bluuebunny/crossref_metadata_2025 huggingface dataset:
Exploring the role of the combination of propolis and vitamin D3 on VCAM-1 and Caspase-3 expression in preventing atherosclerosis in chronic kidney disease rats
Authors: Ismail Darmawan , Purwanto Bambang , Wasita Brian , Supomo  , Yasa Ketut Putu , Soetrisno
Published: December 2022

Background: Increased blood pressure that occurs in chronic kidney disease (CKD) is influenced by the occurrence of thickening of blood vessels. This study evaluates the utilization of propolis which acts as an anti-inflammatory and vitamin D3 which plays a role in calcium-phosphate metabolism, that when combined are expected to prevent atherosclerosis.
Methods: This experimental research used a post-test only group design with a total of 24 male rats divided into 3 groups. Subjects were induced to develop CKD with unilateral ureteral obstruction. A combination of 50mg/kgBW of propolis and 0.126mcg/kgBW of vitamin D3 was given orally every morning in the intervention group. Hemodynamics and atherosclerosis status were observed using sonography until week 4. Inflammatory markers with vascular cell adhesion molecule 1 (VCAM-1) and Caspase-3 were evaluated weekly via plasma and target organ samples were immunohistochemically examined at the study’s end.
Results: Propolis and vitamin D3 significantly reduced blood pressure from 156 mmHg at the beginning of the study to 117mmHg at week 4 (p=0.000). Thickening of the aorta occurred in the control and intervention groups but the thickening in the control group (0.90mm) was statistically significantly (p=0.000) higher than the intervention group (0.30mm). There were decreased VCAM-1 and Caspase-3 levels in the intervention group compared to the control group, both in plasma and target organ levels
Conclusion: Utilization of propolis and vitamin D3 combined has a good effect on lowering inflammation, improving hemodynamics and preventing atherosclerosis in chronic kidney disease rat models.
Dealing with tests and treatments for HIV, syphilis, and hepatitis B infection to prevent mother-to-child transmission (MTCT) from a tertiary hospital in Indonesia
Authors: Wardiana Maya , Prakoeswa Cita Rosita Sigit , Sawitri Sawitri , Rahmadewi Rahmadewi , Astari Linda , Prasetyo Budi , Budiono Budiono , Hidayati Afif Nurul
Published: December 2022

Background: Mother-to-child transmission (MTCT) of Human Immunodeficiency Virus (HIV), syphilis, and Hepatitis B can cause a health burden and lead to morbidity and mortality in children. An attempt to eliminate the transmission has been made worldwide. This study aimed to evaluate the triple elimination of MTCT for HIV, syphilis, and hepatitis B in a tertiary hospital in Indonesia.
Methods: We evaluated 690 medical records of new pregnant women seeking antenatal care (ANC) in a tertiary hospital in the east part of Indonesia from January to December 2018.
Results: HIV, syphilis, and hepatitis B testing were performed on 97 patients (14.1%). HIV and hepatitis B, HIV and syphilis, and syphilis and hepatitis B testing were performed on 149 (21.6%), 6 (0.9%), and 6 (0.9%) patients, respectively. The prevalence of HIV, syphilis and hepatitis B was 4.2%, 0.4%, and 3.8%, respectively. HIV treatment by administering antiretroviral therapy (ART) was done in 86.2% of patients. Injection of benzathine penicillin G as the treatment of syphilis was done in 66.7% of syphilis patients. HBV DNA examination followed by tenofovir administration was done in 3.8% of hepatitis B patients.
Conclusion: The testing rate of HIV, syphilis, and hepatitis B in pregnant women in a tertiary hospital in the east part of Indonesia in 2018 (14.1%) was below the target set by World Health Organization (≥ 95%). Increasing access to antenatal screening as early detection is the key to preventing mother-to-child transmission (MTCT).
The relationship of religiosity and social support with students adaptation in the islamic boarding school
Authors: Khamida  , Yusuf Ah , Budury Syiddatul , Kareina Anindya Puteri
Published: December 2022

Introduction: The new daily activities undertaken by students at the Islamic boarding school are a time of change, in terms of individual religiosity and social interaction. This is because not all new students have the experience of living in boarding schools. The purpose of this study was to analyze the relationship between religiosity and social support with student adaptation in Islamic boarding schools.
Method: The design of this study was cross-sectional. The sample was 102 new students who were living in a boarding school for less than a year which were taken by simple random sampling. The independent variables were religiosity and social support, the dependent variable was student adaptation. The research instrument used a questionnaire. Data were analyzed using the Chi-Square test and Binary Logistic Regression test
Results: The results of the Chi-Square test analysis showed that p-value = 0.042 and p-value = 0.021, which means that there is a significant relationship between the two variables. Meanwhile, the results of the binary logistic regression analysis showed that p-value = 0.220, which means that 22% of the student adaptation variable can be explained by the variable of religiosity and social support.
Conclusions: The higher the level of religiosity and social support, the higher and easier the students will adapt. It is hoped that the Islamic boarding school caretakers will be able to carry out mentoring activities for new students so that it can make it easier for students to adapt.
Quran recitation as noise-induced aggression and resilience in animal model of depression
Authors: Algristian Hafid , Bintari Tri Wahyu , Iradatus Solihah  , Andik Ferdiantoro  , Fatmanagri Napstyawati  , Handajani Retno
Published: December 2022

