bluuebunny/crossref_metadata_2025 huggingface dataset:
Indonesian EFL Learners’ Motivation and Autonomy
Authors: Melvina
Published: July 2023

A successful autonomous learner is usually influenced by numerous factors. Motivation is one of the main factors that have a connection and the greatest influence associated with it. The research focuses to scrutinize the link between motivation in learning and learner autonomy of Indonesian learners in learning English. It also aims to identify the significant difference between gender and degree level of study in motivation and autonomy. The investigation was conducted using a sample of forty university students from some provinces in Indonesia. The participants were given a questionnaire to assess their motivation in and autonomy in learning English. Pearson’s Product-Moment Correlation and independent-samples T-test were operated in analyzing the data gotten. The statistical analysis results revealed a positive correlation between learning motivation and learner autonomy. It also found that insignificant difference between male and female and between undergraduate and postgraduate learners in motivation and autonomy. The result of the research recommends the vigorous role of motivation and autonomy in teaching English, especially in the EFL context. They should have plenty of attention, as they may direct to more efficacious pedagogy.
Implementation of English Language Teaching (ELT) Through Understanding Non-EFL Students’ Learning Styles
Authors: Nur Fitria Tira
Published: July 2023

This research investigates the non-EFL students9 learning styles and describes how to teachEnglish with different learning styles. This research is descriptive qualitative research. The analysisshows that are six types of students9 learning styles including VAK (Visual, Auditory, and Kinesthetic),also the combinations of learning styles including visual-auditory, visual kinesthetic, and auditorykinesthetic. This also shows that students can have more than one learning style such as visual-auditory,visual-kinesthetic, and auditory-kinesthetic learning styles. Non-EFL students learning a language tendto apply a visual learning style. Students with a visual learning style more easily absorb informationfrom the sense of sight, such as through pictures/images. While students with an auditory learning styleeasily understand when processing information through the sense of hearing (listening). On the otherhand, students with a kinesthetic learning style need opportunities to be actively moving. Therefore, withunderstanding and the teacher’s knowledge of learning styles each student in the teacher’s class canimplement interesting and meaningful English learning. Understanding the learning styles may be veryhelpful for students to learn via activities in the manner in which they learn best. It will assist students tocomprehend the course material easily, so enhancing their motivation and language skills, enhancingtheir enjoyment of the learning process, reducing their stress levels, and resulting in higher performance.When the teacher understands students’ learning styles, teachers should provide interesting materials andan appropriate learning environment
Hubungan Pengetahuan tentang Covid-19 dengan Kepatuhan Menjalankan Protokol Kesehatan pada Mahasiswa Fakultas Non-Kesehatan Universitas Harapan Bangsa
Authors: Pangesti Wilujeng , Dewi Feti Kumala , Murniati Murniati , Safitri Maya
Published: July 2023

The number of Covid-19 cases is still increasing. This is due to a lack of discipline in complying with health protocols. Knowledge is something that affects the creation of compliance. The purpose of this study was to determine the correlation between knowledge about Covid-19 and obedience to do health protocols among non-health faculty students at Harapan Bangsa University. This type of research is quantitative with a cross - sectional approach. The sampling method used a total sampling of 122 students of the Non-Health Faculty, Universitas Harapan Bangsa. Data collected by online distributing questionnaires using a google form. The results of the study obtained the value of Sig. 2-tailed is 0.000 (p-value > 0.005), meaning that there is a correlation between knowledge of Covid-19 and obedience to health protocols among non-health faculty students at Universitas Harapan Bangsa. The Correlation Coefficient value is 0.568, which means that the correlation is included in the type of moderate relationship strength. This research is expected to be an illustration for students about the relationship between knowledge and obedience with health protocols so that students are expected to be more concerned about preventing Covid-19.
Hubungan Pembatasan Screen Time Dengan Sedentary Behavior Pada Anak Usia Sekolah
Authors: Roswita Ria , Mulyono Sigit , Sukihananto Sukihananto
Published: July 2023

Sedentary behavior pada anak usia sekolah menunjukkan peningkatan di beberapa negara. Sedentary behavior yang dilakukan secara berlebihan dapat memberikan dampak masalah kesehatan. Berbagai penelitian telah menunjukkan bahwa besarnya dampak sedentary behavior terhadap psikologis dan fisiologis anak usia sekolah. Tujuan penelitian ini adalah memberikan gambaran jumlah waktu yang dihabiskan untuk sedentary behavior yang digunakan anak usia sekolah dan untuk mengetahui hubungan antara pembatasan screen time dengan sedentary behavior pada anak usia sekolah di SDN Ujung Menteng 01 Jakarta. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain penelitian cross sectional. Teknik pengambilan sampel pada penelitian ini menggunakan proporsional random sampling dan sampel berjumlah 107 responden. Hasil penelitian menunjukkan bahwa rata-rata lama sedentary behavior sebesar 4,03 jam dan terdapat hubungan yang signifikan antara pembatasan screen time dengan sedentary behavior dengan nilai p < 0,05. Pembatasan screen time sebaiknya dapat diterapkan pada anak usia sekolah untuk menurunkan risiko sedentary behavior.
The Experience of Mother in Breastfeeding and Weaning Practice for Baby Under Two Years Old: A Qualitative Descriptive Study
Authors: Anggerainy Shinta Widiastuty , Ikhsan Mohamad , Huda Siti Nurul
Published: July 2023

