bluuebunny/crossref_metadata_2025 huggingface dataset:
Estrategias de enseñanza y aprendizaje en la Facultad de Ciencias de la Salud
Authors: Basante Noguera Diego , Gómez C. Isabel Cristina
Published: February 2024

La investigación permitió comprender cuáles estrategias de enseñanza y aprendizaje son utilizadas por los docentes de la facultad de Ciencias de la Salud en el aula para alcanzar competencias.
Los objetivos estuvieron enfocados en describir las concepciones de currículo y competencias apropiadas por docentes, determinar las estrategias de enseñanza y aprendizaje aplicadas en el desarrollo de los microcurrículos y, finalmente, identificar si éstas contribuyen al aprendizaje por competencias de los estudiantes.
La metodología se ciñó al paradigma cualitativo con enfoque histórico hermenéutico y un tipo de investigación etnográfico aplicado a la educación; el análisis e interpretación de la información permitió comprobar la importancia de la capacitación de los docentes y determinar las estrategias de enseñanza y aprendizaje más usadas en el aula, como son la clase magistral y los laboratorios, así como a establecer su contribución en la participación y formación de los estudiantes por competencias.
PENGARUH PENATAUSAHAAN ASET TETAP, SISTEM PENGENDALIAN INTERNAL , DAN KOMPETENSI SUMBER DAYA MANUSIA TERHADAP KUALITAS LAPORAN KEUANGAN DI KOTA PALEMBANG
Authors: Nadysa Aulia Fitrania  , Martini Rita , Yevi Dwitayanti
Published: February 2024

Tujuan dari penelitian ini menganalisis dampak penatausahaan asset teap, sistem pengendalian internal pemerintah, dan  kompetensi sumber daya manusia terhadap kualitas laporan keuangan pada kota Palembang. Penelitian ini memakai data utama menggunakan kuisioner yg disebarkan melalui 51 OPD kota Palembang. Jumlah sampel yg diambil di penelitian ini sebesar 102 responden. Sampel diambil menggukan teknik probability sampling. information penelitian diolah memakai statistik naratif serta analisis regresi linear berganda melalui bantuan perangkat lunak Statistical Produk and provider solutions (SPSS). akibat penelitian yang dilakukan menunjukan bahwa secara parsial Penatausahaan Aset permanen tidak berpengaruh terhadap Kualitas Laporan Keuangan pemkot Palembang, Sistem Pengendalian internal Pemerintah berpengaruh parsial terhadap Kualitas Laporan Keuangan pemkot Palembang, Kompetensi sumber Daya manusia tidak berpengaruh parsial terhadap Kualitas Laporan Keuangan pemkot Palembang. Penatausahaan Aset permanen tidak terdapat dampak positif terhadap Kualitas Laporan Keuangan, Sistem Pengendalian inner Pemerintah ada dampak positif terhadap Kualitas Laporan Keuangan, Kompetensi asal Daya manusia tidak ada pengaruh positif terhadap Kualitas Laporan Keuangan.

Kunci: Penatausahaan Aset tetap, Pengendalian intern, Sumber Daya Manusia, Kualitas Laporan Keuangan.
Analisis Perhitungan Persediaan Barang Dagang Dengan Metode Average Pada Usaha Telur Asin Oma Liez
Authors: Fadhila Khairunnisa  , Fadia Rahmi  , Lia Agustina  , M Rizky Thessar Setiawan  , Monika Handayani
Published: February 2024

This study aims to determine the management of merchandise inventory in Oma Liez's Salted Egg Business in the period 2022 from October to December 2022. The method applied in this research is the Average method which was developed from data on purchases and sales of merchandise inventory. The results of the study show that applying the Average method to inventory valuation can help reduce the problems that occur in Salted Egg Business in relation to merchandise inventory, because it is considered very effective by producing a low cost of goods sold and an opportunity to increase profits. This shows that compared to the previous method that has not been used in inventory valuation which results in problems that will affect existing income.
Strategi Bisnis Digital dan Kinerja Perusahaan pada Usaha Mikro Kecil dan Menengah (UMKM)
Authors: K.D Darmayani  , N.P.A.L Waisnayanti  , C.I.N Mariadi  , M.S Dibya  , I.G.A.M Widiantara
Published: February 2024

Digitalization has changed the way we work, communicate and access information by bringing advances in communication technology, data storage and automation processes. The influence of digitalization has an impact on micro, small and medium enterprises (MSMEs) in Indonesia. This study aims to determine the business paradigm shift in facing the digital era, sustainability strategy and the impact of the economic crisis due to the Covid-19 pandemic on MSMEs in Batam. The method used in this research is descriptive qualitative with case studies on MSMEs in Batam. The results found that (1) managerial ability has an influence on company performance; (2) sustainability strategy has an important role in company performance and (3) the impact of the economic crisis due to the Covid-19 pandemic affects the digitization of MSME products.
Boosting Efficiency: Integrating Inventory Apps in Accounting Information Systems
Authors: Noor Romy Rahwani  , Manik Mutiara Sadewa  , Nailiya Nikmah  , Mukhlisah Nurul , Iriawan Sandra
Published: February 2024

