bluuebunny/crossref_metadata_2025 huggingface dataset:
Análise do tempo de reação simples e do paradigma oddball em estudantes antes e após participação em atividades acadêmicas: uma análise da neurociência aplicada a educação
Authors: Teles Elivia Silva , Do Carmo Neta Maria Joaquina , Lustosa Pollyana Soares , Rocha Kaline , Ayres Carla , Ribeiro Pedro , Velasques Bruna , Bittencourt Juliana , Lopes e Silva Junior Fernando , Dias Gildário , Cagy Maurí­cio , Teixeira Silmar , Fiorelli Rossano , Orsini Marco , Trajano Eduardo , Silva Janaina de Moraes , Bastos Victor Hugo do Vale
Published: February 2019

Introdução: O tempo de reação é uma medida que indica o tempo que uma pessoa leva para iniciar um movimento. Há situações em que o tempo de reação encontra-se alterado, comprometendo o processamento da informação, com diminuição na detecção, transmissão e processamento dos estí­mulos. Objetivo: Investigar o tempo de reação visual em acadêmicos antes e após atividades avaliativas, nas diversas disciplinas. Metodologia: 50 acadêmicos foram analisados antes e após atividades avaliativas por meio do tempo de reação simples e paradigma oddball. Resultados: Com relação ao tempo de reação simples, o tempo de reação visual antes das atividades avaliativas foi menor que após, em contradição com o paradigma oddball. Verificou-se que a média geral do tempo de reação simples para prova prática foi maior comparado às demais, já no paradigma oddball verificou-se que a média geral para apresentação de seminário foi maior, comparado às demais. Conclusão: Diferenças significativas no tempo de reação simples e tempo de reação segundo paradigma oddball foram encontrados entre acadêmicos antes e após atividades avaliativas. Porém no tempo de reação simples foram encontrados valores menores antes das atividades, quando comparados com após, e o contrário foi encontrado no paradigma oddball.Palavras-chave: tempo de reação, atividades avaliativas, paradigma oddball.
V Congresso Brasileiro de Fisioterapia Neurofuncional (COBRAFIN)
Authors: Knaut Sibele de Araújo Melo , Lemos Felipe , Teixeira Lázaro Juliano , Fogaça Geciely Munaretto
Published: February 2019

Caros leitores,Nesta edição suplementar da Fisioterapia Brasil, você pode acompanhar e relembrar alguns dos principais temas apresentados no V Congresso Brasileiro de Fisioterapia Neurofuncional (COBRAFIN), que aconteceu nos dias 11, 12 e 13 de outubro de 2018, em Florianópolis. O COBRAFIN é o maior evento da Fisioterapia Neurofuncional do Brasil e um dos maiores do mundo. Nele são discutidos diversos assuntos relevantes para a Fisioterapia Neurofuncional e uma importante troca de experiências, saberes, dificuldades, histórias e desafios da especialidade. Aproveite a leitura!
Internal Radiation Dose Assessment in Nuclear Medicine Practices by Using Locally Developed IRDE Software
Authors: Mollah Abdus Sattar , Quddus Mohammad Ruhul , Mohammad Iqubal Sayeed
Published: February 2019

In nuclear medicine practices, internal radiation dosimetry offers methods for calculation of radiation absorbed dose and risks from radionuclides incorporated inside the body. To manually perform internal radiation dosimetry is time-consuming and errors can occur in each step leading to developing software tools to ease users. There are many software packages available; however, many of them have limited functions. Locally developed IRDE software has been used to calculate the absorbed dose per unit of radioactivity in the target organ. The dose calculation methodology in nuclear medicine practices is described in this study along with a preliminary result on dose calculation for Bangladeshi population due to ingestion of 131I radioisotope in nuclear medicine practices. IRDE is user-friendly, graphic user interface-based software. It can be performed all steps of internal dosimetry within single environment lead to reducing calculation time and reducing possibility of error. IRDE also provides fast and accurate results which may be useful for a routine work in nuclear medicine facilities.

Bangladesh J. Nuclear Med. 21(1): 26-30, January 2018
Simulation of Motion Induced SPECT Data with Developed Algorithm
Authors: Hossain Md Nahid , Quadir Kamila Afroj , Kiber Adnan , Fulton Roger
Published: February 2019

In a Single Photon Emission Computed Tomography (SPECT) study, the data acquisition is performed over a relatively long time, typically in the range of 5-30 minutes. For longer period, patient movement frequently occurs in clinical procedure. This movement causes misalignment of the projection frames,which degrades the image quality. In this work, different SPECT studies by using Hoffman 3D brain phantom without motion were acquired and by using algorithm, the motion induced data were simulated from these real data. Different data without motion were acquired by using a Trionix Triad triple-head SPECT camera withthe phantom. Simulated data were evaluated and Mean Square Differences (MSD) was calculated using two differently developed algorithms. These simulated data were produced by adding projection framespartiallywith the aim to produce a new data set so that it simulates motion induced data. We calculated the MSD from the simulated data by analyzing each projection frame. The result showsthe significant MSD values between two different projection frames which were obtained from two different SPECT acquisitions. Motion induced simulated data is useful in quantifying motion estimation and to develop correction methods that will allow derivation of motion free data.

Bangladesh J. Nuclear Med. 21(1): 31-34, January 2018
Plenary Session Vol.21(1)
Authors: Hasan Mizanul
Published: February 2019

Abstract Not available.

