bluuebunny/crossref_metadata_2025 huggingface dataset:
Exploring Medical Professionalism amongst Postgraduate Trainees of Bolan Medical Complex Hospital Quetta
Authors: Nabiha Farasat Khan  , Syed Ahsan Shah  , Muhammad Ilyas  , Raz Muhammad Bazai  , Muhammad Saeed  , Usama Saeed
Published: April 2024

Introduction: The traditional educational system has concentrated on cognition acquisition and skills essential for physician practice. However, medical educationists are focusing more on good professional doctors now, having a cognitive foundation to work alongside their social roles as a physician-to-be.
Aims and Objectives: To assess medical professionalism amongst postgraduate trainees at Bolan Medical Complex Hospital, Quetta.
Place and Duration of study: Bolan Medical Complex Hospital, Quetta during February 2024.
Material and Methods: A cross-sectional study was conducted to determine professionalism utilizing a pre-validated questionnaire termed Professionalism Assessment Tool (PAT) from 47 Postgraduates (PGs) of the Neurosurgery, General Medicine, and Psychiatry departments. Data was entered and analyzed using SPSS version 29 was used to calculate frequencies and percentages. The chi-square test was utilized to evaluate the association between professional years and items. A p-value of ? 0.05 is considered significant.
Results: All 18 PGs from the psychiatry department, 23/36 (64%) from General Medicine, and all 6 from Neurosurgery filled out the questionnaire. 55.3%(n=25/47) were above 25 years of age, The majority were males (n=31, 66%) and 34% females, 36% (n=17/47) PGs were from 1st year of training. Item no 1 and 5 of Domain I and Domain 3 present the highest percentage score (52.4%) respectively. Highly statistically significant results (p-<0.001) were obtained between professional years of training and items 4, 6, 1, and 3 of Domain 2, 3, and 4.
Conclusion: PGs followed feedback to improve and meet their learning goals. PGs understood their professional responsibilities and felt qualified to finish assignments to the highest standard reliably and courteously. They were aware of the benefits of working in teams, and they took feedback to help reach their learning goals.
Students’ Perception about the Influence of Medical Education on Medical Students in Anatomy Department
Authors: Fauzia Qureshi  , Zain ul Abideen  , Ramsha Rehan  , Fariha Qureshi  , Fatima Inam  , Syeda Rizwana Jafri
Published: April 2024

Introduction: Medical education has both positive and negative impact on the medical student. Initially the subject of anatomy and later other disciplines create mental and emotional stress for many students. Nevertheless, medical education is imperative in developing highly professional doctors.
Aims and Objectives: This research is aimed to study the effect of medical education on the personality and behavior of 2nd year medical students in Anatomy Department.
Place and Duration of study: This study was conducted at the Anatomy Department of Azra Naheed Medical College Lahore (Dec 2022-March 2023).
Material and Methods: This cross-sectional study was conducted on 62 medical students 2nd year MBBS An electronic google form was developed which consisted of 20 questions to study the student’s perception about influence of medical education. The form was posted in the official class Whatsapp group. To avoid potential contamination bias, google form was designed so that one participant could fill the form once by using only email ID assigned by medical college administration. Data was collected and analyzed by Python programming language (Version: 3.10), Pandas and Scikit- learn.
Results: Recent research showed that 87% of medical students felt that medical education has great impact on their personality moreover 80% students realized that they became emotionally intelligent during life in medical college. 95% of students agreed that a lot of stress is induced by medical education in their lives and 80% students raised the bad impact of medical education such as health issues and improper routine life. 75.8% of students thought that education in medical college polished their personality. Moreover 79% of students felt that medical education has a positive impact on their life.
Conclusion: It was concluded that medical education has positive and negative effects on the personality of medical students. It is the students’ perception that their mental, physical & social health is badly affected. Medical students feel that empathy, humanity, dignity & emotional intelligence are the positive changes in their personality. The role of faculty members is also appreciated by the students.
Anti-hyperuricemic Evaluation of Swertia-chirayita and Febuxostat on Potassium Oxonate Induced Hyperuricemic Animal Model
Authors: Qura-Tul-Ain  , Naseem Saud Ahmad  , Sidra Mushtaq  , Navida Manzoor  , Akfish Zaheer  , Faiza Khan
Published: April 2024

Introduction: Hyperuricemia is a metabolic disease characterized by an increase in serum uric acid levels. Hyperuricemia can be controlled by low purine diet or drugs like allopurinol and febuxostat; however, the incidence of adverse effects to these drugs, especially on chronic use, is a major clinical problem. Swertia chirayita; a herb from Gentianaceace family, was selected to observe it’s in vivo uric acid lowering effect in white Albino Wistar rats in whom hyperuricemia was induced through potassium oxonate. Febuxostat was used as a standard.
Aims and Objectives: To observe the in vivo effect of different doses of Swertia chirayita extract (SCE) on uric acid levels and to compare its effect with the allopathic medicine febuxostat.
Place and Duration of study: A randomized controlled study was held at University of Health Sciences Lahore between June- August 2017.
Material and Methods: Forty-eight healthy adult Albino Wistar rats were randomly divided into six groups. Group I and II served as negative and positive controls respectively. Hyperuricemia was induced by injecting KO solution (01ml) intraperitoneally on 1st, 3rd and 7th day of study. Group III received febuxostat 5 mg/kg through oral gavage. Group IV, V and VI were experimental groups, treated with 100, 200 and 400 mg/kg doses of Swertia Chirayita extract respectively through oral route, 02 hours after induction by KO once daily for 07 days. Blood samples were collected to record serum uric acid levels on day zero, first, third and seventh days. (SPSS)version 20 was used for data entry and analysis, pvalue ? 0.05 was given statistical importance.
Results: In all experimental groups (IV, V, VI), serum uric acid levels were significantly reduced by Swertia chirayita extract (SCE) (p ? 0.001) as compared to hyperuricemic rats (group II). SCE showed dose dependent SUA suppression. Results of both febuxostat and SCE showed that average SUA levels of these groups were markedly less than hyperuricemic rats (Group II) (p < 0.001)
Conclusion: In the light of its hypouricemic activity; we conclude that in the future, Swertia chirayita has the potential for newer therapeutic applications in this regard.
The impact of a single music therapy session on pain perception of patients with sickle cell disease
Authors: Mariagracia Rivas Berger  , Anthony Meadows  , James Bost  , Stefanie Marguiles  , Brenda Martin  , Brittany Moffitt  , Barbara Speller-Brown
Published: April 2024