This research explored the implications of computer-based Accounting Information Systems (AIS) in the realm of inventory transactions, aiming to enhance business efficiency through the integration of business processes within companies. While prior research had primarily focused on transitioning from manual to computerized systems, this study shifted the focus towards comprehensive integration, addressing inefficiencies such as transaction redundancies, manual handovers, and potential data inaccuracies. Employing the Software Development Life Cycle (SDLC), the research methodology emphasized analysis, design, and implementation stages. The analysis stage involved identifying gaps in existing literature, while the design stage developed document flowcharts for inventory transactions with and without integration. The implementation stage provided a technical overview of integrating the designed flowcharts using recommended software.The findings revealed that the majority of prior studies endorsed the transition to computerized systems but fell short in addressing business process integration. The proposed integration framework was demonstrated through document flowcharts, showcasing the effectiveness of computer-based AIS in minimizing inefficiencies. The study illustrated a reduction in transaction redundancies and manual handovers, leading to enhanced business efficiency, data accuracy, and consistency.In conclusion, this study advocated for a holistic approach in leveraging technology for accounting practices. It underscored the significance of integrating various functions within businesses, going beyond mere automation. The practical implementation of integration features through off-the-shelf software solutions provided actionable insights for companies seeking to optimize their business processes in the digital era
Pendampingan Strategi Pemasaran Umkm “Tempe Asli Merpati” Guna Meningkatkan Omset Penjualan Di Desa Cakring Kecamatan Patrang Kabupaten Jember
Authors: Maspufah Hayatul , HP Agustin , Mustofa Mustofa , Caesar Ananta Putra Ihrom , Haifah Haifah
Published: February 2024

UMKM  Tempe Asli Merpati merupakan salah satu UMKM yang memulai usahanya sejak tahun 2015 berada di  Jl. Merpati desa cangkring Kecamatan Patrang Kabupaten Jember, UMKM tempe mempunyai keterbatasan pengetahuan tentang strategi pemasaran serta keterbatasan pengetahuan tentang pencatatan keuangan serta laporan keuangan, sehingga kurang mampu menjawab berapa laba yang didapatkan dari hasil usahanya, oleh karena itu untuk menjawab permasalahan yang dihadapi UMKM dilakukan kegiatan pendampingan strategi di bidang pemasaran dengan cara melakukan pendampingan dalam hal ini memberikan bantuan kemasan plastik tempe serta membuatkan label dan nama UMKM menjadi UMKM tempe asli merpati dengan tujuan agar setiap konsumen yang membeli produk tempe akan lebih mudah mendapatkan kembai produk tempe yang diproduksi oleh UMKM. Kegiatan lain yang dilakukan dengan memberikan pendampingan pencatatan laporan keuangan sederhana.
Engendering the Legal Framework for Environmentally Sustainable Development: Some Reflections
Authors: Kameri-Mbote Patricia , Kabira Nkatha
Published: February 2024

The idea of “sustainable development” was first recognized in 1972 at the U.N. Conference on the Human Environment held in Stockholm. The Conference did not make reference to the concept explicitly but recognized that the concepts of “sustainability” and “development” that were previously addressed separately could be addressed together to create more benefits. The Conference recognised the importance of environmental management for the purposes of sustainable development. In the years that followed the 1972 conference, terms such as “environment and development,” “development without destruction,” “eco-development,” and “environmentally sound development” became common in publications and the works of the United Nations. This article examines the international legal framework on sustainable development and evaluates the extent to which these laws ensure environmentally sustainable development. The article argues that although the legal framework on environmentally sustainable development is quite extensive and steps are being made to engender them, there is still need to move beyond formal equality and substantive equality to transformative equality. The paper draws on feminist perspectives and calls for engendering the legal framework so as to make environmental sustainability a reality.
Associations of Frailty with Neuropsychiatric Symptoms of Alzheimer’s Disease: A Longitudinal Study
Authors: Chi Hao-Chen ,   for the Alzheimer’s Disease Neuroimaging Initiative, Ma Ling-Zhi , Wang Zhi-Bo , Sheng Ze-Hu , Liu Jia-Yao , Mi Yin-Chu , Fu Yan , Huang Yi-Ming , Han Shuang-Ling , Gao Pei-Yang , Tan Lan , Yu Jin-Tai
Published: February 2024

Background: Frailty is a vulnerability state increasing the risk of many adverse health outcomes, but little is known about the effects of frailty on neuropsychiatric health. Objective: To explore the associations between frailty and the risk of neuropsychiatric symptoms (NPSs) in Alzheimer’s disease (AD), especially in its different clinical stages. Methods: We included 2,155 individuals assessed using modified frailty index-11 (mFI-11), Neuropsychiatric Inventory (NPI) and Neuropsychiatric Inventory Questionnaire (NPI-Q) in the Alzheimer’s Disease Neuroimaging Initiative (ADNI). The relationships between frailty and NPSs were explored with logistic regression models and Cox proportional hazard regression models. Causal mediation analyses were conducted to explore the mediation factors between frailty and NPSs. Results: Among mild cognitive impairment (MCI) participants, frailty was cross-sectionally associated with an increased risk of apathy, and longitudinally associated with increased risk of depression and apathy. Among AD participants, frailty was cross-sectionally associated with increased risk of depression and anxiety, and longitudinally associated with an increased risk of apathy. Among participants with cognitive progression, frailty was associated with increased risk of depression and apathy. In MCI participants, the influence of frailty on NPSs was partially mediated by hippocampus volume, whole brain volume, and monocytes, with mediating proportions ranging from 8.40% to 9.29%. Conclusions: Frailty was associated with NPSs such as depression, anxiety, and apathy among MCI, AD, and cognitive progression participants. Atrophy of the hippocampus and whole brain, as well as peripheral immunity may be involved in the potential mechanisms underlying the above associations.
Tau Immunotherapies for Alzheimer’s Disease and Related Tauopathies: Status of Trials and Insights from Preclinical Studies
Authors: Sigurdsson Einar M.
Published: February 2024

