bluuebunny/crossref_metadata_2025 huggingface dataset:
Urgency of Law Enforcement in the Field of Conservation of Living Natural Resources and Ecosystems
Authors: Purnawati Andi , Irmawaty Irmawaty , Haling Syamsul , Ikbal Moh
Published: July 2023

Environmental law as a branch of legal science today plays an important role. Why not, human life and survival naturally and naturally will be largely determined by the upholding of laws in the field of the environment. One of the impacts of human selfishness and greed for the environment is the depletion of living natural resources and their ecosystems without regard to environmental balance and ecological principles. The method used in this study is a normative research type using primary, secondary, and tertiary legal sources. The nature of explanatory research with a dogmatic and theoretical approach. Analysis of legal issues material uses deductive-inductive analysis techniques on legal issues that are the target of analysis through legal reasoning and argumentation. Researchers found that to support the implementation and enforcement of laws in the field of conservation of living natural resources and their ecosystems, cross-sectoral coordinative mechanisms in an integrated and stimulating manner are more activated. The frequency between related sectoral agencies is increased to reduce law violations in the field of conservation of living natural resources and their ecosystems.Keywords: Law Enforcement, Natural Resources, Conservation
Electronic Medical Records as Evidence of Therapeutic Transactions
Authors: Putri Prima Maharani , Saefudin Yusuf
Published: July 2023

The results of the medical examination are proof of the doctor-patient relationship, which is documented in a record containing an explanation of the patient's health condition based on the results of the examination that has been carried out. Although the recording process is an obligation, there are several cases where medical records are not filled in correctly and some are not even filled in by officers. Therefore, this research is designed to find out the urgency of electronic medical records as evidence of therapeutic transactions. The problems studied in this article are: First, the juridical consequences of health workers and hospitals in making and keeping RM or RME confidential; Second, the position and strength of RM or RME as evidence according to the law of evidence. The results show that health workers or hospitals are obliged to make Medical Records or Electronic Medical Records correctly and responsibly. Regulation of the Minister of Health Number 749a/MENKES/Per/XII/1989 concerning Medical Records is the basis for the obligation to procure Medical Records, therefore it must be adhered to for every health service.Keywords: Medical Records, Electronic Medical Records, Evidence
Struggle of Legal Positivism Versus Progressive Thoughts in the Formal Tests of the Job Creation Act (Legal Development through Hermeneutics)
Authors: Asmarudin Imam
Published: July 2023

Hermeneutics is a form of interpretation and interpretation of a text in legal philosophy, in practice it is also used in the considerations of constitutional judges to interpret and interpret a law, one of which is in the formal examination of the work copyright law which is the pros and cons because using the Omnibus Law method. This study aims to find out how the struggle between positivistic and progressive legal thinking and the reality of the art of hermeneutics as a means of legal development, the research method uses the legal research method through the statute approach, conceptual approach, and case approach, the data analysis is descriptive qualitative, the research results show The struggles of Legal Positivism and Progressive Thought in the decision actually met at one point, both of them acknowledged that Omnibus Law was a method of future legislation formation and interpretation through the art of Hermeneutics became a means of making a legal construction, which in the end could become a means of developing law forward.Keywords: hermeneutics; legal positivism; omnibus law; progressive
Settlement of Gross Human Rights Violations in the Perspective of Local Wisdom in Indonesia (Case Study of Tanjung Priok)
Authors: Dewanto Hendro
Published: July 2023

This article aims to explain the obstacles in handling cases of gross human rights violations in Indonesia and the concept of resolving cases of serious human rights violations in the perspective of local wisdom. This article does not only lead to normative law that is more directed to research on the legal principles but also considers empirical facts as a reality in the settlement of gross human rights violations. Using the Case study of Tanjung Priok, the author focuses on the challenges to the settlement of gross human rights violations in the perspective of local wisdom. The results showed that the settlement of gross human rights violations through the legal process has encountered many challenges and deadlock, along with trauma to victims that result in a severe and long-lasting effect. Second, the settlement of gross human rights violations in the Tanjung Priok case can be carried out by the state, by apologizing to the victim as well as providing reparations, rehabilitation, and compensation as a state responsibility. For the recommendations, the author suggests the need for more detailed arrangements of solutions for victims whose case already has permanent legal force, such as in the Tanjung Priok case, and accommodating the values of local wisdom to improve the norms contained in the Law on Human Rights Court, especially those relating to the process of settling gross human rights violations through non-judicial channels.Keywords: Settlement of Gross Human Rights Violations; Tanjung Priok case; local wisdom
House of Restorative Justice as a Forum of Actualizing the Nation’s Culture in Solving Criminal Cases
Authors: Kuntadi Kuntadi
Published: July 2023

