bluuebunny/crossref_metadata_2025_split huggingface dataset:
HUBUNGAN PENGETAHUAN PERAWAT DENGAN KEMAMPUAN MELAKUKAN BANTUAN HIDUP DASAR PADA ORANG DEWASA DI INSTALASI GAWAT DARURAT BEDAH RSUP Prof. Dr. R.D. KANDOU MANADO
Authors: Sandag Hendra , Posangi Jimmy , Warouw Herman 
Published: June 2021

Abstract: One indicator of bad good health services is reflected in the language of quality emergency services at installations. Destination of this research was done to know the nurses knowledge and do get help basic life support to humans. The design of this research is cross sectional study. The sample are 40 respondents,the data intake tecnique was by questionnaires and observation directly conducted nurses on midget. The experiment result hipotesis using Fisher’s Exac Test with level of mistake 0,05% and level of confidence 95% so ρ value 0,01 < 0,05, Ha is accepted. Concluded that knowledge nurses nem article ability to get help equity living in emergency in, initial studies were categorized less. Recommendation : Develope knowledge of nursing about getting help during equity life education, required the exercise of the well’s method of analysis laboratory skills tu produce nurses able to perform in sequence and appropriate resucitation. Keywords: Nurse knowledge, Get help with basic life support. Abstrak: Hendra Sandag, Hubungan pengetahuan Perawat Dengan Kemampuan melakukan Bantuan Hidup Dasar Pada Orang Dewasa Di Instalasi Gawat Darurat Bedah BLU RSUP Prof. dr. R. D. Kandou Manado, Karya Tulis Ilmiah Sarjana, Program Studi Ilmu Keperawatan, Fakultas Kedokteran Universitas Sam Ratulangi. Pembimbing (1) Prof dr. Jimmmy Posangi,MSc.PhD.SpFK, (2) Herman Warouw, SKM, M.Kep. Salah satu indikator baik atau buruknya pelayanan kesehatan, tercermin dari kualitas pelayanan pada instalasi gawat darurat sebagai gerbang terdepan bagi pasien yang membutuhkan pertolongan kesehatan di institusi rumah sakit tersebut. Penelitian ini bertujuan untuk mengetahui apakah pengetahuan perawat berhubungan dengan bantuan hidup dasar pada orang dewasa. Penelitian ini bersifat cross sectional, Variable independen yaitu pengetahuan perawat dan variable dependen yaitu kemampuan melakukan bantuan hidup dasar. Data didapatkan melalui kuesioner dan observasi secara langsung yang dilakukan perawat pada manikin. Data dianalisa dengan menggunakan uji Fhisher’s Exac Test dengan table 2 x 2 dengan nilai kemaknaan α = 0.05. Hasil uji Fisher’s Exack Test didapatkan nilai P = 0,001 yang berarti lebih kecil dari a = 0,05 dengan demikian H0 ditolak dan Ha diterima, maka dapat dikatakan bahwa ada hubungan yang bermakna antara pengetahuan perawat dengan kemampuan melakukan bantuan hidup dasar pada orang dewasa. Kata kunci: Pengetahuan perawat, Bantuan Hidup Dasar.
Kanker Payudara Pasca Kemoterapi dengan Neutropenia: Laporan Kasus
Authors: Rahmawati Anita , Lasut Pearla 
Published: June 2021

