bluuebunny/crossref_metadata_2025 huggingface dataset:
MENGGOSOK GIGI DAN CUCI TANGAN DI PANTI ASUHAN YOS SUDARSO JAKARTA SELATAN
Authors: Noviani Nita , Kristianto Jusuf , Anggreni Eka
Published: May 2023

sisi seni, yakni praktisi atau aplikasi promosi kesehatan, merupakan penunjang bagi program-program kesehatan lain untuk meningkatkan kemampuan masyarakat dalam memelihara dan meningkatkan kesehatannya tidak terkecuali kesehatan gigi dan mulut. Tujuan Pengabdian Kepada Masyarakat (PKM) di panti Asuhan Yos Sudarso adalah melakukan upaya penyuluhan  dan pemeriksaan  kebersihan gigi rutin dalam upaya meningkatkan kemampuan pengasuh dan anak-anak Panti untuk  menjaga kesehatan gigi dan mulut dan  rajin mencuci tangan pada masa Pandemi Covid 19 secara menyeluruh agar tercipta kesehatan terpadu  bagi semua penghuni Panti Asuhan Yos Sudarso Cilandak Timur Jakarta Selatan. Pada Pengabdian kepada Masyarakat ini terlihat sebanyak 35  Anak Panti Asuhan Yos Sudarso terjadi penurunan Debris Index dari 2,10 turun menjadi 1.13 , ada perbedaan signifikan antara nilai Debris  awal dan akhir , dimana terbukti bermakna dengan p value = 0,0001. Hal ini terbukti berhasil menurunkan Debris  Index dengan rata rata  sebesar 0.97. Dengan melibatkan pengasuh sebagai mitra dan agen perubahan perilaku hidup sehat  memberikan kesimpulan, terlihat keberhasilan pelatihan menggosok gigi  dan mencuci tangan yang baik dan benar demi melindungi diri di masa Pandemi Covid 19 pada anak-anak Panti Asuhan Yos Sudarso Cilandak.
IMPLEMENTASI SOKMURSA SEBAGAI UPAYA PROMOTIF DAN PREVENTIF KESEHATAN GIGI DAN MULUT PADA ANAK SEKOLAH DASAR
Authors: Sulistiani Silvia , Ulliana Ulliana , Nurwanti Widi , Budiman Waras , Purnama Tedi
Published: May 2023

Data Riskesdas 2018 menunjukan nilai rata-rata DMF-T diangka 4,5. Faktor perilaku sebagai penyumbang terjadinya masalah sebesar 25-30%. Upaya dalam mengatasi permasalahan tersebut peran terapis gigi dan mulut diperlukan kegiatan pemberdayaan masyarakat dengan pendekatan promotif dan preventif tentang pemahanan kesehatan gigi dan mulut. Keberhasilan program promotif dan preventif untuk mewujudkan derajat kesehatan yang optimal salah satunya dapat dilakukan dengan kegiatan implementasi sokmursa.  Tujuan kegiatan: menciptakan kemampuan pelihara diri di bidang kesehatan gigi dan mulut serta status kesehatan gigi dan mulut yang optimal. Metode pelaksanaan: kegiatan promotif berupa pelatihan kader (dokter gigi kecil) pada siswa secara edukatif dan kegiatan preventif berupa sikat gigi bersama pada siswa. Hasil kegiatan: menunjukan bahwa nilai rata-rata pengetahuan terjadi peningkatan dari 6,00 menjadi 8,40. Kesimpulan: edukasi tentang cara menggosok gigi yang benar dapat meningkatkan pengetahuan.
PENINGKATAN KAPASITAS KADER DALAM PELAKSANAAN SENAM HAMIL DALAM MENDUKUNG PROGRAM 1000 HPK DAN PENCEGAHAN STUNTING DI KELURAHAN DASAN CERMEN
Authors: Wahyuni I Gusti Ayu Putu Sri , Murni Ni Nengah Arini , Anggraeni Ni Putu Dian Ayu
Published: May 2023

Komplikasi kehamilan dan persalinan juga meningkatkan angka kematian ibu, salah satunya persalinan lama. Risiko lama persalinan mengakibatkan kematian perinatal dua setengah kali lipat dibandingkan dengan kelahiran normal. Selama ini faktor tenaga ibu sudah dapat dikendalikan, yaitu dengan berolahraga selama kehamilan dan energi yang cukup sebelum kelahiran. Senam hamil dapat mempengaruhi proses persalinan apabila dilaksanakan secara teratur yaitu minimal satu kali dalam seminggu dimulai saat umur kehamilan 20 minggu dengan Gerakan-gerakan yang telah disesuaikan untuk kenyamanan dan keamanan ibu hamil. Pada data penelitian pendahuluan gambaran pelaksanaan senam ibu hamil di Puskesmas Babakan menunjukkan rata-rata ibu hamil meakukan senam hamil adalah kurang dari 30%. Tujuan pengabdian masyarakat ini adalah meningkatkan Pengetahuan dan Keterampilan Kader Kesehatan pada Pelaksanaan Senam hamil dalam Mendukung Program 1000 HPK dan Pencegahan Stunting, dengan melibatkan 30 kader Posyandu di Kelurahan Dasan Cermen wilayah kerja Puskesmas Babakan. Berdasarkan hasil evaluasi terdapat peningkatan yang signifikan antara pengetahuan dan keterammpilan kader sebelum dan sesudah dilakukan pelatihan dengan P value =0,000 dan juga terdapat peningkatan cakupan pelaksanaan senam ibu hamil sebelum dan setelah pelatihan kader yaitu 24 orang (100%). Saran untuk pengabdi selanjutnya dan mitra adalah evaluasi rutin kelangsungan fasilitasi  kader kepada ibu hamil dan updating informasi tentang senam hamil secara berkala serta monitoring ibu dalam melakukan senam hamil.
PELATIHAN SADARI SEBAGAI UPAYA PENCEGAHAN KANKER PAYUDARA PADA REMAJA KECAMATAN MEDANG DERAS
Authors: Hastuty Yulina Dwi , Kumalasari Kumalasari , Khodijah Dodoh , Hasibuan Yusrawati
Published: May 2023

