bluuebunny/crossref_metadata_2025 huggingface dataset:
Nutrition education at the work site : identification of components to be included in a nutrition education programme for the contract catering industry, their customers and clients
Authors:   , Crawley-Boevey Agnes Avelene
Published: July 2021

The perception that the general public has of the constituents of a healthy diet may, in many instances, be distorted because of misconceptions or lack of knowledge. The attention that the media has accorded newsworthy items on nutrition and health may have focused public attention on these topics, but the erroneous or misleading nature of some reports may have led the public to incorrect conclusions relating to nutritional information. The contract catering industry is in an ideal situation to improve the nutritional knowledge of their clients and customers by means of structured education programmes. This study was undertaken to identify factors which could be included in a nutrition education programme aimed at the contract catering industry, their clients and customers.
The role of tissue kallikrein in helicobacter pylori-associated gastric disease
Authors:   , Naidoo Strinivasen
Published: July 2021

Today, the number one income-generating drugs are remedies prescribed for gastric disorders, in particular dyspepsia. These clinical conditions have a multi-faceted aetiology and pathology of dysfunction. One likely causal factor is the entero-pathogen Helicobacter pylori. It has been shown to be more than just a commensal related to gastric diseases like dyspepsia (80-90% incidence) and duodenal ulcer sufferers (100% incidence), with a total estimated world-wide population infection of 50%. The current therapy offered to dyspepsia sufferers is a triple regimen of an anti-bacterial, an Ir proton-pump inhibitor, and bismuth colloidal salts.
KONSELING KREATIF DAN INOVASI DALAM PENELITIAN TINDAKAN BIDANG BIMBINGAN DAN KONSELING
Authors: BUDIONO SUKO
Published: July 2021

Bagi guru pengakuan dan penghargaan di atas harus dijawab dengan meningkatkan profesionalisme dalam bekerja. Guru dan dosen mesti berefleksi mengenai hakekat berkarya di dunia pendidikan dengan tujuan mencerdaskan kehidupan masyarakat. Mengajar, menulis dan meneliti merupakan aktivitas utama ketika seseorang berkecimpung dalam tugas pendidikan dan pengajaran. Untuk mewujudkan hal tersebut guru BK/konselor harus dibekali dengan  kemampuan meneliti, khususnya untuk guru BK/konselor adalah penelitian tindakan bidang bimbingan konseling (yang selanjutnya disebut PTBK). PTBK adalah penelitian mengenai suatu tindakan yang dilakukan pada sebuah kelas/tempat khusus dengan tujuan memperbaiki mutu layanan. Guru BK/konselor menginginkan terjadinya perbaikan, peningkatan, dan perubahan pelayanan yang lebih baik agar tujuan pelayanan dapat dicapai secara optimal. Penelitian ini dirancang khusus oleh guru BK/konselor untuk peningkatan kualitas layanan yang dilaksanakan di sekolah. Penelitian tindakan dalam BK lebih menjanjikan dampak langsung dalam bentuk (1) perbaikan dan peningkatan profesionalisme guru BK/konselor dalam memberikan layanan konseling; (2) implementasi berbagai program di sekolah dengan mengkaji berbagai indikator keberhasilan proses dan hasil layanan yang terjadi pada konseli dan keberhasilan proses dan implementasi berbagai program sekolah.
PENERAPAN MODEL PEMBELAJARAN TUTOR SEBAYA UNTUK MENINGKATKAN HASIL BELAJAR MATEMATIKA SISWA KELAS V SEMESTER GENAP SD NEGERI 5 SUBAGAN TAHUN PELAJARAN 2016/2017
Authors: HATIJAH SABAR
Published: July 2021

Penelitian ini untuk mengetahui peningkatan hasil belajar Matematika setelah diterapkan model pembelajaran tutor sebaya siswa kelas V semester genap SD Negeri 5 Subagan tahun pelajaran 2016/2017.Penelitian ini adalah penelitian tindakan kelas yang dilaksanakan dalam dua siklus. Subjek penelitian adalah siswa kelas V semester genap SD Negeri 5 Subagan tahun pelajaran 2016/2017, sebanyak 33 orang. Pengumpulan data dalam penelitian ini dilakukan dengan metode tes. Data yang telah didapatkan selanjutnya dianalisis dengan menggunakan metode analisis deskriptif kuantitatif. Hasil penelitian penerapan model pembelajaran tutor sebaya menunjukkan bahwa terjadi peningkatan rata-rata hasil belajar agama Hindu dari siklus I ke siklus II sebesar 17,42 pada siklus I mencapai 66,52dengan kategori cukup dan  pada siklus II mencapai 83,94dengan kategori baik.
Droplet activation of moderately surface active organic aerosol predicted with six approaches to surface activity
Authors: Vepsäläinen Sampo , Calderón Silvia M. , Malila Jussi , Prisle Nønne L.
Published: July 2021

Abstract. Surface active compounds (surfactants) found in atmospheric aerosols can decrease droplet surface tension as they adsorb to the droplet surfaces simultaneously depleting the droplet bulk. These processes may influence the activation properties of aerosols into cloud droplets and investigation of their role in cloud microphysics has been ongoing for decades. In this study, we have used six different approaches documented in the literature to represent surface activity in Köhler calculations predicting cloud droplet activation properties for particles consisting of one of three different moderately surface active organics mixed with ammonium sulphate in different ratios. We find that the different models predict comparable activation properties at small organic mass fractions in the dry particles for all three moderately surface active organics tested, even with large differences in the predicted degree of bulk-to-surface partitioning of the surface active component. However, differences between the models regarding both the predicted critical diameter and supersaturation for the same dry particle size increase with the organic fraction in the particles. Comparison with available experimental data shows that assuming complete bulk-to-surface partitioning of the organic component (total depletion of the bulk) along the full droplet growth curve does not adequately represent the activation properties of particles with high moderate surfactant mass fractions. Accounting for the surface tension depression mitigates some of the effect. Models that include the possibility for partial bulk-to-surface partitioning yield comparable results to the experimental data, even at high organic mass fractions in the particles. The study highlights the need for using thermodynamically consistent model frameworks to treat surface activity of atmospheric aerosols and for firm experimental validation of model predictions across a wide range of states relevant to the atmosphere.
Warm and moist atmospheric flow caused a record minimum July sea ice extent of the Arctic in 2020
Authors: Liang Yu , Bi Haibo , Huang Haijun , Lei Ruibo , Liang Xi , Cheng Bin , Wang Yunhe
Published: July 2021

