bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengaruh Terapi Meditasi (Dzikir) terhadap Tingkat Stres pada Lansia
Authors: Sutioningsih Suci , Suniawati Sri , Hamsanikeda Suhuda 
Published: March 2021

Stress is a condition which produced by an environment alteration which received as a case challenging, threatening or damaging the equilibrium or dynamic state of a person. Stress experienced by humans can be derived from various sources from within of a person, family, and environment. On an elderly is not uncommon that stress can often occur. To overcome and relieve a stress, there are several ways can be do such as gymnastics, reflection, laughter therapy, aromatherapy, and meditation. The purpose of this study was to find out the meditation therapy (dzikir) effect to the stress levels of elderly. This study uses the analytical method with a One-Group Pre-Test-Posttest Design. The sampling method used is purposive sampling. Population use all elderly at the Mojopahit Elderly Institution of Mojokerto at 2012 with a sample of 20 respondents, the data obtained from the dissemination of questionnaires. The result of the respondents study included to the middle criteria are about 2 people (10%) and the low criteria are about 18 people (90%). In the data analysis, researcher use a t-test with the provisions of p<a ( p=0.015; a=0.05). From the result of research known p=0.015 < 0.05, its mean there is an effect of meditation therapy (dzikir) implementation to the stress levels of elderly. So the meditation therapy (dzikir) should be applied at the elderly institution as a daily activity for the elderly, especially to relieve a stress. Keywords : stress, meditation therapy, elderly
Pengaruh Komunikasi Terapeutik Perawat terhadap Tingkat Kecemasan pada Pasien Pre Operasi
Authors: Sulastri Sulastri , Trilianto Arif Eko , Ermaneti Yunely 
Published: March 2021

Anxiety is a problem associated with all sorts of foreign procedures that occur when a person feels threatened physical or psychological. Hospitalization and a series of actions procedures before surgery can also cause acute distress and increased anxiety in patients. Range of possible bad could happen that would endanger patients, patients with anxiety showed symtomp irritability, insomnia, restless, listless, crying and not sleeping soundly. The design used is Pre Experiment. Amount of samples 28 respondents. Intake of sampel by using is technics of Quota Sampling. Data collecting use Questionnaire. Processing data using T test (T-Test). From the analysis of data obtained 7.111 T and T table calculated with α = 0.05 is 2.052, 7.111 calculated in order to obtain T> T table 2.052, then the H1 accepted which means there's Influence Of Communications of Terapeutik Nurse To Storey Level Dread Of Patient of Pre Operate surgical operation room RSUD dr. Abdoer Rahem sub-province of Situbondo. This is seen in patients of pre operation anxiety levels are affected by therapeutic communication. So that each respondent is expected to more actively ask anything that is not known to the officer about the anxiety that occurs. Keywords : Therapeutic Communication, Dread, Pre Operation
Hubungan Pola Asuh Orang Tua dalam Menstimulasi Perkembangan Motorik Kasar dan Halus Usia Pra Sekolah
Authors: MUNIR ZAINAL , Yulisyowati Yulisyowati , Virana Helpy 
Published: March 2021

At this stage of growth and development of children pre- school age 3-4 years, children begin to master a variety of physical skills and courage. However, there are still come pre school age children are to afraid of being in a foreign environment at school. If that happens then the pre school children have delays in development. Child development is influence by the pattern of care applied by the parents. Authoritative parenting strongly influence the high level of courage and skill of children. The study aims to determine the relationship of parenting the parent to stimulate the development of groos motor and fine motor skills in children. Research methods and correlational design using cross sectional approach by using purposive sampling techniqus sampling. The population of this study were parents with pre school age children 3-4 years in early childhood AL-Firdaus Bahrul ‘Ulum Tambakberas Jombang, which amount to 32 people with a large sample of 22 people. Method of data collection use questionnaires and observation sheets DDST (Denver Development Screening Test), and then data is analyzed by Chi-Square test. The result of correlation analysis Chi-Square majority of respondents found that authoritative parenting implement as many as 20 people (90,9%) with development of gross motor that delay. Respondent who apply the authoritative parenting style with development of fine motor skills that normal . And indulgent parenting style with development of fine motor skills that delay with Asymp. Sig ρ = 0.000, which means there is a relationship between the pattern of care in stimulating the development of gross motor and fine motor skills of children. From this research it can be concluded that authoritative parenting pattern can be applied to parents of pre school children aged 3-4 years so that children growth and develop well in early childhood Bahrul ‘Ulum AL-Firdaus Tambakberas Jombang.Keywords: Parenting pattern, gwoth and development, Denver Development Skrining Test
Pengaruh Pijat Oksitosin Terhadap Pengeluaran ASI Pada Ibu Post Partum Primipara Di RSIA Srikandi IBI
Authors: Kholisotin Kholisotin , Munir Zainal , Astutik Lina Yulia 
Published: March 2021

