bluuebunny/crossref_metadata_2025_split huggingface dataset:
Penerapan Thermotherapy dan Aromatherapy Lavender terhadap Penurunan Skala Nyeri pada Pasien Sindrom Koroner Akut
Authors: Surani Wahyu , Lesmana Hendy , Ose Maria Imaculata , Pujianto Ahmat , Nugraha M Akbar 
Published: January 2025

ABSTRACT Acute Coronary Syndrome consists of a collection of clinical symptoms of myocardial ischemia which is characterized by pain in the chest. One way to manage pain in ACS patients through non-pharmacological measures is by administering thermotherapy and lavender aromatherapy. Thermotherapy is the application of heat to the body to reduce symptoms of acute and chronic pain. Meanwhile Aromatherapy lavender is an essential oil used for aromatherapy with the main components being linalool and linalic acetate oil. The design of this scientific work uses a case study design conducted on 3 respondents with acute coronary syndrome who experienced chest pain. The instruments in this research were an observation sheet, SOP for administering thermotherapy and lavender aromatherapy, and a measurement sheet using the Numeric Rating Scale. Intervention is carried out twice every 12 hours, once every 24 hours. The results showed that there was a significant change in the pain scale between before the intervention was given and after the intervention was given, where after being given a combination of thermotherapy and lavender aromatherapy intervention, the pain felt by the respondents decreased. The conclusion of this study is that the application of thermotherapy and lavender aromatherapy is effective in reducing the pain scale in patients with acute coronary syndrome. Keywords: Acute Pain, Aromatherapy, Thermotherapy ABSTRAK Sindrom Koroner Akut terdiri dari kumpulan gejala klinis iskemia miokard yang ditandai dengan adanya rasa nyeri di bagian dada. Salah satu penatalaksanaan nyeri pada pasien SKA melalui tindakan non farmakologi adalah dengan pemberian thermotherapy dan aromatherapy lavender. Thermotherapy merupakan pemberian aplikasi panas pada tubuh untuk mengurangi gejala nyeri akut maupun kronis. Sedangkan Aromatherapy lavender adalah minyak esensial yang digunakan untuk aromaterapi dengan komponen utama minyak linalool dan linalik asetat. Rancangan karya ilmiah ini menggunakan desain studi kasus yang dilakukan pada 3 responden dengan sindrom koroner akut yang mengalami nyeri dada. Instrumen dalam penelitian ini adalah lembar observasi, SOP pemberian thermotherapy dan aromatherapy lavender, dan lembar pengukuran menggunakan Numeric Rating Scale. Intervensi dilakukan sebanyak 2 kali setiap 12 jam sekali dalam 24 jam. Hasil menunjukkan bahwa adanya perubahan skala nyeri yang cukup signifikan antara sebelum diberikan intervensi dan setelah diberikan intervensi, dimana setelah diberikan intervensi kombinasi thermotherapy dan aromatherapy lavender, nyeri yang dirasakan oleh responden berkurang. Kesimpulan dalam penelitian ini adalah penerapan thermotherapy dan aromatherapy lavender efektif dalam menurunkan skala nyeri pada pasien sindrom koroner akut. Kata Kunci: Aromatherapy, Nyeri Akut, Thermotherapy
Gambaran Pengetahuan dan Penerapan Triage Oleh Perawat di Instalasi Gawat Daruruat Metro Hospitals Cikupa
Authors: Mulya Meuthia , Sahrudi Sahrudi , Said M Irhas , Chotimah Chusnul 
Published: January 2025

ABSTRACT Triage is an essential skill for nurses in the emergency unit. Nurses' knowledge and skills are vital in making clinical decisions and prioritizing patient care. The special ability to separate the type and level of patient emergency in triage is very important to treat patients optimally and in a targeted manner. To provide an overview of knowledge about the application of triage by nurses at the Metro Hospitals Cikupa Emergency Installation. This type of research is quantitative descriptive with a cross sectional approach, the sample in this study was 31 people, chi square analysis test. Research Results: There is a relationship between knowledge and the application of triage by nurses, p value=0.038. By conducting this research, it can provide deeper insight into the knowledge and application of triage by nurses in the ER, as well as help improve triage practices to provide better services to emergency patients. Keywords: Knowledge, Application of Triage, NurseABSTRAK Triage merupakan keterampilan esensial bagi perawat di unit gawat darurat. Pengetahuan dan keterampilan perawat sangat vital dalam pengambilan keputusan klinis dan pengutamaan dalam perawatan pasien. Kemampuan khusus dalam memisahkan jenis dan tingkat kegawatan pasien dalam triage sangat penting untuk menangani pasien secara optimal dan terarah. Untuk mengetahui gambaran pengetahuan tentang penerapan triage oleh perawat di Instalasi Gawat Darurat Metro Hospitals Cikupa. Jenis penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross sectional, sampel pada penelitian ini berjumlah 31 orang, uji analisis chi square. Terdapat hubungan pengetahuan dengan penerapan triage oleh perawat p value=0.038. Dengan melakukan penelitian ini, dapat memberikan wawasan yang lebih mendalam tentang pengetahuan dan penerapan triage oleh perawat di IGD, serta membantu meningkatkan praktik triage untuk memberikan pelayanan yang lebih baik kepada pasien darurat. Kata Kunci: Pengetahuan, Penerapan Triage, Perawat
Hubungan Safety Leadership terhadap Safety Behavior Pekerja Metal Working PT Inka (Persero)
Authors: Hanifah Sholikhatul Yus 
Published: January 2025

