bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efektivitas Relaksasi Otot Progresif dalam Menurunkan Tekanan Darah pada Pasien Hipertensi di RW 04 Kelurahan Gemah Kota Semarang
Authors: Pratiwi Lesta Mega Diah , Soesanto Edy 
Published: October 2023

Hipertensi adalah kondisi peningkatan tekanan darah seseorang di atas normal sehingga mengakibatkan peningkatan angka kesakitan (morbiditas) dan angka kematian (mortalitas). Individu bisa dinilai terkena hipertensi jika didapatkan tekanan darah sistolik >140 mmHg dan diastolik >90 mmHg. Lansia termasuk kelompok yang rentan pada hipertensi. Penatalaksanaan hipertensi terbagi dalam dua upaya yakni non farmakologis dan farmakologis. Pemberian terapi non farmakologis diantaranya melalui relaksasi otot progresif. Metode penelitian ini menggunakan deskriptif melalui asuhan keperawatan secara komprehensif yang diterapkan dalam waktu 10-20 menit dalam 3 hari secara rutin. Hasil studi kasus yang telah dilakukan diperoleh hasil: Subyek mengalami rata-rata menurunnya tekanan darah sistole yaitu 6,6 mmHg dan tekanan darah diastole 1,6 mmHg. Kesimpulannya bahwa relaksasi otot progresif efektif sebagai penurunan tekanan darah para pasien hipertensi. Saran dari penulis yaitu terapi ini dapat diterapkan sendiri oleh keluarga pasien sehingga dapat lebih menghemat biaya perawatan pasien. Penelitian berikutnya diharapkan dapat mengembangan penerapan ini sehingga dapat memperbarui informasi serta penelitian yang ada.
Pengaruh Aromaterapi Jahe Terhadap Mual Pada Pasien Kanker Pasca Kemoterapi
Authors: Pawestri Pawestri , Wahyurini Dwi Esti 
Published: October 2023

Kanker merupakan penyakit akibat mutasi sekumpulan gen pada sel tubuh yang mengatur proses penting, penatalaksanaan kanker salah satunya dengan kemoterapi. Rasa mual yang muncul pada pasien pasca kemotrapi merupakan salah satu efek samping dari pemberian obat-obatan kemoterapi. Tindakan non farmakologi yang diberikan untuk memberikan perasaan nyaman dan dapat mengatasi mual adalah penggunaan aroma terapi jahe. Studi ini bertujuan untuk mengetahui pengaruh aroma terapi jahe terhadap mual pada pasien kanker pasca kemoterapi di RSUP dr. Kariadi Semarang. Metode studi kasus ini adalah deskriptif yaitu menggambarkan tentang proses asuhan keperawatan meliputi pengkajian, diagnosa, intervensi, implementasi dan evaluasi dengan mengaplikasikan aromaterapi jahe mengunakan alat diffuser humidifier dengan cara 10 tetes aromaterapi dicampurkan dalam 100 ml air dan dimasukkan dalam humidifier di berikan selama 20 menit sehari tiga kali yang dilakukan pada pasien pasca kemoterapi di ruang kemoterapi RSUP Dr. Kariadi Semarang. Sampel yang diambil tiga pasien dewasa dengan diagnosa kanker pro kemoterapi. Pengukuran mual pre-post dengan instrument Numerik Rating Scale (NRS). Terdapat penurunan skala mual pada ketiga pasien dan diikuti perbaikan nilai tanda-tanda vital. Intervensi aromaterapi jahe sangat efektif dalam menurunkan sekala mual pasien kanker pasca kemoterapi. Intervensi aromaterapi jahe bisa di jadikan standar oprasional prosedur (SOP) untuk menurunkan rasa mual pada pasien kanker pasca kemoterapi di ruang Kemoterapi RSUP dr. Kariadi Semarang.
Employee Development in Bank Sector based on Potential Review Assessment with 9 Box Model Talent Management
Authors: Purbasari Rafika Nirmala , Syarifah Dewi 
Published: October 2023

