bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH TERAPI PSIKORELIGI MUROTTAL AL-QURAN TERHADAP TEKANAN DARAH PADA KLIEN DENGAN HIPERTENSI
Authors: Ropei Oop , Luthfi Muhammad
Published: November 2023

Hipertensi merupakan keadaan meningginya tekanan darah yang abnormal (â‰¥140/90mmHg). Pengobatan non-farmakologis pada klien hipertensi adalah dengan menciptakan keadaan rileks atau relaksasi. Salah satu alternatif yaitu mendengarkan Alquran diyakini dapat mendatangkan ketenangan jiwa juga berpengaruh pada respon fisiologis tubuh termasuk tekanan darah. Penelitian ini bertujuan untuk mengetahui pengaruh terapi psikoreligi Murrottal Alquran terhadap tekanan darah dengan hipertensi di Puskesmas Sukarasa Kota Bandung 2014. Metode penelitian yang digunakan adalahQuasiEksperimen dengan sample 20 responden yang terbagi menjadi 10 kelompok intervensi dan 10 kelompok kontrol, dengan teknik purposive sampling dan analisis secara statistik dengan menggunakan uji t-independen.Hasil penelitian didapatkan nilai rerata tekanan darah pada kelompok intervensi setelah diberikan intervensi adalah 147,70/ 89,50 mmHg (p-value = 0,885 > Î± 0,05) dan nilai rerata sesudah diberikan intervensi pada kelompok kontrol adalah 147.20/ 87,80 mmHg (p-value = 0,296 > Î± 0,05), tidak ada pengaruh terapi psikoreligi Murrottal Alquran terhadap tekanan darah dengan hipertensi. Berdasarkan hasil penelitian disarankan agar pihak Pususkesmas Sukarasa dapat mempertimbangkan penggunaan terapi Psikoreligi  Murottal  Alquran  sebagai  salah  satu  metode  terapi  non-farmakologi  dalam menangani tekanan darah.
HARGA DIRI ORANGTUA YANG MEMPUNYAI ANAK DENGAN TERPASANG KANTONG STOMA
Authors: Supriyatna Iyep Dede
Published: November 2023

Satu diantara penyebab paling besar pada anak - anak adalah penyakit inflamasi usus, terutama penyakit crohnenteritis regional. Diantara jenis stoma yang dilakukan adalah ileostomydan kolostomi. Sebagian besar yang dilakukan terhadap anak dengan tindakan pembuatan stoma merupakan tindakan sementara, keadaan seperti itu orangtua dengan anak yang terpasang stoma mempunyai beban psikologis sehingga mempengaruhi hubungan sosial orangtua dengan orang lain. Kadang- kadang menimbulkan beban psikososial orangtua berupa harga diri yang menjadi rasa tidak nyaman. Dengan demikian hubungan antara orangtua dan anak merupakan hubungan yang timbal balik, sehingga dalam usaha  untuk memuaskan antara orangtua dan anak maka peranan orang tua dan anak sangatlah besar, saling percaya, saling mengerti dan saling menerima. Hasil penelitian pada 33 orang tua di RSHS selama bulan Maret 2016, di jumpai sebanyak 8 orang tua (24.2%) memiliki harga diri rendah, 13 orang tua (39.4 %) memiliki harga diri sedang, 9 orang tua (27.3%) memiliki harga diri tinggi dan 3 orang tua (9.1%) memiliki harga diri tinggi sekali.
Penerapan Teknik Pijat Effleurage Terhadap Penurunan Skala Nyeri Saat Menstruasi (Dismenorea) Pada Siswi Kelas XI di Madrasah Aliyah Negeri 1 Kota Bandung
Authors: Lestari Astri dwi
Published: November 2023

ABSTRAK
Dismenorea merupakan nyeri haid yang disebabkan oleh kram atau adanya kontraksi uterus dengan iskemia dan pelepasan prostaglandin yang berlebih. Massage effleurage merupakan teknik relaksasi yang aman tidak memiliki efek samping dan dapat dilakukan sendiri atau dengan bantuan orang lain.  Pijat effleurage juga membantu meningkatkan aliran darah dan getah bening serta dapat memberikan efek relaksasi untuk otot. Penelitian ini bertujuan untuk Mengidentifikasi Penurunan Skala Nyeri Saat Menstruasi (Dismenorea) Dengan Penerapan Teknik Pijat Effleurage Pada Siswi Kelas XI  Madrasah Aliyah Negeri 1 Kota Bandung. Penelitian ini menggunakan rancangan kuantitatif dan berjenis Pra-eksperimental,dengan pendekatan yang digunakan adalah one-group pre-post test design. Teknik pengambilan sample dalam penelitian ini adalah nonprobability sampling,  yaitu dengan menggunakan insidental sampling dengan jumlah sample 31 responden. Hasil penelitian ini menunjukan dengan penerapan teknik pijat effleurage ada penurunan yang signifikan terhadap skala nyeri saat menstruasi (Disemenorea) pada siswi kelas XI di Madrasah Aliyah Negeri 1 Kota Bandung, dengan nilai P< 0,000. Saran terhadap penelitian selanjutnya yaitu mencari suatu metode sebagai pembanding serta menambahkan variabel penelitian seperti siklus menstruasi, keteraturan menstruasi, serta pengaruh dismenore terhadap tumbuh kembang anak pada usia remaja.
Kualitas Hidup Lanjut Usia yang Bekerja di Bandung
Authors: Rahmi Upik
Published: November 2023