Bangladesh J. Nuclear Med. 21(1): 48-59, January 2018
Suoratoistopalvelut ja äänitetuotannon demokratisaatio Suomessa
Authors: Kaitajärvi-Tiekso Juha
Published: February 2019

Suoratoistopalvelut ovat kasvattaneet suosiotaan Suomessa jo toistakymmenettä vuotta. Miten suoratoisto eli striimaus on vaikuttanut äänitteiden tuottajiin, jakelijoihin ja artisteihin? Tämä artikkeli luotaa suoratoistopalveluiden ja äänitetuotannon demokratisaation historiallista kehitystä Suomessa konjunkturaalisesti niiden taloudellisessa, poliittisessa ja sosiaalisessa kontekstissa.
MENINGKATKAN KETERAMPILAN MENYIMAK MELALUI PENDEKATAN SAINTIFIK PADA ANAK KELAS IV JAKARTA BARAT
Authors: Satria Tio Gusti
Published: February 2019

Penelitian ini bertujuan untuk meningkatkan kemampuan menyimak kelas IV SDN Mangga Besar 01 Pagi, Kecamatan Taman Sari, Jakarta Barat, melalui Pendekatan Saintifik. Penelitian ini merupakan penelitian tindakan dengan menggunakan model Kemmis dan Mc.Taggart, penelitian tindakan ini dilakukan dalam dua siklus. Masing-masing siklus terdiri dari tahap perencanaan, implementasi tindakan, pengamatan, dan refleksi tindakan. Subyek penelitian peserta didik kelas IV SD. Proses pengumpulan data melalui tes hasil belajar dan non tes berupa hasil observasi pelaksanaan pendekatan saintifik, dengan menggunakan lembar observasi aktivitas guru dan siswa, catatan lapangan dan hasil dokumentasi. Hasil penelitian menunjukkan adanya peningkatan kemampuan menyimak. Hal ini dibuktikan dengan rata-rata prosentase siswa pada tindakan siklus I yaitu 55 %. Aktivitas guru sesuai langkah-langkah metode ini mencapai 75.6 %, dan aktivitas siswa mencapai 70 %. Mengalami peningkatan pada siklus II mencapai 93 %. Aktivitas guru sesuai langkah-langkah metode ini mencapai 83 %, dan aktivitas siswa mencapai 80.4 %. Kesimpulan dari penelitian ini adalah pendakatan saintifik mampu untuk meningkatkan keterampilan menyimak, hal ini terkhusus pada materi ajar tema 5 Pahlawanku, subtema 1 Perjuangan Para Pahlawan, dan subtema 2 Pahlawanku Kebanggaanku. Semua itu tentunya tidak terlepas dari kemampuan masing-masing guru dalam mengkolaborasikan antara pendekatan yang digunakan, bahan ajar, dan media pembelajaran yang digunakan.
PENGGUNAAN MODEL PEMBELAJARAN INTERAKTIF BERBASIS AKTIVITAS UNTUK MENINGKATKAN PRESTASI BELAJAR SISWA KELAS VI PADA PELAJARAN PKN SD NEGERI 09 KABAWETAN
Authors: Sumiyati Elfa
Published: February 2019

Dengan menggunakan model pembelajaran interaktif berbasis aktivitas siswa lebih aktif karena suasana belajar mengarah kepada siswa menemukan hasil pemahaman melalui suatu interaksi, mudah dalam memahami materi ajar, karena dibantu melalui media belajar yang kongkrit. Dari tindakan-tindakan yang dilaksanakan dalam penelitian ini, ada peningkatan  prestasi belajar siswa secara signifikan dari pra siklus, siklus 1 ke siklus 2 dengan rata-rata nilai yang diperoleh : pada pra siklus  dari 16 siswa prestasi belajar siswa mengalami peningkatan belajar dari pra siklus, siklus  1 ke siklus 2 dengan rata-rata nilai yang diperoleh : pada pra siklus  dari 16 siswa, dengan nilai rata-rata 66,25 pada pra siklus yang tuntas belajar hanya 56,25 %  atau 9 anak, sedangkan siswa yang tidak berhasil 44,75 atau 7 anak. Pada siklus 1 nilai rata-rata 68,75 meningkat yaitu siswa yang tuntas dalam belajar 62,50% atau 10 anak sedangakan yang belum tuntas 33,50% atau 6 anak. Pada siklus 2 ada kenaikan yang cukup signifikan yaitu rata-rata nilai menjadi 75 sesuai dengan yang diharapkan, dengan hasil ketuntasan belajar mencapai 87,50% atau 14 anak sedangkan yang belum tuntas 12,50% atau 2 anak.hal ini menjadi perhatian bagi peneliti untuk membibing supaya dapat tuntas seperti teman-temanya.Hasil penelitian membuktikan bahwa penerapan pembelajaran menggunakan model pembelajaran interaktif berbasis aktivitas dapat meningkatkan prestasi belajar dan pemahaman konsep bagi siswa PKN pada kelas VI SD Negeri 09 Kabawetan Kecamatan Kabawetan Kabupaten Kepahiang, Provinsi Bengkulu.
PERBEDAAN HASIL BELAJAR DENGAN MENGGUNAKAN STRATEGI PEMANFAATAN PERPUSTAKAAN SEKOLAH SEBAGAI SUMBER BELAJAR SISWA SDN KOTA BENGKULU
Authors: Sari Khamilla Andina , Lusa Herman , Yusuf Syahril
Published: February 2019

The aim of this research is to determine the differences in student learning outcomes by using the school library utilization strategy as learning resources in the civics studies in grade V SD Negeri 82 Kota Bengkulu. This research is a quantitative research. The design of this research was  Quasi Experimental Design with design types The Matching Only pretest-posttest control group design, where taking the test twice before and after the  treatment in the sample class. Subjects in this research are the students of fifth grade of SDN 82 Kota Bengkulu which consists of the VA class as the experimental class and the VB class as the class control. The research instrument used is forms of test sheet multiple choices given by the pretest (before giving treatment) and  posttest (after giving treatment). The data of this study was analyzed by using inferential analysis T-test. The results showed by using t-test tcount 5,64 and ttabel 2,00. So tcount (5,64)> ttabel (2.00).  By the result, it can be concluded that there are differences in student learning outcomes by using the school library utilization strategy as learning resources in the civics studies in grade V SD Negeri 82 Kota Bengkulu.
ANALISIS MUSIK LAGU “KHINDU DI HATI” DALAM REJUNG BENGKULU SELATAN
Authors: Tarmizi Pebrian
Published: February 2019

