bluuebunny/crossref_metadata_2025_split huggingface dataset:
Penyuluhan Tentang Imunisasi di Puskesmas Rawat Inap Kemiling Bandar Lampung
Authors: Ladyani Festy , Lestari Sri Maria Puji , Firdani Khairunisa , Arania Resti , Fitriyani Neno , Izzudin Abdurrohman 
Published: October 2021

ABSTRAK Tingkat kesehatan pada bayi perlu mendapatkan perhatian mengingat bayi atau anak sebagai penerus Bangsa. Imunisasi merupakan suatu strategi yang efektif dan efisien dalam meningkatkan derajat kesehatan nasional. Alasan beberapa bayi tidak mendapatkan imunisasi lengkap yaitu karena alasan informasi, motivasi dan situasi. Alasan informasi berupa kurangnya pengetahuan ibu tentang kebutuhan, kelengkapan, dan jadwal imunisasi, ketakutan akan imunisasi dan adanya persepsi salah yang beredar di masyarakat tentang imunisasi. Dan yang paling berpengaruh yaitu ketidaktahuan ibu tentang penting nya imunisasi, ketidaktahuan ibu tentang waktu yang tepat untuk imunisasi dan ketakutan akan efek samping dari imunisasi. Berdasarkan survey pendahuluan menunjukkan beberapa posyandu di wilayah puskesmas rawat inap kemiling tidak terdapat poster imunisasi yang mempengaruhi kurangnya pengetahuan ibu tentang imunisasi. Tujuan dari penyuluhan ini yaitu memberikan informasi tentang pentingnya imunisasi pada anak. Kata Kunci : Penyuluhan, Imunisasi, Anak ABSTRACT The level of health in infants needs attention considering that babies or children are the successors of the Nation. Immunization is an effective and efficient strategy in increasing the national health status. The reason some babies do not get complete immunization is due to information, motivation, and circumstances. The reasons for the information were in the form of the mother's lack of knowledge about immunization needs, completeness, and schedule, fear of immunization, and the wrong perception circulating in the community about immunization. And the most influential thing is the mother's ignorance about the importance of immunization, the mother's ignorance about the right time for immunization, and fear of side effects of immunization. Based on the preliminary survey, it shows that several posyandu in the inpatient health center area of Kemiling do not have immunization posters which affects the lack of knowledge of mothers about immunization. The purpose of this counseling is to provide information about the importance of immunization in children. Keywords: Counseling, Immunization, Children
Pendidikan Kesehatan Tentang Kesehatan Reproduksi Remaja Di Taruna Swastika Yuwana, Desa Laban Kulon Kecamatan Menganti Kabupaten Gresik
Authors: Silalahi Veronica 
Published: October 2021