The tau protein undergoes pathological changes in Alzheimer’s disease and other tauopathies that eventually lead to functional impairments. Over the years, several therapeutic approaches have been examined to slow or halt the progression of tau pathology but have yet to lead to an approved disease-modifying treatment. Of the drugs in clinical trials that directly target tau, immunotherapies are the largest category and mostly consist of antibodies in different stages of development. There is a reasonable optimism that at least some of these compounds will have a clinically meaningful efficacy. This view is based on the significant although modest efficacy of some antibodies targeting amyloid-β in Alzheimer’s disease and the fact that tau pathology correlates much better with the degree of dementia than amyloid-β lesions. In Alzheimer’s disease, clearing pathological tau may therefore improve function later in the disease process than when removing amyloid-β. This review provides a brief update on the active and passive clinical tau immunization trials with insight from preclinical studies. Various epitopes are being targeted and some of the antibodies are said to target extracellular tau but because almost all of pathological tau is found intracellularly, the most efficacious antibodies should be able to enter the cell.
Factors associated with match outcomes in elite European football – insights from machine learning models
Authors: Settembre Maxime , Buchheit Martin , Hader Karim , Hamill Ray , Tarascon Adrien , Verheijen Raymond , McHugh Derek
Published: February 2024

AIM To examine the factors affecting European Football match outcomes using machine learning models. METHODS Fixtures of 269 teams competing in the top seven European leagues were extracted (2001/02 to 2021/22, total >61,000 fixtures). We used eXtreme Gradient Boosting (XGBoost) to assess the relationship between result (win, draw, loss) and the explanatory variables. RESULTS The top contributors to match outcomes were travel distance, between-team differences in Elo (with a contribution magnitude to the model half of that of travel distance and match location), and recent domestic performance (with a contribution magnitude of a fourth to a third of that of travel distance and match location), irrespective of the dataset and context analyzed. Contextual factors such as rest days between matches, the number of matches since the managers have been in charge, and match-to-match player rotations were also shown to influence match outcomes; however, their contribution magnitude was consistently 4–8 times smaller than that of the three main contributors mentioned above. CONCLUSIONS Machine learning has proven to provide insightful results for coaches and supporting staff who may use their results to set expectations and adjust their practices in relation to the different contexts examined here.
Relation between dietary inflammatory potential and sleep features: Systematic review of observational studies
Authors: Godos Justyna , Lanza Giuseppe , Ferri Raffaele , Caraci Filippo , Cano Sandra Sumalla , Elio Iñaki , Micek Agnieszka , Castellano Sabrina , Grosso Giuseppe
Published: February 2024

BACKGROUND:

Diet and sleep represent key behavioral risk factors for major non-communicable diseases. Dietary factors may modulate systemic inflammation and potentially affect the human brain functionality, finally affecting the sleep-wake cycle. In this context, the Dietary Inflammatory Index (DII) has been studied as a tool to investigate the dietary inflammatory potential and its relationship with a variety of health conditions.

OBJECTIVE:

The aim of this study was to perform a systematic revision of observational studies on the inflammatory potential of the diet assessed through the DII and sleep features.

METHODS:

A systematic search of observational studies on DII and sleep features was conducted on Pubmed and EMBASE electronic databases. The Meta-analyses Of Observational Studies in Epidemiology (MOOSE) guidelines were used to plan the methodology. Studies identified through the search were selected according to inclusion/exclusion criteria.

RESULTS:

The systematic search and review led to the selection of 13 studies. Most studies including the general population reported an association between higher inflammatory potential of the diet and worse sleep quality and suboptimal sleep duration. Some studies also reported an association with daytime sleepiness and sleep apnea. However, some studies including younger individuals (i.e., college students or young employees) reported null findings. Four studies conducted in individuals with a variety of health conditions also showed some relation between DII and sleep features, although results were not fully consistent.

