bluuebunny/crossref_metadata_2025 huggingface dataset:
Sistem Pakar Diagnosa Tingkat Depresi Pada Lansia Di Balai Sosial Tresna Werdha Menggunakan Metode Certainty Factor
Authors: AzhariMalindo M. , Chandra Albert Yakobus
Published: August 2023

Depressive disorder in the elderly is a clinical and public health issue that has yet to be addressed.

The elderly who live at home with their families have better physical, psychological, and environmental health than those who live in orphanages. Mental health issues, particularly depression, frequently go undiagnosed in the elderly. This is because older people who are depressed often have physical symptoms like insomnia, loss of appetite, stomach problems, and headaches. When older people are depressed, their bodies tend to hurt more. It is hard to tell whether someone is complaining about their body or mind, so depression is often found too late. To anticipate these issues, an expert system was created that can take the place of an expert in solving the problem. A clinical psychologist is an expert in the field of elderly depression. This study classified elderly depression into three levels: mild depression, moderate depression, and major depression. This study was carried out with the help of a case study from the Tresna Werdha Pakem Social Center in Sleman, DI Yogyakarta.The Certainty Factor method was used to make an expert system for determining how depressed an older person is. This is because it is a sure thing based on evidence or an expert's opinion. The goal of developing an expert system for diagnosing depression in the elderly is for expert and non-expert officers to diagnose the level of depression in the elderly. Based on 10 elderly data that the system and experts have tested by applying the Certainty Factor method, the accuracy was 98%.
Sistem Informasi Penjualan Berbasis Web Pada Pucabranded.Store
Authors: Putri Fetty Ade , Muhatri Muhatri , Doni Rahmad , Hulu Dafid Putra
Published: August 2023

Pucabranded.store is a business engaged in the sale of quality used branded shoes, which is located at Jalan Deli Tua, Medan. The current problem at the pucabranded.store store is in selling, promoting and ordering still manually, this is less effective because there is no detailed information about shoes on pucabranded.store for consumers. The ordering process that is currently running on t pucabranded.store is still using via Instagram or coming directly to the place, it is still not efficient. Recording and checking of transaction data, customer data, goods data, is still done manually in written document archives, data loss is still likely to be vulnerable to occur. The method used here is more directed to the research process with the Waterfall Method. In the construction of a system like this, to make it easier to sell, make transactions easily, make it easier for buyers to purchase goods online if they are far away, increase income and expand sales promotions on pucabranded.store.
Fenótipos relacionados à agressividade de isolados do complexo de espécies Ralstonia solanacearum
Authors:   , Pereira Bruna Maria Magro
Published: August 2023

O Complexo de Espécies Ralstonia solanacearum (CERS) agrupa isolados bacterianos de Ralstonia sp. que infectam uma ampla gama de hospedeiros com impacto econômico mundial, infecta mais de 250 espécies de plantas em 54 famílias botânicas. Seus mecanismos de virulência têm se mostrado diversos e podem ser adaptáveis ao hospedeiro e ao ambiente. A formação do biofilme considerada o principal fator que resulta no aparecimento dos sintomas de murcha nas plantas. A formação do biofilme requer uma série de sinalizações e sistemas regulatórios, entre eles, sistemas de comunicação Quorum Sensing (QS). Conhecer os fenótipos relacionados à virulência das espécies desse complexo é fundamental para o desenvolvimento de métodos de controle. Assim, os objetivos do presente estudo foram avaliar os fenótipos relacionados à virulência de isolados obtidos de todo o Brasil e caracterizar a formação do biofilme desses isolados em relação à sua morfologia e capacidade de formação de biofilme, bem como avaliar a motilidade e agressividade em plantas susceptíveis de tomate. Além disso, determinar a produção de moléculas de N- Acil-Homoserina Lactona (AHL) por esses isolados, identificar essa molécula e entender os fenótipos que podem ser regulados pelo mecanismo de QS mediado por AHLs. Neste estudo a diversidade de morfotipos de biofilmes obtidos por microscopia confocal de varredura a laser, além de diferentes padrões de motilidade e morfologia de colônia em vermelho de Congo foi determinada. Observou-se que isolados formadores fracos de biofilme in vitro, podem ser agressivos e formar biofilme na parede do xilema vascular de plantas de tomate. Grande parte dos isolados foram produtores de AHLs. Dois isolados (IBSBF2576 e LPF750) utilizados para a detecção apresentaram a N-butanoil- AHL (C4-AHL), revelando um sistema de QS AI-1 ainda não descrito em R. solanacearum. Para determinar o efeito fenotípico da ausência de AHLs produzidas pelos isolados de R. solanacearum, foi inserido nos isolados IBSBF2576 e LPF750 um plasmídeo expressando uma lactonase que realiza a quebra do anel lactona das AHLs. Foi observado importante alteração da formação do biofilme in vitro, além de redução expressiva das motilidades twitching, swarmming e swimming, aumento da resistência ao estresse oxidativo e manutenção da ausência de agressividade em tomates. Esses resultados reforçam que a diversidade genética presente no CERS é refletida nos fenótipos de virulência e formação do biofilme, além disso a descoberta de uma nova molécula de AHL produzida por R. solanacearum demonstra à existência de uma grande diversidade de mecanismos de comunicação QS. Ambos, virulência e QS precisam ser amplamente estudados para conhecer cada vez mais os fatores que estão relacionados com a agressividade de R. solanacearum e sua variabilidade. Palavras-chave: Ralstonia solanacearum. Quorum sensing. Agressividade.
Quadruple Assessment using Transrectal Ultrasound Scan is Effective at Accurately Facilitating Choice of Excision Plane by Tems in the Complex Specc Lesion
Authors:   Musgrove Park Hospital, Parkfield Drive, Taunton, TA1 5DA, UK, Blane Christine
Published: August 2023