This research about potential review assessment is carried out to provide an overview of the competencies possessed by Bank X employees. Potential review is known to provide competency profiles and become the basis of employee development strategies. This assessment is a part of talent management. The existence of the right talent management system within organization can increase employee retention. Researcher has been able to get the information of employee’s KPI score and gave psychological assessment, to be able to do the employee mapping. The two dimensions, potential competencies and KPI score are known to be the basis in determining the nine-box model. The subject in this research is a junior staff financial institution in Bank X. Based on the assessment that has been carried out, she is included in “rising star” category, because he has “moderate” work performance and “high” potential competency profile. The result of this assessment will be used by organization as talent pooling information.Asesmen potential review ini dilakukan untuk memberikan gambaran kompetensi yang dimiliki oleh karyawan Bank X. Potential review diketahui dapat memberikan profil kompetensi karyawan dan menjadi dasar strategi pengembangan karyawan. Adanya penilaian potensi kompetensi pada karyawan dapat membantunya bersiap untuk melakukan pengembangan diri. Asesmen ini termasuk dalam bagian talent management. Adanya pengelolaan talenta yang tepat di dalam organisasi dapat meningkatkan retensi karyawan. Selain memberikan pengukuran psikologis untuk dapat memetakan profil karyawan, organisasi juga perlu memperhatikan penilaian kinerja. Kedua dimensi tersebut, potensi kompetensi serta performansi kerja karyawan secara riil adalah dasar dalam menentukan posisi karyawan melalui model nine-box. Subjek penelitian ini menduduki jabatan junior staff financial institution. Berdasarkan asesmen yang telah dijalankan, ia termasuk ke dalam kategori “rising star”, karena berada pada performansi kerja “moderate” dan profil potensi kompetensi “high”. Hasil asesmen ini akan digunakan organisasi sebagai dasar talent pooling.
Erklären im Musikunterricht. Eine Studie zu Qualitätsmerkmalen
Authors: Frei Mario 
Published: October 2023

Was heißt ‚gutes Erklären‘ im Musikunterricht? Welche Merkmale sind für die Qualität von Erklären von Belang? Wie beurteilen Schüler*innen, Studierende und Lehrende die Bedeutsamkeit dieser Merkmale? Die vorliegende Studie geht diesen Fragen in Theorie und Empirie nach. Dazu werden generische Merkmale unterrichtlichen Erklärens analysiert, fachspezifisch konzeptualisiert und mit Hilfe eines videobasierten Online-Fragebogens empirisch überprüft. Unterschiede in den Urteilen von Lehrenden und Lernenden deuten auf perspektivenspezifische Validität unterrichtlichen Erklärens im Fach Musik. Für die Dissertationsschrift erhielt Mario Frei 2023 den Kulturpreis Bayern der Bayernwerk AG. Dieser wird in Kooperation mit dem Bayerischen Staatsministerium für Wissenschaft und Kunst verliehen.
Recurrent petit mal seizures in Erdheim-Chester disease mimicking an intra-axial brain tumor: illustrative case
Authors: Stuebe Caren M , Jenson Amanda V , Lines Tanner W , Holloman Ashley M , Cykowski Matthew D , Fung Steve H , Fisher Ronald E , McClain Kenneth L , Baskin David S 
Published: October 2023

BACKGROUND
Erdheim-Chester disease (ECD) is a rare non–Langerhans cell histiocytosis characterized histologically by foamy histiocytes and Touton giant cells in a background of fibrosis. Bone pain with long bone osteosclerosis is highly specific for ECD. Central nervous system involvement is rare, although dural, hypothalamic, cerebellar, brainstem, and sellar region involvement has been described.

