bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hubungan Kualitas Pelayanan Dan Peran Perawat Terhadap Kepuasan Pasien
Authors: Purwanza Sena Wahyu , Anggreyanti Icca Presilia , Wibowo Catur 
Published: May 2023

Objective: to analyze the relationship between service quality and the role of nurses in patient satisfactionMethods: The design of this study used descriptive analytics with a cross-sectional approach. The sample used is 55 respondents using the purposive sampling technique. The research instrument used was a questionnaire on service quality and the role of nurses which had been tested for validity with an r table value of 0.852 > 0.444 and a Cronbach alpha reliability test of 0.909 > 0.600, which means that all instruments were declared valid and reliable. Data analysis used a chi-square statistical test.Results: The results showed a p-value of 0.001 (p < 0.05), which means that the quality of service and the role of nurses are related to patient satisfaction.Conclusion: The conclusion of this study is that the quality of service and the role of a good nurse will be related to the level of patient satisfaction to improve the quality of nursing services.
Analisis Faktor Yang Mempengaruhi Kualitas Gingivitis Pada Ibu Hamil Di Puskesmas Pujon Malang
Authors: Novita Angga An , Suprapto Sentot Imam 
Published: May 2023

Objective: to analyze the influence of gestational age, the level of knowledge of pregnant women about gingivitis and oral hygiene status on gingivitis in pregnant women at the Pujon health center, Malang Regency.Methods: The design of this study is quantitative observational with dependent variables of gingivitis. The independent variabels in this study were gestational age, level of knowledge as well as oral hygiene status. The subjects of the study were pregnant women who met the inclusion and exclusion criteria of 102 people. The study was conducted in the Pujon health center area, Malang regency, for the time period of July-September 2022. The data were analyzed using SPSS software version 25 with ordinal regression tests.Results: The results showed that gestational age did not affect gingivitis with p value=0.061. The level of knowledge affects gingivitis with p value=0.016. Oral hygiene status affects gingivitis with p value=0.000. Gestational age, level of knowledge, oral hygiene status simultaneously influenced gingivitis p value=0.001, with a large influence of 32.9%.Conclusion: Simultaneously the gestational age, level of knowledge, oral hygiene status affect gingivitis in pregnant women at the Pujon health center, Malang regency
Pemberian Aroma Terapi Lavender (Lavandula Angustifolia) Dan Terapi Musik Langgam Jawa Terhadap Kualitas Dan Kuantitas Tidur Lansia Insomnia Berbasis Teori Adaptasi Roy
Authors: Romadhon Wimar Anugrah , Rahmawaty RR Dewi 
Published: May 2023

Objective: Insomnia is a sleep problem that most often occurs in the elderly due to aging. Sleep problems affect the quality and quantity of sleep in the elderly. Lavender aromatherapy and Javanese traditional music is one way to increase the need for sleep. This study aims to analyze the effect of the combination of lavender aromatherapy and Javanese traditional music on sleep quality and quantity of insomniac elderly.Methods: This study design was a quasi-experimental with a pre-test and post-test control group. The number of samples was 36 respondents who were divided into two groups using purposive sampling with inclusion criteria. The independent variable in this study was a combination of lavender aromatherapy and Javanese traditional music, while the dependent variable was the sleep quality and quantity of the insomniac elderly. Data were collected using a structured questionnaire and analyzed using the Wilcoxon Signed Rank Test and Mann Whitney Test with a significance level of 0.05Results: There was an effect of the combination of lavender aromatherapy and Javanese traditional music on sleep quality (p=0.000) and sleep quantity (p=0.001) in the treatment group. The control group there was no effect on sleep quality outcomes (p=0.564) and sleep quantity (p=0.157). The comparison revealed differences in the post test sleep quality (p=0.000) and sleep quantity (p=0.005).Conclusion: The combination of lavender aromatherapy and Javanese traditional music has a significant effect on sleep quality and quantity of insomniac elderly. It is hoped that nursing services will modify this combination of non-pharmacological therapies so as to create more professional and quality nursing services in the health sector.
Perbandingan Tingkat Kelelahan Kerja Perawat Antara yang Melayani Pasien COVID-19 dan Non COVID-19 di RSUP Dr Kariadi Semarang
Authors: Qosim Nanang , Wiyanto Joko , Susianto Arip , Wulan Sri Listyaning , Pratiwi Hikmi Muharromah 
Published: May 2023