Introduction: This research analyzes the behavioral and biological concepts of depression, aggression, and resilience. It also analyzes the Quran recitation as a noise-inducer for aggression but also encouraging intervention for depression.
Method: Experimental research with a post-test-only control group design created an agitated depression model in mice as a basis for understanding the biological concepts of aggression. Healthy mice (Mus musculus balb/c) aged 10-12 weeks, weighing 20-25 grams, were random-allocated into 9 (nine) groups, namely the control group (K_ negative, depression, and aggression), depression group (DP_1, 2, 3), and aggression group (AP_1, 2, 3). The tail suspension approach triggered helplessness to form a depression model. Quran recitation was performed above 60 decibels as noise exposure triggers agitation and forms an aggression model. QRP performed under 60 decibels was assumed to create a resilience model. Depression, aggression, and resilience were measured using an eight-arm radial maze (TM) and immobile time when hung (TG). After the intervention, mice were sacrified and the brains harvested. Normal cells were counted in the average of ten microscopic fields using 40x objective lens magnification and HE staining.
Results: The QRP alleviated the psychomotor retardation in the depression group, while the aggression group experienced a goal-directed behavioral activation as the cognition increased with psychomotor calm. Neuron cells were significantly different among groups; the optimum QRP dose was an hour once a day.
Conclusions: The QRP intervention can improve depression and aggression, but also a source of noise-induced stress at a higher frequency. These results should be carefully generalized and need further research.
The effect of lean six sigma toward maternal emergency lead time in Penembahan Senopati Hospital, Bantul, Yogyakarta
Authors: Firman Firman , Koentjoro Tjahjono , Widodo Kuncoro Harto , Utarini Adi
Published: December 2022

IntroductionÂ : Indonesia is one of the countries with high Maternal Mortality Rate that result partially from in management inefficiency, causing in obstruction of flow, underutilized resources, and imbalance between the number of patients with the availability of care facilities and the alternative care strategies. One of the strategies that can be applied to reduce lead time is Lean Six Sigma (LSS). Therefore, the purpose of this study was to evaluate the impact of Lean Six Sigma (LSS) methodology on patient lead time in Maternal Emergency of district government hospital.Methods: Researcher and the participants were involved in planning, gathering data, analyzing, and choosing the best solutions. The participants were trained on LSS methods, its implementation tools and procedures. Evaluations were conducted using lead time observation before and after implementation, and midwives were interviewed about their perceptions. The analysis was based on Value Stream Mapping tools. Results: Patientsâ€™ lead time from being admitted in emergency unit definitive diagnosis was decreased by 26.04 minutes or 16.4% in Caesarean Section (CS) and 15.25 minutes or 21.7% in other maternal high risk. For emergency CS, the improvement was 33.06 minutes or 26% from decision until incision. The benefit of LSS implementation was primarily in accelerating service processes and improving communication and team work. Conclusion: This study showed that the implementation of LSS had great potential benefit in a maternal emergency unit. Participation of the midwives is crucial for successful implementation of LSS to reduce patients lead time.
Recurrent shoulder dislocation treated with Bristow Latarjet procedure: a case report
Authors: Rahman Safrizal , Wienanda Gabriel Klemens , Akbar Fikri
Published: December 2022

Introduction: The shoulder's glenohumeral joint is the most frequently dislocated joint because of its unstable structure. The recurrence rate of shoulder dislocation is high with most of them were anterior dislocations. Bristow-Latarjet (BL) procedure had been reported to provide good outcomes in restoring the joint's stability. The aim of this report is to describe a case of recurrent anterior shoulder dislocation treated with an open BL procedure.
Case description: A 36-year-old patient came to our center with complaints of left shoulder pain after falling from a bicycle. Anterior apprehension and sulcus sign was positive on the physical examination and MRI showed anteroinferior labral detachment suggesting a Bankart lesion. This was a second episode of left anterior shoulder dislocation of this patient. An open BL procedure was conducted to this patient and good functionality and stability of the shoulder were obtained. The patient’s history, physical, and radiological examinations were in accordance with the diagnosis of recurrent anterior shoulder dislocation due to a Bankart lesion. Open BL procedure was done and its reported outcomes were also supported in several previous studies.
Conclusion: Recurrent anterior shoulder dislocation is still a significant problem, especially in young individuals and athletes. The BL procedure is a good treatment choice in this patient whose instability was due to a Bankart lesion.
The association of age, gender, tumor site, and smoking habit with histopathologic types of colorectal carcinoma patients in Wahidin Sudirohusodo Hospital, Makassar, Indonesia
Authors: Luther Yossy , Warsinggih  , Hamid Firdaus , Uwuratuw Julianus Aboyaman , Syarifuddin Erwin , Prihantono
Published: December 2022

Background: Colorectal carcinoma is the world's third most common type of cancer. The incidence in India is around 7/100,000. From GLOBOCAN data, the incidence of colorectal cancer in Indonesia is 17.2 per 100,000 adult population, with a mortality of 8.4% of all cancer cases. Several parameters were related to the risk of colorectal carcinoma. This study aims to evaluate the association of age, gender, tumor site, and smoking habit with histopathologic types of colorectal carcinoma patients in Wahidin Sudirohusodo Hospital, Makassar, Indonesia.
Methods: The retrospective cross-sectional study was conducted among 158 cases of colorectal carcinoma using a descriptive categorical sampling technique at Wahidin Sudirohusodo Hospital, Makassar, Indonesia, from January-March 2022. The variables assessed in this study were age, gender, tumor site, smoking habit, and histopathologic types of colorectal carcinoma. Data were analyzed using SPSS version 22 for Windows.
Results: There were 158 cases of colorectal carcinoma. According to age, most patients were 45-60 years old (41.1%), while 18-44 years and over 60 years had almost the same proportion. In this study, most of the tumors were found in the distal part, namely the rectum (30.4%), rectosigmoid (18.4%) and sigmoid (17.1%). Most of the subjects were smokers (78.5%). Meanwhile, according to the histological type, 85.4% were adenocarcinomas, followed by mucinous adenocarcinomas (13.3%) and signet ring cell types (1.3%). There is no significant relationship between age, gender, tumor location, and smoking habits with the histopathological type of colorectal carcinoma (p>0.05).
Conclusion: There is no significant relationship between age, gender, tumor location, and smoking habits with the histopathological type of colorectal carcinoma.
Risk factors for decreased hand grip strength in type 2 diabetes mellitus patients at the Tabanan Public Health Center II
Authors: Darmawan I Putu Gede Putra , Paramitha Ayu Agung Pradnya , Ida Bagus Indra Wibawa Putrawan
Published: December 2022