OBSERVATIONS
A 59-year-old man with a history of ureteral obstruction, medically managed petit mal seizures, and a left temporal lesion followed with serial magnetic resonance imaging (MRI) presented with worsening seizure control. Repeat MRI identified bilateral amygdala region lesions. Gradual growth of the left temporal lesion over 1 year with increasing seizure frequency prompted resection. A non–Langerhans cell histiocytosis with a BRAF V600E mutation was identified on pathology. Imaging findings demonstrated retroperitoneal fibrosis and long bone osteosclerosis with increased fluorodeoxyglucose uptake that, together with the neuropathologic findings, were diagnostic of ECD.

LESSONS
This case of biopsy-proven ECD is unique in that the singular symptom was seizures well controlled with medical management in the presence of similarly located bilateral anterior mesial temporal lobe lesions. Although ECD is rare intracranially, its variable imaging presentation, including the potential to mimic seizure-associated medial temporal lobe tumors, emphasizes the need for a wide differential diagnosis.
Intraoperative and postoperative complications for repeat high-grade glioma resections with concurrent chemotherapy: patient series
Authors: Ong Kenneth , Hounjet Celine , Makarenko Serge 
Published: October 2023

BACKGROUND
High-grade gliomas are aggressive primary brain tumors, the most common of which is glioblastoma multiforme. Despite advances in treatment, the prognosis for these patients remains poor. The most common chemotherapeutic agents used in the treatment of this pathology include temozolomide (TMZ), procarbazine, lomustine, and vincristine. It is unclear whether chemotherapy should be held during resection for high-grade gliomas, because the perioperative risk profile is not clearly defined.

OBSERVATIONS
The authors report a case series of 18 surgeries to investigate the effects of concurrent TMZ and lomustine chemotherapy on surgical complications in patients undergoing repeat resection for recurrent high-grade gliomas. The authors found no postoperative infections, self-limiting postoperative complications, or excessive intraoperative blood loss and found one intraoperative complication.

LESSONS
There may not be a need to pause TMZ and lomustine chemotherapy during recurrent resections for high-grade gliomas, and continuing these medications throughout the perioperative period may be appropriate. This case series suggests that patients receiving TMZ and lomustine chemotherapy who need a repeat resection for recurrent high-grade gliomas should consider remaining on their chemotherapy regimen because it has been shown in the literature to improve recurrence-free survival time.
Novel combination of GammaTile cesium-131 brachytherapy with 5-aminolevulinic acid fluorescence–guided resection in the re-irradiation of pediatric recurrent high-grade glioma: illustrative case
Authors: Gordon Julian A. , Pasli Melisa , Cook Cathleen M. , Connor Rainor , Boyer Philip J. , Ju Andrew W. , Lee K. Stuart , Knudson Kathleen E. , Peach M. Sean 
Published: October 2023

BACKGROUND
Herein, the authors describe the successful utilization of 5-aminolevulinic acid (5-ALA) and the first case of GammaTile cesium-131 therapy in a pediatric patient with recurrent high-grade glioma. 5-ALA was utilized to optimize gross-total resection prior to GammaTile implantation. After conversion to an equivalent dose in 2-Gy fractions (EQD2), a composite was made of the GammaTile dose with the initial external beam radiotherapy. Two hypothetical plans consisting of a standard hypofractionated strategy for glioma reirradiation and a CyberKnife plan using GammaTile’s planning target volume were developed and likewise underwent EQD2 conversion and composite plan generation with the initial radiotherapy.

OBSERVATIONS
5-ALA was useful in achieving gross-total resection with no acute toxicity from the surgery or GammaTile irradiation. When compared with the hypothetical composite doses, GammaTile’s composite, axium point dose (D0.03cc) to the brainstem was 32.9 Gy less than the hypofractionated and the CyberKnife composite plans at 38.7 Gy and 40.2 Gy, respectively. The right hippocampus demonstrated a substantially reduced composite plan dose with GammaTile with a D0.03cc of 62.4 Gy versus 71.7 and 80.7 Gy for the hypofractionated and CyberKnife composite plans, respectively.

