bluuebunny/crossref_metadata_2025_split huggingface dataset:
ANALISIS STABILITAS DINDING PENAHAN TANAH DENGAN PERKUATAN BRONJONG PADA JALAN TOL ULUJAMI – PONDOK RANJI RAMP BINTARO VIADUCT
Authors: Febe Maria , Sasongko Imam Hariadi 
Published: February 2021

Pada Jalan Tol Ulujami – Pondok Ranji STA 03+150 terdapat sebuah jembatan yang opritnya mengalami penurunan yang menyebabkan ketidaknyamanan saat melintas di bahu jalannya. Penyebab penurunan tersebut diduga akibat adanya pergerakan struktur tanah bawah jalan sehingga menimbulkan terjadinya ketidakstabilan bangunan diatasnya. Tujuan studi adalah untuk mengetahui nilai faktor keamanan dinding penahan tanah dengan perkuatan bronjong terhadap kelongsoran, stabilitas geser, guling, dan daya dukung tanah, serta penurunan. Perhitungan tekanan tanah dinding ini menggunakan Teori Rankine. Untuk perhitungan stabilitas terhadap daya dukung tanah menggunakan persamaan Terzaghi. Perhitungan stabilitas dinding terhadap kelongsoran menggunakan metode Fellenius dan perangkat lunak Plaxis 8.6. Penurunan yang dihitung adalah penurunan konsolidasi primer dan sekunder. Hasil perhitungan stabilitas pada dinding penahan gravitasi didapatkan bahwa dimensi dinding tersebut tidak aman terhadap geser dan guling yaitu Fgl = 0,110 ≤ 1,5 dan Fgs = 0,205 ≤ 1,5. Serta penurunan yang terjadi sebesar 57,8 cm selama 62,704 tahun. Dari hasil perhitungan faktor keamanan stabilitas guling dan geser pada dinding penahan gravitasi tersebut, maka direncanakan perbesaran dimensi dinding agar aman terhadap geser dan guling. Didapati faktor keamanannya terhadap geser dan guling menjadi Fgs = 2,225 ≥ 1,5 dan Fgl = 1,740 ≥ 1,5.Kata kunci: dinding penahan tanah, bronjong, stabilitas dinding penahan tanah Bridge at STA 03+150 Ulujami – Pondok Ranji toll road has an approach settlement reduces its service and traffic may disturbed significantly. Settlement probably triggered by soil structure movement at the bottom of the road. The instability occurred and finally structure above damaged. The aim of the study was to calculate the safety factor of retaining wall strengthened with gabion against sliding, shear, overturning, and bearing capacity failure as well as its settlement. The calculation of safety factor against shear and overtuning conducted using Rankine Theory, while bearing capacity calculation done by uses Terzaghi. Calculations of sliding using Fellenius method and Plaxis 8.6 software. The writer also calculate settlement, both at primary and secondary consolidations. The results of stability calculation of gravity wall were as follows: safety factor against overtuning was 0,110 and shear 0,205 respectively, while settlement was 57,8 cm for 62,704 years. After the calculation mention above, in which all of the aspects calculated was not safe, the gravity wall then be redesigned as seen in the figure and the stability increase become 2,225 for shear 1,740 for overturning stability respectively. Using minimum allowable safety factor as 1,5 for all calculations, the gravity wall is now safe.Keywords: retaining walls, gabion, stability of retaining wall
Analisis Natural Frequency Poros Boiler Feed Pump Turbine dengan Finite Element Analysis
Authors: Ghaisani Disma Nidya , Ulfiana Andi , Abadi Cecep Slamet 
Published: February 2021

Boiler Feed Pump Turbine (BFPT) merupakan salah satu pompa jenis sentrifugal dengan tipe multistage yang digerakkan oleh turbin kecil. Pompa ini digunakan untuk mensirkulasikan air demineralisasi dari deaerator menuju boiler. Berdasarkan pengecekan vibrasi yang dilakukan oleh bagian Condition Based Maintenance (CBM), telah ditemukan bahwa terjadi over vibrasi pada BFPT dikarenakan adanya indikasi perubahan natural frequency mendekati putaran operasi. Pada penelitian ini dilakukan simulasi Finite Element Analysis dengan software ANSYS Workbench untuk mendapatkan nilai natural frequency pada poros BFPT serta membahas mengenai kemungkinan penyebab terjadinya perubahan natural frequency. Berdasarkan simulasi ANSYS yang telah dilakukan, didapatkan bahwa nilai dari natural frequency dapat berubah karena adanya perubahan defleksi dan menampilkan bahwa setiap modus getar menghasilkan nilai natural frequency yang berbeda juga. Pada simulasi ini didapatkan 6 nilai natural frequency pada poros BFPT yaitu 166,84 Hz, 166,99 Hz, 295,71 Hz, 465,83 Hz, 466,23 Hz, 503,46 Hz. Serta pada penelitian ini didapatkan juga bahwa vibrasi yang terjadi pada BFPT bukan akibat dari perubahan natural frequency, tetapi akibat adanya losseness pada housing bearing pompa.
Pengaruh jus jambu biji dan jus apel hijau terhadap penurunan kadar kolesterol
Authors: Djamaludin Djunizar , Tabrani Meilisa 
Published: February 2021