CONCLUSIONS:

Data published so far suggests an association between DII and sleep features. However, lack of randomized clinical trials and better designed observational studies, imply that further research on this matter is warranted to understand whether a causal relation could explain current findings.
Exploring the Factors Aggravating Disease Transmission in Healthcare Environments: Strategies for Mitigation
Authors: Haider Ali , Khizar Fatima , Javed Tehreem , Wajid Muhammad , Sattar Saira
Published: February 2024

Disease transmission poses a significant threat across diverse medical settings, as various microbes, including viruses (HCV, HIV, AIDS, Influenza, COVID-19, Respiratory syncytial virus), bacteria, and fungi, can facilitate the spread of diseases. This study focuses on identifying specific sectors and locations where disease transmission occurs rapidly, emphasizing places such as hospitals, microbiology laboratories, clinical laboratories, clinics, operating theatres, and patient areas. In addition, the investigation delves into factors contributing to the accelerated spread, including crowded waiting areas, substandard sanitation of equipment, and inadequate hygiene practices within these medical settings. The examination of disease transmission dynamics in these critical areas aims to offer a comprehensive understanding of the challenges faced. By addressing the root causes and implementing targeted solutions, we can effectively mitigate the risk of infections spreading within medical facilities. This research underscores the importance of controlling various infections to create a safer environment in healthcare settings, ultimately reducing the transmission risk and enhancing overall public health.
The lupine field as a method of biologization crop rotation and the base for fertility
Authors: Isaeva Elena , YaGOVENKO German
Published: February 2024

Abstract. The purpose of this study is to evaluate different ways of lupine cultivation in a crop rotation as a factor for its biologization and soil fertility’s conservation. Scientific novelty. The effect of different techniques of lupine cultivation in a crop rotation on the productivity and soil fertility has been studied in the All-Russian Lupine Scientific Research Institute on the gray forest sandy-loam soil like loam of the Non-Chernozem zone of Bryansk region. Methods. The tests have been done during two contrast periods. The first period, 1999–2003, is the third rotation of two five-field crop rotations “oat – lupine – fodder beet – barley – winter wheat” and “green-manure fallow – winter wheat – lupine – fodder beet – barley”. The second one, 2010 – 2015, is the second rotation of two six-field crop rotations “spring rape – lupine – barley – winter rape – lupine – spring wheat” and “green manure fallow – winter triticale – lupine – spring wheat – spring rape – barley”. Results. It was revealed that the inclusion of lupine green manure field together with lupine field for grain provided the stability and the average crop productivity increase in time as in the complete absence of chemical load from 43.6 t/ha to 44.4 t/ha in 1999–2003, and from 12.9 t/ha to 13.9 t/ha in 2010–2015. Lupine use for the green-manured fallow in a crop rotation contributes to the stability of soil fertility. The humus content increased by 0.08 % both in 1999–2003 and in 2010–2015 by 0.08 %; it occurs at alternative crop cultivation technology which is completely chemicals free when there is a possibility to observe direct action of the crop rotation itself. It is confirmed by a positive balance from 0.06 t/ha at the minimal level of chemicals’ use to 0.15 t/ha at intensive chemicals’ use per a hectare of the crop rotation area.
Poder de mercado y eventos climáticos adversos en un mercado de electricidad hidro-dominado
Authors: Ríos David , Pérez Alex , Carabali Jaime , Meneses Luis
Published: February 2024

Estudiamos el efecto de los eventos climáticos adversos sobre los precios minoristas de la electricidad. Nos enfocamos en el caso colombiano dado que este mercado se encuentra hidro-dominado y expuesto al fenómeno de El Niño, el cual provoca una reducción notable del componente hidrológico de la generación de electricidad. Diseñamos un modelo estructural para entender la formación de los precios minoristas. Posteriormente, utilizamos el modelo para estudiar cómo responden los precios a eventos climáticos severos. Los resultados muestran que, cuando no hay presencia de El Niño, las firmas minoristas tienden a traspasar de forma más que completa los choques de costos a los precios. Por otro lado, no encontramos evidencia de que el traspaso difiera cuando hay presencia de El Niño. Esto implica que el efecto de El Niño sobre los precios minoristas corre a través de su efecto sobre los costos mayoristas, exclusivamente. Encontramos evidencia de que los precios minoristas incrementan en presencia de El Niño, debido al incremento de los precios spot en el mercado mayorista de electricidad.
Educación financiera y bienestar financiero: evidencia de Colombia en un entorno de alta inflación
Authors: Rodríguez-Pinilla Diego A. , Castellanos-Rodríguez Luis Eduardo , López-Rodríguez Andrea , Esguerra-Umaña Pilar
Published: February 2024

Este estudio, basado en una encuesta representativa a nivel nacional en Colombia, revela que solo un 16,4% de la población colombiana puede responder correctamente las 3 preguntas claves que se han diseñado para evaluar el conocimiento financiero de los individuos, con variaciones significativas entre diferentes grupos demográficos. La pregunta sobre inflación, sin embargo, es contestada correctamente por el 79% de los encuestados, siendo el segundo país con mayor conocimiento de este fenómeno de todos en los que se han realizado estudios recientes sobre estos temas. Además, los datos indican que la experiencia y haber vivido episodios inflacionarios aumenta la probabilidad de estar más familiarizados con el concepto de inflación. Por otro lado, como es de esperarse, la información recogida refleja que un mayor nivel educativo o socioeconómico se correlacionan positivamente con una mejor comprensión de conceptos financieros. Asimismo, se evidencia que un mejor desempeño en las preguntas de conocimiento financiero aumenta la precisión con la que los agentes estiman la inflación futura, lo cual presumiblemente les permite tomar decisiones de consumo más adecuadas para su bienestar. No obstante, a pesar de que las personas con un mejor conocimiento reducen su consumo en contextos de inflación alta esto no se ve reflejado en un aumento del uso de productos de inversión que les permita protegerse ante la pérdida de su poder adquisitivo debido al aumento de los precios. La investigación permite concluir la importancia y urgencia de desarrollar políticas dirigidas a incrementar la educación económica y financiera, particularmente en grupos vulnerables, de tal manera que les permita a las personas ahorrar, invertir, endeudarse menos, asegurar su patrimonio y así garantizar menor pobreza y mayor equidad, contribuyendo a un mayor bienestar de la población a lo largo de los distintos ciclos de la vida.
Application of the Profile Matching Analysis Method in Decision Support Systems for Study Program Recommendations
Authors: Rasyada Reza Dian , Nurdin Nurdin , Fajriana Fajriana
Published: February 2024

