bluuebunny/crossref_metadata_2025 huggingface dataset:
Home Care Holistic on the Change of Anxiety and Depression for the Patient with Stroke Ischemic
Authors: Widarti Luluk , Krisnawati Krisnawati
Published: July 2022

Introduction: Stroke is the main cause of long-term disability. It was reported that one third out of stroke survivors showed dementia in three months after stroke. Stroke patients need medication and palliative caring so that home-care is highly recommended. In Indonesia, home-care nursing for ischemic stroke has not yet been optimally applied in caring patient with stroke. The objective of thestudy was to examine the effect of home care holistic nursing on the change of anxiety and depression for the patient with stroke ischemic.Method: An experimental research with quasy experimental speciﬁcally nonrandomized pre-post test control group design was applied in this study. The study was conducted in Surabaya by selecting ischemic stroke patients after being hospitalized at "A-Seruni was, Medic IRNA, Dr. Soetomo hospital". A sample of size 40 patients was divided equally into two groups, control and treatment groups. The treatment and control groups respectively received holistic home care and home care. The depression and anxiety level were measured by using questionnaires technique. The data were analyzed by using Levene's test for homogeneity of variance, and t-test.Result: The result showed that there were signiﬁcantly different between both groups for psychological response such as anxiety with p-value = 0.000, depression with p = 0.000.Discussion: It was concluded that holistic home care could improve the psychological responses by decreasing anxiety and depression level in ischemic stroke patients. It is recommended to make standard operational procedure of holistic home care that can be implemented by all health personnel who take care ischemic stroke patients.
Clinical Features of Children with Diphtheria on Soetomo Hospital
Authors: Puspitasari Dwiyanti , Supatmini Erna , Husada Dominicus
Published: July 2022

Introduction: Diphtheria is an important disease in children that could lead to fatal disease. East Java Province was declared to have Diphtheria outbreak in 2011 with increasing morbidity and mortality, including on Soetomo Hospital. Our paper aimed to describe the proﬁ le of diphtheria cases in children admitted at dr Sutomo Hospital.Method: This descriptive study reviewed all medical records of diphtheritic patients admitted to Dr. Soetomo Hospital, January 2004–December 2010, of concerns were clinical presentations, age, sex, immunizations status, complications, and outcomes.Result: From 148 diphtheria cases, 22.3% were bacteriologically proven; 53.4% were male with sex ratio 1.1:1. The age proportion of ≤ 5 years old, 5- ≤ 10 years old, and > 10 years old were 61.5%, 31.8%, and 6.7%. Fever occurred in 99% cases, sore throat, stridor and bullneck occurred respectively in 62.2%, 39.9%, and 29.7% cases. There were 56.8% severe and 41.9% moderate diphtheria. Subjects were immunized in 84%, but none of them have adequate immunization. Myocarditis, being one of the commonest complications occurred in 11.4% cases and tracheostomy was the second (4.0%). All of the death cases (7.9%) were unvaccinated and in severe form.Discussion: The mostly prevalent clinical manifestations in diphtheria children were fever and sore throat. Half of the cases came with severe diphtheria and most cases were inadequately vaccinated. Death occurred in the unvaccinated and severe form.
The Role of Endoscopic Procedure in Diagnosing Gastrointestinal Disorder in Children
Authors: Athiyyah Alpha Fardah , Darma Andy , Ranuh Reza , Subijanto Subijanto
Published: July 2022

Introduction: Gastrointestinal endoscopy in children requires more than the technical expertise needed to pass an endoscope through a smaller digestive tract lumen. Children require more careful attention to patient preparation and sedation compared with adults. The incidence of various disease varies through childhood and differs from the adult. Aim of this study is to elucidate proﬁle esophagoduodenoscopic dan colonoscopic procedures in diagnosing gastrointestinal tract disorder in children in Soetomo Hospital, including role of nursing team role these procedures.Method: This study is a descriptive study which is done in Gastroenterlology Division Soetomo Hospital in October 2009–March 2012 for patients undergoing esophagoduodenoskopy and colonoscopy. Age, sex, indication, preparation, sedation, results, complication data were collected. Data from pathological examination were also collected. Data analysis were done descriptively such as mean, median and percentage, and presented in tables.Result: There were 114 patients undergo esophagoduodenoscopy procedure and 7 patients undergo colonoscopy procedures. The most indication for esophagoduodenoscopy was recurrent abdominal pain (71.1%) and for colonoscopy was chronic diarrhea (42.8%). Nill by mouth for 6 hours is preparation for esophagoduodenoscopy and for colonoscopy needs bowel preparation a day before. Bowel preparation is using Biphosphate Sodium Phosphate oral and enema. Most of all sedation was done by anasthesiologist. Nursing team role were start from preparation, relaxing patient, and monitoring during and after procedure. Chronic gastroduodenitis was found on 110 (96.4%) cases, 15 cases of it accompanied nodularity. Seventy cases (64.9%) from 114 cases of biopsy result were Helicobacter pylore positive, and 21 cases of it has Barret's esophagus. Colonoscopy procedure results 5 (71.4%) cases were colitis, and 3 of them are amoebic colitis. Discussion: Diagnosis of sructural and histological abnormalities could be establish with endoscopic procedure. This is an important role in diagnosing gastrointestinal disorder in children and nursing team have important role in it.
Oxytocin Level and Breast Engorgement In Primipara Mother with Postpartum Blues
Authors: Sugeng Ika Larasati
Published: July 2022

