bluuebunny/crossref_metadata_2025_split huggingface dataset:
Asuhan Keperawatan Pada Anak Dengan Epilepsi
Authors: Rani Murtiani  , IGA Dewi Purnamawati  
Published: October 2022

Epilepsi merupakan gejala kompleks dari banyak gangguan fungsi otak yang dikarakteristikkan oleh
kejang berulang akibat lepasnya muatan listrik otak yang berlebihan dan bersivat reversibel. Kejang
merupakan akibat dari pembebasan listrik yang tidak terkontrol dari sel saraf korteks serebral yang
ditandai dengan serangan tiba-tiba, terjadi gangguan kesadaran ringan, aktivitas motorik, atau gangguan
fenomena sensori. Anak-anak dengan epilepsi biasanya akan mendapatkan gangguan fungsi intelegensi,
pemahaman bahasa dan gangguan fungsi kognitif. Dampak epilepsi pada anak akan membuat perbedaan
yang cukup signifikan pada IQ. Tujuan penulisan diharapkan mahasiswa mampu memberikan asuhan
keperawatan pada anak yang mengalami epilepsi. Metode Penelitian adalah deskriptif atau gambaran
suatu kasus. Hasil dari karya tulis ilmiah ini adalah mahasiswa memperoleh gambaran tentang asuhan
keperawatan pada anak dengan epilepsi. Masalah keperawatan berupa: Bersihan jalan nafas tidak efektif,
Risiko cedera, Defisit volume cairan, Hipertermi, Defisit nutrisi, Risiko infeksi, Kurang pengetahuan, dan
cemas pada anak dan orang tua.
Asuhan Keperawatan Pada Tn. T Dengan Resiko Perilaku Kekerasan
Authors: Siti Salamah  , Sri Nyumirah  
Published: October 2022

Perilaku kekerasan merupakan suatu bentuk perilaku yang melukai seseorang secara fisik maupun
psikologis. Dampak perilaku kekerasan yang dilakukan klien terhadap dirinya sendiri adalah dapat
mencederai dirinya sendiri, tindakan agresif yang ditujukan untuk melukai diri sendiri atau membunuh
orang lain, merusak lingkungan, melempar kaca, genting dan semua yang ada di lingkungan. Berdasarkan
dampak Perilaku Kekerasan diatas dibutuhkan peran perawat dalam melakukan asuhan keperawatan,
yaitu perawat berperan pada aspek promotif, preventif, kuratif dan peran rehabilitatif. Asuhan
keperawatan dilakukan untuk melakukan pengkajian sampai evaluasi pada klien perilaku kekerasan.
Asuhan keperawatan dilakukan dengan cara wawancara, baik ke klien, perawat maupun keluarga,
tindakan keperawatan dilakukan secara langsung pada klien dengan pendampingan perawat. Klien
mengalami perilaku kekerasan merasa jengkel karena ibunya banyak bicara saat dirumah. Diagnosa
keperawatan yang bisa ditemukan pada klien yaitu harga diri rendah, defisit perawatan diri, resiko
perilaku kekerasan, resiko gangguan sensori persepsi: halusinasi, isolasi sosial. Perencanaan keperawatan
dilakukan sudah sesuai dengan standar Rumah Sakit. Evaluasi keperawatan klien terlihat pada klien
mampu mengontrol perilaku kekerasan dengan cara tarik nafas dalam serta pukul bantal/Kasur,
mengkonsumsi obat secara teratur, mengungkapkan, meminta dan menolak secara verbal serta dengan
cara spiritual yaitu berdzikir dan sholat. Kemampuan lain yang klien capai yaitu klien mampu mengontrol
halusinasi,yang muncul, klien mampu berkenalan dengan 1 orang atau lebih, dan klien dapat
mempertahankan kebersihan dirinya
Produksi tanaman pakcoy (Brassica rapa) pada tiga jenis kombinasi pupuk organik cair kototran lele
Authors: Lalla Milawati , Jafar M. Iqbal , Pranoto Pranoto 
Published: October 2022

