bluuebunny/crossref_metadata_2025_split huggingface dataset:
ST-ELEVASI MIOCARD INFARK DAN KETOASIDOSIS DIABETIKUM : SEBUAH STUDI KASUS DENGAN PENDEKATAN PROSES KEPERAWATAN
Authors: Fahmi Ismail , Kamal Musaddad , Dianingtyas Hermin Esti 
Published: February 2023

Pendahuluan: Ketoasidosis diabetikum (KAD) diabetikum diketahui memiliki hubungan dengan prognosis ST Elevation Miocardial Infact (STEMI). Peningkatan kejadian gagal jantung, shock hingga terjadinya kematian. Perawat memiliki peran penting kolaboratif dalam penanganan kejadian tersebut. Penelitian ini bertujuan untuk menggambarkan manajemen asuhan keperawatan pada pasien STEMI dengan KAD.
Metode: Pendekatan studi kasus digunakan dalam penelitian ini, dimana kami mempersembahkan penerapan asuhan keperawatan pada pasien laki-laki usia 42 tahun STEMI disertai ketoasidosis diabetikum di ruang gawat darurat.
Hasil: Pada studi kasus ini pasien masuk unit gawat darurat dengan keluhan nyeri dada khas dan kondisi hiperglikemia. Hasil pemeriksaan penunjang pasien didiagnosis mengalami STEMI ekstensif anterior onset 3 jam dan KAD, diagnosis keperawatan pada pasien tersebut adalah nyeri akut (NANDA: 00132) dan defisit volume cairan (NANDA 00027), intevensi yang digunakan Manajemen nyeri dengan aktivitas tindakan tatalaksana STEMI dan manajemen cairan dengan aktivitas tindakan tatalaksana cairan KAD sesuai dengan evidence based practice. Evaluasi hasil tindakan keperawatan, nyeri masih terajdi dan defisit volume cairan tidak terjadi.
Kesimpulan: STEMI dan KAD merupakan dua kasus gawatdarurat yang memerlukan penanganan yang tepat, manajemen keperawatan dengan pendekatan interpersonal kolaborasi dan berbasis evidence based practice pada pasien pada kasus tersebut dapat meningkatkan outcome yang baik bagi pasien.
LAMA PENGOBATAN HEMODIALIS BERHUBUNGAN DENGAN TINGKAT KECEMASAN PASIEN GAGAL GINJAL KRONIK
Authors: Sianturi Renta , Dwi Putri Sitompul Apri , Pardede Lisbeth 
Published: February 2023

Pendahuluan: Prevalensi Penyakit GGK (Gagal Ginjal Kronis) semakin meningkat dan menjadi urutan keempat penyebab kematian di dunia. Gagal Ginjal Kronik tidak dapat diatasi hanya dengan obat obatan namun harus digantikan fungsinya dengan tindakan Hemodialisis. Tindakan Hemodialisis dilakukan seumur hidup pasien, sehingga dapat berdampak secara fisik dan psikologis. Dampak psikologis Hemodialisis yang sering terjadi yaitu ansietas ( kecemasan). Kecemasan yang tidak tertangani dapat memperburuk prognosis GGK sehingga menyebabkan kematian. Peneliti ingin mengetahui korelasi lama pengobatan dengan kecemasan responden dengan gagal ginjal kronis dengan hemodialisis di RS Swasta X Bekasi Timur.
Metode: menggunakan desain penelitian cross sectional yang berarti dilakukan pengukuran dalam satu waktu tertentu. Teknik sampling yang digunakan dengan total sampling sebanyak 50 responden. Total sampling dilakukan dengan menjadikan seluruh responden yang sesuai dengan kriteria inklusi. Total sampling dapat dilakukan jika jumlah responden kurang dari 100. Analisa yang digunakan dengan menggunakan uji univariat untuk karakteristik responden, lama menjalani pengobatan dan tingkat kecemasan dengan distribusi frekuensi dan uji bivariate (Chi – Square) untuk menganalisis korelasi lama hemodialisis dengan tingkat kecemasan.
Hasil: Hasil yang didapatkan mayoritas lama menjalani HD > 6 bulan sebanyak 66,0% dan mayoritas tingkat kecemasan berat sebesar 36,0% dari 50 responden. Hasil penelitian berdasarkan uji Fisher Exact didapatkan nilai yang signifikant dengan p-value 0,000 (p<0,005). Hasil analisis data menunjukkan ada korelasi yang signifikan antara lama menjalani Hemodialisis dengan tingkat kecemasan.
Kesimpulan: Pasien dengan pengobatan lebih dari 6 bulan tingkat kecemasan lebih ringan dibandingkan dengan pasien yang kurang dari 6 bulan. Oleh karena itu sebagai perawat sangat perlu mengkaji tingkat kecemasan pada pasien yang baru akan menjalani Hemodialisis.
Sunday School Teachers’ Stewardship for Children’s Faith Growth in The Community of Shalom at XYZ Church in Tangerang
Authors: Nikijuluw Nostalgia Pax 
Published: February 2023