LESSONS
Utilization of 5-ALA and GammaTile therapy yielded clinically superior tumor debulking and effective radiotherapy dose localization with sparing of organs at risk, respectively.
Clinical, imaging, and molecular features of radiation-induced glioblastomas developing more than 20 years after radiation therapy for intracranial germinomatous germ cell tumor: illustrative cases
Authors: Tsukamoto Yoshihiro , Natsumeda Manabu , Takahashi Haruhiko , Ueno Asuka , Sakai Kiichi , Shida Kazuki , Seto Hiroki , Saito Taiki , Shibuma Satoshi , Nakayama Yoko , Tanaka Yuki , Nakano Toshimichi , Ohta Atsushi , Maruyama Katsuya , Okada Masayasu , Eda Takeyoshi , Seki Yasuhiro , Yoneoka Yuichirou , Shimizu Hiroshi , Okamoto Kouichirou , Kakita Akiyoshi , Oishi Makoto 
Published: October 2023

BACKGROUND
Germinomatous germ cell tumor is highly sensitive to chemoradiotherapy; patients are expected to survive for decades. Many radiation-induced malignant gliomas (RIMGs) occur >10 years after radiotherapy. Standard therapy for RIMGs has not been established because of the lesion’s rarity, the patient’s shorter survival period, and the risk of radiation necrosis by repeat radiation.

OBSERVATIONS
Two patients, a 32-year-old man and a 50-year-old man, developed glioblastomas more than 20 years after radiation monotherapy for germinoma with or without mature teratoma. The first patient showed a tumor in the left frontotemporal region with disseminated lesions and died 2 months after partial resection of the tumor without responding to the chemotherapy with temozolomide and bevacizumab. Methylation classifier analysis classified the pathology as closest to diffuse pediatric-type high-grade glioma, Rtk1 subtype. The second patient showed a tumor mass in the brainstem and left cerebellar peduncle, which worsened progressively during chemotherapy with temozolomide and bevacizumab. The tumor transiently responded to stereotactic radiotherapy with the CyberKnife. However, the patient died of RIMG recurrence-related aspiration pneumonia 11 months after the biopsy. Methylation classifier analysis classified the pathology as closest to infratentorial pilocytic astrocytoma.

LESSONS
Chemoradiotherapy may improve the survival of patients with RIMGs. Furthermore, molecular features may influence the clinical, locoregional, and pathological features of RIMG.
Pengaruh Pendekatan PMRI Terhadap Hasil Belajar Siswa Pada Materi Persen di SD Negeri 117 Palembang
Authors: Islamy Diah Putri 
Published: October 2023

Percentage is one of the basic mathematical material that often appears in human life. Especially in the economic and educational aspects, the word percent is often associated with finance. So, as early as possible students should understand the meaning of percentages in mathematics lessons. This strong understanding of the material will encourage students to be able to solve percent problems in mathematics. However, in reality, student learning outcomes at SD Negeri 117 Palembang are relatively low because more than 50% of students get scores below the KKM. One of the causes is the students' lack of understanding of the percent material and the less effective learning process. The learning process using the PMRI approach is one method to bridge the problems of the conventional teaching and learning process. This study used a pre-experimental design method which was carried out on 40 fifth grade students at SD Negeri 117 Palembang. The data used in this study is using the results of students' ability tests pre-test (before being treated) and post-test (after being given treatment). The purpose of this study was to determine whether there was an effect of learning outcomes in SD Negeri 117 using the PMRI approach. The results showed that there was an effect of student learning outcomes using the PMRI approach on the percent material. Based on the results of statistical testing using SPSS that the value of tcount > ttable value, where the value of t count is 10,673 and t table is 2,306. Student learning outcomes also increased, namely by 85% of students getting scores above the KKM.
STUDI KASUS KEMAMPUAN PENALARAN STATISTIS SISWA KELAS XII PADA MATERI STATISTIKA
Authors: Walidain Putri Zahra Birrul , Ruli Redo Martila 
Published: October 2023