[Kotoran ikan lele, kotoran kambing, urin sapi dan daun lamtoro merupakan bahan organik yang mudah diperoleh dan belum dimanfaatkan secara optimal. Untuk memanfaatkan bahan tersebut maka dapat dibuat menjadi pupuk organik cair agar lebih mudah diaplikasi dan dibuat kombinasi agar dapat meningkatkan pertumbuhan tanaman pakcoy yang signifikan. Tujuan penelitian adalah memperoleh kombinasi bahan organik yang memberikan hasil terbaik pada tanaman pakcoy. Penelitian lapangan ini dibuat sesuai pola Rancangan Acak Kelompok (RAK) yang dengan 4 perlakuan dan 4 ulangan dengan menggunakan plot berukuran 1 m², jarak tanam 20 cm x 20 cm. Perlakuan yaitu P0= kotoran ikan lele (kontrol), P1= kotoran ikan lele + kotoran kambing, P2= kotoran ikan lele + urin sapi dan P3= kotoran ikan lele + daun lamtoro. Yang menjadi variabel yang diamati adalah jumlah daun, bobot segar panen, panjang akar dan bobot akar. Hasil penelitian adalah kotoran ikan lele dan kotoran kambing (P1) meningkatkan jumlah daun, bobot segar panen dan bobot akar tanaman pakcoy secara signifikan.
Penyelesaian Kasus-Kasus Wanprestasi (Studi Kasus Pada Kondisi Force Majeure Pada Pandemi Covid-19)
Authors: Bata Ritonga Ali , Lubis Fauziah 
Published: October 2022

ABSTRAK
Penyelesaian sengketa pada kondisi fore majeure akibat pandemic covid-19 merupakan suatu permohonan debitur untuk menunjukkan bahwa tidak dapat dilaksanakan apa yang sebelumnya telah dijanjikan karena disebabkan oleh hal-hal yang sama sekali tidak terduga atau situasi yang tidak diprediksi sebelumnya. Maka akibat hukumnya yang terdapat pada force majeure si berpiutang tidak bisa membebankan resiko yang didapatnya kepada si berutang dan si berutang tidak bisa juga dinyatakan lalai dalam kewajibanpemenuhan prestasi. Maka, akibat dari kasus covid-19 situasi force majeure sebagai jalan alternatife untuk menyelesaikan persoalan. Maka kasus wanprestasi ditempuh melalui jalur non-litigasi melalui mediasi, arbitrase dan negosiasi sebagai penyelesaian sengketa. Jalur ini ditempuh disebabkan situasi yang memaksa sementara wanprestasi merupakan sebuah perjanjian yang telah disepakati diawal oleh kedua belah pihak.
ABSTRACT
Settlement of disputes in fore majeure conditions due to the covid-19 pandeic is a request from the debtor to show that what was previously promised cannot be carried out because it is caused by completely unexpected things or situations that were not previously predicted. So the legal consequences contained in the force majeure of the debtor cannot also be declared negligent in the obligation to fulfill performance. So, as a result of the Covid-19 case, the force majeur situations is an alternative a way to solve the problem. So the case of default is pursued through non-litigation channels through mediation, arbitration and negotiaton as dispute resolution. This path was taken due to a compelling situation while the default was an agreement that had been agreed in advance by both parties.
Evaluasi Usability, Pedagogical dan User Experience My Brilian Menggunakan Metode Tuxel
Authors: Nirwana Andreansyah , Supriyanto Antok , Wardhanie Ayouvi 
Published: October 2022