Peran guru-guru sekolah minggu sangat berdampak bagi pertumbuhan iman anak sekolah minggu (ASM). Penelitian ini dilakukan untuk mengetahui makna penatalayanan para GSM bagi pertumbuhan iman di Gereja XYZ Tangerang. Pendekatan kualitatif dengan metode fenomenologi digunakan untuk menggali makna pengalaman pelayanan para GSM, khususnya GSM yang mengajar kelas anak usia dini di Gereja XYZ Tangerang. Hasil penelitian menunjukkan bahwa bagi para GSM yang mengajar kelas anak usia dini di Gereja XYZ Tangerang, pelayanan sebagai GSM adalah sebuah perjalanan dalam anugerah Tuhan, yang disikapi bersama dengan respons syukur dan ketaatan. Sikap yang membawa pada kesetiaan dalam melayani Tuhan, sebagai respons dari rasa syukur dan persembahan kepada Tuhan atas karunia keselamatan.AbstractSunday school teachers are church activists whose their presence impact the children’s faith growth. This study was conducted to determine the meaning of SST’ stewardship for faith growth in the XYZ Church Tangerang. A qualitative approach with the phenomenological method is used to explore the meaning of the service experience of the Sunday School Teacher' (SST), especially SST who teaches early childhood classes at the XYZ Church Tangerang. The result shows that the SST’s stewardship at early childhood classes in XYZ Church Tangerang is a journey in God's grace, which is taken together with a response of gratitude and obedience. An attitude that leads to faithfulness in serving God, as a response to gratitude and offering to God for the gift of salvation.
Analytical Study Of Cultural Differences And Sustainability Of Indian Students Going Abroad
Authors: Jyoti Malhotra, Dr Mamta Gaur  
Published: February 2023

Background- An individual’s personality is influenced by both human nature and culture. The culture is usually introduced at birth, developed over time, and nurtured as they grow up. India is one of the most densely populated country known for rich culture and heritage. Indian students are moving overseas for higher studies as they are attracted by global professional opportunities and world-class universities to get their dream job and achieve better career prospects. ‘
Objective- The purpose of this study is to understand whether the Indian students are well equipped to adjust in the foreign environment despite of experiencing culture differences when they reach host country.
Design- The cultural characteristics of individuals are described by Hofstede’s cultural dimension theory, which is a framework for cross-cultural communication, developed by Geert Hofstede (Hofstede (2011)). The three sample countries chosen for the study are USA, Australia and Canada based on the justification that maximum proportion of Indian students are going to these above-mentioned countries for pursuing their higher education.
Method- This paper is based on secondary research and highlights the indicating factors which are sufficient for the sustainability of Indian students in host country.
Result- The findings indicate that although Indian students do experience cultural differences but still, they are able to sustain in different cultural settings.
Conclusion- The reason behind this sustenance is the cultural values which have been developed in Indians during childhood due to which it is not difficult for them to adjust in new settings.
Pregnant Women’s Preferred Birthing Positions In A Tertiary Health Facility In Cross River State, Nigeria
Authors: Uka,Victoria , Nsemo, Alberta David , Ene, Bridget  
Published: February 2023

