bluuebunny/crossref_metadata_2025 huggingface dataset:
Rationale for prompt access to the appendix in people with abdominal obesity.
Authors: Sigua Badri Valerievich , Zemlyanoy Vyacheslav Petrovich , Semenova Evgeniya Anatolyevna , Abidueva Saryuna Olegovna , Prichisly Matvey Sergeevich , Schegolev Andrey Igorevich , Melnikov Vyacheslav Alexandrovich
Published: October 2019

Relevance. Currently, acute appendicitis occupies a leading position in the structure of surgical diseases that require urgent surgical intervention. A significant part of operations for acute inflammation of the appendix is ​​performed from the laparoscopic approach. But, despite the wide possibilities of modern medicine, it is often necessary to resort to traditional laparotomic access. The classic access to the appendix is ​​the access via Volkovich-Dyakonov through the Mac-Burney point or the Lanz point. In fact, in most cases, the projection of the base of the appendix does not coincide with the Lanz and Mac-Burney points. This is due to differences in the location of the appendix in the abdominal cavity, as well as with individual constitutional parameters, including the presence or absence of obesity. In addition, in women the dome of the cecum and the appendix are slightly lower than in men. Considering these aspects, as well as the inadmissibility of delaying surgical treatment, it becomes necessary to determine the access point to the appendix as clearly and quickly as possible.
Aim is development and implementation of the surgeon’s intellectual decision support system (IDSS) in the definition of operative access to the appendix in people with abdominal obesity.
Materials and methods: for the development of the IDSS of the surgeon, 101 SKT images were analyzed, which were used to build 3D models of the studied areas. 3D modeling allows for more accurate geometric measurements. The program “Inobitec DICOM Viewer” was used to work with images. It was decided to use the development environment “Embarcadero Delphi XE7” to implement the decision support system.
Results: an algorithm was developed to support the surgeon's decision in determining prompt access to the appendix, and the software implementation of the IDSS of the surgeon was completed. The IDSS of the surgeon was tested and showed good results.
Conclusion: the development of the IDSS of the surgeon is designed to speed up preoperative preparation and significantly reduce the number of medical errors in determining prompt access to the appendix, which is important in urgent surgery.
Influence of immobilized form of sodium hypochlorite on the functional condition of internal organs, systemic inflammatory response, oxidative stress, antioxidant protection and dysfunction of endothelium in experimental infected pancreonecrosis
Authors: Sukhovatih Boris Semyonovich , Elenskaya Elena Alexandrovna , Blinkov Yuriy Yurievich , Alimenko Oleg Vladimirovich
Published: October 2019

Importance of the topic. Mortality in infected pancreonecrosis varies from 40% to 60%.
Purpose is to study the influence of immobilized form of sodium hypochlorite on the functional condition of internal organs, systemic inflammatory response, oxidative stress, antioxidant protection and endothelium dysfunction in experimental infected pancreonecrosis.
Materials and methods. Experimental studies were conducted on 60 male rats of Wistar line, which were divided into 3 similar groups with 20 animals in each group: control, comparison and experimental ones. Animals did not receive any treatment in control group, Levomekol ointment was applied to the infected area rats from comparison group, and the immobilized form of sodium hypochlorite was used in experimental group. The modeling of the infected pancreonecrosis was conducted by destruction of the pancreas by the liquid nitrogen and contamination with the microbial suspension of the Staphylococcus aureus.  Indicators of the pancreas function, renal function, liver function, vessels’ endothelium, systemic inflammatory response, oxidative stress, antioxidant protection were studied by laboratory methods on the 3rd, 5th, 7th and 10th days of the experiment.
Results and their discussion. Immobilized form of sodium hypochlorite surpassed Levomekol ointment in its positive influence on oxidative stress in 3.8 times, on antioxidant activity – in 1.6 times, on endothelium dysfunction – in 1.5 times, pancreas dysfunction – in 1.3 times, renal dysfunction – in 1.7 times, liver dysfunction – in 1.32 times, in severity of inflammatory response – in 1.5 times by the end of the experiment (p<0.05).
Conclusion. Application of the immobilized form of sodium hypochlorite in infected experimental pancreonecrosis is effective and justified by pathogenesis.
The results of preperitoneal inguinal hernioplasty without fixation of the mesh endoprosthesis in the experiment.
Authors: Mokrova Anna Viktorovna , Zaitsev Oleg Vladimirovich , Khubezov Dmitry Anatolyevich , Yudin Vladimir Alexandrovich , Tarasenko Sergey Vasilevich , Vasin Igor Vladimirovich , Barsukov Vladimir Viktorovich
Published: October 2019

