bluuebunny/crossref_metadata_2025 huggingface dataset:
Skrining dan Penyuluhan Kesehatan pada Lansia pada Masa New Normal di Panti Tresna Werdha Madago
Authors: Nurmalisa Baiq Emy , Siregar Hasbunsyah , Kindang Ismunandar Wahyu , Savira Niluh Nita
Published: January 2024

Pendahuluan Pada periode new normal, lansia merupakan salah satu kelompok rentan yang berpotensi menghadapi risiko tinggi mengalami gejala parah hingga risiko kematian. Akan tetapi pada periode tersebut akses pelayanan kesehatan kepada lansia melalui kegiatan posyandu lansia menjadi terganggu. Tujuan dari kegiatan pengabdian kepada masyarakat ini adalah untuk melakukan skrining kesehatan dan edukasi kepada lansia tentang hipertensi dan diabetes melitus Metode. Sasaran dari kegiatan pengabdian masyarakat ini adalah Lansia yang tinggal di PSTW Madago Tentena yang berjumlah 42 orang. Kegiatan ini berlangsung pada hari Jumat, 27 Mei 2022 di aula PSTW Madago. Tim pengabdi dalam hal ini mahasiswa prodi Ners Poltekkes Palu bersama Tim dosen sudah melakukan tahap persiapan, pelaksanaan dan evaluasi. Hasil Kesuksesan pencapaian tujuan terlihat dari tingkat pemahaman peserta mengenai pengertian, tanda gejala, pencegahan dan penatalaksanaan terkait hipertensi dan diabetes melitus. Selain itu hasil pemeriksaan menunjukkan bahwa sebanyak 38% lansia mengalami hipertensi derajat 1 dan beberapa lansia memiliki gula darah di atas normal. Saran bagi PSTW Madago untuk terus berkoordinasi dengan Puskesmas Maroso untuk melakukan pemeriksaan kesehatan dan edukasi terkait kesehatan pada lansia.
Penyuluhan Tentang Imunisasi Dasar Lengkap Pada Ibu Balita
Authors: Masulilli Fitria , Jurana Jurana , Irsanty Collein , Pangaribuan Helena , Baiq Emy Nurmalisa , Supirno Supirno , Ayu Sri Manika , Marlin Marlin
Published: January 2024

Introduction Complete national routine immunization coverage is currently slowly increasing again after the COVID pandemic from 84% in 2019 to 94.9% in 2022. Indonesian children have been immunized. This increase was given a good score but not enough, because there are still around 5% or 240,000 Indonesian children who have not received additional protection from complete basic immunization, meaning these children are still at high risk of contracting diseases that can be prevented by immunization (PD3I). The Ministry of Health targets 100 percent of babies to receive complete basic immunization (IDL) by 2023. This community service aims to provide knowledge to mothers of toddlers about complete basic immunization (0 to 11 months). This service method takes the form of counseling and giving leaflets to mothers of toddlers. This community service activity was carried out at Latulip Posyandu, Layana Village, Talise Health Center working area on June 21 2023. The target audience for this community service activity was all mothers with toddlers who live in Layana Village as the Talise Health Center Working Area, 18 mothers of toddlers. The results of the activity were the knowledge of mothers of toddlers about complete basic immunization after counseling, namely the majority with good knowledge, 15 participants (83.3%) and 3 participants (16.7%) with sufficient knowledge. The conclusion is that this community service activity can provide understanding to mothers of toddlers about complete basic immunization. Suggestions to the Talise Community Health Center to continue to increase community knowledge and provide motivation for mothers of toddlers to support the success of achieving complete basic immunization coverage according to the national target of 100 percent.
Edukasi tentang Hipertensi bagi Kader dan Lansia Hipertensi di Posbindu Penyakit Tidak Menular
Authors: Sukmawati Sukmawati , Nurarifah Nurarifah , Nitro Galenzo
Published: January 2024

Introduction: Efforts to handle non-communicable diseases, including hypertension, are trying to be formed based on cooperation and support from all elements of society who care about disease control through Posbindu PTM. Apart from early detection of hypertension, sufferers who have been given treatment are also expected to continue to regularly control their health at Posbindu PTM. Posbindu PTM activities in North Luwuk District include health promotion and services by cadres and supported by North Luwuk Health Center UPT health workers. In North Luwuk District, based on visit data, almost all of them are elderly category of hypertension sufferers. This community service aims to provide education about hypertension to cadres and elderly people with hypertension. The method of this educational activity is by means of counseling using leaflet media. The activity will be carried out on October 3 2023. The target is 35 people consisting of cadres and elderly people with hypertension. The results of the post test evaluation show an increase in knowledge after education. Advice to the target, it is hoped that they will continuously refresh their knowledge about hypertension so that early detection is maximized and they are able and willing to control their health.
Edukasi Kesehatan Tentang Manajemen Nyeri Di Kota Jayapura
Authors: Fitriani Fitriani , Afelya Titi Iswanti
Published: January 2024

Latar Belakang : Nyeri merupakan hasil sensasi yang penting bagi tubuh yaitu pengalaman sensorik dan emosional yang tidak menyenangkan berkaitan dengan kerusakan jaringan atau dijelaskan dalam istilah seperti kerusakan. Meskipun nyeri biasanya dialami sebagai ketidaknyaman dan ketidak inginan, nyeri juga memberikan peran perlindungan, memberi peringatan terhadap kemungkinan kondisi yang mengancam kesehatan. Salah satu pelayanan yang dapat diberikan untuk mengatasi permasalah nyeri yang dialami oleh seseorang adalah dengan menajemen nyeri. Hal ini menjadi dasar dirancangnya kegiatan pengabdian ini melalui edukasi terkait manajemen nyeri di Kota Jayapura. Tujuan : Kegiatan Pengabdian ini bertujuan untuk meningkatkan pengetahuan peserta tentang manajemen nyeri dalam mengurangi respon nyeri yang dialami. Metode : Kegiatan Pengabdian dilaksanakan dengan metode edukasi menggunakan media serta diskusi dengan peserta. Kegiatan dilakukan dengan pre test dan post test untuk menilai tingkat keberhasilan kegiatan. Hasil : Pengetahuan peserta tentang manajemen nyeri setelah dilaksanakan edukasi semakin meningkat dimana kategori pengetahuan baik sebelum intervensi berjumlah 40 orang dan setelah diberikan edukasi menjadi 52 orang. Kesimpulan : Kegiatan edukasi kesehatan tentang manajemen nyeri untuk membantu peserta dalam mengelola nyeri berhasil, dimana pengetahuan peserta tentang manajemen nyeri meningkat. kegiatan tentang edukasi dapat dilanjutkan bukan hanya terbatas pada penyuluhan namun dilengakpi dengan pelatihan yang dapat memberikan keterampilan mandiri kepada masyarakat dalam menerapkan manajemen nyeri secara non farmakologi
Meningkatkan Status Kesehatan Anak Sekolah Dasar dengan memberikan edukasi dan demonstrasi
Authors: Gustini Gustini , Mua Estelle Lilia , Assa Anggri Alfira Yunita , Wartana I Kadek , Sekeon Robi A. , Sepang Janice
Published: January 2024