Currently, many prospective students are still confused about which study program to choose. One of the problematic factors is the lack of references from prospective students about the contents of each study program. This research aims to build a decision support system for study program recommendations using the Profile Matching Analysis method. The benefits of this research can provide final results in the form of recommended study program scores that are most suitable for prospective students. There are 5 assessment criteria used in this research, namely Language Values, Logic/IT Values, Science Values, Practice Values, and Social Values. The methods or stages carried out in this research are: data collection, system flowchart design, application of the Profile Matching Analysis method and system implementation. In this research, the recommendation results were obtained for a student with the name Afni Ruhmini based on the results of system calculations using the Profile Matching Analysis method, obtaining recommendation results for the Public Administration study program with a score = 5.3, the Marine Science study program with a score = 5.9, and the Agribusiness study program with a score = 5.6, the Physics Education study program with a score = 5.7 and the Law study program with a score = 4.8. The Profile Matching Analysis method is very suitable to be applied to solve problems in decision support system research for study program recommendations.
Implementation of Web-based Student Report Card Score Information Systems in Junior High Schools in Indonesia
Authors: Muhammad Fakhry , Sutomo Rudi
Published: February 2024

Education-related businesses are conducted by SMPN 286 West Jakarta. The traditional method of recording and processing student grade data by the concerned teacher frequently results in errors. Hence SMPN 286 intends to develop an integrated system for processing and recording student report cards. Report cards for students are delayed as a result, and processing and recording problems occur when grades are calculated. Record card It also takes a long time to process and record data values manually. The Rapid Application Development (RAD) method will be used to create a report card value information system based on a website. Compared to other ways, work done utilizing the Rapid Application Development (RAD) method is quick and effective; therefore, employing it to construct a report card information system website can be helpful. The SMPN 286 West Jakarta has issues that can be helped and resolved by establishing a website-based report card grade information system. Online information system based on report cards' grades. The concerned instructor does not need to manually process and record value data for students to reduce recording errors, process student report cards, and cut processing times for processing and recording value data.
Using Regression Model Analysis for Forecasting the Likelihood of Particular Symptoms of COVID-19
Authors: Pangestu Agung , Sumirat Ucu , Al-Hakim Rosyid Ridlo , Yusro Muhammad , Ekawati Risma , Alrahman Mahmmoud H. A. , Arif Machnun , Muchsin Achmad , Wahyudiana Nadhilla H
Published: February 2024

A certainty factor (CF) rule-based technique is frequently used by traditional expert systems (TES) in the medical industry to compute several symptoms and identify the inference solutions. The primary concern for this TES was predicting the likelihood of a particular ailment in the circumstances of new patients. Based on symptoms connected to clinical indicators in patients' diagnosis, CF is estimated. This TES probably won't be able to forecast unknown things, like the possibility of a particular ailment. Therefore, supervised learning techniques like linear regression can address this issue. We attempted to analyze the current COVID-19 TES by modeling the regression equation to forecast the chance of a particular disease that is COVID-like based on the CF value and the confidence level of the symptoms. To examine the most effective regression model to address the issue, we employed multi-linear regression (MLR) and multi-polynomial regression (MPR). The findings demonstrate that the MLR and MPR models are the most accurate regression models for estimating the chance of a disease associated with COVID-like symptoms. Our work built a basis for the creation of expert systems by concentrating more on MLES (machine learning expert systems) analytical techniques than TES.
Importance Performance Analysis (IPA) of Patient Satisfaction with Fuzzy Logic at the Rumbai Maternity Clinic
Authors: Costaner Loneli , Lisnawita Lisnawita , Guntoro Guntoro
Published: February 2024

This study focuses on the level of patient satisfaction at the Rumbai Maternity Clinic. Quality of service is the main key that influences patient trust and satisfaction with this health facility. Therefore, the purpose of this study was to analyze patient satisfaction with the Importance Performance Analysis (IPA) method using fuzzy logic. This study will identify service attributes that are considered important by patients and evaluate the extent to which patient expectations have been met at the clinic. Attributes studied include cleanliness of facilities, courtesy of medical staff, availability of medicines, quality of medical services, information conveyed to patients, and others. The (IPA) method will help measure the level of importance and performance of each service attribute based on patient perceptions. Fuzzy logic is used to overcome the complexity and subjectivity of assessing patient satisfaction. The results of this study are expected to provide a comprehensive picture of patient perceptions and satisfaction at the Rumbai Maternity Clinic. Clinical management can use the results of this study to identify service improvement priorities and increase patient satisfaction. The scientific contribution of this research lies in combining the IPA method and fuzzy logic in the analysis of patient satisfaction. Thus, this research has the potential to help improve the quality of health services at the Rumbai Maternity Clinic and can be applied as a guide for developing similar methods in other health facilities.
Importance of Exercise in Mitigating Age-Related Cardiac Apoptosis
Authors: Putri Mustika Anggiane , Amani Patwa , Adriani Donna , Khairani Rita
Published: February 2024

