bluuebunny/crossref_metadata_2025 huggingface dataset:
Blue Urbanism
Authors: Yong Gabriel Yit Vui , Hassan Noor Hasharina
Published: March 2024

Coastal cities are most at risk to rising sea levels and increased precipitation. This is however the Climate Change Scenario forecasted for the humid tropical region in the IPCC’s Sixth Assessment report. As standard engineering (grey) solutions are prohibitive in many developing countries due to financial and technical limitations, this paper proposes an adaptive blue approach. It shares insights from Brunei, where the old capital was a city built over water. It also presents findings from a preliminary survey to gauge the public’s views on a set of blue urbanism proposals. The study found positive support for the proposals in general. In particular, there was strong support for: (i) incorporating ‘green’ features into the urban complex; (ii) more public spaces where people could learn about their cultural heritage; and (iii) participation in the life and management of the city. There is however (iv) less enthusiastic response to blue features. The paper discusses viability of the blue urbanism approach vis-à-vis cultural and contextual changes. The insights presented could be useful to other coastal cities in the region.
Pedestrian Priorities
Authors: Rashid Quraishia , Zhang Andi , Mohd Nor Marina
Published: March 2024

This article explores the contemporary shift in urban studies towards prioritizing walkable neighborhoods amidst growing concerns about urban sprawl and its environmental impacts. Focusing on Persiaran Bestari in Shah Alam, Malaysia, the research aims to address the lack of pedestrian-friendly infrastructure and the consequent reliance on vehicular transport in residential areas. This research utilizes a mixed-method approach incorporating quantitative and qualitative methodologies, combining space syntax analysis and behavioral mapping to examine pedestrian movement within the study area. The data collection involves gathering pedestrian infrastructure data through field surveys and pedestrian volume surveys. As the result, behavioral mapping observations revealed varying pedestrian activity levels along different road corridors, with significant pedestrian traffic concentrated around residential zones. Utilizing space syntax analysis, the research detected that Persiaran Bestari and Permai experienced the highest levels of social and commercial activity, indicating higher resident density in these areas. This research highlights the correlation between pedestrian comfort and safety and the availability of pedestrian infrastructure. It reveals that inadequate infrastructure leads to poor walkability, prompting pedestrians to favor safer routes, such as neighborhood or local roads with reduced and slower vehicle traffic.
Assessment of the vascular structure of the liver in viral hepatitis by contrast-enhanced ultrasound
Authors: Bueverov Аlexey O. , Borsukov Аlexey V. , Tikhankova Anna V.
Published: March 2024

Aim. To determine the diagnostic and prognostic value of contrast-enhanced ultrasound (CEUS) in assessment of the vascular structure of the liver in patients with chronic viral hepatitis.
Materials and methods. Based on Clinical hospital №1 in Smolensk from 2018 to 2019 120 people with chronic viral hepatitis and 35 people with unchanged liver parenchyma as a control group were included in the study. All patients were examined by CEUS with 1,0 ml of contrast agent with subsequent evaluation of qualitative and quantitative parameters.
Results. In statistical data processing it was found that the differences in quantitative parameters in the proximal and distal areas, contrast agent transit time from the arterial vascular bed to the venous one, as well as changes in the quality parameters have the most predictive value in the diagnosis of liver parenchyma lesion.
Conclusion. CEUS is a non-invasive method for early diagnosis of changes in the vascular structure of the liver, including viral hepatitis, allowing to estimate the degree of parenchyma damage and on this basis to predict the further course of the disease in the format of a complex clinical-laboratory study.
The value of increased intestinal permeability in the pathogenesis of internal diseases
Authors: Parfenov Asfold I.
Published: March 2024

In the process of evolution in the gastrointestinal tract, a system of protection against bacterial and food antigens from getting into the blood was formed. The causes of increased intestinal permeability (IIP) can be microbiota imbalance, use of antibiotics, non-steroidal anti-inflammatory drugs, stress, diet rich in fructose, glucose, sucrose and long-chain fatty acids. The appearance of IIP may be of paramount importance in the pathogenesis of autoimmune diseases. A diet low in fermentable oligodimonosaccharides and polyols, pre- and probiotics, polyphenols, vitamins, short-chain fatty acids, dietary fiber, glutamine contributes to the reduction of IIP. It has been established that the cytoprotector rebamipide strengthens the barrier function throughout the gastrointestinal tract, which is reflected in practical recommendations for its use in diseases accompanied by IIP. The study of this direction will contribute to the emergence of a new strategy for the treatment of internal diseases.
The role of computed tomographic sarcometry data using machine learning technologies in predicting postoperative outcomes in patients with gastric cancer
Authors: Kukarskaia Valeriia A. , Agababyan Tatev A.
Published: March 2024

