bluuebunny/crossref_metadata_2025 huggingface dataset:
Big Data Analytics for Early Detection and Prevention of Age-Related Diseases in Elderly Healthcare
Authors: Mohd Amran Mohd Daril  , Shazia Qayuum  , Alhamzah F. Abbas  , Nguyen Thuy Van
Published: November 2023

The exponential growth of the elderly population poses considerable obstacles to healthcare systems on a global scale, hence requiring the implementation of inventive strategies to identify and mitigate age-related illnesses at an early stage. The primary objective of this study is to explore the use of big data analytics to improve healthcare practices. Specifically, the emphasis is on identifying possible risk factors and developing proactive treatments for senior citizens. The research technique used in this study is based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) declaration of 2020. This approach is utilised to ensure a thorough and transparent review of the relevant literature. Moreover, the use of Rstudio software is prevalent in the field of data processing, statistical analysis, and visualisation. By conducting a comprehensive examination of academic databases and medical literature, this study undertakes an analysis of a collection of pertinent papers to explore the significance of big data analytics in the early diagnosis and prevention of diseases in senior populations. The studies that have been chosen include a wide range of healthcare fields, such as cardiology, neurology, cancer, and geriatrics. This selection aims to provide a thorough comprehension of existing practises and identify any possible areas that may need more attention. The results of this study emphasise the significant impact that big data analytics may have on healthcare for the elderly. Using extensive and varied datasets, sophisticated analytical methodologies such as machine learning algorithms and data mining allow the detection of nuanced patterns and correlations that might function as precursors for age-related ailments.
The Dialectics of Appearances and Reality (act ii, scene i)
Authors: Drouet Pascale
Published: November 2023

This paper focuses on the first scene of Act II (the apricot scene) and explores the themes of simulation and dissimulation, and the dialectics of appearances and reality, which fashion the scene’s unity. The first part examines Bosola’s harsh satire of courtiers and lawyers who would be ostentatiously “eminent”, and the verbal jousting about secret ambition that opposes the spy to the steward. The second part shows how pretence comes in a variety of forms : social hypocrisy (publicly pretending to be what you are not), protection of privacy (hiding the Duchess’s pregnancy) and meditation on mankind (denouncing “painting” and “rich tissue” as vain covering). The third part presents Bosola’s book of diseases, his deciphering and aggravating of the Duchess’s symptoms, and the animal references (“prodigy”) and horticultural metaphors (“grafting”) he uses to sarcastically comment upon deformity and hybridization. The Shakespearean intertextual resonances at work in the scene are also taken into account (Hamlet, The Winter’s Tale).
A Novel Approach to Organize Blood Donation Camp and Blood Unit Wastage Management
Authors: Ghosh Partha , Goto Takaaki , Ghosh Leena Jana , Maji Giridhar , Sen Soumya
Published: November 2023

In the countries or areas where the supply-demand ratio of blood is not maintained, the medication process is being deteriorated, and this may be as fatal as death of the patients. It is being observed in different areas in different seasons or may be at the time of festival scarcity of blood may happen. On the other hand, if the blood donation camp is organized frequently, there may be a surplus of blood as it has expiry dates. Along with these issues, due to the transportation or mismanagement, blood units are wasted. These problems are addressed in this research work, and methodologies are proposed to determine the most suitable blood bank with respect to the blood donation camp. Further, a demand forecasting algorithm is used both for predicting the blood unit demand of every blood bank and for transferring excess blood units to the blood bank where it is needed the most, and also, for the efficient transportation of the blood units, taxicab geometry-based paths are employed.
Immunohistochemical expression of androgen receptors in urothelial carcinoma of urinary bladder. Is it significant? Experience from coastal India
Authors: Jindal Disha , Suresh Pooja K , Sreeram Saraswathy , Holla Ramesh , Kini Hema , HB Sridevi , Pinto Amanda Christina
Published: November 2023

Background: Bladder carcinoma (BC) ranks second among the genitourinary cancers worldwide. Influence of androgens and expression of androgen receptors in neoplasms are recent findings which were implicated in the development of BC. We aimed to study androgen receptor (AR) expression in bladder urothelial neoplasms and correlate its expression with grade and stage of the tumor. Methods: Immunohistochemistry (IHC) was done on samples collected in a tertiary care hospital over one year consisting of 71 urothelial BC and 20 non-neoplastic urothelial conditions. Two pathologists graded the IHC and nuclear staining was considered as positive expression. Results: AR was expressed in 23.9% (17/71) of bladder urothelial neoplasms. AR was expressed in 25.7% and 22.3% of high and low-grade tumors and 25% and 22.3% of non muscle-invasive and muscle-invasive BC. AR expression had no significant correlation with gender, age (> 50 years), muscle invasion or grade. AR expression was significantly absent in non-neoplastic conditions (p = 0.018). Conclusions: AR has varied expression in BC and it is relatively lower in this study population.
Effects of testosterone replacement on lipid profile, hepatotoxicity, oxidative stress, and cognitive performance in castrated wistar rats
Authors: Boukari Oumayma , Khemissi Wahid , Ghodhbane Soumaya , Lahbib Aida , Tebourbi Olfa , Rhouma Khemais Ben , Sakly Mohsen , Hallegue Dorsaf
Published: November 2023