Mother's milk (ASI) is the first and best food that must be given to babies because it contains nutrients that are needed in the process of growth and development of children's intelligence. One of the causes of failure to support breast milk has not been released from breast milk after the mother receives it. Expenditures of breast milk can be accelerated by non-pharmacological actions, namely through oxytocin massage which can be done by massaging the area around the back (vertebra pars thoratica) to stimulate the release of breast milk. Objective: This study aimed to determine the effect of oxytocin massage on the release of breast milk in primipara postpartum mothers at RSIA Srikandi IBI. Method: this study is a pre-experimental study with a static group comparison design: randomized control group only design, the number of respondents in this study were 36 consisting of 18 experimental groups and 18 control groups. Results: this study used a paired t-test t test obtained P = 0.001 (P <0.05). Keywords : Oxytocin Massage, Primiparous Post Partum M/other
Efektivitas Promosi Kesehatan Menggunakan Media Audiovisual Terhadap Keaktifan Lansia ke Posyandu Lansia
Authors: Andayani Sri Astutik , Khotimah Husnul , Desy Sry , Trilianto Arif Eko , Razaq Hefniy 
Published: March 2021

Implemented posyandu elderly there are obstacles that often faced is low visit, one of cause factor is low of knowledge of elderly so that beneficiary of posyandu elderly still not maximal. The purpose of this research is to know the influence of health promotion about elderly posyandu by use audio visual media toward liveliness of elderly in following elderly posyandu. The design use in this research is Quasy Experimental with pretest-posttest with control design. This research was conducted at Maesan Bondowoso health center with 55 respondents with total sampling technique. This analysis used Wilcoxon and Mann-Whitney test. The results showed that health promotion was effective to increase the member of ekderly visit to the elderly health center with p value 0,000. Keywords : Health Promotion, Elderly Health Centre, elderly active
Dukungan Sosial Keluarga dengan Kepatuhan Minum Obat pada Penderita Kusta di Kabupaten Bondowoso
Authors: Agusstyawan Farid Wahyudi 
Published: March 2021

Leprosy is a type of chronic and contagious disease that can cause disability. Factors related to leprosy treatment include patient knowledge, medication adherence, family support, access to health services and the role of health workers. The purpose of this study was to determine the relationship between family social support and adherence to taking medication for lepers in Bondowoso Regency by using a cross sectional design. using two analyzes namely univariate and bivariate with chi-square test (α = 0.05). The results showed that the characteristics of respondents were more in the productive age group and most were male. Most respondents have a history of completing primary / MI education and have a job. The most dominant type of leprosy is MB type and the level of disability is mostly at level 0 disability. Most respondents have good medication adherence levels and have family social support consisting of emotional support, assessment support, information support and instrumental support in the category well. Bivariate analysis using the chi-square test showed that there was a significant relationship between emotional support, assessment support, information support, instrumental support and adherence to taking medication for lepers (p-value = 0,000). This shows that emotional support, assessment support, information support and instrumental support influence the compliance of taking leprosy in Bondowoso Regency. Keywords: Family social support, Compliance with medication
HUBUNGAN DUKUNGAN SOSIAL KELUARGA DENGAN TINGKAT KEMANDIRIAN LANSIA DI DESA TAAL TAPEN KABUPATEN BONDOWOSO
Authors: Duhita Ratu Narendra 
Published: March 2021

