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HIGHLIGHTS • Nutrition status, hemoglobin, and albumin levels are not predictors for platinum resistance. • Hemoglobin and albumin levels increased in both platinum-sensitive or platinum-resistant. ABSTRACT Objective: This study aimed to determine whether nutritional status, hemoglobin, and albumin levels could serve as reliable predictors for predicting platinum resistance in patients with ovarian cancer. Materials and Methods: Conducted as a cross-sectional analysis, this study included 80 ovarian cancer patients who had completed six cycles of platinum-based chemotherapy. Patients were divided into two categories: those with platinum-resistant cancer and those with platinum-sensitive cancer, based on recurrence status following chemotherapy. Nutritional status was assessed through body mass index (BMI), and both hemoglobin and albumin levels were measured pre- and post-chemotherapy to investigate potential differences between the groups. Results: The analysis revealed no significant difference in BMI between the platinum-sensitive and platinum-resistant groups (p = 0.743), suggesting that nutritional status, as measured by BMI, did not correlate with platinum resistance. Hemoglobin levels were similarly non-significant before (p = 0.072) and after chemotherapy (p = 0.055), indicating no clear association between hemoglobin levels and platinum response. However, hemoglobin levels showed significant increases post-chemotherapy in both the platinum-sensitive (p = 0.002) and platinum-resistant (p = 0.025) groups, though without affecting resistance outcomes. Pre-chemotherapy albumin levels did not significantly differ between the two groups (p = 0.218); but a significant post-chemotherapy difference was observed (p = 0.027), with both groups experiencing substantial increases from pre- to post-chemotherapy (p = 0.000). Conclusion: The findings suggest that BMI, hemoglobin, and albumin levels are not reliable predictors of platinum resistance in ovarian cancer patients. Although both hemoglobin and albumin increased significantly after chemotherapy, these changes did not correspond with platinum resistance status.

Background: The presence of anemia in pregnant women significantly affects the health of both mothers and their fetuses. Around 37% of pregnant women worldwide experience anemia. In the Community Health Center of Tanjung Sekayam, the prevalence of anemia in women at the third trimester of their pregnancy was notably high, at 50.4%. Objectives: This study aims to identify the risk factors for anemia in women at third trimester of pregnancy in the working area of the Community Health Center of Tanjung Sekayam Subdistrict, Sanggau Regency. Methods: This study was an observational research with a case-control design. The study population consisted of 153 women at third trimester of pregnancy, receiving antenatal care in the Community Health Center of Tanjung Sekayam. The samples included 62 respondents, selected through a simple random sampling, comprising of 31 cases and 31 controls. Data were collected using questionnaires and analyzed with the Chi-Square test to assess the factors associated with the occurrence of anemia. Results: There was a relation among maternal age (p=0.000; OR=22.9), interpregnancy interval (p=0.024; OR=6.9), parity (p=0.011; OR=2.2), nutritional status (chronic energy deficiency) (p=0.000; OR=11.3), compliance (p=0.021; OR=3.9), and knowledge (p=0.001; OR=8.2) and the prevalence of anemia in the third trimester. However, the family support did not show any significant relation. Conclusions: Maternal age, pregnancy interval, parity, nutritional status, compliance with iron tablet intake, and knowledge are related to the prevalence of anemia in third trimester of pregnancy. Family support did not show any significant relation with the incidence of anemia, possibly due to the limitations in measuring the family support itself and other factors, such as discomfort in consuming iron tablets and forgetfulness. More structured interventions and intensive education on the importance of iron and nutrition during the pregnancy are needed to reduce the risk of anemia.