Objective: Androgen deficiency is associated with multiple biochemical and behavioral disorders. This study investigated the effects of testosterone replacement and Spirulina Platensis association on testosterone deficiency-induced metabolic disorders and memory impairment. Methods: Adult male rats were randomly and equally divided into four groups and received the following treatments for 20 consecutive days. Control group: non-castrated rats received distilled water. Castrated group received distilled water. Testosterone treated group: castrated rats received 0.20 mg of testosterone dissolved in corn oil by subcutaneous injection (i.p.). Spirulina co-treated group: castrated rats received 0.20 mg of testosterone (i.p.) dissolved in corn oil followed by 1000 mg/kg of Spirulina per os. Results: Data showed that castration induced an increase in plasma ALT, AST, alkaline phosphatase (PAL), cholesterol, and triglycerides level. Castrated rats showed a great elevation in SOD and CAT activities and MDA and H2O2 levels in the prostate, seminal vesicles, and brain. Testosterone deficiency was also associated with alteration of the spatial memory and exploratory behaviour. Testosterone replacement either alone or with Spirulina combination efficiently improved most of these biochemical parameters and ameliorated cognitive abilities in castrated rats. Conclusions: Testosterone replacement either alone or in combination with Spirulina improved castration-induced metabolic, oxidative, and cognitive alterations.
Treatment results of Para-Testicular Rhabdomyosarcoma (PT-RMS) using radiation as an alternative to retro-peritoneal nodal dissection: A single Institution experience
Authors: Abdelazim Yasser A. , Zaki Monika F. , Abdel Mohsen Mohsen M. , Emad Reem M. , Mohamad Heba G. , Abdelfatah Dalia , Kalil Ehab M.
Published: November 2023

Background: Para-testicular Rhabdomyosarcoma (PT-RMS) has a favorable treatment outcome adopting multidisciplinary management; resection, namely high inguinal orchiectomy ± retro-peritoneal lymph node dissection (RPLND) followed by standard or intensive chemotherapy ± adjuvant radiation therapy. Patients and methods: This is a retrospective study including all patients with pathologically proven PT-RMS, presented to the National Cancer Institute, Cairo University, during the period from 2005 to 2020. Endpoints included overall survival, disease free survival and patterns of failure of different treatment modalities. Results: Forty one patients were identified. Median age in our cohort was 15 years (range: 2-54 years). After a median follow up of 26 months (range, 3-75 months) ,two and five years OS were 100% and 91.7% respectively and median survival was not reached. Patients who underwent retro-peritoneal nodal dissection had a 5-year DFS rate of 100% versus 73% for those who received radiation to para-aortic nodes (p = 0.185). Limitations include retrospective nature and deviation from COG protocol. Conclusions: This study shows promising results suggesting that less aggressive local treatment modalities including radiation to para-aortic chain could be an option in PT-RMS, given the excellent results of this subtype. However further validation in a prospective study is warranted.
The role of irrigation fluid in transurethral resection of the prostate outcomes and surgeon performance
Authors: Romantini Federico , Biferi Daniela , Maselli Guevar , Narcisi Federico , Ranieri Maurizio , Topazio Luca
Published: November 2023

Introduction: Transurethral resection of the prostate (TURP) is the gold-standard for the treatment of benign prostate enlargement (BPE) associated with lower urinary tract symptoms (LUTS), after failure of conservative therapy. At present, only resection-rate (grams of prostate resected over time) is regarded as an efficiency parameter to evaluate the skill of the operator and to assess the outcome of the procedure. Materials and methods: Five surgeons performed TURP using a Gyrus-type bipolar system in 123 patients with BPE/LUTS who came to our observation from June 2016 to December 2019. The amount of irrigation fluid used during the procedure was registered and correlated to the operating time, resection-rate, prostate adenoma weight, post-operative bladder irrigation time, intraoperative bleeding and days of catheterization. Results: We found an inverse correlation between the amount of irrigation fluid used during TURP and the resection-rate recorded for all operators, according to Spearman's Correlation (r = -0.78, p = 0.002); a direct correlation was also found between the amount of irrigation fluid and the adenoma weight. Finally, we also found a direct correlation with intraoperative bleeding and the duration and amount of bladder irrigation during and after TURP. Conclusions: The amount of irrigation fluid used is proposed as a reliable parameter to estimate the efficiency of the endoscopic procedure as well to assess the skill of the operator and shortterm results. The observed data encourage the possibility of applying this new efficiency indicator to all endoscopic maneuvers.
Seminal calbindin 2 level in azoospermia and oligoasthenoteratozoospermia and its correlation with seminal and hormonal parameters
Authors: GamalEl Din Sameh Fayek , Abdelhafeez Abdelkader Noha , El-Amir Mohamed Yousry , Sayed Ahmed Asmaa Anter , Abdel-latif Hesham Fouad , Azmy Mohamed Farag
Published: November 2023

Objectives: We aimed to assess seminal calbindin 2 (CALB 2) expression in men with different semen parameters as well as its correlation with reproductive hormones in azoospermic patients and different semen parameters in oligoasthenoteratozoospermic patients. CALB 2 is also known as calretinin and 29 kDa calbindin. Materials and methods: This prospective study was performed on 96 cases from the andrology outpatient clinic divided into 3 groups as follows: group 1 including 32 non obstructive azoospermic (NOA) patients, group 2 including 32 patients with oligoasthenoteratozoospermia (OAT), and Group 3 including normozoospermic individuals as controls. Semen analysis and estimation of seminal CALB 2 concentrations by enzyme linked immunosorbent assay (ELISA) technique were performed for all participants. Reproductive hormones were measured in nonobstructive NOA patients. Results: The mean seminal CALB 2 level was higher in OAT patients compared to NOA patients and controls (7.8 ± 1.30 ng/ml, 7.3 ± 0.80 and 7.4 ± 1.0, respectively). Furthermore, the study had shown strong positive correlations between CALB 2 and sperm normal forms in controls and OAT patients. In contrast, there was no significant correlation between seminal CALB 2 and any of the reproductive hormones measured in NOA patients. Conclusions: Seminal CALB 2 may play a role in increasing the abnormal forms in OAT patients.
Acinus-on-a-chip microfluidic device with 3d spherical air-liquid interfaces
Authors: Guazzelli N. , Cacopardo L. , Signorello P. , Singh P. , Ahluwalia A.
Published: November 2023

Not available.
Microfluidic 2D and 3D human organ-specific vasculature models to study circulating cancer cell adhesion in metastasis formation
Authors: Cerutti C. , Luraschi A. , Bettinelli L. , Grazioli V. , Kasioulis I. , Romero N. , Granata A. , Spinetti G. , Rasponi M. , Pelicci P.
Published: November 2023

