bluuebunny/crossref_metadata_2025 huggingface dataset:
Predicting the dynamics of radiological changes in patients with infiltrative pulmonary tuberculosis
Authors: Kushnir V.B. , Hrek І.І. , Dorosh D.M. , Kozlov O.P. , Ohnivenko О.V. , Pavlikova K.V. , Vinnikova N.V.
Published: December 2024

Background. The global problem of tuberculosis is still relevant today. One of the main criteria for positive dynamics in the treatment of tuberculosis is the closure of decay cavities. Studies aimed at identifying prognostic factors for the success of cavity closure and developing methods for predicting the effectiveness of treatment are relevant.

Purpose – to identify clinical and laboratory predictors and to develop a method for predicting treatment efficacy in patients with newly diagnosed infiltrative pulmonary tuberculosis (NDIPTB).

Materials and Methods. We included 80 patients with newly diagnosed infiltrative drug-sensitive TB. Preservation of destructive changes on control radiography at the end of intensive phase (IP) of treatment was a criterion for assessing treatment dynamics, according to which patients in the main cohort were divided into two groups. The Destr– group (n = 37) included patients who had destructive changes in the lung at the start of treatment and had no evidence of destruction on control radiography after two months of therapy. The Destr+ group (n = 43) included patients who had destructive changes in lung tissue after intensive phase of treatment.

Results. In the groups of patients based on residual destructive changes in the lung after IP of treatment, it was found that patients in the Destr+ group had significantly more cases of mycobacterial shedding and the presence of intoxication syndrome (p < 0.05). In addition, patients with residual destructive changes were characterised by significantly higher levels of systemic inflammation and depletion and dysfunction of the phagocytic component of the immune defence compared to the Destr– group (p < 0.05). After assessing independent factors for predicting residual destructive phenomena on control radiographs after IP of treatment, it was determined that such predictors are initial levels of haptoglobin, γ-interferon, number of destruction sites (n Destr) and ACC (sp). A prognostic model was created that has the necessary parameters of significance and can be used to assess the likelihood of residual destructive changes according to control radiography after IP of treatment in men with NDIPTB.

Conclusions. Predictors of the efficacy of treatment of men with NDIPTB in the conditions of standard therapy are the number of destruction sites before treatment, baseline values of haptoglobin, γ-interferon and spontaneous average cytochemical coefficient (ACC(sp)) (p < 0.05). The proposed prediction model has the necessary parameters of significance and can be used to assess the likelihood of an unfavourable outcome of IP of treatment in men with newly diagnosed infiltrative pulmonary tuberculosis in terms of the presence of residual destructive changes in the lung.
Characteristics of gram-positive and gram-negative microflora colonizing in cellular tissue structures of tonsils in patients with secondary osteoarthritis
Authors: Golub O.I. , Liadova T.I. , Volobueva O.V. , Chernusky V.H. , Popov M.M. , Letiaho H.V. , Pavlikova K.V.
Published: December 2024

Background. In recent years, there has been a steady increase in secondary osteoarthritis (OA) in people of different age groups, in the etiopathogenesis of which one of the leading places is assigned to gram-positive and gram-negative microorganisms. This fact determines the features of pathogenesis, clinical course and prognosis of the disease and is the main point of diagnosis and selection of effective etiopathogenetic treatment.

Purpose is to determine the characteristics of gram-positive and gram-negative microflora colonized in the tonsils of patients with secondary OA.

Materials and Methods. 47 patients aged from 19 to 45 years who were undergoing inpatient treatment at Artz Klinic (Kharkov) for secondary OA of the knee joint were examined. The diagnosis was established according to the International Classification of Diseases of the 10th revision (ICD-10)-M18.1. Patients who were diagnosed with chronic tonsillitis underwent a microbiological examination of smears from lacunae of the tonsils. To determine antibodies to microorganisms, the method of quantitative determination of antibodies in blood serum using microbial antigens obtained by ultrasonic disintegration of microorganisms in the nephelometric reaction of Ouanier in the modification of N.M. Klemparska was used.

Results. The conducted study showed that the level of antibodies to gram-positive, gram-negative microorganisms and fungi of the genus C. Albicans is determined at weakly positive values in the blood serum and synovial fluid of patients with secondary OA without chronic tonsillitis. The level of antibodies to these microorganisms isolated from the lacunae of the tonsils in the group of patients with secondary OA with chronic tonsillitis and antibodies in the synovial fluid was determined at positive values due to the sequestered antigens of the tonsils chemically identical to the cellular tissue structures of the articular cartilage and synovial membrane, transferring the pathological process to an autoimmune basis.

Conclusions. Secondary OA is formed on the primary basis of sensitization of the body, in clinical manifestations it is often combined with atopic and somatic diseases, the exacerbation of which may be associated with relapses of osteoarthritis in this contingent of patients. The level of antibodies in the blood serum of patients with secondary OA to gram-positive, gram-negative microorganisms and fungi of the genus C. albicans depends on their colonization in the cell-tissue structures of the oropharynx that are chemically identical to the cell-tissue components of the articular cartilage and synovial membrane, transferring the pathological process to an autoimmune basis.
Reform and Practice of Research-Based Teaching Mode for Innovative Talents in Local Undergraduate Physical Geography
Authors: Li Xiumei , Ma Shuo , Zhang Mingyuan , Zhang Chenguang , Wang Yun , Qin Kexin , Wang Yihan , Liu Zhaoli
Published: December 2024

