bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of Propofol-Fentanyl and Propofol-Ketamine for Sedoanalgesia in Percutaneous Endoscopic Gastrostomy Procedures
Authors: Duran M , Dogukan M , Tepe M , Ceyhan K , Sertkaya M , Uludag O , Yilmaz N
Published: September 2022

Background:

Percutaneous endoscopic gastrostomy (PEG) procedures are performed under sedation in critically ill patients who cannot be fed orally.

Aim:

We compared the efficacy and safety of propofol-fentanyl and propofol-ketamine for deep sedation in patients undergoing PEG. Retrospective Study.

Materials and Methods:

The study was conducted from 1 January 2013 to 31 December 2018 in Adıyaman University. The patients given propofol-fentanyl (0.5–1.2 mg/kg and 0.2–1 μg/kg, respectively) for sedo-analgesia were designated Group F, and those who received propofol-ketamine (0.2–0.6 mg/kg and 0.5–1 mg/kg, respectively) were placed in Group K. The demographic and hemodynamic characteristics, recovery times, perioperative complications, and need for additional doses were recorded.

Results:

Seventy-one patients who underwent PEG were analyzed. The age, sex, American Society of Anesthesiologists (ASA) score, comorbidities, duration of anesthesia, and duration of the PEG procedure were similar in the two groups. Recovery time was longer in Group K. The total propofol dose was 64 mg in Group F and 35 mg in Group K. Additional doses of propofol were administered to 12 patients in Group F, compared to none in Group K. The mean blood pressure values were higher in Group K at all-time points. The perioperative complication rate was higher in Group F. Desaturation was observed in 9 (22.5%) patients in Group F and in 3 (9.6%) patients in Group K. Hypotension was observed in 4 (10%) patients in Group F.

Conclusion:

Propofol-ketamine should be preferred for sedoanalgesia during PEG procedures because of the lower dose of propofol, more stable blood pressure, and greater peripheral oxygen saturation. In addition, we believe ketamine-propofol is safer based on its low complication rate.
Correlation Between Prostate Volume and Prostate-Specific Antigen in Nigerian Men with Symptomatic Histologically-Diagnosed Benign Prostatic Hyperplasia
Authors: Aigbe E , Irekpita E , Ogbetere FE , Alili UI
Published: September 2022

Background:

Prostate-specific antigen (PSA) is elevated in the serum of most men with prostatic diseases. Benign prostatic hyperplasia (BPH) is the commonest of these diseases. The degree of enlargement of the prostate may determine the amount of PSA elaborated. Several reports in some parts of the world have shown a significant correlation between prostate volume (PV) and PSA. However, only a few reports have been documented in Nigeria, especially in the South-South region.

Aim:

This research aimed to ascertain if there is any correlation between prostate volume (PV), total PSA (tPSA), and free PSA (fPSA) in men with histologically diagnosed BPH. This knowledge may help in the estimation of PV from a given PSA.

Patients and Methods:

This prospective hospital-based study was carried out in a southern Nigerian tertiary hospital between November 2017 and October 2018. Eighty (80) eligible and consenting patients participated in the study and were enrolled at first contact in the urology clinic. Each patient's blood was taken for PSA estimation. The prostate volume was estimated by transrectal ultrasound scan (TRUS). Those who had tPSA values greater than 4 ng/mL whose biopsy report showed prostate malignancy were excluded from the study. A proforma was used to collect patients' sociodemographic and clinical information. Data were entered and analyzed with Statistical Package for Social Sciences version 22 (SPSS Inc., Chicago, IL, United States). For all statistical tests, P < 0.05 was regarded as significant.

Results:

The mean age of the patients for this study was 68.03 years. The mean prostate volume was 87.9 mL with a range of 34 to 234 mL. The mean tPSA was 5.5 ng/mL with ranges of 1.1 to 21.1 ng/mL. There was a significant correlation between PV and tPSA with a P value of 0.0001. This correlation was also shown between PV and fPSA with a P value of 0.0001.

Conclusion:

There is a statistically significant correlation between PV and PSA (both free and total) in men with symptomatic histologically diagnosed BPH. This finding showed that larger benign prostate glands elaborated greater amounts of PSA. It may, therefore, be appropriate to say that it is not in all cases of elevated serum tPSA that the possibilities of malignancy or inflammation should be entertained.
A Comparison of Goldmann Applanation Tonometry and Rebound Tonometry Measurements Among Patients Attending a Glaucoma Clinic in Southwest Nigeria
Authors: Ashano O , Oderinlo O , Ogunro A , Ashano E
Published: September 2022

Background:

The accurate measurement of intraocular pressure (IOP) is a fundamental basic examination in daily ophthalmic practice and is important in managing many ophthalmic diseases and conditions such as glaucoma, uveitis, and following trauma. Accurate measurement of IOP is particularly important in glaucoma because the intraocular pressure is the most important modifiable risk factor in its management.

Aim:

To compare intraocular pressure (IOP) measurements obtained with the Goldmann applanation (GAT) tonometer to intraocular pressure measurements obtained with the iCare rebound tonometer (RBT) and evaluate the suitability of the iCare tonometer for routine clinical use among adult patients attending a glaucoma clinic in Southwest, Nigeria.

Patients and Methods:

The study was a comparative cross-sectional study. A total of 132 eyes of 132 patients were recruited for the study. Three consecutive IOP measurements were obtained with each of the instruments by the same observer. A difference in IOP of ± 3 mmHg between the two instruments was considered clinically significant in this study.

Results:

The mean IOP measurement from GAT was 15.18 mmHg (±4.26 mmHg) and 16.32 mmHg (±4.48 mmHg) from RBT. The mean central cornea thickness was 520.66 μm (±33.34). Pearson's correlation (r = 0.84) revealed a strong statistically significant correlation between GAT and RBT measurements and paired student t-test revealed a statistically significant difference in the means of IOP obtained by the GAT and RBT. There was a tendency for RBT to yield higher IOP measurements.

