bluuebunny/crossref_metadata_2025_split huggingface dataset:
JENIS DAN MAKNA AFIKS PADA KARANGAN SISWA TEKS DESKRIPSI KELAS VII SMP
Authors: Devanti Haningtyas Martha , Markhamah Markhamah 
Published: November 2020

Penelitian ini bertujuan untuk memaparkan jenis-jenis dan makna afiksasi yang digunakan oleh siswa kelas VII SMP. Jenis penelilitian ini adalah jenis penelitian kualitatif deskriptif. Objek dalam penelitian ini adalah jenis-jenis penggunaan afiks pada karangan siswa teks deskripsi kelas VII SMP N 3 Colomadu. Sedangkan subjek dalam penelitian ini adalah Siswa kelas VII SMP N 3 Colomadu. Teknik pengumpulan data yang dilakukan dalam penelitian ini adalah observasi, penugasan, dan analisis isi dokumen. Hasil penelitian menyatakan bahwa penggunaan afiks dihasilkan Afiks yang paling banyak digunakan oleh siswa yaitu afiks ber- sebanyak 11 penggunaan. Temuan afiks paling sedikit digunakan oleh siswa kelas VII yaitu afiks di-, pe-, -wan dan –wati, per-an, ber-an, -el-. Masing-masing sebanyak satu penggunaan. Makna afiks dalam penggunaan afiks paling banyak ditemukan pada penggunaan afiks ber- sebanyak 6 macam. Temuan makna afiks paling sedikit terdapat pada penggunaan afiks pe-, di-, -wan dan –wati, -nya, ke-an, per-an, ber-an, -el-. Masing-masing memiliki makna sebanyak satu macam.
KAJIAN ANTROPOLINGUISTIK PERMAINAN TRADISIONAL CIP BALA KA CIP DI KALANGAN ANAK USIA SD/MI
Authors: Fadilah Lailiyatul Nur , Mu'minin Mu'minin 
Published: November 2020

Permainan tradisional perlu diteliti lebih jauh karena dari segi teks, ko-teks, dan konteks permainan tradisional mengandung satu nilai budaya yang luhur dan membentuk pribadi anak yang baik dari segi fisik dan mental.Penelitian ini menggunakan pendekatan kualitatif deskriptif dengan teknik wawancara, dan observasi. Data yang digali dalam penelitian ini adalah tentang proses permainan, analisis teks, koteks, dankonteks permainan, dan kelebihan permainan tradisional Cip Bala Ka Cip.Hasil dari penelitian ini adalah bahwa secara teks terdiri dari kalimat Cip Bala Ka Cip yang diucapkan pada awal permainan permainan berlangsung. Ko-teks dengan penekanan pada suku kata “cip”, dan konteks dengan dilakukannya permainan ini di suasana santai dan saat bermain dengan teman sebaya baik di sekolah maupun di rumah. fungsiCip Bala Ka Cip adalah sebagai bentuk hiburan, alat pendidikan anak, alat pemaksa berlakunya norma-norma sosial dan pengendali social, dan sebagai penguat ikatan pertemanan.
Correlation of Normal Labor and Vacuum Extraction with Postlabor Stress Urinary Incontinence
Authors: Gunawan Beni , Utama Bobby I. 
Published: November 2020

Objective: To determine the correlation between normal delivery methods and vacuum extraction with postpartum stress urinary incontinence in West Sumatra.Methods: This study used cross-sectional study design in the Obstetrics and Gynecology Department of the RSUP Dr. M. Djamil Padang, network hospital and Puskesmas in Padang City from October 2018-February 2019. The sampling technique was consecutive sampling. Urinary stress incontinence were assessed using a questionnaire for urinary incontinence diagnosis (QUID).Results: There was a correlation between normal delivery and vacuum extraction with stress urinary incontinence after delivery in the province of West Sumatra (p <0.05).Conclusion: There is a correlation between normal labour and vacuum extraction with stress urinary incontinence after delivery in the province of West Sumatra.Keywords: normal labour, stress urinary incontinence, vacuum extraction

