bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis of the effect of knowledge, attitude, and skill related to the preparation of doctors in facing industrial revolution 4.0
Authors: Sudiwedani Ayu , Darma Gede Sri 
Published: November 2020

Backgrounds: Human resource development in terms of the knowledge, attitude, and skills of a doctor is important in a digital era and to face the industrial revolution 4.0. This study aims to analyze the effect of knowledge, attitude, and skills on doctor behavior and the impact of doctor behavior on its readiness in facing the industrial revolution 4.0.Â Methods: This study uses descriptive-quantitative methods with regression analysis techniques.Results: The results of the study based on Regression Weight (Î³) show that knowledge has no significant negative effect on behavior; attitude does not have a significant positive impact on behavior; skill does not have a significant positive effect on behavior, and behavior significantly has a positive effect on the readiness of doctors.Â Conclusion: The results and discussion show that hospitals can use the structural equation model in analyzing knowledge, attitude, skill, and behavior problems to increase the doctor's readiness, and strengthening the doctor's behavior needs to develop doctors' attitudes and skills.
The hepatoprotective effect of cacao beans whole extracts (Theobroma cacao L.) in oxidative stress mice
Authors: Wiryanthini Ida Ayu Dewi , Sutadarma I Wayan Gede , Dewi Ni Wayan Sucindra , Surudarma I Wayan 
Published: November 2020

Background: Increased production of reactive oxygen species (ROS), causing accumulation of oxidative damage. Carbontetraclorida (CCl4) is known as a toxic material and causing hepatocellular damage initiated by oxidative stress, which increased blood serum glutamic pyruvic transaminase (SGPT) concentration. Cacao beans (Theobroma cacao L.) extracts have antioxidant properties from flavonols, consisting of catechin, epicatechin, and procyanidin. This study aims to investigate the effect of hepatoprotective of cacao beans (Theobroma cacao L.) extracts in oxidative stress mice induced by CCL4.Â Methods: The study was conducted at the Department of Biochemistry and Department of Pharmacology and Therapy, Faculty of Medicine Udayana University using the Pretest-Postest Control Group Design. About 20 male mice were divided into 4 groups, as control or placebo group (P0), intervention group by 15 mg extracts of cacao beans (P1), 30 mg (P2), and 60 mg (P3) for 7 days. On the eight-day induced by 0,55 mg/gram mice bodyweight of CCl4. All groups were examined for blood SGPT concentration before and after the intervention. Data were analyzed using SPSS version 20 for Windows. Results: The SGPT level prior to the administration of cacao bean extract and CCl4 was 18.56Â±0.19 Âµ/L in P0 group, followed by 18.41Â±0.28 Âµ/L (P1), 18.36Â±0.21 Âµ/L (P2), and 18.16Â±0.47 Âµ/L (P3), but statistically not significant (p=0.260). However, after CCl4 administration, the SGPT levels were 38.63Â±0.37 Âµ/L in P0 but significant decrease in the P1 (28.14Â±0.34 Âµ/L), P2 (20.72Â±0.35 Âµ/L), and P3 (18.68Â±0.25 Âµ/L) following cacao beans whole extracts administration (p=0.000).Conclusion: This study concluded that cacao beans extracts administration could inhibit the oxidative stress and protect hepatocellular damage induced by CCl4 by decreasing the blood SGPT concentration.
The functional and physical state of the anal sphincter complex in the patients with rectal prolapse in the post-surgery period
Authors: Imanova Solmaz Soltan 
Published: November 2020