Introduction: Postpartum is a great moment for most the woman, but for some of them is a frightening moment. Postpartum blues makes woman avoiding their baby. Whereas lactation process needs to be done in early postpartum period. The aim of this study is analyzing the oxytocin level and breast engorgement incident in primipara mother with postpartum blues in Obtetry & Gynecology Department of Dr. M Soewandhie Hospital of Surabaya.Methods: This study was used cross sectional design. Population were primiparas and samples were 41 primiparas choosen by random sampling according to inclusion criteria. The independent variable was postpartum blues, dependent variables were breast engorgement and oxytocin level. The instruments used were Kennerly & Gath Postpartum Scale, and Six-point Engorgement Scale. Data were analyzed with Spearman Test and Mann Whitney Test using α<0,05.Result: The result shown that the oxytocin level change comparing the postpartum blues in p=0,002 and increasing breast engorgement incident comparing to postpartum blues in p=0,000.Conclusion: There was difference of oxytocin level between postpartum blues mother and not postpartum blues mother and increasing of breast engorgement incident to postpartum blues mother comparing to not postpartum blues mother. Dr. M. Soewandie hospital of Surabaya needs to arrange a standard in service of treating laboring mother in case of reducing stress during delivery process and manage ward situation comfortly.
Promoting Psycho-Social-Spiritual Response in Patients with Type 2 Diabetes Mellitus through Aplication on Self Care Management Modul
Authors: Kusnanto Kusnanto
Published: July 2022

Introduction: Diabetes mellitus was a kind of incurable chronic disease that actually manageable. The global prevalence tends to increase due to less self management of the disease and the impact of it was severe health condition. There were so many interventions implemented but failed to give optimal improvement in patient’s condition and there are so many DM patients have insufficient ability to manage their own disease. Patients need to have knowledge, skills, and self confident to be able to manage their disease. Patient’s self-management depends on patient’s education, empowerment, and self monitoring in evaluating their self-care management. The purpose of this research was promoting patient’s psychological, social, and spiritual conditions through Self Care Management. Improvement in psychological, social, and spiritual conditions in patients with DM will lead to better level of blood glucose and HbA1C.Methods: Patient newly diagnose with Type 2 DM at Puskesmas Kebonsari was selected with purposive sampling and divided into two groups. Each group contains 25 patients. Intervention group was given Self Diabetes Management Module. Before and after intervention patient was given Questionnaire. The data then analyzed using Student-T test, McNemar and Chi-Square.Results: The result of this research showed patient have constructive coping, increase interpersonal relation. Patients also have better acceptance about the disease and involve in its management.Conclusion: Self Care Management Module promotes psychological, social, and spiritual conditions in patients with type 2 DM.
Independence Functions of Stroke Patients with "Gait" Exercise
Authors: Marlina Marlina , Nurachmah Elly
Published: July 2022

Introduction: Stroke is a cerebro vascular disease which has clinical manifestation based on the location and the damaged lesion. The disorder of oxygen flow to the brain results clinical manifestation called hemipharese or the de fi ciency of some parts of extremities which is indicated by the muscle deficiency. Effect of exercise gait program in needed in order to recover the strength functional self care of which is indicated by the improve strength extremitas. The aimed of this study was to analyze the effect of exercise gait to the improvement of functionalself care of the patients at Sigli General Hospital in Kabupaten Pidie Nanggroe Aceh Darussalam.Methods: A quasi experimental with pretest-postest group design was used in this study. Thirty four patients were selected by using non probability sampling (consecutive sampling tehnigue) as the sample of the study. Fourteen days of exercise gait program were given to the patient. An evaluation to the result of the program was conducted after fourteen days by measuring functional self care of the subjects.Result: The statistical analysis showed that the average of the stroke patiens functional self care is significantly after the treatment (p=0.000). There was a relationship between patients age and the functional selfcare (p=0.000) and there was no relationship between sex and the functional self care (p=0.148). There was also no relationship between risk factor the functional self care (p=0.13).Conclusion: This study recommended the use of exercise gait to improve functional self care of stroke patients in order to improve their ability to do daily living activities.
Development of Nosocomial Infection Prevention Measured by Nurses at Hospital Based on Health Belief Model
Authors: Nurseha Djaafar
Published: July 2022

