bluuebunny/crossref_metadata_2025 huggingface dataset:
Our Language Belongs in Our Learning
Authors: Coleman Luke
Published: March 2023

Millions of Black Americans speak a version of English not reflected in the American education system. This version of English—African American Vernacular English—is rule-governed, oral, and systematically different from the “standard” form of English (referred to as Mainstream American English from hereon) used in academic spaces. Though many young Black students enter the education system knowing African American Vernacular English, classroom instruction occurs in Mainstream American English. Black students are instructed in a language that is radically different from the one they use at home yet are expected to perform at levels similar to those of students who already speak mainstream English. This expectation contributes to the achievement gap, wherein Black students, on average, perform at lower levels than white students on evaluations in education.
This research, as a community-centered attempt to examine differences in literacy and achievement rates between Black and white students in America, seeks to address the achievement gap in two West Philadelphia elementary schools by leveraging the University of Pennsylvania’s resources. This paper describes my problem-solving learning research, using the Penn Reading Initiative as a vehicle for change in order to support students’ cultural and sociolinguistic backgrounds in the classroom, ideally improving literacy rates through culturally responsive pedagogy. This article lays out the problem of dialectical miscomprehension and details a solution developed alongside community members in West Philadelphia. This article also reflects on the progress made in the two years since the original research took place. It highlights the development of the Netter Center’s Professional Development Associates team and the Anti-Racism Working Group—both having been influenced by work done in this problem-solving learning framework.
An Emerging University-School-Community Partnership: A Story in Three Acts for Sustainable Relationships
Authors: Moon Seungho , Schmidt Jon , Press Anna , Ensminger Dave , Hendrickson Mitch
Published: March 2023

The purpose of this article is to share and theorize narratives regarding an institutional effort to build a sustainable partnership with underrepresented community schools. Narrative research is applied as a mode of inquiry with vivid stories and lived experience. Logos University [pseudonym] has developed and strengthened partnerships with seven community schools over the past decades to promote equity and social justice in the urban context. The sustainability of partnerships has been an emerging issue in university-assisted community schools. This paper provides vivid narratives and insight into a suggestion for a sustainable partnership model from a university perspective. Authors garner multiple narratives about partnerships and institutional efforts to create degree programs including Program T for undergraduate teacher education and Program C for graduate programs. Authors articulate the complexity of community partnerships and crucial elements to consider for advancing partnerships with mutual respect and trust. As part of institutional efforts to create sustainable partnerships, authors illustrate the process and development of one undergraduate and one graduate programs associated with university-community-school partnerships. These programs are focused on educating students as research-practitioners in the ongoing sustainable support and collaboration among schools, universities, and communities. This paper elaborates the origin of Program T and Program C and community partnership elements embedded in these programs. An asset-based frame is examined across narratives in developing and implementing degree programs and offering core courses. The subjectivities of each author enrich the conversations on ongoing efforts to build sustainable, trust-based partnerships. Overall, this paper contributes to extend the approach to community partnership and equity-oriented education highlighting the value of university-community partnership for local schools and institutional efforts.
If Not You, Then Who?
Authors: Deem-Loureiro Justin
Published: March 2023

Poem
Inflation Dynamics in Latin America and the Caribbean
Authors: Ayres João , Galindo Arturo , Novoa Santiago , Nuguer Victoria
Published: March 2023

We perform a principal component analysis of the inflation dynamics in Latin America and the Caribbean to assess the recent surge in inflation across the region. The principal component accounts for 57% of the variation in inflation in the last 17 years, and it is highly correlated to the principal components of inflation of country groups outside the region, especially post-COVID-19. Global factors such as US inflation, commodity prices, and international shipping costs can account for at least one-third of the variation of the principal component. The analysis implies that external factors are major drivers of the surge in inflation in the region post-COVID-19 lockdowns.
Economía gig y la inclusión financiera de las mujeres en América Latina
Authors: Fernández Diez María Carmen , Támola Alejandro , Azar Barros Karina , Herrera Diego , Coloma María Gabriela , Riquelme Leticia , Andrade Gabriela
Published: March 2023

La inclusión financiera es una faceta del desarrollo financiero y sigue siendo un reto para América Latina. Esta nota sigue un camino novedoso al enfocarse en las condiciones asociadas a trabajadoras de la economía gig en el segmento de servicios para el hogar, relevadas por una encuesta en cuatro países de América Latina. El desarrollo y la expansión de las plataformas, como oportunidad para identificar y conectar demanda y oferta de trabajo, ha generado expectativas favorables de oportunidades laborables para colectivos menos integrados como son las mujeres. Pero esta expansión plantea interrogantes acerca de la generación de ingresos sostenibles y oportunidades de estabilización y formalización laboral. ¿Cómo aprovechar los canales digitales para mejorar la inclusión financiera de las mujeres? ¿Cómo son su perfil financiero y sus demandas de financiamiento en las plataformas de la región? ¿Es posible que este tipo de plataformas sean una solución en situaciones de vulnerabilidad económica? Los resultados de este estudio muestran que las plataformas de la economía gig: i) tienen el potencial de contribuir a mejorar la inclusión financiera de las mujeres; ii) habilitan un “efecto actividad” y un “efecto formalización”y iii) identifican falta de confianza en los instrumentos de pago como el principal obstáculo frente a la profundización de la inclusión financiera.
Caso de estudio Don Mario: una empresa Argentina que gana el mercado global de semilla de soja
Authors: Stubrin Lilia , Marín Anabel , Carreras Enrique , Palacín Rocío , Mauro Lucía
Published: March 2023

