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                  <text>VOL. 6 NO. 4 2025</text>
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                  <text>peri irawan</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>The Relationship Between Self-Criticism and Hemoglobin A1c Levels in Patients with Type 2 Diabetes Mellitus</text>
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            <description>The topic of the resource</description>
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                <text>diabetes mellitus,&#13;
hemoglobin A1c,&#13;
self-criticism</text>
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                <text>Introduction: Type 2 DM is still one of the metabolic diseases with a&#13;
prevalence that continues to increase globally, including Indonesia. The&#13;
problem that arises is that psychosocial factors, including distress due to&#13;
diabetes, self-compassion, and self-criticism, have been identified as&#13;
factors that can affect glucose regulation and quality of life of Type 2 DM&#13;
patients. The Purpose of this Study is to Identify the Relationship Between&#13;
Self-Criticism and Hemoglobin A1c Levels in Patients with Type 2 Diabetes&#13;
Mellitus.&#13;
Methods: This study employed a correlational design to examine the&#13;
relationship between self-criticism with the glucose index in patients with&#13;
type 2 Diabetes Mellitus at the Pesantren I Primary Health Center, Kediri&#13;
&#13;
City. The Self-criticism was assessed using the Forms of Self-&#13;
Criticizing/Attacking and Self-Reassuring Scale (FSCRS), and Hemoglobin&#13;
&#13;
A1c levels were examined using a Portable Analyzer. The collected data&#13;
were analyzed using the regression test (α &lt; 0.05).&#13;
Results: The study showed that the self-criticism of Type 2 DM sufferers&#13;
was mostly high (66%), with the results of the Hemoglobin A1c Levels&#13;
&#13;
being mostly abnormal (67%). There is no relationship between Self-&#13;
Criticism and Hemoglobin A1c Levels of Type 2 DM sufferers (p = 0.96).&#13;
&#13;
Conclusion: Self-criticism does not directly affect the hemoglobin A1c&#13;
levels. The findings emphasize that Hemoglobin A1c Levels in patients with&#13;
diabetes mellitus are predominantly influenced by biological factors (such&#13;
as dietary adherence, physical activity, pharmacological therapy, and&#13;
metabolic conditions), rather than by a single psychological factor such as&#13;
self-compassion.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127634">
                <text>Erva Elli Kristanti1* &amp; Dyah Ayu Kartika Wulan Sari1</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="127635">
                <text>https://doi.org/10.37363/bnr.2025.64518</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127636">
                <text>27 October 2025</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127637">
                <text>peri irawan</text>
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
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                <text>english</text>
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        <name>diabetes mellitus, hemoglobin A1c, self-criticism</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="126946">
                  <text>VOL. 6 NO. 4 2025</text>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="126947">
                  <text>peri irawan</text>
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    <elementSetContainer>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Effect of Disaster Mitigation Education on Earthquake Preparedness Knowledge among Children with Special Needs</text>
              </elementText>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127622">
                <text>children with&#13;
special needs,&#13;
knowledge, disaster&#13;
mitigation,&#13;
earthquake</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
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                <text>Introduction: Earthquakes are natural disasters that frequently occur&#13;
around us, an event that can be recognized or not recognized by the public,&#13;
both in general and vulnerable populations, one of which is children with&#13;
special needs. Children with special needs are at high risk of becoming&#13;
victims of disasters. This condition can be caused by physical or mental&#13;
limitations, which affect their knowledge about disasters and how to&#13;
survive earthquakes.&#13;
Methods: This study employed a pre-experimental one-group pretest–&#13;
posttest design involving 39 children with special needs at SLB-B Putera&#13;
Asih, selected through purposive sampling based on inclusion criteria.&#13;
Data were collected using a 14-item knowledge questionnaire on&#13;
earthquake disaster mitigation. The intervention consisted of earthquake&#13;
disaster mitigation education through role-play simulations and&#13;
interactive video with sign language support. Data were analyzed using the&#13;
Wilcoxon Signed Rank Test with a significance level of α = 0.05.&#13;
Results: After receiving earthquake disaster mitigation education, most&#13;
children with special needs demonstrated improved knowledge, with 26&#13;
students showing an increase, only two students showing a decrease, and&#13;
11 students remaining the same. The significance value was p = 0.000,&#13;
indicating that disaster mitigation education significantly enhanced&#13;
earthquake preparedness knowledge among children with special needs at&#13;
SLB-B Putera Asih.&#13;
Conclusion: Providing earthquake disaster mitigation education through&#13;
role-play and interactive video significantly increased the knowledge of&#13;
&#13;
children with special needs and enhanced their ability to practice self-&#13;