The purpose of the study is experimental development of preperitoneal inguinal hernioplasty with synthetic mesh, according assessment of the need of its fixation to the tissues.
Materials and methods. An inguinal hernia was simulated on human cadaveric material. The study used 27 male corpses. Two inguinal hernias were modeled on one corpse: on one side - indirect, on the other - direct. A polypropylene mesh (standard density, 15 x 15 cm) was placed in the preperitoneal space. The endoprosthesis was impacted from the side of the abdominal cavity by a special designed device. The effect of a peak intra-abdominal pressure of 200 mm Hg was simulated. The degree of displacement of the reticular endoprosthesis into the inguinal canal was estimated at the moment of peak pressure on it from inside the abdominal cavity. For a simulated indirect inguinal hernia, two variants of the technique were considered: with fixation of the endoprosthesis to the underlying tissues and without fixation. For the modulated direct inguinal hernia, the following options were considered: non-fixative, with fixation at one point to the pubis and with plasty of the transverse fascia.
Results. When modeling preperitoneal plasty of a direct inguinal hernia, there is a pronounced displacement of the endoprosthesis into the inguinal canal with a non-fixing plasty, unlike the method with transverse fascia plasty or fixation to the pubis. In indirect inguinal hernia, there was no significant displacement of the endoprosthesis in both considered variants.
Conclusions. According to the obtained results, conclusions were drawn on the need for additional plasty of the transverse fascia or fixation of the endoprosthesis at a single point in a direct inguinal hernia. With indirect inguinal hernia in the experiment, no significant difference in the displacement of the mesh endoprosthesis into the inguinal canal was obtained with and without fixation.
Electrical function of the abdominal muscles after combined plastic of extensive median hernias in the context of connective tissue dysplasia
Authors: Railianu Radu
Published: October 2019

Relevance. Improving the electrical function of abdominal muscles in patients with extensive median hernias of the anterior abdominal wall can be facilitated by optimizing the choice of methods for combined hernioplasty, taking into account the clinical severity of connective tissue dysplasia among the hernia carriers.
Objective. Study the electrical function of abdominal muscles after the methods of combined hernioplasty of extensive median hernias, taking into account the severity of connective tissue dysplasia among the hernia carriers.
Results.  The average numbers of electromyogram frequencies of the abdominal muscles of patients with extensive median hernias from the group without clinical signs of connective tissue dysplasia were almost the same after all the applied methods of combined hernioplasty. The predominance of the rectus muscles electric function over the lateral abdominal muscles among the patients of this group was 33,5 %.
Electrofunctional rehabilitation of the abdominal muscles of patients in the second group of examinations depended on the method of combined hernioplasty and changed in the event of an increase or decrease in the severity of connective tissue dysplasia.  The recovery of electroactivity of abdominal muscles in the postoperative period in patients from the second group was more significant with an increase in the number of abdominal muscles applied to aponeuroses and vagina of relaxing sections, which contributed to an increase in mobility and contractility of the musculoaponeurotic layers of the anterior abdominal wall.
Conclusions. Thus, with an increase in the severity of connective tissue dysplasia in patients with extensive median abdominal hernias, the method of combined hernioplasty with the most pronounced relaxing effect in relation to the anterior abdominal wall promoted optimal rehabilitation of abdominal muscles.
The antibiotic prophylaxis algorithm for open hand injuries in children. Experimental study.
Authors: Gordienko Ivan Ivanovich , Borisov Semen Aleksandrovich , Tsap Natalya Aleksandrovna
Published: October 2019

Relevance. The rapid development of new technologies in surgery has opened up broad horizons for the implementation of complex surgical interventions. At the same time, the duration of operations was reduced, the invasiveness decreased, and broad operational approaches began to go into the past. However, the infectious process in the area of operative action remains an acute problem of surgery today. Infections of the surgical area (OSIW) are infections that develop within 30 days after surgery or within a year after installing the prosthesis (heart valves, blood vessels or joint).Aim. Develop an algorithm for perioperative antibiotic prophylaxis for open tubular fractures based on experimental research.Methods. An experimental study was conducted on 60 adult guinea pigs, which created a model of an open femur fracture. All animals were divided into 3 groups depending on the timing of the introduction of antibacterial drugs. The degree of local manifestations was assessed according to the developed scale from 0 to 2 points, where 0 is the total absence of inflammatory manifestations, and 2 points is their maximum manifestation. The signs of inflammation were also evaluated in the general clinical blood test.Results. During the experiment it was revealed that the introduction of antibacterial drugs for open fractures of tubular bones is necessary for prophylactic purposes. An increase in the timing of the introduction of antibiotics to three days or more is not rational, since there are no significant differences compared with a shorter course of antibiotic prophylaxis. Conclusions. Experimental perioperative antibiotic prophylaxis (PAP) on the model of an open fracture of the tubular bone indicated the possibility of introducing the PAP algorithm for open hand injuries in children.
The Opportunities for developing a new biologically active suture material in surgery (literature review)
Authors: Morozov Artem Mikhailovich , Mokhov Evgeny Mikhailovich , Lyubsky Igor Vyacheslavovich , Sergeev Alexey Nikolaevich , Kadykov Viktor Alekseevich , Askerov Elshad Magomedovich , Peltikhina Olga Vladislavovna , Horak Konstantin Iosifovich
Published: October 2019

