bluuebunny/crossref_metadata_2025 huggingface dataset:
Peningkatan Aktivitas dan Prestasi Belajar Matematika Melalui Pendekatan Realistic Mathematics Education (RME) Berbantuan Media Manipulatif Siswa Kelas I Sekolah Dasar
Authors: Wisudawati Tri
Published: September 2021

Penelitian ini bertujuan untuk mendeskripsikan aktivitas dan prestasi belajar menggunakan pendekatan realistic mathematics education (RME)  berbantuan media manipulatif. Teknik penelitian ini menggunakan penelitian tindakan kelas (PTK), yang dilakukan dalam dua siklus dan menggunakan desain penelitian Kemmis & McTaggart. Teknik pengumpulan data yang digunakan yaitu observasi, tes, dan dokumentasi. Data yang telah terkumpul dianalisis dengan menggunakan teknik analisis deskriptif kuantitatif. Hasil penelitian yang dilakukan di kelas IA SD Negeri 1 Karangkobar menunjukkan bahwa pembelajaran dengan pendekatan realistic mathematics education (RME)  berbantuan media manipulatif berlangsung dengan baik. Hasil kemampuan aktivitas pembelajaran dari prasiklus hanya 1 siswa atau 3,3% menjadi 24 siswa atau 80% pada akhir siklus II. Selain itu juga terjadi peningkatan prestasi belajar dari nilai rerata 58,23 dan ketuntasan 23,3% pada prasiklus menjadi 78,6 dan ketuntasan 83,3% pada akhir siklus II. Dengan demikian penggunaan pendekatan realistic mathematics education (RME)  berbantuan media manipulatif membawa peningkatan kemampuan aktivitas pembelajaran dan prestasi belajar siswa kelas 1A SD Negeri 1 Karangkobar.
Effectiveness of ginger and cinnamon compresses on pain in elderly with osteoarthritis
Authors: Fitriani Nur , Supriyadi Supriyadi
Published: September 2021

Osteoarthritis (OA) was one of the most common chronic diseases and a major cause of pain and disability that decreased health status. This disease caused pain and disability in patients which disturbed daily activities. Warm compress is one of the non-pharmacological therapies used to reduce pain. Warm compress therapy is applied at the sub-acute and chronic stage of osteoarthritis to reduce pain, compression and pain in the joints. Warm compresses can be combined by adding ginger and cinnamon. The aim of the reaesarh to understand the effectiveness of ginger and cinnamon compresses on lowering pain in the elderly with osteoarthritis in the orphanage of Sudagaran. This research was quasi-experimental design with two pretest-posttest design groups was used in this study. The samples were collected by using a random sampling technique with a total of 15 respondents getting ginger compress and 15 respondents getting cinnamon compress which was in accordance with the inclusion and exclusion criteria. The data were analyzed by using univariate and bivariate with Mann Whitney U Test. The results of the Mann Withney U Test on the second post-therapy obtained the difference in the value of ginger compresses with p = 0.417 and the difference in comfort value of cinnamon compresses with p = 0.127. After calculating the size effect, the ginger size effect was 0.924 while the cinnamon size effect was 0.790. The use of ginger compresses is more effective than cinnamon compresses in lowering pain in the elderly with osteoarthritis in the Community Health Center of Sudagaran.
Risk factor analysis stress in retirement
Authors: Alam Yusuf Bahrul , Laely Ramadani Meida
Published: September 2021

Stress is the reaction of the body to circumstances which cause pressure, shift, emotional distress, it can cause stress in the elderly who have retired. The aim of the research was find the factors that cause stress in retired elderly people. This research was used methods of qualitative research with a descriptive approach. Samples were collected in the Bangbayang Village Government Area through snowball sampling of as many as 7 (seven) elderly retirees. The results of this study indicate that of the elderly with ages of 60 years up to 2 people, 63 years up to 1 person, 66 years up to 1 person, 1 person 70 years old, 1 person 74 years old and 1 person 75 years old. There are five factors that cause stress in older retirees, such as: factors of social support, factors of economic status, current employment factors, factors of self-acceptance, and factors of life independence. Of the five stress-causing causes, 3 main factors faced by certain elderly pensioners are related to aspects of social care, economic stability, current employment.
Relationship of nutritional completeness with events of stunting in children age 1- 2 years
Authors: Gusela Wilian Nanda Renaldi , Supriyadi Supriyadi
Published: September 2021

The problem of stunting is one of the nutritional problems that the world face, especially in poor and developing countries. Stunting is a chroniac malnutrition in the period of growth and development since early life. Nutrition is an important element in the fulfilment of nutritional needs because it serves to produce energy, build and maintain tissues, and regulate life processes in the body. In addition, nutrition is related to brain development, learning ability and work productivity. Stunting or short is a condition of failure to thrive in infants (0-11 months) and toddlers (12-59 months) as a result of chronic malnutrition, especially in the first 1,000 days of life so that the child is too short for their age. The objective is to determine the relation between the completeness of nutritional stats and the incidence of stunting in children aged of 1-2 years in the working area of Community Health Center I Kembaran. This type of research was quantitative using a descriptive correlation design with a cross sectional approach. The population in this study were children under 2 years who met the criteria. The sampling technique used was simple random sampling, namely 86 respondents were included. The analysis used was the chi square statistical test. Statistics in this study consisted of frequency of completeness of nutritional status with the occurrence of stunting in children aged 1-2 years. From the results of data processing, it was found that there was a relationship between the completeness of nutritional status with the incidence of stunting in children aged 1-2 years in the working area of Community Health Center I Kembaran with a p-value of 0,000 <0.005. There was a relationship between the completeness of nutritional status with the incidence of stunting in children aged 1-2 years in the working area of Community Health Center I Kembaran.
A correlation between spiritual level and preoperative patients’ anxiety
Authors: Biawan Herlina , Suroso Jebul
Published: September 2021