Conclusion:

The intraocular pressure measurements obtained with iCare RBT and GAT though strongly correlated, showed statistically significant differences in the means. The impact of central cornea thickness on measurements obtained by GAT and RBT was statistically insignificant. The iCare rebound tonometer, cannot replace GAT for routine use in the glaucoma clinic.
Dexmedetomidine versus tramadol for preventing postanesthesia shivering following major maxillofacial surgery
Authors: Shafshak Wafaa M. , Arida Emad E.A. , Zanaty Ola M.E. , Elkhayat Mohammed
Published: September 2022

Background and aims

Shivering is distressing to the patient and discomforting to the attending anesthesiologist, with a varying degree of success. Various drugs and regimens have been used to abolish the occurrence of shivering. This study aims to study and compare the efficacy of dexmedetomidine and tramadol in the prevention of post general anesthesia shivering in patients undergoing major maxillofacial surgery.

Patients and methods

The study was carried out on 64 adult patients, in the age group from 20 to 60 years of both sexes, American Society of Anesthesiology physical status I and II, admitted at the Maxillofacial Surgery Department at Alexandria Main University Hospital and scheduled for major maxillofacial surgery lasting for more than 4 h. Patients were randomly divided into two equal groups of 32 patients each, using sealed envelopes. This study was a single-blinded study. Group I patients received intravenous dexmedetomidine 1.0 μg/kg 15 min before wound closure. Group II patients received intravenous tramadol 0.1 mg/kg 15 min before wound closure. Vital signs such as heart rate, blood pressure, oxygen saturation, core body temperature, and surface body temperature were observed and recorded on arrival to the postanesthesia care unit, 5, 10, 15, 20, 30 min, 1, 3, 6 h after surgery. Any incidence, occurrence, and duration of shivering was recorded and intensity of shivering using the four-point scale. Statistical analysis of the data were fed to the computer and analyzed using IBM SPSS software package, version 20.0. Qualitative data were described using number and percent. Quantitative data were described using range (minimum and maximum), mean, SD, and median. Significance of the obtained results was judged at the 5% level.

Results

There was no statistically significant difference between the two groups regarding demographic data, duration of anesthesia and oxygen saturation. Heart rate was statistically significantly lower in group I (dexmedetomidine) than in group II (tramadol group) (P≤0.001). There was a statistically significant difference in blood pressure between the two groups being lower in group I (dexmedetomidine). Core and surface body temperature were statistically significantly lower in group I (dexmedetomidine); there was no significant difference in either occurrence, intensity, or duration of shivering.

Conclusions

intravenous dexmedetomidine and tramadol seems to possess antishivering properties and were found to reduce the occurrence of shivering in patients undergoing general anesthesia.
Thorax trauma severity score and trauma injury severity score evaluation as outcome predictors in chest trauma
Authors: El-Aziz Tamer F.A. , El Din Abdallah Abdallah S. , Abdo Alaa G.A. , El-Hag-Aly Mohammed A.
Published: September 2022

Objective

The aim was to evaluate the performance of thorax trauma severity score (TTSS) in predicting hospital mortality in thoracic trauma and comparing its performance with the trauma and injury severity score (TRISS).

Background

Because the great risk of thoracic trauma that may be life-threatening especially if uncontrolled, early management of it reduces mortality of polytraumatized patients. TTSS and TRISS were developed for the purpose of prediction of hospital mortality in thoracic trauma.

Patients and methods

This is a prospective comparative study done on 100 patients with chest trauma, either isolated chest trauma or as a part of polytrauma, who presented to the Emergency Department of Menoufia University Hospital during the period from April 2019 to April 2020. TTSS score was applied to assess its performance and comparing it with TRISS score.

Results

TTSS and TRISS scores were applied on 100 patients with trauma meeting inclusion criteria to predict the hospital mortality in thoracic trauma. The area under the receiver operating characteristics curve was 0.88 for TTSS score and 0.892 for TRISS score.

Conclusion

This study demonstrates that the TRISS, and the TTSS, can be used to predict hospital mortality in patients with thoracic trauma; hence, additional prospective studies are required. We believe that the study provides important information regarding validation of the TTSS, as it had a direct correlation with need for oxygenation, ventilator, duration of hospital stay, mortality, or outcome in patients with chest trauma.
Role of nebulized heparin in mechanically ventilated critically ill patients
Authors: Dahroug Amr H. , Zaytoun Tayseer M. , Ahmed Mohamed S.
Published: September 2022

Background

Mechanical ventilation is a technique for supporting or substituting respiration. Fibrin deposition in the pulmonary microcirculation and alveolar sacs (hyaline membrane generation) is a major inflammatory route of lung injury, as it hinders both alveolar perfusion and ventilation. Heparin lowers fibrin deposition in the lungs and improves clinical outcomes in mechanically ventilated patients, according to clinical and experimental studies. Heparin nebulization may be more efficient than systemic delivery.

Aim

The purpose of this study was to evaluate how nebulized heparin affected both morbidity and mortality rates in mechanically ventilated patients.

Patients and methods

A total of 50 patients who required mechanical ventilation for more than 48 h were assigned into two groups: group 1 (control group) received 0.9% nebulized saline and group 2 (treatment group) received nebulized heparin. All patients were subjected to complete history taking, complete physical examination, routine laboratory investigations, daily arterial blood gas analysis and chest imaging, and Sequential Organ Failure Assessment score every 48 h. The primary end point was to evaluate lung functions such as airway resistance, static compliance, hypoxic index, and ventilator-free days. The development of acute respiratory distress syndrome after enrollment, tracheostomy rate, vasopressor-free days, length of ICU stay, and mortality rate at days 7 and 28 were all secondary end points.

Results

On days 2, 3, 4, 5, and 7, the mean static compliance in the treatment group was considerably higher than in the control group, with a statistically significant difference at days 2 and 4. The mean hypoxic index in the nebulized heparin group was significantly higher than in the control group. The nebulized heparin group had significantly more days without using vasopressors than the control group.