Abstrak
Tujuan: Mengetahui hubungan cara persalinan normal dan vakum ekstraksi dengan stress inkontinensia urin pascasalin di Provinsi Sumatera Barat.Metode: Penelitian ini menggunakan desain potong lintang di Poliklinik Bagian Obstetri dan Ginekologi RSUP Dr. M Djamil Padang, RS jejaring dan Puskesmas di Kota Padang sejak bulan Oktober 2018-Februari 2019, Teknik pengambilan sampel dengan consecutive sampling. Penilaian stress inkontinensia urin dengan menggunakan questionnaire for urinary incontinence diagnosis (QUID).Hasil :Terdapat hubungan persalinan normal dan vakum ekstraksi dengan stress inkontinensia urin pascasalin di provinsi Sumatera Barat (p<0,05).Kesimpulan : Penelitian menyimpulkan terdapat hubungan persalinan normal dan vakumekstraksi dengan stressinkontinensia urin pascasalin di provinsi Sumatera Barat.Kata kunci: persalinan normal, stres inkontinensia urin, vakum ekstraksi
Prevalence of Appendical Metastasis in Primary Surgery of Ovarian Epithelial Cancer
Authors: Nuranna Laila , Amili Jan H. , Purbadi Sigit , Fatahan Nessyah 
Published: November 2020

Objective: To determine the prevalence of metastasis to appendix from primary surgery of ovarian epithelial cancer at National General Hospital Dr. Cipto Mangunkusumo (RSCM), Indonesia.Methods: A cross sectional study was done using ovarian epithelial cancer patient medical record whose primary ovarian cancer and appendectomy surgery were conducted on July to December 2019 at RSCM. Patients without appendix histopatology result and previous chemotherapy were excluded in this study. Consecutive method and random sampling were used in this study.Results: : A total of 80 subjects were included in this study. Subjects have average age of 48 years old. Out of all samples, 43 samples (53.8%) were defined as stage I patient, 7 subjects (8.8%) as stage II, 30 subjects (37.5%) as stage III, and none as stage IV. Appendectomy were done and eight subjects (10%) experienced metastasis to appendix. A total of 19 subjects (23.8%) had chronic appendicitis and 53 subjects (66.3%) did not have metastasis to the appendix. Among eight subjects having appendix involvement, 4 had mucinous histology, 2 serous, and 2 endometrioid. Six out of eight were diagnosed at clinical stage III and two were diagnosed at stage I.Conclusion: The prevalence of appendix metastases from primary surgery in ovarian epithelial cancer at RSCM was 10%. Based on this research, appendectomy can be considered on ovarian cancer surgeryKeywords: appendix, metastasis, ovarian cancer.

Abstrak
Tujuan: Mengetahui prevalensi metastasis kanker epitelial ovarium ke apendiks pada pembedahan primer kanker epitelial ovarium di Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo (RSCM), Indonesia. Metode: Penelitian ini merupakan studi potong lintang menggunakan data rekam medis pasien kanker ovarium epitelial yang menjalani pembedahan primer dan apendiktomi pada bulan Juli hingga Desember 2019 di RSCM Pasien tanpa histopatologi apendiks atau pernah dilakukan kemoterapi sebelumnya dieksklusi dari penelitian. Digunakan metode pengambilan sampel secara acak. Hasil: Didapatkan 80 subjek penelitian yang diikutsertakan dalam penelitian. Dari 80 subjek penelitian, didapatkan rerata usia 48 tahun. Sebanyak 43 subjek (53,8%) didiagnosis dengan stadium I, 7 subjek (8,8%) sebagai stadium II, 30 subjek (37,5%) stadium III. Dari 80 subjek yang menjalani apendiktomi, didapatkan 8 subjek (10%) anak sebar ke apendiks, 19 subjek (23,8 %) apendisitis kronis, 53 subjek (66,3%) tidak terdapat anak sebar. Dari 8 subjek yang terdapat anak sebar ke apendiks dengan temuan histologi 4 musinosum, 2 serosum, 2 endometroid. Sebanyak enam dari delapan subjek terdiagnosis pada stadium klinis stadium III dan dua lainnya pada stadium klinis satu. Kesimpulan: Prevalensi metastasis apendiks pada operasi primer kanker ovarium epitelial di RSCM adalah sebesar 10%. Berdasarkan hasil penelitian ini, apendektomi dapat dipertimbangkan dilakukan pada pembedahan baik stadium awal maupun stadium lanjut.Kata kunci: , apendiks , kanker ovarium, metastatis
Effect of Vitamin D3 Supplementation on Levator Ani Muscle Strength in Primipara Pregnancy with Post-partum Vitamin D3 Deficiency
Authors: Sukarsa Rizkar A. , Anti Devi N. , Purwara Benny H. , Sasotya R.M Sonny 
Published: November 2020