Quality of life is an individual's perception of his / her life in society in the context of existing culture and value system related to purpose, expectation, standard, and attention. Quality of life is an important area of concern that reflects the health status and welfare of the population, and there is no exception for elderly.   Elderly  ages of 45-59 years who began to enter the period the slowly decreasing ability of body tissues. E lderly belong to the age that are still able to work. This study aims to determine the overview quality of life elderly (45-59 years) who works   as well as quality of life based on physical domain, psychological domain, social relations domain and environment domain. This study uses quantitative descriptive method. The sampling used were the total sampling and the sample that will be used are working elderly as much as 31 respondents. Data collection techniques used WHOQOL-BREF questionnaire instrument with reliability test (r = 0.66-0,87). The results of data analysis will be presented in the form of frequency distribution table. From the results of research as many as 30 respondents (96.8%) have a good quality of life. Based on the domain, obtained good results on the physical domain as much as 23 respondents (74.2%) and the psychological domain as much as 17 respondents (54.8%) and the result that are good enough on the domain of social relationships as much as 21 respondents (67.7%) and the environment as much as 29 respondents (93.5%). This research is recommended for companies to improve the quality of life of workers especially pre elderly is by way of requiring workers to use PPE and create a schedule for recreation with all workers.
Pengaruh Nesting Terhadap Saturasi Oksigen Dan Berat Badan Pada Bayi Prematur Di Ruang Perinatologi RSUP Dr Hasan Sadikin Bandung
Authors: Priambodo Ayu prawesti
Published: November 2023

Stress pada bayi akan mempengaruhi fungsi tubuh dengan meningkatkan metabolisme  sehingga membutuhkan lebih banyak konsumsi oksigen untuk menstabilkan fungsi fisiologisnya. Saturasi oksigen merupakan salah satu indikator kecukupan pasokan oksigen pada bayi ketika saturasi rendah menyebabkan pasokan oksigen ke jaringan berkurang. Bila tubuh kekurangan oksigen maka produksi energi menjadi terhambat. Pada bayi kekurangan energi dapat mengganggu proses pertumbuhan salah satu parameternya dengan penurunan berat badan. Bayi dengan berat badan rendah akan terjadi adaptasi yang jauh lebih berat dibandingkan dengan bayi yang berat badannya lebih besar. Penggunaan nesting sebagai salai satu intervensi developmental care adalah kerangka kerja atau  metode untuk memberikan stabilisasi pada bayi prematur.
Penelitian ini bertujuan untuk meneliti tentang pengaruh nesting terhadap saturasi oksigen dan berat badan pada 20 bayi prematur dengan menggunakan metode quasi eksperimen one-group pra-post test design, pengambilan sampel menggunakan tekhnik concecutive sample.Saturasi oksigen diukur sebelum dan setelah 20 menit bayi tidur di dalam nesting dan berat badan akan ditimbang sebelum dan sesudah 7 hari bayi berada dalam nesting.
Hasil analisa data menunjukkan adanya pengaruh yang bermakna nesting terhadap saturasi oksigen dengan p value 0,000 dan pengaruh bermakna nesting terhadap berat badan berat badan bayi prematur dengan p value 0,000 Penelitian ini merekomendasikan intervensi nesting pada perawatan bayi prematur untuk meningkatkan saturasi oksigen dan berat badan.
Dampak Kemoterapi Pada Anak Penderita Kanker di Rumah Cinta Bandung
Authors: Hidayati Nur Oktavia
Published: November 2023

Kanker merupakan salah satu penyakit yang banyak dialami oleh anak. Kemoterapi sebagai intervensi primer untuk mengatasi kanker pada anak mempunyai banyak dampak yang mampu memengaruhi anak baik secara fisik dan psikologis. Penelitian ini bertujuan untuk mengidentifikasi dampak kemoterapi yang paling dirasakan berat dan mengganggu oleh anak berdasarkan pengkajian pada orang tua di Rumah Cinta Bandung. Penelitian ini menggunakan metode deskriptif kuantitatif dan menggunakan accidental sampling selama 45 hari dengan jumlah sampel sebanyak 30 responden. Data dikumpulkan dengan menggunakan kuisioner Symptom assessment in childen receiving cancer therapy: the parent perspective dari Lee Dupuis yang terdiri dari dua bagian yaitu berat dan mengganggu dengan masing-masing 69 item pertanyaan. Data kemudian dianalisis dengan distribusi frekuensi hingga menggambarkan proporsi responden yang merasakan dampak berat dan mengganggu serta urutan dampak yang dirasakan berat dan mengganggu berdasarkan nilai mean melalui pengkajian pada orang tua. Hasil penelitian 40% anak merasakan dampak berat dan 36,7% anak meraskan dampak mengganggu. Aspek psikologis pada sub variabel perasaan dan suasana hati khususnya emosional anak (perubahan suasana hati dan mudah marah) merupakan dampak yang dianggap paling berat. Kemudian, dampak pada fisik anak yang paling mengganggu yaitu kehilangan nafsu makan, mual, dan muntah.  Dampak kemoterapi harus diperhatikan oleh orang tua dan petugas kesehatan karena akan mengganggu kualitas hidup anak selama menjalani pengobatan kanker yang dialaminya. Hasil penelitian ini diharapkan mampu membantu menentukan intervensi prioritas untuk mengurangi dampak kemoterapi yang memengaruhi fisik, psikologis, dan kualitas hidup anak.
 
Kata kunci            : anak kanker, dampak kemoterapi, orang tua
Kebutuhan Psikososial Pasien Paska Stroke Pada Fase Rehabilitasi
Authors: Pratiwi SRI Hartati
Published: November 2023