Background: There is currently no consensus as to the optimal imaging modality for Significant Polyps and Early Colorectal Cancer (SPECC). This study describes the use of transrectal ultrasound (TRUSS) as part of a quadruple assessment process to evaluate the depth of invasion of SPECC lesions and guide local excision. Method: Pre-operative imaging and histology were reviewed for all patients undergoing transanal endoscopy microsurgery (TEMS) at Cheltenham General Hospital between 2013 and 2019. Treatment options included mucosectomy, partial thickness excision and full thickness excision. The dataset was studied specifically to evaluate the risk that malignancy will be present at the deep margin. ‘Failure’ of assessment was thus defined as the failure to detect and achieve complete local excision of malignancy. Results: 400 patients were included: 319 primary lesions and 81 secondary lesions. Amongst the primary lesions 93.7% (n=299) had successful R0 excisions. Of the primary lesions with incomplete excisions 50% (N=10) had undergone mucosectomy, 40% (n=8) full thickness excision and 10% (n=2) partial thickness excision
- PENGUKURAN RADIOAKTIVITAS DAN ESTIMASI SUMBER DAYA TORIUM DI DAERAH BATUBESI, BELITUNG TIMUR
Authors: Fauzi Rachman , Karunianto Adhika Junara , Rakhma Ersina , Ngadenin Ngadenin , Indrastomo Frederikus Dian , Tukijo Tukijo
Published: August 2023

Torium merupakan unsur radioaktif yang dapat dimanfaatkan sebagai elemen utama bahan bakar nuklir selain uranium. Pulau Belitung terletak pada rangkaian jalur timah Asia Tenggara yang memiliki potensi keterdapatan mineral radioaktif yang tinggi. Tujuan penelitian ini adalah melakukan pengukuran nilai radioaktivitas serta estimasi sumber daya tereka unsur radioaktif torium (Th) di daerah penelitian. Litologi daerah penelitian terbagi menjadi satuan meta-batupasir, satuan granit biotit, dan satuan granit hornblenda. Zona kontak antara satuan meta-batupasir dengan satuan granit menjadi daerah anomali radioaktivitas yang ditunjukkan dengan nilai laju dosis 300 s.d. 360 nSv/jam, kadar eU 12 s.d. 18 ppm, kadar eTh 48 s.d. 96 ppm, dan kadar eK 1,5 s.d. 1,8%. Analisis XRF menunjukkan kadar U berkisar antara 0,7 s.d. 51,8 ppm sedangkan kadar Th berkisar antara 0,8 s.d. 344,8 ppm. Hasil estimasi diperoleh sumber daya tereka torium pada Blok I-V di daerah penelitian sebesar 197.448 ton. Untuk dapat meningkatkan keyakinan geologi terkait kategori sumber daya tersebut maka perlu diterapkan metode eksplorasi yang lebih rinci dan sistematik.
Level of Microbial Contamination of Freshly Prepared Fufu and Retailed Fufu
Authors: Omorodion J.P. Nnenna , Beniye D Amakiri
Published: August 2023

Fufu is an acid-fermented products produced through submerged fermentation of cassava root in water for days. The study was set to determine the microbiological quality and the physiochemical composition of freshly prepared fufu (FF) and retailed fufu (RF). A standard microbiological method was used in enumerating and identify bacteria and fungi species isolated. The total heterotrophic bacteria count ranges from Log10 cfu/g 2.14 to 6.18 and 3.56 to 7.06 for retailed fufu and freshly prepared fufu respectively. Predominant bacteria found in the samples studied and their percentage of distribution were Lactobacillus 17(23%), Escherichia coli and Staphylococcus sp. 14(19%), Bacillus sp. 13(18%), Micrococcus sp. 5(7%), Enterobacter and Corynebacterium were 4(5%) and Proteus has the least 3(4%). Among the fungi were Mucor sp. and Candida sp. were 6(26.1%), Aspergillus niger 4(17.4%), Saccharomyces sp. 5(21.7%), and Rhizopus sp.2(8.7). The proximate analysis revealed an insignificant difference in crude protein ranging from 1.36% in FF to 1.24 in RF, carbohydrates content 82.88% to83.12% in RF and FF, ash content is higher in FF ranging 7.33% to 1.53%  RF, while the moisture content is higher in RF with 9.47% and 1.78% in FF. Magnesium ranges from 38.4mg/ml in FF to 35.3mg/ml in RF .The results obtained showed that the fufu samples that were retailed were more contaminated than the freshly prepared fufu  which might pose risk to health. Therefore, there is a need for proper sanitary conditions and best processing and production especially during packing is recommended.
ANALISIS YURIDIS PERMOHONAN PRAPERADILAN TERHADAP SURAT PERINTAH PENGHENTIAN PENYIDIKAN (SP3) OLEH KEPOLISIAN DALAM PERKARA PENIPUAN DAN PENGGELAPAN (Putusan Nomor 96/Pid.Pra/2019/ PN.Mdn)
Authors: Evisan Febri , Marzuki Marzuki , Miroharjo Didik
Published: August 2023

Praperadilan dilakukan dengan maksud dan tujuan yakni tegaknya hukum dan perlindungan hak asasi tersangka dalam tingkat pemeriksaan, penyidikan, dan penuntutan. Penelitian ini membahas permasalahan bagaimana pengaturan hukum yang mengatur tentang praperadilan dalam proses hukum perkara pidana, bagaimanakah kewenangan penyidik mengeluarkan SP3 pada perkara tindak pidana  penipuan dan penggelapan dalam jabatan, bagaimanakah pertimbangan hakim dalam memeriksa dan memutus perkara praperadilan penghentian penyidikan oleh kepolisian dalam perkara penipuan dan penggelapan.

Penelitian ini menggunakan metode deskriptif melalui studi kepustakaan dan studi lapangan untuk memperoleh data-data dengan mengadakan tanya jawab (wawancara) dengan hakim pada wilayah hukum Pengadilan Negeri Medan.

Pengaturan hukum yang mengatur tentang pra peradilan dalam proses hukum perkara pidana diatur dalam KUHAP yaitu tentang sah atau tidaknya suatu penangkapan dan atau penahanan, sah atau tidaknya penghentian penyidikan atau penghentian penuntutan, permintaan ganti kerugian atau rehabilitasi dan setelah keluarnya putusan Mahkamah Konstitusi Nomor 21/PUU-XII/2014 menambah penetapan tersangka, penggeledahan, dan penyitaan termasuk sebagai obyek praperadilan. Kewenangan penyidik mengeluarkan SP3 pada perkara tindak pidana adalah apabila tidak terdapat cukup bukti, dalam arti tidak dapat ditemukan alat-alat bukti sah yang cukup.

