah3

1,2,3Universitas Mohammad Husni Thamrin, Jakarta, Indonesia

 

Email korespondensi: yasintakristianti@gmail.com

(+62 817-847-031)

 

Abstract

Medical devices is a very vital component in hospitals because it is used to treat and diagnose patients. Electromedical technicians as home care for medical equipment in hospitals need to guarantee the availability and reliability of all medical equipment because it is related to patient safety. Therefore it is necessary to measure the performance (performance) of electromedical technicians in hospitals. The user-based-approach method is used to quantify the satisfaction of medical device users through the Kano model and Quality Function Deployment (QFD) where the coefficients of satisfaction and dissatisfaction are calculated using the Extent of Satisfaction (ES) and Extent of Dissatisfaction (ED) formulas. The results of this study note that from 15 performance attributes there are 9 attributes including the One Dimensional (O) category, namely service quality (ES=1), computerized maintenance management system or CMMS (ES=1), administration (ES=1), dependability (ES=0.89), knowledge sharing (ES=0.89), clarity of SPO (ES=0.89), type of equipment (ES=0.67), attitude (ES=0.67), accuracy of diagnosis (ES=0.56) and 2 attributes included in the Must be category (M), namely flexibility and routine reporting (ES = 0.56) and 4 categories of Attractive attributes (A) namely human resources (ES = 1), technical ability (ES = 1), turn around time ( ES = 0.78), availability of spare parts (ES = 0.67). Performance in house maintenance attributes that need to be improved are the implementation of manual procedures, the number of trainings and competency tests because they have the highest Relative Weight (RW = 11%) and Technical Important Rating (TIR = 573.1; 544.8).

 

Keywords: in house maintenance, Medical Device, Kano Model, QFD
Pentingnya Nilai Profesional dari Perspektif Mahasiswa Keperawatan di Jember
Authors: Susanti Ika Adelia , Putri Prestasianita , Astutik Emi Eliya
Published: December 2023

The professional value of nurses becomes an important element. Professional value in nursing is recognized as an essential aspect to be considered among nursing students. These values can be modified through educational, clinical, and personal experiences. Educational institutions have an important role in shaping the professional value of nursing students. The study aimed to analyze the importance of professional value from the perspective of nursing students. The research design used a descriptive study with a cross-sectional approach. The research sample was 117 2nd semester nursing students with consecutive sampling techniques. The research instrument used the Nurse Professional Values Scale-Revised (NPVS-R) questionnaire. Data analysis using descriptive analysis. The results showed that the students' professional scores were quite high with a total score of 94.43 ± 14.28 and an average score of 3.63. Based on the perspective of nursing students, the highest domain in professional values was the "Trust" domain (mean of 3.69) and the lowest "Activism" domain (mean of 3.56). The importance of professional value in each domain, additional strategies are needed that can be implemented comprehensively in educational institutions to increase the professional value of nursing students.
IMPLEMENTASI AKTIFITAS FISIK UNTUK MENURUNKAN KADAR GULA DARAH PASIEN DIABETES MELLITUS DI PURBOWARDAYAN SURAKARTA
Authors: Sakitri Ganik , Ayu Nikmah
Published: December 2023

Jalan kaki adalah salah satu bentuk olahraga yang melibatkan penggunaan kaki dan otot untuk berpindah dari satu lokasi ke lokasi lain. Penderita DM dapat dikelola melalui aktivitas sehari-hari dan olahraga teratur lima hari seminggu selama 30 hingga 45 menit. Desain penelitian yang digunakan pada penelitian ini adalah quasy eksperimen dengan pendekatan one group pretest postest design. Responden penelitian adalah pasien dengan diabetes mellitus di desa Purbowardayan dengan populasi sebanyak 23 responden. Tehnik pengambilan sampel yang digunakan adalah purposive sampling. Pelaksanaan aktivitas fisik jalan kaki terjadwal selama 8 kali pertemuan. Hasil analisis bivariat antara implementasi aktivitas fisik dengan penurunan kadar gulan darah menggunakan Paired Test dengan hasil nilai t 0,812 dengan nilai Sign 0,032, maka  ada Pengaruh implementasi aktivitas fisik terhadap penurunan kadar gula darah di Purbowardayan Surakarta. Penelitian ini dapat disimpulkan bahwa aktivitas fisik bagi penderita diabetes mellitus dapat menurunkan kadar glukosa darah atau olah raga dapat mengatur kadar glukosa darah pada penderita diabetes tipe 2
Pengaruh Latihan Mindfulness Terhadap Penurunan Tekanan Darah Pada Ibu Preeklamsia Di Puskesmas Pajarakan Kabupaten Probolinggo
Authors: Hartono Dodik , Mariani
Published: December 2023