ABSTRAK Kesehatan reproduksi remaja adalah suatu kondisi sehat yang menyangkut sistem, fungsi dan proses reproduksi yang dimiliki oleh remaja. Masalah kesehatan reproduksi yang bisa terjadi akibat perilaku berisiko seperti ketidaksiapan menghadapi konflik perkawinan atau aborsi, seks pranikah, kekerasan seksual, penyimpangan perilaku seksual, gangguan kesehatan, penyakit kelamin, kematian yang disebabkan oleh organ reproduksi yang belum matang. Masih tingginya masalah kesehatan reproduksi tersebut dapat dipengaruhi oleh masih kurangnya pengetahuan/pemahaman remaja mengenai kesehatan reproduksi. Pengabdian masyarakat melalui kegiatan pendidikan kesehatan dilakukan secara daring atau online melalui zoom meeting pada 20 responden remaja di Taruna Swastika Yuwana Desa Laban Kulon Kecamatan Menganti, Kabupaten Gresik. Kegiatan pendidikan kesehatan diawali dengan pemberian pre test dan setelah diberikan pendidikan kesehatan, responden diberikan post test melalui google form. Terdapat peningkatan pengetahuan setelah diberikan pendidkan kesehatan. Peningkatan pengetahuan dan pemahaman remaja tentang kesehatan reproduksi, dapat membantu remaja berperilaku sehat dan dapat merubah perilaku menjadi lebih baik. Kata kunci : Pendidikan Kesehatan, Kesehatan Reproduksi Remaja, Remaja ABSTRACTAdolescent reproductive health is a health condition that concerns the reproductive systems, functions, and processes of adolescents. Reproductive health problems can occur due to risky behavior such as unpreparedness to face marital conflicts or abortion, premarital sex, sexual violence, sexual behavior deviations, health problems, venereal diseases, death caused by immature reproductive organs. The high rate of reproductive health problems can be influenced by the lack of knowledge or understanding of adolescents about reproductive health. Community service through health education activities is online by zoom meetings on 20 teenage respondents at Taruna Swastika Yuwana, Laban Kulon Village, Kec. Menganti District, Kab. Gresik. Health education activities begin with giving a pre-test and after being given health education, respondents are given a post-test by a google form. There is an increase in knowledge after being given health education. Increased knowledge and understanding of adolescents about reproductive health, can help adolescents behave healthily and can change behavior for the better Keywords: Health Education, Adolescent reproductive health, Adolescent
Penyuluhan Bantuan Hidup Dasar Pada Siswa/i di SMA Yayasan Anastasia Pancur Batu Kabupaten Deliserdang Sumatera Utara
Authors: Pakpahan Rotua Elvina , Simorangkir Lindawati , Ginting Agustaria , Barus Mardiati , Tampubolon Lindawati , Simanullang Murni Sari Dewi , Karo Mestiana , Sigalingging Vina Yolanda 
Published: October 2021

ABSTRAK Kesehatan yang prima akan di dapatkan ketika tubuh mendapatkan oksigen yang baik. Henti nafas diakibatkan melemahnya kerja jantung sampai dengan terhentinya kerja jantung dan dapat mengakibatkan tidak terpenuhinya oksigen dalam tubuh yang artinya kebutuhan dasar hidup tidak dapat terpenuhi. Tujuan dari penyuluhan bantuan hidup dasar adalah meningkatkan pengetahuan dan dapat melakukan tindakan secara mandiri untuk pertolongan bantuan hidup dasar di lingkungannya. Sasaran kegiatan ini adalah siswa/i SMA Yayasan Anastasia Pancur Batu. Metode yang digunakan dalam penyuluhan bantuan hidup dasar ini adalah dengan melakukan presentasi materi dan melakukan simulasi bantuan hidup dasar. Hasil dari kegiatan ini adalah siswa/i mempu mengetahui tentang dasar-dasar pemberian bantuan hidup dasar dan mampu melaksanakan pemberian bantuan hidup dasar di lingkungannya. Diharapkan dengan dilaksanakannya penyuluhan ini, pada siswa/i dapat sigap dan mampu memberikan bantuan hidup dasar guna memperkecil angka kematian. Kata Kunci : Bantuan Hidup Dasar, Penyuluhan Kesehatan ABSTRACT Excellent health will be obtained when the body gets good oxygen. Stopping breathing is caused by the weakening of the work of the heart to the cessation of the work of the heart and can result in not meeting oxygen in the body, which means that the basic needs of life cannot be fulfilled. The purpose of basic life support extension is to increase knowledge and be able to take action independently for basic life support assistance in their environment. The target of this activity is SMA Anastasia Pancur Batu Foundation. The method used in this basic life support extension is to present the material and perform basic life support simulations. The result of this activity is that students are able to know the basics of providing basic life support and are able to provide basic life support in their environment. It is hoped that with the implementation of this counseling, students can be alert and able to provide basic life support in order to reduce the mortality rate. Keywords: Basic Life Support, Health Education
Edukasi Persiapan Persalinan Pada Pasangan Hamil Dalam Menyambut Persalinan Minim Trauma
Authors: Arlym Lisa Trina , Herawati Yulia 
Published: October 2021