The main method of joining the wound edges in surgery remains suturing with the help of threads. Unfortunately, suture materials used in surgery have a number of disadvantages. The percentage of postoperative wound complications remains high. One of these consequences is the failure of the seam, depending also on the material used in the operation. Suture material, as a genetically alien object, that is a foreign body, with a long stay in the tissues can lead to the development of complications: causes suppuration of wounds, formation of abscesses, peritonitis.
Materials and methods: The analysis of modern Russian-language and foreign literature, also Internet sources devoted to the issue of issues and modern developments of antiseptic suture material.
As a result, the choice and development of an ideal suture material that meets all the requirements, remains an unsolved and socially significant problem in surgery. Despite the variety of variations already offered, there is currently no suture material with antimicrobial activity on the market that would fully reduce the risk of developing infections in the surgical area. But the achievements of modern chemical production make it possible to develop biologically active suture materials that have the ability to resist the development of infectious complications in a wound and improve tissue regeneration without adversely affecting the body.
In addition, the analysis showed an increased interest of developers to chitosan, due to its exceptional biocompatibility, bioresorbability, non-toxicity, antibacterial properties and hemostaticity.
The Impact of Applying Health Package towards the Understanding and the Ability of Dealing with Menopause in Bekasi
Authors: Isnawati Netty , Nursanti Irna , Widagdo Giri
Published: October 2019

Background: Menopause is a condition which a woman has no longer experiences of menstruation that occurs in the range age from 50 to 59 years. Nowadays, menopausal women will experience changes in physical and sexual health that will affect their psychological health. Objectives: The purpose of research by providing Health Packages can improve the Understanding and Ability to Overcome Menopause Problems in Bekasi City.
Methods: This study used a quasi experimental pre-post test with control group design. The sample was 132 respondents for one group using purposive sampling technique.With inclusion criteria:menopausalwomen ,abletoread and write, still have a partner (husband), no serious illness complications, were willing tobe respondents,were presentat the time ofthe study.The resultsof the study were analyzed using a median on univariate, paired sample t-test and t-independent test on bivariate.
Results: The results showed there were differences before and after the health package intervention was given with an average of understanding and ability to overcome physical problems of -0.239, sexual -0.368, psychology -0.237 with p value 0.00 while in the control group it was averaged on understanding and ability to overcome physical problems -0.030 p value 0.218, sexual – 0.033 p value 0.123, and psychology -0.023 p value 0.426.
Conclusions: From this study it could be concluded that after giving a health package to the intervention group and the control group that was not given a health package the same increased, but in the control group the increase occurred only in the sexual problem section only because this was due to the information received based on previous experience and also the information obtained by respondents is not in full so that there is some decline in the value of understandingandabilityofrespondents.healthpackageinterventionscanbeusedas astandardprocedureinimprovingthequalityofindependentnursingcareservicesfor menopausal women and for further researchers could use as a reference in exploring research on menopause by conducting qualitative research.
Nowldege, Awareness D Perception of Contraception among University Students in Malaysia
Authors: RN Fatimah S, , D Razif , Haﬁzah M, Nur , AW Siti Munirah
Published: October 2019

Introduction: The Contraceptive Prevalence Rate (CPR) in Malaysia is the most vulnerable group. This is one of reason for the increased incidence of teenage pregnancies. University students in particular face new challenges in sexual health including contraceptive.
Method: Cross-sectional, descriptive study conducted among university students at a public university in Malaysia. Using purposive sampling technique, 500 students participated in this study which was conducted over a period of four months from December 2016 to April 2017. Self-administered questionnaire consisted of 32 questions divided in four sections, socio-demographic proﬁle, the knowledge, awareness and perception on contraception was used in this study. Descriptive analyses were executed for each variable.
Result: In total, 500 students participated in the study, 86.6% were female and 11.4% male. Ages ranged from 18 to 28 years old and the mean age was 21 years old (SD: 1.57). Majority of them were among Malay ethnicity (97%); 1.2% of them were married; 70.4% was currently studying at degree level and only 38.2% were among non-sciences students. More than half of the participants ever heard of contraceptive method (67.2%). Mean knowledge score of the participants was 4.41±1.33 while awareness score of participants was 20.64± 3.15. More than half of participants disagreed or strongly disagreed (52.7%) that only womenareresponsibletousecontraceptivemethodswhile54.2%ofthemagreedand strongly agreed that contraceptive pills do not guarantee 100% contraception. More thanhalfoftheparticipants’agreedandstronglyagreedthathealthcareprovidersmust provide counselling on contraceptive methods (62.4%) and sex education including contraception should be introduced in early age (55%).
Conclusion: The deﬁciency of contraceptive knowledge; and the importance and effectiveness of contraceptive measures call forth the university on the needs of comprehensive education and culturally-sensitive aimed at promoting healthy decision-making about family planning and STI prevention. It is important to understand the major obstacle in gaining knowledge and utilizing contraceptive among university students.
Actors Inﬂuencing the Risk of Breast Cancer of Child bearing Women in Pekalongan Community Health Center
Authors: . Ratnawati , Nurﬁtriyani Rihastri Dwi
Published: October 2019