Background. Sarcopenia is a negative prognostic factor in cancer patients. This is important in patients at high risk of developing nutritional deficiency. Determination of the skeletal muscle index (SMI) with the help of computed tomography (CT) the method of choice to is diagnostics of sarcopenia. However, the clinical use of CT is limited by the increased time required to manually measure muscle mass from CT-images.
Aim. To improve the use of CT sarcometry at the preoperative stage of combined treatment in patients with gastric cancer to stratify the risk of postoperative complications using the developed software assistant.
Materials and methods. At the first stage, a “dataset” was created. It contained 207 CT images. It was used to train a muscle tissue segmentation model. The Dice’s similarity coefficient was achieved at a value of 0.91 on a small training set. At the second stage of the study analyzed the incidence of sarcopenia in the examined patients before neoadjuvant chemotherapy and immediately before gastrectomy; 41 (63%) of 65 patients had sarcopenia in the study group and in 50 (77%) patients after neoadjuvant chemotherapy. Postoperative complications were diagnosed in 12 (19%) of 65 patients. There was no correlation between the frequency of their occurrence and the muscular status of patients (p=0.392), however severe complications (≥IIIb according to the Clavien–Dindo classification) were detected only in the group of patients with sarcopenia (p0.001).
Results. As a result, preoperative sarcopenia is a negative factor in the development of severe postoperative complications in patients with gastric cancer who have undergone gastrectomy. The introduction of deep learning technologie to clinical practice can facilitate the assessment of muscle tissue parameters in patients with cancer.
Selective Adsorption of Cationic and Anionic Dyes using Ni/Al Layered DoubleHydroxide Modified withEucheuma cottonii
Authors: Wibiyan Sahrul , Royani Idha , Lesbani Aldes
Published: March 2024

This study investigates the selective adsorption capabilities of Ni/Al Layered Double Hydroxide (LDH) modified withEucheumacottoniifor the removal of cationic and anionic dyes from aqueous solutions. The primary objective was to evaluate the efficiencyand selectivity of these modified adsorbents towards different dyes, including rhodamine-b, malachite green, methylene blue(cationic dyes), and direct yellow, methyl orange, direct green (anionic dyes). The modification process aimed to enhancethe adsorption properties of LDHs, leveraging the natural adsorption capabilities ofEucheuma cottonii. Experimental resultsdemonstrated significant differences in adsorption percentages among the tested dyes, with malachite green showing thehighest adsorption efficiency among cationic dyes, indicating a strong affinity of the modified adsorbents towards cationic dyes.However, the ability to also adsorb anionic dyes suggests the dual-functionality of the modified LDHs, making them versatileagents for dye removal in water treatment applications.
A Comparative Analysis of Compressive and Flexural Strength in Concrete with Partial Cement Replacement using Waste Glass Powder
Authors: Safi Hedayat Ullah , Behsoodi Mohammad Mukhlis , Sharifi Mohammad Naseer
Published: March 2024

This experimental inquiry delves into the evaluation of compressive and flexural strengths in concrete through the utilization of waste glass powder as a partial substitute for cement. Compressive strength is a key metric, indicating the concrete’s ability to effectively support structural axial loads, while flexural strength signifies its capacity to withstand deformation under bending, specifically the maximum tensile stress it can endure without fracturing when subjected to a bending moment. Certain pozzolanic materials have demonstrated the ability to enhance the mechanical strength of concrete when used as a cement replacement, and waste glass powder is among them. To address this, the experimental investigation included the substitution of cement with glass powder at different proportions (0%, 10%, 15%, 17.5%, and 20%) in both cubic and prismatic samples. Compressive strength and flexural strength tests were made following the curing of the samples for 7, 14, and 28 days. The findings indicated that the 17.5% cement replacement level exhibited a 6.07% over-strength for compressive strength and a 6.85% over-strength for flexural strength on the 28th day. However, the 15% replacement showed superior strength compared to a 10% replacement, and the 10% replacement was stronger than a 0% cement replacement. Notably, the 20% cement replacement displayed negative over-strength percentages, specifically -2.42% in compressive strength and -1.42% in flexural strength on the 28th day. This deviation raises concerns about its suitability for use in concrete applications, signifying that a 20% replacement may not be recommended.
Synthesis and Characterization of Ni/Al Layered Double Hydroxides Composite Based-Material with Chitosan, Cellulose, and Graphene Oxide
Authors: Amri Amri , Zahara Zaqiya Artha , Siregar Patimah Mega Syah Bahar Nur , Zulkarnain Zulkarnain , Wijaya Alfan
Published: March 2024

In this study, the synthesis of composite materials produced from Ni/Al with three types of carbon-based materials namely chitosan (Ch), cellulose (Ce), and graphene oxide (GO) was successfully carried out supported by X-ray diffraction (XRD), Fourier Transform Infrared Spectroscopy (FT-IR), and Brunauer-Emmett-Teller (BET) analysis. The combined characteristics of the two starting materials are present in the composite material based on XRD and FT-IR data. The surface area of Ni/Al-LDH increased after compositing with Ch, Ce, and GO, from 3.3 m2/g to 9.5 m2/g in Ni/Al-Ch, 5.1 m2/g in Ni/Al-Ce, and 78.4 m2/g in Ni/Al-GO. These findings indicate that the materials are suitable for various applications such as photocatalytic and adsorption as effective materials in further research.
Aplikasi Pemberian Kolostrum terhadap Percepatan Pelepasan Tali Pusat
Authors: Kandari Nahira , Wardani Hasbiah
Published: March 2024