Background: Health services during the COVID-19 pandemic trigger a high risk of fatigue among nurses in all inpatient rooms, especially the isolation rooms for patients with COVID-19. Fatigue can reduce the performance of nurses and health services. Objective: This study compares nurses' work fatigue levels between those who serve in the COVID-19 room and those who serve non-COVID-19 at RSUP Dr. Kariadi Semarang. Methods: A comparative study with consecutive sampling involving 96 nurses (46 COVID-19 ward nurses and 50 non-COVID-19 ward nurses). The survey was conducted by filling out a Subjective self-rating test questionnaire from the Industrial Fatigue Research Committee (IFRC) via a Google form. Analysis of fatigue differences was performed using the Chi-Square test. Result: The mean IFRC score of respondents was 47.19 ± 12.97, while most nurses experienced low levels of fatigue (67.71%, n=65). There was no significant difference in the level of nurse fatigue in the COVID-19 and non-COVID-19 isolation rooms (p = 0.169, x2 = 1.89). Uncomfortable work environment (t = -2.50, p = 0.014), anxiety feeling at work (F = 3.57, p = 0.032), and shift system (t = -2.34, p = 0.018) significantly correlated with the level of nurses' fatigue.Conclusion: The work environment, shift system, and feelings at work can affect nurses' fatigue levels. Therefore, hospital policies and regulations are necessary to reduce work fatigue for health workers
Designing Pop-Up Book Media in Developing English Reading
Authors: Yuningsih Nela , Rohbiah Tatu Siti , Apud Apud 
Published: May 2023

<p>The objectives of the study are: 1) to identify how to develop Pop-Up book learning media on descriptive text material; 2) to determine the feasibility of Pop-Up book learning media on descriptive text material; and 3) to identify the students’ responses to the learning media on the descriptive text material. This study used Research and Development methods (Research and Development) using the ADDIE model. The subjects in this study were students at MTs Al-Khairiyah Pontang. The data were obtained from observations, interviews, and questionnaires. The results of this study focus on the use of the Pop-Up book learning media on descriptive text material. The quality of the Pop-Up book learning media based on the results of the media expert’s assessment is in an average score of 4.50, from material experts, it obtains an average score of 4.83, and from educators’ experts, the average score is 4.65. All the results of the questionnaire recapitulation at the product validation stage have very feasible criteria, as well as students’ responses in the very attractive category, and students’ responses in the field trials obtain an average percentage of 90.8% with a very attractive category. Based on the assessments of media experts, material experts, educator experts, and students’ responses, it can be concluded that the Pop-Up book on descriptive text material is feasible to be used as a learning medium</p><p> </p>
Using PRAAT in Teaching the Monophthongs to the EFL Students in Indonesia
Authors: Nurjannah Nurjannah , Jannah Miftahul , Zuhra Intan , Wati Fariza 
Published: May 2023

<p>PRAAT can easily and rapidly improve the students’ ability in pronouncing monophthongs in phonetics class. The effectiveness of this software can help the students acquire quality monophthongs sounds. Furthermore, this software could reduce the problem of students learning sounds of monophthongs accurately such as the accuracy of F1 and F2 that is contained in monophthongs. It provided many programs on how to record, analyze, measure, and save in the wave file. This research aimed to investigate to what extent this software affects teaching monophthongs sounds in phonetics class for students. This research was conducted with 40 samples of students. They divided the class into 20 students for the control group and another 20 students for the experimental group. This quasi-experimental was to determine the best treatment before and after giving the treatment by using CALL for the experimental group and NON-CALL for the control group. Before using the software, the students were given the pre-test . Finally, they sat for post- test in the last meeting. The result was exposed through analysis of a t-test. It showed a significant difference in learning through PRAAT software (p&lt;.05). In addition to that, teaching vowels sounds proved to be more successful using PRAAT than the traditional method.</p>
Exploration of Invasive Alien Plant Species on Habitat of Rhino in Icharni, Chitwan National Park, Nepal
Authors: Bist Birendra Bahadur , Adhikari Ram Chandra 
Published: May 2023