Introduction: The condition of decreased muscle mass and function in people with type 2 diabetes mellitus (DMT2) will lead to a significant effect on the decline in quality of life. A commonly found manifestation of sarcopenia is the presence of a decrease in the strength of the hand grip. Other research showed a significant inverse relationship between the strength of the hand grip and DMT2. But to date, there are still few studies that assess the factors that cause a decrease in the strength of the hand grip in DMT2 patients. This study aims to evaluate risk factors that are related to the strength of the decrease in the strength of the hand grip in patients with DMT2.
Methods: Cross-sectional analytical research. The data was taken through interviews, physical examinations and data collection of laboratory examination results at the general polyclinic of the Tabanan Public Health Center II. The bivariate test used chi-square and the multivariate analysis with logistic regression was used in assessing the magnitude of influence between variables that have a meaningful relationship with HGS and looking for the magnitude of the adjusted odd ratio (AOR) value. 
Results: The study discovered a strong correlation between age (p=0.002), body mass index (p=0.002), and fasting blood sugar levels (p=0.001) and hand grip strength. In the multivariate analysis, it was found that the relationship of age more than 50 years to the decrease in hand grip strength was greater than high fasting blood sugar levels, while no significant relationship was found on excess nutritional status in this multivariate analysis (p=0.44).
Conclusion: Age, body mass index, and fasting blood sugar levels are the risk factors for decreased hand grip strength in type 2 diabetes mellitus patients.
Congenital heart disease, gastrointestinal defect, and low birth weight as the contributing factors for three-year survival rates among Down syndrome children in Indonesia
Authors: Tiona Romauli Simamora  , Suryono Yudha Patria  , Setya Wandita
Published: December 2022

Background: Down syndrome is the most common congenital chromosomal anomaly and occurs in about 1-10:1.000 live births globally. Various reports stated an increasing survival rate because of advanced medical and surgical care. The highest mortality in Down syndrome children takes place in the first three years of life with its comorbidities being congenital heart disease and gastrointestinal defect. Low birth weight was also more common in Down syndrome children compared to normal children and was one of the contributing factors to higher mortality. This study aims to examine three-year survival rates among children with Down syndrome.
Methods: We included all medical records with Down syndrome children in Dr. Sardjito Hospital, Yogyakarta, Indonesia during 2013 to 2016. We excluded all medical records with inadequate data. Three-year survival rates were analyzed using Kaplan-Meier and hazard ratio was analyzed using Cox regression.
Results: The 1-year, 2-years and 3-year survival rates in Down syndrome children were 80.1%, 72.4%, and 70.8% respectively. Overall, 45% of births with Down syndrome had congenital heart disease, 11% had a gastrointestinal defect, and 9% had both congenital heart disease and gastrointestinal defect. Three-year survival rates in Down syndrome children with congenital heart disease was 61.4% (78/127) and 81.7% (89/109) (p=0.001). Three-year survival with gastrointestinal defect was 47.8% (22/46) and without was 76.3% (145/190) (p<0.001). Furthermore, three-year survival with low birth-weight was 64.6% (42/65) and without was 71.6% (111/155) (p=0.328).
Conclusion: Congenital heart disease and gastrointestinal defect lower the survival rate in Down syndrome children.
PENDEKATAN ERGONOMI TOTAL MENINGKATKAN KUALITAS HIDUP PEKERJA WANITA PENGANGKUT KELAPA DI BANJAR SEMAJA ANTOSARI SELEMADEG TABANAN BALI
Authors: Artayasa I Nyoman
Published: December 2022

