bluuebunny/crossref_metadata_2025 huggingface dataset:
Efektivitas Prenatal Yoga Untuk Mengurangi Nyeri Punggung Pada Ibu Hamil Trimester III
Authors: Talita Putri Idasa Richa Nur Pratama  , Nur Azizah Indriastuti
Published: July 2024

Pregnancy is a physiological process that occurs due to the process of growth and development of a fetus. During the development of pregnancy there will be physical and mental changes. One of the physical changes that occur during pregnancy is pregnant women experience complaints of back pain, especially in III trimester. Efforts to reduce back pain in third trimester pregnant women are using prenatal yoga. This case study purpose to determine the effect of applying prenatal yoga on back pain in III trimester pregnant women. The method in this study is a case study on clients of III trimester pregnant women. Patients were measured with OPQRSUV and used NRS instrument to determine pain scale before and after prenatal yoga intervention. The intervention was carried out for 3 days with 15-30 minutes every session. The results of this case study showed that prenatal yoga intervention in pregnant women can reduce the level of back pain from scale 4 to scale 2 within 3 days intervention. The implication of this case study is prenatal yoga which consists of 6 effective movements to help reduce the scale of pain in III trimester pregnant women because it can relax the body of pregnant women.
Analisis Praktik Klinik Keperawatan Pada Pasien CKD (Chronic Kidney Disease) Dengan Intervensi Inovasi Sipping Ice Cube Therapy Terhadap Penurunan Rasa Haus Di Ruang Perawatan Rsud. Prof. DR. H. Aloei Saboe Kota Gorontalo
Authors: Fadli Syamsuddin  , Iskandar Simbala  , Hendra Radjulani
Published: July 2024

Chronic Kidney Disease (CKD) This is a gradual and irreversible kidney disorder that affects the body's capacity to regulate metabolism, fluids, and electrolytes, leading to the development of uremia. Hemodialysis (HD) patients with chronic renal failure are subject to fluid, dietary and pharmaceutical restrictions as well as activity and medication limits. Weight gain, edema, and high blood pressure will occur if fluid balance is not maintained or if there is excess fluid between dialysis sessions. But limiting fluids while receiving hemodialysis can have a number of negative consequences on the body, one of which is thirst and dry mouth (xerostomia), caused by decreased salivary gland production. This scientific study uses a descriptive methodology along with nursing care strategies to apply the "sipping ice cubes therapy" strategy to reduce thirst in CKD patients receiving hemodialysis. Evidence-based practice of nursing This procedure is carried out in the Nursing Room of RSUD Dr. dr. Aloei Saboe Gorontalo City on December 26 2022 and January 26 2023. According to researchers, the administration of the innovative therapy "Sipping Ice Cubes Therapy" can significantly reduce thirst levels in CKD (Chronic Kidney Disease) patients. It can be seen from the 6 respondents who were given the innovative therapy "sipping ice Cubes Therapy" all of which gave a positive response after evaluation, both direct evaluation after giving therapy or evaluation after 3 days of giving the implementation of "sipping ice Cubes Therapy"
Penerapan Terapi Bermain Mewarnai Gambar Dengan Pasir Warna Terhadap Kecemasan Hospitalisasi Anak Usia Prasekolah 3-5 Tahun Di RSUD Pandan Arang Boyolali
Authors: Aulia Bintang Kusuma Wardani  , Tri Susilowati
Published: July 2024

Hospitalization or inpatient care has an impact on anxiety in children. Anxiety or a condition of excessive fear caused by certain situations often occurs in almost every child who is hospitalized or hospitalized. Play activity therapy is a good activity to deal with anxiety in children who experience hospitalization, so that it can accelerate the healing process of pain in children. Determine changes in anxiety levels in preschool aged 3-5 years at RSUD Pandan Arang Boyolali hospital. This study used a descriptive design on two male respondents which was conducted from 4 to 6 July 2023 ar Pandan Arang Boyolali Hospital with each respondent being given intervention for 3 consecutive days. The instrument used was the Spence Children Anxiety Scale SCAS observation sheet to measure the level of anxiety before and after giving therapy. Before the two respondents were put into action, the level of anxiety was moderate (first respondent scored 18; second respondent scored 20), and after the two respondents were put into action, the level of anxiety was mild (first respondent scored 12; second respondent scored 13). The application of play therapy to coloring pictures with color sand is able to reduce anxiety levels in preschool aged 3-5 years at Pandan Arang Boyolali Hospital.
Asuhan Keperawatan Jiwa Pada Ny. P Dengan Masalah Utama Risiko Perilaku Kekerasan Akibat Skizofrenia Paranoid Di Ruang Madrim RSJD dr. Amino Gondohutomo Provinsi Jawa Tengah
Authors: Madynatul Khuzaemah  , Titi Sri Suyanti  , Tati Karyawati
Published: July 2024