Not available.
Derecho penal mexicano y maltrato animal. Un análisis desde la criminología verde
Authors: Castro-Salazar Jesus Ignacio , Torres-Alfaro Dinorah del Carmen , Arroyo-Quiroz Inés
Published: November 2023

Para la Criminología verde, las leyes contribuyen al desarrollo de daños y enfoques especistas en contra de los animales. Esta investigación analiza el contenido de la legislación mexicana para conocer cómo están tipificados los delitos en contra de los animales y si está presente un enfoque especista. Se revisaron constituciones, códigos penales y leyes administrativas de los distintos niveles de gobierno de México. El Derecho penal federal brinda más protección a los animales silvestres. Existen gobiernos estatales que aún no tipifican delitos en contra de los animales y más de la mitad presenta un enfoque especista sobre todo en actividades culturales y deportivas y, únicamente menos del 10% reconoce a los animales como seres sintientes. El Estado mexicano puede estar contribuyendo al desarrollo de daños en contra de los animales al facilitar a través de la legislación la invisibilización de ciertos grupos de animales y la tolerancia de prácticas dañinas.
A CONCEPTUAL STUDY OF GUDA AS A PRANAYATANA
Authors: Kumar Miri Bhuneshwar , Chaturvedi G.R. , Dwivedi Sushil
Published: November 2023

Ayurveda is an ancient health science devoted to the cure for human suffering and for the care of the health of the
people. Pranayatana is a unique concept of ayurveda mentioned in Charak samhita. Guda is a very important segment of the gastrointestinal tract, present at its distal end, which serves the function of expulsion of mala and apana vayu, formed as residue after the metabolic transformation of the ingested food. It is the vital part of the body,
the injury to which leads to fatal outcome. Ayurvedic classics describe that prana is made up of twelve components and there involment in homeostatic function is responsible to sustain the life of an individual. There are ten
such places in the body where prana is situated and are referred as pranayatana. By observing the functional and
structural vitality diagnosis these area as marmasthana. Guda is one such pranayatana mentioned in all acharya in
their samhitas. It has been given much importance that it is mentioned both in the context of pranayatana and
marma. In these areas an attempt is made to understand and review guda in the context of pranayatana.
ANCIENT GRAINS, MODERN MARVELS: EMBRACING MILLETS IN AYURVE-DIC HEALING FOR OPTIMAL HEALTH
Authors: Rathore Rishabh , Dahiya Lalita , Varshney Shalini
Published: November 2023

Nutrition is a crucial aspect of health and development. Healthy eating is related to improved immune systems,
safer pregnancies, and births, a reduced chance of diseases that are not transmissible (such as diabetes and cardiovascular disease), as well as improved longevity. Nonetheless, today's way of life and food choices lead to poor
health and nutritional issues such as obesity and diabetes. Millets, which have no impact on weight and have an
abundance of nutrients, can be employed in such cases. Millets are a group of small-seeded grasses widely farmed
as cereal grains for human and animal use worldwide. Most millets belong to the Poaceae or Gramineae family,
which is a grass family. Millet is high in protein, fibre, phosphorus, magnesium, copper, potassium, and manganese, thus serving as a nutrient powerhouse. This article discusses millet and its significance in our daily lives.
Some millet preparations are additionally clarified so that they might be included in our daily lives.
ROLE OF AYURVEDA IN THE PREVENTION AND PROMOTION OF HEALTH IN
FEMALE ATHLETE TRIAD
Authors: G Mathapati Soubhagya , K.V Venkatakrishna
Published: November 2023

The Female Athlete Triad is a complex syndrome involving disordered eating, amenorrhea, and osteoporosis, which
frequently affects female athletes. Ayurveda, an ancient system of medicine, plays a significant role in addressing
and preventing the Female Athlete Triad through its holistic approach to health and well-being. The main aim of
Ayurveda is “Swasthasya Swasthya Rakshanam” and “Prakritistapana” to regain the physical fitness of a female
athlete back to normal as early as possible by focusing on strength and power development, dietary considerations,
lifestylechoices, and stress management, Ayurveda can play a vital role in optimising the healthand performance of
female athletes while mitigating the risks associated with the triad.It acts as both preventive and curative therapy.
AN AYURVEDIC OUTLOOK ON HEPATO CELLULAR CARCINOMA
Authors: P.V Sreekutty , R Shrinidhi , P. U Shubha , Hebbar Chaithra S.
Published: November 2023

Cell division is a normal process in multicellular organisms. Cells divide for growth, for the development of organs, for healing of wounds and also for the replacement of older and damaged cells. It is a very complex process
which is controlled by a regulatory mechanism at both molecular and cellular level. When this regulation is lost
due to any reason, the cells behave unusually and elude their control mechanism. Then the cells grow and divide
in an uncontrolled manner, starts spreading throughout the body and interfering with the functions of normal tissues and organs. As a whole, this condition leads to cancer. Hepatocellular carcinoma, also known as hepatoma, is
the most common type of primary malignancy in liver. In Ayurvedic literature, the terms Granthi, Gulma and Arbuda are used for specific tumour conditions. As there is no specific reference for Yakrit Arbuda, it can be considered under the Avasta bheda of different Vyadhis mentioned in classics.
THIRD HEAD OF BICEPS BRACHII MUSCLE AND ITS CLINICAL IMPORTANCE:
A CASE STUDY
Authors: Bochalya Anita , Bhatnagar Vikash , Sandeep Madhukar Lahange , Bhatnagar Shailza , Gumber Tamanna , Sharma Anjali , Rudani Bhumika
Published: November 2023