Aging causes a progressive decline in heart function. Loss of cardiomyocytes through programmed cell death or apoptosis is a critical factor contributing to this age-related damage. As we age, the heart undergoes structural changes, such as loss of cardiomyocytes, cardiomyocyte hypertrophy, and increased connective tissue with changes in heart geometry. It is widely known that mitochondria are vital sites of apoptosis. Mitochondrial-mediated apoptotic pathways are important regulators of apoptosis with aging. Mitochondrial dysfunction and oxidative stress also contribute to the cardiac remodeling and apoptosis associated with the aging process. On the other hand, exercise can improve heart function and reduce the risk of heart disease. Recent studies suggest that aging increases apoptotic signaling in the left ventricle. However, chronic exercise reduces this mitochondrial-mediated apoptotic signaling pathway in the aging heart. This review will describe the impacts of aging and exercise on cardiac apoptosis, highlighting the importance of exercise in reducing age-related cardiac apoptosis.
Pengaruh LDR, CAR, BOPO, dan Size Terhadap Manajemen Laba Pada Bank Umum Konvensional
Authors: Jasman Jasman , Onasis Dini , Septiawisda Maya
Published: February 2024

Tujuan penelitian ini untuk menguji pengaruh LDR, CAR, BOPO dan Size terhadap manajemen laba pada bank umum konvensional. Objek penelitian adalah Bank Umum Konvensional yang terdaftar di Bursa Efek Indonesia selama periode yaitu 2017-2020. Sampel penelitian dipilih mengunakan metode purposive sampling. Data yang digunakan adalah laporan tahunan yang dipublikasikan pada situs resmi masing-masing bank dan dari website Otoritas Jasa Keuangan. Penelitian ini dilakukan dengan pengujian data panel. Bukti empiris dari studi ini adalah LDR berpengaruh negatif terhadap manajemen laba. CAR tidak berpengaruh terhadap manajemen laba. BOPO tidak berpengaruh terhadap manajemen laba. Size berpengaruh positif terhadap manajemen laba. Temuan penelitian ini merekomendasikan agar Bank selalu meningkatkan pemberian kreditnya untuk meminimalisir terjadinya praktik manajemen laba.
Dinamika Corporate Governance dan Manajemen Risiko: Kinerja Bank di Indonesia dan Malaysia
Authors: Kristanti Ika Neni
Published: February 2024

Tujuan penelitian ini adalah untuk mengetahui pengaruh implementasi corporate governance dan manajemen risiko terhadap kinerja bank dan dampaknya pada nilai perusahaan. Populasi yang digunakan dalam penelitian ini adalah data sekunder yang mencakup data gabungan tentang GCG, manajemen risiko dan kinerja bank dari bank-bank di Negara Indonesia dan Malaysia yang terdaftar di Bank Dunia. Teknik yang digunakan dalam penelitian ini adalah dengan menggunakan nonrandom sampling, yaitu sampel yang dipilih karena memiliki kriteria tertentu yang dibutuhkan dan ingin diteliti. Data yang digunakan adalah data sekunder dan menggunakan metode pengumpulan data yaitu studi dokumentasi dengan mengumpulkan data sekunder yang diterbitkan oleh Bank Dunia dan website resmi dari bank-bank asing yang terkait. Data penelitian ini akan diuji dengan menggunakan metode SEM dengan alat analisis PLS (Partial Least Square). PLS merupakan analisis SEM menggunakan basis variance. Sebagai alternatif pendekatan, PLS mampu memberikan keunggulan yang mengatasi kelemahan pendekatan SEM berbasis covariance. Hasil  penelitian  menunjukkan: 1.)  bahwa Implementasi GCG, Manajemen Risiko, Kinerja Bank berpengaruh terhadap nilai perusahaan; 2) GCG dan Manajemen Risiko berpengaruh terhadap kinerja bank.
The Delay Factors of Early Breast Cancer Detection Patients in Indonesia
Authors: Seni Mariska  , Yulius Tiranda  , Windy Astuti C.N
Published: February 2024

Breast cancer is the number one death caused to women. The higher mortality rate is because the patients are diagnosed at the advanced stage. The cancer patients do not know the signs and symptoms of breast cancer and cannot do a breast self-examination (SADARI) because the cancer education in the community is insufficient. Delaying in detecting breast cancer will delay the treatment. This research aims to explore the delay factors of early breast cancer detection. It used a literature review approach with 4 electronic databases, including Google Scholar, Pubmed, Garuda, and Perpusnas, with published years of 2015-2020. The keywords are delay factors, detection, medical checkup, treatment, and breast cancer. Of 892 identified articles, only 9 articles fulfilled the inclusion criteria. The reviewed articles are the researcher and supervisor's discussion and validation using the Prisma Guideline. The 9 articles show delay factors of detecting breast cancer, including education, knowledge, income, information/mass media, husband/family support, health service center distance, health facilities, treatment cost, alternative treatment, age, pain, and fear. The research concluded that the 12 factors causing the breast cancer patients late in receiving treatment and already in advance stage cancer because they did not do breast cancer detection.
Fatigue Among Nursing Students During COVID-19 Pandemic in Medan
Authors: Tinambunan Hotria Veronika , Tumanggor Roxsana Devi
Published: February 2024