ABSTRAKKemampuanpenalaran statistis siswa masih rendah dikarenakan siswa masih kesulitan dalam memahami masalah pada soal-soal non rutin, salah satunya adalah mendeskripsikan masalah statistik dalam bentuk diagram maupun grafik dan menarik kesimpulan. Tujuan penelitian ini untuk menguji kemampuan penalaran statistis siswa kelas XII. Metode penelitian yang digunakan adalah studi kasus, dimana 40 siswa kelas XII Madrasah Aliyah Tegalwaru Karawang menjadi subjek dalam penelitian ini. Intrumen penelitian yang digunakan berbentuk soal uraian sebanyak dua soal, setiap soal merujuk pada indikator penalaran statistis yang meliputi: describing; organizing dan reducing; representing; dan analyzing dan interpreting. Hasil jawaban siswa dianalisis dan dikelompokkan ke dalam kategori: tinggi, sedang, rendah pada masing-masing indikator. Hasil penelitian diperoleh siswa pada kategori tinggi, sedang, dan rendah. Siswa yang memperoleh kategori rendah dikarenakan siswa belum mampu menjelaskan konsep dari masalah, menyelesaikan masalah, dan menghubungkan masalah ke dalam bentuk diagram dengan benar. ABSTRACT Students' statistical reasoning abilities are still low because students still have difficulty understanding problems in non-routine questions, one of which is describing statistical problems in the form of diagrams or graphs and drawing conclusions. The purpose of this study was to test the statistical reasoning abilities of class XII students. The research method used was a case study, where 40 students of class XII Madrasah Aliyah Tegalwaru Karawang were the subjects of this study. The research instrument used is in the form of a description of two questions, each question refers to an indicator of statistical reasoning which includes: describing; organizing and reducing; representing; and analyzing and interpreting. The results of student answers were analyzed and grouped into categories: high, medium, low for each indicator. The results of the study obtained students in the high, medium and low categories. Students who get the low category because students have not been able to explain the concept of the problem, solve the problem, and connect the problem to the form of a diagram correctly.
PENGARUH MINAT DAN MOTIVASI BELAJAR TERHADAP KEMAMPUAN LITERASI MATEMATIKA SISWA KELAS IX SMP NEGERI 6 KOTA JAMBI
Authors: Saraswati Yumaika , Harman Harman , Dewi Sri 
Published: October 2023

Penelitian ini bertujuan untuk mengetahui: 1) adakah pengaruh minat belajar terhadap kemampuan literasi matematika siswa kelas IX SMPN 6 Kota Jambi, 2) adakah pengaruh motivasi belajar terhadap kemampuan literasi matematika siswa kelas IX SMPN 6 Kota Jambi, 3) adakah pengaruh minat dan motivasi belajar terhadap kemampuan literasi matematika siswa kelas IX SMPN 6 Kota Jambi. Jenis penelitian yang digunakan dalam penelitian ini adalah kuantitatif, yaitu penelitian yang digunakan untuk meneliti populasi dan sampel tertentu. Populasi pada penelitian ini adalah seluruh siswa kelas IX SMPN 6 Kota Jambi, sedangkan sampel yang dipilih dengan teknik random sampling adalah siswa kelas IX SMPN 6 sebanyak 80 siswa. Teknik pengumpulan data menggunakan kuesioner/angket untuk minat dan motivasi belajar, tes untuk kemampuan literasi matematika. Teknik analisis data menggunakan analisis regresi linier berganda. Berdasarkan hasil analisis data, penelitian ini menunjukkan bahwa: 1) terdapat pengaruh minat belajar terhadap kemampuan literasi matematika dengan nilai signifikansi sebesar 0,028 0,05 dan sebesar 2,245, 2) tidak terdapat pengaruh motivasi belajar terhadap kemampuan literasi matematika dengan nilai signifikansi sebesar 0,706 0,05 dan sebesar -0,378, 3) terdapat pengaruh minat dan motivasi belajar terhadap kemampuan literasi matematika dengan nilai signifikansi sebesar 0,014 0,05 dan sebesar 4,490. Minat dan motivasi belajar berpengaruh sebanyak 10,4% terhadap kemampuan literasi matematika siswa kelas IX SMPN 6 Kota Jambi sedangkan selebihnya 89,6% dipengaruhi oleh variabel lain yang tidak dimasukkan dalam penelitian ini.
INDONESIAN FLIGHT ATTENDANTS’ PERCEPTIONS OF DIALECT VARIETIES
Authors: Andayani Widya , Damanik Sisila Fitriani , Hutasuhut Mahmud Layan , Anshari Rudi 
Published: October 2023