Conclusion

In patients needing mechanical ventilation for more than 48 h, nebulized heparin significantly improved lung static compliance and hypoxic index and was associated with more vasopressor-free days.
Prevalence and determinants of opportunistic infections in HIV patients: A cross-sectional study in the city of Semarang
Authors: Sutini Sutini , Rahayu Sri Ratna , Saefurrohim Muhamad Zakki , Al Ayubi Moch Thoriq Assegaf , Wijayanti Herlina , Wandastuti Anggun Dessita , Miarso Dani , Susilastuti Mustika Suci
Published: September 2022

BACKGROUND: Opportunistic infection (OI) is the most significant complication of the human immunodeficiency virus (HIV). Differences in the characteristics of HIV patients make the prevalence of Opportunistic infection different between regions. The study aimed to identify variables associated with OI incidence among HIV-infected patients in Semarang City, Indonesia.METHODS: This study uses secondary data sourced from special HIV surveillance for 2019-2021 with a cross-sectional method. 1362 HIV patients with variables health care facilities; year of diagnosis; area of residence; age; sex; pregnancy status; occupation; risk factors; risk group determined based on purposive sampling were included in the chi-square analysis and logistic regression.RESULTS: This study showed 12.3% (n=167) of HIV patients experienced OI, where OI was more common in HIV patients with risk groups of sex workers (28.70%), high-risk partners (18.60%), and Male Sex with Men (MSM) (15.40). The most common types of OI were tuberculosis infection (43%), candidiasis (21%), and diarrhea (9%). Age was the variable most associated with the incidence of OI (p-value 0.001).CONCLUSIONS: Age groups 45-54 years and 55-64 years have the most influential association with Opportunistic infection incidence in HIV patients, so planning an appropriate intervention program for this subpopulation is necessary.
Screening of BRCA1 (c.5177_5180delGAAA rs80357867 and c.4986+6T>C rs80358086) and the BRCA2 (c.6445_6446delAT rs80359592) genes for breast cancer prevention in Burkina Faso
Authors: Kiendrebeogo Isabelle T. , Zoure Abdou A. , Zongo Fabienne I. , Ouedraogo Serge Y. , Sawadogo Alexis Y. , Amegnona Jospin , Sombie Herman K. , Bazie Jean T. Valérie Elvira , Sorgho Endé A. , Yonli Albert T. , Ouedraogo Marie N. Lamoussa , Obiri-Yeboah Dorcas , Zongo Nayi , Bambara Hierrhum A. , Simpore Jacques
Published: September 2022

BACKGROUND: The objective of this study is to search for mutations in the BRCA1 (c.5177_5180delGAAA and c.4986+6T>C) and BRCA2 genes (c.6445_6446delAT) in a population of women diagnosed with breast cancer.METHODS: This is a case-control study that involved 140 participants, including 70 patients with histologically diagnosed breast cancer and 70 healthy women without breast cancer. Mutations in the BRCA1 (rs80357867, rs80358086) and BRCA2 (rs80359592) genes were tested by real-time PCR. The 95% confidence interval Odds Ratio (OR) was used to estimate the associations between specific genotypes and breast cancer.RESULTS: The study revealed that no mutations were detected for rs80359592. Similarly, no reference allele (TTTC/TTTC) of rs80357867 was found in this study. However, the homozygous double mutant (-/) genotype of this rs80357867 was observed in 11.43% and 1.43% of patients and controls respectively, while 88.57% of patients and 98.57% of controls had a heterozygous deletion (TTTC/-). Concerning rs80358086, 8.57% of the patients had a heterozygous mutation (A/G) with no significantly risk association with occurrence of breast cancer (OR = 6.46; 95% CI: 0.75-55.21; p = 0.11). In addition, this heterozygous mutation was significantly associated with a family history of breast cancer (OR=128; 95% CI: 9.46-1730.93) and breast cancer risk in nonmultiparous women (OR=6; 95% CI: 1-35.90; p= 0.05) but no association with overweight/obesity (OR=1.66; 95% CI: 0.18-15.35; p=1).CONCLUSION: This study shows high frequencies of heterozygous mutation of rs80357867 and rs80358086 from patients. In Burkina Faso, these results could help with early diagnosis of breast cancer in patients.
Morphological and molecular characterization of the genus Coolia (Dinophyceae) from Bahía de La Paz, southwest Gulf of California
Authors: Morquecho Lourdes , Gárate-Lizárraga Ismael , Gu Haifeng
Published: September 2022

The genus Coolia A. Meunier 1919 has a global distribution and is a common member of epiphytic dinoflagellate assemblages in neritic ecosystems. Coolia monotis is the type species of the genus and was the only known species for 76 years. Over the past few decades, molecular characterization has unveiled two species complexes that group morphologically very similar species, so their limits are often unclear. To provide new knowledge on the biogeography and species composition of the genus Coolia, 16 strains were isolated from Bahía de La Paz, Gulf of California. The species were identified by applying morphological and molecular approaches. The morphometric characteristics of all isolated Coolia species were consistent with the original taxa descriptions. Phylogenetic analyses (large subunit [LSU] rDNA D1 / D2 and internal transcribed spacer [ITS] 1 / 5.8S / ITS2) revealed a species assemblage comprising Coolia malayensis, C. palmyrensis, C. tropicalis, and the C. cf. canariensis lineage. This is the first report of Coolia palmyrensis and C. cf. canariensis in Mexico and C. tropicalis in the Gulf of California. Our results strengthen the biogeographical understanding of these potentially harmful epiphytic dinoflagellate species.
Assessing the Effectiveness of the MOVER Program for Treating Attention Deficit in Children (MOVER: Movement Opportunities Through Vestibular Engagement Rhythm)
Authors: Williams` Lindsay , Skubik-Paplaski Camille
Published: September 2022