Salah satu indicator perilaku hidup bersih dan sehat adalah mencuci tangan enam langkah yang baik dan benar. Sehingga anak sekolah dasar wajib mengetahui dan bisa mempraktikkan cuci tangan yang baik dan benar. Adapun tujuan pengabdian kepada masyarakat ini untuk memberikan edukasi untuk menambah pengetahuan siswa siswi tentang bagaimana cara mencuci tangan yang benar dan tepat. Kegiatan ini dilaksanakan pada  tanggal 13 Desember 2022. Khalayak sasaran dalam kegiatan ini yaitu siswa/siswi sekolah dasar sebanyak 42 orang. Metode pengabdian yaitu memberikan edukasi peningkatan pengetahuan siswa/siswa tentang cara mencuci tangan yang benar dan tepat. Hasil kegiatan ini diperoleh sebagian besar peserta dapat menyebutkan cara mencuci tangan, tujuan mencuci tangan, dan mampu mepraktikkan 6 langkah cuci tangan yang tepat dan benar. Kegiatan penyuluhan ini dapat dijadikan salah satu program di Sekolah Dasar Negeri 1 Bo’e dalam rangka meningkatkan pengetahuan dan meningkatkan status kesehatan aanak sekolah dasar dengan membiasakan mencuci tangan sebelum dan sesudah melakukan aktivitas terutama pada saat sebelum makan.
Asuhan Keperawatan Keluarga dengan Pemberian Ramuan Tradsional untuk Meningkatkan Nafsu Makan pada Balita yang Mengalami Gizi Kurang di Wilayah Kerja Puskesmas Kawatuna
Authors: Ulfiani Ulfiani , Saifah Andi
Published: January 2024

Gizi kurang merupakan salah satu masalah kesehatan yang menjadi perioritas pemerintah untuk ditanggulangi. Kurang nafsu makan cenderung membuat intake nutrisi tidak terpenuhi. Tujuan penelitian adalah mengeksplorasikan asuhan keperawatan keluarga dengan pemberian ramuan tradisional ketumbar dan madu untuk meningkatkan nafsu makanbalita yang mengalami gizi kurang. Desain penelitian studi kasus menggunakan dua subjek (keluarga) yang mempunyai balita gizi kurang dan nafsu makan kurang. Fokus intervensi adalah pemberian ramuan tradisional pada balita oleh keluarga. Hasil studi kasus menunjukkan bahwa ramuan tradisional dapat meningkatkan porsi makan, jenis makanan yang dikonsumsi bervariasi, dan berat badan dari 10,6 kg menjadi 11,6 kg pada An. A, dan 11,1 kg menjadi 11,8 kg pada An. V. Kemandirian dua keluarga dari KM II menjadi KM III. Kesimpulan penelitian adalah pemberian ramuan tradisional ketumbar dan madu oleh kaluarga dapat memperbaiki nafsu makan dan berat badan walaupun berat badan belum mencapai berat badan normal karena keterbatasan waktu untuk memberikan intervensi. Disarankan pada keluarga untuk mengsosialisakan manfaat ramuan tradisional kepada keluarga lain yang mempunyai keluhan yang sama dan untuk peneliti selanjutnya di sarankan untuk mengembangkan penelitian dengan desain kuantitatif experimental.
Literature Review: Managemen Nyeri pada Pasien Kanker
Authors: Nurmalisa Baiq Emy
Published: January 2024

Nyeri merupakan salah satu gejala yang paling banyak dikeluhkan oleh pasien kanker. Complementary Alternative Medecine (CAM) yang menjadi salah satu terapi yang banyak dipilih oleh pasien kanker. Penanganan nyeri yang efektif dapat  meningkatkan kualitas hidup pasien kanker.  Tujuan dari review ini adalah untuk  mengetahui jenis-jenis terapi  CAM mana saja  yang efektif untuk untuk mengurangi nyeri pada pasien paliative dengan mengumpulkan hasil laporan penelitian dari tahun 2001-2016. Pencarian hasil penelitian dengan Google Scholar, Ebscho, Pubmed, NEJM dan Proquest. Kriteria inklusi yang kami gunakan adalah artikel publikasi kisaran tahun 2001 sampai 2016, design RCT, quasy eksperimen dan ada kaitannya dengan efek CAM   terhadap  nyeri pasien kanker. Berbagai jenis CAM dapat digunakan sebagai alternatif pilihan bagi pasien kanker dalam  mengurangi nyeri seperti terapi musik, massage, akupuntur dan guided imagery. Adapun pemilihan jenis terapi disesuaikan dengan pilihan pasien dengan mempertimbangkan berbagai aspek seperti budaya,  durasi pemberian, teknik pemberian terapi, dan aspek lainnya.
Determinan Kejadian Multidrugs ResistenTuberculosis (MDR TB) di Kecamatan Luwuk Utara
Authors: Sukmawati Sukmawati , Galenso Nitro
Published: January 2024