rescue measures during an earthquake.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127624">
                <text>Vitaria Wahyu Astuti1*, Selvia David Richard1, &amp; Putu Indraswari Aryanti1</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="127625">
                <text>https://doi.org/10.37363/bnr.2025.64520</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127626">
                <text>27 October 2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127627">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="127628">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127629">
                <text>english</text>
              </elementText>
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          </element>
          <element elementId="51">
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            <description>The nature or genre of the resource</description>
            <elementTextContainer>
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    <tagContainer>
      <tag tagId="14918">
        <name>children with special needs, knowledge, disaster mitigation, earthquake</name>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="126946">
                  <text>VOL. 6 NO. 4 2025</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="126947">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
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      </elementSetContainer>
    </collection>
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127611">
                <text>Policy, Place, and Promotion: Predictors of Early Smoking in a Rural Health Setting</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127612">
                <text>smoking behavior,&#13;
adolescents,&#13;
smoking area,&#13;
cigarette&#13;
advertisement</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127613">
                <text>Introduction: Adolescent smoking continues to pose a major public health&#13;
challenge, with the WHO reporting that nearly 22% of adolescents globally&#13;
have tried smoking, and national data in Indonesia showing prevalence&#13;
rates among junior high school students exceeding 10%. Early initiation&#13;
not only increases the risk of long-term nicotine dependence but also&#13;
disrupts physical and psychosocial development. This study analyzed the&#13;
influence of smoke-free policy implementation, availability of smoking&#13;
places, and exposure to cigarette advertisements on early smoking&#13;
behavior among junior high school adolescents in the Tanjungsiang Health&#13;
Center working area.&#13;
Methods: A cross-sectional design was used with 101 randomly selected&#13;
respondents, and data were collected using a validated questionnaire.&#13;
Results: The findings revealed that most respondents were 14 years old&#13;
and in grade VIII, with moderate smoking behavior as the dominant&#13;
category. Stricter smoke-free area (KTR) implementation significantly&#13;
reduced smoking behavior, while designated smoking places showed only&#13;
a weak association. In contrast, cigarette advertisement exposure showed&#13;
no significant association.&#13;
Conclusion: These results underscore the critical role of policy enforcement&#13;
in curbing adolescent smoking. Strengthening KTR enforcement,&#13;
particularly in schools and community environments, represents a&#13;
practical strategy to prevent early initiation and promote healthier&#13;
adolescent development in rural settings.</text>
              </elementText>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127614">
                <text>Useng Hidayat1*, Indasah1, Yenny Puspitasari1, &amp; Mochamad Salman Hasbyalloh2</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="127615">
                <text>https://doi.org/10.37363/bnr.2025.64509</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127616">
                <text>27 October 2025</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127617">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127618">
                <text>pdf</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127619">
                <text>english</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="51">
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                <text>text</text>
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            </elementTextContainer>
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    <tagContainer>
      <tag tagId="14917">
        <name>smoking behavior, adolescents, smoking area, cigarette advertisement</name>
      </tag>
    </tagContainer>
  </item>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="126946">
                  <text>VOL. 6 NO. 4 2025</text>
                </elementText>
              </elementTextContainer>
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            <element elementId="37">
              <name>Contributor</name>
              <description>An entity responsible for making contributions to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="126947">
                  <text>peri irawan</text>
                </elementText>
              </elementTextContainer>
            </element>
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    <elementSetContainer>
      <elementSet elementSetId="1">
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127601">
                <text>The Role of Cultural Values in Feeding Practices among Children with Stunting in Jembrana Regency: A Qualitative Approach</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127602">
                <text>caregiver, cultural&#13;
characteristics,&#13;
feeding behaviors,&#13;
nutritional status,&#13;
qualitative research</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127603">
                <text>Introduction: Stunting remains a public health problem in Jembrana&#13;