Efficacy domestic apple (malus domestica) and guava fruit (psidium guajava l.) juices in the management of blood cholesterol levels Background: Hypertension is a chronic condition, which is blood pressure increases in the blood vessels. One of the causes of hypertension is a diet with high fat. High-fat levels occur precipitation of cholesterol. The methods to overcome hyper cholesterol in the blood by pharmacological and non-pharmacological. Method of non-pharmacological to reduce cholesterol levels with consuming guava and green apple juice.Purpose: Known the efficacy domestic apple (Malus domestica) and guava fruit (Psidium guajava L.) juices in the management of blood cholesterol levels.Method: The design of the research used in this study was a quasi-experiment used non-equivalent control group design. The samples were 16 samples. The sampling used a purposive sampling technique. The data analysis used Independent T-Test.Results: The study showed that the average difference of cholesterol levels in the guava juice group was 17,25±17,019 mg/dl. Meanwhile, the green apple juice group was 58,63±39,867 mg/dl. The result of t value = 2,700 and p value = 0,017 (p < 0,05).Conclusion: There was a difference effect of guava juice and green apple juice to cholesterol levels reduction. Suggestions of this study for hyper cholesterol patients to consume green apple juice as a non-pharmacological treatment.Keywords: Cholesterol; Domestic Apple (Malus Domestica); Guava (Psidium guajava L.); Consumption; Juice.Pendahuluan: Hipertensi adalah kondisi kronis dimana mengalami peningkatan tekanan darah pada dinding pembuluh darah. Salah satu penyebab hipertensi yaitu pola makan dengan kadar lemak tinggi. Kadar lemak tinggi menyebabkan terjadi endapan kolesterol. Cara mengatasi kelebihan kolesterol dalam darah dengan farmakologi dan nonfarmakologi. Cara nonfarmakologi menurunkan kadar kolesterol dengan mengonsumsi jus jambu biji dan jus apel hijau.Tujuan: Diketahui perbedaan pengaruh jus jambu biji dan jus apel hijau terhadap penurunan kadar kolesterol.Metode: Rancangan penelitian yang digunakan adalah quasi experiment dengan pendekatan non equivalent control group design. Sampel sebanyak 16 orang. Pengambilan sampel menggunakan teknik purposive sampling. Analisis data menggunakan uji Independent T-Test.Hasil: Hasil penelitian menunjukkan perbedaan rata-rata kadar kolesterol pada kelompok jus jambu biji adalah 17,25±17,019 mg/dl. Sedangkan, pada kelompok jus apel hijau adalah 58,63±39,867 mg/dl. Hasil nilai t = 2,700 dan p value = 0,017 (p < 0,05).Simpulan: Ada perbedaan pengaruh jus jambu biji dan jus apel hijau terhadap penurunan kadar kolesterol. Saran dari penelitian ini diharapkan penderita kolesterol mengonsumsi jus apel hijau sebagai pengobatan non-farmakologi.
Penggunaan media sosial dan peran orang tua terhadap kejadian pernikahan dini
Authors: Asnuddin Asnuddin , Mattrah Asrini 
Published: February 2021