Kanker payudara merupakan salah satu penyakit menakutkan bagi kaum wanita. Walaupun kini sudah ada pengobatan terbaik, tetapi perjuangan melawan kanker payudara tidak selalu berhasil. Hal itu karena masih kurangnya atensi dari kaum wanita dalam memahami kanker payudara guna menghindarkan diri dari serangan kanker payudara serta cara melakukan deteksi sejak dini. Saat ini insiden kanker payudara meningkat sesuai bertambahnya usia, sehingga wanita muda pun bisa terserang kanker ini.Kegiatan pengabdian masyarakat ini menggunakan metode penyuluhan dan pelatihan kepada 134 peserta yang merupakan guru dan siswi di SMA yang ada di Kecamatan Medang Deras. SMA Negeri 1, SMA Swasta Citra dan Aliyah Alwasliyah kecamatan Medang Deras Kabupaten Batubara. Hasil bahwa terjadi peningkatan pengetahuan dan ketrampilan setelah dilakukan penyuluhan dan pelatihan tentang SADARI. Untuk meningkatkan pengetahuan yang lebih baik perlu dilakukan penambahan pengalaman dengan mengikuti berbagai pelatihan dan informasi kesehatan dari tenaga kesehatan, buku juga media, dan remaja putri harus memiliki pedoman dalam hidup bahwa pencegahan lebih baik dari pada pengobatan. Kegiatan pengabdian masyarakat berupa pelatihan SADARI yang diberikan pada remaja dapat meningkatkan pengetahuan remaja tentang cara pencegahan dan deteksi dini kanker payudara.
PENYULUHAN KESEHATAN GIGI PADA MURID TK GLOBAL MANDIRI REGENCY DENGAN PENYULUHAN INTERKATIF DAN VIDEO MENYIKAT GIGI
Authors: Kristianto Jusuf Kristianto , Noviani Nita , Lestari Syifa Yulia
Published: May 2023

Penyuluhan kesehatan gigi sangat diperlukan dalam meningkatkan perilaku masyarakat agar terbebas dari masalah-masalah kesehatan. Keberhasilan seorang penyuluh dalam menyampaikan materi penyuluhan kesehatan gigi ditentukan oleh banyak hal, salah satu diantaranya ialah adanya media dan metode penyuluhan kesehatan gigi yang efektif. Tujuan dari penelitian ini ialah untuk mengetahui debris indeks anak TK Global Mandiri Regency sebelum dan sesudah dilakukan penyuluhan kesehatan gigi tentang menyikat gigi. Metode penelitian yang digunakan ialah metode pra eksperimental dengan pendekatan one group pre and posttest design yang dilakukan pada siswa kelas TK B TK Global Mandiri Regency. Jumlah sampel yang diambil sebanyak 57 siswa dengan teknik pengambilan sampel yaitu total sampling. Penelitian ini menggunakan uji analisis statistik. Hasil penelitian menunjukan bahwa sebelum dilakukan penyuluhan kesehatan gigi tentang cara menyikat gigi yang baik debris indeks awal ialah kategori sedang dan setelah dilakukan penyuluhan kesehatan gigi tentang cara menyikat gigi yang baik debris indeks akhir ialah kategori baik . Hasil uji analisis statistik ini menunjukan p=0,001. Hasil analisis ini menunjukan terdapat perbedaan yang bermakna antara debris indeks sebelum dan sesudah dilakukan penyuluhan kesehatan gigi tentang cara menyikat gigi yang baik pada Murid TK Global Mandiri Regency.
PELATIHAN KADER USAHA KESEHATAN GIGI KELUARGA UNTUK TANGGAP DETEKSI KARIES GIGI DI TK/PAUD, RA DAN MI KECAMATAN BERINGIN KABUPATEN DELI SERDANG
Authors: Rosdiana Rosdiana Tiurlan , Rosma Manta Rosma
Published: May 2023

Anak pra sekolah perlu mendapatkan perhatian secara khusus, karena pada usia tersebut anak-anak belum mampu untuk menjaga kesehatan gigi dan mulut secara mandiri. Pengabdian ini bertujuan untuk memberdayakan ibu sebagai orang terdekat dari anaknya di dalam keluarga untuk tanggap deteksi karies gigi sehingga kelak dapat menjadi kader usaha kesehatan gigi keluarga. Lokasi kegiatan PkM ini adalah di TK/Paud Yapen. RA.Nurul Fatihah Kecamatan Beringin Kabupaten Deli serdang. Responden adalah ibu dan anak sebanyak 40 orang masing-masing 20 orang ibu dan 20 orang anak. Dalam kegiatan ini dilakukan juga penyebaran kuesioner untuk mengetahui tingkat pengetahuan, sikap, dan tindakan ibu dan anak TK/Paud, serta memeriksa rongga mulut anak meliputi mengetahui indeks plak gigi dan indeks karies giginya. Metode pelaksanaan PkM ini dimulai dari melakukan survey awal, melaksanakan pelatihan kader menggunakan media booklet, poster, leaflet, stiker, alat oral diagnostic, serta media phantom gigi. Diharapkan UKGK kepada ibu-ibu dari TK/Paud, demonstrasi cara menyikat gigi dan cara mendeteksi awal dari karies gigi, serta melakukan pretest dan posttest untuk mengevaluasi keberhasilan dan peningkatan dari kemampuan dan pengetahuan sasaran yaitu ibu-ibu dari anak TK/Paud. Hasil dari kegiatan pengabdian ini adalah meningkatnya pengetahuan, sikap dan tindakan anak setelah mendapatkan penyuluhan maupun praktek langsung mendeteksi karies gigi di dalam mulut. Selain itu adanya pemberdayaan ibu-ibu ini akan mengubah kebiasaan buruk anak yang sebelumnya dilaporkan masih banyak anak minum susu botol sambil tidur menjelang tidur malam, serta sering makan makanan yang manis-manis saat di sekolah.
PRAKTIK BABY SPA PADA IBU DENGAN MEDIA VIDEO DI PUSKESMAS RAGUNAN
Authors: Rahmadani Siti , Rasumawati Rasumawati , Lidya Nurul , Dewi Haris Vera Suzana
Published: May 2023