The traditional Physical Geography teaching, focusing on theory and neglecting practice and innovation, fails to meet the needs of talent cultivation. In response to the aforementioned pedagogical challenges, this study adopts a student-centered and holistic educational philosophy, leveraging an intelligent teaching platform to develop a research-oriented teaching model. This model integrates scientific research papers and current news as context, thematic presentations as an introduction to knowledge, and field internships, annual papers, research projects, and disciplinary competitions as practical bridges. The aim is to enhance students’ comprehension of the course material, foster innovative thinking and research capabilities, and drive comprehensive reform and innovation in Physical Geography courses within higher education institutions.
Strategies for Core Strength Training in Free Combat Teaching
Authors: Xue Yilong , Xue Xin
Published: December 2024

Since free combat is a competitive sport that flexibly utilizes kicking, punching, wrestling, and holding techniques to defeat the opponent, a good core strength of athletes can help to improve the technical level, enhance the quality of movements, and protect the joints and muscles. In order to carry out core strength training in free combat teaching with high quality, firstly, it is necessary for coaches to carry out simple training, centralized training, and extended training according to the basic planning of adaptation-stabilization-improvement. Secondly, it is also important to test the athlete’s physical and athletic qualities before implementing the specific training plan, optimize the training program, and carry out statistical analysis of the stage training data in order to achieve the best training effect.
HUBUNGAN PENGAWASAN DAN SOSIALISASI KESELAMATAN DAN KESEHATAN KERJA DENGAN KEJADIAN UNSAFE ACTION DI PERUSAHAAN PEMBANGKIT LISTRIK
Authors: Ruznaiza Emylia , Mindiharto Sestiono
Published: December 2024

Latar belakang: Pengawasan dan sosialisasi keselamatan dan Kesehatan kerja (K3) merupakan hal penting mengingat tingginya angka tindakan tidak aman yang dapat membahayakan keselamatan pekerja. Tujuan penelitian ini adalah untuk mengidentifikasi dan menganalisis hubungan antara pengawasan dan sosialisasi K3 yang dilakukan perusahaan dengan frekuensi kejadian unsafe action serta untuk memberikan rekomendasi perbaikan dalam implementasi program K3 di lingkungan kerja. Metode: Penelitian ini menggunakan desain cross-sectional, analisis dilakukan dengan menggunakan uji chi square untuk menguji hubungan univariat dan bivariat antara pengawasan K3 dan sosialisasi K3 dengan kejadian unsafe action di PT X, sebuah perusahaan pembangkit listrik, dengan sampel 85 responden. Hasil : Hasil analisis univariat menunjukkan bahwa tindakan tidak aman (56,5%), pengawasan (52,9%) dan sosialisasi K3 (55,3%). Hasil analisis bivariat diperoleh hubungan yang signifikan antara pengawasan (p=0,011 dan OR=3,500) sedangkan sosialisasi K3 (p=0,002 dan OR=4,511) dengan kejadian unsafe action. Kesimpulan: Penelitian ini menunjukkan adanya hubungan signifikan antara pengawasan dan sosialisasi K3 dengan kejadian unsafe action di PT X, di mana pengawasan yang kurang baik dan sosialisasi K3 yang tidak efektif meningkatkan risiko tindakan tidak aman (unsafe action) di tempat kerja.
Quantum Security in Cyber Risk Analysis Through Fuzzy Analytic Hierarchy Process
Authors: Ahmad Mahfooz , Fatima Eram , Shukla Ankit , Bhusal Neeta , Khaliq Mazhar , Agrawa Alka
Published: December 2024

Quantum security is an evolving field that leverages principles of quantum physics to strengthen computing systems. Core concepts such as superposition and entanglement are foundation to this domain. However, current systems face significant challenges due to the extraordinary processing capabilities of quantum computers. As large-scale quantum computers with high qubit counts become operational, existing cybersecurity mechanisms are increasingly inadequate. This rapid advancement in quantum computing poses substantial risks to software, networks, web-based systems, and other security measures. To address these challenges, enhancing cybersecurity mechanisms is imperative. This paper explores various quantum security strategies categorized into six mechanisms (E1 to E6) and examines their effects on cybersecurity factors labeled H1 through H8. The analysis employs the Fuzzy Analytic Hierarchy Process (F-AHP) method, which assesses the relative importance of these factors based on an extensive literature review. By calculating the weight of different security aspects, the F-AHP method provides insights to prioritize critical components throughout the development cycle. The findings reveal that quantum-resistant cryptography is the most effective security measure. In contrast, digital signatures resistant to quantum errors were assigned the lowest priority, while the software system (H2) received the highest priority. These results underscore the importance of developing robust cybersecurity frameworks that align with the capabilities of quantum technology. As the field advances, it is crucial to design software, networks, and security systems that support the optimal functionality of quantum computers. Implementing quantum security mechanisms can significantly reduce vulnerabilities and mitigate the risk of cyberattacks. Over the next decade, new approaches to cybersecurity risk analysis leveraging quantum technology are expected to emerge, paving the way for enhanced cyber resilience in a quantum-powered future.
A Comparative Evaluation of Machine Learning-Based Intrusion Detection Systems for Securing Cloud Environments
Authors: Shadi Alhakeem Mohammad , Bin Ajla Khawlan
Published: December 2024

