bluuebunny/crossref_metadata_2025_split huggingface dataset:
EDUKASI PEMBATASAN CAIRAN PADA PASIEN DENGAN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISA DI RS DR. BRATANATA JAMBI
Authors: Andini Febri Tri , Anjeli Anjeli 
Published: June 2024

Chronic Kidney Disease (CKD) is a progressive and irreversible decline in kidney function where decreased kidney function causes the kidneys to be unable to maintain a balance of metabolism, fluids and electrolytes which can result in uremia. Therefore respondents who undergo hemodialysis need to limit fluid intake. Without limiting fluid intake, fluid will accumulate and cause edema around the body. To inform people of knowledge of chronic kidney disease patients who have hemodialysis by providing education on fluid boundary. The study use descriptive method, the sample on this study to screen 1 person a client with CKD that had hemodialysis, by using questionnaire’s index before and after an educational measure and a media leaflet. Thee result obtained by researcher in the hemodialysis client CKD show there are differences , which before providing client only was able to answer 4 of the 10 of questionnaires, after providing the manager of fluid the client was able to answer 8 of 10 questions. Beside that the client also able to make an essay to re explain by researcher. The conclusion is by giving education on fluid restriction to CKD client has very much a bearing on knowing of the precipitation of client having hemodialysis.
HUBUNGAN POLA ASUH ORANG TUA DENGAN SELF ESTEEM REMAJA DI SMAN 4 KOTA JAMBI
Authors: Mekeama Luri , Oktarina Yosi , Sari Yulia Indah Permata , Sari Putri Irwanti , Martawinarti Rts Netisa , Maghfirawati Okti 
Published: June 2024

Pola asuh yang diberikan orang tua menjadi faktor penting bagi remaja untuk pembentukan self-esteem dalam mengembangkan potensi yang dimilikinya. Dampak Self estem akan tercermin dari sikap, perilaku, kepribadian dan cara remaja dalam membuat keputusan untuk masa depannya.Tujuan penelitian ini untuk mengetahui Hubungan Pola Asuh Orang Tua dengan Self Esteem Remaja di SMAN 4 Kota Jambi. Metode penelitian ini kuantitatif dengan pendekatan cross-sectional. Sampel penelitian ini adalah siswa kelas X dan XI SMAN 4 Kota Jambi sebanyak 99 orang. Teknik pengambilan sampel menggunakan propability random sampling. Intrumen yang digunakan berupa kuisioner pola asuh dan self-esteem. Intrumen pola asuh berisikan pola asuh otoriter, pola asuh permisif, dan pola asuh demokratis. Instrumen self-estem menggunakan Rosenberg’s Self Esteem Scale (RSES). Hasil penelitian menunjukkan dari 99 responden sebagian besar mendapatkan pola asuh otoriter sebanyak 65 orang (65,7%) dan pola asuh dengan frekuensi paling rendah adalah pola asuh permisif sebanyak 2 orang (2,0%). Data diuji menggunakan Spearmans rho dengan nilai p-value 0,002. Nilai korelasi Spearman sebesar 0,311 menunjukkan korelasi positif dengan kekuatan korelasi cukup sehingga bisa disimpulkan terdapat hubungan yang signifikan antara pola asuh orang tua dengan self esteem pada Remaja di SMAN 4 Kota Jambi. penerapan pola asuh yang baik dan tepat diharapkan dapat membantu remaja dalam melewati fase perkembangannya sehingga akan membentuk remaja yang memiliki self-esteem yang tinggi.
Evaluation of Pulmonary Status of Post-Tuberculosis Patients with Spirometry and Chest X-Ray
Authors: Paritala Akhil , Lakshmanan Muthukumaran , Narasimhan Meenakshi , Rathinam Sridhar 
Published: June 2024