Indonesia termasuk high burden countries, artinya Indonesia memiliki permasalahan besar menghadapi TB. Penelitian bertujuan mengidentifikasi Karakteristik Penderita dan determinan  MDR-TB di wilayah Kecamatan Luwuk Utara. Jenis Penelitian Case control study. Teknik sampel dengan total sampling. Analisis data dengan Odds Ratio untuk mengetahui besar peluang variabel beresiko terhadap kejadian kasus MDR-TB.  Odds Ratio dengan 95% confidence interval diperoleh bahwa PMO, Dukungan Keluarga, dan Keteraturan Minum Obat adalah 100% sehingga tidak dilanjutkan untuk melihat besarnya peluang beresiko. Pengetahuan merupakan determinan MDR TB dengan nilai OR >0,1. Analisis variabel akses pelayanan menunjukkan nilai OR>1,75 artinya variabel akses pelayanan Kesehatan pada responden memiliki peluang 1,75 lebih besar menderita MDR TD. Penyuluhan Kesehatan diperoleh nilai OR>11 jadi 11,5 lebih berpeluang memiliki risiko MDR-TB. Hasil analisis variabel petugas Kesehatan menunjukkan nilai OR>5,8. Artinya peluang berisiko variabel petugas Kesehatan adalah 5,8 lebih besar menderita MDR-TB. Kesimpulan penelitian adalah Karakteristik MDR TB tertinggi pada usia 17-25 tahun dan 46-55 tahun, jenis kelamin laki-laki, Pendidikan SLTA dan pekerjaan wiraswasta. Hasil analisis Odds Ratio menunjukkan bahwa yang bermakna adalah variabel pengetahuan dimana OR>0,1.
Characteristics of Chronic Kidney Disease Patients Who Undergo Hemodialysis
Authors: Tampake Rina , Dwi Shafira Doho Asih
Published: January 2024

Penyakit gagal ginjal kronik merupakan salah satu penyakit tidak menular yang  dapat menyebabkan penurunan fungsi ginjal. Salah satu penatalaksanaan gagal ginjal kronik yaitu hemodialisa. Hemodialisa adalah suatu terapi pengganti ginjal. Karakteristik pasien gagal ginjal kronik terdiri dari beberapa karakteristik diantaranya jenis kelamin, usia dan lama menjalani hemodialisa. Tujuan penelitian ini menganalisis karakteristik pasien gagal ginjal kronik yang menjalani hemodialisa. Jenis dan desain penelitian merupakan penelitian literatur review dengan metode analisis isi jurnal. Pencarian literatur melalui publikasi di database kualitas sedang dan yang didapatkan dua artikel sesuai kriteria inklusi dan eksklusi yang dipergunakan dalam penelitian. Hasil dari analisis dua jurnal penelitian ini menunjukkan karakteristik pasien gagal ginjal kronik yang menjalani hemodialisa berdasarkan jenis kelamin pada jurnal pertama laki-laki lebih banyak dan pada jurnal kedua perempuan lebih banyak. Berdasarkan usia, pada jurnal pertama yang paling banyak pada rentang usia 15-64 tahun dan pada jurnal kedua yang paling banyak 45-65 tahun. Berdasarkan lama hemodialisa, pada jurnal pertama lama hemodialisa 1,1-3 tahun sedangkan pada jurnal kedua lama hemodialisa >5 tahun. Kesimpulan bahwa penyakit gagal ginjal kronik dapat menyerang atau diderita oleh siapa saja baik laki-laki maupun perempuan dan kalangan usia mana saja tergantung faktor penyebabnya serta semakin lama pengalaman hemodialisa pasien, maka semakin besar dampak yang akan diderita, contohnya fisik, psikologis, emosional dan sosial.
Pengetahuan dan Sikap Masyarakat Dalam Kesiapsiagaan Menghadapi Bencana Gempa Bumi dan Tsunami di Huntara Kota Palu dan Sigi
Authors: Ismunandar Ismunandar , Nurlailah Umar  , Metrys Ndama  , Amyadin
Published: January 2024

Seluruh wilayah Indonesia merupakan daerah yang rawan bencana termasuk Palu, Sigi dan Donggala. Tanggal 28 September 2018 telah terjadi gempa bumi, tsunami dan likuifaksi yang menelan banyak korban jiwa serta membuat sebagian dari masyarakat harus menjadi pengungsi dan tinggal di huntara. Banyaknya korban jiwa pada peristiwa tersebut karena kurangnya pengetahuan masyarakat tentang kesiapsiagaan bencana termasuk persiapan pra bencana, saat bencana dan pasca bencana. Tujuan penelitian ini adalah mengetahui pengetahuan dan sikap masyarakat dalam kesiapsiagaan menghadapi bencana gempa bumi dan tsunami pada pengungsi di Huntara Palu dan Sigi. Jenis penelitian ini adalah penelitian deskriptif. Cara pengambilan sampel adalah purposive sampling. Sampel penelitian berjumlah 96 orang. Pengumpulan data menggunakan kuesioner. Analisis data menggunakan analisis univariat. Hasil penelitian menunjukkan pengetahuan masyarakat menghadapi bencana bumi yang baik 28 orang (58,3%), kurang baik 20 orang (41,7%). Pengetahuan pada pasca bencana 100% kurang baik. Pengetahuan menghadapi bencana tsunami yang baik 34 orang (70,8%), kurang baik 14 orang (29,2%). Sikap masyarakat menghadapi bencana gempa bumi yang baik dan kurang baik sama yaitu 24 orang (50%), sikap mengahadapi bencana tsunami yang baik 26 orang (54,2%), kurang baik 22 orang (45,8%). Kesimpulan penelitian ini pengetahuan dan sikap masyarakat dalam menghadapi bencana gempa bumi dan tsunami lebih banyak yang baik. Jika dilihat pengetahuan tentang pasca bencana gempa bumi semuanya kurang baik. Disarankan kepada Pemda Kota Palu dan Pemda Kabupaten Sigi untuk secara rutin memberikan penyuluhan dan simulasi tentang kesiapsiagaan bencana gempa bumi dan tsunami.
Gambaran Kualitas Pelayanan Kesehatan di Ruang Rawat Inap RSU Anutapura Palu
Authors: Sipatu Lindanur , Moh.Fadli Dg.Patompo  , I Wayan Supetran
Published: January 2024