The Biceps brachii muscle belongs to the flexor group of muscles in the arm. As Biceps brachii is double headed muscle. It is one of the known variable muscles of the human body in terms of number and morphology. The third head of the biceps brachii muscle was identified bilaterally in an 84-year-old male cadaver during routine human cadaveric dissection for the purpose of education and learning of medical undergraduates in Department of Rachana Sharir, National Institute of Ayurveda, deemed to be university, Jaipur.
Normally the Biceps brachii muscle has two heads i.e. Long and short head. In present cadaveric study third head of bicep brachii muscle has been identified while doing routine dissection for undergraduate scholars. The fleshy proximal attachment on lower 1/3 of anterior surface of shaft of humerus has been identified. It has been origin ate along with the superior part of the Brachialis and inserted into the bicipital aponeurosis, and deep to the long and short heads of the Biceps. This third head is supplied by a branch of the musculocutaneous nerve. The third head of biceps brachii may be an incidental finding at autopsy or during routine anatomical dissections. Unless symptomatic, the third head of biceps brachii may not be detected in clinical studies. Variant of biceps brachii may confuse a surgeon who performs procedures on the arm and may lead to iatrogenic injuries. The surgeons and traumatologists have to keep such muscular variations in mind. So, the knowledge of the existence of its variation is important for anesthetists and surgeons.
Aprendizaje sobre motores de combustión interna, un análisis desde la perspectiva del Aula invertida en la educación técnica
Authors: Morocho Pintag Jorge Anibal , Bazantes Del Salto Salvatore Sebastián , Coba Castillo Nelly Jacqueline , Vallejo Yépez Jacqueline Monserrath
Published: November 2023

OBJETIVO: diagnosticar el estado del aprendizaje de la asignatura Motores de Combustión Interna en dos grupos, uno con la enseñanza ordinaria y otra donde se aplique la metodología aula invertida, posteriormente, valorar la diferencia mediante enfoques descriptivos y estadísticos. MÉTODO: corresponde a una valoración descriptiva con diagramas de caja y violín, Prueba de Kolmogorov-Smirnov para valorar la normalidad y, por último, Prueba t para datos independientes para valorar la diferencia entre grupos. RESULTADOS: se determina que en el Post-test, el grupo de control posee una media de 21 y el experimental 28,409 puntos, una significativa diferencia de 7,4091; mediante la prueba t se confirma que los grupos (A/B) en la segunda evaluación de conocimientos realizada denominada Post-test demuestran disimilitud, con un nivel de significancia de 0,000. CONCLUSIÓN: se verificó que el grupo al que se aplicó el tratamiento aula invertida conciben un rendimiento superior.
Examining Classroom Assessment Practices of Secondary School Teachers in Shiwang’andu District, Muchinga Province, Zambia
Authors: Miyoba Justine , Mpolomoka Daniel L. , Mushibwe Christine , Muyoba Liwakala , Kombe Charity Meki , Gondwe Colious
Published: November 2023

The purpose of the study was to investigate the classroom assessment practices of secondary school teachers in Shiwang’andu District, Muchinga Province, Zambia. The objectives were to: describe the assessments that were being used by teachers in sampled schools; determine teachers’ use of classroom assessment results; as well as establish viewpoints of teachers about classroom assessments. The study adopted a descriptive survey design and targeted 62 respondents from 10 selected secondary schools including the District Education Board Secretary (DEBS) office. Simple random sampling was used to sample the teachers, while the Heads of Department and Head teachers were selected conveniently. Purposive sampling was used to sample the District Education Standards Officer (DESO) and the District Resource Centre Coordinator (DRCC). Questionnaires and key informant interviews were used as data collection tools with descriptive statistics and narrative analysis used as data analysis methods for quantitative and qualitative data respectively. The study established that there were more secondary school teachers that use traditional assessments (71%) as compared to those that use contemporary assessments (29%) in sampled schools. Additionally, most respondents (42%) said that they used classroom assessment results to point out the difficult learning areas, identifying what pupils think and how they think and what they understand. 34% of the respondents use classroom assessment results to diagnose the effectiveness and drawbacks of teaching methods.

24% of the respondents indicated that they use classroom assessment results to make decisions regarding pupils’ grade retention and promotion. The results also indicate that the majority of the respondents (48%) were of the view that pupils should only recognize rather than generalize their own answers in classroom assessment tasks and the teacher should only evaluate the pupils based on mastery of skills and knowledge. 29% of the respondents indicated that pupils must be assessed in diverse modes and the teacher must give assessments that match with pupils’ development level. 23% of the respondents said that pupils must be assessed beyond classroom environment and the teacher to give assessments that promote higher learning skills and problem solving. The Zambian Ministry of General Education and school administrators in Shiwangandu District should ensure that all teachers with teaching certificates go for further training and take more courses in assessment to improve their skills and use of up-to-date desirable classroom assessment practices.
“The Human Race”. Public policies for a new common lexicon and other standards for negative non-discrimination
Authors: D´Arrábida Cristina Martins
Published: November 2023

The species Homo sapiens results from interbreeding between modern humans, Neanderthals and Denisovans that occurred tens of thousands of years before the beginning of human migration from Africa. Human beings share 99.9% of the same DNA. People can have diverse ancestry, resulting from the crossing of their ancestors, not only within the same population, but also with other population groups. Molecular studies of DNA have contributed to the elaboration of the evolutionary history of life, particularly human ancestry. In the biological and social sciences, the consensus is clear: “race” is a social construct, not a biological attribute. Moving away from the social connotation of the term "race" implies that science has been changing the way it refers to human populations and accepting the existence of a single species, Homo sapiens. New terms and other standards must be found to describe the biological diversity of people, included in public policies for negative non-negative discrimination at international and national levels.
Jules Verne's vision meets Green Hydrogen: exploring didactic insights from the story of Dr. Ox
Authors: Chapela Sebastián Pablo , Burgos Hilda Isabel , Stella Carlos Alberto
Published: November 2023

We present a learning activity based on a literary piece authored by Jules Verne. The provided text serves as a vehicle for the instructor to explore topics related to chemical equations, Gibbs free energy, and hypothesis formation. The text also enables the introduction of the concept of green energy generation. Furthermore, it facilitates a thoughtful reflection concerning the ethical considerations surrounding experimentation involving human subjects and the concomitant requirement of informed consent
How do current paediatrics residency selection criteria correlate with residency performance?
Authors: Teo Jia Hui , Chow Cristelle
Published: November 2023