Kelompok (sekeha) pemetik kelapa (ngalap nyuh) ini terdiri dari 3 bagian pekerja yaitu (a) pemetik kelapa (tukang ngalap) (b) pengumpul (tukang nuduk) kelapa, (c) pengangkut kelapa (tukang suwun). Pengangkut kelapa melaksanakan pekerjaannya dengan meletakkan keranjang di atas kepala yang memuat sebanyak Â± 25 biji kelapa, berat Â± 25 kg, jarak Â± 500 m dan dilaksanakan di tegalan dengan sudut kemiringan 10Âº - 25Âº. Setelah selesai bekerja mereka merasakan sakit pinggang, pegal-pegal di seluruh tubuh terutama di bagian tungkai dan leher. Jika dilihat beban kerja yang dihitung berdasarkan frekuensi denyut nadi kerja ternyata besarnya adalah 126,24Â±14,10 denyut/menit dan digolongkan pada katagori pekerjaan berat. Demikian pula dengan skor kelelahan mencapai 64,10Â±15,29 dan skor gangguan muskuloskeletal 56,25Â±7,44. Ergonomi total dapat diterapkan pada sektor ini, sehingga beban kerja, kelelahan dan keluhan sistem muskuloskeletal dapat diminimalkan dan pada akhirnya produktivitas kerja dapat ditingkatkan. Penelitian eksperimental ini menggunakan rancangan sama subjek, dan melibatkan 20 sampel penelitian yang dipilih secara acak sederhana pada pekerja wanita pengangkut kelapa di Banjar Semaja Antosari Tabanan Bali. Data dianalisis dengan uji t-paired dan Wilcoxon Signed Rank Test pada taraf signifikansi 5%. Hasil penelitian menunjukkan penurunan beban kerja, kelelahan, keluhan muskuloskeletal, dan peningkatan produktivitas secara bermakna (p<0,05). Dapat disimpulkan, pendekatan ergonomi total menurunkan beban kerja dilihat dari penurunan denyut nadi kerja sebesar 10,61%. Penurunan kelelahan 53.97%, keluhan sistem muskuloskeletal 48,01%. Konsekuensinya, terjadi peningkatan produktivitas sebesar 48.84%. Dengan demikian dapat dikatakan pendekatan ergonomi total dapat meningkatkan kualitas hidup pekerja wanita pengangkut kelapa di Banjar Semaja Antosari Tabanan Bali.
ANTIOXIDANT CAPACITY OF FRANGIPANI (Plumeria alba) POWDER EXTRACT
Authors: Wrasiati Luh Putu , Wirawan I Gede Putu , Agus Bagiada Nyoman , Mantik Astawa I Nyoman
Published: December 2022

This research aimed to identify the antioxidant capacity, vitamin C (ascorbic acid), and total phenolic compounds of frangipani flower powder. The powder was extracted using ethanol, methanol, acetic acid, and water (aquadest). Antioxidant capacity of each extract were determined using 2,2-diphenyl-1-picrylhydrazyl radical scavenging method, vitamin C were determined using 2,4 Dinitrophenylhydrazine, and total phenolic compounds were determined using Folin Ciocalteu reagent. All of parameters were measured by spectrofotometer. The result shows that the highest value of antioxidant capacity was ethanolic extract (18.19%) and the lowest value was acetic acid extract (12.74%). The highest value of vitamin C was aqueous extract (3.49 mg/100g) and the lowest value was acetic acid extract (3.02 mg/100g). The highest value of total phenolic content was aqueous extract (25.49 mg GAE/g) and the lowest value was acetic acid extract (22.74 mg GAE/g). In conclusion, the higher antioxidant capacity was not always followed by the higher of vitamin C and total phenolic compounds.
IN VITRO INHIBITION ZONE TEST OF BINAHONG (ANREDERA CORDIFOLIA) TOWARDS STAPHYLOCOCCUS AUREUS, ENTEROCOCCUS FAECALIS, ESCHERICHIA COLI, AND PSEUDOMONAS AERUGINOSA
Authors: Amertha IBPM , Soeliongan S , Kountul C
Published: December 2022

ABSTRACT This is a true experimental research with post test-only control group design. The study was conducted to test the inhibitory zone of the Binahong leaf extract (Anredera cordifolia) against Staphylococcus aureus, Enterococcus faecalis, Escherichia coli, and Pseudomonas aeruginosa. Binahong leaf extract is prepared using maceration technique, by soaking it in a sealed jar for 24 hours with 95% methanol. Then subsequently filtered using a funnel with filter paper, and the filtrate is collected inside an erlenmeyer. The filtrate then concentrated using a rotavapor, this concentrated extract dissolved into aquadest with a concentration of 50 ppm, 100 ppm and 1000 ppm. By taking a few colonies with a sterile loop into a stock of Staphylococcus aureus, Enterococcus faecalis, Esherichia coli, Pseudomonas aeruginosa then scratch it into MH blood agar medium, and incubate it for 24 hours with a temperature of 370C. The next day, bacterial suspension was made in test tube, which already contains 0.9% NaCl. The suspension tturbidity is equivalent to 0.5 Mc Farland. Bacterial inhibition zone of binahong leaf extract (Anredera cordifolia) is tested using absorbance disc method or better known as the Kirby-Bauer method. First, pour 10 ml of agar medium (Â± 400C) into a cup (petridish) and then wait until itâ€™s cold. After the medium becomes solid, the suspension of bacteria Staphylococcus aureus, Enterococcus faecalis, Esherichia coli, and Pseudomonas aeruginosa are slowly smeared with sterile cotton sticks on the surface of the media. Soak the paper discs into binahong leaf extract (Anredera cordifolia) with concentrations of 50, 100, and 1000 ppm, for about 5 minutes, and placed it on the surface of the petridish, together with the positive control (amoxicillin) and negative control (aquadest). Then incubate it at 370C for 24 hours. The effectiveness of binahong leaf extract (Anredera cordifolia) inhibition zone, can be determined by measuring the diameter of clear zone around the paper using a sliding-term. Binahong leaf extract (Anredera cordifolia) zone of inhibition is negative, a very slight different is showed by the amoxicillin inhibition zone, for having a clear zone diameter of 28 mm for Staphylococcus aureus and Esherichia coli, and 21 mm for Enterococcus faecalis. This fact is probably caused by several things concerning the mechanism of action of a substance as an anti bacterial of the binahong leaf extract (Anredera cordifolia).Â
ORAL ADMINISTRATION OF PEPPERMINT IN WISTAR ALBINO RATS: Memory Boosting and Regaining
Authors: Jasira M. , Sai-Sailesh K. , Mukkadan J. K.
Published: December 2022