Purpose: The work was aimed at comparative studying of the functional and physical state of the patients with rectal prolapse after surgical treatment with various surgical techniques and at identifying the most optimal procedure technique.Patients and methods: The authors observed 49 patients (32 women, or 65.3Â %) aged 22 â€” 83 years (the median age of women was 46.1 Â± 1.3 years old, of men â€” 48.7 Â± 1.4 years old) with the rectal prolapse of varying severity. The Delormeâ€™s procedure was indicated for 28 patients (57.1Â %). Perianal proctosigmoidectomy (theÂ Altemeierâ€™s surgery) was performed in 12 patients (24.5Â %). In the young patients, preference was given to the Ripsteinâ€™s abdominal surgery (nine patients; 18.4Â %). To objectively assess the physical state of the anal sphincter apparatus, traditional sphincterometry was performed using S4402 sphincterometer with a nonperfusing sensor (Pro Medika GmbH, Germany), and the functional state of the sphincter complex was subjectively assessed using the Wexnerâ€™s score scale.Results: The best results were obtained after the Delormeâ€™s procedure (p<0.05), while the worse results were obtained in the young patients after the Ripsteinâ€™s surgery (p<0.05).Conclusion: The obtained results may be used for assessing the functional and physical state of the anal sphincter complex in the surgical treatment of the patients with the rectal prolapse syndrome, especially in those with ASFs of varying severity.
High c-reactive protein level as risk factors of complications in upper gastrointestinal bleeding
Authors: Mariadi I Ketut , Sudjana Karismayusa , Wibawa I Dewa Nyoman 
Published: November 2020

Purpose: Upper gastrointestinal bleeding is the major medical emergency case in the field of gastroenterology. The complications of UGI bleeding are recurrent bleeding and death. Identifying risk factors for the complications is expected to prevent or reduce recurrent bleeding complications and deaths from UGI bleeding. This study aims to know the risk of UGI bleeding complications in patients with a high level of C reactive protein (CRP).Patients and methods: A prospective observational analytic study was performed, including all UGI bleeding patients (variceal and nonvariceal). CRP level was used to determine the high-risk cohort. High-risk cohort if the CRP level 5 mg/L and above, and low risk if CRP level less than 5 mg/L. The outcome of the study was the incidence of complication, both rebleeding and death during follow up for six weeks.Â Results: Based on the characteristic data of the sample, the high-risk group appears to have a slightly older age, higher leucocyte count, lower hemoglobin levels, and higher serum creatinine than the low-risk group. The incidence rate of complication in the high-risk group was 85.3% while in the low-risk group was 37.5%, and the relative risk (RR) was 2.27 (95% CI: 1.43-3.67). There were significant differences in the incidence of complications between the group, X2: 16; p <0.001. The RR for rebleeding in the high-risk to low-risk cohort was 2.68 (95% CI: 1.31-5.47); this difference is statistically significant (X2:9.3; p=0.02). The RR for death complication was 1.70 (95% CI: 0.63-4.53), and the difference is not statistically significant (X2: 1.2; p=0.28).Conclusion: In this study, we found the CRP level â‰¥ 5 mg/L as a significant risk factor for rebleeding complications but not mortality in a patient with UGI bleeding.
P2B2 PABI XVII Semarang 2020 Continuing Professional Development in Surgery: Increasing the Competence of General Surgeons to Improve The Health Services
Authors: Widjajanto Benedictus Kartika 
Published: November 2020

Assalamuâ€™alaikum Wr. Wb. ShalomÂ Greetings, Praise Our gratitude to God Almighty because we are all in good health for His blessings and grace. We will hold P2B2 PABI XVII in 2020, and to coincide with that, we PABI Semarang Branch are entrusted with being the executor of this activity.PABI Semarang branch invited fellow surgeons to attend and participate in the P2B2 activities of PABI XVII, which we have prepared on 26-30 October 2020. The warmth of gathering with family also enlivened the event with the Family Program to explore the city of Semarang, which is famous for its Culinary Tour, Religious Tourism, Nature Tourism, Shopping Tour, and Cultural Heritage Tour.We will try to organize and provide the best. Let us welcome our fellow surgeons and their families.Wassalamu alaikum Wr. WbÂ Benedictus Kartika Widjajanto, MD chairman of the committee P2B2 PABI XVII Semarang 2020Â
The 4th International Conference on Translational Medicine and Health Sciences
Authors: Arifin Muhamad Thohar 
Published: November 2020