Hasil penelitian menunjukkan bahwa  pertimbangan hakim dalam memeriksa dan memutus perkara pra peradilan penghentian penyidikan oleh kepolisian dalam perkara penipuan dan penggelapan dalam jabatan adalah menolak permohonan praperadilan disebabkan tidak terbukti Termohon II telah menghentikan penyidikan atas laporan dari Pemohon, namun laporan pemohon tersebut masih dalam proses penyidikan. Berdasarkan kesimpulan, maka disarankan agar dalam hal menetapkan seseorang sebagai tersangka, aparat penegak hukum yang dalam hal ini adalah penyidik harus sangat berhati-hati.
ANALISIS YURIDIS KEWENANGAN BADAN NARKOTIKA NASIONAL DALAM MELAKUKAN PENYIDIKAN TINDAK PIDANA NARKOTIKA DITINJAU DARI UNDANG-UNDANG NOMOR 35 TAHUN 2009 TENTANG NARKOTIKA
Authors: Ishaq Hamidi , Purba Nelvitia , Mustamam Mustamam
Published: August 2023

Aktifitas penyalahgunaan narkotika dan prekursor telah begitu luas di masyarakat. Pemerintah telah melakukan langkah-langkah dengan mengundangkan peraturan perundang-undangan terkait penyalahgunaan Narkoba serta membentuk lembaga non struktural yaitu Badan Narkotika Nasional (BNN) yang menjadi badan koordinasi dengan instansi pemerintah terkait dalam rangka ketersediaan, pencegahan dan pemberantasan penyalahgunaan dan peredaran gelap Narkotika dan Prekursor. Penelitian ini bertujuan untuk mengetahui kewenangan penyidikan Badan Narkotika Nasional dalam Undang-undang Nomor 35 Tahun 2019 tentang Narkotika,untuk mengetahui peranan Badan Narkotika Nasional (BNN) dalam proses penyidikan tindak pidana narkotika, untuk mengetahui hambatan-hambatan yang ditemui Badan Narkotika Nasional dalam penyidikan terhadap tindak pidana narkotika Penelitian ini menggunakan metode deskriptif melalui pendekatan normative (legal research) yaitu pendekatan terhadap permasalahan, dilakukan dengan mengkaji berbagai aspek hukum dari segi peraturan-peraturan yang berlaku. Hasil penelitian menunjukkan kewenangan melakukan penyidikan tindak pidana narkotika diatur didalam Undang-undang Nomor 35 Tahun 2019 tentang Narkotika yaitu Pasal 81 Undang-undang tersebut. Kewenangan penyidikan diberikan kepada Badan Narkotika Nasional dan Kepolisian Republik Indonesia. Peranan Badan Narkotika Nasional (BNN) dalam proses penyidikan tindak pidana narkotika diberi wewenang melakukan penyidikan terhadap tindak pidana narkotika di samping dapat juga dilakukan penyidik Kepolisian Republik Indonesia. Keduanya harus saling berkoordinasi dan saling memberitahu apabila telah memulai melakukan penyidikan terhadap tindak pidana narkotika. Hambatan-hambatan dalam penyidikan terhadap tindak pidana narkotika adalah pengerahan dan rekrutmen personil BNN yang dianggap kurang baik sehingga penanganan kasus yang jangkauannya internasional kurang maksimal.
Sosialisasi Perhitungan Sistem Navigasi pada Wahana Tanpa Awak Untuk Mendukung Sistem Pertahanan Nasional di PT. AJISAKA
Authors: Herlambang Teguh , Adinugroho Mukhtar , Yudianto Firman , Yuliana Leni
Published: August 2023

Penelitian dan pengabdian masyarakat tentang sistem navigasi dan pandua ini menjadi signifikan untuk menunjang kemandirian teknologi dan industri alat evakuasi kegawat daruratan bencana di perairan yang dimiliki NKRI. Oleh karena itu dirasa perlu diadakan penelitian dalam rangka meningkatkan program inovasi teknologi, khususnya perangkat lunak terkait sistem navigasi dan panduan AUV. Sistem navigasi itu sendiri merupakan koordinasi dari planning, sensing, dan pengendalian dalam melalui lintasan (path) dari posisi awal hingga ke target tanpa terjadi tabrakan atau mampu menghindari rintangan (obstacle) yang ada. Sehingga diperlukan perhitungan sistem navigasi pada wahana tanpa awak untuk mendukung sistem pertahanan nasional di PT. AJISAKA. Sehingga diperlukan perhitungan sistem navigasi pada wahana tanpa awak untuk mendukung sistem pertahanan nasional di PT. AJISAKA. Sehingga diperlukan sosialisasi tentang penggunaan software sistem navigasi dan Pnduan wahana tanpa awak di PT. AJISAKA. Dengan adanya pengenalan software sistem navigasi dan panduan untuk kapal selam tanpa awak dalam menunjang pengetahuan dari karyawan stakeholder PT. AJISAKA.
Edukasi Masyarakat Melalui Gerakan 10 Jari Cegah Kanker Ovarium
Authors: Silvana Rista , Prameswarie Thia , Rinaldzi Ary , Wardani Aliyah , Noviandini Berliana
Published: August 2023

Kanker ovarium adalah kanker yang muncul di jaringan ovarium atau indung telur. Kanker ini merupakan jenis kanker terbanyak ketiga yang diderita wanita di Indonesia. Minimnya pengetahuan terhadap kanker sendiri merupakan salah satu penghambat pendeteksian dini kejadian kanker ovarium. Deteksi dini merupakan kunci upaya penyembuhan kanker ovarium melalui gerakan 10 jari cegah kanker ovarium yaitu kampanye untuk mengenal enam faktor risiko dan empat tanda kanker ovarium. Tujuan kegiatan penyuluhan ini adalah untuk menyampaikan informasi mengenai kanker ovarium dan meningkatkan pengetahuan deteksi dini kanker ovarium dengan metode 10 jari pada wanita usia post menopause. Metode yang digunakan dalam kegiatan melalui serangkaian tahap antara lain dengan penyuluhan dan pemeriksaan USG (ultrasonography). Penyuluhan ini dilaksanakan di Kelurahan 16 Ulu Kecamatan SU II Kota Palembang.  Hasil yang dicapai setelah mengikuti penyuluhan dan diskusi ada peningkatan pengetahuan masyarakat mengetahui tentang bahayanya kanker ovarium dan pentingnya deteksi dini.
Law in the New Era of Emerging Technologies: Can Creation Made by an Artificial Intelligence be Protected by Copyright?
Authors: Sinaga Joy Febe Ismikesasta , Novendra Bayu
Published: August 2023