Social media use: The role of parents' perceptions about social media impact in early marriageBackground: Early marriage is a marriage that is conducted at adolescence, the factors causing early marriage are socio-cultural factors, economic pressure, level of education, difficulty in getting a job, social media, religion and views and beliefsPurpose: To find out the influence of social media and the role of parents on the incidence of early marriageMethod: A quantitative research using descriptive analytical research method with cross sectional study design with variable use of social media with the criteria for the results "active and inactive". For the variable of the role of parents with 2 outcome criteria, namely "influential and not influential". And for the variable incidence of early marriage, there are 2 criteria, namely age 14-16 years and age 17-19 years, the questionnaire used has been through the validity of previous researchers. Then the results of the data obtained were analyzed in the SPSS program using the Chi Square testResults: From the Chi Square test results for social media variables obtained p value = 0.001, then the value of p = 0.001 <0.05 (α) while the role of parents variable Chi Square test results obtained p value = 0.022, therefore the value of p = 0.022 <0.05 (α).Conclusion: Based on the results of the study it can be concluded that, there is a significant influence between the use of social media and the role of parents in the event of early marriage Keywords: Social media; Parents, Early marriagePendahuluan: Pernikahan usia dini adalah perkawinan yang dilakukan pada usia remaja, faktor penyebab pernikahan usia dini adalah faktor sosial budaya, desakan ekonomi, tingkat pendidikan, sulit mendapat pekerjaan, media sosial, agama serta pandangan dan kepercayaan.Tujuan: Untuk mengetahui pengaruh media sosial dan peran orang tua terhadap kejadian pernikahan dini di Kecamatan Marioriawa Kabupaten Soppeng Metode: Penelitian kuantitatif dengan menggunakan metode penelitian deskriptif analitik dengan rancangan cross sectional study dengan variabel penggunaan media sosial dengan kriteria hasil “aktif dan tidak aktif”. Untuk variabel peran orang tua dengan 2 kriteria hasil yaitu “berpengaruh dan tidak berpengaruh”. Dan untuk variabel kejadian pernikahan dini ada 2 kriteria yaitu umur 14-16 tahun dan umur 17-19 tahun, kuesioner yang di gunakan sudah melalui uji validitas peneliti sebelumnya. Kemudian hasil data yang di dapatkan dianalisis di program SPSS dengan menggunakan uji Chi SquareHasil: Dari hasil uji Chi Square untuk variabel media sosial didapatkan nilai p=0,001, maka nilai p=0.001<0.05 (α) sedangkan variabel peran orang tua hasil uji Chi Square didapatkan nilai p=0,022, oleh karena itu nilai p=0.022<0.05 (α).Simpulan: Berdasarkan hasil penelitian dapat di simpulkan bahwa, Ada pengaruh yang signifikan antara penggunaan media sosial dan peran orang tua terhadap kejadian pernikahan dini
Pengembangan program pelatihan edukator tuberkulosis paru
Authors: Iskandar R Totong , Novieastari Enie , Satinah Satinah 
Published: February 2021

The training and development of nursing educators in management of pulmonary tuberculosis Background: The quality of education in patients is a key element in the quality of health promotion in hospitals. The phenomenon that occurs in the pulmonary clinic is the provision of very minimal education and there is no TB educator team.Purpose: To increase the competence of nurses as educators in the pulmonary clinic by carrying out TB educator training.Method: The action research, identification of problems with structured interview techniques, observation, and filling out questionnaires to the district head and 2 persons. Analysis of the problem is done with the fish bone method, solving the problem using the planing of action method.Results: As a condition of completeness of training instruments, curriculum structure and activity descriptions and modules containing training material have been made. From the results of this training a TB educator team will be formed at RS X.Conclusion: The manifestation of the responsibility of the nursing manager in improving the quality of nursing human resources in order to increase the competence of nurses as tb educators in health promotion and prevention of increasing numbers of patients with pulmonary TB in the hospital by compiling the curriculum structure and basic tb educator training modules.Keywords: The training; Development; Nursing educators; Management; Pulmonary tuberculosisPendahuluan: Kualitas edukasi pada pasien menjadi elemen kunci mutu promosi kesehatan di rumah sakit. Fenomena yang terjadi di poliklinik paru ialah pemberian edukasi yang sangat minim dan belum ada tim edukator TB.Tujuan: Untuk meningkatkan kompetensi perawat sebagai edukator di poliklinik paru dengan melaksanakan pelatihan edukator TB.Metode: Metode yang digunakan dengan penelitian tindakan, identifikasi masalah dengan teknik wawancara terstruktur, observasi, dan pengisian kuesioner kepada kabidyankep dan 2 orang kasie. Analisis masalah dilakukan dengan metode fish bone, pemecahan masalah menggunakan metode planing of action.Hasil: Sebagai syarat kelengkapan instrumen pelatihan telah dibuat struktur kurikulum dan deskripsi kegiatan serta modul yang berisi materi pelatihan. Dari hasil pelatihan ini akan dibentuk tim edukator TB RS X.Simpulan: Wujud tanggung jawab manajer keperawatan dalam peningkatan kualitas SDM keperawatan guna meningkatkan kompetensi perawat sebagai edukator TB dalam promosi kesehatan dan pencegahan peningkatan angka penderita TB Paru di rumah sakit yakni dengan menyusun struktur kurikulum dan modul pelatihan edukator TB dasar.
Post-caesarean section pain and quality of sleep among mothers who delivered by caesarean section under spinal anesthesia
Authors: Harini Ririn , Juwitasari Juwitasari , Setyowati Lilis , Oktavia Rifdah Dita 
Published: February 2021