Objective: To determine the benefi ts of post-partum vitamin D supplementation on striated muscle strength.
Methods: This is a pre-post quasi-experimental study on postpartum vitamin D3 supplement provision in primiparous women with vitamin D3 defi ciency. The effect of vitamin D3 supplement was assessed through the measurement of pelvic floor muscle strength before and after 3 months of vitamin D3 supplementation. Thirty-three primiparous postpartum women with spontaneous vaginal delivery who met inclusion criteria participated in this study. Serum vitamin D3 level, basal tone, and maximum levator ani contraction were measured by perimetry prior to and after vitamin D3 supplementation. This study was conducted in the Obstetric Clinic and Clinical Serology Laboratory of Clinical Pathology Department, Dr. Hasan Sadikin General Hospital/ Faculty of Medicine, Universitas Padjadjaran from March 1 to May 31, 2018.Results: Data analysis using the Wilcoxon test showed an increase in serum vitamin D3 level and a basal tone strength after vitamin D3 supplementation with a P-value of <0.001. However, the maximum strength of levator ani muscle contraction did not increase (P-value <0.829).Conclusions: Vitamin D3 supplementation increases basal tone strength.Keywords: basal tone, maximum levator ani muscle contraction, perimetry, primiparous vitamin D3 defi ciency, vitamin D.
Abstrak
Tujuan: Untuk mengetahui manfaat pemberian suplementasi vitamin D pascasalin terhadap kekuatan otot lurik.Metode: Tipe penelitian ini adalah penelitian eksperimental quasi dengan rancangan sebelum dan sesudah pemberian vitamin D3 pada ibu primipara pascasalin yang mengalami defisiensi vitamin D3, dengan mengukur kekuatan otot dasar panggul sebelum dan sesudah pemberian 3 bulan vitamin D3. Subjek penelitian adalah primipara pasca persalinan spontan yang memenuhi kriteria inklusi penelitian (n=33). Dilakukan pemeriksaan kadar vitamin D serum dan pengukuran tonus basal dan kontraksi maksimal levator ani dengan menggunakan perimetri sebelum dan sesudah pemberian suplementasi vitamin D3. Penelitian dilakukan di Poliklinik obstetri FKUP/RSHS dan Laboratorium serologi Klinik Patologi Klinik FKUP/RSHS pada bulan 1 Maret- 31 Mei 2018.Hasil: Hasil penelitian ini dengan menggunakan uji wilcoxon didapatkan peningkatan kadar serum vitamin D3 dan peningkatan kekuatan tonus basal setelah pemberian suplementasi vitamin D3 dengan nilai P<0,001. Sedangkan kekuatan kontraksi otot maksimal levator ani tidak mengalami peningkatan dengan nilai P<0,829.Kesimpulan: Suplementasi vitamin D3 meningkatkan kekuatan tonus basalKata kunci: kontraksi maksimal levator ani, perimetri, primipara defi sisensi vitamin D3, tonus basal, vitamin D.
Quality of Life Assessment in Patient who Underwent Chemotherapy in Gynaecologic Oncology Division
Authors: Winarto Hariyono , Halim William 
Published: November 2020