Pasien paska stroke sering mengalami masalah psikososial seperti gangguan emosi, perubahan perilaku dan kognitif. Perubahan tersebut dapat memperberat kondisi kesehatannya dan menghambat pencapaian outcome pada fase rehabilitasi. Pemenuhan kebutuhan psikososial sangat diperlukan untuk mengatasi masalah yang dialami pasien stroke. Penelitian ini dilakukan dengan tujuan untuk mengidentifikasi kebutuhan psikososial pasien paska stroke yang sedang menjalani perawatan fase rehabilitasi.
Penelitian ini merupakan penelitian deskriptif kuantitatif yang dilakukan untuk mengidentifikasi kebutuhan pasien paska stroke di Poliklinik saraf dan stroke centre salah satu Rumah Sakit di Bandung. Teknik sample yang digunakan adalah consecutive sampling dengan jumlah sampel sebanyak 83 orang. Kriteria inklusi pasien paska stroke dalam penelitian ini adalah memiliki kesadaran penuh dan tidak mengalami aphasia. Instrumen yang digunakan dalam penelitian ini dikembangkan dari konsep kebutuhan pasien paska stroke Kevitt (2009) dan Moreland (2009) dengan skala likert dan koefisien validitas  0,73 dan r  0,75 sehingga dinyatakan valid dan reliable. Data yang terkumpul akan dianalsa dengan menggunakan distribusi frekuensi.
Hasil penelitian ini menunjukkan bahwa kebutuhan psikososial yang paling dibutuhkan pasien paska stroke adalah dukungan teman, keluarga, dan kelompok (= 1,76), mendapatkan konseling ( = 1,39), mendapatkan dukungan emosi ( = 1,20), bantuan untuk menjalankan aktivitas sebagaimana sebelum sakit ( = 1,16), berinteraksi dengan pasien paska stroke lainnya (= 1,11), mengatasi perasaan terpuruk (= 1,07), mengatasi kecemasan (=1,05) dan mengatasi perasaan menjadi beban keluarga (= 1,02). Berdasarkan hasil tersebut, pasien membutuhkan bantuan dalam mengatasi masalah psikologis yang dialaminya. Petugas kesehatan diharapkan dapat memfasilitasi kebutuhan pasien tersebut dengan melakukan konseling dan mendorong keluarga untuk memberikan dukungan kepada pasien paska stroke.
Pengaruh Edukasi Terhadap Tingkat Pengetahuan Kader Kesehatan Dalam Pencegahan Gangguan Gizi Balita
Authors: Solehati Tetti
Published: November 2023

Gangguan gizi pada balita masih merupakan masalah di Indonesia. Kader kesehatan merupakan tenaga perpanjangan dari tenaga kesehatan yang dapat diberdayakan dalam membantu masalah tersebut. Tujuan penelitian untuk mengetahui pengaruh edukasi terhadap tingkat pengetahuan kader kesehatan dalam pencegahan gangguan gizi balita. Desain penelitian quasi eksperimen dengan rancangan pre test dan post test. Penelitian dilakukan di Desa Mekar Mukti dan Desa Karang Bungur Kecamatan Buah Dua  Kabupaten Sumedang. Populasi  pada penelitian ini dalah seluruh kader kesehatan pada kedua desa tersebut berjumlah 44 kader dengan total sampling. Pengumpulan data dilakukan melalui pengisian instrumen quisioner. Analisis secara statistik dengan menggunakan persentasi dan uji t. Hasil penelitian menunjukan bahwa rata-rata tingkat pengetahuan sebelum intervensi hampir seluruh responden berkatagori cukup sejumlah 38 orang  (86,4%) berubah menjadi sebagian besar responden berkatagori baik sejumalh 29 orang (54,5%) setelah dilakukan intervensi.Pada analisa lebih lanjut di temukan bahwa terdapat perbedaan rata rata tingkat pengetahuan kader kesehatan  sebelum dan setelah intervensi pada siswa (pv=0,00). Kesimpulan pada penelitian ini ditemukan bahwa edukasi dapat meningkatkan tingkat pengetahuan kader kesehatan. Saran perlu adanya kerjasama yang berkesinambungan antara posyandu, pemerintah desa, dan puskesmas untuk mensuport para kader kesehatan  dalam meningkatkan pengetahuannya secara berkala baik formal maupun secara informal, khususnya untuk mencegah gangguan gizi.
Studi Korelasi Jurusan Sekolah dan Prestasi Akademik (IPK) dengan Skor Uji Kompetensi Perawat
Authors: Wilandika Angga , Indah Sari Diah Nur
Published: November 2023

Perbedaan kemampuan dan kualitas input mahasiswa menentukan prestasi akademik dan menjadi tolok ukur keberhasilan suatu proses pembelajaran di perguruan tinggi. Nilai prestasi akademik atau IPK sebagai hasil dari proses pembelajaran seharusnya berbanding lurus dengan hasil uji kompetensi perawat. Tujuan penelitian ini adalah teridentifikasinya hubungan antara asal jurusan dan prestasi akademik dengan skor uji kompetensi perawat. Penelitian ini merupakan deskriptif korelatif yang dilakukan secara retrospektif dengan menggunakan pendekatan cross-sectional. Sebanyak 50 orang lulusan diploma III keperawatan yang mengikuti Ujian Kompetensi Nasional Perawat pada bulan Oktober 2017 dilibatkan secara total sampling. Analisis deskriptif menggunakan distribusi frekuensi. Sementara, analisis korelasi menggunakan Uji Kruskal Wallis dan Uji Spearman Rank Rho. Hasil penelitian membuktikan adanya hubungan positif yang kuat (rs = 0,536) dan bermakna secara statistik (p-value = 0,000) antara prestasi akademik (IPK) dengan skor uji kompetensi perawat. Dengan demikian, semakin tinggi prestasi akademik maka akan diikuti semakin tingginya nilai uji kompetensi perawat. Sementara itu, tidak ditemukan hubungan (p-value = 0,214) antara asal jurusan dengan skor uji kompetensi perawat. Hasil penelitian ini dapat menjadi rujukan bagi para praktik dalam menentukan strategi dan tolok ukur keberhasilan mahasiswa untuk meraih kelulusan uji kompetensi perawat nasional.
Perilaku Orangtua Yang Merokok Terhadap Kesehatan Anak (0-5 Tahun)
Authors: Ramdani Hasbi Taobah , Wahyudin Wahyudin , Nursela Annisa Alail
Published: November 2023