Sickle Cell Disease (SCD) is a genetic condition characterized by pain. The neuromatrix theory of pain suggests pain is a multimodal experience, recognizing the importance of interventions like music therapy (MT), which address the physical and emotional pain experience. This study examined the impact of a MT session on 21 hospitalized patients’ self-reported VOC and its overall benefits. Utilizing a convergent mixed methods design, pain scores were collected prior to, during, and after sessions, with a follow-up interview. Significant changes were observed. Patients reported an average 3.03-point difference between their pre-intervention and MT-intervention score (p<0.001). When pre- and post-intervention scores were compared, patients reported an average 1.9-point pain reduction (p<0.001). Five themes emerged: decreased pain, increased insight, openness in verbal engagement, improved mood, and expressive freedom. The ways in which patients engaged suggest the importance of simultaneously addressing the physical, cognitive and emotional pain experience. When patients became agents of their own pain management, it engaged them in a reflexive process that altered their pain perception, improved their mood, and changed their relationship with SCD. MT is beneficial in reducing pain, simultaneously addressing the multidimensional pain experience. Further research is needed to evaluate mechanisms of impact, including addressing medication dosage.
 
Keywords: Music therapy, sickle cell disease, pain management, neuromatrix theory, hematology
A community created through group singing: Examining the health benefits of engaging in a hospital community choir
Authors: Cunningham Aoife , Monahan Clara , Burns James , Moss Hilary , Baker Kerrigan Alison
Published: April 2024

Participating in group singing can positively impact one’s physical, social, and emotional health. Limited research exists regarding the potential health benefits of hospital community choirs as social prescription, and even less on choirs comprised of various members of the hospital community [i.e., mixed staff, clients, and local community choirs]. This study explored whether a hospital community choir supports four domains of choir participants' health [physical, social, emotional, and spiritual] and investigated the possible impact of this experience on participants' perspectives of hospitals.
A 10-week choir programme was facilitated by a music therapist. Employing a concurrent transformative design, surveys were distributed to the choir members and five semi-structured interviews were undertaken.
Survey responses were statistically insignificant but indicated benefits across all four health domains. Interviews revealed four key themes: healing; positive experiences; social connectedness; and feeling supported. In merging these results, it was concluded that a hospital community choir can be a valuable intervention for improving multiple aspects of health in the hospital community but future larger studies are needed.
This study confirms previous evidence of the potential health benefits of group singing and provides insights into the role of community choirs as social prescription in promoting health and well-being.
EFEKTIFITAS MODEL PEMBELAJARAN PROBLEM BASED LEARNING BERBANTUAN TRIGONOMETRY HAND TRICK TERHADAP HASIL BELAJAR SISWA BAB TRIGONOMETRI DI SMAN 10 SEMARANG
Authors: Fatmawati Widi , Sutrisno  , M. Saifuddin Zuhri  , Christina Purwaningsih
Published: April 2024

Trigonometry is a difficult chapter for some students, so teachers must be able to use learning models combined with learning media or a special tactic to be able to make students have a good understanding. The purpose of this researcg was to find out whether the Problem Based Learning model assisted by trigonometry hand tricks is better than the conventional learning model which usually used by teacher in class. This research using quantative approach with quasi experimental design. The data used in this study were data of result study trigonometry chapter from class X-1 as an experimental class and class X-3 as a control class in an educational unit, SMA Negeri 10 Semarang. The results of the SPSS-assisted independent T-test that have been applied in this study indicate that the calculated T value is less than the 5% significance level, there is 0.030 <0.05. This states that there is an average difference between the experimental class and the control class. Based on this it was concluded that the Problem Based Learning model assisted by trigonometry hand tricks is better than the conventional learning model with the lecture method.
Keyword : Problem Based Learning, Trigonometry, result of study, Trigonometry hand trick
PENGEMBANGAN MEDIA VIDEO PEMBELAJARAN BERBANTU APLIKASI CABRI 3D V2 TERHADAP PEMAHAMAN KONSEP KUBUS DAN BALOK KELAS VIII SMPIT INSAN MULIA
Authors: Fhela Vhantoria Ningrum  , Karsoni Bertadinata  , Muhammad Rafi Sundarta
Published: April 2024

The lack of use of learning media to illustrate abstract forms into concrete forms, makes students less understanding of the concepts in cube and block material. This study aims to develop learning media with the help of the Cabri 3D v2 application for understanding concepts in the material of cubes and blocks for class VIII SMP. This study uses the development method belonging to Sugiyono (2017), this research limits its stages only to stage 5, namely until the product revision stage I. After conducting research and development of Cabri 3D v2 assisted learning media, the results are as follows: 1) material experts get percentages 86.66% in the "Very Eligible" category, 2) media experts get 82.22% in the "Very Eligible" category, 3) linguists get 91.42% in the "Very Eligible" category, 4) education practitioners get the result is 100% in the "Very Feasible" category, student responses get a result of 82% in the "very feasible" category. Based on the results of the research, it can be concluded that Cabri 3D v2 assisted learning media for understanding the concept of cubes and blocks material for class VIII SMP, is suitable for use as a learning medium to be able to support the learning process at school
Eksperimentasi Media Pembelajaran Math Bilbul Terhadap Hasil Belajar Matematika Ditinjau dari Kemandirian Belajar Siswa
Authors: Taufiqoh Zulfa , Noerhasmalina  , Nurmitasari
Published: April 2024