The study was conducted with main purpose to assess the floral diversity and explore invasive species on rhinoceros habitat in two different research sites with in Chitwan National Park. The rhino is placed in the list of endangered species by International Union for Conservation of Nature and highly threatened due to loss their habitat by rapidly increasing invasive species. The study was done for a period of one month in (September to October) 2020. The 10 m, 5 m, and 1 m radius circular quadrates were utilized to gather data on trees, shrubs, and herbs, respectively. A total of 25 plant species were recorded from 15 plots. The importance values of each species of trees were analyzed. Seven species of invasive types were recoded from 15 plots (10 plots from riverine forest and 5 plots from grassland). Mikania micrantha was most dominant species with IVI 103.02 followed by Pogostemon benghalensis with IVI 78.93 and Chromolaena odorata with IVI 34.57 as the second and third most dominant invasive species respectively. The conclusion is that invasive species have an impact on the grassland and riverine forest, which are needed by the mega herbivore. The management of rhino habitat and the preservation of the rhino population are seriously threatened.
विश्वेश्वरप्रसाद कोइरालाको विविध साहित्यिक आयाम तथा योगदान { Arious Literary Dimensions and Contributions of Bishweshwar Prasad Koirala}
Authors: पन्थी Panthee महेन्द्रकुमार Mahendrakumar 
Published: May 2023

प्रस्तुत लेखमा विश्वेश्वरप्रसाद कोइरालाको विविध साहित्यिक आयामका बारेमा चर्चा गरिएको छ । विश्वेश्वरप्रसाद कोइरालाको साहित्य लेखनको परिवेश, प्रेरणा र प्रभावको अध्ययन गरी उनको विधागत प्रवृत्ति र योगदानका बारेमा प्रकाश पार्नु यस लेखको मूल उद्देश्य रहेकोले कोइरालाको साहित्य लेखनको परिवेश, प्रेरणा र प्रभाव तथा विधागत प्रवृत्ति र योगदान केके हुन् ? भन्ने समस्यामा केन्द्रित रही अनुसन्धान कार्यलाई अगाडि बढाइएको छ । कोइरालाका मूल कृतिलाई प्राथमिक र कोइरालाका विभिन्न अन्तरबार्ता तथा उनका विषयमा अध्ययन–अनुसन्धानलाई द्वितीय स्रोतका रूपमा लिई पुस्तकालयीय प्रक्रियाद्वारा वर्णनात्मक र विश्लेषण विधिका माध्यमबाट विश्वेश्वरप्रसाद कोइरालाको विविध साहित्यिक आयाम तथा योगदानबारे प्रकाश पार्ने प्रयास गरिएको छ ।
{In this article, various literary dimensions of Bishweshwar Prasad Koirala have been discussed. The main purpose of this article is to study the environment, inspiration and influence of Bishweshwar Prasad Koirala's literary writing and shed light on his tendency of literary dimension and contribution. The research work has been carried out focusing on the problem. An attempt has been made to shed light on the various literary dimensions and contributions of Bishweshwar Prasad Koirala through descriptive and analytical methods. The researcher has been adopted the original work of Koirala as primary and various interviews of Koirala and research on him as secondary sources.}
Exploring the Negotiation Strategy of Nepal at World Trade Organization
Authors: Adhikari Lila Dhar 
Published: May 2023

The Political Economy of neo-liberalization is supposed to benefit countries that adopted liberal trade policies. As the key driver, the World Trade Organization (WTO) establishes the minimum requirements for numerous agreements on goods, services, intellectual property, trade facilitation, and development elements of international trade. These agreements provide special and differential provisions for the Least Developed Countries (LDCs) and developing countries to be benefited from trade liberalization. This study analyzes the effectiveness of Nepal's economic diplomacy; particularly its negotiation strategy in various WTO agendas. This study finds that WTO agreements help emerging developing nations in improving their trade performance and attract foreign direct investment where Nepal and many other LDCs are performing weaker roles in trade negotiation resulting in a lower level of trade and investment. Therefore, this study offers some recommendations for fostering economic trade negotiation aspects of economic diplomacy.
A organização do ensino-aprendizagem e o fazer docente na Educação Infantil
Authors: Braga Nídia de Paula da Silva , Rodrigues Adriana 
Published: May 2023