ABSTRACT Safety behavior or safe behavior is an action taken by humans in order to avoid or prevent unwanted events or work accidents. Employee safety behavior is a reflection of the existence of leadership in an organization. Safety leadership is a process of interaction between leaders and subordinates, where the role of the leader as a superior is able to influence subordinates to achieve occupational safety and health goals. Safety leadership has three main dimensions namely, safety motivation, safety policy, and safety concern. This study was conducted to analyze the relationship between safety leadership and worker safety behavior. This study is an observational descriptive research conducted at PT INKA (Persero) using a cross-sectional research design.The respondents in this study were calculated using the Slovin formula and obtained as many as 85 respondents. The data of this study was analyzed with the help of SPSS (Statistical Package for the Social Sciences) software with the Chi Square test. The results show that safety motivation (p=0.000), safety concern (p=0.033), and safety policy (p=0.000) have a significant influence on the dependent safety behavior variables. The conclusion in this study is that safety leadership has a significant relationship with the safety of metal working workers at PT INKA (Persero). Keywords: Safety Behavior, Safety Policy, Safety Motivation, Safety Concern ABSTRAK Safety behavior atau perilaku selamat merupakan suatu tindakan yang dilakukan oleh manusia dalam rangka menghindari atau mencegah peristiwa yang tidak diinginkan atau kecelakaan kerja. Safety behavior pekerja merupakan cerminan dari adanya leadership atau kepemimpinan dalam suatu organisasi. Safety leadership atau kepemimpinan keselamatan merupakan proses interaksi antara pemimpin dan bawahan, di mana peran pemimpin sebagai atasan yang mampu mempengaruhi bawahan untuk tercapainya tujuan keselamatan dan kesehatan kerja. safety leadership mempunyai tiga dimensi utama yaitu, safety motivation, safety policy, dan safety concern. Penelitian ini dilakukan untuk menganalisis hubungan safety leadership terhadap safety behavior pekerja. Penelitian ini merupakan penelitian deskriptif observational yang dilakukan di PT INKA (Persero) dengan menggunakan desain penelitian cross-sectional. Responden dalam penelitian ini dihitung menggunakan rumus Slovin dan diperoleh sebanyak 85 responden. Data penelitian ini di analisis bantuan software SPSS (Statistical Package for the Social Sciences) dengan uji Chi Square. Hasil penelitian menunjukkan bahwa safety motivation (p=0,000), safety concern (p=0,033), dan safety policy (p=0,000) memiliki pengaruh yang signifikan terhadap variabel dependen safety behavior. Kesimpulan dalam penelitian ini yaitu, safety leadership memiliki hubungan yangsignifikan terhadap safety behavor pekerja metal working di PT INKA (Persero). Kata Kunci: Safety Behavior, Safety Policy, Safety Motivation, Safety Concern
Analisis Faktor-Faktor yang Mempengaruhi Keputusan Ibu untuk Melakukan Sirkumsisi Pada Bayi di Kp. Sempu Gedang Kel.Cipare Serang-Banten
Authors: Sofiati Sofiati , Tahun Omega Dr 
Published: January 2025