Introduction: Nosocomial infections are defined as infection that develop during hospital stay of a patient. All patients have 20% risk of getting nosocomial infection from both health care providers and visitors. The objective of the research was to examine nurse attitude in effort to prevent nosocomial infection at hospital based on health believe model.Methods: This was a descriptive analytic with a cross sectional study approach. The total respondents were 80 people matched to the criteria. Data was collected by direct observations, interview and questionairs. Independent variable was health belief model consist of susceptibility, seriousness, benefits and barrier variables. Dependent variable was nurse’s practice to prevent nosocomial infection. Data then analyzed using correlations product moment test.  Results: The results showed that, susceptibility variable, severity of infection variable and benefit variable have correlation with nosocomial infection prevention (p value=0,000<0,05). While barrier variable did not have correlation with nosocomial infection prevention (p value=0,201>0,05).Conclusion: Variables of health belief model that can be used as determinants of nosocomial infection prevention were susceptibility, seriousness and benefits. Future studies are expected to be done in some hospitals to look at other factors such as hospital management, facilities and infrastructure, and policies that may affect the implementation of prevention and control of nosocomial infections.Development of Nosocomial Infection Prevention Measured by Nurses at Hospital Based on Health Belief Model
Recommendation in Decreasing Burnout on the Contract Nurses
Authors: Antara Dewa Kadek Adi Surya , Nursalam Nursalam , Kurniawati Ninuk Dian
Published: July 2022

Introduction: Burnout is a problem that often arises in the field of human service. Nursing profession is very susceptible in experiencing burnout related to the served work involving interpersonal interactions, as well as work environment. Area of worklife is predictor factors trigger burnout, resulting in the turnover intention. The purpose of this study was to provide recommendations in decreasing burnout on the contract nurses in the Sanglah Central Hospital.Methods: This study was an explanatory research using crosssectional approach. The population consists of the nurses at the third class ward Sanglah Central Hospital-Denpasar. Eighty one nurses were recruited as sample by proportional random sampling technique. Data were collected through questionnaires and focus group discussion (FGD), and they were analyzed by using Partial Least Square (PLS).Result: Results of this study showed that control had effect on fairness, community and reward but it had no effect on workload, workload had significant effect on emotional exhaustion, value had no effect on justice and depersonalization however it showed effect on community, reward, emotional exhaustion and decreasing personal accomplishment, emotional exhaustion had effect on depersonalization and turnover intention, depersonalization had no effect on turnover intention but it had effect on the decreasing of personal accomplishment, emotional exhaustion and decreasing personal accomplishment have effect on turnover intention of contract nurse.Conclusion: The decreasing of burnout can be done by forming personal values and reducing workload of the contract nurses. The personal values can be formed through controls of the two aspects: community and appreciation depersonalization has the most dominant influence in the burnout dimensions established by aspects of emotional exhaustion, turnover intention can be decreased by reducing the dimensions of emotional exhaustion and improving personal achievement. The decreasing burnout model can be applied in other hospitals because it provides an overview of the aspects that affect burnout and prevents the emergence of turnover intention.
The Effectiveness of Supportive Educative in Increasing Self Regulation, Self Efficacy, and Self Care Agency to Control Glichemic Index in Patient with Type II Diabetes
Authors: AF Darmansyah , Nursalam Nursalam , Suharto Suharto
Published: July 2022

Introduction: Type 2 Diabetes Mellitus (DM) is a chronic disease that requires long-term treatment. Supportive educative model facilitates self care agency improvement through self regulation and self effi cacy. This study was aimed the impact of supportive educative model on the improvement of self care regulation and self effi cacy on an increased of self care agency as well as HbA1c.Method: The research method used was quasy experimental with pre-post control group design. This study was conducted with a sample size of 76 patients with Diabetes Mellitus type 2 who were selected through consecutive sampling, they were divided into treatment group of 38 subjects and control of group 38 subjects. Data were collected by questionnaire and HbA1c test. Analysis of the data used paired t-test, independent t test and Partial Least Square (PLS).Result: Result showed that Supportive Educative Model affect on self regulation on dietary control and diet, physical exercise, medication, blood sugar control and foot care (p = <0.05), self efficacy (p = 0,05), self care agency (p = <0,05). Test result of the correlation among the variables using Partial Least Square (PLS) suggest supportive educative model and the obtained value of self regulation is (0,561), self effi cacy is (0,548) self regulation to self care agency (0,592), self effi cacy to self regulation (0,162), self regulation to self care agency (0,094), and self care agency to HbA1c (0,130). Discussion and Conclusion: Novelty in this study indicated that supportive educative is able to improve self care agency patient and HbA1c through increasing self regulation. It is recommended that model of supportive educative could be applied in health service in Indonesia in regard to be independency patient with type 2 DM and other chronical disease.
Autogenic Training Relaxation Helping Postpartum Mothers to Achieve Successful Breastfeeding on Early Lactation Period
Authors: Juanita Farida
Published: July 2022

