bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengaruh Senam Diabetes Terhadap Penurunan Kadar Gula Darah Pasien Diabetes Mellitus di Puskesmas Bah Kapul Pematangsiantar Tahun 2019
Authors: Pakpahan Romauli , Sijabat Marlon 
Published: August 2021

This study aims to determine the effect of diabetes gymnastics on the decrease in blood sugar levels of diabetic patients at the puskesmas Bah Kapul Pematangsiantar. This research was conducted in Juni - Agustus 2017, the design of this study was comparative. The sample size in this study were 21 respondents obtained by total population sampling. Data were obtained through questionnaires, interviews and direct capillary blood sampling of respondents to then measured blood sugar levels by using glucose meter. Data analysis was done gradually including descriptive and paired samples t-test. The results of this study showed that before doing gymnastics in the first week of the average blood sugar levels of respondents was 272.4 mg / dl and after doing gymnastics in the fourth week of the average blood sugar levels of respondents was 257.04 mg / dl, blood sugar of 15.36 mg / dl. Result of paired samples t-test significantly decrease blood sugar level at respondent with p value of 0,041. This means that there is influence of diabetes gymnastics to the decrease of blood sugar level of diabetic patient. It is expected for health service to be a motivator and provide intensive counseling for people with diabetes mellitus to do gymnastic gymnastics routine to lower blood sugar level and prevent complication of diabetes mellitus.
Keywords: gymnastics diabetes; blood sugar
Hubungan Tingkat Pengetahuan Ibu dan Pemberian ASI Ekslusif dengan Status Gizi Anak Usia 7-11 Bulan di Dusun Kalapa Dua Desa Kairatu Tahun 2019
Authors: Tunny Rahma , Dusra Epi , Yunita Mentari , Rumaella Debora 
Published: August 2021

Perkembangan dan pertumbuhan merupakan proses yang terjadi pada setiap makhluk ciptaan Tuhan. Masa ini ditandai oleh pertumbuhan dan perkembangan yang cepat serta perubahan dalam kebutuhan gizi. Tujuan umum dalam penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan ibu dan tinggkat pemberian ASI dengan Status Gizi Anak Di Dusun Kalapa Dua Kabupaten Seram Bagian Barat Tahun 2019. Desain penelitian ini menggunakan rancangan penelitian survey deskriptif analitik dimana peneliti ini bertujuan untuk mengetahui hubungan tingkat pengetahuan ibu dan pemberian ASI dengan status gizi pada bayi usia 7-11 bulan di dusun kelapa dua desa Kairatu. Hasil penelitian bahwa tidak ada hubungan pengetahuan dengan status gizi pada balita di dusun kelapa 2 desa kairatu kecamatan kairatu kabupaten seram bagian barat tahun 2019, Tidak ada hubungan pemberian ASI Ekslusif dengan status gizi pada balita di Dusun Kelapa 2 Desa Kairatu Kecamatan Kairatu Kabupaten Seram Bagian Barat tahun 2019
Kata kunci: pengetahuan; ASI esklusif; status gizi
Pengaruh Edukasi terhadap Pengetahuan dan Sikap Petani Rumput Laut dalam Penggunaan APD untuk Pencegahan Dermatitis Kontak di Ohoi Nngilngof Kecamatan Manyeu Kabupaten Maluku Tenggara
Authors: Metanfanuan Rahel , Kelabora Jonathan , Kelabora Jonathan 
Published: August 2021