Background: The purpose of this study was to investigate the effects of participation in a movement- to music program on the attention span of elementary school-aged children who have attention deficits. The hypothesis was that participants would demonstrate improved attention on the Test of Sustained Selective Attention (TOSSA) (Kovacs, 2015).
Methods: This quantitative study involved nine children who participated in four movement-to-music sessions with a staggered stop over a period of six weeks. The study incorporated a single group pre-test/post-test design, and a non-parametric Sign Test was utilized to analyze data from the TOSSA subcategories of concentration, detection, response inhibition, and test-taking time tolerance. Supporting qualitative data was also collected through peer debriefing, field notes, and a reflexive journal.
Results: TOSSA results found that the movement-to-music program can significantly improve the attention of children who have attention deficits.
Discussion: This study demonstrated positive implications for occupational therapy practice and for policy change regarding the inclusion of vestibular/proprioceptive movement opportunities available for children, especially those who have attention deficits.
MENINGKATKAN HASIL BELAJAR TENTANG SEL MELALUI IMPLEMENTASI PEMBELAJARAN DARING APLIKASI GOOGLE CLASSROOM PADA SISWA KELAS XI IPA.1 SMA NEGERI 1 TEGALLALANG
Authors: Budiyasa Dewa Putu
Published: September 2022

Tujuan penelitian tindakan kelas ini, untuk meningkatkan hasil belajar tentang Sel melalui implementasi pembelajaran daring dengan aplikasi Google Classroom pada siswa kelas XI IPA.1 SMA Negeri 1 Tegallalang tahun pelajaran 2019/2020. Penelitian tindakan kelas dilaksanakan dalam dua siklus tindakan. Subjek penelitian adalah seluruh siswa kelas XI IPA.1 SMAN 1 Tegallalang yang berjumlah 34 orang dengan rata-rata hasil belajar masih di bawah KKM. Teknik pengumpulan data melalui observasi dan tes hasil belajar siswa. Data hasil belajar dianalisis dengan rumus mean dan persentase ketuntasan belajar. Hasil penelitian dua siklus tindakan menunjukan peningkatan hasil belajar dengan nilai rata-rata siklus I sebesar 82,85 dan nilai rata-rata siklus II sebesar 87,18 jika dibandingkan nilai rata-rata pra siklus sebesar 75,32. Peningkatan persentase ketuntasan belajar siswa pada siklus I sebesar 88,24% dan meningkat pada siklus II sebesar 100%, jika dibandingkan ketuntasan belajar pada pra siklus sebesar 47,06%. Dengan demikian berdasarkan analisis data dapat disimpulkan bahwa implementasi pembelajaran daring dengan aplikasi Google Classroom dapat meningkatkan hasil belajar tentang Sel siswa kelas XI IPA.1 SMAN 1 Tegallalang tahun pelajaran 2019/2020.
MENINGKATKAN KUALITAS KEDISIPLINAN MENGIKUTI TATA TERTIB SEKOLAH MELALUI KONSELING INDIVIDUAL
Authors: Supriati I Wayan
Published: September 2022

Penelitian ini dilaksanakan di SMA Negeri 1 Penebel. Tujuan penulisan penelitian tindakan kelas ini adalah untuk mengetahui apakah model konseling individu dapat meningkatkan kedisiplinan siswa dalam mengikuti tata tertib sekolah. Metode pengumpulan datanya adalah observasi. Metode analisis datanya adalah deskriptif untuk data kualitatif. Hasil yang diperoleh dari penelitian ini adalah konseling individu dapat meningkatkan kedisiplinan siswa dalam mengikuti tata tertib sekolah. Ini terbukti dari hasil yang diperoleh pada Siklus I meningkat nilai rata-rata menjadi 72,06 dari data awal. Dari Siklus I ke Siklus II naik nilai rata-ratanya menjadi 91,27. Kesimpulan yang diperoleh dari penelitian ini adalah konseling individu dapat meningkatkan kedisiplinan siswa dalam mengikuti tata tertib sekolah.
PENERAPAN MODEL PROBLEM BASED LEARNING UNTUK MENINGKATKAN PRESTASI BELAJAR IPS SISWA SMP NEGERI 1 TABANAN
Authors: Rusmini Anak Agung Kompiang
Published: September 2022

Tujuan Penelitian ini adalah meningkatkan prestasi belajar IPS siswa kelas IX A SMP Negeri 1 Tabanan Tahun Pelajaran 2020/2021. Penelitian ini adalah penelitian tindakan kelas (PTK), dilaksanakan di kelas IX A SMP Negeri 1 Tabanan dengan subjek penelitian sebanyak 37 siswa. Adapun data yang dikumpulkan adalah data prestasi belajar siswa. Data prestasi belajar siswa dikumpulkan dengan metode test untuk masing-masing siklus. Hasil analisis data menunjukkan bahwa : (1) Nilai rata-rata mulai mengalami peningkatan pada siklus I sebesar 77,16 % dari kegiatan prasiklus yaitu 67,16% dan kembali meningkat lagi pada siklus II sebesar 80,94 % dari kegiatan siklus I; (2) Persentase rerata hasil belajar juga mulai mengalami peningkatan pada siklus I sebesar 80,94% dari prasiklus yaitu 67,16% dan mengalami peningkatan lagi pada siklus II sebesar 80,94% dari kegiatan siklus I; (3) Jumlah siswa yang tuntas mengalami peningkatan pada siklus II sebanyak 33 siswa dari kegiatan siklus I yaitu sebanyak 27 siswa. Kesimpulannya adalah dengan model problem based learning dapat meningkatkan prestasi belajar IPS siswa kelas IX A SMP Negeri 1 Tabanan Tahun Pelajaran 2020/2021
PENERAPAN MODEL PEMBELAJARAN INKUIRI TERBIMBING MELALUI TUTOR SEBAYA UNTUK MENINGKATKAN PRESTASI BELAJAR KIMIA SISWA SMA PGRI TABANAN 6 BAJERA
Authors: Mahyuni Ni Wayan Sri
Published: September 2022