All praises to Allah, the most merciful, beneficent and compassionate, for His blessing that this conference could be organized today. I would like to express my greatest gratitude to Prof. Dr. Yos Johan Utama, S.H., M.Hum; Rector of Universitas Diponegoro, Dr. dr. Dwi Pudjonarko, M.Kes, Sp.S (K); Dean of Faculty of Medicine Universitas Diponegoro, Prof. Dr. Jamari, S.T., M.T.; Director of LPPM, Dr. dr. Hermina Sukmaningtyas, M.Kes., Sp.Rad and Dr. dr. Udadi Sadhana, M.Kes, Sp.PA, Vice Deans of Faculty of Medicine for all of their kind supervision during the preparation of this event. I would like to express my sincere gratitude to all of the committee members for all of your hard work, kind help, and best effort as a solid team work, by which this event can be held successfully even during the COVID-19 pandemics. I would like to thank all of the honorable speakers for your willingness to give lectures and all of participants from various institutions in the world. Welcome to the 4th International Conference on Translational Medicine and Health Sciences (ICTMHS) 2020.Â It is a great pleasure to announce that this is the first virtual ICTMHS, which is traditionally held in Semarang, Indonesia. ICTMHS is an annual routine program that began in 2017 initiated by the faculty to support the university's vision of becoming a world class university. The theme of this conference is "Unraveling the New Normal Guideline Treatment of Diseases in COVID-19 Pandemic". This difficult time has pushed us to strengthen our collaborative practices in the health sectors including Interprofessional Education and Research, Collaborative Practice, Translational Medicine, and Nutrition, Dietetic and Food. This is an interesting theme that invites all health workers to unite to increase collaboration in various aspects to tackle the pandemics affecting our country and beyong. Through this conference, we hope to contribute in introducing and educating the scientific community on the recent advances in the medical, dentistry, nursing, pharmaceutical, and nutrition sciences field. As a major goal of this event, we hope that it can be an excellent chance to discuss interesting ideas and develop fruitful project in the future, network opportunities with old and new colleagues, coordination new partnerships which advance collaboration either about the research field or not, as well as the careers of all participants. Please enjoy your participation in ICTMHS 2020.Â Â Â dr. Muhamad Thohar Arifin, PhD, Sp.BS(K), PAChief of Organizing CommitteeÂ
Encapsulated liposome toward anthocyanin in Pectin-Based Dry Jelly as a management in pediatric obesity Management: a literature review
Authors: Mahardani Putu Nandika Tungga Yudanti , Kesumaputri Komang Diah Kurnia , Wiguna I Gede Wikania Wira , Wati Dyah Kanya 
Published: November 2020

Background: In the globalization era, the high number of obesities is happened to the teenagers because of the unhealthy life-style. Obesity in the teenagers or pediatric obesity is important to be handled because it can trigger another complication that happened in the early age. This study aims to collect and analyze any source related to anthocyanin (ASN) from purple sweet potato (Ipomoea batatas L) as modality of obesity that is packaged as dry jelly.Methods: A literature search strategy was conducted to obtained eligible source of study such as books and journals from Google Scholar, Research Gate, and PubMed. The criteria of eligible literature used in this study were articles published on 1981-2019 from different type of study. About 73 literature were used as references regarding the potency of ASN from purple sweet potato (Ipomoea batatas L) as the modality for obese people.Results: ASN in the purple sweet potato has anti-obesity effect by decreasing the a-glucosidase enzyme and a-amylase, increasing glucagon-like-peptide-1 and peptide YY, changing the size of adipose cell, decreasing the lipogenic activity and inflammation, increasing the lipolysis and Î²-oxyanion adipose cell, as well as increasing the concentrate of brain-derived neutrophil factor in a brain. To increase the bioavailability of ASN, it has to be done the encapsulation with liposome base.Â Modality is packaged in the dry jelly form with pectin base as a formulation in powder form taken orally. The modality consumption is 24 mg/kg of weight, however, after eating, the obese people tend to give the weight decreasing effect and cross section attractive to target modalities.Conclusion: According to the studies, the ASN from purple sweet potato and package in Pectin-Based Dry Jelly could be used as a novel strategy in managing the pediatric obesity.
Gambaran hasil pemeriksaan endoskopi pada pasien dispepsia di Rumah Sakit Umum Pusat (RSUP) Sanglah tahun 2015
Authors: Putra Anak Agung Gde Waisampayana , Wibawa I Dewa Nyoman 
Published: November 2020