Background: Colostrum is breast milk for postpartum mothers which is released at the beginning of labor until the 3rd day after the baby is born. It is very important to be given in the first life of the baby because it contains immune substances, especially immunoglobulin (IgA) which can protect babies from infectious diseases. Giving colostrum by applying to the umbilical cord care. Purpose: To determine the effect of the application of colossal distribution on the acceleration of the release of the umbilical cord at the Bara-Baraya Makassar Health Center.Methods: This study used a quasy experimental method with a posttest only control design. The total population in this study were all newborn babies at the Bara-Baraya Makassar Health Center from August to October 2020 as many as 32 babies. Based on these data, the samples in this study were 30 newborns according to the inclusion criteria.Results: Research conducted at the Bara-Baraya Makassar Health Center in 2020 found that from 30 respondents, the average time to release the umbilical cord using colostrum was 5 days. Whereas in the Dry Open group the average time to release the umbilical cord was 6.40 days. The results of the analysis using the Mann Whitney Statistical Test showed the results (ρ-value 0.001). Conclusion: Colostrum administration accelerates the release of the umbilical cord in newborns. It is important to be implemented in the care of newborns and to educate mothers who give birth.Latar Belakang: Kolostrum merupakan ASI ibu postpartum yang dikeluarkan pada awal persalinan sampai dengan hari ke-3 setelah bayi lahir. Ia sangat penting untuk diberikan pada kehidupan pertama bayi karena mengandung zat kekebalan terutama Immunoglobulin (IgA) yang dapat melindungi bayi dari penyakit-penakit infeksi. Pemberian kolostrum dengan mengoleskan pada perawatan tali pusat. Tujuan: Untuk mengetahui pengaruh aplikasi pemberian kolosrtum terhadap percepatan pelepasan tali pusat di Puskesmas Bara-Baraya Makassar.Metode: Penelitian ini menggunakan metode quasy eksperimen dengan rancangan posttest only control design. Jumlah populasi dalam penelitian ini adalah semua bayi baru lahir di Puskesmas Bara-Baraya Makassar mulai Agustus-Oktober 2020 sebanyak 32 Bayi. Berdasarkan data tersebut yang menjadi sampel dalam penelitian ini adalah sebanyak 30 Bayi Baru Lahir yang sesuai dengan kriteria Inklusi. Hasil: Penelitian yang di lakukan di Puskesmas Bara-Baraya Makassar Tahun 2020 didapati dari 30 Responden,  rata – rata waktu pelepasan tali pusat dengan menggunakan Kolostrum adalah 5 hari. Sedangkan pada kelompok kering terbuka rata-rata waktu pelepasan tali pusat adalah 6,40 hari. Hasil Analisis dengan Uji  Statistik Mann Whitney  didapatkan hasil (ρ-value 0,001). Simpulan:  Pemberian kolostrum mempercepat pelepasan tali pusat pada bayi baru lahir. Ia penting diimplementasikan dalam asuhan perawatan bayi baru lahir dan melakukan edukasi kepada ibu bersalin
Motivasi Suami dan Paritas Mempengaruhi Kecemasan Ibu Hamil Menjelang Persalinan
Authors: Dinopawe Asriaty , Makatita Bazrul , Alerbitu Kharisma Lestina
Published: March 2024

Background: Anxiety before delivery can cause the birth process to take a long time and bleeding occurs. Maternal anxiety is influenced by family support in this case husband and parents. Primarily pregnant women who get support from their families can reduce anxiety. Purpose: To determine the effect of the husband's motivation and parity on the anxiety of pregnant women before delivery. Methods: This study used a cross-sectional study design. The population and sample in this study were 32 pregnant women using the total sampling technique. The tool used for data collection is a questionnaire consisting of questions related to motivation, parity, and anxiety. Data analysis using univariate and bivariate with Fisher exact test. Results: The results showed that there was an influence between motivation and parity on anxiety before delivery (p = 0.001). Conclusion: Husband's motivation reduces anxiety in pregnant women before delivery and multiparous women have less anxiety than primiparous women. The role of the husband in motivating and providing strengthening for maternity mothers needs to be increased by pregnant women before delivery, especially for primiparous mothers, so that maternal anxiety can be minimized and childbirth can be normal without complications.AbstrakLatar Belakang: Kecemasan menjelang persalinan dapat menyebabkan proses kelahiran bayi berlangsung lama dan terjadi perdarahan. Kecemasan ibu bersalin dipengaruhi oleh dukungan keluarga dalam hal ini suami dan orang tua. Ibu hamil primi yang mendapatkan dukungan dari keluarga dapat mengurangi kecemasan. Tujuan: Mengetahui pengaruh motivasi suami dan paritas terhadap kecemasan ibu hamil menjelang persalinan. Metode: Studi ini menggunakan rancangan studi cross sectional. Populasi dan sampel dalam penelitian ini adalah ibu hamil yang berjumlah 32 orang dengan menggunakan teknik total sampling. Alat yang digunakan untuk pengumpulan data adalah kuesioner yang terdiri dari pertanyaan-pertanyaan terkait motivasi, paritas dan kecemasan. Analisis data menggunakan  univariat dan bivariat dengan fisher ecaxt test. Hasil: Hasil penelitian diperoleh ada pengaruh antara motivasi dan paritas terhadap kecemasan menjelang persalinan (p= 0,001). Simpulan: Motivasi suami mengurangi kecemasan pada ibu hamil menjelang persalinan dan ibu multipara memiliki kecemasan yang kurang dibandingkan ibu primipara. The husband's role in motivating and providing strengthening for mothers facing childbirth needs to be increased, especially for primiparous mothers, so that maternal anxiety can be minimized and childbirth can be normal without complications.
Efek Pemberian Massage Effleurage Mampu Meningkatkan Produksi Air Susu Ibu pada Ibu Nifas
Authors: Rinjani Margareta , Apriyani Magdalena Tri Putri
Published: March 2024