This research aims to determine the effect of hybrid learning using the project based learning method on creative thinking abilities and learning motivation. The research method is the true experimental research technique, utilizing The Randomized Pretest-Posttest Control Group Design. The population for this study included all students in Senior High School 1 Purwokerto, totaling 1015 students across 36 classes. Simple random sampling was employed to select a total sample of 112 students (n = 112, age = 17.1 ± 1.2 years). This research uses two instruments to obtain data, including 1) The Torrance Tests of Creative Thinking (TTCT) and 2) The Motivated Strategies for Learning Questionnaire (MSLQ). The data analysis used was the data normality test, data homogeneity test, paired t-test and independent t-test. The data used is normally distributed (sig=0.434) and homogeneous (sig=0.533), The research results show that the effect of Hybrid Learning with the Project Based Learning method on creative thinking skills and learning motivation (sig=0.000), control group (sig=0.002), and there is a significant difference in effect between the treatment group and the control group (sig=0.000). It can be concluded that 1) PjBL model has a favorable impact on students' critical thinking skills in physical education, 2) PjBL model positively influences learning motivation in physical education, and 3) PjBL model yields a more positive outcome compared to the direct teaching model in enhancing students' creative thinking skills in the context of physical education. Keyword: Critical Thinking Skills, Hybrid Learning, Learning Motivation, Project Based learning

The problem delivered in this study is that some fighters are easily caught when performing side kicks, need help attacking rivals with a higher posture, and need to reach the optimal point when performing splits. This study aims to determine the correlation between leg length and flexibility with the speed of side kicks in martial arts. This quantitative research defines the correlation between the independent and dependent variables. This research uses sampling of 30 fighters by utilizing purposive sampling. The research instrument for limb length uses a rolling meter and flexibility using a side split test, while a statistical test uses multiple correlations. The results showed that (1) there was no significant correlation between leg length and sidekick speed with a sig. of 0.621; (2) There is a significant correlation between flexibility with sidekick speed and the sig value of 0.002;(3) There is a significant correlation between leg length and flexibility with sidekick speed, with an r-value of 0.007. This study concludes that anthropometric components are needed to do side kicks quickly and well in martial arts, especially leg length and physical condition aspects of flexibility.

This study aims to identify Body Composition consisting of Body Mass Index and Body Fat Percentage using the Healthy Fitness Zone norm of the fitnessgram with the risk of injury to high school basketball players. This study uses a descriptive correlationalresearch method, the research sample is students of SMAN 4 and SMAN 5 Purwokerto who follow extracurricular selected using purposive sampling a number of 20 boys and 10 girls. The research instruments used were body composition measurements using Bioelectrical Impedance Analysis (BIA) and Functional Movement Screening (FMS) tests for risk of injury. The results showed that the measurement of the Body Mass Index of students who took basketball extracurricular activities was in the Healthy Fitness Zone criteria of 77%. The percentage of body fat of students who take basketball extracurricular activities is mostly within the criteria of Healthy Fitness Zone 23 students (77%) and multiple correlation value (R) = 0.674 and sig. = 0.000 < 0.05 then the relationship is significant, or it can be stated that there is a significant relationship between Body Mass Index and Body Fat Percentage with Functional Movement Screening. The results of the regression test show that the value of R square = 0.454, the magnitude ofthe relationship between Body Mass Index and Body Fat Percentage with Functional Movement Screening is 45.4% while the remaining 64.6% is influenced by other factors.

Artikel ini bertujuan untuk mengevaluasi pembelajaran dari mata pelajaran pendidikan jasmani olahraga dan kesehatan SMA di masa pandemi Covid-19 di Kabupaten Brebes. Data dari penelitian ini adalah data pokok yang diperoleh dari hasil kuisioner oleh guru Pendidikan Jasmani Olahraga dan Kesehatan (PJOK) dan 32 SMA di kabupaten Brebes. Penelitian ini memiliki 2 kriteria tujuan yaitu secara umum dan khusus, yang mana untuk mengetahui keberhasilan pelaksanaan pembelajaran daring mata pelajaran PJOK di tinjau dari beberapa aspek, yaitu kontek, input, proses, dan produk. Penelitian ini menggunakan teori yang dicetuskan oleh Sugiyono (2012). Metode penelitian dari penelitian ini adalah metode deskriptif kuantitatif. Hasil dari penelitian ini adalah evaluasi rekapitulasi dari 4 aspek dari guru yaitu 78.99% (baik) dan siswa 68% (cukup). Serta hasil evaluasi dari keseluruhan yaitu 73.5% (baik). Kesimpulan dari penelitian ini adalah pembelajaran PJOK secara daring ternyata dapat dikategorikan dengan kesimpulan baik dengan prosentase 73.5%, namun aspek produk menjadi terendah. Sehingga aspek produk membutuhkan perbaikan dan pengingkatan serius dalam program pembelajaran PJOK secara daring.

