bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengaruh Edukasi Senam Kaki Diabetes Mellitus Berbahasa Tetum Terhadap Sirkulasi Ekstremitas Bawah Dan Kadar Gula Darah Sewaktu Di Centru Saude Comoro, Dili, Timor Leste.
Authors: Barros Carmelita , Arofiati Fitri 
Published: October 2021

ABSTRACT
Diabetes mellitus (DM) in Indonesia is better known as diabetes and in Timor Leste DM known as Ra'an Midar has become a very serious health problem, and is the most common endocrine disease. Diabetes mellitus is a degenerative disease that is characterized by metabolic disorders or pancreatic damage so that the pancreas is unable to produce enough insulin to the maximum so that it can cause insulin deficiency in the body both absolute and relative can increase blood sugar levels or hyperglycemia. Data from the Dili District Health Office in 2018 showed that there were 2690 patients with diabetes mellitus, so that diabetic foot exercises were needed. The purpose of this study was to determine the effect of Tetum Language Diabetes Foot Gymnastic Education on Lower Circulation and Lower Blood Sugar Levels at the Saude Comoro Center, Dili, Timor Leste. Method : using the Pre-Experiment method. Independent variable: Education of Tetum Language Diabetes Foot Gymnastics Education, dependent variable: Circulation of Lower Extremity and Blood Sugar Level at a Time. Population 100 people, sample 28 people, sample technique: simple random, data collection: Examination of blood sugar levels, blood circulation, statistical tests: Wilcoxon Test. Results : Most respondents who had good blood circulation were 15 pre- test (53.6%) and 18 post-test (64.3%). And the majority of respondents whose blood sugar levels were good were 14 people pre-test (50.0%) and 20 people post test (71.4%). Based on the results of statistical tests using the Wilcoxon Signed Rank Test, the value of blood circulation is a significant level of 0.005 and the blood sugar level is at a significant level of 0,000. Conclusion : Conclusion there is the influence of Education on Tetun Language Diabetes Foot Gymnastics on Lower Extracurricular Circulation and Blood Sugar Levels At the Saude Comoro Center, Dili, Timor Leste.
Keyword: Leg exercise, lower extremity bloodd circulation, Blood sugar levels, Diabetes mellitus.
Peningkatan Fleksibilitas Sendi pada Pasien Stroke dengan Terapi Tali Temali
Authors: Jamaluddin M. , Widiyaningsih Widiyaningsih , Nadhifah Zulfatun 
Published: October 2021

Latar belakang : Stroke merupakan gangguan fungsi sistem saraf yang terjadi secara mendadak dan disebabkan oleh gangguan peredaran darah di otak. Menurut WHO sekitar 15 juta orang menderita serangan stroke pertama setiap tahun, dengan sepertiga dari kasus ini dapat mengakibatkan kematian. Masalah yang dialami penderita stroke adalah gangguan gerak. Maka perlu dilakukan terapi non farmakologis berupa terapi tali temali. Bersifat meningkatkan panjang dan elastisitas otot dan jaringan sekitar sendi karena dengan menggerakan sendi dapat melancarkan peredaran darah untuk mengurangi kekakuan fleksibilitas sendi.
Tujuan penelitian: Untuk mengetahui peningkatan fleksibilitas sendi pada pasien stroke dengan terapi tali temali
Metode Penelitian: Jenis penelitian ini adalah kuantitatif dengan Pre Experimental Design. Populasi penelitian ini adalah pasien penderita gejala post stroke non hemoragik di Poliklinik Saraf RSUD Ungaran dengan sampel sebanyak 20 orang. Teknik sampling pada penelitian ini adalah Purposive Sampling
Hasil penelitian : Uji normalitas menggunakan Uji Sapiro Wilk didapatkan hasil sebelum terapi 0,062 (> 0,05) dan didapatkan hasil setelah terapi 0,068 (> 0,05). Uji statistik menggunakan Uji Paired T-Test menunjukan p-value 0.000 atau < 0,05 maka dapat disimpulkan ada pengaruh terapi tali temali terhadap fleksibilitas sendi. Kesimpulan: Ada pengaruh terapi tali temali terhadap fleksibilitas sendi pada pasien stroke di RSUD Ungaran.
Faktor-Faktor yang Berhubungan dengan Tekanan Darah pada Masa Pandemi Covid-19
Authors: Widiharti Widiharti , Widiyawati Wiwik , Fitrianur Widya Lita 
Published: October 2021