Background: Cancerisoneoftheleadingcausesofdeathinworldwide.Breastcancer is the most common cancer in women in both developed and developing countries. Risk factors for breast cancer include reproductive factors, endocrine factors, diet, and genetic or family history.
Objective: The Objective of the study wasto analyze the factors that inﬂuence the risk of breast cancer in Child bearing Age Women in the Work Area of Kedungwuni 1 Pekalongan Health Center
Methods: The study used descriptivecrosssectionalapproach.Thepopulationofthestudywerewomenofchild bearing age who lived in Kedungwuni Timur, Kedungwuni, Pekalongan. The sampling technique used cluster random sampling. The sample of the study were women of child bearing age who live in Kedungwuni Timur, Kedungwuni, Pekalongan. Data analys is used univariate and multivariate tests using multiple regressiontests.
Results: Multivariate analys is results showed that parity and type of birth control affect the risk of breast cancer when compared to age and BMI. Importance: The suggestion of this research is expecting that family planning acceptors may choose the type of family planning that has a low risk of breast cancer risk.
Knowledge, Attitude and Practice towards Dengue Fever among University Students
Authors: Amin AZ Muhammad , S Fatimah , Asikin WO Wan Nur , Azean M Nor , D Razif
Published: October 2019

Background: Dengue is a viral disease transmitted to humans by the bite of infested females of the main vector Aedes aegypti and to lesser extent Aedes albopictus mosquitoes.Knowledgeregardingdenguefever(DF)isveryimportantamongstudents to create awareness for practicing the prevention and increase the student’s attitude levels.
Objective: To assess the knowledge, attitude and practice regarding Dengue Fever among University Students.
Methods: The study design was cross-sectional design. This study was conducted in at nine campuses in two states in Malaysia. A purposive sampling technique was used of 1144 students who residing in this public university collegesfrom the selected setting and willing to participate in the study. Self-administered questionnaire consisted of four sections, socio-demographic proﬁle, the knowledge, attitude and practice related to dengue/ mosquito control. The data were entered and analyzed using IBM Statistical Packages for Social Science (SPSS) for Window, version 23 and descriptive analyses were executed for each variable.
Results: In total, 74% of the participants were female and 26% male, ages ranged from 18 to 39 years. Overall 97.8% of them ever heard of DF and the predominant source of the information was media (86.4%). Fever, joint pains and headache was well known as a symptom of DF for most of students. They knew that Aedes mosquitoes transmit DF(94.8%)andstagnantwateristhemainsourceformosquitobreeding(94.8%).Many participants aware that removal of stagnant water (89.2%), using mosquito repellents (88.9%),tightlycoveringwatercontainers(86%)andtheuseofwindowsscreenandbed nets (82.5%) able to prevent mosquito breeding and reduced contact with mosquitoes. Consulting a physician for DF (92.7%), taking plenty of rest (86.1%) and drink plenty of water (81.4%) was the best management for DF. Most of the students agreed (97.3%) that dengue is a serious illness. They agreed that communities should actively participate in controlling the vectors of dengue virus (94.7%) in which controlling the breeding places of mosquitoes, a good strategy to prevent DF (97.5%). Thus, this study revealed that the respondents had perceived inadequate knowledge (85.0%), poor attitude (58.0%) and poor practice (88.0%) of Dengue fever.
Conclusion: In conclusion, although this study discovered that the students’ had basic knowledge, aware of the seriousness of the disease and practiced some level of prevention related to DF but the needs of educational programs adapting transformational learning and strategies by the university such as developing student’s friendly and continuous information regardingDFaspartofhealthpromotionstrategiesandtheneedsofholisticapproach, community participation and cooperation is important to impart knowledge and foster good practices in the prevention and controlling of dengue not only in the campus but trigger good practice among the community in general.
Perception of Weight changes among People with Depression SymptoCities in Indonesia
Authors: Nurchotimah Enung , Mubasyiroh Roﬁngatul
Published: October 2019