The experience of Mother in the form of knowledge and skills influences mothers in the practice of feeding their children, both breastfeeding and complementary food as well as weaning practices in baby under two years old. This qualitative descriptive study aims to explore the experiences of mothers in the practice of breastfeeding, complementary food and weaning of baby under two years old. Data was collected from April to June 2022 in Sungai Ana Village and Baning Kota Village, Sintang District. In this study, a sample of ten mothers was conducted in-depth interviews. The results of the interviews were analyzed using the content analysis method. There were 4 themes, namely: 1) Combination of Traditional, Belief, and Modern, 2) Mother: "Breastfeeding Warrior", 3) Mother's Dilemma, and 4) Stages of Feeding Baby. Families, especially mothers have an important role in fulfilling nutrition in baby under two years old. The health professionals should assess the family regarding feeding and weaning practices. Furthermore, the health professionals need to provide information to parents in the form of re-education and training on how to feed children to increase knowledge and develop competence in the quality of feeding and weaning practices in baby under two years old.
Analisis Pembelajaran Pendidikan Agama Islam pada Anak Berkebutuhan Khusus Di SLB Quridha Ilmi Kecamatan Tapalang Kabupaten Mamuju
Authors: Malik Abdul , Sri Wahyuni Yuyun , Rohman Prabu
Published: July 2023

The foundation of this examination is that scientists see the troubles of learning Islamic Strict Schooling in kids with unique necessities, to be specific the comprehension of youngsters with extraordinary necessities which is restricted to something conceptual and requires substantial clarifications. Accordingly, Islamic Strict Schooling educators need to carry out discoveries that can give accommodation to understudies in SLB, specifically understudies with unique requirements to grasp the learning material well. This study analyzes the examination of Islamic strict schooling learning for youngsters with exceptional requirements at SLB Quridha Ilmi, Tapalang Locale, Mamuju Regime. This exploration is an engaging subjective examination. The subjects in the review were PAI educators and understudies of Kids with Extraordinary Necessities, while the item in the review was an examination of Islamic Strict Schooling learning for youngsters with unique requirements, while the sources in the review were associates, guardians, and instructors. Information was gathered through perception, meetings, and documentation. Information investigation utilized is. The consequences of the review presumed that the Examination of Islamic Strict Schooling Learning for understudies with extraordinary requirements at SLB Quridha Ilmi. Remain noticeable like educating and learning exercises overall. During the growing experience, there are understudies with exceptional necessities who are as yet joined by guides and the people who are not generally going with, and for understudies who are not generally going with in class, the educator will guide them with extremely restricted capacities in the ABK field. Supporting variables in the examination of Islamic Strict Training learning at SLB Quridha Ilmi, Tapalang Locale, Mamuju Regime: parental help, educators will direct calmly, the presence of ABK associates, the presence of schools upheld by the public authority, the job of understudies who regard one another. Restraining factors in Islamic Strict Schooling Learning; the shortfall of exceptional ABK educators, the shortfall of extraordinary ABK offices and framework, and the shortfall of unique ABK supporting books.
Implementasi Model Pembelajaran Kaligrafi Arab (Al-Khaṭtu Al-Naskhi) dalam Meningkatkan Mahārah Al-Kitābah pada Siswa Kelas IX di SMP Pesantren Putri Yatama Mandiri Gowa
Authors: Jabbar Mujahid Abdul , Watngil Megawati , Nurfarida Nurfarida , Ansar Ansar
Published: July 2023

It is known that students' scores for Arabic subjects are still very far below the KKM based on observations in class IX of the Putri Yatama Mandiri Gowa Islamic Boarding School (SKBM). The percentage of complete learning Arabic subjects required is 75. Overall 21 students excel under the SKBM during the pre-cycle. Since only 55% of class students have completed 85% of the required materials, the traditional definition of comprehensive learning has not been met. From the observation data, it is also known that some learning activities are still dominated by teachers, while students choose to do non-learning activities. Al-Khaṭtu Al-Naskhi, a paradigm for learning Arabic calligraphy, was used in a study to address this problem. This research is a classroom action research with two cycles and three meetings per cycle. Planning, executing, observing, and reflecting on tasks are included in each cycle. A total of 26 students of class IX of SMP Pesantren Putri Yatama Mandiri Gowa participated in the learning. Student learning outcomes are determined by pre-cycle evaluation exams, tests given after cycles I and II, and tests given at the end of each traditional learning cycle. The collected data was then examined subjectively and statistically. Learning outcomes data are studied numerically by using descriptive statistics, such as the average value, percentage, and minimum standard of value that must be achieved by students. As can be observed from the findings of hijaiyyah khaṭ naskhi writing skills, there are improvements in four areas as a consequence of the application of the Arabic calligraphy learning model (al-khaṭtu al-naskhi), which creates a pleasant learning environment and improves student learning outcomes. (1) There was an increase in teacher activity by 7.09 between cycles I and II. (2) The level of student activity in cycles I and II also increased by 7.64. (3) The class average increased by 21.15% from cycle I to cycle II, and (4) the presentation of learning completeness increased by 63.39% from cycle I to cycle II. As a result, the Al-Khaṭtu Al-Arab Naskhi Calligraphy Learning Model was successfully implemented.
Faktor Resiko yang Berhubungan dengan Tekanan Darah pada Penderita Diabetes Mellitus Tipe II
Authors: Alfianti Djamil  , Andi Mappanganro  , Wa Ode Sri Asnaniar
Published: July 2023