Universitas Dinamika memiliki e-Learning berbasis Moodle bernama My Brillian yang dapat di akses mahasiswa dan dosen. Berdasarkan hasil wawancara, sejak tahun 2018 akhir My Brilian dikembangkan, belum terdapat evaluasi mendalam untuk mengetahui kualitas sistem yang digunakan. Oleh sebab itu, penelitian ini dilakukan untuk mengetahui kualitas sistem My Brilian dari persepsi mahasiswa sebagai pengguna. Penelitian ini menggunakan metode TUXEL yang digunakan khusus untuk mengevaluasi suatu e-Learning dengan menggunakan tiga kuesioner, yaitu tabel pelaporan masalah, evaluasi LMS umum, dan kuesioner pengalaman pengguna. Penelitian dilakukan terhadap 12 responden dari berbagai fakultas, hasil usability inspection ditemukan 26 masalah dimana permasalah paling banyak pada login. Pada tahap pedagogical usability inspection ditemukan 26 permasalahan dimana paling banyak pada Help and Documentation. Pada tahap evaluasi user experience, dapat ditemukan nilai persepsi pengguna yang positif. Pada analisis hierarki kebutuhan pengguna, My Brilian dinilai cukup baik untuk menunjang kegiatan pembelajaran, namun kurang reliabel karena sering mengalami kendala teknis.
Buenas prácticas agrícolas para los estudiantes de educación media vocacional de la I.E.R.D San Nicolás del municipio de San Juan de Rioseco en Cundinamarca
Authors: Huertas Ochoa Elkin Mauricio 
Published: October 2022

La presente investigación procuró, a partir del diseño, creación y desarrollo de una estrategia didáctica, que permitió la apropiación y generación de Buenas Prácticas Agropecuarias (BPA), por parte de los estudiantes de Media Vocacional en Producción Agrícola, pertenecientes al sistema educativo del municipio de San Juan de Rioseco en Cundinamarca.
En este trabajo, se desarrolló una estrategia didáctica mediada por las TIC, que desde la escolaridad de los jóvenes de educación media de la I.E.R.D de la región mencionada, promoviera el conocimiento y fundara las bases para la implementación de las Buenas Prácticas Agrícolas (BPA), a partir de la implementación de talleres didácticos mediados por las TIC, los cuales permitieron desarrollar en los estudiantes nuevas perspectivas, actitudes y aptitudes frente a la implementación de las BPA, tanto en los proyectos productivos pedagógicos como en los personales que adelantan.
Se logró la identificar y re-direccionar conceptuales y prácticos, con relación a la producción agrícola sustentable en los estudiantes de la institución intervenida enfocándolos hacia la implementación de las BPA.
Efficacy of Melatonin and Pentoxifylline combination therapy in treatment of endotoxin induced hepatic dysfunction in white albino mice
Authors: Khan Ammara , Afzal Ayesha , Azam Zahid , Rafique Saima 
Published: October 2022

Introduction:
Despite major expansion and elaboration in treatment protocols of septic patients, mortality rate is still very high due to multiple organ damage including hepatotoxicity. We in study evaluated the role of two strong anti-inflammatory agents, melatonin and pentoxifylline, as a combined treatment in lipopolysaccharide induced hepatic dysfunction in white albino mice.
Material and Methods:
Endotoxemia was reproduced in white albino mice through intraperitoneal administration of lipopolysaccharide (LPS) of serotype E.Coli. Therapeutic potential of the both melatonin and pentoxifylline alone and as combined therapy was adjudged by administering agents 2 hours after LPS delivering. The extent of liver damage was evaluated via serum alanine aminotransferases (ALT) and aspartate aminotransferase (AST) estimation along with histopathological examination of liver tissue.
Results: Lipopolysaccharide administration (Group 2) resulted in marked hepatotoxicity as evident by statistically raised serum ALT ((p≤0.01) and AST (p≤0.01) at the end of experimentation. Also liver cross section examination showed marked distortion of liver parenchyma. Melatonin (Group 3) was prosperous in aversion of LPS invoked hepatotoxicity as proved by lessening of augmented ALT (p≤0.01) and AST (p≤0.01) along with restoration of pathological changes on liver sections (p≤0.05). Pentoxifylline generated similar results and serum ALT, AST and histological alteration abated considerably (p≤ 0.05).Combination therapy in animals of Group 5 also tapered LPS evoked hepatic dysfunction statistically considerably.
Conclusion: Melatonin and pentoxifylline alone and as combination therapy as effective in countering LPS induced hepatotoxicity. However the combination therapy did not yield synergistic effects.
Keywords:
Lipopolysaccharides, Endotoxin, Hepatotoxicity, Melatonin, Pentoxifylline.
Comparison of Topical Silymarin with Hydroquinone in the Treatment of Melasma
Authors: Abdullah Sumaira , Ahmed Mahwish , Khan Mahvish Aftab , Iqbal Tayaba , Sharif Shawana , Rehman Farhat 
Published: October 2022