Background: Obesity is a growing problem so obesity is a threat to health, especially in a developing country like Indonesia. Obesity is a caused for death and burden of disease-causingvariousdiseases.Thisstudylookedatthecorrelationbetweenmental disorders associated with eating disorders or perceptions of changes in respondents’ weight toward depressive disorders. The perception to the body weight is one of the factors that are often found in symptoms of mental disorders.
Objectives: This research aim to understand the individuals’ obesity condition picture of patients based on their characteristics.
Methods: In this study individuals with depressive symptoms were established using MINI instruments through interviews using the ICD-10 Mini International Neuropsychiatric Interview Version mental health instrument conducted in October–November 2017 by nursing diploma enumerators who were trained by psychiatrists. The perception of the state of body weight obtained from sampling was carried out by stratiﬁed random sampling. This study is a further analysis of data on mentalhealthresearchconductedin3districts/citiesinIndonesia,namelyinthecityof Bogor,JombangandTojouna-Unadistrictsusingcrosssectionalmethod.Theresearch samplesanalyzedwereindividualswhoexperiencedsymptomsofdepression
Results: From the 262 respondents who experienced a history of symptoms of depressive disorders, appetite disorders/changes in body weight experienced by majority of the respondents,amountingto66.0%.Asigniﬁcantrelationbetweengenderandownership economy level with the appetite disorder/body weight changes. Where women on lower economy level suffered from depression were highly probable risking appetite disorder/body weight changes experience.
Conclusion: A majority of people with the depression symptoms history has the symptom of lack of appetite or the feel of the weight change. The symptom of lack of appetite/weight change happened to woman with depression and low income respondents.
Stroke Recurrence Based on Stroke Prognosis Instrument II (SPI-II) and the Attackumber of Stroke
Authors: Kusuma Putri Tri Antika Rizki , Rahayu Listian Prisilia , Agustina Elis Nurhayati
Published: October 2019

Background: Stroke is increasing every year so the risk of recurrent stroke is also increasing, the more risk factors they have, the higher the likelihood of recurring strokes. if a recurring attack occurs, the condition can be more severe than the ﬁrst attack, generally occurs in patients who lack self-control and low level of awareness.
Objectives: This study aimed to identify the risk factors of stroke recurrence base on SPI-II.
Methods: This study was a cross-sectional descriptive study with 274 strokes patients as samples. The samples were recruited from one of general hospital specialize in neurology disorders in Jakarta, Indonesia.
Results:The result of this study indicated a signiﬁcant difference in risk factor score between primary attack group and recurrence stroke (p-value<0.05). Simple linear regression showed that incidence of stroke attack has a positive correlation to the risk of stroke recurrent events (B= 3.484).
Conclusion: The attacks number of strokes has a positive correlation with risk of recurrence stroke. Nurses must be aware when doing the discharge planning for recurrent stroke patient. Monitoring and controlling the risk factors on community setting is an important thing to have known by nurses.
Description of health urinary system during pregnancy in Kedungwuni I Public health center Pekalongan
Authors: Nurlaela Emi , Hartanti Rita Dwi
Published: October 2019

Background: Pregnancy brings many impacts to womens’ health un-evitably their urinarysystem.Butleastattentionputtothisproblem.Ignoredurinarysystemproblems may cause complication for both mother and her baby such as prematurity, IUFD, LBW and pre-eclamsi.
Objective: this study purposed to identify the health satus description of pregnant women urinary system in Kedungwuni 1 Public Health Center Pekalongan region.
Methode: This descriptive study involved 83 participants recruited using accidental sampling. Check list for physical assessment and questionnaire were used for data collection.
Result: from total of 83 pregnant mothers, 40 of them were on second trimester, 82% of participants of this study were aged from 20-35 years old, most of them were junior high school graduate (42.2%) and more than half of them (54.2%)werehousewife.13.3%ofparticipantsstatedfeelingthepainduringsuprapubic palpation and lower back percussion. 25.3% mothers mentioned that they used to postponeurination,32.5%complainedforunﬁnishedurinationand32.5%complaining hot sensation when urinate.
Conclusions:this study showed that more than a quarter of the participants in this study exhibit signs and symptoms of urinary tract infection. To prevent the adverse effect caused by urinaty tract infection on pregnant mothers, it is suggested to all health care providers involved to put more attention to this matter.
Overview of Nurse Compliance Level on Documenting Educational Provision to Patients and Families at Inpatient Room of Immanuel Hospital Bandung
Authors: Agus S Diwa , Haryati Tuti
Published: October 2019

Background: This study is the achievement of nursing compliance targets in the implementation of documentation at Immanuel hospital, this data obtained from a preliminary study of open medical record review (OMRR) providing education to 20 medical records of patients with the results of documentation on the assessment of patient education needs 85%, on planning of 70% education provision, 70% nursing education implementation and evaluation, namely veriﬁcation of the understanding of education provided 80%.
Objectives: The study aimed to describe of nursing compliance with documenting the provision of education to patients and families in the inpatient room of Immanuel hospitalin Bandung which includes Compliance with Assessment / assessment, planning, implementation and evaluation
Methods: This study was conducted using descriptive method with quantitative approach. The total sample in this study was 55 subjects that selected using pruposive sampling techniques. Data collection uses observation sheets that have been tested for validity and reliability and the dataanalyzed using a frequency distribution.
Results: The statistic data shows that majority of the subjects were obey (78.2%) in documenting the assessment, almost all of the subjects wereobedient (94.6%) in documenting planning, more than half were obedient (69.1%) in documenting implementation, and also complied (67.3%) in documenting evaluations.
Conclusion:The level of nurses’ compliance with documenting the provision of education to patients and families illustrates that all nurses adhere to documentation, from the stages of assessment, implementation to evaluation. Recommendation the next research is to examine the function of the head room management to the completeness of the documentation of the nursing process, especially the provision of education.
Effectiveness of Exercise App with Self-Efficacy to Achieve Recommended Levels of Physical Activity among Adult: A Systematic Review
Authors: Al Freadman Koa Apryadno Jose , syamsiah Sitti , Wijaya I Kade , Annas Andi
Published: October 2019