Mental disorders themselves are a group of symptoms characterized by changes in a person's thoughts, feelings and behavior that cause dysfunction in carrying out daily activities. Within mental disorders there are several diagnoses, one of which is schizophrenia. Schizophrenia is a serious mental disorder characterized by decreased or inability to communicate, cognitive impairment, inability to think abstractly and experiencing difficulty in carrying out daily activities (Afeanpah et al., 2022). WHO data for 2019 shows that 1 in every 8 people or 970 million people throughout the world live with mental disorders such as anxiety disorders, depression, schizophrenia, bipolar disorder. 24 million people suffer from serious mental disorders such as schizophrenia worldwide or 1 in 300 people (0.32%) this figure is 1 in 222 people (0.45%) among adults, and 280 million people suffer from depression, including 23 million children and adolescents, 40 million people experience bipolar disorder, 301 million people experience anxiety disorders including 58 million children and adolescents (WHO, 2019).
Asuhan Keperawatan Jiwa Pada Tn.M Dengan Masalah Utama Resiko Perilaku Kekerasan Akibat : Skizofrenia Tak Terinci Di Ruang Srikandi RSJD Dr.Amino Gondohutomo Provinsi Jawa Tengah
Authors: Fika Putri Utari  , Titi Sri Suyanti  , Tati Karyawati
Published: July 2024

Mental disorders are a group of symptoms characterized by changes in a person's thoughts, feelings and behavior that cause dysfunction in carrying out daily activities. Within mental disorders there are several diagnoses, one of which is schizophrenia. Schizophrenia is a serious mental disorder characterized by decreased or inability to communicate, cognitive impairment, inability to think abstractly, and experiencing difficulty in carrying out daily activities. Schizophrenia is a mental disorder that is a major problem in countries where schizophrenia is a type of psychosis that ranks at the top of all existing mental disorders. Schizophrenia is part of a mental disorder characterized by strange behavioral and speech deviations, incoherent thoughts, delusions, hallucinations, where this condition occurs due to changes in the physical structure and chemistry of the brain (Tri et al., 2020).
Pengaruh Kecerdasan Emosional Dan Budaya Organisasi Terhadap Kinerja Perawat
Authors: Monika Rannu  , Ismanto Ismanto  , Hanif Kurniadi
Published: July 2024

This study aims to find out: (1)Effect Of Emotional Intelligence on Organisational Culture On The Nurse Nurse Performance(Study on Emergency on nurse performance (Study on emergency room and Intensive Care nurse of Benyamin Guluh hospital/kolaka SMS Berjaya BLUD). (2) Effect of Organizational Culture on Nurse Performance (Study on Emergency room and  Intensive Care Unit nurses of Benyamin Guluh Hospital/Kolaka SMS Berjaya BLUD). This study uses an approach with quantitative methods.Data collection in this study through observation, literature study and questionnaires. The population of this study ware all emergency room and intensive care unit nurses at Benyamin Guluh Hospital/Kolaka SMS Berjaya BLUD. While the sampel of this study amounted to 30 nurses with the determination of the sample using purpositive sampling with hair formula. Testing of research instruments using validity tests and reliability tests with SPSS 25.0. The data analysis technique used in this research is Structural Equation Modeling (SEM) based on Partial Least Square (PLS) through measurement model test (outer model) and structural model testing (inner model) with Smart PLS 3.0.Based on the results of the study, it is known that the Emotional Intelligence variable has a positive and significant effect on Nurse Performance as indicated by the P-Values value of 0.005.And the Organizational Culture variable also has a positive and significant effect on Nurse Performance, this is indicated by the P-Values value of 0.037.
Prosedur Pemeriksaan Msct Abdomen Kontras Dengan Klinis Tumor Lower Abdomen Di Instalasi Radiologi RS Kupang
Authors: Natalia Imelda Seran  , I Putu Eka Juliantara  , Cokorda Istri Ary Widiastuti
Published: July 2024

Background: CT (Computed Tomography) Scan modality is very useful for obtaining a diagnosis of tumors in the abdominal cavity. The procedure carried out in abdominal MSCT uses contrast media. The contrast media commonly used in abdominal MSCT examinations can be intravenous, oral and anal. Kupang Hospital uses contrast media intravenously, orally and anally. The aim of this study was to determine the procedure for examining abdominal MSCT with clinical lower abdominal tumors using a multiphase technique using intravenous contrast media in the form of iodine water soluble with a dual syringe injector and NaCl liquid and orally with a volume of 750 ml of mineral water mixed with 5 ml of contrast media to drink before The examination then takes place via anal examination in the form of negative water contrast media mixed with iodine water soluble contrast media with a 50 cc syringe and also to find out the reasons for using contrast media intravenously, orally and anally in abdominal MSCT examinations with clinical lower abdominal tumors.
Method: This research design is qualitative with a case study approach. The subjects of this study were patients with clinical lower abdominal tumors. Research respondents were 2 Radiographers, 1 Radiology Specialist. The data collection method was taken by observation, Focus Group Discussion (FGD) and documentation, then data analysis and conclusion drawing were carried out.
Results: The results of this study are about the abdominal MSCT examination procedure and the reasons for using contrast media injection techniques with clinical lower abdominal tumors in the Kupang Hospital Radiology Installation.
Conclusion: The use of the technique of intravenous administration of contrast media aims to anatomically visualize vascularization, distinguish blood vessels from masses, determine the level of vascular displacement or invasion by tumors and by inserting contrast media orally it aims to provide opacification of the intestine and assist in diagnosing existing abnormalities in the intestine such as ulceration, perforation, obstruction, and space occupying lesions then through anal purposes to fill the large intestine, able to provide an overview of colonic distension and colon cancer. The use of contrast media injection techniques via intravenous, oral and anal is because the patient can make preparations as expected .
Pengaruh Terapi Musik Jazz Terhadap Kualitas Tidur Pada Siswa Kelas XII SMK Bunga Persada Cianjur
Authors: Arista Alifia
Published: July 2024