Abstract
Objective: To determine the quality of life in cancer patients who underwent chemotherapy treatment.Methods: A cross-sectional study was conducted from June to August 2019. Patients with cancer, who had undergone chemotherapy and willing to participate were included in this study. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-30 (EORTC QLQ–30) questionnaire was used as the measurement tool. The patients were grouped into three groups based on the cycles of chemotherapy.Results: Sixty three responders participated in the study. As the treatment progressed, there was a signifi cant decrease in Global Health Status (GHS) and social function. In symptom scales, there was a signifi cant increase in nausea and vomiting, pain, and insomnia.Conclusions: There was a decrease in the quality of life in patients with gynecological cancer who underwent chemotherapy in dr. Cipto Mangunkusumo National General Hospital. This result should be an evaluation for the healthcare provider to implement a holistic approach in managing cancer patients.Keywords: chemotherapy, gynaecological cancer, quality of life.
Abstrak
Tujuan: Untuk menilai kualitas hidup pasien kanker yang menjalani kemoterapi.Metode: Penelitian dilakukan dengan metode potong lintang, dilakukan dari Juni hingga Agustus 2019. Semua pasien dengan kanker yang menjalani kemoterapi dan bersedia mengikuti penelitian diikutsertakan dalam penelitian ini. Penilaian dilakukan menggunakan kuisioner dari The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-30 (EORTC QLQ- 30) digunakan. Pasien dikelompokkan menjadi 3 kelompok berdasarkan siklus kemoterapinya.Hasil: Terdapat 63 pasien yang berpartisipasi dalam penelitian ini. Seiring pengobatan, terdapat penurunan signifikan pada global health status (GHS) dan fungsi sosial. Gejala yang meningkat secara signifi kan antara lain mual dan muntah, nyeri, dan insomnia.Kesimpulan: Terdapat penurunan kualitas hidup pada pasien kanker ginekologi yang menjalani kemoterapi di Rumah Sakit Dr. Cipto Mangunkusumo. Hasil penelitian ini menjadi evaluasi untuk penyedia layanan kesehatan agar dapat menangani pasien kanker secara holistik.Kata kunci: kanker ginekologi, kemoterapi, kualitas hidup.
El tratamiento actual de la Diabetes Mellitus Tipo 2
Authors: Garmendia-Lorena Fausto 
Published: November 2020

El tratamiento eficaz de la diabetes mellitus comenzó con el descubri- miento de la insulina en 1921 y su administración en el año 1922 por Banting, Best, MacLeod y Collip; posteriormente se introdujeron los hipoglicemiantes orales que, resultaron ser más eficaces en el control de la diabetes mellitus tipo 2 (DM2) y no así en la diabetes tipo 1 (DM1), debido a la necesidad de contar con alguna reserva pancreá- tica de insulina que se pierde rápidamente en la DM1.
Asymptomatic Malaria Infection Is Maintained by a Balanced Pro- and Anti-inflammatory Response
Authors: Frimpong Augustina , Amponsah Jones , Adjokatseh Abigail Sena , Agyemang Dorothy , Bentum-Ennin Lutterodt , Ofori Ebenezer Addo , Kyei-Baafour Eric , Akyea-Mensah Kwadwo , Adu Bright , Mensah Gloria Ivy , Amoah Linda Eva , Kusi Kwadwo Asamoah 
Published: November 2020