House of Restorative Justice is a follow-up to the existence of the Prosecutor’s Regulation of the Republic of Indonesia Number 15 of 2020 concerning the Termination of Prosecution Based on Restorative Justice. The establishment of this house aims to be a forum for meeting victims, perpetrators in resolving criminal cases that also involve traditional, community and religious leaders in exploring the values of local wisdom to perfect the application of positive law in the implementation of the termination of prosecution based on the Prosecutor’s Ragulation Number 15 of 2020. This research is a legal socio research that has the nature of descriptive and analytical research. The urgency of the establishment of the House of RJ is to explore the values of local wisdom contained in the community Restorative justice is in line with the legal values that live in Indonesian society (living law). The implementation of local wisdom values in resolving cases at the House of RJ. Currently, it is still only based on the settlement method, namely by using deliberation for consensus, but in this study, the prosecution in Toba Samosir and Kajang has accommodated local customary values and laws. Hence, in this case, the law and values of local wisdom can be used as a complement in the implementation of positive law enforcement.Keywords: House of Restorative Justice; Restorative Justice; criminal law; local wisdom; law enforcement.
Optimizing the Fulfillment of Women's Representative Rights at the Village Consultative Body (BPD) in Banyumas Regency as an Effort to Increase Women's Participation in Village Development (Gender Perspective)
Authors: Rahmah Alef Musyahadah , Alawiya Nayla
Published: July 2023

Women's participation in village development is still low and many are dominated by men. In fact, the support of women in Village development is the determining achievement of development done in the village. One of the women's support in village development through the representation of women in BPD membership, because BPD has a strategic role as an institution that directly faced with the community to better understand the needs of society. Departing from the fact, this article focuses on optimizing the fulfillment of women's representation in the membership of BPD, especially in Banyumas district. This research is a qualitative study with a juridical approach empirical. The field of regulation needs to be formed by Banyumas Perda of BPD which refers to Regulation of Internal Affairs Ministry number 110 year 2016 to give guarantee to women through quota 1 (one) woman in the replenishment of BPD membership. People also need to improve their legal awareness and community paradigm change about gender roles and gender relations.Keywords: BPD; optimization;  village development; women's representation
Legal Politics of The Formation of Regional Regulations Based on Positive Law
Authors: Juanda Juanda , Juanda Ogiandafiz
Published: July 2023

The title of this research is the legal politics of the formation of regional regulations based on positive law. The formulation of problem is how the legal politics of the formation of regional regulations based on positive law in Indonesia? The methods of the research: 1. The type of research is normative. 2. The approach used is a legal approach and is complemented by a political approach. 3. The legal materials used are primary and secondary legal materials. 4. The method of analysis is a qualitative juridical analysis. The results of the research indicate that the legal politics of the formation of regional regulations is part or a sub-system of the legal politics of the formation of national legislation (national law). The legal politics of the formation of regional regulations is not only bound and guided by the basis of state philosophy, theory, Unitary form of state, principles, content material, statutory regulations, but can also contain material on the implementation of regional autonomy, co-administration tasks, further elaboration, provisions of higher laws and regulations. Furthermore, it may also contain local content material in accordance with the provisions of laws and regulations. In addition, the legal politics of the formation of regional regulations seeks to strengthen the unitary state and actualize regional regulations that are aspirational, responsive, accountable, efficient, effective and functional.Keywords: legal politics, formation, regional regulations
The Effectiveness of Marriage Construction and Construction Agency in Minimizing the Rate of Divorce in Pariaman City West Sumatera
Authors: Sobhan Sobhan , Kholidah Kholidah , Ridho Muhammad
Published: July 2023

The increasing divorce rate in Pariaman City is a sign for the functioning of the agency tasked with providing counseling and training to maintain marriage and keep the household in harmony, this increase in divorce can be seen from 2010 to 2021 which is a significant increase. Answering these problems, descriptive qualitative research methods are used which give the results that there are many factors for divorce and efforts to improve the quality of the Pariaman City Advisory Board for Marriage Development and Preservation, such as internal and external aspects. And one of the important formats is formulating the Effectiveness of BP4 in Efforts to Minimize the Divorce Rate with its indicators Clarity of goals to be achieved, Clarity of strategy for achieving goals, Preparation of appropriate programs and a good plan, Availability of work facilities and infrastructure, Education supervision and control system.Keywords: Effectiveness; Advisory Board for the Development and Preservation of Marriage; Divorce Rate; Pariaman City.
The Principle of the State's Right to Control Land on the Establishment of a Land Bank in Indonesia's Perspective of Agrarian Reform
Authors: Suyanto Suyanto , Khulsum Umi
Published: July 2023