Pre-surgery is an action before surgery, which can trigger psychological problems, such as anxiety. Spiritual strength is able to help the individual towards the healing and fulfillment of life goals. The aim of the reseach was discover the correlation between the spiritual level and anxiety in preoperative patients in the surgical inpatient units of RSUD Banyumas. This study was conducted from 12 November to 12 December 2019 in the surgical inpatient units of RSUD Banyumas. This research was a non-experimental quantitative, using a correlational research design with a cross-sectional approach. The sample was selected by purposive sampling technique, with 72 sample respondents. The data collection technique used the HARS (Hamilton Rating Scale Anxiety) and DSES (Daily Spiritual Experience Scale questionnaires) questionnaires. The result found 27.8% of patients' preoperative anxiety level at RSUD Banyumas did not experience anxiety, 56.9% felt mild anxiety, and 15.3% suffered from moderate anxiety. Meanwhile, for the spiritual level, only 1.4% of the preoperative patients at RSUD Banyumas had a low spiritual level, 52.8% were at a moderate spiritual level, and 45.8% presented a high spiritual level. The Spearman Rank statistical test obtained p-value = 0.0001; the correlation coefficient was -0.469.  There was a correlation between the patients' spiritual level and preoperative anxiety in the surgical inpatient units of RSUD Banyumas.
Workload and work motivation relationships with nursing performance
Authors: Amalia Kinanti Rizky , Linggardini Kris
Published: September 2021

Some provinces in Indonesia have been conducted by the directorate of health care service in 2004 with WHO, as a result that 70,4% of nurses have never had training, 39,8% of nurses at the hospital performed non nursing duties, 47,4% of non essential written duties. No specialized supervision and evaluation of nurses. According to interviews with some nurses in the Purbalingga Regency said the nurses’ workload was high because of the extra work off-duty and the function of a nurse. The objective for knowing the relationship of workload and work motivation with a nurse’s performance. This type of research is quantitative using a descriptive design correlation with a sectional cross. The population in this study is all the nurses in the Kutasari medikal center, the Purbalingga Center, the Kalikajar Center and the Kaligondang medical center in Purbalingga District. The sampling technique used is total sampling that is 33 respondents. Analysis used statistics in the chi square. Statistics in this study consist of frequency workload, work motivation and nurse performance. From the results of data processing, it is found that there is a relationship between workload and nurses' performance with a p-value of 0.017 <0.05. And there’s no connection between work motivation with nurse performance with p-value of 0.422 >0.05. There is a correlation between workload and nurse performance and no correlation between work motivation and nurse performance.
The influence of structured supportive education on knowledge and attitude of parents with children suffering from upper respiratory tract infection to the envrionmental health
Authors: Afrida Leolita Dias , Dhiah Anggraeni Atika
Published: September 2021

The upper respiratory tract infection (URTI) is possibly caused by the home environmental factors, individual factors and attitude factors. URTI is one major health problem occurring in, particularly children under 5 years old.
The structured supportive education is an interactive process to encourage learning efforts to add new knowledge, attitudes, and skills through both practical strengthening and exceptional experiences. The purpose of this research is to figure out the effect of structured supportive education on knowledge and attitudes of mothers with children experiencing theupper respiratory tract infection (URTI). This research employed as qualitative method with a quasi-experimental design and pretest-posttest one group design approach. The research result indicated that structured supportive education affected knowledge and attitude with thep-valueof 0.046. It is expected that the result of this research is possibly used as one treatment intervention media to improve the knowledge and attitude of parents with children experiencing theupper respiratory tract infection (URTI). Besed on the results of research on Structured Supportive Education, it is significantly more influential in improving the knowledge and attitudes of  parents.
Factors influencing the effectiveness of colonoscopy
Authors: Mustikawati Mustikawati , Sodikin Sodikin
Published: September 2021

Colonoscopy is one of the most widely-used procedures for diagnostic examination and treatment of colorectal diseases, either benign or malignant. Colonoscopy results are influenced by several factors such as current medical history, history of drug use, history of accompanying illnesses, and procedures performed. To analyze the factors which affectiverness the results of colonoscopy among the undergoing patients in Regional Public Hospital of Banyumas. The method used was observational analytic with a cross sectional approach. From the consecutive sample selection, it gave 76 respondents. The analysis was done using Univariate analysis with frequency distribution test, bivariate with chi square test and multivariate with multiple logistic regression test. Most of the respondents (51 respondents, 67.1%) aged 46-65 years and most of them were female (41 or 53.1%), they were dominated by high school graduates (56 or 73.7%), and the dominant occupation status was undemployed (31 or 40.8%). The results of the chi square test showed that there was an effect of current disease history, namely complaints / indications for colonoscopy examinations (p 0.011), drug use (p 0.021),accompanying disease history (p 0.003), and implementation procedures (p 0.000) on colonoscopy results. The results of multiple logistic regression showed that the factor that mostly influences the colonoscopy results was the length of preparation time (1-2 days of preparation).In conclusion current medical history, drug use history, accompanying medical history, and procedure administration significantly influence the colonoscopy outcome. And the most influencing factor is the length of preparation time (1-2 days of preparation).
The relationship between visit time management and patient's family satisfaction in the intensive care unit
Authors: Sudaryanto Yuni , Suroso Jebul
Published: September 2021