Diabetes mellitus merupakan masalah kesehatan masyarakat yang pravelensinya meningkat di seluruh dunia. Diabetes mellitus yang tidak di kelola dengan baik dapat mengakibatkan komplikasi vaskuler, salah satunya hipertensi. Hipertensi pada penderita diabetes mellitus dapat menimbulkan percepatan komplikasi mikrovaskuler maupun makrovaskuler. Penelitian ini bertujuan untuk mengetahui faktor risiko yang berhubungan dengan tekanan darah pada penderita diabetes mellitus tipe II di Puskesmas Kampung Baru Kabupaten Banggai. Desain penelitian yang digunakan adalah survei analitik dengan pendekatan cross Sectional. Adapun penentuan sampel dilakukan dengan teknik total sampling dengan besar sampel sebanyak 35 responden. Uji hubungan dilakukan dengan menggunakan uji stastistik Chi-Square. Hasil penelitian menunjukkan bahwa tidak ada hubungan antara umur dengan tekanan darah pada penderita diabetes mellitus tipe II (p value = 1,000), tidak ada hubungan antara jenis kelamin dengan tekanan darah (p value = 1,000),tidak ada hubungan antara pendidikan dengan tekanan darah (p value =0,106), tidak ada hubungan lama menderita DM dengan tekanan darah (p value =0,700), tidak ada hubungan antara kepatuhan minum obat DM dengan tekanan darah (p value =0,460), dan ada hubungan antara kadar gula darah sewaktu (GDS) dengan tekanan darah pada penderita diabetes tipe II (p value = 0,009). Kesimpulan dari penelitian ini adalah tidak ada hubungan umur jenis kelamin, tingkat pendidikan, lama menderita DM, kepatuhan minum obat DM dengan tekanan darah penderita DM tipe II namun ada hubungan antara kadar gula darah dengan tekanan darah pada penderita DM tipe II Puskesmas Kampung Baru Kab. Banggai. Oleh karena itu, di harapkan agar pasien DM untuk mengontrol kadar gula darah sehingga tidak  berdampak negatif terhadap tekanan darah.
Hubungan Depresi dengan Kualitas Hidup Pasien Diabetes Mellitus Tipe 2
Authors: Dewi Ulfani  , Safruddin  , Sudarman
Published: July 2023

Diabetes Mellitus (DM) merupakan masalah serius bagi kesehatan global yang tidak melihat status sosial ekonomi maupun batas negara. Diabetes mellitus adalah salah satu penyakit kronis yang tidak dapat sembuh secara menyeluruh dan sangat berpengaruh terhadap kualitas hidup pasien. Insiden DM terus meningkat baik di dunia maupun di Indonesia, selama ini lebih banyak penelitian yang mengangkat seputar masalah klinik DM sehingga perlu penelitian lebih banyak mengenai kualitas hidup. Selain itu, kualitas hidup yang rendah serta problem psikologis dapat memperburuk gangguan metabolic, baik secara langsung melalui reaksi stress harmonal ataupun secara tidak langsung melalui komplikasi. Tujuan dari penelitian ini yaitu untuk mengetahui hubungan antara depresi dengan kualitas hidup penderita diabetes melitus tipe 2 di Puskesmas Kabaena Barat Kabupaten Bombana. Jenis penelitian yang digunakan adalah kuantitatif, dengan rancangan penelitian cross sectional. Adapun penentuan sampel dilakukan dengan teknik purposive sampling dengan besar sampel sebanyang 35 responden. Uji hubungan dilakukan dengan menggunakan uji continuity correction dengan tingkat kemaknaan α < 0.05. Hasil penelitian menunjukkan bahwa terdapat hubungan antara depresi dengan kualitas hidup pasien DM tipe 2 (p = 0.001 < 0.05). Kesimpulan dari penelitian adalah bahwa semakin tinggi tingkat depresi individu maka semakin kurang persepsi individu terhadap kualitas hidup pasien DM tipe 2. Dari kesimpulan ini diharapkan kepada perawat melakukan pendidikan kesehatan dan mengatasi depresi penderita DM untuk meningkatkan kualitas hidup.
Pengaruh Terapi Murottal Al-Qur’an terhadap Tingkat Insomnia pada Lanjut Usia
Authors: Syukriana  , Alwi Muhammad Khidri , Ramli Rahmawati
Published: July 2023

Insomnia merupakan masalah kesehatan yang umum terjadi pada lanjut usia. Proses penuaan menyebabkan terjadi penurunan atau perubahan kondisi fisik dan psikologis sehingga meningkatkan latensi tidur, menurunkan efisiensi tidur, serta terbangun lebih awal. Salah satu metode penyembuhan insomnia adalah dengan terapi murottal Al-Qur’an. Terapi murottal Al-Qur’an dapat menurunkan hormon-hormon stress dan meningkatkan hormon endorfin sehingga meningkatkan perasaan rileks dan bahagia. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian terapi murottal Al-Qur’an terhadap penurunan tingkat insomnia pada lanjut usia. Penelitian ini adalah penelitian kuantitatif dengan desain penelitian menggunakan one-group pretest-posttest design. Populasi pada penelitian ini adalah lanjut usia yang mengalami insomnia di wilayah kerja Puskesmas Usuku Wakatobi dengan sampel berjumlah 30 orang (15 orang di kelompok kontrol dan 15 orang di kelompok intervensi). Kedua kelompok dilakukan pengukuran tingkat insomnia sebelum (pretest) dan setelah terapi (posttest). Analisis data menggunakan uji T berpasangan. Hasil penelitian dengan menggunakan uji t berpasangan menunjukkan bahwa pemberian terapi murottal Al-Qur’an dapat menurunkan tingkat insomnia pada lanjut usia dengan taraf signifikan sebesar 5%. Pemberian terapi murottal Al-Qur’an dapat menurunkan jumlah penderita insomnia menjadi 5 orang (33%) insomnia ringan dan 10 orang (67%) tidak lagi menderita insomnia. Pada kelompok kontrol, tidak terdapat penurunan tingkat insomnia secara signifikan. Kesimpulan dari penelitian ini adalah terjadi penurunan tingkat insomnia pada lanjut usia setelah pemberian terapi murottal Al-Qur’an. Saran dari penelitian ini adalah senantiasa meningkatkan keimanan dengan membaca dan murottal Al-Qur’an. Selain itu, penelitian selanjutnya lebih baik menggunakan ukuran sampel lebih dari 30 orang.
Efektifitas Guided Imagery dan Slow Deep Breathing terhadap Penurunan Tekanan Darah pada Penderita Hipertensi
Authors: Rindiani  , Safruddin  , Akbar  Asfar
Published: July 2023