Introduction: The numbers of breastfeeding failures are mostly caused by mothers` disbelief to themselves. One method that can be done to overcome these problems in accordance with the self-care nursing theory is the autogenic training relaxation. This method teaches mothers to be self-sufficient in building a positive intention and motivation to help the process of breastfeeding. This study aimed to examine the influence of autogenic training relaxation to the effectiveness of breastfeeding and the enhancement of breast milk volume on maternal postpartum.Method: By using an experimental posttest only-non equivalent control group design, 26 samples were taken based on the criteria and divided into two groups by matching technuiqe. autogenic training was given through MP3 Player for 3 weeks. Post-test observation conducted on the third week by home visit. Via Christi Breastfeeding Assessment Tool Jan Riordan modifications used to assess the effectiveness of breastfeeding, and to measure the milk ejection volume, used weighing test using electronic baby scales. Data were analyzed using one-tailed independent t test with α ≤ 0.05.Result: The analysis showed that mothers who did autogenic training relaxation could breastfeed more effectively and had greater average volume of milk ejection than the control group (p = 0.000 and p = 0.001).Discussion: It can be concluded that autogenic relaxation training techniques affect the effectiveness of breastfeeding and breast milk volume. These results can be considered that autogenic training as an intervention in program of support for breastfeeding mothers.
Antenatal Care Services Standart Compliance of Village Midwife in East Java Province
Authors: Purwaningsih Purwaningsih , Armini Ni Ketut Alit , Yunitasari Esti , Triharini Mira , H Cholicul
Published: July 2022

Introduction: The high Maternal Mortality Rate (MMR) require attention to implementing improvement programs and improving maternal health. According to data from East Java Health Offi ce AKI during 2009 were 260/100,000 live births. Indicators of maternal monitoring imple can be seen from figure K1 coverage (visit pregnant women in the first pregnancy) and K4 (contact at least 4 times during pregnancy for antenatal care).Methods: This study was conducted with the observational design of the “cross-sectional”, is a study to learn the dynamics of the correlation between risk factors with effects, with the approach, observation or data collection at once at some point (time point approach).Result: Variable associated with compliance standards of village midwives in implementing the ANC in the province of East Java is the level of knowledge (p) = 0.014 and the infrastructure required to ANC (p) = 0.000. Other variables did not show a significant relationship such as: age (p) = 0.121, status (p) = 0.831, period of employment (p) = 0.147, education (p) = 0.153, training (p) = 0.664, motivation (p) = 0.525, supervision (p) = 0.887, and rewards (p) = 0.663.Discussion: District Health Office/City should do a refresher on antenatal care in midwife needs to be done, since there are those who have a suffi cient level of knowledge and less. Facilities and infrastructure that support the implementation of Antenatal Care (ANC) should be facilitated effectively, to support midwives performance in implementing standards of care Antenatal Care.
Memory Stimulation, Intervention Increase Elderly Cognitive Function
Authors: Kushariyadi Kushariyadi
Published: July 2022

Introduction: Physiologically elderly experience irreversible decline in cognitive function due to the aging process and progressive degenerative changes. Memory care promotion can be used in adolescents and adults, however, its use in elderly still need explanation. The research was aimed to improve the memory of elderly using memory care promotion. Method: Type of research was quasy-experimental, two group pre-post treatment design. Sample size were 30 respondents. taken using simple random sampling technique. The research took place in nursing homes Mojopahit Mojokerto in April 2013. The instruments used were memory care promotion module and cognitive function questionairre. Wilcoxon signed rank test and mann whitney test were used to analyze the data with a significance level of α < 0.05.Result: The result showed there were differences in orientation levels (p <0.003), no difference in registration levels (p < 1.000), differences in attention and calculation levels (p < 0.039) differences in recall levels (p < 0.046), differences in language levels (p < 0.035), differences in the cognitive function (p < 0.001), and differences in the cognitive function between treatment group and the control group (p < 0.002).Discussion: Memory care promotion using the theory of therapeutic nurse-patient relationship and functional consequences theory can significantly improve elderly memory. The use of memory care promotion needs the cooperation and active participation of all parties.
Improving Counselling Skills about Reproductive Health among Students by Using Peer Counselor Training
Authors: Harini Ririn , Rahmat Ibrahim , Nisman Wenny Artanty
Published: July 2022

Introduction: Nowadays, the goal of MDGs to improve maternal health is one of the priorities of many countries. Indonesian Government, by the National Family Planning Board (BKKBN), has followed up by monitoring and evaluating programs which is realized by providing technical guidance resilience in young people through Generation Planning program and developing Information and Consultation Center for Students Reproductive Health (PIK-KRM). In order to improve the role of peer counselors, a training should be done to increase their knowledge, attitudes, and skills. The objective of this research was to determine the effects of training on peer counselor’s knowledge, attitudes, and skills at PIK-KRM.Methods: The study was used quasy experiment pre-test and post-test nonequivalent control group design. Population were the committee of PIK-KRM at Faculty of Health, University of Muhammadiyah Malang, 80 students were included. Independent variable was training, while dependent variables were peer counselor’s knowledge, attitude, and skills. Data were collected by using questionnaire and observation form. Data were then analyzed by using paired t–test, independent sample t-test, simple linear regression.Results: The results of linear regression had showed that training have significant effect on peer counselor’s knowledge (p=0.000; R square=0.254), attitude (p=0.000; R square=0.432), and skills (p=0.000; R square=0.191).Discussion: Training can improve peer counselor’s knowledge, attitude, and skills at PIK-KRM board in giving information and counseling about reproductive health (sexuality, HIV/AIDS, and drugs). Nurses should provide continous training regularly, so their ability can be more better.
The Improvement of Elderly Acceptance in Cronic Pain, Comfort, and Quality of Life through Acceptance and Commitment Therapy (ACT)
Authors: Widayati Dhina , Yusuf Ahmad , P.K. Rizki Fitryasari
Published: July 2022