Introduction : Sleep quality is a person getting enough sleep is characterized by not being easily tired, not irritable, restless, lethargic, headaches and not easily drowsy. The purpose : of this study was to analyze the effect of jazz music therapy on sleep quality. Method : This type of research used the Pre-Experimental method with the One Group Pre-Post Test Design approach, the sample in this study was 18 respondents, using the Purposive Sampling technique and the data collection method used the PSQI sheet. Result : The test used was the Wilcoxon Sign Rank with p 0.05. The results showed that before jazz music therapy the average sleep quality in the sleep quality category was quite bad, reaching 61.1%, whereas after jazz music therapy there was an increase in good sleep quality. Conclution : This is proven based on the Wilcoxon test data processing with the result (p = 0.001) that there is an effect of jazz music therapy on students. The results of the study are expected that giving jazz music therapy can be further developed as an intervention to improve the quality of good sleep in students.
Asuhan Keperawatan Pada Pasien Diabetes Mellitus Tipe II Dengan Pemberian Intervensi Terapi Relaksasi Otot Progresif Terhadap Penurunan Kadar Glukosa Darah Di Ruang Cempaka RSUD Kabupaten Tangerang
Authors: Novita Sariayu Sitompul  , Meynur Rohmah  , Dwi Wahyuni
Published: July 2024

Background: Type 2 diabetes mellitus is a metabolic disorder characterized by an increase in blood sugar due to decreased insulin secretion by pancreatic beta cells or insulin resistance. Difficulty controlling blood sugar levels is a problem experienced by every person with type 2 diabetes mellitus. Several reasons cause uncontrolled blood sugar levels, such as the patient not wanting to exercise, poor diet and negligence in treatment. Management of diabetes mellitus can be done with non-pharmacological therapy in the form of physical exercise. Physical activity will make the body's metabolism work more optimally which will result in blood glucose levels being controlled so that holistic treatment is needed. One of the non-pharmacological physical exercise therapies that can be given to diabetes mellitus sufferers is progressive muscle relaxation techniques. Research method: Implementing Progressive Muscle Relaxation Therapy in Type II Diabetes Mellitus patients to reduce Blood Glucose Levels. Research results: The results of implementation and evaluation for 3 days with Progressive Muscle Relaxation Therapy intervention showed objective and subjective changes in Type II Diabetes Mellitus patients as well as changes in blood glucose levels before and after being given Progressive Muscle Relaxation Therapy. Conclusion: There is a decrease in Blood Glucose Levels after Progressive Muscle Relaxation Therapy.
Asuhan Keperawatan Pada Pasien Hipertensi Dengan Intervensi Terapi Senam Hipertensi Terhadap Penurunan Tekanan Darah
Authors: Yeni Gumiati  , Meynur Rohmah  , Dwi Wahyuni
Published: July 2024

Background: Aging Is The Main Cause Of Hypertension, Which Is Caused By Physiological Changes That Weaken The Heart's Pumping Power And Make The Large Arteries Stiff And Unable To Expand As The Heart Pumps Blood Through Them. Exercise Has The Effect Of Lowering Blood Pressure In People With Hypertension Due To Movement (Yesi Arisandi And Mardiah, 2022). Hypertension Exercise Is One Way Of Maintaining Physical Fitness Or Physical Exercise That Can Be Done To Reduce Body Weight And Manage Stress So That It Can Increase The Body's Metabolic Activity And Can Stimulate Heart Activity And Can Strengthen The Heart Muscles. (Siti Santy Sianipar And Desi Kumala Farianing Putri, 2018). Method: The Method For Writing This Final Scientific Work Is In The Form Of A Literature Review By Examining Journals That Discuss The Effect Of Hypertension Exercise On Reducing Blood Pressure In People With Hypertension. Results: Based On The Table Above, The Author Recommends That Patients Carry Out Hypertension Exercises Regularly For Three Consecutive Days From January 9 To January 11 2024. There Are Differences Between Conditions Before And After Implementation. The Patient Data Before Implementation Was That The Patient Said Both Legs Were Swollen, While The Patient Data After Implementation Was That The Patient Said Complaints Of Swelling In The Legs Were Reduced And Blood Pressure Began To Fall, Namely 140/90 Mmhg, So It Can Be Concluded That There Is An Effect Of Hypertension Exercise Therapy On Reducing Blood Pressure. Blood In Hypertensive Sufferers. This Is In Accordance With The Journal That The Author Studied, Namely According To Rima Berliana Purbaningrum (2020).
Asuhan Keperawatan Pada Pasien Combustio Dengan Intervensi Pemberian Aromaterapi Lavender Terhadap Penurunan Tingkat Nyeri di Ruang Anggrek C RSUD Kabupaten Tangerang
Authors: Mugiyanto Mugiyanto  , Cicirosnita J.Idu  , Ahmad Hambali
Published: July 2024

