bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efektifitas Clinical Nurse Educator terhadap Employee Engagment Perawat Baru Di Rumah Sakit Swasta : Literature Review
Authors: Kartika Yuyun Nuraeni , Novita Regina VT 
Published: July 2024

ABSTRACT Quality nursing care services can be realized through attachment or employee engagement between nurses orientee and the institution where they work. But in reality it is difficult to grow employee engagement, especially for nurses orientee , this can be proven by the still high turnover of nurses in hospital institutions. This research was conducted to examine the relationship between Clinical Nurse Educator Effectiveness and employee engagement for nurses orientee. There were 20 journals used in the literature review. Journal searches were carried out through three databases, namely EBSCO, ProQuest, and Google Scholar. The results obtained are that employee engagement has a significant effect on nurse turnover intention. The things that influence employee engagement are training and career development, and the factors that influence turnover are work fatigue, work shifts, work stress, work load, work motivation and work environment. To be able to create employee engagement for nurses orientee working in an institution, it is necessary to have a Clinical Nurse Educator who has competence and has undergone continuing education. Keywords: Empoyee Engagement, Clinical Nurse Educator, Nurse Orientee, Turn Over ABSTRAK Pelayanan asuhan keperawatan yang berkualitas dapat diwujudkan melalui adanya keterikatan atau employee engagement antara perawat baru dengan institusi tempat bekerja. Tetapi pada kenyataannya sulit untuk menumbuhkan employee engagement khususnya terhadap perawat baru, hal ini bisa dibuktikan dengan masih tingginya turnover perawat di institusi Rumah Sakit. Penelitian ini dilakukan untuk melihat hubungan Efektivitas Clinical Nurse Educator terhadap employee engagement bagi perawat baru. Jurnal yang digunakan dalam literature review berjumlah 20 jurnal. Penulusuran jurnal dilakukan melalui tiga database yaitu EBSCO, ProQuest, dan Google Scholar. Hasil yang didapatkan yaitu employee engagement berpengaruh signifikan terhadap turnover intention perawat, Adapun hal yang mempengaruhi employee engagement adalah pelatihan dan pengembangan karir, dan faktor yang mempengaruhi turnover adalah kelelahan kerja, shift kerja, stress kerja, beban kerja, motivasi kerja dan lingkungan kerja. Untuk dapat menciptakan employee engagement terhadap perawat baru yang bekerja di suatu institusi diperlukan adanya seorang Clinical Nurse Educator yang mempunyai kompetensi dan telah menjalani Pendidikan berkelanjutan. Kata Kunci: Empoyee Engagement, Clinical Nurse Educator, Nurse Orientee, Turn Over
Efektivitas Ekstrak Batang Brotowali (Tinospora Crispa) sebagai Larvasida Terhadap Culex Sp
Authors: Sutriswanto Sutriswanto , Ihsan Bagus Muhammad , Cahyani Mely 
Published: July 2024

ABSTRACT Filariasis (elephantiasis) is a disease caused by the Culex quinquefasciatus mosquito vector. Eradicating larvae is one way of controlling the Culex mosquito vector. Brotowali stems (Tinospora crispa) have potential as a natural larvicide. The contents of brotowali (Tinospora crispa) stem extract include alkaloids, tannins, saponins, glycosides, terpenoids and flavonoids. This research aims to determine the effectiveness of brotowali (Tinospora crispa) stem extract as a larvicide against Culex sp. The research method used was laboratory experimental using 4 variations of concentration, namely 4%, 6%, 8% and 10% with 5 treatments using Culex sp larvae. Based on research results, the lowest death concentration level is 4% with a death percentage of 48% and the highest death concentration level is 10% with a death percentage of 82%. In the One Way ANOVA test, the p value = 0.000, where the p value < 0.05, means that brotowali (Tinospora crispa) stem extract is effective as a larvicide for Culex sp mosquitoes. Keywords: Culex sp, Bitter vine (Tinospora crispa) , Extract ABSTRAK Penyakit Filariasis (kaki gajah) merupakan salah satu penyakit yang disebabkan oleh vektor nyamuk Culex quinquefasciatus. Pemberantasan larva merupakan salah satu pengendalian vektor nyamuk Culex. Batang brotowali (Tinospora crispa) memiliki potensi sebagai larvasida alami. Kandungan ekstrak batang brotowali (Tinospora crispa) antara lain Alkaloid, Tanin, Saponin, Glikosida, terpenoid dan flavonoid. Penelitian ini bertujuan untuk mengetahui efektivitas ekstrak batang brotowali (Tinospora crispa) sebagai larvasida terhadap Culex sp. Metode penelitian yang digunakan adalah eksperimental laboratorium dengan menggunakan 4 variasi konsentrasi yaitu 4%, 6%, 8% dan 10% dengan 5 kali perlakuan menggunakan larva Culex sp. Berdasarkan hasil penelitian tingkat konsentrasi kematian terendah yaitu 4% dengan persentase kematian 48% dan tingkat konsentrasi kematian tertinggi yaitu 10% dengan persentase kematian 82%. Pada uji One Way ANOVA diperoleh nilai p value = 0.000 dimana nilai p value < 0.05 hal ini dapat diartikan bahwa Ekstrak batang brotowali (Tinospora crispa) efektif sebagai larvasida nyamuk Culex sp Kata Kunci: Culex sp, Batang Brotowali, Ekstrak
The Relationship of Knowledge with Anemia Prevention Attitudes in Pregnant Women at Kereng Bangkirai Public Health Centre
Authors: Cathryne Joice , Pertiwi Elvina Agus , Pandia Margareth Kristin Br , Renatha Silvina , Debby Chryest 
Published: July 2024