Penelitian ini bertujuan untuk mengetahui perbedaan rata-rata antara pembelajaran menggunakan media pembelajaran Math Bilbul dengan pembelajaran menggunakan buku paket ditinjau dari kemandirian belajar siswa. Penelitian ini merupakan penelitian eksperimental semu dengan desain faktorial 2×3. Populasi dalam penelitian ini adalah seluruh siswa kelas VII SMPN 3 Gadingrejo tahun ajaran 2022-2023. Sampel penelitian terdiri dari kelas VII 1 sebagai kelas eksperimen dan kelas VII-3 sebagai kelas kontrol, pengambilan sampel menggunakan teknik cluster random sampling. Teknik pengumpulan data adalah teknik tes dan teknik angket, dengan instrumen tes hasil belajar matematika dan angket kemandirian belajar siswa. Teknik analisis data yang digunakan adalah analisis variansi dua jalan dengan sel tak sama, uji prasyarat yaitu uji normalitas dan uji homogenitas. Hasil penelitian menunjukkan bahwa ada perbedaan rata-rata antara pembelajaran menggunakan media pembelajaran Math Bilbul dengan pembelajaran menggunakan buku paket ditinjau dari kemandirian belajar siswa terhadap hasil belajar matematika. Namun, tidak ada interaksi antara pembelajaran yang digunakan dengan kemandirian belajar siswa
IMPLEMENTASI MODEL PROBLEM BASED LEARNING DENGAN MEDIA AUGMENTED REALITY TERHADAP HASIL BELAJAR SISWA
Authors: Sholikhah Ulimah Pratiwi , Rahmawati Noviana Dini , Muhtarom  , Purwantini Lis
Published: April 2024

Tujuan penelitian ini untuk mengetahui efektifitas implementasi model Problem Based Learning dengan media Augmented Reality (AR) pada siswa kelas VIII dengan sampel 32 siswa sebagai kelas eksperimen dan 31 siswa sebagai kelas kontrol. Jenis penelitian ini yaitu penelitian kuantitatif dengan pendekatan eksperimen. Teknik pengambilan sampel menggunakan Sample Random Sampling . Teknik pengumpulan data pada penelitian ini menggunakan tes dan dokumentasi. Analisis data yang dilakukan menggunakan uji normalitas, uji homogenitas, dan uji t. Hasil penelitian ini implementasi model pembelajaran Problem Based Learning dengan media Augmented Realityefektif ditandai dengan hasil belajar kelas eksperimen pencapaian kriteria ketuntasan siswa minimal dan hasil belajar kelas eksperimen setelah penerapan model Problem Based Learning dengan media Augmented Reality lebih baik dari kelas kontrol yang menggunakan metode konvensional.
UPAYA PENINGKATAN HASIL BELAJAR MENGGUNAKAN MODEL PROBLEM BASED LEARNING PADA MATERI TURUNAN FUNGSI ALJABAR
Authors: Novitasari Fitri , Harun Lukman , Utami Rizky Esti , Susilawati Padmi
Published: April 2024

Tujuan penelitian ini meningkatkan hasil belajar siswa khususnya materi turunan fungsi aljabar melalui penerapan model Problem Based Learning (PBL). Jenis penelitian menggunakan Penelitian Tindakan Kelas (PTK) yang dilaksanakan dalam dua siklus. Indikator keberhasilan dilihat dari meningkatnya ketuntasan belajar klasikal siswa minimal 85% dari banyak siswa. Setiap siklus terdiri atas tahap perencanaan, pelaksanaan, pengamatan, dan refleksi. Subjek penelitian ini ialah siswa kelas XI MIPA 6 SMAN 11 Semarang tahun ajaran 2022/2023. Teknik utama pengumpulan data menggunakan tes dan pengamatan, sedangkan wawancara dan dokumentasi digunakan sebagai teknik pendukung. Hasil penelitian menunjukkan bahwa penerapan model pembelajaran Problem Based Learning (PBL) dapat meningkatkan hasil belajar siswa kelas XI MIPA 6 mulai dari prasiklus, siklus I, dan siklus II, yakni ketuntasan belajar klasikal siswa sebesar 25%  pada tahap prasiklus meningkat menjadi 44,44 % pada siklus I dan kembali meningkat menjadi 86,11% pada siklus II. Dengan demikian pembelajaran dengan model Problem Based Learning (PBL) dapat meningkatkan hasil belajar khususnya materi turunan fungsi aljabar siswa XI MIPA 6 SMAN 11 Semarang.
Interpretasi profil Minat peserta didik ditinjau dari kemampuan kognitif matematika pasca pandemi Covid-19
Authors: Novantri Wira , Rizky Amalia , Putri Novita Anggraini , Himmah Nidaul , Azizman Nicky Ria
Published: April 2024

This study aims to analyze students' interest in learning from the cognitive abilities of class VII SMPN 19 Jambi City. This research is a qualitative descriptive research, with a case study approach. The subjects in this study were 6 class VII students of SMP N 25 Jambi City. The research instrument used was a question of students' cognitive tests on ratio material and a questionnaire on students' interest in learning mathematics. Questionnaire distributed via google form. After the researcher carried out the test, then 6 subjects were selected to be the focus of this study who would later be interviewed. The data obtained from the students' cognitive ability tests will be used in the analysis of the learning interests of students who have high, medium or low abilities. The results of the study show that students' excellence in learning in terms of numeracy skills is regulated based on the acquisition of scores in doing skills tests, completing interest in learning, and interviews, indicating that students' excellence in learning science is in the lower grades. This is consistent with in-depth interviews with six subjects representing high, medium and low ability categories. Subjects S1 and S2 are in the high class seen from the acquisition of scores on the cognitive ability test, and are in a very high classification seen from the results obtained from the interest in learning questionnaire. This was reinforced by in-depth interviews, it was found that S1 and S2 subjects really liked learning mathematics, easily understood math material and continued to be actively involved during learning.
Keywords: Student’s interest, cognitive abilities, learning mathematics
Resolution of Family Conflicts in Fiction: A Comparative Study of TV Series from China and the United States
Authors: Torres Sergio Pérez
Published: April 2024