Background: Inactive physical activity among university students remains publichealth concern due to signiﬁcant adverse effects and its high prevalence. Transmission from adolescence to adulthood considered as a critical period for lowered their physical activity. Evidences suggested that either self-efﬁcacy-driven intervention or applied exercise App could promote the level of physical activity. However, have examined the effect of exercise App with self-efﬁcacy intervention to promote recommended level of physical activity among university students
Objective: It was recognized the effects of exercise App with self-efﬁcacy to achieve recommended levels of physical activity among university students by systematic review.
Methods: A systematic review was conducted to search the English publications in the databases of PubMed, CochraneLibrary,MEDLINE,andCINAHL,inaperiodofduring2008to2018.Inclusive criteria were the publications using exercise App with self-efﬁcacy programs and the participants in the age from 18 to 64 years old and healthy people. Excluded criteria were if research recruited participants with chronic diseases, mental diseases, pregnant women, and disability in the study. Finally, 319 articles were searched. After two reviewers used CASP checklist to evaluate study quality, the ﬁndings were extracted from 4 qualiﬁed articles.
Results: The results of systematic review show that most of the studies were conducted in the USA and using Apps as strategies to design basing on SE to increase physical activity. Regarding as how using App for self-monitoring that combine with SE to design in the interventions, the strategies included merging in class sessions to implement the program, goal setting, advice and counseling from health care provider and telephone, problem solving training, using website, self-efﬁcacy coaching, and health provider visit plus telephone. All studies results show that a signiﬁcant effectiveness using Apps combine SE to applying in program could promote participants achieving recommended levels of PA.
Conclusions: This systematic review provides an evidence base if the program with exercise App and self-efﬁcacy to design it has higher effectiveness on achieving recommended levels of PA. SE is valuable to use in PA programs for adults in future studies.
Relationship Follows Trends and Smoker’s Families with Perceptions of Smoking in Primary School Age Children in Karawang, Indonesia
Authors: Ariani Desy Rizki , Mulyono Sigit , . Widyatuti
Published: October 2019

Background: Increased smoking habits in school-age children Impact on perceptions about the dangers of smoking in school-age children. Perceptions in the form of school-age children are based on children’s experiences of exposure to smokers and smokers’ environments. Positive perceptions of the dangers of smoking school-age children who consider smoking habits to be a natural thing to do school-age children.
Objective: The purpose of this study was to examine the relationship of factors following the trends and factors of family smokers with perceptions about smoking in school-age children in Karawang, Indonesia.
Methods: Data was taken from the Karawang Community Health Center, where 67% of students found smoking behavior, 356 students were recruited in the district. t-tests and spearman ratings are used to analyze the relationship between smoking and factors following trends and family smoker factors.
Results: The relationship between following trends with perceptions of smoking for school-age children (p value = 0.02, r = 0.122) and the relationship between family smokers and smoking perceptions of school-age children (p value = 0.002,r=0.161).
Conclusion: Boys,smokingstatus,gettinginformationaboutsmoking, children Having parents who smoke, those who follow trends are a concern. It is recommended for health workers to provide innovative health information about the dangers of smoking in school-age children.
Guided Imagery and Music on Anxiety of Mayor Operating Inpatients of Tangerang General Hospital
Authors: Susilawati Ela , . Mawardi , Hendrawati Mike Heri , Resna Riksa Wibawa
Published: October 2019

Background: The anxiety level of clients who will undergo major surgery is very inﬂuential on the smooth operation of the operation to be carried out. Actions of a nurse to overcome the anxiety that occurs on the client pre-operation are needed to be able to resolve the issue.
Objective: This study aimed to look at changes in the patient’s anxiety level after guided imagery and music performed by nurses before the surgery performed.
Methods: The research was used quasi-experimental with pretest-posttest control group design, sample collected used Quota Sampling method with total 38 sample divided into two group, the instrument of measuring the anxiety levelused(HARS-A)scale,whichthestatistictestusedWilcoxonSignedRankTestand Mann-Withney.
Result: There was a decrease in the value of anxiety in the group given guided imagery and music with an average value of 7.50 (p-value:0.000), whereas there was a tendency to increase the value of anxiety in the control group with an average value of 6.00 (p-value:0.083). There were signiﬁcant differences in the mean value between the intervention groups (14.03) and the control group (24.97) with p-value 0.001.
Conclusion: Giving stimuli in the form of guided relaxation techniques can help reduce the level of anxiety in clients who will undergo surgery because it can help clients to distract their anxiety towards the operation process to other things of beautiful nature. The addition of music as one of the image transformation media can strengthen relaxation guidance to be able to reach the maximum level of relaxation that will have an impact on the ability to reduce their anxiety level
A Systematic Review: What Are the Barriers for Nurses in Providing End of Life Care for Pediatric Patients?
Authors: Adistie Fanny , Rakhmawati Windy , Hendrawati Sri
Published: October 2019