Masih tingginya angka kurangnya berat badan bayi yang dapat mempengaruhi perkembangan motoric halus dan kasar maka perlu dilakukan penyuluhan tentang pijat bayi upaya untuk merangsang Tumbuh kembang pada bayi tidak terlepas dari konsep pertumbuhan dan perkembangan yang lebih kompleks dalam kemampuan motorik kasar, motorik halus, bicara dan bahasa pada bayi. Berdasarkan analisis situasi diatas, maka Tim akan melakukan kegiatan pengabdian kepada masyarakat dengan judul Praktik baby spa pada ibu dengan media video di Puskesmas Ragunan. Kegiatan pengabdian kepada masyarkat dibagi dalam empat tahap. Tahap 1 : melakukan Penimbangan Berat Badan, evaluasi pengetahuan responden dengan pre test, dan  penyuluhan dengan video serta pemberian Leaflet manfaat dari baby spa terhadap perkembangan bayi. Tahap 2 : mengajarkan treatment baby spa kepada responden dengan menggunakan media video. Tahap 3 : melakukan treatment baby spa kepada responden dengan menggunakan media video. Tahap 4 : melakukan evaluasi penimbangan Berat Badan, dilanjutkan dengan evaluasi pengetahuan dengan post test. Hasil kegiatan ini yaitu tingkat pengetahuan ibu nifas mengenai baby spa mengalami peningkatan lebih baik sebesar 79,3%, dan angka penambahan berat badan pada bayi meningkat 76,2%.
RASIONALITAS PENGGUNAAN OBAT BERDASARKAN INDIKATOR PERESEPAN WORLD HEALTH ORGANIZATION (WHO) DI RUMAH SAKIT PUSAT PERTAMINA
Authors: Melizsa Melizsa , Jaya Fadly Putra , Fahmiadi Teddi
Published: May 2023

Penggunaan obat yang rasional merupakan bagian terpenting dalam sistem pelayanan kesehatan. WHO sebagai organisasi kesehatan terbesar di dunia telah mengembangkan indikator penggunaan obat yang rasional. Rumah Sakit merupakan salah satu fasilitas pelayanan kesehatan yang berperan dalam peningkatan upaya kesehatan bagi masyarakat. Tujuan dari penelitian ini adalah mengidentifikasi kesesuaian penggunaan obat pada pasien berdasarkan indikator yang telah ditetapkan oleh WHO. Studi dilakukan secara deskriptif di Instalasi Farmasi Rumah Sakit Pusat Pertamina. Sampel diambil dari lembar resep pasien umum rawat jalan bulan Januari 2021 secara retrospektif sebanyak 383 lembar resep. Data yang diperoleh dianalisis berdasarkan lima variabel penelitian, yaitu rata-rata jumlah item obat per lembar resep, persentase peresepan obat dengan nama generik, persentase peresepan antibiotik, persentase peresepan sediaan injeksi dan persentase kesesuaian peresepan dengan formularium rumah sakit. Hasil penilaian adalah rata-rata item obat tiap lembar resep sebesar 3,23; peresepan dengan nama generik 54,4%; peresepan antibiotik 6,9% dan penggunaan sediaan injeksi sebesar 6,1% kesesuaian peresepan dengan formularium rumah sakit 97,2%.
EVALUASI PENERAPAN STANDAR PELAYANAN KEFARMASIAN DI PUSKESMAS KECAMATAN PENINJAUAN KABUPATEN OGAN KOMERING ULU BERDASARKAN PERMENKES NOMOR 74 TAHUN 2016
Authors: Angelina Fransiska , Rulianti Mona Rahmi , Maryanti Lilis , Mangunsong Sonlimar
Published: May 2023

Background : For health effort development, the application of pharmaceutical service standards can be one of the supports to rationalize the use of drugs for patient safety. The Puskesmas in Peninjauan District still lacks human resources to carry out pharmaceutical services.

Methods : This is a non-experimental research conducted observationally with a descriptive research design based on the guidelines from the Minister of Health Number 74 of 2016. The research subject were Peninjauan Primary Health Care and Lubuk Rukam Primary Health Care.

Results : The result of this study indicated that the application of pharmaceutical services standards in 2 Primary Health Care in the Peninjauan Districts from the aspect management drugs and consumables reaches 97,23% from the clinical pharmacy service aspect to 50,60% from equipment and supporting facilities aspect reaches 83,33% and from the aspect of human resources reached 66,66%.

Conclusion : From the result of the study, it can be concluded that the application of pharmaceutical service standards at Primary Health Care in the Peninjauan District reaches 74,45% and it’s categorized as pretty good.

Keywords : Standards, Pharmaceutical Service, Primary Health Care, Peninjauan
PROFILE OF ANTIVIRUS PRESCRIPTION IN CONFIRMED COVID-19 PATIENTS AT HOSPITAL X SURABAYA
Authors: Kartikaningrum Vidya , , Karimah , R Angga
Published: May 2023