Cloud computing has advanced significantly alongside the growth of communication technology and data exchange. Many businesses and organizations now adopt cloud computing solutions and services to enhance flexibility and scalability. However, despite its numerous advantages, cloud computing remains increasingly susceptible to various security threats that can disrupt services and business operations. This highlights the critical need to strengthen the security of cloud environments. In this context, implementing robust protection measures, such as Intrusion Detection Systems (IDS), is essential to mitigate potential threats and safeguard sensitive data. To effectively counter the ever-evolving cyber threats landscape, IDS must possess adaptive capabilities. Hence, integrating Machine Learning (ML) technologies is imperative for the detection of a broad and diverse range of cyber threats, thereby enhancing the overall bolstering the security posture of the environment.
This research explores the integration of ML technologies in IDS and examines the application of feature selection methods to identify the key and most significant indicators for attack detection. The study conducts a comparative analysis of five ML techniques, employing two distinct feature selection methods to evaluate their effectiveness in strengthening the security of cloud environments. Using a recently developed, reputable dataset and concentrating on attack types that pose significant threats to cloud environments, our experimental results offer a comprehensive evaluation of these techniques, including a variety of machine learning algorithm performance metrics.
Social Work in Cyber-Security
Authors: Monammed Albargi Samah
Published: December 2024

The modern cyberspace features complex and highly evolving threats against users and particular vulnerable groups, such as youths and children. Rather than being a purely technical domain, cyber-security is a complex and multi-dimensional field that requires comprehensive evaluations and understanding of human behavior, social dynamics, and prevailing organizational structures, especially considering the increasingly sophisticated nature of cybercrimes in today’s society. To be effective, cyber-security requires critical considerations of current and evolving human factors and processes, including the complex processes of interactions between technology and human belief-thought-behavior patterns, in protection, detection, response, and recovery programs. This study applies a review and synthesis of relevant findings in a sample of 25 credible sources to demonstrate and prove the critical and special value and place of social work, as a field, in cyber-security and its goals. Findings in the review show that social work has special value in effective cyber-security programs, based on its unique capacity to mobilize useful societal and human knowledge and resources to confront and address the complex and evolving nature of cyber-threats from a holistic approach. This value rests on social work’s foundations and fields of practice, particularly the person-in-environment and human behavior in a social environment (HBSE) models, social work policy practice, forensic and clinical social work, and community development. Collaborations between social work and information/computing sciences based on these foundations/fields of social work represent an important pathway toward more productive, sustainable, impactful, and socially just cyber-security programs in the modern society.
Visual Contemporary Painting Based on The Visual Appropriation of Abhimanyu’s Death
Authors: Bayutha Ida Bagus Rekha , Karja I Wayan , Mudana I Wayan
Published: December 2024

The concept of visual appropriation involves using elements borrowed from others to create a work of art. In this research, appropriation entails utilizing images and narrative context from various sources to depict Abhimanyu’s death on the 13th day of the Bharatayuda war. This article explains the method for creating the visual appropriation of Abhimanyu. The process of creating visual appropriation is based on exploring, designing, and realizing craft arts, incorporating digital sketching, manipulation, media and technique discovery, imprimatura, collage, cropping, coloring, and finishing. The creation process involves identifying visual forms and their relationship to current phenomena and adding new meanings that alter the original context. The aim of creating contemporary painting is to make young people aware of the challenges or obstacles of the current situation and the need to develop strategies to deal with them. Resulting works aim to juxtapose visual references to provoke thought and reinterpretation of their meaning for the audience.
Cultural Diplomacy in Films by Garin Nugroho
Authors: Muhammad Abdul Aziz Arif Bawono  , Saleh Sukmawati
Published: December 2024

This article conducts an in-depth examination of Indonesian cultural elements in Garin Nugroho’s films, using Joseph Nye’s theory of cultural diplomacy as a conceptual framework. Through the analysis of films such as “Daun Di Atas Bantal” and “Opera Jawa,” the article aims to identify and explore the local cultural elements that Nugroho integrates into his film narratives. This research focuses on how Garin Nugroho presents traditional Indonesian cultural elements and how this contributes to international understanding of Indonesia’s cultural richness. By applying the theory of cultural diplomacy, the article highlights the importance of cultural representation in films as a form of soft power capable of building a positive image of Indonesia on the global stage. The study also discusses how Garin Nugroho’s films play a role in cultural diplomacy, serving not only as a medium of entertainment but also as an educational tool and cultural promotion. The article supports the hypothesis that cultural diplomacy plays a crucial role in building understanding and appreciation of a nation’s cultural wealth, as well as strengthening international relations through cultural exchange. Thus, this article functions not only as a critical analysis of Garin Nugroho’s films but also as a case study demonstrating how cultural diplomacy can be effectively used to promote and introduce Indonesian culture to international audiences. The findings of this research are expected to contribute to film studies, cultural diplomacy, and the development of future strategies for promoting Indonesian culture.
The Role of Prince Ronggosukowati in the History and Culture of Pamekasan
Authors: Noviyanti Supriliyanti  , Ahmad Sudi Pratikno
Published: December 2024

Folklore serves as a bridge connecting generations and allows communities to maintain their cultural heritage amidst changing times. Folklore is a national cultural heritage that has values that can be taken and applied in the present and the future, as well as the spread of folklore by word of mouth. This study aims to describe the role and values contained in Prince Ronggosukowati, an important figure in the history and culture of Pamekasan. The research method used in this study is field research. Data collection techniques include literature studies, documentation, and interviews. The findings show that the role of Prince Ronggosukowati has a significant influence on the cultural and historical identity of Pamekasan, as well as contributing to the fields of culture, education, and religion. His life story is reflected in various Madurese literary and folklore works, making him a symbol of pride and community identity. The historical and cultural perspective on Prince Ronggosukowati shows the importance of the role of local leadership in shaping the cultural character of a region, which is in line with the view that folklore contains values that apply in society and need to be introduced to the younger generation. Prince Ronggosukowati’s influence is not only seen in infrastructure and government, but also in the preservation of cultural traditions that are the identity of the Pamekasan community.
Glorify the Lord Ensemble’s Existence and Strategy in the Indonesian Music Industry
Authors: Nida Ulhanifah Setiadi  , Ignasius Herry Subiantoro  , Indra Ridwan
Published: December 2024