ABSTRAK Psikologis ibu dalam hal ini kecemasan dapat mempengaruhi kemajuan persalinan. Edukasi persalinan dilakukan untuk mempersiapkan ibu dalam menghadapi persalinan secara fisik dan khususnya persiapan psikologis. Edukasi dianggap cara terbaik dalam mempersiapkan persalinan. Kegiatan ini bertujuan untuk meningkatkan pengetahuan ibu hamil dan pasangannya di PMB Jeanne Kota Depok. Metode yang digunakan adalah presentasi dan simulasi pada kelas ibu hamil, dilakukan juga variasi kegiatan secara outdoor dan indoor agar penyampaian lebih menarik. Hasil dari kegiatan ini efektif, terlihat antusias peserta dalam mengajukan pertanyaan. Peserta edukasi menyatakan lebih siap dan mengerti dalam menghadapi persalinan. Diharapkan kelas edukasi dapat dilaksanakan secara periodik sehingga lebih banyak lagi pasangan yang teredukasi dan siap menghadapi kehamilan dan persalinan dengan nyaman dan minim trauma. Kata kunci: kehamilan; pendidikan saat hamil; edukasi persalinan ABSTRACT Psychologically, in this case, anxiety can affect the progress of labor. Childbirth education is carried out to prepare mothers for physical delivery and especially psychological preparation. Education is considered the best way to prepare for labor. This activity aims to increase knowledge of pregnant couples at PMB Jeanne Depok City. The methods used are presentations and class simulations for pregnant women, as well as a variety of outdoor and indoor activities so that the delivery was more interesting. The results of this activity were effective, it was seen that the participants were enthusiastic in asking questions. Educational participants were more prepared and understanding in dealing with childbirth. It is hoped that education classes can be carried out periodically so that more couples are educated and ready to face pregnancy and childbirth comfortably and with minimal trauma. Keywords: pregnancy; education during pregnancy; childbirth education
Pelaksanaan Pola Aktivitas Fisik Ringan dan Sedang pada Pasien Diabetes Mellitus Tipe 2 di Rumah Sakit Tk II Putri Hijau Medan
Authors: Chandra Heri , Batubara Khairunnisa 
Published: October 2021

ABSTRACT: IMPLEMENTATION OF LIGHT AND MODERATE PHYSICAL ACTIVITY PATTERNS IN TYPE 2 DIABETES MELLITUS PATIENTS IN PUTRI HIJAU HOSPITAL MEDAN. Background: Type 2 diabetes mellitus or also known as non-insulin dependent diabetes mellitus is caused by a decrease in sensitivity to insulin or a decrease in the amount of insulin formation which usually occurs at the age of over 40 years, but can also occur in the elderly. of children or adolescents. Non-pharmacological management of Type 2 DM that can be done is the pattern of physical activity. Physical activity is an important part of a diabetes management plan.Objective: This study aims to determine the description of nursing care in Type 2 DM patients related to the Documentation Study of Fulfilling the Needs of Physical Activity Patterns.Research Methods: The research design used was descriptive with a documentation study design using a nursing process approach. Results: There is an overview of meeting the needs of light and moderate physical activity patterns in type 2 DM patients.Conclusion: After the researchers conducted a documentation study of the fulfillment of the needs for physical activity patterns in type 2 DM patients, it could be fulfilled. It is recommended for further researchers to improve the knowledge and skills of health care providers, especially regarding nursing care. Keywords: Health Education; Activity Pattern; DM Type 2 INTISARI: PELAKSANAAN POLA AKTIVITAS FISIK RINGAN DAN SEDANG PADA PASIEN DIABETES MELLITUS TIPE 2 DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN Latar Belakang: Diabetes Melitus tipe 2 atau disebut juga sebagai penyakit non insulin dependent diabetes melitus diakibatkan oleh penurunan sensitivitas terhadap insulin atau akibat penurunan jumlah pembentukan insulin biasanya timbul pada usia diatas 40 tahun, namun bisa juga pada usia anak-anak atau remaja. Adapun pengobatan penyakit DM Tipe 2 nonfarmakologi yang dapat dilakukan adalah pola aktivitas fisik. Aktivitas fisik ialah bagian penting rencana pengelolaan Diabetes. Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran asuhan keperawatan pada pasien DM Tipe 2 terkait Studi Dokumentasi Pemenuhan Kebutuhan Pola Aktivitas Fisik.Metode Penelitian: Desain penelitian yang digunakan adalah deskriptif dengan rancangan studi dokumentasi menggunakan pendekatan proses keperawatan. Hasil: Didapatkan adanya gambaran pemenuhan kebutuhan pola aktivitas fisik ringan dan sedang pada pasien DM tipe 2.Kesimpulan: Setelah peneliti melakukan studi dokumentasi pemenuhan kebutuhan pola aktivitas fisik pada pasien DM tipe 2 dapat terpenuhi. Disarankan pada peneliti selanjutnya agar meningkatkan pengetahuan dan keterampilan para pemberi pelayanan kesehatan terutama menyangkut asuhan keperawatan. Kata Kunci: Pendidikan Kesehan; Pola Aktifitas; DM Tipe 2
Mejora del proyecto formativo de ciencias penales en la carrera o programa de derecho, mediante la investigación acción formativa
Authors: Paredes Fuertes Fernando Eduardo 
Published: October 2021