El grupo Don Mario (GDM) es una empresa que desarrolla semillas de Argentina que se ha convertido en un jugador importante en el mercado global proveyendo el 20% de las variedades de soja que se utilizan en el mundo. La empresa exporta actualmente a más de 11 países. El crecimiento e internacionalización del grupo Don Mario es un fenómeno de enorme interés ya que se produjo en un período en el que el mercado global de semillas se concentró masivamente en unas pocas empresas internacionales a través de un proceso de fusiones y adquisiciones sin precedentes, que involucró la desaparición de cientos de empresas semilleras independientes. En este reporte discutimos los principales cambios en la demanda mundial, tecnológicos, regulatorios y de estructura de mercado que han operado y operan como oportunidades y desafíos para la expansión de Don Mario; presentaremos una serie de indicadores que describen el contexto global y local en el cual opera la empresa Don Mario; analizamos en detalle el alcance y modelo de la inserción internacional de la empresa Don Mario; explicaremos los elementos claves que explican el éxito de la firma; el uso e impacto de las políticas públicas; y los desafíos pendientes que tiene la empresa para continuar su proceso de crecimiento internacional.
Evaluating Peer Assisted Learning (PAL) of the Online Study of Neuromusculoskeletal System Anatomy Based on the Objective Structured Practice Examination (OSPE) Scores
Authors: Putri Illahika Anung , Djauhari Thontowi , . Husnan
Published: March 2023

The pandemic posed a challenge for teachers to develop new teaching methods. Peer Assisted Learning (PAL) is one of the methods. It helps the online learning process run smoothly and builds communication, interaction, and cooperation skills. This study aimed to evaluate the effectiveness of online learning methods based on pre-test and post-test scores using quantitative methods with descriptive data presentation analysis. The study population was 148 first-semester students at the Faculty of Medicine, Muhammadiyah Malang University. The pre-test and post-test results data were analyzed to determine the difference in the test scores of osteo and muscle practical exams using comparative numerical unpaired test by paired t-test or Wilcoxon test using bivariate analysis with prerequisite analysis test. The study showed an increase in the median value in the post-test osteology with a sig value of the Wilcoxon test of 0.000, which means that there was a significant difference in the pre-test osteology in the neuromusculoskeletal block. There was an increase in the average value on the post-test muscle with a sig value of 0.000 which means a significant difference in the pre-post muscle in neuromusculoskeletal blocks. The findings of this study have proven that the PAL method can support practical anatomy learning of neuromusculoskeletal blocks because it can increase the value of the Objective Structured Practice Examination (OSPE).
Keywords: anatomy, osteology, musculus, OSPE, PAL
Menopause Status and Risk Factors for COVID-19 in the Elderly
Authors: . Juwitasari , Harini Ririn , Dwi Susanti Henny , Lestari Handayani Tri
Published: March 2023

The cessation of the menstrual cycle in women (menopause), which usually occurs in women aged over 40 years, is often accompanied by significant impacts on both physical and psychological health. During menopause, women experience a decrease in estrogen levels which is a protective factor in the woman’s body by decreasing chemokine ligand 2 expression during inflammation. Postmenopausal women who have experienced a decrease in their protective agents are more susceptible to being exposed to viruses. This study identified the correlation between menopause status and risk factors for COVID-19 by using Spearman rho. The participants in this retrospective cross-sectional study were 30 elderly women, 33 to 64 years old, at Posyandu lansia (Integrated Health Care System for Elderly) who expressed their willingness to participate in this study from April 1st until June 19th, 2022, by online survey or by filling out the menopause health and risk factor of COVID-19 questionnaires manually. Risk factors of COVID-19, such as comorbid disease, lack of exercise, low healthy life patterns, and obesity, have a significant correlation with the menopausal status of elder women. Half of them had graduated from senior high school and got menarche at 9 years old. Twenty per cent of them had a risk factor of COVID-19, and more than half of them used contraception. The number of elder people who were already in menopause was 27 per cent. Elderly people should improve their immune systems and prepare for menopause to lower the incidence of COVID-19 infection.
Keywords: COVID-19, elderly, menopause, risk factors
The Influence of Mother's Occupation and Employment Status on Emotional Behavior of School-age Children
Authors: Setyowati Lilis , Rahayu Dwi , Ilmiasih Reni , Aini Nur , Freeska Dwi Marta Ollyvia , Wahyu Mashfufa Erma
Published: March 2023