ABSTRACT Anemia is a disorder characterized by low hemoglobin levels in the blood. If it affects pregnant women, it can result in severe bleeding and even death during childbirth. In Indonesia, the number of pregnant women dying from anemia increased by 62.6% in 2020–2021. According to midwives at Palangka Raya City's Kereng Bangkirai Public Health Center, 86 pregnant women suffered from anemia in 2021. The purpose of this study to determine the relationship between knowledge and attitude to prevent anemia in pregnant women. This study used a quantitative correlational method with cross-sectional. The sample of this study is 50 first-trimester pregnant women who are registered at the Kereng Bangkirai Public Health Center in Palangka Raya City with accidental sampling as the sampling method. The instrument of this study uses a questionnaire on the knowledge and attitude to prevent anemia among pregnant women. The research was conducted in February-April 2023. The results showed that 25 (50%) pregnant women had good knowledge, which is 20 (20%) pregnant women had a positive anemia prevention attitude, and 5 (10%) pregnant women had a negative anemia prevention attitude. There was a relationship between knowledge and attitudes toward preventing anemia, as evidenced by the chi-square test results (p=0.047). A good level of knowledge can produce a positive attitude toward anemia prevention in pregnant women. Keywords: Anemia, Attitude, Pregnancy, Pregnant Women
Terapi Kognitif Efektif Meningkatkan Konsep Diri Mahasiswa dalam Menghadapi Resesi Ekonomi Pasca Pandemi Covid 19
Authors: Laela Sri , Hartati Suryani 
Published: July 2024

ABSTRACT Students are at risk of experiencing self-concept disorders as a result of their families being affected by the Covid-19 pandemic which has caused an economic recession. An economic recession occurred marked by a weakening of the global economy, high unemployment rates, due to massive layoffs by companies, a decline in exports and investment as well as a decline in state revenues from taxes and a lowering of economic growth targets by the government. Self-concept disorders experienced by students such as: shame, lack of self-confidence and feeling like a burden on the family will certainly affect students' academic achievement. The aim of this research is to identify the effect of cognitive therapy on students' self-concept in facing the economic recession after the Covid-19 pandemic. The methodology used was a quasi-experiment one group with pretest - posttest design using a consecutive sampling method. The respondents were 27 students Academy of Nursing Hermina Manggala Husada. The research was conducted from August to January 2024. The questionnaire was used a self-concept questionnaire consisting of 30 statements. The research results show that cognitive therapy is able to improve students' self-concept in dealing with the economic recession after the Covid-19 pandemic. In conclusion, Cognitive therapy is recommended to overcome students' self-concept problems.) Keywords: Self-Concept, Students, Cognitive Therapy ABSTRAK Mahasisiwa beresiko mengalami gangguan konsep diri sebagai akibat dari keluarga yang terkena dampak pandemic covid 19 yang menyebabkan resesi ekonomi. Resesi ekonomi terjadi ditandai dengan pelemahan ekonomi global, tingginya angka pengangguran, karena PHK besar – besaran oleh perusahaan, turunnya ekspor dan investasi serta penurunan penerimaan negara dari pajak serta diturunkannya target pertumbuhan ekonomi oleh pemerintah. Gangguan konsep diri yang di alami oleh mahasiswa seperti : malu, tidak percaya diri dan merasa menjadi beban keluarga tentunya akan mempengaruhi prestasi akademik mahasiswa. Tujuan penelitian ini adalah mengidentifikasi pengaruh terapi kognitif terhadap konsep diri mahasiswa dalam menghadapi resesi ekonomi pasca pandemic covid 19. Metodologi yang digunakan quasi-experiment one group with pretest – posttest design dengan metode consecutive sampling. Responden berjumlah 27 mahasiswa Akper Hermina Manggala Husada. Penelitian dilakukan Agustus sampai Januari 2024. Kuesioner yang di gunakan adalah kuesioner konsep diri yang terdiri dari 30 pernyataan. Hasil penelitian menunjukan bahwa terapi kognitif mampu meningkatkan konsep diri mahasiswa dalam mengadapi resesi ekonomi pasca pandemic covid 19. Kesimpulannya Terapi kognitif di rekomendasikan untuk mengatasi masalah konsep diri mahasiswa. Kata Kunci: Konsep Diri, Mahasiswa, Terapi Kognitif
Hubungan Burnout Perawat dengan Sikap Perawat Tentang End Life Care di Ruang Intensive Care RSUD Sumedang
Authors: Fitriya Neng Inggri , Haryeti Popon , Astuti Ayu Prameswari Kusuma 
Published: July 2024