Background: The problem with the target of the exclusive breastfeeding program has not yet reached the global target due to the factor that mothers who give birth think that breastfeeding has not been smooth. The solution can be done with non-pharmacological therapy, oxytocin massage, effleurage massage, by involving and supporting the husband. Purpose: This study was to examine the effect of oxytocin massage through effleurage massage on breast milk production in postpartum mothers. Methods: Quasi experimental with nonequivalent control group as the design of this study. The treatment group was 17 normal postpartum pregnant women and 17 control groups. The treatment group after 6-8 hours postpartum was given effleurage massage on the back using olive oil for 3-5 minutes. Data analysis using Mann-Whitney test. Results: The results showed that there was an effect before and after effleurage massage was carried out in the experimental and control groups, namely (p = 0.002). Conclusion: Non-pharmacological therapy with oxytocin massage through effleurage massage was able to increase the amount of milk production by involving and supporting the husband.Latar belakang: Masalah target program pemberian ASI (Air Susu Ibu) eksklusif masih belum mencapai target global disebabkan oleh faktor ibu bersalin menganggap ASI belum lancar. Solusi dapat dilakukan dengan terapi nonfarmakologi pijat oksitosin massage effleurage dengan melibatkan dan dukungan suami. Tujuan: Studi ini untuk mengkaji pengaruh pijat oksitosin melalui massage effleurage terhadap produksi ASI pada ibu postpartum. Metode: Quasi eksperimental dengan nonequivalent control group sebagai rancangan studi ini. Kelompok perlakuan adalah ibu hamil postpartum normal berjumlah 17 dan kelompok kontrol 17 orang. Kelompok perlakuan setelah postpartum 6-8 jam diberikan massage effleurage di bagian punggung dengan menggunkan minyak zaitun selama 3-5 menit. Analisis data menggunakn Uji Mann-whitney. Hasil: Hasil menunjukkan terdapat pengaruh sebelum dan sesudah dilakukan massage effleurage pada kelompok eksperimen dan kontrol yaitu (p=0,002). Simpulan: Terapi nonfarmakologi dengan pijat oksitosin melalui massage effleurage mampu meningkatkan jumlah produksi ASI dengan melibatkan dan dukungan suami.   w:LsdException L
Terapi Herbal Jinten Hitam dalam Peningkatan Haemoglobin pada Ibu Menyusui dengan Anemia
Authors: Septiani Ranny , Nurchairina Nurchairina , Trinovadela Nora Isa , Herlina Herlina
Published: March 2024

Background: One of the world's health problems in developing countries is anemia. Nationally, anemia is common in women. Anemia is very dangerous for both mother and baby. Anemia in breastfeeding mothers will affect the quality of breast milk so that it affects the nutritional fulfillment of their babies. Purpose: To determine the effectiveness of giving black cumin to breastfeeding mothers with anemia in Bandar Lampung City in 2020. Methods: This study is a quasi-experimental study with pre and post-test designs. The treatment in this study was giving black cumin. While the variables to be studied are hemoglobin levels in the blood of breastfeeding mothers before and after the intervention. The sample in this study was breastfeeding mothers who suffered from anemia in Bandar Lampung City. Bivariate data analysis used the T-test to determine the difference in hemoglobin levels before and before offering black cumin. Results: This study showed that the administration of black cumin had an average hemoglobin level before administration of black cumin the average hemoglobin level after administration of black cumin (p=0,001), resulting in an increase in the average hemoglobin level of 1.84 dl/gr. Conclusion: The use of black cumin as an effective complementary therapy (complementary) in the treatment of anemia in lactating mothers with anemia.Abtrstark. Latar Belakang : Salah satu masalah kesehatan di dunia pada negara berkembang adalah anemia. Secara nasional anemia banyak terjadi pada perempuan.Anemia sangat berbahaya bagi ibu dan bayinya. Anemia pada ibu menyusui akan mempengaruhi kualitas ASI sehingga mempengaruhi pemenuhan nutrisi bayinya.Tujuan : mengetahui efektifitas pemberian jinten hitam pada ibu menyusui dengan anemia di Kota Bandar Lampung tahun 2020. Metode: Penelitian ini merupakan penelitian quasi eksperimendengan desain pre dan post test. Perlakuan dalam penelitian ini adalah pemberian jinten hitam. Sedangkan variabel yang akan diteliti adalah kadar hemoglobin dalam darah ibu menyusui sebelum dan setelah diintervensi. Sampel pada penelitian adalah ibu meyusui yang menderita anemia di Kota Bandar Lampung. Analisis data bivariat menggunakan uji T untuk mengetahui beda kadar haemoglobin sebelum  dan sesudah pemberian jinten hitam. Hasil : Penelitian ini didapat hasil pemberian jinten hitam mempunyai nilai rata-rata kadar hemoglobin sebelum pemberian jinten hitam rata-rata kadar hemoglobin setelah pemberian jinten hitam (p=0,001). Sehingga, terjadi peningkatan rata-rata kadar hemoglobin sebesar 1,84 dl/gr.. Simpulan: Penggunakan jinten hitam efektif sebagai terapi komplementer (pelengkap) dalam pengobatan anemia pada ibu menyusui dengan anemia.
Peningkatan Ekspresi Matrix Metalloproteinase-9 Ligamentum Sacrouterina dan Otot Levator Ani Postpartum Rattus Norvegicus
Authors: Ariani Novida
Published: March 2024