Abstract: Febrile neutropenia is found in 10-50% of post chemotherapy patients with solid tumor and in more than 80% of patients with hematological malignancy. We reported a case of febrile neutropenia, local chemoport infection, and right breast cancer on chemoterapy in a 47-year-old female. Diagnosis was based on symptoms, clinical features, and laboratory examina-tion with absolute neutrophil count (ANC) 460 cells/mm3. This patient was treated with IVFD NaCl 0.9% 20 drops/minute, ceftazidime 2 g every 8 hour intravenous, and filgastrim 300 mcg every 24 hours subcutan. The prognosis of this patient was as follows: ad vitam was dubia ad malam, ad functionam was dubia ad bonam, and ad sanationam was dubia.Keywords: febrile neutropenia, post chemotherapy Abstrak: Febrile neutropenia terjadi pada 10-50% pasien pasca kemoterapi dengan tumor padat dan lebih dari 80% pasien pasca kemoterapi dengan keganasan hematologik. Kami melaporkan sebuah kasus seorang perempuan berusia 47 tahun dengan febrile neutropenia, infeksi lokal chemoport, dan kanker payudara on kemoterapi. Diagnosis ditegakkan berdasarkan anamnesis, gejala dan tanda klinis, serta pemeriksaan laboratorium absolute neutrophil count (ANC) 460 sel/mm3. Pasien diberikan terapi infus NaCl 0,9% 20 tetes/menit, ceftazidime injeksi 2 gr setiap 8 jam, dan filgastrim injeksi 300 mcg setiap 24 jam subkutan. Prognosis pasien ini secara ad vitam ialah dubia ad malam, ad functionam ialah dubia ad bonam, dan ad sanationam ialah dubia.Kata kunci: febrile neutropenia, pasca kemoterapi
Gangguan Ginjal Akut et Kausa Sepsis: Laporan Kasus
Authors: Kairupan Jaquelene D. , Palar Stella 
Published: June 2021

Abstract: Acute kidney injury (AKI) is a sudden episode of decreased renal function that occurs within a few hours until a few weeks, followed by renal failure in excretion of nitrogen-waste products with or without imbalance of fluid and electrolytes. Sepsis is the main cause of critical illnesses as well as the main cause of AKI, albeit, the pathophysiology of AKI due to sepsis is not jet fully understood. We reported a female patient aged 35 years with AKI due to sepsis caused by abscess of suprafundal uterine that occured due to nosocomial infection post laparoscopy of utero myoma. Diagnosis was based on anamnesis, physical examination, and laboratory examination as well as radiology examination. The patient had been given an adequate antibiotic treatment with infection source control, renal supportive therapy using intermittent hemodialysis, exploration surgery, and abscess drainage. The prognosis of this patient was good since the condition of sepsis was resolved and the renal supportive therapy of hemodialysis improved her renal function.Keywords: acute kidney injury, sepsis Abstrak: Gangguan ginjal akut (GgGA) adalah penurunan fungsi ginjal yang terjadi mendadak dalam beberapa jam sampai beberapa minggu, diikuti oleh kegagalan ginjal untuk mengekskresi sisa metabolisme nitrogen dengan atau tanpa disertai terjadinya gangguan keseimbangan cairan dan elektrolit. Sepsis merupakan penyebab utama dari penyakit kritis dan juga merupakan faktor penyebab paling umum untuk terjadinya GgGA namun patofisiologi terjadinya GgGA akibat sepsis belum dipahami dengan jelas. Kami melaporkan seorang pasien wanita usia 35 tahun dengan GgGA akibat sepsis yang disebabkan oleh abses suprafundus uteri dengan kausa infeksi nosokomial pasca laparoskopi mioma uteri. Diagnosis ditegakkan berdasarkan anamnesis, pemeriksaan fisik, pemeriksaan laboratorium dan radiologi. Pasien telah diberikan pengobatan antibiotik adekuat dengan kontrol sumber infeksi, terapi suportif ginjal menggunakan intermittent hemodialysis, operasi eksplorasi, dan drainase abses. Prognosis pada pasien ini ialah baik bila kondisi sepsis teratasi dan terapi suportif ginjal hemodialisis memberi hasil perbaikan fungsi ginjal.Kata kunci: gangguan ginjal akut (GgGA), sepsis
Pengaruh Kafein terhadap Tekanan Intraokular
Authors: Juanito Julian , Supit Wenny P. , Rares Laya M. 
Published: June 2021