The Intensive Care Unit is an independent hospital part (an installation under the service director) with special staff and equipment for the observation, treatment and therapy of patients who suffer from life-threatening diseases, injuries or complications. Or potentially life-threatening. The policy of Intensive Care Unit by limiting the visiting times aims to maximize the care for patients with critical conditions. The satisfaction of the patient family is at the center point recognized as a measure of the quality of care services in the Intensive Care Unit. The purpose of this study was to determine the relationship between visiting time management and the satisfcation of the patient family It used a descriptive quantitative method, a correlation study with a cross sectional design. The sampling technique was total sampling with the respondents of the families, 40 respondents. They were then analyzed using Spearman Rank correlation statistical technique. The results of the Spearman rank analysis gave a p value of 0.044 <0.05, meaning there is a significant relationship between visiting-time management and the satisfaction of family patients.In conclusion he management of visiting-time can be an influential factor in determining the satisfaction of the patient family over the hospital services.
The relationship between knowledge and hypothermia first aid attitudes in mountain climbers
Authors: Dwi Setiyani Mayang , Fatwati Fitriana Nurul
Published: September 2021

Mountain climbing is an interesting and challenging activity, but it has high risks. There is a risk of harm that threat the body and safety during mountain climbing. One of the risks that can occur in mountain climbing is hypothermia which should be treated quickly and appropriately otherwise it can be life-threatening. From the results of preliminary studies that have been conducted by researchers at the Mount Prau Basecamp. According to the Gunung Prau Basecamp guard in 2017 there were 4 cases of hypothermia per week, even in 2014 there was 1 case of a climber who died due to hypothermia. This case occurred because of the climber's lack of knowledge of doing first aid to victims who had hypothermia.  In this case, the climber's knowledge and attitude about prevention and first aid when experiencing hypothermia are the most important factors.The aim of this study was to determine the correlation between climber's knowledge and hypothermia first aid attitudes on the mountain.The type of this research was quantitative research with the correlation study method and a cross-section approach. The population in this study were all climbers of Mount Prau Wonosobo with a sample of 333 respondents. The sampling technique used in this study was consecutive sampling. The data in this study were analyzed using the chi square statistical test.The results of this study were obtained from 333 respondents, 301 respondents (90.4%) had good knowledge and 297 respondents (89.2%) had good attitudes. Statistical analysis showed significant results with a p-value (0.0001) less than 0.05, thus H0 was rejected and H1 was accepted, which indicated that there was a relationship between the climber's knowledge and hypothermia first aid attitudes on the mountain. In conclusion Knowledge affects a person's attitude towards handling hypothermia. On condition that the knowledge is good, ensuingly the attitude in handling hypothermia will be good.
A feasibility study af a blended learning dementia care: elective course for nursing students
Authors: David Saifullah Azam , Mulyani Sri , Riski Artanti Eria
Published: September 2021

As there is a limited long-term care options in Indonesia, people with dementia are cared for by their family. They often hospitalized as the condition progresses. Nurses are the profession with most contact. Therefore, preparing nursing students to care for people living with dementia is needed. Blended learning as e new learning strategy in dementia care for nursing student need to be evaluated to comprehend its feasibility in the future dementia care course. 
This study aimed to evaluate the feasibility of a blended learning course for nursing students about dementia. A blended learning course was developed as a three-credits elective course that voluntarily joined by 42 fourth year nursing students. This course integrates the schedule, modules, and assignments in a learning management system called eLOK (Moodle based). One group pre-post test was conducted to evaluate this course using DKAS (Dementia Knowledge Assessment Scale) and DAS (Dementia Attitude Scale) as instruments. Google form was integrated to evaluate the course and the use of eLOK. Data were analysed using a paired t-test. 37 students (88.1%) completed the questionnaires. There is a significant improvement in knowledge towards dementia (t = 5.96, p value < .00) but not the attitude (t = 2.50, p value = .17) right after completing the course. Students also well appreciated the quizzes and project as the evaluation of learning outcomes of the course. Moreover, the audio-visual material in eLOK made them feel helpful in learning new topics and made new constructive experience of learning. In conclusion, this blended learning is feasible to be used as a learning method for delivering dementia care course.
The correlation between response time and waiting time on patients’ satisfaction at the emergency departement
Authors: Sapto Putro Wasis , Sodikin Sodikin
Published: September 2021

Fast and accurate services are essential in the Emergency Departement (ED). Services in the emergency room will be hampered if it is are full of patients. If this is not managed well, the right services cannot be implemented. In turn, it will have a bad effect on patient satisfaction. To analyze the correlation between response time and waiting time with patient satisfaction during service at the Emergency Department of the Banyumas Regional General Hospital.This research is quantitative research. The sampling technique in this study used purposive sampling of 96 respondents. The statistical test used is the chi square test.Most respondents percieved the responding time in ER is fast; most of them also rated that the waiting time in ER is short. Most of them are also satisfied with ER services. The chi square test results in p value of <0.05 for each variable. It means there is a relationship between response time and waiting time with patient satisfaction during service at the Emergency Department of Banyumas Regional General Hospital.Response time and waiting time are related to patient satisfaction during service at the Emergency Department of Banyumas Regional General Hospital.
Survival analysis of chronic kidney disease patients with hemodialysis
Authors: Susanto Kuwat , Asiandi Asiandi
Published: September 2021

