bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perbandingan Persentase Eliminasi Bakteri pada Cuci Tangan Enam Langkah dan Empat Langkah
Authors: Rizkia Annisa Widi , Putra Andani Eka , Nurhayati Nurhayati 
Published: November 2020

Latar Belakang. Salah satu tahap kewaspadaan standar yang efektif dalam pencegahan dan pengendalian infeksi terkait pelayanan kesehatan yang tercantum dalam PERMENKES RI no. 27 tahun 2017 ialah mencuci tangan. Mencuci tangan dapat mengurangi bakteri sampai 90%. Sampai saat ini, cuci tangan 6 langkah sesuai standar WHO merupakan metode yang paling efektif dalam mengeliminasi mikroorganisme pada tangan.
Objektif. Tujuan penelitian ini untuk membandingkan keefektifan dari metode 6 langkah yang merupakan metode mencuci tangan sesuai standar WHO dibandingkan dengan metode 4 langkah yang merupakan modifikasi peneliti terhadap standar WHO.
Metode. Penelitian ini merupakan penelitian eksperimental dengan posttest and pretest control group design terhadap 12 orang subjek penelitian yang merupakan mahasiswa/i FK UNAND angkatan 2015. Subjek penelitian dibagi menjadi 2 kelompok: kelompok yang mencuci tangan menggunakan 6 langkah dan 4 langkah. Sampel yang diambil pada 3 area di tangan setiap subjek tersebut.
Hasil. Dari penelitian ini diperoleh hasil bahwa rata-rata persentase eliminasi bakteri Bacillus sp. adalah lebih dari 80% pada kedua kelompok. Tidak terdapat perbedaan yang signifikan (p>0,05) pada kedua kelompok perlakuan. Namun, hasil rata-rata persentase eliminasi keseluruhan bakteri pada tangan menunjukkan perbedaan yang signifikan (p<0,05) antar kelompok, dimana kelompok yang mencuci tangan menggunakan metode 6 langkah (>75%) lebih tinggi persentase eliminasi bakteri dibandingkan dengan 4 langkah (<45%).
Kesimpulan. Tidak terdapatnya perbedaan persentase eliminasi bakteri Bacillus sp. pada mencuci tangan 6 langkah dan 4 langkah. Namun, terdapat perbedaan persentase eliminasi bakteri secara keseluruhan pada mencuci tangan 6 langkah dan 4 langkah.
Karakteristik Penderita Tumor Mediastinum di RSUP Dr. M. Djamil, Padang periode 2015-2019
Authors: Hardinur Nur Izzah Atirah , Ellyanti Aisyah , Rofinda Zelly Dia 
Published: November 2020

Tumor mediastinum merupakan salah satu kelainan di rongga mediastinum dengan berbagai spektrum klinis dan jenis histopatologi. Di Indonesia masih sedikit penelitian dan literatur mengenai tumor mediastinum. Khususnya di Padang, masih kekurangan karakteristik epidemiologi, klinis, dan karakteristik histopatologi dari tumor mediastinum. Penelitian ini bertujuan untuk mengetahui karakteristik dari tumor mediastinum di RSUP Dr. M. DJamil Padang.
Penelitian ini merupakan penelitian deskriptif observasional dengan desain cross sectional. Data penelitian didapatkan dari rekam medis yang memenuhi kriteria sampel periode 2015 – 2019. Kriteria inklusi dari penelitian ini adalah seluruh rekam medis pasien dengan diagnosis klinis tumor mediastinum, dan kriteria eksklusinya adalah tidak lengkap umur dan jenis kelamin pasien, status merokok, lokasi tumor, gambaran klinis, serta jenis histopatologi tumor. Hasil penelitian dikelompokkan dalam tabel distribusi frekuensi.
Hasil penelitian didapatkan 40 sampel yang memenuhi kriteria inklusi. Pasien tumor mediastinum kebanyakan berusia 51-60 tahun (27,5%), berjenis kelamin laki-laki (55%) dan hampir separuh pasien memiliki riwayat merokok (47,5%). Lokasi massa terbanyak pada kompartemen anterior. Pasien umumnya datang dengan keluhan sesak napas (82,5%), diikuti oleh batuk, nyeri dada dan penurunan berat badan. Jenis tumor mediastinum yang paling sering terjadi adalah tumor timus (42,5%). Kematian saat perawatan di rumah sakit mencapai 7,5%.
Kesimpulan pada penelitian ini adalah tumor mediastinum lebih banyak terjadi pada pasien di atas umur 51 tahun, berjenis kelamin laki-laki, dengan tumor timus sebagai jenis histopatologi yang paling umum.

