bluuebunny/crossref_metadata_2025 huggingface dataset:
A Study on the Decay Process in the Time-Frequency-Dependent Combustion-Noise-Generation Model for Diesel Engines
Authors: Oguchi Hitoshi , Mikami Masato
Published: November 2023

We experimentally investigated the process of decay of engine noise from a single-cylinder diesel engine considering the time-frequency-dependent combustion-noise-generation model. In this model, the vibration energy of each frequency component is assumed to accumulate in the engine structure excited by the combustion impact during the combustion period in a cycle and decay over time, and the combustion noise is assumed to radiate from the engine surface. We used wavelet transform analysis as a time-frequency analysis of the sound pressure to obtain the decay rate, c, of the engine noise power. In order to investigate the dependence of the decay rate, c, on the sound-source location, we placed eight microphones in different positions near the engine. In order to investigate the dependence of the decay rate on the maximum in-cylinder pressure rise, we conducted experiments under three different operating conditions. The shape of the temporal variation of the engine-noise power depended on the sound-source location while the value of the engine noise power depended on the maximum in-cylinder pressure rise. Based on the time-frequency-dependent combustion-noise-generation model, we obtained the engine-noise decay rate, c, as the absolute value of the time differentials of the natural logarithm of the combustion noise power by line approximation. The results show that the decay rate, c, depends on the sound source location while it is almost independent of the maximum in-cylinder pressure rise.
Challenges in Translating Regenerative Therapies for Spinal Cord Injury
Authors: Stewart Andrew N. , Gensel John C. , Jones Linda , Fouad Karim
Published: November 2023

Regenerating the injured spinal cord is a substantial challenge with many obstacles that need to be overcome to achieve robust functional benefits. This abundance of hurdles can partly explain the limited success when applying regenerative intervention treatments in animal models and/or people. In this article, we elaborate on a few of these obstacles, starting with the applicability of animal models and how they compare to the clinical setting. We then discuss the requirement for combinatorial interventions and the associated problems in experimental design, including the addition of rehabilitative training. The article expands on differences in lesion sizes and locations between humans and common animal models, and how this difference can determine the success or failure of an intervention. An additional and frequently overlooked problem in the translation of interventions that applies beyond the field of neuroregeneration is the reporting bias and the lack of transparency in reporting findings. New data mandates are tackling this problem and will eventually result in a more balanced view of the field. Finally, we will discuss strategies to negotiate the challenging course of successful translation to facilitate successful translation of regeneration promoting interventions.
Design of Remote Monitoring Application on Non-Rechargeable Battery Redundant System
Authors: Purnomo Wahyudi , Candra Wahyu Adhie , Manuel Gabriel Muhammad
Published: November 2023

In this era of continuously evolving technology, remote monitoring has emerged as an innovative and effective solution for monitoring and managing remote areas. Design of Remote Monitoring on Non-Rechargeable Battery Redundant System proposes an improved system for multi-point to point remote monitoring, battery redundant, and communication. The study investigated the accuracy of INA219 sensor readings on the battery, the Quality of Service (QoS) of the Message Queuing Telemetry Transport (MQTT) communication protocol from multiple devices based on the TIPHON standard, and the utilization of a High-Side Bootstrap circuit for the battery redundant system. The results indicate that the INA219 sensor shows an average error of 0.64% - 1.04% for voltage and 1.17% - 2.45% for current. Quality of Service testing revealed an average delay of 40.9 - 119.7 ms with 0% packet loss, thus meeting the excellent standard. Bootstrap High-Side circuit efficiency average from all devices are 99.35% for input and 95.9% for output. Lastly, the redundant system by utilizing Bootstrap High-Side circuit achieved a 100% success rate for all devices, confirming the successful design implementation.
Hazard Identification, Risk Assessment and Determining Control (HIRADC) in Mining Operations at PT Semen Padang
Authors: Fadhilah Fadhilah , Amrina Elita , Gusvita Risma Erwi
Published: November 2023

The mining industry has potential and hazard factors with high risks and are prone to accidents. Based on the records of work accidents that occurred at PT Semen Padang in 2022, 67% often occur in the mining operation unit. This study aims to identify hazard risks, analyze the severity of each risk and its risk category as well as risk control in the mining operational area of PT Semen Padang. This research is a qualitative research with a descriptive approach using risk analysis in the form of likelihood and consequences as well as risk matrix analysis. This method is a form of risk management process as an effort to prevent work accidents. Based on the research results, there are 30 types of hazard risks found in the mining operational area with a percentage of risk level, namely 67% low risk level, 27% medium risk level, and 6% high risk level.

Industri pertambangan memiliki potensi dan faktor bahaya dengan risiko yang tinggi dan rentan terhadap kecelakaan. Berdasarkan rekaman kecelakaan kerja yang terjadi di PT Semen Padang pada tahun 2022, sebesar 67% sering terjadi di unit operasi tambang. Penelitian ini bertujuan untuk mengidentifikasi risiko bahaya, menganalisis tingkat keparahan setiap risiko dan kategori risikonya serta pengendalian risiko yang terdapat di area operasional tambang PT Semen Padang. Penelitian ini merupakan penelitian kualitatif pendekatan deskriptif menggunakan analisis risiko dalam bentuk kemungkinan dan konsekuensi serta analisis matriks risiko. Metode ini merupakan bentuk proses manajemen risiko sebagai upaya pencegahan kecelakaan kerja. Berdasarkan hasil penelitian terdapat 30 jenis risiko bahaya yang ditemukan di area operasional penambangan dengan persentase tingkat risiko yaitu 67% tingkat risiko rendah, 27% tingkat risiko sedang, dan 6% tingkat risiko tinggi.
AMA AND EPIGENETICS MODIFIER IN THE MANIFESTATION OF VYADHI
Authors: Anitharaj Fernandes Silviniya
Published: November 2023