Rumah Sakit Umum Anutapura Palu merupakan rumah sakit tipe B, milik Pemerintah Kota Palu dan merupakan rumah sakit rujukan untuk wilayah Palu dan sekitarnya. Rumah sakit umum mempunyai misi memberikan pelayanan kesehatan yang bermutu dan terjangkau oleh masyarakat dalam rangka meningkatkan derajat kesehatan masyarakat. Penelitian ini bertujuan untuk mengetahui kualitas pelayanan kesehatan di ruang rawat inap RSU Anutapura Palu. Jenis penelitian  adalah deskriptif. Populasi sebanyak 409 orang, jumlah sampel 202 responden dengan metode Accidental Sampling. Analisis data menggunakan analisis univariat distribusi frekuensi.  Hasil penelitian menunjukkan bahwa secara keseluruhan kualitas pelayanan kesehatan di rumah sakit Anutapura Palu adalah baik, yaitu dimensi kehandalan pelayanan sebesar 80,2%, daya tanggap pelayanan sebesar 74,3%, jaminan pelayanan sebesar 77,2%,  perhatian pelayanan sebesar 72,8% dan penampilan pelayanan sebesar 72,8%. Kesimpulan hasil penelitian ini adalah tanggapan pasien tentang kualitas pelayanan kesehatan di ruang rawat inap RSU Anutapura Palu dalam ketegori baik. Diharapkan kepada pihak rumah sakit, khususnya di ruang rawat inap, agar petugas kesehatan  dapat meningkatkan  kinerja dalam  melayani pasien. Selain itu, pihak rumah sakit agar lebih memperhatikan fasilitas yang ada di ruangan, seperti kebersihan kamar mandi, fasilititas AC atau kipas angin, serta kenyamanan di ruangan serta kebersihan di ruangan agar lebih ditingkatkan lagi
Intercede Motivasi Intrinsik Meningkatkan Komitmen Organisasional dan Kinerja Perawat
Authors: Sukamto Edi , Rasmun Rasmun
Published: January 2024

Latar Belakang: Kinerja perawat tidak terlepas dari komitmen yang dimiliki oleh masing-masing perawat. Setiap perawat yang memiliki komitmen organisasi yang tinggi akan memberikan dampak yang baik bagi organisasinya. Tujuan: dari penelitian ini adalah menganalisis pengaruh komitmen organisasional dan motivasi intrinsik terhadap kinerja perawat. Metode: Teknik pengambilan sampel dalam penelitian ini adalah penelitian populasi (sampel jenuh). Jumlah sampel keseluruhan adalah 198 perawat di Kota Samarinda. Analisis data menggunakan pendekatan Partial Least Square (PLS). PLS adalah model persamaan Structural Equation Modeling (SEM) yang berbasis komponen atau varian. Hasil dari penelitian ini adalah: komitmen organisasional berpengaruh positif dan signifikan terhadap motivasi intrinsik dan motivasi intrinsik berpengaruh positif dan signifikan terhadap kinerja perawat di Puskesmas Kota Samarinda.
Analisis Faktor Penyebab Stres Perawat IGD
Authors: Risna Damayanti
Published: January 2024

Latar Belakang: Stres adalah respon fisiologis terhadap suatu peristiwa negative, trauma, tekanan emosional dan mental. Stress dapat mengganggu seseorang untuk beradaptasi terhadap lingkungan, mempengaruhi aktifitas dan pekerjaannya. Stres kerja perawat dapat terjadi apabila perawat dalam bertugas mendapatkan beban kerja yang melebihi kemampuannya sehingga perawat tersebut tidak mampu memenuhi atau menyelesaikan tugasnya, maka perawat tersebut dikatakan mengalami stress kerja. Tujuan: Penelitian ini untuk menganalisis faktor penyebab stress perawat IGD di RSUD Labuang Baji Makassar. Metode: Desain penelitian Kuantitatif deskriptif dengan pendekatan cross sectional. Sampel dalam penelitian sebanyak 30 responden dengan teknik total sampling. Hasil: menunjukkan faktor penyebab stres perawat nilai Mean ≥13 tertinggi  yaitu pada subskala beban kerja (18,87), ketidakjelasan pengobatan (18,53) dan nilai mean <13 yang terendah yaitu pada subskala diskriminasi (6,40). Kesimpulan: Beban kerja merupakan faktor terbanyak yang menimbulkan stress pada perawat. Saran: Perawat harus selalu menjalin komunikasi dan hubungan yang baik antar Atasan, sesama rekan sejawat, dokter, pasien dan keluarga, saling mendukung dan memberikan motivasi agar tercipta lingkungan kerja yang kondusif yang dapat mengurangi timbulnya stress di lingkungan kerja.
Faktor Yang Berhubungan Dengan Pengambilan Keputusan Keluarga Terhadap Pemanfaatan Sarana Pelayanan Imunisasi Dasar Pada Bayi
Authors: Nur Akbar , Mustadiarto Mustadiarto , Patandean Dewarawati , Suryadi Suryadi , Dwi Swarjana I Kadek
Published: January 2024