Penyakit akibat kerja merupakan beban kesehatan dan ekonomi karena tidak hanya membutuhkan layanan dan biaya kesehatan, tetapi juga mengurangi produktivitas pekerja. Salah satu penyakit akibat kerja yang paling banyak dijumpai yaitu dermatitis kontak yang terkena pada petani rumput laut. Penelitian ini menganalisis pengaruh pendidikan terhadap pengetahuan dan sikap petani rumput laut dalam penggunaan APD untuk pencegahan dermatitis kontak. Desain penelitian dengan pendekatan kuantitatif, menggunakan metode eksperimen semu atau Eksperimen Kuasi dengan Pre-test dan post- uji satu desain kelompok. dengan populasi petani rumput laut yang berlokasi di Ohoi Ngilngoff, Kecamatan Manyeu, Kabupaten Maluku Tenggara. Teknik pengambilan sampel adalah total sampel dengan jumlah responden 62 orang. Analisis penelitian menggunakan paired sample T-test. Hasil penelitian menunjukkan ada pengaruh pendidikan terhadap pengetahuan (p = 0,0000 dan sikap (p = 0,0000) petani rumput laut. Hasil analisis pengetahuan dan sikap, rerata nilai pengetahuan adalah 3,6613 > 2,9032 dan Sikap 2,0000 > 1,6290. Kesimpulan: Edukasi dapat memiliki pengaruh terhadap peningkatan pengetahuan dan sikap dengan nilai p 0,000 < 0,005. Berdasarkan nilai rata-rata untuk pengetahuan 3,6613 > 2,9032 dan sikap 2,0000 > 1,6290. Ini berarti bahwa ada pengaruh edukasi terhadap pengetahuan dan sikap petani rumput laut dalam penggunaan APD untuk pencegahan dermatitis kontak.
Kata kunci: dermatitis kontak; APD; pengetahuan; sikap
Higiene Sanitasi dan Kejadian Infeksi Kecacingan pada Siswa Sekolah Dasar
Authors: Sidabutar Sondang 
Published: August 2021

Background: Higiene sanitation is a factor that is closely related to Helminthiases infection. Purpose: this study was to determine how the occurrence of sanitary hygiene with helminthiases infection in the District elementary school students 0913152014 in District Raya Simalungun. Method: The type of research was descriptive analytic with cross sectional approach. The population in this study were students of class I to class VI (91 people). The sampling technique was simple random sampling (48). The instrument used in this study was a laboratory test and a questionnaire. The data obtained in this study were analyzed using Chi-square test. Result: Based on Chi-square analysis of the relationship between hygiene and sanitation with the incidence of intestinal worms found handwashing (X2 = 23), the habit of cutting the nails (X2 = 8.21), the habit of eating raw foods (X2 = 12.24), latrine ownership (X2 = 11:47), type of flooring (X2 = 6.13), and the availability of clean water (X2 = 0.0276). Conclusion: From the results of research and discussion, it could be concluded that there was a correlation with the incidence of worm infection habit of hand washing, nail cutting habit, the habit of eating raw foods, floor of the house and latrine ownership.
Keywords: sanitation; hygiene; helminthiases; elementary students

ABSTRAK

Latarbelakang: Higiene sanitasi merupakan faktor yang sangat erat dengan infeksi kecacingan.Tujuan: Tujuan penelitian adalah mengetahui bagaimana higiene sanitasi dengan kejadian infeksi kecacingan pada siswa Sekolah Dasar 091315 Kecamatan Raya Kabupaten Simalungun. Metode: Jenis penelitian ini adalah dekriptif analitik dengan pendekatan cross sectional. Populasi adalah siswa kelas I sampai kelas VI (91 orang). Teknik pengambilan sampel adalah simple random sampling (48). Instrumen yang digunakan adalah uji laboratorium dan kuesioner. Data yang diperoleh, dianalisis menggunakan rumus statistik uji Chi-square dengan t hitung (α = 0,05). Hasil: Berdasarkan analisis Chi-square hubungan antara higiene sanitasi dengan kejadian penyakit cacingan didapatkan kebiasaan mencuci tangan ( X2=23), kebiasaan memotong kuku (X2=8,21), kebiasaan mengkonsumsi makanan mentah (X2=12,24), kepemilikan jamban (X2=11.47), jenis lantai (X2=6.13), dan ketersediaan air bersih (X2=0.0276). Kesimpulan: ada hubungan kejadian infeksi kecacingan dengan kebiasaan mencuci tangan, kebiasaan memotong kuku, kebiasaan mengkonsumsi makanan mentah, lantai rumah dan kepemilikan jamban.
Kata kunci: higiene; sanitasi; kecacingan; siswa SD
Efektivitas Tanaman Kayu Apu (Pistia stratiotes L.) dalam Menurunkan Kadar BOD5 dan COD Limbah Cair Industri Tahu
Authors: Rismawati Difya , Thohari Imam , Rochmalia Fitri 
Published: August 2021