Hipertensi merupakan penyakit peningkatan tekanan darah diatas nilai normal. Tujuan penelitian ini untuk mengetahui efektifitas guided imagery dan slow deep breathing terhadap penurunan tekanan darah sistolik dan diastolik pada penderita hipertensi. Desain penelitian quasy experimental dengan rancangan two group pretes-posttest dengan teknik purposive sampling, besar sampel 30 responden yang dibagi menjadi dua kelompok yaitu kelompok guided imagery dan kelompok slow deep breathing. Setiap kelompok mendapatkan perlakuan selama 15 menit dilakukan sehari sekali selama tiga hari, instrument penelitian menggunakan spygmomanometer aneroid. Analisis data dengan menggunakan uji paired t-test dan uji two sample independent t-test.Hasil penelitian menunjukkan bahwa guided imagery efektif menurunkan tekanan darah sistolik dan diastolik pada penderita hipertensi dengan signifikasi (p=0,000). Slow deep breathing juga efektif menurunkan tekanan darah sistolik dan diastolik pada penderita hipertensi dengan signifikasi (p=0,000). Namun tidak ada perbedaan penurunan tekanan darah sistolik dan diastolik sesudah pemberian guided imagery dan slow deep breathing dengan signifikasi p=0,297 (sistolik) dan p=0,597 (diastolik).Kesimpulan menunjukkan guided imagery dan slow deep breathing sama-sama efektif dalam menurunkan tekanan darah pada penderita hipertensi namun tidak ada perbedaan keefektifan terhadap penurunan tekanan darah sesudah perlakuan guided imagery dan slow deep breathing. Guided imagery dan slow deep breathing dapat digunakan sebagai terapi nonfarmakologi.
Hubungan Letak Lesi dengan Fungsi Kognitif pada Penderita Stroke
Authors: Yunus Padu Yutia Ferianti , Safruddin  , Brajakson Siokal
Published: July 2023

Stroke meningkatkan risiko untuk mengalami penurunan fungsi kognitif sebanyak 3 kali, sehingga merupakan efek yang terjadi pada pasien stroke. Kognitif adalah suatu proses berpikir yaitu kemampuan inidividu untuk menghubungkan menilai dan mempertimbangkan masalah atau percakapan. Kognitif dapat diatur oleh letak lesi. Tujuan penelitian ini yaitu untuk mengatahui  apakah ada hubungan antara letak lesi dengan fungsi kognitif pada pasien stroke di Stroke Center RSKD Dadi Sulawesi Selatan.Jenis penelitian ini merupakan jenis penelitian kuantitatif desain observasional analitik dengan pendekatan cross-sectional. Adapun penentuan sampel dilakukan dengan teknik total sampling dengan besar sampel sebanyak 48 responden. Uji hubungan dengan menggunakan uji statistik Chi-Square. Hasil penelitian menujukan bahwa terdapat hubungan antara letak lesi dengan fungsi kognitif (p = 0,008). Kesimpulan dari penelitian ini adalah letak lesi pada pasien stroke yang paling banyak didapat dengan letak lesi hemisfer kiri sebanyak 38 orang. Diharapkan adanya penelitian yang lebih mengenai skor MMSE dengan fungsi kognitif sehingga dapat diketahui seberapa besar pengaruh fungsi kognitif terhadap kulitas hidup pasien stroke. Perlu dilakukan penelitian selanjutnya dengan moteode lain dan sampel yang lebih banyak agar mendapatkan hasil yang akurat.
Imagining our way in the Anthropocene
Authors: Hoggett Paul
Published: July 2023

Humankind has damaged, possibly irreparably, the benign climatic conditions which made civilisation possible during the Holocene epoch. Paradoxically the so-called Enlightenment was the handmaid to this destructiveness. Despite its many achievements, Modernity assumed that humankind was destined to assert mastery over nature, a nature which, far from being benign, was construed as alien and hostile. Unless we can imagine a different way of being in this world more science, more technology, more private enterprise, more progress cannot provide the means of repair. We need a new way of imagining how to be human, one that embraces humility, smallness, transience, connectedness, and the natal character of life.
Factors Causing Incomplete Medical Records of Covid-19 Patients in Santa Elisabeth Batam City Hospital 2021
Authors: Situmorang Masriani , Mulyana Mulyana , Abellya Abellya
Published: July 2023

Background: One of the active roles of medical recorders is to determine the quality of health services in hospitals with good and complete data or information from medical records. Outpatient medical record services start from the place of registration until obtaining medical record documents used to obtain health services.
Objectives: Objective To find out the factors that cause incomplete filling of medical record files, especially   for Covid-19 patients at Santa Elisabeth Hospital in 2021.
Methods: Methods The type of research used in this research is research qualitative with a qualitative approach and using the interview method, observation, and questionnaire.
Results: The results of the study show that the large workload and time constraints are the main factors for nurses and doctors not filling out completely, and the part of the medical record that is not filled in greatly affects the claim of BPJS or the Ministry of Health.
Conclusion: The incompleteness of the medical record form for Covid-19 patients still has obstacles in the element of lack of communication between health care workers, and discipline of officers due to lack of awareness of doctors about the importance of completing medical record files. The workload is quite high, motivation is low, there is no mix, policy, and SOP in the medical record section, lack of socialization about medical record SOP.
Relationship Between Family Affective Function and Smoking Cessation in Adolescents
Authors: Adyani Sang Ayu Made , Muamar Asya Shalbiah
Published: July 2023

