bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of Surgical hand Washing with Chlorhexidine, Providone iodine and Alcohol on Reducing the Microorganisms on the Hands: A Systematic Review
Authors: Widodo Haris , Sesaria Tiffany Gita , Maulana M Ruli , Myint Nyein Moh Moh 
Published: March 2020

Background: Postoperative infection is one of the causes of mortality and the hands of the surgical team are the most common cause. According to the The Center for Disease Control and Prevention (CDC), proper hand washing can reduce the occurrence of nosocomial infections by up to 30%. The aim of this study is to determine the effectiveness of surgical hand washing using chlorhexidine, providone iodine and alcohol in reducing the microorganisms on the hand.Method: The data was collected from the following electronic databases: Science Direct, Springer link, Scopus and ProQuest. The search obtained 11 articles in accordance with the inclusion criteria and we obtained the literature in full text form.Result: The results of the study found three articles that mentioned hand washing with an alcohol hand rub as being more effective than iodine and chlorhexidine providone. There was one article described that both alcohol hand rub and chlorhexidine are more effective than iodine providone, Another article mentioned that chlorhexidine, providone iodine and alcohol hand rub were equally effective at reducing microorganisms contaminating the hand.Conclusion: The conclusion of the study is that surgical hand washing using chlorhexidine, providone iodine and alcohol are all effective at reducing microorganisms.
Lactobacillus sp as a Probiotic for the Prevention of Clostridium difficile Associated Diarrhea
Authors: Rohmah Ulfa Nur , Andini Saskiyanti Ari , Luawo Hendrik Prayitno , Waluyo Waluyo , Sari Yulia Indah Permata 
Published: March 2020

Background: Antibiotic treatment can disturb the resistance of the gastrointestinal flora to colonization. This may result in complications, the most serious of which is Clostridium difficile associated diarrhea (CDAD). The aim of this study was to determine the effectiveness of probiotics for the prevention of CDAD.Method: The databases used were Scopus, Proquest, CINAHL, Medline, Pubmed and ScienceDirect, limited to having been published in the last 5 years. A literature review followed the keyword search. The keywords used were probiotics, Clostridium difficile, associated, diarrhea, randomized, control and trial using "AND" and “OR”. Twelve trials with 5102 participants were included. Eight trials reported a preventive effect for CDAD using a mixture of 2 strains of lactobacillus, a mixture of 4 combination strains, a mixture of lactobacillus and Saccharomyces or a mixture of Biﬁdobacterium, Lactobacillus and Saccharomyces.Result: Our findings indicate that probiotics may prevent CDAD. Most probiotics contain a singular strain. The combination with lactobacillus sp was the most effective at preventing CDAD.Conclusion: In addition, 6 out of 8 trials had an in relation to preventing CDAD containing lactobacillus sp. Four studies said that there were some factors that meant that the probiotic could not reduce or prevent the CDAD.
Family Experience in Dealing with Emergency Cardiovascular Disease
Authors: Priyanti Ratna Puji , Kholis Anja Hesnia , Asri Asri , Rifa'i Rifa'i , Praningsih Supriliyah 
Published: March 2020

Discusiion: The risk of cardiovascular disease has shifted. Cardiovascular disease initially only affected certain age groups but not with the current incidence of cardiovascular disease. This makes the community more susceptible to cardiovascular disease attacks. An attack of cardiovascular disease, in general, is only considered to be a cursory attack. The patients with high-risk factors must be supported by the ability of families to recognize and perform first aid in cardiovascular disease attacks. The purpose of this study was to understand the family's experience in dealing with emergency heart disease at home.Method: This study used qualitative research with a case study approach; 2 participants with family members who face emergency heart disease were selected. The data collection used semi-structured interview techniques using observation and field notes. The data analysis used Creswell's qualitative data analysis method.Result: The results of the study found 4 themes related to the family experience in dealing with emergency heart disease at home. The themes were knowledge, past experience, values and beliefs.Conclusion: The conclusion of the study is that the family experience when dealing with emergency heart disease is strongly influenced by the knowledge that forms a value and belief which then influences the attitudes involved in decision making.
Implementation of the CIPP evaluation model in Indonesian nursing schools
Authors: Siswadi Yakobus , Houghty Grace Solely , Agustina Triulan 
Published: March 2020