Tekanan darah adalah faktor penting dalam sistem sirkulasi tubuh manusia. Tekanan darah dapat dengan mudah berubah meski dalam hitungan detik (Sasmalinda, Syafriandi, & Helma, 2013). Pada 2 Maret 2020, pemerintah Indonesia pertama kali mengumumkan dua kasus pasien postif Covid-19. (Pranita, 2020). Pasien tidak berani melakukan pemeriksaan ke rumah sakit, sehingga jika ada keluhan yang tidak begitu berat mereka akan membeli obat di apotik tanpa mengetahui tekanan darahnya. Hal ini sangat mengkhawatirkan karena tekanan darah yang tidak terkontrol dapat menyebabkan komplikasi lain seperti stroke. Tujuan penelitian menganalisis faktor yang berhubungan dengan tekanan darah.
Desain penelitian analitik observasional, dengan pendekatan Cross Sectional (Notoatmodjo, 2012). Pelaksanaan bulan Maret – Mei 2020. Populasi dari Seluruh warga babatan RT 8 RW 2 Kelurahan Babatan Kecamatan Wiyung sebanyak 110 orang. Teknik Sampel total sampling. Variabel independen; jenis kelamin, beban kerja, pendapatan, tingkat kecemasan dan riwayat keluarga. Variabel dependen; tekanan darah. Instrument penelitian; timbangan injak digital, tensi digital, dan kuesioner. Variabel Tingkat kecemasan menggunakan HARS (Hamilton Anxiety Rating Scale). Dianalisis uji statistik Chi Square dengan nilai p value <0.05.
Hasil penelitian chi square beban kerja nilai p-value 0,004<0,005 ada hubungan beban kerja dengan tekanan darah. Hasil p – value 0,002<0,05 ada hubungan antara jenis kelamin dengan tekanan darah. Hasil p value 0,463<0,05 tidak ada hubungan antara tingkat kecemasan, hasilnya p – value 0,000<0,05 ada hubungan riwayat keluarga dengan tekanan darah.
Kesimpulan faktor yang berhubungan dengan tekanan darah yaitu jenis kelamin, beban kerja, pendapatan, riwayat keluarga sedangkan faktor yang tidak berhubungan dengan tekanan darah yaitu kecemasan
Peran Petugas Kesehatan dan Keluarga terhadap Self Care Penderita Kusta
Authors: Hannan Mujib , Hidayat Syaifurrahman , Sandi Mayank Nirmala 
Published: October 2021

ABSTRACT
An infectious disease that is still found in Indonesian society, namely leprosy, Indonesia ranks third in the world after Brazil. East Java is in the first place with the highest number of new cases of leprosy in 2018, with 2,701 people. Individual self care is influenced by age, gender, developmental status, health status, socio-culture, health services, family system, lifestyle, environment, and availability of resources. The purpose of this study was to determine the role of health workers and families in self-care for people with leprosy in Batuputih District, Sumenep Regency. Analytical research design with cross sectional design. The population is people with leprosy in Batuputih Health Center. The sampling technique was purposive sampling with a sample of 32 respondents. Statistical test using the Spearman correlation test. The results of the study of 25 respondents obtained that most of the health workers participated in the self-care of leprosy sufferers as many as 16 people (64.0%), most of the families did not play a role in self-care for people with leprosy as many as 15 people (60.0%), almost all of them were self-care. care in the less category as many as 20 people (80.0%), there is no relationship between the role of health workers and self-care for people with leprosy with Sig. 0.065 (> 0.05) and there is a relationship between family roles and self-care for lepers with Sig. 0.001 (<0.05) in Batuputih Sumenep District with the results of the Spearman test. Families who do not play a role cause bad self-care for people with leprosy so that this can increase the risk of disability and worsen the condition of lepers. The role of health workers and families who are active in supporting self-care for people with leprosy can facilitate the healing and recovery process for people with leprosy and as a step to reduce the spread of leprosy.
Keyword: Leprosy, Role of Health Workers, Family Role, Self Care
Pengetahuan dan Sikap Masyarakat dalam Pencegahan COVID-19
Authors: Suprayitno Emdat , Rahmawati Sylvina , Ragayasa Adivtian , Pratama Muchti Yuda 
Published: October 2021

