bluuebunny/crossref_metadata_2025_split huggingface dataset:
KERJA SAMA PERAWAT DENGAN TEKNISI KESEHATAN DALAM UPAYA MENINGKATKAN KESELAMATAN PASIEN
Authors: Melianti  
Published: December 2019

Latar belakang: Keselamatan pasien adalah suatu sistem dimana rumah sakit memberikan asuhan kepada pasien secara aman serta mencegah terjadinya cidera akibat kesalahan karena melaksanakan suatu tindakan atau tidak melaksanakan suatu tindakan yang seharusnya diambil. Sistem tersebut meliputi pengenalan resiko, identifikasi dan pengelolaan hal yang berhubungan dengan resiko pasien, pelaporan dan analisis insiden, kemampuan belajar dari insiden, tindak lanjut dan implementasi solusi untuk meminimalkan resiko (Depkes 2008).Tujuan: Tujuan dari kajian ilmiah ini adalah untuk mengetahui identifikasi keamanan obat sebagai analisis sasaran keselamatan pasien.Metode: Kerangka konsep yang diajukan adalah untuk melihat teori pendekatan komperhensif dalam pengkajian keselamatan pasien di rumah sakit, yang dikaji dari beberapa hasil penelitian yang dipublikasikan dari tahun 2010 hingga 2019, menggunakan Proquest, Ebsco dan dari beberapa jurnal yang berkaitan dengan judul dengan Kata kunci.Hasil: memberikan pelayanan yang efektif dan efisien dan mampu memahami aplikasi patient safety saat memberikan pelayanan kesehatan.Pembahasan: rumah sakit yang memberikan pelayanan kepada pasien secara aman termasuk didalamnya pengkajian mengenai resiko, identifikasi, manajemen resiko terhadap pasien, pelaporan dan analisis insiden, kemampuan untuk belajar dan menindaklanjuti insiden, dan menerapkan solusi untuk mengurangi serta meminimalisir timbulnya risiko.Penutup: Pelayanan keperawatan adalah bagian integral dari pelayanan kesehatan di rumah sakit. Keselamatan pasien dalam keperawatan merupakan bagian integral dari program keselamatan pasien rumah sakit. Peran perawat dalam pelaksanaan Sasaran Keselamatan Pasien perlu dioptimalkan dalam rangka peningkatan mutu dan keselamatan pasien.Kata kunci : Keamanan, pemberian obat, pelayanan kesehatan
Pemodelan Matematis Dan Penyelesaian Numeris Pada Absorpsi CO2 Dalam Biogas Menggunakan Kolom Bahan Isian Dengan Larutan Methyldiethanolamine (MDEA)
Authors: Ningrum Sari Sekar , Mindaryani Aswati , Hidayat Muslikhin , Wahyu Syafrima 
Published: December 2019

Biogas merupakan energi terbarukan yang dikembangkan untuk mensubtitusi energi yang berasal dari fosil. Keberadaan CO2 yang tinggi dapat menghambat efisiensi biogas. Oleh sebab itu, dibutuhkan pemurnian biogas dengan melakukan pengurangan kadar CO2 pada biogas. Pengurangan kadar CO2 pada biogas dapat dilakukan dengan cara absorpsi menggunakan MDEA pada kolom bahan isian. Percobaan absorpsi CO2 dilakukan secara kontinyu di dalam kolom absorpsi dengan diameter 6 cm dan panjang 75 cm, bahan isian berupa spiral tembaga dan laju alir cairan 0,15 L/menit. Variasi laju alir gas yang digunakan pada penelitian ini adalah 1 LPM, 1,5 LPM dan 1,8 LPM. Variasi larutan MDEA yang digunakan adalah 20 % dan 35,31 %. Konsentrasi gas CO2 yang keluar dari bagian atas kolom dicatat sebagai fungsi waktu. Data yang diperoleh dimasukkan ke dalam model matematis sehingga kemudian diperoleh nilai KGa dan k2. Pada laju alir gas 1 L/menit; 1,5 L/menit dan 1,8 L/menit dengan konsentrasi MDEA 20% berat diperoleh koefisien transfer massa gas (KGa) kisaran 0,0170 mol/min.atm.L hingga 0,0210 mol/min.atm.L dan konstanta kecepatan reaksi sebesar 450 L/mol.min sedangkan pada konsetrasi MDEA 35,35% berat diperoleh koefisien transfer massa gas (KGa) kisaran 0,0190 mol/min.atm.L hingga 0,0215 mol/min.atm.L dan konstanta kecepatan reaksi sebesar 450 L/mol.min.
Resúmenes del 70 Congreso Uruguayo de Cirugía
Authors: De Cirugía del Uruguay Sociedad 
Published: December 2019