Preeclampsia is a collection of symptoms or syndromes that affect pregnant women over 20 weeks of gestation with the main signs being hypertension and proteinuria. Preeclampsia is a multisystem disorder that characteristically affects 2% - 5% of pregnancies and is one of the causes of most maternal and infant deaths. Several risk factors for preeclampsia are caused by maternal age, occupation, parity, gestational age, history of hypertension and education. Mothers who have many risk factors and previously suffered from preeclampsia have a 20% risk of experiencing preeclampsia. The aim of this research is to determine the effect of mindfulness training on reducing blood pressure in preeclamptic women at the Pajarakan Community Health Center, Probolinggo Regency. This research design uses pre-experimental using the one-group pre-post test design method. The total population was 30 respondents with a sampling technique using total sampling with a total of 30 research samples. The measuring tool uses mindfulness therapy SOPs and blood pressure observation sheets. The research results were processed with the help of SPSS 23 for Windows using the Wilcoxon statistical test. The results of the research: Blood pressure in preeclamptic mothers before being given mindfulness training was systolic blood pressure with a mean value of 148.53; median 147.50; SD 5,036; The minimum value is 141 and the maximum value is 159. Meanwhile, the diastolic blood pressure value is 137.77; median 138.00 ; SD 2,800 ; The minimum value is 130 and the maximum value is 142. Meanwhile, the blood pressure results in preeclamptic mothers after being given mindfulness training are systolic blood pressure with a mean value of 90.57; median 91.00 ; SD 3,954; The minimum value is 81 and the maximum value is 96. Meanwhile, the diastolic blood pressure value is 80.90; median 80.00 ; SD 3,680; The minimum score is 70 and the maximum score is 86. There is an effect of mindfulness training on reducing blood pressure in preeclamptic mothers at the Pajarakan Community Health Center, Probolinggo Regency with a value of ρ = 0.000 < α = 0.05.
Analisis Faktor Perilaku Seksual Yang Menyimpang (Homoseksual) Di Wilayah Kerja Puskesmas Simpur Bandar Lampung Tahun 2023
Authors: Wayan Aryawati  , Angkas Mandala Putra  , Christin Angelina Febriani  , Aprina  , Nurul Aryastuti
Published: December 2023

Abstrak

Homoseksual merupakan kelainan terhadap orientasi seksual yang ditandai dengan timbulnya rasa suka terhadap sesama jenis. Indonesia menjadi negara kelima terbesar penyumbang LGBT dan mempunyai populasi 3% LGBT. Dari 250 juta rakyat Indonesia, sekitar 7,5 jutanya merupakan LGBT. Penelitian ini bertujuan mengetahui analisis faktor risiko perilaku seksual yang menyimpang (homoseksual) di wilayah kerja Puskesmas Simpur Bandar Lampung tahun 2023. Jenis penelitian yang digunakan adalah kuantitatif dengan pendekatan case-control. Populasi pada penelitian ini 180 kejadian LSL. Sampel pada penelitian ini berjumlah 102 sampel yang terdiri dari 51 kasus dan 51 kontrol dengan teknik purposive sampling dengan analisis univariat, bivariat (chi-square), dan multivariat (logistic regression). Hasil uji univariat terdapat 50% homoseks, dan 50% tidak homoseks. Usia berisiko 91.2% dan usia tidak berisiko 8.8%. Status pekerjaan yang bekerja 60.8% dan yang tidak bekerja 39.2%. pendidikan rendah 30.4% dan pendidikan tinggi 69.6%. riwayat peristiwa traumatik 66.7% dan yang tidak memiliki peristiwa traumatik 33.3%. Lingkungan yang buruk dan baik sama sebesar 50%. Prevalensi keluarga tidak harmonis 63.7% dan keluarga harmonis 36.3%. Dari hasil uji bivariat didapatkan hubungan antara pekerjaan dengan perilaku homoseks (p-value=0.008), peristiwa traumatik dengan perilaku homoseks (p-value=<0.0001), keluarga dengan perilaku homoseks (p-value=<0.0001), dan lingkungan dengan perilaku homoseks (p-value=0.047). faktor paling dominan adalah peristiwa traumatis (p-value=<0.0001) dengan OR sebesar 14.06. Diharapkan keluarga, orang terdekat, puskesmas dan tenaga kesehatan dapat memberikan dukungan dan perhatian untuk menciptakan lingkungan yang nyaman sehingga diharapkan bisa mengurangi rasa trauma atau ketakutan dimasa lalu dan pelaku homoseksual dapat memiliki kesadaran diri sendiri untuk tidak melakukan penyimpangan orientasi seksual.