The incidence of Chronic Kidney Disease (CKD) is increasing every year. The prevalence of CKD patients in Indonesia is 0.2%. One of the management of CKD is hemodialysis. The benchmark of success in hemodialysis therapy in extending the life of the patient is a survival rate. Through this survival rate, it will be visible to see the duration of the patient can survive. Objective: This study aimed to determine the factors which affected the survival time of Chronic Kidney Disease patients undergoing hemodialysis in Banyumas Regional Hospital. This study implemented an observational analytic design. This research type was a retrospective cohort. This study involved 275 respondents selected through simple random sampling technique. The setting of the study was in the Hemodialysis Room of Banyumas Regional Hospital. Research variables were tested by Kaplan meier method. The analysis indicated that the occupation and vascular access significantly affect the survival rate of patients with the Chronic Kidney disease. The result of the significance (p-value) was smaller than 0.05.There is a correlation between factors that affected the survival rate and the time of life resistance of CKD patients undergoing hemodialysis at Banyumas Regional Hospital, which are occupation and vascular access.
Development of foot care instrument and internal consistency test in the rural area
Authors: Parliani Parliani , Wahyuni Tri
Published: September 2021

Currently, there are some comprehensive assessment tools for DFU. There is only one screening tool, but only assess risk of neuropathy, there is no complete of foot care assessment. The develop of foot care instrument is important for the nurses to provide health services and seek to eliminate physical, emotional, mental, and socio-cultural patient needs and also they play an important role in the care of diabetes .This descriptive study aimed: 1) to develop the instrument of foot care for diabetic patient, and 2) to test internal consistency in the rural area. The tool development were using: 1) literctivature review, 2) defining and categorize the item and 3) Testing the internal consistency using 23 respondents in Desa Kerawang and Desa Sumber Agung,Kubu Raya.Cronbachs Aplha were to analyze the internal consistency.The results showed that the instrument was developed as followed internal consistency used Cronbach’s Alpha was 0.893 for the item which can be used and 0.991 for the item which can be done in the rural area.The total items of this study consisted of: 1) Foot care education, consisting of a) knowledge of foot care, b) foot care behavior, c) amputation risk, d) mortality risk, d) interpretation of monofilament examination, 2) foot care diabetes, a) foot and foot examination, b) routine foot hygiene, c) walking barefoot, d) using proper footwear, e) cutting toe nails, f) avoiding the use of anything rough on the feet, g) professional care when open wounds and lesions in the leg, i) routine foot examination by professionals, 3) routine foot examination, a) peripheral neuopathy, b) history of ulcer or amputation, c) foot deformity, d) peripheral arterial disease, e) level of glycated hemoglobin, 4) Diabetic foot exercises, 5) Self-care management, 6) Supporting factors consist of a) footwear, b) digital silicon divices, c) antifungal treatment, d) elastic compression stocking.In conclusion the instrument of foot care has developed and reliable in rural area. Nurses and people who work with diabetic patients can use the instrument take care of patients’ foot. Further study should examine other test of validity and reliability.
Brain gym therapy for children
Authors: Indrati D Sulistyowati Dina , Armika Vianti Remilda , Azizah Nur
Published: September 2021

Child and adult health risks including obesity, hypertension and diabetes may be programmed by nutrional status during this period.. Approximately 5 to 10% of children are estimated to have developmental delays. Therefore, the need for stimulation so that soft motorik development in children to improve optimally. Therapy for brain gymnastics can be stimulated for to improving the soft motorik development of children.The purpose of this study was to determine the effect of brain gymnastics therapy on the development of soft motorik in 4-6 years of age.This research method is quasy experimental with non-randomized control group pretest-posttest design. With purposive sample. 42 respondents were divided into the control group and the intervention group. Soft motorik development of children before and after being given treatment by using gymnastics therapy of brain has increased 76.2 % with significantly p value 0.045 (<0.05). In conclusion the gift of brain gymnastics therapy can improve the motor development of children aged 4-6 years. Suggestions for schools, parents can provide premature stimulation by providing a brain gymnastics game that can stimulate child development.
Wound care using metronidazole in a patient with diabetic foot ulcer: a case report
Authors: Santosa Agus , Fajar Silviana Okta , Khasanah Neneng
Published: September 2021

The control of infection in diabetic foot ulcers is essential to prevent injuries from getting worse. Infection in diabetic foot ulcers is generally caused by bacteria existence in the wound. Antibiotics may not be orally able to exterminate bacteria rapidly in the wound area, so antibiotics are needed directly and topically to the wound to reduce the infection process. This case describes wound care intervention using gauze added by antibiotic metronidazole as a wound compress in a 46-year-old male patient with diabetic foot ulcers treated at Cempaka Ward Banyumas Regional Public Hospital. This case is interesting because the medical intervention given to patients is rarely implemented in clinical practice. The conclusion is that a metronidazole antibiotic used to compress wounds in patients with diabetic foot ulcers can reduce the wound infection process.
Recent Advances in Pathologic Research and Targeted Therapies of Thymoma
Authors: Lvcheng Jin  , Yun-Xiang Zhang
Published: September 2021

Thymoma is a rare tumor that was reclassified by the World Health Organization in 2015. Recent studies have made advances in molecular targeted therapies, such as c-KIT, EGFR, IGF-1R, PTEN, HDAC, VEGF and PD-L1. Additionally, new molecular markers such as CTV/CTS, GTF2I, Pax8 and DSG-3 have been used in the differential diagnosis of thymoma. This article reviews molecular pathogenesis of thymoma, application of molecular pathology in the differential diagnosis of thymoma and recent progress in targeted therapies for thymoma.
Vitamin E Alleviates Diethylhexyl Phthalate-Induced Haemato-logical Changes and Splenic Oxidative Injury in Male Sprague-Dawley Rats
Authors: Kazeem A. Akinwumi
Published: September 2021

