bluuebunny/crossref_metadata_2025_split huggingface dataset:
Estimated Manipulation of Tablets and Capsules to Meet Dose Requirements for Chinese Children: A Cross-Sectional Study
Authors: Zhang Liwen , Hu Yan , Pan Panpan , Hong Chengtao , Fang Luo 
Published: October 2021

Objectives: To estimate the frequency of manipulations of all tablets and capsules prescribed for children in a teaching and tertiary children's hospital in China over the course of 1 month. Moreover, hypothetical reduction of manipulation according to the availability of low-strength tablets/capsules licensed by the Chinese National Medical Products Administration (CNMPA) was evaluated.Methods: Information on all tablets and capsules prescribed in the hospital from March 17 to April 16, 2019 was collected. It was assumed that tablets or capsules were manipulated if the prescribed dose would have required only a proportion of the intact dose form. Manipulation typically includes splitting or crushing tablets, opening capsules and dispersing in water, or combinations of these method. Moreover, we defined an “avoidable manipulation,” when the dose could be rounded and/or when alternative products with a reduced strength or in liquid formulation were available in the hospital, and a “inappropriate manipulation,” which involved manipulated medications with a direct contraindication for any manipulation, such as those with a narrow therapeutic index or hazardous ingredients, or modified release dosage-forms. The frequencies of total, avoidable, and inappropriate manipulation were estimated, along with the hypothetical reduction of manipulation according to the availability of CNMPA-approved drug doses.Results: A total of 17,123 prescriptions for 142 medications were identified to have required a manipulation among 78,366 prescriptions administered during the study period, with 43 different proportions of subdivisions, ranging from a 19/20 to 1/180 product strength reduction. Half, quarter, and trisection were the most common subdivisions administered. Overall, 19% of the manipulated prescriptions were determined to be avoidable, and 19% of the manipulations involved medications with a clear recommendation to not manipulate. In addition, 21% of the manipulated prescriptions could have been potentially avoided if all of the approved preparations with the lowest strength would have been available at the hospital. Any manipulations undertaken were carried out by pharmacists and family care givers.Conclusions: More than 20% of tablets and capsules prescriptions need manipulated, included a high incidence of avoidable and inappropriate manipulation.
Circadian Functioning and Quality of Life in Substance Use Disorder Patients With and Without Comorbid Major Depressive Disorder
Authors: Hashemzadeh Iman , Marquez-Arrico Julia E. , Hashemzadeh Kosar , Navarro José Francisco , Adan Ana 
Published: October 2021

Aim: Although a relationship between circadian disruption and development of several psychiatric disorders, such as major depressive disorder (MDD) and substance use disorder (SUD), has been observed, knowledge on this area is scarce yet. Therefore, this study aims to analyze the circadian functioning and quality of life (QOL) in SUD patients with and without comorbid MDD, two highly prevalent clinical entities with difficult therapeutic management.Methods: One hundred sixty-three male patients under treatment, 81 with SUD and 82 with SUD comorbid major depressive disorder (SUD + MDD), were evaluated. For the circadian functioning assessment, we calculated Social Jet Lag (SJL) and used the reduced Morningness–Eveningness Questionnaire (rMEQ) and the Pittsburgh Sleep Quality Index (PSQI). QOL was measured using the shortened version of the World Health Organization's Quality of Life Questionnaire (WHOQOL-BREF). We collected sociodemographic and clinical variables to evaluate their possible influence on the circadian functioning. Intergroup differences among the variables were examined by different analyses of covariance (ANCOVA and MANCOVA). The possible relationships of quantitative clinical variables with rMEQ, PSQI, and WHOQOL-BREF were explored using bivariate correlation analysis.Results: Lower SJL appears in the SUD + MDD group compared with SUD. The intermediate-type was more prevalent in the SUD group, while a higher percentage of morning-type patients was found in the SUD + MDD. Sleep quality (including latency and daytime dysfunction) was worse for SUD + MDD patients than for SUD even after controlling age and age of SUD onset variables. Last, QOL was poorer in patients with SUD + MDD and, for them, psychological health had a negative relationship with SJL and severity of depression.Conclusions: Our data support and extend previous findings indicating that SUD + MDD is associated with worse clinical characteristics, more sleep problems, and poorer QOL than SUD patients. These results underline the importance of a precise assessment of these measurements in future studies conducted in SUD patients with/without MDD comorbidity that could be considered from a therapeutic point of view.
The Effect of Commercial Activity Tracker Based Physical Activity Intervention on Body Composition and Cardiometabolic Health Among Recent Retirees
Authors: Leskinen Tuija , Suorsa Kristin , Heinonen Ilkka HA , Löyttyniemi Eliisa , Pentti Jaana , Vahtera Jussi , Stenholm Sari 
Published: October 2021