Penyakit COVID-19 disebabkan oleh infeksi virus, oleh karena itu terapi kuratif yang diberikan adalah dengan menggunakan obat antivirus. Di masa pandemi sering terjadi kekosongan stok obat salah satunya antivirus pada pasien COVID-19 akibat kasus COVID-19 yang semakin melonjak. Rumah sakit X Surabaya merupakan rumah sakit swasta yang termasuk dalam daftar rumah sakit rujukan pasien yang terkonfirmasi COVID-19. Tujuan penelitian ini adalah untuk mengetahui profil peresepan antivirus antivirus pada pasien terkonfirmasi COVID-19 yang dirawat di Rumah Sakit X Surabaya Periode Juni 2021 – Agustus 2021. Penelitian ini menggunakan jenis penelitian observasional dengan menggunakan analisa deskriptif, pengambilan data dilakukan secara retrospektif yaitu dengan mengambil data sekunder melalui lembar resep pasien COVID-19 yang mengandung antivirus di Rumah Sakit X Surabaya dengan tekinik cluster sampling dari total keseluruhan resep sejumlah 380 lembar . Hasil yang diperoleh dari penelitian yang telah dilakukan didapatkan jumlah sampel resep sebanyak 195 lembar resep. Obat antivirus yang paling banyak diresepkan adalah Remidia dengan persentase sebesar 27,65%. Penggunaan berdasarkan zat berkhasiat yang paling banyak digunakan adalah Remdesivir sebanyak 68,20%. Penggunaan obat yang paling sering diresepkan menggunakan terapi tunggal dengan persentase 88,72% dengan sediaan yang paling banyak digunakan adalah Injeksi sebesar 68,20%, obat yang sering diresepkan adalah obat non generik dengan persentase sebesar 62,21%. Untuk mencegah terjadinya kekosongan stok obat antivirus diperlukan evaluasi terhadap Daftar Obat Standar COVID-19 di Rumah Sakit X Surabaya terhadap ketersediaan obat paten yang sering  diresepkan.
POTENSI FARMAKOLOGIS, TOKSISITAS DAN FARMAKOKINETIK DARI MANGIFERIN SECARA IN SILICO
Authors: Nugraha Dhanang Prawira , Suzalin Ferawati , Solikhah Mar'athus
Published: May 2023

Latar Belakang: Mangiferin adalah senyawa yang terdapat pada daun mangga yang secara empiris memiliki banyak khasiat. Pendekatan in silico memungkinkan untuk menguji senyawa secara mudah, murah dan singkat selain menguji potensi farmakologisi pendekatan in silico juga dapat menguji tokisistas serta farmakokinetik dari senyawa yang ada. Sehingga tujuan dari penelitian ini adalah untuk melihat potensi farmakologis, toksisitas serta farmakokinetik dari mangiferin

Metode: Alat yang digunakan pada penelitian ini adalah seperangkat komputer serta koneksi internet dan program komputer sepert chemoffice, pass-online, protox, pkCSM 

Hasil: Hasil dari penelitian ini menujukkan bahwa mangiferin memiliki banyak potensi farmakologis seperti antineoplastik, antidiabetes, antioksidan, protektan serta antimikrobia. Untuk toksistasnya memiliki LD50 sebesar 2 mg/kg serta memiliki mutagenisitas serta imunotoksisitas untuk parameter farmakokinetiknya mangiferin diabsorbsi dengan baik di saluran cerna, didistribusikan melalui ikatan dengan albumin serta tidak dimetabolisme di liver dan memiliki clearance yang baik.

Kesimpulan: Mangiferin memiliki potensi untuk dikembangkan lebih lanjut sebagai bahan baku obat yang berasal dari tanaman .

Kata kunci : Mangiferin, Farmakologis, Toksisitas, Farmakokinetik, In silico
COMPARATIVE STUDY BETWEEN TIMED INTERCOURSE AND INTRAUTERINE INSEMINATION IN OVULATION STIMULATED CYCLES IN UNEXPLAINED INFERTILE COUPLES
Authors: Gupta Poorvi , Jain Pooja
Published: May 2023

Background and Objective: Every couple hopes to have children at least once in their lifetime. A painful reality is not
being able to have one, even in today's generation, especially in developing countries, talking about infertility is frowned
upon & therefore is a taboo, therefore it has become a signicant life stressor. The present study was done with an aim to study the efcacy &
compare the result of TI & IUI in unexplained infertile couples with clomiphene citrate resulting in clinical pregnancy. In this Methodology:
crossover observational study, total 60 patients were investigated with unexplained infertility were given COH, with clomiphene citrate followed
by TI (group A) & IUI (group B), on not achieving pregnancy in either of the groups with three cycles each, these groups interchanged & received
respective interventions, A positive UPT test was the comparing factor for assessing the effectiveness of the two interventions, i.e., TI& IUI.
Results: Clinical pregnancy rates were seen both in COH/T1 & COH/IUI 7.4% & 31% respectively (4 in TI& 13 in IUI), out of which 76.45%
were viable pregnancy & 23.5% were non viable (1 from TI& 3 from IUI). Being a diagnosis of e Interpretation & Conclusion: xclusion,
treatment of unexplained infertility, has been shown by both TI& IUI in this study, however addition of IUI to ovulation induction gave better
conception rates.
COMPARATIVE STUDY OF “ONLAY” AND “INLAY” MESH REPAIR IN TERMS OF EARLY AND LATE COMPLICATIONS IN SELECTED VENTRAL HERNIA (INCISIONAL, UMBILICAL, PARAUMBILICAL).
Authors: Krishna Manikumar Medicherla , Trinath patra G. , Saisaranya Darisa , Pradhan Subhrajeet
Published: May 2023

Objectives: This case study aimed to compare early and late complications in Onlay and Inlay mesh repair of ventral
hernia in terms of demography, post op pain, seroma, bleeding, SSI, recurrence. 50 patients Methodology: operated by
open mesh repair in our surgical unit of IMS & SUMH HOSPITAL in last 3 years and complications evaluated prospectively for 6 months in each
patient. Two groups 25 each formed as Onlay (“O” group) and Inlay (“I”group) and clinical data recorded postoperatively for pain, seroma,
bleeding, SSI, recurrence. Data was analyzed through 16th version of SPSS software. chi-square test was applied and a p-value< 0.05 was
considered as signicant. There are 50 patients in the study with age ranging from Results- 20 to 60 years. Females are more than male patients.
There are no differences in terms of demography and clinical characteristics. The duration of surgery in “I”group is longer. The length of hospital
stay has no difference, although drains are kept longer in “I”group. Recurrence and infection are more in “O” group when compared to “I” group.
Conclusion-In this study Inlay meshplasty had better out comes than Onlay meshplasty in ventral hernia repair. Retrorectus(Sublay) mesh repair
has good results,but it requires more expertise, time taking, laparoscopic and robotic platform which is not available in all places
DETECTION OF CARBAPENEMASE PRODUCING GRAM NEGATIVE BACILLI WITH SIMPLIFIED CARBAPENEM INACTIVATION METHOD (SCIM)
Authors: Venna Srilakshmi , S.Murty D. , Durga Rani A.
Published: May 2023