Data laporan bulanan puskesmas Sui Kakap Kabupaten Kuburaya kasus Tuberkulosis (TB) masih menjadi permasalahan dan cenderung mengalami kenaikan kasus. Desa kalimas merupakan salah satu desa yang memberikan sumbangsih kasus TB di wilayah kerja puskesmas Sui Kakap. Dalam hal penanganan penyakit TB, kader bertindak sebagai rujukan penderita ke puskesmas setempat sehingga penemuan dan penanganan serta pengendalian TB dapat segera ditanggulangi. Untuk mengoptimalkan fungsi kader di perlukan penguatan kader baik dari jumlah dan informasi sehingga peran kader lebih optimal, memiliki capaian kinerja dan memudahkan evaluasi. Mitra kegiatan ini adalah 10 kader TB di Desa Kalimas. Pelatihan dengan metode edukasi dan pelatihan dengan penguatan informasi TB, fungsi kader, keterampilan berkomunikasi, serta keterampilan pencatatan dan pelaporan TB. Hasil kegiatan ini menunjukkan adanya peningkatan pengetahuan pada kader, kemampuan komunikasi kader TB, Kemampuan pencatatan dan pelaporan kader TB. Disarankan Pihak puskesmas dapat selalu memantau dan mengevaluasi kinerja kader sehingga penularan dan pengendalian TB dapat ditekan melalui peran optimal kader.

Penelitian ini memiliki tujuan untuk mengetahui faktor fisik dominan yang dapat mendukung keterampilan bermain sepak takraw yang terdiriri dari servis, mengumpan dan smash. Metode penelitian yang digunakan adalah korelasional dengan sampel atlet sepak takraw yang sudah mewakili kabupaten BARLINGMASCAKEB sebanyak 52 orang atlet. Instrumen penelitian menggunakan tes fisik dan keterampilan bermain sepak takraw. Hasil penelitian ini adalah faktor dominan yang memberikan pengaruh terhadap keterampilan servis adalah koordinasi dengan nilai korelasi sebesar 0.937, pada keterampilan mengumpan faktor dominan yang mempengaruhi adalah koordinasi dengan nilai korelasi sebesar 0.933, serta faktor dominan yang mempengaruhi keterampilan smash adalah kekuatan dengan nilai korelasi sebesar 0.603.

The aim of the study is to identify the influence of providing mini game situation and full game session training methods at the level of youth players' futsal playing skills. This is experimental study with 30 youth futsal athletes of Banyumas Regency (Age= M 16.2 ± SD 0.761), divided into two experimental groups design. Futsal skill instruments are used to analyze the mastery of an athlete's technique as measured by the speed of time in completing a task. The variables analyzed relate to the main techniques in the game of futsal: passing, controlling, dribbling, and shooting. In this regard, the results showed that the value obtained from the mini game situation exercise is higher than the full game session and a significant difference is found in the results of both exercises (M ± 47.00; p = 0.012), while the value of the influence of full game session (M ± 49.00 ; p = 0.003). It is seen that more complex practice patterns will improve the player's skills progressively. Overall, these findings suggest that coaches need to take into account the effective use of exercise to support the improvement of futsal skills in adolescent athletes.