BackgroundPro- and anti-inflammatory cytokines are important mediators of immunity and are associated with malaria disease outcomes. However, their role in the establishment of asymptomatic infections, which may precede the development of clinical symptoms, is not as well-understood.MethodsWe determined the association of pro and anti-inflammatory cytokines and other immune effector molecules with the development of asymptomatic malaria. We measured and compared the plasma levels of pro-inflammatory mediators including tumor necrosis factor-alpha (TNF-α), interferon-gamma (IFN-γ), interleukin (IL)-6, IL-12p70, IL-17A, and granzyme B, the anti-inflammatory cytokine IL-4 and the regulatory cytokine IL-10 from children with asymptomatic malaria infections (either microscopic or submicroscopic) and uninfected controls using Luminex.ResultsWe show that individuals with microscopic asymptomatic malaria had significantly increased levels of TNF-α and IL-6 compared to uninfected controls. Children with either microscopic or submicroscopic asymptomatic malaria exhibited higher levels of IFN-γ, IL-17A, and IL-4 compared to uninfected controls. The levels of most of the pro and anti-inflammatory cytokines were comparable between children with microscopic and submicroscopic infections. The ratio of IFN-γ/IL-10, TNF-α/IL-10, IL-6/IL-10 as well as IFN-γ/IL-4 and IL-6/IL-4 did not differ significantly between the groups. Additionally, using a principal component analysis, the cytokines measured could not distinguish amongst the three study populations. This may imply that neither microscopic nor submicroscopic asymptomatic infections were polarized toward a pro-inflammatory or anti-inflammatory response.ConclusionThe data show that asymptomatic malaria infections result in increased plasma levels of both pro and anti-inflammatory cytokines relative to uninfected persons. The balance between pro- and anti-inflammatory cytokines are, however, largely maintained and this may in part, explain the lack of clinical symptoms. This is consistent with the generally accepted observation that clinical symptoms develop as a result of immunopathology involving dysregulation of inflammatory mediator balance in favor of pro-inflammatory mediators.
Sexual Health in Child and Adolescent Psychiatry: Multi-Site Implementation Through Synchronized Videoconferencing of an Educational Resource Using Standardized Patients
Authors: Drozdowicz Linda , Gordon Elisabeth , Shapiro Desiree , Jacobson Sansea , Zalpuri Isheeta , Stewart Colin , Lewis A. Lee , Robinson Lee , Myint Myo Thwin , Daniolos Peter , Williamson Edwin D. , Pleak Richard , Graeff Martins Ana Soledade , Gleason Mary Margaret , Galanter Cathryn A. , Miller Sarah , Stubbe Dorothy , Martin Andrés 
Published: November 2020

Objective: Matters of sexuality and sexual health are common in the practice of child and adolescent psychiatry (CAP), yet clinicians can feel ill-equipped to address them with confidence. To address this gap in training and practice, we developed, implemented, and evaluated an educational module enhanced by videotaped depictions of expert clinicians interacting with professional actors performing as standardized patients (SPs).Methods: We developed an educational resource highlighting common issues of sexual health relevant to CAP practice, including sexual development, psychotropic-related side effects, and sexuality in children with autism. We wrote original scripts, based on which two clinicians interacted with three SPs. Digital recordings were edited to yield 5 clips with a cumulative running time of 20 min. The clips were interspersed during a 90-min session comprising didactic and interactive components. Due to the COVID-19 pandemic, we used synchronous videoconferencing, which allowed content dissemination to several training programs across the country.Results: We recruited 125 learners from 16 CAP training programs through the American Academy of CAP's Alliance for Learning and Innovation (AALI). Routine inquiry into adolescent patients' sexual function was uncommon, reported by only 28% of participants, with “awkward” and “uncomfortable” the most common terms mentioned in reference to the clinical task. The didactic intervention led to measurable improvements after 2 weeks in skills and knowledge (p = 0.004) and in attitudes (p &lt; 0.001). The three items with the greatest improvement were: (a) availability of developmentally tailored resources; (b) comfort in addressing sexual development with underage patients; and (c) with parents or guardians of neuroatypical or developmentally disabled patients (p &lt; 0.001 for each).Conclusions: A sexual health curriculum enriched by video-based examples can lead to measurable improvement in outcomes pertinent to the clinical practice of CAP. These educational materials are available for distribution, use and adaptation by local instructors. Our study also provides proof-of-principle for the use of multisite educational initiatives in CAP through synchronized videoconferencing.
Recovery, restoration, and risk: a cross-sectional survey of the impact of COVID-19 on GPs in the first UK city to lock down
Authors: Trivedi Namrata , Trivedi Vivek , Moorthy Arumugam , Trivedi Hina 
Published: November 2020