Objective: To compare the efficacy and safety of topical silymarin 0.7% with topical hydroquinone 4% in the treatment of melasma.
Place and Duration: This Randomized Controlled Trial was conducted at dermatology OPD of Akbar Niazi Teaching Hospital, Bara Kahu, Islamabad, in a period of one year from April 2020 to April 2021.
Patients and Methods: Female patients having melasma were included in the study. The severity of melasma was assessed using MASI score. Group A was treated with silymarin 0.7% cream and group B was treated with topical hydroquinone 4% cream. Treatment was given for 3 months and was followed up for the next 3 months to observe relapse. Clinical efficacy was assessed in terms of percent reduction in MASI score from baseline.
Results: The mean age in group A (Silymarin 0.7%) was 35.13 ± 3.87 and in group B (Hydroquinone 4%) was 34.16 ± 3.90. Epidermal type of melasma was most common (76.8% vs 62.5%) in both groups. There was no significant (p-value < 0.05) difference between both groups after one and two months treatment but mean MASI score of Hydroquinone 4% group (10.59 ± 5.74) become significantly (p-value < 0.05) less than Silymarin 0.7% group (8.20 ± 4.41) after 3 months. Similar (p-value > 0.05) therapeutic response was observed after one and two months treatment but it become significantly better in Hydroquinone 4% group after three months treatment. Significantly, (P-value < 0.05) higher adverse effects were detected in patients treated with hydroquinone. There was no difference (P-value > 0.05) in recurrence rate and patients satisfaction between both groups.
Conclusion: topical silymarin has equal efficacy for the treatment of melasma with comparatively very less adverse effects as compared to hydroquinone.
Prognostic Role of Optical Coherence Tomography in Outcome of Idiopathic full thickness Macular Hole Surgery
Authors: Haseeb Uzma , Haseeb Muhammad , Rehman Aziz Ur , Mehmood Tauseef 
Published: October 2022

Abstract
Purpose: To assess the prognostic value of Optical Coherence Tomography indices preoperatively in outcome of idiopathic full thickness macular hole surgery.
Material & Methods: A Quasi experimental study was carried out at Al Ibrahim eye hospital, Karachi from June 2019 to Feb 2020. Patients between 50 to 70 years of age, including both genders with full thickness idiopathic macular hole on Optical Coherence Tomography (OCT) were included while patients with secondary causes of macular hole like trauma, myopia, detachment of retina with macular hole, macular hole with other causes of poor vision like corneal scaring, Age related macular degeneration and diabetic retinopathy were excluded. OCT measurements are basal diameter, height of macular hole, right and left arm length and derived indices are macular hole index (MHI) and hole form factor (HFF).
Results: A total 33 patients including 23 (69.6%) male and 10(30.3%) females of idiopathic full thickness macular hole were taken. Patients mean age was 55.25±6.9. Among 33 patients, MHI (>0.5) was found in 21(63.6%) patients while 12 (36.3%) patients had MHI (< 0.5). In 25 patients HFF calculation was possible. 17(68%) patients had HFF (>0.9) while 8 (32%) patients had HFF (< 0.9). Anatomical and visual outcomes were assessed at 1st and 3rd month follow-up. Of 21 patients for MHI >0.5, vision improved (i.e. ≥ 6/18) in 15 (71.4%). Similarly, out of 17 patients for HFF > 0.9, 13 (76.47%) patients had improved vision post-operatively.
Conclusion: Optical coherence tomography indices can be helpful to predict surgical outcomes of idiopathic full thickness macular hole surgery.
The Effect of Applying the Iodized Contrast Materials Used in Hysterosalpingography at Body Temperature or Room Temperature on Visual Analogue Scale Scores
Authors: ERSAK Burak , TAŞÇI Yasemin , BEDİR FINDIK Rahime , TUĞRUL ERSAK Duygu , TOKMAK Aytekin , KOKANALI Mahmut Kuntay 
Published: October 2022