Many smokers are aware of the consequences of smoking, but still smoking and difficult to eliminating the habit. Many people who smoke in the home without caring for members of the family, let alone toddlers who become passive smokers. Release, the child is very easy by way of the air, and susceptible to various diseases caused. The purpose of this study is to find out more about the behavior of parents who smoke on the childrenâ€™s health (0-5 years) in District Bungbulang. The researchers chose to use a qualitative research design with a phenomenological approach. Data completion technique in this research. There were 3 informants who participated in this research, taken using the snowball sampling technique. The results of this study obtained four themes of knowledge about cigarette, reactions to stop smoking at home, smoking habit, and children health. Racial informants are unaware of the dangers of smoking and its effects on children who become passive smokers. However, because of the lack of knowledge about health and knowledge about the impact of smoking on the health of passive smokers, especially children who are insuring. Smokers Find alternatives to embellish the desire, such as doing activities that also avoid the main reasons that cause the desire to smoke. Should use a cigarette replacement, such as candy and multiply the consumption of milk, fruits and vegetables.
Studi Deskriptif Kualitas Hidup Pasien Epilepsi pada Anak Usia Sekolah dan Remaja
Authors: Rahayu Diana , Sulianingsih F Sri , Prawesti Ayu
Published: November 2023

DESCRIPTIVE STUDY ABOUT QUALITY OF LIFE IN SCHOOL AGE  AND ADOLESCENT WITH EPILEPSY
ABSTRACT
Epilepsy is Chronic Neurological disease which have impact in various aspects of life, such as disruption of growth, cognitive function, psychosocial aspects, inhibit of daily activities, and the risk of death which can affect quality of life patients. Consider that the risk of anxiety and depression most occured in patients which have low quality of life. The aim of this study to describe about quality of life in children and adolescent with epilepsy at one of Lv.II hospital in Cimahi.
Design of this study used quantitative descriptive with sampling technique used non problability consecutive sampling. Total of sample is 40 respondent aged 8-18 years old which devided by school age (n=4) and adolescent (n=36).The instrument of this study used QOLIE-AD-48 to identify 8 dimensions related to the quality of life in people with epilepsy (PWE), with analyzing technique descriptive data statistic.
The result show that mean of Total Summary score is 65,38. Dimension which have high score is School Behavior, Epilepsy Impact, dan Physical Functioning. While dimension which have lower score is Attitudes toward epilepsy, Health perception, and Stigma.
According to this research, itâ€™s so important to educate and counsel the patient related to eplilepsy disease information and the step minimalize the negative impact from societyâ€™s stigma to increase PWEâ€™s quality of life.   
 Key Words       : Adolescent, child in school age, epilepsy, quality of life
Faktor-Faktor yang Berhubungan dengan Perilaku Caring Perawat dalam Memberikan Spiritual Care Islam di Ruang Rawat Inap Rumah Sakit Muhammadiyah Bandung
Authors: Mustikaningsih Dewi
Published: November 2023

Perilaku caring perawat Islam merupakan sikap perawat dalam memberikan asuhan keperawatan pada pasien dengan menerapkan nilai Islam, dimana faktor-faktor yang mempengaruhi perilaku caring perawat faktor predisposisi yaitu kurangnya pengetahuan tentang spiritual,takut melakukan kesalahan,ketidakmampuan perawat berkomunikasi, ambigu, faktor pendorong yaitu kurangnya perawat, kurangnya waktu, masalah pendidikan perawat dan organisasi manajemen, dan faktor pendukung yaitu usia, jenis kelamin, tingkat pendidikan, pengalaman kerja, status perkawinan dan sumber daya masyarakat.
Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan perilaku caring perawat Islam dalam memberikan spiritual care di Ruang Rawat Inap Dewasa Rumah Sakit Muhammadiyah Bandung.  Penelitian ini dilakukan pada bulan Juni tahun 2016. 
Desain penelitian dengan cross-sectional, metode penarikan sampel adalah metode purposive sampling dengan jumlah sampel penelitian  sebanyak 58 perawat.
Hasil penelitian menunjukan faktor predisposisi yang berhubungan dengan perilaku caring perawat Islam dalam kategori baik (median sebesar 65,95%, rerata 62,23-64,87), faktor pendukung yang berhubungan dengan perilaku caring perawat Islam dalam kategori baik (median sebesar 35,95%, rerata 32,40-33,69), faktor pendorong yang berhubungan dengan  perilaku caring perawat Islam juga dalam kategori baik (median sebesar 36,05 sebesar 95%, rerata 34,90-37,19). Hasil penelitian korelasi dengan uji statistik Spearman Rank menunjukan bahwa faktor predisposisi dan pendorong  (p=0,007) berhubungan dengan perilaku caring Islam, faktor  pendukung (p=0,559) tidak berhubungan dengan perilaku caring perawat Islam.
Penelitian ini menunjukkan bahwa perilaku caring perawat dalam memberikan spiritual care Islam pada pasien di ruang rawat inap dipengaruhi kurangnya pengetahuan tentang spiritual,takut melakukan kesalahan,ketidakmampuan perawat berkomunikasi, ambigu, kurangnya perawat, kurangnya waktu, masalah pendidikan perawat, organisasi dan manajemen.
Gambaran Kecemasan Orangtua Pada Orientasi Masa Depan Remaja Tunagrahita di SLB Negeri Cileunyi Dan SLB C Sukapura
Authors: Amelia Siti halinda , Hernawaty Taty , Mardiah Wiwi
Published: November 2023