The selection process for potential residents needs to be reviewed regularly and assessed if effective in selecting the best-fit residents who can achieve academic and professional excellence. Objective measures must take precedence over subjective criteria to reduce selection bias while ensuring transparency and accountability. However, the predictors of an ideal resident and his/her performance during residency training have been a great challenge to identify as part of the selection process. The use of examination results from medical school examination, licensing examinations such as the United States Medical Licensing Examination,1,2,3 and structured interviews4 was reported to correlate positively with doctor’s performances. A Canadian study also reported that the presence of scholarly activity did not affect match outcome, though this is variable for different programmes.5 Competitive programmes like paediatrics have a vested interest in selecting the most suitable applicants who will excel as paediatric residents and emerge as holistic, high-performing paediatricians in their field.6
Thiazide diuretics in chronic kidney disease: Is there still a role?
Authors: Haroon Sabrina , Cove Matthew Edward
Published: November 2023

Hypertension is both a cause and consequence of chronic kidney disease (CKD). As such, the prevalence of hypertension is high among CKD patients and the incidence increases as their kidney disease progresses. Given the high risk of mortality, morbidity and risk of progression to end-stage renal failure, blood pressure management remains a key focus in managing CKD patients. However, without strong definitive evidence for blood pressure targets, or clear data to support the precise combination of antihypertensive medications, practice variance increases as the number of drugs available to treat hypertension increases and older drug classes may be overlooked.
Long COVID prevalence, risk factors and impact of vaccination in the paediatric population: a survey study in Singapore
Authors: Li Jiahui , Nadua Karen , Chong Chia Yin , Yung Chee Fu
Published: November 2023

Introduction: Information on the quality of health of children and younger persons (CYPs) after SARS-COV-2 infection remains scarce, especially from Asia. In this study, we utilised an online survey to investigate Long COVID prevalence in CYPs in Singapore.

Method: The study was an anonymised online survey of physical and functional symptoms, made available from 14 October 2022 to 15 January 2023. Caregivers of CYPs aged 0 to 18 years were invited to complete the survey on behalf of their CYPs. Participants provided demographic information and their history of SARS-CoV-2 infection status to allow classification into cases and controls for analysis.

Results: A total of 640 completed responses were analysed, 471 (73.6%) were cases and 169 (26.4%) were controls. The prevalence of Long COVID ≥3 months post-infection was 16.8%. This decreased to 8.7% ≥6 months post-infection. Cases had higher odds of developing Long COVID (odds ratio [OR] 2.42, 95% confidence interval [CI] 1.31–4.74). The most common symptoms of Long COVID were persistent cough (7.4%), nasal congestion (7.6%) and fatigue (3.0%). Male gender was significantly associated with higher odds of Long COVID (adjusted OR 1.71 [1.04–2.83]). Vaccinated CYPs had lower odds of Long COVID but this was not statically significant (adjusted OR 0.65, 95% CI 0.34–1.25).

Conclusion: About 1 in 6 CYPs in Singapore developed Long COVID with persistence of 1 or more symptoms ≥3 months post-infection, and approximately half will recover by 6 months. Male gender was associated with higher odds of Long COVID, and vaccination could potentially be protective against Long COVID in CYPs.
Real-world data to measure and improve quality of asthma care
Authors: Abisheganaden John
Published: November 2023

In this issue of the Annals, the paper “Association of quality-of-care indicators with asthma outcomes: An observational study for asthma care in Singapore” by Lam et al.1 illustrates the use of real-world data to generate real-world evidence in the area of asthma care in Singapore.
Asuhan Keperawatan Jiwa pada Pasien dengan Isolasi Sosial: Menarik Diri di Ruang Dahlia Rumah Sakit Jiwa Dr. Radjiman Wediodiningrat Lawang
Authors: Ningrum Dian Dwi Cahya , Zaini Mad
Published: November 2023

Skizofrenia adalah salah satu bentuk gangguan kesehatan mental dengan permasalahan utama yang dialami pasien ketidakselarasan antara proses pikir, emosi dan kemauan. Skizofrenia merupakan gangguan mental yang masih sering mendapatkan stigma negatif dan diskriminasi dari lingkungan sekitar. Gejala yang muncul pada pasien skizofrenia biasanya akan mengalami penurunan atau kehilangan kemampuan menjalin hubungan dengan lingkungan sosial sekitar. Isolasi sosial ditandai dengan perasaan kesepian karena merasa ditolak, takut tidak diterima sehingga mempengaruhi keterampilan berkomunikasi dan bersosialisasi. Reaksi yang ditunjukkan orang yang mengalami isolasi sosial adalah perilaku menarik diri baik secara fisik maupun psikologis. Reaksi fisik ditunjukkan dengan individu menghindari sumber stressor. Dilakukan asuhan keperawatan dengan model studi kasus dengan pendekatan deskriptif analitik pada klien di RSJ Dr. Radjiman Wediodiningrat. Kesimpulan yang bisa ditarik dari hasil studi kasus ini adalah asuhan keperawatan yang tepat akan membantu menyelesaikan masalah klien dalam mengahadapi isolasi sosial menarik diri.
Efektivitas Intervensi Balance Exercise terhadap Masalah Keperawatan Risiko Jatuh pada Lansia di UPT Pelayanan Sosial Tresna Werdha Jember
Authors: Sholehudin Moch Arif , Elmaghfuroh Dian Ratna
Published: November 2023