Kata kunci : karakteristik; tumor mediastinum; mediastinum.
DETERMINATION OF RADON- 222 CONCENTRATIONS AND EFFECTIVE DOSE BY INGESTION IN GROUND AND SURFACE WATER SOURCES FROM IDAH AND ENVIRONS, NIGERIA
Authors: Gyuk P. M. , Aruwa A. , Dogara M. D. , Daniel I. H. 
Published: November 2020

Groundwater (well and borehole) and surface water samples from various locations of Idah and environs including have been investigated for their 222Rn concentrations by Liquid Scintillation Counter (Packard Tri-Carb LSA 1000TR) manufactured by Packard Instrument Company. The mean concentration ranges from 4.70 Bq/L to 24.0 Bq/L for borehole samples, 5.70 Bq/L to 13.60 Bq/L and 1.90 Bq/L to 4.50 Bq/L for well and surface water respectively were found. The average mean concentration of 10.23 Bq/L and 12.28 Bq/L were found for borehole and well waters respectively which were above the maximum contaminant limit of 11.1 Bq/L set by USEPA and 10.0 Bq/L by UNSCEAR and WHO. The average mean concentration of 3.05 Bq/L was found for surface water making it safe drinking and domestic use. The average total effective dose by ingestion was found to be 0.0412mSv/y which is lower than the recommended limit for members of the public of 1.0 mSv/y and intervention level of 3 – 10 mSv/y by ICRP.
Task shifting to frontline community health workers for improved diabetes care in low-resource settings in India: a phase II non-randomized controlled clinical trial
Authors: Balasubramanya Bhavya , Isaac Rita , Philip Sam , Prashanth H R , Abraham Prakash , Poobalan Amudha , Thomas Nihal , Jeyaseelan L , Mammen Joy , Devarasetty Praveen , John Oomen 
Published: November 2020

Background The epidemic of type 2 diabetes mellitus is growing at large globally, more so in Low- and Middle-Income Countries (LMIC) like India, who concurrently battles the burden of infectious diseases. In such a health setting, people with diabetes (PWD) often receive sub-optimal care due to lack of understanding, physician-patient time, social support, and financial resources. Thus, there is a need for innovative, feasible, targeted interventions that strengthen health system to reduce the impact of diabetes in the rural communities in India. We hypothesised that structured interventions delivered by trained community health workers (CHWs) would improve outcomes in PWD and sought to demonstrate non-inferiority compared to standard care. Methods A phase II, non-randomized, controlled clinical trial was conducted in a rural block in Tamil Nadu, India. Two sub-center areas (cluster) each were allocated to the control and intervention arms, with 50 participants in each cluster. The control group received standard care routinely provided and the intervention group received interventions namely – CHW delivered, Engage communities, Screen, Examine, Refer and Follow up with the aid of ‘education tools’ and a ‘tablet based SmartHealth Application for follow-up’. Non-inferiority of the intervention in terms of early case detection, reduction in number of unnecessary physician consultations and glycaemic control was demonstrated using generalized estimating equation (GEE) for repeated measures with exchangeable correlation structure, adjusting for age, duration of diabetes and family history of diabetes. Results Baseline characteristics of both groups were comparable. CHWs were successfully able to Engage, Screen, Examine, Refer and Follow-up patients in the community. The multipronged interventions delivered by CHWs were demonstrated to be non-inferior to standard care, with significant difference in case detection rate (P=0.003), early recognition of complications, reduction in unnecessary physician consultations (P=0.041) and better glycaemic control (P=0.036). Conclusions The study has shown promising results in the limited sample size and a small geographic area and has been able to show that the task shifting to frontline community health workers for diabetes care works in this rural population. We recommend a scale up of the intervention by conducting a multicentric randomized controlled trial including cost-effectiveness analysis and taking into account stakeholders’ opinions regarding this model of diabetes care.
INTERNALISASI NILAI ADAB RASULULLAH SAW SEBAGAI PANGKAL DARI ILMU PENGETAHUAN DALAM MENDIDIK ANAK SEJAK USIA DINI
Authors: Herawati Herawati , Nurkur’ani Nurkur’ani , Hermanto Hermanto 
Published: November 2020