Introduction: Chronic joint pain is a problem for the majority of elderly. Psychosocial factors have a great impact on people with chronic pain. The acceptance of pain in people with chronic pain can increase their activity daily living, comfort, and quality of life. Acceptance And Commitment Therapy (ACT) is a form of psychotherapy which effective in the management of chronic pain. The objective of this study was to analyze the effect of ACT on improvement acceptance of chronic pain, comfort, and quality of life elderly with chronic joint pain.Method: This study was used a quasy experiment pre-post test control group design. Population were elderly who lived at UPT PSLU Jombang di Pare-Kediri. Sample were 32 respondents gotten by purposive sampling, divided into experiment and control group. Independent variable was ACT, and dependent variables were pain acceptance, comfort, and quality of life elderly with chronic joint pain. Data were collected by using questionnaire with CPAQ (pain acceptance), GCQ (comfort) and WHO-QOLBREF (Quality of Life). Data then analyzed by using Wilcoxon Signed Ranks Test, Mann Whitney U Test, Paired t test and Independent Samples t test with significance value of 0.05.Result: The results had showed that there was an influence ACT to improvement acceptance of chronic pain (p=0,003), comfort (p=0,008), and quality of life elderly with chronic joint pain (p=0,002).Discussion: ACT improved pain acceptance, comfort, and quality of life of elderly with joint chronic pain. Geriatric nurses should include psychosocial activities as a routine activities, as an effort to improve the quality of life. Beside that, the quality of nursing care for elderly can be improved.
Peer Group Support on Self-Efficacy, Glicemic Control and Self Care Activities in Diabetes Mellitus Patients
Authors: Ilkafah Ilkafah , Kusnanto Kusnanto
Published: July 2022

Introduction: Diabetes mellitus (DM) is a chronic disease with many complications. Self-efficacy is a psychosocial aspects refer to patient’s belief about their ability to do Diabetes managements. Self-efficacy can be enhanced by providing a mutual support from other Diabetic patients. This study aimed to analyze the influence of peer group support on self-efficacy, glicemic control and self-care activities of Diabetic patients.Method: This research was a pre-experimental with one-group pre-post test design and was evolved 29 respondents. Peer Group Support indicators were checking in, presenting problems, clarifying issues, sharing experiences, action planning and checking out. Implementation of peer group support activity was 60 minutes meeting, once a week for totally 6 weeks. The datas were analyzed by Wilcoxon signed rank test and Spearman’s Rho test with significance values p≤ 0.05.Result: Self efficacy, self care activities, and blood glucose level were increased (p=0.000).Discussion: Peer group support was recommended to enhance self-efficacy and self-management of diabetic patients. Further research is needed about health promotion for improving self-efficacy.
The Improvement of Low Salt Diet Behavior based on Theory of Planned Behavior on Elderly with Hypertension
Authors: Alberta Lembunai Tat , Proboningsih Jujuk , Almahmudah Masamah
Published: July 2022

Introduction: Hypertension in elderly is triggered by the thickening and stiffness of arterial wall due to ageing processes. One attempt to prevent the complications of hypertension is by change their lifestyle, such as perform a low-salt diet. The implementation of a low-salt diet on elderly should be adjusted with their behavior and habits. TPB is one of theoretical attempt to identify the relationship between elderly’s attitude and their behavior, and to emphasize the importancy of intention as determinant of behavior, focused on cognitif and rational decission making process. This study was aimed to analyze the improvement of low salt diet behavior based on TPB on elderly with hypertension.Method: This research was used descriptive design with observational analytic method. Population were elderly with hypertension recorded at Puskesmas Pucang, Kota Surabaya. Samples were 32 respondents, taken randomly. Data were collected by using questionnaires and direct interview. Data were then analyzed by using Partial Least Square (PLS).Result: The results had showed that intention to implement a low-salt diet was built by attitudes toward behavior, subjective norms, and perceived behavioral control (PBC) on elderly with hypertension. A low-salt diet behavior was built by intention to implement a low-salt diet on elderly with hypertension.Discussion: These results can be used as a model to improve low salt diet behavior on elderly with hypertension.
A Study about The Quality of Nursing Services a Hospitals’ Ward, Mojokerto
Authors: Muhith Abdul , Nurwidji Nurwidji
Published: July 2022