The REACT is a commercial activity tracker based intervention, which primarily aimed to increase physical activity. This study examines the secondary outcomes of the physical activity intervention on body composition and cardiometabolic health indicators. Overall 231 recently retired Finnish men and women [65.2 (SD 1.1) years, 83% women] took part to the study. The participants were randomized into intervention (n = 117) and control (n = 114) groups. The intervention group members used a commercial activity tracker (Polar Loop 2, Polar, Kempele, Finland) with a daily activity goal and inactivity alerts every day for 12 months. Controls received no intervention. Secondary health outcomes included body weight, fat mass, fat free mass, waist circumference, blood pressure, indicators of glucose and lipid metabolisms, and high-sensitivity C-reactive protein, and they were measured at baseline and at 12-months end point. Hierarchical linear mixed models were used to examine the differences between the groups over time, and no differences in the mean changes of the body composition and cardiometabolic health indicators between the groups were found (group*time interaction &gt;0.20 for all measures). Fat free mass, waist circumference, blood pressure, and low density lipoprotein levels decreased in both groups over the 12 months. These findings state that 1-year daily use of commercial activity tracker does not induce different cardiometabolic health effects when compared to the non-user controls among general population of recent retirees.
Deep NIR Surveys in the Galactic Plane: A General Overview and the Study of Scutum’s Spiral Arm
Authors: Amôres E. B. , Levenhagen R. S. 
Published: October 2021

Despite the impressive advances in Galactic structure studies, thanks to the large astronomical surveys, there remain several open questions. Although at low distances, optical surveys can bring us important information, the potential of NIR surveys, combined with the optical data, should be considered. In the present work, we explore the stellar distribution through the most recent NIR surveys toward low latitudes (|b| &lt; 2° for 20° ≤ ℓ ≤ 346°) in the Galactic disk, such as 2MASS (entire plane), UKIDSS (20° ≤ ℓ ≤ 231°), and VVV-PSF data (295° ≤ ℓ ≤ 346°), avoiding directions toward the Galactic bar and bulge. Our final compilation contains nearly 140 million stars. We used this sample to perform total star counts at different longitudes, obtaining longitudinal profiles that are compared with those of other authors. For some directions, we obtained the stellar density as a function of distance to investigate the stellar distribution in the Galactic disk. As an example, the variation of the counts toward the Scutum arm tangential direction reveals the stellar content of two spiral arms, e.g., Sagittarius and Scutum. These are the preliminary results of a study that will cover a large extension of the Galactic disk.
Effects of Different Recovery Positions on the Postpercutaneous Liver Biopsy Complications: A Metaanalysis
Authors: Zhong Chengli , Jin Jiandi , Wang Xiaoyan , Huang Yandi , Yan Dong , Wang Wei 
Published: October 2021

Objective: We aim to evaluate the effects of different recovery positions on the adverse events and the patient acceptability in those who underwent percutaneous liver biopsy (PLB).Methods: A literature search was conducted in the Cochrane Library, Embase, Scopus, PubMed, CNKI, Sinomed, and Wanfang databases. The time for the article extraction was until July 2020. The articles were screened by two independent researchers, together with the bias risk evaluation and data extraction. The RevMan 5.4 software was utilized for the metaanalysis.Results: Finally, two articles involving 180 subjects were eligible for this study. Metaanalysis showed that at T0, the alternation between right-side and combined position (CRP) would induce an elevation of post-PLB pain compared with the dorsal/supine position (SRP) [WMD = −2.00, 95% CI (−3.54, −0.47), p = 0.01]. There were no statistical differences in the postoperative pain among the CRP, SRP, and right-side position (RRP). The patient acceptability of SRP and RRP was higher than that of the CRP. Finally, two eligible studies were included, which showed no incidence of pneumothorax and abdominal bleeding.Conclusions: CRP would induce post-PLB pain at T0. SRP was the most acceptable position for the cases that underwent PLB. There were no statistical differences in the incidence of pneumothorax and abdominal bleeding.Systematic Review Registration:https://www.crd.york.ac.uk/PROSPERO, identifier: CRD42020196633.
Analisis Kinerja Pelayanan Publik tentang Sumber Daya Manusia dan Responsivitas Pegawai di Kantor Kelurahan Kecandran Kecamatan Sidomukti Kota Salatiga
Authors: Samsudin Muchamad 
Published: October 2021