Elderly is an advanced stage of a life process that will be experienced by all individuals. The aging process in the elderly tends to potentially reduce the level of independence of the elderly in carrying out daily activities. This type of research is a correlational analytic method that aims to reveal the relationship of Family Social Support with the Level of Independence of the Elderly in Taal Village RT 14, RW 04 Tapen Bondowoso Regency. correlative between variables. Data were obtained about the category of family social support with the independence of the elderly in the village of RT 14, RW 04 Tapen Bondowoso district most respondents in the category of social support with good elderly independence were 15 people (93.3%), while a small proportion of social support categories with poor elderly independence were not good as many as 2 people (10.0%). The results of the analysis of the relationship of social support with the level of independence of the elderly Spearman rho statistical test results with the help of SPSS for Windows software program, obtained the value of p = 0,000 with a significant level of 0.05 (p <0.05) so that it can be concluded that H0 is rejected which means there the relationship of family social support with the independence of the elderly. If the family's social support is good, it will affect the level of independence of the elderly and among them, the cause of the elderly's independence is due to the lack of family social support and decreased the function of all cells in the elderly.
Pengalaman Personal Hygiene Pada Santri Putra Dengan Penyakit Scabies Di Pondok Pesantren Darullughah Wal Karomah Sidomukti Kraksaan Probolinggo
Authors: Khotimah Husnul , Andayani Sri Astutik , Maulidah Robiyatul 
Published: March 2021

Scabies is a skin disease caused by an infestation of the sarcoptes scabie mite, which is transmitted by direct human contact and indirect human contact. The problem of santries experiencing scabies is related to their poor personal hygiene, because each individual has different characteristics in maintaining personal hygiene. This research is qualitative research, the research subjects are male santries of junior high school and high school darullughah wal karomah sidomukti kraksaan probolinggo. data collection methods used observation, interviews, and documentation. This qualitative research with a phenomenological approach aims to obtain in-depth information about personal hygiene exsperinces of male santries in islamic boarding schools. Five participants were selected based on the research criteria and were saturated. Focusing selective analysis (the selective or high-painting approach) was used in data analysis. four themes identified in this research: 1) personal hygiene experience for santries 2) the environment around the santris 3) the impact of scabies on the santries 4) the handling of the satries in dealing wiht scabies. The results of this research indicate : 1) there is a description of how santries maintain ther personal hygiene properly in islamic boarding school, namely that clothes and toiletries are not used interchangedably 2) there is description of how the santris protect the environmennt around the santries 3)there is an illustration of the impactt that will arise when santris experience scabies. 4) there is a description of how the santris can overcome scabies in islamic bording schools
Microbiological justification of the application of cyprofloxacin and tinidazole combination for antimicrobial chemistry in dentistry
Authors: Tsarev V. N. , Ushakov R. V. , Nuruev N. N. , Ushakov A. R. , Trefilova Yu. A. , Labazanov A. A. 
Published: March 2021

Relevance. According to modern concepts, virulent representatives of periodontal pathogenic bacteria are actively involved in the development of both periodontal pathology and various forms of odontogenic infection. The species diversity of these pathogens determines the need for a combined approach when choosing antimicrobial drugs.The aim of the work is to provide a microbiological substantiation of the use of a combined dosage form of ciprofloxacin and tinidazole for the treatment of periodontal and odontogenic infections based on the determination of the spectrum of action and the characteristics of the activity of the components.Materials and methods. Determination of the sensitivity of various strains of periodontal and odontogenic infection pathogens (P. intermedia, S. constellatus; S. sanguis, K. pneumoniae, S. aureus – MRSA) was carried out by the method of automated cultivation of strains with different concentrations of the tested drugs – ciprofloxacin and tinidazole.Results. Differences in the activity of the components of the combined preparation ciprofloxacin and tinidazole were found in terms of the sensitivity of strains of aerobic and anaerobic pathogens to them. Aerobic strains, including MRSA, were inhibited by ciprofloxacin in a low concentration range (6.25 μg / ml), but for some anaerobic strains the activity of ciprofloxacin was borderline (12.5 μg / ml). This confirmed the need to include tinidazole in the composition of the complex preparation.Conclusion. The combination of ciprofloxacin and tinidazole provides coverage of the full spectrum of periodontal and odontogenic infections and can be used as the agent of choice in the antimicrobial chemotherapy algorithm for head and neck infections.
Asthenic syndrome in patients with COVID‑19: pathogenesis, clinic, diagnosis and medical rehabilitation
Authors: Petrova L. V. , Kostenko E. V. , Eneeva M. A. 
Published: March 2021