Tujuan penelitian adalah menemukan dan mendefinisikan Analisis Musik  dilihat dari Konteks dalam musik Rejung  “Khindu di Hati” kabupaten Bengkulu Selatan. Teori yang digunakan dari Allan P. Merram yaitu tentang penggunaan dan fungsi. Jenis penelitian yang digunakan adalah kualitatif dengan metode deskriptif analisis.  Hasil penelitian  ditemukan bahwa Birama pada Rejung “Khindu di Hati” adalah 4/4, tekstur pada lagu ini Monopohny dan mempunyai dua bagian lagu yaitu A dan B. Bagian A terdiri dari (a, a’), a  adalah antecedens atau kalimat tanya sedangkan a’ adalah consequens atau kalimat jawab. Bigian B (b=b). maksud dari b sama dengan b adalah Pengulangan atau Repetisi.
BIRD’S NEST EXTRACT CREAM: TREATMENT FOR PERINEAL WOUND IN RATTUS NORVEGICUS
Authors: Ofiwijayanti Herlina , Hidayat Syarief Thaufik , Khafidhoh Nur
Published: February 2019

Background: Perineal rupture occurs almost in all the first labor and not infrequently in the next labor. Complex perineal wounds are at risk for non-healing and infection.

Objective: This study aims to determine the effect of bird’s nest extract on perineal wound healing on rattus norvegicus.

Methods: This was a randomized posttest only group design conducted in October 2016 at Animal Laboratory Unit of Diponegoro University, Semarang, Indonesia. There were 30 samples recruited in this study, divided into three groups: 1) the control group (with povidone iodine 10% solution), 2) the first treatment group with a bird’s nest 50% cream, and 3) the second treatment group with a bird’s nest 70% cream. The Redness, Edema, Ecchymosis, Discharge, Approximation (REEDA) scale was used. Data were analyzed using descriptive statistics, frequency distribution, and one-way ANOVA.

Results: There were statistically significant mean differences between the three groups with p-value 0.000 (< 0.05). The time of the wound healing was 5-6 days for povidone iodine 10% group, 4-5 days for bird’s nest 50% group, and 3 days for bird’s nest 70% group. The degree of perineal wound density in the bird’s nest 70% group (0.37) was also better than the bird’s nest 50% group (0.13) and povidone iodine 10% group (0.02).

Conclusion: Bird’s nest has a significant effect on wound healing process. Findings indicated that the bird’s nest 70% extract was very effective to accelerate wound healing than bird’s nest 50% extract and povidone iodine 10%.
EFFECT OF COMBINATION OF OXYTOCIN MASSAGE AND HYPNOBREASTFEEDING ON UTERINE INVOLUTION AND PROLACTIN LEVELS IN POSTPARTUM MOTHERS
Authors: Nor Aini Yuni , Hadi Hadi , Rahayu Sri , Pramono Noor , Mulyantoro Donny Kristanto
Published: February 2019

Background: The absence of contractions after childbirth can lead to a slow-running uterine involution process. Thus, the effort to maintain and accelerate the process is needed. Oxytocin massage and hypnobreastfeeding are considered as an alternative treatment, but the effect of the combination of the two treatments have not yet been examined.

Objective: To examine the effect of combination of oxytocin massage and hypnobreastfeeding on uterine involution and prolactin levels in postpartum.

Methods: A quasi-experimental study with pretest posttest control group design. a total of 40 respondents were recruited using simple random sampling, with 20 respondents assigned in a treatment group and a control group. Metline and ELISA methods were used to measure uterine involution prolactin levels. Paired t-test and independent t-test were used to analyze the data.

Results: There was a significant decrease of uterine involution in the experiment group and control group after intervention with p-value 0.000 (<0.05), and it can be seen that the uterine involution in the experiment group (6.05) was faster than uterine involution in the control group (7.00).  Findings also showed that the prolactin level in the experiment group (273.53) was higher than the prolactin level in the control group (209.37).

Conclusion: There was statistically significant effect of the combination of oxytocin massage and hypnobreastfeeding on the uterine involution and prolactin level in postpartum mothers. It is expected that the combination of oxytocin massage and hypnobreastfeeding can be used as a consideration and a reference in providing postpartum midwifery care.
NURSE: AM I A QUALITATIVE, QUANTITATIVE OR MIXED METHOD RESEARCHER?
Authors: Gunawan Joko , Riechna Riechna
Published: February 2019

N/A
FACTORS RELATED TO NURSE’S COMPASSION SATISFACTION, BURNOUT, AND SECONDARY TRAUMATIC STRESS IN PEDIATRIC CARE UNIT RSUP DR. SARDJITO YOGYAKARTA
Authors: Andriani Dwi Aprilina , Rustiyaningsih Anik , Haryanti Fitri
Published: February 2019

Background: Pediatric nurses are susceptive with stress related to their work. It happens because they take care children who experience the disease and emotional and psychological pressure, so it can make the risk of negative symptoms related with compassion satisfaction, burnout, secondary traumatic stress. Compassion satisfaction, burnout, secondary traumatic stress has an impact not only for them, but also for the quality of treatment.

Objective: To identify related factors to nurse’s compassion satisfaction, burnout, and secondary traumatic stress in pediatric care unit.