Women have career opportunities in various sectors of life, thus shifting from the role of mothers in household matters to being involved in the public sector and other social activities. One of the effects is that they spend limited time with children, which will affect their children’s emotional development. The aim of this study was to identify the relationship between the mother’s employment status and their interaction with their children and the emotional behaviour of preschool-aged children (4-6 years old), and also, to identify the relationship between the mother’s occupation with emotional behaviour of preschoolers (4-6 years). The design of this study was a cross-sectional approach with a sampling technique using stratified random sampling (N=46). This research was conducted at TK Aisyiyah 24 Malang on April 22 – 28, 2019. Questionnaire-Revised (PACHIQ-R) and Emotional Behavior Problems (KMPE) instruments were used in this research. Multivariate linear regression was used to know the impact of children‘s emotional behaviour problems. The results showed only the level of mother-child interaction significantly affected children’s emotional behaviour in a negative direction (t count > t table; -3,419 > 2,013; p-value = 0.01). Meanwhile, the value of F count > F table (6.965 > 2.42; p-value = 0.00). R2 = 0.465, adjusted R2 = 0.399. Data were collected using The Parent-Child Interaction instrument. The results showed only the level of mother-child interaction significantly affected children’s emotional behaviour in a negative direction.
Keywords: work status, interaction intensity, emotional behavior, preschool age
Adverse Events Following Immunization (AEFI) of COVID-19 Vaccine: A Descriptive Survey in Malang City
Authors: Lailatul Masruroh Nur , Devi Oktaviana Imelda , Huda Al Husna Chairul , Melizza Nur , Dwi Kurnia Anggraini
Published: March 2023

Vaccination is used to stop the transmission of COVID-19. However, it can stimulate Adverse Event Following Immunization (AEFI) symptoms, ranging from mild to severe. This study aims to identify the signs and symptoms of AEFI of the COVID-19 vaccine in the Malang City Community. The research design used is a descriptive survey. The sampling technique used was accidental sampling (n=275). The sample criteria were able and willing to fill out the questionnaire by accessing the google form from the researcher. Data were analysed using the Descriptive Statistical Analysis Test. The results of the study indicated that the number of respondents who experienced AEFI after receiving dose 1 vaccine was 97 people (35.2%), with symptoms including fever in 96 people (34.9%), swelling or redness at the injection site in 13 people (4.7%), pain in the injection site in 44 people (16.0%) and 1 person (0.4%) experienced other symptoms that required medical attention. After the second dose of the vaccine, 63 people (22.9%) had a fever, 11 people (4.0%) experienced swelling or redness at the injection site, 18 people (6.5%) experienced pain at the injection site, and 3 people (1.0 %) had other symptoms that required treatment. Signs and symptoms of AEFI of the COVID-19 vaccine most experienced by respondents after vaccine doses 1 and 2 were fever, pain at the injection site, and swelling or redness at the injection site, and there were no severe signs of AEFI were found in this study.
Keywords: AEFI, Covid-19 vaccine, signs, symptoms
Financial Risk Management Analysis of the Use of Health Services During the COVID-19 Pandemic
Authors: Ami Cahyaharnita Rezky , Djauhari Nur Subchi Thontowi , Hariyanto Subi , Putri Andriyani Intan , Fauziah Husni , Nur Hidayati Amalia
Published: March 2023

COVID-19 has had many negative impacts on society. One of them is the impact on the economy in the healthcare sector, namely hospitals. Transmission through direct contact with a sprinkling of phlegm from infected people (through coughing and sneezing) and touching a surface contaminated with the virus made the Indonesian government enforce the Stay at Home policy. This led to reducing the number of BPJS patient visits at the hospital at the beginning of the COVID-19 pandemic. The reduced number of BPJS patient visits had the effect of decreasing hospital income. This is in line with the decrease in outpatient and inpatient income at the Muhammadiyah University General Hospital of Malang from 2019 to 2020 by 14% and 13%, respectively. This study uses Chaos Theory, where hospital revenues from patient visits are reduced unpredictably due to the ongoing COVID-19 pandemic. The method used in this research is a qualitative descriptive method. The results of the data analysis showed that the number of patient visits at UMM Hospital increased in the second year of the COVID-19 pandemic in 2021.
Keywords: COVID-19, hospital, risk management, financial, BPJS
Age, History of Vaccination, and Occupation As the Determining Factors of Higher Acceptance of the COVID-19 Vaccination in Tanah Laut Regency
Authors: Putri Aisyah Eka , Lia Yunita Sendi , Novia Atmadani Rizka
Published: March 2023

Prevention of spread was important to overcome the COVID-19 pandemic while the vaccine was in the development process. Communities participated in various efforts to prevent transmission by implementing health protocols. There are several determinants that influence the acceptance of the COVID-19 vaccination program in Indonesia. This study aims to conduct a quantitative analysis of the most significant determinants that enhance the acceptance of the COVID-19 vaccination in the community of Telaga Village, Tanah Laut Regency. This study uses a quantitative analytical observational method with a cross-sectional study design approach. The instrument used is a questionnaire which is distributed directly to the public, where the sampling technique was carried out by accidental (spontaneous) methods. Respondents amounted to 100 people (>18 years old) residing in Telaga Village, Tanah Laut Regency. In this study, univariate analysis was carried out, and bivariate was tested using the Chi-Square statistical test. Binary logistic regression was used to determine the most significant variable that affected the acceptance of the COVID-19 vaccination. The results showed that there was no significant relationship between knowledge, occupation, gender, and education with the acceptance of the COVID-19 vaccination. However, there was a significant relationship between age, occupation, COVID -19 vaccination history and perception of the acceptance of the COVID-19 vaccine. Meanwhile, being younger, already vaccinated with the COVID-19 vaccine, and having an active job are the most significant factors affecting the higher rate of COVID-19 vaccination acceptance in Tanah Laut Regency.
Keywords: COVID-19, SARV-CoV-2, vaccination, acceptance of vaccination, Indonesia
Prevalence of Chronic Kidney Disease with Hepatitis B and/or Hepatitis C Comorbid in Hemodialysis Installation at the University of Muhammadiyah Malang General Hospital
Authors: Nur Fajri Ro'di , Rifa'i Achmad , Puspitasari Anggita
Published: March 2023