Introduction: Nowadays, the trend of hospital visits in Mojokerto is declining. It can caused by man (nurses), such as the quality of nursing services hasn’t been conducted optimally. This study was aimed to analyze the quality of nursing services at hospitals’ ward at Mojokerto.Method: This was explanatory research with survey method and cross sectional approach. The population were nurses and patients who undergo hospitalization minimally in three days at RSU. Dr. Wahidin Sudiro Husodo and RS Reksa Waluyo Mojokerto. The data were collected by using questionnaire, and then will be analyzed by using regression statistical test.Result: 1) There was positive significance influence of nurses capability, hospital’s ethic, and leadership to the commitment of nurses; 2) There was significant influence of capability work (identification, significance, autonomy, and feedback) to the improvement of nursing services quality; 3) There was significant influence of hospital’s ethics (communication, relatedness with industry, compulsion, and specification) to the improvement of nursing services quality; 4) There was significant influence of leadership (challenger risk, socialization in vision and mission, supporter, guiding, and supporting) to the improvement of nursing services quality; 5) There was significant influence of nurses’ commitment (sense of belonging, sense of linking, believable leader, and suitability of value) to the improvement of nursing services quality.Discussion: It can be concluded that in order to improve the quality of nursing service, management of RSU Dr. Wahidin Sudiro Husodo and RS Rekso Waluyo Mojokerto should improve the ability of nurses, the enforcement of hospital ethics to all employees without exception, and develop hospital ethics that can represent various stakeholder interests, as well as maintain and improve leadership issue.
Complex Network Formation as Antagonistic Game: Numerical Modeling
Authors: Bocharov Pavel , Goryashko Alexander
Published: July 2022

The basic challenges of this work are twofold: demonstrating the dependence between the functional and topological qualities of partition networks and finding the simplest—with respect to algorithmic complexity—network elements. The study of these problems is based on finding the solution to an appropriate antagonistic vertex game. The results of the numerical simulations of antagonistic partition games demonstrate that the winner’s graphs are “almost always” dense and hyperenergetic compared to the loser’s graphs. These observations reveal that successful evolutionary mechanisms can be realized, in principle, by the simplest objects (such as viruses).
Biomanufacturing for Space-Exploration – What to Take and When to Make
Authors: Averesch Nils J.H. , Berliner Aaron J. , Nangle Shannon N. , Zezulka Spencer , Vengerova Gretchen L. , Ho Davian , Casale Cameran A. , Lehner Benjamin A.E. , Jessica Snyder Jessica E. , Clark Kevin B. , Dartnell Lewis R. , Criddle Craig S. , Arkin Adam P.
Published: July 2022

As renewed interest in human space-exploration intensifies, a coherent and modernized strategy for mission-design and planning has become increasingly crucial. Biotechnology has emerged as a promising approach to increase mission resilience, flexibility, and efficiency by virtue of its ability to efficiently utilize in situ resources and reclaim resources from waste streams. Since its infancy during the Apollo years, biotechnology, and specifically biomanufacturing, have witnessed significant expansions of scope and scale. Here we outline four primary mission classes, on Luna and Mars, that drive a staged and accretive biomanufacturing strategy. Each class requires a unique approach to integrate biomanufacturing into the existing mission architecture and so faces unique challenges in technology development.These challenges stem directly from the resources available in a given mission class – the degree to which feedstocks are derived from cargo and in situ resources – and the degree to which loop-closure is necessary. We see that as mission duration and distance from Earth increase, the benefits of specialized sustainable biomanufacturing processes increases. Here we present a strategic approach, guided by technoeconomics, to development, testing, and deployment of these technologies serves to nucleate the larger effort of supporting a sustained human presence in space. The processes needed for each scenario spans the technical breadth of synthetic biology to design engineering, from sophisticated genetic tailoring of chassis-organisms to building scalable, automated, easily operable bioreactors and processing systems. As space-related technology development often does, these advancements are likely to have profound implications for the creation of a stable, resilient bioeconomy on Earth.
Impact of COVID-19 on Diagnosis of Respiratory Diseases in the Northern Metropolitan Area in Barcelona (Spain)
Authors: García Olivé Ignasi , Stojanovic Zoran , Martínez Rivera Carlos , López Seguí Francesc , Hernández Guillamet Guillem , Vidal Alaball Josep , Abad Capa Jorge , Rosell Gratacós Antoni
Published: July 2022

Objective: Several authors have analyzed the impact of the pandemic on the incidence rates of different conditions. Our aim was to analyze the impact of the COVID-19 pandemic on primary care new diagnoses of respiratory diseases. Methods: This was an observational retrospective study performed to describe the impact of COVID-19 pandemic on primary care new diagnosis of respiratory diseases other than lung cancer. Incidence rate ratio between pre-pandemic and pandemic period was calculated. Results: We found an decrease in the incidence of respiratory conditions (IRR 0.65) during the pandemic period. When we compared the different groups of diseases according to ICD-10, we found a significant decrease in the number of new cases during the pandemic period, except in the case of pulmonary tuberculosis, abscesses or necrosis of the lungs and other respiratory complications. Instead, we found increases in new diagnoses of flu and pneumonia (IRR 2.17) and respiratory interstitial diseases (IRR 1.41). Conclusion: There has been a decrease in new diagnosis of most respiratory diseases during the COVID-19 pandemic. The real clinical impact of this situation is still unknown. Large-scale real-life studies will make it possible to evaluate the long-term true impact of COVID-19 pandemic on the respiratory diseases management.
Getting the Full Picture of Plankton in the Western Channel
Authors: Rowena Stern , Picard Kathryn , Clarke Jessica , Walker Charlotte , Martins Claudia , Marshall Clare , Amorim Ana , Woodward Malcolm , Widdicombe Claire , Tarran Glen , Edwards Martin
Published: July 2022