Methods: This study was a descriptive analytic study with cross sectional design. The sample of this study was 107 pediatric nurses of RSUP Dr. Sardjito Yogyakarta Indonesia. The sampling techniques used proportional random sampling. The data were collected from February-March 2017 using the professional quality of life questionnaire fifth version. The data were analyzed using Chi-square, Mann-Whitney, and ordinal regression.

Results: 44.9% nurses had a moderate compassion satisfaction, 52.3% nurses had a moderate burnout, and 43% had a moderate secondary traumatic stress. The work unit had p <0.05 and β value 0.945, indicated that the work unit had a significant correlation to the secondary traumatic stress. Age, work position, sex, marital status, interpersonal relationships with colleagues and supervisor, pay satisfaction, and average working hours had p > 0.05, which indicated that these factors had no correlation to compassion satisfaction, burnout, secondary traumatic stress.

Conclusion: The work unit was the only related factor to the nurse’s secondary traumatic stress in the pediatric care unit and there were no factors related to compassion satisfaction and burnout.
THE IMPACT OF GENTLE HUMAN TOUCH IN INCREASING BABY WEIGHT, BODY TEMPERATURE AND PULSE STABILITY ON PRETERM BABY
Authors: Maharani Yennita , Suwondo Ari , Hardjanti Triana Sri , Hadisaputro Suharyo , Fatmasari Dyah , Mashoedi Imam Djamaluddin
Published: February 2019

Background: Touch is crucial for optimal growth and development of preterm babies. Gentle human touch is considered as a complementary treatment to spur their growth and development.

Objective: To determine the effect of gentle human touch on weight gain, body temperature and pulse rate stability in preterm babies.

Methods: This was a Randomized Controlled Trial (RCT) with pretest-posttest with control group. Thirty-nine respondents were selected by consecutive sampling, assigned into two treatment groups and one control group. Data were analyzed using MANOVA .

Results: The results showed that there was statistically significant difference in body weight (p = 0.047), body temperature (p = 0.021), and pulse rate stability (p = 0.001) in preterm babies. 

Conclusion: Gentle human touch therapy twice a day is more effective in improving body weight, body temperature, and pulse rate stability in premature babies. It is recommended that gentle human touch be applied as an operational standard for premature baby care.
THE EFFECTIVENESS OF COMBINATION OF KANGAROO MOTHER CARE METHOD AND LULLABY MUSIC THERAPY ON VITAL SIGN CHANGE IN INFANTS WITH LOW BIRTH WEIGHT
Authors: Yusuf Nuuva , Hadisaputro Suharyo , Runjati Runjati , Suwondo Ari , Mashoedi Imam D , Supriyana Supriyana
Published: February 2019

Background: Kangaroo mother care (KMC) and lullaby music methods have been considered as the alternative treatment for vital sign changes in low birth weight infants. However, little is known about the combination of the two methods.

Objective: To identify effectiveness of combinations of Kangaroo mother care and Lullaby music methods on changes in vital signs in low birth weight infants.

Methods: A quasi experiment with non-equivalent control group design. This study was conducted on October– December 2016 at the General Hospital of Ambarawa and General Hospital of Ungaran, Semarang, Indonesia. There were 36 samples selected using consecutive sampling divided into three groups, namely: 1) a group of low birth weight infants with the combination of KMC and lullaby music, 2) an low birth weight infant group with the lullaby music intervention, and 3) a control group given standard care in low birth weight infants by KMC method. Paired t-test and MANOVA test were used to analyzed the data.

Results: Findings revealed that there were significant differences between the combination group, lullaby music group, and control group in temperature (p=0.003), pulse (p=0.001), respiration (p=0.001), and oxygen saturation (p=0.014) with significant value of <0.05, which indicated that there was a statistically significant difference in vital sign changes among the three groups.

Conclusion: The combination of KMC method and lullaby music intervention was effective on vital sign changes (temperature, pulse, respiration, and oxygen saturation) compared with the lullaby music group alone and control group with KMC method in low birth weight infants. It is suggested that the combination of KMC and lullaby music methods can be used as an alternative to improve low birth weight care for mothers in the NICU and at home and to reach the stability of the baby's vital signs.
CLINICAL INDICATORS OF FEEDING SELF-CARE DEFICIT BASED ON BARTHEL INDEX MEASUREMENT IN PATIENTS SUFFERING FROM STROKE
Authors: Nurjannah Intansari , Zulfa Vini Febriyani , Harjanto Dwi , Fitriana Erna , Ngatini Ngatini
Published: February 2019

Objective: This aim of this research is to describe clinical indicators of feeding self-care deficit based on Barthel Index measurement in patients with stroke.
Methods: The research used a quantitative description study with cross-sectional design. This research was conducted in one hospital in Yogyakarta, Indonesia on March – April 2017 with total sampling technique. Instrument was developed based on clinical indicators of NANDA-I nursing diagnosis of feeding self-care deficit.
Results: There were 28 respondents involved in this study, with males (60.7%) and females (39.3%) with an average age of 57 years. Respondents who suffered from non-hemorrhagic stroke were 60.7% and hemorrhagic stroke were 39.3%. Clinical indicator items for impaired ability to swallow sufficient amount of food (9.1%) was found in respondents with independency criteria on Barthel Index. Impaired ability to swallow sufficient amount of food item (25%) and impaired ability to prepare food (25%) were found in respondents with partial dependency criteria. The most items identified on respondents with severe dependency criteria were impaired ability to self-feed a complete meal item (53.8%) and impaired ability to prepare food item (53.8%).
Conclusion: There were different pattern of clinical indicators items found in different level of Barthel index level criteria.
SELF MANAGEMENT PROGRAM AMONG TYPE 2 DIABETES MELLITUS PATIENTS: A LITERATURE REVIEW
Authors: Pamungkas Rian Adi , Limansyah Dodik , Sudarman Sudarman , Siokal Brajakson
Published: February 2019

Background: Diabetes mellitus is a crucial problem that leads to serious multiple complication. Self-management program is an essential foundation for the empowerment approach, and necessary for patients to effectively manage their behaviors.