Indonesia’s music industry has undergone a significant transformation from the vinyl disc era to the digital era, with new challenges and opportunities in maintaining the existence of music groups. This research aims to explore Glorify the Lord Ensemble’s journey in gaining attention in the music industry and analyse their strategies for long-term sustainability. Qualitative research methods were used, including observation, interviews, and documentation studies to collect data from rehearsals, performances, and internal group interactions. The results revealed that Glorify’s initial appeal came from their founder, Daud PM Saba, who blended pop, rock, R&B soul, and black gospel genres with signature choreography, attracting the attention of renowned artists and fans. Their sustainability strategy involves regular activities for members and active publications on social media, maintaining their existence during the passing pandemic and in the midst of music industry competition. Recommendations from this research are to continue adapting innovations in content, and social media interactions, as well as maintaining the quality of rehearsals, and collaborations that strengthen their reputation. This research provides important insights into successful existence strategies in the competitive music industry.
The phenomenon of loss and feminization in a grammatical gender in Kurdish language in Slivanian plain
Authors: Abdullah omer Deman
Published: December 2024

This research under the address of address of (the phenomenon of loss and feminization in a grammatical gender in Kurdish language in Slivanian plain) has given as an example. According this address we will try to declare (show) (what are the signs that can be grammatical gender? And in how many cases they appear? The lacke of the grammatical gender appear in which case of this district? The change in the appear in which case of the same district? In which case of lack ang the change of the grammatical gender appear more?
Finally it has been shown that the signs of the lack of feminization of the grammatical gender apperr in some cases.
This research consists of two sections. The first section is customized for the gender and the grammar that contain thes subjects: (gender concept, gender kinds, the intent of grammatical gender, the specifics of grammatical gender, the signs like the morpheme of the grammatical gender, the gender and the environment, the gender, lack of and the change, the gender and its shed, the reasons of changing the grammatical gender, the case and the gender).
The second section is customized for (the phenomenon of loss and feminization in the grammatical gender in Slivanian plain) in which the lack of gender in the case of (Addition, Indirct, perfect, Continuity, Signal, Structuralism, call) are appeared and the phenomenon of feminization appear of (Addition, Indirct, perfect, Continuity, Signal, Structuralism,call )
INTERVENSI MENGULUM ES BATU PADA PASIEN CHRONIC KIDNEY DISEASE YANG MENJALANI HEMODIALISIS
Authors: Salsabila Khairunnisa Vania , Komariah Maria , Fitria Nita
Published: December 2024

Penyakit gagal ginjal kronik adalah keadaan ginjal yang gagal dalam menjalankan fungsinya secara progresif dan irreversible. Gejala rasa haus yang sering dialami pasien gagal ginjal kronik menyebabkan pasien kesulitan dalam melakukan pembatasan cairan sehingga terjadi hipervolemia yang menimbulkan konsekuensi yang parah terhadap kesehatan. Penelitian ini bertujuan untuk untuk memberikan gambaran mengenai manajemen hipervolemia dengan mengulum es batu pada pasien chronic kidney disease. Metode penelitian yang digunakan adalah case report dengan pendekatan asuhan keperawatan. Intervensi keperawatan yang dilakukan pada kasus ini adalah mengulum es batu yang dilakukan selama 3 hari. Hasil penelitian menunjukkan terdapat penurunan rasa haus setelah mengulum es batu dari haus sedang menjadi haus ringan hingga tidak haus, serta pasien mampu mengurangi asupan cairan. Selain itu, terdapat perbaikan pada status cairan pasien yang dibuktikan dengan tidak ditemukan adanya edema pada ekstremitas bawah dan tidak ada sesak nafas yang dirasakan pasien. Mengulum es batu dapat membantu menurunkan rasa haus sehingga pasien mampu mengurangi asupan cairan. Hasil penelitian ini dapat menjadi referensi untuk membantu membatasi asupan cairan pada pasien gagal ginjal kronik yang menjalani hemodialisis.
PENERAPAN TEORI KEPERAWATAN “CARING” DARI SIMONE ROACH OLEH CAREGIVER UNTUK PEMENUHAN KEBUTUHAN DASAR LANSIA DI LKS LU PANGESTI LAWANG : ANALISIS FENOMENOLOGI
Authors: Prihanto Yafet Pradikatama , Astutik Nanik Dwi
Published: December 2024