Abstract: High intraocular pressure (IOP) is one of the risk factors of glaucoma or worsening of its prognosis. There are a lot of external factors that can affect IOP inter alia exercise, as well as some food and drinks. One of the drinks that could affect IOP is coffee that contains caffeine. This study was aimed to evaluate whether caffeine had an effect on IOP. This was a literature review study using 4 data bases, as follows: Clinical Key, Pub-med, Google Scholar, and Science Direct. The keywords were Caffeine OR Coffee OR Tea AND IOP OR Intraocular Pressure. Based on inclusion and exclusion criteria, 10 literatures were selected. The results showed that some literatures reported an increase in IOP after caffeine consumption, the others reported a decrease in IOP, meanwhile some others did not find any change of IOP. In conclusion, the effect of caffeine on IOP was acute. People who had high intensity of caffeine consumption had a more significant increase in IOP after consuming caffeine.Keywords: caffeine, intraocular pressure (IOP) Abstrak: Peningkatan tekanan intraokular (TIO) merupakan salah satu faktor risiko untuk terjadinya glaukoma atau memperburuk prognosis glaukoma. Terdapat banyak faktor eksternal yang dapat memengaruhi TIO, antara lain olahraga, minuman, dan makanan. Salah satu minuman yang dapat memengaruhi TIO ialah kopi yang mengandung kafein. Penelitian ini bertujuan untuk mengetahui adanya pengaruh kafein pada tekanan intraokular. Jenis penelitian ialah literature review. Pencarian data menggunakan empat database yaitu Clinical key, PubMed, Google scholar, dan Science direct. Kata kunci yang digunakan yaitu Caffeine OR Coffee OR Tea AND IOP OR Intraocular Pressure. Seleksi data berdasarkan kriteria inklusi dan ekslusi mendapatkan 10 literatur. Hasil kajian mendapatkan bahwa beberapa penelitian melaporkan adanya peningkatan TIO setelah konsumsi kafein, penelitian lain melaporkan penurunan TIO, dan terdapat pula penelitian yang tidak menemukan perubahan apapun. Simpulan penelitian ini ialah pengaruh kafein pada TIO hanya berlangsung akut. Individu yang memiliki intensitas konsumsi kafein lebih tinggi menunjukkan peningkatan TIO yang lebih nyata setelah mengonsumsi kafein.Kata kunci: kafein, tekanan intraokular (TIO)
Gangguan Fungsi Hati pada Coronavirus Disease 2019
Authors: Salsabila Tasha , Waleleng Bradley J. , Pandelaki Karel 
Published: June 2021

Abstract: The incidence and death rate of COVID-19 in North Sulawesi Province continues to increase and data regarding abnormal liver function in COVID-19 is not yet available. This study was aimed to obtain the liver function in COVID-19 patients. This was a literature review study using two databases, namely Pubmed and ClinicalKey. Keywords used were abnormal liver function AND COVID-19, elevated alanine aminotransferase AND COVID-19, elevated aspartate aminotransferase AND COVID-19, elevated gamma-glutamyl transferase AND COVID-19, elevated alkaline phosphatase AND COVID-19, elevated total bilirubin AND COVID-19. After being selected, 10 literatures were obtained based on inclusion and exclusion criteria. The results showed that increased liver function often occurred in cases of COVID-19, but the increase did not reach twice of the normal value. The most frequent increases were in GGT, followed by ALT and AST, total bilirubin, and the least was the increase in ALP. All literatures reported that increased liver function was more common in males, and in severe COVID-19 patients reported by eight literatures. Five literatures reported that elevated liver function increased mortality in COVID-19 cases. In conclusion, there are increases in ALT, AST, ALP, GGT, and total bilirubin levels in COVID-19 patients.Keywords: abnormal liver function, COVID-19 Abstrak: Angka kejadian dan angka kematian COVID-19 di Provinsi Sulawesi Utara terus bertambah sedangkan data mengenai gambaran gangguan fungsi hati pada COVID-19 belum tersedia. Penelitian ini bertujuan untuk mengetahui gambaran fungsi hati pada COVID-19. Jenis penelitian ialah literature review dengan pencarian data menggunakan dua database yaitu Pubmed dan ClinicalKey. Kata kunci yang digunakan yaitu abnormal liver function AND COVID-19, elevated alanine aminotransferase AND COVID-19, elevated aspartate aminotransferase AND COVID-19, elevated gamma-glutamyl transferase AND COVID-19, elevated alkaline phosphatase AND COVID-19, elevated total bilirubin AND COVID-19. Setelah diseleksi, didapatkan 10 literatur berdasarkan kriteria inklusi dan eksklusi. Penelitian ini mendapatkan bahwa peningkatan fungsi hati sering terjadi pada kasus COVID-19 namun peningkatannya tidak mencapai dua kali nilai normal. Peningkatan paling sering terjadi pada GGT, diikuti oleh ALT dan AST, bilirubin total, dan paling sedikit yaitu pada peningkatan ALP. Seluruh literatur melaporkan peningkatan fungsi hati lebih sering terjadi pada laki-laki dan pada kasus COVID-19 gejala berat dilaporkan oleh delapan literatur. Lima literatur melaporkan peningkatan fungsi hati meningkatkan mortalitas pada kasus COVID-19. Simpulan penelitian ini ialah, terdapat peningkatan kadar ALT, AST, ALP, GGT, dan bilirubin total pada penderita COVID-19.Kata kunci: gangguan fungsi Hati, COVID-19
Acute Kidney Injury in Critically Ill Patients
Authors: Setyawan Yuswanto 
Published: June 2021