Di-2-ethylhexyl phthalate (DEHP) is a ubiquitous environmental toxicant with high exposure potential to man mainly through leaching from water and foods plastics packages. Exposure to DEHP is associated with cancers, cardiovascular diseases, and splenic toxicity. In the present study, the effect of alpha tocopherol (α- tocopherol) on the DEHP- induced alteration in hematology and oxidative injury in the spleen of male Sprague Dawley rats was investigated. Animals were exposed daily for six weeks to 5 mg/kg bd.wt DEHP and 10 mg/kg bd.wt Vitamin E either alone or in combination. Control rats were given olive oil throughout the duration of the experiment. Organ weight indices and hematology parameters including packed cell volume (PCV), white blood cells (WBC), lymphocytes and neutrophils were determined in test and control rats. In addition, malondialdehyde, superoxide dismustase (SOD), catalase and glutathione-S-transferase (GST) activities were determined in the spleen. Histology of the spleen was also evaluated. Hematoxicity of DHEP was characterized by decreased PCV, WBC counts and neutrophil, while eosinophil was markedly elevated. DHEP administration resulted in oxidative stress that was manifested by elevated MDA and GST coupled with decreases in SOD and catalase activities. The spleen sections from DEHP-treated rats showed congestion and hyperplasia. However, Vitamin E modulated the hematological parameters and alleviated oxidative changes caused by DEHP exposure. Vitamin E also prevented DHEP associated lesions in the spleen. Therefore, Vitamin E could be useful in controlling hematotoxicty and splenic oxidative injury caused by DEHP intoxication
Liver Abscesses in Cancer Patients Associated with Poor Prognosis: A Single Center Experience
Authors: Khosravi-Shahi Parham  , Aparicio-Salcedo María Inmaculada  , Alva-Bianchi Manuel  , Arregui-Valles Marta  , Morón-García Blanca Isabel  , Tirado-Anula Victoria Clara  , De Toro-Carmena María  , Martínez-Delfrade Iñigo  , González-del-Val Ricardo
Published: September 2021

Background: Liver abscesses are uncommon, but they are associated with a hospital mortality rate of 10% in patients without cancer. However, its relevance in cancer patients in terms of survival and length of hospitalization is unknown. Patients and Methods: We conducted an observational study in order to analyze the impact of liver abscesses in hospitalized cancer patients. Eligible patients were adults with a solid tumor, received antineoplastic treatment and were hospitalized in our department with a diagnosis of liver abscesses. Primary end-points of the study were overall survival (OS) and mean hospital stay (MHS). Secondary end-points were the description of risk factors of liver abscesses, isolated microorganisms and the specific treatment. Results: In our study the incidence of liver abscesses in cancer patients was 1.18%. Median age was 63 years, 60% were men, and the vast majority of patients had an advanced bilio-pancreatic tumor (85%). With a median follow-up of 18 months, median OS was 6 months (95% CI: 1-11); and OS probability at 18-month was 19%. MHS was 27.2 days (95% CI: 20.3-40.7). Risk factors for developing liver abscesses were: a) bilio-pancreatic cancers; b) chemotherapy administration; c) severe malnutrition; and d) biliary drainage/prosthesis. Ten patients (50%) had bacteremia, and the most common isolated microorganism was E.coli (30%). Percutaneous drainage of abscesses was performed in 40% of the patients, and all patients were treated with broad-spectrum antibiotics. Conclusions: Although liver abscesses were uncommon, they were associated with a prolonged hospitalization and poor outcome in cancer patients.
Do "Incidental Melanomas" Exist? If so, how many are they? High Time to Decide
Authors: Giovanni Luigi Capella
Published: September 2021

Do "Clinically Insignificant, HIstological MElanoma-Like Lesions" (CIHIMELL) - to wit, merely incidental, looking-like-melanoma lesions devoid of intrinsic malignant potential - exist? The question arises from the fact that, in spite of increased diagnoses of completely excised malignant melanoma (MM) in the last two decades, mortality from advanced metastatic disease has not decreased. After a brief review of the literature, the author proposes that the existence of CIHIMELL could be affirmed through post mortem dermoscopy and histological study of any pigmented lesion, clinically or dermoscopically suspected, of several deceased patients undergoing necropsy for death causes unrelated to MM. Should the cumulative prevalence of merely histological melanomas turn out to be exceedingly high and not commensurable with the current death rates of true MM, the discrepancy would tangibly prove that indolent pigmented lesions with morphological aspect of melanoma do exist. This would clearly introduce difficulties that could satisfactorily be dealt with only through a paradigm shift in melanoma surveillance and diagnosis (which could also allow to add a piece of encouraging uncertainty to the patient-physician relationship). However, it can be expected that such an enterprise would be countered by several vested academic and commercial interests.
Challenges in Development of Nanomedicine for Treatment of Cancer
Authors: Dimple Sethi Chopra
Published: September 2021

The inherent limitations of conventional cancer therapies have stimulated the growth of cancer nanomedicine. This is primarily attributable to its unique features for drug delivery, diagnosis and imaging, synthetic vaccine development and miniature medical devices, supplemented with the inherent therapeutic property of some nanomaterials. Nanotherapies that integrate some of these features are already in use and others have great potential in clinical development, with definitive results in near future. In order to develop smart cancer nanomedicine, it is very essential to bridge the gap between Bio-Nanoscience and Cancer Nanomedicine with a better understanding about the molecular basis of cancer. The development of smart cancer nanomedicine can be accelerated by patient stratification, rational drug selection, combination therapy, synergism with immunotherapeutics. The nanoplatforms that exhibit a significant increase in progression free survival are most desirable.
Penerapan Algoritma Cosine Similarity dan Pembobotan TF-IDF System Penerimaan Mahasiswa Baru pada Kampus Swasta
Authors: Apriani Apriani , Zakiyudin Hizbu , Marzuki Khairan
Published: September 2021