Betapa pentingnya nilai adab yang dicontohkan oleh kehalusan budi pekerti Rasulullah saw jika diinternalisasikan oleh guru sebagai orangtua kedua dari anak usia dini. Secara krusial memang dapat dimengerti tentang kedudukan pendidikan adab seperti yang dicontohkan oleh Rasulullah saw yang sangat urgen. Nilai adab tidak saja dicontohkan oleh orang tua di rumah lanjut sampai di PAUD, guru sebagai role model.Sungguh sangat berpaedah apabila nilai adab ini dipahami oleh semua guru, sebagai awal mengantarkan untuk menuntut ilmu pengetahuan. Sejak anak usia dini sudah diperkenalkan kebiasaan nilai adab maka akan mengantarkan menjadi bangsa yang beradab. Penelitian tentang Internalisasi Nilai Adab Rasulullah saw ini dilakukan dengan metode kualitatif melalui pendekatan diskriptif dari beberapa penelitian terdahulu. Hasil penelitian menunjukkan bahwa anak ketika berprilaku sesuai norma agama tanpa diperintah, tidak ada expresi kebingungan langsung melakukan perilaku sopan santun secara spontan dalam setiap melakukan kebaikan. Apabila berkomunikasi dengan untaian kata- kata lembut dan sopan semua karena sudah menyatu sehingga dapat menunjukkan berpribadi hebat.
Проявление рыночной власти на российском рынке электроэнергии
Authors: Айзенберг Н. И. , Дзюба С. А. 
Published: November 2020

<span>Рынок электроэнергии объективно является олигопольным. Теоретический взгляд на проблему говорит о том, что рыночная власть компаний тем выше, чем меньше игроков присутствует на рынке. В свое время реформа энергетической отрасли Российской Федерации была направлена на формирование конкурентной среды путём дробления энергохозяйства на относительно небольшие компании. Однако после завершения реформы в 2005 г. стартовал процесс, направленный в сторону их укрупнения. В настоящей работе проанализирована сложившаяся корпоративная структура сектора электроэнергетики на предмет проявления рыночной власти. Для этого использован метод классификации компаний по принадлежности к характерному профилю (паттерну) динамики показателей, связанных с долей топливных затрат. Результаты показывают, что проявление рыночной власти характерно для большинства компаний на ископаемом топливе, что покрывает более половины российского рынка электроэнергии. При этом явная связь с размером компании (а значит, с наблюдаемыми процессами укрупнения корпоративных структур) не прослеживается. Также имеются свидетельства того, что рыночная власть слабее проявляется на сегменте рынка электроэнергии и значительно сильнее на сегментах мощности и тепловой энергии.</span>
The Effect of Massage Stimulation on Anthropometric Measures of Preschool Aged Children at Integrated PAUD Merpati Anggrek Surabaya
Authors: Setiawandari Setiawandari - 
Published: November 2020

Massage stimulation is a traditional therapy of the Indonesian, which combines auditory, visual and tactile kinesthetic stimuli, which can be given from early to unlimited age. Massage stimulation for preschoolers in addition to relaxing the child is also reducing stress, increasing immunity, stimulating the vagus nerve, also increasing growth by stimulating cell growth. This research aims to determine the effect of massage stimulation on the anthropometric size of preschoolers. This research method uses Randomized Controlled Trial. The results obtained a significant value of p = 0,000 or p <0.05 in the treatment group, but in the two control groups there was no difference in anthropometric measurements of height and head circumference p> 0.05. In conclusion, there was the effect of massage stimulation on body weight, height, upper arm circumference and head circumference. But the height and head circumference were not found differences in the two groups.
Evaluation of Performance Appraisal Instrument Development for Nurse Based On Self Efficacy at Lavalette Hospital in Malang
Authors: Nuritasari Rahayu Tri , Fitriyasari Rizki , Hasinuddin M 
Published: November 2020

Performance appraisal is problematic if it does not describe competence. Design of the research was explorative descriptive research with a research and development approach. The sample was 110 nurses obtained by cluster sampling based on inclusion criteria. Data were then analyzed using descriptive analysis. Development of instruments based on Focus Group Discussion and expert discussion. The result show evaluation of components in the nurse performance appraisal system when viewed according to its indicators, most are rated in the sufficient category. Assessment criteria and performance records get enough categories in the highest percentage of 76.4%, evaluation of the standard components of work behavior assessment is mostly not done with percentages above 20%, performance appraisal instruments do not describe the performance of nurses and do not conform to standards.
Family Support in Management of Lactation Management in Mother With Children During Pandemic Covid-19
Authors: Rimawati Rimawati , Suwardianto Heru 
Published: November 2020

