bluuebunny/crossref_metadata_2025_split huggingface dataset:
FREQUENCY OF LEFT VENTRICULAR DIASTOLIC DYSFUCTION IN END STAGE RENAL DISEASE PATIENTS ON HEMODIALYSIS
Authors: Ahmed Raheel , Munib Syed , Ahmed Tausif 
Published: March 2023

INTRODUCTION:
Cardiovascular diseases represent the main cause of morbidity and mortality in patients with chronic kidney disease (CKD. Left ventricular hypertrophy (LVH) represents a key
feature to provide an accurate picture of systolic-diastolic left heart involvement in CKD
patients.

OBJECTIVE:

To determine the frequency of left ventricular diastolic dysfunction in end stage renal disease patients on hemodialysis.

Material and Methods: Descriptive Cross Sectional was conducted at Department of
Nephrology, Institute of Kidney Diseases Peshawar from 11th July 2018 to 10th January

All the patients were stabilized and after initial stabilization and treatment of these patients, written informed consent was obtained from them. Echocardiogram was

performed by consultant cardiologist in order to look for the presence of LV dysfunction. LV systolic dysfunction considered depressed when left ventricular ejection fraction (LVEF) was found less than 45%. Clinical and electrocardiographic evidences of valvular heart disease, heart failure (EF<50%) and myocardial ischemia were excluded from this study.

RESULTS:

As per frequencies and percentages for LVDD, 121 (87.68%) patients were recorded with
LVDD.

CONCLUSION:

In this study, we concluded that LVDD is a typical feature of CKD-related cardiomyopathy as LVDD and myocardial fibrosis are associated with mortality risk and cardiovascular events in CKD and ESRD as demonstrated by higher rates of sudden cardiac death in these patients.
Berat Badan Kehamilan, Operasi Sesar dan Pemberian Susu Formula Berhubungan dengan Kejadian Hiperbilirubinemia
Authors: Herliana Ade Herna , Hanifa Fanni , Astuti Retno Puji , Burmanajaya Bram 
Published: March 2023

Latar belakang: Hiperbilirubin merupakan penyebab paling banyak terjadi pada neonatus. Hiperbilirubinemia dapat dipengaruhi oleh beberapa faktor seperti faktor maternal, faktor perinatal dan faktor neonatal. Diantara penyebab hiperbilirubinemia yaitu berat badan kehamilan, operasi sesar dan pemberian susu formula.
Tujuan: Untuk mengetahui hubungan berat badan kehamilan, operasi Caesar dan pemberian susu formula dengan kejadian hiperbilirubinemia fisiologis di RSUD Kota Bogor.
Metode: Penelitian ini adalah penelitian kuantitatif dengan pendekatan cross-sectional. Sampel adalah semua bayi kejadian hiperbilirubin di RSUD Kota Bogor selama periode Juni-Oktober 2021 sebanyak 64 responden. Teknik pengambilan sampel menggunakan purposive sampling. Alat ukur menggunakan data sekunder (rekam medik). Analisis data menggunakan chi square dengan α 0,05.
Hasil: Hasil uji analisis statistik hubungan operasi caesar dengan kejadian hiperbilirubin nilai (p-value = 0,000), hubungan berat badan kehamilan dengan kejadian hiperbilirubin nilai (p-value = 0,000), dan hubungan susu formula dengan kejadian hiperbilirubin (p-value = 0.001).
Kesimpulan: Dari ketiga variabel dalam penelitian ini semuanya terdapat hubungan antara berat badan kehamilan, operasi sesar, susu formula dengan kejadian hiperbilirubinemia di RSUD Kota Bogor Tahun 2022.
Hubungan Pengetahuan Ibu, Dukungan Suami, Latihan Fisik Prenatal dengan Lamanya Proses Persalinan Normal pada Primigravida di PMB Bidan Fitri Tahun 2021
Authors: Nurlitawati Fitri , Noviyani Ernita Prima 
Published: March 2023

