bluuebunny/crossref_metadata_2025 huggingface dataset:
Supportive Educative in Improving the Readiness of the Anticipatory Phase of Primigravida Towards Achieving the Maternal Role
Authors: Widayati Dhina , Susmiatin Eko Arik , Siswoaribowo Andika
Published: March 2024

Background: Primigravida mothers experience psychological changes, especially before delivery, related to the readiness of the anticipatory phase towards achieving the maternal role. Providing supportive education by health workers, husbands, and families can be a supporting factor in the readiness of pregnant women for the anticipatory phase. This study aims to determine the effect of supportive education on the readiness of the anticipatory phase in primigravida mothers towards achieving the role of mothers in the work area of the Pogalan Health Center, Trenggalek Regency.
Methods: This research design was pre-experimental, involving 42 respondents through total sampling. The independent variable was supportive education, and the dependent variable was the readiness of the anticipatory phase towards achieving the mother's role, which is measured using a questionnaire
Results: The results showed that the criteria for the readiness of the anticipatory phase before being given supportive educative intervention were mostly (66.7%) of respondents in the high category, and after the intervention, the majority (86.7%) of respondents had high readiness. Analysis with the Wilcoxon test obtained a value of = 0.008 (< 0.05), indicating a supportive educative effect on the readiness of the anticipatory phase in primigravida mothers towards the achievement of maternal roles.
Conclusion: Supportive Educative can increase the mother's knowledge so that her understanding of pregnancy improves, her perception becomes positive, and she feels more confident that she is more prepared to undergo pregnancy and ready for the delivery process. Supportive education can be one method for improving the process of adaptation to the achievement of the mother's role
The Family Support in Strengthening Fine Motor Ability for Children 3-4 Years Old
Authors: Ludyanti Laviana , Hayati Farida , Fuadah Dina Zakiyyatul
Published: March 2024

Background: Family was the first school for children to support their growth and development. Fine motor development of children 3-4 years old can develop optimally if they get optimal family support through good and correct stimulation.  This research to determine the relationship between family support and fine motoric skills in children aged 3-4 years at the Smart Kids Preschool.
Methods: The design of this study was correlational with a cross sectional approach using a questionnaire. The independent variable is family support and the dependent variable is fine motoric skills in children aged 3-4 years, with a population and sample consisting of 35 respondents using total sampling. The research data were analyzed using the Spearman Rank Test.
Results: The results of the family support study showed that almost all respondents (82.9%) were in good criteria, in the fine motoric skills of children aged 3-4 years, almost all of them (85.7%) were in the appropriate criteria. The results of data analysis showed p-value = 0.000 (α = 0.05) with a correlation level of 0.703 which means there is a strong relationship between family support and fine motoric skills of children aged 3-4 years. This is influenced by many factors, one of which is internal factors and external factors such as motivation to practice, health, motivation or attributes that distinguish a person from others, then parental knowledge, parental education, parental attitudes, socio-economic family, socio-cultural, environment, and parenting. 
Conclusion: Based on the result of this study, it is suggested that mothers can provide stimulation so that the potential of children can develop optimally by providing optimal support for children.
Root Cause Analysis Of Quality Control And Cost Control Of Implementing The Referback Program In First Level Health Facilities
Authors: Solida Adila , Amir Andy , Sari Rumita Ena , Widiastuti Fitri
Published: March 2024

Background: The incidence of chronic diseases in Jambi City is still high from year to year. The Referback Program (PRB) is one of the government's efforts through BPJS Health in collaboration with health facilities to ensure chronic disease sufferers have easier access to obtain the medicines they need at an efficient cost. This research aims to analyze the main problems of quality control and cost control of PRB implementation in terms of man, material-machine, method, market, money and time elements at FKTP in Jambi City.
Methods: The research was conducted using qualitative methods using the perspective of Root Cause Analysis (RCA) theory to form research procedures. The informants consisted of the person in charge of PRB, the head of the community health center and PRB participants at FKTP in Jambi City. The research instrument is a structured interview sheet. Data analysis uses thematic analysis techniques according to the RCA flow
Results: The research results found that the main cause of the problem was weak coordination between PRB officers and BPJS Health in implementing PRB at FKTP.
Conclusion: It is recommended that BPJS Health be more active in providing outreach and special training to PRB officers as well as setting up a clear monitoring and evaluation system regarding the implementation of PRB in FKTP
Support Group Intervention on Self-Awareness and Parental Coping Strategies as an Effort to Prevent Sexual Violence in Children
Authors: Laili Nurul , Hasanah Yulia Rahmawati , Handayani Erna
Published: March 2024