Despite the fact that Artificial Intelligence (AI) has a long history in the twentieth and twenty-first centuries, there are many unsolved challenges. AI is a rapidly growing, promising area of research that is reaching its prime. Contemporarily, AI is used in a wide range of tasks, from virus detection, e-commerce chat boxes, to law-making. Subsequently, AI is not only designed to perform a particular and limited task (Narrow AI), but also to generate new creations based on cognitive skills and advancements in that spectrum (General AI). The topic discussed further in this paper is the second type of AI. This paper will attempt to answer the following questions. First, can creation made by an AI be protected by copyright? Second, who is the creator of the creations made by an AI? Third, how do we determine the holders of moral rights and economic rights for creations made by an AI? This paper used legal research, emphasizing literature study. In so doing, the data were analyzed with the deductive method to construct conclusions. This paper shows that creations made by an AI can be protected with copyright, with the creator being the person or people who contribute the most to the basic code of the AI, as well as the training data used, so that the creation can be produced. Furthermore, the person as creators also become moral rights holders and economic rights holders.
Peningkatan Pengetahuan dan Pemasangan Metodekontrasepsi Jangka Panjang(MKJP) di Dusun Lembar Barat Desa Lembar Selatan Lombok Barat
Authors: Fatmasari Baiq Dika , Aprianti Nurannisa Fitria , Faizaturrahmi Eka
Published: August 2023

Pelayanan   program  Keluarga Berencana pelaksanaannya senantiasa  terintegrasi  dengan kegiatan kelangsungan hidup ibu, bayi dan anak serta penanggulangan masalah Kesehatan dan kesetaraan gender sebagai salah satu upaya pemecahan hak-hak reproduksi kepada masyarakat. Memperhatikan hal-hal tersebut, maka operasional pelaksanaan program KB perlu dikelola secara lebih serius, professional dan berkesinambungan sehingga upaya-upaya tersebut dapat memberikan kepuasan bagi semua pihak baik klien maupun pemberi pelayanan yang pada akhirnya akan meningkatkan kesertaan masyarakat dalam berKB, terhindar dari masalah kesehatan, reproduksi, meningkatkan   kesejahteraan   keluarga. Berdasarkan pendataan yang telah kami laksanakan di Dusun Lembar Barat, diperoleh data bahwa dari 240 PUS, akseptor KB sebanyak 152 orang (62,50%), dimana persentase pengunaan Metode Kontrasepsi Jangka Panjang masih rendah yaitu sebanyak 37 orang (15,41%). Hal ini karena kurangnya pengetahuan masyarakat mengenai Metode Kontrasepsi Jangka Panjang sehingga penggunaannya masih sangat rendah. Berdasarkan masalah tersebut kami melakukan kegiatan Pengabdian Masyarakat Penyuluhan Metode Kontrasepsi Jangka Panjang pada tanggal 2 Desember 2021 di balai dusun.  Sebanyak 15 orang peserta diberi kuisioner pre tes sebelum penyuluhan, selanjutnya penyampaian materi dengan media lembar balik dan power point dan diakhiri dengan pengisian kuisioner post tes. Terjadi peningkatan pengetahuan ibu tentang Metode Kontrasepsi Jangka Panjang setelah kegiatan berlangsung terlihat dari perbedaan nilai rerata kuisioner pre test senilai 55,5% menjadi 98,2% pada saat post test dan adanya pengguna baru MKJP Implan sebanyak 9 orang setelah diberikan penyuluhan.
Peranan Kejaksaan Negeri Labuhanbatu dalam Penyelesaian Tindak Pidana Kekerasan dalam Rumah Tangga dengan Pendekatan Restorative Justice
Authors: Pane Edy
Published: August 2023

Semenjak diberlakukannya Undang-Undang Nomor 23 tahun 2004, sangat jelas diatur perlindungan hukum terhadap korban kekerasan khususnya istri sebagai korban kekerasan dari suaminya, dimana perlindungan itu sendiri merupakan hak korban yang harus diberikan oleh pihak keluarga, kepolisian, kejaksaan, pengadilan, lembaga sosial, hak tersebut sangat jelas tertera pada Pasal 10 Undang-undang Nomor 23 tahun 2004. Penerapan restorative justice yang pernah dilakukan di Kejaksaan Negeri Labuhanbatu adalah kekerasan dalam rumah tangga yang dilakukan oleh suami terhadap isteri, sebagaimana awalnya bahwa restorative justice tersebut dilakukan ditingkat Kepolisian namun tidak berhasil, selanjutnya setelah pihak Kepolisian Resor Labuhanbatu menyerahkan berkas perkara serta menyerahkan tanggung jawab atas tersangka dan barang bukti kepada Penuntut Umum, kemudian pihak Kejaksaan mempelajari berkas perkara tersebut, sehingga timbul inisiatif dari Kejaksaan tersebut untuk menerapkan restorative justice berdasarkan Peraturan Kejaksaan (Perja) RI Nomor 15 Tahun 2020 tentang Penghentian Penuntutan Berdasarkan Keadilan Restoratif. Atas dasar itu, maka Kejaksaan Negeri Labuhanbatu menjadi inisiator dalam penerapan restorative justice. Penyelesaian perkara kekerasan dalam rumah tangga melalui keadilan restorative telah memenuhi Pasal 4 Peraturan Kejaksaan RI No. 15 Tahun 2020 menyatakan penghentian penuntutan dilakukan atas kepentingan korban dan kepentingan hukum lain yang dilindungi. Lalu, penghindaran stigma negatif, penghindaran pembalasan, respon dan keharmonisan masyarakat, serta kesusilaan dan ketertiban umum. Jaksa dapat berperan menghentikan penuntutan berdasarkan opurtunitas atau asas kebijaksanaan menuntut. Asas inilah yang menjadi dasar bagi Jaksa untuk menyelesaikan perkara pidana di luar pengadilan dengan menggunkan pendekatan restorative justice. Sebagai contoh kasus yang terjadi di Kejaksaan Negeri Labuhan Batu, dimana jaksa menghentikan tuntutannya dalam kasus kekerasan dalam rumah tangga, yang berlandaskan pada: bahwa ancaman tidak lebih dari 5 (lima) tahun, pelakunya bukan resedivis, adanya persetujuan atau keinginan sikorban untuk berdamai, adanya itikad baik dari tersangka untuk memenuhi kewajiban-kewajiban tertentu yang disepakati antara korban dan tersangka dalam perdamaian, tidak ada tekanan atau pengaruh dari pihak manapun, dengan kata lain yaitu harus atas kesepakatan antara si korban dan tersangka serta pihak lainnya.
Peningkatan pengetahuan dan kapabilitas ibu melalui program cegah tangkal triple burden malnutrition
Authors: Effendy Devi Savitri , Tosepu Ramadhan , Suhadi Suhadi , Ahmad La Ode Ali Imran , Lestari Hariati , Asfian Pitrah , Prasetya Fikki , Octaviani Rizki Eka Sakti
Published: August 2023