We know that before treating any vyadhi, it is essential to analyse the sama or nirama stage of dosha. The changes brought by ama can be considered abnormal epigenetic modification. The internal pathology produced in the
tissues, which is not visible but can be analysed through changes happening in the body, can be co-related to epigenetic changes. Epigenetics can be modified by different factors such as diet, lifestyle, behavioural changes, infection, pollution, etc., and the pathological changes in epigenetics brought by these factors can be considered as
brought about by Ama, as the formation of Ama is also influenced by these physical, psychological and environmental factors. Hence, a conceptual study is done to analyse the relation between ama and epigenetics.
“DHUMAPANA: AYURVEDIC HERBAL SMOKE THERAPY”
Authors: K.A Sanjay. , K.V Venkatakrishna , Navale Sudheendra , B.M Soumya
Published: November 2023

Dhumapana is a unique practice in Ayurveda, the traditional Indian system of medicine. It involves inhaling herbal smoke for various health benefits. Dhumapana is about inhaling fragrant smoke from herbs, minerals, and other
natural substances. This practice is designed to keep the sensory organs healthy and prevent Dosha imbalances in
the parts above the clavicular region, mainly related to Kapha dosha. There are different types of Dhumapana,
each with specific purposes. For instance, it can relieve headaches, respiratory issues, or eye problems and even
help with emotional well-being. Dhoomanetra is a special instrument used to perform Dhumapana. This is designed in such a way that makes sure the smoke is inhaled properly. There are specific instructions to be followed
based on the type of herbs and substances used for Dhumapana. However, it's crucial to be aware of the Dhumapana contraindications, such as being too young or old or suffering from specific Pitta-related health issues. Dhumapana can have negative effects if performed improperly or excessively, although these effects can be controlled
using ayurvedic treatments. Dhumapana can be included into a daily schedule to assist maintain a healthy body,
mind, and senses. It is both therapeutic and preventative measures.
A CRITICAL REVIEW ON KAPHAJ YONIVYAPADA W.S.R CHRONIC CERVICITIS
Authors: Prakash Kumar Chandra , Mishra Vikas , Joshi Mansi , Kumari Prabha
Published: November 2023

In Ayurvedic classics, almost all gynecological disorders come under the big heading of Yonivyapada. This also
includes menstrual disorders, abortions or stillbirths and diseases of uterus, cervix and vagina. Chronic cervicitis
is judged by the presence of a heavy mixed chronic inflammatory cell infiltrate. This condition causes congestion
and fibrosis of cervix and is characterized by mucopurulent vaginal discharge with foul smelling, pruritus vulvae,
dyspareunia, failure of conception etc. The disease chronic cervicitis can be put parallel to kaphaj yoni vyapada
on the basis of signs and symptoms. Here an attempt has been made to correlate chronic cervicitis with kaphaj
yoni vyapada describes in Ayurvedic classics.
EFFICACY OF RAKTAMOKSHAN BY CUPPING THERAPY IN KATI SANDHIAGATA VATA
Authors: J Vishwakarma Priyanka , Arunrao Satpute Tilottama
Published: November 2023

The sedentary lifestyle, change in food habits, addictions, and improper sitting postures, jerky movements in travel, sports activities and bad sleeping posture etc. are the important factors responsible for spinal disorders. In the
fast-moving life everyone is expecting fast curative therapies for diseases or disorders, but these therapies cause
some short of side effects then starting a vicious circle in which one part of body is cured and other is affected.
Katigata Vata is a clinical condition develops when the vitiated Vata localized in Kati Pradesha. The objective of
the present study is to assess the efficacy of Raktamokshan by cupping therapy in kati sandhigata vata (lumbo
sacral spine). The present study is open labelled single arm study. Initially the patients were screened with the
help of inclusion and exclusion criteria. The voluntarily written Informed consent of the patients that fulfil the
selection criteria were taken. The Raktamokshan was done in four sittings in 7 days interval at lumber region with
the help of Modified Shring Yantra (cupping therapy). The total duration of study is one Month.
AYURVEDIC MANAGEMENT OF INFERTILITY W.S.R. ANOVULATION: A CASE
STUDY
Authors: Verma Sheela , Saxena Anjana
Published: November 2023

A female patient of 33 years old of primary infertility with pitta pradhan vata prakruti was diagnosed as anovulation (anartava) on the basis of follicular study. Along with this she was diagnosed as pittaj Yonidushti according
to her complaints. Three step treatment was given to her with Pathyakar aahara and vihara). The present case
study was done to evaluate the role of Ayurvedic Shadhana therapy i.e., Matra Basti for three consecutive menstrual cycle in the management of anovulation (Artava Dosha). After completing three courses of Yogabasti, Improvement was noticed i.e., Ovulation study (during treatment – anovulatory cycle, After treatment – ovulatory
cycle). The line of treatment was followed in this case was to treat the provoked Vata Dosha and vitiated Rasa
Dhatu. There were no adverse effects found during the Ayurvedic treatment.
ANALISIS KESALAHAN SISWA DALAM MENYELESAIKAN SOAL CERITA MATERI SPLDV MENURUT TEORI POLYA
Authors: Siti Nur Khidayati  , Nuryami
Published: November 2023

Penelitian ini bertujuan menganalisis kesalahan siswa dalam menyelesaikan soal cerita pada

materi Sistem Persamaan Linear Dua Variabel (SPLDV) berdasarkan Teori Polya. Penelitian ini

menggunakan metode deskriptif kualitatif. Subjek dalam penelitian ini sebanyak 15 siswa kelas

VIII SMP Al Arifin. Instrumen dalam penelitian adalah tes berbentuk soal cerita sebanyak 5

soal mengenai Sistem Persamaan Linear Dua Variabel (SPLDV). Teknik pengumpulan sampel

dipilih 3 orang siswa yang masing-masing mewakili kategori kemampuan tinggi, sedang, dan

rendah sebagai subjek penelitian berdasarkan perolehan nilai. Hasil penelitian ini menunjukkan

bahwa siswa berkemampuan tinggi dapat memenuhi semua indikator dalam menyelesaikan soal

yaitu memahami masalah, memikirkan rencana, melaksanakan rencana, dan memeriksa kembali

jawaban. Dan siswa dengan kemampuan sedang hanya dapat mencapai dua indikator yakni

memahami masalah dan memikirkan rencana. Sedangkan siswa dengan kemampuan rendah

hanya dapat mencapai satu indikator yakni memikirkan rencana dan hanya dapat memisalkan

tetapi siswa tidak dapat membuat persamaan.