Background: Combustio or burns are damage to the skin or tissue that can occur due to contact of body parts with objects such as fire, hot liquids, electricity, chemicals and radiation. Combustio is still a serious case in Indonesia causing millions of people to die, namely more than 265,000 people every year. A non-pharmacological treatment that can be done to reduce pain in post-debridement burn wounds is giving lavender aromatherapy. Lavender aromatherapy is an aromatherapy in which the content of linalyl acetate and linalool can stimulate the release of endorphin hormones so that it can have a relaxing effect and is thought to help overcome discomfort disorders such as anxiety, can lower blood pressure and also pain. Method: The method used in this research is a descriptive method with a case study approach. Results: After the intervention of giving lavender aromatherapy using a diffuser for 3 days, the result was a decrease in pain in combustio post debridement surgery patients which was carried out every Monday and Thursday in the operating room with complaints of decreased pain, pain scale: 1, the patient looked relaxed and in the Paired Sample t-Test with a significance level α: 0.05, the results of data processing obtained a sig. (2-tailed) of 0.02. Conclusion: Lavender aromatherapy can reduce the level of pain during post-operative debridement combustio.
Faktor-Faktor Yang Berhubungan Dengan Kelengkapan Pendokumentasian Di Rumah Sakit Swasta X Di Batam
Authors: Sindi Hairuna Batubara  , Utari Christya Wardhani  , Sri Muharni
Published: July 2024

Nursing documentation is a legal aspect that protects nurses in providing nursing services, but documentation is still found to be incomplete. This research aims to determine the factors that influence the completeness of documentation at the X Batam private hospital. The method in this research uses a total sampling technique with Quantitative research method with a cross sectional design. The sample consisted of 30 respondents. The data was processed using the chi square test. Based on gender characteristics, there were 7 respondents male and 23 female respondents, and based on the education level of Bachelor of Nursing, there were 27 respondents and D3 of nursing. as many as 3 respondents. Univariate analysis Motivation was mostly in the strong category with a presentation of 83.3%, knowledge was mostly in the good category with a presentation of 90.0%, workload was mostly in the low category with a presentation of 76.7%, documentation was mostly in the good category with a presentation of 80.0%. Bivariate analysis of factors influencing completeness of documentation. P-Value 0.001 (<0.005). It was concluded that motivation, knowledge and workload factors showed a significant relationship with completeness of documentation. It is hoped that more nursing documentation good again.
Asuhan Keperawatan Jiwa Pada Pasien Gangguan Persepsi Sensori : Halusinasi Penglihatan dan Pendengaran Dengan Pemberian Intervensi Terapi Musik Dangdut di Yayasan Rehabilitasi Mental Griya Bhakti Medika
Authors: Rita Donna Marlina  , Ayu Pratiwi  , Mentari Mentari
Published: July 2024

Background: Mental disorders are conditions in which mental functions, thought processes, emotions, feelings, psychomotor and verbal behavior are disrupted which becomes a group of clinical symptoms accompanied by suffering and results in disruption of an individual's humanistic function (Ramadani et al, 2020). One type of mental disorder is schizophrenia, where the main perception disorder in schizophrenic patients is hallucinations. Hallucinations are changes or perceptions that there is unfavorable stimulation from within the individual or from outside the individual accompanied by a reduced, excessive or distorted response (Rustika, 2020). One non-pharmacological implementation strategy for patients with hallucinations is by providing music therapy (Alfionita, 2016). Method: Giving therapy to listen to dangdut music to patients for 4 days is carried out 1 day once therapy for 10-15 minutes. Results: After the intervention of giving menmusic therapy for 4 days, it was found that the patient experienced a decrease in signs and symptoms of hallucinations from initially a score of 8 to 2. Conclusion: Providing dangdut music therapy can help reduce the frequency of hallucinations. This is due to the diversion of the patient's attention from the hallucinatory sounds to the dangdut music he hears. rebuking and music to reduce the symptoms of the hallucinations he was suffering from.
Implementasi Edukasi Kesehatan Melalui Media Leaflet untuk Meningkatkan Kestabilan Kadar Glukosa Darah pada Pasien Diabetes Militus di Rumah Sakit Sumber Hidup GPM Ambon
Authors: Yulianti Ely  , Zulfikar Peluw
Published: July 2024

Hyperglycemia is the main characteristic of diabetes mellitus (DM) disease characterized by an increase in blood sugar levels above the normal threshold (200 mg/dL) which can be caused by relative or absolute insulin deficiency, or by cellular resistance to insulin action. Hyperglycemia is one of the metabolic disorders with a high risk of hospitalization and disability, especially in patients with diabetes mellitus with an increasing prevalence. To provide an overview of the implementation of health education through leafleat media to improve the stability of blood glucose levels in patients with diabetes mellitus at the GPM Ambon Source of Life Hospital. Subject Research Patient was Mrs. R in the Atalia Room of Sumber Hidup Hospital on May 16-17, 2022. The research found that Mrs. R did not understand several things about the stability of blood glucose levels. The nursing diagnosis raised in the patient is the risk of blood glucose instability. Nursing action is to provide health education about the lack of exposure to information about Hyperglycemia, Mrs. R can understand the stability of blood glucose levels. Based on the results of research conducted in the Atalia room at the GPM Ambon Living Source Hospital on May 16-17, 2024 in patient "Mrs.R" with DM, it can be concluded that providing health education using Leaflet media in overcoming the lack of exposure to information regarding Hyperglycemia in Diabetes Militus patients is very important.
Faktor yang Berhubungan dengan Perilaku Pencegahan Diabetes Mellitus di Kelurahan Mlatiharjo Kecamatan Semarang Timur Kota Semarang
Authors: Dewi Insani Muflihah  , Alfiana Ainun Nisa
Published: July 2024