The studies on peppermint aroma fluence on cognition are numerous. However the knowledge about oral consumption of peppermint and cognition was inadequate. Hence the present study was undertaken to find out the effect of oral administration of peppermint spices in memory boosting and memory regaining on adult wistar rats. Here we investigate the influence of oral intake of peppermint on behavioral task performance by using T-maze and radial arm maze and physiological measures relative to a milk control group. We have observed significant memory boosting and memory regaining effects of peppermint when administered orally. This effect may be due to improvement of the blood flow to the brain and increasing the concentration power. Â Hence we recommend further research in this area by investigating compound metabolism to optimize quantification of memory performance following peppermint ingestion.
Psychospiritual in palliative care services: a literature review
Authors: Sutarta I Putu Candra Sasmita , Ariani Ni Ketut Putri
Published: December 2022

Background: Palliative care provide holistic services at the physical, mental, and spiritual levels. Spiritual care is an intrinsic and essential component of palliative care that WHO has recognized. However, spiritual care is still not widely known by the community and health workers in the practice of palliative care.
Methods: This literature review was written based on various books, journals, and scientific articles that related to spiritual care in palliative care. The quantitative and qualitative data were obtained, then collected and sorted into a report based on the appropriate topic.
Result: Spirituality is one of the fundamental dimensions in the quality of life and maintaining culture. Thus, spirituality is an important component of palliative care. Many palliative patients understand their spiritual needs and want health professionals to help them address these needs. Various existing studies show that spiritual care provides benefits, especially in emotional needs and the search for meaning in life at the end of life. Palliative care professionals can provide spiritual care, but spiritual care is complex and requires specialized knowledge, expertise, and experience in assessing and meeting patient needs, requiring further training and education.
Conclusion: Various studies have shown that palliative patients need psychospiritual care to support comfort and meaning in their lives towards the end of life. So, psychospiritual care in palliative care needs to be implemented and improved, especially in training for palliative care teams.
Inferior STEMI as the challenge of predicting the right coronary artery vs. the left circumflex artery as culprit lesion using the ECG criteria: a case report
Authors: Pratistha Fernanda Savitri Mega , Wulandari Ni Luh Eka Sriayu
Published: December 2022

Background: The morbidity and mortality in Inferior ST-elevation myocardial infarction (STEMI) is also determined by the location of the occlusion. Early Identification of the occlusion site is necessary to assist in the appropriate management of Inferior STEMI. This case study aims to evaluate the Electrocardiogram (ECG) examination, which has a basic role in the diagnosis of STEMI, both in determining the location of myocardial infarction and predicting the location of the culprit lesion.
Case Presentation: A 48-year-old male patient complained of dull chest pain, such as being pressured by a heavy object and radiating to the back, followed by nausea, vomiting and cold sweats, and shortness of breath for 2 hours before coming to the hospital. On arrival, the patient was fully conscious with a blood pressure of 110/70 mmHg, pulse rate of 129x/minute with a SpO2 of 95% with electrocardiography (ECG) results showing atrial fibrillation with inferoposterolateral STEMI. Shortly after the ECG examination, the patient became unconscious, with blood pressure dropping to 60/palpation and bradycardia at 48 beats/minute. The patient underwent a fibrinolytic revascularization strategy with Streptokinase 1,500,000 U for 30 minutes, but soon the patient became unconscious with the ECG monitor showing ventricular fibrillation (VF). Hence, cardiopulmonary resuscitation was immediately performed with 360 J defibrillation twice, and the ECG returned to sinus rhythm. After stabilizing, the patient was referred for Rescue Percutaneous Coronary Intervention (PCI). The results of Coronary Angiography showed that the culprit lesion, in this case, was the Left Circumflex Artery with the Right Coronary Artery normal small, and non-dominant.
Conclusion: ECG is still an important supporting examination in diagnosing and managing Acute Coronary Syndrome (ACS). An ECG can also help determine the culprit lesion in STEMI before angiography. Inferoposterolateral STEMI can be caused by blockage of the Right Coronary Artery (RCA) or Left Circumflex Artery (LCx).
Prevalensi musculoskeletal disorders (MSDs) pada pengemudi angkutan umum di terminal mengwi, kabupaten Badung-Bali
Authors: Sekaaram Vimalavarati , Ani Luh Seri
Published: December 2022

Musculoskeletal disorders (MSDs) merupakan permasalahan kesehatan global karena prevalensinya yang tinggi pada pekerja. Kesehatan dan keselamatan pekerja seharusnya diutamakan namun pada kenyataannya kejadian MSDs tetap tinggi. Pengemudi angkutan umum sangat berisiko mengalami gangguan kesehatan terutama MSDs. Faktor- faktor risiko MSDs pada pengemudi angkutan umum meliputi usia tua, durasi kerja melebihi normal, masa kerja lama, dan kebiasaan merokok. Penelitian ini bertujuan mengetahui prevalensi MSDs pada pengemudi angkutan umum di Terminal Mengwi Kabupaten Badung. Dengan demikian, diharapkan mampu mencegah terjadinya MSDs sehingga meningkatkan kesehatan dan keselamatan kerja pengemudi angkutan umum. Penelitian ini menggunakan rancangan deskriptif cross sectional yang dilaksanakan dari bulan April hingga Mei 2016, dengan sampel berjumlah 30 orang yang merupakan pengemudi angkutan umum di Terminal Mengwi, Kabupaten Badung, menggunakan teknik accidental sampling. Data diperoleh dari wawancara terstruktur menggunakan kuesioner dan Nordic Musculoskeletal Questionnaire (NMQ) Hasil penelitian menunjukan prevalensi MSDs pada pengemudi angkutan umum di Terminal Mengwi yaitu 76,7%, dengan distribusi keluhan terbanyak pada bagian pinggang sebesar 73,91%. Kelompok usia â‰¥47 tahun mengalami MSDs sebesar 80%, durasi kerja â‰¥12 jam/hari lebih banyak mengalami MSDs yaitu 91,7%, masa kerja â‰¥18 tahun mengalami MSDs sebesar 80%, dan kebiasaan merokok >20 rokok/hari mengalami keluhan MSDs sebesar 100% Dapat disimpulkan bahwa prevalensi MSDs pada pengemudi angkutan umum di Terminal Mengwi cukup tinggi. Hal ini dipengaruhi oleh beberapa faktor risiko seperti usia, durasi kerja, masa kerja, dan kebiasaan merokok. Peneliti merekomendasikan kepada pemegang kebijakan angkutan umum dan tenaga kesehatan untuk memberikan edukasi kepada seluruh pengemudi angkutan umum mengenai aspek ergonomi dalam mengemudi untuk mencegah MSDs.
Gambaran tingkat pengetahuan terhadap hipertensi dan kepatuhan minum obat pada penderita hipertensi di wilayah kerja Puskesmas kintamani I
Authors: Mathavan Jaeynisha , Pinatih Gde Ngurah Indraguna
Published: December 2022