Research Design using Cross-Sectional Design. The population is all mothers with infants in the Pesantren District of Kediri City using the incidental sampling technique, with a sample of 30 respondents. The Independent variable is Family Social Support and the Dependent variable is Lactation Management. The instrument uses a questionnaire. Statistical tests using the spearmen rho
The results showed that the most supportive assessment of family support was as good as 18 respondents (60%), Instrumental Support was mostly as good as 18 respondents (60%), the most information support was good as many as 15 respondents (50 %) The most emotional support is good as many as 15 respondents (50%). The results of the study using the Rho spearman test obtained p = 0.025 with a Correlation Coefficient of 0.612 which means there is a strong relationship between family support and lactation management.
Vocational Rehabilitation Based Recovery of Patients With Mental Disorders (ODGJ)
Authors: Akasyah Wildan , Santosa Winanda Rizki Bagus 
Published: November 2020

This type of research is pre-experimental which will be conducted on 40 people with mental disorders without using a control group. The sampling technique used in this study was total sampling. This research was conducted by filling out questionnaires to respondents to determine coping and psychological resistance pre and post after the intervention. The analysis used was a paired t-test. There was an increase in coping scores and psychological resilience after the intervention, although there were still a few and many had fixed scores. The level of significance of the relationship with the paired t-test gave a result of = 0.026 for coping and 0.017 for resistance. The interpretation of the paired t-test was that there was a difference between before and after treatment because the p-value was <0.05. Vocational Rehabilitation is an activity that has a positive impact on the development of ODGJ (people with mental disorders).
Spiritual Care Intervention on Emotional Regulation in Caregivers with Schizophrenic : A Systematic Review
Authors: Heru Maulidiyah Junnatul Azizah , Fitryasari Rizki , Margono Hendy Muagiri 
Published: November 2020

Schizophrenic client caregivers are faced with various problems caused by the abnormal behavior of schizophrenic clients that can trigger stress. To determine the effectiveness of spiritual care in improving the emotional regulation of caregiver clients with schizophrenia. The sources of the articles used were obtained from searches through the Scopus database Google Scholar, Science Direct, and Proquest. The search for articles is limited from 2015 to 2020. The keywords used are "spiritual care", "Emotional Regulation" "Caregiver". This systematic review uses 15 articles that fit the inclusion criteria. The spiritual care intervention from the reviewed research is very significant in increasing the emotional regulation of the caregiver in schizophrenic clients. Spiritual care strategy can increase emotional regulation and calm attitude so that it will have a good impact on the recovery process for schizophrenic clients.

Keywords: spiritual care; emotion regulation; caregiver
The Effect Of The Combination Of PMR (Progressive Muscle Relaxation) With Music On Ankle Brachial Index On Type II Diabetes Mellitus Patients
Authors: Farida Denis , Yuliastuti Retno Ayu 
Published: November 2020

Quasi-experimental research design with a pre-post-test control group design approach. The sample size was 32 respondents divided into 16 intervention groups and 16 control groups. The intervention group was given a combination of PMR with music for 1 month. The control group was not given an action. The instrument uses an observation sheet. The study used a paired t-test and independent t-test with α <0.05. The results showed the mean value. intervention group before exercise 0.74 and after exercise 0.90 mg / dl. The control group before treatment has obtained an average. 0.77 and after treatment an average ABI was 0.75. Based on the independent t-test, blood sugar levels were obtained ρ 0.000 (α <0.05). So that H0 is rejected, meaning that there is an effect of the combination of PMR and music on (ABI). The combination of PMR with music that is routinely performed can increase the ABI value
Enhancing Self Efficacy Of Prolanis Group On Self Assesment Of Diabetic Foot Early Detection Based On Health Belief Model Theory And Bandura’s Self Efficacy
Authors: Atmojo Didik Susetiyanto , Kristanto Heny , Irawan Hengky 
Published: November 2020

Diabetes Mellitus (DM) complications are serious problems for patients and their families. . The purpose of this study was to improve Self Efficacy on the ability to detect the risk of diabetic foot injury.The research design used was pre-experimental research with a one group pre-post test design approach. Respondents of this study were the Clinic Prolanis Group dr. Chreslina Subagyo, Kediri City Collecting data with clinical questionnaire sheet self-efficacy skills in order to determine the increase in self-efficacy. Based on the Wilcoxon test above, the p value = 0.000, which means that action given caused a changed or increased in a person's self-assessment This study revealed that the potential impact of self-efficacy, outcome expectations considered in the education program for patients. Therefore, the use of self-efficacy theory when designing patient education interventions could enhance diabetes self-care
The Effectivenes of Simulation Methods to Improve Communicatio Skill in Clinical Nursing Practice : A Systematic Review
Authors: Rofiqi Erfan , Triharini Mira , Hidayat Abdul Aziz Alimul 
Published: November 2020