ABSTRACT Male circumcision is the removal of the foreskin of the penis. The practice of circumcision has existed since ancient times. Circumcision is useful to cleanse the foreskin of impurities as a center for the formation of viruses and bacteria that can cause dangerous diseases. In Indonesia, the most common age is 5-12 years old. The reasons for the urgency of circumcision include religious, social, and medical. This study aims to determine the factors that influence the mother's decision to perform circumcision on infants in Kp. Sempu Gedang Kel.Cipare Serang-Banten in 2024. This study is a quantitative descriptive study with a retrospective approach. Samples were taken using purposive sampling method which amounted to 35 respondents. Bivariate analysis using chi square test. The study showed the influence of family support factors p value = 0.05 and information sources p value = 0.002 on the mother's decision to circumcise the baby. Mothers who do not want to perform circumcision in babies are related to attitudinal, socio-cultural factors and have low education and knowledge. Therefore, the role of health workers is to encourage and provide education about the benefits of medical circumcision without coercion. The role of health workers as educators must run well. Keywords: Circumcision, Decision, Baby, Mother ABSTRAK Sunat pada pria adalah pengangkatan kulup penis. Praktik sunat sudah ada sejak zaman kuno. Sunat bermanfaat untuk membersihkan dari kotoran yang terdapat di kulup sebagai pusat terbentuknya virus-virus dan bakteri-bakteri yang dapat menimbulkan penyakit-penyakit berbahaya.. Di Indonesia, usia yang paling sering adalah 5-12 tahun. Hal-hal yang membuat disegerakannya tindakan sirkumsisi, antara lain agama, sosial, dan medis. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi keputusan ibu melakukan sirkumsisi pada bayi di Kp. Sempu Gedang Kel.Cipare Serang-Banten tahun 2024. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan pendekatan retrospektif. Sample diambil menggunakan metode purposive sampling yang berjumlah 35 responde. Analisis bivariat menggunakan uji chi square. Penelitian menunjukan adanya pengaruh faktor dukungan keluarga p value = 0,05 dan sumber informasi p value = 0,002 terhadap keputusan ibu untuk melakukan sirkumsisi pada bayi. Ibu yang tidak mau melakukan sirkumsisi pada bayi berkaitan dengan faktor sikap, sosial budaya serta memiliki pendidikan dan pengetahuan yang rendah. Oleh karena itu peran tenaga kesehatan untuk mendorong dan memberikan edukasi tentang manfaat sirkumsisi secara medis dengan tanpa adanya paksaan. Tenaga kesehatan sebagai peran educator memang harus berjalan dengan baik. Kata Kunci: Sirkumsisi, Keputusan, Bayi, Ibu
Cervical Tuberculous Lymphadenitis: Clinico-Demographic Profiles of Patients in a Secondary level Hospital
Authors: Bin Mamoon Towsif , Minhazul Hoque Md , Ifaz Hasbullah Muhammad , Taherul Islam Mohammed , Akter Tanjima , Afroz Shafika 
Published: January 2025

Background: Tuberculosis, one of the oldest diseases known to mankind, is even today a leading cause of human suffering and loss of life in developing country like Bangladesh. According to the surveys, the estimated prevalence rates of bacteriologically confirmed TB and smear-positive TB are 287 and 113 for Bangladesh (2015-16) per 100,000 population over the age of 15years. Tubercular lymphadenitis is the commonest form of extra-pulmonary tuberculosis and most commonly cervical lymph nodes are affected. However, it mimics other pathological conditions like metastasis from other primary sites, reactive lymphadenitis, chronic non-specific lymphadenitis, lymphoma etc. Therefore, it is important that healthcare professionals are aware of tuberculosis in the head and neck region which can aid in early diagnosis with the help of simple investigations and subsequently patients can be managed promptly without delay. The aim of this study is to find out the clinical characteristics of involved cervical lymph nodes and demographic characteristics of the patients. Materials and methods : A prospective study was performed in 250 Bed General Hospital, Chattogram, Bangladesh from May to November 2022. All cases of swelling in the neck or cervical lymphadenitis selected for the study were initially given conservative treatment in the form of antibiotics and were reviewed after 2 weeks. If neck swelling persists FNAC, USG and in some cases biopsy were performed. Total 85 patients were enrolled. Results: Age of the patients ranged from 5 to 60 years with a mean of 25.6 years. Two third (67.7%) of the patients were female. Male: Female ratio was 1:2.1. More than half of the patients came from rural areas (53.8%) and from low socioeconomic conditions (58.5%). Most of the patients presented with unilateral (87.7%), multiple (82.3%), matted (68.6%) lymph nodes, <3cm diameter (54%), commonly in right side (57.9%). Abscess was found in 21.5% cases. Discharging sinus was found in 9.2% cases. Most commonly involved lymph node group was level V (59.4%) followed by level II (42.2%). Systemic features were found in 63.07% patients. Associated lung lesion was found in 3.1% cases. FNAC was found positive for tuberculosis in 83.9% cases. Conclusion: Early diagnosis and treatment is critical in reducing the overall prevalence. It is essential to have awareness regarding common presentations of cervical tuberculous lymphadenitis among the general population as well as healthcare professionals working in the resource poor primary and secondary level hospitals.
Chatt Maa Shi Hosp Med Coll J; Vol.23 (1); January 2024; Page 90-94
Developing Flipbooks Teaching Material Based on Local Wisdom in Improving Young Learners’ Writing Skills of Descriptive Texts
Authors: Rahmawati Yulia , Purwati Panca Dewi 
Published: January 2025