Abstract
The World Health Organization (WHO) has declared the 2019 Coronavirus (Covid-19) a global pandemic. This virus is easily transmitted, so it requires knowledge and a good attitude in efforts to prevent transmission. The purpose of this study was to describe the knowledge and attitudes of COVID-19 prevention in the community in Murtajih Village, Pademawu District, Pamekasan Regency.
This research is a descriptive study with a cross-sectional non-analytic design. This research uses descriptive analysis with a questionnaire research instrument. The sample of this research is part of the community in the hamlet of East Solo and North Solo, Murtajih Village, Pademawu District, as many as 62 people with a total sampling technique.
The results showed that the level of public knowledge in preventing covid-19 in Murtajih Village, Pademawu sub-district was mostly good, as many as 32 people, 51.6%, while the public attitude in preventing Covid-19 in Murtajih Village, Pademawu sub-district was mostly positive as many as 53 people 85, 5%.
The results of this study indicate that most of the knowledge of the community in the village of Murtajih, Pademawu district is mostly good and the attitudes are mostly positive. It is hoped that the community will take precautionary measures to prevent transmission of COVID-19 by washing their hands and wearing masks.
Keanekaragaman Manifestasi Klinis pada Coronavirus Disease 2019 (COVID-19)
Authors: Yanti Budi , Syahputra T Andi , Rahma Fitri Amalia , Katuri Rauzatil Aula , Safitri Rosi Mega 
Published: October 2021

Abstract
Coronavirus disease 2019 (COVID-19) was caused by SARS-CoV-2 and is currently a global public health problem. This disease transmits through aerosols and saliva when coughing and sneezing from a person with symptoms or carrier people. The diversity of clinical manifestations would be detected and depended on the number of ACE2 receptor expressions that are scattered throughout the human body. The more expression in the organ, the more frequent symptoms that appear in the patient. The respiratory dysfunction is the most common symptoms that will be detected and followed by the olfactory dysfunction such as anosmia, the visual dysfunction such as conjunctivitis, the digestive dysfunction such as nausea, vomiting, and diarrhea, the vascular dysfunction such as thrombosis and embolism, and the cardiovascular dysfunction such as Acute Cardiac Injury and Acute Coronary Syndrome. This review literature used an internet-based search engine method that aims to discuss functional disorders in the human body system that caused diversity of clinical manifestations in COVID-19.
Key words:
Diversity, Symptoms, COVID-19, SARS CoV-2
Analisis Uji Kesesuaian Pesawat Sinar X Radiografi Mobile Merk Drgem Topaz-40d Menggunakan X-Ray Multimeter PIRANHA
Authors: Hyperastuty Agoes Santika , Mukhammad Yanuar , Sugeng Sugeng 
Published: October 2021

Sesuai dengan peraturan Badan Pengawas Tenaga Nuklir Republik Indonesia nomor 2 tahun 2018 bahwa pesawat sinar X ray yang belum mempunyai sertifikat uji kesesuaian dan pesawat sinar X yang akan melampaui masa uji berkala harus mempunyai sertifikat uji kesesuaian alat. Uji kesesuaian pesawat sinar X ray dilakukan oleh lembaga yang ditunjuk oleh Kepala Badan untuk melaksanakan Uji Kesesuaian dan menerbitkan sertifikat Uji Kesesuaian. Kami telah melakukan uji kesesuaian (Compliance Test) terhadap pesawat sinar-X radiografi mobile merk DRGEM Topaz-40D. Tujuannya adalah untuk memastikan pesawat sinar X dalam kondisi ANDAL,ANDAL dalam perbaikan atau tidak ANDAL. Jenis pengujian yang dilakukan diantaranya Uji kolimasi berkas cahaya, Uji generator dan tabung sinar X. Dari hasil penelitian untuk uji iluminasi didapatkan hasil 292,25 lux, uji selisih lapangan kolimasi dengan berkas sinar X 0,6 dan 0,7, sedangkan ketegaklurusan berkas sinar X diukur dengan multimeter sinar X adalah 1 º. Untuk uji generator dan tabung sinar X meliputi uji akurasi tegangan error menunjukkan 0,4 %, uji akurasi waktu penyinaran error menunjukkan 1,4%. Uji linieritas didapatkan CL=0,02 dengan pengambilan focus besar dan focus kecil. Uji reproduksibilitaas tegangan, waktu dan dosis mendapatkan keluaran radiasi 0,001 dengan waktu eksposi 0,000 dan tegangan puncak 0.001. Uji kualitas HVL dengan pengaturan tegangan 70 dan 80 kV yang dipasang secara permanen mendapatkan hasil 2,8 mmAl dan 3,2 mmAl.Uji kebocoran tabung dihitung mencapai 1 mGy/jam. Dari semua hasil pengukuran yang telah dilakukan hasil uji dalam rentang nilai lolos uji yang ditetapkan oleh BAPETEN. Sesuai PERBA BAPETEN No.2 Tahun 2018 bahwa pesawat X-ray radiografi mobile merk DRGEM Topaz-40D dinyatakan dalam kondisi ANDAL. Metode ini bisa dilakukan untuk uji kesesuaian pesawat sinar x ray radiografi mobile atau pesawat sinar x ray radiografi umum terpasang tetap.
kunci—Uji kesesuaian, pesawat x ray radiografi mobile, ANDAL, Piranha
Analisis Korelasi Kadar Hemoglobin Dengan Riwayat Lama Menderita Diabetes Mellitus Tipe 2
Authors: Nuari Nian Afrian 
Published: October 2021