Hipertensi seringkali disebut silent killer karena tidak adanya gejala dan tanpa disadari penderita mengalami komplikasi pada organ-organ vital. Seseorang dikatakan menderita hipertensi apabila tekanan darah sistolik >140 mmHg dan tekanan diastolik >90 mmHg. Dari data di Puskesmas Kintamani I masih banyak terdapat warga yang menderita hipertensi, kebanyakan dari mereka adalah pasien yang sering berkunjung untuk melakukan kontrol. Kepatuhan dalam pengobatan hipertensi sangat penting untuk mengontrol gejala hipertensi dan komplikasi yang dapat ditimbulkannya. Pengetahuan pasien mengenai penyakitnya sangatlah berpengaruh terhadap keputusannya dalam menjalani pengobatan. Kepatuhan pasien dalam menjalani pengobatan juga dipengaruhi oleh faktor internal dan faktor eksternal pasien. Â Tujuan penelitian ini dilaksanakan agar dapat melihat gambaran tingkat pengetahuan terhadap hipertensi dan kepatuhan minum obat pada penderita hipertensi di wilayah Kintamani I. Penelitian ini merupakan studi deskriptif cross-sectional. Jumlah sample pada penelitian ini sebanyak 50 orang responden yang merupakan penduduk penderita hipertensi di wilayah kerja Puskesmas Kintamani I. Teknik pengambilan sample yang digunakan merupakan teknik simple random sampling. Pengambilan data dilakukan pada tanggal 22 - 29 Mei 2015 menggunakan kuesioner kepatuhan minum obat Morisky Medicaton Adherence Scale (MMAS-8). Penelitian ini mendapatkan hasil, Responden dengan tingkat pengetahuan tinggi sebesar 48,0%, sedangkan tingkat pengetahuan rendah sebesar 52,0%. Sebanyak 70% pasien mempunyai kepatuhan rendah terhadap minum obat hipertensi, sedangkan 30% pasien mempunyai kepatuhan tinggi. Â Untuk mendukung angka keberhasilan pengobatan hipertensi perlu dilakukan penyuluhan terkait penyakit hipertensi sehingga kepatuhan minum obat penderita hipertensi dapat meningkat.
Tingkat Kecemasan Antara Mahasiswa Kedokteran dari Universitas Udayana dan Implikasinya Pada Hasil Ujian
Authors: Thinagar Mirulalini , Westa Wayan
Published: December 2022

Kecemasan merupakan masalah yang sering dihadapi individu di seluruh dunia. Namun kelompok yang menjalani pendidikan tinggi cenderung lebih rentan mengalami kecemasan karena stress yang dihadapi untuk menyelesaikan tugas tepat waktu. Kecemasan merupakan suatu proses yang normal namun akan menjadi masalah ketika kecemasan tersebut mengganggu kehidupan sehari-hari. Hal iniÂ  harus segera diatasi karena dapat menyebabkan berbagai efek seperti menurunnya konsentrasi mahasiswa dalam proses pendidikan, hal ini juga berkaitan dengan pencapaian prestasi belajar yang rendah yang kemudian dapat memicu terjadinya depresi. Â Penelitian ini merupakan penelitian deskriptif observasional dengan pendekatan cross-sectional. Subjek merupakan mahasiswa Fakultas Kedokteran Universitas Udayana yang berumur antara 20-22 tahun. Kuesioner GAD-7 digunakan untuk menilai adanya kecemasan pada mahasiswa. Dari 130 orang responden, didapatkan 76,9% mahasiwa mengalami kecemasan sedang dan 23,1% mengalami kecemasan ringan. Tidak ada mahasiwa dengan kecemasan berat. Proporsi kecemasan ringan lebih tinggi dibanding kecemasan sedang pada kelompok yang lulus ujian (92% dan 8%), sementara proporsi kecemasan ringan lebih rendah dibanding kecemasan sedang pada kelompok yang gagal dalam ujian (6,7% dan 93,3%). Hal ini menujukkan bahwa kecemasan merupakan salah satu faktor yang mempengaruhi hasil ujian.Â
Polusi udara terkait lalu lintas dan kesehatan respirasi
Authors: Artana I Gusti Ngurah Bagus , Rai Ida Bagus Ngurah
Published: December 2022