 

Kata kunci:  Homoseksual, LGBT, LSL
Pengaruh Mutu Layanan Tenaga Kesehatan Terhadap Tingkat Kepuasan Pasien Di Puskesmas Wanakaya Kecamatan Haurgeulis Kabupaten Indramayu
Authors: Muhammad Fazar Sidiq Alhayat  , Samino  , Dina Dwi Nuryani  , Dhiny Easter Yanti  , Nova Muhani
Published: December 2023

Abstrak

Nilai IKM Puskesmas Wanakaya tahun 2021 adalah sebesar 61,55 yang masuk dalam kategori tidak puas. Kepuasan pasien adalah keadaan senang atau bahagia yang dialami pasien selama menggunakan suatu pelayanan kesehatan. Pembentukan kualitas pelayanan kesehatan bergantung pada beberapa faktor, seperti tangible atau bukti langsung, reliability atau kehandalan petugas kesehatan, responsiveness atau daya tanggap petugas kesehatan, assurance atau jaminan tenaga kesehatan, dan empathy atau perhatian petugas kesehatan. Penelitian ini bertujuan untuk mengetahui pengaruh mutu layanan tenaga kesehatan terhadap tingkat kepuasan pasien di Puskesmas Wanakaya Kecamatan Haurgeulis Kabupaten Indramayu. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kuantitatif dengan desain cross sectional. Instrumen penelitian yang digunakan adalah kuesioner. Jumlah sampel pada penelitian ini sebanyak 138 pasien rawat jalan yang sudah mendapatkan pelayanan dari tenaga kesehatan di Puskesmas Wanakaya, Kecamatan Haurgeulis, Kabupaten Indramayu. Teknik analisis yang digunakan adalah Pearson Product Moment dan Regresi Linear Berganda. Hasil penelitian uji Pearson Product Moment menunjukkan bahwa ada pengaruh antara mutu layanan tenaga kesehatan dimensi tangibles, reliability, responsiveness, assurance, dan empathy dengan kepuasan pasien. Hasil uji Regresi Linear Berganda menunjukkan ada pengaruh antara mutu tenaga kesehatan (reliability, responsiveness, assurance, empathy, dan tangibles) secara simultan terhadap tingkat kepuasan pasien di Puskesmas Wanakaya, Kecamatan Haurgeulis, Kabupaten Indramayu. Saran yang dapat disampaikan hendaknya dapat mengevaluasi kembali standar waktu pelayanan yang efektif dan efisien, sehingga waktu tunggu pasien dapat lebih singkat

Kata kunci: Assurance, Empathy, Reliability, Responsiveness, Tangibles
Pelaksanaan Stimulasi Mencegah Lansia Pikun Dan Kurang Teliti Melalui Latihan Aktivitas Brain Gym Di Program Sekolah Lansia Desa Sliyeg Kecamatan Sliyeg Kabupaten Indramayu
Authors: Masliha Masliha
Published: December 2023

Everyone who is blessed with a long life will definitely experience old age. One of the problems that occurs in the elderly is dementia. Dementia is a disorder that occurs as a result of physiological changes in the form of cognitive decline. To overcome this, include brain exercises. Brain gym is a series of simple and fun movements that are used to improve learning abilities by using the whole brain.

This research is quantitative research using a quasi-experimental method with a one group pretest - posttest approach. The population is 56 elderly people in the elderly school program in Sliyeg Village, Sliyeg District, Indramayu Regency. Samples were taken using accidental sampling. The research was carried out from April 3 – June 30 2023.