Proses penuaan yang dialami lansia seperti perubahan atau penurunan fungsi fisiologis akan meninmbulkan berbagai masalah kesehatan. Salah satu dampak yang muncul pada lansia adalah penurunan fungsi otot dan tulang, hal ini akan menyebabkan lansia mengalami ketidakseimbangan tubuh yang mengakibatkan risiko jatuh. Salah satu upaya yang dapat dilakukan yakni melakukan latihan balance exercise. Tujuan dari penulisan Karya Tulis Ilmiah ini melakukan asuhan keperawatan pada lansia dengan risiko jatuh di UPT Pelayanan Sosial Tresna Werdha Jember. Metode penelitian yang digunakan adalah pendekatan studi kasus dengan 2 partisipan yang dilakukan selama 6 hari pada periode 13 – 21 Desember 2022 di UPT Pelayanan Sosial Tresna Werdha Jember dengan intervensi balance exercise. Berdasarkan data yang didapat setelah diberikan intervensi balance exercise pada kedua klien tersebut selama 6 hari perawatan sangat efektif, dibuktikan dengan hasil Timed Up and Go test (TUG) dari kedua klien turun dalam interpretasi fungsi keseimbangan normal dan tidak ada kejadian jatuh berulang pada kedua klien tersebut. Kesimpulan dari penulian Karya Tulis Ilmiah ini menunjukkan bahwa latihan balance exercise sangat efektif untuk meningkatkan kekuatan otot ekstermitas bawah terutama pada lansia yang mengalami gangguan keseimbangan
Hubungan antara Gangguan Kuantitas dan Kualitas Tidur Pada Anak di SD Negeri Kepatihan 05 Jember
Authors: Romadhoni Roza Riska , Maulida Savira Cahyani , Balkis Maulidini , Windaniah Desi , Rohmah Nikmatur
Published: November 2023

Tidur merupakan suatu proses aktif bukan sekedar hilangnya keadaan yang terjaga. Namun sangat sedikit bukti em-piris yang menjelaskan hubungan gangguan kuantitas dengan kualitas tidur. Tujuan penelitian ini adalah mengetahui hubungan antara gangguan kuantitas dan kualitas tidur. Desain penelitian korelasional. Populasi anak usia 10-12 tahun di SD Negeri Kepatihan 05 Jember sebanyak 150. Penentuan sampel dengan menggunakan rumus Slovin dan dibu-tuhkan sejumlah 88 responden. Sampling menggunakan simple random sampling. Varible prediktornya adalah kuantias tidur, dan variabel responnya adalah kualitas tidur. Analisis data menggunakan korelasi Speaarmen dengan tingkat kemaknaan ditetapkan α ≤ 0,05. Hasil penelitian menunjukkan ada hubungan yang bermakna antara gangguan kuantitas dan kualitas tidur pada anak (p=0,001; r=0,615). Oleh karena itu perlu meningkatkan kuantitas tidur untuk mendukung tidur yang berkualitas
Hubungan Efikasi Diri dengan Perawatan Kaki pada Pasien Diabetes Mellitus di Ruang Poli Penyakit Dalam RSD Balung Jember
Authors: Hidayat Hidayat , Handayani Luh Titi , Dewi Sofia Rhosma
Published: November 2023

Penyakit diabetes mellitus dapat menimbulkan berbagai macam komplikasi, salah satunya komplikasi neuropati diabetik dan menyebabkan sejumlah infeksi hingga kematian jaringan di kaki. Efikasi Diri merupakan keyakinan seseorang bahwa dia dapat menjalankan suatu tugas pada suatu tingkat tertentu. Salah satu upaya yang dilakukan untuk mencegah terjadinya komplikasi neuropati diabetik adalah perawatan kaki. Perawatan kaki dapat dilakukan apabila penderita memiliki Efikasi Diri. Penelitian ini bertujuan untuk mengetahui hubungan efikasi diri dengan perawatan kaki pada pasien diabetes mellitus di poliklinik penyakit dalam RSD Balung Jember. Desain penelitian menggunakan desain korelasional dengan observasional analitik menggunakan metode cross-sectional. Sampel sebanyak 36 orang pasien diabetes mellitus menggunakan teknik sampling non-probability sampling dengan pendekatan consecutive sampling. Data dikumpulkan menggunakan kuesioner Diabetes Management Self Efficacy Scale (DMSE) dan Nottingham Assessment of Functional Footcare (NAFF), analisis data menggunakan uji korelasi Spearman rho. Hasil penelitian didapatkan sebanyak 35 (97,2%) memiliki efikasi diri tinggi. Perawatan kaki 26 (72,2%) masuk kategori perawatan kaki baik. Terdapat hubungan efikasi diri dengan perawatan kaki dengan hasil p-value = 0.0001 dengan tingkat kekuatan hubungan (r=0.610) kekuatan hubungan kuat. Sehingga H1 diterima yang berarti ada hubungan efikasi diri dengan perawatan kaki pada pasien diabetes mellitus di ruang poliklinik penyakit dalam RSD Balung Jember. Semakin tinggi efikasi diri maka semakin baik perawatan kaki pada pasien diabetes mellitus.
Meningkatkan Pengetahuan Tentang Kanker Payudara Pada Remaja Putri dengan Edukasi Model Word Square
Authors: Wulandari Putri Nofia Marta , Adriani Sri Wahyuni , Kholifah Siti
Published: November 2023

Kanker merupakan penyakit ganas yang menjadi penyumbang kematian nomor tiga di dunia. Kanker payudara umumnya lebih agresif pada kategori usia remaja 11-24 tahun dengan tingkat kelangsungan hidup yang lebih rendah. Pengetahuan yang kurang menjadi salah satu faktor penyebab tingginya kejadian kanker payudara akibat ketidaktahuan. Sehingga untuk mengatasi hal tersebut perlu dilakukan upaya-upaya salah satunya edukasi model word square. Tujuan Penelitian untuk menganalisis pengaruh edukasi model word square terhadap tingkat pengetahuan tentang kanker payudara pada remaja putri di sekolah. Metode Penelitian menggunakan Pre Eksperimen dengan pendekatan One Group Pretest Posttest Design.  Populasi dalam penelitian ini yaitu seluruh siswi kelas VII SMPN 03 Jember yang berjumlah 136 siswi. Teknik pengambilan sampel menggunakan proportionate random sampling dengan jumlah sampel 56 responden. Analisis data yang digunakan yaitu uji wilcoxon untuk mengetahui pretest dan posttest diberikan edukasi model word square terhadap tingkat pengetahuan tentang kanker payudara. Hasil penelitian menunjukkan terdapat pengaruh edukasi model word square terhadap tingkat pengetahuan remaja putri di sekolah sebagian besar berada pada kategori baik dengan p 0,001<0,05. Kesimpulan: Penelitian ini menunjukkan bahwa terdapat pengaruh edukasi model word square terhadap tingkat pengetahuan tentang kanker payudara pada remaja putri di sekolah.
Asuhan Keperawatan Jiwa pada Pasien dengan Masalah Defisit Perawatan Diri di Ruang Merpati Rumah Sakit Jiwa Dr Radjiman Wediodiningrat Lawang
Authors: Ihsanul Arif Firman , Zaini Mad
Published: November 2023