Introduction: The implementation of the Indonesian National Nursing Competency Test (INNCT) has faced several challenges, especially related to the low pass rate. The pass rate has decreased over time, but the number of examinees has increased. The aim of this study was to evaluate the nursing schools’ performance in INNCT using the Context Input Process Product (CIPP) evaluation model.Methods: A quantitative description was used in this study. The Performance Evaluation of Nursing Program Questionnaire based on CIPP was developed and used to collect the data. The participants in this study were faculty members and alumni from the nursing schools that were a member of AINEC within region V. The variables of this study were the nursing school pass rate and the school’s performance.Results: 320 participants were involved in this study. The passing rate of the nursing school in INNCT was in the moderate category. The CIPP evaluation shows that out of the four aspects, there were two (2) aspects, namely “context and input” that were in the category of having met the requirements and two (2) aspects, namely “process and product”, were in the category exceeding the requirements.Conclusion: Nursing schools have fulfilled the government regulation based on the CIPP evaluation and the nursing schools need to make a strategic plan to improve their performance and to increase their pass rate in INNCT.
The Impact of Perceived Organizational Support (POS) for Increasing the Intention to Stay: A Systematic Review
Authors: Prakosa Mira Melynda , Dewanti Nisa , Purwanza Sena Wahyu 
Published: March 2020

Background: Nurse turnover is a problem that occurs in hospitals. The high turnover of nurses in health facilities can have a negative impact on the needs of the patients and on the quality of the health services. The turnover of nurses thus becomes a serious challenge to the efficiency, effectiveness and productivity of the health services. The aim of the systematic review was conducted to examine the impact of perceived organization support when it came to increasing the intention to stay.Method: A systematic search was conducted using articles from Scopus, Science Direct and SAGE. The search identified 15 original articles and full texts published between 2014 and 2019.Result: Nurses with high perceived organizational support with their organization have a lower intention to leave the organization. POS is the key predictor of turnover intention.Conclusion: POS can reduce turnover, especially for nurses. The positive perception of the organization can decrease turnover intention. POS that is felt strongly will affect the work performance of the nurses by increasing their intention to stay. This can the reduce hospital costs when it comes to having to recruitment new nurses.
Relationship Between the Application of a Full Day School System and Stress Levels in Junior High School
Authors: Heru Maulidiyah Junnatul Azizah , Jatimi Atika , Fiddaroini Fakhrun Nisa , Syamsudin Achmad 
Published: March 2020

Introduction: This research presents the relationship between the schools which implemented full day school and which did not apply the full day school to the level of stress students in junior high schools. This was influenced by the existence of regional autonomy as part of government policy and orientation toward quality education institutions.Methods: This research used a quantitative correlational approach to obtain the significance of the relationship between the variables examined. The sampling technique used purposive sampling, with samples of 37 students for a group of cases and 37 students to control groups. Data analysis was conducted using the Kolmogorov Smirnov test.Results: The results showed that in the case group there were 83.78 experiencing mild stress and 16.22 experiencing moderate stress, while in the control group there were 89.19 experiencing mild stress, and 10.81 experiencing moderate stress with P- value 0.000 (<0.05).Conclusion: The conclusion of this study is that more moderate stress levels are found in students who apply the Full Day School System in Junior High School.
The Implementation of Therapeutic Communications with Postoperative Patient Satisfaction in Islamic Hospital of Sultan Agung Semarang
Authors: Wahdatin Alif , Puspita Dyah Wiji , Abdurrouf Muh. 
Published: March 2020