O presente artigo aborda a organização do ensino-aprendizagem no contexto da Educação Infantil, a partir de perspectivas docentes. Teve como objetivo compreender como a organização do ensino-aprendizagem tem sido efetivada no contexto do cotidiano escolar, com articulações com o fazer e do que é ser docente nesse segmento educacional. Metodologicamente, trata-se de uma pesquisa de abordagem qualitativa, fundamentada no referencial da Teoria Histórico-Cultural (THC), na qual foram utilizadas as pesquisas: bibliográfica, documental e de campo. Como instrumentos de coleta dos dados, utilizou-se uma ficha de registro das informações dos documentos e da bibliografia selecionada e, para a pesquisa de campo, a entrevista semiestruturada. Foram entrevistados 18 professores que atuam em escolas municipais de Educação Infantil, localizadas na zona rural do município de São José do Mipibu-RN. A análise dos dados foi realizada em consonância com a proposta teórico-metodológica dos núcleos de significação. Os resultados apontam para a necessidade de intencionalidades didáticas nas práticas educativas realizadas na Educação Infantil, marcadas pelo fazer prático, e, em certa medida, desprovidas de cientificidade. A Teoria Histórico-Cultural possui um corpo de conhecimentos que pode auxiliar na formação docente e na organização do processo ensino-aprendizagem de crianças, contribuindo para práticas pedagógicas que considerem suas especificidades e potencializem o desenvolvimento infantil. A atuação do professor na educação infantil requer a significação da profissão, com indicativos de demandas socioemocionais, vínculos com as crianças, estabelecimentos de parcerias com as famílias e reconhecimento social, político, cultural e econômico.
Philadelphia Negative MPNs, MDS/MPNs and MDS in the Context of Recent WHO Changes and Inclusion of Molecular Signatures into Prognostic Tools: A Single Centre Experience
Authors: Singh Neha , Kumar Sujeet , Gupta Avinash 
Published: May 2023

Introduction: The fifth edition of WHO classification of myeloid neoplasms has introduced major changes in the defining criteria and grouping of MDS, MDS/MPNs and MPNs. Recently published literature has also cited the importance of new risk-scoring systems by integrating genomic profiling with hematologic and cytogenetic characteristics, in order to improve the prognostic discrimination of patients and represents a valuable tool for clinical decision-making. Aim: To find out the prevalence and molecular spectrum of Philadelphia-negative MPNs, MDS/MPNs and MDS in our subset of patients and henceforth to evaluate the impact on diagnosis, risk stratification and treatment decision-making of patients. Methods: This retrospective observational study included all newly diagnosed patients of non-Philadelphia positive MPNs, MDS, and MPN/MDS, in whom complete baseline diagnostic work-up was available including complete blood counts, bone marrow morphology and biopsy, cytogenetic and molecular studies. Results: The most frequent entities in our cohort of patients were primary myelofibrosis (32.8%), MDS (32.8%) and CMML (16.4%). In PIMF, 50% patients were JAK2- mutated while 30% were triple negative (JAK-, CALR-, MPL-). The commoner epigenetic modifiers among MPNs were ASXL1, TET2 and IDH2. The predominant CMML molecular signatures in our patients were NRAS, U2AF2, SETBP1, ASXL and SH2B3. There was no significant effect of WHO changes and recently introduced molecular scoring models on the diagnosis and risk stratification of all these MPN and MDS/MPN patients However, in MDS and PIMF patients, recent WHO subtyping plus IPSS-M & GIPSS scoring respectively enabled refining of risk groups. Conclusion: Molecular profiling helps in better risk stratification of patients across all groups as well as in making therapeutic decisions. However, in resource constrained settings, it is not always possible to stratify patients on the basis of molecular signatures and hence, scoring models such as DIPSS and IPSS-R holds their ground strongly even today for offering appropriate therapy to patients without compromising on quality care.
EFEKTIVITAS PEMBERIAN TEH CHAMOMILE TERHADAP PENINGKATAN KUALITAS TIDUR LANSIA
Authors: Suciwati Anni , Carolin Bunga Tiara , Bunga Novi Azzia 
Published: May 2023