Defisit perawatan diri merupakan kondisi di mana seseorang mengalami kesulitan atau ketidakmampuan untuk melakukan aktivitas perawatan diri sehari-hari yang diperlukan untuk mempertahankan kesehatan dan kemandirian. Aktivitas perawatan diri ini mencakup mandi, berpakaian, makan, minum, membersihkan diri, menggunakan toilet, dan menjaga kebersihan diri secara umum. Tujuan dari penulisan dari Karya Tulis Ilmiah ini mendapatkan keterampilan dalam melakukan asuhan keperawatan jiwa pada pasien gangguan halusinasi dengan masalah defisit perawatan diri. Metode penelitian yang di gunakan adalah pendekatan studi kasus dengan 2 partisipan yang dilakukan selama 5 hari pada periode 29 Mei sampai 10 Juni 2023 di RSJ Dr. Radjiman Wediodiningrat Lawang dengan implementasi dukungan perawatan diri. Berdasarkan data yang didapat setelah diberikan tindakan asuhan keperawatan dengan implementasi dukungan perawatan diri yang diberikan pada kedua klien memiliki dampak positif terhadap peningkatan tingkat perawatan diri klien, dengan bukti klien mampu melakukan aktivitas sehari – hari dengan baik. Kesimpulan: Penulisan karya tulis ilmiah asuhan keperawatan dengan dua pasien dilakukan secara komperhensif.
Hubungan Diabetes Burnout Syndrome dengan Perilaku pencegahan Komplikasi pada Pasien Diabetes Mellitus Tipe-2 di RSU Dr.H.Koesnadi Bondowoso
Authors: Safira Dina Aulia , Ali Hamid Mohammad , Adi Ginanjar Sasmito
Published: November 2023

Diabetes Burnout Syndrome digambarkan dengan perasaan kelelahan fisik dan emosional akibat usaha keras dalam mengontrol gula darah pada pasien Diabetes agar tetap berada dalam rentang normal. Perilaku pencegahan komplikasi merupakan suatu respon atau tindakan yang didasari oleh pengetahuan dan persepsi yang dimiliki pasien Diabetes Mellitus Tipe-2. Tujuan dari penelitian ini adalah untuk menganalisis hubungan diabetes burnout syndrome dengan perilaku pencegahan komplikasi pada pasien Diabetes Mellitus tipe-2 di RSU dr. H. Koesnadi Bondowoso. Sampel dalam penelitian ini berjumlah 84 pasien Diabetes Mellitus tipe-2 yang ada di Poli Interna RSU Dr. H. Koesnadi Bondowoso dengan teknik pengambilan sampel purposive sampling. Alat ukur penelitian ini adalah kuesioner Diabetes Burnout Scale dan kuesioner Perilaku Pencegahan Komplikasi Diabetes Mellitus. Hasil univariat menunjukkan bahwa Diabetes Burnout Syndrome dialami oleh 54 (64,3%) pasien berada dalam kategori sedang dan perilaku pencegahan komplikasi diabetesnya berada dalam kategori sedang yaitu sebesar 40 (47,6%). Hasil uji statistic Spearman Rank Correlation menunjukkan terdapat hubungan antara Diabetes Burnout Syndrome dengan perilaku pencegahan komplikasi pada pasien Diabetes Mellitus tipe-2 di RSU dr. H. Koesnadi Bondowoso dengan nilai signifikansi sebesar 0,028. terjadinya Diabetes Burnout Syndrome pada pasien Diabetes Mellitus akibat hasil tes glukosa darah yang susah turun atau stabil dalam rentang angka normal, padahal pasien sudah mematuhi dan melakukan seluruh perawatan yang telah dianjurkan oleh tenaga kesehatan. Sehingga hal ini akan membuat pasien merasa sia-sia telah melakukan segala manajemen perawatannya.
Hubungan Dukungan Sosial dengan Adaptasi Psikologis Santriwati di Pondok Pesantren Al – Azhar Kaliwates Jember
Authors: Nur Rohmah Anindya Ayu , Asih Susi Wahyuning , Suryaningsih Yeni
Published: November 2023

Santri adalah peserta didik pesantren yang mendalami ilmu agama, pesantren merupakan bidang pendidikan dengan sistem yang terintegrasi dengan konsentrasi pendidikan akademik dalam bentuk agama. Santri baru umumnya memerlukan waktu beradaptasi dengan lingkungan Santri baru yang mendapat dukungan sosial dari orang baru di lingkungan pesanten khususnya ustadzah dan teman sebayanya, akan mampu mengatasi stress dan cemas yang dirasakan saat beradaptasi. Metode: Desain penelitian ini menggunakan korelasional dengan pendekatan cross-sectional. Populasi pada penelitian ini santriwati Pondok Pesantren Al – Azhar Kaliwates Jember sejumlah 180 orang. Teknik pengambilan sampel yang digunakan adalah probability sampling dengan simple random sampling. Uji statistik menggunakan distribusi frekuensi dan rank spearman rho Hasil: Tingkat signifikan 5% (0,05) hasil uji statistik rank spearman rho, yakni p value (0,000) <0,005 dengan nilai r -0,314 dengan kekuatan hubungan moderat atau sedang, maka H1 diterima. Artinya terdapat hubungan Dukungan sosial dengan Adaptasi psikologis santriwati di Pondok Pesantren Al – Azhar Kaliwates Jember. Analisis: Tingkat dukungan sosial santriwati berada pada tingkat mendukung 83 responden (66,9%), dan adaptasi psikologis santriwati pada kategori adaptif 70 responden (56,5%). Diskusi: Untuk membentuk adaptasi psikologis yan baik bagi santriwati, maka diperlukan dukungan sosial yang baik pula. Karena dukungan sosial sangat berpengaruh terhadap adaptasi psikologis santriwati.
Asuhan Keperawatan Keluarga pada Kasus Tuberculosis Paru dengan Kurangnya Pengetahuan Keluarga Merawat Anggota Keluarga yang Sakit Wilayah Kerja Puskesmas Banjarsengon
Authors: Wijaya M. Jaya , Zaini Mad
Published: November 2023