Purpose: The purpose of this study is to describe, compare and critique six existing self-management programs that are commonly used to guide self-management for type 2 Diabetes Mellitus (DM) patients.

Method: An integrative review was conducted. Relevant studies published in English language and retrieved from CINAHL, PubMed, Science Direct, and Google search were included.

Results: Five Randomized Control Trials (RCTs) and one quasi-experimental study were reviewed. Goal setting and action planning combined with other strategies (brief counseling, problem solving, and follow-up strategy) showed more effective to improve behavioral change and several clinical outcomes. Continuing follow-up through telephone-call and face to face follow-up becomes the essential element for successful behavior change.

Conclusion: Diabetes self-management program is effective to improve behavioral change and clinical outcomes among patients with type 2 DM. Further research is needed to test the effectiveness of self-management combine with other strategies which are goal setting strategy and follow-up strategy in patients with type 2 DM.
ADVOCACY, SUPPORT FOR RESOURCES, AND THE ROLE OF COMMUNITY LEADER TOWARD MOTHER’S ATTITUDE ON EXCLUSIVE BREASTFEEDING PROGRAM
Authors: Mufdlilah Mufdlilah , Subijanto Achmad Arman , Akhyar Muhammad , Sutisna Endang
Published: February 2019

Background: Indonesia’s Health Law No. 36 year 2009 Section 128 states that every baby has the right to exclusively breastfed from birth for six months. The law also stipulates that during breastfeeding, the family, the government, local governments, and public should support mothers with the provision of time and special facilities.

Objective: This study aims to analyze factors related to exclusive breastfeeding program, especially indicators that can explain advocacy to stakeholders, support for resources and the role of community leader toward mother’s attitude on exclusive breastfeeding program. 

Methods: It was a quantitative study employed a cross-sectional approach and involved 185 mothers in Sleman district who have children aged 6-12 months.

Results: Written support in the form of decree significantly contributed to the formation of advocacy factors conducted by exclusive breastfeeding program manager to the village stakeholders, whilst the provision of infrastructure and village fund did not support in creating factor of advocacy. The support from resources and the role of community leader can contribute the provision of infrastructure around 54% whilst mothers’ attitudes toward exclusive breastfeeding devoted a great share to mother’s practice.

Conclusion: Advocacy for exclusive breastfeeding to the village stakeholders is expected to contribute in the form of written support (decree), providing the fund from the village budget, and providing the infrastructure. The support from resources and the role of community leaders influence advocacy and attitude of mothers on exclusive breastfeeding.
EFFECT OF EGGSHELL FLOUR ON BLOOD CALCIUM LEVELS IN PREGNANT MICE
Authors: Safitri Ida Ratna , Supriyana Supriyana , Bahiyatun Bahiyatun
Published: February 2019

Objective: To examine the effect of eggshell flour on blood calcium levels in pregnant mice.

Methods: This was a true experimental study with pretest and posttest control group design. The research was conducted at the Nutrition Laboratory of the Center for Food and Nutrition Studies, Gadjah Mada University on December 1, 2017 to December 31, 2017. There were 30 pregnant rats included using simple random sampling, which assigned in five groups. Spectrophotometer was used to measure blood calcium levels. Paired t-test and One-way ANOVA were used for data analysis.

Results: There were significant differences in blood calcium levels before and after treatment with eggshell flour dose 5.4 mg/dl (p= 0.000), 10.8mg/dl (p = 0.000), and 21.6 mg/dl (p = 0.000). There was also significant difference in blood calcium levels in control group with generic tablet of calcium powder of 21.6 mg/dl (p = 0.000).

Conclusion: There was a significant effect of given eggshell flour for 7 days with dose 5.4 mg/dl, 10.8 mg/dl, and 21.6 mg/l as well as generic tablet of calcium powder of 21.6 mg/dl in increasing blood calcium levels. Thus, eggshell can be used as alternative for calcium supplement.
ETHICS VERSUS THE NATURE OF QUALITATIVE RESEARCH
Authors: Gunawan Joko
Published: February 2019

N/A
HYPNODIALYSIS FOR ANXIETY RELIEF AND ADHERENCE TO MEDICATION, KIDNEY DIET AND FLUID INTAKE IN PATIENTS WITH CHRONIC KIDNEY DISEASE
Authors: Wati Siti Hajar , Mardiyono Mardiyono , Warijan Warijan
Published: February 2019

Objective: To examine the effectiveness of hypnodialysis on anxiety levels and adherence to medication, kidney diet and fluid intake in patients with chronic kidney disease.

Methods: This was a randomized controlled trial study conducted from November to December 2016. Thirty respondents recruited using simple random sampling, which 17 respondents assigned randomly in the experiment and control group. The Hamilton Anxiety Rating Scale (HARS), Morisky scale, adherence to kidney diet questionnaire, adherence to fluid intake questionnaire were used as instruments for this study. Paired t-test and repeated ANOVA were used for data analysis.

Results: Findings showed that there was a statistically significant effect of hypnodialysis in reducing anxiety levels and improving adherence to medication, kidney diet, and fluid intake in patients with chronic kidney disease with p-value 0.000 (<0.05), which its effect started from day 7 (posttest 1).