Penelitian ini bertujuan untuk mengetahui apakah pemahaman konsep siswa menggunakan inkuiri terbimbing melalui tutor sebaya dapat meningkatkan prestasi belajar kimia. Penelitian ini dilaksanakan di SMA PGRI Tabanan 6, dengan jumlah subjek sebanyak 17 orang siswa kelas XI MIPA 1. Penelitian ini merupakan Penelitian Tindakan Kelas (PTK), yang dilaksanakan di SMA PGRI Tabanan 6. Penelitian dilakukan pada siswa kelas XI MIPA   pada semester ganjil tahun ajaran 2017/2018. Jumlah siswa yang diberi tindakan sebanyak 17 orang. Penelitian ini dilaksanakan dalam dua siklus yang tiap siklusnya terdiri atas perencanaan, pelaksanaan tindakan, observasi, dan refleksi. Metode pengumpulan data dilakukan dengan melakukan tes ulangan harian. Data penelitian dianalisis secara deskriptif dengan pendekatan persentase. Hasil penelitian menunjukkan bahwa 1. prestasi belajar pengetahuan kimia siswa pada siklus I mendapat nilai rata- rata kelas sebesar 69,83 dengan ketuntasan klasikal 77% sedang prestasi belajar keterampilan siswa dengan rata-rata 70,3 dengan ketuntasan klasikal 83% . Prestasi belajar pengetahuan kimia pada siklus II memperoleh nilai rata-rata 71,5 dengan ketuntasan klasikal 93 % sedang prestasi belajar keterampilan siswa dengan rata-rata 71 dengan ketuntasan klasikal 90 %. Dari data prestasi belajar pengetahuan siswa dan prestasi belajar keterampilan siswa terjadi peningkatan maka bisa disimpulkan Penerapan Model Pembelajaran Inkuiri Terbimbing Melalui Tutor Sebaya dapa tmeningkatkan prestasi belajar siswa. Dengan demikian, pemahaman konsep menggunakan inkuiri terbimbing melalui tutor sebaya dapat digunakan sebagai alternatif pembelajaran guna meningkatkan prestasi belajar kimia
PENELITIAN TINDAKAN KELAS PADA PEMBELAJARAN MATEMATIKA DI SEKOLAH (Studi Evaluatif Terhadap hasil-hasil Penelitian Mahasiswa)
Authors: Yasna I Made , Antara Anak Agung Purwa , Nayun I Wayan
Published: September 2022

Dalam penyelesaian tugas akhir, mahasiswa program studi pendidikan matematika Institut Keguruan dan Ilmu Pendidikan Saraswati lebih banyak memilih penelitian tindakan kelas. Hal ini dilakukan dalam rangka mempersiapkan diri mereka untuk menjadi guru profesional. Guru Profesional adalah guru yang mampu bekerja dengan cepat, tepat, beretika sesuai dengan latar belakang pendidikannya dan memperoleh penghasilan dari pekerjaannya itu. Salah satu bidang kegiatan guru untuk mengembangkan profesionalismenya adalah melakukan kegiatan penelitian sederhana di bidang pendidikan. Penelitian tersebut dapat berupa penelitian deskriptif, penelitian eksperimen, atau penelitian tindakan kelas. Penelitian tindakan kelas merupakan salah satu jenis penelitian yang dapat dilakukan seorang guru di kelasnya untuk menemukan kelemahan dan kendala dalam proses belajar mengajarnya, dan dengan penuh kesadaran mau memperbaikinya untuk meningkatkan proses dan prestasi belajar siswa. Karakteristik penelitian tindakan kelas antara lain : permasalahan yang akan dicarikan solusinya berasal dari persoalan nyata dalam proses pembelajaran sehari-hari di kelas, berskala mikro, hasil temuan tidak untuk digeneralisasikan, bersifat kontekstual, dan rancangan penelitiannya berupa siklus
PERANAN APLIKASI PHOTOMATH DALAM PEMBELAJARAN MATEMATIKA DI ERA LITERASI DIGITAL (KAJIAN PUSTAKA)
Authors: Permana Dewi I Wayan Dian , Handayani I Gusti Agung
Published: September 2022

Seiring dengan perkembangan zaman, teknologi yang ada saat ini mengalami perkembangan mengikuti derasnya arus globalisasi terutama di Era Literasi Digital. Perkembangan teknologi ini menghasilkan banyak hal positif di berbagai bidang, salah satunya dalam bidang Pendidikan. Dampak positif yang bisa kita rasakan saat ini, yaitu pembelajaran jarak jauh tetap dapat dilaksanakan melalui media sosial yang semakin canggih. Selain teknologi yang dibutuhkan agar dapat terlaksananya pembelajaran melalui daring, siswa juga membutuhkan aplikasi tambahan untuk memahami suatu materi, apalagi ketika masa pandemi covid-19 ini waktu yang digunakan dalam pembelajaran sangat terbatas sehingga siswa tidak maksimal dengan apa yang dipelajarinya. Seperti halnya dalam mata pelajaran matematika, siswa membutuhkan referensi lebih dalam memahami suatu materi, biasanya siswa melihat tutorial dari youtube, internet, ataupun melalui sebuah aplikasi. Salah satu aplikasi yang banyak digunakan oleh siswa yaitu Photomath. Photomath merupakan sebuah aplikasi pintar yang dapat membantu para siswa dalam proses pemecahan suatu masalah matematika. Aplikasi Photomath sendiri memiliki banyak fitur yang bisa digunakan oleh pengguna. Dari ketik soal Matematika secara manual,pindai soal menggunakan kamera smartphone, dan saat soal tersebut sudah mendapatkan jawaban dari Photomath ada fitur memberikan langkah langkah penyelesaian. Photomath sendiri dapat menyelesaikan soal-soal Matematika seperti topik desimal, pecahan, aritmatika, akar, dan persamaan liner sederhana. Jadi, Photomath merupakan sebuah aplikasi menarik untuk pembelajaran Matematika di era literasi digital, yang dapat membaca dan menyelesaikan masalah mulai dari aritmatika hingga kalkulus secara instan dengan menggunakan kamera pada sebuah perangkat seluler
A design turn: on post-truth society and the use of design
Authors: Chen Mei-Hsin
Published: September 2022