This study reports the Simplied carbapenem inactivation method to detect carbapenemase-producing gram negative
bacilli in a simple and accurate manner. This method is based on Modied Carbapenem inactivation method with the
improvement of experimental procedure. Instead of incubating the antibiotic disc in the organism culture media, the organism to be tested and
smeared directly onto the antibiotic disk in the sCIM. This method is suitable for routine use in most clinical microbiology lab for detection of
carbapenemase-producing gram negative bacilli.
TO STUDY DIFFERENT MODALITIES OF VENTRAL HERNIA REPAIR
Authors: Shinde Nikhil , Purandare Snehal
Published: May 2023

Aim: To Study different modalities of ventral hernia repair . Study design- This is a retrospective observational study of
patients treated at Tertiary health Care Centre, Pune. Type of study- Retrospective observational study. Period of studyJuly 2020 to July 2022. Sample size -Total 110 patients included in this study out of which 30 were treated laparoscopically ,30 ventral hernias
were repaired by open sublay mesh repair ,50 ventral hernia repair was done by open onlay mesh repair surgery. Conclusion: Considering least
post operative complication rates laparoscopic ventral hernia repair surgery is best inspite of its higher cost ..
METASTASIS TO VULVA IN OROPHARANGEAL CANCER: A RARE CASE REPORT
Authors: Meenakshi Meenakshi , Gupta Kartik , Dhankhar Rakesh , Kaushal Vivek
Published: May 2023

Introduction: Metastasis to vulva from head and neck cancer is a rare event. It is usually a late manifestation of the primary
tumour and may be the rst evidence of widespread dissemination of the disease. The diagnosis is difcult and is usually
done by histopathological examination. Case Summary: A 75-year old female presented with complaints of pain in throat and difculty in
swallowing for 15-20 days and was diagnosed as a case of oropharyngeal cancer involving soft palate and uvula. The patient was treated with
palliative EBRT followed by supplementary EBRT to face and neck. The patient was later found to have recurrence with metastasis to vulva
despite completion of primary treatment. The patient presented with pain in groin and swelling over perineal region with histopathology report
revealing poorly differentiated malignant tumour. The patient was given palliative EBRT single session to local site which resulted in good relief
of symptoms. Conclusion: The case report showed that palliative radiotherapy can yield a good symptomatic response in vulvar metastasis.
Further studies are required to standardize an approach to manage such patients.
The Effect of One-person Media Content Creator Attributes on Relationship Quality, Relationship Solidarity, and Purchase Intention
Authors:   Korea Association Of Cultural Economics, Lee Hwa-Hyung
Published: May 2023

The purpose of this study is to provide theoretical and practical basic data on one-person media marketing by empirically analyzing the relationship between the attributes of one-person media content creators on relationship quality, relationship solidarity, and purchase intention.
To this end, 291 final copies of data were collected through convenience sampling for viewers who had experience using one-person media content. The collected data were used to test hypotheses through frequency analysis, validity analysis, reliability analysis, descriptive statistics analysis, correlation and structural equation modeling as follows. First, it was found that reliability, professionalism, and sincerity, which are sub-factors of one-person media content creator attributes, had a positive (+) effect on relationship trust, which was a sub-factor of relationship quality, but had no effect on awareness. In addition, reliability and professionalism had a positive (+) effect on relationship commitment, but awareness and sincerity did not. Second, relationship trust was found to have a positive (+) effect on relationship commitment. Third, it was found that relationship trust and relationship commitment had a positive (+) effect on relationship solidarity, and it was analyzed that relationship trust had a greater impact than relationship commitment. Fourth, it was found that relationship trust and relationship commitment had a positive (+) effect on purchase intention. Fifth, it was found that relationship solidarity has a positive (+) effect on purchase intention. Therefore, one-person media content creators should strive to build reliability, improve professionalism, and produce authentic media, increase the quality of relationships such as relationship trust and relationship immersion, and promote solid relationship solidarity. And through this, it should be able to have a positive effect on purchase intention. This study provides academic implications by presenting a structural model of the relationship quality, relationship bonding, and purchase intention between one-person media content creators, thereby increasing understanding of consumer behavior. It also provides practical implications in that it suggests the direction of content creation by one-person media content creators.
Modos de autoengaño y de razonamiento: teorías de proceso dual
Authors: Saab Salma
Published: May 2023

En este artículo me ocupo de la cuestión de cómo en las teorías de proceso dual se puede dar cuenta del autoengaño y su conexión con la racionalidad. Presento las versiones intencionalista y no intencionalista del autoengaño y muestro cómo el debate entre ellas puede dirimirse de manera más completa y satisfactoria en el marco de una teoría dual. En éste suelen aceptarse dos sistemas de razonamiento, uno heurístico (S1) y otro analítico (S2), que compiten por el control de nuestras inferencias y acciones, pero a veces interactúan y colaboran entre sí. Se defiende que si predomina la respuesta de S1, se puede ver el patrón del autoengaño como una forma de razonamiento heurístico y no únicamente como un vínculo causal. Se sugiere que las evaluaciones en cuanto a la racionalidad del proceso del autoengaño, dependerá del modo en que intervenga en el patrón de razonamiento y del sistema desde el cual se lleve a cabo
HUBUNGAN KECANDUAN GAME ONLINE DENGAN POLA TIDUR PADA REMAJA USIA 16 - 18 TAHUN DI SMA NEGERI 1 DELI TUA KECAMATAN DELI TUA KABUPATEN DELI SERDANG TAHUN 2019
Authors: Gurusinga Mona Fitri
Published: May 2023