Background: Vaginal delivery is a risk factor for pelvic organ prolapse. The biomolecular mechanism that links it is still unclear, thought to be through Matrix Metalloproteinase 9 (MMP-9). Purpose: This study aims to determine the increase in MMP-9 in the supporting tissues of the pelvic organs, especially the sacrouterine ligament and levator ani muscles in the postpartum period. Methods: This study was an observational cohort study on 5 female rats of Rattus norvegicus Wistar strain. Which were divided into nulliparous groups, postpartum day 1, day 3, and day 7. MMP-9 expression was calculated and analyzed using ANOVA. Results: There was a significant difference (p=0.01) of MMP-9 expression in the sacrouterine ligament between nulliparous rats, postpartum day 1, day 3, and day 7. There was also a significant difference (p=0.00) levator ani muscle MMP-9 expression between nulliparous rats, postpartum day 1, day 3, and day 7. There was a trend of increasing MMP-9 expression on the 1st to 3rd day postpartum, then decreasing gradually on the 7th day. Conclusion: Delivery changes the expression of MMP-9 in pelvic floor tissues such as the sacrouterine ligament and levator ani muscle and these changes are time-dependent.Abstrak. Latar Belakang: Persalinan pervaginam merupakan faktor resiko prolaps organ panggul. Mekanisme biomolekuler yang menghubungkannya masih belum jelas, diduga melalui perantaraan Matriks Metalloproteinase 9 (MMP-9). Tujuan: Penelitian ini bertujuan untuk mengetahui peningkatan MMP-9 pada jaringan penyokong organ panggul, terutama ligamentum sacrouterina dan otot levator ani periode post partum. Metode: Penelitian ini adalah studi observational cohort pada 5 tikus betina Rattus norvegicus strain Wistar. Yang terbagi menjadi kelompok nullipara, postpartum hari ke-1, hari ke-3 dan hari ke-7.. Preparat jaringan ligamentum sacrouterina dan otot levator ani diwarnai dengan imunohistokimia. Ekspresi MMP-9 dihitung dan dianalisa dengan menggunakan ANOVA. Hasil: Terdapat perbedaan yang signifikan (p=0,01) ekspresi MMP-9 pada ligamentum sacrouterina antara tikus nullipara, postpartum hari ke-1, hari ke-3, dan hari ke-7. Terdapat pula perbedaan yang signifikan (p=0,00) ekspresi MMP-9 otot levator ani antara tikus nullipara , postpartum hari ke-1, hari ke-3, dan hari ke-7.  Tampak tren peningkatan ekspresi MMP-9 pada hari ke-1 hingga ke-3 postpartum, selanjutnya menurun bertahap pada hari ke-7. Simpulan: Persalinan mengubah ekspresi MMP-9 pada jaringan dasar panggul seperti ligamentum sacrouterina dan otot levator ani dan perubahan ini bersifat time-dependently.
Efek Obesitas dengan Indikator Rasio Lingkar Pinggang Panggul, Kolesterol, Trigliserida dan LDL terhadap Kejadian Penyakit Jantung Koroner pada Orang Dewasa: Literatur Review
Authors: Hamidah Rafifah Fasya , Ayuning Sela Sri , Imanuella Febe Brigita , Rejeki Dwi Sarwani Sri
Published: March 2024

Background: Coronary heart disease (CHD) is the highest cause of death in the world. Obesity is one of the risk factors for CHD. Purpose: A literature review to examine the effect of obesity with indicators of waist-to-hip ratio, cholesterol, triglycerides, and LDL on CHD in adults. Methods: Literature review study based on journals from 2016 to 2021 which were obtained from the PubMed, ScienceDirect, and Google Scholar databases with the keywords obesity, coronary heart disease, and adults. Results: This literature study found 10 articles that matched the inclusion and exclusion criteria. From the article review, it is known that there are characteristics of obesity in adults, causes of obesity, coronary heart disease, and the relationship between CHD and obesity. Conclusion: Obesity with indicators of waist circumference to hip ratio, cholesterol, triglycerides, and LDL have an effect on the incidence of CHD in adults by looking at the indicators of waist-to-hip ratio, cholesterol levels, and fat levels.Latar Belakang: Penyakit jantung koroner (PJK) merupakan penyebab kematian tertinggi di dunia. Obesitas menjadi salah satu faktor risiko PJK. Tujuan: Literatur review untuk mengkaji efek obesitas dengan indikator dengan indikator rasio lingkar pinggang panggul, kolesterol, trigliserida dan LDL terhadap PJK pada orang dewasa. Metode: Studi literature review berdasarkan jurnal-jurnal pada tahun 2016 sampai tahun 2021 yang telah diperoleh dari database PubMed, ScienceDirect, dan Google Cendekia dengan kata kunci obesitas, penyakit jantung koroner, dan dewasa. Hasil: Studi literatur ini didapatkan 10 artikel yang sesuai dengan kriteria inklusi dan ekslusi. Dari tinjauan artikel di ketahui terdapat karakteristik obesitas pada orang dewasa, penyebab obesitas, penyakit jantung koroner, dan hubungan PJK dengan obesitas. Simpulan: Obesitas dengan Indikator Rasio Lingkar Pinggang Panggul, Kolesterol, Trigliserida dan LDL berpengaruh terhadap kejadian PJK pada orang dewasa dengan melihat indikator rasio lingkar pinggang panggul, kadar kolesterol, dan kadar lemak.
The Anxiety of Midwifery Students in Clinical Practice at Health Service Facilities during the Covid-19 Pandemic
Authors: Fatsena Rizka Adela , Kartikasari M. Nur Dewi , Megasari Anis Laela
Published: March 2024