ABSTRACT The care provided in intensive care rooms such as the ICU and NICU focuses on life-saving care for critical patients. For some patients who show no hope of life, nurses are required to provide end life care. The high workload of nurses in intensive care rooms can cause nurses to be vulnerable to burnout, which can have a negative impact on nurses' attitudes in providing care services. Therefore, this research aims to determine the description and relationship between nurse burnout and nurses' attitudes about end life care in the intensive care room at Sumedang Regional Hospital. This research was conducted using a correlational design and a cross-sectional approach. Data collection was carried out by distributing questionnaires to respondents. The number of respondents was 57, determined based on a total sampling technique from the entire population of nurses working in the intensive care room. The normality test shows that the data is normally distributed, so the Pearson correlation test is used for bivariate analysis with the JASP statistical analysis program. The correlation test results showed that the coefficient was -0.092, and the p-value was >0.05, namely 0.495. So, there is no significant relationship between nurse burnout and nurses' attitudes about end life care in the intensive care room at Sumedang Regional Hospital. Keywords: Burnout, Attitude, End Life Care ABSTRAK Perawatan yang diberikan di ruang intensive care seperti ICU dan NICU cenderung fokus pada perawatan life saving untuk pasien kritis. Pada beberapa pasien yang menunjukkan tidak adanya lagi harapan hidup, maka perawat wajib memberikan perawatan menjelang ajal atau end life care. Tingginya beban kerja perawat di ruang intensive care dapat menyebabkan perawat rentan mengalami burnout sehingga dapat berdampak negatif terhadap sikap perawat dalam memberikan pelayanan perawatan. Oleh karena itu tujuan dari penelitian ini adalah untuk mengetahui gambaran serta hubungan antara burnout perawat dengan sikap perawat tentang end life care di ruang intensive care RSUD Sumedang. Penelitian ini dirancang dengan desain korelasional dan pendekatan cross sectional. Pengumpulan data dilakukan dengan menyebar kuesioner pada responden. Responden berjumlah 57 orang yang ditentukan berdasarkan teknik total sampling dari seluruh populasi perawat yang bertugas di ruang intensive care. Uji normalitas menunjukkan bahwa data bersebaran normal sehingga uji kolerasi Pearson digunakan untuk analisis bivariat dengan program analisis statistik JASP. Hasil uji kolerasi didapatkan nilai koefisien kolerasi -0,092 dan nilai p value >0,05 yaitu 0,495. Maka dapat disimpulkan bahwa tidak terdapat hubungan yang signifikan antara tingkat burnout perawat dengan sikap perawat tentang end life care di ruang intensive care RSUD Sumedang. Kata Kunci: Burnout, Sikap, End Life Care
Measuring the Costs of Renewable Resources and Their Role in Reducing the Costs of Available Resources in The Iraqi Economic Units
Authors: Istabrak Hadi Farah , Hameed Ali Miaad 
Published: July 2024