Conclusion: Hypnodialysis may decrease anxiety levels and improve medication adherence, kidney diet and fluid intake. Therefore, hypnodialyis can be alternative treatment for patients with chronic kidney disease.
INFLUENCE OF LOW-SODIUM DIET MANAGEMENT ON THIRST RESPONSE IN END STAGE RENAL DISEASE PATIENTS WITH HEMODIALYSIS
Authors: Gurning Lisbet , Purba Jenny Marlindawani , Siregar Cholina Trisa
Published: February 2019

Background: Patients with hemodialysis often have difficulty in controlling their fluid intake although the obedience to follow fluid and dietary restriction is the key of hemodialysis success management.

Objective: The aim of this study was to examine the effect of low-sodium diet management on thirst response in end stage renal disease patients with hemodialysis.

Methods:  This was a quasi-experimental study with pre-posttest with control group design. Using consecutive sampling 88 respondents were selected, which 44 assigned in each group. Thirst distress scale and visual analog scale questionnaire were used for data collection. Wilcoxon and Mann Whitney test were used for statistical analysis.

Results: Of the total of respondents, thirty-seven respondents experienced a decrease in thirst distress scale with p= 0.000 (p <0.05); and 30 respondents experienced a decrease in visual analog scale with p=0.000 after given low sodium diet management. There was difference of thirst distress scale score (p=0.008) and visual analog scale of thirst score (p=0.048) between intervention and control group. The importance of continuous of diet education with counseling and home visit can increase self-management behaviors.

Conclusion. Low sodium diet management could reduce the thirst response in end stage renal disease patients with hemodialysis.
EFFECT OF SELF DEVELOPMENT PROGRAM AND TRAINING USING VIDEO MODELING METHOD ON DRESSING SKILLS IN CHILDREN WITH INTELLECTUAL DISABILITY
Authors: Susilowati Latifah , Rustiyaningsih Anik , Hartini Sri
Published: February 2019

Background: Children with intellectual disability has adaptation function problem, namely self-care skill dressing. Inability to dressing could affect social relationship and dependency with others. The effort to improve self-care skill could be done through self-development program and training using video modeling.

Objective: This study was to investigate the effect of self-development program and training using video modeling on dressing skills in intellectual disability children.

Methods: This was a quasi-experimental study with pretest posttest control group design. Sixty-two children aged between 6-12 years with intellectual disability were recruited using purposive sampling. Participants were divided into two groups (experimental group=31, control group=31). The experimental group was given training using video modeling in 4 sessions, with each for 50 minutes; and self-development program in 4 sessions, in 50 minutes per each, while control group was given self-development program for 8 sessions, with each for 50 minutes. Observation checklist of dressing skill before and after intervention was adopted from Nursing Outcome Classification in Indonesian version. Data were analyzed using Mann-Whitney to compare posttest score between experimental and control group.

Results: The result showed there was a significant difference after intervention between experimental and control group (p=0.041). Eight dressing skills items increased including gets clothing from closet, gets clothing from drawer, puts clothing on upper body, buttons clothing, puts clothing on lower body, uses zipper, uses fastener, and removes clothes from upper body.

Conclusion: Self-development program and training using video modeling could increase dressing skills in intellectual disability children aged 6-12 years.
ASSOCIATION OF GOVERNMENT POLICY AND MOTHER’S PERCEPTION TO EXCLUSIVE BREASTFEEDING PRACTICE
Authors: Mufdlilah Mufdlilah , Akhyar Muhammad , Sutisna Endang , Subijanto Ahmad Arman
Published: February 2019

Background: Although the Indonesian government has campaigned exclusive breastfeeding during the past decade through maternal and child program of Ministry of Health, however, its coverage in Yogyakarta province remains low.

Objective: This study aims to analyze factors related to exclusive breastfeeding program, especially indicators that can explain government’s regulation and mothers’ perception to exclusive breastfeeding practice.

Methods: It was a cross-sectional study involved 185 mothers who have 6-12 months infants with parity 1-3. The correspondents live in Sleman district and had normal delivery in hospital, health center or midwifery private practitioner. The association between the exogenous (government policy and mothers’ perception) and the endogenous variables (mothers’ participation to exclusive breastfeeding practice) was determined using Lisrel version 8.80.

Results: Although the government policy contributed to the success of implementing breastfeeding program (33%), providing breastfeeding rooms (28%), and declaring the related government regulation (17%); however, its contribution was recorded at only 2% to human resources. Knowledge significantly encouraged mothers to breastfeed whilst infrastructure was assessed as a strong determinant of mothers’ willingness to participate in the program at the contribution of 50%.

Conclusion: Although there was only a weak association between government regulation to mothers’ perception and between mothers’ perception towards exclusive breastfeeding practice, the study highlights the importance of providing adequate information to improve mothers’ knowledge on exclusive breastfeeding. By knowledge improvement, mothers will have better perception, which in turn will improve their self-efficacy and practices in exclusive breastfeeding.
THE IMPACT OF COMBINATION OF BREASTFEEDING AND EFFLEURAGE MASSAGE IN REDUCING PAIN RESPONSE IN INFANTS INDUCED BY BLOOD SAMPLING IN C-REACTIVE PROTEIN TEST: AN OBSERVATIONAL CROSS-SECTIONAL STUDY
Authors: Maziyah Alfi , Fatmasari Diyah , Wenten Parwati Desak Made , Pujiastuti Rr. Sri Endang
Published: February 2019

Background: C-reactive protein test is one of clinical assessments to minimize risks of infection in infants. However, its procedure may cause pain. Pain in the infants may result in negative metabolic behavior, physiology and metabolic response.

Objective: This study was to describe the infant's pain response by administering a combination of breastfeeding and an effleurage massage on the blood sampling procedure of C-reactive protein examination.         