AbstrakTahapan kehidupan akhir manusia adalah lansia, dimana dalam keadaan ini semua sistem tubuh telah mengalami kemunduran, termasuk pada aspek psikologis. Perubahan yang tampak pada lansia adalah emosi yang cenderung tidak stabil, sehingga membutuhkan kesabaran dalam menghadapinya. Keadaan tersebut telah menjadi makanan sehari-hari caregiver lansia di panti werdha, sehingga mereka dituntut untuk memiliki sikap “caring” yang berbeda pada tiap lansia, bergantung pada kondisi psikologis masing-masing. Meskipun caregiver ini tidak pernah belajar mengenai ilmu “caring” seperti perawat, namun karena kebiasaan, caregiver mampu melaksanakannya. Tujuan penelitian ini adalah mengeksplorasi pengalaman caregiver saat melakukan “caring” dan dihubungkan dengan 6 komponen caring menurut Simone Roach (Compassion, competence, confidence, consiene, commitmen, dan compartemen). Metode penelitian yang digunakan adalah kualitatif dengan pendekatan interpretative phenomenological analysis (IPA). Jumlah total caregiver adalah 13 orang, namun pengambilan data dihentikan pada partisipan nomor 8 karena telah terjadi saturasi data. Hasil penelitian ini ditemukan 6 tema yang menjawab tujuan khusus penelitian. Tema pertama “membangun hubungan yang baik dengan lansia” dengan subtema ; mengedepankan perasaan, pendekatan, memenuhi kebutuhan dan membuat kebijakan. Tema kedua membantu beradaptasi”, yang terdiri dari subtema mencoba hal yang baru, pendampingan interpersonal, memahami lansia, bekerja sesuai prosedur, dibantu rekan kerja dan mau belajar. Tema ketiga “komunikasi terapeutik”, yang terdiri dari sub tema ; interaksi, menggali potensi, dukungan dan pengawasan. Tema Keempat “tergantung situasi dalam melayani”, terdiri dari sub tema ; berniat membantu, pengendalian diri, dan tidak peduli. Tema Kelima “berterus terang”, dihasilkan dari sub tema ; kejujuran, apa adanya, dan memberikan yang terbaik. Tema keenam “kesabaran dan perhatian”, terdiri dari sub tema ; tetap mengerti, menahan diri, butuh motivasi dan melepaskan beban. Kesimpulan dari penelitian ini adalah semua caregiver telah memiliki sikap caring menurut Simone Roach (Compassion, competence, confidence, consiene, commitmen, dan compartemen), dibuktikan dengan semua tema hasil penelitan merujuk pada keenam aspek tersebut. Saran untuk peneliti selanjutnya adalah melakukan penelitian kualitatif mengenai cara caregiver dalam mendampingi lansia untuk menghadapi kematian menurut teori Kolcaba
ANALISIS FAKTOR JENIS PENYAKIT DAN STATUS FUNGSIONAL LANSIA YANG MEMPENGARUHI KUALITAS HIDUP CAREGIVER INFORMAL LANSIA DENGAN PENYAKIT KRONIS
Authors: Setyobudi Yustina Emi , Debora Oda
Published: December 2024

Lanjut usia merupakan proses seumur hidup yang ditandai dengan bertambahnya usia baik pada tingkat seluler, organ, atau seluruh tubuh yang terjadi sepanjang rentang kehidupan individu, yang pada akhirnya akan mengalami perubahan terdiri dari perubahan fisik, sosial, dan psikologis. Kondisi lansia rentan mengalami perubahan status kesehatan, yang menyebabkan kemunduran serta ketidakmampuan dalam melakukan kegiatan dan memenuhi kebutuhannya sehari-hari, sehingga membutuhkan perawatan jangka panjang. Perawatan jangka panjang menimbulkan dampak pada keluarga berupa beban yang dihadapi keluarga, yang dapat  mempengaruhi kualitas hidup keluarga, terutama pada anggota keluarga yang bertindak sebagai caregiver. Kualitas hidup caregiver informal dapat dipengaruhi oleh jenis penyakit dan status fungsional lansia. Penelitian ini merupakan penelitian non-eksperimental dengan desain studi cross-sectional. Tujuan penelitian ini adalah untuk menganalisa faktor jenis penyakit dan status fungsional lansia yang mempengaruhi kualitas hidup caregiver informal lansia dengan penyakit kronis. Sampel  penelitian ini berjumlah 109 responden. Hasil analisa data menggunakan regresi logistik sederhana didapatkan hasil bahwa variabel independen yang paling berhubungan adalah status fungsional lansia, dengan p-value <0,05, OR=8,84. Hasil penelitian menunjukkan bahwa status fungsional berhubungan secara signifikan dengan kualitas hidup caregiver lansia, jika kondisi status fungsional lansia mandiri atau independent maka kualitas hidup caregiver informal lansia baik, status fungsional lansia yang rendah memiliki risiko 8 kali lebih besar untuk membuat kualitas hidup caregiver lansia rendah, dibandingkan dengan lansia yang memiliki status fungsional mandiri atau independent. Lansia dengan penyakit kronis yang memiliki status ADL total atau sebagian dibantu, secara fisik dan emosional semakin meningkatkan beban caregiver informal lansia dalam memberikan perawatan. Beban ini mempengaruhi kualitas hidup caregiver informal lansia. Perawat sebagai pemberi layanan kesehatan keluarga hendaknya memberikan asuhan keperawatan secara komprehensif. Perawat diharapkan mampu meningkatkan dan menjaga pemenuhan kebutuhan manusia secara komprehensif bagi lansia dengan penyakit kronis dan caregiver informalnya, sehingga kualitas hidup lansia, caregiver informal, dan keluarganya tetap optimal.
PENGARUH PERMAINAN EDUKATIF PLASTISIN TERHADAP KEMAMPUAN MOTORIK HALUS ANAK
Authors: Wibowo Tegar , Suroso Jebul
Published: December 2024