Southeast Sulawesi has been grappling with a significant issue of malnutrition recently. While the problem of stunting remains unresolved, there has been a surge in obesity rates. To tackle the triple burden malnutrition, the CEKAL TRIP BOMBANA program has been introduced. This preventive program aims to increase the skills and knowledge of mothers in terms of nutrition and health, thereby preventing triple malnutrition in households. The program was implemented in three assisted villages - Lameroro Village, Tapuhahi Village, and Lantawonua Village in Bombana District, Southeast Sulawesi Province. The program has four key components: training on early detection of triple malnutrition, counseling on nutrition and healthy lifestyles, launching a Facebook account for social media dissemination of messages, and forming influencers from trainees to become agents of change in their communities. The program's success was evaluated by assessing the implementation process and observing the participant’s responses to the material provided. Participants gave positive feedback, stating that the material increased their knowledge of nutrition and health for children, adolescents, and pregnant women. Abstrak: Sulawesi Tenggara merupakan provinsi dengan beban malnutrisi yang cukup signifikan. Masalah gizi kurang yakni stunting belum lagi terselesaikan, di saat yang sama angka obesitas di wilayah ini mulai merangkat naik. Cegah Tangkal Triple Burden Malnutrition (CEKAL TRIP BOMBANA) adalah program preventif untuk mencegah timbulnya triple malnutrition dalam satu rumah tangga melalui peningkatan kapasitas dan ketrampilan ibu dalam hal gizi dan kesehatan. Pelaksanaan program difokuskan pada 3 desa binaan yaitu Desa Lameroro, Desa Tapuhahi, dan Desa Lantawonua di Kabupaten Bombana Provinsi Sulawesi Tenggara. Terdapat 4 komponen utama program, yaitu pelatihan deteksi dini triple malnutrition dan penyuluhan gizi dan pola hidup sehat, Launching akun Facebok untuk diseminasi pesan melalui sosial media, dan pembentukan influencer dari peserta pelatihan untuk menjadi agent of change di komunitas masing-masing. Evaluasi program dilakukan dengan menilai proses pelaksanaan kegiatan dan mengobservasi respon peserta terhadap materi yang diberikan. Peserta memberikan respon yang positif terhadap pelaksanaan kegiatan dan menyatakan bahwa materi yang diberikan menambah wawasan dan pengetahuan pengetahuan mereka terkait gizi dan kesehatan anak, remaja, dan ibu hamil.
Pelatihan pada bidan desa mengenai penggunaan breast gel pack untuk ibu nifas di wilayah kerja Puskesmas Penyengat Olak
Authors: Lilis Dewi Nopiska , Diniyati Diniyati
Published: August 2023

Bendungan ASI merupakan suatu kondisi terjadinya sumbatan pada saluran laktiferus, yang disebabkan oleh tekanan jari pada saat menyusui, terlalu ketatnya BH yang digunakan dan adanya komplikasi pembengkakan payudara, yaitu tidak segera dikeluarkan susu yang diproduksi sehingga menimbulkan sumbatan. hasil nilai pretest pada bidan desa sebelum diberikan materi pelatihan tentang penggunaan Breast Gel Pack pada ibu nifas nilai terendah yaitu benar 30 dan tertinggi benar 60 dari 15 pertanyaan, dengan nilai rata rata yaitu 42,6. Bidan rata-rata belum mengetahui secara spesifik penggunaan Breast Gel Pack yang bisa mengurangi keluhan bendungan ASI pada ibu nifas. Kegiatan sosialisasi dan pelatihan bidan desa. Dengan pemberian materi yang berhubungan dengan pengetahuan, pemahaman dan keterampilan tentang upaya penggunaan Breast Gel Pack pada ibu nifas dan meningkatnya pengetahuan, pemahaman dan keterampilan bidan desa tentang penggunaan Breast Gel Pack pada ibu nifas. Abstract. Breast milk engorgement is a condition in which there is a blockage in the lactiferous ducts, caused by finger pressure during breastfeeding, too tight bras, and complications of breast swelling, i.e., not immediately releasing the produced milk, leading to blockage. The pre-test results among village midwives before being given training material on the use of Breast Gel Pack for postpartum mothers showed the lowest score of 30 correct answers and the highest of 60 correct out of 15 questions, with an average score of 42.6. On average, midwives are not specifically aware of the use of Breast Gel Pack that can reduce breast milk engorgement complaints in postpartum mothers. This led to the initiative of community awareness and training for village midwives. With the provision of material related to knowledge, understanding, and skills about the use of Breast Gel Pack in postpartum mothers, there was an increase in the knowledge, understanding, and skills of village midwives about the use of the Breast Gel Pack for postpartum mothers.
Pengembangan Program Pertanian Sehat Melalui Pembuatan Pestisida Nabati Daun Pepaya (Carica papaya) di Kecamatan Kabat Banyuwangi
Authors: Indraloka Aldy Bahaduri , Alfiyah Nurul , Yuniwati Ika
Published: August 2023