This research was aimed to examine flight attendants’ perceptions of dialect varieties in Indonesia. The researchers concerned in flight attendants' perceptions of various dialects used by partners, as well as passengers' attitudes toward the flight attendants' dialect. This research was conducted by using qualitative method. The participantswere 2 flight attendants which have different background cultures yet work in one aviation. In this research, direct quotations were presented unaltered. Each direct quotation is followed by a descriptive abbreviation noting the source of the quotation. The participants answered some questions that was given. Interviews were conducted using Whatsapp application because it was impossible to do face-to-face interviews with the participants in COVID-19 pandemic. Each interview took 30 to 40 minutes. Interviews were taped with a voice note feature on Whatsapp. The results revealed that each flight attendant saw the dialect variations in partners as an interesting thing to respect as long as the partner communicated well and politely, the passenger understood and got the point. In terms of the passengers' reactions to the flight attendants' dialect, there were possitive and negative from the passengers.
PERCEIVED BEHAVIORAL CONTROL, ATTITUDE AND PERCEPTION OF SECURITY AS DETERMINANTS OF PUBLIC INTEREST IN USING FINTECH P2P
Authors: Hikmah Hikmah , Sunargo Sunargo , Wangdra Yvonne 
Published: October 2023

Peer-to-peer lending is the sole financial service provided in the form of transactions conducted online. Peer to Peer Lending currently offers a variety of loans, including those for businesses, health care, and education, that the general public may access online so that lengthy approval processes are not necessary. The purpose of this study is to understand perceived behavioral control, attitude, and perceived risk as factors affecting how the general public uses fintech peer-to-peer lending. According to this study, all of the sub district that are present in Kota Batam are populous. data collection methodology using kuesioner. By using Jacob Cohen's book, there are 204 responses in this essay. The respondents to this study were people who had used peer-to-peer lending to make loans. Purposive sampling is the method of sampling that is employed. SEM is the analytical technique employed with the Smart PLS 3.0 program. According to the study's findings, perceived behavioral control, attitude, and perception of security all significantly and positively influence interest in batam City residents. Perceived behavioral control also significantly and positively influences interest in Batam City residents.
Protein quality assessment with a loss function designed for high-quality decoys
Authors: Roy Soumyadip , Ben-Hur Asa 
Published: October 2023

Motivation: The prediction of a protein 3D structure is essential for understanding protein function, drug discovery, and disease mechanisms; with the advent of methods like AlphaFold that are capable of producing very high-quality decoys, ensuring the quality of those decoys can provide further confidence in the accuracy of their predictions.Results: In this work, we describe Qϵ, a graph convolutional network (GCN) that utilizes a minimal set of atom and residue features as inputs to predict the global distance test total score (GDTTS) and local distance difference test (lDDT) score of a decoy. To improve the model’s performance, we introduce a novel loss function based on the ϵ-insensitive loss function used for SVM regression. This loss function is specifically designed for evaluating the characteristics of the quality assessment problem and provides predictions with improved accuracy over standard loss functions used for this task. Despite using only a minimal set of features, it matches the performance of recent state-of-the-art methods like DeepUMQA.Availability: The code for Qϵ is available at https://github.com/soumyadip1997/qepsilon.