The establishment of a land bank related to problems in land acquisition today has resulted in a shift in the view of land as a commodity that is considered strategic. This triggered land liberalization, which resulted in land prices soaring due to the games of land speculators so that land compensation issues constrained the projects planned by the government in building infrastructure. The problem is the influence of the principle of the right to control the state in the formation of a land bank and how is the position of the land bank in the perspective of agrarian reform. The research method used is normative juridical in the form of legal behaviour by reviewing statutory regulations. Land rights are derived from the state's right to control, which can be given to the community individually or in the form of a legal entity or jointly. State rights in the land sector are rights granted to the state to regulate and organize the allocation, use, supply, and maintenance in the land sector; regulate the land bank whether it is by what the government intended or return to the old guidelines, namely domein verklaring. Therefore, as the legislator and implementer, the government is expected to revise the Basic Agrarian Law. The revision prevents the right to control land, which is feared to happen again, like in the Dutch colonial era. The Basic Agrarian Law is considered too outdated and does not follow current land problems. Keywords: The right to control the state; land bank; domein verklaring; land acquisition
Marine Pollution by State-Owned Companies in Offshore Areas Reviewed Based on the 1982 UNCLOS (Case Study: Oil Spill by PT Pertamina in Offshore Area of North Karawang)
Authors: Danial Danial , Jaya Belardo Prasetya Mega , Rahayu Febi Sasti
Published: July 2023

On July 12 2019, there was a pipe leak and a gas bubble oil spill belonging to PT Pertamina. PT Pertamina's pipeline leak in Karawang waters which has an impact from the oil spill threatens the ecosystem and the people around Karawang waters. Marine pollution cannot be seen only as a problem that occurs in the sea, because the oceans and land are an ecosystem unit that cannot be separated and are affected by one another. As a result of this incident, a problem arose regarding PT Pertamina's legal liability due to a pipe leak that caused marine pollution in Karawang waters. This research uses the normative juridical method. The purpose of this research is to find out the regulation of marine pollution actions carried out by PT Pertamina in the offshore area and to analyze the form of accountability. The results of the study can be concluded, firstly, that the regulation of marine pollution actions based on UNCLOS 1982 is contained in Articles 192, 194, 195, 196 and Law Number 32 of 2009 concerning Environmental Protection and Management. Secondly, in the form of liability for marine environmental pollution as a result of PT Pertamina's oil spill, there are three legal responsibilities (administrative liability, civil liability, and criminal liability).Keywords: Marine Pollution, Oil Spills, Accountability, UNCLOS 1982.
EXTERNAL SUPERVISION SYSTEM REFORM IN THE STATE POLICE OF THE REPUBLIC OF INDONESIA
Authors: Gusman Delfina Gusman , Nazmi Didi Nazmi
Published: July 2023

The revelation of the engineering handling of the death case of Police Brigadier Nofriansyah Yosua Hutabarat has had an impact on raising other issues related to unprofessionalism within the Indonesian National Police such as the issue of the 303 gambling consortium, drugs, promotions associated with factions within the POLRI, luxury lifestyle, case transactions and so on The public considers that unprofessionalism within the Indonesian National Police does not only occur with individual members of the police but is already "institutionalized", the slow handling of the murder case of Police Brigadier Nofriansyah Yosua Hutabarat is suspected of having a tug-of-war of interests is an example of "institutionalized" unprofessionalism, even though this case has received attention from the President and Menkopolhukam. The regulation of some of Kompolnas' repressive powers in Presidential Regulation Number 17 of 2011 gave rise to new legal norms that increase Kompolnas' authority, this becomes out of sync and harmony with Kompolnas'.Reform of the external oversight system at the Indonesian National Police is a must by rearranging the system of recruitment, education and career paths for Polri members and officials as well as strengthening the existence of external oversight institutions (both preventive and repressive in nature) and their authority attached to Kompolnas as The National Police Agency through the revision of Law Number 2 of 2002 concerning the Indonesian National Police
Potential Abuse On The Issuance Of Online Medical Certificates By Doctors: A Criminological Review
Authors: Hamid Supardi , Rusmawan Teddy
Published: July 2023

The right to health for all Indonesian people is guaranteed in Article 28H of the 1945 Constitution. Doctors and dentists are the main professions in the field of health, as stated in Law No. 29 of 2004 concerning Medical Practice. After the Covid 19 Pandemic ended, there has been a significant shift, with the rise of health services through digital and application media, ease of access to health, and online sick notes. This facility can be misused for work purposes etc. Moreover, a defendant can avoid the investigation process by easily obtaining a sick note online; this service cannot optimize patient examinations because it's not done face-to-face. Therefore it is important to examine the making of online sick notes, which have the potential to become a form of crime and be reviewed from the perspective of a criminological approach. This study aims to examine online sick notes as a crime and whether this activity is by Law No. 29 of 2004 reviewed in criminology. The research method used is normative legal research with statutory and conceptual approaches. The results of this study conclude that making sick notes online is not by Law No. 29 of 2004 and violates Article 7 KODEKI so that it can be considered a form of crime. In contrast, from a criminological point of view, through communication and convenience, this makes the perpetrator according to the science of criminology as contained in the differential theory association.Keywords: Criminology, Medical Practice, Online Sick Letter
The Effect Of European Union's Implementation Of The Russian Economic Embargo On International Trade Sector
Authors: Rahman Yogi Muhammad , Adeningtyas Widya Jusu , Mega Jaya Belardo Prasetya
Published: July 2023