This article or writing aims to provide an effective understanding of the analysis of the performance of public services in Kecandran Village, Siomukti District, the problem is focused on a more in-depth analysis of public service activities in Kecandran Village and examine the form of responsiveness carried out by employees and related parties in the service. In order to approach this problem, Nicholas Henry's theoretical reference is used (in Suwitri, 2011), Carl Van Horn dan Donal Van Meter, 1975. The data were collected through descriptive research methods through field observations, primary and secondary data and interviews, and analyzed qualitatively. This study concludes that it is necessary to conduct research related to the analysis of the performance of public services at the Kecandran sub-district office, Sidomukti District which is more in-depth on human resources and responsiveness.
ENGLISH TRAINEE TEACHERS’ PERSPECTIVE ON SYNCHRONOUS AND ASYNCHRONOUS LANGUAGE TEACHING
Authors: Tuchyna N. , Perlova V. , Chukhno O. 
Published: October 2021

The temporary introduction of distance education at universities owing to the pandemic leads to the necessity to develop innovative methods of on-line teaching and learning that could become an adequate alternative of on-site teacher-student interaction and improve students’ professional skills. The background of the research states that in tertiary language education whose main aim is to develop students’ professional communicative competence it is of paramount importance to combine synchronous and asynchronous modes of interaction with the former creating an opportunity for live communication and immediate feedback and the latter developing students’ autonomy and being more flexible and convenient. As the two modes have different advantages the indices of their proper balance are still under discussion.
The present study aims to explore English trainee teachers' ability to reflect on the ways of on-line language learning and to find out their attitude towards synchronous/asynchronous teaching. The results of the questionnaire completed by 168 students of the Faculty of Foreign Philology at H. S. Skovoroda Kharkiv National Pedagogical University indicate that the majority of trainee teachers are on the whole satisfied with distance teaching and learning, though a great number of students consider the ratio of synchronous and asynchronous modes inappropriate. The findings of the research also suggest that trainee teachers would like more diversity in the tools used in distance education. Moreover, the more learning experience students have, the easier it is for them to adapt to different teaching conditions and the more willing they are to acquire the skills of working with various educational tools.
The received data may serve as the foundation for rationalizing the existing methods and techniques to increase the efficiency of trainee teachers’ distance education.
Hypnobreastfeeding dan Motivasi Ibu Menyusui
Authors: Astuti Fitria Primi , Windayanti Hapsari , Sofiyanti Ida 
Published: October 2021

Berdasarkan data dari Kementerian Kesehatan Republik Indonesia, inisiasi menyusu dini (IMD) meningkat dari 51,8 persen di tahun 2016 menjadi 57,8 persen di tahun 2017. Walaupun terjadi peningkatan itu masih jauh dari target IMD sebesar 90 persen. Angka pemberian ASI eksklusif juga mengalami peningkatan dari 29,5 persen pada tahun 2016 menjadi 35,7 persen pada tahun 2017. Jumlah cakupan itu masih snagat kecil jika mengingat pentingnya Air Susu Ibu (ASI) bagi kehidupan anak di masa periode keemasannya. Kecilnya angka tersebut dapat diatasi dengan adanya motivasi ibu menyusui dalam pemberian ASI. Motivasi merupakan salah satu faktor yang dapat memengaruhi ibu menyusui dalam pemberian ASI secara ekslusif. Pemberian pendidikan kesehatan merupakan upaya untuk meningkatan motivasi ibu menyusui dalam pemberian ASI eksklusif. Penelitian ini bertujuan untuk mengetahui perbedaan motivasi sebelum dan sesudah pemberian pendidikan kesehatan tentang hypnobreassfeeding. Sampel dalam penelitian ini adalah 30 ibu menyusui, metode penelitian yang digunakan adalah dengan metode eksperimen semu (Quasi Experimental) dengan rancangan One Group Pre-test dan Post-test. Uji beda yang digunakan yaitu uji Wilcoxon. Hasil penelitian menunjukkan ada perbedaan motivasi sebelum dan sesudah pemberian pendidikan kesehatan tentang hypnobreasfeeding.
Gambaran Ibu yang Memijatkan Bayi ke Dukun Bayi di Desa Jambu Kabupaten Semarang
Authors: Yola Sartika  , Ninik Christiani, S.Si T., M.Kes  , Moneca Diah L  
Published: October 2021