Chronic Kidney Disease (CKD) is a clinical condition in which kidney function and/or structure is characterized by irreversible and slow, progressive evolution. CKD cases in Indonesia in 2018 amounted to 3.8% of the total population (713,783 cases). Prevalence of CKD patients with Hepatitis B and/or Hepatitis C at UMM General Hospital has never been reported before. Data were taken from the medical records of UMM General Hospital. Characteristics of the patients were age, gender, aetiology, vascular access and duration of hemodialysis. The results of the laboratory examinations analyzed were HBsAg and Anti-HCV on CKD patients who underwent hemodialysis every 6 months, starting from January 2020. Data were analyzed with descriptive analysis using SPSS v25. The demographic proportion of CKD patients undergoing hemodialysis was highest in the 50-59 year age group (33.8%). Males were more than females (85 patients, 53.1%). The most common aetiology of CKD at UMM General Hospital was caused by hypertension (92 patients, 57.5%). Vascular access mostly used was AV shunt (107 patients, 66.9%). 107 (66.9%) patients had undergone hemodialysis for 1-5 years. In January-June 2022, there were 2 (1.25%) Hepatitis B patients with CKD and 8 (5%) CKD patients with Hepatitis C. The majority of CKD patients at UMM General Hospital were male patients aged 50-59 years, having had hemodialysis for 1-5 years, using AV Shunt, with the most common cause being hypertension. In January-June 2022, there were 1.25% CKD patients with Hepatitis B and 5% CKD patients with Hepatitis C.
Keywords: CKD, hemodialysis, Hepatitis B, Hepatitis C
Analyzing Predictors of Low Back Pain Among Farmers in Bayung Gede, Kintamani, Bangli: A Case Report Study
Authors: Ika Wardojo Sri Sunaringsih , Rosadi Rakhmad , Rama Wahyu Prayoga I Gede
Published: March 2023

Occupational health disease is mostly caused by unsafe working conditions. However, there is a lack of information about occupational and health safety among informal workers, including farmers in Bayung Gede, Bangli, Bali Province. As reported by the Health Department of Bangli, there was a high prevalence of complaints of low back pain (45%). It has been hypothesized that an unergonomic working position might trigger this condition. Thus, this study aimed to analyze predictors of low back pain among farmers in Bayung Gede village Kintamani, Bangli. A case report study was conducted among ten farmers in Bayung Gede village, Kintamani Bangli, on March 2022. Participants were recruited using convenience sampling techniques, and measurements used were sociodemographic, Nordic body map (NBM) and REBA assessment. As a result of the REBA assessment, it was found that there were 7 participants (70%) who were at high risk of low back pain, and 55% were in nonergonomic working positions. Thus, this factor can be identified as the main predictor of low back pain among farmers in Bayung Gede village, Bali. This finding has shown that non-ergonomic working positions might be a crucial factor which leads to low back pain as an occupational health disease. Thus, it also can contribute as a health recommendation for the local health department to minimize occupational health disease among informal workers.
Keywords: occupational health, low back pain, farmers
Factors Influencing Adherence to the Treatment in Stroke Patients
Authors: Ika Nur Rohmah Anis , Maharani Fadjri Syanindita
Published: March 2023

Adherence in stroke patients for routine re-control is at 50% of total stroke patients. Non-adherence can increase the incidence of recurrent strokes. In stroke recurrence, disability and mortality will increase. This study aimed to determine the factors influencing treatment adherence in stroke patients based on literature studies. This study used a literature study with a sample of 14 journals: Pubmed (n=7), Proquest (n=4), SAGE Journal (n=1), and Science Direct (n=2). The literature study began with identifying data search problems, screening, and quality assessment using JBI cross-sectional studies, cohort studies, qualitative studies, dan Randomized Control trials and analyzed using thematic analysis techniques. As many as 35% of the factors that influence adherence to treatment in stroke patients are beliefs about treatment factors, and social factors and knowledge influence 15% of factors. Economic factors have an estimated percentage of 11% for physical characteristics, and marital status has a rate of 8%; also, age and gender factors have the same presentation, namely 4%. The factor that most influences medication adherence in stroke patients is the belief in the treatment.
Keywords: factors, influence, treatment adherence, stroke patients
Identifying COVID-19 Prevention Practices among Health Students
Authors: Dwi Kurnia Anggraini , Irvan Manahilul , Melizza Nur , Lailatul Masruroh Nur
Published: March 2023