Background: Adolescents as individuals who are in transition from children to adults experience bio-psycho-socio and spiritual changes. At this time, adolescents are very vulnerable to being affected by negative things from the surrounding environment, one of which is smoking. Besides being influenced by environmental factors and peers, the affective function of the family also affects smoking behavior in adolescents.
Objectives: The purpose of this study was to analyze the relationship between affective function and smoking cessation in adolescents in Srengseng Sawah Subdistrict.
Methods: This study uses quantitative research methods with cross sectional design. The number of samples is 296 adolescents with the inclusion criteria of adolescent smokers aged 10-24 years and not married and living with their families. Data was collected by filling out a questionnaire. Data were analyzed using chi-square statistical test.
Results: The results showed that there was a relationship between family affective function and smoking cessation in adolescents in Srengseng Sawah Subdistrict with a p-value of 0.000 (p <0.05).
Conclusion: The results of this study are expected to provide benefits for adolescents to grow determination and increase motivation to quit smoking by increasing positive interactions with parents and avoiding things that cause the urge to smoke.
The Role of Health Literacy on Adolescent Smoking Behavior in Senior High School
Authors: Linggi Elmiana Bongga , Madu Yunita Gabriela , Daben Darma Caesaria , Tandi Desi
Published: July 2023

Background: Smoking is a behaviour that's not foreign to the public, especially for teenagers. Smoking can hurt the health of all people, including adolescents. Health literacy is a cognitive and social skill for a person to improve their ability health.
Objectives: To determine the relationship between health literacy and smoking behavior in adolescents.
Methods: The research design used quantitative descriptive with a cross-sectional approach, the respondents were teenagers with a total 0f 83 respondents who were willing to fill out the questionnaire. Data analysis using frequency distribution and Chi-Square test.
Results: The Result shows a most of the respondents were in the age category of 16 years  (25,3%) and 16 years, The health literacy level of respondents was mostly in the able category is 83.1% and in the smoking behavior of respondents in the no category is 62.7%.Chi Square analysis result is p value is 0,000smaller then α there is health literacy relaed to smooking behavior in adolescents .
Conclusion: Health literacy can be used as a strategy to reduce smoking behaviour in adolescents.
Case Study of Effects of Combination Therapy With Acupressure and Warm Compresses (Aku-SeHat) to Reduce Joint Pain in the Elderly
Authors: Oktafiani Nur , Kusumawardani Lita Heni
Published: July 2023

Backgrounds: An elderly group is a high-risk group for suffering from health problems, one of which is joint pain. Joint pain in the elderly will affect their quality of life of the elderly. One of the complementary therapies to reduce joint pain in the elderly is a Combination Therapy of Acupressure and Warm Compresses (Aku-SeHat).
Objectives: This case study aims to determine the effect of a Combination Therapy of Acupressure and Warm Compresses (Aku-SeHat) to reduce joint pain in the elderly.
Methods: The research method uses a case study design. The sample used was 3 elderly with inclusion criteria belonging to having complaints of knee joint pain in the category of severe pain (scale 7-10) and being able to participate in therapy with predetermined procedures and time. Aku-SeHat therapy is carried out 7 times in 7 days for 30 minutes. Univariate data analysis is presented in the frequency distribution while bivariate analysis uses the Wilcoxon test.
Results: The results of the case study showed that there was a significant effect of giving Aku-SeHat therapy to reduce joint pain in the elderly with the Wilcoxon test results obtained a p-value of 0.0001 (p <0.05).
Conclusion: The results of the case study showed that there was a significant effect of giving Aku-SeHat therapy to reduce joint pain in the elderly. Therefore, it is hoped that Aku-SeHat therapy can be an alternative to complementary therapy as a nursing intervention to reduce joint pain.
The Use of Computers and Smartphones Associated with Decreased Visual Acuity in Mataram Informatics Engineering Students
Authors: Sumartyawati Ni Made , Ulfianti Kartini , Santosa I Made Eka , Fajar Maulana Antoni Eka , Sukardin Sukardin , Ilmi Nurul
Published: July 2023

Background: Excessive use of computers and smartphones can cause complaints of dizziness and watery eyes. if it happens continuously, it will be harmful to eye health.
Objectives: The study aimed to examine the relationship between the use of computers and smartphones with a decrease in visual acuity.
Methods: The study was correlational with a cross-sectional design involving 65 students and selected by total sampling. Data collection about using computers and smartphones used observation sheets and measuring visual acuity by Snellen charts. The Spearman rank test was employed to examine the relationship between variables.
Results: The use of computers and smartphones shows that in the high category as many as 10 (15%) respondents, 24 (37%) respondents in the medium category, and 31 (48%) in the low category. The results of the examination of visual acuity in the normal category were 4 respondents (6%), the nearly normal category were 30 (46%) respondents, and the less moderate category were 31 (48%) respondents. The P value (Sig. 2-tailed) is 0.000 with α 0.05, so 0.000 <0.05, meaning that there was a significant relationship between computer and smartphone use with a decrease in visual acuity.
Conclusion: The study shows that there was a relationship between the use of computers and smartphones with a decrease in visual acuity
Антиоксидантні властивості густого екстракту якірців сланких за умов in vitro та in vivo
Authors: Юнусова С. І. , Рожковський Я. В.
Published: July 2023

