PENGARUH PELAKSANAAN LAYANAN RESPONSIF DENGAN TEKNIK SELF TALK DALAM MEREDUKSI KECEMASAN DAMPAK PANDEMI COVID-19 PADA PESERTA DIDIK DI SMA BHAYANGKARI KOTABUMI LAMPUNG UTARA

ABSTRAK Penelitian Pengaruh pelaksanaan layanan responsif dengan teknik self talk dalam mereduksi kecemasan dampak pandemi Covid- 19 pada peserta didik kelas XI SMA Bhayangkari Kotabumi Lampung Utara ini dilatar belakangi oleh sering timbulnya permasalahan kecemasan dampak pandemi Covid-19 pada peserta didik. Tujuan penelitian ini adalah untuk mengetahui Pengaruh pelaksanaan layanan responsif dengan teknik self talk dalam mereduksi kecemasan dampak pandemi Covid-19 pada peserta didik kelas XI SMA Bhayangkari Kotabumi Lampung Utara. Penelitian ini menggunakan teknik pengumpulan data berupa angket, wawancara dan observasi. Pendekatan pada penelitian ini adalah pendekatan kuantitatif dengan desain penelitian pre- eksperiment design one group pretest-posttest design. Berdasarkan hasil penelitian, menunjukkan bahwa pelaksanaan layanan responsif dengan tehnik self talk terhadap kecemasan dampak pandemi Covid-19 pada peserta didik kelas XI SMA Bhayangkari Kotabumi Lampung Utara berpengaruh dan mengalami perubahan ke arah yang lebih baik pada peserta didik. Hal ini telah dibuktikan dengan hasil pretest dan posttest yang telah dikalukan sebelum dan setelah pemberian layanan berdasarkan analisis data menggunakan Uji Wilcoxon. Dan hasil pretest menggunakan instrument berupa angket, peserta didik mendapatkan skor sebesar 925 dengan skor rata-rata sebesar 115,6. Kemudian setelah mendapatkan layanan responsif menggunakan teknik Self Talk, peserta didik diberikan posttest menggunakan insrument yang sama ii yaitu berupa angket dan mendapatkan skor sebesar 537 dengan skor rata-rata 67,2. 6. Dan juga dapat diketahui bahwa nilai z hitung lebih besar dari z tabel. z hitung yaitu sebesar 2,524 > 2190 dan juga diperoleh nilai signifikan 0,012 dimana nilai tersebut lebih kecil dari rtabel signifikasi 0.05 maka Ha diterima dan Ho ditolak sehingga dari penelitian ini dapat disimpulkan bahwa layanan responsif menggunakan teknik self talk berpengaruh positif terhadap kecemasan dampak pandemi Covid-19 peserta didik. Kata Kunci: Self Talk, Layanan Responsif, Kecemasan dampak pandemi Covid.ABSTRACT The research on the effect of implementing responsive services with self talk techniques in reducing anxiety about the impact of the Covid-19 pandemic on class XI students at SMA Bhayangkari Kotabumi, North Lampung, was motivated by the frequent occurrence of anxiety problems due to the impact of the Covid-19 pandemic on students. The purpose of this study was to determine the effect of implementing responsive services with self-talk techniques in reducing anxiety about the impact of the Covid-19 pandemic on class XI students of SMA Bhayangkari Kotabumi, North Lampung. This study uses data collection techniques in the form of questionnaires, interviews and observations. The approach in this study is a quantitative approach with a pre-experimental research design, one group pretest-posttest design. Based on the results of the study, it showed that the implementation of responsive services with self-talk techniques to anxiety about the impact of the Covid-19 pandemic on class XI students at SMA Bhayangkari Kotabumi, North Lampung, affected and experienced changes for the better for students. This has been proven by the results of the pretest and posttest that have been carried out before and after service delivery based on data analysis using the Wilcoxon Test. And the results of the pretest using an instrument in the form of a questionnaire, students get a score of 925 with an average score of 115.6. Then after getting responsive service using the Self Talk technique, students were given a posttest using the same instrument in the form of a questionnaire and got a score of 537 with an average score of 67.2. 6. And it can also be seen that the calculated z value is greater than the z table. z count that is equal to 2.524 > 0.4946 and also obtained a significant value of 0.012 where the value is smaller than the significance rtable of 0.05 then Ha is accepted and Ho is rejected so from this study it can be concluded that responsive services using self talk techniques have a positive effect on anxiety about the impact of the Covid pandemic -19 students. Keywords: Self Talk, Responsive Services, Anxiety due to the Covid pandemic