Background: The victims, primarily female children, have suffered sexual abuse, often perpetrated by individuals known to them, such as neighbors or acquaintances. In interviews with concerned parents regarding ongoing cases of sexual abuse, they expressed fears about their children falling victim to such incidents.. The research aim was to assess the effectiveness of support group interventions in enhancing self-awareness and parental coping strategies as preventive measures against child sexual abuse.
Methods: The study's main objective is to evaluate the impact of Support Groups in improving Self-Awareness and Parental Coping Strategies. It employed a quasi-experimental design using a non-equivalent group pre-test and post-test methodology, with one group as the control and the other as the experimental group. The study included 70 respondents in the intervention group and an equal number in the control group, selected through purposive sampling. Research instruments comprised the Revised Ways of Coping Scale questionnaire for coping strategies and a self-awareness questionnaire. Non-parametric data analysis was conducted using SPSS, specifically the Wilcoxon Signed Rank Test.
Results: Results of the normality test indicated that both the intervention and control groups had p-values of less than 0.05 for coping strategies (0.002 for the intervention group and 0.003 for the control group) and self-awareness (0.000 for both groups), suggesting non-normal data distribution. Consequently, non-parametric statistical analysis was applied with SPSS, and a significance level was set at p < 0.05. The Wilcoxon Signed Rank Test results for the intervention group were 0.000 (coping strategies) and 0.000 (self-awareness), signifying a significant difference in average pretest and posttest scores within the intervention group. Conversely, the control group's Wilcoxon Signed Rank Test results were 0.953 (coping strategies) and 0.317 (self-awareness), indicating no significant difference in average pretest and posttest scores within the control group.
Conclusion: Based on the research findings and discussion, it can be deduced that support group interventions positively impact the enhancement of parental coping strategies and self-awareness in the endeavor to prevent child sexual abuse.
Hypnocaring as a Support Model for Reducing Stress Levels in People Living With HIV/AIDS (PLHIV)
Authors: Permatasari Dian , Pratiwi Iva Gamar Dian , Mulyadi Eko , Puspitasari Dian Ika
Published: March 2024

Background: People Living With HIV/AIDS (PLHIV) are a group that experiences significant psychological stress, including higher levels of stress than the general population. This research aims to determine the effectiveness of hypnotherapy in reducing stress in PLHIV patients and whether this method can be an effective alternative in reducing stress and improving the quality of life in PLHIV patients in Sumenep Regency. Hypnotherapy is a form of alternative therapy that involves suggestion and visualization to influence the subconscious mind.
Methods: This research method uses a quasi-experiment with a research design involving two groups containing 30 research samples (Two groups Pre-Post Test), where the variables are PLWHA aged 21-50 years, with a side method using purposive sampling. The research instrument used the DASS (Depression Anxiety Stress Scale) questionnaire.
Results: There were significant differences Between groups in Experiments and groups control where the value was 0.009 < 0.05. There is a significant difference between Pretest and Posttest in the Experimental group with an alpha value of 0.000 < 0.05; the level of influence of Hypnotherapy was 62.8%, and the other 37.2% were influenced by factors other than outside therapy.
Conclusion: Based on the three results of the calculation tests above, it can be concluded that hypnotherapy is effective in reducing stress in HIV/AIDS patients (PLWHA) in Sumenep Regency
Coffee Consumption With The Incident Of Gastritis: Literature Review
Authors: Santoso Puguh
Published: March 2024

Background: Gastritis is a stomach health problem that begins with inflammation of the gastric mucosa caused by infection with the Helicobacter pylori germ and is the most common disease. One cause of gastritis is the habit of drinking coffee. The habit of drinking coffee (caffeine) for a long period with a frequent frequency, namely > three glasses/day, can trigger an increase in stomach acid, irritating the mucosa or the stomach wall. This literature review aims to analyze the relationship between coffee consumption and the incidence of gastritis
Methods: Literature obtained from SINTA, PUBMED, Garuda, and Google Scholar databases. Nine literature reviews used several designs, namely descriptive exploratory, cross-sectional, descriptive cross-sectional study, case-control, descriptive-analytical, and descriptive from 2013-2023; then PICO analysis was carried out.
Results: The caffeine content in coffee can stimulate the production of stomach acid, which can trigger gastritis. Inflammation will occur continuously if the stomach is frequently exposed to irritants such as coffee. The inflamed tissue is then filled with fibrin tissue, which can cause loss of the gastric mucosal layer and atrophy.
Conclusion: The study showed that coffee influenced the incidence of gastritis.
Multidrug Resistant Tuberculosis (MDR-TB) Factors: Literature Review
Authors: Subairi Moh , Muhith Abdul , Zahro Chilyatiz
Published: March 2024