Research results: the level of dementia before the Brain Gym Stimulation action was carried out was 19 people (73.1%) experiencing moderate levels and the level of dementia after the Brain Gym Stimulation action was carried out as many as 23 people (88.5%) were in the mild category and the results of the Paired Samples t Test The test shows that the average difference between the level of dementia before and after the brain gym stimulation was 2.615. This means that there was a decrease in the level of dementia after the intervention with an average decrease of 2.6 points. The result of calculating the "t" value is that a p-value is 0.000 < 0.005 (2-way test). This means that Ho is rejected and concludes that statistically there is a significant difference in the level of dementia in the elderly before and after brain gym stimulation in Sliyeg Village, Sliyeg District, Indramayu Regency.

The conclusion is that there is a significant effect between the level of dementia in the elderly before and after Brain Gym Stimulation in Sliyeg Village, Sliyeg District, Indramayu Regency.
Manajemen Pelayanan Pasien COVID-19 di Ruang Isolasi Puskesmas Rawat Inap Kabupaten Tanggamus Tahun 2023
Authors: Ferry Widiatmoko  , Lolita Sary  , Nurul Aryastuti
Published: December 2023

Abstrak

Pandemi COVID-19 menunjukkan kasus peningkatan dan menuntut respon layanan kesehatan. Puskesmas Air Naningan merupakan Puskesmas rawat inap terbanyak merawat pasien COVID-19 yaitu 6 orang dan Puskesmas Margoyoso merawat 3 orang pasien. Pelaksana pelayanan masih terhambat masalah tenaga medis, keterbatasan peralatan dan vaksin serta kapasitas ruangan. Penelitian bertujuan mendeskripsikan manajemen pelayanan pasien COVID-19 di ruang isolasi yang difokuskan pada unsur man, money, material, method dan machine. Jenis penelitian adalah kualitatif. Tehnik pengumpulan data menggunakan wawancara mendalam. Teknik sampling menggunakan purpossive yang terdiri dari 1 orang informan kunci yaitu Kepala Bidang Pelayanan Kesehatan Dinas Kesehatan Kabupaten Tanggamus, 2 orang informan utama yaitu Kepala UPTD Puskesmas Margoyoso dan Air Naningan serta 2 orang informan pendukung yaitu penanggung jawab ruang isolasi di kedua Puskesmas tersebut. Analisis isi menggunakan koding, kategori dan tema. Hasil penelitian menunjukkan gambaran pelayanan pasien COVID-19 di ruang isolasi pada aspek man dibutuhkan tambahan SDM untuk mengurangi beban kerja. Pada aspek money sudah tersedia pembiayaan berasal dari bantuan alat dan barang dari Dinas Kesehatan Kabupaten dan dana operasional Puskesmas (BOK dan JKN) dan dana insentif. Pada aspek material sarana sudah tersedia dan pedoman Kementerian Kesehatan sudah menjadi acuan pelayanan. Pada aspek method telah ditetapkan Standard Operational Procedure dan ketersediaan alat dan bahan melindungi tenaga kesehatan. Pada aspek machine logistik mampu memaksimalkan tata laksana kasus COVID-19 yang dirawat ruang isolasi. Pemerintah perlu membuat kebijakan untuk pelatihan khusus bagi tenaga kesehatan yang melayani pasien COVID-19 di ruang isolasi

 

Kata kunci:  Covid-19, Manajemen, Pelayanan Kesehatan
ANALISIS HUBUNGAN RELIGIUSITAS, POLA ASUH KELURGA, DAN TEMAN SEBAYA DENGAN STATUS PENYALAHAGUNAAN NAPZA PADA REMAJA DI WILAYAH KECAMATAN PRAYA TIMUR KABUPATEN LOMBOK TENGAH TAHUN 2019
Authors: Iwan wahyudi  , Toha Muahimin  , Syamsul  Anwar  , Muhammad Amrullah
Published: December 2023