Abstract. The satellite observations unveiled that the July sea ice extent of the Arctic shrank to the lowest value in 2020 since 1979, with a major ice retreat in the Eurasian shelf seas including Kara, Laptev, and East Siberian Seas. Based on the ERA-5 reanalysis products, we explored the impacts of warm and moist air-mass transport on this extreme event. The results reveal that anomalously high energy and moisture converged into these regions in the spring months (April to June) of 2020, leading to a burst of high moisture content and warming within the atmospheric column. The convergence is accompanied by local enhanced downward longwave radiation and turbulent fluxes, which is favorable for initiating an early melt onset in the areas with severe ice loss. Once the melt begins, solar radiation played a decisive role in leading to further sea ice depletion due to ice-albedo positive feedback. The typical trajectories of the synoptic cyclones that occurred on the Eurasian side in spring 2020 agree well with the path of atmospheric flow. Assessments suggest that variations in characteristics of the spring cyclones are conducive to the severe melt of sea ice. We argue that large-scale atmospheric circulation and synoptic cyclones act in concert to trigger the exceptional poleward transport of total energy and moisture from April to June to cause this new record minimum of sea ice extent in the following July.
Covid-19 Vaccination and Immunization Barriers in Pakistan
Authors: Abbas Sana , Abbas Beenish
Published: July 2021

From January 2020 to May 2021, Pakistan quoted to World health Organization 858,026 confirmed cases and 18,915 deaths of COVID - 19. China donated Pakistan Sinopharm vaccines in February 2021, and the stagewise immunization program started with an enrolment of healthcare workers and the elderly at priority
An Abridgement on Curcumin Potentials for Covid-19 Treatment- A Miracle Drug?
Authors: Anvekar Priyanka , Kumar Manoj , Lohana Petras
Published: July 2021

The world was brought to a standstill by the rapid spread of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), responsible for COVID-19. Initially recognized in Wuhan, China, in December 2019, it was announced to be a pandemic. It is known to spread from person to person via respiratory droplets such as saliva, cough and sneeze
Impact of COVID-19 Lockdowns on Patients Undergoing Orthodontic Treatment
Authors: Khan Erum Behroz , Fatima Samar , Shah Mairah , Ahmed Zuhair , Khan Sohail
Published: July 2021

Objective: To determine the awareness of regular orthodontic follow-up visits among the patients. The secondary objective was to assess patients’ perception towards orthodontic treatment needs and their psychological status during lockdown. Study Design and Setting: This cross-sectional study was conducted at Sindh Institute of Oral Health Sciences, (JSMU) from August, 2020 to January, 2021. Methodology: The questionnaire contained 15 questions divided into 3 categories. First category was about the awareness of routine checkup among patients Q1-Q5, second was to assess the impact of lockdown on patients’ visit to orthodontist Q6-Q12 and third was to assess the psycho-social effect of lockdown Q13-Q15. Three point likert scale was applied on each question with cut off value set as 70% for the 3 categories to get positive/negative response. SPSS version 22 was used for data entry and analyzing. Percentages and frequencies were calculated for qualitative variables like age, gender and educational level. Chi-square test was applied on all the three categories keeping the p-value <0.05 as significant. Results: The study included 115 subjects comprising of 21(18.3%) males and 94(81.7%) females, aged 12-30 years with mean age 19.15±3.96. Out of 115 patients 47(40.9%) patients met the 70 % cut off criteria for category 1.Similarly, for category 2, 73(63.5%) patients met the 70% cut off value. For category 3, 7(6.1%) patients met the 70% cut off value. Statistically significant difference was found for category 1 with age, gender and educational level at p-value<0.05. Similarly, in category 3, only educational level showed statistically significant association. Conclusion: The patients were quite aware of the need to visit orthodontists for regular follow ups during their treatment. The psychological status of the patients was the prime concern of the orthodontists as they had not sought orthodontic help during this time.
Refractive Error in Juvenile Patients Presenting with Nystagmus at Tertiary Care Hospital of Karachi
Authors: Perveen Kanwal , Ahmed Nasir , Perveen Khalida , Mehmood Tauseef
Published: July 2021

Objective: To evaluate the types of refractive errors in nystagmus patients among the age (5-15 years) patients. Study Design and Setting: An observational cross-sectional study was conducted at Pediatric department of Al-Ibrahim Eye Hospital, Karachi from June 2018 to March 2019. Methodology: A total of 55 patients (110 eyes) were selected from study setting. The protocol for examination for all patients were evaluated at the special clinic of Orthoptics includes the demographic data, educational status, history of onset, type of nystagmus. The anterior segment was examined with a slit-lamp to exclude any other ocular disease. Orthoptic assessment includes cover uncover test, Hirschberg, ocular motility, prism cover test and pupillary reflex test, to observe any associated deviation. All the patients were examined after obtaining a fully informed consent. After the proper diagnosis of nystagmus patient was recruited as per inclusion and exclusion criteria with no restrictions of gender. All the observations were noted on a Proforma, Data analysis was done by using SPSS version 20. P-value <0.05 was considered as statistically significant. RESULTS: A total of 55 patients, 29 male (52.7%) and 26 female (47.3%) were selected. This study shows out of 55 patients (110 eyes), 46 (42%) eyes had myopic astigmatism, while 33 (30%) eyes were found hyperopic astigmatism, 20 (18%) eyes were observed hyperopic and 11 (10%) eyes were observed myopic. CONCLUSION: Most common type of refractive error in nystagmus was myopic astigmatism. The refractive correction should be encouraged in children with nystagmus; improvement in visual function is likely to occur
Frequency and Spectrum of Non-Malignant Lesions in Abdominal Hysterectomy Specimens
Authors: Zehra Talat , Gardezi Syeda Atiya Batool , Shams Mahin , Zareen Sumaira , Khurshid Iram Kehkashan , Irshad Zareen
Published: July 2021