Background: Multidrug-resistant tuberculosis (MDRTB) is the biggest problem in preventing and eradicating TB in the world. MDR-TB occurs if the tuberculosis germs are resistant to various first-line OAT, at least two drugs, namely isoniazid and rifampicin. The emergence of MDR-TB cases presents new obstacles and challenges to the effectiveness of TB control programs due to difficult diagnosis, high rates of therapy failure, and death. This literature review aims to determine the factors that cause multidrug-resistant tuberculosis (MDR-TB). Methods: The method used in this article is a literature review using journal databases from Pubmed and Google Scholar in the 2020-2023 time period with the keywords "drug MDR TB," "multi-drug TB MDR factors," "TB MDR," and " resistant TB medicine" found in 1,990 articles, 304 from Pubmed, and 1,960 from Google Scholar). Articles were selected according to the criteria, and the result was 20 articles ready to be reviewed Results: The results of this study show that risk factors have been proven to show that there is a significant relationship between history of diabetes mellitus, history of TB treatment, patient motivation, adherence to taking medication, duration of TB treatment, status of drug side effects, employment, marital status, economic level, history of contact with patients. MDR TB, stress level, and family support are related to the incidence of MDR TB Conclusion: The conclusion of the 20 articles reviewed shows that age, gender, compliance with taking medication, diabetes mellitus, and a history of contact with MDR TB patients are the factors that most influence the occurrence of MDR TB
Complementary Honey Therapy To Reduce The Frequency Of Diarrhea In Toddlers: Literature Review
Authors: Puspita Uci Nurhayati , Muhith Abdul , Zahro Chilyatiz
Published: March 2024

Background: Diarrhea is a major health problem in children that still occurs frequently and even has the potential to become an outbreak (extraordinary event), which is often accompanied by death due to the release of fluid from the body caused by bacteria and causing dehydration in children. This literature review aims to determine the effect of honey complementary therapy on reducing the frequency of diarrhea in toddlers. Methods: The method used in this article is a literature review using journal databases from Google Scholar, Pubmed, and Science Direct in the 2020-2023 period with the keywords "Diarrhea," "Honey Therapy," and "Children," resulting in 1,637 articles. Results: Articles were selected according to the criteria, and the result was 15 articles ready to be reviewed. Providing complementary therapy with honey influences the frequency of diarrhea in children by giving it 3x5ml per day as long as the child has diarrhea until the frequency of diarrhea decreases. Conclusion: This literature review shows that giving complementary honey therapy to children can reduce the frequency of diarrhea by inhibiting the growth and development of bacteria in the digestive system, helping to replace lost body fluids
Foot Reflexology And Back Massage Reduce Fatigue Levels In Chronic Kidney Disease: Literature Review
Authors: Mampesi Anastasia , Muhith Abdul , Zahro Chilyatiz
Published: March 2024

Background: Chronic Kidney Disease(CKD) is a disease that disrupts kidney function and cannot be recovered. The body's inability to maintain metabolism and fluid and electrolyte balance results in an increase in urea Tnon-pharmacological therapy that can be used for patients with Chronic Kidney Disease(CKD)To reduce fatigue, namely foot reflexology and back massage. To find out the implementation of foot reflexology and back massage to overcome the nursing problem of fatigue related to physiological conditions in patients with Kidney Disease(CKD) Methods: Writing this scientific paper uses the research method used in this research, namely, a literature review with the type of study to be identified, namely, a case report. Results: Research was conducted on patients diagnosed with Kidney Disease(CKD). The results of the study showed that the intervention of Foor Reflexology and Back Massage techniques was carried out for two days twice a day; on the first day before the intervention, the fatigue level score was 33 (Severe Fatigue), and after the intervention, the fatigue level score was 14 (Mild Fatigue). ) The second day before the intervention, a fatigue level score 24 (Moderate Fatigue) was obtained. After the intervention, a fatigue level score of 13 (mild fatigue) was obtained. Conclusion: This research shows that foot reflexology and back massage therapy can reduce fatigue in chronic Kidney Disease(CKD) patients.
Reflexology On Blood Sugar Levels In Patients With Diabetes Mellitus: Literature Review
Authors: Wiratama Rahardyan Dika , Muhith Abdul , Zahro Chilyatiz
Published: March 2024

Background: Diabetes mellitus is a disease that often causes chronic complications if not handled properly and is characterized by an increase in blood sugar levels. This literature review aims to determine the effect of reflexology on blood sugar levels in patients with diabetes mellitus. Methods: The method used in this article is a literature review using a journal database from Science Direct and Google Scholar from 2020 to 2023 with the keywords "Reflexology" or "Reflexology," "Blood glucose" or "Blood sugar levels," and "Diabetes Mellitus" Results: obtained results of 1,070 articles. Articles were selected according to the criteria, and ten articles were ready to be reviewed.  Reflexology affects lowering blood sugar levels in people with diabetes mellitus by doing it regularly for 20-30 minutes 12 times. Conclusion: Doing a physical activity, one of which is applying Reflexology 12 times in 3 sessions for four weeks, can control blood sugar levels
The Medicine Boxes on Compliance with Taking Anti-Tuberculosis Medication in Tuberculosis Patients: Case Study
Authors: Setiyowati Eppy , Marliana Lya , Dewi Arie Kusumo , Listari Risti Puji
Published: March 2024