The COVID-19 pandemic requires students to implement an online learning system. However, the online learning method will be effective if it is supported by a systematically stable network. Online learning stimulates several problems related to physical and psychological issues. This study aims to describe nursing students’ fatigue during online learning at the Faculty of Nursing, University of Sumatera Utara. This study is a descriptive study with a sample of 87 respondents, which were taken using the proportionate stratified random sampling technique. The research instrument used in this study consisted of two parts, namely demographic data and Chalder fatigue instruments. Data collection is conducted through online with google forms link via WhatsApp group. The prospective samples were fill the agreement to participate in the survey and research link was send directly. Data analysis was conducted to determine the frequency distribution of the variables studied. The results showed that the majority of the samples were female (89.7%), aged 20-22 years (69.4%). For the fatigue level, the data showed that most students were in the range of moderate levels of fatigue (52.2%). And, there are 2 students (2.3%) who are in severe fatigue range. Based on the results of this study, it is hoped that it can become basic data for further research that can provide a more in-depth analysis of the fatigue contributed factors among students during online learning with pandemic COVID-19 affect.
Nutrition Management in Elderly with Diabetes Mellitus: Literature Review
Authors: Eqlima Elfira  , Bina Melvia Girsang  , Franklin Asido Rossevelt
Published: February 2024

Diabetes often occurs in the elderly who have become a great social burden. The effects of diabetes are weakness, cognitive dysfunction which is closely related to the aging mechanism. Nutritional management is one of the therapeutic diets as the cornerstone of diabetes treatment based on healthy and wise dietary guidelines. The purpose of this study was to determine the nutritional management of the elderly in diabetes mellitus. The research method used is a literature review and to select studies using the PRISMA Checklist protocol and PICOS format To determine the articles to be reviewed from Googlescholar and PubMed, 15 articles were found that met the criteria indicating that nutritional management in the elderly with diabetes mellitus must consider the quality of health (health status, activity, functional and psychological status), nutritional intake (vitamins, minerals, and fiber), and changing eating habits by following a healthy diet.
The Correlation Between Mother’s Knowledge About The Impact of The Covid 19 Pandemic and Mother’s Attitudes Toward Bringing Babies to Immunization
Authors: Debi Novita Siregar  , Pintaken Sembiring Pandia  , Ayu Lestari Tarigan  , Lia Mauliar Sapitri  , Subang Aini Nasution
Published: February 2024

The COVID-19 pandemic is a coronavirus pandemic that was first identified in December 2019 in Wuhan, China. Indonesia confirmed the first case of COVID-19 on March 2nd, 2020. The emergence of coronavirus impacted the mother to bring her baby to do immunization. Because the mother was worried about being infected by covid, on the other hand, babies must receive immunization to keep their immune systems. This study aimed to know the correlation between maternal knowledge about the impact of the Covid 19 pandemic and maternal attitudes in bringing babies to immunization at Sirapit Public Health Center. This study is quantitative research and uses a cross-sectional approach with a chi-square test. For acquiring samples, this study uses an accidental sampling technique. Of 40 respondents, five had poor knowledge (12.5%), no positive attitude (0%), and five with a negative attitude. Another 24 respondents (60%) had decent knowledge, 21 respondents with a positive attitude (67.7%), and three respondents with a negative attitude (33.3%). Lastly, 11 respondents had good knowledge (27.5%), ten respondents with a positive attitude (32.2%), and one respondent with a negative attitude (11.1%). Chi-square statistical test showed p-value = 0.000 (p-value<0.05).
Foot Spa Intervention on Hypertension: A Case Study
Authors: Ayu Maulida  , Agianto
Published: February 2024

Hypertension was the most common disease suffered by the people of Sungai Rangas Ulu Village. One of the management of hypertension was complementary therapy in the form of a foot spa. This study aims to describe the results of nursing care in patients with hypertension through foot spa therapy. It used a case study method on one of the hypertensive patients. The individual was a community of Sungai Rangas Ulu Village chosen at random or accidentally. Individuals were given foot spa therapy, and observed their blood pressure by using a sphygmomanometer every day for six days. The results of the evaluation of foot spa therapy were that blood pressure had decreased. Blood pressure before intervention was 170/100 mmHg; on the last day of the intervention, blood pressure was found to be 141/94 mmHg. Foot spas could provide a sense of relaxation to stimulate vasodilation, lowering blood pressure. Foot spa therapy can be a complementary therapy option for people with hypertension.
The Effect of Administering Vitamin C Lozenges Towards the Increasing of Saliva Secretion of Hemodialysis Patient
Authors: Sari Siregar Patimah , Afeus Halawa  , Fajar Amanah Ariga  , Robin Ferdiansyah Sitopu  , Devi Ardila  , Fera Maria
Published: February 2024