Background: Dyspepsia is recurrent and persistent pain or discomfort in the upper abdomen. Dyspepsia can be divided into two, which are organic dyspepsia and functional dyspepsia, respectively. Endoscopy is one of the recommended diagnostic tools for dyspepsia. This study aims to describe the endoscopic results in dyspeptic patients at Sanglah General Hospital.Method: The quantitative cross-sectional descriptive study design was used. This study used secondary data from medical records. The sample population of this study was patients with dyspepsia who undergone endoscopy procedure at the Sanglah Central General Hospital in 2015 with a total sampling method that resulted in 260 samples. Data were analyzed using SPSS version 21 for Windows.Results: The sex of the respondents involved in this study were male (50.8%) and female (49.2%), which have almost the same percentage. Nearly half of the study respondents were 41-60 years old (47.7%). About 92.3%, patients were organic dyspepsia and 7.7%, functional dyspepsia. While the most diagnosed endoscopic examination results were gastritis (40.0%) and found in the young age group (â‰¤ 64 years).Conclusion: Patients with symptoms of dyspepsia are mostly male, young adults, have organic dyspepsia, and the picture of endoscopic examination is dominated by gastritis at a young age.Â Latar Belakang: Dispepsia adalah nyeri yang berulang dan menetap atau rasa tidak nyaman di daerah perut bagian atas. Dispepsia dapat dibagi menjadi dua yaitu dispepsia organik dan dispepsia fungsional. Endoskopi merupakan salah satu alat diagnostik yang di rekomendasikan untuk diagnosis dispepsia. Penelitian ini bertujuan untuk mengambarkan hasil endoskopi pada pasien dispepsia di RSUP Sanglah.Metode: Desain studi penelitian deskriptif kuantitatif cross sectional dengan menggunakan data sekunder dari rekam medis. Populasi sampel penelitian ini adalah pasien dispepsia yang melakukan endoskopi di Rumah Sakit Umum Pusat Sanglah Tahun 2015 dengan metode Total sampling yang menghasilkan 260 sampel. Data dianalisis menggunakan SPSS 21Hasil: Jenis kelamin responden yang terlibat pada penelitian ini adalah laki-laki (50,8%) dan perempuan (49,2%) dimana memiliki persentase yang hampir sama. Hampir setengah responden penelitian berusia 41-60 tahun (47,7%). Sekitar 92,3%, pasien merupakan dispepsia organik dan 7,7%, merupakan dispepsia fungsional. Sedangkan diagnosis terbanyak pada hasil pemeriksaan endoskopi adalah gastritis (40,0%) dan ditemukan pada kelompok usia muda (â‰¤ 64 tahun).Kesimpulan: Pasien dengan gejala dispepsia sebagian besar berjenis kelamin laki-laki, berusia dewasa muda, memiliki dispepsia organik, dan gambaran pemeriksaan endoskopi didominasi oleh gastritis pada usia muda.
Gambaran prevalensi fraktur humerus di Rumah Sakit Umum Pusat (RSUP) Sanglah, Bali, Indonesia periode tahun 2015-2016
Authors: Sari Ni Kadek Dyah Devita , Asmara Anak Agung Gde Yuda 
Published: November 2020