This study analyzes effect of European Union's implementation economic embargo on Russia after Russian invasion of Ukraine. Embargoes imposed was stoppage imports of petroleum and natural gas  from Russia. This situation  impact of circulation oil and natural gas prices on global market because Russia is the world's largest supplier oil and natural gas. The purpose study is to analyze effect of  implementation Russian embargo on international trade sector and examine impact implementation embargo sanctions on Russian economy. The research methodology used is normative juridical. The results show that implementation of embargo against Russia will trigger escalation the price of crude oil and natural gas which are becoming scarce on the global market and significantly reduce availability of grain, wheat, barley and corn commodities while for Russia this case cause increase inflation due to Russia lost most of its shares in international markets.
The Effects of Core Stability Exercise in Improving Back Muscle Strength, Limb Muscles and Dynamic Balance in the Elderly in Singaraja, Indonesia
Authors: Bagiartana Kadek Dio Agus , Huriah Titih
Published: July 2023

Balance disorders are a severe problem for the elderly. Exercise that can increase the power of the back muscles, leg muscles and dynamic balance is physical exercise in core stability exercise (CSE). This study aimed to analyse core stability exercise's effect on increasing back muscle strength, leg muscles, and dynamic balance in the elderly. Fifty-six elderly people aged 60-70 years were selected by simple random sampling as the sample in this study. The exercise program was given CSE (n: 28) for four weeks as the intervention group. The back and leg muscle strength were measured using the Back-leg dynamometer and balance measurement using the Time Up Go Test (TUGT). T-test and Mann-Whitney analyses were used to compare the results before and after the intervention. The different tests between the intervention and the control group obtained a p-value of 0.001, meaning an effect of CSE to increase the strength of the back muscles, leg muscles, and dynamic balance in the elderly existed. This study proved that CSE effectively increased back muscle strength, leg muscles and dynamic balance in the elderly. It is suggested to analyze the effectiveness of CSE based on the characteristics of the respondents.
The Experience of Families who Care for Relatives with Mental Disorders Post Arbitrary Coercion: A Qualitative Study
Authors: Mubin Mohammad Fatkhul , Rahayu Desi Ariyana , Dhamanik Reina , Hsieh Chia-Jung , Basuki Rochman
Published: July 2023

People with mental disorders who experience coercion and are referred to a mental hospital are often shackled after returning from the hospital or re-admitted to the mental hospital. However, some families take care of their family members with mental illness who had previously been coerced. The time taken to care for relatives with mental disorders at home is crucial as caregivers of relatives with schizophrenia and early psychosis experience significant stress and psychosocial burden. Meanwhile, the family members are supposed to maintain their relative’s condition to avoid relapse. This study explores the experiences of families who cared for their relatives with mental disorders who experienced coercion to give insight and information to patients, families, and communities. This is a phenomenological qualitative study. The sampling technique used was purposive sampling, with the number of participants being 11 family members who treated their relative suffering from mental illness post-coercion. The descriptive analysis resulted in 5 themes: 1) Heavy burden, 2) Family support, 3) Gratitude, 4) Adjustment, and 5) Improved mental health condition. The results of this study can be used as a reference for helping families with the psychological and physical treatment of their post-coercion relatives.
Nurse Managers’ Perception and Practice on the Theory of Technological Competency as Caring in Nursing: A Preliminary Study
Authors: Nakano Yoko , Yokotani Tomoya , Takashima Yoshiyuki , Betriana Feni , Osaka Kyoko , Kataoka Mutsuko , Tanioka Tetsuya , Locsin Rozzano C
Published: July 2023

In spite of emphasis on patient-centered care and promotion of their quality, shortcomings have been seen in psychiatric care due to lack of compassion. To improve the quality of psychiatric caring in nursing, it is important to develop and implement in-service education based on Locsin’s Technological Competency as Caring in Nursing (TCCN) theory. Objectives to determine psychiatric nurse managers' perception and practice status as a preliminary survey to serve as a resource for in-service psychiatric nursing education.  This survey was conducted in August 2022 using the Technological Competency as Caring in Nursing Instrument-Revised for Practice (TCCNI-Repract) scale at "A" psychiatric hospital. Descriptive statistics and Wilcoxon's signed-rank tests were used. Eleven head nurses and assistant head nurses participated in this study. Mean values for the perception dimension of each item of the TCCNI-RePract were high, whereas mean values for practice dimension were low. The results indicated that perception dimension was significantly higher than practice dimension in 21 of 26 items of the TCCNI-RePract. Nurse managers demonstrated a high level of perception of the TCCN theory; however, many practical items scored low. Nurse managers suggested developing a current educational program to inform practice based on the TCCN theory.
The impact of the Covid-19 pandemic on trauma cases in the orthopedics and traumatology services: A systematic review
Authors: Pamungkas Kadek Mercu Narapati , Dewi Putu Itta Sandi Lesmana , Dyatmika I Kadek Wahyu Putra , Maharjana Made Agus , Meregawa Putu Feryawan
Published: July 2023