As a result of the developments witnessed by the world and technological progress in all fields and its trend towards preserving the environment and its resources and reducing pollution in it, which required the economic units to search for resources to help them reduce costs and protect the environment from pollution while preserving its non-renewable resources, and in order to address this problem, the researcher determined the costs of available resources (non-renewable) for the production of electrical energy, which constitutes the largest proportion of indirect costs, Therefore, the research was launched to reduce these costs by replacing non-renewable resources with renewable resources in order to reduce costs on the one hand, protect the environment on the other hand, and help preserve non-renewable resources for future generations. To achieve this goal, the researcher carried out the field pension for Al-Mamoon factory in order to determine energy costs Electric using non-renewable resources, as well as field visits to obtain information from the Free Lights Company for Solar Energy and General Trading in order to determine the costs of renewable resources represented by solar energy. One of the most important results of the research was the is that the best resource of the six resources for generating electrical energy is the solar energy resource, it is safe and available in abundance and does not pose a threat to humans and the environment, Also, the findings of the current research revealed that investing in solar cells leads to an increase in investment costs, but at the same time leads to reducing the costs of use over its life of 30 years as a result leads to reducing the costs of producing electrical energy.
Investigating the characteristics of mild intervertebral disc degeneration at various age stages using single-cell genomics
Authors: Liu Pengcheng , Ren Xiang , Zhang Beiting , Guo Song , Fu Qiang 
Published: July 2024

Introduction: Intervertebral disc degeneration often occurs in the elderly population, but in recent years, there has been an increasing incidence of disc degeneration in younger individuals, primarily with mild degeneration.Methods: In order to explore the underlying mechanisms of disc degeneration in both young and aging individuals, we collected four types of nucleus pulposus (NP) single-cell sequencing samples for analysis based on Pfirrmann grading: normal-young (NY) (Grade I), normal-old (NO) (Grade I), mild degenerative-young (MY) (Grade II-III), and mild degenerative-old (MO) (Grade II-III).Results: We found that most NP cells in NO and MY samples exhibited oxidative stress, which may be important pathogenic factors in NO and MY groups. On the other hand, NP cells in MO group exhibited endoplasmic reticulum stress. In terms of inflammation, myeloid cells were mainly present in the degenerative group, with the MY group showing a stronger immune response compared to the MO group. Interestingly, dendritic cells in the myeloid lineage played a critical role in the process of mild degeneration.Discussion: Our study investigated the molecular mechanisms of intervertebral disc degeneration from an age perspective, providing insights for improving treatment strategies for patients with disc degeneration at different age groups.
An evaluation of tradeoffs in restoring ephemeral vs. perennial habitats to conserve animal populations
Authors: Peterson James T. , Duarte Adam 
Published: July 2024

IntroductionHabitat loss and degradation pose significant threats to global fish and wildlife populations, prompting substantial investments in habitat creation and restoration efforts. Not all habitats provide equal benefits, leading to challenges in prioritizing restoration actions. For example, juvenile anadromous salmonids require high quality rearing aquatic habitats to achieve the physiological requirements needed to successfully migrate to the ocean. However, there are profound disagreements among anadromous salmon restoration managers whether it is best to focus efforts on restoring in-channel habitats that are available for the entire rearing period or floodplain habitats that, while facilitating greater growth and survival than in-channel habitats, are only available for a few weeks at a time and are typically only activated every two-to-three years.MethodsWe used an existing fall-run Chinook salmon decision-support model to evaluate under what conditions floodplain restoration would provide greater benefits than in-channel habitat restoration. The simulations included a wide range of floodplain inundation frequencies and durations and floodplain benefits in the form of increased survival and growth relative to in-channel habitats.ResultsThe simulations results indicated that in-channel habitat restoration was always the best habitat restoration action when there was no existing in-channel habitat despite simulating a wide range of flood frequency, duration, and growth and survival benefits. Floodplain restoration was generally best when there was sufficient in-channel habitat available to successfully rear most of the juveniles produced by the returning adult salmon.DiscussionWe hypothesize that in-channel and floodplain habitats have different roles in salmon population maintenance with in-channel habitats regulating the overall population size and floodplains acting as recurrent resource pulses. Our study provides a quantitative framework to evaluate the benefit of these two habitat types and provides generalizable rulesets that can be used by managers when implementing habitat restoration strategies for species that inhabit both in-channel and floodplain habitats.
Lipid-lowering effect and oral transport characteristics study of curculigoside
Authors: Wang Aiping , Ning Jie , Zhao Lu , Xu Renjie 
Published: July 2024