En esta publicación se re´únen los resúmenes de los trabajos libres presentados en el 70 Congreso Uruguayo de Cirugía organizado por la Sociedad de Cirugía del Uruguay.
En este máximo evento se está celebrando en forma conjunta el 23o.Congreso Latinoamericano de Cirugía de FELAC, 27 Congreso Iberoamericano, 7mo Congreso Uruguayo de Cirugía Torácica y el 1er. Congreso Panamericano de Cáncer Colorrectal.
En el sentido que sin investigación no hay desarrollo del pensamiento crítico ni avance en el conocimiento, este volúmen resume la producción científica a través de los resúmenes de presentaciones orales, videos y posters que reflejan la producción de conocimiento a través de un proceso intensamente participativo y de intercambio de experiencias.
Dr. Luis Ruso Martínez. FACS.PresidenteXXIII Congreso Latinoamericano de Cirugía
Dr. Roberto Taruselli. FACSPresidenteLXX Congreso Uruguayo de Cirugía
Developing an Effective Food Supplement for the Prevention of Osteoporosis
Authors: Leung Ping-chung , Ko Erik Chun-hay , Siu Sammy Wing-sum , Pang Ellie Suet-yee , Cheng King-fai , Chan Yat-heung 
Published: December 2019

Background: Aging is accompanied by a gradual loss of bone mineral contents which might lead to a higher rate to fractures. In the past twenty years, many pharmaceuticals are created to prevent bone loss. Most effective drugs only suppress bone resorption, the result of which is a loss of the normal balance of bone metabolism. Anti-resorptive drugs have already shown complications arising from the loss of balanced metabolism. Therefore it becomes clear now that prevention of bone mineral loss through a natural maintenance process will be more beneficial for those not under special risks. Drug treatment could be researched for those who already developed severe osteoporosis. There are many medicinal herbs in Chinese Medicine known to be supporting bone health. Three of those herbs, Herba Epimedii, Fructus Ligustri Lucidi and Fructus Psoralea (ELP) were chosen to make a formula for the prevention of osteoporosis.Result: One hundred and fifty postmenopausal osteopenic women were recruited, randomized and allocated to the herbal group (ELP) or placebo group. After 12 months of consumption of herbal formula, bone mineral maintenance was found when the bone mineral density (BMD) of the femur and tibia were as assessed using Dual-energy X-ray Absorptiometry (DEXA) and Peripheral Quantitative Computed Tomography (pQCT) machines. No adverse effects were found.Conclusion: The clinical study using ELP was designed as a randomized controlled trial to test the efficacy of the agent used. The results showed positive support on the BMD of all bone tested. However statistical difference between the herbal and placebo group reached the significant level only in the proximal tibia and those who experienced menopause for more than ten years. This finding well indicates that ELP is good for preventive but does not satisfy the demand of a treatment agent. ELP could be recommended to those under the early threat of osteoporosis, i.e. osteopenia, to be used as a preventive agent.Keywords: Osteoporosis, post-menopause women, herbal supplement, functional food.
9-cis β-carotene Inhibits Atherosclerosis Development in Female LDLR-/- Mice
Authors: Relevy Noa Zolberg , Rühl Ralph , Harari Ayelet , Grosskopf Itamar , Barshack Iris , Ben-Amotz Ami , Nir Uri , Gottlieb Hugo , Kamari Yehuda , Harats Dror , Shaish Aviv 
Published: December 2019

Background: Several epidemiological studies have shown that diets rich in carotenoids are associated with a reduced risk of cardiovascular disease. However, administration of synthetic all-trans b-carotene was reported to have no effect on cardiovascular disease. We previously showed that the 9-cis b-carotene-rich powder of the alga Dunaliella bardawil inhibits atherogenesis and reduces plasma non-HDL cholesterol levels in mice.Context and purpose of this study: We sought to study whether isolated 9-cis b-carotene inhibits atherogenesis in a murine model of atherosclerosis.Results: Twelve-week-old female LDL receptor knockout mice (LDLR-/-) were pretreated for 2 weeks with regular chow diet fortified with the alga Dunaliella powder, 9-cis β-carotene isomer, all-trans β-carotene isomer, or 9-cis retinoic acid, followed by 10 weeks of a high-fat diet with the same fortifications. In contrast to Dunaliella, 9-cis β-carotene did not inhibit the high fat diet-induced elevation of plasma cholesterol. In addition, diet fortification with Dunaliella powder, β-carotene isomers, or 9-cis retinoic acid did not change the plasma retinol or retinoic acid levels. Nevertheless, 9-cis β-carotene significantly inhibited atherogenesis compared to the control mice (39% reduction).Conclusions: The results suggest that 9-cis β-carotene should be considered as an anti-atherogenic agent in the human diet.Key words: Atherosclerosis, Dunaliella, 9CBC, LDLR-/- mice
The effect of vibration therapy on spasticity and motor function in children with cerebral palsy: A randomized controlled trial
Authors: Katusic Ana , Alimovic Sonja , Mejaski-Bosnjak Vlatka 
Published: December 2019