This study aimed to discover how health students practice COVID-19 prevention methods, particularly hand washing, wearing masks and social distancing. This study was a non-experimental quantitative descriptive research. Data was collected using a COVID-19 prevention practice questionnaire distributed to students. The population in this study were regular and professional health students at the University of Muhammadiyah Malang. The sampling technique used was accidental sampling and included 208 students. 76% of students were found to have preventive practices in the low-risk category, 21% moderate risk, and 3% high risk for transmission. 98% of the practice of wearing masks answered YES. Hand washing practices are 90% in the good category, 10% moderate, and 0% low. The social distancing practice is 55% good, 37% moderate, and 8% low.
Keywords: preventive practices, COVID-19, health students
The Correlation Between Body Mass Index (BMI) and Hemodialysis Adequacy in Hemodialysis Patients
Authors: Huda Al Husna Chairul , Ika Nur Rohmah Anis , Brihananto Iruruh
Published: March 2023

Hemodialysis is the most common renal replacement therapy in patients with chronic kidney disease and has a dose that must be achieved, known as hemodialysis adequacy. In fact, many hemodialysis patients do not reach the hemodialysis adequacy target. There are three main factors affecting hemodialysis adequacy: the solute, the patient, and the dialysis process. Patient factors are important because these factors can be modified, intervened, and anticipated by nurses. One of the interesting patient factors to study is the Body Mass Index (BMI). The purpose of this study was to determine the relationship between BMI and hemodialysis adequacy. This research was conducted in November 2021. This study used a cross-sectional design with a consecutive sampling technique and comprised of 84 samples that met the inclusion and exclusion criteria. The data were collected by using recording data from the medical records of hemodialysis patients. BMI using post-hemodialysis weight parameters and hemodialysis adequacy were assessed by looking at the Kt/V score. The results showed that there was a significant relationship between BMI and hemodialysis adequacy (p=0.001) with moderate strength and negative pattern (r=-0.362); this means that the greater the BMI value, the less hemodialysis adequacy. The results indicated that maintaining a normal BMI can increase hemodialysis adequacy in patients. This can prevent complications, improve quality of life, reduce treatment costs, and reduce the frequency of hospitalization.
Keywords: hemodialysis adequacy, body mass index, chronic kidney disease
Enhanced Antibacterial Activity of Piper betle Extract Niosome Serum Gel and Its Irritation Effects
Authors: Tri Wahyuni Santika , Rahmasari Dyah , Sandi Nugroho Rifqi , Agusta Ilham , Dithya Kurnia Daminda Revie , Vikri Sundugesti Riko , Ermawati Dian
Published: March 2023

Masks are personal protective equipment essential for COVID-19 prevention, but for the use of masks has led to an increase in the severity of both acne (maskne) and rosacea (mask rosacea). Long-time mask-wearing can increase acne’s flare by modifying the cutaneous facial microenvironment and triggering facial dermatoses. To minimize this, the skin needs to be protected by using an antibacterial product. This study aimed to develop and determine the antibacterial effect of Piper betle extract in niosome serum gel and its irritation effect. 5% Piper betle extract was formulated into a niosome system and incorporated into the serum gel with varying concentrations of 30%, 40%, and 50%. The niosome system was characterized by particle size, Polydispersity Index (PI), zeta potential, and pH value, and then evaluated physicochemical properties for niosome serum gel preparation. Further, the antibacterial effect against Propionibacterium acne, Staphylococcus aureus, and Staphylococcus epidermidis was tested using a well-diffusion test. The preparation stability was evaluated using freeze-thaw methods, and the irritation test was assessed using the HET-CAM (Hen’s Egg Chorioallantoic Membrane) method. The results showed that the preparation has a good physicochemical, while the best inhibition zone diameter was 7,29±0,21; 7,77±0,12; and 8,24±0,40, against P.acne, respectively. However, the results of the stability test of the preparation showed a significant change in the pH but had no irritation effect on CAM. It can concluded that the niosome serum gel of Piper betle extract has a potential antibacterial impact for acne, especially against P. acne.
Keywords: Piper betle, Niosome serum gel, antibacterial effect, stability, irritation effect
Comparison of Liver Disease in Patients Before and During the COVID-19 Pandemic Who were Admitted to the General Hospital of the University of Muhammadiyah Malang
Authors: Djunaedi Djoni , Permadi Gerry , Ami Cahyaharnita Rezky
Published: March 2023

COVID-19-associated liver injury is defined as any liver damage that occured during during the course of infection and treatment of COVID-19 patients, with or without preexisting liver disease. This includes a broad spectrum of potential pathomechanisms, including direct cytotoxicity from active viral replication of SARS-CoV-2 in the liver and immune-mediated liver damage due to the severe inflammatory response/ systemic inflammatory response syndrome (SIRS) in COVID-19. Data was taken from 206 patients with COVID-19 who were admitted to our hospital and were examined physically. Laboratory and ultrasound results showed abnormal rates associated with liver disease. The four-year study was conducted from January 2018 to December 2021. 116 pts were collected in the period 2018 to 2019 (2 years precov) and 90 pts 2 years (2020-2021) in the era of the COVID-19 pandemic. Women’s precov was 60 pts and dcov was 30 pts, while men showed 56 pts and 60 pts precov during COVID-19 infection. Liver cirrhosis was 28 pts precov and 41 pts dcov, followed by NSRH 25 pts precov and 12 pts dcov, NASH 24 pts precov and 6 pts dcov, Hep. B 20 precov and 10 dcov, acute viral hepatitis 12 precov and 16 dcov points. In total liver cirrhosis placed the first rank 69 pts (33, 5%). Followed by NSRH 17, 96 %; NASH 14, 56%, B. Hep. 14, 56 % and Ac.viral Hep. 13, 59%.
Keywords: pre-during pandemic covid-19, liver disease, liver cirrhosis
Social Support and Quality of Life Patients with Acquired Immune Deficiency Syndrome
Authors: Purwanto Edi , Sari Mayang , Alifatin Aini , Herlianita Risa
Published: March 2023