Pendahuluan: Lamanya persalinan di Indonesia sangat banyak karena kurangnya informasi yang didapatkan oleh ibu, sehingga menyebabkan banyaknya kasus lamanya persalinan sebesar di Indonesia (15,5%), sedangkan di provinsi Jawa Barat sebesar (18%). Berdasarkan data di PMB Fitri menyatakan bahwa adanya kenaikan proses lamanya persalinan pada tahun lalu dari 70 partus 20 partus mengalami proses persalinan yang lama pada primigravida sehingga dilakukannya tindakan induksi persalinan.
Tujuan: Untuk mengetahui Hubungan Pengetahuan Ibu, dukungan suami, Latihan Fisik Prenatal dengan Lamanya Proses Persalinan Normal pada Primigravida di PMB Bidan Fitri Tahun 2021.
Metode: Jenis penelitian yang digunakan adalah korelasi analitik (penelitian analitik) dengan pendekatan cross-sectional pengambilan sampel pada penelitian ini menggunakan total sampling. Jumlah responden 55 ibu bersalin primigravida di PMB Bidan Fitri. Instrumen menggunakan kuesioner. Metode analisis yang digunakan adalah Statistic Product For Social and Science (SPSS) versi 18.
Hasil: Hasil pengujian hipotesis temuan penelitian yaitu pengetahuan ibu, dengan lamanya proses persalinan normal pada primigravida nilai p-value sebesar 0,006 ≤ 0,05, dukungan suami, dengan lamanya proses persalinan normal pada primigravida nilai p-value sebesar 0,001 ≤ 0,05, latihan fisik prenatal dengan lamanya proses persalinan normal pada primigravida nilai p-value sebesar 0,04 ≤ 0,05.
Kesimpulan: Terdapat hubungan pengetahuan ibu, dukungan suami, latihan fisik prenatal dengan lamanya proses persalinan normal pada primigravida di PMB Bidan Fitri Tahun 2021.
Pengaruh Senam Ergonomik terhadap Penurunan Tekanan Darah Tinggi di Wilayah RW 01 Mekarwangi Tanah Sareal Kota Bogor Tahun 2021
Authors: Ningtias Sri Rahayu , Yuliza Emi , Herliana Irma 
Published: March 2023

Pendahuluan: Hipertensi (Hiper artinya Berlebihan, Tensi artinya tekanan/tegangan) jadi hipertensi adalah gangguan sistem peredaran darah yang menyebabkan kenaikan tekanan darah di atas normal. Seseorang dikatakan terkena hipertensi jika mempunyai tekanan darah Sistole ≥140 mmHg dan tekanan darah Diastole ≥90 mmHg. Senam ergonomik adalah tehnik senam yang dapat di lakukan oleh semua kalangan usia mengingat gerakan nya yang praktis, efesien, dan logis untuk mengembalikan atau membetulkan sistem syaraf dan dan aliran darah, dan memaksimalkan supplai oksigen ke otak.
Tujuan: Untuk mengetahui pengaruh senam ergonomik terhadap penurunan tekanan darah tinggi pada penderita hipertensi.
Metode: Metode dalam penelitian ini adalah penelitian kuantitatif dengan jenis penelitian menggunakan quasy eksperiment dengan design penelitian menggunakan One group pre-test dan post-test. Populasi dalam penelitian ini adalah sebanyak 15 responden tanpa kelompok kontrol. Instrument penelitian ini menggunakan lembar observasi. Hasil uji di analisis menggunakan uji wilcoxon signed rank test
Hasil: Berdasarkan hasil uji wilcoxon signed rank test didapatkan nilai p-value 0,015
Kesimpulan: Ada pengaruh senam ergonomik terhadap penurunan tekanan darah tinggi
Hubungan Posisi Bersalin, Berat Bayi dan Lama Persalinan dengan Rupture Perineum di RSIA Citra Insani Bogor Tahun 2021
Authors: Sudiarsih Vivi 
Published: March 2023