Diabetes mellitus is a metabolic disease that has characteristics of high blood sugar levels (hyperglycemia), this can occur due to abnormalities in insulin secretion. The aim of this study was to determine the relationship of hemoglobin levels with long suffering Diabetes Mellitus patients. This study used was correlational design with a cross sectional approach. The population in this study were 225 people with a sample of 67 respondents with purposive sampling technique. Data was collected by checking hemoglobin levels and Quesioner. The results showed that almost all respondents had normal hemoglobin levels and most of the respondents had long history of suffering from Diabetes Mellitus for 5-10 years.. Data analysis used was the Rho Spearman test and can not found the relationship between hemoglobin levels and long suffering Diabetes Mellitus (p value = 0.565). History of suffering from Diabetes Mellitus,did not necessarily have low hemoglobin levels, because it can be noticed from other factors such as routine taking medication, diet, exercise, and lifestyle that can affect the condition of diabetes patients themselves. Diabetes Mellitus patients need to maintain the blood sugar levels and hemoglobin levels with a healthy lifestyle, take the recommended diet, routinely consume drugs, and check blood sugar levels regularly.
Anemia berhubungan dengan Perdarahan Post Partum
Authors: Yasin Zakiyah , Hannan Mujib , Wahyuni Erlyn 
Published: October 2021

Pregnant women who experience anemia and untreated until the end of pregnancy will have an effect at the time of delivery, so that it can cause post partum hemorrhage which results in death in the mother. This study aims to analyze the relationship between anemia and the incidence of post partum hemorrhage in Puskesmas Lenteng, Lenteng District, Sumenep Regency.
The study design was analytic with a retrospective approach, the total population was 35 mothers, the total sample was 29 mothers, the sampling technique used random sampling. The independent variable is anemia, the dependent variable is the incidence of post partum hemorrhage. Collecting data using a checklist, data analysis using the chi square statistical test, the value of a = 0.05.
The results showed that of the 29 women who gave birth, most of them experienced anemia (HB level <11 g%) during pregnancy, as many as 19 mothers gave birth (65.5%), and of the 29 mothers gave birth, most of them experienced post partum hemorrhage as much as 17 mothers gave birth (59%).
The result of statistical tests using chi square with a value of a = 0.05, the resulting value (ρ) = 0.000, so that the value (ρ) <a (0.000 <0.05), which means that H0 is rejected and H1 is accepted, i.e. the relationship between anemia and the incidence of post partum hemorrhage at the Lenteng Public Health Center, Lenteng District, Sumenep Regency in 2020
In order to reduce the incidence of post partum hemorrhage, it is hoped that the mother in labor can prevent anemia during pregnancy, namely by consuming foods that contain lots of protein such as meat, liver, eggs, vegetables, folic acid (Vitamin C) and consumption of Fe tablets regularly and how to drink properly and according to conditions / needs.
Evaluation of comedogenic potential of a paraben-free plant-based butter moisturizing cream: A double-blind, comparative study
Authors: Gala Monil Yogesh Neena , Muchhala Snehal Sameer , Charugulla Sujeet Narayan , Rathod Rahul , Mane Amey , Pandit Sucheta , Samal Alok Ranjan , Choudhury Anup Avijit 
Published: October 2021

Objectives:
Comedogenicity is a critical factor in making of cosmetics and skin care products. The term “acne cosmetica” was coined to link the relationship between female acne to the use of cosmetic formulations, stating that the ingredients used in the cosmetic formulations have the potential to evoke a comedogenic response or produce comedones. Therefore, it is important that a skin care product is non-comedogenic and efficacious at the same time. The main objective of this study is to evaluate the comedogenic potential of the test product (Venusia Max Cream – paraben free) when applied topically under occluded patch to the skin.

Material and Methods:
This was a randomized, double-blinded, comparative study conducted in 24 healthy female participants, with prominent follicular orifices on the upper back region. Comedogenic potential of the test product (Venusia Max Cream – paraben free) was evaluated in comparison to positive (coconut oil) and negative (glycerin) controls in women. Each participant received topical application of test and control products under occluded patch to the skin on the upper aspect of the back, 3 times weekly for 4 weeks. Cyanoacrylate biopsies were performed before and after treatment to determine the microcomedones histologically. Microcomedones were graded using light microscopy and results were analyzed based on scale rating (0–3).