Introduction: Weaknesses in applying therapeutic communication are still a problem for nurses. This affects the quality of nursing services that have an impact on patient satisfaction. The purpose of this study was to identify the relationship between therapeutic communication and postoperative patient satisfaction.Methods: This research method was an analytical survey method used a cross sectional approach. Respondents in this study were postoperative patients who were treated in RSISA inpatient ward with 127 patients. Sampling technique that use was simple random sampling. The data analysis technique in this study used the Spearman test.Results: The results showed that the majority characteristics of respondents had female 61.4%, age 50-64 (33.8%), employment of private employees 24.4%, senior secondary education 37.0%. The results also showed that most therapeutic communication was in the good category (54.3%) and patient satisfaction in the category was very satisfied (52.8%). The results of this research showed that there was significant relationship between therapeutic communication and postoperative patient satisfaction with p-value 0,000 (p-value <0.05).Conclusion: The implications of this research can be a reference in increasing the ability of nurse therapeutic communication so that patient satisfaction with nursing services increases.
Development The National Institutes of Health Stroke Scale (NIHSS) for Predicting Disability and Functional Outcome to Support Discharge Planning After Ischemic Stroke
Authors: Patrama Agit Putra , Tresno Tejo , Purwanza Sena Wahyu 
Published: March 2020

Introduction: A discharged stroke patients with disability from hospital need special identify in order to obtain a meaningful quality of life, to improve the functional status of patient’s life quality can be started immediately at admission patient in health sevices. The initial discharge planning was carried out to explore patient’s needs during inpatient and discharge with the National Institutes of Health Stroke Scale (NIHSS). NIHSS as a predictor model to discharge stroke patient with disability , need to identify effectivity of it to improve the functional status of patient’s life quality with stroke.Methods: Search of journal articles used PECOT framework in the database; Sciencedirect, CINAHL, Elseiver, Sage, Scopus, Ebscohost, and Medline with limitations of publication time is in the last 15 years (2004-2019) by including keywords Natioanal Institutes of Health Stroke Scale, discharge planning, ischemic stroke.Results: There are 10 journals according specified criteria design that discuss the interventions of discharge planning model patient stroke.Conclusion: NIHSS can be applied to predicting disability and functional outcome status of patient’s life quality with stroke.
The Influence of Diabetic Foot Exercise in Sensory Peripheral Neuropathy with Monofilament Test on Diabetes Mellitus Clients
Authors: Sukartini Tintin , Asmoro Candra Panji , Alifah Nandani 
Published: March 2020

Background: Peripheral neuropathy is a long-term complication that attacks the nerves and loses the sensation of protection which affects about 50% of people with diabetes mellitus (DM). Diabetic foot exercises can help blood circulation, especially in the legs or lower limbs. This researched aimed to analyze the effect of diabetic foot exercise on sensory peripheral neuropathy in DM clients.Method: The study design used quasi-experimental pre-post test with control group. Samples were 28 respondents using purposive sampling and divided into two groups of 14 respondents each. The independent variable is diabetic foot training, and the dependent variable is peripheral sensory neuropathy. Interventions are carried out 3 times a week for 4 weeks. The research instrument was Weinstein Monofilament 10 g Semmes and a diabetic foot training checklist. Data analysis using the Wilcoxon-signed rank test and Mann Whitney test with α≤0.05.Result: The Wilcoxon-signed rank test in the treatment group showed differences in sensory peripheral neuropathy after treatment (p=0,000) and no difference in the control group (p=0.564). The Mann Whitney test results showed differences in sensory peripheral neuropathy between the treatment group and the control group after treatment p=0.039.Conclusion: Diabetic foot exercises can be used as an alternative measure to improve sensory peripheral neuropathy.
Attitude of Nurses Related to The Implementation of Patient Safety in The Intensive Care Unit
Authors: Nihayati Hanik Endang , Gunawan Gunawan , Wahyuni Erna Dwi Dwi , Purwanza Sena Wahyu , Arifin Hidayat 
Published: March 2020