Difya Rismawati
Jurusan Kesehatan Lingkungan, Poltekkes Kemenkes Surabaya; difyarismawati14@gmail.com (koresponden)
Imam Thohari
Jurusan Kesehatan Lingkungan, Poltekkes Kemenkes Surabaya
Fitri Rochmalia
Jurusan Kesehatan Lingkungan, Poltekkes Kemenkes Surabaya

ABSTRACT

Pistia stratiotes L. is one of the phytoremediator plants. Pistia stratiotes L. are able to grab the mud using their roots and produce excess nutrients that cause pollution. This absorption occurs because the substance is chelate or phythocelatin which is excreted by the root tissue of apu wood. Pistia stratiotes L. in reducing levels of BOD5 and COD in tofu industry waste. The research method used a type of pre-experimental research with one group pre-post test design. Phytoremediation media of tofu industry water was then treated for 15 days using Kayu apu (Pistia stratiotes L.), that was 14 mg/cm2, 25 mg/cm2 and 35 mg/cm2. The results of the study were analyzed analytically using One Way Anova. The most optimal plant density in reducing levels of BOD5 and COD was the density of 35 mg /cm2 with an effectiveness value of BOD5 of 80.7% equivalent to 41.05 mg /l and COD of 82.02% equivalent to 91.74 mg /l. Industrial owners can use woody plants as phytoremediator agents to reduce levels of BOD5 and COD pollutants.
Keywords: density; Pistia stratiotes L.; tofu industry waste

ABSTRAK

Kayu apu (Pistia stratiotes L.) adalah salah satu tumbuhan fitoremediator Tanaman kayu apu mampu mencengkeram lumpur dengan berkas akarnya dan menyerap kelebihan zat hara yang menyebabkan pencemaran. Penyerapan ini terjadi karena zat khelat atau phythocelatin yang diekskresikan oleh jaringan akar kayu apu. Penelitian ini bertujuan untuk mengetahui efektivitas tanaman kayu apu (Pistia stratiotes L.) dalam menurunkan kadar BOD5 dan COD pada limbah industri tahu. Penelitian ini menggunakan jenis penelitian pre-experimental dengan rancangan penelitian One Group Pre-Post Test Design. Media fitoremediasi berupa limbah cair industri tahu kemudian dilakukan treatment selama 15 hari menggunakan tanaman kayu apu (Pistia stratiotes L.) yaitu 14 mg/ cm2, 25 mg/cm2 dan 35 mg/cm2. Hasil penelitian dilakukan analisis data secara analitik menggunakan uji beda (One Way Anova). Kerapatan tanaman yang paling optimal dalam menurunkan kadar BOD5 dan COD yaitu kerapatan 35 mg/cm2 dengan nilai efektivitas BOD5 sebesar 80,7 % setara dengan 41,05 mg/l dan COD sebesar 82,02 % setara dengan 91,74 mg/l. Pemilik industri tahu dapat memanfaatkan tanaman kayu apu sebagai agen fitoremediator untuk menurunkan kadar pencemar BOD5 dan COD.
Kata kunci: kerapatan; Pistia stratiotes L.; limbah cair industri tahu
Faktor-Faktor yang Mempengaruhi Penerapan Program Pelayanan Kesehatan Sekolah: Tinjauan Literatur
Authors: Virdiyanti Ruri , Mulyono Sigit 
Published: August 2021

Children are an age group that is vulnerable to exposure to various sources of disease. The implementation of the school health service program to help reduce morbidity in children, but always influenced by various factors so that the implementation is not optimal. The purpose of writing this article is to review the factors that influence the implementation of school health service programs. The method of this article was a literature review. Literature search was conducted by using an online database of BMC, Google Scolar, Proquest, and Science Direct. The results of the article searched found 4 articles that fit the inclusion criteria and then an analysis was found that the factors that could affect the implementation of the school health service program include: the ability to build teacher capacity, school infrastructure, teacher attitudes, the number of health workers in school, and community culture. The conclusion of this literature review requires further research on the influence of the role of community nurses on the implementation of health services in schools.
Keywords: program; health service; school