Tuberculosis adalah penyakit menular disebabkan oleh infeksi bakteri Mycobacterium tuberculosis.Penularan ini dapat melaui droplet pada orang yang terinfeksi kuman Mycobacterium tuberculosis, penyakit tuberculosis dapat menular secara luas dan cepat (Depkes RI, 2017). Sumber penularan adalah penderita tuberkulosis paru BTA (+) yang bisa menularkan kepada orang di sekelilingnya, terutama menularkan pada seseorang yang kontak erat. Bakteri ini tidak tahan terhadap cahaya terutama sinar matahari sehingga perkembangan bakteri yang cepat terjadi pada malam hari (Rab, 208 C.E.). Tuberculosis masih menjadi masalah kesehatan di dunia terutama di negara berkembang. Bagi orang terjangkit tuberkulosis, ada satu hal penting yang wajib diperhatikan dan dilakukan, yaitu keteraturan dalam meminum Obat Anti Tuberkulosis (OAT) sampai dinyatakan sembuh. Biasanya penderita mengonsumsi OAT tersebut dengan jangka waktu 6 – 8 bulan. Metode penulisan dengan model studi kasus dengan pendekatan deskriptif analitik pada Tn. S dan Ny. M di Kelurahan Bintoro Wilayah Kerja PUSKESMAS Banjarsengon. Hasil studi kasus ini adalah Evaluasi asuhan keperawatan keluarga pada Tn. S dan Ny. M dengan masalah keperawatan defisit pengetahuan di Kelurahan Bintoro dapat dilakukan dengan baik. Diharapkan setelah diberikan tindakan keperawatan keluarga Tn.S dan Ny.M dapat merawat anggota keluarga dengan tepat.
Asuhan Keperawatan pada Pasien dengan Hipertensi dengan Pendekatan Terapi Non Farmakologis
Authors: Setya Budi Mohammad Farhan , Widada Wahyudi
Published: November 2023

Hipertensi merupakan satu kondisi yang mana seseorang mengalami peningkatan tekanan darah sistolik hingga lebih dari 140 mmHg dan diastolik kurang dari 90 mmHg, hipertensi dapat dibagi menjadi dua jenis, antara lain hipertensi primer atau yang masih belum diketahui penyebabnya dan juga hipertensi skunder yang sudah diketahui penyebabnya. Dalam penelitian ini metode yang digunakan dalam pelaksanaan Karya Tulis Ilmiah ini adalah Case Study dengan objek penelitian dua orang klien. Dari penelitian yang telah dilaksanakan didapatkan hasil seperti penurunan tekanan darah, serta penurunan skala nyeri. Setelah dikakukan asuhan keperawatan pada klien Ny. S dan Tn. I dengan masalah keperawatan nyeri akut, di Kelurahan Tenggarang, Kecamatan Tenggarang, Kabupaten Bondowoso, selama 3 hari pada tanggal 16 – 18 Mei 2023, didapatkan hasil penurunan dari tekanan darah dan juga penurunan skala nyeri pada klien. Kesimpulan dari penulisan Karya Tulis Ilmiah ini menunjukkan bahwa dengan mengkonsumsi minuman herbal seperti rebusan daun seledri cukup efeltik untuk menurunkan tekanan darah klien yang disertai nyeri.
Asuhan Keperawatan pada Pasien Luka Bakar Derajat II dengan Diagnosis Keperawatan Nyeri Akut
Authors: Rachma Dini Tiara Mauliddiya , Widada Wahyudi
Published: November 2023

Nyeri luka bakar ini merupakan sensasi yang tidak menyenangkan akibat kerusakan pada jaringan kulit. Nyeri yang tidak dapat tertangani dengan baik dapat menimbulkan disabilitas pada pasien hingga menjadi risiko infeksi. Tujuan: pada studi kasus ini bertujuan untuk membahas mengenai masalah pada asuhan keperawatan pada pasien yang mengalami luka bakar derajat II dengan diagnosis keperawatan nyeri akut di Rumah Sakit Daerah Kalisat. Metode : studi kasus pada 2 pasien dengan luka bakar grade II B dengan luas luka bakar 18%. Hasil : pada pasien luka bakar ditemukan diagnosis nyeri akut dengan pemenuhan kebutuhan cairan. Menggunakan penanganan nyeri dengan teknik relaksasi napas dalam. Kebutuhan cairan yang digunakan ialah cairan ringer laktat (RL) dengan menggunakan rumur Park Land. Kesimpulan : perawatan pada pasien luka bakar derajat II dengan diagnosis keperawatan nyeri akut dilakukan secara holistik mulai dari pengkajian yang di dapatkan ialah luas luka bakar 18% di bagian perut 9% dan paha sebelah kiri 9%. Diagnosis keperawatan nyeri akut berhubungan dengan agen pencendera fisik (terbakar) ditandai dengan pasien tampak meringis kesakitan. Dan pada intervensi terapeutik yang diberikan teknik relaksasi napas dalam. Pada evaluasi yang di dapatkan yakni nyeri pasien luka bakar derajat II dari skala 7 turun menjadi skala 3.