The main objective of this research paper is to conduct a comparative cross-cultural analysis of family conflicts in two distinct cultural contexts, as represented in television fiction from China and the United States. The author focuses on conflicts arising within families and portrayed in television series in both countries. To achieve this, a systematic and objective content analysis method is employed, examining family conflict situations presented in the narratives of these television productions. The results indicate that, for the most part, conflicts are resolved positively, reflecting the typical trend in television fiction to seek a happy ending, especially in commercial series. However, cultural variabilities are also observed in the paths each region has taken to reach these conclusions.
Effect of Exchange Rate Fluctuation on Financial Performance of Forex Bureaus in Rwanda. Case Study of XYZ Forex Bureau
Authors: Phanuel Hakizimana
Published: April 2024

The main objective of this study was to assess the effect of exchange rate fluctuation on financial performance of forex bureaus in Rwanda. The study was carried out at XYZ Forex Bureau. Both descriptive and regression research designs were used during the study. Apart from financial statement analysis, the researcher used the universal sampling technique on which 23 employees were selected and answered on a given questionnaire. The data collected were analyzed using SPSS version 23. Based on the result shown from the test of hypotheses, it was found a positive and significant effect of exchange rate fluctuations on the financial performance of XYZ Forex Bureau. Thus, the researcher recommends the Rwandese policy makers to implement policies aiming at rising the Rwandan currency and effectively monitor high exchange rate fluctuations which lead to the poor performance of forex bureaus.
PENGARUH PEMBERIAN AROMATERAPI CENDANA TERHADAP KEJADIAN INSOMNIA PADA IBU MENOPAUSE DI PMB ENY ISLAMIATI KECAMATAN BULULAWANG KABUPATEN MALANG
Authors: Putri Nur Aulia , Safitri Rani , Purwanti Anik Sri
Published: April 2024

Pendahuluan: Menopause adalah masa proses alami menuju penuaan yag ditandai dengan berhentinya siklus menstruasi. Menopause terjadi pada usia 45-55 tahun. Diagnosa menopause dapat ditetapkan saat berhentinya menstruasi sekurang-kurangnya satu tahun. Insomnia adalah keadaan sulit dalam memulai tidur, mempertahankan tidur, dan tidur yang tidak menyegarkan. Kejadian insomnia meningkat lebih cepat pada ibu dengan umur di atas 40 tahun. Sekitar 40% perempuan usia 40-54 tahun mengeluh insomnia. Minyak aromaterapi cendana adalah salah satu terapi komplementer yang juga dapat digunakan dalam mengatasi kejadian insomnia.  Tujuan penelitian untuk menganalisis pengaruh pemberian aromaterapi cendana terhadap kejadian insomnia pada ibu menopause di PMB Eny islamiati Bululawang. Metode: Rancangan penelitian pra eksperimen dengan pendekatan satu kelompok (pre-post-test), populasi seluruh ibu menopause dengan kejadian di PMB Eny Islamiti Bululawang, jumlah 20 orang dengan jumlah  sampel 16 orang. Teknik peneliitian ini menggunakan purposive sampling. Intrumen yang digunakan pada penelitian ini adalah lembar Kelompok Studi Psikiatri Biologi Jakarta-Insomnia Rating Scale (KSPBJ-IRS) dan Lembar observasi, dengan menggunakan uji Wilcoxon.  Hasil: Hasil penelitian menunjukkan bahwa kejadian insomnia pra-intervensi (43,8%) insomnia tingkat sedang dan pasca-intervensi (75,0%) insomnia tingkat ringan, p-value 0,02 ≤ α 0,05. Kesimpulan: Kesimpulannya pemberian aromaterapi cendana berpengaruh terhadap kejadian insomnia pada ibu menopause di PMB Eny Islamiati Bululawang. Diharapkan bagi ibu yang sudah mengalami menopause  dapat meningkatkan lagi pengetahuan kesehatan tentang pentingnya istirahat/tidur bagi ibu menopause.
Kata kunci: Pemberian Aromaterapi, Kejadian Insomnia, Ibu Menopause
FAKTOR PREDIKTOR TERAPI AKUPUNKTUR PADA PASIEN KELEMAHAN ANGGOTA GERAK POST STROKE ISKEMIK AKUT YANG MEMPENGARUHI SKOR BARTHEL INDEX : LITERATURE REVIEW
Authors: Fitriani Elies , Darmawan Maria Anastasia , Putranto Nirawan , Srilestari Adiningsih
Published: April 2024