Introducción: El proyecto formativo de ciencias penales dentro de la carrera de Derecho, previa la obtención del título de Abogado o Abogada, no permite lograr los resultados de aprendizaje esperados. La aplicación del modelo socioformativo conjuga una programación sistémica articulando tareas y actividades que respondan al ejercicio práctico de la profesión. En este sentido la evaluación de la programación existente previa a una mejora significativa de contenidos es necesaria en su mejoramiento. Objetivo: En tal virtud fue necesario analizar los ejes temáticos enfocados en la socioformación, mediante un problema del contexto que permita articular los saberes necesarios en el cumplimiento de los resultados de aprendizaje. Metodología: Para ellos se utilizó bibliografía especializada y se empleó métodos cualitativos, críticos propositivos utilizados en la práctica docente; Principales Resultados: Bajo los análisis realizados se consiguió obtener un aprendizaje significativo mediante la utilización del problema del contexto en la socioformación. Conclusión: Se ha logrado mejorar los aprendizajes, enfocar un problema del contexto que permita articular los saberes, y se ha concluido que los productos esperados son satisfactorios para el mejoramiento y la educación de calidad.
Machine-Learning Prediction of Postoperative Pituitary Hormonal Outcomes in Nonfunctioning Pituitary Adenomas: A Multicenter Study
Authors: Fang Yi , Wang He , Feng Ming , Zhang Wentai , Cao Lei , Ding Chenyu , Chen Hongjie , Wei Liangfeng , Mu Shuwen , Pei Zhijie , Li Jun , Zhang Heng , Wang Renzhi , Wang Shousen 
Published: October 2021

ObjectiveNo accurate predictive models were identified for hormonal prognosis in non-functioning pituitary adenoma (NFPA). This study aimed to develop machine learning (ML) models to facilitate the prognostic assessment of pituitary hormonal outcomes after surgery.MethodsA total of 215 male patients with NFPA, who underwent surgery in four medical centers from 2015 to 2021, were retrospectively reviewed. The data were pooled after heterogeneity assessment, and they were randomly divided into training and testing sets (172:43). Six ML models and logistic regression models were developed using six anterior pituitary hormones.ResultsOnly thyroid-stimulating hormone (p &lt; 0.001), follicle-stimulating hormone (p &lt; 0.001), and prolactin (PRL; p &lt; 0.001) decreased significantly following surgery, whereas growth hormone (GH) (p &lt; 0.001) increased significantly. The postoperative GH (p = 0.07) levels were slightly higher in patients with gross total resection, but the PRL (p = 0.03) level was significantly lower than that in patients with subtotal resection. The optimal model achieved area-under-the-receiver-operating-characteristic-curve values of 0.82, 0.74, and 0.85 in predicting hormonal hypofunction, new deficiency, and hormonal recovery following surgery, respectively. According to feature importance analyses, the preoperative levels of the same type and other hormones were all important in predicting postoperative individual hormonal hypofunction.ConclusionFluctuation in anterior pituitary hormones varies with increases and decreases because of transsphenoidal surgery. The ML models could accurately predict postoperative pituitary outcomes based on preoperative anterior pituitary hormones in NFPA.
Evaluation of Natalizumab Pharmacokinetics and Pharmacodynamics: Toward Individualized Doses
Authors: Serra López-Matencio Jose M. , Pérez García Yaiza , Meca-Lallana Virginia , Juárez-Sánchez Raquel , Ursa Angeles , Vega-Piris Lorena , Pascual-Salcedo Dora , de Vries Annick , Rispens Theo , Muñoz-Calleja Cecilia 
Published: October 2021