Latar Belakang: Kualitas tidur dapat menurun seiring dengan bertambahnya usia manusia. Karena itu sangat rentan bagi lansia untuk mengalami penurunan kualitas tidur. Hal ini disebabkan karena pada fase usia 60 tahun keatas terjadi perubahan bio, psiko, sosial dan spiritual. Pada aspek biologis terjadi kemunduran baik fungsi maupun struktur dalam tubuh yang menyebabkan lansia rentan mengalami berbagai macam penyakit, yang disertai dengan gaya hidup kurang sehat. dapat menjadi faktor penyebab terjadinya penyakit degeneratif. Penanganan non farmakologis termasuk penanganan yang aman, efektif, dan tanpa efek samping seperti terapi komplementer. Pemberian teh chamomile berpengaruh dalam peningkatan kualitas tidur, karena mengandung apigenin yang akan berikatan dengan reseptor benzodiazepine di otak sehingga dapat menangani gangguan kecemasa, depresi, dan gangguan kualitas tidur. Tujuan: mengetahui efektifitas the chamomile terhadap peningkatan kualitas tidur lansia. Metodologi: penelitian ini dilakukan dengan menggunakan desain one group pre test and post test design. Sampel dalam penelitian ini berjumlah 20 lansia. Teknik pengambilan sampel menggunakan total sampling. Instrumen penelitian terdiri dari kuesioner PSQI. Data dianalisis menggunakan deskriptif analitik dan inferential statistik yaitu menggunakan paired t-test untuk mengetahui perbedaan skor dalam satu kelompok. Hasil: penelitian menunjukkan rata-rata skor kualitas tidur pretest yaitu 7,85 dan posttest 6,80. Hasil uji bivariat didapatkan p value 0.000. Kesimpulan dan saran; menjadi salah satu referensi untuk salah satu pilihan terapi nonfarmakologi untuk mengatasi gangguan tidur
PENGARUH MENGKONSUMSI RUMPUT LAUT (CAULERPA SP.) TERHADAP KADAR HEMOGLOBIN IBU HAMIL DENGAN ANEMIA
Authors: Carolin Bunga Tiara , Suciawati Anni , Rahawawarin Zaenab 
Published: May 2023

Latar belakang: anemia merupakan salah satu masalah kesehatan global. Prevalensi anemia pada kehamilan bervariasi, bergantung pada kondisi sosio-ekonomi, gaya hidup, pola makan, serta sikap dan perilaku yang berbeda mengenai kesehatan. Sekitar 50% kasus anemia disebabkan oleh defisiensi besi. Salah Satu makanan yang dapat meningkatkan kadar Hb ibu hamil dengan anemia adalah rumput laut. Tujuan: untuk mengetahui pengaruh konsumsi rumput laut (Caulerpa sp.) terhadap kadar hemoglobin ibu hamil dengan anemia. Metodologi: jenis penelitian ini adalah quasi experimental dengan one group pre and post test design. Teknik pengambilan sampel menggunakan teknik purposive sampling. Sampel penelitian sebanyak 20 responden. Instrumen yang digunakan yaitu lembar observasi. Data dianalisisis menggunakan paired t-test. Hasil penelitian: terdapat perbedaan nilai rata – rata kadar hb sebelum diberi intervensi 9,4 gr/dl dan setelah diberi intervensi 11,4 gr/dl. Berdasarkan hasil uji bivariat p value 0,001. Kesimpulan dan saran: terdapat pengaruh pemberian rumput laut terhadap kadar Hb ibu hamil. Diharapkan penelitian ini dapat memberikan edukasi kepada ibu hamil bahwa rumput laut sebagai hasil kearifan lokal yang ada di Kota Tual dapat digunakan sebagai pengobatan alternative untuk meningkatkan kadar Hb.
Effect of Acetylcholinesterase Inhibitors on Cerebral Perfusion and Cognition: A Systematic Review
Authors: Moyaert Paulien , Beun Soetkin , Achten Eric , Clement Patricia 
Published: May 2023

Background: Perfusion imaging has the potential to identify neurodegenerative disorders in a preclinical stage. However, to correctly interpret perfusion-derived parameters, the impact of perfusion modifiers should be evaluated. Objective: In this systematic review, the impact of acute and chronic intake of four acetylcholinesterase inhibitors (AChEIs) on cerebral perfusion in adults was investigated: physostigmine, donepezil, galantamine, and rivastigmine. Results: Chronic AChEI treatment results in an increase of cerebral perfusion in treatment-responsive patients with Alzheimer’s disease, dementia with Lewy bodies, and Parkinson’s disease dementia in the frontal, parietal, temporal, and occipital lobes, as well as the cingulate gyrus. These effects appear to be temporary, dose-related, and consistent across populations and different AChEI types. On the contrary, further perfusion decline was reported in patients not receiving AChEIs or not responding to the treatment. Conclusion: AChEIs appear to be a potential perfusion modifier in neurodegenerative patients. More research focused on quantitative perfusion in both patients with and without a cholinergic deficit is needed to draw conclusions on whether AChEI intake should be considered when analyzing perfusion data.