Abstrak: Gagal ginjal akut (GGA) sering ditemukan dalam praktek klinik namun diagnosisnya dapat tertunda oleh karena keterbatasan alat diagnostik. Dewasa ini, kriteria diagnostik RIFLE, AKIN, dan KDIGO untuk menilai adanya GGA dan keparahannya dianggap tidak cukup untuk menggambarkan kompleksitas sindrom GGA. Proteinuria dan mikroalbuminuria yang merupa-kan marker klasik progresi cedera ginjal kronik, telah dipergunakan dan divalidasi untuk progresi GGA ke CKD. Kidney injury molecule-1 (KIM-1), neutrophil gelatinase-associated lipocalin (NGAL), dan urinary cystatin C dapat berperan dalam memrediksi pemulihan ginjal. Indikasi biopsi ginjal pada pasien kritis ialah gangguan ginjal yang tidak jelas atau progresi CKD dengan hematuria glomerulus dan proteinuria lebih dari 1 gram per hari, manifestasi ginjal dari penyakit sistemik yang mengancam nyawa, kecurigaan penolakan akut atau kronik dari ginjal transplan. Mempertahankan hemodinamik yang adekuat seharusnya bermanfaat dalam pence-gahan onset atau perburukan GGA, namun kelebihan cairan harus dihindari. Sampau saat ini penentuan saat inisiasi acute renal replacement therapy (ARRT) masih kontroversial, demikian pula nilai ambang spesifik untuk memulainya belum sepenuhnya disepakati. Kata kunci: gagal ginjal akut; penyakit kritis' laju filtrasi glomerulus (LFG) Abstract: Acute kidney injury (AKI) is a common problem in clinical practice, but its diagnosis could be delayed due to the inherent limitation of current diagnostic tools. Current practice suggests that RIFLE, AKIN, and KDIGO diagnostic criteria used to assess the presence of AKI and its severity are insufficient to illustrate the complexity of the AKI syndrome. Proteinuria and micro-albuminuria, classical markers of chronic kidney disease (CKD) progression, have been used and validated for the progression of AKI to CKD. Kidney injury molecule-1 (KIM-1), neutrophil gelatinase-associated lipocalin (NGAL), and urinary cystatin C could play a role in prediction of renal recovery. Indication of renal biopsy in critically ill patients are unexplained renal impairment or progression of CKD with both glomerular hematuria and proteinuria more than 1 gr per day, renal manifestations of life threathening systemic disease, suspected acute or chronic rejection of a transplanted kidney. The maintenance of adequate hemodynamics should be beneficial in preventing the onset or the worsening of AKI, but fluid overload should be avoided. Timing of acute renal replacement therapy (ARRT) initiation is still controversial, moreover, specific thresholds for starting are still unclear.Keywords: acute kidney injury (AKI); critically ill; glomerular filtration rate (GFR)
Determinan Status Imunisasi Dasar Pada Anak Balita 12-59 Bulan di Indonesia
Authors: Mappadang Revita Virgini , Langi Fima F.L.G. , Pinontoan Odi Roni 
Published: June 2021