ABSTRACT Background: There is a delay in fine motor development in children who are given an educational plasticine game that can train eye coordination and small muscles in the hands, which in turn can improve children's fine motor skills and trigger their creativity. Objective: To determine the effect of educational plasticine games on fine motor skills in children aged 4-6 years at Pertiwi Karangreja Kindergarten, Kutasari District, Purbalingga Regency in 2024. Method: This quantitative study uses the one group pretest-posttest method with pre-experimental design techniques, the number of samples used in this study was 50 samples/total sampling, the test used the Wilcoxon test. Results: The results of the Wilcoxon test obtained a p-value of 0.000 (α <0.05) meaning that there is a significant effect of plasticine play therapy on the development of fine motor skills in children aged 4-5 years. Conclusion: A significant influence was found between the educational plasticine game method on the fine motor development of children aged 4-6 years at Pertiwi Karangreja Kindergarten. ABSTRAKLatar Belakang : Terdapat keterlambatan perkembangan motorik halus pada anak yang diberikan suatu permainan edukatif plastisin yang dapat melatih koordinasi mata dan otot-otot kecil pada tangan, yang pada akhirnya dapat meningkatkan kemampuan motorik halus anak-anak dan memicu kreatifitas mereka. Tujuan : Mengetahui pengaruh permainan edukatif plastisin terhadap kemampuan motorik halus  anak usia 4-6 tahun di TK Pertiwi Karangreja Kecamatan Kutasari Kabupaten Purbalingga tahun, 2024. Metode : Penelitian kuantitatif ini menggunakan metode one group pretest-posttest dengan teknik pre-experimental design, Jumlah sampel yang digunakan dalam penelitian ini sebanyak 50 sampel/total sampling, uji yang digunkan uji Wilcoxon. Hasil : Hasil uji Wilcoxon diperoleh nilai p-velue sebesar sebesar 0,000 (α<0,05) artinya ada pengaruh yang signifikan dari terapi permainan plastisin terhadap perkembangan motorik halus anak usia 4-5 tahun. Kesimpulan ; Didapati pengaruh yang signifikan antara metode permainan edukatif plastisin pada perkembangan motorik  halus anak usia 4-6 tahun di TK Pertiwi Karangreja.
ANALISIS FAKTOR USIA DAN PEKERJAAN TERHADAP TERJADINYA PENYAKIT HIPERTENSI
Authors: Wahyuni Wahyuni , Ardika Noviana Ayu , Noorratri Erika Dewi
Published: December 2024

Background: As age increases, the proportion of elderly people who experience health complaints increases and the risk of developing hypertension becomes greater, namely around 40% who suffer from hypertension is quite high, especially among the elderly. According to the results of a study, there is an influence of age variables on the incidence of hypertension, while according to other studies, age and work related to socio-economics are factors that have a significant influence on the incidence of hypertension. The purpose of this study was to analyze age and work factors on hypertension in the elderly in the Kratonan Health Center work area. This research method uses a descriptive research method with 164 respondents using quota sampling techniques with chi square data analysis. Results: Most respondents are of productive age, namely 83.5%, the majority of respondents work in the private sector, namely 41.5%, the majority of respondents do not suffer from hypertension, namely 80%, based on bivariate analysis, it was found that there is a relationship between work and hypertension with a P value of 0.000 and there is a relationship between age and hypertension with a P value of 0.000. Conclusion: there is a relationship between work and age and hypertension.
AROMATERAPI PEPPERMINT UNTUK MENURUNKAN POST OPERATIVE NAUSEA AND VOMITING (POVN) PADA PASIEN POST OPERASI GENERAL ANESTESI
Authors: Firdaus Muhammad Aulia Iqbal , Isnaini Nur , Santosa Agus , Muzaenah Tina
Published: December 2024

Latar Belakang:  Post Operative Nausea and Vomiting (PONV) merupakan kondisi saat pasien mengalami mual dan muntah setelah menjalani prosedur operasi. PONV dapat menimbulkan komplikasi  seperti dehidrasi berat, ketidakseimbangan elektrolit, hipertensi, perdarahan, dan ruptur esofageal. Penanganan PONV selama ini menggunakan pengobatan farmakologi melalui pemberian antiemetik. Namun, penggunaan obat-obatan farmakologi yang berlebihan dapat berakibat buruk pada pasien. Penanganan PONV melalui teknik non farmakologi salah satunya dengan pemberian aromaterapi. Aromaterapi peppermint berperan  mempengaruhi sistem limbik otak serta bersifat menenangkan dan memiliki efek anti-mual.Tujuan : Mengetahui efektivitas aromaterapi terhadap penurunan kejadian PONV pada pasien post operasi dengan general anestesi.Metode Penelitian: Rancangan penelitian menggunakan Non-Equivalent Control Grup Design. Populasi penelitian adalah pasien post operasi dengan general anestesi di RSUD.Prof. dr Margono Soekarjo Purwokerto. Jumlah sampel 43 kelompok eksperimen yang diberikan aromaterapi dan 43 kelompok kontrol yang tidak diberikan aromaterapi. Teknik sampling menggunakan Purposive sampling. Pengumpulan data pada tahap pretest dan posttest menggunakan lembar observasi RINVR. Analisis data menggunakan uji Wilcoxon.Hasil Penelitian: Penelitian menunjukkan bahwa karakteristik responden mayoritas berada pada usia dewasa (19-59), jenis kelamin perempuan, tidak bekerja, dan mayoritas pendidikan SD dan SMA. Penurunan rata=rata skor PONV  kelompok eksperimen 5,56 dan kelompok kontrol 0,37. Terdapat perbedaan signifikan pada  kelompok eksperimen yang diberikan aromaterapi dibanding kelompok kontrol yang tidak diberikan aromaterapi dengan p value =0.000 (<0.05).Kesimpulan: Aromaterapi efektif untuk menurunkan kejadian PONV  pada pasien post operasi dengan general anestesi.
PENENTUAN KRITERIA DESAIN PENGEMBANGAN OBJEK WISATA CURUG SINDARO DENGAN METODE PARTISIPATORI ERGONOMI
Authors: Betanursanti Ida , Zainul Ali Alfanu
Published: December 2024