Kata kunci: Analisis; SPLDV; dan Teori Polya
IMPROVING THE SPEAKING SKILLS OF PRIMARY SCHOOL STUDENTS THROUGH A COMMUNICATIVE APPROACH
Authors: Soliha Imro Atus , Dheasari Agustiarini Eka
Published: November 2023

The purpose of this study is to find out the extent to which the communicative approach is able to have an appropriate influence on the speaking skills of elementary school students. The method used in this research is action research. This research was conducted at SD Negeri Tonga, The research subject was class V- A students totaling 24 students consisting of 11 boys and 13 girls. The participants involved in this study were the researchers themselves who acted as teachers who taught in class V-A and class V-B teachers as collaborators. The instrument used in this study was an observation sheet. Based on the results of data processing and analysis, the conclusion of the results of this study is that there is a significant improvement in speaking skills through a communicative approach in grade V students with theme one "Objects in the Environment," subtheme "Humans and the Environment". In cycle I, 13 students (54.17%) were complete, and 11 students (45.83%) were not complete. In cycle II theme two "Events in Life", subtheme "Various Events in Life", as many as 18 students (75%) were complete, and 6 students (25%) were not complete with an average score of 80.Keywords:  Speaking Skills; Communicative Approach; Primary School
PERAN MUHAMMADIYAH DALAM PENGUATAN MODAL SOSIAL TERKAIT HUBUNGAN ANTAR KOMUNITAS MUSLIM DI ASEAN
Authors: Anam Rifqi Khairul
Published: November 2023

Consolidation of Muslim communities in Southeast Asia is still far expectations due to the degradation of a sense of belonging among the Muslim community in any Asian countries, can be seen from the persecution of Muslims in several Asian countries. Therefore, this paper will discuss the role of Muhammadiyah to strengthening of sosial capital as a concrete step consolidation of Muslim communities in Southeast Asia. Sosial capital becomes an important factor in strengthening international Muslim community because in it the inherent trust, networks, and norms in which sosial capital can provide access to a wider network of information so that the consolidation of Muslim communities in Southeast Asia who do do to eliminate Muslim discrimination in several southeast Asian countries.Keywords:Muhammdiyah; Social Capital; Muslim Community
Insinuations into Attitudes towards Organic Food on Purchase Intentions of Organic Food and Recommendation Intentions
Authors: Rianto Agustinar Merdekawati , Rofianto Whony , Putriya Anna Riana
Published: November 2023

Several factors influence the recurrent purchase attitude of organic food customers in Jabodetabek (the cities of Jakarta, Bogor, Depok, Tangerang, and Bekasi). Under the theories of Consumer Behavior or Perceived Behavior Control and Theory of Planned Behavior, there are 5 endogenous variables that enter into the implications of consumer behavior towards organic food and four exogenous variables on this attitude. Environmental issues, food safety concerns, health consciousness, organic food knowledge, and subjective norms are the five. The remaining four factors are attitude toward organic food, intention to recommend, price barrier, and intention to repurchase organic food. SmartPLS 3.0, based on the PLS SEM formulation, became a tool for calculating the value of 84 respondents in a cross-sectional study. Finally, environmental concerns do not apply to the most recent models. Meanwhile, health concerns, food safety concerns, and price barriers remain minor. There are three constructs that merit additional investigation, in addition to their managerial implications. First, other variables other than this journal must be added for future creation from the producer's standpoint. Second, it is prudent to conduct research for the next development of a certain brand. Third, the following structure can be analyzed over time.
Pengaruh Ketangkasan Organisasi Untuk Mencapai Kesuksesan Digital Transformasi
Authors: Octavia Octavia , Amanda Denie , Alamsjah Alamsjah , Firdaus Firdaus
Published: November 2023

The rapid development of digital technology and its application throughout business organizations makes digital transformation a source of sustainable business dynamics. Previous research has investigated several factors that influence digital transformation, but there is little research on the impact of organizational agility on digital transformation in organizations. To fill this gap, this research aims to investigate how organizational agility and the factors that influence organizational agility influence the success of digital transformation in companies. A survey study was conducted to empirically test the model. Data was collected from 158 private and BUMN employees in Indonesia. The findings show that organizational agility has a significant effect on digital transformation and the speed of response to market demands is an important predictor of organizational agility.
Evaluasi Kebijakan dan Strategi Pengelolaan Sampah di Kota Tangerang Selatan
Authors: Damayanti Putri Ayuni , Kirana Oktavia Fiona
Published: November 2023

Increasing population growth with various activities that they carry out daily will have an impact on production waste or waste generated in the life process. The South Tangerang City Government has the problem of limited land for the Final Processing Site (TPA) where the community produces ± 400 tons of waste per day, even though if waste is managed properly from reduction to handling, land problems are not a big problem. Various strategies ranging from 3R (Reuse, Reuse, and Recycle), Garbage Bank, Composter, Eco-Enzyme, Maggot and so on can be applied to reduce the accumulation of waste which has become a polemic for the City of South Tangerang. The results of this study indicate that the policy evaluation of waste management in South Tangerang City is not good enough because there are several indicators of evaluation criteria that have not been fulfilled from the aspect of (1) Effectiveness, namely the waste reduction and handling program, the benefits have not been felt because there is still a lot of waste generation, (2) Efficiency where the City of Tangerang Selatan still depends on TPA in other cities, (3) Adequacy, limited land for Cipeucang TPA so that new problems arise and limited facilities and infrastructure, (4) Flattening of the waste reduction program has been running among the community and social education regarding waste at the level schools to campuses, (5) Responsiveness, the South Tangerang City Government responds well to policies from the Central Government by doing as much as possible and, (6) Accuracy, not meeting the right indicators because there are still many problems that need to be addressed starting from reducing waste at the household scale ( sources) to regional scale.
Limitations on Cigarette Purchasing as a Solution to Reducing the Prevalence of Smoking in Indonesia
Authors: Jannah Raodatul
Published: November 2023