Methods: This was a descriptive observational cross-sectional study. There were 30 infants selected using consecutive sampling technique, which 15 samples assigned in an intervention group (combination of breastfeeding and effleurage massage) and a control group. Premature Infant Pain Profile (PIPP) instrument was used to measure pain. Univariate analysis was performed with the aim to describe data in mean and median.

Results: The average of pain response at one-minute observation in the combination of breastfeeding and effleurage massage group was 7.47 ± 1.356, and the average of pain response in the control group was 10.80 ± 1.897. The average pain at five-minutes observation in the intervention group was 3.53 ± 1.922 and control group was 6.00 ± 1.852. 

Conclusions: Pain responses in the combination of breastfeeding and effleurage massage group were lower than the pain response in the control group.
THE COMPARISON OF THE EFFECT OF HONEY AND CHLORHEXIDINE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN PATIENTS ON MECHANICAL VENTILATON
Authors: Adini Syaukia , Santoso Bedjo , Sarkum Sarkum , Sudirman Sudirman
Published: February 2019

Background: Ventilator Associated Pneumonia (VAP) is one of the causes of infection in the hospital and the main cause of death due to nosocomial infection. The strategy to prevent VAP is by oral hygiene. Honey may be a good solution for oral hygiene.

Objective: This study aims to compare the effect of the use of 20% honey solution and 0.2% chlorhexidine as oral hygiene on VAP prevention in patients on mechanical ventilation.

Methods: This was a quasi-experimental study with posttest only control group design in an incentive care unit of a general hospital in Indonesia. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in a 20% honey group and 0.2% chlorhexidine group. Clinical Pulmonary Infection Score (CPIS) was used to measure Ventilator Associated Pneumonia. Data were analyzed using Independent t-test.

Results: The mean of CPIS in the honey group was 3.33 and the chlorhexidine group was 3.53. Independent t-test showed p-value 0.618 (>0.05), which indicated that there was no significant difference of the effect of honey and chlorhexidine on VAP event.

Conclusion: The 20% honey solution has the same effect with 0.2% chlorhexidine in preventing VAP events in patients on mechanical ventilation.
EFFECT OF POSITIONING ON BLEEDING COMPLICATION AND LOW BACK PAIN AFTER DIAGNOSTIC CORONARY ANGIOGRAPHY IN PATIENTS WITH CORONARY HEART DISEASE IN AN INTEGRATED HEART CARE CENTER IN INDONESIA
Authors: Tyas Utami Theresia Febriana Christi , Fatmasari Diyah , Mardiyono Mardiyono , Shobirun Shobirun
Published: February 2019

Background: Coronary angiography can cause complications of arterial and subcutaneous bleeding (hematoma) and back pain. Changing the position of the patient (positioning) in bed can reduce the pain post-diagnostic catheterization complications. Objective: This study was to examine the effect of positioning on bleeding complication and low back pain after diagnostic coronary angiography in patients with coronary heart disease patient in the Integrated Heart Care Center in Indonesia.Methods: This study was a true-experimental study with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, which 15 respondents were randomly assigned in the experiment group and control group. The experiment group was given a positioning with 150, 300, 450 head-of-bed elevation in left and right lateral position. An arc tool was used to measure the height of head of bed elevation, a measuring cup to measure arterial bleeding using, a perforated transparent plastic with 5 cm diameter to measure subcutaneous bleeding (hematoma), and Numeric Pain Rating Scale to measure low back pain. Data were analyzed using Kolmogorov- Smirnov and Repeated Measured ANOVA.Results: Findings showed that positioning had no effect on arterial hemorrhage (ρ=1.000) and subcutaneous bleeding (hematoma) (ρ=0.999). Repeated ANOVA test results revealed that positioning had a significant effect on low back pain (ρ=0.017). Conclusion: There was no significant effect of positioning on the occurrence of arterial and subcutaneous bleeding (hematoma), but there was a significant effect in reducing low back pain.
EFFECT OF HYPNOBIRTHING ON THE PROGRESS OF THE LATENT PHASE OF LABOR IN PRIMIGRAVIDA
Authors: Mudihayati Wiwik , Hidayat Syarif Thaufik , Khafidhoh Nur , Suwondo Ari
Published: February 2019

Background: The first stage of labor is a tiring moment for mothers, which may cause exhaustion, dehydration, risk of infection, uterine atony, and postpartum hemorrhage. Hypnobirthing is considered effective to speed up early labor process.

Objective: This study aimed to examine the effect of hypnobirthing on the progress of the latent phase of labor.

Methods: This study was a quasi-experiment with posttest only control group design. Thirty-two primigravida mothers in the latent phase of labor were selected using purposive sampling, with 16 assigned in the experiment group and the control group. The progress of labor was measured by four indicators recorded in partograph, namely frequency and duration of uterine contraction, cervical dilatation, and descent of the fetal head. Independent t-test was used for data analysis.

Results: There was a significant difference in the frequency of uterine contraction (p=0.001), duration of contraction (p=0.001), cervical dilatation (p=0.007), and descent of the fetal head (p=0.001) between the experiment group and the control group.

Conclusion: Hypnobirthing technique is significant in accelerating the progress of the latent phase of labor in primigravida mothers.
THE RELATIONSHIP BETWEEN CARING, COMFORT, AND PATIENT SATISFACTION IN THE EMERGENCY ROOM, RATU ZALECHA HOSPITAL, SOUTH KALIMANTAN, INDONESIA
Authors: Noor Sirajudin , Maria Insana , Agianto Agianto
Published: February 2019

Background: Emergency nursing service system requires the role of nurses who are able to pay attention to the behavior of caring and patient comfort. Caring in an emergency room is an important aspect in lifesaving procedures. It might impact the psychology of patients if nurses are not caring. Caring behavior and comfort given by nurses can also affect to patient satisfaction. Patient satisfaction is considered important as a bridgehead for the treatment of patients.