In 2022, 7.5 million new cases of tuberculosis were reported worldwide. Mycobacterium tuberculosis results in tuberculosis, an infectious disease mostly affecting the lungs. However, many completely treated post-tubercular patients experience persistent changes in lung anatomy (bronchial and parenchymal structure), Increasing their risk of lung complications and early death. These changes affect the airway's size, leading to higher resistance and decreased airflow. Our study aimed to assess the overall clinical status and lung function of treated post tuberculosis patients using spirometry. The study constituted patients over the age of 18 who presented to the Outpatient department of the Pulmonary Medicine Department, Chettinad Hospital and research institute, Kelambakkam, after receiving complete treatment and being certified cured. Convenience sampling technique was used, 87 patients participated in this trial. The Institutional Ethical Committee approved the study, which lasted 18 months. A proforma was used to collect a complete socio-demographic history and clinical history, particularly in terms of pulmonary symptomatology, and information about previous anti-tb treatment. Each of these patients had chest radiography, smear microscopy, and lung function testing. Mean age was 44.1± 15.2 years, mean BMI was 22.27 ± 3.66 kg/m2. There were 66.2% men and 33.8% females. 42% employed and 52% literate. In the current study, 41(53.25%) of the individuals reported dyspnea and 22(28.57%) had dry cough, cough with expectoration 12(15.58%), Fever 8(10.4%), Haemoptysis 7(9%), chest pain 2(2.6%). Following Post tuberculosis treatment, 38(44%) had normal chest radiographs, 31(35.6%) of the patients had fibrosis/Fibrotic strand, 8(9.1%) had consolidation, 5(5.7%) had ectatic changes, 3(3.4%) had fibrocavity, 1(1%) had calcification and cicatricial collapse. In the current study, we found that 31(40.25%) had normal spirometry followed by 23(29.87%) had mixed pattern and 12(15.6%) had restrictive pattern findings, 11(14.28%) had obstructive pattern findings. In spite of appropriate suggestions, the majority of post-tb pulmonary impairment individuals suffer in quiet or undergo poor medical care. As a result, comprehensive recommendations for patient follow-up following tuberculosis treatment are required in order to monitor lung function and provide appropriate care to improve quality of life.
Antidiabetic Potency of Flavonoids Using a Systematic Computer-Aided Drug Design Platform
Authors: Rath Deepankar , Pattnaik Gurudutta , Kar Biswakanth , Padhy Gopal Krishna , Patro Chandrasekhar , Hukta Pallishree B 
Published: June 2024

Diabetic mellitus (DM) is a chronic metabolic disorder, with type 2 diabetes (T2DM) being the most prevalent type globally. Despite the availability of several target-specific drugs, the prevalence rate has remained uncontrollable, prompting a systematic exploration of plant secondary metabolites or phytochemicals for mainstream use. Among all natural resources, citrus fruits like oranges, lemons, grapefruits and limes are rich sources of flavonoids and get more attention due to their higher antioxidant, anti-inflammatory and immunomodulatory effects. Additionally, researchers have employed various strategies to locate the most bioactive and drug-able flavonoids from these herbal extracts for use in managing diabetes. Therefore, the present study selected nine citrus-fruit-derived flavonoids and tested their antidiabetic potency using four target enzymes: α-amylase, AKT Serine/Threonine Kinase 1 (AKT1), dipeptidyl peptidase-4 (DPP-IV), and glucose transporter 1 (GLU1) through molecular docking studies. In addition, we have predicted the physiochemical profile, toxicity, bioavailability, lead-likeness, drug-likeness, and lethal dose of flavonoids, along with five standard antidiabetic drugs, to select the most potential candidates. We used AutoDock 4.2 for the docking study, BIOVID-Discovery Studio for the protein-ligand interaction study, SwissADME, ProTox 3.0 and Molsot tools to predict the drug-likeness profile. Individual and average docking scores indicated that naringin (-11.2 and -10.40 kcal/mol) was the most potent flavonoid, and glimepiride (-11.1 and -10.1 kcal/mol) against AKT1 had the most potential among the five antidiabetic drugs. Naringin had non-toxic profiles, a positive drug-likeness score, and ideal physicochemical profiles, which suggested that it might be the best candidate for further testing. To sum up, the computer-aided drug design platform is an important part of the current drug discovery module to accelerate phyto-based drug discovery within limited time and resources.
Rigorous Mathematical Derivation of Inclination Angle for Single Cut Rotational Osteotomy for Tibia Deformity Correction
Authors: Qatu Mossub , Al-Jamal Malik , Mouzaihem Hassan 
Published: June 2024