Baby massage is a direct contact therapy with the body that can provide a sense of security and comfort for babies. The villagers chose to use a shaman as an alternative to baby massage on the grounds that it is affordable and saves time because the shaman can do baby massage at home. To find out the picture of a mother massaging a baby to a shaman in Jambu Village, Semarang Regency.
Method : This research is quantitative descriptive. The population in this study were 20 mothers who had babies in Jambu Village. The sample of this study was 20 mothers who had babies. Purposive sampling technique. The instrument uses a questionnaire. Analysis uses frequency distribution and percentage. Most of the education level of mothers who massaged infants to traditional birth attendants in Jambu Village were 12 respondents (60.0%) of SMK / SMA. The culture of mothers who massage infants into traditional birth attendants in Jambu Village, does not support as many as 10 respondents (50.0%). Most of the economy of mothers who massaged infants to traditional birth attendants in Jambu Village, ≥ UMR (Rp. 2,055,000) were 14 respondents (70.0%). Most of the support from the mother's family to massage the baby to the shaman in Jambu Village, as many as 13 respondents (65.5%). Mothers should massage their baby to health workers who know the anatomy of the correct massage physiology or skilled shaman and have received training from health workers on proper baby massage and do not harm the baby.
ABSTRAK
Pijat bayi merupakan terapi sentuh kontak langsung dengan tubuh yang dapat memberikan rasa aman dan nyaman pada bayi. Masyarakat desa memilih dukun bayi sebagai alternatif untuk pijat bayi dengan alasan biaya yang terjangkau dan menghemat waktu karena dukun bayi dapat melakukan pijat bayi dirumah. Untuk mengetahui gambaran ibu yang memijatkan bayi ke dukun bayi di Desa Jambu, Kabupaten Semarang. Penelitian ini bersifat deskriptif kuantitatif. Populasi dalam penelitian ini 20 orang ibu yang memiliki bayi di Desa Jambu. Sampel penelitian ini20 orang ibu yang memiliki bayi. Teknik sampling purposivesampling. Instrumen menggunakan kuesioner. Analisis data menggunakan distribusi frekuensi dan presentase. Sebagian besar tingkat pendidikan ibu yang memijatkan bayi ke dukun bayi di Desa Jambu, adalah SMK/SMA sebanyak 12 responden (60,0%). Kebudayaan ibu yang memijatkan bayi ke dukun bayi di Desa Jambu,tidak mendukung sebanyak 10 responden (50,0%). Sebagian besar ekonomi ibu yang memijatkan bayi ke dukun bayi di Desa Jambu, ≥ UMR (Rp. 2.055.000) sebanyak 14 responden (70,0%). Sebagian besar dukungan keluarga ibu untuk memijatkan bayi ke dukun bayi di Desa Jambu,sebanyak 13 responden (65,5%). Ibu diharapkan memijatkan bayinya ke tenaga kesehatan yang mengetahui anatomi fisiologi pemijatan yang benar atau dukun yang terampil dan telah mendapatkan pelatihan dari tenaga kesehatan tentang pijat bayi yang benar dan tidak membahayakan bayi.
Pengelolaan Bersihan Jalan Napas Tidak Efektif pada Anak dengan ISPA di Desa Kebondowo Banyubiru
Authors: Putri Yunanda Pratiwi  , Eka Adimayanti  
Published: October 2021