The COVID-19 pandemic has caused all countries to limit their activities to reduce transmission. In the orthopedic and traumatology services, the COVID-19 pandemic has limited the number of non-emergency surgeries, rescheduling activities, limiting hospitalization, etc. This study aimed to quantify the change in the number of visits, trauma cases, surgeries, and telemedicine in orthopedic and traumatology services. The search was carried out on the PubMed, Research Gate, MedRxiv, Elsevier, Link Springer, and Medline databases. The inclusion criteria of the articles used were observational studies. The assessment of the articles’ validity was carried out using a checklist made by the Joanna Briggs Institute. The data being synthesized is limited to quantitative data only. From the 19 articles meeting inclusion criteria, it was found that there was a decrease in the number of visits by 22.4%-86.1%. In additions, there is a decrease in the number of trauma cases by 21.1%-91.2%, lower limb trauma by 20%-77.7 %, upper limb trauma by 6%-78.8%, surgeries by 21.7%-88.8%, elective surgeries by 50%-100%, a change in the number of trauma cases and hip fractures, and an increase in the number of telemedicine application by 9.28%-21.87% in COVID-19 pandemic periode (2020) compared to the pre-COVID-19 pandemic periode (2019 or less). The COVID-19 pandemics affecting the orthopedic and traumatology services decreased the number of visits, especially trauma cases, and surgical intervention
Parenting stress during the Covid-19 pandemic era: A literature review
Authors: Valiant Indah Rizky , Rosa Elsye Maria
Published: July 2023

Anxiety, stress and depression in parents occur due to Covid-19 and Lockdown. The mental health of the parents has an impact on the child care they do. The aim of this literature review is to synthesize the best available evidence about parenting stress in the era of the COVID-19 pandemic. This literature review useds 4 databases, namely Pubmed, Ebsco, ScienceDirect and Google Scholar. The inclusion criteria, used in the selection of this study were full text, articles or journals in English, topics about parenting during Covid-19 pandemic era and articles or journals for the last 2 years (2019-2021). NVivo with NVivo 11 plus software were used for data analysis. Eleven journals were obtained based on the screening process and reviewed in this literature. The results of the analysis obtained 3 major themes, namely stressors of parenting in covid-19, parental stress and parenting stress, child abuse and child stress. Support is needed for parents during the Covid-19 pandemic so that parents do not experience stress and provide positive care for their children.
Late latent syphilis with early syphilis titer in pregnancy: A case report
Authors: Yanuar Frieda , Diana Eka Devinta Novi , Nugraha Wibisono , Murastami Ammarilis , Ellistasari Endra Yustin
Published: July 2023

Syphilis is a chronic and systemic sexually transmitted infection caused by Treponema pallidum. The prevalence of syphilis according to the World Health Organization (WHO) is around 12 million cases worldwide and in pregnant women around 1.8 million cases. Syphilis screening in pregnancy is important to break the chain of transmission of congenital syphilis. We reported Mrs. S, 33 years old, 18 weeks pregnant, came with history of itchy patches appeared 8 months ago along with her husband and abortion 1 year ago. The plantar pedis dextra et sinistra showed multiple hyperpigmented macules and no clinical founding in the vagina. Serological tests, reactive Venereal Disease Research Laboratory (VDRL) 1:32, Treponema pallidum hemagglutination (TPHA) >1:5120 and non-reactive human immunodeficiency virus (HIV), support the diagnosis of latent syphilis. Patients were injected with benzathine penicillin 2.4 million units 3 times (1 week apart). Serological test evaluated at months 1, 3 and 6. At month 6, there was a decrease in VDRL value 4 times the initial value, indicating successful therapy in laten syphilis and had received therapy according to the guidelines for late latent syphilis. Syphilis in pregnancy can cause congenital syphilis in the fetus, although latent syphilis has no symptoms. The patient's VDRL titer was reactive in early latent syphilis (>1:8), but based on history and duration of infection more than 1 year including late latent syphilis. Based on this case report, we found that the VDRL titer value did not always correspond to the duration of infection.
The harada-mori technique: Revisited
Authors: Toemon Agnes Immanuela , Indrawan Handinata , Surja Sem Samuel
Published: July 2023

More sensitive diagnostic methods for detecting worms’ eggs are needed in areas with low soil-transmitted helminth (STH) prevalence. The Harada-Mori technique was first introduced by Mr. Harada and Mr. Mori. This technique is easy, simple, and does not require sophisticated equipment. The Harada-Mori technique is based on larvae tropism nature in the water to concentrate the larvae of hookworms and Strongyloides stercoralis. Since its first application in 1955, this technique has undergone several modifications. The Harada-Mori could complement the Kato-Katz technique for faeces examination in areas with low STH infection intensity.
The influence of demography, travel history and comorbidity toward the mortality incidence due to Covid-19 in Semarang
Authors: Wulandari Rita Laila , Purnami Cahya Tri , Agushybana Farid , Mawarni Atik
Published: July 2023