Objective: In recent times, there have been a shift in the focus of health sector towards respectful maternity care. The concept of respectful maternity care is inclined towards client centred care with the right of women to make informed decisions concerning birth choices. The right of a woman to decide which position to adopt during childbirth has been limited the supine position in most maternity service centres and hospital settings. This study sought to investigate pregnant women’s preferred birthing positions in a tertiary health care facility in Calabar, Cross River State, Nigeria
Materials and methods This study utilized the descriptive cross-sectional design to recruit 169 pregnant women using the purposive sampling techniques. The instrument for data collection was a structured and validated questionnaire.
Results: Finding showed that 89.3% had good knowledge on birthing positions. Also, a good number of participants preferred the squatting position and position change as they deem comfortable during childbirth. Supine positions where the least preferred. Additionally, most participants agreed that level of education, age, previous childbirth familiarities, place of birth and support from midwives were factors that could influenced their choice of birthing positions.
Conclusion: Based on these findings, the researchers recommended that midwives update their knowledge on the different birthing positions in order to educate and assist pregnant women who may desire these positions during childbirth. This will encourage the utilization of Skilled Birth Attendants (SBAs) which will help reduce maternal morbidity and mortality that would occur during childbirth on the overall.
Pattern Of Dermatosis In Geriaritic Patients Attending A Secondary Health Care Centre In A Rural Area
Authors: Suhail Sidiq , Samia Aleem  
Published: February 2023

Background: Improving healthcare facilities and socioeconomic parameters, have increased the life expectancy, and thus the size of geriaritic population. Geriaritic dermatosis along with other geriaritic diseases, are also more prevalent.
Aims and objectives: To determine the pattern of dermatosis in geriaritic subgroup of our population
Material and methods: This study involving 300 patients over 60 years of age, was conducted in the outpatient department (OPD) of dermatology of a secondary care centre. A detailed history and examination of cutaneous and systemic complaints was done. Diagnosis was done on clinical assessment, and investigations were done whenever required. All the findings were recorded and analysed .
Results: Out of the total of 300 patients, 176 were males as compared to 124 females (1.41:1). Mean age was 66.92 + 6.31years, with majority belonging to under 70years of age (62.66%). Most common dermatosis were infections followed by eczemas. Commonest presenting symptom was pruritus (68.33%). Systemic complaints were present in 166(55.33%) patients, hypertension (26.33%) being the commonest.
Conclusion: Proper management of these geriaritic dermatosis requires enhanced awareness and knowledge about their pattern and prevalence.
Kääntäminen ja väkivalta
Authors: Päivärinne Meri 
Published: February 2023

Tiphaine Samoyault: Traduction et violence (suom. Kääntäminen ja väkivalta). Julkaisusarja ”Fiction & Cie”. Seuil, Pariisi 2020. 203 s.
Teoksensa alussa Samoyault maalaa lähitulevaisuudesta ihmiskääntämisen ja kielten opiskelun kannalta pessimistisen kuvan, koska syväoppimiseen perustuvat konekääntimet tekevät jo nyt painokelpoista jälkeä, ja Ranskassakin on jo julkaistu DeepL-kääntimellä kokonaan käännetty yli 800-sivuinen tieteellinen teos. Kääntäjän toimenkuva on teknologisen kehityksen myötä muuttumassa yhä enemmän kohti konekäänninten tuotosten mekaaniseksi tarkastamiseksi. Mikäli ei halua tyytyä osaan koneiden alaisuudessa, kääntäjä tarvitsee siis kieli- ja kulttuuriosaamisen lisäksi asiantuntemusta vähintään yhtä paljon esimerkiksi tekoälyn alalla. Kehityksen epätahtisuus eri kielten välillä on valtavaa: kun tekoälyyn pohjaavat teknologiat oppivat eri kieliparien tekstimassoista, niin vähemmän kirjoitetut kielet ovat valovuosia jäljessä isompiaan. Välikielen kautta käännettäessä taas virheiden mahdollisuus moninkertaistuu. Samoyault pohtii, kuinka paljon farsin- ja islanninkielisten tai swahilin- ja koreankielistä materiaalia löytyy käännöstekoälyn kouluttamiseen.
Hak Memperoleh Keadilan Dalam Sistem Peradilan Di Indonesia
Authors: Periani Aniek , Rusito Rusito 
Published: February 2023