ABSTRAK

Latar Belakang: Salah satu indikator keberhasilan program imunisasi adalah tercapainya Universal Child Immunization (UCI). Kegiatan imunisasi merupakan salah satu kegiatan prioritas Kementrian Kesehatan sebagai salah satu bentuk nyata komitmen pemerintah untuk mencapai Milenium Development Goals (MDGs) khususnya untuk menurunkan angka kematian pada anak. Tujuan: Tujuan dalam penelitian ini untuk mengatahui faktor yang berhubungan dengan pemanfaatan sarana pelayanan imunisasi dasar bayi di Posyandu Coklat Indah UPT Puskesmas Sarudu II. Metode: Jenis penelitian yang digunakan yaitu Survey Analitik dengan menggunakan pendekatan desain Cross Sectional Study. Adapun populasi pada penelitian ini adalah semua ibu yang memiliki bayi dan balita di wilayah Posyandu Coklat Indah UPT Puskesmas Sarudu II, dengan jumlah sampel sebanyak 42 responden yang memenuhi kriteria inklusi. Hasil: Berdasarkan hasil penelitian didapatkan bahwa untuk variabel pengetahuan didapatkan nilai P lebih kecil dari nilai α yaitu (ρ = 0.002 < 0.05), untuk variabel pekerjaan didapatkan nilai P lebih besar dari nilai α yaitu (ρ = 0.283 > 0.05), untuk variabel motivasi keluarga didapatkan nilai P lebih kecil dari nilai α yaitu (ρ = 0.000 < 0.05), dan untuk variabel dukungan keluarga didapatkan nilai P lebih kecil dari nilai α yaitu (ρ = 0.006 < 0.05). Kesimpulan:Hal ini menunjukkan bahwa ada hubungan antara pengetahuan, motivasi keluarga dan dukungan keluarga dengan pemanfaatan sarana pelayanan imunisasi, dan tidak ada hubungan antara pekerjaan dengan pemanfaatan sarana pelayanan imunisasi dasar di Posyandu Coklat Indah UPT Puskesmas Sarudu II.
The Effect Of Using SDKI And Wilkinson Book On The Accuracy Level Of Nursing Diagnosis by Poltekkes Palu Nursing Student
Authors: Hasan Sri Musriniawati , Mulyanto Atim
Published: January 2024

Nursing diagnosis is a clinical judgement made by a nurse about patients’ respond towards their health condition. Data shows that 40% of nursing students don’t have enough skills to make precise nursing diagnose. The aim of this study is to assess the effect of the use of the SDKI book and Wilkinson nursing diagnosis 10th edition book on the nursing students’ accuracy in making nursing diagnoses. We use a quasi-experimental method with the second grade of Poltekkes Palu nursing students as the subject of this study (n=93).  The subjects were then divided into 3 groups. The first group was given the SDKI book as the intervention, the second group with the Wilkinson, and the third group was the control. Data were collected and analyzed with one-sample t-test (α<0,05) to assess the students’ nursing diagnose accuracy before and after interventions. Results show that there is a statistically significant increment before and after intervention in the Wilkinson group (α = 0,018). While there are no significant increments both in the SDKI group (9,2 point increment), Wilkinson group  (42 point increment), and in the control group (10,8 point of increment).  In conclusion, the use of Wilkinson nursing diagnoses 10th edition affects the increment of Poltekkes Palu students’ nursing diagnosis accuracy.
The Effect of Diabetic Foot Exercises on Ankle Brachial Index Values and the Degree of Diabetic Foot Risk in Diabetes Melitus Patients
Authors: Nurmalisa Baiq Emy , Supirno Supirno
Published: January 2024

Background: The prevalence of Diabetic Foot Ulcers (DFU) in diabetics is 4-10% where this condition more often affects the elderly. DFU is a serious marker of a disease that if optimal prevention is not carried out from the start, the wound deteriorates rapidly, and the worst is amputation. Diabetic foot exercises are used as leg exercises and are beneficial in reducing pain, reducing nerve damage, controlling blood sugar and increasing blood circulation in the feet. The purpose of this study was to analyze the effect of diabetic foot exercise on the degree of risk of diabetic foot ulcers and the Ankle brachial index value in Diabetes Mellitus patients in the Work Area of the Mamboro Health Center. Methods: This type of research is quasi-experimental with a one group pretest posttest design. The sample is 16 people. The instruments used were a monofilament test, sphygmomanometer, stethoscope, and an instrument for assessing the risk of diabetic foot. Data analysis used is paired t test and Wilcoxon test. Results  The results showed that diabetic foot exercise had an effect on changes in the value of blood circulation (ABI) with a p value (0.000) and a score of degrees of risk of diabetic foot with a p value (0.001). Conclusion of this study is that diabetic foot exercise has a statistical effect on both the ABI value and the diabetic foot degree score. Suggestions from this study are that nurses more often conduct DM foot exercise education in an effort to prevent DFU
Efektifitas Pemberian Jus Mentimun terhadap Perubahan Tekanan Darah pada Pasien Hipertensi di Desa Padang Wilayah Kerja Puskesmas Kintom
Authors: Arifuddin Arifuddin
Published: January 2024

Latar belakang Prevalensi penderita hipertensi  di Kabupaten Luwuk terus meningkat dimana tahun 2019 sebanyak 13,47% dan pada tahun 2020 sebesar 26%. Tujuan penelitian ini mengetahui    efektivitas jus mentimun terhadap perubahan tekanan darah pada pasien hipertensi di Desa Padang wilayah kerja Puskesmas Kintom. Metode Jenis penelitian adalah Quasy experiment design (pretest – posttest with control grup).Variabel independen dalam penelitian ini adalah terapi jus mentimun dan variabel dependen dalam penelitian ini adalah tekanan darah pada penderita hipertensi. Sampel dalam penelitian ini berjumlah 38 orang dibagi menjadi dua kelompok, kelompok perlakuan 19 orang dan kelompok kontrol 19 orang. Analisa data menggunakan uji Paired t-test. Hasil rata-rata tekanan darah sistolik dan diastolik pada kelompok perlakuan sebelum diberikan terapi jus mentimun adalah 165,26/97,37 mmHg dan rata-rata tekanan darah sistolik dan diastolik sesudah diberikan terapi jus mentimun adalah 138,68/89,21 mmHg.  Pada kelompok kontrol diperoleh rata-rata 161,0/99,4 mmHg tekanan darah sistolik dan diastolik pada awal dan 159,4/100,5 mmHg, tekanan darah sistolik dan diastolik pada akhir. Penelitian ini menunjukkan pada kelompok perlakuan yang diberikan jus mentimun terbukti berpengaruh terhadap perubahan tekanan darah pada pasien hipertensi, dengan p- value = (0,000 < 0,05). Kesimpulan  Pemberian jus mentimun terbukti efektif memberikan perubahan tekanan darah pada pasien hipertensi. pengobatan secara konvensional atau secara medis, jus mentimun bisa dijadikan terapi komplementer untuk menurunkan tekanan darah.
Research progress of exosomes in drug resistance of breast cancer
Authors: Liu Lihui , Jiang Daqing , Bai Shi , Zhang Xinfeng , Kang Yue
Published: January 2024