Background: online game addiction is one form of addiction that is non-physical, indicated by unhealthy behavior with compulsiveness or continuous behavior in playing online games to get satisfaction so that it will be difficult to stop or limit it even though the behavior causes some social and emotional problems. Method: this study was conducted by Analytical Survey with Cross-Sectional approach. Research Results: there is a relationship between online game addiction and sleep patterns in adolescents aged 16-18 years (value p = 0.004 <α 0.05). Conclusion: adolescents who are addicted to online games with disturbed sleep patterns are more numerous than adolescents who are not addicted to sleep patterns of adolescents who not disturbed. Suggestion: it is expected that all parents pay more attention to their children in using the internet (playing online games), not to be addicted because it will endanger the child's future and the child's sleep patterns will also be disrupted due to lack of sleep.
The RELATIONSHIP BETWEEN LEVEL OF KNOWLEDGE AND SELF-MANAGEMENT OF TYPE 2 DIABETES MELLITUS PATIENTS AT BANDUNG GENERAL HOSPITAL MEDAN 2022
Authors: MANALU CHANDRES VALERIUS
Published: May 2023

ABSTRACT
Chronic hyperglycemia and various metabolic disorders caused by unbalanced hormones can then cause chronic complications that occur in blood vessels, damage to the eyes, impaired kidney performance, and damage to the basement membrane (Phitri & Widiyaningsih, 2013).
This type of research uses a quantitative type. This type of quantitative research is analytic through a cross-sectional approach to determine a relationship between one variable and another.
The results of the research from 40 respondents answered that the respondents had a good level of knowledge, namely 27 respondents (67.5%) and the least, namely the level of knowledge was not good, 6 respondents (15.0%), good self-management, namely 20 respondents (50.0%) and the least is self-management, there are 6 respondents (15.0%).
Based on the results of the analysis using the chi-square test, a p value <0.05 (p=0.000) was obtained with the result there was a significant relationship between the level of knowledge and self-management in patients with diabetes mellitus type two.
 
Keywords: Level of Knowledge, Self-management, Type two Diabetes Mellitus
HUBUNGAN SLEEP HYGIENE DENGAN KUALITAS TIDUR PADA LANSIA DI DUSUN VI SILO BONTO KECAMATAN SILAU LAUT TAHUN 2022
Authors: Purba Rentawati , Barus Dewi Tiansa
Published: May 2023

Cell deterioration occurs in old age due to the aging mechanism, which can result in physical decline, weakened organs, and various regenerative problems. The most common problem that occurs in the elderly due to the aging process is a change in sleep quality. Insomnia is a common sleep quality disorder in the elderly that results in decreased sleep quality. Good sleep hygiene can help improve sleep quality. The purpose of this study is to determine the relationship between sleep hygiene and sleep quality in the elderly in Dusun VI Silo Bonto, Silau Laut District. This quantitative study used a correlation method with a cross-sectional design approach. The sampling technique used was total sampling with a sample size of 46 respondents. The data analysis used was the Chi-Square test. The results of the Chi-Square test were obtained with a significance level of a = 0.05. If the value is ≤ 0.05 (a: 5%), then the hypothesis is accepted. The statistical test result obtained a value of 0.020, which is smaller than the alpha (a) value of 0.05, thus it can be concluded that there is a significant relationship between sleep hygiene and sleep quality in the elderly in Dusun VI Silo Bonto, Silau Laut District in 2022, so Ha is accepted and Ho is rejected.
FAKTOR RISIKO KEJADIAN STUNTING PADA BALITA USIA 24-36 BULAN DI PUSKESMAS DELI TUA KECAMATAN DELI TUA KABUPATEN DELI SERDANG
Authors: Purba Tetty Junita
Published: May 2023

Stunting is a linear growth disorder characterized by a high z-score for age <10 years. It showed -2 ​​SD. Deritua's prevalence health center is 2.71% of him. This study addressed risk factors for stunting in infants aged 24 to 36 months in relation to family economic factors, nutritional status, exclusive breastfeeding, immunization status, and infectious disease status. increase. The aim of this study was to analyze risk factors for developmental delay in infants aged 24-36 months. This research method was descriptive in cross-sectional design. Sampling is done by simple random sampling with a sample size of 40 people. Stunting is measured based on age-specific z-scores and nutritional status as weight divided by height. Analysis using Sofwere World Health Organization (WHO) Anthro 2005. Data on economic status, immunization status, and infectious disease status were measured using questionnaires and maternal and child health handbooks. Infant height was measured with a microtooth and infant weight was measured with a scale. Data analysis with chi-square. The outcome of this study was a prevalence of growth retardation of up to 32.5%. The bivariate outcome was that risk factors for stunting in infants aged 24–36 months were family economic status < UMR p=0.00 (p<0.05), normal nutritional status p=0.00 (p<0.05). 0.05), indicating exclusive breastfeeding. Breast milk alone p=0.00 (p<0.05), full vaccination status p=0.05 (p<0.05). Infections have not been proven to be a risk factor for growth retardation in infants. The results of this study are that economic status, nutritional status, exclusive breastfeeding, and immunization status are risk factors for growth retardation in infants aged 24-36 months.
FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU MEROKOK SISWA KELAS VII MTS TPI SILAU DUNIA KECAMATAN SILAU KAHEAN KABUPATEN SIMALUNGUN
Authors: Samura M Dasril
Published: May 2023

Abstract
Smoking behavior is a common phenomenon in Indonesian society. Currently smoking has penetrated into the lives of school children starting from high school, junior high school and even some elementary school children have smoked. The prevalence rate of adolescent smokers in North Sumatra Province at the age of 10-19 years is 27.28% of the total population. There are many factors that influence smoking habits among students, including the influence of the parents' environment, the influence of friends, personality factors and because of advertising. This research was conducted at MTS TPI Silau Dunia, Silau Kahean District, Simalungun Regency. This type of research is a quantitative study using a cross sectional. The population determined in this study were all seventh grade students of MTS TPI Silau Dunia. The number of available samples is 58 samples taken by purposive sampling from the population. The results of the bivariate analysis of the influence of knowledge, attitudes, parental control, and peers on smoking behavior obtained p-values of 0.002, 0.001, 0.001, and 0.002, respectively. From the results of the bivariate analysis of p value < (0.05), it can be concluded that there is an influence of knowledge, attitudes, parental control, and peers on the smoking behavior of seventh grade students of MTS TPI Silau Dunia, Silau Kahean District, Simalungun Regency. The need for education from MTS TPI Silau Dunia about substances in cigarettes and the dangers of smoking to health as well as monitoring student behavior, especially students who already smoke.
PENERAPAN MEDIA PEMBELAJARAN VIRTUAL EXHIBITION BERBASIS RME UNTUK MENINGKATKAN KEMAMPUAN HIGH ORDER THINKING SKILLS (HOTS) SISWA
Authors: Payadnya I Putu Ade Andre , Wena I Made , Noviantari Putu Suarniti , Palgunadi I Made Putra Kurniawan , Pradnyanita Ayu Dewi Chandra
Published: May 2023