Background: Semarang is one of the cities in Central Java with the highest positive number and mortality rate of Covid-19. It became the largest contributor to daily cases in Central Java. In general, the severity of Covid-19 in Semarang is 5.3% and increased to 24% in the elderly. Mortality Covid-19 was caused by various factors such as demographic and non-demographic factors.Objective: This study aims to determine the impact of several risk factors of COVID-19 mortality in Semarang.Methods: This is an analytical cross-sectional study. Data analysis was carried out analytically with a binary logistic regression test. The sample used was the total population of 32.555 confirmed positive from March 2020 to March 2021 registered in Semarang Health Office.Results: The results demonstrated that mortality due to Covid-19 in Semarang was frequent in the elderly (27.3%), males (9.4%), had comorbidities such as diabetes mellitus (28.6%), kidney disease (43.5%), neuromuscular (36.4%), and cancer (29.3%), and accompanied by symptoms such as Dyspnea (18.1%), weakness/lethargy (19.9%), and fever (14.6%).Conclusion: Age, gender, travel history, comorbidities (kidney, neuromuscular, cancer, and diabetes mellitus), and symptoms (fever, shortness of breath, and weakness/lethargy) are risk factors for mortality Covid-19 in Semarang.
Integrative psychotherapy in stress management of cervical cancer patients at RSUD Dr. Moewardi Surakarta: A case study
Authors: Batong Jhonny Prambudi , Maharatih Gusti Ayu , Septiawan Debree , Prakosa Teguh
Published: July 2023

Background: Worldwide, cervical cancer is the second highest cause of death after breast cancer. In Indonesia, cervical cancer is ranked second among all types of cancer. Psychological distress negatively affects the mortality rate of cancer patients, and there is no stress management treatment of standard integrative psychotherapy to be carried out in the process of individual therapy in cervical cancer.Objective: To treat psychological distress in cases of cervical cancer using an integrative psychotherapy approach, create a model of factors that influence psychopathology related to psychological distress, and an integrative psychotherapy model as the basis for making modules and standard operation procedures of stress management in cervical cancer patients.Methods: This is an integrated case study with descriptive, exploratory, and exploratory qualitative approaches in two women with cervical cancer who were given integrative psychotherapy (integrative psychoeducation combined with integrative guided imagery and music), data analysis using the constant comparative method. Presentation of data using tables and graphs.Results: Two models were illustrated, a model of factors that influence psychopathology related to psychological distress and an integrative psychotherapy model in stress management of cervical cancer patients. Evaluation of decreased distress and improved related physical symptoms (pain and sleep quality).Conclusion: A model of factors that influence psychopathology related to psychological distress and an integrative psychotherapy model that can be implemented in stress management of cervical cancer patients were obtained, with sessions and types tailored to the patient’s needs.
Relationship between sociodemographic characteristics, knowledge, and behaviours to prevent COVID-19 among students of Manarul Huda Islamic Boarding School
Authors: Makaginsar Caecielia , Damayanti Meta Maulida , Yuniarti  , Irasanti Siska Nia
Published: July 2023

Background: Good knowledge and behaviours are crucial to prevent coronavirus disease (COVID-19) transmission in boarding school communities during the pandemic.Objective: To evaluate the relationship between sociodemographic characteristics, knowledge, and behaviours to prevent COVID-19 among students in an Islamic boarding school. Methods: A descriptive cross-sectional study was conducted in March 2021 at the Manarul Huda Islamic Boarding School on 39 students who met the inclusion criteria. Sampling was employed using the total sampling technique. Variables analysed were students’ age, education level, knowledge, and behaviour on COVID-19 prevention as measured using a closed questionnaire. Data were then analysed univariately using frequency distribution and bivariate using the Chi-Square (χ2) and Fisher’s Exact test. Results were considered significant if the p-value was < 0.05.Results: No significant relationships were found between age and knowledge of COVID-19 (p = 0.97); education level and knowledge of COVID-19 (p = 0.619); age and behaviours to prevent COVID-19 transmission (p = 0.136); and education level and behaviours to prevent COVID-19 transmission (p = 0.399) among of the Islamic boarding school students. In contrast, knowledge was significantly (p = 0.035) linked with behaviours to prevent COVID-19 transmission among students.Conclusion: There is a relationship between knowledge and behaviours in preventing COVID-19 among students. However, no relationship was found between demographic characteristics of age and educational level and knowledge and behaviours to prevent COVID-19 in our study participants.
Planning Audit and Feedback Interventions in Health Care Organisations. An Account from an Italian National Program for Audit & Feedback Implementation
Authors: Violi Federica , Angioletti Carmen , Acampora Anna , Belvis Antonio Giulio de , Ciccone Giovannino , Davoli Marina , Agabiti Nera , Grilli Roberto
Published: July 2023