Gymnura poecilura Longtail Butterfly Ray

The Longtail Butterfly Ray (Gymnura poecilura) is a medium-sized (to at least 104 cm disc width) coastal ray that is widespread in the Indian and Northwestern Pacific Oceans from the Red Sea and Arabian/Persian Gulf to southern Japan. It is demersal in on the continental shelf at depths of 0–75 m. Its meat is considered to be of good quality and is consumed locally and traded internationally. There is a long history of overfishing of inshore populations and fishing pressure remains high, and may be rising, across the species’ entire range

Technical Aspects and Clinical Limitations of Sperm DNA Fragmentation Testing in Male Infertility: A Global Survey, Current Guidelines, and Expert Recommendations

PURPOSE: Sperm DNA fragmentation (SDF) is a functional sperm abnormality that can impact reproductive potential, for which four assays have been described in the recently published sixth edition of the WHO laboratory manual for the examination and processing of human semen. The purpose of this study was to examine the global practices related to the use of SDF assays and investigate the barriers and limitations that clinicians face in incorporating these tests into their practice. MATERIALS AND METHODS: Clinicians managing male infertility were invited to complete an online survey on practices related to SDF diagnostic and treatment approaches. Their responses related to the technical aspects of SDF testing, current professional society guidelines, and the literature were used to generate expert recommendations via the Delphi method. Finally, challenges related to SDF that the clinicians encounter in their daily practice were captured. RESULTS: The survey was completed by 436 reproductive clinicians. Overall, terminal deoxynucleotidyl transferase deoxyuridine triphosphate Nick-End Labeling (TUNEL) is the most commonly used assay chosen by 28.6%, followed by the sperm chromatin structure assay (24.1%), and the sperm chromatin dispersion (19.1%). The choice of the assay was largely influenced by availability (70% of respondents). A threshold of 30% was the most selected cut-off value for elevated SDF by 33.7% of clinicians. Of respondents, 53.6% recommend SDF testing after 3 to 5 days of abstinence. Although 75.3% believe SDF testing can provide an explanation for many unknown causes of infertility, the main limiting factors selected by respondents are a lack of professional society guideline recommendations (62.7%) and an absence of globally accepted references for SDF interpretation (50.3%). CONCLUSIONS: This study represents the largest global survey on the technical aspects of SDF testing as well as the barriers encountered by clinicians. Unified global recommendations regarding clinician implementation and standard laboratory interpretation of SDF testing are crucial

Technical aspects and clinical limitations of sperm DNA fragmentation testing in male infertility: A global survey, current guidelines, and expert recommendations

Purpose Sperm DNA fragmentation (SDF) is a functional sperm abnormality that can impact reproductive potential, for which four assays have been described in the recently published sixth edition of the WHO laboratory manual for the examination and processing of human semen. The purpose of this study was to examine the global practices related to the use of SDF assays and investigate the barriers and limitations that clinicians face in incorporating these tests into their practice. Materials and Methods Clinicians managing male infertility were invited to complete an online survey on practices related to SDF diagnostic and treatment approaches. Their responses related to the technical aspects of SDF testing, current professional society guidelines, and the literature were used to generate expert recommendations via the Delphi method. Finally, challenges related to SDF that the clinicians encounter in their daily practice were captured. Results The survey was completed by 436 reproductive clinicians. Overall, terminal deoxynucleotidyl transferase deoxyuridine triphosphate Nick-End Labeling (TUNEL) is the most commonly used assay chosen by 28.6%, followed by the sperm chromatin structure assay (24.1%), and the sperm chromatin dispersion (19.1%). The choice of the assay was largely influenced by availability (70% of respondents). A threshold of 30% was the most selected cut-off value for elevated SDF by 33.7% of clinicians. Of respondents, 53.6% recommend SDF testing after 3 to 5 days of abstinence. Although 75.3% believe SDF testing can provide an explanation for many unknown causes of infertility, the main limiting factors selected by respondents are a lack of professional society guideline recommendations (62.7%) and an absence of globally accepted references for SDF interpretation (50.3%). Conclusions This study represents the largest global survey on the technical aspects of SDF testing as well as the barriers encountered by clinicians. Unified global recommendations regarding clinician implementation and standard laboratory interpretation of SDF testing are crucial