Background:Â Fracture is the cause of a high number of disabilities worldwide. One of the fractures is humerus fracture, often occur because of injury. The classic symptoms of a fracture are a history of trauma, pain and swelling in the fractured bone, deformity, and musculoskeletal malfunction. This study aims to determine the prevalence of humerus fracture in Sanglah General Hospital Centre of April 2015 - December 2016.Methods:Â A retrospective descriptive cross-sectional study by secondary data was conducted among 27 medical records of the patient. The sample population of this study were all inpatients with humerus fracture at orthopaedic installation Sanglah General Hospital during April 2015â€“December 2016. Data were analyzed using SPSS version 21 for Windows.Results:Â Most cases were females (51.9%). The age groups of <20 years old and 20-40 years old have the highest frequency (29.6%, respectively). The students had the most common of humerus fracture (33.0%). Closed fracture prevalence was found by 77,8%, and the open fracture was 22,2% from all cases. Management of the most committed to a closed fracture is ORIF while the open fracture is having debridement ORIF as the most committed management.Conclusion:Â The most prevalence of humerus fracture at Sanglah General Hospital during the 2015-2016 period was females, age group <20 and 20-40 years old, occurred in students, and closed fracture type.Â Latar belakang: Fraktur merupakan penyebab tingginya angka kecatatan di seluruh dunia. Salah satunya fraktur humerus, sering terjadi karena cedera. Gejala klasik fraktur adalah adanya riwayat trauma, rasa nyeri dan bengkak di bagian tulang yang patah, deformitas, gangguan fungsi muskuloskletal, putusnya kontinuitas tulang dan gangguan neurovascular. Penelitian ini bertujuan untuk menentukan prevalensi fraktur humerus di RSUP Sanglah dari April 2015 â€“ Desember 2016Metode: Penelitian potong lintang deskriptif retrospektif dengan data sekunder dilakukan terhadap 27 catatan medis pasien. Populasi sampel penelitian ini adalah semua pasien rawat inap dengan fraktur humerus di instalasi ortopedi RSUP Sanglah selama April 2015 - Desember 2016. Data dianalisis menggunakan SPSS versi 21 untuk Windows.Hasil: Sebagian besar kasus adalah perempuan (51,9%). Kelompok usia <20 tahun dan 20-40 tahun memiliki frekuensi tertinggi (masing-masing 29,6%). Para siswa memiliki proporsi fraktur humerus yang paling sering (33,0%). Prevalensi fraktur tertutup ditemukan oleh 77,8%, dan fraktur terbuka adalah 22,2% dari semua kasus. Manajemen yang paling banyak terhadap fraktur tertutup adalah ORIF sedangkan fraktur terbuka mengalami debridemen ORIF sebagai manajemen yang paling banyak.Kesimpulan: Prevalensi fraktur humerus yang paling banyak di RSUP Sanglah selama periode 2015-2016 adalah wanita, kelompok usia <20 dan 20-40 tahun, terjadi pada siswa, dan tipe fraktur tertutup.
Jejunal atresia in the newborn: three cases after resection and end-to-end anastomoses
Authors: Sukewanti Ni Made , Artana I Wayan Dharma , Putra Putu Junara , Kardana I Made , Sukmawati Made , Ariyanta Kadek Deddy 
Published: November 2020