Social support is a fundamental element of every individual’s life. It promotes the feeling of being loved, valued, and respected, especially for the person with HIV/AIDS infection. Quality of life is the ability of an individual to have a good and regular life. Health and well-being are the key factors in gaining high quality of life. Therefore, to attain an appropriate quality of life, giving social support to patients with HIV/AIDS is compulsory. This research investigated the relationship between social support and HIV/AIDS patients’ quality of life. This study used a correlational design associated with a cross-sectional approach. This research involved all of the patients with HIV/AIDS in Yayasan Cahaya Kasih Peduli AIDS WPA Turen. The data analysis used the Spearman rank correlation test. The finding of the research showed that 1 (2.2%) obtained less social support, 9 (20.0%) obtained sufficient social support, and 35 (77.8%) obtained optimal social support. However, life quality 1 (2.2%) assimilates low life quality, 10 (22.2%) assimilates an average life quality, and 34 (75.6%) assimilates a high life quality. The result from the Spearman rank correlation test appeared with the signification value (sig)= 0.000 < 0.05, and then H1 was accepted; hence it was discovered that there is a positive correlation between social support and quality of life in HIV/AIDS patients.
Keywords: social support, quality of life, and patients with HIV/AIDS
Comparative Analysis of the Components of a Child's Gait Pattern with Flat Foot Disorder
Authors: Yulianti Atika , Ramadani Dyah Efendi Alfina , Imanurrohmah Lubis Zidni
Published: March 2023

Flat foot is a condition that generally occurs in children. Flat-foot is a condition where the entire foot is on the ground. The condition of a flat foot often does not show symptoms because in pre-school children, this condition remains a physiological condition. However, this condition will become pathological if it continues with age. The gait pattern is a structured movement carried out by a person to move and have a step distance, speed, and footprints. This study aimed to determine the gait pattern of normal-foot children and flat-foot children between the ages of 4-6 years at PAUD Sahabat Ananda Dau. The method used is a case-control two-group test on 23 children who have met the inclusion and exclusion criteria at PAUD Sahabat Ananda Dau in March 2022. Measurements of the wet footprint test, Clarke‘s angle, and gait parameters were out after obtaining approval from the respondents. \ It was found that respondents with flat-foot were 57%. Based on the T2 Sample Independent Test, the results obtained on stride was p=0.263, step right was p=0.235, step left was p=0.69, cadence p=0.7, and speed p=0.311(p<0,05). It was discovered that there is no difference in gait pattern in normal foot and flat foot children aged 4-6 years at PAUD Sahabat Ananda Dau.
Keywords: normal arch, flat foot, Gait pattern, Gait parameter, preschool children
Correlation Between Adaptation Readiness and Psychological Well-being in the Elderly During the Transition Period of the COVID-19 Pandemic
Authors: Natasa Zulka Ayesie , Rahmatika Nugrahani Ely
Published: March 2023

The World Health Organization has announced that Indonesia has transitioned from a pandemic to an endemic period. This change means that vulnerable age groups, including the elderly, still need to be aware of the impact of COVID-19. The purpose of this study was to determine the relationship between adaptation readiness and psychological well-being in the elderly during this transition. This study used a crosssectional approach. This research was conducted in the Sukorambi and Kalisat District, Jember Regency, with a total of 102 elderly respondents who were recruited using simple random sampling. The analysis test in this study used Spearman with alpha <0.05. The results showed that the adaptation readiness of the majority of the elderly was sufficient, as many as 41 elderly members (40.2%), and psychological well-being in the moderate category, as many as 40 elderly members (39.3%). Spearman test results were 0.000 <0.005, with a correlation coefficient of 0.503. Elderly adaptation readiness is associated with psychological well-being in the elderly with moderate strength. Good psychological well-being conditions will help the elderly to be able to adapt to various changing conditions, especially during the transition period of the COVID-19 pandemic.
Keywords: adaptation, COVID-19, elderly, psychological well-being
Nurses' Burnout in the Emergency Department and the Intensive Care Unit During COVID-19: A Literature Review
Authors: Dwi Pratiwi Indah , Herlianita Risa , Wahyuningsih Indri
Published: March 2023

The COVID-19 pandemic is a clinical threat to healthcare workers and the general population. Nurses maintain closer contact with patients than other members of the country. Therefore, nurses are at increased risk of infection, and their physical and mental burden has doubled. A comprehensive review is needed to examine nurses’ burnout during the COVID-19 pandemic. Our research follows the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. We conducted article searching through international databases such as PubMed and ProQuest from January to November 2020. Of the total 820 articles detected, five articles were reviewed. The results of data extraction and analysis found that the burnout feelings felt by nurses included emotional exhaustion, depersonalization, and lack of personal accomplishment. We concluded that nurses experienced high levels of burnout during the COVID-19 pandemic.
Keywords: burnout, COVID-19, pandemic, nurses
Optimization of Tablet Formulations Containing Green Robusta Coffee Beans (Coffea canephora) Extract with Various Concentrations of Sodium Starch Glycolate As a Disintegrant
Authors: Weka Nugraheni Raditya , Ardhana Putra Galih , Ermawati Dian
Published: March 2023