Diabetes mellitus, which is a non-communicable disease, can be prevented by utilizing the power of prevention. Diabetes mellitus prevention behavior includes various aspects such as healthy eating patterns, sufficient physical activity, and regular health checks. It is important for the public to understand the risk factors for diabetes mellitus in order to improve prevention and early detection efforts in at-risk community groups. The aim of this research is to analyze the relationship between factors that influence diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. This research uses quantitative methods using observational analytics and a cross-sectional approach. The population in this research is the people of Mlagiarjo Village aged 20-79 years. The research sample was 197 respondents. This research was analyzed using univariate tests and bivariate tests. The results of the research showed that there was a relationship between knowledge, diet, physical activity, family history, family support, support from health workers, and access to health services (P-value = 0.024) with diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. . However, there is no relationship between attitudes and diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. It is important for health workers to provide education regarding diabetes mellitus prevention behavior to the public.
Analysis of Flood Events in Padang City in the Perspective of Natural Science
Authors: Honesti Leli
Published: July 2024

Natural disasters have a profound impact that disrupts human lifestyles, damaging social structures, as well as infrastructure and government systems. The physical, economic, and psychological damage caused is very significant for the affected communities. While disasters cannot be predicted or fully prevented, response and preparedness from various parties are essential to mitigate their impact. The purpose of making this article is to find out about the flood incident that occurred in Padang City from a natural scientific perspective. The research method of this journal is descriptive with a qualitative approach. Research on flood disasters in Padang City shows that five units of land form are vulnerable to flooding, including coastal alluvial plains, inter-shoal depressions, back swamps, flood plains, and river burnouts. The analysis shows that Koto Tangah sub-district experiences the highest level of flood danger, while Lubuk Begalung sub-district has the lowest risk. External factors such as high rainfall and land contours as well as internal factors such as land conversion also contribute to flooding. To overcome flood disasters, disaster management must include prevention, mitigation, preparedness, emergency response, and recovery. Risk assessments involving threat assessment, vulnerability, and capacity are essential for better understanding and managing disaster risk.
Kein Startschuss für Abschiebungen nach Syrien
Authors: Feneberg Valentin , Pettersson Paul
Published: July 2024

Laut OVG Nordrhein-Westfalen besteht für Zivilpersonen in Syrien keine ernsthafte, individuelle Lebensgefahr mehr aufgrund des Bürgerkriegs; Rückkehrer:innen hätten außerdem keine zielgerichteten Menschenrechtsverletzungen zu befürchten. Das Politik- und Medienecho war gewaltig. Die Urteilsgründe zeigen allerdings, dass die große politische und mediale Aufmerksamkeit in keinem Verhältnis zum Inhalt der Entscheidung steht.
The “Never Again” Imperatives in Chinese Constitutions
Authors: Fu Hualing
Published: July 2024

This essay aims to provide a Chinese perspective on the question of traumas and the Never Again imperative. It will first place the question in the long history of constitution-making in China, taking the view that constitutional narratives are context-driven, shaped by particular historical processes, and addressing particular historical concerns of respective nation-states, each with its trauma and Never Again imperatives. This essay then brings the current 1982 constitution into focus, highlighting the trauma it is designed to address and assessing the sincerity and effectiveness of the commitment.
Design of a Web-Based Information System for Incoming and Outgoing Mail Archiving Using the Waterfall Method in Kambata Tana Village East Sumba
Authors: Turu NdapaOtu Nelson , Alfa R. L. Lede Pingky
Published: July 2024

Surat merupakan salah satu media komunikasi yang sangat penting dalam lembaga, perusahaan, atau bentuk organisasi lainnya, yang digunakan untuk berkomunikasi dengan pihak eksternal maupun internal. Segala sesuatu yang berhubungan dengan kegiatan organisasi selalu dituangkan dalam bentuk surat. Kantor Desa Kambata Tana merupakan lembaga pemerintahan yang bertugas untuk menegakkan kewibawaan pemerintahan. Dalam menjalankan tugasnya, kantor tersebut banyak terlibat dalam bidang komunikasi. Saat ini terdapat beberapa kendala dalam penyampaian surat, misalnya tidak semua surat terarsipkan dengan baik dan sering hilang, yang perlu ditindaklanjuti oleh pihak yang bertanggung jawab. Tujuan dari penelitian ini adalah untuk merancang dan mengembangkan sistem informasi pengarsipan surat masuk dan keluar pada Kantor Desa Kambata Tana, sehingga memudahkan aparat desa dalam mengolah dan mengarsipkan data surat masuk dan keluar sehingga surat yang dibutuhkan dapat ditemukan dengan lebih cepat dan mendukung kelancaran kegiatan aparat desa. Metode penelitian yang digunakan adalah metode waterfall dengan langkah-langkah pengembangan sebagai berikut: pengumpulan data, analisis, pengembangan sistem informasi, dan pengujian.
Comparison Identifying Imaging Diagnosis Methods in Multifocal and Multicentric Breast Cancer Patients
Authors:   Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Khoddam Sadegh , Akbari Mohammad Esmaeil ,   Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Izadi Neda ,   Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Akbari Atieh ,   Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Ghaderi Mahfuz ,   Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Published: July 2024