Polusi udara meningkatkan risiko menderita berbagai masalah kesehatan, terutama di bidang respirasi. Pajanan polusi udara terkait lalu lintas bersifat involunter dan mengenai manusia sejak dalam kandungan hingga kematian. Polutan udara mengandung bahan-bahan seperti nitrogen dioksida, sulfur dioksida, karbon monoksida, benzene, ozon, particulate matter 10 (PM10), timbal, arsenik, cadmium, nikel, benzopyrene, dan particulate matter 2,5 (PM2.5) yang dapat mempengaruhi kesehatan paru. Menentukan hubungan sebab akibat berbagai polutan utama dari jalan raya terhadap system respirasi manusia merupakan hal yang sangat rumit dilakukan. Secara umum dapat disimpulkan, polutan terkait lalu lintas akan mencetuskan reaksi inflamasi yang akan bergulir sesuai variasi individu manusia yang terpajan. Konsep stress oksidatif akibat polutan terkait lalu lintas juga mulai banyak diteliti. Hal ini memberikan harapan dalam membantu mekanisme anti-oksidan manusia dalam menghadapi ancaman polusi udara yang semakin sulit dihindari.
Factors associated with minimum dietary diversity among 6-11-month-old children in Indonesia: Analysis of the 2017 Indonesian Demographic and Health Survey
Authors: Zebadia Eurika , Atmaka Dominikus Raditya
Published: December 2022

Background and purpose: The indicators to assess food diversity in complementary feeding is minimum dietary diversity (MDD). In 2017, the proportion of MDD among 6-11-month-old children in Indonesia was 33.8%, which was the lowest among other age group and below the national rate. This study aims to explore factors associated with MDD among 6-11-month-old children in IndonesiaMethods: This study was a secondary data analysis of the 2017 Indonesia Demographic and Health Survey (IDHS), a cross-sectional study involving 17,848 children across all provinces in Indonesia. The final samples included in this analysis were 1,593 children aged 6-11-month-old. Variables analyzed were parent’s education level, access to information, parent’s occupation, wealth index, and access to health facilities. Logistic regression model was applied to identify   factors associated with MDD.Results: The proportion of MDD in this study was 35.1%. The highest food groups that were consumed were staple food, vitamin-A rich fruits and vegetables, and breastmilk. The final model showed factors which correlated significantly with complementary feeding practices that met MDD requirement were wealth index categorized as richer (OR=1.72; 95%CI: 1.16-2.55; p=0.007), wealth index categorized as richest (OR=2.42; 95%CI: 1.58-3.68; p<0.001) and using internet almost every day (OR=1.42; 95%CI: 1.05-1.91; p=0.023).Conclusion: Wealth index and internet use were independently associated with MDD. Online media should be considered as channel to spread information of complementary feeding diversity to children, while socio-economic factor which associated to food accessibility should be addressed by involving beyond health sector.
The Practice of Constructing the Character “Victim” in Journalistic Publications About the Terrorist Attack in Beslan
Authors:   Ural Federal University, Chepkina Elina V. , Kolchin Denis S. ,   Ural Federal University
Published: December 2022

The authors, using the method of discourse analysis, present the results of a study regarding how 15 years after the terrorist attack in Beslan, the victim characters were constructed in Russian print and online media. The leading discursive practices of constructing such victim characters in connection with the anniversary of the terrorist attack are identified. It is typical to assign a narrative role to the character in the context of describing the events, characterizing the victims of the terrorist attack using the direct speech of the participants and eyewitnesses of the tragedy, describing the actions of the “victims community in order to preserve the memory of the dead.
The Symbolysm and Meanings of the Railway Image in Art Culture: the “Home” Concept
Authors:   Siberian Transport University, Maltseva Elena A. ,   Novosibirsk State Pedagogical University
Published: December 2022

The one of the aspects of symbolic value of the railway image in art culture is dealt with in the article. The railway image as an embodiment of the “home” concept is described based on literary, painting, graphic works. The analysis of cultural and philosophical studies showed the “home” concept to be of importance for the culture and revealed its main meanings. The consideration of the home as anthropological and sociocultural space turned out to be useful for the current study. The key ideas of the “home” concept in the artistic image are revealed on the basis of exploration of the large empirical evidence (the author’s catalogue of art works with the railway topic includes 525 paintings, 443 graphic works, 210 literary works). Characteristics such as the creation of the space to be shielded from the outside, the opportunities to read or talk calmly or to be surrounded with domestic items are considered under the anthropological understanding of the railway image. The railway image as the sociocultural space is examined by identifying the social relationships, norms and traditions of the artistic embodiment of the railway reality, in particular the relationship of different social groups and gender relations.
The Study of Identity of Older Teenagers Playing Online Games
Authors:   Ural Federal University, Okonechnikova Lyubov V. , Skvortsova Irina E. ,   Ural Federal University, Saveliev Vladimir V. ,   Ural Federal University
Published: December 2022

This article is devoted to the study of the real and virtual identity of older teenagers playing online games. With the help of the author’s questionnaire, the gaming preferences of boys and girls were revealed. The differences in the real and virtual identity of boys and girls playing online games are described (M. Kuhn — T. McPartland methodology “Who am I?” and “Who am I in the game?”). The features of two types of teenagers playing online games are identified and described: those who identify themselves with the heroes of online games and those who do not identify themselves with the heroes of online games (V. Stephenson’s Q-sorting questionnaire, the “Unfinished Sentences” technique adapted by A. E. Zhichkina and E. A. Shchepilina).
Transformation of Educational Success/Failure of Students in the Sphere of Their Professional Self-Realization as a Problem of Interaction of Educational Communities at the University
Authors:   Ural Federal University, Zborovsky Garold E.
Published: December 2022