Aim: To compare pain scores of infertile patients during and after hysterosalpingography (HSG) procedure using visual analoge scale (VAS) between cold and warm contrast medium and to investigate whether using warm contrast can alter spontaneous pregnancy rate.
Materials and Methods: Prospective randomized study between March-September 2017. Primary infertile patients undergoing HSG procedure. Patients’ age, body mass index (BMI), history of previous surgery, duration of infertility and pain levels during the most painful menstrual period were recorded. The pain severity was questioned during and at the 30th minute after the procedure using VAS. While patients who underwent HSG using a contrast medium at body temperature 37 °C were defined as warm group(n:55), patients who underwent HSG using a contrast medium at room temperature 23 °C were defined as cold group (n:55).
Results: There were no significant differences between the groups in terms of age, BMI, duration of infertility, previous surgery and VAS during menstruation. The mean duration of HSG of warm group patients was significantly lower(p=0.001). Warm group patients’ mean VAS score during and 30 minutes after HSG were significantly lower than in the control group ( 5.3±4.2 vs 7.5±2.0), (1.1±0.9 vs 2.4±1.4), respectively. While severe pain percentage during HSG in warm group was 25.5%, it was 66.7% in the control group. In logistic regression analysis, warm and cold groups were only found as significant related factors for severe pain felt during procedure (p
Peningkatan Kesadaran Lingkungan Melalui Bank Sampah dan Teknologi IPAL Rumah Tangga
Authors: Abdullah M. Hasan 
Published: October 2022

Lingkungan yang sehat merupakan kebutuhan masyarakat. Namun kesadaran masyarakat terhadap kebutuhan tersebut tidak sesuai dengan kenyataan. Sampah dan Sanitasi air limbah rumah tangga merupakan masalah yang belum terselesaikan. Warga masih membuang sampah pada lahan kosong atau di pinggir jalan. Warga juga masih melakukan bung air besar (BAB) di sungai. Program pengabdian masyarakat melalui Kuliah Kerja Mahasiswa (KKM) ini dilaksanakan di RW 04, Kecamatan Tambak Osowilangon. Kegiatan ini dilakukan dengan memberikan pelatihan pengelolaan sampah rumah tangga melalui bank sampah dan pembuatan teknologi IPAL (Instalasi Pengolahan Air Limbah) yang sehat dan murah. Hasil dari program pengabdian ini adalah tumbuhnya kesadaran masyarakat untuk menjaga kesehatan diri dan lingkungan. Masyarakat dapat mengelola sampah secara mandiri melalui bank sampah dan memiliki IPAL yang ramah lingkungan.
Transmission of a Seismic Wave Generated by Impacts on Granular Asteroids
Authors: Sánchez Paul , Scheeres Daniel J. , Quillen Alice C. 
Published: October 2022

Abstract
In this paper, we use a soft-sphere discrete element method code to simulate the transmission and study the attenuation of a seismic wave. Then, we apply our findings to the different space missions that have had to touch the surface of different small bodies in the solar system. Additionally, we do the same in regard to the seismic wave generated by the hypervelocity impacts produced by the DART and Hayabusa2 missions once the shock wave transforms into a seismic wave. We find that even at very low pressures, such as those present in the interior of asteroids, the seismic wave speed can still be on the order of hundreds of meters per second depending on the velocity of the impact that produces the wave. As expected from experimental measurements, our results show that wave velocity is directly dependent on P
1/6, where P is the total pressure (confining pressure plus wave-induced pressure). Regardless of the pressure of the system and the velocity of the impact (in the investigated range), energy dissipation is extremely high. These results provide us with a way to anticipate the extent to which a seismic wave could have been capable of moving some small particles on the surface of a small body upon contact with a spacecraft. Additionally, this rapid energy dissipation would imply that even hypervelocity impacts should perturb only the external layer of a self-gravitating aggregate on which segregation and other phenomena could take place. This would, in turn, produce a layered structure of which some evidence has been observed.
In vitro antibacterial effect of Pimpinella anisum essential oil on Enterococcus faecalis, Lactobacillus casei, Actinomyces naeslundii, and Aggregatibacter actinomycetemcomitans
Authors: Bakhshi Mahin , Kamalinejad Mohammad , Shokri Mehdi , Forouzani Gelareh , Heidari Faezeh , Tofangchiha Maryam 
Published: October 2022