Objective: To determine the histological spectrum of non-malignant lesions in abdominal hysterectomy specimens from women of reproductive age group. Study Design and Setting: This was a descriptive cross-sectional study carried out at a private hospital in Karachi from December 2018 to December 2019. Methodology: The uterine specimens of patients (n=262) between the ages of 24 to 55 years were collected. Hysterectomies done due to any benign uterine disease were included in the study. Hysterectomies due to malignant causes were excluded. Pathological diagnosis was done on light microscopy using routine hematoxylin and eosin staining technique. Data collected during the study period included patient's age, clinical history/diagnosis and histological diagnosis. On receiving the hysterectomy specimens as per protocol, specimens were immediately put in 10% formalin, appropriately labeled for patient’s name, gender, age and procedure. In histopathology lab, grossing of the specimens was done using standard protocols. Frequency and variables were analyzed by using descriptive statistics of SPSS-version 22. Results: Total n=262 hysterectomies were received. Mean age of all the patients was 34.7 years ±7.8. Non-malignant uterine pathologies on histopathology included 124(47.7%) leiomyomas, 52(20%) adenomyosis, 32(12.3%) endometrial polyps, 16(6.2%) endometrial hyperplasia, 6(2.3%) endometritis, 3(1.2%) disordered proliferative endometrium and 1(0.4%) endometrial stromal nodule. Rest of the cases showed normal phases of endometrial cycle. Only two cases (0.76%) out of 262 received as clinically benign uterine disease, were diagnosed as malignant on histopathology. Conclusion: Leiomyoma is the most common uterine pathology diagnosed in clinical setting as well as encountered at histopathological examination followed by Adenomyosis and endometrial polyps in women of reproductive age group in Pakistan.
Wilson Hastalığı Olan Gebede Sezaryen Ameliyatında Spinal Anestezi Uygulaması
Authors: Özmen Harun , Aydınlı Bahar
Published: July 2021

Wilson's disease is an autosomal recessive inherited chronic disease that occurs as a result of the deposition of copper in organs and tissues with impaired biliary excretion. With this case report, we aimed to share our experience in cesarean anesthesia in a pregnant woman with Wilson disease who had irregular medical follow-up and underwent chelation therapy.
The Use Of Intravenous Immunoglobulin For The Treatment Of Severe Covid-19: Case Presentation For Three Patients
Authors: Kumru Nuh , Yarımoğlu Saliha , Et Tayfun , Yarımoğlu Rafet , Korkusuz Muhammet
Published: July 2021

Although the treatment of the hyperinflammatory response due to COVID-19 has not yet been found, high-dose corticosteroids, interleukin receptor blockers and intravenous immunoglobulin (IVIG) are used to improve the hyperinflammatory response.In this article, we aimed to share our experiences with 3 patients who received IVIG therapy in ICU.
The Role of Education in Reducing the Disposal Costs of Anesthesia-Related Medical Wastes
Authors: Keskin Gülsen , Dönmez Aslı
Published: July 2021

INTRODUCTION: Although it constitutes a small part of the general waste, medical waste management is important both due to its environmental impact and its cost. Creating education and awareness on reducing the amount of medical waste and increasing the amount of waste-recycling are some of the most important steps. The primary purpose of the study is to determine the role of education in reducing the cost of medical waste belonging to anesthesia, and the secondary purpose is to provide data for the development of educational materials used. METHODS: The anesthesia wastes of 22 operating rooms and 3 PACU were evaluated.Anesthetic wastes were collected and weighed at the end of the day without informing 26 anesthesiologists, 37 anesthesia technicians, and 30 anesthesia assistants.On the 2nd day, the education video link was shared with the participants, and afterwards they were asked to watch and answer the questionnaire prepared.The wastes were collected and weighed again after the training.The approximate annual saving cost was calculated over the medical waste disposal cost, which was determined as 3.50 ₺kg-1 (excluding VAT). RESULTS: The amount of anesthesia waste obtained from 22 operating rooms and 3 PACU was 36.90 kg for 57 cases before training, and 43.36 kg for 64 cases after training.The amount of medical waste was weighed as 461.2 g per case before the training, and 453.8 g per case after the training.It was observed that although not statistically significant, the amount of medical waste decreased (p=0.949).The cost of medical waste disposal decreased by 1.6%. It was learned that 51.3% of the anesthesia team had received training before, and 60.4% benefited from the training provided. DISCUSSION AND CONCLUSION: With education, the amount of medical waste can be reduced.Although there is awareness about waste classification in our clinic, we believe that regular training should be done to reduce the amount of medical waste.
ENTROPY IN MANAGEMENT OF BUSINESS PROCESSES
Authors: Baratashvili Evgeniy , Baratashvili Irma , Mamulashvili Leila
Published: July 2021

Information clarity and order are essential for the successful functioning of an organization. The more information an organization has about the internal and external environment, the higher is the likelihood of its operation, self-survival and development. Optimal management with minimal resources in private and public organizations can be achieved by reducing the entropy of the system. In economics, the term entropy is associated with the extent of uncertainty. Practice shows that the understanding and application of the theory of entropy for the correct handling of the organization management is manifested as an important source of a high level of organization and increasing the efficiency of activities. Entropy factors must be taken into account to run an organization flawlessly.
ECONOMIC COMPLEXITY INDEX (ECI) AS BEST INDICATOR FOR GROWTH PREDICTION
Authors: Dzotsenidze Tsitsino
Published: July 2021

The complexity of the economy implies two factors operating for the same purpose. On the one hand, the more goods a country produces, the more complex its economy becomes. On the other hand, the complexity varies depending on how many other countries can produce the same goods.
Georgia is as complex as expected in terms of its income level. As a result, it is planned to develop its economy moderately. Growth Lab's 2028 growth forecast for Georgia is projected at 4.2% annual growth over the next decade, making it one of the top twenty countries globally.
As soon as innovation is introduced, people start striving to use it. That is, they are copying it in some way. Meanwhile, after this copying, more and more opportunities to use this particular innovation are revealed, which in turn leads to an increase in revenue. This happens every 50-60 years.
DECENTRALIZATION IN SLOVAKIA: PERSPECTIVES FROM THE TRNAVA REGION
Authors: Haydanka Yevheniy
Published: July 2021