Introduction: The error events in the Intensive Care Unit (ICU) were caused by nurses focusing more towards collaborative intervention with other medical staff and workload documentation which was not optimal. The purpose of this study was to determine the predisposing factors related to the implementation of patient safety in the ICU.Methods: This study was a descriptive analytic correlational study. Sample size was determined by purposive sampling and obtained 26 nurses. The independent variables were the predisposing factors and the dependent variable was the implementation of patient safety. Instruments used were a questionnaire and observation sheet. Analysis was performed using Spearman's Rho and Logistic Regression.Results: Spearman’s Rho showed there was a significant correlation between knowledge (p=0.019) and attitude (p=0.040) towards implementation of patient safety. There was no significant of motivation (p=0.073) towards the implementation of patient safety. Logistic Regression showed the dominant factor in implementation of patient safety was attitude.Conclusion: Predisposing factors, that include knowledge and attitude, had a significant effect on the implementation of patient safety, but still required high motivation in the implementation of patient safety. In addition to knowledge and good attitude, nurses are expected to improve motivation in the implementation of patient safety.
A New Decline-Curve-Analysis Method for Layered Reservoirs
Authors: Jongkittinarukorn Kittiphong , Last Nick , Escobar Freddy Humberto , Maneeintr Kreangkrai 
Published: March 2020

SummaryThis study presents a new method to improve production forecasts and reserve estimation for a multilayer well in the early stages of production using the Arps (1945) hyperbolic decline method to model the decline rate of each layer. The method can be applied to both oil and gas wells.The new approach generates the profiles of the instantaneous decline rate (D) and instantaneous decline-curve exponent (b) from the historical flow rate (q). Because of the inherent noise in the production data, a regression technique is applied to smooth the flow-rate data, and the analysis is performed on the smoothed data. History matching is performed not only on the profile of q but also on the profiles of D and b. This results in the unique decline parameters (qi,Di, and b) for each layer.For a multilayer well, the values of D and b vary with time, which means that the well's performance cannot be modeled using a conventional single-layer-well approach. Furthermore, the well-known nonuniqueness problem from history matching is magnified in a multilayer well: Many models can successfully match the production profile in the short-term but fail to match it in the longer term. Only the correct model can match the profiles of q, D, and b over both the short-term and the long-term. The proposed method provides the correct unique decline parameters (qi,Di, and b) for each layer, during the early stages of production, and these parameters are then valid for the life of the well. The method works well for both synthetic examples and actual field data.The novelty of the new methodology is the ability to provide the decline parameters for each layer at an early stages of production that can then be used for production forecasting in the long-term. The nonuniqueness problem from history matching is solved.
Methicillin Resistant Staphylococcus aureus nasal carriage and associated factors in a rural tertiary hospital in Eastern Uganda: A prospective cross-sectional study
Authors: Thembo Nobert , Masifa George , Kamugisha Gerald , Nabitaka Robinah , Akais Benjamin , Olupot-Olupot Peter , Muhindo Rita , Kiyonga Edward , Ampaire Lucas 
Published: March 2020