The relevance of the problem of the article is due to the need to ensure a high level of professional self-realization of students due to the formation of their interest in work and profession in the process of educational activity. The purpose of the article is to show the prospects for creating the necessary conditions for students to search and analyze broad real opportunities for their professional self-realization. The article draws attention to solving the problem of students’ adaptation not only to the university, but also to work by profession. The practical significance of the research results lies in the possibility of their use by teachers and mentors in programs of successful professional self-realization of students.
The Effect of Fiscal Policies on Business Cycles in Turkey
Authors:   Alanya Alaaddin Keykubat University, Gülşen Mustafa Alpin
Published: December 2022

Fiscal policies are designed to balance cyclical fluctuations. Fiscal policies in developed countries are mostly countercyclical. However, fiscal policies alone cannot explain the cyclical effect of fiscal policies implemented in developing countries. This is due to weak institutional structures, political restrictions, and populist practices. The study examined the effect of fiscal policies on business cycles in Turkey between 1975–2020 using the ARDL model and annual data. According to the findings, public expenditures, investment expenditures, tax revenues, direct tax revenues, and budget balance increase the output gap. On the other hand, trade openness, government transfer payments, and indirect tax revenues reduce the output gap. Based on the empirical findings, the following comments can be made: (a) fiscal policy can be considered cyclical in this period; (b) cyclical fluctuations are reduced in open economies; (c) budget balance increases cyclical fluctuations (non-Keynesian effect). A possible reason for this is that the budget revenues mainly consist of indirect tax revenues (70% in Turkey). The significance of the results obtained in the study are as follows: (1) analyzes the impact of fiscal policies implemented by a developing economy on stability using a current and long time series; (2) provides an insight into the institutional quality and response of implemented fiscal policies through short- and long-term analysis; (3) analyzes the effect of Turkey’s ability to implement fiscal policies, which prefers the global markets integration model, and the tax technique it creates, on the economy.
Influence of Corporate Income Tax to Loan Loss Provision: Evidence from Uzbekistan
Authors:   National University of Uzbekistan, Tashkent, Uzbekistan, Toshmatov Shukhrat A. , Abdullaev Zafarjon A. ,   University of Public Safety, Tashkent, Uzbekistan, Ahrorov Zarif O. ,   Samarkand Institute of Economics and Service, Samarkand, Uzbekistan
Published: December 2022

This article is devoted to the analysis of the impact of corporate income tax on compulsory reserves created by commercial banks for possible loan loss provision. In the majority of countries banks are required to create compulsory reserves for potential loan loss provisions, and the corporate tax regime applies tax deductions to these compulsory reserves. The corporate tax system facilitates timely coverage of potential loan loss provision. In addition, corporate taxation is an essential factor in the transparency of banks’ financial statements. The research has revealed that reserves for potential loan loss provision are used primarily for profit regulator purposes, not to regulate capital. This implies that when deducting the amount of total reserves for tax purposes of banks the loan loss provision is positively related to the corporate income tax rate. The analysis of the selected commercial banks has confirmed that the impact of corporate income tax is more significant for the timely admitting potential loan loss provision when deducting general reserves from the tax base, mainly for the purpose of taxing banks’ profits. According to the results, an increase in the tax rate by an average of 1% could lead to an increase in the amount of required loan loss provision by 3.9%. This means that when total reserves are deducted for tax purposes, the underlying hypotheses that compulsory reserves for loan loss provisions are positively correlated with the corporate income tax rate and that the amount of loss reserves is increased at the income tax rate have been confirmed. In general, the following aspects are crucially important in the taxation of profits of commercial banks: which method is more convenient for loan loss provision (write-offs or formation of reserves); entire or partial compliance between the taxation and regulation of reserves for loan loss provision; imposing restrictions on the application of tax deductions to reserves for possible loan loss provisions.
Power, Trust and Transparency as Determinant Factors of Tax Compliance: A Systematic Review
Authors:   University of Malaya, Kuala Lumpur, Malaysia, Al-Maghrebi Mohammed Saleh ,   Amran University, Amran, Republic of Yemen, Sapiei Noor Sharoja ,   University of Malaya, Kuala Lumpur, Malaysia, Abdullah Mazni ,   University of Malaya, Kuala Lumpur, Malaysia
Published: December 2022

This systematic review emphasizes the importance of expanding and deepening the theoretical framework of research on individual taxpayer compliance, particularly through integrated models. The main objective of this article is to systematically review the literature on tax compliance based on three determinants: coercive power, trust in tax authorities and transparency; and provide a direction for future research. There are three review questions in this paper, namely: (1) What is the present situation of the literature on the connection between coercive power and tax compliance; (2) What is the present situation of the literature on the connection between trust in tax authorities and tax compliance; (3) What is the present situation of the literature on the connection between “relationship transparency” and tax compliance. A systematic review of the literature was used to perform this review, considering 66 studies published in several suggested databases. The results are a call for a more sophisticated understanding of not only how suggested factors (Coercive Power; Trust; Transparency) affect tax compliance, but also how they interact and change each other and then, influence tax compliance. This review implies that enhancing tax service, transparency, and government trust is more successful and relatively easier to proceed than encouraging positive behaviour among taxpayers. This review is the first to systematically analyse the literature on tax compliance based on three determinants (coercive power, trust and transparency), as found, no synthesis studies have comprehensively covered the issue. This results in unique, motivating, and relevant discoveries that may be used to direct future studies and serve as a tool for academics, practitioners, and policymakers. Furthermore, this study would aid governments and tax authorities to understand the motives and perceptions of taxpayers into taxes.