Cigarettes are processed tobacco products, including cigars or other forms. Results of the Global Adult Tobacco Survey (GATS) in 2021 shows that Indonesia has the highest number of male smokers in the world and the third largest number of smokers in the world after India and China. During 2012-2022 Indonesian government will increase the Tobacco Products Duty almost every year to reduce the growth rate of smokers as well as provide income to the state treasury. However, the suppress still not optimal enough as a result of estimated state spending, especially for health care due to smoking, which exceeds state income from cigarettes and tobacco. This paper examines ad blocking and restrictions on purchasing cigarettes as a solution to reducing smoking prevalence in Indonesia. This paper applies descriptive qualitative methods and netnography methods that the researchers carried out by means of observations on YouTube social media as well as field observations in the city of Semarang, as well as online interviews using the WhatsApp application media with cigarette sellers in the city of Semarang as informants. This paper shows that cigarette advertising is very influential in increasing the number of smokers, especially among child smokers. The implementation of the smoking ban which has been regulated in Government Regulation Number 109/2012 concerning Safeguarding Substances Containing Addictive Tobacco Products for Health is also considered less than optimal. The implications of this finding both demand and encourage the government to be able to immediately issue regulations in order to block advertisements and at the same time control and limit the sale of cigarettes to children and/or youth in a systematic way, for example by utilizing the PeduliLindungi application which is considered quite successful in controlling the COVID-19 pandemic. in the past 2020-2021.
Optimization of Resource Block Allocation with Genetic Algorithm in MIMO-OFDMA
Authors: Utami Amalia Rizqi
Published: November 2023

The allocation of resource blocks is very important in wireless communication, there is an allocation of signal dimensions between users in the uplink and downlink channels. In recent years, wireless communications users are increasing day by day, but the challenge is that the available spectrum is very limited. In this article we will discuss the optimal allocation of resource blocks, which is one of the resources in MIMO-OFDMA, using the genetic algorithm (GA). The algorithm determines the number of resource blocks for each user and then transmits the results of the allocation  to each user. This study will also compare the results of the allocation without and with the Genetic Algorithm (GA). The measurement parameters are carried out by changing several parameters: the number of users, the probability of mutation, the number of resource blocks and the probability of crossover. The results showed that with the use of Genetic Algorithm (GA) in the system there was an increase in the capacity value when compared to without GA. Therefore, optimization of resource blocks using Genetic Algorithm (GA) can improve system performance.
Thiazide and thiazide-like diuretics are associated with improved cardiovascular and renal outcomes in patients with chronic kidney disease
Authors: Lin Hugo , Chang Yu-Han , Wang Yu-Tsang , Liang Peir-In , Hung Chi-Chih , Chang Jer-Ming , Dai Dao-Fu , Lin Chang-Shen , Chang Kai-Ting
Published: November 2023

Introduction: Hypervolemia is a prevalent comorbidity of chronic kidney disease (CKD) patients. Thiazide diuretics (THZ) are the most common treatment for volume overload and hypertension (HTN). This study examines the association between THZ usage and clinical outcomes among CKD patients in a nationwide cohort.

Method: The total number of patients in the study was 24,312. After matching with one non-user randomly selected from the CKD population, we identified 8501 patients in the THZ and the comparison cohorts. Cox proportional hazards regression analysis was conducted to estimate the associations of THZ on the incidence of all-cause mortality, end-stage renal disease (ESRD), congestive heart failure (CHF), acute myocardial infarction (AMI), peripheral arterial occlusive disease (PAOD), and stroke.

Results: The all-cause mortality rate was significantly lower in THZ users than in non-users (hazard ratio [HR] = 0.65, 95% confidence interval [CI] = 0.60–0.71). The THZ usage was associated with a lower incidence of ESRD, AMI, PAOD, and stroke (P<0.05). In subgroup analysis, some significant clinical outcomes were related with CKD stages 3 and 4 (P<0.05); however, there were no clinical associations in CKD stage 5. In further THZ subtype analysis, there were clinical associations with fewer deaths, ESRD, AMI, and PAOD accompanying chlorthalidone treatment. Moreover, the indapamide prescription was linked to lower mortality, ESRD, AMI, and PAOD prevalence. However, there were significantly greater incidences of ESRD, CHF, and AMI in the metolazone users.

Conclusion: THZ usage is associated with lower mortality and incidence of ESRD, AMI, PAOD, and stroke s in patients with CKD stages 3 and 4.
Hubungan Penggunaan Carrier Bag Dengan Keluhan Back Pain Pada Mahasiswa Pecinta Alam Di Universitas Muhammadiyah Jember
Authors: Zahrotul M Noviar Alfagyta , Sasmiyanto Sasmiyanto , Hamid Mohammad Ali
Published: November 2023

Penggunaan Carrier Bag dengan berat tidak sesuai memiliki dampak negatif yang cukup besar bagi pengguna, diantaranya dapat menimbulkan nyeri punggung, perubahan postur tubuh, gaya berjalan, serta cidera. Durasi penggunaan tas carrier juga menjadi salah satu faktor terjadinya nyeri punggung. penelitian ini bertujuan menganalisis Hubungan Penggunaan Carrier Bag Dengan Keluhan Back Pain pada Mahasiswa Pecinta Alam di Universitas Muhammadiyah Jember. Penelitian ini menggunakan jenis penelitian kuantitatif dengan metode korelasional melalui pendekatan Cross Sectional. Sampel pada penelitian ini adalah 49 responden. Teknik pengambilan sampel pada penelitian ini adalah Probability Sampling dengan cara random sampling. Hasil peneitian ini pengguna Carrier Bag dengan keluhan Back Pain menunjukkan bahwa sebagian besar tergolong dalam kategori beban berat, dan keluhan Back Pain menujukkan bahwa sebagian besar tergolong dalam Back Pain berat. Dan diketahui nilai p-value 0,001 dengan r koefisien 0,522 memiliki hubungan kuat antar kedua variabel. Penelitian ini direkomendasikan pada Mahasiswa Pecinta Alam agar dapat mengurangi keluhan nyeri punggung akibat penggunaan tas carrier, serta dapat memberikan informasi kepada semua pendaki agar memahami batasan berat penggunaan tas.
Asuhan Keperawatan pada Pasien yang Mengalami Tetanus dengan Gangguan Mobilitas Fisik di Ruang Dahlia Rumah Sakit Umum Daerah dr. H. Koesnadi Bondowoso
Authors: Agustini Rahmawati Catur , Haryanti Dwi Yunita
Published: November 2023