Tunagrahita merupakan kondisi cacat yang ditandai dengan adanya keterbatasan perkembangan mental, tingkah laku, dan kecerdasan di bawah rata-rata. Kecemasan orangtua bersumber dari keterbatasan anak sehingga dapat menghambat proses orientasi masa depan anaknya. Dimana sebagian besar penyandang tunagrahita tidak mempunyai pekerjaan, tidak melanjutkan sekolah, dan sulit membangun keluarga. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kecemasan orangtua pada orientasi masa depan remaja tunagrahita. Rancangan penelitian menggunakan metode deskriptif kuantitatif. Responden dipilih dengan menggunakan teknik total sampling dan didapatkan 60 responden. Instrumen yang digunakan berupa kuesioner baku ZSAS (Zung Self-Rating Anxiety Scale). Hasil penelitian dianalisis dengan menggunakan statistik deskriptif frekuensi dan persentase. Hasil penelitian menunjukan bahwa gambaran kecemasan orangtua pada orientasi masa depan remaja tunagrahita berada pada tingkat kecemasan sedang (56,7%), diikuti kecemasan ringan (25%), lalu kecemasan berat (18,3%), dan tidak ada yang mengalami kecemasan dalam tingkat panik (0%). Sehingga diharapkan adanya intervensi yang tepat mengenai penanganan kecemasan orangtua seperti pemberian CBT (Cognitive Behavioral Treatment), terapi supportive, latihan relaksasi, hipnotis lima jari, dan latihan yoga. 
Kata kunci: Kecemasan orangtua, Orientasi masa depan, Remaja, Tunagrahita.
Kecemasan Preoperasi pada Pasien di Unit One Day Surgery(ODS)
Authors: Usnadi Udi , Rahayu Urip , Praptiwi Atlastieka
Published: November 2023

ODS (One Day Surgery) service is an innovation in surgical treatment in recent decades and is claimed to have many advantages. However, increased use of anesthetic drugs, pain management during postoperative, increased length of recovery or hospitalization, increased risk of infection and increased costs are complications that can result from poorly managed preoperative anxiety. This study aimed to identify anxiety preoperative ODS patients in Dr. Hasan Sadikin Bandung.
               This research used quantitative descriptive design with sample of 60 patients recruited by purposive sampling technique. Data collection used Spielberger State-Trait Anxiety Inventory (STAI: Y-6) instrument and APAIS (Amsterdam Preoperative Anxiety And Information Scale) are valid and reliable. Data analysis used descriptive statistics.
               The results showed that all respondents experienced preoperative anxiety with mean 53,94 (SD Â± 9,38). Based on the source of preoperative anxiety, the preoperative anxiety picture associated with the mean operating procedure 5.65 (SD Â± 1.94), anxiety concerning the mean anesthesia procedure of 5.37 (SD Â± 1.83) and the anxiety associated with the need to obtain the mean information of 7.43 (SD Â± 1.98).
               It can be concluded that all preoperative patients in ODS experience preoperative anxiety in relation to the need for information. It is recommended that hospitals improved the quality of providing information to patients and families by involving interdisciplinary teams, thereby improved the overall quality of ODS services and improved patient and family satisfaction.
 
 
Keywords: Anxiety, One Day Surgery (ODS), Preoperative.
Gambaran Tingkat Kecemasan Preoperative Pada Pasien Dengan Fraktur
Authors: Margianti Dina , Rahayu Urip , Pebrianti Sandra
Published: November 2023

Fraktur adalah kerusakan pada kontinuitas tulang, penanganannya dengan operasi yang dapat menimbulkan kecemasan. Ketika pasien mengalami kecemasan maka akan mengalami gangguan pada beberapa sistem tubuh diantaranya tekanan darah meningkat, gelisah dan sulit tidur. Jika hal tersebut terjadi ketika menjelang operasi dapat menyebabkan kegagalan operasi. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kecemasan preoperative pada pasien fraktur di Ruang Marjan Atas RSUD dr. Slamet Garut. Jenis penelitian ini menggunakan metode deskriptif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien preoperative dengan fraktur dengan jumlah sampel sebanyak 32 responden, dengan teknik total sampling. Data diambil dengan menggunakan instrumen Hamilton Anxiety Rating Scale (HARS), dianalisis secara deskriptif kuantitatif dan diolah dengan menggunakan software komputer, kemudian disajikan dalam bentuk distribusi frekuensi. Hasil penelitian menunjukkan sebagian besar responden mengalami kecemasan ringan (65,6%). Kecemasan ringan terjadi pada orang yang baru pertama kali melakukan operasi karena ketakutan dan kurangnya pengetahuan, sedangkan pasien yang tidak cemas sudah mempunyai pengalaman operasi sebelumnya dan ketakutan menjadi berkurang. Simpulannya adalah tingkat kecemasan pada pasien preoperative dengan fraktur di Ruang Marjan Atas RSUD dr. Slamet Garut mayoritas cemas ringan. Dapat disarankan intervensi preoperative teaching kepada pasien sehingga dapat meminimalisir terjadinya kecemasan preoperative.
Gambaran Self-Management Pada Pasien Stroke Yang Menjalani Rawat Jalan
Authors: Rahmawati Dedah , Kurniawan Titis , Hartati Sri
Published: November 2023

Stroke patients require a long-term treatment, both to prevent recurrent stroke and to minimize further complications. One of the efforts to succeed the stroke patients' treatment is Self-Management. This study aimed to identify the self-management of stroke outpatients.  This quantitative descriptive study involved 40 stroke outpatients in RSAI who are able to communicate well, taken by using consecutive sampling techniques for one week. The data were collected by using a Stroke Self-Management Questionnaire (SSMQ) consisting of 4 domains (capacity, confidence in interaction, strategy, and guidance by health professionals). The collected data were analyzed descriptively by using the mean value. The result showed that the percentage of respondents with high self-management category (52,5%) was higher than the low category. Furthermore, the percentage of the good category was higher in the domain of confidence in interaction, strategy (52.5%), as well as guidance by health professionals (55%). Meanwhile, the percentage of the low category was found higher in the domain of capacity (52.5%).
Keywords:  Self-Management, Stroke
Persepsi Siswi SMAN Tanjungsari Terhadap Pencegahan Primer Penyakit Kanker Serviks
Authors: Sontiva Nessa , Rahayuwati Laili , Lukman Mamat
Published: November 2023