Pendahuluan: Stroke merupakan masalah kesehatan utama yang berpengaruh signifikan terhadap kualitas hidup dan disabilitas dalam melakukan pekerjaan sehari-hari. Akupunktur diduga berperan dalam proses penyembuhan stroke melalui serotonin reuptake inhibitor, dan serangkaian mekanisme lokal, segmental, sentral. Beberapa RCT membuktikan terdapat pengaruh signifikan akupunktur dalam terapi stroke pada akut dan subakut stroke iskemik. Namun kebanyakan penelitian menggunakan jumlah sampel yang sedikit dan metodologi yang lemah. Metode: Artikel ini merupakan literature review yang bertujuan untuk untuk mengetahui faktor-faktor prediktor yang mempengaruhi keberhasilan terapi akupunktur pada pasien kelemahan anggota gerak post stroke iskemik akut, pencarian dilakukan menggunakan database dari Pubmed, Cochrane dan Embase yang selanjutnya diinklusi jurnal yang sesuai mengikuti PRISMA flowchart sehingga diperoleh 4 jurnal yang direview. Hasil: Faktor-faktor yang mempengaruhi keberhasilan terapi akupunktur pada pasien post stroke antara lain usia, jenis kelamin, riwayat penyakit dahulu, penyakit penyerta, kondisi klinis pasien saat awal masuk perawatan, perjalanan penyakit, dan keparahan infark. Kesimpulan: Dengan efek samping yang minimal, terapi akupunktur pada stroke iskemik akut dapat direkomendasikan sebagai terapi adjuvan pada stroke iskemik akut. Diperlukan penelitian yang melibatkan jumlah peserta lebih banyak dengan metodologi yang lebih baik untuk membuktikan efektifitas akupunktur dan faktor prediktornya pada kelemahan ekstremitas post stroke.
Kata kunci: akupuntur, Barthel Index, kelemahan ekstremitas, predictor factor, stroke iskemik.
HUBUNGAN JUMLAH PERDARAHAN DENGAN KEJADIAN HIPOTENSI PADA PASIEN SECTIO CAESARIA DENGAN SPINAL ANESTESI DI RSI UNISMA MALANG
Authors: Paryadi Paryadi , Kurniawan Ardhiles Wahyu , Sintara Sindu , Negoro Widigdo Rekso
Published: April 2024

Pendahuluan: Sectio caesaria dapat menyebabkan perdarahan yang bisa menurunkan volume intravaskuler dan berakhir pada penurunan cardiac output. Jika kondisi ini tidak segera ditangani akan memicu terjadinya hipotensi. Angka kematian ibu meningkat sebanyak 40-80% akibat perdarahan pada persalinan sectio caesaria. Tujuan penelitian ini untuk mengetahui hubungan jumlah perdarahan dengan kejadian hipotensi pada pasien sectio caesaria dengan spinal anestesi di RSI Unisma Malang. Metode: Penelitian analitik observasional menggunakan metode Cross-sectional. Jumlah total sampel 26 pasien, data didapatkan dari observasi langsung dengan dokumentasi sesuai prosedur yang telah mendapatkan informed consent.  Pengambilan sampel dilakukan menggunakan teknik purposive sampling. Analisis statitistik univariat dilanjutkan uji statistik Spearman’s rho. Hasil: Ada korelasi yang sangat kuat antara jumlah perdarahan dengan kejadian hipotensi pada pasien sectio caesaria dengan spinal anestesi di RSI Unisma Malang (p= 0.000 < α 0.05; r = 0.902). Kesimpulan: Terdapat korelasi positif yang sangat kuat antara jumlah perdarahan dengan kejadian hipotensi, yang berarti semakin tinggi jumlah perdarahan dapat menurunkan tekanan darah (hipotensi).
Kata kunci: Hipotensi, Jumlah perdarahan, Sectio Caesaria, Spinal anestesi
PENGARUH PENDIDIKAN KESEHATAN DENGAN MEDIA VIDEO TENTANG SPINAL ANESTESI TERHADAP TINGKAT KECEMASAN PASIEN YANG AKAN DILAKUKAN TINDAKAN OPERASI SPINAL ANESTESI
Authors: Hartanto Arvin Wahyu , Priyonggo Reko , Umifa Kaslinda Nur , Zakaria Amin
Published: April 2024

Pendahuluan: Pembedahan melibatkan prosedur invasif dengan memnggunakan anestesi, hal ini dapat menimbulkan kecemasan dan takut pada pasien dan keluarganya. Anestesi bertujuan untuk menghilangkan rasa nyeri, takut, dan ketidaknyamanan sehingga pasien merasa lebih nyaman selama prosedur medis. Persiapan pra-operasi sangat penting untuk memastikan kondisi fisik dan psikis pasien siap menjalani prosedur anestesi dan pembedahan. Lebih dari 50% pasien pra-operasi mengalami kecemasan di seluruh dunia, dengan 5-25% di antaranya berusia di atas 20 tahun. Di Indonesia, sekitar 11,6% populasi mengalami ansietas. Kecemasan dapat menyebabkan penundaan tindakan operasi, memperpanjang waktu pemulihan, dan meningkatkan risiko komplikasi. Pendidikan kesehatan melalui video tentang spinal anestesi dianggap sebagai metode yang efektif karena dapat dilakukan kapan saja dan di mana saja, serta dapat meningkatkan pengetahuan dan keterampilan pasien. Penelitian ini  menganalisa pengaruh edukasi pasien menggunakan video tebtabg spinal anestesi terhadap penurunan tingkat kecemasan. Metode: Desain penelitian pre eksperimental one group pre-post test design, pada populasi pasien yang masuk lewat rawat jalan yang akan dilakukan tindakan operasi dengan spinal anestesi berjumlah 30 responden, penelitian dilaksanakan di ruang tunggu kamar operasi dalam waktu penelitian dua minggu. Variabel bebas: pemberian pendidikan kesehatan dengan media video tentang spinal anestesi. Variabel terikat: tingkat kecemasan. Pengumpulan data menggunakan metode observasi,  dilakukan pre dan post pemberian pendidikan kesehatan dengan menggunakan media video tentang spinal anestesi. Instrument menggunakan The Amsterdam Preoperative Anxiety and Information Scale (APAIS) dan dicatat pada lembar observasi. Analisis data bivariate yaitu dengan menggunakan Uji Beda T-Test Independent data yang dilakukan untuk mengetahui perbedaan nilai rata – rata tingkat kecemasan antara pre dan post perlakukan, dan data yang diperoleh diolah menggunakan komputer aplikasi SPSS 22. Hasil: Pengujian hipotesa nilai signifikansi adalah 0.000 yang mana kurang dari 0.05. Kesimpulan: oleh karena itu pengambilan keputusan untuk pengujian ini bahwa: pemberian pendidikan kesehatan dengan media video tentang spinal anestesi berpengaruh terhadap penurunan tingkat kecemasan pasien yang akan dilakukan tindakan operasi dengan spinal anestesi dan pengaruhnya sangat kuat.
Kata kunci: Media Video, Pendidikan Kesehatan, Spinal Anestesi, Tingkat Kecemasan.
OCORRÊNCIA DE CASOS DE TÉTANO ACIDENTAL NO AMAZONAS: UM OLHAR RETROSPECTIVO DE 5 ANOS
Authors: Gomes Faria Suzete , Portela de Azevedo Arimatéia
Published: April 2024