AbstractBackground: Asymptomatic carriage of Methicillin-Resistant Staphylococcus aureus (MRSA) can predispose the host to a wide array of infections that can be difficult to treat due to antibiotic resistance. To inform public health strategies, the study sought to describe MRSA nasal carriage frequencies and the associated factors concerning nasal carriage among patients attending Mbale Regional Referral Hospital (MRRH). Methods: Nasal swabs were obtained from consented (aged >15years) participants presenting to the hospital for medical care between January and April 2018 [L1] . Direct Culture of swabs was performed on blood agar and then incubated at 37℃ for 24 hours. Identification of S. aureus was done using conventional biochemical tests. Phenotypic screening and confirmation of MRSA was done using cefoxitin disc (30µg) test and MICs on the Phoenix M50 instrument respectively. Patient demographic characteristics and the MRSA nasal carriage risk factors were collected using a pre-tested questionnaire. Results: Overall, majority of the participants were in-patients (138, 63.3%) with the proportions of both females and males among the participants being 154/218 (70.6%) and 64/218 (29.3%) respectively. Mean age for both female and male participants was 40.16 (SD± 17.04) years respectively. S . aureus nasal carriage rate among the participants was 22.9% (50/218), with 57.9% (29/50) of the harboured strains phenotypically expressing methicillin resistance ( mecA mediated). Phenotypic co-expression with i nducible clindamycin resistance and vancomycin resistance was displayed in 45.5% (23/50) and 2% (1/50) of the studied isolates respectively. Colonisation with MRSA did not show any significant relationship with all the studied factors. Conclusion : There was a moderate S. aureus nasal carriage among the participants in Mbale Regional Referral Hospital with a highly noted phenotypic expression of methicillin resistance among the isolated S. aureus strains. The studied factors were not significantly associated with the rate of MRSA nasal carriage. For surveillance purposes to combat future outbreaks, there is a need to do a larger study to better draw generalizable conclusions of carriage in the population. [L1] This is an important statement. I suggest that we reinstatate it if we are still in recommended word count
Sweet cherry fruit cracking: follow-up testing methods and cultivar-metabolic screening
Authors: Michailidis Michail , Karagiannis Evangelos , Tanou Georgia , Sarrou Eirini , Karamanoli Katerina , Lazaridou Athina , Martens Stefan , Molassiotis Athanassios 
Published: March 2020

Abstract
Background: Rain-induced fruit cracking is a major physiological problem in most sweet cherry cultivars. For an in vivocracking assay, the ‘Christensen method’ (cracking evaluation following fruit immersion in water) is commonly used; however, this test does not adequately simulate environmental conditions.Herein, we have designed and evaluated a cracking protocol, named ‘Waterfall method’, in which fruits are continuously wetted under controlled conditions. Results: The application of this method alone, or in combination with ‘Christensen method, was shown to be a reliable approach to characterize sweet cherry cracking behavior. Seventeen cherry cultivars were tested for their cracking behavior using both protocols, and primary as well as secondary metabolites identification was performed in skin tissue using a combined GC-MS and UPLC-MS/MS platform. Significant variations of some of the detected metabolites were discovered and important cracking index–metabolite correlations were identified. Conclusions: We have established an alternative/complementary method of cherry cracking characterization alongside to Christiansen assay.
A Novel Rind Puncture Technique to Measure Rind Thickness and Diameter in Plant Stalks
Authors: Seegmiller Will H , Graves Jadzia , Robertson Daniel J 
Published: March 2020

Abstract
Background: Measurements of rind and culm thickness and stem radius / diameter are important to biomechanical, ecological and physiological plant studies. However, many methods of measuring rind thickness and diameter are labor intensive and induce plant fatality. A novel rind puncture methodology for obtaining measurements of rind thickness and diameter has been developed. The suitability of the new method for implementation in plant studies is presented. Results: The novel rind puncture technique was used to obtain measurements of rind thickness and diameter for samples of Poison Hemlock (Conium maculatum). The rind puncture measurements were strongly correlated with caliper measurements (R2 > 0.97) and photographic image analysis measurements (R2 > 0.84). The capacity for high throughput measurements using the rind puncture technique was determined to exceed that of caliper measurements and image analysis techniques. Conclusions: The rind puncture technique shows promise as a high throughput method for determining rind thickness and diameter as it is cost effective and non-lethal. The authors are currently working to develop a custom handheld apparatus to allow the novel rind puncture method to be used in field work. High throughput field-based measurements of rind thickness and diameter are needed to help address the problem of stalk lodging (failure of grain crops to remain upright until harvest).