Results:
The mean comedone grading was assessed between positive versus negative control, and positive control versus test product. The mean comedone grades were significantly less in test product 0.41 ± 0.50 and negative control 0.82 ± 0.73 in comparison to positive control 2.09 ± 0.68. The test product was least comedogenic in this study. Furthermore, no adverse events were reported during the study period.

Conclusion:
Based on the histological evidence, Venusia Max Cream (paraben free) is a non-comedogenic, plant-based intense moisturizing cream and its use in regular skin care routine can be beneficial, particularly for acne prone and dry skin as it improves the skin hydration levels.
Numerical modelling of swirling momentumless turbulent wake dynamics
Authors: Деменков Андрей Геннадьевич , Черных Геннадий Георгиевич 
Published: October 2021

С применением математической модели, включающей осредненные уравнения движения и дифференциальные уравнения переноса нормальных рейнольдсовых напряжений и скорости диссипации, выполнено численное моделирование эволюции безымпульсного закрученного турбулентного следа с ненулевым моментом количества движения за телом вращения. Получено, что начиная с расстояний порядка 1000 диаметров от тела течение становится автомодельным. На основе анализа результатов численных экспериментов построены упрощенные математические модели дальнего следа.
Swirling turbulent jet flows are of interest in connection with the design and development of various energy and chemical-technological devices as well as both study of flow around bodies and solving problems of environmental hydrodynamics, etc. An interesting example of such a flow is a swirling turbulent wake behind bodies of revolution. Analysis of the known works on the numerical simulation of swirling turbulent wakes behind bodies of revolution indicates lack of knowledge on the dynamics of the momentumless swirling turbulent wake. A special case of the motion of a body with a propulsor whose thrust compensates the swirl is studied, but there is a nonzero integral swirl in the flow. In previous works with the participation of the authors, a numerical simulation of the initial stage of the evolution of a swirling momentumless turbulent wake based on a hierarchy of second-order mathematical models was performed. It is shown that a satisfactory agreement of the results of calculations with the available experimental data is possible only with the use of a mathematical model that includes the averaged equations of motion and differential equations for the transfer of normal Reynolds stresses along the rate of dissipation. In the present work, based on the above mentioned mathematical model, a numerical simulation of the evolution of a far momentumless swirling turbulent wake with a nonzero angular momentum behind the body of revolution is performed. It is shown that starting from distances of the order of 1000 diameters from the body the flow becomes self-similar. Based on the analysis of the results of numerical experiments, simplified mathematical models of the far wake are constructed. The authors dedicate this work to the blessed memory of Vladimir Alekseevich Kostomakha.
An ant colony optimization algorithm with time window constraints relaxation for solving the vehicle routing problem
Authors: Долгова Ольга Эдуардовна , Пересветов Владимир Викторович 
Published: October 2021

Рассмотрена задача маршрутизации транспорта с ограничениями по временным окнам. Требовалось составить план доставки товара клиентам, построив маршруты движения идентичных транспортных средств так, чтобы общая длина пройденного пути была минимальной. Для решения задачи разработан гибридный алгоритм. Он состоит из методов построения исходных решений, муравьиного алгоритма и локального поиска. В муравьином алгоритме в процессе формирования маршрутов разрешается нарушение временных ограничений при условии добавления штрафа в целевую функцию. Предложенный метод показал высокую эффективность при решении задач кластерного типа и задач с долгосрочным горизонтом планирования.
The purpose of this paper is to improve the performance of a hybrid method based on ant colony optimization (ACO) that finds approximate solutions of the vehicle routing problem with time windows (VRPTW). In order to solve this problem it is required to design a plan for goods delivery to the customers generating the routes of identical vehicles so that the total travelled distance is minimal. For the VRPTW solving, the hybrid method is developed in which a usage of trial solutions makes it possible to explore the most promising parts of the search space. The initial methods for solution construction, an ant colony optimization (ACO) algorithm and local search are proposed in the framework of the hybrid method. In the ACO algorithm, when generating the routes, it is allowed to violate the time window constraints. A method to restore the feasibility of solutions is implemented within the relaxation scheme under “returns in time” principle. Numerical results for solving all problems with 25, 50 and 100 customers from the Solomon test set are obtained. We provide the results on the time and deviation of the solution of these problems in comparison with the results of other authors. Some problems and their classes were solved much faster by the algorithm proposed in this paper. Relative deviations from optimal values of the objective function for the most complex tasks decrease with increasing decision time. The proposed approach can be considered to be an additional or an alternative algorithm for solving the cluster type and the long-term planning horizon problems of the VRPTW.