Pendahuluan: Ruptur perineum menjadi penyebab perdarahan ibu postpartum. Perdarahan postpartum menjadi penyebab utama 40% kematian ibu di Indonesia. Ruptur perineum yang dilakukan dengan episiotomi itu sendiri harus dilakukan atas indikasi antara lain: bayi besar, perineum kaku, persalinan yang kelainan letak, persalinan dengan menggunakan alat baik forceps maupun vacuum. Di Asia kejadian ruptur perineum cukup banyak terjadi, 50% dari kejadian robekan perineum di dunia terjadi diAsia. Di Indonesia ruptur perineum dialami oleh 75% ibu melahirkan pervaginam.
Tujuan: Untuk mengetahui hubungan posisi bersalin, berat bayi lahir dan lamanya persalinan dengan ruptur perineum pada Persalinan Normal di RS Citra Insani Bogor tahun 2021.
Metode: Metode penelitian ini adalah analitik kuantitatif dengan desain cross-sectional. Populasi penelitian adalah seluruh ibu bersalin secara normal di RSIA Citra Insani Bogor tahun 2021 dengan teknik pengambilan sampel yaitu total sampling, dengan pengambilan sampel tertentu dan pengumpulan data menggunakan lembar ceklis. Uji statistik yang digunakan yaitu uji stastitik Chi-square.
Hasil: Hasil uji menunjukan bahwa hubungan antara posisi bersalin dengan rupture perineum ditandai dengan p-value sebesar 0.000. Hubungan berat bayi dengan rupture perineum ditandai dengan p-value sebesar 0.030. Hubungan Lama persalinan dengan rupture perineum ditandai dengan p-value sebesar 0.000.
Kesimpulan: Terdapat hubungan antara posisi bersalin, berat bayi lahir, dan lama persalinan terhadap rupture perineum.
Hubungan Pengetahuan Ibu, Peran Tenaga Kesehatan, Media Informasi Terhadap Pemakaian KB Suntik 3 Bulan Selama Pandemi Covid-19
Authors: Refwalu Maria Enjel Grasia 
Published: March 2023

Latar Belakang: Suntik 3 bulan merupakan metode kontrasepsi yang diberikan secara intra muscular setiap tiga bulan sekali, tidak mempengaruhi ASI dan cocok untuk ibu menyusui.
Tujuan: Untuk mengetahui hubungan pengetahuan ibu, peran tenaga kesehatan, dan media informasi terhadap pemakaian kb suntik 3 bulan selama pandemic covid 19 di Puskesmas Benteng Ambon Tahun 2021
Metode: Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross-sectional. Sampel penelitian menggunakan total sampling dengan jumlah sampel 50 responden. Analisis data bersifat univariat dan bivariat. Instrumen penelitian yang digunakan adalah kuesioner dengan analisis data menggunakan chi-square
Hasil: Hasil penelitian menunjukkan bahwa hubungan antara pengetahuan ibu dengan hasil p-value sebesar 0,025, peran tenaga kesehatan dengan hasil p-value sebesar 0,047, dan media informasi dengan hasil p-value sebesar 0,000 terhadap pemakaian kb suntik 3 bulan di Puskesmas Benteng Ambon Tahun 2021
Kesimpulan: Ada hubungan antara pengetahuan ibu, peran tenaga kesehatan dan media informasi terhadap pemakaian kb suntik 3 bulan di Puskesmas Benteng Ambon Tahun 2021
Reflections on Language Teaching at Tertiary Level
Authors: Stoichkova Elitsa 
Published: March 2023

“No man ever steps in the same river twice, for it's not the same river and he's not the same man.”
Heraclitus
The article provides insights into the current situation in English Language Teaching (ELT) at the tertiary level in a non-linguistic higher education institution in Bulgaria. It also represents some significant research findings on the topic. Moreover, it may raise the awareness of language education specialists and teacher trainers about the need for teacher training courses aiming at facilitating the implementation of the advances in the field of language teaching. It is expected that it may also appeal to university language teachers to maintain their lifelong learning habits and keep up with the advances in the field.
New Deconstruct Elliptical sports machine and Elliptical machine
Authors: Elvira Carlos , Terol-Sanchis Mario , Gomis-Gomis María José , Suárez-Llorca Concepción 
Published: March 2023

The objective of this article was to compare different cardiovascular training machines and their effects on the body, as well as to determine their suitability for people with low intensity or high intensity training needs. A total of 8 physically active and healthy male subjects (mean ± standard deviation; age: 28.45 ± 1.75 years; height: 1.84 ± 0.07 m; body weight 76.42 ± 8.62 kg; body mass index: 25.5 ± 2.6) were evaluated through of an incremental exercise test at different intensities on two different machines: Elliptical Domyos 680 (BED) and Deconstruct Elliptical 331-EF (DEC). To compare both machines against the two mentioned training needs, two different protocols were carried out: Low Intensity Protocol (LIP) and High Intensity Protocol (HIP). In addition, a thermographic analysis was carried out in order to determine the temperature differences reached in the musculature. No significant differences were found in HR and EE (p < .05) between the two machines. However, a greater and more progressive activation of the muscles of the upper extremities was observed in the DEC machine. In the HIP, HR and EE were measured, obtaining significant differences (p < .05) higher in the DEC machine. Therefore, in our comparison, the Deconstruct Elliptical machine produced more appropriate results for both low and high intensity training compared to the Elliptical machine. These results and the novel nature of the Deconstruct Elliptical raise the need for further studies to better understand this machine.
Optimalisasi Peran Pemerintah Dalam Kebijakan Penanganan Limbah Medis
Authors: Hartami Annisa , Karjoko Lego , Ulfatun Najicha Fatma 
Published: March 2023