Plankton monitoring by microscopy offers long-term ecological perspective of plankton communities but is biased towards those organisms that can be distinguished using the microscope. Genetic identification of marine plankton has become standard but is still not used. This study is a comprehensive study genetically measured taxa in the Western Channel of UK using a small-volume automated water sampler deployed on the CPR platform. The study present one year of high-throughput sequencing data focussing on smaller plankton and separate community to that measured by microscopy that can complement each other for a holistic view of plankton. Quantitative tests of two harmful algae show relatively high abundance of the Pelagophyte Aureococcus anophagefferens during 2011 with low nitrite levels. Three years of Pseudo-nitzschia delicatissima quantitative monitoring also shows a greater abundance of this potentially harmful taxa in 2011. Flow cytometry reveals distinct seasonal cycles with distinct timings.
Residual Dizziness after Liberatory Maneuver for BPPV: Two Types of Labyrintholithiasis?
Authors: Messina Aldo , Galletti Bruno , Cupido Francesco , Corvaia Alessandro , Marino Chiara
Published: July 2022

Residual dizziness after a liberating maneuver is often referred to by patients as a more disabling set of symptoms than the positional vertigo itself. This situation seems to involve more than half of subjects with labyrintholithiasis. The authors examine the hypothesis according to which residual dizziness involves subjects with labyrintholithiasis on the basis of otoconia.
THE REGIME CHOICE WITH EFFECTIVE GRINDING BY THE WAY CONTROL INTER-AXIS DISTANCE MACHINE TOOLS
Authors: Rudyk Andrei , Rudyk Vladislav
Published: July 2022

The problem of effective grinding of rotating surfaces is to improve the quality and increase productivity, while reducing costs. The problem can be solved by controlling the distance H between of the rotation tool axes with the part on CNC machines and rational choosing of a shape tool. The purpose of the article is to increase the grinding efficiency of the rotation surfaces with the end face of the conical abrasive tool by rational choice of mode parameters when controlling the inter-axis distance machine tools. To achieve this goal, the following research objectives should be solved. Determine the modes of grinding by limiting the kinematic factors. To find the influence of the dependence of the angular spatial orientation of the contact line of the tool and the part on the angle of small taper of its formed fragment by choosing the dimensions of the machine adjustment.  To analyze the influence of the relative position and size of the contact area depending on the kinematics and technical requirements for processing. For the first time, the kinematic constraints of the limit value of the projection of the speed of relative motion in the normal direction, which is used as the grinding intensity, taking into account the rotational and translational motions of the feed. The spatial angular position of the contact line of the tool with the part is determined taking into account the dimensions of the machine adjustment, namely, the wheelbase and the angle of the circle profile. The algorithm of definition of modes of deep grinding is established. The graphical dependences of the angles of orientation of the contact line on the angle of editing of the circle and the wheelbase of the machine are obtained. The dependences of the reduction of the radial dimensions of the conical surface of the part during grinding in the direction opposite to the axial feed of the wheel are described. The dimensions of the contact area determine the quality: the length along the axis of the part, the number of passes, and the width - the conditions of heat release and cooling
DEVELOPMENT OF MEAT BREAD RECIPE USING TASTE - AROMATIC FILLERS
Authors: Kholod Artem , Pasichnyy Vasil'
Published: July 2022