Tetanus adalah penyakit yang disebabkan oleh adanya infeksi bakteri Clostridium Tetani merupakan bakteri yang memproduksi eksotoksin dan tetanospamin. Penyakit ini menyebabkan kontraksi khususnya pada rahang dan otot leher, umumnya dikenal sebagai kejang mulut. Metode Penelitian: Studi kasus pada 2 klien yang mengalami Tetanus yang dilakukan pada bulan Februari 2023, pengumpulan data menggunakan wawancara, observasi, serta studi dokumentasi pasien. Hasil: Terdapat kesamaan pada pengkajian, analisa data, diagnosa, intervensi, serta implementasi pada pasien, namun terdapat perbedaan pada evaluasi yang menyesuaikan dengan kondisi pasien. Kesimpulan: Asuhan Keperawatan yang diberikan pada klien 1 dan 2 permasalahan keperawatannya teratasi dan teratasi sebagian. Dengan begitu, perawat memberikan edukasi kepada pasien dan keluarga tentang pemberian edukasi melakukan mobillitas fisik untuk mengurangi kekakuan sendi.
Asuhan Keperawatan Pasien yang Mengalami Tetanus dengan Defisit Perawatan Diri di Rumah Sakit Umum dr. H. Koesnadi Bondowoso
Authors: Saputri Sinta Aprilia , Haryanti Dwi Yunita
Published: November 2023

Tetanus adalah penyakit yang menyerang system saraf pusat dan disebabkan oleh toksin tetanospasmin yang dihasilkan oleh bakteri tetanus (Bachilus Tetani). Penyakit ini terjadi ketika bakteri tetanus masuk kedalam tubuh melalui luka, gigitan serangga, infeksi gigi, infeksi telinga, luka tusukan atau pemotongan tali pusar. Bakteri ini berkembang biak didalam tubuh dan menghasilkan endotoksin seperti tetanospasmin. Studi kasus ini bertujuan untuk mempelajari dan memahami asuhan keperawatan pada pasien yang mengalami Tetanus dengan defisit perawatan diri di ruang Dahlia RSUD. dr. H. Koesnadi Bondowoso. Metode Penelitian: Studi kasus pada 2 klien yang mengalami Tetanus, yang dilakukan pada bulan Februari 2023, pengumpulan data menggunakan metode wawancara, observasi, pemeriksaan fisik serta studi dokumentasi. Hasil: Asuhan Keperawatan pada Pasien Tetanus dengan defisit perawatan diri untuk klien 1 dan klien 2 yang telah dilakukan pada bulan Februari 2023 di ruang Dahlia RSUD dr. H. Koesnadi Bondowoso. Tindakan keperawatan yang dilakukan adalah melakukan personal hygine selama 3x24 jam, didapatkan kebersihan diri meningkat. Kesimpulan: Asuhan keperawatan pada klien yang mengalami Tetanus dengan masalah keperawatan defisit keperawatan diri yang berhubungan dengan penurunan kesadaran pada kedua klien teratasi sebgian. Saran: Perawat memberikan edukasi kepada keluarga pasien tentang personal hygine dan oral hygine sebagai penatalaksanaan awal untuk meningkatkan kebersihan diri.
Keterkaitan Masa Bekerja dengan Self Efficacy pada Tim Code Blue dalam Penatalaksanaan Pasien Gawat Darurat
Authors: Fitriandari Deshinta , Adi Ginanjar Sasmito , Susilo Cipto
Published: November 2023

Masa bekerja sebagai tim code blue merupakan pengalaman yang dijalani selama menjadi tim code blue di Rumah Sakit Bina Sehat Jember. Semakin lama masa bekerja tenaga kesehatan maka pengalaman dalam menguasai bidangnya semakin dalam, sehingga mampu memiliki self efficacy yang tinggi dan mampu melakukan sesuatu sesuai tindakan dengan rasa kepercayaan diri yang tinggi. Tujuan penelitian: ini untuk mengetahui hubungan masa bekerja tim code blue dengan self efficacy dalam penatalaksanaan pasien gawat darurat. Metode: penelitian ini menggunakan desain penelitian descriptive correlational dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah tenaga kesehatan tim code blue di Rumah Sakit Bina Sehat Jember. Teknik pengambilan sampel menggunakan total sampling dengan jumlah sampel 52 tenaga kesehatan. Alat pengumpulan data yang digunakan ialah kuesioner yang berisi 1 pertanyaan pada variabel masa bekerja tim code blue dan kuesioner self efficacy yang berjumlah 10 pertanyaan yang sudah peneliti uji validitas dan realibitasnya. Analisis data yang digunakan yaitu uji Korelasi Spearman rho untuk mengetahui adanya hubungan masa bekerja tim code blue dengan self efficacy. Hasil: penelitian menunjukkan nilai p 0,001 < 0,05 yang artinya Ho di tolak sehingga terdapat hubungan masa bekerja tim code blue dengan self efficacy dalam penatalaksanaan pasien gawat darurat. Kesimpulan penelitian ini yaitu lama masa bekerja sebagai tim code blue berkorelasi positif dengan self efficacy yang di miliki tenaga kesehatan Rumah Sakit Bina Sehat Jember.
Pengaruh Kualitas Pelayanan terhadap Kepuasan Pasien BPJS Rawat Jalan di Puskesmas Panarukan
Authors: Hidayatullah Dimas Syarif
Published: November 2023