As the motor system relies heavily on deep sensory stimulation, recent studies have investigated the effect of vibration stimuli. Although research suggests a positive influence of vibration on motor performance in individuals with neurological disorders, there are very limited numbers of studies in children with cerebral palsy (CP). The objective of the present study was to evaluate the effects of sound wave vibration therapy on spasticity and motor function in children with CP. In this 3-month trial, 89 children with spastic CP were randomized to either continue their physiotherapy treatment (PT) or to receive vibration therapy twice a week in addition to their PT program. The randomization was stratified according to the Gross Motor Function Classification System (GMFCS) level to ensure similar functional ability. Children were assessed at baseline and after the 12-week intervention period. The outcomes measured were spasticity level as assessed by Modified Modified Ashworth Scale (MMAS) and gross motor function as assessed by Gross Motor Function Measurement (GMFM-88). Subgroup analysis was performed for the GMFCS. Significant differences between groups were detected for changes in spasticity level and gross motor function after the three months intervention. In conclusion, vibration therapy may decrease spasticity and improve motor performance in children with CP. The results of the present trial serve as valuable input for evidence-based treatments in paediatric neurorehabilitation.
Percutaneous endoscopic gastrostomy tube placement in left versus right middle cerebral artery stroke: Effects of laterality
Authors: San Luis Christa O'Hana V. , Staff Ilene , Ollenschleger Martin D. , Fortunato Gilbert J. , McCullough Louise D. 
Published: December 2019

Background: Prolonged dysphagia after middle cerebral artery (MCA) territory strokes may require percutaneous endoscopic gastrostomy (PEG) tube feeding. Objective: We examined the predictors of PEG placement among patients with MCA stroke. It was hypothesized that stroke laterality was a predictor. Methods: A retrospective cohort study of existing data from Hartford Hospital Stroke Database was done. A total of 157 patients with acute ischemic MCA stroke were included. Patients were divided into the “PEG” group (n = 24) and “no PEG” group (n = 133). Existing demographic, clinical and swallowing data were compared between the 2 groups. Results: Demographic data were similar between the groups. The “PEG” group had a higher admission National Institute of Health Stroke Scale (NIHSS) score, higher proportion of patients who had thrombolytic administration, in- hospital aspiration pneumonia and inability to be assessed on first swallow evaluation. Multivariate analysis revealed that all, except thrombolytic administration may predict PEG placement. Conclusion: Admission NIHSS score, in-hospital aspiration pneumonia and inability to undergo first swallow evaluation may predict PEG placement in patients with acute MCA stroke. Stroke laterality was not associated. This knowledge facilitates early identification of patients that may require PEG tube placement for early nutrition provision and discharge to rehabilitation.
Effectiveness of an intensive rehabilitation treatment on different Parkinson's disease subtypes
Authors: Frazzitta Giuseppe , Abbruzzese Giovanni , Bertotti Gabriella , Boveri Natalia , Pezzoli Gianni , Maestri Roberto 
Published: December 2019

Goal and objectives: Parkinsonian patients can be classified in two main subgroups: tremor dominant and akinetic-rigid. The aim of this study was to evaluate whether intensive rehabilitation treatment has the same efficacy in the two subtypes. Material and methods: Patients were classified according to tremor: 65 patients with absence of tremor in “on” and “off” state were assigned to Group_1 and 65 patients with tremor were assigned to Group_2. All patients underwent a 4-week intensive multidisciplinary rehabilitation treatment. The primary outcome measures were: the Unified Parkinson's Disease Rating Scale (UPDRS) II, III, UPDRS akinetic-rigid score and UPDRS tremor score. The secondary outcome measures were: the Berg Balance Scale, 6-minute walking test, self-assessment Parkinson's Disease Disability Scale, Abnormal Involuntary Movement Scale, Freezing of Gait Questionnaire. Results: Patients in Group_1 tended to be more affected than patients in Group_2 by dyskinesias (45% vs 29% p = 0.069) and freezing (46% vs 29%, p = 0.046). Levodopa-equivalent dosages were higher in Group_1 (802 vs 670 mg/day, p = 0.008). Considering the effect of rehabilitation, an homogeneous improvement was observed in all variables in both groups of patients (p < 0.0001). Conclusion: Intensive rehabilitation treatment is effective in improving motor performance in both groups. The anatomical and biochemical differences existing between the two subgroups appear to not determine different clinical outcomes.
Reliability of the Turkish version of the hospital anxiety and depression scale in the people with traumatic spinal cord injury
Authors: Paker Nurdan , Bugdayci Derya , Midik Melike , Celik Berna , Kesiktas Nur 
Published: December 2019