In a world with deliberate distortion of the reality to create and shape public opinion and influence social attitudes, objective facts, and logical arguments are losing to emotions and personal beliefs. This post-truth world abides by the rules of volatility, fluctuation, and surplus value that in turn, condemn some aspects of the referentiality of language to the law of obsolescence. It is imperative to conduct how this process affects design, and uncover whether it plays a vital part since, to some extent, design involves the cultivation of emotions in the development of solutions. Literature shows that insincerity exists in the design and advertising industry and the fact that the world works in the way that we design it. Therefore, designers must uphold their social responsibility to create a better world. It is shown that emotions are critical drivers of the designs. Also, it is demonstrated that design is a public language that settles objectives, interests, instruments, and affections held individuals to create political competence and dialogue.
FEATURES OF THE ORGANIZATION AND ACCOUNTING OF THE ACQUISITION OF MATERIALS
Authors:   Konstantin Preslavsky University of Shumen, IVANOVA DIANA , STOYANOVA SLAVENA ,   Konstantin Preslavsky University of Shumen
Published: September 2022

Issues related to the accounting of inventories, including the accounting of materials, are widely presented in the specialized accounting literature. They are also presented in the legislation in our country concerning accounting, and in particular in the National Accounting Standards, SS 2 "Accounting for inventories". Knowledge of the mechanisms for acquisition of inventories affects the good organization of the reporting process and is a factor for their management and control.
COUPLED FIXED POINTS RESULTS FOR HARDY–ROGERS TYPE OF MAPS WITH THE MIXED MONOTONE PROPERTY OBTAINED WITH THE HELP OF A VARIATIONAL TECHNIQUE
Authors:   Paisii Hilendarski University of Plovdiv, AJETI LAURA , ZLATANOV BOYAN ,   Paisii Hilendarski University of Plovdiv
Published: September 2022

Sufficient conditions have been obtained for the existence and uniqueness of coupled fixed points for Hardy-Rodgers maps with the mixed monotone property in partially ordered metric spaces using a variational technique. The obtained result generalizes and enriches already known results for other types of maps with mixed monotone property. It is shown that in partially ordered metric spaces the maps of Hardy-Rodgers and Reich with mixed monotonic properties do not coincide.
TEACHER’S PERCEPTIONS REGARDING THE IMPLEMENTATION OF DIDACTICAL GAMES IN MATH EDUCATION
Authors:   Konstantin Preslavsky University of Shumen, MILCHEVA STEFKA
Published: September 2022

The article discusses the didactical game as method for activating the learning activity in math education in junior high. It gives an example of a game used in math classes for fifth grade. It present the result from a survey regarding some of the teacher’s opinions about the use of didactical games in the educational process.
BASIC GUIDELINES FOR THE IMPLEMENTATION OF FINANCIAL MANAGEMENT AND CONTROL SYSTEMS IN SCHOOLS
Authors:   Konstantin Preslavsky University of Shumen, ZAGORCHEVA - KOYCHEVA DENITSA
Published: September 2022

The report provides a brief overview with guidelines for the implementation of financial management and control systems in schools. The aim is to provide clarifications and a more accessible reading of the legal framework in order to facilitate school leaders in the implementation of the FMCS.
SOLVING PRACTICAL PROBLEMS IN TEACHING MATHEMATICS - ATTITUDES OF TEACHERS
Authors:   Konstantin Preslavsky University of Shumen, TODOROVA MARIYA
Published: September 2022

The article examines the attitudes of teachers / future teachers regarding the competence approach in mathematics education. Describes the method and its application in mathematics education. Shows the need for change in education. An analysis is conducted through a survey.
SCIENTIFIC KNOWLEDGE - CATEGORIES, TYPES AND ITS APPLICATION IN THE TEACHING OF MATHEMATICS AND INFORMATION TECHNOLOGY
Authors:   Konstantin Preslavsky University of Shumen, HARIZANOV KRASIMIR , STEFANOVA - MILANOVA SILVENA ,   Konstantin Preslavsky University of Shum
Published: September 2022

This article examines the structural elements of scientific knowledge and the possibilities for defining an object, subject, cognitive image and the relationship between them. Examples of the types of knowledge that can find practical application in the teaching of mathematics and information technology are considered.
Analisis Tingkat Pengetahuan Swamedikasi Obat Batuk pada Pasien ISPA di Apotek Siaga-24 Cikampek
Authors: Riyanti Adha , Emelia Rida
Published: September 2022

Self-medication is a human behavior that people usually do to get solutions related to health problems, for this reason self-medication must be supervised by pharmacists. Cough is one of the symptoms of ARI that can be treated with self-medication. The purpose of this study was to find out how the level of knowledge of ARI patients on cough medicine self-medication at Apotek standby-24 Cikampek. And to know the role of pharmacy technical personnel in providing information about cough medicine self-medication. This study uses a quantitative descriptive method using a cross sectional research design. Data was collected by means of a questionnaire on 55 respondents. The population in this study were ARI patient with cough symtoms aged 15 to 50 years.  The sampling technique used was purposive sampling method. This research was conducted in April - May 2021. The results of this study showed that 95.83% of respondents had a high level of knowledge of cough medicine self-medication and 4.17% showed a low level of self-medication knowledge. Then 87.50% of pharmacy staff provided complete information on self-medication of cough medicine and 12.50% of pharmacy staff were incomplete in providing information on self-medication of cough medicine. The majority of respondents understand what type of cough they suffer from and understand the selection of cough medicine so that self-medication of cough medicine can be achieved according to symptoms
Theory Organizational Behaviour untuk Menganalisa Pengaruh Psychological Well-Being dan Job Attitude terhadap Perawat Klinis
Authors: Fauzi Ahmad , Anindita Rina , Kusumapradja Rokiah
Published: September 2022