Kabupaten Banyuwangi merupakan salah satu Kabupaten yang memiliki lahan-lahan pertanian yang subur untuk ditanami berbagai komoditas tanaman pangan, hortikultura hingga perkebunan. Salah satu kecamatan di Banyuwangi yang memiliki potensi pertanian yang tinggi adalah kecamatan Kabat. Pengembangan program pertanian sehat di kecamatan Kabat masih mengalami kendala yakni ketergantungan dan perilaku konsumtif akan pesitisida kimia. Penggunaan pestisida kimia yang berlebihan dapat mengganggu kesehatan petani dan konsumen, merusak lingkungan, menurunkan kualitas produk pertanian, hingga memunculkan gangguan pada keseimbangan serta kelestarian ekosistem. Solusi yang dapat dilakukan adalah melakukan kegiatan Pengabdian Kepada Masyarakat melalui Pembuatan dan Aplikasi Pestisida Nabati. Metode yang digunakan adalah pendekatan Pendampingan dan Penyuluhan Terpadu (integrated of assistance models approach) yang terdiri dari empat tahapan yaitu; 1) melakukan sosialisasi pestisida nabati, 2) pelatihan pembuatan pestisida nabati berbahan dasar daun pepaya (Carica papaya), 3) Pelatihan dan aplikasi pestisida nabati menggunakan Knapsack power sprayer, 4) monitoring dan evaluasi. Total ukur keberhasilan Program pengabdian kepada masyarakat terlihat pada keaktifan 25 orang peserta dari kelompok tani yang mengikuti program sosilasisasi dan demonstrasi pembuatan pestisida daun pepaya. Hasil kegiatan monitoring dan evaluasi menunjukkan bahwa kelompok tani mampu untuk memproduksi pestisida nabati secara mandiri dan kontinyu hingga pengaplikasian pestisida nabati pada lahan tanaman cabai milik kelompok tani.
Analisis Sistem Upah Tenaga Kerja dalam Perspektif Ekonomi Islam pada Usaha Kuliner di Desa Kuta Kabupaten Lombok Tengah
Authors: Eliza Nova , Jufri Akhmad , Huzaini Moh.
Published: August 2023

Tujuan dari penelitian ini untuk menganalisis sistem pengupahan secara islami pada pekerja usaha restauran di Desa Kuta Kabupaten Lombok Tengah. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif. Teknik pengumpulan data dilakukan dengan observasi partisipatif, wawancara mendalam dan dokumentasi. Informan penelitian ini adalah pekerja usaha restauran melalui teknik “purposive” dan “snowball”. Analisis data meliputi reduksi data, penyajian data, dan penarikan kesimpulan. Penelitian ini menyimpulkan bahwa sistem pengupahan pada pekerja usaha restauran di Desa Kuta telah sesuai dengan sistem pengupahan secara islami yang di tunjukan kepada semua pekerja usaha kuliner di Desa Kuta melakukan perjanjian untuk menyepakati besaran upah sebelum melakukan pekerjaan di restauran tempat mereka bekerja dan upah mereka dibayar sesuai perjanjian tepat waktu dan pekerja merasa upah yang diberikan sesuai dengan apa yang ia kerjakan.
Optimizing Transportation Logistics through Enterprise Architecture: A Case Study of Integrated Management Systems
Authors: Wedha Bayu Yasa
Published: August 2023

This abstract captures the essence of optimizing transportation logistics through Enterprise Architecture (EA) by presenting an Integrated Management Systems (IMS)-centered case study. Effective logistics management is crucial for enhancing operational effectiveness and attaining competitive advantages in today's rapidly changing business environment. Achieving this optimization, however, requires a comprehensive strategy that harmonizes disparate aspects such as operational processes, data administration, and technological infrastructure. This study demonstrates that Enterprise Architecture has the potential to function as the link between these domains. This study examines the difficulty of dispersed logistics operations and the resulting inefficiencies, cost escalation, and compromised responsiveness. The case study is presented as Integrated Management Systems powered by Enterprise Architecture principles. This integration intends to optimize workflows, encourage cross-functional collaboration, and provide real-time visibility into logistical activities. This investigation demonstrates how a well-designed EA framework can effectively mitigate transportation logistics and supply chain management disparities. By analyzing the results of the case study, this study aims to identify the benefits and challenges of implementing Enterprise Architecture within the realm of transportation logistics. This study explains how EA can improve operational efficiency, resource utilization, lead time, and customer satisfaction. Therefore, the research contributes to a broader comprehension of how Enterprise Architecture can optimally resolve the complexities inherent to contemporary transportation logistics. The potential for increased operational agility and competitiveness in the logistics industry is highlighted by applying EA principles to the context of integrated management systems.
The allegorical exegesis (the theology of parables) in the Slavonic translation of the letter to Marcellinus on the interpretation of the psalms
Authors: Penkova Pirinka
Published: August 2023

The Church Slavonic translation of The Letter to Marcellinus on the Interpretation of the Psalms (Еἰς τὴν ἑρμενείαν τῶν ѱαλμῶν) is published in the Russian Bible of 1663, placed before the Psalter just as in the famous 5th centuries Greek Codex Alexandrinos. Athanasius of Alexandria’s allegorical exegesis of interpreting the Scripture in the text macrostructures called Приточное богословие (The theology of parables) is investigated in this article based on some selected dogmatic and pastoral writings. The criterion for the correctness of the interpretation is formulated in the polemical Orations against the Arians. The polemical Sermon against all heresies is built on wordy allegories that have semantic and lexical parallels in the Orations. In the pastoral Letter to Marcellinos the technique of building allegories has changed according to the postulate of the selfsufficiency of the Holy Script without permission to change the words. The Preslav men of letters consciously chose the “spiritual” free translation and expand the grammatical exegesis with the means of the Old Bulgarian language. Using the term Приточное богословие for allegorical exegesis, they emphasize the need for allegories to clarify the hidden meaning in the quoted text. The Church Slavonic translation of the Letter to Marcellinus in the printed Russian Bible of the year 1663 contains some archaic forms which testify to the existence of a previous history of the text.
SILÊNCIOS E CONTRAPOSIÇÕES CULTURAIS EM THE JUMPING MONKEY HILL DE CHIMAMANDA ADICHIE
Authors: Cristina Sermanovicz de Oliveira Gabriela
Published: August 2023