Cervical cancer was a disease that happen in many women. Prevalence  of cervical cancer was high. Therefore, it is necessary to prevalence of cervical cancer. However, the cervical cancer prevention behavior was still low. One of the factors which affected it was the perception of primary prevention of cervical cancer. Early sexual intercourse behavior was one of the risk factors of cervical cancer, especially in teen age. This study aimed to determine the perception of senior high school woman about the primary prevention of  cervical cancer disease. This research was a quantitative descriptive study. Using the stratified random sampling technique. This research was conducted at Tanjungsari senior higth school female. This stud involved 216 female student at that school. The  data were collected using a questionnaire with Likert scale. The questionnaire contents included perceptions susceptibility, seriousness, benefits, and barriers. The instrument validity was 0,367 â€“ 0,717 and the reliability was 0,811. The results showed that SMAN Tanjungsari students mostly had negative perception about susceptibility of cervical cancer (94,9%), positive perception toward cervical cancer seriousness (94%), positive perception toward primary prevention benefit of cervical cancer (98,6% ), and positive perceptions of primary prevention barrier of cervical cancer (96.8%). The conclusion of this research was the majority of student of SMAN Tanjungsari have positive perception toward primari prevention of cervical cancer disease. Based on these results, health services and educational institutions might develop establish a program o cervical cancer prevention that eas to acces by all student. So it will be a supporting factor for high school female to make efforts to prevent cervical cancer.
Penilaian Mahasiswa Terhadap Pembelajaran Mata Kuliah Keperawatan Islami di STIKes Jayakarta PKP DKI Jakarta
Authors: Kadun Murtiningsih , Zaly Nedra Wati
Published: November 2023

Tujuan penelitian ini menggambarkan penilaian mahasiswa terhadap pelaksanaan pembelajaran mata kuliah keperawatan islami. Jenis penelitian ini adalah deskriptif. Sampel dalam penelitian ini adalah mahasiswa semester 2 (dua) STIKes Jayakarta sejumlah 98 orang.Teknik pengumpulan data dengan kuesioner evaluasi dosen oleh mahasiswa (EDOM) secara online melalui website STIKes Jayakarta. Hasil penelitian didapatkan penilaian (1) kurang, (2) cukup, (3) memuaskan, dan (4) sangat memuaskan. Penilaian Mahasiswa kelas A terhadap kesiapan mata kuliah didapatkan sebesar 3% kurang, 3 % cukup, 26% memuaskan dan 68 % sangat memuaskan. Penilaian terhadap pelaksanaan pembelajaran sebesar 3% cukup, 31% memuaskan, dan 66% sangat memuaskan. Penilaian terhadap mata kuliah sebesar 26% memuaskan dan 74% sangat memuaskan. Penilaian terhadap praktek laboratorium sebesar 3% cukup, 21% memuaskan, dan 76% sangat memuaskan. Penilaian terhadap kunjungan rumah sakit 3% cukup, 21% memuaskan, dan 76% sangat memuaskan. Penilaian evaluasi mata kuliah 40% memuaskan, dan 60% sangat memuaskan. Saran yang dapat direkomendasikan dari penelitian ini adalah peningkatan praktek laboratorium demontrasi dalam membantu ibadah pasien wudhu, tayamum dan sholat. Hendaknya pada saat praktek dirumah sakit mahasiswa mengaplikasikan keperawatan islami kepada pasien yang dibimbing oleh pembimbing akademik.
 
Kata Kunci, Keperawatan Islami, Evaluasi pembelajaran
Kecemasan Kematian Pada Pasien Stroke
Authors: Hamjah Apip , Praptiwi Atlastieka , Afrima Sari Eka
Published: November 2023

Pengalaman memiliki penyakit stroke dan datangnya serangan stroke menyebabkan munculnya kecemasan berlebihan yang mengarah pada kecemasan kematian. Kecemasan kematian dapat memengaruhi kualitas hidup pasien pasca stroke menjadi kurang optimal. Penelitian ini bertujuan untuk mengetahui gambaran kecemasan kematian pada pasien pasca stroke. Rancangan penelitian menggunakan metode deskriptif kuantitatif melibatkan 51 pasien pasca stroke yang diambil dengan teknik consecutive sampling. Data dikumpulkan menggunakan instrumen Death Anxiety Scale (DAS) yang diadaptasi untuk pasien pasca stroke. Data dianalisis dengan statistik deskriptif (frekuensi dan persentasi). Hasil penelitian menunjukkan hampir 80% pasien pasca stroke mengalami kecemasan kematian tingkat tinggi (n=39). Umumnya lebih dari setengah responden yang mengalami kecemasan kematian tingkat tinggi memasuki lanjut usia. Berdasarkan hasil tersebut perlu dilakukan pengelolaan kecemasan kematian pada pasien pasca stroke diantaranya dengan adanya dukungan keluarga, terapi spiritualitas, konseling kelompok, SEFT (Spiritual Emotional Freedom Technique) dan pemberian pendidikan kesehatan terkait penyakit stroke.
The promises of large language models for protein design and modeling
Authors: Valentini Giorgio , Malchiodi Dario , Gliozzo Jessica , Mesiti Marco , Soto-Gomez Mauricio , Cabri Alberto , Reese Justin , Casiraghi Elena , Robinson Peter N.
Published: November 2023

The recent breakthroughs of Large Language Models (LLMs) in the context of natural language processing have opened the way to significant advances in protein research. Indeed, the relationships between human natural language and the “language of proteins” invite the application and adaptation of LLMs to protein modelling and design. Considering the impressive results of GPT-4 and other recently developed LLMs in processing, generating and translating human languages, we anticipate analogous results with the language of proteins. Indeed, protein language models have been already trained to accurately predict protein properties, generate novel functionally characterized proteins, achieving state-of-the-art results. In this paper we discuss the promises and the open challenges raised by this novel and exciting research area, and we propose our perspective on how LLMs will affect protein modeling and design.
Augmented reality for orthopedic and maxillofacial oncological surgery: a systematic review focusing on both clinical and technical aspects
Authors: Nasir Naqash , Cercenelli Laura , Tarsitano Achille , Marcelli Emanuela
Published: November 2023