Job Attitude nurses become the basis of the formation of good health services, one of the dimensions of job attitude is job satisfaction. Clear career development makes nurse job satisfaction good and has a loyalty impact on the hospital. Psychological well-being is the most important part of the nurse's Turn Over Intention process. The number of job demand nurses in daily activities causes job attitude nurses to be not good and nurses feel dissatisfied with high job demand. The goal is to analyze the effect of Job Demand and Career Development on The Job Attitude of Nurses In Class C Hospitals Through Psychological Well-being as an Intervening Variable. Research methods with an associative quantitative descriptive approach with cross-sectional research design. The data analysis technique used is path analysis and uses 63 nurses as a saturated sample of research. The result is the Effect of Job Demand and Career Development on Nurse Job Attitude Through Psychological Well-being as an Intervening Variable. Broadly speaking there is the Influence of Job Demand and Career Development on Job Attitude Through Psychological Well-being in Class C Hospital Tangerang City. Management must make a Determination of Work load of each nursing unit in the Hospital so that it can create a good assignment, plan the nurse's career development work program and make a corner of complaints so that every problem can be resolved properly. Further research needs to develop with a larger sample and add independent variables to be more widespread in the discussion
Efektivitas Wrist Stretching, Tendon and Nerve Gliding Exercise dalam Menurunkan Nyeri dan Meningkatkan Fungsional Wrist pada Kasus Carpal Tunnel Syndrome
Authors: Anggraini Cici , Windhy Astari Rahmi
Published: September 2022

Carpal Tunnel Syndrome (CTS) is a medianus nerve clamp due to entrapment neuropathy when going through the carpal tunnel in the wrist precisely under the flexor retinaculum. The goal of this study is to find out the effectiveness of wrist stretching, tendon and nerve gliding exercise in reducing pain and improving functional wrist in people with Carpal Tunnel Syndrome. To find out the effectiveness of wrist stretching, tendon and nerve in reducing pain and improving functional wrist in cases of Carpal Tunnel Syndrome. A 58-year-old woman with a job before the doughnut seller pandemic. Patients complain of pain in the wrist spreading and feel tingling / numbness in the fingers 1-3, the fingers feel stiff and difficult to shake. Patients therapy for 2x / week in 3 weeks, one patient therapy followed for 20-30 minutes.  Patients are given therapy in the form of wrist stretching, tendon and nerve gliding exercise. Pain was measured using numeric rating scale (NRS) and Boston Carpal Tunnel Questionair (BCTQ) for the severity of CTS. After therapy was given the result of a decrease in press pain and motion pain by 1 point, and there was a slight improvement in the functional ability of the wrist measured using BCTQ. The provision of therapy in the form of wrist stretching, tendon and nerve gliding exercise can reduce pain and improve the functional ability of the wrist.
Evaluasi Kelengkapan Resep Rawat Jalan terhadap Kepatuhan SOP Peresepan di Poli dalam Rumah Sakit MM Indramayu Tahun 2020
Authors: Hardian Hartati Dinda Ayu , Emelia Rida
Published: September 2022

in its writing, inclusion of information, improper prescription, and even incorrect prescription. The impact of these errors can lead to several factors that can be detrimental, ranging from the inaccuracy of drugs given to certain individuals, errors in measuring the dose given, or incompatibility of drugs with certain patients so that it can result in disability or death. This study aims to determine the completeness of outpatient prescriptions according to prescribing SOP compliance served in the internal disease polyclinic of MM Indramayu Hospital. This study used a descriptive method which was carried out retrospectively using activity data for the period January - December 2020. Sampling was carried out using the Slovin formula and obtained 380 recipes. Based on the data collection and analysis carried out in this evaluation, it can be seen that the administrative completeness of prescriptions that meet the requirements are (74.73%), while the administrative completeness of prescriptions that do not meet the requirements are (25.26%). Administrative documents that meet the criteria are Signature, Incryptio, Invocation, Patient Name and Age (100%), while other administrations are Praescriptio/Ordonatio (28.68%), Subscriptio (45.26%), and Address (75.78%). From this evaluation, it can be concluded that many outpatient prescriptions meet the completeness aspect of the prescription SOP at MM Indramayu Hospital. However, improvements in prescribing need to be done so that there are no prescriptions that do not meet the requirements. This can be done by reviewing doctors to be more thorough and clear in prescription writing, communication between pharmacists and doctors or medical audits of prescription writing
Effect of ZN Suplementation on Blood Glucose Levels and Insulin Resistance in Diabetes Mellitus
Authors: Asiani Sefti Atletika , Nugraha Gaga Irawan , Sudigdoadi Sunarjati
Published: September 2022

Diabetes mellitus (DM) is a metabolic disorder characterized by high levels of glucose in the blood. Micromineral levels are related to the mechanism of glucose homeostasis. The abnormal zinc levels can be risk factors for DM. Improvement of micro-mineral levels can improve blood sugar levels. This study aimed to review the effects of zinc supplementation on blood glucose levels and insulin resistance. This study showed that DM was associated with low zinc levels in body serum. Zinc supplementation reduced fasting blood glucose, hemoglobin A1c levels, and insulin resistance in rat model DM and human researchs. It occurs in many types of Zn supplements. Differences in results may be due to differences in the characteristics of the subjects, doses, and periods of administration. Zn can be used for nutritional therapy in DM by considering the dose and period of supplementation, and patient characteristics to get optimal results
Profil Penggunaan Antibiotik pada Pasien Klinik Anak di Rumah Sakit MM Indramayu Periode Januari-Maret 2021
Authors: Masripah Siti , Rosmiati Meiti
Published: September 2022