Introdução: O tétano acidental é uma doença infecciosa não contagiosa que pode ser adquirida após um trauma, devido a exposição e consequente infecção do microrganismo causador, o Clostridium tetani. Objetivo: Elencar o número de casos de tétano no Amazonas em um período de cinco anos. Metodologia: Estudo retrospectivo, descritivo, com um olhar quantitativo de dados púbicos. Resultado: No período de cinco anos (2019 a 2023), foram registrados, no hospital referência em infectologia do Amazonas, 13 casos de tétano acidental com 5 óbitos (38,4%). Vale ressaltar que o número de casos foi maior entre a população da zona rural e que o mês de maio foi o que ocorreu o maior número de registros, pois é o período em que há maior estiagem, facilitando as atividades laborais. O aparecimento de casos graves voltou a crescer nesses dois últimos anos e consequentemente a curva estatística dos casos de óbito também. Conclusão: A forma mais eficiente de prevenção do tétano acidental ainda é a vacinação. Os dados estatísticos mostrados pelo Ministério da Saúde enfatizam a diminuição acentuada da curva de casos quando há um percentual elevado de cobertura vacinal em determinada região.
Analysis of Digital Green Innovation Based on Schweizer–Sklar Prioritized Aggregation Operators for Interval-Valued Picture Fuzzy Supply Chain Management
Authors: Ali Zeeshan , Rehman Usama
Published: April 2024

Digital green innovation economics and management for Industry 5.0 was not widely recognized, and the commonly referenced industry paradigm was Industry 4.0. Furthermore, digital green innovation is part ofthe above information referring to the integration of digital technologies with environmentally sustainable practices to develop innovative solutions that evaluate ecological challenges. In this manuscript, we evaluate the Schweizer–Sklar operational laws based on interval-valued picture fuzzy (IVPF) values. Further, we investigate prioritized aggregation operators based on Schweizer–Sklar operational laws for IVPF information, called IVPF Schweizer–Sklar prioritized averaging operator, IVPF Schweizer–Sklar prioritized geometric operator, IVPF Schweizer–Sklar prioritized weighted averaging operator, and IVPF Schweizer–Sklar prioritized weighted geometric operator. Some properties for the above-initiated operators are also derived. Additionally, we analyze the digital green innovation with the help of multi-attribute decision-making technique for initiated operators to show the reliability and supremacy of the proposed theory. Finally, we demonstrate examples for addressing the comparison among the initiated theory and existing ideas to improve the worth of the derived theory.
 
Received: 26 January 2024 | Revised: 18 March 2024 | Accepted: 28 March 2024
 
Conflicts of Interest
The authors declare that they have no conflicts of interest to this work.
 
Data Availability Statement
Data available on request from the corresponding author upon reasonable request.
 
Author Contribution Statement
Zeeshan Ali: Conceptualization, Methodology, Software, Validation, Formal analysis, Investigation, Resources, Data curation, Writing – original draft, Writing – review & editing, Visualization, Supervision, Project administration, Funding acquisition. Usama Rehman: Validation, Formal analysis, Investigation, Resources, Data curation, Writing – review & editing, Visualization.
Time-Aware Similarity Integration for User-Based Collaborative Filtering
Authors: Lee Soojung
Published: April 2024

A time-aware collaborative filtering-based recommender system provides item recommendations for the current user by prioritizing recent items preferred by similar neighbors over past preferred items. The similarity measure critically affects the performance of the system, and this study focuses on measuring the similarity between users that changes over time. After dividing the users’ rating time into intervals and computing similarity for each time interval, the final similarity is generated as a weighted sum by assigning lower weights to past similarity values and higher weights to more recent similarity values. Additionally, to ensure continuity of similarity measurement, consecutive time intervals are set to overlap. As a result of experiments applying the proposed method to the existing similarity measures, significant performance improvement was achieved in terms of some of the major performance metrics. In particular, the degree of coverage improvement was the highest, and the performance improvement effect was higher when the overlap size between time intervals was large rather than when it was small.
 
Received: 23 February 2024 | Revised: 4 April 2024 | Accepted: 15 April 2024
 
Conflicts of Interest
The author declares that she has no conflicts of interest to this work.
 