Audit&Feedback (A&F) consists of multidimensional quality improvement activities, but its optimal design is still debated. Our study aims to outline how interventions of the Italian EASY-NET research program were designed, to explore whether desirable characteristics of an "ideal" A&F were adopted. A&F design included description of the working group, targeted clinical behaviors, selected indicators, sources, feedback procedures, corrective actions expected. Information was classified into four topics: nature of the desired action, type of data available, feedback display and delivery. Out of 9 projects, 3/9 aimed at changing a focused clinical behavior, 6/9 were generic; all projects identified clinicians as recipients, 8 explicitly considered managers. It was planned to develop an average of 27 indicators from administrative databases, as needed supplemented by ad hoc data collection. Five projects included outcome measures. Comparators derived from scientific literature or from territorial real-life data. Feedback was scheduled every 12, 6 or 3 months, or upon request, delivered as aggregate data (graphs and tables) via web platforms, e-mail, workshops, and individual meetings. In conclusion, at an early stage the projects were mostly “wide focused”, but improvements in A&F design and delivery have been introduced, and projects, still ongoing, will offer interesting insights on A&F effectiveness.
An Improved Cheetah Optimizer for Accurate and Reliable Estimation of Unknown Parameters in Photovoltaic Cell/Module Models
Authors: Memon Zulfiqar Ali , Akbari Mohammad Amin , Zare Mohsen
Published: July 2023

Solar photovoltaic systems are becoming increasingly popular due to their outstanding environmental, economic, and technical characteristics. To simulate, manage, and control photovoltaic (PV) systems, the primary challenge is identifying unknown parameters accurately and reliably as early as possible using a robust optimization algorithm. This paper proposes a newly developed cheetah optimizer (CO) and improved CO (ICO) to extract parameters from various PV models. This algorithm, inspired by cheetah hunting behavior, includes several basic strategies: searching, sitting, waiting, and attacking. Although this algorithm has shown remarkable capabilities in solving large-scale problems, it needs improvement concerning its convergence speed and computing time. Here, an improved CO (ICO) is presented to identify solar power model parameters for this purpose. Single-, double-, and PV module models are investigated to test ICO's parameter estimation performance. Statistical analysis uses minimum, mean, maximum, and standard deviation. Furthermore, to improve confidence in test results, Wilcoxon and Freidman rank nonparametric tests are also performed. Compared to other state-of-the-art optimization algorithms, the ICO algorithm is proven to be highly reliable and accurate when identifying PV parameters.
Assessment of Precipitation and Hydrological Droughts in South America through Statistically Downscaled CMIP6 Pro-jections
Authors: Ferreira Glauber Willian de Souza , Reboita Michelle Simões , Ribeiro João Gabriel Martins , De Souza Christie André
Published: July 2023

Drought events are evident effects of climate change around the globe and yield several socio-economic impacts. Such effects are even more relevant for South America (SA) since different activities essential for the continent, like agriculture and energy generation, depend highly on water resources. Thus, this study aimed to evaluate future changes in precipitation and hydro-logical droughts occurrence in SA through climate projections from eight global climate models (GCMs) of CMIP6. To this end, statistical downscaling was applied to the projections with the Quantile Delta Mapping technique, and the method proved to be efficient in reducing systematic biases and preserving GCMs’ trends. For the following decades, the results show considerable and statistically significant reductions in precipitation over most of SA, especially during the austral spring, with the most intense signal under the SSP5-8.5 forcing scenario. Furthermore, GCMs showed mixed signals about projections of the frequency and intensity of drought events. Still, they indicated agreement regarding the increase in duration and severity of events over all of SA and a substantial proportion of moderate and severe events over most of Brazil during the 21st century. These results can be helpful for better management of water resources by deci-sion-makers and energy planners.
The Morphologically Controlled Synthesis and Application of Mesoporous Alumina Spheres
Authors: Xie Yadian , Gao Lanxing , Xue Miaoxuan , Hou Yanqing , Yang Bo , Zhou Lingyun , Tong Xin
Published: July 2023

The control of alumina morphology is crucial yet challenging for its various applications. Un-fortunately, traditional methods for preparing alumina particles suffer from several limitations such as irregular morphology, poor dispersibility, and restricted application areas. In this study, we develop a novel method for preparing spherical mesoporous alumina using chitin and Plu-ronic P123 as mixed templates. The effects of reaction temperature, time, and the addition of mixed templates on the phase structure, micromorphology, and optical absorption properties of the samples were investigated. The experimental results indicate that lower temperature and shorter reaction time facilitated the formation of spherical mesoporous alumina with excellent CO2 adsorption capacity. The periodic density functional theory (DFT) calculations demonstrate that both (110) and (100) surfaces of γ-Al2O3 can strongly adsorb CO2. The difference in the amount of CO2 adsorbed by Al2O3 is mainly due to the different surface areas, which give dif-ferent number of exposed active sites. This approach introduces a novel strategy for utilizing bi-ological compounds to synthesize spherical alumina and greatly enhances mesoporous alu-mina's application efficiency in adsorption fields. Moreover, the study explored the electro-chemical performance of the synthesized product using cyclic voltammetry and discovered im-proved loading of electrocatalysts and enhanced electrocatalytic activity.
Everyday Cardiac Surgery in Jehovah‘s Witnesses of Typically Advanced Age: Clinical Outcome and Matched Comparison
Authors: Hartrumpf Martin , Kuehnel Ralf-Uwe , Ostovar Roya , Schroeter Filip , Albes Johannes M.
Published: July 2023