The purpose of this review was to assess the prevalence of asthenic syndrome (AS) in patients infected with SARS-CoV‑2, and to determine the effect of AS on the process of convalescence and the course of comorbid diseases.Main provisions. AS is one of the most common manifestations after a COVID infection of varying severity, which in neurological patients can aggravate the course of the underlying disease and reduce the effectiveness of rehabilitation measures. Timely diagnosis allows you to identify AS and correct it with the use of medication and non-drug methods.Conclusion. Due to the limited number of studies concerning AS in COVID‑19, it is necessary to further study the clinical features of this disease, to develop algorithms for medical rehabilitation, taking into account the clinical polymorphism of AS.
Neurological presentations of inflammatory bowel diseases
Authors: Shulpekova Yu. O. , Ablaev V. U. , Damulin I. V. 
Published: March 2021

The aim. To characterize the main types of neurological manifestations in inflammatory bowel diseases – Crohn’s disease and ulcerative colitis.Main concepts. Neurological disorders represent an important aspect of extraintestinal inflammatory bowel diseases (IBD) manifestations. According to publications, the incidence of psycho-neurological syndromes varies from 0.25% to 47.50% that apparently depends on the patient’s selection in studies. Neurological signs are not always associated with IBD activity and may precede the manifestation of intestinal inflammation. The most typical include cerebral thromboembolism, peripheral and cranial neuropathies, demyelinating disorders, and cerebral vasculitis. The incidence of ischemic stroke in IBD can reach 6.4%, with approx. 20% of affected persons under 17 y.o. Hemiparesis is the predominant consequence. The risk of intracranial venous thrombosis is increased depending on the activity of intestinal inflammation; this complication can precede manifestation of IBD. Fifty per cent increased risk of multiple sclerosis in IBD patients was shown. The types of peripheral nerves involvement include mononeuropathy, plexopathy, multiple mononeuropathy, compression neuropathy, polyneuropathy and cranial neuropathy. Peripheral neuropathy may be found in 32–37% of IBD patients with a special examination. Demyelinating type, sensory axonal polyneuropathy with thin and thick fibers damage, and motor axonal polyneuropathy with thick fibers damage are observed approximately in equal proportions. It is important to differentiate ‘primary’ neuropathy with vitamin B12 and folic acid deficient, alcoholic, diabetic and drug-induced neuropathy. Clinical improvement is usually seen in the course of immunosuppressive therapy. Cranial neuropathy (mostly of II, VI, VII, VIII of cranial nerves) is described in IBD. Neurological disorders associated with administration of metronidazole, sulfasalazine, cyclosporin A, antibodies to TNF-α and integrins α4 and α4ß7 continue to be highly actual.Conclusion. There is a variety of neurologic syndromes in IBD which represents an important part of extraintestinal manifestations. Mild psychoneurological disorders may be not recognized in time. The majority of symptoms and signs may regress in the course of treatment of IBD and nutrients deficiency correction. The special attention should be paid to neurological status control while the biologic and immunosuppressor agents and metronidazole are administered.
Chronic pain in elderly patients
Authors: Ekusheva E. V. , Komazov A. A. 
Published: March 2021

The purpose. The article is devoted to chronic pain (CP) in elderly patients and the possibilities of various therapeutic strategies for this category of patients.Basic provisions. Chronic pain and the biological aging process have similar pathophysiological (cellular and molecular) mechanisms of development. However, chronic pain is not an inevitable component of the aging process, however, it is much more common in older people, the diagnosis and therapy of which is associated with atypical clinical manifestations of pain in elderly patients and the need for a more attentive, balanced approach when assessing pharmacokinetic and pharmacodynamic changes associated with the aging process. To ensure adequate pain relief, a multidisciplinary approach and appropriate therapies are used.Conclusion. The final result of CP treatment (reduction in pain intensity, restoration of functional activity, autonomy, etc.) depends on polymorbidity, geriatric status and cognitive capabilities of the patient; therefore, it is necessary to take into account all available factors for adequate and complete pain therapy.
Optimizing the Femoral Offset for Restoring Physiological Hip Muscle Function in Patients With Total Hip Arthroplasty
Authors: Hu Xiangjun , Zheng Nan , Chen Yunsu , Dai Kerong , Dimitriou Dimitris , Li Huiwu , Tsai Tsung-Yuan 
Published: March 2021