Мета дослідження – вивчити антиоксидантні властивості густого екстракту якірців сланких (ГЕЯС) за умов in vitro та in vivo на моделі токсичного тетрахлорметанового гепатиту в щурів.Досліди проведені на 96 статевозрілих безпорідних білих щурах масою 180–200 г, поділених на 4 групи. ГЕЯС отриманий екстракцією 50 % етанолом у співвідношенні лікарська рослинна сировина: екстрагент (1:10) з наступним його випаровуванням і згущенням. Дослідження антиоксидантної дії ГЕЯС у концентраціях 5, 10, 15, 20 мкг/мл проводили в умовах in vitro в модельній системі ліпопротеїдів яєчного жовтка. Ступінь окиснювальної модифікації білків in vitro визначали за реакцією взаємодії окиснених амінокислотних залишків з 2,4-динітрофенілгідразином. Антиоксидантну активність ГЕЯС у дозі 150 мг/кг та препарату порівняння Карсилу (100 мг/кг) за умов in vivo досліджували на моделі гострого токсичного ураження печінки в щурів тетрахлорметаном. Баланс окиснювальних процесів та антирадикального захисту оцінювали за вмістом продуктів перекисного окиснення ліпідів, активністю супероксиддисмутази, каталази, глутатіонредуктази, вмістом відновленого глутатіону та α-токоферолу. У сироватці крові тварин визначали активність аланінамінотрансферази та аспартатамінотрансферази. Функціональний стан печінки оцінювали за швидкістю секреції жовчі, концентрацією в ній жовчних кислот і холестерину.

За результатами проведеного дослідження були встановлені виразні антиоксидантні властивості фітозасобу ГЕЯС за умов in vitro та in vivo на моделі токсичного тетрахлорметанового гепатиту в щурів.

Показано, що фітозасіб ГЕЯС в діапазоні від 5,0 до 50,0 мкг/мл характеризується прямою, залежною від концентрації антиоксидантною дією щодо процесів перекисного окиснення ліпідів і білків в умовах in vitro.

На моделі токсичного тетрахлорметанового гепатиту в щурів ГЕЯС у дозі 150 мг/кг сприяє збереженню функціональної активності та природних резервів антиоксидантної системи, зменшує показники цитолізу, ферментемії та відновлює показники жовчоутворювальної та жовчовидільної функції печінки.

Зроблено висновок, що за ефективністю в умовах токсичного гепатиту фітозасіб ГЕЯС у дозі 150 мг/кг не поступається, а за стабілізуючим впливом на окремі показники функціонального стану печінки перевершує гепатопротекторні властивості Карсилу в дозі 100 мг/кг.
ікарські форми нестероїдних протизапальних препаратів: проблеми та перспективи (огляд літератури)
Authors: Голубов М. І. , Суворова З. С.
Published: July 2023

Нестероїдні протизапальні препарати (НПЗП) є одними з найчастіше використовуваних ліків у світі. Одним з методів підвищення співвідношення «користь/ризик» для пацієнта є створення лікарських форм препаратів, що враховують особливості їхньої фармакодинаміки, фармакокінетики та токсичності.

В огляді літератури розглянуто відомості про НПЗП і різні підходи до створення пероральних лікарських форм з модифікованим вивільненням НПЗП. Наведено підходи до розробки ін’єкційних лікарських форм, враховуючи помірну/погану розчинність препаратів даної фармакологічної групи. Розглянуто біологічно сумісні полімери синтетичного та природного походження, що застосовуються як допоміжні речовини для створення лікарських форм НПЗП.

Обговорено різні методи, що використовуються для одержання гранульованих, таблетованих, капсульних та інших лікарських форм НПЗП.
El trabajo infantil y de adolescentes: Un enfoque socio jurídico en Ecuador
Authors: Padrón Calle Domenica Lisbeth , Ramírez Velásquez Joanna Carolina
Published: July 2023

El trabajo infantil y de adolescente es considerado como un fenómeno social, cuya actividad limita a los menores en su desarrollo natural, y por ende imposibilita la evolución de sus capacidades intelectuales, potenciales, habilidades cognitivas y anhelos, que son imprescindibles para formar un progreso de desarrollo integral. El objetivo de este estudio fue analizar el trabajo infantil y de adolescentes desde el ámbito social y jurídico en el Ecuador. La metodología aplicada partió de la revisión de la literatura científica y el estudio del marco legal nacional y normas internacionales, con un enfoque epistemológico racional, y bajo un diseño cualitativo, por cuanto, estuvo fundamentada en evidencias escritas orientadas a la descripción del fenómeno social objeto de estudio, con el fin de comprender y explicar sus características, ello mediante la aplicación de los métodos analítico, inductivo y deductivo. La norma Constitucional contempla la erradicación sucesiva del trabajo infantil, al mismo tiempo el Ecuador está sujeto a Convenios y Tratados internacionales que prohíben en ellos cualquier tipo de actividad de vinculación laboral, en resguardo de los derechos de las niñas, niños y adolescentes, sin embargo, esto se constituye como un fenómeno dentro del sistema social que requiere ser tratado de forma prioritaria, por el Estado y Organismos Internacionales, ya que, aun cuando es aceptada la actividad laboral para adolescentes a partir de los 15 años de edad, deben garantizarse otros derechos como lo es la educación y recreación, así como, prevenir la explotación laboral de esta clase vulnerable.
Admission Lipid Profile and Discharge Outcome in Ischemic and Hemorrhagic Stroke
Authors: Azam Akramul , Ferdous Rushmila , Hoque Anisul , Talukder Mohammad Mosharaf Hossen , Chowdhury A N M Manzurul Kader , Marzuk Riyadh Muhammad , Das Panchanan , Hassanuzzaman Md
Published: July 2023

Background: Changes in the lipid profile have been suggested as a risk factor for developing ischemic stroke. Their role in hemorrhagic stroke is not clear. The study aimed to evaluate the lipid profile levels and discharge outcomes of patients who were admitted to a tertiary hospital in Bangladesh and also to determine the difference in the lipid profile of patients with ischemic and hemorrhagic stroke.