Tujuan dari penelitian ini adalah untuk meningkatkan kemampuan HOTS siswa melalui media pembelajaran virtual exhibition berbasis RME. Penelitian ini dilatarbelakangi oleh rendahnya HOTS siswa dalam mata pelajaran matematika. Penelitian ini adalah penelitian tindakan kelas yang terdiri dari dua siklus. Subjek penelitian ini adalah siswa kelas 8A SMP Negeri 10 Denpasar pada tahun ajaran 2021/2022. Materi dalam penelitian ini adalah lingkaran yang mencakup konsep dasar, karakteristik, keliling, dan luas daerah lingkaran.Teknik pengumpulan data menggunakan observasi, wawancara, dan tes. Penelitian ini menggunakan 2 teknik analisis data yaitu analisis kualitatif dan analisis kuantitatif. Analisis kualitatif menggunakan model seperti model matematika dan analisis yang dilakukan terbatas pada teknik manajemen data dengan melakukan deskripsi. Analisis data kuantitatif bertujuan untuk mengukur HOTS siswa dalam bentuk skor dan persentase menggunakan tingkat perhitungan sederhana. Hasil pada siklus I, perubahan terlihat pada perkembangan HOTS siswa dari 68 menjadi 71.125 dengan ketuntasan belajar mencapai 62.5%. Namun, nilai tersebut belum memenuhi batas minimum dari nilai ketuntasan minimal. Pada siklus II, rata-rata nilai siswa mencapai 84,125 dengan ketuntasan belajar mencapai 87,5%. Penelitian ini menyimpulkan bahwa penerapan media pembelajaran pembelajaran virtual exhibition berbasis RME dapat meningkatkan HOTS siswa dalam mata pelajaran matematika.
TRANSFORMATIONAL LEADERSHIP SKILLS OF HEAD TEACHERS AND TEACHERS PERFORMANCE AT SECONDARY LEVEL
Authors: Dr. Muhammad Shafiq Ahmad  , Dr. M. Naeem Ashraf  , Muhammad Riaz
Published: May 2023

The present study aimed to explore the effect of transformational leadership on teachers’ performance at secondary-level public schools in the province of Punjab, Pakistan. This study examined the effect of transformational leadership skills namely intellectual stimulation and individual consideration on teachers’ performance. The objectives of the study were to find out the level of the transformational leadership skills of the head teachers, and how these two factors individually influence the performance of secondary school teachers. A sample of 100 head teachers of public secondary schools was taken to conduct this study. Two self-developed questionnaires were used as research instruments to measure the two transformational leadership skills of the head teacher and secondary school teachers’ performance. Mean, standard deviation, and linear regression were used for data analysis. The results of the present study showed that transformational leadership skills have a significant effect on teachers’ performance. Therefore, it is concluded that all of the two determinants of transformational leadership skills are significant predictors of the teachers’ performance. Moreover, the head teachers having age 51–60 years are more effective than all the other age groups. The results show that the head teachers possessing the administrative experience 21-30 years are more effective in leadership practices than the others administrative experience groups.
CITRA RUSIA DI MEDIA INDONESIA- PASCA ORDE BARU
Authors: Amaliah Desi
Published: May 2023

Penelitian ini menganalisis citra Rusia pada berita Majalah Tempo yang diproduksi oleh jurnalis Indonesia dengan menggunakan model analisis wacana kritis Teun A Van Dijk. Data penelitian ini adalah berita terkait negara Rusia yang dipublikasi pasca Orde baru 1998 hingga 2008. Metode dan teknik dalam penelitian ini menggunakan analisis isi dengan pendekatan analisis wacana kritis Teun A Van Dijk. Dalam struktur makro, topik yang ditampilkan berfokus pada permasalahan Rusia. Menyinggung apa yang telah dilakukan oleh pemerintah Rusia terhadap sejarah dunia didukung data sejarah masa lalu. Dimensi superstruktur membahas mengenai skema keseluruhan berita. Kemudian dari struktur mikro berdasarkan latar, detil, maksud, dan premis, Majalah Tempo menyinggung terkait konflik yang melibatkan Rusia dan negara persemakmurannya yang menelan banyak jiwa. Dari seluruh teks berita yang dianalisis dalam rentang waktu 1998 hingga 2008, Tempo memihak pada hak-hak sipil, perlawanan terhadap kejahatan perang, kritis terhadap isu-isu perpecahan, mendukung perdamaian dunia, dan mendorong diplomasi yang demi kemajuan Rusia-Indonesia.
Main Directions and Priorities of Strengthening State Support for Small Businesses in Georgia
Authors: Valer Matcharashvili Valer Matcharashvili , Valeri Mosiashvili Valeri Mosiashvili
Published: May 2023

The article is related to the point that the development of small and medium-sized businesses is one of the priority tasks. Small and medium business, as a subsystem of the national economy, as a special form of economic activity, cannot develop only thanks to the conditions created for it, no matter how favorable they may be. In the national economy, special institutions must be created and "grown" that ensure the sustainable operation of small and medium-sized businesses. The evolution of approaches to the study of the concept of "success" in various fields of science is discussed, and based on this, its essence is specified, the features of the success of small and medium-sized businesses in our country are analyzed. The analysis of success factors is included. The author's classification of factors is given, based on their division into internal and external factors; Internal factors control the companies themselves, while external factors go beyond the boundaries of the companies and affect the company's activities as a whole.
Keywords: small business, state support, grant, production growth, entrepreneurship.
DISCUSSION ISSUES ON THE ESSENCE OF BANKING REGULATION AND SUPERVISION
Authors: Gelitashvili Goga Gelitashvili Goga , Burdiashvili  Rati Burdiashvili  Rati , Chelidze  Medea Chelidze  Medea
Published: May 2023