Data Availability Statement
The MovieLens dataset that support the findings of this study are openly available at https://grouplens.org/datasets/movielens/1m/.
Strategic Optimization of Patient Flow and Staffing Schemes during the COVID-19 Pandemic through Operations Management in a Neonatal Intensive Care Unit
Authors: Tarnate, MD Paul Sherwin O. , Ong-Lim, MD Anna Lisa T.
Published: April 2024

Background. The COVID-19 pandemic posed challenges in making time-bound hospital management decisions. The University of the Philippines -Philippine General Hospital (UP-PGH) is a tertiary COVID-19 referral center located in Manila, Philippines. The mismatch of increasing suspected or confirmed COVID-19 infected mothers with few documented cases of infected infants has caused significant patient overflow and manpower shortage in its NICU.
Objective. We present an evaluated scheme for NICU bed reallocation to maximize capacity performance, staffrostering, and resource conservation, while preserving COVID-19 infection prevention and control measures.
Methods. Existing process workflows translated into operational models helped create a solution that modified cohorting and testing schemes. Staffing models were transitioned to meet patient flow. Outcome measurements were obtained, and feedback was monitored during the implementation phase.
Results. The scheme evaluation demonstrated benefits in (a) achieving shorter COVID-19 subunit length of stay; (b) better occupancy rates with minimal overflows; (c) workforce shortage mitigation with increased non-COVID workforce pool; (d) reduced personal protective equipment requirements; and (e) zero true SARS-CoV-2 infections.
Conclusion. Designed for hospital operations leaders and stakeholders, this operations process can aid in hospital policy formulation in modifying cohorting schemes to maintain quality NICU care and service during the COVID-19 pandemic.
Assessment of Emotions and Stress Coping Mechanisms of Healthcare Workers from the Department of Pediatrics at the Philippine General Hospital a Year after the Coronavirus Disease 2019 (COVID-19) Pandemic
Authors: Anarna, MD Kia S. , Tomas, MD Angelica Cecilia V.
Published: April 2024

Objective. Healthcare workers (HCWs) are an often overlooked population in the face of a pandemic. With themyriad of researches focusing on the effect of Coronavirus Disease 2019 (COVID-19) on patients, this study aimed to illuminate the emotions, stressors and stress coping mechanisms of medical frontliners from the Department of Pediatrics working in Philippine General Hospital.
Methods. A quantitative cross-sectional study was done among 130 HCWs ages 21-55 years old, mostly females (72%), recruited through convenience sampling. An adapted questionnaire from China was used and data were analyzed using means, T-test and Anova.
Results. Results showed that HCWs predominantly felt a high sense of professional and ethical duty towards their jobs. Stressors include fear of transmitting the virus to their family and the shortage of manpower, while stressrelievers include knowing that their family are safe and having a good relationship with colleagues. Coping strategies include the use of personal protective measures and the hope of cure motivates them to continue working. Seeking psychiatric help is interestingly one of the least important motivational factors. Nurses, fellows, and residents significantly differ in responses about their feelings, stress-relievers, and coping strategies.
Conclusion. HCWs are a vulnerable population since they endure multiple stressors but they are idealistic and resilient, hence the hospital should give adequate financial compensation and provide good work-life balance.
Telemedicine Usability and Satisfaction among Pediatric Rheumatology Patients and their Caregivers during COVID-19 Pandemic
Authors: Legaspi, MD Dianne Marie D. , Tee, MD, MBA Cherica A. , Dans, MD, MSc Leonila F.
Published: April 2024

Background. The 2019 coronavirus disease pandemic opened an opportunity to explore the role of telemedicine in pediatric rheumatology clinic as well as patient satisfaction with virtual visits.
Objective. To determine the usability and satisfaction rate of telemedicine among pediatric rheumatology patients and their caregivers.
Method. A cross-sectional online survey was conducted among patients and caregivers consulting via telemedicine at a pediatric rheumatology clinic of University of the Philippines – Philippine General Hospital (UP – PGH), a tertiary government hospital. Collected data included socio-demographics and the validated Telehealth Usability Questionnaire (TUQ).
Results. There were 39 (55.7%) patients and 31 (44.3%) primary caregivers included in the study. Across all usability factors, the response of primary caregivers did not significantly differ from those of patients. The average scores across all questions for both patients and primary caregivers were 5.96±1.19 and 6.04±1.34, respectively. This showed a high level of agreement that they were highly satisfied with telemedicine experience. Among the different usability factors, questions related to usefulness obtained the highest mean score for both patients (6.11±1.17) and primary caregivers (6.12±1.38). While the lowest mean score was observed on questions related to reliability, 5.65±1.33 for patients and 5.89±1.31 for primary caregivers.
Conclusion. Pediatric rheumatology patients as well as their caregivers are generally highly satisfied withtelemedicine during this time of pandemic. With high patient and caregiver satisfaction, telemedicine couldbe an option for ambulatory patient care even after pandemic.
Chest CT Scan Findings in Children with COVID-19: A Systematic Review
Authors: Oraya, MD Denisa B. , Militante, MD Stacey  Kaye N. , Dans, MD, MSc Leonila F. , Lozada, MD Maria Cristina H. , Valle, MD Andrea Orel S. , Cabaluna, RPh, MD, GDip (Epi) Ian Theodore G.
Published: April 2024

Objectives. To gather, summarize, and appraise the available evidence on: 1) the accuracy of chest CT scan indiagnosing COVID-19 among children, and 2) the characteristic chest CT scan findings associated with COVID-19 pneumonia in children.
Methods. We comprehensively searched databases (MEDLINE, COCHRANE), clinical trial registries, bibliographic lists of selected studies, and unpublished data for relevant studies. Guide questions from the Painless Evidence Based Medicine and the National Institutes of Health Quality Assessment Tools were used to assess study quality.
Results. A poor quality study showed 86.0% (95% CI 73.8, 93.0) sensitivity and 75.9% (95% CI 67.1, 83.0) specificity of chest CT scan in diagnosing COVID-19 in children. Thirty-nine observational studies describing chest CT scan in children with COVID-19 showed abnormal findings in 717 of 1028 study subjects. Common chest CT scan findings in this population include: 1) ground glass opacities, patchy shadows, and consolidation, 2) lower lobe involvement, and 3) unilateral lung lesions.
Conclusion. Studies which investigate the accuracy of chest CT scan in the diagnosis of COVID-19 in children are limited by heterogeneous populations and small sample sizes. While chest CT scan findings such as patchy shadows, ground glass opacities, and consolidation are common in children with COVID-19, these may be similar to the imaging findings of other respiratory viral illnesses.
Gastrointestinal and Hepatic Manifestations of COVID-19 in Children: A Systematic Review and Meta-analysis
Authors: Padua-Zamora, MD April P. , Rey, MD Katrina Loren R. , Tan-Lim, MD, MSc Carol Stephanie C. , Gregorio, MD, MSc, PhD Germana Emerita V.
Published: April 2024