Objective: The purpose of this study is to determine the relationship between caring behavior and comfort with patient satisfaction in the emergency room, Ratu Zalecha Hospital, South Kalimantan, Indonesia.

Method: This was an analytic correlational study with cross-sectional approach involved 341 patients in the emergency unit using consecutive sampling. Four questionnaires were used to measure the characteristics of the respondent, the nurse caring behavior, comfort given by the nurses, and patient satisfaction. Data were analyzed using descriptive statistics for respondents’ characteristic, and chi-square to analyze the relationship between variables.

Result: There were 285 respondents (92.8%) who received nurses’ caring behaviors were satisfied, and 268 respondents (87.3%) stated that the nurses were able to provide comfort in nursing care in the emergency room.

Conclusion: This study revealed that there was a relationship between caring behavior, and comfort with patient satisfaction. It tells that caring and comfort are very important components that influence the satisfaction of patients. Therefore, the role of nurse to provide caring and comfort for the patients in the future should be developed along with the development of science and technology and society's demands.
ENSURING TRUSTWORTHINESS IN QUALITATIVE RESEARCH
Authors: Gunawan Joko
Published: February 2019

N/A
THE LIVED EXPERIENCE OF PATIENTS WITH PRE-DIALYSIS CHRONIC KIDNEY DISEASE: A QUALITATIVE STUDY
Authors: Agustiyowati Tri Hapsari Retno , Sitorus Ratna , Waluyo Agung , Besral Besral
Published: February 2019

Background: Chronic kidney disease is identified as kidney damage for more than three months with glomerulus filtration rate less than 60ml / min / 1.73 m2.

Objective: This study aims to explore the experience of life of patients with pre-dialysis chronic kidney disease used Roy’s adaptation model.

Methods: This study was a qualitative study using descriptive phenomenology approach in the General Hospital of Cibabat Cimahi West Java, Indonesia. Data were obtained with depth interviews involved eight participants with pre-dialysis chronic kidney disease consisting of two men and six women, aged ranged from 35 to 65 years. The years living with chronic kidney disease ranged from 1 to 2 years. Data were analyzed using Colaizzi’s methods.

Results: We found nine themes, namely: physical stimulus, psychic stimulus, socio-economic stimulus, physical coping mechanisms to control the situation, a coping mechanism to maintain health function, selecting behavioral adaptation physiology, selecting a behavior adaptation of the self-concept, selecting adaptation behaviors role function, and selecting behavioral adaptation interdependence.

Conclusion: It can be concluded that the experience of patients with pre-dialysis chronic kidney disease complained physical, psychological, social, economic, and spiritual problems. Therefore, health care professionals need to design an intervention to improve patients’ coping mechanism to maintain kidney function, and adapt to diet for foods and drinks, activity patterns and roles according to their conditions, which also elaborate the function of family support.
CORONARY HEART DISEASE PATIENTS' LEARNING NEEDS
Authors: Nuraeni Aan , Mirwanti Ristina , Anna Anastasia
Published: February 2019

Background: Patients with coronary heart disease (CHD) should have good self-management capabilities. This is determined by the effective of health education which is based on the assessment of patients’ learning needs and consideration of health personnel. On the other hand, the study of perceptions of CHD patients’ learning needs in Indonesia is little known.

Objective: This study aimed to identify the CHD patients’ learning needs.

Methods: This study was a descriptive quantitative with cross-sectional approach. Population was CHD patients in one of the referral hospitals in West Java Indonesia. Samples were recruited using consecutive sampling technique for a 2-month period (n=106). Data were collected using TR-CPLNI instrument and analyzed using descriptive quantitative and Kruskal Wallis test.

Results: The order of learning needs based on the highest to the lowest mean was  anatomy and physiology of heart (4.42); medication information (4.33); cardiopulmonary information (4.32); life style (4.28); dietary information (4.19); symptom management (4.08); psychology (4.07); and physical activity (3.64). The significant differences (p<0.05) based on ward categories were  learning needs of dietary information (p=0.002); physical activity (p=0.009) and symptom management (p=0.037), with the highest needs respectively were in High Care Unit (HCU); HCU; and non-intensive care unit.

Conclusions: These eight learning needs were important for CHD patients. However, the priority of the patients’ learning needs were seen by category of ward or recovery phase and illness duration different from each other. Therefore, this can be a consideration in providing education to CHD patients.
BREASTFEEDING EXPERIENCES OF WORKING MOTHERS IN VIETNAM
Authors: Truong Xuan Nguyen Thi , Nguyen Nhan Thi
Published: February 2019

Background: World Health Organization recommends mothers all over the world should continue breastfeeding up to the age of two years or beyond to achieve optimal health, growth and development for their infants. However, the breastfeeding practices among working mothers have been decreased by the time passed.

Objective: to describe the breastfeeding experiences of mothers who returned to work after childbirth.

Methods: This study was utilized a qualitative design. Purposive sampling was used to recruit the participant who met the inclusion criteria. Data were collected from 10 semi-structured in-depth interviews. All interviews were audio-recorded and transcribed verbatim. The interview transcriptions were analyzed by using the qualitative content analysis approach.

Results: The breastfeeding period of 10 working mothers ranging from 7 to 15 months. Five categories emerged from the data were: 1) Attitude towards breastfeeding, 2) Breastfeeding support during working, 3) Strategic plan for breastfeeding, 4) Psychological distress, and 5) A need for support facilities and resources for breastfeeding during working.

Conclusion: This research provided a better understanding of breastfeeding experiences of working mothers in Vietnam. The findings can help nurses and other healthcare professionals in providing anticipatory guidance to mothers who plan to continue breastfeeding after returning to work.