Drug stands for Narcotics, Psychotropic, and other addictive substances. The aim of this study was to analyze the relationship between religiosity, parenting family and peers with drug abuse in adolescents in the Praya Timur District, Central Lombok Regency, West Nusa Tenggara Province. The study conducted was descriptive correlation with cross sectional approach in 324 adolescents. Data analysis using bivariate analysis using Chi-square The results of religiosity analysis (p value = 0,000), family upbringing (p value = 0.004) and peers (p value = 0,000) were significantly associated with drug abuse status in adolescents with p value < 0.05. While gender (p value = 0.000), and age (p value = 0,004) are related to drug abuse status and are variable confounding. Education (p value = 0.731) and socio-economic (p value = 0.125) are not related to the misuse of drugs with a p value> 0.05. The results of this study have the greatest influence on the development of drug abuse in adolescents, namely religiosity with p value 0.000 with OR 6.243 Based on the results of this study, it is necessary to make efforts for community and government nurses to prevent an increase in drug abuse cases by taking into account aspects or factors that have a major influence on drug abuse.
Giải pháp nâng cao xác suất nhận dạng đúng mục tiêu UAV ứng dụng trí tuệ nhân tạo
Authors: Nguyễn Văn Trà  , Vũ Chí Thanh  , Đoàn Văn Sáng
Published: December 2023

Trong bài báo này, chúng tôi đề xuất xây dựng một mô hình mạng nơ-ron có cấu trúc Residual-Inception kết hợp (đặt tên là RINet) và sử dụng hàm mất mát Focal Loss nhân trọng số trong quá trình huấn luyện để tiến hành nhận dạng mục tiêu ra đa dựa trong dataset RAD-DAR. Mô hình RINet kết hợp hàm mất mát đề xuất có độ chính xác nhận dạng mục tiêu trung bình là 98.72%, trong đó, xác suất nhận dạng đúng UAV lên đến 99.81%.
Tính tuổi cổ vật bằng phương pháp hạt mịn và một số kết quả thu được trên mẫu gạch tại Hoàng thành Thăng Long
Authors: Trần Ngọc  , Trần Thị Chung Thủy  , Phạm Minh Tân  , Lương Duy Thành  , Phan Văn Độ
Published: December 2023

Trong bài báo này, chúng tôi trình bày các kết quả tính tuổi của các mẫu gạch nung được lấy từ khu khảo cổ Hoàng thành Thăng Long (Hà Nội, Việt nam) bằng phương pháp nhiệt phát quang. Từ kết quả thu được, các vật liệu được sử dụng để xây dựng Hoàng thành có thể được phân loại thành các nhóm dựa theo năm sản xuất. Trên cơ sở đó, chúng tôi xác định được khoảng thời gian bắt đầu xây dựng và trùng tu hoặc xây thêm mới của công trình Hoàng thành Thăng Long.
Mô hình tính độ thấm của môi trường lỗ rỗng dưới điều kiện bão hòa
Authors: Nguyễn Mạnh Hùng  , Nguyễn Văn Nghĩa  , Phạm Minh Tân  , Lương Duy Thành
Published: December 2023

Độ thấm của môi trường lỗ rỗng là một tham số đặc trưng cho khả năng truyền dẫn nước trong môi trường lỗ rỗng. Độ thấm có vai trò quan trọng chi phối dòng chảy của nước và sự chuyển động của các chất ô nhiễm dưới mặt đất và các tầng ngậm nước. Độ thấm phụ thuộc vào đặc điểm của môi trường lỗ rỗng như kích thước lỗ rỗng, sự phân bố lỗ rỗng, sự kết nối giữa chúng, độ rỗng, v.v. Trong báo cáo này, chúng tôi xây dựng mô hình tính độ thấm của môi trường lỗ rỗng dưới điều kiện bão hòa sử dụng mô hình ống mao dẫn tuân theo phân bố fractal. Mô hình chỉ ra quan hệ giữa độ thấm và đặc điểm của môi trường lỗ rỗng như kích thước lỗ rỗng, độ xốp, độ uốn khúc và tham số đặc trưng cho phân bố lỗ rỗng. Kết quả chỉ ra có sự phù hợp tốt giữa mô hình đề xuất với số liệu và mô hình khác đã được công bố.
Application of the double crank mechanism in designing complex-stroke press
Authors: Dang Anh Tuan
Published: December 2023

Although having a development history of over 200 years, researches and developments about press machines are still draw interest of modern mechanical engineering. This paper introduces a new press structure that utilizes a double crank mechanism to enhance productivity and efficiency for the stamping process. By adjusting the positions between the component links, the dynamic characteristic of the ram can be modified, optimizing the performance and improving operations of the system. The proposed design also allows for easy adjustments to adapt with different production requirements, such as changing forging and stamping speeds (fast and slow) to avoid the impact of springback properties in sheet metal. The kinematics of the structure have also been determined by mathematic equations, demonstrating significant improvements in the operation of the ram. Results from the research offers a promising solution to enhance production efficiency and enable the creation of simple yet capable mechanisms to perform complex operation.
Xây dựng thuật toán thiết kế nhóm UAV đa năng kết cấu tối ưu trên cơ sở phương pháp nén động lực học tổng quát
Authors: Nguyễn Thành Long
Published: December 2023