Durante a pesquisa proposta, objetiva-se analisar em The Jumping Monkey Hill,  como as construções de diversos silêncios na obra perpetuam ou quebram as relações de racismo e sexismo em África, resultantes do modelo deficiente do patriarcalismo eurocêntrico. A análise parte dos pressupostos dos estudos relacionados à Mulherismo Africana e ao silêncio, especificamente nos trabalhos de Dove (1998), Hudson-Wemms (2020), Davis (2013 - 2016),de Orlandi (2007) e de Perrot (2005), que englobam tanto o teórico quanto o aplicável à análise literária pós-colonial e ao estudo do silêncio. O objetivo consiste em observar como o sistema patriarcal possui déficits de estruturação e instaura silêncios diversos e como através da observação feita no silêncio, é possível alterar a norma que este sistema apresenta como natural. Às pessoas subjugadas à condição de exclusões por sua cor e sexualidade, irrompem sentimentos de angústia e despertencimento, que moldam prisões sociais que oprimem e silenciam suas vozes. É então, a partir da escuta dessas vozes, e principalmente dos sentidos possibilitados pelos seus silêncios, que se torna possível revelar um processo autêntico e profundo de identidade, de autoconhecimento e de resistência no qual a luta anti-patriarcal e diversas dimensões dos silêncios movem-se juntos.
A PRÁTICA DA GESTÃO E ASSISTÊNCIA DA ENFERMAGEM NO HUMANIZASUS: REVISÃO DE LITERATURA
Authors: Pinheiro Meneses Amanda , Coelho Ferreira Meire , Barbosa Santos Filho José Nazareth , Pereira Fontes dos Santos Jayna , Do Amaral Rodrigues Silvanni , Albino Mendes Júnior Abraão , Piazera Silva Costa Cyrene , Melo Santos Nailde
Published: August 2023

O Sistema Único de Saúde (SUS) foi criado na Constituição Federal de 1988, assegurando a saúde como direito de todos e dever do Estado e estabelecendo os princípios da universalidade, integralidade e equidade da atenção à saúde. O objetivo deste artigo foi identificar as dificuldades encontradas pela gestão e assistência de enfermagem na implementação do HumanizaSus. Trata-se de uma revisão de literatura com a finalidade de selecionar artigos disponibilizados em periódicos online, de 2012 a 2022, obedecendo as etapas: 1) definição do tema; 2) determinação dos critérios de inclusão e exclusão dos estudos da busca literária; 3) coleta de dados extraídas dos estudos; 4) análise dos estudos selecionados; 5) interpretação e a revisão dos resultados. Construiu-se a pergunta norteadora de pesquisa, “quais os desafios encontrados na prática da gestão e assistência de enfermagem na implementação do HumanizaSus a partir das evidências cientificas?”, a partir da estratégia PICO. A amostra foi constituída por 10 artigos acerca da temática investigada e realizada a leitura na íntegra desses estudos para montagem da análise crítica. Foram observadas a sobrecarga do trabalho dos profissionais de enfermagem, a grande demanda de atividades administrativas, além da assistência do cuidado com horas de trabalho exaustivas, apontados como desafios que resultam na dificuldade de prestar um acolhimento humanizado e dificuldade no andamento do gerenciamento do cuidado. Considerando os contextos acolhimento, gestão do cuidado e desafios da enfermagem, foi notória a ausência da integralidade do cuidado. Faz-se necessário ações que visem colaborar e incentivar o cuidado humanizado.
Surgical results of heart valve disease because of bacteriological endocarditis in children at hanoi heart hospital
Authors: Dao Quang Vinh , Nguyen Sinh Hien , Ta Hoang Tuan
Published: August 2023

Objective: Review of some clinical and paraclinical characteristics and evaluation of outcomes after surgical treatment of valvular heart disease due to infective endocarditis in children at Hanoi Heart Hospital

Methods: Analysis and evaluation based on data collected from patients undergoing surgery and from the results of follow-up examination.[1]

Results: The total number of patients was 25. Average age of surgery: 6,56 ± 7.05  years (The lowest age is 1years, the highest is  15 years). Male: 14  patients (56%), female: 11  patients 44(%). Ultrasound before discharge and after 3 months, we found similar results: mean EF:57,25 ± 9,68 %; Mean pressure through mitral valve: 3,5 ± 1,5mmHg; through aortic valve: 12,5 ± 1,68mmHg. Complications: Death immediately after surgery: 0  cases (0%); Late death: there was 1 case of death (4%).

Conclusion: Results of surgery for valvular heart disease due to infective endocarditis in children are positive. The rate of mortality and complications after surgery is low.
Study on the role of vis (vasoactive - inotropic score) as a predictor of a poor clinical outcome in children after congenital heart surgery with cardiopulmonary bypass
Authors: Hoang Anh Khoi , Nguyen Thi Nhu Ha , Truong Van Thien , Tran Quoc Viet , Nguyen Trung Kien
Published: August 2023

Objectives: Many authors showed that the VIS (vasoactive-inotropic score) has a strong correlation with morbidity and mortality after cardiac surgery in children, but the conclusions are not completely unified. We therefore performed this study to determine the relationship between the VIS score and clinical outcomes in children undergoing cardiac surgery with extracorporeal circulation.

Method: Prospective cohort study. A total of 100 pediatric patients from birth to 2 years of age with indications for cardiac surgery with extracorporeal circulation at the Anesthesiology Department of the Heart Institute of Ho Chi Minh City from January 1, 2021, to December 31, 2021, were included in the study. Hourly doses of all vasoactive medications were recorded for the first 48 hours after admission to cardiothoracic intensive care unit and a vaso-active inotropic score was calculated. The VIS scale is calculated by the formula: VIS = dopamine dose (µg/kg/min) + dobutamine dose (µg/kg/min) + 100 × adrenaline dose (µg/kg/min) + 10 × milrinone dose (µg/min) kg/min) + 10000 × vasopressin dose (U/kg/min) + 100 × noradrenaline dose (µg/kg/min). The max and mean values of VIS in the first 24 hours and the max and mean values of VIS in the subsequent 24 hours after admission (from 25th to 48th hour) were calculated.

Results:  The rate of patients with low cardiac output syndrome was 38.0%. There were 20/100 cases (20.0%) with a poor outcome, of which 19 cases required peritoneal dialysis, 4/100 cases (4.0%) had cardiac arrest, 2/100 cases (2.0%) had seizures, 1/100 (1.0%) had to run ECMO and 4/100 (4.0%) died after surgery. Patients in the high VIS group (mean 48- hour VIS ≥ 11.06) compared with the low VIS group (mean 48- hour VIS < 11.06) were associated with prolonged duration of mechanical ventilation, prolonged CICU length of stay in the ICU, prolonged time to negative fluid balance.