The environment is the main source of learning. The ability of students to understand the descriptive texts and writing these is still low. The use of teaching materials in learning is less close to student life. The availability of learning resources is still limited. Students can read but have not been able to understand the content of the material. This study aims to determine the feasibility and effectiveness of flipbook teaching materials based on local wisdom in improving learning outcomes by analyzing the description text of grade V elementary school students. The method in this study uses the type of Research and Development (R&D) research with the Borg and Gall development model. Product validity tests are carried out with material expert validators and media expert validators. The results of this study showed that the results of the media feasibility test obtained were 93.75% with a very feasible predicate and the feasibility test results from material experts were 93.75% with a very feasible predicate. The results of large-scale usage trials showed an increase from pretest to posttest with an average N-Gain of 0.4 and significance (2-tailed) of 0.000 < 0.05. Flipbook teaching materials display designs and materials conceptualized according to the local wisdom of the Tegal Regency. The conclusion of the results of this study shows that flipbook teaching materials based on local wisdom are declared feasible and effective in improving learning outcomes by analyzing the decriptive texts.
Enhancing Indonesian Language Learning Through TBLT and Google Classroom in Higher Education: Students’ Perceptions
Authors: Nita Olin 
Published: January 2025

Many studies have investigated Task-Based Language Teaching(TBLT) in language learning, but studies on the implementation of TBLT assisted by Digital Media in the current era have been rarely conducted by scholars. This study is intended to investigate students' perception of the implementation of TBLT assisted by Google Classroom, focusing on their learning experiences, the challenges they face, and the benefits and effectiveness of TBLT. This explanatory sequential mixed method involved 60 students of the Civil Engineering and Mechanical Engineering Study Programs at Eka Sakti University, Padang. The data of this study were gathered using a questionnaire and semi-structured interview. The quantitative data were analyzed quantitatively using descriptive statistics, while qualitative data were analyzed qualitatively using an interactive model. The results show that students’ perception of learning experiences, benefits, and effectiveness aspects were positive, while some students faced some challenges (e.g., task instruction, time allocation to do the tasks, internet connection, and work independently) in the challenge aspect in Indonesian language learning using TBLT assisted by Google Classroom. Although they faced some challenges, they overcame them by collaborating with their classmates in conducting institutions from the lecturer. Thus, it can be concluded that TBLT assisted by Google Classroom is effective in enhancing students’ Indonesian language skills and components, participation, learning interest, collaboration, and engagement. Thus, the TBLT approach integrated with Google Classroom is suggested to be employed by language instructors in teaching the Indonesian language course in Higher Education for non-Indonesian major students.
Students’ Perceptions on the Advantages of Learner-Centred Approaches and Grammar Teaching Methods in Selected Secondary Schools
Authors: Diyessa Tamirat Tesfaye , Woldearegawie Abebe Gebretsadik 
Published: January 2025

Nowadays, there is a shift from the traditional methods to the modern ones. Learner-centered methods have got due attention in language teaching because it encourages students to become active participants. However, in order to fully implement these methods, students’ perceptions on the advantages of learner-centered approaches and different grammar teaching methods play a great role. Accordingly, the purpose of this study was to investigate students’ perceptions on the advantages of learner-centered approaches and grammar teaching methods in secondary schools. The study utilized mixed methods research design, employing a questionnaire and an interview. The participants of the study were grade 9 students from three schools. Two hundred students for the questionnaire and six students for an interview were randomly selected. Questionnaire data was analyzed using mean and standard deviation. The interview data was analyzed thematically to support the questionnaire data. The findings of the study revealed students believe that using learner-centered approach in grammar lessons helps them to learn grammar effectively. Students had positive perceptions on some of the learner-centered-methods of grammar presentation. However, they had negative perceptions on some of them. As a result, they were more interested in grammar explanation by their teachers since they were accustomed by lecture method. Implications suggest that teachers are supposed to make students active participants by bringing various grammar tasks that arouse students’ interests; they should practice learner-centered methods namely pair work, group work, asking and answering questions and situational dialogue in order to build students’ confidence.
High-density lipoprotein cholesterol as a prognostic marker for 90-day transplant-free mortality in hepatitis B virus-related acute-on-chronic liver failure
Authors: Shi Ke , Zhang Yi , Li Yanqiu , Wang Xiaojing , Feng Ying , Wang Xianbo 
Published: January 2025