Background To rigorously derive easy to use formulae for the inclination angle for single cut rotation osteotomy that can be used for tibia deformity correction. Method Three theorems were proven using trigonometric identities and concepts of linear algebra. These were rigorously shown. The three concepts were how to convert deformities in an AP/Lateral plane to an oblique plane deformity with a true angular magnitude of deformity; how to project an angular quantity from one plane to another; and the calculation of the inclination angle for the oblique osteotomy plane. All figures in this article were created by the authors of this paper. Results From the formula derived, a statistical t-test was performed that showed no significant difference between the formula derived in this paper and the original Sangeorzan paper charts (p=0.8782). Conclusions The formulae described in this article are a method to accurately calculate the inclination angle of the osteotomy for a single cut rotational osteotomy for tibial deformity correction. Clinical Relevance The article gives a deeper understanding of fundamental concepts behind deformity correction and provides an easy-to-use mathematical formula to calculate the osteotomy inclination for single cut rotational osteotomies.
The Results of Hook Plate Fixation in Acute Acromioclavicular Joint Dislocation and Distal Clavicle Fractures
Authors: Shaty Wahby 
Published: June 2024

Background Acromioclavicular joint (ACJ) dislocation and distal clavicle fractures are common shoulder injuries. Different methods of fixation are used to treat such injuries, each has its advantages and disadvantages. In this study, we tested fixation using the hook plate. We think that it is technically simple, reliable and more effective in certain surgical situations. However, it is not gaining adequate popularity due to the potential complications of the plate placement including subacromial osteolysis, impingement, rotator cuff injury and others. A second surgery for plate removal is classically indicated to cope with such complications. Objective The aim of this study included evaluating the clinical and radiological healing after hook plate fixation in ACJ dislocation and distal clavicle fractures and assessing the incidence and clinical significance of subacromial osteolysis. Methods It is a prospective observational study with a total of 96 cases including 64 ACJ dislocations and 32 distal clavicle fractures. Constant-Murley score was used for clinical evaluation. The patients were evaluated regularly with a minimum follow up of 12 months after plate removal. Results At the end of the study we found that the results of the hook plate fixation for both groups were good clinically and radiologically. The clinical result score was found to be initially higher among the patients of the ACJ dislocation mainly due to the earlier plate removal in these patients. However, the final score was found to be comparable in both groups. The incidence of the subacromial osteolysis was found to be higher among the patients with clavicle fractures as the plate was retained for a longer time. However we found that subacromial osteolysis did not imply any increased rate of symptoms over the patients who did not show this complication on the X-ray. Conclusion Based on these observations, we recommend the hook plate fixation to be added to the armamentarium of the orthopaedic surgeon treating such injuries as it is simple to implement, durable and capable of dealing with difficult situations. The main disadvantage of this method is the need for a second surgery for plate removal.
Pelestarian Tumbuhan Pespektif Al-Qur'an
Authors: Salman Fazli  , Irfan Azhari  , Masyitoh Nur  
Published: June 2024