Background: Immunization comes from the word "immune" meaning immunity. Immunization means being immunize, giving passive immunity (given antibodies) to the baby. The Indonesian Demographic Health Survey (IDHS) in 2017 shows that the achievement of complete basic immunization has not yet reached the government's target of 92%. This research aims to study the determinants of age of child, sex of child, age of mother, number of live children, level of mother’s education, residence and antenatal care with immunization. Method: This research was a quantitative with a cross sectional study design. The data used were secondary taken from 2017 IDHS data conducted in 34 provinces in Indonesia with a total sample of 9,424 children under five. Data were processed and analyzed in a univariate, bivariate, and multivariate manner using the chi square test. Result: highschool education (p= <0,001, AOR 0,757); number of children more than two (p=<0,001, AOR 0,728); and village residence (p=0,007, AOR 0,868) reduces odds ratio. Conclusion: the level of mother’s education, number of live children and residence are the determinants
Faktor-faktor Risiko Stres Kerja pada Aparatur Sipil Negara
Authors: Reppi Bryan , Sumampouw Oksfriani Jufri , Lestari Hesty 
Published: June 2021

Background: The Health and Safety Executive (HSE) stated that stress and depression related to work in 2017/2018 were 595,000 cases with a prevalence rate of 1,800 per 100,000 workers. Work-related stress and depression also contribute 44% of all cases of occupational health disorders and 57% of absences from work due to illness. Job stress can occur to workers in all fields including government employees. This study aims to determine the relationship between risk factorsand work-related stress on civil servants in Regional Financial and Asset Agency of North Sulawesi Province. Method: This research was a quantitative study with cross sectional research design, conducted in 2019, from August to September at the Regional Finance and Assets Agency (BKAD) of North Sulawesi Province. The sample was 118 people determined by the Total Sampling method. Data was collected by respondent completing NIOSH Generic Job Stress Questionnaire. Univariate, bivariate, and multivariate were use to analyze the data using SPSS program. Results: The results showed that there was a relationship between interpersonal conflict, workload, social support and work stress on civil servants in BKAD North Sulawesi Province. Conclusion: This study concluded that interpersonal conflict is the most influential factor in work-related stress on civil servants in BKAD North Sulawesi Province. It is recommended for all civil servants in BKAD North Sulawesi Province to be more aware to the work-related stress factors so that it can be controlled
Apologetika Imajinatif: Sebuah Proposal bagi Apologetika dalam Konteks Pascamodern
Authors: Aruan Abel Kristofel 
Published: June 2021

Setelah sekian lama pendekatan apologetika klasik dan evidensial kokoh sebagai cara mempertahankan iman Kristen, pascamodernisme muncul untuk mengkritik penggunaan alat verifikasi absolut terhadap klaim-klaim iman. Kendati demikian, James K. A. Smith dan Alister McGrath melihat pascamodernisme sebagai kawan ketimbang lawan, kesempatan ketimbang tantangan. Karena itu, memperhatikan kritik-kritik penting dari semangat pascamodernisme justru akan menolong gereja menjawab tuntutan pascamodernisme itu sendiri. Artikel ini mengusulkan pendekatan apologetika imajinatif sebagai solusi untuk menjawab kritik tersebut. Berbeda dengan apologetika klasik/evidensial, apologetika ini bertendensi menggunakan imajinasi lebih daripada sebelumnya dalam upaya-upaya mempertanggungjawabkan iman Kristen. Di kala apologetika menerima tuduhan kering dan terkesan mengesampingkan aspek eksistensial yang nyatanya berdiam dalam diri manusia, apologetika imajinatif dapat menjadi usulan solusi untuk menghindari tuduhan ini. Dua implikasi muncul dari penalaran ini. Pertama, dalam dialog-dialog apologetika, seorang apologist harus lebih banyak menggunakan alat-alat retoris imajinatif. Kedua, gereja harus menolong pendengar untuk mendapatkan presentasi imajinatif tentang bagaimana rasanya hidup menjadi seorang Kristen, dengan cara menampilkan kisah kehidupan Kristen sehari-hari kepada mereka. Dengan demikian, alih-alih gereja menggunakan apologetika, gereja adalah apologetika itu sendiri.
For a long time, classical and evidential apologetics have been firmly established as a way of defending the Christian faith. However, postmodernism appears to criticize the use of absolute verification tools for faith claims. Nevertheless, James K.A. Smith and Alister McGrath see postmodernism as friend rather than foe, opportunity rather than challenge. Therefore, paying attention to important criticisms of the spirit of postmodernism will actually help the church to answer the demands of postmodernism itself. This article proposes an imaginative apologetics approach as a solution to answer this criticism. In contrast to classical/evidential apologetics, this apologetics tends to use imagination more than before in efforts to account for the Christian faith. When apologetics accepts dry accusations and seems to override existential aspects that actually dwell in humans, imaginative apologetics can be a proposed solution to avoid these accusations. Two implications emerge from this reasoning. First, in apologetic dialogues, an apologist must use more imaginative rhetorical tools. Second, the church must help listeners get an imaginative presentation of what it’s like to live as a Christian, by presenting them with stories of everyday Christian life. Thus, instead of the church using apologetics, the church is apologetics itself.
Des carabins pour l’Empire du Milieu. L’accueil d’étudiants chinois en médecine à Hanoï, 1902-1930
Authors: Legrandjacques Sara 
Published: June 2021