Sindaro Waterfall in Wadasmalang village, Karangsambung district is one of the tourist attractions in Kebumen Regency. Sindaro Waterfall has become a tourist destination for the community because of its unique contour with two levels of waterfall. The current condition of Sindaro Waterfall is unkempt, damaged, and not developing, resulting in a decrease in visitor numbers. Therefore, efforts are needed to develop Sindaro waterfall to increase the number of visitors. The aim of this research: 1). Identifying criteria variables at the Curug Sindaro tourist attraction 2). Structuring criteria for developing the Curug Sindaro tourist attraction. Criteria variable data and structuring criteria for developing the Curug Sindaro tourist attraction were obtained using the Ergonomic Participation method. This research uses the Participatory Ergonomics method. Determining the criteria variables for developing the Curug Sindaro tourist attraction was carried out using a Focus Group Discussion (FGD) involving the village head, management (village), BUMDES, visitors, tourism service, public health office. Next, the criteria data was made into a closed questionnaire and distributed to respondents. Questionnaire results are processed using SmartPLS. The results of data processing show significant sub-criteria results, namely revitalization, homestay, tourist information office, Sindaro waterfall gallery, information boards, direction boards, gazebos, signboards for proper waste disposal, supporting facilities such as (toilets, trash cans, etc.), parking area security, safety explanations, warning boards, fishing tours.
KEANEKARAGAMAN JENIS LICHENES SEBAGAI BIOINDIKATOR KUALITAS UDARA DI OBJEK WISATA WONO SRENI INDAH KOTA JEPARA
Authors: Kaswinarni Fibria , Ananda Titania Triska , Rachmawati Rivanna Citraning
Published: December 2024

Penelitian ini bertujuan untuk mengetahui keanekaragaman jenis Lichenes di Objek Wisata Wono Sreni Indah. Metode penelitian yang digunakan yaitu metode kualitatif dan kuantitatif. Sampling dilakukan di 2 stasiun pengamatan yaitu di Sreni dan di jalan menuju Sreni. Pengambilan sampel di jalan menuju Sreni dilakukan dengan cara teknik purposive sampling sedangkan pengambilan sampel di Sreni dilakukan dengan metode transek dalam plot. Hasil penelitian didapatkan 16 spesies Lichenes dari 7 family dengan tipe thalus foliose dan crustose. Dapat disimpulkan bahwa indeks keanekaragaman di Sreni tergolong tingkat sedang, sedangkan indeks keanekaragaman di jalan menuju Sreni tergolong rendah. Indeks keanekaragaman Lichenes tersebut dipengaruhi oleh faktor lingkungan meliputi suhu, kelembapan udara, dan intensitas cahaya.
Koncepcja sztuki postprodukcjonistycznej Nicolasa Bourriauda wobec kultury didżejskiej
Authors:   Instytut Badań nad Kulturą, Uniwersytet Gdański, Binkowski Damian
Published: December 2024

Nicolas Bourriaud postuluje konieczność wyłonienia się „nowej nowoczesności” – w czasach nasilenia przepływu dóbr i kapitałów w skali globalnej, gdy rosną w siłę podmioty polityczne niekontrolowane przez władze poszczególnych państw, a każdego roku przybywa emigrantów liczonych w milionach. Francuski kurator twierdzi jednocześnie, że historyczny modernizm rezonuje i odbija się echem w tym, co określił najpierw mianem estetyki relacyjnej, a później powiązał z koncepcją sztuki postprodukcjonistycznej. Innym obszarem, w którym według Bourriauda nadal dochodzi do oddziaływania tradycji awangard artystycznych, okazała się twórczość didżejów; to koresponduje z jego twierdzeniem, że „deejaying i sztuka współczesna to dwie odpowiadające sobie figury”. Celem artykułu jest przede wszystkim wykazanie, że pojęcie „didżej” stosowane w wywodach Bourriauda należy traktować jako kategorię historyczną. Pozwala to na możliwie szerokie określenie jej zakresu znaczeniowego, a w konsekwencji – wyznaczenie kontekstu, który dla samej koncepcji sztuki posprodukcjonistycznej okazuje się tak samo ważny jak myśl Michela de Certeau. Albowiem wytwory pola sztuk wizualnych mogą być opisywane przy pomocy kategorii wywodzących się z domeny audialnej.
A General Theory of Leadership
Authors: G Cook William , Wells James
Published: December 2024

Luis R. Visot is an American educational administrator and former Army commander who served as a Major General and Chief of Staff of the United States Army Reserve. During a three-interview series Visot reflects on his life, his most significant leadership roles, and the meaning he attaches to each. The interviews and subsequent analysis reveal how Visot’s values, especially those imbued by his parents early in life, directly influence his leadership style and personal priorities. The application of thematic analysis demonstrates the linkage between values, beliefs, behaviors, and reflections, thus providing evidence for the values-expressive behavior theory.
THE USE OF GOWIN'S V AND POLYA'S METHOD FOR SOLVING PROBLEMS IN COMPLEX ANALYSIS
Authors: Rivera Edwin Rivera
Published: December 2024

In this research article on the use of Gowin's V and Polya's problem-solving method, these strategies are presented as tools for solving problems in complex analysis. The study presents these strategies as direct help for students to understand the methodology of solving complex analysis problems. Similarly, each of these methods is also a teaching strategy to break down and simplify the abstract concepts of complex analysis. Both are pedagogical strategies well-utilized in simpler mathematics, but in this work, it is recommended that they be used for more advanced mathematics.
INTERRELATIONSHIP BETWEEN FOOD, MEDICINE AND HEALTH AS REFLECTED IN THE ANCIENT TAMIL SOCIETY
Authors: M. Suresh , M. Ramakrishnan
Published: December 2024