Background: The Covid-19 pandemic is the most important problem currently faced by all health organizations and governments in the world. Furthermore, it seriously affects the mental state of individuals in various circles of society, including health students, specifically in midwifery. The role of midwifery students experiencing clinical practice during a pandemic increases their vulnerability to anxiety and stress. Therefore, this descriptive study aims to determine the anxiety level of midwifery students in carrying out clinical practice during the Covid-19 pandemic. This study was conducted to determine the anxiety level of midwifery students in carrying out clinical practice during the Covid-19 pandemic. Methods: Total sampling was performed using the Hamilton Anxiety Rating Scale (HARS), a measuring instrument presented as an electronic questionnaire through a google form. Results: The results showed a relationship between the anxiety levels of midwifery students carrying out clinical practice at health service facilities during the Covid-19 pandemic (p-value 0.01).Conclusion: The Diploma-3 Midwifery students had anxiety in experiencing clinical practice during the Covid-19 pandemic because they are meant to interact directly with patients having various signs and symptoms.Latar Belakang: Pandemi Covid-19 dapat menyebabkan masalah kesehatan mental yang serius di berbagai kalangan masyarakat termasuk mahasiswa kesehatan khususnya kebidanan. Mahasiswa kebidanan berperan penting dalam menjalani praktik klinik saat terjadi pandemi, akan tetapi mereka lebih rentan terhadap kecemasan dan stres. Tujuan: Penelitian ini bertujuan untuk mengetahui tingkat kecemasan mahasiswa kebidanan dalam melaksanakan praktik klinik pada saat pandemi Covid-19. Penelitian ini merupakan penelitian Cross Sectional Study. Populasi dalam penelitian ini adalah mahasiswa kebidanan yang menjalankan praktik klinik pada saat pandemi Covid 19. Metode: Pengambilan sampel dilakukan dengan total sampling dengan menggunakan alat ukur kecemasan Hamilton Anxiety Rating Scale (HARS) yang disajikan dalam bentuk kuesioner elektronik melalui formulir google. Hasil: Hasil penelitian ini menunjukkan bahwa hubungan kecemasan mahasiswa kebidanan dalam praktik klinik di pelayanan kesehatan selama masa pandemi Covid-19 (p value 0,01). Simpulan: Kecemasan Mahasiswa Kebidanan dalam praktik klinik di Pelayanan Kesehatan selama masa Pandemi Covid-19 karena mahasiswa berinteraksi langsung dengan pasien yang memilik beragam tanda dan gejala.
Studi Fenomenologi: Pengalaman Psikologis Pasien Diabetes Melitus dengan DFU (Diabetic Foot Ulcer) Pasca Amputasi
Authors: Harissya Zulaika , Malini Hema , Oktarina Elvi
Published: March 2024

Latar Belakang: Pasien DFU sering menghadapi masalah psikologis akibat kehilangan anggota tubuh pasca menjalani amputasi, pasien melaporkan merasa depresi, frustrasi, dan merasa tidak berdaya saat mereka berusaha untuk sembuh pasca amputasi yang berdampak pada kesejahteraan hidup pasien. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Partisipan dalam penelitian ini berjumlah tujuh orang yang merupakan pasien DFU yang telah menjalani amputasi di 3 rumah sakit di Kota Padang yaitu RSUP M. Djamil Padang, RSI Ibnu Sina, dan RST Reksodiwiryo, dan salah satu Pusat Perawatan Luka dan Stoma Padang. Hasil: Hasil analisis data menghasilkan tiga tema, yaitu dampak emosional, gangguan citra tubuh dan harga diri rendah, dan adaptasi diri terhadap kehilangan. Simpulan: Penelitian ini menunjukkan bahwa amputasi ekstremitas bawah memberikan dampak psikologis yang berkaitan dengan perubahan yang terjadi setelah amputasi. Partisipan menggambarkan hal tersebut dengan mengungkapkan kesedihan, perasaan cemas, takut, marah, penyesalan, harga diri rendah, gangguan citra tubuh dan kaget dengan kondisi mereka pasca amputasi, sehingga berdampak pada penurunan kesejahteraan hidup partisipan.

Abstract: Phenomenology Study: Psychological Experiences of DFU (Diabetic Foot Ulcer) Patients Following Amputation

Background: DFU patients often face problems due to the loss of limbs after treatment, patients report experiencing depression, and feeling helpless when they try to recover after amputation which has an impact on the patient's well-being. Methods: This study uses a qualitative method with a phenomenological approach. The participants in this study were seven people who were DFU patients who had undergone amputation at 3 hospitals in the city of Padang, namely M. Djamil Hospital Padang, Ibnu Sina Hospital, and Reksodiwiryo RST, and one of the Padang Wound and Stoma Treatment Centers. Results: The results of data analysis produced three themes, namely emotional impact, impaired body image, low self-esteem, and self-defeat to loss. Conclusion: This study shows that lower extremity amputation has a psychological impact related to changes that occur after amputation. Participants described this by expressing anxiety, fear, anger, regret, body image disturbance, and surprise with their condition after living well-being so that it impacted their welfare.
Efek Pelatihan dengan Metode Pembelajaran Discovery Learing Meningkatkan Kemampuan Kader tentang Pemberian Makanan Bayi dan Anak Balita
Authors: Sudarmi Sudarmi
Published: March 2024

Latar Belakang: Upaya agar kader dapat menyampaikan informasi pada masyarakat tentang pentinynya Pemberian Makan pada Bayi dan Anak (PMBA) secara maksimal. Perlu diberikan pelatihan pada kader dengan metode pembelajaran yang aktif, yaitu discovery learning yang dapat mempercepat pemahaman atau peningkatan pengetahuan dan ketrampilan. Tujuan: Untuk mengkaji efektivitas pelatihan dengan metode discovery learning terhadap pengetahuan dan keterampilan penyuluhan kader tentang PMBA. Metode: Penelitian menggunakan rancangan quasi eksperimen dengan nonequivalent control group design dan pos test -only control group design. Penelitian dilakukan dengan memberikan pelatihan pada kader dengan menggunakan metode discovery learning pada bulan Juni-Oktober 2022 di Puskesmas Karang anyar Kabupaten Lampung Selatan. Jumlah sampel 60 kader. Analisis data bivariat menggunakan uji T-Test Independen. Hasil: Hasil analisis uji statistik menunjukkan ada perbedaan (lebih efektif) metode discovery learning dibandingkan metode konvensional dalam meningkatkan pengetahuan dan keterampilan penyuluhan kader tentang PMBA (p-value 0,001). Simpulan: Percepatan peningkatan pengetahuan dan ketrampilan memberikan penyuluhan kader tentang PMBA dengan metode discovery learning dapat menjadi pilihan bagi tenaga kesehatan, karena lebih efektif.