ABSTRAK

Anak merupakan kelompok usia yang rentan untuk terpapar dengan berbagai sumber penyakit. Pelaksanaan program pelayanan kesehatan sekolah untuk membantu mengurangi angka kesakitan pada anak, namun selalu dipengaruhi oleh berbagai faktor sehingga pelaksanaan menjadi tidak optimal. Tujuan dari penulisan artikel ini adalah untuk meninjau faktor-faktor yang mempengaruhi penerapan program pelayanan kesehatan sekolah. Metode penulisan artikel adalah tinjauan literatur. Penelusuran literatur dilakukan dengan cara menggunakan online data base BMC, Google Scolar, Proquest, dan Science Direct. Hasil dari penelusuran artikel ditemukan 4 artikel yang sesuai dengan kriteria inklusi kemudian dilakukan analisis ditemukan bahwa fakor-faktor yang dapat mempengaruhi penerapan program pelayanan kesehatan sekolah antara lain: kemampuan membangun kapasitas guru, infrastruktur sekolah, sikap guru, jumlah tenaga kesehatan yang di sekolah, dan budaya komunitas. Kesimpulan dari tinjauan literatur ini diperlukan penelitian lebih lanjut mengenai pengaruh peran perawat komunitas terhadap pelaksanaan pelayanan kesehatan disekolah.
Kata kunci: program; pelayanan kesehatan; sekolah
Efektivitas Kepemimpinan Transformasional Terhadap Peningkatan Kinerja Perawat
Authors: Patarru' Fitriyanti , Nursalam Nursalam , Mar’ah HAS Eka Mishbahatul 
Published: August 2021

Background: Transformational leadership is a style of leadership that motivates subordinates to work towards organizational goals. Objective: To determine the effectiveness of transformational leadership on nurse performance. Method: The database used in this study were Scopus, SAGE and Pubmed were limited to the last 5 years of publication from 2016 to 2020, full-text articles and in English. The keyword used were "Transformational Leadership" AND "Performance AND “Nursing". This systematic review used 15 articles that fit the inclusion criteria. Results: transformational leadership effect improved nurse performance in providing health and patient safety services because it could increase work motivation, well-being, work creativity, work performance, teamwork, organizational commitment, organizational climate, job satisfaction and reduce nurses' stress levels in work so turnover rate decreases. Transformational leadership, if implemented could have a positive impact on the quality of health services that could provide satisfaction to patients. Conclusion: Transformational leadership has a lot of effectiveness in improving nurse performance in hospitals. Suggestion: Transformational leadership style models are considered necessary to be applied by leaders in hospitals in Indonesia.
Keywords: transformational leadership; performance; nursing

ABSTRAK

Latar belakang: Kepemimpinan transformasional merupakan gaya kepemimpinan yang memotivasi para bawahan agar bekerja untuk mencapai tujuan organisasi. Tujuan: Untuk mengetahui efektivitas kepemimpinan transformasional terhadap kinerja perawat. Metode: Database yang digunakan dalam penelitian ini adalah Scopus, SAGE dan Pubmed terbatas untuk publikasi 5 tahun terakhir dari 2016 hingga 2020, full text article dan berbahasa Inggris. Kata kunci yang digunakan adalah “Transformational Leadrship” AND “Performance AND “Nursing”. Systematic review ini menggunakan 15 artikel yang sesuai dengan kriteria inklusi. Hasil: kepemimpinan transformasional memiliki efektivitas pada peningkatan kinerja perawat dalam memberikan pelayanan kesehatan dan keselamatan pasien karena dapat meningkatkan motivasi kerja, kesejahteraan, kreativitas kerja, prestasi kerja, kerjasama tim, komitmen organisasi, iklim organisasi, kepuasan kerja dan menurunkan tingkat stress perawat dalam bekerja sehingga tingkat turn over berkurang. Kepemimpinan transformasional jika diterapkan dapat memberi dampak positif bagi kualitas mutu pelayanan kesehatan yang dapat memberi kepuasan kepada pasien. Simpulan: Kepemimpinan transformasional memiliki banyak efektivitas dalam meningkatkan kinerja perawat di rumah sakit Saran: Model gaya kepemimpinan transformasional dipandang perlu untuk diterapkan oleh para pemimpin di rumah sakit yang ada di Indonesia.
Kata kunci: kepemimpinan transformasional; kinerja; perawat
Prototype Media Tempat Sampah Dengan Teori P-Process
Authors: Wahyudi Donny Tri 
Published: August 2021