Background: Providing care for children at the end-of-life is challenging and distressing for nurses and healthcare professionals. It is important to identify matters that might be a barrier in providing end-of-life care (EOLC).
Objectives: A review of the literature focusing on the barriers in providing EOLC for pediatric patients.
Methods: Literature published from 2009 to 2019 was obtained from four databases (Academic Search Complete, CINAHL, MEDLINE, and Science Direct) and critically reviewed using Joanna Briggs Institute (JBI) critical appraisal tools. Primary research studies written in English describing barriers experienced by nurses on EOLC provision which published between 2009-2019 were included.
Results: Ten studies met the inclusion criteria. The barriers perceived by nurses in these studies are communication and language barriers; barriers in interdisciplinary team; lack of knowledge; families who cannot accept the child’s poor prognosis; ﬁnancial needs; nurses’ feeling; aggressive intervention received by the patient; and inadequate hospital facilities.
Conclusions: Nurses enact a crucial role in caring for dying children and the children’s families. Overcoming barriers in EOLC provision could greatly improve the quality of end-oflife care for dying children. Therefore, it is necessary to develop a conceptual model tosupportnursesandhealthcareprofessionalsinprovidingEOLCforpediatricpatients.
Relationship between Sexual Violence with Self Efficacy among Female Adolescent at Junior High School in Tasikmalaya City
Authors: Lismayanti Lilis , Pamela Sari Nina
Published: October 2019

Background: Sexual violence is one of the health issues in the world. The most important impact of sexual violence on adolescent girls is pregnancy, which subsequently victims experience stress, depression, attempts to abort their pregnancy and even suicide attempts.
Objectives: This study aims to determine the relationship between the sexual violence with Self Efﬁcacy among female adolescent at Junior High School in Tasikmalaya City.
Method: The study was an analytical method with a cross-sectional approach.ThepopulationwasallfemalestudentsofJuniorHighSchool in Tasikmalaya City. The sampling technique used quota sampling. The study was conducted in 2019 to recruited 100 respondents Data analysis was using chi-square to ﬁnd out the relationship between two variables.
Results: The results showed a signiﬁcantrelationshipbetweensexualviolence with self-efﬁcacy s with p value0.005 and odds ratio was 16.
Conclusion: The conclusion is history of sexual violence in the form of sexual intercourse had 16 times the chance to have lower self-efﬁcacy, as well as students who had experienced touches of intimate organs such as mouth, breasts and genitals tend to have lower self-efﬁcacy 9 times compared to those who did not experience it. The ﬁnding could be recommended to conduct training to improve self-efﬁcacysothatviolenceagainststudentsgettinglowevendoesnotoccuranymore.
How to be aware of Cognitive Impairments? Descriptive Studies Using HVLT, CDT and AD8 As Screening Tools for Dementia in Older Adults
Authors: Maryam Raden Siti , Sahar Junaiti , Harimurti Kuntjoro
Published: October 2019

Background: The increasing incidence of dementia in Indonesia’s elderly population is creating a health problem that affects sufferers’ quality of life, as well as family and wider community life. The elderly who suffer from dementia have cognitive impairment and other disabilities that interfere with daily activities. Animportanttoolforpreventing dementia is screening.
Objective: This study describes dementia screening tools including HVLT, CDT and AD, each designed for elderly with risk factors of dementia.
Methods: Descriptive study with a cross-sectional approach was used. The population waselderlywholiveincapitalregionofJakarta.Asample354elderliesaged60years or more were recruited and screened through multistage random sampling.
Result:The results of screening dementia using HVLT were 56.5 % very likely to suffer dementia; 92.1 % (CDT) and 56.2 % (AD8) were suffered cognitive impairments.
Conclusions: Community Health Center could be considered to be used screening tool according to elderly conditions to diagnose dementia early. Besides that, elderly individuals and their family could enhance their awareness about prevention of dementia by identifying existing risk factors.
A Qualitative Study of Sexual Behavior among Indonesian Married Men with Migrant Worker Wife
Authors: Rifai Ahmad , Afandi Alﬁd Tri , Saputra Kresna Ade
Published: October 2019