Abstract
Constitutionally, the Indonesian state has guaranteed, respected, respected and protected human rights. Before the amendments were made, the 1945 Constitution could be said to have not explicitly stated the guarantee of human rights. However, after the amendment of the 1945 Constitution, especially the second amendment in 2000, the provisions regarding human rights in the 1945 Constitution have undergone fundamental changes. This amendment to the 1945 Constitution contains human rights material as regulated in Article 28A paragraph (1) to Article 28j paragraph (2). By using normative juridical research methods, this study aims to determine the efforts that must be made to obtain justice in the justice system in Indonesia. The justice to be enforced in the constitutional state of the Republic of Indonesia is justice that contains the values of the Pancasila philosophy, the 1945 Constitution and the values contained in other legislation, whose values are aspirational with the values and sense of community justice. Meanwhile, the way to enforce law and justice is carried out in accordance with the implementation procedure based on the principle of presumption of innocence and other principles determined by the Criminal Procedure Code.
Keywords: Justice, Human Rights, Criminal Procedure Code

Abstrak
Secara konstitusional negara Indonesia telah menjamin, menghormati, menjunjung tinggi dan melindungi Hak Asasi Manusia. Sebelum dilakukan perubahan, UUD 1945 dapat dikatakan tidak mencatumkan secara tegas mengenai jaminan Hak Asasi Manusia. Tetapi setelah UUD 1945 diamandemen, terutama amandemen kedua tahun 2000, ketentuan mengenai HAM dalam UUD 1945 telah mengalami perubahan yang mendasar. UUD 1945 perubahan ini telah memuat materi HAM yang diatur dalam pasal 28A ayat (1) sampai dengan pasal 28j ayat (2). Dengan menggunakan metode penelitian yuridis normatif, penelitian ini bertujuan untuk mengetahui upaya yang harus dilakukan untuk memperoleh keadilan dalam sistem peradilan di Indonesia. Keadilan yang hendak ditegakkan di negara hukum Republik Indonesia adalah keadilan yang mengandung nilai-nilai falsafah Pancasila, UUD 1945 serta nilai-nilai yang terdapat dalam perundang-undangan yang lain, yang nilai-nilainya aspiratif dengan nilai dan rasa keadilan masyarakat. Sedangkan cara menegakkan hukum dan keadilan dilakukan sesuai dengan tata pelaksanaan yang berpedoman kepada asas praduga tidak bersalah dan asas-asas lain yang ditentukan KUHAP.
Kata Kunci : Keadilan, Hak Asasi Manusia, Hukum Acara Pidana
Pentingnya Mediasi Dalam Mengurangi Kasus Perceraian Di Pengadilan Agama Banyumas
Authors: Anindito Teguh , Priyadi Aris , Awaludin Arif 
Published: February 2023

Abstract
Mediation as one of the tools that is needed in dealing with divorce cases is very important. Many divorce cases are resolved through mediation. Research conducted at the Banyumas Religious Court using normative juridical methods shows that mediation still needs to be socialized to resolve the various divorce cases that have piled up at the Banyumas Religious Court. It is necessary to overcome various obstacles in resolving cases through this mediation. Minimizing obstacles will help achieve optimal mediation. Efforts made by the Supreme Court by making Supreme Court Regulations further strengthen the role of mediation in settling cases.

Abstrak
Mediasi sebagai salah satu sarana yang sangat dibutuhkan dalam mengatasi kasus perceraian sangat terasa arti pentingnya. Banyak perkara perceraian yang diselesaikan melalui mediasi. Penelitian yang dilakukan di Pengadilan Agama Banyumas dengan metode yuridis normatif menunjukkan hasil bahwa mediasi masih perlu disosialisasikan untuk menyelesaikan berbagai kasus perceraian yang menumpuk di Pengadilan Agama Banyumas. Perlu diatasi berbagai hambatan dalam penyelesaian perkara melalui mediasi ini. Meminimalisir hambatan akan membantu tercapainya mediasi yang optimal. Upaya yang dilakukan Mahkamah Agung dengan membuat Peraturan Mahkamah Agung semakin menguatkan peran mediasi dalam penyelsaian perkara.
Double Liminality and Double Marginality in Muslim Women’s Narrative: An Investigation of Uzma Aslam Khan’s the Miraculous True History of Nomi Ali
Authors: Iqbal Nasar , Mustafa Rizwan 
Published: February 2023