Era globalisasi ditandai dengan perkembangan teknologi dan informasi, hal ini berimbas pada kebutuhan manusia akan informasi. PMB (Penerimaan Mahasiswa Baru) merupakan aktivitas rutin perguruan tinggi pada setiap pembukaan ajaran baru. Pelaksanaan PMB tidak luput dari berbagai pertanyaan yang sudah pernah ditanyakan sebelumnya. Dengan memanfaatkan teknologi informasi maka lahirlah FAQ (Frequently Asked Question) yang berisikan jawaban dari pertanyaan yang sering dilontarkan oleh orang-orang yang membutuhkan informasi. Untuk mengurangi beban pihak PMB dalam menjawab pertanyaan secara berulang-ulang, maka dibangunlah sistem penjawab FAQ dengan menerapkan pembobotan TF-IDF (Term FrequencyInverse Document Frequency) dan algoritma cosine similarity. Pembobotan TFIDF merupakan metode untuk memberikan bobot hubungan suatu kata (term) terhadap suatu dokumen berdasarkan dua konsep, yaitu frekuensi kemunculan kata di dalam sebuah dokumen dan inverse frekuensi dokumen yang mengandung kata tersebut. Sedangkan cosine similarity merupakan metode yang digunakan untuk menghitung tingkat kesamaan (similarity) antar dua buah objek. Metode ini menghitung similarity antara dua buah objek yang dinyatakan dalam dua buah vektor dengan menggunakan kata kunci (keyword) dari sebuah dokumen sebagai ukuran. Penelitian ini menggunakan 7 buah sampel data dari keseluruhan data FAQ yang didapat dari wawancara dengan Ibu Susilawati, S.Kom. Data sampel yang digunakan akan melalui proses preprocessing, pembobotan TF-IDF, dan metode cosine similarity untuk menentukan tingkat kesamaan tertinggi yang nantinya akan keluar sebagai hasil akhir. Dengan menggunakan pembobotan TF-IDF dan metode cosine similarity pada 7 data sampel bisa mendapatkan tingkat akurasi hingga mencapai 64.28%.
Sistem Pakar Diagnosa Penyakit THT Menggunakan Inferensi Forward Chaining dan Metode Certainty Factor
Authors: Dirgantara Bhintang , Hairani Hairani
Published: September 2021

Saat ini penyakit Telinga Hidung dan Tenggorokan (THT) telah menjadi suatu penyakit yang cukup banyak diderita oleh masyarakat dunia. Di Indonesia, penderita penyakit THT berjumlah sekitar 190-230 per 1000 penduduk. Jenis penyakit yang diteliti pada penelitian ini adalah Ortitis Media Serosa, Polip Hidung, Faringtis Akut, Abses Retrofaring, dan Karsinoma Nafosaring. Tujuan penelitian ini adalah membuat aplikasi sistem pakar diagnosis penuyakit THT menggunakan inferensi forward chaining dan certainty factor yang dapat memudahkan tenaga medis untuk diagnosis jenis penyakit THT. Tahapan pengembangan sistem pakar pada penelitian ini terdiri dari identifikasi masalah untuk analisis domain permasalahan, akuisisi pengetahuan digunakan untuk mendapatkan nilai MB dan MD tiap-tiap gejala pada penyakit THT dengan metode wawancara, perancangan digunakan untuk merancang representasi pengetahuan seperti tabel keputusan dan kaidah pengetahuan. Dengan adanya sistem pakar diagnosis penyakit THT dapat mempermudah dokter mengambil keputusan, atau diagnosa yang tepat terhadap suatu gejala – gejala yang timbul pada penyakit THT, sehingga diperoleh pengobatan yang tepat dan minimalisir terjadinya kesalahan diagnosis.
Prototype Perancangan dan Implementasi Alat Perontok dan Pengering Padi Otomatis dengan Konsep Teknologi Pembangkit Listrik Tenaga Surya untuk Meningkatkan Produktivitas Hasil Pertanian
Authors: Sulistyo Meiyanto Eko , Apribowo Chico Hermanu Brillianto , Adriyanto Feri
Published: September 2021

Dewasa ini pemanfaatan teknologi untuk meningkatkan hasil pertanian tumbuh pesat. Salah satu bentuk pemanfaatannya adalah dengan menggunakan energi terbarukan untuk meningkatkan produktivitas hasil pertanian. Energi terbarukan yang implementasinya sudah sangat banyak adalah Pembangkit Listrik Tenaga Surya (PLTS). Pengunaan PLTS sebagai sumber energi alternatif yang digunakan untuk pengerak alat perontok dan pengering padi otomatis. Petani selalu kesulitan saat musim penghujan maupun kemarau kering tiba-tiba dan sinar matahari tidak dapat mencapai intensitas maksimal saat digunakan untuk mengeringkan padi secara konvensional, oleh karena itu alat perontok dan pengeringan padi otomatis tenaga PLTS sebagai alternatif solusi. Tujuan penelitian ini adalah untuk memberi wawasan dan pengetahuan akan pembuatan dan prinsip kerja dari alat perontok dan pengeringan padi otomatis tenaga PLTS sebagai alternatif solusi untuk meningkatkan padi secara teknologi, dengan demikian diharapkan masyarakat mendapatkan manfaat lebih cepat dalam pengeringan padi dan menghemat biaya untuk pengeluaran memanen padi, sehingga dapat meningkatkan produktivitas hasil pertanian.
Analisa Quality Of Service Menggunakan Aplikasi Gnump3d sebagai Server Media Streaming
Authors: Azhar Raisul , Santoso Heroe , Faisal Faisal
Published: September 2021