Communication is one of the competence areas that is needed by nursing students, especially in clinical nursing practice. The purpose of this study was to analyze the effect of the simulation method on improving communication skills in nursing clinical practice. Using Systematic design review. Search for articles was conducted from 29 Apri to 16 Juni 2020 by accessing five electronic databases (Scopus, Science Direct, Pubmed, Ebscohost dan ProQuest). The article year is limited from 2015-2020. Assessing the quality of articles using the JBI Critical Apprational Tool and PRISMA checklist as a guide in article screening. A total of 25 articles were analyzed according to inclusion criteria. The selected article is divided into two broad themes about simulation methods with exercises (n = 14) and simulation methods with roleplay or role-playing (n = 11). Simulation methods with exercises and roleplay or role-playing effective in improving communication skills in nursing clinical practice.
The Combination Therapy of Self-Surrender Exercise and Distraction Against Osteoarthritis Pain Scale of Elderly In Coastal Area
Authors: Hidayat Syaifurrahman , Mumpuningtias Elyk Dwi , Indriyani Ratna 
Published: November 2020

A combination therapy of resignation and distraction techniques builds on relaxation. For this reason, this study aims to provide a combination therapy of self-surrender training (LPD – latihan pasrah diri in bahasa) and distraction techniques to reduce the scale of osteoarthritis pain in Madurese elderly in coastal areas. The research method used was quasi-experimental. The sample of the study was elderly who experience osteoarthritis pain in coastal areas, with a purposive sampling technique using the inclusion and exclusion criteria approach, with a total sample of 70 elderlies. Data were analyzed using the Wilcoxon Signed Ranks and Mann-Whitney Test. The results of this study indicate that the combination therapy of self-surrender training and distraction techniques is effective in reducing the level of osteoarthritis pain in the elderly living in coastal areas. The relaxing activity can be done both inside and outside the homes of the elderly who are mostly coastal areas
The Effect of Chocolate Consumption on The Level of Anxiety in Primigravida Third Trimester Pregnant Women At Jatikalen Health Center Nganjuk District
Authors: Fitriasnani Meirna Eka , Nikmah Anis Nikmatul 
Published: November 2020

Pregnancy is a natural and physiological process but can be a source of stressor anxiety. At the time before delivery, pregnant women often experience stress, fear, and anxiety. Various non-pharmacological efforts were made to reduce the anxiety of pregnant women in facing childbirth. One of them is by consuming chocolate because chocolate contains Phenylethylamine compounds which can increase serotonin in the brain which provides a comfortable and relaxing effect. The purpose of this study was to determine the effect of chocolate consumption on anxiety levels in third-trimester primigravida pregnant women. This research is a pre-experimental study with one group pre-test post-test design. The population was pregnant women aged ≥ 32 weeks primigravida, the sampling technique used was a total population of 16 respondents. The data collected were analyzed using the Wilcoxon test.
Potential of Turmeric (Curcuma Longa) in Increasing Hemoglobin Levels: Systematic Literature Review
Authors: Nadirah Siti , Mulyantoro Donny Kristanto , Wahyuni Sri 
Published: November 2020

According to WHO, 30% of the world's population is anemic, 27% of anemia occurs in developing countries and 6% occurs in developed countries. The handling of anemia by the government has not been maximized so that companion therapy is needed. Objective: To see the potential of turmeric (curcuma longa) to increase hemoglobin. Methods: Search methods from Scopus, Pubmed, Elsevier, Willy and Google Scholar. Published 2010 2020. RCT research with prism technique. Analysis of 25 articles related to blood loss diseases. 2 articles on hemodialysis patients, 7 articles on thalassemia patients, 3 NAFLD patients, 4 ulcerative colitis patients, 1 prehypertension patient, 3 diabetes patients, 1 metabolic syndrome patient, 1 alanine transaminase elevated patient, 2 arthritis patients and 1 breast cancer patient. There are only 3 articles that show an increase in Hb levels, so it can be concluded that curcuma longa is not effective in increasing hemoglobin levels.
Changes in Levels of Back Pain in Third Trimester of Pregnant Women Who Do Yoga Exercises
Authors: Irianti Susi , Nurjanah Sunah 
Published: November 2020

Back pain is a common disorder in pregnancy, pregnant women may have had back pain before. You can do yoga exercises which are useful for forming an upright posture. This research was an experimental one group pretest posttest design. The sample of this study used accidental sampling with a sample of 16 trimester III pregnant women at Masita Clinic. The results of this study showed that the pain scale in the pretest was on a scale of 1 (slight pain) as many as 11 pregnant women (68.75%) and the pain scale in the postest for some of the respondents were on a pain scale of 0 (no pain) as many as 8 pregnant women (50%). Based on the results of the study, it can be concluded that there was a decrease in the level of back pain in third trimester pregnant women after doing yoga.