Since breast cancer is a heterogeneous disease, there are currently a variety of treatment methods available, including chemotherapy, endocrine therapy, molecular targeted therapy, immunotherapy, radiation therapy, etc. Breast cancer recurrence and metastasis, despite many treatment modalities, constitute a considerable threat to patients’ survival time and pose a clinical challenge that is difficult to tackle precisely. Exosomes have a very special and crucial role in the treatment of drug resistance in breast cancer as a carrier of intercellular communication in the tumor microenvironment. Exosomes and breast cancer treatment resistance have been linked in a growing number of clinical investigations in recent years. This paper covers the status of research on exosomes in the treatment of breast cancer drug resistance and offers theoretical guidance for investigating new strategies to treat breast cancer drug resistance.
Antimicrobial and wound healing potential of naphthoquinones encapsulated in nanochitosan
Authors: Freitas Cyntia Silva , Pereira Patricia Ribeiro , Cardoso Raiane Vieira , Pauli Fernanda Petzold , Ribeiro Ruan Carlos Busquet , Da Silva Fernando De Carvalho , Ferreira Vitor Francisco , Paschoalin Vania Margaret Flosi
Published: January 2024

Introduction: The use of chitosan in pharmaceutical formulations is an advantageous approach due to this compound intrinsic biodegradability and biocompatibility, as well as ready availability and low polymer cost.

Methods: Herein, the naphthoquinones 3- chloromethylene-menadione (NQ1) and 2,3-dichloro-1,4-naphthoquinone (NQ2) were nanoencapsulated into chitosan (CNP) by the ionotropic gelatinization technique and characterized by DLS, FTIR, SEM, TGA and DSC, and their release profiles evaluated. The antimicrobial and wound healing activities were investigated.

Results and Discussion: Homogeneous chitosan nanocapsulses of about 193 nm and Z potential ranging from +30.6 to +33.1 mV loaded with NQ1 (CNP-NQ1) or NQ2 (CNPQNQ2). With nanoencapsulation efficiencies of ≥ 96%, the solubility of naphthoquinones in aqueous environments was improved, making them suitable for biological system applications. The encapsulated naphthoquinones displayed a controlled release of approximately 80% for CNP-NQ1 and 90% for CNP-NQ2 over an 8 h period at 36°C. Both CNP-NQ1 and CNP-NQ2 retained the already established free naphthoquinone antimicrobial activity against two Staphylococcus aureus strains, Staphylococcus epidermidis, Streptococcus pyogenes and Pseudomonas aeruginosa. Although presenting low toxicity to healthy human cells, only CNP-NQ1 displayed therapeutic indices above 100 for S. aureus and S. epidermidis and above 27 for S. pyogenes and P. aeruginosa, allowing for safe use in human tissues. Furthermore, CNP-NQ1 did not impair the migration of human fibroblast cells in scratch assays, adding promising wound healing properties to this formulation. These findings emphasize that CNP-NQ1 may be useful in protecting injured skin tissue from bacterial contamination, avoiding skin infections not only by reducing bacterial loads but also by accelerating the healing process until complete dermal tissue recovery.
Cytocompatible and osteoconductive silicon oxycarbide glass scaffolds 3D printed by DLP: a potential material for bone tissue regeneration
Authors: Carnieri Matheus Versão , Garcia Daniele de Freitas , Voltolini Rafael , Volpato Neri , Mafra Marcio , Bernardelli Euclides Alexandre , Stimamiglio Marco Augusto , Rebelatto Carmen Kuniyoshi , Correa Alejandro , Berti Lucas Freitas , Marcon Bruna Hilzendeger
Published: January 2024

Bone lesions affect individuals of different age groups, compromising their daily activities and potentially leading to prolonged morbidity. Over the years, new compositions and manufacturing technologies were developed to offer customized solutions to replace injured tissue and stimulate tissue regeneration. This work used digital light processing (DPL) technology for three-dimensional (3D) printing of porous structures using pre-ceramic polymer, followed by pyrolysis to obtain SiOC vitreous scaffolds. The SiOC scaffolds produced had an amorphous structure (compatible with glass) with an average porosity of 72.69% ± 0.99, an average hardness of 935.1 ± 71.0 HV, and an average maximum flexural stress of 7.8 ± 1.0 MPa, similar to cancellous bone tissue. The scaffolds were not cytotoxic and allowed adult stem cell adhesion, growth, and expansion. After treatment with osteoinductive medium, adult stem cells in the SiOC scaffolds differentiated to osteoblasts, assuming a tissue-like structure, with organization in multiple layers and production of a dense fibrous matrix rich in hydroxyapatite. The in vitro analyses supported the hypothesis that the SiOC scaffolds produced in this work were suitable for use as a bone substitute for treating critically sized lesions, with the potential to stimulate the gradual process of regeneration of the native tissue. The data obtained stimulate the continuity of studies with the SiOC scaffolds developed in this work, paving the way for evaluating safety and biological activity in vivo.
An extensive review on phenolic compounds and their potential estrogenic properties on skin physiology
Authors: Rispo Francesca , De Negri Atanasio Giulia , Demori Ilaria , Costa Giosuè , Marchese Emanuela , Perera-del-Rosario Simón , Serrano-Candelas Eva , Palomino-Schätzlein Martina , Perata Elisabetta , Robino Federica , Ferrari Pier Francesco , Ferrando Sara , Letasiova Silvia , Markus Jan , Zanotti-Russo Matteo , Grasselli Elena
Published: January 2024