Tumbuhan merupakan sumber kehibupan bagi manusia dan hewani, tumbuhan memiliki beragam manfaat dari akar hingga daun yang bisa digunakan oleh manusia, penelitian ini, menggunakan metode kualitatif dengan pendekatan kepustakaan (librery reachet), Allah mengurus manusia diatas permukaaan bumi sebagai penyeimbang kehidupan, peran manusia juga melibatkan kepada silkus kehidupan alam menjaga dari keseimbangan ekosistem ekologi dari eksploaitasi dan koneservasi berlebihan. Maka dari itu, peran insan bagaimana mengelola alam dengan bijaksan peran ilmu ekologi membantu pengetahuan dan pengembangan tumbuhan dan menjaga keseimabangan ekologi. Peran manusia sebagai khlaifah dipermukaan bumi menuntut untuk menjaga kesimbangan alam, al-quran menjalaskan bagaimana fungsi alam dan peran manusia terhadap menjaga alam serta pelestarian tumbuhan, bahwa tumbuhan sangat berpengaruh untuk kelangsungan alam, diawali dari mengolah kembali tanah tandus, mengurangi penggundulan alam, dengan cara penghijauan alam, serta mengurangi habitat fauna yang terlalu berlebihan
Penyuluhan Penggunaan Nanotalcs sebagai Penguat pada Komposit Berbasis High Density Polyethylene (HDPE) Recycle
Authors: Rusnaenah Andi , Hanifah Rizqi Siraj 
Published: June 2024

High density polyethylene (HDPE) merupakan salah satu polimer yang banyak digunaakan untuk produksi komponen otomotif), penggunaan material dengan skala industri berpotensi menghasilkan limbah (HDPE recycle). HDPE merupakan termoplastik semikristalin yang memilikisifat mekanik yang baik, biokompatibilitas, dan dapat recycle dengan biaya rendah. Nanokomposit polimer menggabungkan sifat-sifat polimer dan manfaat nanofiller untuk meningkatkan sifat mekanik dan termal HDPE recycle. Talc merupakan mineral paling lembut, bersifat tidak larut dalam air dan sedikit larut dalam asam mineral encer, memiliki kekerasan 1 skala Mohs, umumnya digunakan sebagai filler dalam material komposit untuk mengurangi biaya produksi, meningkatkan sifat kimia/fisika dan memberikan fungsi yang baru. Penyuluhan komposit polimer dilakukan untuk meningkatkan kualitas HDPE recycle yang digunakan dalam membuat produk HDPE sheet. Penyuluhan dilakukan dengan metode ceramah dalam bentuk presentasi dan tanya jawab. Hasil penyuluhan diperoleh respon yang positif dari Industri (Mitra), meningkatkan pengetahuan dan keterampilan mitra, serta dapat meningkatkan kapasitas produksi melalui spesifikasi produk yang dihasilkan dalam pengujian, pengubahan komposisi bahan baku dan standarisasi produk komponen yang diproduksi (HDPE sheet). Hasil evaluasi diperoleh bahwa penyuluhan terkait penggunaan micro dan nanotalc untuk meningkatkan sifat termal dan mekanik komposit berbasis HDPE recycle penting dilakukan di Industri komponen otomotif, dan meningkatnya keberdayaan mitra, serta menjalin kemitraan dalam hal peningkatan produk dengan melakukan penelitian dan pengujian produk.
Caesarean Sections Claims of National Health Insurance in the East Java Region Hospital
Authors: Mustofa Tika Rahhmatillah , Meliala Andreasta 
Published: June 2024