Dalam bidang kesehatan saat ini persaingan sangat ketat, masing-masing dari setiap fasilitas kesehatan berupaya untuk memberikan pelayanan yang terbaik, salah saunya diselenggarakannya BPJS (Badan Penyelenggara Jaminan Sosial). Masyarakat masih ada yang mengeluhkan tentang perbedaan kualitas pelayanan pasien BPJS dan Non-BPJS, yaitu lamanya dan kurangnya pelayanan jika pasien menggunakan BPJS, yang berdampak terhadap ketidakpuasan pasien BPJS. Penelitian ini bertujuan untuk mengetahui pengaruh kualitas pelayanan terhadap kepuasan pasien BPJS di rawat jalan puskesmas panarukan. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif menggunakan pendekatan deskriptif yang menggunakan metode survei. Hasil analisis dari penelitian ini dapat dilihat dari tingkat signifikansi (α) yaitu bukti fisik (0,005<0,05), keandalan (0,003<0,05), daya tanggap (0,039<0,05), jaminan (0,029<0,05), dan empati (0,029<0,05) yang artinya kelima aspek tersebut mempengaruhi kepuasan pasien. Diharapkan pemerintah maupun fasilitas kesehatan kedepannya bisa memberikan kualitas pelayanan yang lebih baik lagi, yang efektif dan   efisien kepada pasien BPJS mapupun non-BPJS.
Asuhan Keperawatan Bersihan Jalan Napas tidak Efektif pada Pasien Anak dengan Bronkopneumonia di RSD Balung dan Kalisat Jember
Authors: Cahya Putra Richo Belgista Krisna , Utami Resti
Published: November 2023

Bersihan jalan nafas yang tidak efektif pada anak dengan bronkopneumonia dapat menjadi permasalahan serius apabila tidak ditangani dengan tepat. Penatalaksanaan bersihan jalan nafas yang tidak efektif pada anak dengan bronkopneumonia memerlukan ketersediaan perawatan berkualitas. Studi kasus ini bertujuan merepresentasikan pe-natalaksanaan asuhan keperawatan anak dengan masalah keperawatan bersihan jalan nafas yang tidak efektif pada kasus bronkopneumonia di ruang keperawatan anak (Dahlia) RSUD Balung dan ruang keperawatan anak (Manyar) RSUD Kalisat Jember. Metode: rancangan penelitian merupakan studi kasus. Waktu penelitian dilakukan pada tanggal 27 Juni 2023 sampai 10 Juli 2023 di Ruangan keperawatan anak (Dahlia) RSUD Balung dan ruang keperawatan anak (Manyar) RSUD Kalisat Jember. Populasi adalah semua Anak yang menderita Bronkopneumonia dengan 2 sampel yang diambil secara purposive sampling. Instrumen pengumpulan data yang digunakan adalah format pengkajian sampai evaluasi keperawatan anak. Cara pengumpulan data dilakukan melalui wawancara, pengukuran, observasi dan studi doku-mentasi. Analisis dilakukan pada semua temuan di tahapan proses keperawatan pada anak. Hasil: Setelah tindakan asuhan keperawatan meunjukkan bahwa pasien An. R (10 bulan) lebih cepat mengalami perbaikan kondisi lebih cepat dari pada pasien An. S (18 bulan) tetapi hal tersebut juga berkaitan dengan faktor lain. Pasien An. R (10 bulan) lebih kooperatif dari pada pasien An. S (18 bulan)
Asuhan Keperawatan dengan Masalah Gangguan Mobilitas Fisik pada Klien Stroke Hemoragi
Authors: Khofifah Siti Nur , Widada Wahyudi
Published: November 2023

Mobilitas fisik pada klien yang mengalami stroke hemoragi dapat memicu masalah keperawatan gangguan mobilitas fisik. Metode: Desain penelitian ini menggunakan deskriptif dengan pendekatan studi kasus. Penelitian ini melibatkan dua klien yang mengalami gangguan mobilitas fisik dengan diagnosis medis stroke hemoragi. Penelitian ini di lakukan di Ruang Bedah dan Saraf Rumah Sakit Daerah Kalisat Jember pada tanggal 31 Agustus - 2 September 2022 dan di Ruang Saraf Rumah Sakit Umum Daerah Dr. H. Koesnadi Bondowoso pada tanggal 31 Januari - 2 Februari 2023. Pengumpulan data menguakan metode wawancara, observasi dan pemerikan fisik, studi dokumentasi. Hasil: Penanganan masalah gangguan mobilitas fisik pada klien stroke hemoragi dengan menerapkan terapi aktivitas ROM aktif dan pasif, selama tiga hari berturut-turut, pelaksanaan dalam sehari dilakukan dua kali latihan yang dilakukan perawat ataupun keluarga klien. Memperoleh hasil peningkatan kekuatan otot pada evaluasi hari ke tiga. Mengatasi masalah keperawaatan gangguan mobilitas fisik memerlukan ketekunan serta waktu yang tidak singkat dalam melatih ROM aktif maupun pasif untuk mencapai kekuatan otot normal. Kesimpulan: ROM aktif dan pasif dilakukan pada klien gangguan mobilitas fisik akibat stroke hemoragi membantu menaikkan kekuatan otot secara bertahap.
Asuhan Keperawatan pada Pasien Skizofrenia dengan Gangguan Persepsi Sensori: Halusinasi Pendengaran di Ruang Dahlia Rumah Sakit Jiwa Dr. Radjiman Wediodiningrat Lawang
Authors: Arifin Samsul , Zaini Mad
Published: November 2023