Background: Post caesarean section mothers commonly feel pain in the post-operative area during the wound healing process. Most post-operative mothers feel the pain sensation as a disturbance and lowering their quality of sleep.Purpose: To determine pain level and identify the relationship of pain level and sleep quality among mothers who delivered by caesarean section under spinal anaesthesia.Method: The descriptive non-experimental correlative study design identified 50 mothers from Inpatient Ward Wava Husada Hospital of Kepanjen, Malang, East Java, Indonesia at April 2020. The Post-caesarean section pain level identified by using the Numeric Rating Scale (NRS) and the sleep quality is measured using Pittsburgh Sleep Quality Index (PSQI) questionnaire.Results: 38 mothers (76%) had severe pain level and most of them (43 mothers) had poor sleep quality. The Spearman correlation test showed that there was a relationship between the Post-caesarean section pain level and sleep quality, p value = 0.000 (p <0.05) and r = 0.314.Conclusion: The post-caesarean section pain levels among mothers who delivered by caesarean section under spinal anaesthesia should be identified earlier as we would like to encourage the nursing staff to give further intervention to maintain their sleep quality.
Comparison of antibiotic accumulation in appendix with various methods of its injection
Authors: Duzhyi ID , Shymko VV , Pustovoy IA , Piatykop HI , Kuprienko VV , Kulahina UE 
Published: February 2021

Relevance of the problem: In respect that, lack dynamic of morbidity incidence of acute appendicitis and frequency of postoperative complications, against the backdrop of increasing the number of antibiotics. The problem of prevention of purulent-inflammatory complications during its surgical treatment remains relevant.
Materials and methods: The authors compared the intensity of accumulation of ceftriaxone in the appendix tissues depending on the method of injection.
Results: It turned out that with the intramuscular injection of ceftriaxone in 1–2 hours before the operation, its accumulation in appendix in an amount sufficient to delay the growth of the laboratory culture of Escherichia coli is not observed. After intravenous injection of the drug, accumulation occurs slowly, significantly far behind to the lymphotropic technique. With the lymphotropic injection of ceftriaxone, 1 hour before the operation, a dose of growth retardant culture test is already fixed, and with the intjection of 2 hours before the operation – the dose of ceftriaxone practically corresponds to the maximum possible, that is, the action of a “pure” antibacterial drug.
Conclusions: The method of selecting antibiotic therapy for acute appendicitis is the introduction of ceftriaxone by lymphotropic route.
Bangladesh Journal of Medical Science Vol.20(2) 2021 p.268-273
The Effect of Bitter Melon (Momordica charantia L.) Leaves Extractonon Glycated Albumin in Diabetic Foot Ulcers: Randomized Controlled Trial
Authors: Rosyid Fahrun Nur , Prasetyo Tomy Adi , Prabawati Chlara Yunita , Supratman - , Sugiarto - , HS K Heri Nugroho 
Published: February 2021

Objective: This study aims to prove the effect of supplementation of bitter melon leaves extract on glycemic status in diabetic foot ulcer (DFU).
Materials and Methods: This study used a randomized, double-blinded, and placebo-controlled trial. Thirty DFU patients based on PEDIS 1-8 scores who met the criteria were divided into 2 groups consisting of 15 patients as a treatment group with the administration of bitter melon leaves extract at a dose of 6 g/day and 15 patients as a control group of with placebo. This intervention was conducted in 4 weeks. Glycemic status was measured by the value of glycated albumin and examined at baseline and at the end of treatment. Data were analyzed using paired t-test and independent t-test.
Results: After 4 weeks of treatment, there was an increase in the baseline value of glycated albumin in the treatment group from 24.5 ± 11.7% to 25.8 ± 12.7% or an increase of 1.3 ± 6.3% and a decrease in the control group from 27.5 ± 13.1% to 25.8 ± 8.5% or a decrease of 1.7 ± 12.4%. The results of the analysis of the effect of supplementation of bitter melon leaves extract on the value of glycated albumin were not significant (p = 0.99).
Conclusion: The supplementation of bitter melon leaf extract with a dose of 6 g / day did not significantly affect the value of glycated albumin.
Bangladesh Journal of Medical Science Vol.20(2) 2021 p.281-287
‘’Evaluation of Flora Bacteria Grown in Blood Cultures: Are They Etiologic Agent of Infection or Only Contaminants?’’
Authors: Orak Filiz , Guven Hulusi , Ates Selma , Doganer Adem , Baylan Filiz Alkan 
Published: February 2021