One of the strictest regulations in the financial market is applied to banking activities, which is due to the specific characteristics of banks, such as a high degree of dependence on attracted financial resources, implementation of the function of a financial intermediary, insufficient transparency and openness of activities, money laundering problems, etc.
This is often the cause of imbalance and a source of instability in the banking system. Added to this are interbank lending, affiliation of banks and connections between their founders, tendency to high-risk operations, which can lead to successive bank bankruptcies in unstable situations. Therefore, a system of restraining, restrictive measures is needed, which will establish mandatory "rules of the game" for all participants in the banking system.
At the same time, the establishment of an effective mechanism of banking regulation and supervision is hindered to some extent by the lack of a unified understanding of the essence of the main banking concepts, including inconsistencies in the interpretation of such definitions as "banking regulation" and "banking supervision".
The article analyzes the widespread definitions of the mentioned concepts, brings the author's opinions and summarizes the obtained results.
Key words: Bank, Banking activity, Banking regulation, Banking supervision, Supervisory authority.
The Efficiency of the Logistic System in Georgia
Authors: Vano Ivanishvili Vano Ivanishvili
Published: May 2023

The intensification of competition in the modern global economy and the accelerated processes of economic integration put the need for significant changes in the optimization of logistics potential on the agenda. Economic growth is the main aspiration of countries. A perfect market is a prerequisite for economic growth, in which logistics plays a decisive role.
Considering the favorable geographical location, Georgia has the potential to become the main logistics hub of the Caucasus and Central Asia. Logistics has an important place for the development of the Georgian economy, therefore, the creation of an efficient transport and logistics system is one of the main and necessary factors for increasing the competitiveness of the country.
Logistics is an important part of Georgian economy. Its share is 12 percent of the country's gross domestic product. The development of the logistics sector leads to the integration of Georgia into the global logistics network and its effective connection with the world's leading markets. Logistics is one of the main factors determining the competitiveness of regions and companies, which directly affects their successful positioning in the global market. Developed logistics provides high-quality service, cheap and efficient supply network, which is a necessary condition for increasing competitiveness both for Georgia as a whole and for productions operating in the country.
The article discusses problems in the forwarding service complex of Georgia, which are divided into three main groups: deficiencies in the management system, deficiencies in the production sector, and deficiencies due to external factors.
Is analyzed the necessity of the concept of a modern transport and forwarding complex system, which determines the following goals and means for its further development.
Keywords: logistics, hub, forwarding, index, infrastructure, business.
Green Economy as One of the Sustainable Development Directions
Authors: Tengiz Lachkepiani Tengiz Lachkepiani , Maia Lomishvili Maia Lomishvili , Tamta Utnelishvili Tamta Utnelishvili
Published: May 2023

The article mentions the need to transform economic activities to reduce environmental risks. The green economy is considered as a new vector of sustainable development, which contributes to the improvement of human well-being and ensures social equality. Current crises in the world and the measures needed to overcome them are given. The level of state funding and its role in the transition to a green economy are analyzed. The role of the green economy in the fight against poverty and the role of investments in the development of the green economy are mentioned. The paper presents the necessary measures for a successful transition to a green economy.
Keywords: Green economy, food security, crisis, green investments.
The Results of Land Cadastral Data Research on the Example of the Village Mzisguli
Authors: Elene Bliadze Elene Bliadze
Published: May 2023

Our research shows the possibilities of spatial analysis by using geoinformation systems, on the Georgian land cadaster information, in particular, on the information created in the process of land ownership registration reforms in the Ministry of Justice, the National Agency of Public Registry. Also the research shows the importance of land cadastral data as the basic data. The research findings identify the problematic issues and provides their solution ways.
It was approved the opinion on how important it is to convert the information stored in the archives about the old land use and soil maps into a digital format, particularly, to transfer in the spatial (geographical) information, for comparing old and modern conditions in order to plan future activities. The village Mzisguli, located in Sagarejo Municipality, Kakheti has been chosen for the research, where the pilot project of systematic registration has been completed.
The boundary of the registration sector of Mzisguli (55.02) is used as the boundary of the research area. There were analyzed all possible quantitative and percentage indicators from the existing cadastral and spatial data created in the research process. Additionally, there were created data bases with all important geospatial layers, and were prepared thematic maps and various recommendations.
Keywords: Cadastre, Land Cadastral system, Ownership registration, Land resources, Geodata, GIS, Spatial analysis.
Violence & Conflict in Television News: A Content Analysis of The News Channels
Authors: Tariq Muhammad , Junaid Ghauri Muhammad , Riffat Alam
Published: May 2023

News media has been a source of multifarious information and has developed to a varied extent in the recent past. There now appears to be an increasing surge of propagation and dialogue on violence-related issues. Media violence has remained a viable topic of past research because of its impact on society and many studies focused on entertainment content. This study is aimed at analyzing the proportion of violence in news broadcasts and exploring the role of news channels whether they cover all or focus on specific issues. A total of 2577 stories were collected from 93 news broadcasts at 9 p.m. on “top 3” news channels; Dunya News, Geo News, and PTV News covering one month in January 2014. Of them, 1132 news stories were identified as ‘violent,’ which were further analyzed for the extent and nature of violence and their inclusion in the news bulletin. The study concludes that selected news channels presented less proportion of violence in terms of the number of stories and total stories per hour, but allocated a large amount of broadcast time to the small number of violent stories as compared to other issues. They reported political violence-related issues more frequently and there is a large content of violence in the headlines, especially on private channels.
Keywords: Violence, Violence in News, Violent Content, Television News, Content Analysis