Hemodialysis is a dialysis method to secrete bodily fluid when the kidneys are progressively or acutely unable to do it. This research aims to know the effect of administering vitamin C lozenges on the increasing saliva secretion of hemodialysis patients. The research used an experimental design with one group pre-test and post-test design. The T-test result was mostly dependent (paired sample test). A purposive sampling technique was used to acquire 30 hemodialysis patients. The result shows that 26 patients (86.7%) have an increase in saliva secretion while four patients (13.3%) have not. The p-value was 0.000 (p<0.05). It can be concluded that administering vitamin C lozenges to hemodialysis patients increases saliva secretion. This research suggests that Royal Prima Medan Public Hospital administer vitamin C lozenges as an alternative medicine to increase the saliva secretion of hemodialysis patients.
Analysis of Nurses' Fatigue and Stress Factors in the COVID-19 Isolation Room in Indonesia: A Cross-Sectional Research
Authors: Nila Sari  , Roxsana Devi Tumanggor
Published: February 2024

The COVID-19 pandemic has increased workloads and psychologically affected the nurses due to a long time of exposure to the virus, and causes a decrease in energy, leading to stress and fatigue. This study aims to analyze the factors associated with fatigue and stress experienced by nurses in the COVID-19 isolation room in Indonesia.  This study involved 50 nurses who worked in the hospital's COVID-19 isolation room. The instrument used consists of three parts, namely the demographic data, a Fatigue Scale-14 questionnaire, and a Perceived Stress Scale-10. The results of the validity and reliability tests carried out on both instruments were declared valid and reliable. The data were collected by providing questionnaire link in form of a google form link through WhatsApp to each research sample. Subsequently, the collected data were analyzed using cross-tabulation analysis and chi-square test.  Results showed that the majority of respondents were aged 31-40 years and most were female (35%). A total of 64% experienced moderate fatigue and 82% of nurses were in the moderate stress category. Based on the fatigue data tabulation analysis, there is no relationship between demographic data variables and fatigue. However, there is a relationship between work duration and stress variables as well as fatigue and stress experienced by nurses.  These results showed that the stress and fatigue experienced by COVID-19 nurses are related to the nurses’s certain characteristics that have the potential to worsen mental health conditions.  It Is recommended to explore more related to fatique factors in the future with specific nursing interventions.
Relationship Between Adequacy of Breastfeeding and The Incidence of Neonatal Jaundice in The NICU at Darus Syifa’ Islamic Hospital Surabaya
Authors: Syaiful Yuanita , Fatmawati Lilis , Sumiyati Sumiyati
Published: February 2024

Inappropriate early breastfeeding is associated with reduced caloric intake and increased serum bilirubin. It occurs due to a lack of caloric intake to increase enterohepatic circulation. Early breastfeeding for neonates can reduce the occurrence of jaundice. This study aimed to determine the relationship between adequacy breastfeeding and the incidence of neonatal jaundice at the Darus Shifa Islamic Hospital Surabaya. This study used an analytical research design with a cross-sectional approach and a purposive sampling method. The population of this study was 35 respondents. The sample in this study was 32 respondents, and there were two variables. The dependent variable was the adequacy of breastfeeding using an instrument on an observation sheet. The independent variable was the incidence of jaundice using a checklist instrument. Data analysis used Spearman rho. The results of the statistical analysis test using the Spearman rho statistic test with the help of SPSS obtained a significance value of p = 000 which means there is a relationship between the adequacy of breastfeeding. The incidence of neonatal jaundice is r =0,912, meaning there is a solid correlation between the adequacy of breastfeeding and the incidence of it. Adequacy breastfeeding is one way to prevent neonatal jaundice with the support of professional health workers' information to mothers about breastfeeding and its benefits. Thereby affecting the continuity of mothers in breastfeeding so that babies do not experience neonatal jaundice.
The Effect of Early Marriage Education on the Level of Knowledge of Adolescents about the Impact of Early Marriage
Authors: Ririnisahawaitun  , Maruli Taufandas  , Hariawan Junardi  , Anatun Aupia
Published: February 2024

Marriage is a sacred bond between man and woman to be husband and wife to form a happy and eternal family by believing in the one and only God. Early marriage can lead to high maternal and infant mortality, miscarriage, congenital disabilities in babies, and low birth weight. One of the efforts to reduce early marriage is to increase adolescent knowledge about early marriage by educating them on the impact of it. This study aims to determine the effect of early marriage education on the adolescent level on the impact of early marriage. This study is pre-experiment using a one-group pretest post-test design. The study population is 62 students in XI grade SMKN 1 Pringgasela, East Lombok Regency. All respondents were grouped, educated on early marriage, and presented orally using Powerpoint for 30 minutes. Their knowledge level on the impact of early marriage before and after the education was measured using a questionnaire consisting of 32 questions that had been tested for validity and reliability. The results showed an increase in their knowledge level with a mean pretest of 15.10 and a mean posttest of 31.90 (delta mean = 16.80). Based on the Wilcoxon test, the study obtained p = 0.000. It can be concluded that providing early marriage education impacts students' knowledge level at SMKN 1 Pringgasela, East Lombok Regency, with a p-value < 0.05. It is expected that the school will continue providing early marriage education regularly to reduce the occurrence of early marriage.