Law 32 of 2009 on Environmental Protection and Management is an example of the government's efforts to achieve a balance between economic growth and environmental preservation. In accordance with Human Rights (HAM) in realizing sustainable development and the existence of global environmental issues. This research method uses normative legal research methods that are prescriptive. Types and sources of law include primary and secondary legal materials. The technique of collecting legal materials used is the study of literature. Furthermore, the analysis technique used is the deductive method. The results of this study show that there is a need to optimize the role carried out by the government to deal with the growing medical waste. In addition, health service facilities also carry out direct sorting to be more effective in handling the management of medical waste. This can be seen from the use of the Regulation of the Minister of Environment and Forestry Number p.56Menlhk-Setjen2015 as SPO in implementing medical waste management. These laws and regulations are able to provide legal expediency and certainty. Meanwhile, in terms of fairness, this is determined by how the implementation of these laws and regulations in the field.
Reflections and Expectations of Democracy in The Implementation of Regional Autonomy: Long - Term Potential for Appointment of Acting Regional Heads
Authors: Ariananto Waluyo Adi Emmanuel , Rachelita Devia Irani Theresia 
Published: March 2023

Indonesia is a democratic country that implemented regional autonomy. The era of regional autonomy has been implemented since the Indonesian government issued Law no. 22 of 1999 concerning Regional Government and has continued to this day. Many dynamics have occurred as well as challenges and achievements for this autonomy, such as local governments being able to advance programs according to their regional characteristics, even increasing cases of corruption by regional heads, and many more. Article 201 Paragraph (9) of Law Number 10 of 2016 concerning the Second Amendment to Law Number 1 of 2015 concerning the Stipulation of Government Regulations in Law Number 1 of 2014 Concerning the Election of Governors, Regents, and Mayors which has become Law Number 6 2020 concerning the Election of Governors, Regents and Mayors, mentioning that in commemoration of the deaths of the Governor and Deputy Governor, Regent, and Deputy Regent, as well as Mayor and Deputy Mayor whose term of office ends in 2022 and whose term ends in 2023, acting Governor, acting Regent, and acting Mayor is appointed until the election of the Governor and Deputy Governors, Regents, and Deputy Regents, as well as Mayors and Deputy Mayors through simultaneous national elections in 2024. Therefore, currently, many regional heads positions in Indonesia are welcomed by Regional Heads in Charge who is appointed by the Central Government by statutory provisions. This has become a polemic and the authors find that the implementation of regional autonomy has so far been suboptimal so the central government needs to further regulate the provisions for the placement of the intended Regional Heads in Charge to achieve an ideal of democracy.
Principal’s Participatory Leadership Approaches: An Effective Tool for Teacher Effectiveness in Fako Division, Cameroon
Authors: Mbua Emile Monono 
Published: March 2023

Aim: This study intended to investigate the relationship between principal’s participatory leadership approaches and teacher effectiveness in Fako Division, Cameroon.
Methods: Given a correlational design purpose, data were assembled by drawing a sample of six hundred (600) that is 588 teachers and 22 principals spread across five (5) sub-divisions in Fako Division Cameroon. The first instrument titled “Questionnaire for Principal’s Participatory Leadership Approaches” (QPPLA) comprises three subscales all reflecting a high degree of internal consistency, namely, participatory decision-making (α = 0.843), democratic leadership (α = 0.759), and collective leadership (α = 0.834). The second tool, Questionnaire for Teacher Effectiveness (QTE), also indicates good reliability (α = 0.813). Regarding the verification of the research questions and hypotheses, Pearson's correlation coefficient was subsequently performed at the significance level of p < 0.05.
Results: The study found that participatory decision-making, democratic leadership and collective leadership styles significantly exerted a strong and positive impact on teacher effectiveness. Ultimately, the findings suggest that the principals should properly use the combinations of participatory decision-making, democratic leadership and collective leadership styles since they are significant in teacher effectiveness in secondary schools in Fako Division, Cameroon.
Conclusion: The study concluded that there is a strong relationship between principal’s participatory leadership approaches and teacher effectiveness.
Recommendation: This study recommend principals to enhance and foster teacher effectiveness by adopting participatory leadership approaches in schools.
Efektifitas terapi teh bunga rosella terhadap penurunan tekanan darah pada lansia di wilayah kerja Puskesmas Pariaman
Authors: Andriani Linda 
Published: March 2023