This systematic review offers an overview on clinical and technical aspects of augmented reality (AR) applications in orthopedic and maxillofacial oncological surgery. The review also provides a summary of the included articles with objectives and major findings for both specialties. The search was conducted on PubMed/Medline and Scopus databases and returned on 31 May 2023. All articles of the last 10 years found by keywords augmented reality, mixed reality, maxillofacial oncology and orthopedic oncology were considered in this study. For orthopedic oncology, a total of 93 articles were found and only 9 articles were selected following the defined inclusion criteria. These articles were subclassified further based on study type, AR display type, registration/tracking modality and involved anatomical region. Similarly, out of 958 articles on maxillofacial oncology, 27 articles were selected for this review and categorized further in the same manner. The main outcomes reported for both specialties are related to registration error (i.e., how the virtual objects displayed in AR appear in the wrong position relative to the real environment) and surgical accuracy (i.e., resection error) obtained under AR navigation. However, meta-analysis on these outcomes was not possible due to data heterogenicity. Despite having certain limitations related to the still immature technology, we believe that AR is a viable tool to be used in oncological surgeries of orthopedic and maxillofacial field, especially if it is integrated with an external navigation system to improve accuracy. It is emphasized further to conduct more research and pre-clinical testing before the wide adoption of AR in clinical settings.
A comparative study of geosynthetically reinforced earth foundations in multi-utility transportation infrastructure for high-speed railways
Authors: Mandhaniya Pranjal , Soni Anish Kumar , Choudhary Kirti , Ansari Abdullah
Published: November 2023

A high-quality railway track resting on an excellent foundation is required to support high-speed railway transportation. The foundations of high-speed railway tracks are generally constructed on the lifted embankment with the improved ground using different reinforcement agents like geosynthetics and rigid lateral support. The present study performed dynamic finite element simulations on a ballasted rail track laid over a geosynthetically reinforced embankment with and without facing wall support. Three foundation geometries were analyzed to examine the effect of facing wall support and geosynthetics on the lateral resistance of the foundation. An area loaded with a constant pressure was moved at a constant speed, causing the load motion at different speeds in the 90–360 km/h range. Different parameters were calculated at node paths to help understand the lateral effect of moving load. The results showed that the lateral resistance based on nodal acceleration and velocity increased with facing wall support in the range of 40%–57%. Any increment over the minimum facing wall thickness of 300 mm does not significantly increase lateral resistance. Geosynthetics provided a vital function in the foundations with a less bulk volume of soil and increased the lateral resistance by 10%.
Development, validation and a GAPI greenness assessment for the determination of 103 pesticides in mango fruit drink using LC-MS/MS
Authors: Tippannanavar Madhu , Banerjee Tirthankar , Shekhar Sumit , Sahu Sudama Ram , Singh Bijendra , Narayanan Neethu , Rudra Shalini Gaur , Chakrabarti Bidisha , Gupta Suman , Singh Anupama
Published: November 2023

A robust method was developed using LC-ESI-MS/MS-based identification and quantification of 103 fortified pesticides in a mango fruit drink. Variations in QuEChERS extraction (without buffer, citrate, and/or acetate buffered) coupled with dispersive clean-up combinations were evaluated. Results showed 5 mL dilution and citrate buffered QuEChERS extraction with anhydrous (anhy) MgSO4 clean-up gave acceptable recovery for 100 pesticides @ 1 μg mL−1 fortification. The method was validated as per SANTE guidelines (SANTE/11813/2021). 95, 91, and 77 pesticides were satisfactorily recovered at 0.1, 0.05, and 0.01 μg mL−1 fortification with HorRat values ranging from 0.2–0.8 for the majority. The method showed matrix enhancement for 77 pesticides with a global uncertainty of 4.72%–23.89%. The reliability of the method was confirmed by real sample analysis of different brands of mango drinks available in the market. The greenness assessment by GAPI (Green Analytical Procedure Index) indicated the method was much greener than other contemporary methods.
In vitro and in vivo evaluation of alginate hydrogel-based wound dressing loaded with green chemistry cerium oxide nanoparticles
Authors: Zhao Ran , Zhao Chenyuyao , Wan Yi , Majid Muhammad , Abbas Syed Qamar , Wang Yibing
Published: November 2023

Interactive wound dressings have displayed promising outcomes in enhancing the wound healing process. This study focuses on creating a nanocomposite wound dressing with interactive and bioactive properties, showcasing potent antioxidant effects. To achieve this, we developed cerium oxide nanoparticles utilizing curcumin as both the reducing and capping agent. Characterization techniques such as SEM, EDX, DLS, Zetasizer, FTIR, and XRD were utilized to analyze the cerium oxide nanoparticles synthesized through a green approach. The image analysis on the obtained TEM images showed that the curcumin-assisted biosynthesized CeO2NPs have a size of 18.8 ± 4.1 nm. The peaks located at 28.1, 32.7, 47.1, 56.0, 58.7, 69.0, and 76.4 correspond to (111), (200), (220), (311), (222), (400), and (331) crystallographic planes. We applied the Debye–Scherrer equation and observed that the approximate crystallite size of the biosynthesized NPs is around 8.2 nm based on the most intensive broad Bragg peak at 28.1°. The cerium oxide nanoparticles synthesized were integrated into an alginate hydrogel matrix, and the microstructure, porosity, and swelling behavior of the resulting wound dressing were assessed. The characterization analyses provided insights into the physical and chemical properties of the green-synthesized cerium oxide nanoparticles and the alginate hydrogel-based wound dressing. In vitro studies demonstrated that the wound dressing based on alginate hydrogel exhibited favorable antioxidant properties and displayed hemocompatibility and biocompatibility. Animal studies conducted on a rat full-thickness skin wound model showed that the alginate hydrogel-based wound dressing effectively accelerated the wound healing process. Overall, these findings suggest that the alginate hydrogel-based wound dressing holds promise as a highly effective material for wound healing applications.
DosR’s multifaceted role on Mycobacterium bovis BCG revealed through multi-omics
Authors: Cui Yingying , Dang Guanghui , Wang Hui , Tang Yiyi , Lv Mingyue , Liu Siguo , Song Ningning
Published: November 2023