Polyphenolic compounds constitute a diverse group of natural components commonly occurring in various plant species, known for their potential to exert both beneficial and detrimental effects. Additionally, these polyphenols have also been implicated as endocrine-disrupting (ED) chemicals, raising concerns about their widespread use in the cosmetics industry. In this comprehensive review, we focus on the body of literature pertaining to the estrogenic properties of ED chemicals, with a particular emphasis on the interaction of isoflavones with estrogen receptors. Within this review, we aim to elucidate the multifaceted roles and effects of polyphenols on the skin, exploring their potential benefits as well as their capacity to act as ED agents. By delving into this intricate subject matter, we intend to provoke thoughtful consideration, effectively opening a Pandora’s box of questions for the reader to ponder. Ultimately, we invite the reader to contemplate whether polyphenols should be regarded as friends or foes in the realm of skincare and endocrine disruption.
Step-by-step guide for electrochemical generation of highly oxidizing reactive species on BDD for beginners
Authors: Castillo-Cabrera G. Xavier , Pliego-Cerdán Caroline I. , Méndez Erika , Espinoza-Montero Patricio J.
Published: January 2024

Selecting the ideal anodic potential conditions and corresponding limiting current density to generate reactive oxygen species, especially the hydroxyl radical (•OH), becomes a major challenge when venturing into advanced electrochemical oxidation processes. In this work, a step-by-step guide for the electrochemical generation of •OH on boron-doped diamond (BDD) for beginners is shown, in which the following steps are discussed: i) BDD activation (assuming it is new), ii) the electrochemical response of BDD (in electrolyte and ferri/ferro-cyanide), iii) Tafel plots using sampled current voltammetry to evaluate the overpotential region where •OH is mainly generated, iv) a study of radical entrapment in the overpotential region where •OH generation is predominant according to the Tafel plots, and v) finally, the previously found ideal conditions are applied in the electrochemical degradation of amoxicillin, and the instantaneous current efficiency and relative cost of the process are reported.
Influence of Trichosanthes pericarpium extract on improving microcirculation and outcomes of patients with acute myocardial infarction after percutaneous coronary intervention
Authors: Xi Peng , Xie Yuan , Huang Feifei , Liu Yang , Xu Jiahong
Published: January 2024

Background

Microcirculatory dysfunction is an independent risk factor for a poor prognosis after percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI). Trichosanthes pericarpium is a well-known Chinese traditional herb described with the effect of activating blood circulation to dissipate blood stasis and improve blood circulation. However, its effects on microcirculation in patients with AMI after primary PCI remain unknown. This study aimed to investigate the effect of Trichosanthes pericarpium extract (TPE) on improving microcirculation and outcomes in patients with AMI after PCI.

Methods

This study included 155 patients with a history of emergency PCI treatment. In this cohort, 31 patients received a course of TPE, defined as intravenous TPE infusion (12 ml TPE dissolved in 250 ml 5% Glucose Injection) once daily for 7 days on the background of standard treatment after PCI; 124 who did not receive TPE were regarded as the control group and received standard treatment after PCI. The corrected thrombolysis in myocardial infarction frame count (CTFC) and index of microcirculatory resistance (IMR) were used to evaluate myocardial microcirculation. Cardiac function was measured by echocardiography during hospitalization and follow-up. Major adverse cardiac events (MACEs) were recorded for prognostic analysis.

Results

At the 6-month follow-up, AMI patients who received TPE after primary PCI had significantly lower levels of CTCF (24.27 ± 2.40 vs. 21.88 ± 1.92, P < 0.001) and IMR (20.02 ± 2.20 vs. 17.80 ± 2.11, P < 0.001) than patients in the control group. Left ventricular ejection fraction and left ventricular internal dimension at systolic at 6-month follow-up in the TPE group significantly improved than in the control group (56.6 ± 4.5 vs. 62.1 ± 3.5, P < 0.001; 32.5 ± 1.5 vs. 30.2 ± 1.8, P < 0.001). Kaplan-Meier curve analysis indicated that patients with AMI who received TPE had significantly lower rates of MACEs than the control group at 6-month follow-up (P = 0.042).

Conclusion

In the context of standard treatment, Trichosanthes pericarpium further improved coronary microcirculation, increased cardiac function, and reduced short-term MACEs rate. Our data suggest that TPE could be used in combination therapy for patients with AMI after primary PCI.
Mitophagy in hypertension-mediated organ damage
Authors: Ma Yulong , Zhou Xunjie , Gui Mingtai , Yao Lei , Li Jianhua , Chen Xiaozhe , Wang Mingzhu , Lu Bo , Fu Deyu
Published: January 2024

Hypertension constitutes a pervasive chronic ailment on a global scale, frequently inflicting damage upon vital organs, such as the heart, blood vessels, kidneys, brain, and others. And this is a complex clinical dilemma that requires immediate attention. The mitochondria assume a crucial function in the generation of energy, and it is of utmost importance to eliminate any malfunctioning or surplus mitochondria to uphold intracellular homeostasis. Mitophagy is considered a classic example of selective autophagy, an important component of mitochondrial quality control, and is closely associated with many physiological and pathological processes. The ubiquitin-dependent pathway, facilitated by PINK1/Parkin, along with the ubiquitin-independent pathway, orchestrated by receptor proteins such as BNIP3, NIX, and FUNDC1, represent the extensively investigated mechanisms underlying mitophagy. In recent years, research has increasingly shown that mitophagy plays an important role in organ damage associated with hypertension. Exploring the molecular mechanisms of mitophagy in hypertension-mediated organ damage could represent a critical avenue for future research in the development of innovative therapeutic modalities. Therefore, this article provides a comprehensive review of the impact of mitophagy on organ damage due to hypertension.
Hybridization of long short-term memory neural network in fractional time series modeling of inflation
Authors: Arif Erman , Herlinawati Elin , Devianto Dodi , Yollanda Mutia , Permana Dony
Published: January 2024