Background: Tuberculosis (TB) is a chronic, infectious disease that is still a health problem in society, including Indonesia. India is still the second country contributing to the highest incidence of TB in the world after India. The aim research was to present an analysis of the successes and challenges in implementing the medicine box implementation strategy to increase TB patient compliance with  ANTI-TUBERCULOSIS MEDICATION treatment.
Methods: The method used is descriptive with a case study approach through parenting with the problem of maintaining medication non-adherence in Tuberculosis patients. Data was collected using interview methods, direct observation, and medical records.
Results: The results of using the medicine box for three days on Mr It was found that there was a gradual increase in compliance with taking medication after using it. Applying this medicine box is practical in increasing compliance with taking medication experienced by Tuberculosis patients
Conclusion: Therefore, nurses are expected to be able to teach how to use the medicine box according to standard operating procedures (SOP) so that patients and their families can practice again at home
The Health Education Concerning the Influence Of Knowledge And Attitudes On The “Concise, Neat, Clean, Careful, Diligent” Work Culture Behavior Of Employees
Authors: Rachmawaty Ikke Winar , Wardani Ratna
Published: March 2024

Background: Training and socialization on Occupational Health and Safety (OHS) throughout 2022 have been carried out to achieve ISO. From the audit results in 2023, it has been found, among others, that the application of “Concise, neat, clean, careful, and diligent” needs to be developed further. The purpose of this activity is to provide Dinas Kesehatan Kabupaten Kediri Kediri employees with knowledge about “Concise, Neat, Clean, Careful, Diligent”.
Methods: Participants in this activity were Dinas Kesehatan Kabupaten Kediri employees, and the methods used were lectures, discussions, and questions and answers. The data collection technique used was a questionnaire.
Results: The results of the pre-test and post-test showed that only a small proportion had good knowledge (37%), positive attitudes towards the “Concise, Neat, Clean, Careful, Diligent” (30%), and good “Concise, Neat, Clean, Careful, Diligent” behaviour (33%). It was found that a p-value of 0.001 <0.05 indicated that there was a significant influence between “Concise, Neat, Clean, Careful, Diligent” knowledge and “Concise, Neat, Clean, Careful, Diligent” behaviour and a p-value of 0.010 <0.05 indicated that there was a significant influence between the “Concise, Neat, Clean, Careful, Diligent” attitudes and “Concise, Neat, Clean, Careful, Diligent” behavior of Dinas Kesehatan Kabupaten Kediri employees.
Conclusion: This community service activity went smoothly, thanks to the extraordinary enthusiasm of the employees in following all the planned activities. This activity positively impacted and refreshed information about the “Concise, Neat, Clean, Careful, Diligent” Work Culture, contributing to increased knowledge, especially for employees. In addition, this service effort also received support and appreciation from the Dinas Kesehatan Kabupaten Kediri office
The Health Education Regarding Basic Life Support (BLS) According To AHA 2020 On The Level Of Knowledge And Skills Of Health Personnel
Authors: Kamesyworo Kamesyworo , Haryanti Eka
Published: March 2024

Background: An emergency is a condition or situation in which there is a threat of danger or where the negative impact of that danger has occurred, which results in further damage. These emergencies and emergencies require quick action outside of daily activities using different special methods and procedures. This research aims to determine the influence of health education regarding basic life support according to the AHA 2020 on the level of knowledge and skills of health workers at the Pagar Agung Lahat Community Health Center in 2023.
Methods: The research method used was quasi-experimental with a one-group pretest-posttest design. The total sample was 25 health workers. Based on statistical output results paired with Sample Delivery of results from the pretest and posttest, this shows an increase in the knowledge of Health Officers at the Pagar Agung Lahat Community Health Center.
Results: The T-test results are valuable p=,000 (<.0.5), so it can also be concluded that health education influences basic life support, according to AHA 2020. Meanwhile, for skills before the intervention, data on skilled Health employees was 8%, whereas after the intervention was given, there was an increase, which is quite significant at 80% for the skilled. Based on test Paired Sample T-test From the p-value = 0.000 (<0.5), it can also be concluded that there is an influence of health education regarding basic life support, according to AHA 2020 on the skills of Health Workers at the Pagar Agung Lahat Community Health Center in 2023.
Conclusion: there is an influence health education to level knowledge and skills on health workers at the Pagar Community Health Center Great Everything
Forgotten Voices: The Onerous Role of School Health Nurses Residential Schools of India- A View Point
Authors: Dhakshayani T. Dhakshayani
Published: March 2024

Background: School health nursing is a specialized practice that addresses students' well-being. Apart from routine health screening, immunization, and health education, the role of school health nurses is expanding to deal with public health crises. remains a challenging concept to practice school health nursing. This article reflects on the challenges of school health nurses and methods to overcome these challenges at different levels- Individual, Professional, Organizational, and Policymaking Methods: Continuing professional education is the best way to manage school health nursing challenges. Upgradation of knowledge and skills can offer new career opportunities. The following are the methods to overcome the challenges discussed above. Results: Discrepancies in guidelines and protocols and lack of written standing orders for school health practice reflect inconsistent and incompatible expectations and demands at work. Information deficits concerning which tasks and responsibilities individuals should undertake have been shown to result in work stress. Policies and protocols exist but not in reality. Policies, protocols, annual performance appraisal records, and training schedules exist for school health nurses but not in reality and practice Conclusion: In residential schools, the school nurse is often the only healthcare professional to meet the students and staff's routine and emergency needs. The work of school nurses is essential in supporting children to have a whole, active, and healthy school life. With such an important role, adequate school nurses must be recruited and provided with the necessary power and infrastructure to ensure their positive contribution to student’s health
The Creative Game Tools and Mother's Motivation to Know Educational for Children Aged 1-3 Years
Authors: Arso Wibowo Dodik , Nurhayati Enur
Published: March 2024