Objective: In this study, it was aimed to determine whether the flora bacteria growing in blood cultures were infectious agents or only contaminants, for this purpose the hemogram parameters and other demographic characteristics of the patients were evaluated.
Materials and Methods: We evaluated 11.579 blood culture results using the BacT/ALERT® microbial detection system. The skin flora bacteria was detected in the blood cultures during one year and the rates of infectious agents among these bacteria were investigated retrospectively. The blood culture results, which were accepted as true bacteremia and contamination were compared in terms of positive blood culture flask count and inflammation markers (white blood cell count, neutrophil ratio, lymphocyte ratio and C-reactive protein levels).
Results: The total number of blood culture test was 11.579. Out of this number, 8205 (70.87%) was free of microbial growth and there was 3374 (29.13%) with microbial growth. 2609 (77.3%) of the positive cultures represented skin flora bacteria, 2510 (96.2%) of them were coagulase negative staphylococci. Only 50 (1.9%) of the flora bacteria were considered as infectious agents in terms of clinical and laboratory findings in addition to culture. A statistically significant correlation was found between true bacteremia and white blood cell (WBC) count and C-reactive protein (C-RP) levels (p <0.05).
Conclusion: Peripheral blood collection instead of catheter and using special phlebotomy teams should be taken into consideration in order to reduce contamination rates precautions such as adequate skin preparation, preparation of blood culture bottles and using single needle instead of double needle.
Bangladesh Journal of Medical Science Vol.20(2) 2021 p.288-292
Perspective of people with epilepsy about Epilepsy
Authors: Reza Zeighami , M Shokati , K Hossein Zadeh , Parsipur Sahar 
Published: February 2021

Objective: This study aims to define epilepsy patient perspective about epilepsy.
Material & methods:Phenomenological hermeneutic approach is used by emphasizing on van Manon (2001) method. In this study participants have chosen by targeted sampling. Semi structured interviews as well as observation have deployed for data collection
Results: Patient’s perspective explored by main four themes including: dumb concept, destructive agent of present and future’s life, the cause of social isolation and divine punishment.
Conclusion:Epilepsy is a disorder which is bounded by ambiguity and unawareness among patients and societies. The disease also known by them as an incurable and destructive disease, present and future’s life destructive element, the cause of social isolation, divine punishment and atonement for sins.
Bangladesh Journal of Medical Science Vol.20(2) 2021 p.374-378
Serum Calcium and Its Association with Preeclampsia
Authors: Parvin Sultana , Chowdhury Saleha Begum , Nahar KN , Hoque MD Mozammel 
Published: February 2021

Background: The purpose of the study was to evaluate association of serum calcium concentration with preeclampsia.
Method: This study was carried out in the Department of Obstetrics and Gynaecology of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from January 2016 to December 2016 including 120 antenatal patients in their second half of pregnancy. All the included patients were classified as 40 mild preeclampsia (Group A) 40 severe preeclampsia (Group B) and 40 normal pregnant women (Group C). Serum calcium was estimated in the Department of Biochemistry and correlated with preeclampsia.
Result: In results the mean serum calcium concentration was found 8.2±0.2mg /dl in Group A, 7.6 ± 0.3 mg/dl in Group B and 9.0±0.5 mg/dl in Group C (p=0.001). Low serum calcium was found 53.7% and 12.5% in case and control respectively. The difference was statistically significant (p=<0.05) between case and control groups having OR=8.1 with 95% CI (2.7 - 26.5) %. Pearson’s correlation test revealed that both systolic and diastolic blood pressure had negative correlation with the serum calcium concentration (p=<0.05).
Conclusion: In conclusion this study showed that low serum calcium is associated with preeclampsia and its concentration inversely proportional to the severity of preeclampsia and both systolic and diastolic blood pressure.
Bangladesh Journal of Medical Science Vol.20(2) 2021 p.379-383