Background. Children with COVID-19 may present with gastrointestinal (GI) symptoms and liver dysfunction.Objective. To determine the type and prevalence of gastrointestinal (GI) and hepatic manifestations of COVID-19 in children and its association with severity of illness.
Methods. A systematic literature search was done from inception until January 4, 2021 using PubMed, CochraneLibrary, Google Scholar and prepublication repositories with no language restrictions. Studies that reported thedemographic and clinical features of children with COVID-19 and provided data on their GI and hepatic signs and symptoms were included. Prevalence of GI and hepatic manifestations were pooled using Stata14.
Results. We included 58 studies with total of 4497 participants. Overall, one-third of children with COVID-19presented with at least one GI symptom (33.8%; 95% confidence interval (CI) 23.0, 45.4; I2 97.5%; 42 studies, 3327 participants) with abdominal pain, nausea or vomiting, and diarrhea each occurring in approximately 20%. Children with severe COVID-19 were more likely to present with GI symptoms (odds ratio 2.59; 95% CI 1.35, 4.99; I2 24%; 4 studies, 773 participants). The pooled prevalence of elevated transaminases was 11% for both AST (11.3%, 95% CI 4.9, 19.3; I2 74.7%; 11 studies, 447 participants) and ALT (11.2%, 95% CI 7.1, 16.0; I2 40.8%; 15 studies, 513 participants). Hepatic findings such as jaundice (2-17%), hepatomegaly (2%) or behavioral changes (2%) from hepatic encephalopathy were variably reported by a few studies. The degree of heterogeneity was not improved on exclusion of studies with poor quality, but markedly improved on subgroup analysis according to geographical region and presence of MIS-C. Studies from China showed that children with COVID-19 had significantly lower pooled prevalence for any of the GI symptoms with low degree of heterogeneity, particularly for diarrhea, nausea/vomiting, and abdominal pain, all of which had I2 of 0%. Those with multisystem inflammatory syndrome in children (MIS-C) had significantly more common GI symptoms and increased transaminases than those without.
Conclusion. One-third of children with COVID-19 exhibit at least one GI symptom and more likely presentin those with severe disease. Elevated transaminases were present in 10%. Prevalence of GI and hepaticmanifestations were higher among children with MIS-C.
Factors Associated with Adverse Outcomes among SARS-CoV-2 Positive Children in a Tertiary Government COVID-19 Referral Hospital in the Philippines
Authors: Milan, MD Mark Jason DC. , Molina, MD Al Joseph R. , Ong-Lim, MD Anna Lisa T. , Uy, MD, MS Ma. Esterlita V. , Uy, MD Herbert G.
Published: April 2024

Background and Objective. Pediatric COVID-19 epidemiology and factors associated with adverse outcomes –mortality, need for invasive mechanical ventilation, and ICU admission, are largely unstudied. We described the clinicodemographic characteristics of Filipino pediatric COVID-19 patients and determined the factors associated with adverse outcomes.
Methods. This is a retrospective cohort study of 180 hospitalized SARS-CoV-2-confirmed cases 0-18 years oldfrom April 2020 to August 2021 in a tertiary COVID-19 referral hospital in Manila, National Capital Region. Crudeassociations were determined using chi-squared or Fisher’s exact tests; and medians were compared using the Mann-Whitney test. Factors predictive of mortality were determined using Cox proportional hazards regression analysis. The survivor functions were depicted in graphs.
Results. About 41.67% had mild disease, 58.33% were males, 39.4% aged 0-4 years, and 69.44% had at least onecomorbidity. About 9.44% died (adjusted 9.2 persons per 1000 patient-days, 95% CI 5.5%-15.2%), 17.78% needed invasive mechanical ventilation, and 20% needed ICU admission. Independently, severe-critical COVID-19 (HRc 11.51, 95% CI 3.23, 41.06), retractions (HRc 10.30, 95% CI 3.27, 32.47), alar flaring (HRc 4.39, 95% CI 1.53, 12.58), cyanosis (HRc 4.39, 95% CI 1.72, 14.11), difficulty of breathing (HRc 7.99, 95% CI 2.25, 28.71), poor suck/appetite (HRc 4.46, 95% CI 1.59, 12.40), ferritin (HRc 1.01, 95% CI 1.00, 1.01), IL-6 (HRc 1.01, 95% CI 1.00, 1.01), aPTT (HRc 1.05, 95% CI 1.01, 1.10), IVIg (HRc 4.00, 95% CI 1.07, 14.92) and corticosteroid (HRc 6.01, 95% CI 2.04, 17.67) were significant hazards for mortality. In adjusted Cox analysis, only retractions (HRa 34.96, 95% CI 3.36, 363.79), seizure (HRa 9.98, 95% CI 1.76, 56.55), and corticosteroids (HRa 8.21, 95% CI 1.12, 60.38) weresignificantly associated with mortality while alar flaring appeared to be protective (HRa 0.10, 95% CI 0.01,0.95). Several clinical characteristics were consistently associated with adverse outcomes.
Conclusions. Majority of hospitalized pediatric COVID-19 patients were very young, males, had milddisease, and had at least one comorbidity. Mortality, invasive mechanical ventilation, and ICU admission wererelatively low. Except for alar flaring which appeared to be protective, retractions, seizure, and use ofcorticosteroids were associated with adverse outcomes.