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

PENGARUH VARIASI NaOH/Na2SiO3 TERHADAP NILAI KUAT TEKAN DRY GEOPOLYMER MORTAR METODE DRY MIXING PADA KONDISI RASIO ABU TERBANG/AKTIVATOR 2:1

AbstrakPembangunan di bidang konstruksi saat ini mengalami kemajuan yang sangat pesat, sehingga dibutuhkan material struktur yang kuat yaitu beton. Penggunaan beton dengan bahan utama semen portland mengalami pelepasan karbon dioksida (CO2) sehinga berkontribusi pada emisi gas rumah kaca diatmosfir. Beton geopolymer dapat menjadi solusi karena tidak menggunakan semen protland sebagai bahan pengikatnya melainkan menggunaan fly ash dan aktivator melalui proses polimerisasi sehingga ramah lingkungan. Penelitian ini bertujuan untuk mengetahui pengaruh variasi NaOH terhadap Na2SiO3 terhadap nilai kuat tekan dry geopolymer mortar metode dry mixing pada kondisi rasio abu terbang terhadap aktivator 2:1. Hasil penelitian menunjukkan bahwa kuat tekan tertinggi didapat pada kondisi abu terbang terhadap aktivator 2:1 adalah 34,05 MPa, dengan variasi campuran NaOH terhadap Na2SiO3 yaitu 1:2,5. Kuat tekan dry geopolymer mortar dipengaruhi banyaknya komposisi Na2O pada Na2SiO3. Namun jika komposisi Na2O terlalu tinggi dibanding dengan komposisi NaOH maka menyebabkan menurunnya kuat tekan mortar.Kata Kunci : mortar geopolymer, metode dry mixing, binder geopolymer. AbstractDevelopment in the construction sector is experiencing rapid progress, so it require a strong structural material namely concrete. Concrete with the main material of portland cement release carbon dioxide (CO2) which contribute to greenhouse gas emissions in the atmosphere. Geopolymer concrete can be a solution, because it does not use portland cement as a binding material but using fly ash and activators through a polymerization process that is environmentally friendly. This study aims to determine the effect of variations NaOH on Na2SiO3 on the compressive strength of dry geopolymer mortar with dry mixing method on the condition of the ratio fly ash to activator 2:1. The results showed that the highest compressive strength in the condition of fly ash on activator 2:1 is34,05 MPa, with mix design NaOH on Na2SiO3 is 1:2,5. Compressive strength of dry geopolymer mortar depend on composition Na2O on Na2SiO3. But if the composition of Na2O is too high than the composition of NaOH cause decrease the compressive strength mortar.Keywords :geopolymer mortar, dry mixing method, geopolymer binder

Karakter Konselor Sekolah : Menerapkan Nilai-Nilai Piil Pesenggiri Dalam Membentuk Karakter Bhinneka Tunggal Ika Pada Peserta Didik Di SMK Negeri 1 Kotabumi Lampung Utara

Hasil pengamatan pada peserta didik di SMK Negeri 1 Kotabumi Lampung Utara bahwa memang ada sebagian kecil peserta didik yang belum memahami pentingnya nilai-nilai piil pesenggiri dalam kehidupan dan fakta yang ditemukan bahwa memang masih ada beberapa peserta didik yang memang kurang memiliki karakter positif sehingga membutuhkan peran guru bimbingan dan konseling dalam membentuk karakter bhinneka tunggal ika sesuai dengan nilai-nilai yang terkandung dalam piil pesenggiri. Desain penelitian yang digunakan adalah penelitian lapangan (Field Research) dengan menerapkan pendekatan kualitatif. Metode pengumpulan data yang digunakan dalam penelitian ini adalah observasi, wawancara, triangulasi, dan dokumentasi. Hasil penelitian menunjukan  bahwa  setelah diberikan layanan oleh guru bimbingan dan konseling di SMK Negeri 1 Kotabumi Lampung Utara peserta didik menunjukan adanya perubahan karakter yang positif hal ini sesuai dengan nilai nilai yang terkandung dalam piil pesenggiri dibuktikan dengan adanya laporan guru mata pelajaran, wali kelas serta teman sebayanya yang mengatakan adanya perubahan sikap positif yang terjadi pada peserta didik saat di sekolah seperti sopan santun, ramah tamah, bergaul dengan siapapun tanpa membeda-bedakan, serta tolong menolong antar teman dll.  sehingga dapat disimpulkan bahwa peran guru bimbingan dan konseling di SMK Negeri 1 Kotabumi Lampung Utara mampu membentuk karakter bhinneka tunggal ika pada peserta didik