ObjectiveFemoral offset (FO) restoration is significantly correlated with functional recovery following total hip arthroplasty (THA). Accurately assessing the effects of FO changes on hip muscles following THA would help improve function and optimize functional outcomes. The present study aimed to (1) identify the impact of FO side difference on the hip muscle moment arms following unilateral THA during gait and (2) propose the optimal FO for a physiological hip muscle function.MethodsIn vivohip kinematics from eighteen unilateral THA patients during gait were measured with a dual-fluoroscopic imaging system. The moment arms of thirteen hip muscles were calculated using CT-based 3D musculoskeletal models with the hip muscles’ lines of actions. The correlation coefficient (R) between FO and hip muscle moment arm changes compared with the non-implanted hip was calculated. We considered that the FO reconstruction was satisfactory when the abductor moment arms increased, while the extensor, adductor, and flexor moment arms decreased less than 5%.ResultsA decreased FO following THA was significantly correlated with a decrease of the abductor and external rotator moment arms during the whole gait (R&gt; 0.5) and a decrease of extensor moment arms during the stance phase (R&gt; 0.4). An increased FO following THA was significantly associated with shorter flexor moment arms throughout the gait (R&lt; −0.5) and shorter adductor moment arms in the stance phase (R&lt; −0.4). An increase in FO of 2.3–2.9 mm resulted in increased abductor moment arms while maintaining the maximum decrease of the hip muscles at less than 5.0%.ConclusionAn increase of 2–3 mm in FO could improve the abductor and external rotator function following a THA. Accurate surgical planning with optimal FO reconstruction is essential to restoring normal hip muscle function in THA patients.
Clinical Outcome and Cost-Effectiveness Analysis of CSII Versus MDI in Children and Adolescent With Type 1 Diabetes Mellitus in a Public Health Care System of China
Authors: Hu Sicui , Yang Hongxiu , Chen Zhihong , Leng Xuefei , Li Cheng , Qiao Lingyan , Lv Weiqing , Li Tang 
Published: March 2021

ObjectivesTo evaluate the clinical and economic consequences of continuous subcutaneous insulin infusion (CSII) vs. multiple daily injections (MDI) in children and adolescents with type 1 diabetes mellitus (T1DM) from a public health care system in developed areas of developing country, considering changes in glycemic Control, daily insulin requirements, lipid profile, body mass index (BMI), frequency of severe hypoglycemia and Diabetic Ketoacidosis (DKA) and diabetic complications.MethodsThis was a retrospective cohort study of children and adolescents with T1DM. Data were collected at baseline and the end of every year including glycated hemoglobin (HbA1c), insulin dose, lipid profile, blood pressure, and adverse events (severe hypoglycemia and DKA). The Cost-effectiveness analysis was performed using the IQVIA CORE Diabetes Model (CDM) to simulate diabetes progression by utilizing the clinical data obtained from the two groups. The main outcome measures were Life Expectancy, Quality adjusted life years (QALYs), Total Costs and Incremental Costs and Effectiveness Ratio (ICER) of CSII compared with MDI in Chinese pediatric patients with T1DM in Qingdao City (60 years).ResultsMean HbA1c values and daily insulin doses were significantly lower in those receiving CSII therapy throughout follow-up. Mean direct lifetime costs were ¥ 67,137 higher with CSII treatment than with MDI for pediatric patients. Treatment with CSII was associated with an improvement in life expectancy of 0.41 years for pediatric patients compared with MDI based on CORE diabetes model simulation. The corresponding gains in QALYs were 0.42. These data produced corresponding ICER is ¥ 161,815 per QALY for pediatric T1DM patients in Qingdao. Sensitivity analyses suggested that our base-case assumptions were mostly robust.ConclusionsCSII is associated with improved long‐term clinical outcomes compared with MDI. Based on this model analysis, CSII appears to be more cost-effective for the Qingdao TIDM pediatric population and health care system.