Decentralization is the priority reform in the post-socialist countries of Central Europe. Slovakia’s accession to the European Union has accelerated decentralization, which is being implemented at the political, fiscal and administrative levels. Based on the example of the Trnava region, located in Western Slovakia, it was determined that administrative-territorial decentralization is prioritized in the region. Slovakia’s accession to the European Union and the political situation have little effect on decentralization, and municipal utilities improvements are still issues of concern in the region. The level of decentralization effectiveness in Slovakia is determined as 60–70%, and in the Trnava region – 70–80%.
PROFITABILITY OF CATFISH PRODUCTION IN ENUGU METROPOLIS, ENUGU STATE, NIGERIA
Authors: Umaru I. L. , Okoh T. C. , Ishiwu R. C.
Published: July 2021

The study was carried out in Enugu Metropolis, Enugu State, to investigate the profitability of catfish production. Specifically, the study described the socioeconomic characteristics of catfish farmers; estimated cost and returns of catfish production and identified constraints to catfish production in the study area. Data were collected from 120 respondents who were purposively chosen in the three Local Government Areas that made up Enugu Metropolis, using questionnaires. The data were analyzed using descriptive statistics, the Gross margin model and a 3-point Likert type rating scale. The study showed that 61.7% of the respondents were males with a majority (95.0%) below the age of 45 years. The study revealed that from every 1000 fingerlings that were stocked, 980 catfishes were harvested with an average weight of 1.5kg in a period of 6 months. The catfish farmers expended an average total cost of N575,168 and made an average total revenue of N1,176,000. This indicates a survival rate of 98% of catfishes that was reared in the area.  The gross margin analysis revealed a gross margin of N652,700.00 with a net farm income of N600,832.00 for every 1000 catfishes that were raised to maturity at1kg. For every 1N invested in the business, there was a return of N1.25 (RCI). The study concludes that catfish production in the study area was dominated by males in their active age who were well educated. Catfish production was very profitable in the study area. The constraints facing the farmers were the high cost of feeds, insufficient capital and poor extension services. These farmers could handle large scale production if capital is made available to them which will also allow them to make more profits and become employers of labour. The study recommends that educated unemployed youths in the area should be encouraged to go into catfish farming since the business is very profitable.  Soft loans should be made available by credit agencies for the catfish farmers in the area to enable them to increase their scale of operation and the farmers should form and manage functional cooperative societies to enable them to achieve economies of scale.
Factors Influencing Standard Precaution Practices Among Nurses in Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria
Authors: O.M. Julius , O.A. Salamat , T.M. Bukola , O.O. Joshua , F.O. Deborah
Published: July 2021

Introduction: Nurses are known to be at the frontline of risks and victims to occupational hazards within the healthcare system. These hazards include exposure to infections that may arise from injuries from sharps and contacts with body fluids. Standard precautions are taken to mitigate and minimize hazards in hospitals. This study assessed the factors influencing standard precaution practices among Nurses in Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria. Method and material: This study involved a descriptive cross-sectional study which was carried out among 305 nurses in Lagos State University Teaching Hospital, Ikeja. A self-structured instrument was employed for this study and data were gathered from consented respondents. The data collected were analyzed using Statistical Package for the Social Sciences (SPSS) software version 25. The research questions were answered using descriptive statistics of mean, frequency and percentage. Results: The mean age of the respondents was 41.64±10.1 years and many (68.5%) had more than 10 years of work experience. The respondents had above average level of knowledge (24.69±2.16) and close to two-third (59.7%) had a positive attitude towards standard precaution practices. The most reported factors influencing the practice of standard precautions were non-availability of personal protective equipment (PPE) (92.1%), lack of regular training on standard precautions (91.1%) and lack of good policy on standard precautions (81.5%). Conclusion: Majority of the respondents had above average level of knowledge and positive attitude towards standard precaution. There is a need for continued sensitization and monitoring of standard precaution practices by nurses to sustain the high level. Also, healthcare institutions should ensure the availability of PPE for standard precautions and regular in-service training of nurses on standard precaution practices.
Analisi Faktor-Faktor Yang Mempengaruhi Disfungsi Seksual Pasien Penyakit Ginjal Kronik Stadium Akhir Yang Menjalani Hemodialisa Di Rumah Sakit Dr. Hi. Abdul Moeloek Bandar Lampung
Authors: Inayati Anik
Published: July 2021

Pasien yang menderita penyakit ginjal stadium akhir yang menjalani hemodialisa dalam waktu yang lama akan mengalami disfungsi seksual, dimana dia tidak mampu menikmati aktivitas seksual. Penelitian jenis kuantitatif digunakan untuk mengetahui faktor-faktor yang terkait dengan kejadian disfungsi seksual pada pasien dengan penyakit ginjal kronik stadium akhir yang menjalani hemodialisa. Penelitian jenis deskripsi analitik dengan pendekatan cross sectional, dengan jumlah sampel 68 responden, menggunakan uji chi square dan metode stepwisw mundur, hasil penelitian faktor fisiologis yang signifikan nilai p value 0,000, selanjutnya faktor yang dominan adalah faktor psikologis dengan p value 0,000,pelayanan keperawatan diharapkan mampu meningkatkan pelayanan secara holistik pada aspek fisik dan psikologis dalam rangka meningkatkan kehidupan pasien yang menerita penyakit ginjal kronik stadium akhir yang menjalani hemodialisa.
HUBUNGAN PERSEPSI PASIEN PADA PELAYANAN KEPERAWATAN DENGAN KEPUASAN PASIEN DI RUANG PAVILIUN RSUD JEND. AHMAD YANI METRO
Authors: Fitri Nuri Luthfiatil
Published: July 2021