Background: Plasma concentration of natalizumab falls above the therapeutic threshold in many patients who, therefore, receive more natalizumab than necessary and have higher risk of progressive multifocal leukoencephalopathy.Objective: To assess in a single study the individual and treatment characteristics that influence the pharmacokinetics and pharmacodynamics of natalizumab in multiple sclerosis (MS) patients in the real-world practice.Methods: Prospective observational study to analyse the impact of body weight, height, body surface area, body mass index, gender, age, treatment duration, and dosage scheme on natalizumab concentrations and the occupancy of α4-integrin receptor (RO) by natalizumab.Results: Natalizumab concentrations ranged from 0.72 to 67 μg/ml, and RO from 26 to 100%. Body mass index inversely associated with natalizumab concentration (beta = −1.78; p ≤ 0.001), as it did body weight (beta = −0.34; p = 0.001), but not height, body surface area, age or gender Extended vs. standard dose scheme, but not treatment duration, was inversely associated with natalizumab concentration (beta = −7.92; p = 0.016). Similar to natalizumab concentration, body mass index (beta = −1.39; p = 0.001) and weight (beta = −0.31; p = 0.001) inversely impacted RO. Finally, there was a strong direct linear correlation between serum concentrations and RO until 9 μg/ml (rho = 0.71; p = 0.003). Nevertheless, most patients had higher concentrations of natalizumab resulting in the saturation of the integrin.Conclusions: Body mass index and dosing interval are the main variables found to influence the pharmacology of natalizumab. Plasma concentration of natalizumab and/or RO are wide variable among patients and should be routinely measured to personalize treatment and, therefore, avoid either over and underdosing.
Clinical Significance of and Predictive Risk Factors for the Postoperative Elevation of Carcinoembryonic Antigen in Patients With Non-Metastatic Colorectal Cancer
Authors: Zhou Siyu , Sheng Nengquan , Ren Jiazi , He Qian , Zhang Yaya , Gong Jianfeng , Wang Zhigang 
Published: October 2021