Background: Emotional problems are common in spinal cord injury (SCI). Self report questionnaires are easy and useful for screening the emotional status in clinical practice. Objectives: The aim of this study was to assess the reliability of the Turkish version of the Hospital Anxiety and Depression Scale (HADS) as well as to investigate the frequency of anxiety and depression in a group with SCI admitted to the outpatient clinic of a rehabilitation hospital. Methods: One hundred seventy-five persons with traumatic SCI were included in this study. The American Spinal Injury Association Impairment Scale, Functional Independence Measure (FIM) and HADS were used for assessments. Results: The mean age of the participants was 35 ± 13 years, and the mean time elapsed since injury was 13 ± 29 months. The mean motor FIM score was 41 ± 21. The Cronbach's alpha coefficient was 0.90 and 0.77 for the anxiety and depression subscales of the HADS, respectively. Forty percent of the participants had anxiety and 28% had depression. Anxiety was positively correlated with time since injury (r = 0.2). Depression was negatively correlated with the education level (r = 0.25), and positively correlated with age (r = 0.17). There was a positive correlation with completeness and anxiety and depression (r = 0.49, r = 0.55). Conclusion: The Turkish version of the HADS is a reliable psychological screening test for anxiety and depression in people with SCI. Rehabilitation team should gather maximum information about the emotional status of the person with SCI, and plan the appropriate treatment for anxiety and depression.
A comparison of health behaviors between African Americans with spinal cord injury and those in the general population
Authors: Saunders Lee L. , Ekoja Ene , Whitlock Chelsea S. , DiPiro Nicole D. , Gregory-Bass Rosalind , Krause James S. 
Published: December 2019

Objective: The purpose of this study is to identify whether protective and risk health behaviors are more common among African Americans with spinal cord injury (SCI) compared with African Americans in the general population. Methods: Mail-in surveys were collected from 252 adult participants with SCI. Behavioral Risk Factor Surveillance System data from 2009 was downloaded. Results: Participants with SCI were more likely to report currently smoking. Among those who reported currently smoking, persons with SCI were less likely to report ever trying to quit. Those with SCI were also more likely to report consuming alcohol and binge drinking in the past month. Participants with SCI were more likely to receive a flu shot/spray in the past year and to have ever received a pneumonia vaccine. Conversely, those with SCI were less likely to report ever having their blood cholesterol checked. Conclusions: Results of this study suggest that, consistent with previous research, individuals with SCI focused their preventive health behaviors on conditions consistent with SCI prophylactic standard of care (e.g., flu shots and pneumonia vaccines), as compared to behaviors intended to prevent chronic diseases consistent with the overall population.
Caregiver burden, quality of life and walking ability in different disability levels of multiple sclerosis
Authors: Ertekin Özge , Özakbaş Serkan , İdiman Egemen 
Published: December 2019

Background: The caregivers of Multiple Sclerosis (MS) individuals are usually burdened with a wide range of MS-related caregiving tasks which may result in damages of their daily life and quality of life (QOL). Objectives: This study was designed to compare according to the disability level (1) the walking ability, quality of life (QOL), and disease impact of the MS patients (2) and the burden, QOL, self-efficacy and life satisfaction of their caregivers; (3) to determine the relationship between these outcome results, disease duration and caregivers' age. Methods: 772 MS patients were recruited, 47 MS patients and their 47 caregivers finished the study. Disability, walking ability, QOL, disease impact of the MS participants; the burden, QOL, self-efficacy, life satisfaction of the caregivers were evaluated. Results: MS Patients with higher disability had significantly worse scores on the MSWS-12, MUSIQOL, MSIS-29, and PDSS (p < 0.01). The caregivers facing with higher disability had significantly worse scores on CBI and CAREQOL (p < 0.01). Conclusions: The impairments on disability level, walking and QOL of MS patients were related to OQL declines and increased burden of their caregivers. Therefore, it may be important to provide acceptable education and support strategies with individual intervention while defining the needs and goals of the MS patients and their caregivers to improve the rehabilitation success.
Isometric hip and knee torque measurements as an outcome measure in robot assisted gait training
Authors: Galen Sujay S. , Clarke Celia J. , Mclean Alan N. , Allan David B. , Conway Bernard A. 
Published: December 2019