Background and Objectives: Jehovah's Witnesses (JW) reject the transfusion of blood components based on their religious beliefs even if they are in danger of harm or death. In cardiac surgery, this significantly reduces the margin of safety and leads to ethical conflicts. Informed consent should be carefully documented and the patient's family should be involved. This study aims to compare the postoperative course of JW who underwent major cardiac surgery with a similar population of non-Witnesses (NW). Patients and Methods: Demographic, procedural, and postoperative data of all consecutive JW who underwent cardiac surgery at our institution were obtained from the records. They were compared with a propensity score matched group of NW. Anemic JW were treated with erythropoietin and/or iron as needed. Cardiac surgery was performed by experienced surgeons using median sternotomy and cardiopulmonary bypass. Common blood-sparing techniques were routinely used. Periprocedural morbidity and mortality were statistically evaluated for both groups. Results: 32 JW and 64 NW were part of the matched dataset showing no demographic or procedural differences. EPO was used preoperatively in 34.4% and postoperatively in 15.6% of JW but not in NW. Preoperative hemoglobin levels were similar (JW, 8.09±0.99 mmol/l; NW, 8.18±1.06; p=0.683). JW did not receive any transfusions except for one who revoked, while NW transfusion rates were 2.5±3.1 units for red cells (p<0.001) and 0.3±0.8 for platelets (p=0.018). Postoperative levels differed significantly for hemoglobin (JW, 6.05±1.00 mmol/l; NW, 6.88±0.87; p<0.001), and hematocrit (JW, 0.29±0.04; NW, 0.33±0.04; p<0.001) but not for creatinine. Early mortality was similar (JW, 6.3%; NW, 4.7%; p=0.745). There were more pacemakers and pneumonias in JW, while all other postoperative conditions were not different. Conclusions: Real-world data indicate that Jehovah's Witnesses can safely undergo cardiac surgery provided that patients are preconditioned and treated by experienced surgeons who use blood-saving strategies. Postoperative anemia is observed but does not translate into a worse clinical outcome. This is consistent with other studies.
Regional Frequency Analysis of Extreme Wind in Pakistan Using Robust Estimation Methods
Authors: Salman Muhammad , Alnazi Talal Abdulrahman , Alshawarbeh Etaf , Ahmad Ishfaq
Published: July 2023

The quantile estimation of extreme wind speed is needed in various environmental fields such as climatology, design of structures, renewable energy sources and agricultural operations. These calculations are crucial for the coding of wind speed. In this study, the required wind speed series of 16 stations in Khyber Pakhtunkhwa, Pakistan, was obtained from the NASA official website and measured in meters per second (m/s) at a 10-meter distance. A Regional Frequency Analysis of 16 AMWS stations was performed using L-moments. The quantile estimates of extreme wind speed are needed for various areas of interest using Regional Frequency Analysis (RFA) and extreme value theory. These calculations are crucial for the coding of wind speed. The data was taken from the NASA official website at a 10-meter distance and measured in meter per second (m/s). A Regional Frequency Analysis of AMWS using L-moments is performed utilizing wind speed data from sixteen sites (16) in Pakistan's Khyber Pakhtunkhwa province. There are no sites that are found to be discordant. The wards method is used to construct a homogenous region and make two homogenous regions from 16 sites. The heterogeneity test justifies that both clusters are homogeneous. The most appropriate probability distribution from the Generalized Normal (GNO), Generalized Logistic (GLO), Pearson Type-3 (P3), Generalized Pareto (GPA), and Generalized Extreme Value (GEV) distributions are chosen to calculate regional quantiles. According to the L-moments diagram and Z statistics, GEV for Cluster- Ι and GLO for Cluster- ΙΙ are the best suggestions from the others. Both clusters’ robustness is measured utilizing Relative Bias (RB) and Relative Root Mean Square Error (RRMSE). Overall, GEV distribution is fit for cluster-Ι, and the GLO distribution is fit for cluster-ΙΙ. Utilizing the site mean and median as index parameters, we can also find at-site quantiles from regional quantiles. The study’s quantile estimates can be employed in codified structural designs with policy consequences.
Influence of Parasitic Currents on an Exemplary Mineral Oil-Based Lubricant and the Raceway Surface of a Thrust Bearing
Authors: Graf Simon , Koch Oliver , Sauer Bernd
Published: July 2023

Within this paper, electro-mechanical long-term tests on a thrust bearing are presented. The effects of an additional electrical load on the bearing raceways and the used lubricant are investigated. Chemical and rheological investigations are presented which show the changes in the lubricant. These investigations are compared with the electrical loads and the occurring raceway damage. In addition, a comparison is made with mechanical reference tests. This procedure makes it possible to classify the changes that occur due to the electrical load and to distinguish the effects from each other.
The background to these investigations is the increased occurrence of parasitic currents in electric motors, which can lead to damage to machine elements. The phenomena that occur here are new challenges in the development of drive trains.