Making waste media as a health promotion is fundamental to provide an understanding of waste processing, sorting and handling. This study aims to analyze health education with media created based on the P-Process theory. This type of observational analytic study was cross sectional. The stages of research carried out based on p-process theory to the prototype stage with media was tested through quantitative approaches with Wilcoxon sign test and qualitative interviews with in-depth interviews.The results was showed that health education with the media of the trash can effectively increased knowledge by p = 0.02 with α <0.05 and the media has a lack of convenience aspects.The conclusions that are needed pretest and posttest after health counseling with media trash to knowledge with media evaluation need to improve in comfort, placement, volume that can be accommodated as well as safety against insects and flies.
Keywords: p-process; health education; trash can

ABSTRAK

Pembuatan media tempat sampah sebagai promosi kesehatan menjadi hal mendasar untuk memberikan pemahaman tentang pengolahan, pemilahan dan pembuangan sampah secara benar. Penelitian ini bertujuan untuk menganalisis penyuluhan kesehatan dengan media yang dibuat berdasarkan teori p-process. Jenis penelitian observasional analitik dengan cross sectional.Tahapan penelitian dilakukan berdasarkan teori p-process sampai pada tahap prototype dengan uji coba media melalui pendekatan kuantitatif dengan uji wilcoxon sign test dan kualitatif dengan indepth interview. Hasil menunjukan penyuluhan kesehatan dengan media tempat sampah efektif meningkatkan pengetahuan dengan p=0.02 dengan α <0.05 dan pada media memiliki kekurangan pada aspek kemudahan. Kesimpulan terdapat perbedaan pretest dan posttest setelah dilakukan penyuluhan kesehatan dengan media tempat sampah terhadap pengetahuan dengan evaluasi media perlu perbaikan dalam kemudahan, penempatan, volume yang dapat ditampung serta keamanan terhadap serangga dan lalat.
Kata kunci: p-process; penyuluhan kesehatan; tempat sampah
Simultaneous Temperature Measurements and Aerosol Collection During Vaping for the Analysis of Δ9-Tetrahydrocannabinol and Vitamin E Acetate Mixtures in Ceramic Coil Style Cartridges
Authors: Lynch John , Lorenz Lisa , Brueggemeyer Jana L. , Lanzarotta Adam , Falconer Travis M. , Wilson Robert A. 
Published: August 2021

Incidence of e-cigarette, or vaping, product use-associated lung injury (EVALI) has been linked to the vaping of tetrahydrocannabinol (THC) products to which vitamin E acetate (VEA) has been added. In this work we vaped THC/VEA mixtures at elevated power levels using a variety of ceramic coil vaping cartridges and a commercially available vaping device, while simultaneously measuring temperature and collecting the vaporized condensate. The collected vapor condensate was analyzed for evidence of VEA decomposition by GC/MS, GC/FT-IR/MS, and LC-APCI-HRMS/MS. Mean temperature maxima for all examined cartridges at the selected power exceeded 430°C, with a range of 375–569°C, well beyond that required for thermal decomposition of VEA. The percent recovery of VEA and Δ9-THC from the vaporized mixture in six cartridges ranged from 71.5 to 101% and from 56.4 to 88.0%, respectively. Analysis of the condensed vaporized material identified VEA decomposition products duroquinone (DQ), 1-pristene, and durohydroquinone monoacetate (DHQMA); a compound consistent with 4-acetoxy-2,3,5-trimethyl-6-methylene-2,4-cyclohexadienone (ATMMC) was also detected. The concentration of DQ produced from vaporization of the THC/VEA mixture in one cartridge was found to be 4.16 ± 0.07 μg per mg of vapor condensate.
Case Report: Crown Resorption in a Patient With Junctional Epidermolysis Bullosa and Amelogenesis Imperfecta With LAMB3 Gene Mutations
Authors: Urzúa Blanca , Krämer Susanne , Morales-Bozo Irene , Camacho Claudia , Yubero María Joao , Palisson Francis , Fuentes Ignacia , Ortega-Pinto Ana 
Published: August 2021