Drugs are substances or combinations of substances, including biological products, which are used to influence or investigate physiological systems. Antibiotics are chemical substances produced by microorganisms that have the ability in aqueous solutions to inhibit the growth or kill microorganisms. This study uses non-experimental methods. The data collection was carried out retrospectively and presented in the form of a table. In this study, in the form of prescriptions for outpatient pediatric patients who used antibiotics at the MM Indramayu Hospital in the period January to March 2021, totaling 257 prescriptions. Based on data taken from outpatient pediatric patient prescriptions based on inclusion criteria. Patient criteria are patients who use antibiotics aged 0-11 years. The criteria for antibiotics included in the study were Rifampicin, Isoniazid, Pyrazinamide, Metronidazole, Cefadroxil, Cotrimoxazol, Cefixim. The strength of the antibiotics used are 100mg-450mg, 226mg, 70mg-300mg, 200mg-500mg, 30 mg, 100 mg, 125mg, 250mg, 500mg, 240mg, 125mg. The rules for using antibiotics are 1 x 1 powder, 2 x 1 ml, 2 x 1 cth, 2 x 1 tablet, 3 x 1 cth, 3 x 1 tablet. The dosage form of antibiotics used is powder, syrup and tablets. The results obtained include: the use of the most types of antibiotics, which is Rifampicin and Isoniazid antibiotics as many as 88 prescriptions (34.24%), the highest dosage strength is indicated by the use of Isoniazid strength 70mg-150 mg as many as 57 prescriptions (22.17%), the use of based on the rules of use, namely once a day, one dosage of pulveres rifampicin 450 mg by 88 prescriptions (34.24%), and the most antibiotic dosage forms used were pulveres/puyer preparations with 206 prescriptions (80.15%)
Analisis Luas Ruangan Berdasarkan Kebutuhan Rak di Ruang Penyimpanan Rekam Medis Rawat Jalan di RS X Kota Bandung
Authors: Ramdini Arum Putri , Apriyani Ria Khoirunnisa
Published: September 2022

Penyelenggaraan rekam medis merupakan proses kegiatan yang dimulai pada saat diterimanya pasien di rumah sakit, rekam medis disimpan dalam rak penyimpanan agar terjaga kerahasiaanya, terhindar dari kerusakan dan mempermudah petugas dalam pengambilan dan pengembalian rekam medis. Tujuan dilakukannya penelitian ini adalah untuk menganalisis dan menentukan luas ruangan berdasarkan kebutuhan rak di ruang penyimpanan berkas rekam medis rawat jalan di RS X Kota Bandung. Penelitian yang digunakan adalah deskriptif kuantitatif, sumber data di peroleh dari luas ruangan, rata-rata kunjungan pasien, jumlah rak penyimpanan, ukuran rak penyimpanan dan ketebalan berkas rekam medis. Hasil penelitian menunjukkan bahwa dalam 3 tahun terakhir (2018-2020) luas ruangan penyimpanan rekam medis adalah 75m2, jumlah kunjungan pasien sebanyak 12672 orang, jumlah penambahan rak penyimpanan sebanyak 2 unit rak yang membutuhkan luas ruangan 11m2 , ukuran rak penyimpanan adalah 4000cm dengan jarak antar rak 100cm, dan ketebalan berkas rekam medis rata-rata 5,4cm. Hasil perhitungan berdasarkan luas ruangan dan kebutuhan rak di ruang penyimpanan berkas rekam medis, dapat disimpulkan bahwa di ruang penyimpanan RS X Kota Bandung perlu ditambahkan sebanyak 2 unit rak penyimpanan berkas rekam medis tanpa perlu penambahan luas ruang penyimpanan
Audit Implementasi Clinical Pathway Diare Akut pada Anak Umur 0 – 18 Tahun di Rumah Sakit Palang Merah Indonesia Bogor
Authors: Mulyaningsih Ellya , Natsir Nugroho Muhammad , Tahjoo Anastina
Published: September 2022

Untuk mengetahui kepatuhan multidisplin dalam implementasi clinical pathway pada kasus diare akut pada anak umur 0-18 tahun, kelengkapan pengisian clinical pathway sesuai dengan SPO yang diperlukan sebagai sarana dalam peningkatan mutu pelayanan kesehatan dan akreditasi di Rumah Sakit Palang Merah Indonesia Bogor. Penelitian ini didesain meggunakan mixed methode yaitu kuantitatif dan kualitatif dengan sequensial (sequential mixed method design). Strategi mixed method yang digunakan adalah sequential explanatoris sequencial design (Quan - Qual mixed methods design). Jumlah sampel 58 clinical pathway diare akut pada anak yang terintegrasi di dalam rekam medis, menggunakan teknik purposive sampling.  Pengumpulan data menggunakan metode kuantitatif dan kualitatif dengan pendekatan grounded theory selanjutnya dianalisis menggunakan SPSS 16. Kemudian disusun kuesioner untuk melihat representasi social. Hasil penelitian kepatuhan DPJP dan perawat 100%, farmasi 0% dan nutritionis 53,4%, prognosis bonam 48,3%. Rata-rta LOS pada diare akut 4-6 hari (51,7%). Umur responden rata-rata 0-5 tahun (93,1%), jenis kelamin  laki-laki 60,3%, berat badan 1-20kg (93,1%), anamnesis BAB cair > 5x sehari  (44,8%), diagnosis diare akut dehidrasi 56,9%, varian diagnosis diare akut dehidrasi 65,5%, hasil kuisioner 40% participant menjawab ya untuk pengisian Clinical Pathwaysecara manual dan 76% participant menjawab setuju untuk pengisian clinical pathway dengan lengkap. Hasil analisis data dari kuisioner partisipan didapat efektivitas clinical pathway adalah 68% hal ini belum sesuai dengan standar yang ditetapkan yaitu 70%. Efektivitas tidak tercapai karena tidak semua multidisiplin terlibat dalam pengisisn clinical pathway. Hal ini karena audit dan evaluasi belum dilakukan dengan seharusnya. Efektivitas dapat tercapai bila semua multidisiplin dapat melaksanakan semua tugas yang didukung oleh sarana dan prasarana serta peraturan atau ketentuan yang dibuat sehingga dapat mencapai target dengan berorientasi pada hasil dan proses yang direncanakan