Liminality and marginality are among the striking postcolonial issues. The concept of liminality, particularly in the postcolonial context, has been theorized by Homi K. Bhabha and he takes it as a third space where a character is neither connected to the old place nor the new one. The study investigates Uzma Aslam Khan’s The Miraculous True History of Nomi Ali the dwelling of the titular protagonist female character who faces dual liminality and dual marginality. The novel, set in the picturesque Andaman Islands circa 1936-42, has been analyzed using postcolonialism as a general framework whereas the two striking issues such as liminality and marginality with double intensity have been explored. The objectives of the study are the evaluation and depiction of doubly colonized subjects located in said islands. The findings highlight the hardships faced by the subcontinental prisoners, especially women who were brought to the far-off islands during the British colonial period. The control over the Andaman Islands has shifted from British to Japanese and then from Japanese to British. Thus, the residents of the islands and the prisoners have been facing the same hardships and troubles. Nomi Ali, the daughter of Haider Ali belongs to a non-prisoner family but has to face double liminality and double marginality. The study is significant because it highlights the female narrative voice from the part of history less spoken/written of.
QUALIDADE DAS ÁGUAS EM RESPOSTA AOS EFEITOS DO USO DA TERRA NA ÁREA DE INFLUÊNCIA DIRETA DE RESERVATÓRIO PELO EMPREGO DA ANÁLISE MULTIVARIADA
Authors: Rocha Hudson Moraes , Cabral João Batista Pereira , Marcuzzo Francisco Fernando Noronha 
Published: February 2023

O processo de degradação das águas em reservatório está diretamente relacionado com as trocas de matéria orgânica e inorgânica entre o rio, a planície e a sua bacia, cujos efeitos são a alteração dos padrões e processos abióticos e bióticos dos ecossistemas aquáticos. O presente trabalho teve como objetivo aplicar “PCA - Análise por Componentes Principais” para analisar a inter-relação entre os tipos de uso e cobertura da terra em relação à qualidade das águas do reservatório “Barra dos Coqueiros”. As coletas de água foram realizadas em julho de 2016 (período seco), em 39 pontos distintos do reservatório. Na definição do modelo de Análise por componentes principais, foram utilizadas 18 variáveis de um total de 36 variáveis da água, físicas, químicas e biológicas. Os resultados obtidos pela “PCA” demostraram que os primeiros eixos explicaram 42,60% da variação total das características físico-químicas da água do reservatório. Nota-se, ainda, que na “PCA” existe uma separação entre os pontos que sofrem influência da área urbanizada e da agricultura/pastagem, em que o primeiro eixo da “PCA” está sob influência da poluição orgânica e de íons dissolvidos na água e o segundo eixo da “PCA” indica um componente associado à distribuição de sólidos no reservatório. Nesse sentido, o método empregado da “PCA” demonstra ser de grande valia para a explicação da influência do uso e da cobertura da terra sobre a qualidade das águas.
Palavras-chave: PCA, estatística multivariada, reservatório, variáveis físico-químicas da água.
ЭНЕРГЕТИКАЛЫҚ ҚАЗАНДЫҚТАРЫНЫҢ ҚЫЗДЫРУ БЕТТЕРІНІҢ АБРАЗИВТІ ТОЗУЫНА КҮЛДІҢ ФРАКЦИЯЛЫҚ ҚҰРАМЫНЫҢ ӘСЕРІ
Authors: Сеитова Жадра , Бахтияр Балжан , Бекишева Жанна , Уалиев Ерлан , Олжабаева Қарлығаш 
Published: February 2023

Мақаланың мақсаты Астана ЖЭО-2 станциясындағы БКЗ-420 қазандығының қыздыру беттерінің абразивті тозу процессі және оны төмендету жолдарын қарастыру болып табылады. Жобада ең абразивті отын түрлерінің бірі – Екібастұз көмірі мысалында көрсетілген.Сонымен қатар әр-түрлі қазандықтардағы ұшпа күлдің дисперсті құрамы жайлы мәліметтер берілген, соған сүйене отырып Екібастұз көмірін өзге отын түрлерімен салыстыра аламыз. Екібастұздың БКЗ-420 қазандықтың қыздыру беттеріндегі абразивті тозу процессіне алдын ала шараларын жасалған. Мақалада белгіленген абразивті тозумен күресу жолдары энергетикада ең қолайлы және экономикалық тұрғыдан ең тиімді болып табылады.
АБРАЗИВТІ ТОЗУДАН ҚОРҒАУ ӘДІСТЕРІ
Authors: Калиев Ербол , Козбагаров Рустем , Торгаев Абиш , Байжұманов Қадырбек , Найманова Гульдария 
Published: February 2023