Background: Breast cancer is the second important cause of cancer-related adults that mostly affects female. There are different diagnostic methods for detecting breast lesions, the specificity and sensitivity of which are very important in identifying multifocal lesions, since very few studies have been done on this issue so far, this study was done with the aims to Comparison identifying imaging diagnosis methods in multifocal and multicentric breast cancer patients. Materials and Methods: The current systematic review was done based on the Strengthening the Reporting of Observationally Studies in Epidemiology and Meta-Analyses of Observational Studies in Epidemiology. The primary keywords were published in reliable databases such as Pubmed, Elsevier, SID, Wiley in English were searched until the end of 2022. Two authors independently examined the articles in terms of data extraction, inclusion criteria, and quality assessment of the articles. Results: The age range from 496 samples was 57.3. Using the results of 5 published articles for MG and CESM, the overall specificity and sensitivity were 89% and 85%, respectively and for MRI, the overall specificity and sensitivity were 81% and 85%, respectively. Conclusion: The MRI method is the most sensitive tool for diagnosing BC in patients, but if a combination of new methods is used together, we will definitely achieve better results.
Investigation of Dyspnea Conditions Experienced by Individuals Engaged in Bodybuilding and Fitness Sports During Training According to Various Variables
Authors:   Dicle University, College of Physical Education and Sports, Diyarbakir, Turkey., Gozacik Yusuf , Mimaroglu Recai ,   Ministry of National Education, Dilekpinar Canaydin Secondary School, Diyarbakir, Turkey., Duran Muhsin ,   Dicle University, College of Physical Education and Sports, Diyarbakir, Turkey.
Published: July 2024

Objective: It was aimed to examine the dyspnea (shortness of breath) conditions experienced by individuals interested in bodybuilding and fitness sports during training according to various variables. Method: The study was conducted using the relational survey model, which is one of the descriptive survey models. The population for the research comprises individuals who are members of fitness and bodybuilding centres operating in Diyarbakir. The sample was made up of 379 individuals, consisting of 209 males and 170 females aged between 18 to 32, who had been members of these centres and engaged in sports for at least one year, based on the appropriate sampling criteria. The Personal Information Form and Dyspnea-12 Scale were utilised as data collection tools in the investigation. Results: The study determined that the average age of the participants was 24.21 (±3.93) years. Demographic data showed that 39.3% of the athletes were identified as smokers, 16.1% suffered from chronic diseases, and 38% were diagnosed with Covid-19. Upon examining dyspnea conditions experienced during training, it was discovered that men (11.01), smokers (5.49), individuals with chronic diseases (21.04), and those diagnosed with Covid-19 (18.03) exhibited higher Dyspnea-12 scale scores. Furthermore, a positive and significant correlation between participant age, total scale score, and sub-dimension scores was identified. Conclusion: It has been observed that male individuals, smokers, individuals with chronic diseases and individuals diagnosed with Covid-19 experience greater shortness of breath. Moreover, it has been noticed that the severity of shortness of breath during exercise increases with participant age.
HPLC and GC-MS Analysis of Five Medicinal Plants Used in Folk Medicine to Treat Respiratory Diseases in Jeddah, Saudi Arabia
Authors:   Biological Sciences Department, Faculty of Science, King Abdulaziz University, P.O.Box 80141, Jeddah,21589, Saudi Arabia.\Princess Doctor Najla Bint Saudi Al Saud Distinguished Research Center for Biotechnology, King Abdulaziz University. P.O.Box 80141, Jeddah,21589 Saudi Arabia., Aldhebiani Amal Y. , Alqethami Afnan x ,   Department of Biology, Faculty of Applied Science, Umm Al-Qura University, Makkah 21955, Saudi Arabia., Alqathama Aljawharah A. ,   Department of Pharmacognosy, Faculty of Pharmacy, Umm Al-Qura University, Makkah 21955, Saudi Arabia., Alarjah Mohammed ,   Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Umm Al-Qura University, Makkah 21955, Saudi Arabia., Abdullah Omeima A. ,   Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Umm Al-Qura University, Makkah 21955, Saudi Arabia.
Published: July 2024

Very few phytochemical studies based on ethnobotanical studies were conducted in Saudi Arabia. In Jeddah, medicinal plants play a major role in healthcare. Here and for the first time, the chemical reasons behind the use of 5 medicinal plants in folk medicine in Jeddah to treat respiratory diseases were highlighted. Objective: The current research aims to investigate the chemical composition of 5 medicinal plants commonly used to treat respiratory diseases in folk medicine in Jeddah, by the analysis methods of High-performance liquid chromatography (HPLC) with Gas chromatography-mass spectrometry (GC-MS) analysis. Material and methods: Based on ethnobotanical fieldwork conducted in Jeddah over a year from August 2018 to September 2019, many plants were collected. Five plant species were analyzed first by High-Performance Liquid Chromatography (HPLC) and second by Gas chromatography-mass spectrometry (GC-MS) method. Results: All these five medicinal plant species contained antioxidants. A total of five standards (quercetin, rutin, caffeic acid, cinnamic acid, and gallic acid) were recognized in these plants. Conclusion: Therefore, it can be concluded that the chemical composition of these therapeutic plants and their ethnomedicinal significance are consistent. Additionally, the outcomes showed that although Helianthus annuus L. and Anethum graveolens L. both contained antioxidants, they were rarely used in Jeddah's traditional medicine. Due to its medical value, it is crucial to call attention to it. To complete research into traditional medicine, which leads to the development of new medications, phytochemical screening must be focused on ethnobotanical investigations.
Targeting Mtor With Natural Metabolites to Manage Cancer Pathogenesis: Molecular Docking and Physiochemical Analysis
Authors:   Department of Biology, College of Science Al-Zulfi, Majmaah University, Al-Majmaah 11952, Saudi Arabia.\Health and Basic Science Research Centre, Majmaah University, Al-Majmaah 11952, Saudi Arabia., Jamal Azfar , Kulsum Syeda Nazia ,   Department of Basic Medical Sciences, College of Medicine, Majmaah University, Al-Majmaah 11952, Saudi Arabia.
Published: July 2024