Background: In Indonesian context, a formal sexual activity is legal only for those who are married. Married men which their wife work as a migrant worker cannot obtain their sexual need properly. This circumstance leads them to accomplish their need in risk sexual behavior.WithalargenumberofinternationalfemalelaborsfromIndonesiaand inadequately information on the HIV-related risk behavior among married men with migrant worker wife in Indonesia, more research is necessary to better understand in the sexual behavior context.
Objectives: This study aims to explore how Indonesian married men with migrant worker wife behave for their sexual activities to meet their sexual needs.
Methods: This study used qualitative semi-structured interviews, exploring participants’ experience of their sexual behavior.Participantsaremarriedmen and their wife work as migrant worker and assigned for at least six months. Purposive sample techniques used to reach the participant. Data were analyzed using Colaizzi’s phenomenological method.
Results: The study emerged three themes: sexual needs completion, safe sexual behavior, and sexual needs management. Peer invitation and sexual desire were the primary reasons to visit female sex workers. Condom use was not continuously applied for every sexual activity. Self-management is needed for individual who consider of not doing sexual activity with other woman instead of his wife. A knowledge of HIV was discussed within the article brieﬂy.
Conclusions: The ﬁndings suggest that self-management is a fundamental role in how MILW performing sexual behavior. HIV-related health education and safe sexual behavior need to be provided for this group.
Relationship Between Nurses Percerptions IPCLN Supervision with Adherence towards Hand Hygiene at the Hospital in Tasikmalaya City
Authors: Rahmadiana Asep , Mediawati Ati Surya , Somantri Irman
Published: October 2019

Background: Infection Prevention and Control Program (ICP) is very important to be implemented in hospitals to protect patients, ofﬁcers, visitors, and families from the risk of infection. IPCLN (Infection Prevention and Control Link Nurse) as a PPI program implementer in a hospital is expected to be able to carry out its duties to monitor health personnel compliance with standard precautions.
Objectives:This study aims to identify the relationship between nurses’ perceptions of IPCLN supervision and compliance withhandhygieneofnursesattheHospitalinTasikmalayaCity.
Methods:The research method used is quantitative research with descriptive correlation design usinga cross sectional approach with a population of implementing nurses in 16 inpatients with a totalsampleof152implementingnurses.Analysisofresearchdatawithnonparametric statistics, with Mann Whitney’s test.
Results: Results nurse’s perception of effective IPCLN supervision was 50.7%, and adhrence hand hygiene is mean 69.96%. The relationship between IPCLN supervision and compliance with hand hygiene ρ-value 0.006.
Conclusion: The implications of this study indicate that nurses ’perceptions of effective supervision will be able to improve compliance with nurses’ hand hygiene when taking nursing care actions. To hospital management, there needs to be an increase in understanding of IPCLN about the importance of supervising implementing nurses when providing care with resocialization of tasks and IPCLN functions.
Life Experiences of Women (Housewives) Diagnosed Hiv – Aids in Serang
Authors: Ernawati Eka , Rahayu Siti Yuyun , Kurniawan Titis
Published: October 2019

Background: HIV transmitted to the housewives who are not in sexual high risk behavior affects to the complicated and unique problem. It does not only trigger psychological, physical, social and spirituality problems but also the problem of responsibility to take care of their children and family.
Objective: To explore the experiences of housewives infected with HIV in order ﬁnd the new insights. The ﬁndings are expected to be the references in either educational or health care service of HIV patients. Methods: The research is qualitative-and the study design is phenomenological. The data were collected by using in-depth interview method upon 7 HIV-infected women in coastal area of Serang and Rangkasbitung. The data analysis used Colaizzi.
Results: The results of the study showed 3 themes, including the unknowing of HIV information, losing a partner and the desire to get married, self-stigmatized and child-discrimination concern, telling the family members regarding the patients’ HIV status and the treatment, and preparing for death. Several experiences of HIV-infected women covered physics, socio-psychology and spirituality. The new themes were discovered, including heredity, unknowing of HIV information before HIV-diagnosis, telling the family members regarding the patients’ HIV status and the treatment, and preparing for death.
Conclusion: Therefore, it is important for counselors to provide holistic and complete care in order to develop aprogramorexploringadiscussiontopicofHIV-infected women in counseling program.
Depression in Indonesian Elderly Inmates: A Preliminary Study
Authors: Andriany Megah , Rachma Nurullya , Hartati Elis , Nurrahima Artika , Mu’in Muhammad , Widyastuti Rita Hadi , Dewi Nur Setiawati , Nurmalita Aulia
Published: October 2019

Background: Physical and social environments in prisons cause mental disorders, the prevalence of depression is higher in correctional settings than in general population. Depression is one of mental disorders among older adult including elderly prisoners, however the incidence is uncertain particularly in Indonesia.
Objectives: This study aims to describe the prevalence of depression among elderly inmates in Indonesia.
Methods: A survey study design was employed on 21 elderly inmates selected by total sampling method in a prison in Indonesia. Data was collected by a face to face interview using Depression Anxiety Stress Scale and statistical analysis used descriptive statistics.
Results: The study revealed that 4.76% elderly had extremely severe depression, 4.76% elderly had severe depression, 9.52% elderly had medium depression,23.81%elderlyhadmilddepression,and57.14%elderlyhadnodepression.
Conclusions: Prevalence of depression among elderly inmates was relatively high. Thus, providing counseling to elderly to cope with prison environment will increase problem solving.