Background: A mother's motivation to know about educational and creative game tools has an important role in optimal child growth and development according to age level so that it can be fulfilled properly. Educational and creative game tools are game tools that can optimise children's development according to their age and level of development. Examples of educational and creative games for children aged 1-3 years are drums, balls with sleighs inside, household items that do not break easily (plastic cups, spoons, plastic bottles, buckets, etc.), large blocks, cardboard, picture books, coloured pencils, plasticine, simple puzzles. The research aims to determine mothers' motivation to learn about educational and creative games for children aged 1-3 years in Tanjungsari Village, Sukorejo District, Blitar City.
Methods: Research design using descriptive, Population 500, sample 50 respondents, using purposive sampling technique, research instrument using questionnaires; this research was carried out on March 20, 2023 - April 15, 2023, with the mother's motivation variable to know educational and creative game tools for children aged 1-3 year. Data were analysed using percentages and interpreted quantitatively.
Results: The results of research from 50 respondents showed that all respondents had strong motivation (100%) because the majority of mothers had received information about educational and creative game tools. Mothers' motivation to find out about educational and creative game tools for children aged 1-3 years is influenced by several factors, namely age, education, occupation, whether they have received information, and where the information was obtained
Conclusion: It is hoped that respondents will be able to maintain and motivate other mothers to seek more information to broaden their knowledge so that they are more motivated to know about the benefits and uses of educational and creative play equipment for children aged 1-3 years.
Emotional Self-Awareness and Quarter Life Crisis in Final Year of Undergraduate Nursing Students
Authors: Rachmania Diana , Zakiyyatul Fuadah Dina
Published: March 2024

Background: A quarter-life crisis is when individuals experience an emotional crisis with negative feelings toward the future. Many responsibilities and demands on fourth-year students affect their psychology. A person with good self-awareness makes it easier to control emotions, read the surrounding situation, not be easily affected, and focus on himself. This study aims to analyse the relationship between self-awareness and quarter-life crisis in the final years of undergraduate nursing students.
Methods: This research design is correlational with a cross-sectional approach. The sample in this study was 87 people, which was the whole population (Total Sampling). The research instrument used a self-awareness questionnaire and a quarter-life crisis questionnaire—data analysis using the Spearman Rank.
Results: The study results showed that most respondents (55.2%) had sufficient emotional self-awareness, and most (52%) experienced a moderate quarter-life crisis. Analysis using the Spearman Rank test obtained a p-value of 0.018 with an error level of α = 0.05, meaning that there is a relationship between emotional self-awareness and quarter-life crisis with a strong category strength (r = -0.54)
Conclusion: Some factors affect self-awareness, namely thoughts, feelings, knowledge behaviour, environment, and quarter-life crisis internal factors such as identity exploration, expectations, and religion, while external factors such as romantic relationships, work, family, and friends. Self-introspection strategies can increase self-awareness. Dealing with a crisis is not comparing yourself with others, communicating with parents, or finding professionals if the problem is getting complicated
The Effectiveness Of A Nutritional Education-Based Module For Pregnant Women In Preventing Stunting
Authors: Yanti Sriwiyanti , Nazarena Yunita , Meilina Ayu
Published: March 2024

Background: Maternal intake, especially during pregnancy, is one factor that plays an important role. Improvement of nutrition and health of pregnant women is closely related to the level of education, knowledge, and attitudes in meeting nutritional needs during pregnancy.
Explain the Effectiveness of the Module for Pregnant Women based on Nutrition education, Nutritional Status, Knowledge, and attitudes of Pregnant Women in efforts to prevent stunting.
Methods: The research design is pre-experimental with one group pre-test and post-test. They are held at one of the Puskesmas in Palembang from June to September 2023. Sampel is pregnant women with inclusion criteria, measuring nutritional status, knowledge, and attitudes of pregnant women before and after intervention with the Pregnant Women Module. Probability sampling variables and research variables of knowledge level, attitude, and nutritional status. The instruments used are questionnaires, and data are analysed with t-test statistics.
Results: Based on the T-test, there was a significant influence on respondents' level of knowledge and attitudes after being given treatment.
The t-test (2-tail) result > 0.05 showed no significant difference between initial and late nutritional status based on HB measurements. This showed no significant effect of treatment with the module of pregnant women on nutritional status. While nutritional status is based on LILA measurements, The T-test results have a significance value (2-tail) < 0.05. This shows that there is a significant effect of intervention on nutritional status after being given treatment
Conclusion: The nutrition education-based module for pregnant women has a significant effect on the level of knowledge and attitudes of respondents. There was an increase in knowledge, attitudes, and nutritional status of respondents after nutrition education. It is hoped that pregnant women, after nutrition education, can understand more about Balanced Nutrition and stunting prevention during pregnancy and after childbirth. They are processing the daily food menu with healthy and nutritious food ingredients so that chronic lack of energy and anaemia do not occur during pregnancy.
Risk Factors Of Stroke: Literature Review
Authors: Oliveira Adirson Barbosa de , Muhith Abdul , Zahro Chilyatiz
Published: March 2024