Latar belakang: Kepuasan pasien adalah indikator pertama dari standar suatu rumah sakit dan merupakan suatu ukuran mutu pelayanan. Kepuasan pasien yang rendah akan berdampak terhadap jumlah kunjungan dirumah sakit. Sikap perawat terhadap pasien juga akan berdampak terhadap kepuasan pasien dimana kebutuhan pasien dari waktu ke waktu akan meningkat, begitu pula tuntutannya akan mutu pelayanan yang diberikan. Tujuan penelitian ini adalah untuk mengetahui hubungan persepsi pasien pada pelayanan keperawatan dengan kepuasan pasien di Ruang Paviliun RSUD Jend. Ahmad Yani Metro tahun 2014.Metode: Jenis penelitian kuantitatif, rancangan survey analitik menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien RSUD Jend. Ahmad Yani Metro sebanyak 64 dan seluruhnya dijadikan sampel. Analisis dalam penelitian ini menggunakan uji chi square.Hasil: Hasil penelitian didapatkan sebesar 85,94% pasien memiliki persepsi dalam kategori baik, dan 68,8% memiliki tingkat kepuasan dalam kategori puas. Hasil analisis menunjukkan terdapat hubungan bermakna antara persepsi pasien pada pelayanan keperawatan dengan kepuasan pasien (p-value= 0,022 <a 0,05; OR 5,857 (CI;95%: 1,290-26,590).Kesimpulan: Persepsi dan tingkat kepuasan pasien dapat memberikan gambaran bagaimana pelayanan keperawatan yang dilakukan oleh perawat. Oleh karena itu, Seiring dengan berjalannya waktu dan bertambahnya kebutuhan pelayanan kesehatan menuntut perawat saat ini memiliki pengetahuan dan keterampilan di berbagai bidang. Saat ini perawat memiliki peran yang lebih luas dengan penekanan pada peningkatan kesehatan dan pencegahan penyakit, juga memandang klien secara komprehensif.
Terapi Penerimaan Dan Komitmen (TPK) Meningkatkan Penerimaan Keluarga Dengan Anak Tunagrahita
Authors: Hasanah Uswatun
Published: July 2021

Tingkat penerimaan keluarga dapat mempengaruhi tumbuh kembang anak tunagrahita. Penelitian ini bertujuan mengetahui pengaruh Terapi Penerimaan dan Komitmen (TPK) Terapi Penerimaan dan Komitmen (TPK) Terhadap Tingkat Penerimaan pada Keluarga dengan Anak Tunagrahita di Kota Metro Lampung. Desain quasi experimental pre-post test with control group. Sampel  56 diambil dengan teknik purposive sampling. Analisis data dengan Independent t-test dan Paired t-test. Hasil penelitian menyatakan bahwa tingkat penerimaan keluarga dengan anak tunagrahita meningkat secara bermakna setelah mendapat TPK. TPK direkomendasikan sebagai terapi keperawatan utama dalam meningkatkan penerimaan keluarga dengan anak tunagrahita. Kata Kunci: Tingkat penerimaan keluarga, Tunagrahita, Terapi Penerimaan dan Komitmen
HUBUNGAN TINGKAT PENGETAHUAN KANKER PAYUDARA MAHASISWI AKPER DHARMA WACANA METRO TERHADAP PERILAKU MELAKUKAN SADARI
Authors: Immawati Immawati
Published: July 2021

Data about breast cancer in Indonesia continues to grow, even attack teenagers. Breast cancer is a malignancy that originates from cells in the breast. Breast cancer primarily affects women. Patients usually come in an advanced stage because of ignorance of breast cancer due to never check the condition of the breast regularly. Behavior of breast self-examination/BSE aims to prevent breast cancer as early detection. This study was to measure correlation between knowledge level of breast cancer student of Akper Dharma Wacana Metro and behavior of doing breast self-examination as early detection of breast cancer. Likert scale questionnaire analysis with cross sectional approach with chi square test. The subjects are level I, II and III student Akper Dharma Wacana Metro which amounted to 196 respondents, with each level I (68 respondents), level II (62 respondents), and level III (66 people). Result of research from 196 respondents on bivariate analysis got value p  value more than alpha 0,05. Conclusion is no significant correlation between knowledge level of breast cancer student Akper Dharma Wacana Metro to behavior of breast self-examination as early detection of breast cancer
FAKTOR-FAKTOR YANG MEMPENGARUHI KELULUSAN UJI KOMPETENSI MAHASISWA PROFESI NERS STIKES JENDERAL ACHMAD YANI YOGYAKARTA
Authors: Rahadian Deby Zulkarnaen
Published: July 2021

Penekanan pengembangan dan pembinaan pendidikan tinggi keperawatan di masa depan lebih diarahkan pada upaya meningkatkan mutu pendidikan, sehingga lulusan benar-benar menunjukkan sikap profesional, menguasai ilmu pengetahuan keperawatan dalam kadar yang memadai, serta menguasai keterampilan profesional keperawatan. Kompetensi seorang perawat adalah sesuatu yang ditampilkan secara menyeluruh oleh seorang perawat dalam memberikan pelayanan professional kepada klien, mencakup pengetahuan, keterampilan, dan pertimbangan yang dipersyaratkan dalam situasi praktik.Penelitian ini merupakan penelitian deskriptif korelasi. Penelitian dilakukan  di  Stikes Jenderal Achmad Yani Yogyakarta. Penggunaan  pendekatancross-sectional  pada penelitian ini karena tidak adanya intervensi apa pun dan pengambilan data dilakukan sekali waktu. Hasil penelitian didapatkan faktor IPK S1 keperawatan p 0,002 dengan r 0,836 ada hubungan, IPK ners p0,106 tidak ada hubungan, sarana prasarana akademik p 0,001 dengan r 1 ada hubungan, faktor lingkungan p 0,807 tidak ada hubungan, tingkat spiritual p0,617 tidak ada hubungan, tipe kepribadian p 0,846 tidak ada hubungan, tingkat kecemasan p 0,143 tidak ada hubungan, jenis kelamin p 1,0 tidak ada hubungan, dan program peminatan p 0,976 tidak ada hubungan.Faktor yang mempengaruhi kelulusan uji kompetensi adalahg IPK akademik S1 keperawatan dan sarana prasarana akademik.
PENGARUH SENAM KAKI DIABETES TERHADAP NILAI ANKLE BRACHIAL INDEX (ABI) DAN NILAI IPSWICH TOUCH TEST (IPTT) PADA PASIEN DM TIPE 2
Authors: Utami Indhit Tri
Published: July 2021