Bài báo trình bày vấn đề giải bài toán lựa chọn đặc tính thiết kế nhóm thiết bị bay không người lái (UAV) đa chức năng. Trên cơ sở phương pháp nén động lực học tổng quát (GDCM) xây dựng thuật toán của giải quyết vấn đề phân bố nhiệm vụ mục tiêu giữa các loại UAV khác nhau. Kết quả mô phỏng mô hình nhóm UAV đa năng tối ưu phục vụ phân tích, đánh giá, theo dõi, giám sát, dự báo tình hình an ninh, giải quyết các vấn đề về cứu hộ, cứu nạn, cũng như đánh giá hiệu quả thực hiện nhiệm vụ từng UAV riêng lẻ trong nhóm UAV. Cung cấp góc nhìn toàn cảnh cho người chỉ huy khi thực thi nhiệm vụ ở biển Đông, vùng biển thềm lục địa Việt Nam có tính đến các yếu tố tác động nhiễu bên trong và bên ngoài, các giả thiết chấp nhận được, các giới hạn chức năng, điều kiện ban đầu. Kết quả công trình có thể sử dụng để giải quyết vấn đề khoa học mới đặt ra khi thay đổi nhiệm vụ, yêu cầu kỹ-chiến thuật nhóm UAV cũng như số lượng, chủng loại UAV có trong biên chế.
Một số kết quả nghiên cứu về quy luật tăng áp suất của quá trình tương tác sóng trong hỗn hợp freon 21 chứa bọt hơi
Authors: Nguyễn Văn Tuấn  , Đinh Quang Ninh
Published: December 2023

Hỗn hợp freon 21 chứa bọt hơi thường gặp nhiều trong công nghiệp năng lượng, trong hệ thống thủy lực và hệ thống làm mát của ô tô và máy xây dựng. Bài báo này trình bày về hiện tượng tăng áp suất do tương tác giữa các sóng ngắn trong hỗn hợp của freon 21 chứa bọt hơi. Quá trình tương tác sóng được mô tả bởi hệ phương trình thủy nhiệt động lực học. Phương pháp số đã được sử dụng để tính toán, nghiên cứu và phân tích sự ảnh hưởng của nồng độ thể tích pha hơi trong hỗn hợp đến sự tăng áp suất của quá trình tương tác sóng. Từ các kết quả nhận được về sự phụ thuộc của áp suất hỗn hợp vào nồng độ thể tích pha hơi tại thời điểm tương tác sóng, quy luật tăng áp suất của quá trình tương tác của các sóng ngắn trong các hỗn hợp của freon 21 chứa các bọt hơi có thể được xác định.
Nghiên cứu thực nghiệm và mô phỏng số ứng xử biến cứng của thép 316L
Authors: Lương Việt Dũng
Published: December 2023

Biến cứng là một tham số rất quan trọng để đánh giá hành vi đàn dẻo của vật liệu, đặc biệt là khi mô phỏng số các ứng xử cơ học của vật liệu. Trong nghiên cứu này, các thí nghiệm kéo-nén theo chu kỳ đối với mẫu thép 316L được thực hiện để xác định các tham số biến cứng cho các mô hình như mô hình biến cứng đẳng hướng tuyến tính, biến cứng động học tuyến tính, biến cứng đẳng hướng phi tuyến, biến cứng động học phi tuyến và mô hình Chaboche. Qua đó, đánh giá được những ưu điểm và nhược điểm của từng mô hình. Cuối cùng, ứng xử theo mô hình Chaboche được lựa chọn để đề xuất xây dựng một thuật toán cho mô phỏng số thí nghiệm kéo-nén tuần hoàn. Các kết quả số thu được là phù hợp tốt với kết quả thực nghiệm.
Application of SAW method for finding best input factors for CBN grinding Al6106 T6
Authors: Nguyen Van Trang  , Trieu Quy Huy  , Tran Thi Phuong Thao  , Nguyen Thi Quoc Dung  , Bui Thanh Hien  , Do Thi Tam  , Luu Anh Tung
Published: December 2023