Hipertensi adaah peningkatan tekanan darah yang tidak normal di arteri yang membawa darah dari jantung dan terus menerus memompa darah kesemua jaringan dalam organ-organ tubuh selama jangka waktu tertentu, Penderita hipertensi yang tidak diobati memiliki peluang dua kali lebih besar terkena penyakit stroke dan jantung.Obat non farmakologis dapat dugunakan sebagai alternatif dalam menurunkan tekanan darah tinggi , salah satunya dengan mengkonsumsi teh bunga rosella.
Tujuan penelitian yaitu untuk mengetahui efektifitas pemberian teh bunga rosella terhadap penurunan tekanan darah pada lansia di puskesmas pariaman, metode yang dilakukan dalam pengabdian masyarakat ini adalah dengan mengumpulkan lansia dengan masalah hipertensi kemudian lansia tersebut dilakukan pengukuran tekanan darah setelah itu diberikan penkes tentang manfaat the rosella dilanjutkan dengan pembuatan minuman teh rosella yang kemudian diminum oleh lansia yang mengalami hipertensi.Jumlah lansia yang mengalami hipertensi sebanyak 18 orang lansia. Instrumen menggunakan SOP seduhan teh bunga rosella ,lembar observasi,sphygmomanometer, dan stetoskop.
Uji statistic Wilcoxon untuk tekanan darah sistolik sebelum dan sesudah diberikan teh bunga rosella responden yang mengalami penurunan tekanan darah sebanyak 10 orang dari 18 responden . Dengan nilai p-Value = 0,05 < a =0,05 hal ini berarti H1 diterima artinya ada perbedaan yang signifikan antara tekanan darah sistolik sebelum dan sesudah pemberian terapi teh bunga rosella. Ada pengaruh mengkonsumsi teh bunga rosella terhadap penurunan tekanan darah di puskesmas pariaman . Teh dapat dijadikan salah satu alternatif pengobatan non farmakologis pada penderita hipertensi di masyarakat.
Effectiveness of Media Hand Puppet Show to Grow Interest in Learning Students Learning at Kusala Sikkha Buddhist Sunday School
Authors: Mauludiyati Sri , Setyaningsih Setyaningsih 
Published: March 2023

The success of the students in education is influenced by the role of a supervisor who is able to direct the students on fun learning conditions. Children’s difficulties in understanding the subject matter are commonly found in learning activities. Teachers often use a lecturing method and rarely use media in teaching. The lack of use of the media in the process of learning makes learning less varied. One way to get children's attention to focus and engage their interest on the learning of Buddhism at the SMB is the use of tools or learning effective media, namely hand puppet show. This study aims to foster student interest Kusala Sikkha Buddhist Sunday School (BSS) Vihāra Dhamma Sukha Kenteng through the use of the hand puppet show media.
This research is a classroom action research with 15 students as research subjects at primary school student in BSS Kusala Sikkha Vihāra Dhamma Sukha in Kenteng. The data were collected by questionnaire interest, observations, interviews, and documentation. The descriptive data were analyzed qualitatively through the stages of the cycle. The results showed that the use of hand puppet show media or a puppet show is very effective to foster the students’ interest. This was evident from the results of the study which showed an increase in the students’ interest in the first cycle to reach an average of 15.25, and the second cycle reached an average of 19. Thus, interest in students’ learning after the implementation of action rose up to 3.75. Increased interests were seen from four aspects, namely: (1) intention: the students were very enthusiastic and active in group discussions, students were happy and excited; (2) diligence and seriousness: the students were able to complete the story well and focused on thelearning activities; (3) concern: the students listened and appreciated the story themes from other groups; (4) attitude: the students dared to tell their friends spontaneously using hand puppets and were able to explain the story line well. The effectiveness of the hand puppet show media in increasing student interest in the first cycle was 76% and increased in the second cycle reached 95%. The above description shows that the media hand puppet show can increase student interest BSS Kusala Sikkha.