Introduction: Pimpinella anisum is a medicinal plant with antimicrobial, antifungal, and anti-oxidative properties. Limited studies have assessed the antibacterial properties of Pimpinella anisum on oral and dental pathogens.
Aim: This in vitro study aimed to assess the antibacterial effect of Pimpinella anisum essential oil on Enterococcus faecalis, Lactobacillus casei, Actinomyces naeslundii, and Aggregatibacter actinomycetemcomitans.
Materials and methods: After obtaining the essential oil of Pimpinella anisum, its antimicrobial activity was evaluated using the agar disc diffusion test. The minimum inhibitory concentration and minimum bactericidal concentration of the essential oil were also determined; 0.2% chlorhexidine was used as the positive control.
Results: The mean diameter of growth inhibition zone was 39 mm for Enterococcus faecalis, 40 mm for Lactobacillus casei, 42 mm for Actinomyces naeslundii, and 18.5 mm for Aggregatibacter actinomycetemcomitans. The mean diameter of the growth inhibition zones for Enterococcus faecalis, Lactobacillus casei, and Actinomyces naeslundii was significantly greater than that of Aggregatibacter actinomycetemcomitans (p=0.001). Also, the mean diameter of the growth inhibition zone of Actinomyces naeslundii was significantly larger than that of Enterococcus faecalis (p=0.05). The minimum inhibitory concentration and minimum bactericidal concentration of the essential oil for Enterococcus faecalis were 4.88% and 4.88%, respectively. These values were 9.76% and 9.76% for Lactobacillus casei, 9.76% and 4.88% for Actinomyces naeslundii, and 9.76% and 9.76% for Aggregatibacter actinomycetemcomitans, respectively.
Conclusions: Pimpinella anisum essential oil was effective against all four microorganisms evaluated in this study. Since the lowest minimum inhibitory concentration and minimum bactericidal concentration were recorded for Enterococcus faecalis, this essential oil has maximum effects on Enterococcus faecalis. Future clinical studies are required to assess the antimicrobial efficacy of Pimpinella anisum essential oil in clinical samples.
Normal appearing white matter metabolite pattern and sex differences in multiple sclerosis patients compared to healthy controls
Authors: Petrova Vasilena , Genov Krasimir 
Published: October 2022

Introduction: Proton magnetic resonance spectroscopy (PrMRS) detects changes in brain metabolite levels in vivo.
Aim: The aim of the present study was to evaluate the brain metabolites choline ((Cho), creatine (Cr), and N-acetyl aspartate (NAA) in lesion free normal appearing white matter (NAWM) in patients with relapsing-remitting multiple sclerosis (RRMS) versus healthy controls. The second aim was to explore the impact of sex on brain metabolite changes.
Materials and methods: Fifty RRMS patients received PrMRS evaluation of their brain NAWM regions. The results were compared with the findings in 28 healthy demographically matched controls.
Results: We found elevated levels of Cho, Cr, and NAA in NAWM of MS patients in comparison with healthy controls. The NAA/Cr and Cr/NAA ratios were collated. A statistically significant difference between both groups was found only for NAA/Cr and Cr/NAA ratios. It is due to metabolite changes in the female MS patients.
Conclusions: The results of the present study using PrMRS proved metabolic changes in NAWM. Accompanying pathological process should be assumed, preceding plaques of demyelination. The gender impact needs further investigation.