Chlorogenic acid, found in robusta green coffee beans, is an antidiabetic agent. It is made into robusta green coffee bean extract tablets which are varied with 3 concentrations of sodium starch glycolate (SSG) as a disintegrant. This paper aimed to determine the effect of variations in the concentration of sodium starch glycolate (4%, 6%, 8%) on the physical characteristics of the granules (particle size distribution, flow properties, angle of repose and compressibility) and tablet dosage characteristics, which include, hardness, friability, and disintegration time of robusta green coffee extract tablets. Robusta green coffee bean extract tablets were made with varying concentrations of sodium starch glycolate (4%, 6%, 8%) using the dry granulation method. The granule test parameters: flow properties test, compressibility test and particle size distribution test, were carried along with the tablet test parameters: hardness test, friability test and disintegration time test. Data were analyzed using the one Way-Anova. From the results of the study, it was found that the concentration of SSG did affect granule properties and tablet hardness. There was a significant difference in the friability test and disintegration time test.
Keywords: sodium starch glycolate, disintegrant, robusta green coffee bean extract, tablet
Ethical Issues Found in Healthcare Providers in Suicide Prevention in Indonesia
Authors: April Ariani Tutu , Freeska Dwi Marta Ollyvia
Published: March 2023

The suicide rate is increasing and gaining attention in several developed countries, but in most developing countries, it is often ignored. Society should have a valve that can withstand various problems that occur in the community. The valve is a family. There has been a deterioration in family function in recent years. The existence of supportive caregivers has a very close correlation with suicide. There is also a correlation between suicide and religion. No Christian scriptural permission to die by suicide is granted, and that is better for Christians to suffer than to commit suicide. Common ethical considerations in suicidal issues are based on utilitarian theory. The concept of utility does not only refer to intrinsic things but to individual preferences that prioritize the interests or satisfaction of all individuals who have been influenced. In conclusion, suicide is a very complex problem involving various elements and is something that must be faced by healthcare providers. An important aim of this study is to identify how ethical consideration issues can happen among healthcare providers in suicide prevention.
Keywords: suicide, health care provider, stigma, religion, ethical consideration
Correlation Between the Quick of Blood and Quality of Life of Chronic Kidney Disease Patients in Dialysis Therapy in the Hemodialysis Unit at Wava Husada Hospital
Authors: Dwi Nurbadriyah Wiwit , Nursalam Nursalam , Yuni Widyawati Ika , . Hardiyanto , Wahyu Kurniawan Ardhiles , Santi Fatmawati Devi
Published: March 2023

Patients with chronic kidney disease during their treatment or during hemodialysis therapy will experience various health problems in their lives, especially in their quality of life. Hemodialysis therapy is the last form of therapy for patients with stage 5 chronic kidney disease. Setting and monitoring the Quick of Blood (QB) in accordance with the vascular access capability used, as well as the patient’s hemodynamic condition and comfort, is expected to affect the quality of life of chronic kidney disease patients. This research aimed to find the correlation between Quick of Blood (QB) and patient quality of life. The research employs a quantitative approach with a correlational study, and the data was taken at Hemodialysis Unit at Wava Husada Hospital Kepanjen Malang. The sampling technique used was purposive sampling, with a total of 105 respondents. The instrument used was SF 36 questionnaire. The analysis of the data used the Pearson test. The result of the analysis shows a p-value of 0.037, so there is a significant correlation between quick of blood (QB) and the quality of life of hemodialysis patients. Most of the respondents were discovered to have a moderate quality of life.
Keywords: hemodialysis, quality of life, quick of blood
Comparison Between the Effectiveness of Static Stretching and Effleurage Massage for Pain Reduction in Myofascial Neck Pain
Authors: Imanurrohmah Lubis Zidni , Izzah Al-Islamiyah Nurul , Yulianti Atika
Published: March 2023

Myofascial neck pain is a musculoskeletal complaint that occurs due to hypersensitivity in one or more muscles. Static stretching is one of the techniques that can reduce the risk of injury. Static stretching can lengthen muscles and tendons in a fixed position, thereby increasing flexibility and relaxation, reducing spasms and decreasing pain. Effleurage massage is a massage technique with strokes to smooth and increase blood flow which can also reduce pain and spasms. This study aimed to compare the effectiveness of two interventions for myofascial neck pain. The research design was pre-experimental with two groups of pretest-postest design. A total of 30 female cigarette-rolling workers were sampled in this study, and they met the research criteria. Respondents received static stretching exercises with effleurage massage 3 times a week for 4 weeks. The visual Analogue Scale was used to measure the pain felt by the respondent. The results showed that both interventions in each group had an effect on reducing myofascial neck pain in cigarette rolling workers (p<0.05). The results of the comparison test of the effect of giving Static Stretching with Effleurage Massage showed a p-value of 0.00 (p <0.05), which means that H1 is accepted or there is a difference in the effect of Static Stretching and effleurage massage on reducing myofascial neck pain in cigarette rolling workers. Based on the average decrease, the group with Static Stretching had a greater effect of reduced myofascial neck pain.
Keywords: cigarette laborer, exercise, muscle lengthening, muscle relaxation, muscle pain
Identification of Parental Efforts in the Prevention of COVID-19 Infection in Children
Authors: Ilmiasih Reni , . Juwitasari
Published: March 2023