IntroductionThe incidence of metabolic disorders during pregnancy is increasing year by year, with diseases including hypertension and hyperlipidemia. Statins are the primary drugs for treating hyperlipidemia or atherosclerosis, yet some patients remain unresponsive to them, and pregnant women are prohibited from taking statins. Curculigoside is the major biologically active natural product present in Curculigo orchioides.MethodsIn this study, A high-fat mice model was developed to study the lipid-lowering effect of curculigoside. Using intestinal Caco-2 cell monolayer, the curculigoside transport properties at two temperatures and possible transporters were systemically studied.ResultsCurculigoside at concentrations used during the experiments have no toxic effect to Caco-2 cells. The curculigoside transfer from the apical to the basolateral side was strongly influenced by temperature. P-glycoprotein, breast cancer resistance protein, and efflux transporters are crucial components of the human intestinal cell line Caco-2. The curculigoside can significantly affect the contents of total cholesterol, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol in mice.DiscussionThe transport properties and potential mechanism of curculigoside offer valuable insights for the design of development of hypolipidemic drugs like anti-atherosclerotic drugs and also be helpful to the further study of the pharmacological activity of curculigoside.
Relationship between attitudes toward mathematics and perceptions of virtual teaching in the COVID-19 context
Authors: Schmitt-Cerna Isis , Ramírez-Olascuaga Maritza , Arhuis-Inca Wendy , Ipanaqué-Zapata Miguel , Arhuis-Inca Sarai Raquel , Bazalar-Palacios Janina 
Published: July 2024

BackgroundThe shift to virtual education from 2019 to 2021 in response to COVID-19 necessitated both teachers and students to adapt to new technological skills, thereby impacting the teaching and learning dynamics. With limited existing research on this evolving domain, our study aimed to gauge attitudes toward mathematics, and perceptions of virtual education during the COVID-19 era and explore potential correlations between these variables.MethodsIn this cross-sectional quantitative correlational primary study, secondary school students at a public school were asked to rate their attitudes toward mathematics and their perceptions of virtual teaching in the context of COVID-19 using two validated questionnaires. We used linear regression analysis to respond to our objectives.ResultsThe findings show that perceptions of virtual teaching (34.65%) and attitudes toward mathematics (40.16%) are both low. The dimensions of attitudes toward mathematics and perceptions of virtual education have a positive association and influence on one another (B = 0.464, p &lt; 0.001).ConclusionBoth study variables show a low level and found a significant relationship between the dimensions of virtual learning perception and attitudes toward mathematics. More research is required to grasp how cognitive processing influences attitudes toward mathematics. This understanding can improve the proficiency of math educators, benefiting students at all educational stages.
The causal relationship between immune cells and Sjögren’s syndrome: a univariate, multivariate, bidirectional Mendelian randomized study
Authors: Zeng Wen , Huang Mu , Zeng Yuanyuan , Pan Jie , Qin Fang , Liao Xiaoling , Zheng Leting , Lei Ling 
Published: July 2024

IntroductionImmune cells are involved in the onset and progression of Sjögren’s syndrome (SS). This study explored the causal relationship between immune signature cells and SS, which has not been fully elucidated.MethodsWe conducted univariate, multivariate, and bidirectional Mendelian randomization to investigate the causal relationship between 731 immunological feature characteristic cells and SS pairs and explore the interaction of immune cells in SS.ResultsAfter false discovery rate correction, six immune cells were significantly associated with SS risk. Among them, four contributed to SS (CD24 on memory B cell, CD27 on IgD + CD24 + B cell, CD28 on CD39+ secreting CD4 Treg cell, and CD80 on CD62L + mDC); two appeared to reduce SS risk (CD3 on CD39 + CD8 + T cell and CD38 on IgD + CD38 + B cell). Pleiotropy and heterogeneity were not observed. Three immune cells exerted independent effects for SS (CD27 on IgD + CD24 + B cell, CD80 on CD62L + mDC, and CD38 on IgD + CD38 + B cell); two were risk factors (CD27 on IgD + CD24 + B cell and CD80 on CD62L + mDC); and one was a protective factor (CD38 on IgD + CD38 + B cell). Twenty-three immune cells showed a reverse causal relationship with SS.ConclusionThese findings demonstrate the influence of immune cells on SS risk and the effects of SS on immune cells, providing new clues for further research on the mechanisms underlying SS.