Introduction: Cancer remains a significant global concern, with substantial social, public health, and economic implications, responsible for approximately one in six deaths worldwide. The mTOR protein plays a crucial role in cell signaling pathways associated with cell proliferation and development, and its dysregulation is implicated in cancer progression. Despite the known bioactive properties of Ficus virens bark extracts and the relevance of mTOR in cancer, there is a lack of studies investigating the inhibition of mTOR by Ficus virens metabolites. This study aims to explore the molecular interactions between Ficus virens secondary metabolites and mTOR through in silico methods. Methodology: In this study, we conducted in silico molecular interaction analyses to investigate the potential inhibitory effects of Ficus virens secondary metabolites on mTOR. The molecular docking technique was employed to predict the binding affinities and modes of interaction between mTOR and selected Ficus virens metabolites. Additionally, molecular dynamics simulations were performed to further elucidate the stability of the protein-ligand complexes. Results: Our findings reveal that two naturally occurring metabolites present in the methanol-based extract of Ficus virens, Dinopol-NOP and Elaidoic acid (also known as oleic acid), exhibit notable inhibitory efficacy against mTOR. Dinopol-NOP demonstrates superior mTOR inhibitory activity compared to the substrate. These compounds hold promise as potential agents for halting cancer progression by targeting mTOR signaling pathways. Conclusion: The results of this study highlight the potential of Ficus virens metabolites, specifically Dinopol-NOP and Elaidoic acid, as inhibitors of mTOR in cancer therapy. The in silico molecular interaction analyses provide valuable insights into the mechanisms underlying the inhibitory effects of these compounds on mTOR. Further validation through in vitro studies investigating the suppression of mTOR enzymatic activity by the isolated compounds is warranted. This research opens avenues for the development of novel therapeutics targeting mTOR in cancer treatment.
Maternal and Perinatal Outcomes in Covid-19 Infected Pregnant Women: A Study From Tertiary Health Care Institution
Authors:   MS OBGY, Assistant professor, Department Obstetrics and Gynecology, ESIC Medical College, Hyderabad, Telangana, India., Emmadisetty Swathi
Published: July 2024

Introduction: At the onset of the pandemic, there was insufficient data to understand if the clinical features of COVID-19 infection in pregnancy differed from those in the general population and if pregnancy and labor aggravated the symptoms of such infection. However, studies conducted later have shown that COVID-19 infected pregnant women were at a higher risk for obstetric complications, required more mechanical ventilation and intensive care unit (ICU) admissions, and had higher mortality rates compared to non-infected expectants. Material and Methods: A cross-sectional observational study was conducted by the Department of Obstetrics and Gynecology, in collaboration with the Department of Radiodiagnosis, ESIC Medical College and Hospital between April 2020 and December 2021. All pregnant women who were tested positive for COVID-19 infection, irrespective of symptoms at the time of or after admission, who delivered at our center and who consented were included in the study. Results: Out of the 4127 deliveries conducted during the study period, 164 (3.97%) were tested COVID-19 positive. In our study, 24/164 (14.6%), 22/164 (13.4%), and 14/164 (8.5%) had hypothyroidism, hypertension, and gestational diabetes respectively. Results of maternal outcomes showed missed abortions in 1.8% of study women, ectopic pregnancy in 1.2%, preterm delivery in 9.4%, and prelabour rupture of membranes in 12.4% of women. 5/164 (3%) women had intrauterine fetal death at admission and 4.8% required ICU admissions. There was one maternal death reported in our study. Conclusion: Most of the instances that were reported did not show evidence of maternal-fetal transmission of the SARS-CoV-2 virus, although one newborn who was kept apart from the mother for 36 hours after delivery tested positive for the virus using qRT-PCR. It is necessary to closely monitor pregnancies with COVID-19 and take precautions against newborn infection.
Histological Changes in the Lungs of Laboratory Mice Treated with Valsartan and Vitamin E
Authors:   Universty of Kufa Faculty of Education for girls Department of Biology, Iraq., Sukkar Ferial Rashid , Mohammed Jabbar Abadi ,   Universty of Kufa/ Faculty of Science Department of Biology, Iraq.
Published: July 2024

Background: This study was conducted in the Department of Biology, University of Kufa. The objective was to demonstrate the effect of using valsartan on the histological structure of the lung in albino mice and the possibility of reducing these effects by treating the animals with vitamin E. Mice treated with valsartan were aged 7-8 weeks and weighed 26-30 g. Methods: 24 adult male albino mice were divided into 4 groups, with 6 mice in each group. The control group, which is the first group, was injected with NACL (0.1 ml) daily for 30 days, subcutaneously. The second group, the vitamin E treatment group, was injected with vitamin E at a dose of 2 mg/kg daily for 30 days, subcutaneously. The third group was injected with valsartan at a dose of 20 mg/kg daily for 30 days, subcutaneously. In the fourth group, the animals were injected with vitamin E at a dose of 2 mg/kg and valsartan at a dose of 20 mg/kg. After the experiment ended, the mice were all sacrificed. Results: Histological sections of the lungs of the different groups were prepared, and the changes in the histological structure were studied using a light microscope. Conclusion: The results showed the protective role of vitamin E in maintaining the lung histological structure in mice treated with valsartan compared to the control treatment
Virulence Determination in Invasive and Commensal Staphylococcus Epidermidis
Authors:   Department of Biology, College of Science, University of Baghdad, Baghdad, Iraq., Muneam Hind Hamid , Flayyih May Talib ,   Department of Biology, College of Science, University of Baghdad, Baghdad, Iraq.
Published: July 2024