Streaming merupakan istilah sebuah file video maupun audio yang dapat dimainkan tanpa terlebih dahulu dilakukan pengunduhan terhadap file. Streaming juga dapat diartikan sebagai teknik yang digunakan untuk melakukan transfer data sehingga dapat diproses secara tetap dan terus menerus.  Saat ini banyak sekali aplikasi yang menjalankan audio dan video streaming antara lain seperti  Gnump3d, Spotify, Joox, Deezer dan lain sebagainya. Banyaknya aplikasi tersebut tidak menjamin kualitas layanan atau QoS yang baik jika dijalankan pada jaringan internet yang didalmnya melewati banyak perangkat jaringan. Permasalahan QoS pada media Audio Streaming tidak akan banyak terlihat pada Server phisik akan tetapi akan terlihat jika aplikasi tersebut dipasang pada Virtual Private Server. Tujuan dari penelitian ini adalah ingin mengetahui tingkat kualitas layanan atau QoS  yang dihasilkan oleh Sebuah Aplikasi Gnump3d yang terpasang pada VPS dengann hanya memperhatikan parameter Delay,Jiiter, Packet, Loss dan Throughput. Metodologi penelitian menggunakan metodologi Network Development Life Cycle (NDLC). Hasil dari penelitian ini diperoleh QoS audio streaming yang  dinilai baik berdasarkan standard  pengukuran QoS TIPHON dan hanya satu parameter QoS yang di anggap gagal yaitu pada Jitter karena memiliki nilai yang tidak sesuai standart tersebut.
Monitoring Konsumsi Listrik Rumah Tangga Berbasis Internet of Things Terintegrasi dengan Virtual Private Server
Authors: Radhitya I Made Surya , Hadi Sirojul , Bachtiar Adam
Published: September 2021

Sebagian besar peralatan rumah tangga menggunakan listrik sebagai energinya. Kebutuhan akan listrik dari tahun ke tahun semakin besar. Pengukuran penggunaan daya listrik biasanya dilakukan dengan menggunakan alat ukur sederhana dan pencatatan masih manual sehingga data yang didapat tidak bisa dilakukan setiap saat dan hasilnya terlalu lama untuk didapatkan.Teknologi yang sesuai untuk permasalahan ini yaitu teknologi sistem monitoring daya listrik berbasis Internet of Things (IoT) yang mampu memberikan hasil secara akurat dan real-time. Adapun metode yang dilakukan disusun dalam beberapa tahapan, dimulai dari pengumpulan data, perancangan, konfigurasi, penerapan. Tools yang digunakan dalam penelitian ini akan menggunakan NodeMCU sebagai mikrokontrollernya, sensor arus ACS712 sebagai sensor arus listrik, Virtual Private Server (VPS) sebagai web servernya. Hasil dari penelitian ini yaitu sebuah sistem monitoring daya listrik yang mempermudah memantau daya listrik pada rumah. Akurasi pengukuran daya oleh sistem yaitu 92,87%. Berdasarkan nilai eror tersebut, maka sistem monitoring konsumsi daya listrik tersebut sudah cukup baik untuk di implementasikan pada rumah.
Prototype Sistem Pengunci Pintu Melalui Internet Menggunakan Arduino Uno Berbasis Android
Authors: Latif Kurniadin Abdul , Wahyudi Wahyudi , Nurcahyo Azriel Christian
Published: September 2021

Internet of Think (IoT) muncul sebagai isu besar di Internet, diiharapkan bahwa miliaran hal fisik atau benda akan dilengkapi dengan berbagai jenis sensor terhubung ke internet melalui jaringan serta dukungan teknologi seperti tertanam sensor dan aktualisasi. Penelitian ini bertujuan merancang serta analisis penerapan prototype Sistem Pengunci Pintu Melalui Internet Menggunakan Arduino Uno Berbasis Android. Penelian ini menggunakan metode SDLC dalam melakukan perancangan dan pengembangan prorotype sistem Pengunci Pintu Melalui Internet Menggunakan Arduino Uno Berbasis Android. Terdapat 3 tahapan dari metode SDLC yang digunakan dalam penelitian ini yaitu Analisis Kebutuhan, Desain Sistem dan Implementasi sistem. Inputan dari sistem ini berupa perintah on dan off dari smartphone yang dikirim ke thingspeak sebagai layanan server dan akan dilanjutkan ke perangkat arduino yang telah tersambung selenoid doorlock. Jika pintu dibuka, maka sensor magnetik switch akan mengirim kembali informasi ke thingspeak dan dilanjutkan ke smartphone sebagai  feedback. Hasil penerapan bahwa sistem dapat melakukan lock dan unlock pintu jika perangkat sistem terhubung ke internet yang terhubung dengan layanan dari Thingspeak. prototype sistem pengunci pintu ini diimplementasikan pada 2 pintu yang telah terpasang Selemoid doorlock dan sensor magnetic switch. Hasil dari pengujian yang telah dilakukan di jalan mamo 2 pada tanggal 25-08-2016 rata-rata waktu diperlukan untuk lock = 4.36 detik dan unlock = 5.30 detik, sedangkan pengujian sensor rata-rata waktu yang diperlukan untuk mengirim data sensor dengan kondisi Terbuka  = 12.33 detik dan Tertutup = 12.43 detik. Waktu delay tergantung pada kondisi jaringan yang terhubung dengan sistem.
Covid-19 outbreak and household food waste: Evidence from Turkey
Authors: SONGÜR BOZDAĞ Ayşe Nur , ÇAKIROĞLU Funda Pınar
Published: September 2021