COVID-19 is a global pandemic that has an impact on various aspects of life, one of which is the health of children. Children’s behavior in preventing transmission of COVID-19 needs to be controlled by parents. Reports of an increase in the number of infections in children, apart from the immune system of children who are still vulnerable, also need to be investigated for other causes, namely the efforts of parents to protect against transmission. Behavior and infection control efforts at home greatly affect the prevalence of virus transmission. The purpose of this study was to identify the efforts of parents in preventing COVID-19 infection in children in the New Normal era. This research was descriptive research. The population in this study were parents who had children aged 0-18 years. The sampling technique used was incidental sampling, and data analysis was done through frequency distribution. The results of the study found that the efforts of parents in preventing COVID-19 infection were mostly in the moderate category. This may be related to the level of parental education, the factor of domicile in the Malang Raya area, which has almost the same characteristics, the level of income, and the number of children. These three demographic factors have become a philosophy in efforts to prevent COVID-19 infection in children by parents.
Keywords: infection, Covid-19, children, prevention efforts, parents, philosophy
Relationship Between Physical Changes and Teen Confidence During Puberty
Authors: Nurfitriana Desy , Lestari Handayani Tri , Dwi Susanti Henny , Alifatin Aini
Published: March 2023

During puberty, adolescents experience changes both physically and psychologically. This study aimed to understand the relationship between physical changes and self-confidence during puberty. This study is a quantitative study with a correlational approach, the population of young women is 60 people. The sampling technique used was purposive sampling (n=40), and the data analysis was done using the Chi-Square Test. This study shows that there is a relationship between physical changes and self-confidence during puberty in relation to: BMI (P value 0.007; OR: 0.104), breast enlargement (P value 0.001; OR: 0.071,) acne on the face (P value 0.040; OR: 5.067) and hip and waist circumference (P value 0.004; OR: 0.059). The results of the analysis of 40 female adolescent respondents during puberty show that there is a relationship between physical changes and self-confidence during puberty. They were provided education about a healthy lifestyle (regular diet and exercise) and caring for and maintaining facial skin to prevent acne from arising.
Keywords: physical changes, confidence, puberty teens
The Effect of Jujube Leaf Extract in Preventing Memory Scores Deficit in White Wistar Rat Hypertension Model
Authors: Yuliartha Lestari Dian , Nur Fatimah Dewi , Setiawan Indra
Published: March 2023

Memory impairment is one of the effects caused by hypertension. Jujube leaves (Ziziphus mauritiana Lam) have active ingredients which are believed to control hypertension and, therefore, prevent memory deficit, especially spatial memory in white rats. The aim of the study was to determine the effect of jujube leaves extract (Ziziphus mauritiana Lam) on the memory score of white rats with hypertension induced by NaCl and Prednisone. The study was a true experimental with a post-test-only control group design. Rats were divided into five groups consisting of two control groups and three groups with jujube leaves extract: 200mg/KgBW/day, 400mg/KgBW/Day, and 800mg/KgBW/Day. Memory functions were measured by Radial Arm Maze to measure spatial memory function. Data were analyzed with One-Way ANOVA and then Post-hoc Bonferroni. All groups were found to be significant (p = 0.00) in One-Way ANOVA test. In a Post hoc test, only group 3 with a dose of 800mg/KgBW/day was found to be significant (p = 0.00) to prevent memory score deficit in white hypertensive Wistar rats induced by NaCl and Prednisone. Jujube leaves extract (Ziziphus mauritiana Lam) can prevent memory score deficit in white Wistar rats with hypertension.
Keywords: hypertension, memory function, jujube leaves
Testing Mothers' Knowledge in Preventing COVID-19 in Children Through Animated Video Media and Booklets
Authors: Rizki Anggraini Ika , Putri Dewi Pati Puja , Herlianita Risa , Masruroh Nurlailatul
Published: March 2023

Clean and healthy living behavior (PHBS) is where a person practices clean living behaviors both for themselves and for their family. Families play an active role in modeling environmental health and can be a source of prevention of COVID-19 in children. This study aimed to determine the level of maternal knowledge in preventing COVID-19 in children by providing PHBS education through animated video media and booklets. Method: The design of this study uses the quasi-experimental method. The study sample was 40 respondents with 20 intervention groups and control groups. The research instrument was\ a questionnaire. Analysis of data used the Wilcoxon Test. Results obtained from the intervention group showed a pre-test level of knowledge at 5 or 25.0%, a sufficient level of knowledge of 12 or 60.0%, and no knowledge of 3 or 15.0%, and the post-test results of the knowledge level are either 20 or 100.0%. The control group had a pre-test level of knowledge of 1 or 5.0%, the level of knowledge was sufficient of 7 or 35.0%, and knowledge was less than 12 or 60.0%, as well as in the post-test results became a level of knowledge either by 20 or 100.0%. Wilcoxon test results of both groups with asymp.sig (2-tailed) results = 0.000.
Keywords: level of knowledge, mothers, clean and healthy living behaviors (PHBS)