BackgroundHepatitis B virus-related acute-on-chronic liver failure (HBV-ACLF) is linked to dyslipidemia and inflammatory responses. This study aimed to investigate the correlation between high-density lipoprotein cholesterol (HDL-C) levels and 90-day transplant-free (TF) mortality in patients with HBV-ACLF.MethodsA prospective cohort of 287 patients with HBV-ACLF from Beijing Ditan Hospital was enrolled between January 2016 and December 2019. The prognostic accuracy of lipid profile parameters was evaluated by the area under the receiver operating characteristic curve (AUC), and the association between HDL-C levels and mortality was assessed using a restricted cubic spline analysis. Correlations between lipid profile parameters and inflammatory factors were analyzed. Kaplan–Meier curves were used to assess 90-day TF mortality, and log-rank tests were used for comparison analysis. These results were internally validated between January 2020 and December 2023 (n=125).ResultsPatients with lower HDL-C levels exhibited higher mortality rates (adjusted hazard ratio for HDL-C &lt; 0.13 mmol/L: 4.04, 95% confidence interval: 1.35–11.85) compared with those in the reference group (with HDL-C levels above 0.36 mmol/L). An “L-shaped” association was observed between HDL-C levels and TF mortality. The prognostic value of HDL-C (AUC at day 90: 0.732) was comparable to the model for end-stage liver disease score of 0.729. Additionally, HDL-C levels were inversely correlated with interleukin (IL)-4, IL-6, and tumor necrosis factor-α (all P&lt;0.05). In the training cohort, the 90-day TF mortality rates were 8.3%, 15.2%, 24.0%, and 43.2% for the extremely low, low, medium, and high-risk subgroups, respectively, while in the validation cohort, they were 4.5%, 18.5%, 31.2%, and 44.7%, respectively.ConclusionsHDL-C levels &lt; 0.13 mmol/L were associated with increased 90-day transplant-free mortality in patients with HBV-ACLF. An inverse correlation was found between HDL-C levels and inflammatory markers.
A two-sample bidirectional Mendelian randomization analysis between telomere length and hyperthyroidism
Authors: Zhu Shiben , Hao Ziyu , Chen Qihang , Liu Xiaoliu , Wu Wenyan , Zhang Fang 
Published: January 2025

Backgroundhyperthyroidism characterized by low thyrotropin, highlighting complications and risks, including cardiac issues, osteoporosis, adverse pregnancy outcomes, unintentional weight loss, and increased mortality associated with untreated hyperthyroidism. However, the casual association between telomere length (TL) and hyperthyroidism remains unclear.ObjectiveWe aim to explore the casual relationship between TL and hyperthyroidism.MethodsA two-sample bidirectional Mendelian randomization (MR) analysis employed the inverse variance weighted (IVW) method, supplemented by additional approaches such as Weighted Median (WM), and MR Egger.ResultsThe summary statistics for TL were derived from the UK Biobank, comprising 472,174 individuals, while the data for hyperthyroidism were sourced from the GWAS Catalog and the FinnGen database, encompassing cohorts of 460,499 and 173,938 individuals, respectively. Utilizing 139 genome-wide significant single nucleotide polymorphisms (SNPs) as instrumental variables (IVs) for TL, forward MR analyses indicated a negative causal effect of TL on hyperthyroidism. The risk of hyperthyroidism decreased as genetically predicted TL increased by one standard deviation, as determined by the IVW form GWAS Catalog (OR:0.659,95%CI: 0.541-0.802, p &lt;0.001) and IVW from FinnGen(OR:0.634, 95%CI: 0.479-0.840, p = 0.001). Other MR methods exhibited a consistent trend in the impact of TL on hyperthyroidism. Reverse MR analysis suggested no causal association between TL and hyperthyroidism (p &gt; 0.05). Sensitivity analyses confirmed the robustness of these results, suggesting minimal susceptibility to confounding factors and bias.ConclusionThe finding that longer telomeres reduce hyperthyroidism risk highlights the need to validate hyperthyroidism’s impact on telomere length, offering valuable insights for prevention and treatment.