Conclusions: The high VIS after surgery was a good predictor of a poor clinical outcome, prolonged duration of mechanical ventilation, prolonged CICU length of stay outcomes in children undergoing cardiac surgery with extracorporeal circulation
Evaluation of results of pericardial drainage by ultrasound-guided fine-needle aspiration in patients with pericardial effusion after cardiac surgery at hanoi heart hospital
Authors: Tran Thanh Hoa , Nguyen Van Thuc , Dinh Hai Nam
Published: August 2023

Background: Pericardial effusion is a relatively common complication after cardiac surgery, in which a large proportion of cardiac tamponade causes hemodynamic disturbances, and can have serious consequences.

Objective: "Evaluation of the efficacy and safety of pericardial drainage with ultrasound-guided fine-needle aspiration".

Method: Cross-sectional, retrospective. Accept all patients with pericardial effusion after cardiac surgery were recruited at the Emergency Department and the Intensive Care Unit who performed pericardial aspiration from May 2021 to October 2022.

Results: There were 46 patients included in the study; the average age is 52.04 ± 12.46 years, the youngest is 26 years, the oldest is 81 years old; The group of patients with heart valve disease had the highest rate of pericardial effusion, accounting for 93.4%; patients with atrial septal defect have recurrent pericardial effusion after surgery; there is a higher rate of recurrence and need for surgical conversion with the use of a sheet + pigtail device compared with a catheter; 36 (78.3%) patients did not have recurrent effusion and 10 (21.7%) patients had relapse; 100% of patients are alive after pericardial drainage.

Conclusion: The results of treatment of pericardial effusion with fine needle aspiration pericardial drainage under the guidance of ultrasound after cardiac surgery are positive, the use of the catheter is initially shown to be safer than the use of sheat + pigtail.
The efficacy of negative pressure wound therapy for surgical site infections and delayed wound healing in intensive care unit department of ha noi heart hospital from 2020 to 2021
Authors: Nguyen Thi Thanh Binh , Ha Mai Huong , Nguyen Thi Thanh Thuy
Published: August 2023

Objective: Describe the clinical characteristics and the results of negative pressure wound therapy for surgical site infections and delayed wound healing.

Methods: A descriptive, cross-sectional study was conducted between May, 2020 and May, 2021 to evaluate the effectiveness of negative pressure wound therapy among patients with delayed surgical wound healing and wound infection in intensive care unit department of Ha Noi Heart hospital.[1]

Results: From May 2020 to May 2021, we studied a total of 15 patients with delayed wound healing and surgical wound infection using negative pressure wound therapy. Among them, there are 9 women (60%), 6 men (40%), The majority of patients was over the age of 60 (86.7%). After you have used VAC, 13/15 cases the wound was improved (86.7% proportion). VAC therapy over the wound was administered for an average of  9,4 days.

Conclusion: Vacuum-Assisted Wound Closure Therapy is a reliable and safe option for patients with postoperative surgical site infections and delayed wound closure to help reduce hospital length of stay, improves financial and clinical outcomes.
Electrocardiogram and cardiac electrophysiology characteristics of the premature ventricular contractions originating from right ventricular outflow tract
Authors: Nguyen Xuan Tuan , Nguyen The Nam Huy , Phan Thanh Nam , Nguyen Sinh Huy
Published: August 2023

Premature ventricular contractions (PVCs) are a common type of irregular heartbeat (arrhythmia). PVCs often cause of symptoms that reduced quality of life such as: palpitation, pounding or jumping, chest pain, fatigue, blank beats or missed beats… Besides that, PVCs can produce ventricular tachycardia, which can lead to life-threatening hemodynamic instability.[1]

Research objectives: Evalute the electrocardiogram and electrophysiology charaterics of the PVCs from right ventricular outflow tract. 

Objects and research methods: Cross-sectional descriptive study of 145 patients.

Research results: all patients had R waveform in: D2, D3, aVF and S wave dominant in: aVR, aVL; Transitional lead from V3-V5, in which transition in V4 accounts for the highest rate of 60.7%. The average QRS time is 136.3 ± 14.4 ms, almost all PVCs have time index of R < 0.5 and amplitude index of R < 0.3… There are 48.3% of patients with only negative component in lead D1; 40% of PVCs have notching at D2, D3, aVF. About cardiac electrophysiolpgy charateristics, for the origin of PVCs, he majority of PVCs in our study originated from the anterior wall of the right ventricular outflow tract with 64.8%; by superior-inferior  position, mainly inferior region with 66.9%; according to septum - lateral position, mainly septal region with 72.4%. Most patients had PVCs originated from the inferior-anterior-septal region of the right ventricular outflow tract with 36.6%.
Anatomical and lesions characteristics of the left main bifurcation
Authors: Hoang Van
Published: August 2023

Lesions at the bifurcation of the left main stem (LM) are dangerous lesions, accounting for about 4-8% of cases of coronary artery disease. Therefore, there is a need for a study that summarizes the anatomical characteristics and the lesion characteristics of LM to help the cardiologist during the procedure. By cross-sectional descriptive study, we have obtained the following results: The length of LM is 4.2 ± 1.5 (mm) with a diameter of 4.2 ± 1.5 (mm), the mean angle between LAD and LCx is 60.8 ± 5.8o, the diameter of LAD is 3.51 ± 0.3 (mm), the diameter of the LCx is 3.30 ± 0.4 (mm), the dimension is the length of LAD lesion is 30.9 ± 14.4 (mm), the length of the LCx lesion is 28 ± 11.6 (mm).
Case report: total leftmain occlusion after radiofrequency ablation of premature ventricular complexes
Authors: Hoang Van
Published: August 2023

Coronary injury following radiofrequency ablation is uncommon due to the high safety of ablation procedures. Injuries to the left coronary artery are uncommon, and total occlusion of the left coronary artery is even less commonly seen. The approach and management of this situation require a certain level of the interventional vascular physician's experience, as well as the immediate and efficient coordination of all intervention personnels.