Abstrac. The Effect of Training with the Discovery Learning Learning Method Increases Health Worker' (Kader) in Abilities about feeding Infants and Toddlers

Background: Efforts for health worker to convey information to the public about the importance of optimal feeding of infants and children. It is necessary to provide training to health worker with active learning methods, namely discovery learning which can accelerate understanding or increase knowledge and skills. Purpose: To examine the effectiveness of training using the discovery learning method on knowledge and counseling skills regarding feeding infants and children. Methods: The study used a quasi-experimental design with a nonequivalent control group design and post-test -only control group design. The research was conducted by providing training to health worker using the discovery learning method in June-October 2022 at the Karang Anyar Community Health Center, South Lampung Regency. The number of samples is 60 health worker. Bivariate data analysis used the Independent T-Test. Results: Statistical test analysis showed that there was a difference (more effective) with the discovery learning method compared to conventional methods in increasing the knowledge and skills of health worker in counseling about feeding infants and children (p-value 0,001). Conclusion: Accelerating the increase in knowledge and skills in providing counseling to health worker about IYCF with the discovery learning method can be an option for health workers, because it is more effective.
Evaluation of Early Marriage Prevention in Adolescent Children: A Descriptive Qualitative Study of the Implementation of Maturing Marital Age in Kotabaru, Indonesia
Authors: Amalia Rizqi , Handayani Lisda , Kusvitasari Hairiana
Published: March 2024

Introduction: Early marriage of girls increases the risk of death and morbidity in mothers and babies, including stunting. Several policies and programs to mature or increase the age of marriage have been implemented to eliminate this practice, but early marriages are still found. Purpose: This research examines in depth the evaluation of the implementation of the program for maturation and increasing the age of marriage for adolescent children. So, it can be identified the factors that cause teenage marriage to still be high. Method: A qualitative descriptive method was used as a research design and recruited six participants to study the maturation program and increasing the age of marriage as the main participants and triangulation participants. Participants triangulate the validity and reliability of information. Data or information collection uses interviews which are reported in the form of narrative descriptions and analyzed using an interactive analysis model for coding. Results: We found 3 research results on the reasons why there are still early marriages among adolescent children: (1) various limitations in the transformation of maturation programs and increasing the age of marriage; (1) the implementation of the program to increase the marriage age according to students has not met expectations; and (3) adolescent children who marry early are still found after graduating from school. Conclusion: The experience of adolescent children who took part in the maturation program and increasing the age of marriage felt that it did not meet expectations. Adolescent children still marry early after graduating from high school. This study indicates the need for adolescent children to receive early marriage education and its impact needs to be evaluated and improved from the input, process, and output aspects of implementing the maturation program and increasing the age of marriage so that it is attractive and meets the expectations of adolescent children.
Kazanç Yönetiminde Kullanılan Karma Modeller ve Altman Z Modeli Arasındaki İlişkiler: Amerikan Şirketleri Üzerine Bir Analiz (An Analysis on the Relationship Between Karma Models and Altman Z Model in Earnings Management: A Study on US Companies)
Authors: Umut Elif
Published: March 2024

İflas modelleri ile kazanç yönetimi modelleri arasındaki ilişki, finansal analiz ve adli muhasebe alanlarında önemli bir konuyu oluşturur. İflas modelleri, bir şirketin mali sağlık durumunu ve iflas riskini değerlendirmeye odaklanırken, kazanç yönetimi modelleri ise şirketlerin finansal sonuçlarını nasıl manipüle ettiğini veya bu sonuçların kalitesini analiz eder.Bu iki model türü arasındaki ilişki, şirketlerin finansal sağlığı ve şeffaflığı açısından kritiköneme sahiptir. Bu modeller birlikte kullanıldığında, yatırımcılar, denetçiler ve analistler için şirketlerin finansal sağlığı hakkında daha kapsamlı ve derinlemesine bir anlayış sağlarlar. Kazanç yönetimi uygulamalarının varlığı, özellikle iflas riskininyüksek olduğu durumlarda, şirketin finansal raporlarının güvenilirliğine ilişkin ek soru işaretleri yaratabilir. Dolayısıyla, bu iki modelin birleşik kullanımı, finansal analiz sürecinde daha sağlam ve güvenilir sonuçlar elde etmeye yardımcı olabilir. Bu çalışma kapsamındaörneklemolarak, 1989-2022 yılları arasındaki dönemi kapsayacak biçimde Amerika Birleşik Devletleri’nde farklı sektörlerde faaliyet gösteren ve farklı aktif büyüklüğüne sahip 1415 şirketseçilmiştir.Seçilen örneklem üzerinde Altman Z skoru ve Beneish F skoru ve Dechow F skoru arasındaki ilişkilerin belirlenmesi amacıyla skorlar hesaplanmış sonrasında ise modellerin uyumu tartışılmıştır. Sonuçlar Altman Z skoru ile Dechow F skorunun beraber değerlendirildiğinde daha gerçeğe uygun sonuçlarsunduğunu göstermektedir.
Scaffolding to Help Middle School Students' Critical Thinking Skill in Solving Social Arithmetic Material
Authors: Tazkia Savirra , Siswono Tatag Yuli Eko
Published: March 2024