Peran Konselor Dalam Membentuk Pribadi Muslim Peserta Didik SMK Negeri 1 Kotabumi Lampung Utara Tahun Ajaran 2021/2022

Hasil pengamatan pada peserta didik di SMK Negeri 1 Kotabumi Lampung Utara mengalami berbagai problem diantaranya, berkata tidak sopan, membolos pada saat jam pelajaran dan mencontek pada saat ujian. Permasalahan yang dialami peserta didik tidak mencerminkan bagaimana pribadi muslim sebenarnya. Kepribadian muslim merupakan efek sinergis antara cara berpikir dan pola sikap seseorang berdasarkan keyakinan dan nilai-nilai Islam. Maka dari itu dibutuhkannya optimalisai peran guru bimbingan dan konseling disekolah untuk membentuk pribadi muslim yang ideal. Penelitian ini menggunakan metode studi kualitatif dengan desain studi kasus yang menggunakan studi kasus ganda. Metode pengumpulan data yang digunakan dalam penelitian ini adalah observasi, wawancara, triangulasi, dan dokumentasi. Data yang terkumpul kemudian dianalisis dengan tiga cara yaitu reduksi data, penyajian data, dan inferensi. Hasil survei menunjukkan bahwa peran guru BK dalam membentuk kepribadian muslim siswa adalah bekerjasama dengan pihak sekolah untuk melaksanakan program membaca Alquran pada jam pelajaran pertama, senantiasa memberikan contoh yang baik pada peserta didik, menyampaikan ayat AlQur’an pada saat pemberian layanan, bekerja sama dengan sekolah dan guru agama Islam untuk menerapkan shalat dhuha, serta guru bimbingan dan konseling dapat menjadi berbagai tokoh sesuai dengan kebutuhan peserta didik

Exploring Sustainability in Wineries: Evaluating Food Safety and Environmental Management Aligning with the Farm to Fork Strategy

The Farm to Fork (F2F) Strategy, a key initiative of the European Commission under the European Green Deal, strives to make the European Union’s (EU) economy sustainable. Focused on the food system, the F2F Strategy prioritizes sustainability in agriculture, eco-friendly practices, biodiversity preservation, and climate change mitigation. It targets high food safety (FS) and environmental management (EM) standards across the Agri-food Supply Chain (ASC). Addressing sustainability challenges in the wine industry, this study delves into the Wine Value Chain (WVC). Emphasizing the intricate sustainability interplay within the WVC, this study concentrates on FS and EM to ensure the long-term viability of wine production. The primary goal is to create a comprehensive sustainability evaluation method for wineries, incorporating performance indicators from FS and EM components. The methodology involves assessing Food Safety Management Systems (FSMSs), evaluating Environmental Management Systems (EMSs), investigating contamination risks, and synthesizing results into a sustainability matrix. Findings highlight commendable FS practices, such as widespread Hazard Analysis and Critical Control Point (HACCP) adoption and underscore the need for increased EM focus. Notable figures include a 76.2% adoption of the HACCP system and 68.8% of wineries implementing an EMS. Performance indicators become critical for sustainability assessment, forming the cornerstone to gauge the industry’s effective sustainability management aligned with the F2F Strategy. This study stresses the holistic integration of FS and EM practices, providing insights into workforce engagement, regulatory compliance, and sustainable objectives. This research offers a tool for evaluating and advancing sustainability in the wine industry culminating in a sustainability matrix