Materials and methods: This retrospective analytical study included 65 hospitalized stroke patients from the Neurology Unit of Chittagong Medical College Hospital. Data regarding age, sex, risk factors of stroke, lipid profile [Total Cholesterol (TC) Triglyceride (TG) Low-Density Lipoprotein cholesterol (LDL-C), and High-Density Lipoprotein Cholesterol (HDL-C)] levels, and discharged outcomes [Favourablemodified Rankin Scale (mRS)score £2 and unfavourable-mRS >2] were extracted from the register and compared between ischemic and hemorrhagic stroke patients.

Results: Out of 65 patients, 55 (84.6%) had ischemic and 10 (15.4%) had hemorrhagic stroke. Hypertension (67.7%), smoking (50%), diabetes (40%), and family history of stroke (38.5%) were common risk factors. The most common lipid abnormality was high LDL-C (86.2%), followed by low HDL-C (63.1%), high TG (47.7%), and high TC (35.4%). There was no difference in the lipid profile ofischemic and hemorrhagic stroke patients. Forty-seven (72.3%) patients were in poor functional status during discharge and discharged outcome was not associated with admission lipid profile. Compared to patients with unfavorable outcomes, patients with favorable outcomes at discharge were significantly younger, had shorter durations of hospitalization, had lower mRS scores at admission.

Conclusion: Dyslipidemia in the form of high LDL-C and low HDL-C were common in stroke patients be it infarct or hemorrhage. There was no difference in the lipid profile of the two categories of stroke.

Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 23-27
Measles Infection and Vaccination Status against Measles in Children during 2019-2020: A Hospital Based Study in Chattogram
Authors: Ferdousi Asma , Datta Mitra , Mamtaz Sayeda Shahnoor Hasina , Jahan Rifat , Hoque Salina , Samad Rasheda
Published: July 2023

Background: Despite widespread availability of a safe and cost-effective vaccine, Measles outbreak is reported from different regions of Bangladesh in the recent past. This study was aimed to Identify the related features of Measles infection in children during the upsurge of Measles infection in Chattogram during 2019-2020, when Bangladesh was about to achieve Measles elimination.

Materials and methods: This prospective observational study included all the Measles infected children admitted in the Pediatric Ward of Chittagong Medical College Hospital, Chattogram during the period from September 2019-February 2020. In this hospital patients up to 12 years after neonatal period are admitted. Patients whose guardian did not give consent were excluded. Measles cases were diagnosed clinically according to case definition criteria by WHO. Demographic, clinical features, Measles vaccination status of both affected children & their mother and associated complications were recorded in a predesigned form. Data were analyzed and results were given in a tabulated form. The aim of this study was to evaluate the characteristics of Measles infection and their vaccination status in children during its upsurge in 2019-2020.

Results: Affected children 13(20%) were suffered in spite of vaccination. Among the 65 affected children 44 (67.6%) were below one year of age, youngest one was 2 months old. Male to female ratio was 1.8:1. 80% (n=52) children were not vaccinated, 35 of them not yet attained the age of vaccination. 17 children attained the age but vaccination was delayed due to cough and cold, fever, bronchopneumonia or Measles itself. Complications were common among them, Bronchopneumonia 47 (72.3%) and Purulent conjunctivitis 38 (58.5%). There was no case fatality.

Conclusion: Children are being affected by Measles before attaining the age of first dose of vaccination and incompletely vaccinated or unvaccinated children have a role in the upsurge of Measles.

Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 33-37
Cytological Findings in Testicular FNAC in Azoospermia Patient: A Study of 395 Cases
Authors: Islam Md Saiful , Dutta Papri , Dey Nishith Ranjan , Kabir Meherun
Published: July 2023

Background: In the age of assisted reproduction, search for the cause of male infertility is increasing in numbers. As finding of obstructive azoospermia give the male a hope there are increased requisition to the cytopathologist to evaluate the spermatogenesis status of a male. The aim of the study was to see the cytomorphological pattern in azoospermia patients and to determine the procedure's safety.

Materials and methods:    From January 2015 to June 2022, in Chattogram, Bangladesh, 395 patients with azoospermia were taken in this descriptive study. After all aseptic precautions and local anesthetization aspiration was done from both testes. Cytomorphological analysis was done in the following classes i) Positive for spermatogenesis ii) Hypo-spermatogenesis iii) Early maturation arrest iv) Late maturation arrest v) Sertoli cell only vi) Atrophic.

Results: Cytological diagnosis yielded 161 (40.76%) positive for spermatogenesis, indicating obstructive azoospermia, seconded by 'Sertoli cell only' in 115 (29.11%) patients. Both conditions were highest in the age group of 31-40, 93(57.76%) and 72 (62.6%). Hematoma was seen in 04(1.01%) cases and extended period of pain was experienced by 05 (1.26%) patients.

Conclusion: FNA of the testis is a much simpler and easily accessible procedure to assess the spermatogenesis status of an azoospermia patient.

Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 53-56
Advanced Abdominal Pregnancy of 32 Weeks with Alive Baby: A Rare Event
Authors: Malik Adiba
Published: July 2023

Background: Abdominal pregnancy is a rare form of ectopic or extrauterine pregnancy with an incidence of 1:10000 and 1:30000. Advanced abdominal pregnancy is extremely rare with high maternal and perinatal mortality.

Case Presentation: We report a case of abdominal pregnancy at 32 weeks gestation with persistent abdominal pain and severe anemia, who was referred from another hospital to our center with an Ultrasonogram, missed the diagnosis of abdominal pregnancy, which was confirmed in our center as abdominal pregnancy at 32 weeks with live fetus. With laparotomy a 1.2 kg female baby was born without much difficulty and post operative recovery was uneventful. But the baby died at 27Th post operative day.

Conclusion: High index of clinical suspicion is necessary for early diagnosis of abdominal pregnancy and timely laparotomy with multidisciplinary surgical team can save the life of a mother.

Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 76-78
The Effect of Religious Value-Based Reaction Rate Teaching Materials on Student Learning Outcomes Using The Guided Inquiry Model
Authors: Haz Emalia Syafitri , Darmana Ayi
Published: July 2023

This study aims to determine (1) whether there is an effect in the form of differences between student learning outcomes using reaction rate chemistry teaching materials integrated with religious values using chemistry teaching materials SMA / MA with guided inquiry models, (2) whether there are differences in students' spiritual attitudes before and after being taught with teaching materials integrated with religious values, (3) is there a relationship between improving student learning outcomes on reaction rate material with students' spiritual attitudes. The sample in this study consisted of two classes, namely the experimental class and the control class. The research instrument was a multiple choice test of 20 valid and reliable items (0.862) and a spiritual attitude questionnaire. The data analysis used is the Mann-Whitney Test non-parametric test with a significance level of 0.05l, Paired Sample T-Test test, and correlation. The results of research and testing show the ability of student learning outcomes taught using teaching materials for reaction rates integrated with religious values using guided inquiry learning models is higher than using high school / MA Chemistry teaching materials with guided inquiry models, namely (0.037 <0.05), teaching materials for reaction rates integrated with religious values provide positive value to students, and there is a significant relationship between learning outcomes and students' spiritual attitudes of 0.461 in the moderate category.
The Impact of the Covid-19 Pandemic on the Critical Thinking Skills of High School Students
Authors: Anggriani Nigia Deta , Purwoko Agus Abhi , Al Idrus Syarifa Wahida
Published: July 2023

This research is a descriptive research that aims to describe students' critical thinking skills in chemistry during the Covid-19 pandemic. The Covid-19 pandemic carried out online learning, then transferred to limited face-to-face learning. The research sample was taken from a Mataram City High School consisting of 9 classes XI and XII. Determination of the sample is determined as much as 30% of the population (10 people from each class). Sampling was chosen randomly (draw lots) in each class. The research data is in the form of a chemical bond material description test whose validity and reliability have been tested. Data were analyzed descriptively in the form of percentages. The results of the analysis of students' critical thinking values show various categories, namely the percentage of class XI is lower than class XII. Overall the highest obtained by students is in the less category. Likewise, class XI is lower than class XII in terms of indicators of critical thinking. A more detailed explanation is presented in this article.
The Effect of the Poster-Assisted AIR (Auditory Intellectually Repetition) Model on Sociology Learning Outcomes
Authors: Hadi Jihatul , Sukardi Sukardi , Nursaptini Nursaptini
Published: July 2023

The purpose of this research is to find out whether the AIR (Auditory Intellectual Repetition) mode1 assisted by poster media has an influence or not on sociology learning outcomes. Every student who is in class XI-IPS at SMAN 01 Wanasaba becomes the population in this study. Samples were taken by simple random sampling technique after class adjustment. The quasi-experimental type was used in this research method with a posttest only with nonequivalent control group design by utilizing two classes, namely the experimental class and the control class and giving a posttest without a pretest. The data collection method uses multiple choice objective tests that have been tested for validity, item difficulty level, reliability, effectiveness of the distractor and discriminating power. Two Independent Sample T test is used to analyze research data quantitatively. Based on the parametric test, it is evident that the poster-assisted AIR (Auditory Intellectually Repetition) model has an effect on sociology learning outcomes. Theoretically, this means that the use of the AIR (Auditory Intellectually Repetition) model will help strengthen learning theories, especially those based on constructivism and cognitivism
Development of Android-based Interactive Multimedia Social Impact Informatics (Maksim) in Support of the Independent Curriculum
Authors: Faiqah Nurul Zahratul , Nurmayanti Nurmayanti , Agussalim Agussalim
Published: July 2023

This study aims to examine the viability of incorporating android-based interactive multimedia into the Informatics curriculum for seventh-grade students. The expectation is that the captivating and interactive elements of this multimedia will serve as a catalyst for students to cultivate a deeper understanding of Informatics, regardless of whether they are engaged in a traditional classroom environment or pursuing independent learning from their residences. The ADDIE model, encompassing analysis, planning, development, introduction, and evaluation, was employed as the developmental framework for this study. Based on the results of the study, it was determined that the validation rates for the instrument were as follows: 93% validation by instrument experts, indicating a high level of validity; 81% validation by media experts, also indicating a high level of validity; and 100% validation by content experts, indicating a complete agreement on the validity of the instrument. In addition, it was found that the assessment's accompanying questionnaires were deemed highly applicable by both teachers and students, with a rating of 100% for teachers and 89% for students. The findings of this study indicate that the Maxim multimedia materials developed for the purpose of teaching and learning Informatics in class VII at UPT SMPN 3 Pangsid demonstrate both validity and utility.