Background:Â Intestinal atresia is a common cause of neonatal intestinal obstruction. Jejunal atresia occurs more frequent than duodenal or colonic atresias while single atresias are most commonly encountered. Jejunal atresia is classified into 4 types: Type I (a mucosal/septal), Type II (a fibrous cord/band), Type III (blind ends are entirely separated without a fibrous cord between them and a large mesenteric defect), and Type IV (combination of atresia type I to III). This study aims to elaborate jejunal atresia in the newborn after resection and end-to-end anastomoses.Case Description:Â We report three cases of jejunal atresia consists of different types: type IV (first case), type IIIa (second case) and type I (third case). Cases were neonates born with signs of upper gut obstruction. Bile-stained vomiting was reported a few hours after birth and failed to pass meconium in the first 24 hours. Postnatal abdominal X-ray showed dilatation of the gaster and no gas present in the pelvic floor. In the third case, it showed a triple bubble sign on abdominal x-ray and a laparotomy revealed the type of jejuno-ileal atresia. Also, the resection on the atresias and end to end anastomosis were performed. Cases were admitted to neonatal intensive care unit with total parenteral nutrition. The first two cases died due to sepsis, while the third case survived.Conclusion:Â Jejunal atresia is a rare disease among newborn. All of the patients have provided resection and end-to-end anastomoses, although 2 of them did not survive.Â
Faktor yang mempengaruhi kejadian asfiksia neonatorum di RSUD Wangaya Kota Denpasar
Authors: Kurnia Bella , Suryawan I Wayan Bikin , Sucipta A.A. Made 
Published: November 2020

Background: Birth asphyxia is a serious clinical problem worldwide. There are many reasons a baby may not be able to take in enough oxygen before, during, or just after birth. Birth asphyxia is the inabiity of neonates to start breathing spontaniously right after birth.Objective: This study was designed to assess the risk factors of birth asphyxia in neonates in Wangaya General Hospital.Methods: It is a case control study. The data of the newborn and mother was retrospectively collected from medical record in Wangaya Regional General Hospital between November 2018 to March 2019. It uses consecutive sampling. Bivariate analysis using chi square and multivariate analysis using logistic regresssion.Results: Bivariate analysis of risk factors of birth asphyxia that are studied are: low birth weight p value 0.000 (OR: 30.118); Number of birth p value 0,013 (OR 4,025); Prematurity p value 0.001 (OR 18.286); PROM p value 0.751 (OR 1.508); preeclampsia p value 1.000 (OR 0.804); and Cesarean Section p value 0.218 (OR 0.479). From multivariate analysis, the result was low birth weight p value 0.020; number of birth p value 0.003; prematurity p value 0.766; caesarean section p value 0,028.Conclusion: Risk factor of birth asphyxia in Wangaya General Hospital are low birth weight; number of birth (Primipara); and caesarean section.Â Latar Belakang: Asfiksia neonatorum adalah suatu kondisi yang serius di seluruh dunia. Ada beberapa penyebab dimana bayi tidak bisa mendapatkan oksigen yang cukup sebelum, selama, atau setelah lahir. Asfiksia neonatorum adalah keadaan dimana neonatus tidak dapat memulai bernafas dengan spontan segera setelah lahr.Penelitian ini dilakukan untuk melihat faktor resiko terjadinya asfiksia neonatorum pada neonatus di RSUD Wangaya.Metode: Penelitian ini adalah penelitian case control. Data neonatus dan data ibu diambil dari data rekam medis di RSUD Wangaya sejak November 2018 hingga Maret 2019. Studi ini menggunakan consecutive sampling. Analisa bivariat menggunakan chi square dan analisa multivariat menggunakan regressi logistik.Hasil: Hasil dari analisa bivariat adalah: BBLR p value 0,000 (OR: 30.118); Paritas p value 0,013 (OR 4,025); Prematuritas p value 0.001 (OR 18.286); KPD p value 0.751 (OR 1.508); Preeklampsia p value 1.000 (OR 0.804); and Bedah Caesar p value 0.218 (OR 0.479). Dari analisa multivariat, hasilnya adalah BBLR p value 0.020; Paritas p value 0.003; prematuritas p value 0.766; bedah sesar p value 0,028. Simpulan: Fakor resiko terjadinya asfiksia neonatorum di RSUD Wangaya adalah BBLR; Paritas (Primipara); and bedah sesar.