Inflation is capable of significantly impacting monetary policy, thereby emphasizing the need for accurate forecasts to guide decisions aimed at stabilizing inflation rates. Given the significant relationship between inflation and monetary, it becomes feasible to detect long-memory patterns within the data. To capture these long-memory patterns, Autoregressive Fractionally Moving Average (ARFIMA) was developed as a valuable tool in data mining. Due to the challenges posed in residual assumptions, time series model has to be developed to address heteroscedasticity. Consequently, the implementation of a suitable model was imperative to rectify this effect within the residual ARFIMA. In this context, a novel hybrid model was proposed, with Generalized Autoregressive Conditional Heteroscedasticity (GARCH) being replaced by Long Short-Term Memory (LSTM) neural network. The network was used as iterative model to address this issue and achieve optimal parameters. Through a sensitivity analysis using mean absolute percentage error (MAPE), mean squared error (MSE), and mean absolute error (MAE), the performance of ARFIMA, ARFIMA-GARCH, and ARFIMA-LSTM models was assessed. The results showed that ARFIMA-LSTM excelled in simulating the inflation rate. This provided further evidence that inflation data showed characteristics of long memory, and the accuracy of the model was improved by integrating LSTM neural network.
Mechanism and genesis of Sanmen Bay as a sink of Holocene Yangtze River sediment, Zhejiang Province, China
Authors: Qiu Jiandong , Jiang Shenghui , Wang Jianqiang , Feng Jing , Chen Junbing , Dong Chao , Jiang Yunshui , Zhang Daolai
Published: January 2024

Introduction: The Holocene mud deposits that extend from the Yangtze River mouth to the Taiwan Strait along the Zhejiang–Fujian coast, East China Sea (ECS), have attracted considerable research attention. However, there is a lack of consensus regarding the redistribution flux of Yangtze River sediment after it enters the sea. There are many bays along the Zhejiang and Fujian coasts, but their role in the source–sink process of Yangtze River sediment is not well-documented owing to limited data.

Methods: In this study, data from shallow seismic profiles, core samples, and surface sediment samples were analysed to assess the role of Sanmen Bay, the second largest bay in Zhejiang Province, in the source–sink process of Yangtze River sediments.

Results: The results showed that Sanmen Bay is an important sink for Yangtze River sediments. The characteristics of the clay minerals indicate that the fine-grained sediments in Sanmen Bay are mainly derived from Yangtze River sediments. The thickness of Holocene deposits in Sanmen Bay ranges from 8.2 to 32.0 m, with an average of 23.4 m and a total sediment volume of 5.06 × 104 Mt, accounting for 1% of Yangtze River sediment in this time period. The Bayesian age-depth model based on borehole accelerator mass spectrometry (AMS) 14C dating shows that a high sedimentation rate occurred in the early and late Holocene but decreased significantly in the mid-Holocene, which is similar to that of the inner shelf of the East China Sea (ECS).

Conclusion: The variation in the Holocene sedimentation rate in Sanmen Bay is related to the southward transport process and mechanism of Yangtze River sediments. The results of this study provide a basis for understanding the source–sink process of sediment in large rivers.
Teachers’ attitudes and self-efficacy toward augmented reality in chemistry education
Authors: Ripsam Melanie , Nerdel Claudia
Published: January 2024

Digital media have played a central role in everyday school life, at least since the governments in various competence frameworks define the digital competence areas. With a view to experimentation in STEM lessons, digital media offers a variety of opportunities to promote learning processes. A benefit is expected from technological progress when visually imperceptible scientific processes are made visible with software and hardware systems. Augmented reality combines the real and virtual worlds so that the viewer physically moves in a real environment that contains virtual elements. Consequently, augmented reality offers good conditions for expanding students’ subject-specific knowledge regarding substance-particle concept understanding. When a technology like augmented reality is used in the classroom, the learning environment must be accepted by teachers. Teachers are thus actively involved in the modification of digital learning environments so that they can identify, evaluate, and select digital resources. Teachers’ acceptance, therefore, presupposes an upbeat assessment of the usability of the innovation. Attitudes and self-efficacy can influence digital literacy and, thus, acceptance. The study investigates whether chemistry teachers positively embrace augmented reality and accept them as learning tools. Considering the T(D) Pack model, the teachers’ digital competencies are examined concerning the subject- and media-didactic evaluation of digital media. First, self-efficacy and attitudes of teachers (N = 157) are assessed. After processing the (non-/HMD-)augmented reality learning environment, an acceptance and usability test (N = 122) follows. The data analysis provides reliability and correlation analyses according to classical test theory. The results demonstrated that chemistry teachers saw great potential in using digital media and AR and, in particular, positively evaluated the AR learning environment on the tablet for chemistry teaching. In this context, the analyses revealed significant correlations between attitudes and acceptance.
Lessons learned from a peer-supported diabetes education program in two dissimilar Mayan communities
Authors: Castillo-Hernandez Karen G. , Espinosa Alan , Molina-Segui Fernanda , Ayuso-Peraza Giselle , Mena-Macossay Leticia , Mendez-Dominguez Nina , Bastarrachea Raúl A. , Laviada-Molina Hugo
Published: January 2024

Background

A steady rise in type 2 diabetes (T2D) in Mexico over the last 30 years has led to 11.5 million Mexicans being affected by this condition. There is an urgent need to develop interventions to prevent complications of T2D. Diabetes self-management education is the cornerstone of promoting self-care. Among all educational strategies, peer support has shown to be an effective method to encourage ongoing self-management. However, customization of interventions for distinct communities is imperative, as failure to do so can hinder the intervention’s effectiveness.

Methods

We implemented a two-year prospective randomized controlled community-based trial in Conkal, a Mayan community from Yucatan, Mexico. The intervention consisted of receiving either a culturally sensitive peer support on top of a diabetes self-management education group (PLG); or a diabetes self-management education group only (EOG; control group). The primary outcome was changes in glycated hemoglobin, while secondary outcomes encompassed changes in systolic and diastolic blood pressure, body mass index, and diabetes self-care practices. Data collection was performed at baseline and every four months during the study period.

Discussion

Our experiences have highlighted the significance of peer-leader support in cultivating diabetes self-care skills, particularly within smaller, underserved communities characterized by strong social and cultural ties. However, when applied in larger or suburban settings, selecting peer leaders should be meticulous, considering sectorization within specific neighborhoods to foster a sense of belonging and familiarity among natural community clusters. In larger settlemnts, factors such as transportation challenges, time limitations, caregiving obligations, limited venue access, and changes in session locations can drive program discontinuation. Additionally, individuals with lower educational attainment are more susceptible to abandonment. Notably, those with lower education, uncontrolled diabetes, and extended diabetes duration exhibit a greater potential for improving glycemic control than their counterparts.

Clinical registration

https://www.isrctn.com/ISRCTN96897082.