Mycobacterium tuberculosis (Mtb) is an intracellular bacterium that causes a highly contagious and potentially lethal tuberculosis (TB) in humans. It can maintain a dormant TB infection within the host. DosR (dormancy survival regulator) (Rv3133c) has been recognized as one of the key transcriptional proteins regulating bacterial dormancy and participating in various metabolic processes. In this study, we extensively investigate the still not well-comprehended role and mechanism of DosR in Mycobacterium bovis (M. bovis) Bacillus Calmette-Guérin (BCG) through a combined omics analysis. Our study finds that deleting DosR significantly affects the transcriptional levels of 104 genes and 179 proteins. Targeted metabolomics data for amino acids indicate that DosR knockout significantly upregulates L-Aspartic acid and serine synthesis, while downregulating seven other amino acids, including L-histidine and lysine. This suggests that DosR regulates amino acid synthesis and metabolism. Taken together, these findings provide molecular and metabolic bases for DosR effects, suggesting that DosR may be a novel regulatory target.
Meta-analysis of ultrasound-guided and traditional femoral artery puncture
Authors: Li Jiazheng , Cao Zhanjiang , Zhang Tong , Zhao Keqiang , Zhao Junlai , Yang Yu , Jiang Chao , Li Zipeng , Zhu Rongrong , Wu Weiwei
Published: November 2023

Objective

To compare the ultrasound guidance and traditional methods in femoral artery puncture.

Methods

We searched the databases to evaluate the rate of success on first attempt and the incidence of hematoma. The random effects model was used for performing a meta-analysis to estimate the odds ratio (ORs), mean difference (MD), and 95% confidence interval (CI).

Results

A total of nine articles including 2,361 patients were included in this meta-analysis. The rate of success on first attempt were 79.6% (1,289/1,619) and 54.1% (883/1,644) in patients of the ultrasound group and traditional method group, respectively [OR = 3.14 (95% CI = 2.30–4.28), combined OR value Z = 7.23 (P < 0.00001)]. The rates of incidence of hematoma in the ultrasound group and traditional puncture group patients were 1.4% (16/1,168) and 3.8% (45/1,193), respectively (OR = 0.41, 95% CI = 0.17–1.00, p = 0.05).

Conclusion

Ultrasound-guided femoral artery puncture has certain advantages compared with traditional puncture with regard to success on first attempt and the incidence of hematoma. Moreover, ultrasound-guided puncture reduces the incidence of hematoma in the retrograde puncture group patients.
The discovery of a data-driven causal diagram of sport participation in children and adolescents with heart disease: a pilot study
Authors: Gąsior Jakub S. , Młyńczak Marcel , Williams Craig A. , Popłonyk Aleksandra , Kowalska Daria , Giezek Paulina , Werner Bożena
Published: November 2023

The interventions aimed at improving the levels of physical activity (PA) in children and adolescents diagnosed with heart disease did not produce the expected outcomes. Safe participation in sport activities proposed based on actual recommendations could be a solution to promote PA in this population. The aims of this study were to discover a causal diagram of sport participation in children and youth with heart disease and establish the factors that affect and are affected thereof through the use of questionnaires. Furthermore, the study aims to qualitatively assess the reliability of the constructed diagram in comparison with existing medical knowledge. The Greedy Fast Causal Inference method was employed to conduct a data-driven search of the directed acyclic graph that represents the causal relationships within the provided observational data. This causal discovery was performed using the Tetrad software. The analysis involved a cohort of 121 Caucasian patients (50 females) diagnosed with heart disease. The age range of the patients included in the study was 8–17 years. The study findings indicate that the participants engaged in sports presented significantly higher values of health-related quality of life (QoL) and motives for participating in physical and leisure activities. Age appears to be a cause of sport participation. Sport participation appears to be a cause of participation in physical education classes, which in turn appears to be a cause of higher enjoyment. Higher enjoyment appears to be a cause of other motives for participating in physical and leisure activities, as well as a higher score in terms of physical health. The causal diagram provided a graphical representation of the causal relationship between sport participation and better QoL with potential confounders for children and adolescents with heart disease that nearly coincided with the existing literature. Clinical trials should be designed to validate clinical utility of the presented causal diagram.
Is helping always the preferred decision? Preschool- and elementary school-aged children's helping decisions in complex social situations
Authors: Schuhmacher Nils , Rack Natalie , Beckmann Lena , Kärtner Joscha
Published: November 2023

Helping is usually perceived as a positive behavior, but it can also have negative side effects. Moreover, helping decisions are often embedded in complex social situations that can create social dilemmas for children and adults, such as the decision whether or not to help a friend steal. However, based on previous research, it remains unclear how young children decide in such complex social situations and how their decisions differ between preschool- and elementary school age. Therefore, in the present study, we investigated the moral decisions of 4- to 8-year-old children in complex social situations (N = 152 children; 69 girls; all European, urban and middle-class). In a 2 × 2 design, each child was asked whether a story protagonist should help or not help in four different conditions, namely helping a friend or a stranger to get their own object (i.e., moral conditions), or helping a friend or a stranger to take someone else's object (i.e., immoral conditions). We found that children clearly approve of helping in moral conditions and generally disapprove of helping in immoral conditions. We also found that older children were more likely to disapprove of helping in immoral conditions. Furthermore, children preferred helping friends to helping strangers only in moral but not in immoral conditions. Taken together, these findings suggest that children's decisions to help undergo significant changes from preschool to elementary school, as they are further qualified by criteria such as respecting the rights of others and avoiding harmful consequences of helping for third parties.