In recent years, there have been constant changes in the quality of raw meat conditions for keeping and fattening farm animals and poultry, storage and transportation, production technology, which affects the technological and consumer characteristics of meat and, accordingly, the quality of meat products. Changing the properties of raw meat, the use of intensive methods of processing, and the use of food additives in the manufacture of meat products lead to a decrease in its organoleptic properties. Increasingly, manufacturers are paying attention to and increasing the quality requirements of prescription components that give products a traditional taste and aroma. Compared to cooked sausages, meat loaves have a denser texture and thus have a lower moisture content and a pleasant special taste. They are a source of trace elements, complete proteins and vitamins that harmoniously combine taste, aroma, color and form. Having listed the above advantages, this type of product is becoming increasingly popular among the population. In the food industry, flavoring compositions are one of the most important ingredients in the production of meat and sausage products. Their use has become widespread in the world market. This is due to the emergence of advanced technologies that are related to the production of food products based on the processing of raw materials. One of the ways to improve organoleptic indicators, namely: taste and aroma, meat loaves, is the use of flavoring compositions, namely spice oleoresin as alternative analogs of natural spices and spices, mustard and ketchup, as biologically valuable products. Over the last decade, the use of flavoring compositions, namely oleoresin spices, has successfully "supplanted" natural ground spices in the field of food production due to significant advantages in use. The possible uses of oleoresins, spices, ketchup and mustard in the form of gel inclusions (giving the effect of "marbling") for the manufacture of meat loaves are described. Meat breads with a filling inside provide an opportunity to enrich and diversify the diet of consumers, and also they allow the manufacturer to increase the yield by introducing filler.  A rational concentration of oleoresins on a mixture of carriers (0.3-0.4%), milk protein concentrate (10-20 g) and rice flour (10-20 g) was chosen, which ensures the formation of the best taste qualities in the finished product. Experimental data for black pepper oleoresins with which model formulations of meat loaves are developed are given. These results make it possible to compare the effectiveness of the use of natural spices and encapsulated oleoresins in the technology of production of meat loaves with semi-fat pork.
Outcomes After Anatomic and Reverse Shoulder Arthroplasty for the Treatment of Glenohumeral Osteoarthritis
Authors: Kirsch Jacob M. , Puzzitiello Richard N. , Swanson Daniel , Le Kiet , Hart Paul-Anthony , Churchill Ryan , Elhassan Bassem , Warner Jon J.P. , Jawa Andrew
Published: July 2022

Background:

Reverse shoulder arthroplasty (RSA) is increasingly being utilized for the treatment of primary osteoarthritis. However, limited data are available regarding the outcomes of RSA as compared with anatomic total shoulder arthroplasty (TSA) in the setting of osteoarthritis.

Methods:

We performed a retrospective matched-cohort study of patients who had undergone TSA and RSA for the treatment of primary osteoarthritis and who had a minimum of 2 years of follow-up. Patients were propensity score-matched by age, sex, body mass index (BMI), preoperative American Shoulder and Elbow Surgeons (ASES) score, preoperative active forward elevation, and Walch glenoid morphology. Baseline patient demographics and clinical outcomes, including active range of motion, ASES score, Single Assessment Numerical Evaluation (SANE), and visual analog scale (VAS) for pain, were collected. Clinical and radiographic complications were evaluated.

Results:

One hundred and thirty-four patients (67 patients per group) were included; the mean duration of follow-up (and standard deviation) was 30 ± 10.7 months. No significant differences were found between the TSA and RSA groups in terms of the baseline or final VAS pain score (p = 0.99 and p = 0.99, respectively), ASES scores (p = 0.99 and p = 0.49, respectively), or SANE scores (p = 0.22 and p = 0.73, respectively). TSA was associated with significantly better postoperative active forward elevation (149° ± 13° versus 142° ± 15°; p = 0.003), external rotation (63° ± 14° versus 57° ± 18°; p = 0.02), and internal rotation (≥L3) (68.7% versus 37.3%; p < 0.001); however, there were only significant baseline-to-postoperative improvements in internal rotation (gain of ≥4 levels in 53.7% versus 31.3%; p = 0.009). The overall complication rate was 4.5% (6 of 134), with no significant difference between TSA and RSA (p = 0.99). Radiolucent lines were observed in association with 14.9% of TSAs, with no gross glenoid loosening. One TSA (1.5%) was revised to RSA for the treatment of a rotator cuff tear. No loosening or revision was encountered in the RSA group.

Conclusions:

When performed for the treatment of osteoarthritis, TSA and RSA resulted in similar short-term patient-reported outcomes, with better postoperative range of motion after TSA. Longer follow-up is needed to determine the ultimate value of RSA in the setting of osteoarthritis.

Level of Evidence:

Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Current State of Platelet-Rich Plasma and Cell-Based Therapies for the Treatment of Osteoarthritis and Tendon and Ligament Injuries
Authors: Su Charles A. , Jildeh Toufic R. , Vopat Matthew L. , Waltz Robert A. , Millett Peter J. , Provencher Matthew T. , Philippon Marc J. , Huard Johnny
Published: July 2022

➤ Orthobiologics encompass numerous substances that are naturally found in the human body including platelet-rich plasma (PRP), isolated growth factors, and cell therapy approaches to theoretically optimize and improve the healing of cartilage, fractures, and injured muscles, tendons, and ligaments.

➤ PRP is an autologous derivative of whole blood generated by centrifugation and is perhaps the most widely used orthobiologic treatment modality. Despite a vast amount of literature on its use in osteoarthritis as well as in tendon and ligament pathology, clinical efficacy results remain mixed, partly as a result of insufficient reporting of experimental details or exact compositions of PRP formulations used.

➤ Mesenchymal stromal cells (MSCs) can be isolated from a variety of tissues, with the most common being bone marrow aspirate concentrate. Similar to PRP, clinical results in orthopaedics with MSCs have been highly variable, with the quality and concentration of MSCs being highly contingent on the site of procurement and the techniques of harvesting and preparation.

➤ Advances in novel orthobiologics, therapeutic targets, and customized orthobiologic therapy will undoubtedly continue to burgeon, with some early promising results from studies targeting fibrosis and senescence.