Halusinasi pendengaran, yang merupakan salah satu jenis halusinasi yang paling umum, sering terjadi. Masih ada banyak perawat yang tidak menggunakan komunikasi terapeutik saat memberikan perawatan kepada pasien yang mengalami halusinasi. Salah satu terapi yang dapat digunakan untuk mengendalikan halusinasi pendengaran adalah penerapan komunikasi terapeutik. Tujuan penulisan ini adalah untuk mengevaluasi efektivitas penerapan komunikasi terapeutik dalam mengontrol halusinasi pendengaran pada pasien di RSJ Lawang. Metode yang digunakan dalam penelitian ini adalah studi kasus asuhan keperawatan, yang meliputi pengkajian, perumusan diagnosa keperawatan, intervensi, implementasi, dan evaluasi. Intervensi difokuskan pada penerapan komunikasi terapeutik. Berdasarkan hasil observasi setelah penerapan komunikasi terapeutik selama 5 hari, terlihat penurunan halusinasi pendengaran pada pasien. Pemberian intervensi komunikasi terapeutik memiliki pengaruh positif terhadap penurunan halusinasi pendengaran di RSJ Lawang. Dapat disimpulkan bahwa halusinasi pendengaran dapat diidentifikasi dan dikendalikan dengan menggunakan komunikasi terapeutik, dengan menerapkan strategi pelaksanaan tertentu (SP1-SP4).
Hubungan Fungsi Afektif Keluarga dengan Perilaku Bullying pada Remaja di SMAN Arjasa Kabupaten Jember
Authors: Ariyanto Dhimas Fatahillah , Asmuji Asmuji , Asih Susi Wahyuning , Kholifah Siti
Published: November 2023

Fungsi afektif merupakan sebuah persepsi atau cara pandang keluarga terhadap pemenuhan kebutuhan psikososial anggota keluarga. Fungsi afektif adalah salah satu fungsi keluarga yang merupakan penciptaan rasa aman, pengdaan interaksi, pemberian perlindungan pada remaja. Kurangnya interaksi di dalam keluarga akan berpeluang remaja melakukan tindakan bullying. Bullying merupakan istilah yang menggambarkan beberapa tindakan atau sebuah perilaku agresif seseorang atau sekelompok orang. Tujuan penelitian ini adalah untuk mengetahui hubungan fungsi afektif keluarga dengan perilaku bullying pada remaja di SMAN Arjasa Kabupaten Jember. Desain penelitian menggunakan model kolerasional dengan pendekatan cross sectional dengan jumlah sampel sebanyak 83 responden yang diambil menggunakan teknik Proportionate Random Sampling. Analisis yang digunakan pada penelitian ini adalah spearman rho dengan α = 0,05. Hasil yang didapatkan responden sebanyak 50 orang (60,2%) memiliki fungsi afektif keluarga dalam kategori sedang dan responden sebanyak 42 orang (50,6%) memiliki perilaku bullying dalam kategori ringan. Hasil uji statistik menunjukkan diperoleh p value 0,005 dimana p value < α (0,05); r = - 0,308 yang berarti termasuk hubungan moderat yang artinya terdapat fungsi afektif keluarga dengan perilaku bullying pada remaja di SMAN Arjasa Kabupaten Jember. Diharapkan Dengan berjalannya fungsi afektif keluarga yang baik akan membentuk perilaku yang baik pada remaja yang dapat menekan angka terjadinya bullying.
Asuhan Keperawatan Jiwa pada Pasien dengan Gangguan Presepsi Sensori: Halusinasi Pendengaran
Authors: Aprilia Efita , Zaini Mad
Published: November 2023

Halusinasi terjadi ketika seseorang mengalami kesalahan persepsi yang disebabkan oleh respons neurobiologis yang tidak wajar. Penderita halusinasi menganggap distorsi sensori sebagai realitas dan memberikan respon terhadapnya. Tanda dan gejala halusinasi dapat dikenali melalui observasi terhadap pasien, ekspresi wajah yang tidak sesuai seperti menyeringai atau tertawa secara tidak wajar, gerakan bibir tanpa mengeluarkan suara yang dapat terlihat, gerakan mata yang cepat dapat terjadi, menutup telinga, respon verbal yang terhambat atau pasien cenderung menjaga keheningan, kesibukan dalam pikiran yang dapat membuat pasien terlihat diam dan terfokus pada sesuatuyang tidak terlihat oleh orang lain. Respons neurobiologis menunjukkan bahwarespons yang adaptif mencakup pikiran logis, persepsi yang sesuai, dan hubungan bersosial yang harmonis, sementara respons yang maladaptif mencakup gejala seperti waham, halusinasi, kesulitan mengelola emosi, perilaku yang tidak terorganisir, dan isolasi sosial. Dilakukan Penulis asuhan keperawatan dengan model studi kasus dengan pendekatan yang digunakan an yang digunakan adalah deskriptif analitik. Pendekatan ini bertujuan untuk menjelaskan dan membahas asuhan keperawatan jiwa pada pasien di RSJ Dr. Radjiman Wedio-diningrat Lawang dengan masalah keperawatan halusinasi. Kesimpulan yang bisa ditarik dari hasil studi kasus ini adalah asuhan keperawatan yang tepat akan membantu menyelesaikan masalah klien dalam menghadapi masalah keperawatan halusinasi pen-dengaran.
Asuhan Keperawatan pada Pasien Hipertensi dengan Penerapan Terapi Komplementer Bekam
Authors: Fathonah Lina Taniatul , Widada Wahyudi
Published: November 2023

Hipertensi merupakan penyakit pembuluh darah yang mencegah darah memasok oksigen dan nutrisi ke jaringan tubuh sehingga menyebabkan jantung tidak berfungsi.Terapi tambahan yang saat ini sedang populer dan dipercaya oleh masyarakat umum untuk pengobatan hipertensi antara lain bekam. Tujuan dari studi kasus ini adalah untuk menunjukkan bagaimana asuhan keperawatan komplementer menangani kasus hipertensi di Curahdami Bondowoso. Metode : Desain penelitian adalah studi kasus. Penelitian dilakukan dari tanggal 21 Juni 2023 sampai 26 Juni 2023 di Curahdami Bondowoso. Ada dua sampel yang diambil secara purposive dari semua orang tua yang menderita Hipertensi. Format penelitian dan evaluasi keperawatan komplementer digunakan sebagai instrumen pengumpulan data. Pengukuran, Observasi, dan wawancara adalah studi pengumpulan data. Hasil pembahasan: setelah dilakukan pemeriksaan tanda- tanda vital pada Tn. H diketahui TD: 170/90 mmHg sedangan Ny. I 160/100 mmHg.
Exploring Medical Students’ Rural Intention on Course Entry
Authors: McNaught Keith , Rhoding Colette
Published: November 2023