BackgroundThe COVID-19 pandemic has impacted GPs immensely. Work patterns have changed, risk stratification has been proposed, and the mental health of clinicians has been adversely affected. The COVID-19 prevalence among GPs is unknown. This study focuses on assessing the impact of COVID-19 on GPs in Leicestershire, the first UK city to lock down locally.AimThis survey assessed the prevalence of COVID-19 in GPs and explored GP work patterns in comparison with national guidance. It used a validated perceived stress tool to evaluate the impact of COVID-19 on GP stress perception.Design & settingThe cross-sectional retrospective survey was sent to all the GPs in Leicestershire.MethodA total of 111 GPs in Leicestershire took part voluntarily in an anonymised questionnaire-based study. A 29-item survey using SmartSurvey software was designed with multiple choice and Likert response scale questions.ResultsCOVID-19 prevalence in GPs in Leicestershire was 8.1%; 70.3% of GPs were of Black, Asian, and minority ethnic (BAME) origin; 91.9% of GPs had undergone risk stratification; and 79.3% of GPs felt supported by their practice, but only 59.5% felt supported with mental health. GPs described feeling more stressed during the COVID-19 pandemic than they had been previously.ConclusionThis is the first study evaluating COVID-19 prevalence among GPs in Leicestershire. Despite government interventions, GPs felt less supported with their mental health compared with pre-COVID-19 times. Thus, the NHS in England should focus on GP stress and wellbeing as they work towards the restoration and recovery of primary care while battling the second wave.
The impact of the new Dutch guideline on cardiovascular risk management in patients with COPD: a retrospective study
Authors: Nies Lonneke ME , Akker Ingrid Looijmans-van den , Rozendaal Liesbeth , Baar Brenda , Vos Rimke C , Hart Huberta E 
Published: November 2020

BackgroundPatients with chronic obstructive pulmonary disease (COPD) have an independent increased risk of cardiovascular (CV) disease. Cardiovascular risk (CVR) assessment should be offered to all patients with COPD, according to the new Dutch CVR management (CVRM) guideline (May 2019).AimTo evaluate the impact of the new CVRM guideline on the care of patients with COPD in primary care.Design & settingA retrospective study took place within five primary healthcare centres located in The Netherlands.MethodIn accordance with the guideline, the CVR of all patients with COPD was estimated and categorised. Data from 2014–2019 were used for the qualitative risk assessment based on comorbidities, and the quantitative Systematic Coronary Risk Evaluation (SCORE). In addition, the guideline-based follow-up was investigated.ResultsOf the 391 patients with COPD, 84.1% (n = 329) had complete data on CVR assessment: 90.3% (n = 297) had a (very) high risk, and 9.7% (n = 32) a low-to-moderate risk. Of the patients with (very) high risk, 73.4% (n = 218) received guideline-based follow-up (primary care: 95.4%, secondary care: 4.6%). In 15.9% (n = 62) of all patients with COPD, the CVR profile was not measured and of the (very) high-risk patients, 26.6% (n = 79) were not enroled in a CV care programme.ConclusionWhereas in the majority of patients with COPD the CVR is already known, for one out of six patients this CVR still has to be assessed according to the recently updated guideline. Moreover, once a (very) high risk has been assessed, as a consequence CV treatment of risk factors should be intensified in one out of four patients with COPD. Adherence to the new CVRM guideline could provide improvement in CVRM in more than a third of all patients with COPD.