Ineffective airway clearance is a disease characterized by a buildup of secretions in the airways that causes airway insufficiency. This writing aims to provide a description or description of the management of ineffective airway clearance in children with ARI in the village of Kebondowo Banyubiru. The type of management is descriptive with a case study approach in the form of assessment, data analysis, formulating nursing diagnoses, planning, implementation, and evaluation in the handling of ineffective airway clearance. The population is toddler age children with ineffective airway clearance. The sampling technique is 1 person. With the criteria of toddler age children, experiencing cough and cold, composmentis awareness, the patient or patient's family is able to communicate verbally and cooperatively. Ineffective airway clearance management was performed for 3 days in An. A with data collection techniques using interviews, physical examination and observation. Then the nursing plan is carried out, namely chest physiotherapy, postural drainage, percussion, vibration. The final result was RR: 32x/minute, auscultation: vesicular, percussion: sonor. Based on the nursing actions taken, it can be concluded that the ineffective airway clearance has been resolved. It is expected that the community or patient's family always maintains cleanliness and can carry out nursing actions for acute respiratory infections (ARI) independently and utilize health facilities for treatment.
Abstrak
Bersihan jalan napas tidak efektif adalah penyakit yang ditandai dengan adanya penumpukkan sekret pada jalan nafas yang menyebabkan ketidakpatenan jalan nafas. Penulisan ini bertujuan untuk memberikan deskripsi atau gambaran tentang pengelolaan bersihan jalan napas tidak efektif pada anak dengan ISPA di Desa Kebondowo Banyubiru. Jenis pengelolaan deskriptif dengan pendekatan studi kasus berupa pengkajian, analisis data, merumuskan diagnosa keperawatan, perencanaan, pelaksanaan, dan evaluasi dalam penanganan bersihan jalan napas tidak efektif. Populasi adalah anak usia toddler dengan bersihan jalan napas tidak efektif. Teknik pengambilan sampel 1 orang. Dengan kriteria anak usia toddler, mengalami batuk pilek, kesadaran composmentis, pasien atau keluarga pasien mampu berkomunikasi secara verbal dan kooperatif. Pengelolaan bersihan jalan napas tidak efektif dilakukan selama 3 hari pada An. A dengan teknik pengumpulan data menggunakan wawancara, pemeriksaan fisik dan observasi. Kemudian dilakukan rencana keperawatan yaitu fisioterapi dada, postural drainage, perkusi, vibrasi. Didapatkan hasil akhir RR: 32x/menit, auskultasi: vesikuler, perkusi: sonor. Berdasarkan tindakan keperawatan yang dilakukan, maka dapat disimpulkan bersihan jalan napas tidak efektif sudah terata. Diharapkan masyarakat atau keluarga pasien selalu menjaga kebersihan dan dapat melakukan tindakan keperawatan infeksi saluran pernafasan akut (ISPA) secara mandiri dan memanfaatkan fasilitas kesehatan untuk berobat.
Penerapan Counter Pressure Untuk Mengurangi Nyeri Persalinan Kala I Di Klinik Rahayu Ungaran
Authors: Tya Lestari  , Ari Andayani  
Published: October 2021

Pain during labor increases maternal anxiety which can increase the risk of prolonged labor and high rates of secsio caesaria because this is the determining point of whether a mother can undergo a vaginal delivery or end with an action due to complications caused by severe pain.It is very important for the delivery helpers to meet the mother's need for their security and comfort.This study was conducted to find out the effectiveness of Counter Pressure Massage Against Decreased Labor Pain During I Active Phase at Rahayu Ungaran Clinic. This research uses preecperiment research method with the design of one group pretest posttest research. Samples were taken using accidental sampling techniques, namely as many as 20 maternity mothers. The instruments used in this study are SOP sheets (Standard Operating Procedures). The results of this study using Marginal Homogenity Test showed the value of Asymp value. Sig. (2-tailed) acquired 0.000. Based on statistical test criteria: If a Significant value > 0.05 then there is a difference or H0 is accepted. So 0.000 > 0.05 means in this case there is a difference before and when counter pressure technique or H0 is accepted. There is an effect of Counter Pressure Massage on the reduction of labor pain during the I active phase at Rahayu Ungaran Clinic. It is expected that future researchers will carry out a Counter Pressure Massage for mothers so that they can be used as a method of effective pain reduction.
ABSTRAK
Nyeri persalinan dapat menimbulkan stres yang dapat menyebabkan pelepasan hormon yang berlebihan seperti ketokolamin dan steroid. Nyeri dapat dikurangi dengan teknik farmakologi dan teknik nonfarmakologi. Teknik farmakologi dengan menggunakan obat analgesik, sedangkan teknik nonfarmakologik adalah pengendalian nyeri dengan menggunakan teknik counterpressure yang mengurangi sensasi nyeri dengan menghambat rasa sakit dari sumbernya. Penelitian ini dilakukan untuk mengetahui efektivitas Counter Pressure Massage Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif di Klinik Rahayu Ungaran. Penelitian ini menggunakan metode penelitian preeksperimen dengan rancangan penelitian one group pretest posttest. Sampel diambil menggunakan teknik accidental sampling, yaitu sebanyak 20 ibu bersalin. Instrumen yang digunakan dalam penelitian ini adalah lembar SOP (Standar Operasional Prosedur). Hasil penelitian ini menggunakan uji Marginal Homogenity Test menunjukkan nilai nilai Asymp. Sig. (2-tailed) diperoleh 0.000. Berdasarkan kriteria pengujian statistik: Jika nilai Signifikan > 0.05 maka terdapat perbedaan atau H0 diterima. Jadi 0.000 > 0.05 berarti dalam hal ini terdapat perbedaan sebelum dan saat dilakukan teknik counter pressure atau H0 diterima. Ada pengaruh Counter Pressure Massage terhadap penurunan nyeri persalinan kala I fase aktif di Klinik Rahayu Ungaran. Diharapkan ibu bersalin peneliti yang akan datang untuk melakukan Counter Pressure Massage sehingga dapat dijadikan metode pengurangan rasa nyeri yang efektif.