Diabetes Melitus (DM) menyebabkan komplikasi yang dapat melibatkan vaskuler dan persarafan seperti oklusi arteri perifer dan neuropati. Penentuan sirkulasi perifer melalui pengukuran Ankle Brachial Index (ABI) merupakan metode invasif untuk memeriksa sirkulasi arteri perifer dan sebagai skrining terhadap adanya penyakit arteri oklusi perifer. Sementara itu, IpTT merupakan metode baru untuk mendeteksi penderita diabetes yang kehilangan sensasi kaki dan sebagai informasi untuk skrining adanya neuropati diabetes. Metode ini mudah, aman, cepat, dan mudah di lakukan dan diajarkan. Penelitian ini bertujuan untuk menilai apakah intervensi senam kaki  dapat mempengaruhi Ankle Brachial Index (ABI) dan Nilai Ipswich Touch Test (IpTT) pada pasien DM Tipe 2 di Wilayah Kerja Puskesmas Tejoagung Kota Metro, Lampung. Pengambilan data menggunakan purposive sampling. Sampel pada penelitian ini terbagi menjadi kelompok intervensi (n = 18) dan kelompok kontrol (n = 18). Berdasarakan uji GLM - RM terdapat peningkatan nilai ABI  dan IpTT pada kelompok intervensi sepanjang periode follow up (pre test, post test I, dan post test II).  dengan p value 0,000. Senam kaki diabetes dapat direkomendasikan sebagai intervensi mandiri keperawatan sebagai upaya pencegahan komplikasi gangguan vaskuler dan persarafan Kata kunci: Diabetes Melitus, Senam Kaki Diabetes, ABI, IpTT
RUMAH SEHAT DENGAN KEKAMBUHAN PADA PENDERITA ASMA
Authors: Yulianto Andri
Published: July 2021

Salah satu penyakit yang menjadi masalah kesehatan secara global didunia adalah asma. Di Provinsi Lampung tahun 2011 angka prevalensi penyakit asma 85% dengan kesembuhan/Cure Rate 59,64%. Kabupaten Lampung Utara merupakan salah satu kabupaten yang ada di Provinsi Lampung dengan jumlah penduduk 616.194 jiwa. Salah satu faktor yang dapat mempengaruhi terjadinya kekambuhan asma adalah kondisi rumah yang tidak sehat. Tujuan penelitian ini untuk mengetahui hubungan rumah sehat dengan kekambuhan pada penderita Asma di Wilayah Kerja Puskesmas Cempaka Kecamatan Sungkai Jaya Kabupaten Lampung Utara Tahun 2012. Jenis penelitian yang digunakan analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini penderita asma sebesar 110 orang, sampel didapat 53 orang, pengambilan sampel menggunakan random sampling metode lottre. Analisis penelitian menggunakan chi square.  Hasil uji statistik univariat didapat responden dengan kategori rumah sehat tidak memenuhi syarat sebesar 32 orang (60,4%), responden dengan kategori mengalami kekambuhan asma sebanyak 35 orang (66,0%). Hasil uji statistik chi square diperoleh ada hubungan yang bermakna antara rumah sehat dengan kekambuhan pada penderita Asma (p value < dari ά, 0,046 < 0,05). Diharapkan bagi petugas kesehatan di Puskesmas Cempaka untuk trus mensosialisasikan kriteria rumah sehat yang memenuhi syarat dan memodifikasi rumah yang telah ada secara terperinci dan jelas untuk menghindari terjadinya kekambuhan pada penderita asma. Kata kunci: Rumah sehat, Kekambuhan Asma.
PREVALENSI TERMINAL ILLNESS DI RSUD JENDERAL AHMAD YANI METRO
Authors: Supardi Supardi , Ludiana Ludiana
Published: July 2021

Kondisi terminal adalah suatu kondisi dimana seseorang mengalami sakit atau penyakit yang tidak mempunyai harapan untuk sembuh dan menuju pada proses kematian dalam 6 bulan atau kurang. Data prevalensi terminal illness pada saat ini tidak tersedia secara pasti tetapi dapat dilihat dari data yang tersebar dalam berbagai penyakit yang merupakan bagian dari jenis jenis penyakit yang masuk dalam kondisi terminal illness antara lain, kanker, dibetes millitus, paru obstruksi kronis, cystic fibrosis, stroke, Parkinson,  gagal jantung, genetika dan  HIV/AIDS. Metode Penelitian : adalah penelitian deskriptif analitik dengan jumlah populasi sebanyak 2051, sedangkan untuk  sampel digunakan dengan total  sampel. Data yang digunakan adalah data sekunder dari Rumah sakit Ahmad Yani Metro yang ditabulasikan selanjutnya di intrepretasikan. Hasil : Prevalensi terminal illness dapat digambarkan sebagai berikut kanker  447  (21,89%), Diabetes mellitus 241 (11,75%),  Paru Obstruksi Kronis 169  (8,24%), penyakit stroke 662  (32,28%), Parkinson 6  (0,29%),  gagal jantung 496  (24,18%),  HIV/AIDS 28  (1,37%). Kesimpulan : Penelitian ini memberikan gambaran bahwa kelompok umur  > 60 tahun paling banyak masuk dalam terminal illness, sedangkan khusus untuk penyakit HIV /AIDS yaitu kelompok umur < 40 tahun yang paling banyak masuk dalam terminal illnes.
HUBUNGAN PENGETAHUAN KELUARGA TENTANG DIIT DIABETES MELLITUS DENGAN KADAR GULA DARAH PASIEN
Authors: Yusnita Yusnita , Lestari Arena
Published: July 2021