Background: Stroke is the most common cause of disease in the world and is the highest cause of death in Indonesia, so prevention is very important to minimise the incidence of stroke. The most appropriate effort to prevent stroke is to control stroke risk factors. The purpose of the literature review is to analyse the risk factors associated with stroke events in patients.
Methods: The method used is a literature review using a journal database from Pubmed, Science Direct, and Google Scholar. In the 2019-2023 range, with the keywords "stroke, factors causing stroke", and stroke, 220 articles were obtained
Results: Search for articles according to the criteria and obtain ten articles that are ready to be reviewed. These articles explain the risk factors for stroke. It is hoped that stroke patients will try to control stroke risk factors
Conclusion: This literature review shows that the risk factors for stroke are increasing due to a history of diseases such as hypertension, diabetes mellitus, age, gender, high cholesterol, obesity, lack of public knowledge about stroke and consumption of alcohol, smoking and drugs, including a lifestyle
Basic Life Support Training Method in Undergraduate Nursing Students: a Comparative Research
Authors: Dian Ika Puspitasari  , Huzaimah Nailiy
Published: March 2024

Background: Basic life support (BLS) is one of the skills in Emergency Nursing that is a mandatory achievement for undergraduate nursing students. During the past COVID-19 pandemic, the training method changed to an online learning system. This study aimed to determine differences in increasing students' knowledge and skills in carrying out BHD procedures according to the American Heart Association (AHA) 2020 guidelines
Methods: This research was a quantitative-experimental pre and post-test design. The population in this study were undergraduate nursing students at the Faculty of Health Sciences, Wiraraja University, in July 2021. Sampling used a simple random sampling technique (n=74), then divided randomly into two groups, the learning group using the offline method (K1; n= 36) and the learning group using the online method (K2; n=38). In this study, the independent variables were BLS knowledge and skill. Data analysis used the Mann-Whitney and Wilcoxon Sign Rank Test because the research data was homogeneous but not normally distributed (α=0.05).
Results: The results of the difference test between the two paired groups were p<α; knowledge K1 (0.000), knowledge K2 (0.001), skill K1 (0.002), skill K2 (0.003).
Conclusion: The research results showed no difference in knowledge and skills in BHD according to the 2020 AHA guidelines between offline and online learning groups using the simulation method
Tempeh Soybean And Banana Cookies Increasing Weight To Wasting Toddler
Authors: Rotua Manuntun , Sihite Nathasa Weisdania
Published: March 2024

Background: Wasting is caused by insufficient nutritional intake or disease in children. This situation results in reduced weight in children so that the child's weight is disproportionate to his height. The impact of wasting on children is a decrease in export power to their environment, increased frequency of crying, less sociability with fellow children, fewer feelings of joy, and a tendency to become apathetic. To overcome the problem of wasting, Indonesia has done various ways, including supplementary feeding. The research aimed to know the effect of giving soybean tempeh cookies and kepok bananas at the Sukarami Health Center in Palembang City on increasing the weight of wasting toddlers. Methods: This type of research is quasi-experimental, using a one-group pretest-postest research design. Research sampling using the Lameshow formula as many as 60 samples. Data analysis using t-dependent test and t-independent test Results: The results showed that the average body weight of the treatment group respondents before the intervention was 9.38 kg, and after the intervention, it was 9.65 kg. The average body weight of the control group before the intervention was 9.95 kg, and after the intervention, it was 10.01 kg. The difference in the average change in body weight of respondents before and after treatment in the treatment group was 0.27kg, and in the control, 0.06 kg. There is an effect of giving soybean tempeh cookies and kepok bananas on increasing the weight of wasting toddlers with a p-value of 0.014. Conclusion: Providing Supplementary Food can be added seller because children like sales from organic ingredients (fruits and vegetables) for a longer time, so the effect can be more visible in increasing the weight of toddler wasting
ALUMNI TRACKING AND INTERACTION PLATFORM
Authors: Ahire Prof.Kunal
Published: March 2024

Alumni connections are important resources that contribute to university evaluation. Even though alumni connections represent networks, they have been mostly evaluated as tabular data (e.g. by providing average salary, employment rate, etc.). This ironically disregards all qualities of a network, from which an alumni network gets its name. It is desirable to evaluate an alumni network as a network, because networks have the potential to provide very insightful information. Evaluation of alumni networks as a network has not been feasible in the past due to data fragmentation (neither universities nor companies willing to share meaningfully significant data in its entirety). Recently the feasibility of such analysis has changed, due to new trends towards democratization of information, accelerated by the Web 2.0 user- generated content phenomenon and crowd-sourcing mentality. Utilizing web-crawlers, we actively harvested data and assembled a dataset on alumni in leadership positions in technology-based industries. Moreover, we included a high proportion of startup companies, which allowed us to evaluate alumni networks with respect to entrepreneurial as well as technology involvement. We show that by analyzing alumni connections as networks, it is possible to uncover new patterns, as well as provide a new way of examining the old. Key Words: alumni system, centralized alumni system, alumni networks
Multiple Disease Prediction System
Authors:   M.Tech, ph.D., Assistant Professor CSE, Anurag University, Raju Dr. G. Prabhakar
Published: March 2024