Background: Strength changes in lower limb muscles following robot assisted gait training (RAGT) in subjects with incomplete spinal cord injury (ISCI) has not been quantified using objective outcome measures. Objective: To record changes in the force generating capacity of lower limb muscles (recorded as peak voluntary isometric torque at the knee and hip), before, during and after RAGT in both acute and subacute/chronic ISCI subjects using a repeated measures study design. Methods: Eighteen subjects with ISCI participated in this study (Age range: 26–63 years mean age = 49.3 ± 11 years). Each subject participated in the study for a total period of eight weeks, including 6 weeks of RAGT using the Lokomat system (Hocoma AG, Switzerland). Peak torques were recorded in hip flexors, extensors, knee flexors and extensors using torque sensors that are incorporated within the Lokomat. Results: All the tested lower limb muscle groups showed statistically significant (p < 0.001) increases in peak torques in the acute subjects. Comparison between the change in peak torque generated by a muscle and its motor score over time showed a non-linear relationship. Conclusions: The peak torque recorded during isometric contractions provided an objective outcome measure to record changes in muscle strength following RAGT.
The difference of gait pattern according to the state of the corticospinal tract in chronic hemiparetic stroke patients
Authors: Seo Jeong Pyo , Do Kyung Hee , Jung Gil Su , Seo Sang Wan , Kim Kyoung , Son Su Min , Kim Yeung Ki , Jang Sung Ho 
Published: December 2019

Objectives: The lateral corticospinal tract (CST) is one of the most important neuronal pathways that mediate voluntary movements in the human brain. However, little is known about the role of the lateral CST on the gait. We attempted to investigate differences in gait pattern using a motion analysis system according to the integrity of the contralateral CST, which was classified using diffusion tensor tractography (DTT) in chronic hemiparetic stroke patients. Methods: We recruited 16 chronic hemiparetic stroke patients and 12 normal subjects for this study. DTT findings of the CST for patients were classified into two groups: group A (eight patients); the integrity of the CST was preserved, group B (eight patients) – the CST was discontinued at or below the stroke lesion. We compared variables of gait between group A, group B, and normal controls using the motion analysis system. Results: Group A and the control group showed a significantly higher peak angle for ankle dorsiflexion, knee internal rotation, and hip flexion, compared with group B (p < 0.05). On the other hand, the peak angle for ankle plantarflexion/external rotation, knee flexion/abduction, and hip extension of group A and group B were significantly lower than those of the control group (p < 0.05). Conclusion: We found that severe injury of the contralateral CST caused decreased movement of ankle dorsiflexion, knee internal rotation, and hip flexion in chronic hemiparetic stroke patients. As a result, the circumduction and abduction gait pattern in stroke patients is closely associated with severe injury of the contralateral CST.
The effect of stroke on motor selectivity for force control in single- and multi-finger force production tasks
Authors: Kim Yushin , Kim Woo-Sub , Yoon BumChul 
Published: December 2019

Background: The stroke patients have difficulties in both voluntary muscle contraction and individual movements. However, there is a lack of quantitative analysis focusing on decreased finger control in stroke patients. Objectives: The purpose of the study was to identify the changes in motor selectivity in stroke patients during a finger force production task. Methods: Fifteen stroke patients and fifteen control subjects were asked to perform maximum voluntary force (MVF) production during single- and multi-finger force tasks. Finger interaction indices such as force independence (FI) and force sharing deviation (FSD) were analyzed using measured individual finger forces. Results: MVF analysis in the impaired hand of stroke patients showed that they produced 31% or 41% lower force than their unimpaired hand or the control hand, respectively. For the finger interaction indices, the stroke patients' impaired hand had lower FI and higher FSD than their unimpaired hand or the normal subjects' hand. Conclusion: The lower FI and higher FSD show that stroke patients have a limited ability to produce force independently and to synchronize produced multi-finger force, respectively. These results have a negative impact on the selectivity of their motor control. In terms of rehabilitation, we expect that the finger interaction indices used in the present study can quantify motor selectivity in the damaged central nervous system.