This study aims to examine changes in food-related behaviours that occur in Turkish households due to the Covid-19 outbreak and their effect on food waste amounts. An online survey was conducted and the survey included questions about socio-demographic characteristics, food purchasing, preparation, cooking behaviour, and food waste. This study included 610 respondents. 33.9% of the participants stated that there was a decrease in the amount of food waste during the pandemic period. More than half (52.2%) of those who think that there is a decrease in the amount of food waste stated that the amount of waste decreased because the food was consumed without forgetting/spoiling due to the increase in the time spent at home. Also, a relationship was found between changes in some food-related behaviours (frequency of food shopping, preparing/cooking, the characteristic of the food purchased, the person who prepares/cooks the meal, the time spent in the kitchen, the number of meals, trying new recipes, making bread at home, ordering to home and eating out) and changes in food waste. It has been observed that the changes experienced affect the reduction of food waste. In conclusion, the necessary initiatives should be taken to make permanent the positive changes caused by Covid-19 in food-related behaviour.
METHODOLOGICAL APPROACH TO THE IMPLEMENTATION OF INFORMATION PROTECTION MEASURES AGAINST THREATS OF UNAUTHORIZED ACCESS TO THE TECHNOLOGICAL PROCESS PARAMETERS VALUES AND THEIR CHANGES AT THE OIL REFINING FACILITY
Authors:   State Science and Research Experimental Institute of Technical information protection problems of Federal Service for Technical and Export Control, Voronezh, Kovalenko S.M. , A.S.Sukhoverkhov A.S. ,   State Science and Research Experimental Institute of Technical information protection problems of Federal Service for Technical and Export Control, Voronezh
Published: September 2021

A methodological approach to the implementation of information protection measures against threats of unauthorized access to the technological process parameters values and their changes, implemented through a distributed control system and leading to an emergency at the oil refining facility, is proposed. An example of approbation of the methodological approach in the context of the distributed control system of the technological process of vacuum distillation is given. The results of assessing the possibility of implementing threats to the system with and without applied protection measures are presented.
Evaluation changes in indicators of oncological service in breast cancer in Kazakhstan
Authors:   Astana Medical University, Nur-Sultan, Republic of Kazakhstan, Igissinov Nurbek ,   International Higher School of Medicine, Bishkek, Kyrgyzstan,   Central Asian Cancer Institute, Nur-Sultan, Republic of Kazakhstan,   Eurasian Institute for Cancer Research Public Association, Bishkek, Kyrgyzstan, Toguzbayeva Asem ,   Kazakh Scientific-Research Institute of Oncology and Radiology, Almaty, Republic of Kazakhstan, Igissinova Gulnur ,   Asfendiyarov Kazakh National Medical University, Almaty, Republic of Kazakhstan, Central Asian Cancer Institute, Nur-Sultan, Republic of Kazakhstan, Bilyalova Zarina ,   Central Asian Cancer Institute, Nur-Sultan, Republic of Kazakhstan
Published: September 2021

According to estimates from the International Agency for Research on Cancer (IARC) by 2040 the global burden is expected to grow to 3 million new breast cancer cases and 1 million cancer deaths of this cause. Studying the indicators of the oncological service for breast cancer allows us to identify and evaluate the effectiveness of mammological screening in Kazakhstan. Aim. Evaluate some indicators of the oncological service at breast cancer in Kazakhstan in 2009 to 2018. Material and methods. The research material was data from the Ministry of Health of the Republic of Kazakhstan - annual form No.7 and No.35 regarding breast cancer (ICD 10 C50) for 2009-2018. - morbidity, mortality, early diagnosis, neglect, morphological verification. A retrospective study using descriptive and analytical methods of biomedical statistics was used as the main method. Results and discussion. For 2009-2018, 40,199 new cases of breast cancer were registered in the republic for the first time and 12,971 women died from this disease. The average annual crude incidence rate of breast cancer was 45.4±1.40/0000 (95% CI=42.8-48.1) and increased in dynamics from 39.5±0.70/0000 (2009) to 49.6±0.70/0000 in 2018, the difference was statistically significant (t=10.2 and p=0.000). In dynamics, mortality rates from breast cancer tended to statistically significant (t=7.95 and p=0.000) decrease from 16.5±0.40/0000 (2009) to 12.0±0.40/0000 in 2018 year, and the average annual crude mortality rate from breast cancer was 14.8 0.50/0000 (95% CI=13.7-15.8). The indicators of early diagnosis (the proportion of patients with stage I-II) improved from 71.1% (2009) to 87.6% in 2018, the proportion of patients with stage III decreased (from 22.2% to 8.6 %) and stage IV (from 6.4% to 3.6%) for the studied years, i.e. neglect rates are declining. The indicators of morphological verification in breast cancer have always been high and over the studied years improved from 93.4% to 99.1%. Conclusion. An analysis of the indicators of the oncological service at breast cancer revealed an improvement in morphological verification and early diagnosis, a decrease in neglect and mortality rates, which is undoubtedly associated with ongoing anti-cancer measures in Kazakhstan, which a regularly mammological screening. Keywords: breast cancer, incidence, mortality, early diagnosis, neglect, morphological neglect.