The field of machine learning, a subset of artificial intelligence, has revolutionized numerous industries by enabling predictive analytics on vast datasets. In healthcare, predictive analytics holds great promise for enhancing patient care by providing insights for informed decision-making. Diseases like Parkinson's, diabetes, and heart conditions pose significant global challenges due to delayed detection, often caused by limited medical resources. Early recognition of these ailments is crucial, as late-stage diagnoses can be challenging to treat effectively. To address this gap, this project utilizes machine learning classification algorithms to predict these diseases. A user-friendly medical test web application has been developed to make these predictions accessible to a broad audience, aiming to facilitate early assessments and improve public health outcomes. Keywords— Disease Prediction, Artificial Intelligence, Machine Learning, Classification Algorithms.
EVENT DRIVEN KUBERNETES AUTOSCALER FOR CLOUD NATIVE APPS
Authors:   Smt. Kashibai Navale Engineering, Pune, Maharashtra, India, Galande Prof. Bhagwati
Published: March 2024

Kubernetes and Docker have emerged to be a key solution for managing and organizing containers in microservice applications. With autoscaling, one of Kubernetes key features that dynamically modifies resources like CPU and memory to fit changing demands, it gives us a strong and efficient way to manage our application. Yet, the conventional autoscaling methods, such as the Horizontal Pod Autoscaler (HPA), often have difficulties on customary metrics, like CPU and memory utilization, which may not be fully suitable with the constant changes in the modern applications. This project aims at solving this problem by suggesting a unique solution which is Event Driven Kubernetes Autoscaler for Cloud Native Apps that is specifically made to work with the scaling needs of the application based on the message queue traffic. The custom scaling algorithm is an important part of the project, which unlike the previous traditional autoscalers who needed predefined metrics and did not provide much flexibility, the custom Metric based Autoscaler allows developers to select their own metrics and scaling parameters, thus providing flexibility and great user experience as they can meet the performance needs of all the applications. Keywords: Kubernetes, Docker, Microservices, Autoscaling, Cloud-Native, Horizontal Pod Autoscaler (HPA)
A Brief Look at Antitumor Effects of Doxycycline in the Treatment of Colorectal Cancer and Combination Therapies
Authors: Budha Miss. More Subodhini , Khan Jaweed , Mujawar Dr. Tarbej
Published: March 2024

One of the worst diseases to affect humans is colorectal cancer (CRC), which is regarded as the second most common cancer worldwide. On the other hand, a number of therapeutic modalities, including as surgery, radiotherapy, chemotherapy, and immunotherapy, are being developed throughout time in response to the difficulties associated with cancer treatment. Research demonstrated that, as compared to monotherapy, combination treatments have produced somewhat positive clinical results in terms of slowing the growth of the tumour and improving patient survival. Doxycycline, an antibiotic, is one of the substances and medications that can be used in chemotherapy and has been shown to be effective in treating a number of cancers, including colorectal cancer. Doxycycline has been shown to have anti-tumor qualities and to be able to suppress anti-apoptotic and angiogenic proteins, among other methods, to assist regulate the growth of tumours. Furthermore, research has demonstrated the ability to impede the growth of tumours when doxycycline is used in combination with other anti-tumor medications such doxorubicin, anti- angiogenic agents, and anti-checkpoint blockers. Thus, the anti-tumor mechanisms of doxycycline in the treatment of colorectal cancer and associated combination therapies were summed up in this review.
ENHANCEMENT OF SUB GRADE SOIL BY USING FLYASH AND LIME
Authors: Mahitha G , Nithisha M , Sai K Taruni , Teja G Pavan
Published: March 2024

Abstract -In India 15% of land is covered by Black Cotton Soil. The presence of montmorillonite clay mineral in the Expansive soil causes Swelling and shrinking properties which leads to major problems in Construction sites. This can be resolved by using soil stabilization techniques which enhances the engineering properties of soil. The soil stabilization is most important for the construction which is widely used in pavements or any other structures on expansive soil. Utilization of industrial waste materials in the improvement of soils is cost-efficient and eco-friendly method. In the present study an experimental investigation is taken to know the Geotechnical Characteristics of Expansive Soil with the Combination of FLYASH and LIME. In this study soil is mixed with the different proportions of (10%,20%,30% & 40%) FLYASH and (2.5%,5%,7.5%,10%,12.5% & 15%) LIME. The strength gained by soil is investigated by conducting California bearing ratio test & it is also calculated to reduce the thickness of the layer. The maximum dry density increased from 1.38g/cc to 1.54g/cc. The CBR un soaked test value enhances from 1.01% to 6.49% respectively Key Words: Black Cotton Soil, Fly ash, Lime, Compaction, maximum dry density, CBR
Investigation of Current Practices and Challenges of Stakeholder Management Process in Construction Projects
Authors:   1 Student, Construction Management, KCT, Coimbatore, Tamil Nadu, India., Charan V. , Vaardini Sindhu ,   2 Assistant Professor, Construction Management, KCT, Coimbatore, Tamil Nadu, India.
Published: March 2024