Diabetes mellitus merupakan salah satu penyakit tidak menular. Di Indonesia pada tahun 2020 diperkiraan penderita diabetes mellitus (DM) meningkat menjadi 300 juta orang dan tahun 2030 menjadi 366 juta orang.Penatalaksanaan DM adalah: diit, latihan fisik/olahraga, pemantauan gula darah, minum obat, dan edukasi. Pengetahuan pasien dan keluarga tentang penyakit ini membantu dalam proses penyembuhan. Pengetahuan keluarga tentang DM merupakan sarana yang dapat membantu penderita DM dalam menjalankan diit selama hidupnya. Dengan diit DM yang baik maka kadar gula darah akan terkontrol dan pasien menjadi sehat. Tujaun penelitan adalah untuk mengetahui hubungan pengetahuan keluarga tentang diit DM dengan kadar gula darah pasien di wilayah kerja puskesmas Pringsewu tahun 2019. Penelitian ini menggunakan metode survey analitik . rancangan penelitian yang digunakan adalah cross sectional. Sampel yang digunakan berjumlah 75 orang.  Hasil Analisa data dengan uji chi square menunjukkan nilai p value 0.000, maka dapat disimpulkan bahwa ada pengaruh yang signifikan anatar pengetahuan keluarga tentang diit DM dengan kadar gula darah pasien.  Penderita dan keluarga pasien DM perlu mendapatkan informasi tentang pengetahuan dasar DM, pemantauan mandiri, penyebab peningkatan kadar gula darah, obat hipoglikemia, diit DM,  pemeliharaan kaki, kegiatan jasmani dan komplikasi. Pengetahuan ini disampaikan secara bertahap. Tujuan pendidikan kesehatan bagi pasien DM  adalah meningkatkan pengetahuan karena pengetahuan merupakan titik tolak perubahan sikap dan gaya hidup, sehingga terjadi  perubahan perilaku pasien DM dan meningkatnya kepatuhan yang selanjutnya meningkatkan kualitas hidup. Kesimpulan dari penelitian ini adalah: ada hubungan antara pengetahuan keluarga tentang diit diabetes mellitus dengan kadar gula darah pasien diwilayah kerja puskesmas Pringsewu tahun 2019.
DETERMINAN PERSEPSI SUAMI TENTANG PENGGUNAAN ALAT KONTRASEPSI ANALISIS SDKI 2017
Authors: Dewi Tri Kesuma , Purwono Janu , Ludiana Ludiana
Published: July 2021

Indonesia memiliki jumlah penduduk terbanyak ke empat didunia. Pertambahan penduduk yang tidak terkendali akan menyebabkan penurunan tingkat kesejahteraan. Pemerintah melakukan berbagai upaya untuk mengendalikan pertambahan penduduk tersebut salah satunya dengan penggunaan alat kontrasepsi. Berbagai factor yang mempengaruhi keberhasilan penggunaan alat kontrasepsi, salah satunya adalah persepsi suami. Penelitian ini bertujuan untuk mengetahui factor-faktor yang berhubungan dengan persepsi suami tentang penggunaan alat kontrasepsi. Metode yang digunakan dalam penelitian adalah kuantitatif deskriptif dengan pendekatan Analisis Data Sekunder (ADS). Data pada penelitian ini adalah data SDKI 2017 yang memenuhi kriteria penelitian yaitu sebanyak 9.940. Hasil analisa data menemukan bahwa terdapat hubungan yang signifikan antara pekerjaan, wilayah tempat tinggal, tingkat ekonomi dan tingkat pendidikan dengan persepsi suami tentang penggunaan alat kontrasepsi. Pada penelitian ini juga menemukan bahwa factor yang paling mempengaruhi persepsi suami adalah wilayah tempat tinggal dengan ods rasio 1,515. Informasi tentang pentingnya penggunaan alat kontrasepsi dapat dilakukan lebih baik tidak hanya di daerah perkoataan tetapi juga pada daerah pendesaan
HUBUNGAN USIA DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI KOTA METRO
Authors: Sari Senja Atika , Fitri Nuri Lutfiatil , Dewi Nia Risa
Published: July 2021

Kehamilan yang mengalamai anemia umumnya terkait dengan adanya perubahan fisiologis yang terjadi dalam kehamilan. Terjadinya ekspansi volume plasma berhubungan erat dengan terjadinya penurunan relatif konsentrasi hemoglobin disamping pertumbuhan janin yang membutuhkan besi dan folat semakin menempatkan ibu hamil rentan atau berisiko tinggi menderita defiensi. Tujuannya untuk mengetahui hubungan usia dengan anemia pada ibu hamil di Kota Metro. Penelitian ini memakai metode desain studi analitik dengan pendekatan cross sectional. Besar sampel diambil berdasarkan odds ratio (OR) menggunakan rumus Lemeshow. Besar sampel yang digunakan adalah 138 orang. Analisis data dialkukan uji chi-square. Hasil terdapat hubungan antara usia dengan kejadian anemia pada ibu hamil dimana ibu hamil diusia dibawah 20 tahun dan diatas usia 35 tahun berisiko 3,921 kali lebih besar kemungkinan anemia dalam kehamilannya diperbandingkan dengan ibu hamil pada usia antara 20 sampai dengan 35 tahun. Ibu yang mengalami kehamilan pada usia dibawah 20 tahun masukan zat besi akan ter­bagi antara janin yang ada dirahimnya dengan pertembuhan biologis dirinya sendiri. Ibu yang hamil >35 tahun, sudah memasuki masa awal fase degenerative, sehingga fungsi tubuh tidak optimal. Kehamilan  diusia dibawah 20 ta­hun dan diatas 35 tahun adalah kehamilan yang memiliki resiko dan bisa menimbulkan anemia. Kesimpulan usia ibu saat hamil terbukti berhubungan dengan anemia, oleh karena itu sebaiknya ibu jika ingin hamil pada usia diatas 20 tahun dan atau di bawah 35 tahun.
HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP DALAM MENGATASI DISMENOREA PRIMER PADA REMAJA
Authors: Meylawati Lulu Eka , Anggraeni Fitri
Published: July 2021