Background: Epidermolysis bullosa (EB) corresponds to a series of conditions characterized by extreme fragility of the skin and/or mucous membranes. Of the four main types of EB, junctional EB (JEB) is the most associated with alterations in the teeth. The purposes of this study were to determine the clinical, histopathological, and ultrastructural characteristics of teeth with amelogenesis imperfecta (AI) in a patient with JEB, and compare them with control teeth, and correlate the findings with the mutations present in the patient.Case Report: The study was conducted on a 10-year-old patient with JEB carrier of two recessive mutations in the LAMB3 gene and absence of the laminin-332 protein (LM-332), determined by immunofluorescence on a skin biopsy. The patient presents hypoplastic AI with very thin and yellow-brown colored enamel. Extraction of two permanent molars was performed due to pain and soft tissue covering the crown, resembling pulp polyp or hyperplastic gingiva. Light and scanning electron microscopy (SEM) revealed very thin enamel varying from complete absence to 60 μm, absence of normal prismatic structure, and presence of a cross-banding with a laminated appearance. The histopathological study revealed granulation tissue causing external crown resorption.Conclusion: Although coronary resorption has been reported in patients with syndromic and non-syndromic AI, this is the first clinicopathological report of coronary resorption in partially erupted teeth in patients with JEB with mutations in the LAMB3 gene and hypoplastic AI. In patients with this condition, the presence of partially erupted teeth with soft tissue covering part of the crown, without a periodontal pocket, and with a radiographic image of partial coronal radiolucency should lead to suspicion of external coronary resorption.
Differential Lipidomic Characteristics of Children Born to Women with Polycystic Ovary Syndrome
Authors: Zhang Zhirong , Liu Yue , Lv Jiali , Zhang Di , Hu Kuona , Li Jingyu , Ma Jinlong , Cui Linlin , Zhao Han 
Published: August 2021

ObjectiveTo describe the lipidomic characteristics of offspring born to polycystic ovary syndrome (PCOS) women (PCOS-off) and assess the associations between differential lipids and clinical phenotypes.MethodsUltra performance liquid chromatography and mass spectrometry were performed on plasma samples from 70 PCOS-off and 71 healthy controls. The associations of differential metabolites with clinical phenotypes were examined by multiple linear regression.ResultsForty-four metabolites were significantly altered in PCOS-off, including 8 increased and 36 decreased. After stratification according to sex, 44 metabolites (13 increased and 31 decreased) were expressed differently in girls born to PCOS women (PCOS-g), most of which were glycerolipids. Furthermore, 46 metabolites (9 increased and 35 decreased) were expressed differently in boys born to PCOS women (PCOS-b), most of which were glycerophospholipids. Significant associations of metabolites with weight Z-score and high density lipoprotein cholesterol were found in PCOS-off. Triglycerides, low density lipoprotein cholesterol, and thyroid-stimulating hormone were separately correlated with some lipids in PCOS-g and PCOS-b.ConclusionsPCOS-off showed specific lipid profile alterations. The abnormal level of glycerophospholipids and sphingomyelin indicated the risk of glucose metabolism and cardiovascular diseases in PCOS-off. Some lipids, such as phosphatidylcholines, lysophosphatidylcholine and sphingomyelin, may be the potential markers. The results broadened our understanding of PCOS-offs’ cardiometabolic status and emphasized more specific and detailed monitoring and management in this population.
Development of a Novel Restrictive Medium for Monascus Enrichment From Hongqu Based on the Synergistic Stress of Lactic Acid and Ethanol
Authors: Zhou Kangxi , Wu Li , Chen Guimei , Liu Zhibin , Zhao Xinze , Zhang Chen , Lv Xucong , Zhang Wen , Rao Pingfan , Ni Li 
Published: August 2021

Graphical AbstractThe restrictive medium containing lactic acid and ethanol enabled the enrichment of Monascus sp.