In the construction industry, stakeholder management is essential for project success because it entailslocating, evaluating, and proactively interactingwith people or organizations that have the potential to have a substantial impact on project. Due to the involvement of multiple parties, including clients, contractors, subcontractors, regulatory bodies, local communities, and environmental organizations, the construction business is intrinsically complicated. Achieving project objectives, minimizing conflicts, and addressing a variety of interests all depend on effective stakeholder management. In this research, the various challenges faced by the stakeholders are identified. Alongside, the current practices followed by the stakeholders in the construction projects are explored. Based on that, the factors affecting stakeholders’ management on project performance are investigated. This research aims at identifying the most critical factors affecting the stakeholder’s performance across project success through a conceptual framework. This paper explains the direct impact made in project cycle due to stakeholder performance and major problems faced by the construction industries due to improper allocation of stakeholders. A review of earlier stakeholder management research is conducted to accomplish this goal. Keywords: Construction, stakeholders, performance, framework
Survey on Stock Price Forecasting
Authors: Jadhav Bhavitavya , Kakade Shivraje , Kohakade Shrushti , Bodke Shreya , Prachi Pise Prof.
Published: March 2024

This research project delves into the challenging domain of stock price prediction by harnessing the capabilities of neural networks. In an ever-evolving financial landscape, the project seeks to develop a robust model that can analyze historical stock data, identifying intricate patterns and trends to inform future price movements. Through the convergence of data science and financial analysis, this endeavor aims to provide investors with valuable insights, aiding them in navigating the complexities of the stock market. Employing machine learning algorithms, particularly neural networks, the model scrutinizes extensive sets of historical stock data, considering factors such as past price trends, trading volumes, and relevant financial indicators. Techniques such as regression, time-series analysis, and neural networks are leveraged to unveil complex relationships within the data, enhancing the model's predictive capabilities. The model undergoes meticulous training on historical data to glean insights from past market behaviors. Subsequently, it undergoes rigorous testing on unseen data to evaluate its predictive accuracy. Continuous refinement and optimization strategies are implemented to ensure the model's adaptability to the ever-changing dynamics of the market. Ultimately, this project aspires to furnish investors with a powerful tool for making informed decisions in the face of the unpredictable nature of financial markets. By integrating the precision of neural networks with the intricacies of stock market analysis, the research aims to contribute to the advancement of stock price forecasting methodologies.
Industrial Specification on Lean Manufacturing Competencies of Manufacturing Unit
Authors: Saroya Manish
Published: March 2024

One of the most significant industries in India is the manufacturing sector. The introduction of several industries like textile producer, papermaking, automotive parts manufacturing, health and safety, electronics manufacturing, pet food and supplies and industrial repair etc., has made the global market more competitive recently, and businesses are finding it difficult to improve their product lines and, consequently, their clientele. Industry competition is a significant concern. One essential method for raising industry competitiveness is competency development. It thoroughly examines the differing significance of manufacturing competencies and the forces behind industrial competitiveness based on the overall performance of a company. Therefore, one can examine the manufacturing competences of the automobile industry to gauge the overall competitiveness of the automobile manufacturing sector. This study highlights the significance of certain manufacturing competency elements on industrial competitiveness. The significance of manufacturing skills is growing daily in the tractor manufacturing business, and this study offers numerous variables of manufacturing competencies affecting industrial competitiveness. Keywords- Competitive, Competitiveness, Aggregate, Competency, Explores, Significance.
Advanced Surveillance System with Encrypted Alerts and Privacy Enhancement
Authors: Kumar H S Ranjan , Nab Nisarga , M R Paavani , R Paul Thashik , S P Varun , M Dileep
Published: March 2024

The proposed project "Advanced Surveillance System with Encrypted Alerts and Privacy Enhancement" addresses the critical need to increase public safety through a sophisticated security surveillance system. This multi-faceted system integrates core functions including real-time object detection, encrypted image capture, secure email alerts and comprehensive security measures. Different algorithms are used for face detection, which allows the system to continuously evolve and improve its object detection capabilities and adapt to real-world scenarios. The primary goal is to identify specific objects in public spaces and thus contribute to safer communities. The project further prioritizes the protection of captured and transmitted data, implementing strict security measures to protect against attempts to hack email accounts and decrypt images. This project represents a significant leap forward in security and surveillance, offering a versatile and adaptable solution designed to effectively address evolving public safety challenges.. Keywords — Encryption, Decryption, Cryptography, Object Detection, RNS, Machine learning algorithms.