Pada saat terjadi menstruasi, remaja seringkali mengalami nyeri haid yang dapat mengakibatkan terganggunya aktivitas bahkan sampai terjadi gangguan pencernaan. Untuk mengatasi nyeri haid tersebut, sikap dan tindakannya sesuai dengan pengetahuan yang dimilikinya. Desain yang digunakan pada penelitian ini bersifat deskriptif  dengan metode cross sectional dengan teknik Non Probability Sampling dengan metode dengan teknik total sampling, analisa dengan menggunakan uji Chi Square diperoleh nilai p= 0,020. Kesimpulannya adalah ada Hubungan Tingkat Pengetahuan dan Sikap dalam Mengatasi Dismenorea Primer Pada Remaja. Perawat diharapkan dapat melakukan pendidikan kesehatan dengan memberikan informasi serta penanganan tentang disminorea untuk meningkatkan pengetahuan remaja.
Study of Dissolved Organic Carbon Concentration in KHDTK Forest Peatland Area, Central Kalimantan, Indonesia
Authors: Pratama Galih Widhi , Adji Fengky F. , Surawijaya Panji , Yulianti Nina , Damanik Zafrullah
Published: July 2021

The study was conducted to determine whether are differences in dissolved organic carbon (DOC) in three different types of peatland conditions. The study was conducted from March 1st to April 30, 2020. The research was carried out in the Tumbang Nusa Special Purpose Forest Area (KHDTK). Furthermore, the analysis of DOC samples was carried out at the BALITRA Laboratory, Banjar Baru, South Kalimantan. The analysis of water pH samples was conduct at the UPT. LLG – CIMTROP, UPR Laboratory. The results showed that DOC in degraded peatlands site ranged from 36.18 mg L-1 to 76.86 mg L-1 with an average of 53.1 mg L-1, water pH between 3.6 to 4 with an average of 3.88, and the water table of 26.51 cm. Then in the forest site ranged from 37.12 mg L-1 to 49.81 mg L-1 with an average of 40.95 mg L-1, water pH ranged of 4 to 4.4 with an average of 4.32, and water table -5.13 cm. Furthermore, the re-vegetation site ranged from 29.27 mg L-1 to 34.90 mg L-1 with an average of 30.73 mg L-1, water pH between 4 to 4.3 with an average of 4.18, and water table 36.28 cm. Based on the results of the study it can be concluded that there is a difference in DOC in three sites, in the degradation site contributes higher dissolved organic carbon than other sites with an average amount of 53.1 mg L-1, compared to forest site with an average amount of 40.95 mg L-1, and re-vegetation site with an average amount of 30.73 mg L-1. Therefore, sustainable management of peat is expected to minimize the rapid decomposition of organic material in peat.
OMUZ ANTERİOR KAPSÜLOLABRAL TAMİR YAPILAN BİREYLERDE CERRAHİ ÖNCESİ RİSK FAKTÖRLERİNİN FONKSİYONEL SONUÇLARA ETKİSİ
Authors: YİLDİZ Taha , TURHAN Egemen , OCGUDER Durmus Ali , HURİ Gazi , DÜZGÜN İrem
Published: July 2021

Giriş: Yetersiz fonksiyonel kapasite, omuz stabilizasyon cerrahisi yapılan bireylerde, cerrahi sonrası meydana gelen tekrarlı dislokasyonlar için önemli bir risk faktörüdür.

Amaç: Cerrahi öncesi risk faktörlerinin, omuz stabilizasyon cerrahisi olan bireylerin fonksiyonel kapasitesine etkisini araştırmak.

Yöntem: Çalışmaya artroskopik omuz anterior kapsülolabral tamiri (AOAKT) yapılan 24 birey dahil edildi (yaş: 18-51 yıl arası, boy: vücut ağırlığı:). Bireyler, cerrahi öncesi dislokasyon sayısına ve cerrahiye kadar geçen süreye göre 2 farklı şekilde gruplandırıldı. Cerrahiye kadar geçen süreye göre; erken tamir (6 aydan kısa sürede cerrahi olanlar, n=14) ve geç tamir (6 aydan daha uzun sürede cerrahi olanlar, n=12), dislokasyon sayısına göre: bir dislokasyon (n=8) ve çoklu dislokasyon (n=18) yaşayanlar. Bireylerin rotator kılıf kas kuvvetleri, cerrahi sonrası 6. ayda izokinetik sistem kullanılarak 60/sn ve 180/sn açısal hızlarda ölçüldü. Omuz eklem fonksiyonu kapalı kinetik halka üst ekstremite stabilizasyon (KKHÜST) testi kullanılarak test edildi. Oluşturulan gruplarda, kas kuvveti ve omuz fonksiyonu hem grup içi hem de gruplar arasında Will-Coxon ve Mann Whitney-U testleri ile ayrı ayrı analiz edildi.

Bulgular: Geç cerrahi tamir yapılan bireylerde 60/sn (p=0,008) ve 180/sn (p=0,02) açısal hızlarda cerrahi yapılan tarafta, cerrahi yapılmayan tarafa göre eksternal rotator kas kuvveti daha düşüktü. Dislokasyon sayısına göre oluşturulan gruplamada ise, her iki grupta 60/sn ve 180/sn açısal hızlarda, cerrahi yapılan tarafta, cerrahi yapılmayan tarafa göre omuz internal rotator kas kuvveti daha düşüktü.

Sonuç: Omuz instabilitesi olanlarda geç cerrahi tamir yapılması fonksiyonelliği negatif etkileyebilir. Erken cerrahi tamir yapılması ise daha hızlı toparlanmayı sağlar.
Análisis del micoturismo en Colombia
Authors: Mora Forero Jorge , González Ariza Luz
Published: July 2021

Esta investigación describe el micoturismo o fungiturismo como una alternativa de turismo que ha tenido un desarrollo considerable en

otros países como México y España. Se realiza un análisis del estado actual del fungiturismo en la región de Villa de Leyva, debido a que

muchos turistas tienen un interés en este lugar. Por ello, se analiza la posibilidad plantear un producto de turismo basado en hongos, por

la comunidad, desde el punto de vista gastronómico. Para ello, se realizan encuestas a la comunidad y a los gerentes de los prestadores de servicios turísticos en Villa de Leyva. Esto con el fin de analizar la posibilidad de plantear un producto de micoturismo en esta región

de Boyacá. Se evidencia que son muchos los interesados en adquirir este tipo de producto y la comunidad está lejos de plantear una oferta sostenible de este tipo de turismo.