Regency, Bali. Despite a decline in prevalence, persistent cases suggest that&#13;
cultural and nutritional factors influence feeding practices. This study&#13;
aimed to explore cultural meanings and practices shaping feeding&#13;
behaviors among children with stunting.&#13;
Methods: This study employed a qualitative approach with an ethnographic&#13;
design. The subjects of this study were 10 mothers or caregivers of&#13;
children aged 12 - 59 months with stunting, residing in Jembrana Regency,&#13;
and one healthcare worker was selected using a purposive sampling&#13;
technique. Data were collected through an in-depth interview guide, an&#13;
observation sheet, documentation, and field notes. The collected data were&#13;
then analyzed using a thematic analysis approach. Data validity was&#13;
ensured through triangulation, peer debriefing, and member checking.&#13;
Results: The study identified four main themes that reflect how cultural&#13;
values shape feeding behaviors in children with stunting. These themes&#13;
include: (1) Snacks as substitutes that reduce appetite for main meals; (2)&#13;
Normalization of small body size; (3) Flexibility expressed as "as long as&#13;
the child wants to eat"; and (4) Collective caregiving culture&#13;
(allomothering).&#13;
Conclusion: Stunting in Jembrana is influenced by cultural values and&#13;
family dynamics, so effective interventions must be culturally sensitive and&#13;
target snack habits, parental misconceptions, dietary diversity, and&#13;
caregiving coordination, including the role of grandmothers, to reduce&#13;
stunting risk. Providing culturally sensitive nutrition education involving&#13;
extended family and child caregivers is necessary in nursing.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="127604">
                <text>Komang Srititin Agustina1* &amp; Ketut Anom Sri Kesumawati1</text>
              </elementText>
            </elementTextContainer>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="127605">
                <text>https://doi.org/10.37363/bnr.2025.64515</text>
              </elementText>
            </elementTextContainer>
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            <name>Date</name>
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            <elementTextContainer>
              <elementText elementTextId="127606">
                <text>27 October 2025</text>
              </elementText>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="127607">
                <text>Peri Irawan</text>
              </elementText>
            </elementTextContainer>
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        <name>caregiver, cultural characteristics, feeding behaviors, nutritional status, qualitative research</name>
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                  <text>VOL. 6 NO. 4 2025</text>
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                  <text>peri irawan</text>
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                <text>Analysis of Risk Factor and Mortality Among Acute Coronary Syndrome Patients: A Retrospective Cohort Study</text>
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                <text>acute coronary&#13;
syndrome,&#13;
mortality,&#13;
myocardial&#13;
ischemia, risk factor</text>
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                <text>Introduction: Acute coronary syndrome is the leading cause of death&#13;
worldwide related to degenerative lifestyle-associated processes. The&#13;
factors contributing to these cases are interconnected. Understanding&#13;
these factors is essential for improving patient outcomes and tailoring&#13;
treatment strategies. This study aimed to explore demographic risk&#13;
factors, medical history, and cardiopulmonary conditions that may&#13;
contribute to mortality among acute coronary syndrome patients.&#13;
Methods: This study is a Survey/Observational study with a retrospective&#13;
Cohort approach. The population of this study was all medical record data&#13;
of patients with Acute Coronary Syndrome (ACS) who were treated at&#13;
Lavalete Hospital – Malang from January to December 2023, with 76&#13;
patients' medical records in total. The total sampling technique was&#13;
obtained in this study, then analysed by STATA 17 at the (α&lt;0.05)&#13;
significant level.&#13;
Results: It found that education level was a significant factor affecting&#13;
mortality, with less educated individuals having a higher risk of death (P &lt;&#13;
0.01). Meanwhile, demographic factors such as age, gender, and marital&#13;
status showed no significant correlation with mortality. Conditions such as&#13;
acute pulmonary oedema (P=0.02) and pneumonia (P=0.00) proved to be&#13;
significant risk factors for mortality. In contrast, other conditions, such as&#13;
cardiomegaly, pulmonary congestion, pleural effusion, and&#13;
atherosclerosis, had no significant impact.&#13;
Conclusion: This study highlights acute pulmonary oedema and pneumonia&#13;
as significant risk factors for mortality. Future studies should aim to&#13;
include larger sample sizes and consider longitudinal data better to&#13;
understand the complex relationships between medical history and&#13;
mortality.</text>
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                <text>Bayu Budi Laksono1*</text>
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                <text>https://doi.org/10.37363/bnr.2025.64479</text>
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          <element elementId="37">
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                <text>Peri Irawan</text>
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        <name>acute coronary syndrome, mortality, myocardial ischemia, risk factor</name>
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