Understanding the rural intentions of medical students has the potential to improve the effective allocation of rural clinical placements, the demand for which regularly exceeds availability. Longitudinal studies on students’ rural intentions have been published but a refined understanding of the spectrum of intentions is absent in the literature. To fully understand students’ rural intentions, and the factors influencing those intentions, comprehensive research, at all stages of a student’s academic career, is required.
The project used for this article, identifies a group with neutral intention and explores the influence of a range of demographic factors and variety of rural experience for their potential to move students towards high rural intention. The study also identifies trends in student perceptions of potential locations for rural practice in Western Australia. This more detailed approach is offered as a basis for a future model to inform the allocation of scarce rural placement opportunities, known to be significant in converting rural intention into practice.
The project responds to increasingly frequent calls for changes to policy and practice regarding the allocation of rural clinical placements to better realise their value in improving the maldistribution of Australia’s medical workforce. The study suggests that a greater range of indicators, beyond being of rural origin, can lead to neutral or high rural intention. The results of this study suggest a model that incorporates these additional elements and tracks their development over time would be a valuable component in initiatives aimed at building positive rural intention.
Whole-of-Rural-Community Approach to Supporting Education and Career Pathway Choice
Authors: Kilpatrick Sue , Fischer Sarah , Woodroffe Jessica , Barnes Nicoli , Groves Olivia , Austin Kylie
Published: November 2023

Rural communities and partnerships are critical in career education, promoting pathways into work and further education and training. Families, teachers, and employers all may influence young people and adults who are considering pathway choices. This research aimed to equip these ‘key influencers’ with the knowledge and confidence to have supportive pathway conversations with rural young people and adults. The focus was not on those needing help with education/career choices, but rather those who influence their decisions. We used a Community Based Participatory Research (CBPR) approach in three communities to address the question: How can a whole of community approach best equip key influencers to inform and support rural student post school pathways?
Community working parties were established to work alongside researchers to select, trial and evaluate of whole community, place-based, coordinated career education interventions, which targeted communities’ individual geographic, demographic and employment context. Communities were resourced with a local pathway broker and small budget for interventions. Individual interventions and the overall project approach were evaluated.
Findings suggest that rural community-researcher partnerships can be effective in equipping key influencers with confidence and knowledge to inform and support education/career pathway choices. Community partnerships can take account of community assets and allow for interventions that address community contexts. Partnerships should foster community ownership to deliver education/career pathway information interventions that are flexible, accessible, sustainable, place-based, and authentic. This paper sets out a model for partnerships that effectively equips key influencers in rural communities to support education/career pathway choices.
Book Review
Authors: Guenther John
Published: November 2023

A review of Jason Cervone's "Towards Rural Education for the Common Good".
PENGARUH PENYULUHAN PENDIDIKAN GIZI TERHADAP PENGETAHUAN GIZI SEIMBANG BALITA DI POSYANDU KEMBANG MATAHARI 1 MARGAHAYU, KOTA BEKASI
Authors: Fadhilah Tri Marta , Faradilla Salma , Prastiwi Lia Regita , Heididiana Krisna , Shinta Nindy Claudia , Indry Veronica  , Rahma Benefita , Putri Sucu
Published: November 2023

Penyuluhan kesehatan adalah gabungan berbagai kegiatan yang berlandaskan prinsip-prinsip belajar untuk mencapai keadaan, dimana individu, keluarga, kelompok atau masyarakat tahu bagaimana yang harus dilakukan dan apa yang harus dilakukan untuk mencapai kehidupan yang sehat. Penyuluhan ini bertujuan untuk meningkatkan pengetahuan ibu dan balita di Posyandu Kembang Matahari I Rawa Semut tentang pentingnya Gizi Seimbang Pada Balita. Media yang digunakan terdiri dari poster, slide dan leaflet. Dengan adanya penyuluhan ini diharapkan ibu dan balita dapat menerapkan gizi seimbang. Sasaran pada kegiatan penyuluhan gizi ini adalah ibu dan balita Posyandu Kembang Matahari I. Untuk hasil pada penyuluhan ini, kami melakukan survey penilaian penyuluhan menggunakan kuesioner post-test dan pre-test kepada ibu-ibu di posyandu Kembang Matahari I dengan hasil terdapat perbedaan pengetahuan antara sebelum dan sesudah diberikan penyuluhan mengenai gizi seimbang pada balita.
PENINGKATAN PENGETAHUAN TERKAIT STUNTING PADA CALON PENGANTIN DI WILAYAH BEKASI
Authors: Sartika Arindah Nur , Sari Afrinia Eka , Fadhilah Tri Marta , Prasetya Guntari , Aslam Mujahidil
Published: November 2023

Pemerintah Indonesia masih dihadapkan dengan permasalahan stunting yang tidak hanya berkaitan dengan masalah gizi dan kesehatan tetapi juga memberikan dampak jangka panjang pada kerugian perekonomian negara. Dalam rangka mendukung program penanggulangan stunting, Prodi S1 Gizi STIKes Mitra Keluarga melakukan kegiatan pengabdian masyarakat (PKM) dalam bentuk penyuluhan gizi pada calon pengantin (catin) di Wilayah Kota Bekasi, Jawa Barat. Kegiatan PKM ini dilaksanakan di 3 Kantor Urusan Agama (KUA), yakni : KUA Rawa lumbu, KUA Mustika Jaya dan KUA Bekasi Timur. Secara keseluruhan terdapat 71 catin yang ikut serta dalam penyuluhan. Berdasarkan data pre dan post test, dapat dilihat trend peningkatan jumlah peserta yang menjawab benar yang menunjukan bahwa penyuluhan dapat meningkatkan pengetahuan terkait stunting.