Мақалада жол-құрылыс, тау-кен, тиеу-түсіру, ауыл-шаруашылық, көлік машиналары мен тасымалдау құрылғыларының, отын және газ өнеркәсібінің бұрғылау жабдықтарының, сондай-ақ басқа да машиналар мен механизмдердің қызмет ету мерзімін шектейтін негізгі факторлардың бірі: механикалық тозулар екенін атап көрсете келе, оның ішіндегі ең маңыздысы абразивті тозу екендігі баяндалады. Заман талабына сай, тозуға төзімді материалдар жалпы жағдайда қандай қасиеттерге сай болу керектігі, абразивті тозудың пайда болу себептері, қарқындығын бәсеңдету әдістері және одан қорғану мақсатында тозуға төзімді қандай материалдар қолдануға болатын түрлері жақсы баяндалған. Сонымен, абразивті тозу жағдайында жұмыс істеуге басқалардан төзімдірек болатын материалдар түрлері атап көрсетілген. Конструкциялық беріктіктің екі негізгі көрсеткіші: балқу шегі немесе пластикалық деформацияға төзімділік пен тұтқырлығы екендігін айта келе, осы көрсеткіштерді арттыру әдістері жақсы баяндалған. Бөлшектердің тозуға төзімділігін арттырудың әртүрлі технологиялық процестерінің бірнеше мысалдарын келтіріліп, оның ішінде балқымалау процестерінің ерекшеліктеріне, яғни артықшылықтары мен кемшіліктерін жекелей айқындап көрсетілген. Бөлшек бетінің тозуға төзімділігін арттыру үшін сапалы жабындарды қалыптастырудың негізгі ескеретін шарттары дәйекті түрде атап көрсетілген. Осы мақалада келтірілген талаптарды ескере отырып, сапалы жабынмен қаптау кезінде негізгі материалының қатты фазасының сақталуын қамтамасыз ететін тәсілдерді қарастыра келе, газды термиялық тозаңбүрку жабындарының технологиясын қолдану тиімді болып табылатынына көз жеткіздік. Бұл әдістің артықшылықтары мен кемшіліктері де жақсы келтірілген. Сонымен бірге, мақалада газ-термиялық тозаңбүрку әдісінің технологиясына тоқтала келе, газ-термиялық жабынмен қаптау технологиясының жалпыланған схемасы да көрсетілген.
КОМПЛЕКСНОЕ ЭНЕРГОСБЕРЕЖЕНИЕ НА ПРЕДРИЯТИИ ПИЩЕВОЙ ПРОМЫШЛЕННОСТИ
Authors: Абдрахманов Еркеш , Смирнов Данил 
Published: February 2023

Представлены результаты комплексных энергосберегающих мероприятий на предприятии пищевой промышленности ТОО «Increase Food»: исследовано и обосновано применение в инженерно-технических помещениях светодиодных светильников ASTZ ДВО 04-36-001 PRS взамен люминесцентных ASTZ T8 ЛВО09-4х18-011 RS и для освещения территории светодиодных светильников ДКУ 02– 80 вместо традиционных светильников РКУ 11– 250-001; выбрана информационно-измерительная система технического учета электроэнергии, состоящая из устройства учёта электроэнергии, OPC-серверов счетчиков, универсальной SCADA/HMI DataRate, предназначенной для сбора, хранения, обработки и визуализации информации и контроля эффективности использования энергоресурсов; улучшена теплоизоляция трубопроводов холодильной системы ø115, 80, 38 мм, позволившая снизить потери холода и электроэнергии; улучшены теплосберегающие характеристики установленных стеклопакетов наклейкой на них светофильтрующей, светоотражающей и теплоотражающей пленок, позволяющей сэкономить затраты до 50% на кондиционировании и на 5-10% на отоплении.