Junior high school students in completing social arithmetic material often fail to think critically, so they need help using scaffolding to help critical thinking skill. This qualitative research is a case study of two junior high school students who failed to think critically. Data were obtained through task-based interviews. The tests used in this study were 2 social arithmetic questions that required students' critical thinking skills in solving them. Data analysis used the flow model analysis technique developed by Miles and Huberman (2014) which consisted of data collection, data reduction, data presentation, and drawing conclusions. The researcher uses research diligence to ensure the credibility of the data. The results of this study indicate that Subject 1's critical thinking failure lies in the components of interpretation, and inference. Subject 2 failed to think critically on the components of interpretation, analysis, evaluation, inference, and explanation. The scaffolding given to overcome the failure of critical thinking in subject 1 and subject 2 is the Anghileri’s level 2 scaffolding, namely explaining, reviewing, and restructuring.
Improving Students’ Mathematical Problem-Solving Skill and Self-Efficacy through Problem-Based Learning Models with Scientific Approaches
Authors: Taufiqurrahman Muhammad , Hidayat Dayat
Published: March 2024

This study aims to determine (1) the mathematical problem-solving skills of students who receive the PBL model compared to students who receive conventional learning, (2) improving the mathematical problem-solving skills of students who receive the PBL model with a scientific approach compared to students who receive conventional learning, (3) self-efficacy of students who receive the PBL model with a scientific approach compared to students who receive conventional learning, (4) improving the self-efficacy of students who receive the PBL model with a scientific approach compared to students who receive conventional learning. The research method used was a quasi-experimental method with a population of all VIII grade students at one of the junior high schools in Cilegon. Sampling was carried out by cluster random sampling technique. This results showed that the mathematical problem-solving skill of students who received the PBL model with a scientific approach was better than students who received conventional learning,  improved problem-solving skills of students who get the PBL model with a scientific approach are better than students who get conventional learning,  the self-efficacy of students who receive the PBL model with a scientific approach is better than students who receive conventional learning, and the improving in self-efficacy of students who get the PBL model is better than students who get conventional learning. Based on the research results, learning the PBL model with a scientific approach can be an alternative learning to improve students' problem-solving skills and self-efficacy.
How does Math Anxiety affect Students’ Problem Solving Ability? A case of Ill Structured Problem Mathematics Problem
Authors: Anjasari Tika , Antika Helen Novi , Kohar Ahmad Wachidul
Published: March 2024

The process of learning mathematics for some students can cause anxiety. The anxiety experienced by students can interfere with the mathematics learning process, especially in students' ability to solve mathematical problems. This study is qualitative descriptive research that aims to analyze problem-solving abilities in terms of mathematical anxiety. Researchers tested the ability to solve problems ill-structured on six grade VIII students of SMPN 1 Kemlagi in Mojokerto. The six students consisted of two students with high math anxiety, two students with moderate math anxiety, and two students with low math anxiety. The results of data analysis showed ill-structured problem-solving abilities (1) students with low and moderate anxiety levels were able to reach the stage of understanding problems, making plans, and re-examining very well; (2) students with low levels of mathematical anxiety have reached the stage of executing the plan very well, while students with moderate levels of mathematical anxiety have not reached this stage because there are still errors in making calculations; (3) students with high levels of math anxiety have not been able to reach all stages of problem-solving. This study suggests that teachers pay more attention that math anxiety as one of the factors that must be considered in mathematics learning
Students' Deductive Reasoning in Evaluating Solutions to Geometry Problems
Authors: Rahmah Aulia , Dewi Silvia Kumala , Kohar Ahmad Wachidul
Published: March 2024

Deductive reasoning is very important in learning mathematics and is one of the formal goals that emphasizes the arrangement of reasoning. This is a qualitative research that aims to describe the deductive reasoning abilities of junior high school students in evaluating problem solutions in geometry material. The subjects of this study were two junior high school students in Gresik who had high mathematical abilities and were of different genders. The instrument used was task-based interviews. The task in question is a deductive reasoning ability test in which there are problems and their solutions. Data analysis was carried out using three indicators of deductive reasoning according to Sumarmo: carrying out calculations based on certain formulas, conducting proofs, and drawing conclusions. The results showed that the deductive reasoning abilities of female and male students were relatively the same. In solving the problem, Both male and female students had similar initial idea by making an example of the length of the side of the given object. However, male students are more capable of proving and considering more effective strategies for solving problems. Therefore, students and teachers need to improve their deductive reasoning abilities and consider all effective strategies for solving problems.
Students Activities in Learning Pythagoras Theorems Using Desmos Application
Authors: Wulandari Hilaria Yesieka Ayu , Siswono Tatag Yuli Eko
Published: March 2024

This study aims to describe the creative thinking skills of students in solving problems related to the Pythagorean Theorem using Desmos application. This descriptive research involved 3 Junior High School students in grade 9 in Sidoarjo (Indonesia) who each had high, medium, and low ability backgrounds. The task in the form of questions consisted of two questions asking students to create two different triangles. The results of the analysis showed that high-ability students were able to create two different triangles if they were given sides 3 and 4 in the form of a right triangle and an equilateral triangle. Students with moderate and low abilities were able to draw right triangles with Desmos, but had difficulty drawing isosceles triangles. Both of them drew an isosceles triangle, but with side lengths of 3, 4, and 6. These results illustrate that the use of Desmos helps students' ideas in finding answers in drawing triangles, but the basic abilities that students have can be an obstacle in completing the given tasks.