Disease has been a persistent challenge throughout human history, shaping societies’ efforts to understand and address its causes and implications. Advances in cognitive development have improved understanding of diseases and their impacts, yet the complexity of human health persists, rendering complete eradication elusive. Notably, human activities, dietary shifts, and environmental changes have contributed to the emergence of lifestyle-related and human-made diseases. The global rise in chronic diseases underscores the significance of integrating health-promoting foods with medicinal properties into daily life. The concept of "food as medicine" highlights the dual role of certain foods in nutrition and disease prevention, particularly in combating chronic conditions like obesity, diabetes, and heart disease. Regional variations in food-medicine knowledge—shaped by culture, environment, and historical practices—pose challenges for universal application. To bridge these gaps, cross-cultural studies of historical food practices are essential. Traditional medical systems, such as Ayurveda, and ancient texts like Tirukkural, offer valuable insights into dietary health. For instance, Tirukkural’s chapter on medicine provides early recognition of deficiency diseases, aligning with modern classifications of diseases, and emphasizes a logical progression in understanding health. The recent pandemic has further underscored the role of diet in managing and preventing diseases. Medically tailored meals, designed by experts, exemplify the integration of culinary medicine and evidence-based nutrition. This approach complements conventional medicine by addressing dietary complexities, enhancing patient outcomes, and reducing hospitalization rates. The growing emphasis on food as a complementary aspect of healthcare reflects its critical role in global health strategies and policymaking. By uniting traditional wisdom with modern science, the path toward a healthier, disease-resilient society becomes more attainable.
POSTHUMAN VOICE: EXAMINING THE NONHUMAN NARRATOR IN KAZUO ISHIGURO’S KLARA AND THE SUN
Authors: Kumar Piyush , Jha Arpana
Published: December 2024

The portrayal of nonhuman characters in science fiction narratives underscores the intersection of fiction and posthuman subjectivity, expanding meaning-making beyond the human experience. These narratives challenge established humanist concepts and redefine our understanding of nonhuman modes of existence. Kazuo Ishiguro’s novel Klara and the Sun (2021) vividly exemplifies this posthuman theme by presenting a nonhuman character from a first-person perspective. The story unfolds through the eyes of Klara, an Artificial Friend designed to provide companionship to lonely teenagers. This study investigates how nonhuman elements contribute to the development of the literary text, considering the emerging role of the nonhuman as both character and narrator. It examines the interactions between a nonhuman narrator and human characters, emphasising the posthuman concept. The study focuses on the influence of nonhuman storytelling techniques and the significance of the artificial friend as a key narrative device. Additionally, it highlights how the author’s depiction of nonhuman agency shapes the narrative, leading to boundary crossings and a defamiliarisation of traditional storytelling that can evoke the uncanny valley effect. In Klara and the Sun, the anthropomorphised nonhuman narration signifies a paradigm shift that displaces humanity from its central role, affecting both the novel’s content and the reader’s experience.
FAME, FICTION, AND FALLACY: UNMASKING THE DUALITIES OF INDIAN POPULAR CULTURE IN SHOW BUSINESS
Authors: Kumar Sooraj , Rajan S. Seema
Published: December 2024

Shashi Tharoor’s Show Business (1992) is a sardonic investigation of the Indian film industry, offering a piercing analysis of celebrity culture, the commodification of art, and the indistinct boundaries between illusion and reality. It is through the rise and fall of its protagonist, Ashok Banjara, a Bollywood superstar turned politician, that the novel delves into the moral compromises and ethical impasses inherent in the quest of fame and power. Tharoor employs a metafictional narrative style, combining the protagonist’s introspective monologues with exaggerated film scripts that mirror the dramatic episodes of his life. These scripts not only parody Bollywood tropes but also emphasize the performative nature of identity in both cinema and real life. Combining humour, irony, and pathos, Tharoor’s narrative serves as both an engaging story and a profound commentary on the intersections of culture, politics, and human ambition. The novel critiques the socio-political fabric of India, highlighting the pervasive influence of media and the public’s complicity in perpetuating the cult of celebrity. Show Business, at its core, is a tale about the alluring and seductive stardom and the cost of living in a world where spectacle often trumps substance.
Prevalence of blaOXA-1 and blaOXA-48 genes in Klebsiella pneumoniae Isolates
Authors: Kalo Rand Hatam , Ahmed Wafaa Dawood
Published: December 2024

Background: Klebsiella pneumoniae is bacteria gram-negative opportunistic pathogen that causes a variety of infectious diseases.
Aim of the study: The present study aimed to isolate K. pneumoniae, and finding out the extent of the spread of the blaOXA -1 and blaOXA -48 genes responsible for antibiotics resistance.
Materials and methods: the detection of Klebsiella pneumoniae on morphological and biochemical tests and then assured with VITEK-2 system, and genotyping of blaOXA-1 and blaOXA-48 genes in isolates was done by PCR technique.
Results: One hundred and fifty-eight samples were collected randomly from adults who suffers from respiratory tract infection, urinary tract infection, Inflamed burns and wounds including both sexes from different hospitals in Baghdad especially Teaching Laboratories of Medical City, Al-Mahmodia health centre, Al-Yarmouk hospital,and Al-Mahmodia hospital during the period from September  to November 2020.Shown the results by VITEK-2 system for all isolates that 50 (31.6%) isolate from the total of isolates were K. pneumonia .Molecular test was detected via Polymerase Chain Reaction (PCR) conventional proved to be effective for the detection of diffuse blaOXA -1 gene at 66.7% and the present results demonstrated a high significant presence at P≤0.0001 among isolates. While the prevalence of 5 isolates of the blaOXA -48 gene was 16.6% showed significant difference between the isolate types with p value ≤ 0.01.
Conclusions: K. pneumoniae was the most bacterial species isolated from patient with pneumonia and our results indicate the spread of the OXA genes.