The tactical approach needs to be applied in the learning of the hand ball because it makes students move actively during learning, so far the approach used by the teacher is still in the conventional way so that the tactical approach can be one of the new breakthroughs in physical education learning in school. The purpose of the study was to find out whether the tactical approach model could be an alternative problem solving so that students could master the basic techniques of handball in high school Lembang. The research method uses Classroom Action Research. The study sample was a class X student of high school Lembang. The research instrument uses basic technical tests and the skills of playing bola tangan. Analysis of data using the Norm Reference Reference. The results showed students experienced an increase in learning outcomes from cycle I with a good percentage of 26.7%, cycle II 33.3% and cycle III by 36.7%, this happened because with a tactical approach students could get more opportunities to perform basic technical skills in the game handball The conclusion of this study is that a tactical approach can make it easier for students to overcome difficulties in playing handball.

The objectives of this research are: (1) to assess the strategies used in improving public image; (2) assessing the suitability of organizational goals with the strategies used; (3) assessing the effectiveness of the organization in implementing the strategy; and (4) provide recommendations to leaders in improving the weaknesses of the strategies used. The method used in this research is a qualitative approach, with interview and observation data collection techniques. The research was conducted at SMA Panjura Malang City with the key informant, namely the principal, with the teacher as additional informants. The results of this study indicate that to improve the public image of the school is to publish about the excellence of the school. The strategy used by the school is also very suitable for the purpose of publication to attract enthusiasts to attend SMA Panjura Malang City. In addition, the strategy used for the publication program was very effective. This can be proven by the progress of the number of interested students. The community in implementing the public relations program at SMA Panjura Malang City also provides criticism and suggestions to the school so that this program can be carried out effectively and efficiently.

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Numerous technology-based companies have emerged in Indonesia due to the rapid growth of the technology sector over the last decades. Employees are required to be more adaptive to help the company succeed. Identifying which factors affect employees to adapt in a dynamic and competitive industry is essential. However, study related to adaptive performance affected by servant leadership among technology companies’ employees is still limited, particularly in Indonesia. Thus, this research is expected to contribute by providing new knowledge and literature for academics, especially in the field of human resources, as well as other areas related to employee performance, leadership, work engagement, and trust in leaders. Using the structural equation model with Lisrel 8.8 version, we provide the linkages on how work engagement and trust in leaders mediate the effect of servant leadership on adaptive performance of technology companies’ employees in Indonesia. The data (N=333) was collected from employees working in Indonesia’s technology sector such as financial technology, ecommerce, online transportation and food delivery, online travel, and so forth. Our findings showed that servant leadership has a significant and positive effect on adaptive performance through work engagement. However, trust in leaders does not have a positive mediating effect. Thus, it is important for management in the company to encourage the implementation of servant leadership and assess employees’ work engagement on a timely basis to boost employees’ adaptive performance. [ABSTRACT FROM AUTHOR]

Background: The global maternal mortality rate has increased annually. This study aimed to examine the role of emotional support and the social support theraphy on the experience of emergency caesarean deliveries., Methods: The narrative study was conducted using scientific journal database sources from PubMed, Proquest, Ebsco, Science Direct, and Google Scholar from 2016 to 2023. After the articles were obtained, they were tabulated using an Excel table. Overall, 184 articles were identified based on the search titles. Ten articles focused on the influence of emotional support on patient experiences, and five articles focused on the influence of sociocultural atmosphere on patient experiences., Results: The influence of emotional support and the socio-cultural atmosphere on emergency caesarean section patients is one strategy for reducing maternal mortality rates. The poor sociocultural atmosphere regarding cesarean delivery is still a hot issue in the community, and the lack of emotional support from health service providers can cause patient and family approval to be late in agreeing to informed consent for emergency cesarean care, which should be provided immediately., Conclusion: There is a need for adequate emotional support in the form of empathy, interactive communication, presence and availability, motivation and hope, nonverbal communication, sense of humor, and ambient environment., (Copyright© 2024 Rizky Ameliyah et al. Published by Tehran University of Medical Sciences.)