Créée en 1902, l’École de médecine à Hanoï accueille dès 1905 des étudiants chinois. Ce recrutement régional doit participer au rayonnement français en Asie en formant des aides-médecins destinés à une carrière dans leur pays d’origine. Enjeux éducatifs et diplomatiques se mêlent, mobilisant autorités coloniales, impériales et représentants français en Chine. Toutefois, le recrutement de ces « carabins » asiatiques demeure limité jusqu’aux années 1930, souffrant à la fois de concurrences étrangères et des limites d’une formation scientifique « à la française ».
The League of Nations Secretariat: An Experiment in Liberal Internationalism?
Authors: Gram-Skjoldager Karen , Ikonomou Haakon Andreas 
Published: June 2021

Cet article examine dans quelle mesure et de quelle manière le Secrétariat de la Société des nations peut être envisagé comme un acteur de l’internationalisme libéral. En explorant brièvement le concept d’internationalisme libéral et en s’inspirant de la théorie de l’administration publique, il explore trois des domaines-clés de l’œuvre du Secrétariat : les activités du Secrétaire général, le désarmement et l’hygiène. L’article conclut que, peut-être au contraire de ce que l’on aurait pu supposer, le Secrétariat de la SDN ne fonctionnait pas selon les purs principes de l’internationalisme libéral et qu’il représente donc un organe beaucoup plus complexe et plus divers sur le plan idéologique que ne le laisse entendre le récit élaboré par ses fondateurs.
Employées à la Société des nations : carrières et conditions de travail, 1920-1932
Authors: Piguet Myriam 
Published: June 2021

Cet article est une tentative d’approche sociohistorique du Secrétariat d’une organisation internationale, ici la Société des nations. Il questionne les mécanismes bureaucratiques de l’organisation tout en relatant l’expérience et les conditions de travail d’un groupe d’employés : les femmes. Dans cette optique, la recherche rappelle l’égalité d’accès des femmes aux emplois de la Société des nations en vertu de l’article 7 du Pacte de la SDN et questionne sa mise en pratique au moyen d’une approche prosopographique.
Missed Opportunities to be Global
Authors: Akami Tomoko 
Published: June 2021

Cet article examine le rôle joué par la Société des nations dans la création d’un savoir « scientifique » sur les relations internationales, à travers le cas de la Conférence permanente des Hautes Études internationales (CPHEI, 1928-1954) qu’elle a initiée. Il étudie les périodes cruciales où les processus mis en œuvre au sein de la CPHEI s’entrecroisent avec l’émergence d’un nouveau champ, les « études aréales ». Il se concentre particulièrement sur l’intervention de l’Institut des relations du Pacifique lors de la session de la CPHEI tenue en 1930 et dans une moindre mesure sur les réflexions menées dans le cadre de l’Unesco en 1952. Il démontre qu’il s'est agi là d'occasions manquées pour les « relations internationales » et les « études aréales » de se constituer en savoir à l’échelle mondiale.