Aims: The research primarily focuses on the virulence factors in Staphylococcus epidermidis isolates and their role in human disease. Methods: 15 Staphylococcus epidermidis isolates were obtained from urine, wound, and blood samples from various hospitals in Baghdad. Additionally, 15 Staphylococcus epidermidis isolates were collected from the urine and fingerprints of healthy individuals in Baghdad from July 2021 to January 2022. The resistance of the isolates to antibiotics was evaluated by conducting the disk diffusion test, which involves placing antibiotic-containing disks on a culture plate to observe the extent of bacterial growth inhibition around each disk. The antibiotics tested included Vancomycin (VA- 30µg), Cefoxitin (CFX- 30µg), Gentamicin (CN-10µg), Tetracycline (TE-10 µg), Levofloxacin (LEV- 5µg), Oxacillin (OX- 5µg), Penicillin G (P-10 µg), Rifampin (RA- 5µg), and Clindamycin (DA-10 µg). The frequency of virulence genes (fdh, mecA, clf, IgG, sesI) was determined using PCR assay. Results: A total of 30 S. epidermidis isolates were detected by traditional biochemical tests, and Viteck 2 had higher rates of resistance to cefoxitin (80%), oxacillin (90%), penicillin (86.6%), clindamycin (60%), gentamicin (76.6%), levofloxacin (80%), and tetracycline (26.6%). The most effective antibiotics are vancomycin (90%) and rifampin (86%). Moreover, the detection of 3/15 (20%), 12/15 (80%) of commensal marker fdh, and 3/15 (20%), 1/15 (6.6%) of invasive marker sesI genes, 11/15 (73.3%), 14/15 (93.3%) while other virulence genes mecA, clf, IgG were detected in 6/15 (40%), 7/15 (46.6%), 9/15 (60%), and 14/15 (93.3%) in clinical and healthy individual isolates, respectively.
Developing a Neural Network Model for Type 2 Diabetes Detection
Authors:   Information Technology Department, Faculty of Computing and Information Technology, King Abdulaziz University Jeddah, Saudi Arabia, Alsulami Noha , Sarhan Shahenda ,   Computer Science Department, Faculty of Computers and Information Sciences, Mansoura University, Mansoura, Egypt., Almasre Miada ,   Information Technology Department, Faculty of Computing and Information Technology, King Abdulaziz University Jeddah, Saudi Arabia, Alsaggaf Wafaa ,   Information Technology Department, Faculty of Computing and Information Technology, King Abdulaziz University Jeddah, Saudi Arabia
Published: July 2024

Worldwide, the healthcare system is greatly impacted by the changing requirements of the people. Diabetes is a long-lasting condition that can lead to serious complications if not controlled correctly. It is divided into Type 1 (DT1) and Type 2 (DT2) diabetes. Research shows that almost 90% of Diabetes cases are DT2, with DT1 making up around 10% of all Diabetes cases. This paper suggests a Rough-Neuro classification model for identifying Type 2 Diabetes, which includes a two-stage process. The approach includes utilising Rough sets JohnsonReducer to eliminate unnecessary features or characteristics and multi-layer perceptron for illness categorization. The suggested technique seeks to reduce the amount of input characteristics, which results in a reduction in the time needed to train the neural network and the storage space required. The findings show that decreasing the amount of input characteristics results in a lower neural network training time, enhances model performance, and reduces storage needs by 63%. It is worth mentioning that a smaller neural network with only seven hidden layers, trained for 1000 epochs with a learning rate of 0.01, attained the best performance, but time and storage were much decreased.
Exploring Clinical Competencies and Ethical Reflections: A Multi-Patient Simulation-Based Training Program for Emergency Medicine Residents
Authors:   Department of Medical Education, Bursa Uludag University, Bursa, Turkiye., Aydin Mevlut Okan
Published: July 2024

Objectives: This study aims to assess the proficiencies, ethical considerations, and crisis management abilities of emergency medicine residents through a multi-patient simulation program. The research investigates the impact of this training on developing skilled emergency care providers. Methods: Fifteen emergency medicine residents at various training levels were evaluated by two specialists across five simulation scenarios aligned with ACGME competencies. Performance in clinical decision-making, communication, and teamwork was assessed using a 5-point Likert scale and Google Forms, following obtaining informed consent. Results: The study lasted three days and included briefings, simulations, and debriefings. Residents demonstrated differing performance levels, excelling in patient history taking and data reassessment but facing challenges in forensic inquiries, ethical dilemmas, and team communication under pressure. Residency experience showed positive correlations with certain performance aspects. Conclusions: Variations in residents' performances highlight the complexities of emergency medicine and the role of simulation in identifying educational gaps. The debriefing session emphasized the importance of ethical practice and effective team communication. The debriefing session highlighted ethical conduct and effective team communication, advocating simulation-based training to improve emergency medicine competencies. Additionally, the session gathered information that would guide future research endeavors and the development of educational policies.