BackgroundRecently, a few researches focus on the correlation between postoperative carcinoembryonic antigen (post-CEA) and the outcome of colorectal cancer (CRC), but none investigates the predictive value of post-CEA in a prognostic model. Besides, current recommendations on the frequency of post-CEA surveillance are not individualized and well followed. There is an absence of identification of patients who are more likely to have abnormal post-CEA levels and need more frequent CEA measurements.MethodsConsecutive CRC patients who underwent curative surgery were enrolled and randomly divided into the discovery (n=352) and testing cohort (n=233). Impacts of preoperative CEA (pre-CEA) and post-CEA on prognosis were assessed. Cox regression model was applied to develop prognostic nomograms, which were validated by the concordance index (C-index), calibration curve, and receiver operating characteristic curve (ROC) analysis. And prediction improvement of the nomograms was assessed with net reclassification improvement (NRI) and integrated discrimination improvement (IDI). Logistic regression was used to identify predictive risk factors and construct the prediction model for post-CEA elevation.ResultsPost-CEA independently predicted overall survival (OS) and disease-free survival (DFS), while pre-CEA did not. Post-CEA elevation represented higher risks in patients with normal pre-CEA, compared to those with persistent elevated CEA. The nomograms for OS and DFS were established with body mass index, tumor differentiation, N stage, lymphocyte-to-monocyte ratio, and post-CEA. The nomograms showed good calibration and superior discrimination than pTNM stage, with the C-index of 0.783 and 0.759 in the discovery set and 0.712 and 0.774 in the testing set for OS and DFS, respectively. Comparisons between models using IDI and NRI implied that the nomograms performed better than pTNM stage and the predictive power could be improved with the addition of post-CEA. The prediction model for post-CEA elevation was established with age, platelet-to-lymphocyte ratio, preoperative CA19-9, and pre-CEA. The AUC of the model in the two cohorts was 0.802 and 0.764, respectively.ConclusionsElevated post-CEA was a strong indicator of poor prognosis. The addition of post-CEA significantly enhanced the performance of prognostic nomograms. And the prediction model for post-CEA elevation may help identify patients who ought to reasonably receive more intensive postoperative surveillance of CEA levels.
“We Are All Trying to Find a Way to Help Ourselves”: A Look at Self-Help Strategies Among Psychotherapy Clients
Authors: Chang Sherilyn , Sambasivam Rajeswari , Seow Esmond , Tan Geoffrey Chern-Yee , Lu Sharon Huixian , Assudani Hanita , Chong Siow Ann , Subramaniam Mythily , Vaingankar Janhavi Ajit 
Published: October 2021

Objective: This study examined self-help strategies engaged by psychotherapy clients and explored their views on such self-help approach.Methods: Secondary analysis of data from a qualitative research study was conducted. A total of 15 psychotherapy clients were recruited, and data were collected via semi-structured interviews. Thematic analysis of data was conducted using inductive approach to examine the content.Results: Three main themes revolving around self-help strategies were identified: (1) types of self-help strategies, (2) reasons for engaging in self-help activities, and (3) effectiveness of self-help strategies.Conclusion: The self-help approach to manage distress is common among psychotherapy clients. This study provided insights into understanding how and why clients use self-help strategies in their daily lives.
Knowledge, Attitude, and Practice Survey of COVID-19 Among Healthcare Students During the COVID-19 Outbreak in China: An Online Cross-Sectional Survey
Authors: Zhang Juxia , Yin Yuhuan , Dean Judith , Zhang Xiaoli , Zhang Yiyin , Wang Jiancheng , Zhang Yinping 
Published: October 2021

Background: The ongoing coronavirus disease (COVID-19) outbreak has placed the healthcare system and student training under considerable pressure. However, the plights of healthcare students in the COVID-19 period have drawn limited attention in China.Methods: A cross-sectional on-line survey was undertaken between January and March 2020 to explore the COVID-19 knowledge, attitude, and practice (KAP) survey among Chinese healthcare students. Demographic information and data on KAP were obtained using a self-reported questionnaire. The percentage KAP scores were categorized as good or poor. Independent predictors of good knowledge of COVID-19 were ascertained to use a logistic regression model.Results: Of the 1,595 participants, 85.9% (1,370) were women, 53.4% were junior college students, 65.8% majoring in nursing, and 29.8% had received training on COVID-19. The overall median percentage for good KAP was 51.6% with knowledge of 28.3%, attitude 67.8%, and practice 58.6%, respectively. Independent predictors of good knowledge of COVID-19 were being students ≥25 (95% CI = 0.27–0.93, P = 0.02), those taking bachelor degrees (95% CI = 1.17–2.07, P = 0.00), and those having participated in COVID-19 treatment training.Conclusions: The result of this study revealed suboptimal COVID-19-related KAP among healthcare students in China. To effectively control future outbreaks of COVID-19, there is a need to implement public sensitization programs to improve the understanding of COVID-19 and address COVID-19-related myths and misconceptions, especially among healthcare students.