Latar Belakang: WHO menetapkan standar sectio caesarea dengan rata-rata sekitar 10-15%. Proporsi persalinan SC di Jawa Timur sebesar 22,4% pada tahun 2018, sedangkan rata-rata nasional sebesar 17,6%. Beban pembiayaan JKN pada persalinan semakin meningkat dan masuk ke dalam 10 besar kasus CBGs terbanyak secara nasional. Sebagai upaya kendali mutu dan kendali biaya, BPJS Kesehatan berkoordinasi dengan Tim Kendali Mutu Kendali Biaya (TKMKB) dengan hasil diterbitkan pedoman dan instrument asesmen diri seksio cesarea (SC) pada tahun 2020. Berdasarkan hal tersebut, penelitian ini dilakukan untuk mengeksplorasi gambaran sectio caesarea sebelum dan selama implementasi Instrumen Asesmen Mandiri SC pada pasien Jaminan Kesehatan Nasional wilayah Jawa Timur.
Metode: Penelitian analitik dengan desain penelitian cross sectional pada data sekunder klaim BPJS Kesehatan wilayah Jawa Timur tahun 2018-2021. Analisis dilakukan secara univariat dengan statistik deskriptif untuk menjabarkan proporsi dan distribusi frekuensi dari masing-masing variabel penelitian. Kemudian dilanjutkan analisis bivariat dengan uji Chi-Square untuk mengetahui kemaknaan hubungan dengan confident interval/CI 95% dan tingkat kemaknaan p<0,05; dan analisis multivariat dengan multiple logistic regression.
Hasil: Dari 837.809 subjek penelitian didapatkan subjek dengan persalinan SC yaitu 247.508 (29,5%) dengan total biaya Rp 1,3 trilyun pada periode sebelum implementasi dan 272.545 (32,5%) dengan total biaya Rp 1,4 trilyun pada periode selama implementasi Instrumen Asesmen Mandiri SC. Hasil analisis univariat menunjukkan distribusi kasus SC tertinggi pada usia 20-35 tahun (49%); jenis kepesertaan PBI (24,5%); kelas 3 (37,0%); Severity Level I (52,4%); jenis tindakan SC tidak spesifik (32,2%), dan RS tipe C (33,5%). Indikasi SC terbanyak adalah riwayat persalinan SC sebelumnya (17,18%). Hasil analisis bivariat menunjukkan hubungan signifikan pada seluruh variabel terhadap persalinan SC ditunjukkan dengan nilai p<0,05. Hasil analisis multivariat menunjukkan implementasi Instrumen Assesmen Mandiri SC memiliki kemungkinan 1,093 kali lebih besar terhadap kejadian persalinan sectio caesarea di FKRTL wilayah Jawa Timur.
Kesimpulan: Persalinan Sectio Caesarea Pasien Jaminan Kesehatan Nasional di FKRTL wilayah Jawa Timur berhubungan dengan faktor individu yaitu usia dan jenis kepesertaan JKN serta faktor pelayanan meliputi Instrumen Assesmen Mandiri SC, kelas rawat, tingkat keparahan, dan tipe RS. Implementasi Instrumen Assesmen Mandiri SC belum optimal dalam menurunkan rate SC.

Kata Kunci : Persalinan sectio caesarea, BPJS Kesehatan, Jaminan Kesehatan Nasional, Kendali Mutu, Kendali Biaya, Klasifikasi Robson.
A MATHEMATICAL MODELING ON THE ENVIRONMENTAL IMPACT BY TRAFFIC JAM: A CASE STUDY IN DHAKA, BANGLADESH
Authors: Islam Md. Sirajul , Md.Shahat Mia  , Mst. Shefali Khatun  , Md Safirul Islam  
Published: June 2024

Traffic jams are a common incident in Bangladesh, particularly in major cities like Dhaka. Traffic jams not only cause significant delays and economic losses but also contribute to substantial environmental degradation. This study object to quantify the environmental impact of traffic jam in Bangladesh using mathematical modeling, a case study of Dhaka city is presented, focusing on air pollution and greenhouse gas emissions. The model analyzed by using stability theory of differential equations with equilibrium analysis by convincing stable or unstable equilibrium. Moreover, the analytical results are validated by numerical simulations for describing the complex behaviors of the model. Overall, the model represents an important tool for investigating environmental impact of traffic jam and this model can help inform policy decisions and promote more sustainable practices.
Perbedaan Model Pembelajaran Cooperatif Integrated Reading and Composition (CIRC) dan Read Answer Discuss Explain and Create (RADEC) terhadap Keterampilan Menulis Teks Eksplanasi Siswa Kelas 5
Authors: Aini Apriliana Nur , Koeswanti Henny Dewi 
Published: June 2024

Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan keterampilan menulis teks eksplanasi menggunakan model pembelajaran Cooperative Integrated Reading and Composition (CIRC) dan model pembelajaran Read Answer Discuss Explain Create (RADEC) dengan populasi kelas V Gugus Ki Hajar Dewantara Kecamatan Bancak Kabupaten Semarang. Jenis peneltian ini menggunakan penelitian semi atau quasi eksperimental research dengan desain penelitian Posttest Only Control Group Design. Dari hasil penelitian menunjukkan bahwa data analisis berdistribusi normal dan homogen. Kemudian untuk uji t menggunakan uji independent sample t-test. Diperoleh hasil signifikansi/probabilitas sebesar 0,001<0,005, maha Ho ditolak dan Ha diterima. Hal ini dapat disimpulkan bahwa adanya perbedaan model pembelajaran Cooperative Integrated Reading and Composition (CIRC) dan model pembelajaran Read Answer Discuss Explain Create (RADEC) terhadap keterampilan menulis teks eksplanasi siswa kelas V. Hal ini dapat dilihat juga dari rata – rata nilai post-test dengan model pembelajaran Cooperative Integrated Reading and Composition (CIRC) yaitu 75,2 sedangkan model pembelajaran Read Answer Discuss Explain Create (RADEC) dengan nilai rata-rata 68.93. Dapat disimpulkan bawa adanya perbedaan model pembelajaran Cooperative Integrated Reading and Composition (CIRC) dan model pembelajaran Read Answer Discuss Explain Create (RADEC) terhadap keterampilan menulis teks eksplanasi siswa kelas V.
Representing the Individuality of the Marsh girl in Where the Crawdads Sing
Authors: Ishtiaq Fiza , Gohar Sundus 
Published: June 2024

This study explores the individuality of Kya, the Marsh girl, in Where the Crawdads Sing, through Carl Jung’s concepts of the Collective Unconscious and Archetypes. By analyzing the archetypes of the self, shadow, persona, and animus, the research highlights how these elements contribute to Kya’s journey toward individuation. The narrative portrays Kya's struggle against societal rejection and her utilization of the natural world for solace and creative expression. Her path to self-discovery is fraught with physical and emotional pain, yet it ultimately leads to a profound transformation. The character's development underscores themes of resilience and self-reliance, illustrating how Kya’s connection to nature and inner strength enable her to transcend her circumstances and achieve a distinct sense of individuality. Through this exploration, the study provides insights into the psychological processes of individuation, emphasizing the significance of integrating the unconscious and conscious aspects of the psyche. Kya’s story serves as a compelling example of the transformative power of embracing one's true self amidst societal and personal challenges.
PENGARUH DUKUNGAN KELUARGA TERHADAP TINGKAT KECEMASAN PASIEN YANG MENJALANI TINDAKAN BEDAH MAYOR DI RSAU dr. ESNAWAN ANTARIKSA JAKARTA TAHUN 2023
Authors: Lubis Erika , Sutandi Aan , Dewi Agustina 
Published: June 2024

Tindakan bedah merupakan salah satu prosedur yang dapat membuat seseorang mengalami kecemasan. Kecemasan merupakan gejala umum non spesifik yang merupakan satu fungsi emosi. Kecemasan perlu segera di atasi karena kecemasan berkaitan dengan perasaan yang tidak pasti dan tidak berdaya sehingga dapat mempengaruhi kesembuhan pasien. Tujuan: Penelitian ini bertujuan untuk mengetahui Pengaruh Dukungan Keluarga Terhadap Tingkat Kecemasan Pasien Yang Menjalani Tindakan Bedah Mayor Di RSAU dr. Esnawan Antariksa Jakarta Tahun 2023. Metode: Penelitian ini merupakan penelitian observasional dengan menggunakan desain studi cross sectional. Populasi dalam penelitian ini 150 responden dengan jumlah sampel sebanyak 109 responden. Hasil: Sebagian besar responden dari penelitian ini mendapatkan dukungan keluarga yang baik sebanyak (63,3%). Mayoritas responden mengalami kecemasan sedang (68,8%). Berdasarkan uji Chi Square didapatkan adanya pengaruh yang signifikan antara Dukungan keluarga terhadap kecemasan Pasien yang menjalankan Bedah Mayor dengan p value (0,001). Saran: Rumah sakit dapat menyediakan bimbingan konseling terhadap pasien dan keluarga pasien agar dapat mengurangi kecemasan pasien.