The outcomes of a multi-criteria decision-making (MCDM) study in CBN grinding Al6061 T6 to determine the optimal input process parameters to achieve both low surface roughness (Ra) and maximum material removal speed (MRS) are described in this study. The MCDM problem was addressed using the simple additive weighting (SAW) method, and the weights of the criterion were computed using the MEREC (Method based on the Removal Effects of criterion) technique. In addition, four process input factors were investigated: wheel speed (WS), feed rate (Fe), depth of cut (aed), and down feed (Df). The experiment was designed with the 2-level 1/2 fraction type in mind. The experimental output outcomes, including the SR and MRS, were measured and entered into the MCDM issue. Based on the study's findings, the ideal input parameters for CBN grinding Al6061 T6 were identified.
Nghiên cứu một số yếu tố ảnh hưởng đến hiệu quả xử lý 2,4-Dinitrotoluen (DNT) trong nước bằng hệ UV-fenton
Authors: Phạm Sơn Tùng  , Đỗ Bình Minh  , An Đức Thắng  , Nguyễn Văn Huống  , Nguyễn Văn Hoàng
Published: December 2023

Nghiên cứu này tập trung khảo sát các yếu tố ảnh hưởng đến quá trình xử lý 2,4-Dinitrotoluen (DNT) trong nước bằng hệ UV-Fenton. Các ảnh hưởng bởi nồng độ chất DNT ban đầu, độ pH, tỉ lệ mol H2O2/Fe2+, nồng độ ion Fe2+ và bước sóng đến hiệu suất xử lý được đánh giá trong thời gian thí nghiệm 120 phút. Kết quả nghiên cứu cho thấy ở nồng độ CoDNT = 100,37 mg/L, với tỷ lệ mol H2O2/ Fe2+ = 20, CFe2+=1,75 mM, pH = 3, l = 254 nm, hiệu suất xử lý DNT đạt 100% sau thời gian phản ứng 60 phút.
Tổng hợp, tính chất phức chất hỗn hợp phối tử salicylic và 2,2’-Dipyridine-N-oxide của một số đất hiếm nặng
Authors: Nguyễn Thị Hiền Lan  , Phạm Văn Khang  , Trần Quốc Toàn
Published: December 2023

Bài báo này trình bày kết quả tổng hợp 3 phức chất hỗn hợp phối tử salicylic acid và 2,2’-Dipyridine-N-oxide với 3 ion đất hiếm: Tb3+, Dy3+, Yb3+. Tính chất của các phức chất được nghiên cứu bằng một số phương pháp: Phổ hồng ngoại, phân tích nhiệt, phổ khối lượng và phổ huỳnh quang. Kết quả cho thấy, các phức chất đã được tổng hợp thành công, với kiểu phối trí hai càng của salicylate và 2,2’-Dipyridine-N-oxide với ion đất hiếm. Phức chất của Tb(III) và Dy(III) có nước hydrat, 3 phức chất được giả thiết có số phối trí 8,với công thức phân tử: Ln(Sal)3(DipyO).2H2O (Ln: Tb, Dy) và Yb(Sal)3(DipyO). Cả 3 phức chất đã tổng hợp đều phát quang ở nhiệt độ phòng.
Effects of Tinuvin 292 on ageing-resistance properties of electromagnetic transparent coating
Authors: Vu Quang Hung  , Pham Minh Tuan  , Dang Tran Thiem  , Pham Nhu Hoan  , Nguyen Viet Long  , Duong Van San  , Pham Xuan Thao
Published: December 2023

The coating for the radar must satisfy the requirements of resistance to severe weather conditions while allowing electromagnetic waves to transfer almost completely. UV protection agents are added during the coating manufacturing process to limit the effects of ultraviolet rays in sunlight, improve colour fastness, and ensure the mechanical properties of the coating. In this paper, the author presents the results of a study to evaluate the effectiveness of the amine-based UV protection agent Tinuvin 292 under test conditions of colour difference ΔE (ASTM 2244), gloss loss (TCVN 2101: 2016) on samples of electromagnetic transparent coating (ETC) based on ester epoxy alkyd resin (EEA). Electromagnetic transparent coating with 2% Tinuvin 292 additive improves ageing resistance and weather resistance, ΔE = 2.15, gloss loss reached 12.1% at an angle of 60° while ensuring durability requirements mechanics, electrical properties, and electromagnetic transparency of coating film.