bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors Related to Implementation of Nursing Care Ethical Principles in Indonesia
Authors: Ilkafah Ilkafah , Mei Tyas Anestesia Pangestu , Haryanto Joni 
Published: April 2021

Background The implementation of ethical principles is crucial in carrying out nursing care, since it is part of the 12 basic competencies, that should be possessed by a nurse. This study aims to analyse the factors associated with the implementation of nurses’ ethical principles. Design and methods This study used a quantitative research design, with a cross-sectional approach. The participants consisted of 389 nurses, working in the medical ward of the hospitals, in Indonesia. Data were analysed using the bivariate analysis, t-test, ANOVA and multiple linear regression test. Results There were no significant relationships between the demographic factors and the ethical behaviour. There was a relationship between caring behaviour and the application of ethical principles (p=0.000, and a correlation coefficient of 0.602). Conclusion Nurse ethical behaviour was improved, by increasing their caring attitude.
Exploring the relationship between nurses’ communication satisfaction and patient safety culture
Authors: Wieke Noviyanti Linda , Ahsan Ahsan , Sudartya Tita Sefti 
Published: April 2021

Background: Patient safety culture is associated with the values, attitudes, competencies and behaviors that support the safe conduct of individual or group activities in hospitals and other health organizations. Safety culture is influenced by various factors, one of which is communication, which plays a significant role in health services. Therefore, this study aims to analyze the relationship between nurse communication satisfaction and the quality of patient safety culture in hospitals. Design and Methods: This is a cross-sectional design with the proportional random sampling method used to data from 51 nurses, which was analyzed using the Spearman rank test. The majority of the nurses were female, between 20 – 30 years old, with 1-5 years working experience.Results: The results showed a significant relationship between nurse communication satisfaction and the quality of patient safety culture. Furthermore, the higher the nurses' level of communication satisfaction, the better the applied quality of patient safety culture (r = 0.338).ConclusionS: Nurse communication satisfaction affects the provision of effective health care, with the ability to create good cooperative relationships and foster trust between professions in order to improve the quality of service delivery and patient safety.
Correlation between Nurse-Patient Interaction and Readiness to Care for Post-Treated Heart Failure Patients in the Intensive Care Room Malang, Indonesia
Authors: Hany Alfrina , Vatmasari Ratih Arum 
Published: April 2021

Background The number of people with heart failure significantly increases every year. Therefore, this study aims to determine the nurse-patient interaction capable of providing adequate care to post-treated heart failure patients in intensive care rooms. Design and methods This is a cross-sectional study with the consecutive sampling method used to obtain data from 100 posttreatment heart failure patients in intensive care rooms. PPIQ (Patient Professional Interaction Questionnaire) was used to measure nurse-patient interactions, while Self-care readiness was determined using the SCHFI (Self-Care Heart Failure Instrument). Result The result showed that there is a significant correlation between nurse-patient interactions and their readiness to care for post-treated heart failure patients in intensive care with a Pearson correlation value of 0.000 (p=0.05). Furthermore, both variables have a moderate and positive correlation strength and with a correlation coefficient value of 0.557. Conclusions The yearly increase in the number of re-hospitalized patients in hospitals can be reduced with an increase in nursepatient interaction. This enables patients to have the ability to take proper care of themselves after leaving the hospital.
Is Instant Porridge with a High Calcium Content Based on Moringa Oleifera as an Alternative Baby Food to Prevent Stunting in Indonesia?
Authors: Katmawanti Septa , Supriyadi  , Mariroh Fariha 
Published: April 2021

Background According to WHO, stunting is a state of heightfor- age index below minus two standard deviation. However, the condition could be prevented by giving suitable complementary food to babies and toddlers. Moringa leaves are rich in vitamins A, C, B6, as well as calcium, potassium, iron, as well as protein, and are therefore used as complementary foods for breast milk, in baby feeding. Design and methods Instant porridge was developed using three formulas. Each formula comprised Moringa leaf flour (5, 6 and 7 grams each) combined with 30 grams of oatmeal powder, 40 grams of powdered formula, 10 grams of refined sugar, and 5 grams of banana flour. Results Based on the organoleptic test, Formula 3 (created with 5 grams of Moringa leaf flour) was discovered to be the best. The organoleptic evaluation panel consisted of 3 trained and 30 untrained participants, while the statistical results showed the parameters of colour, texture, and taste, have no significant effect on panellists’ acceptance. Conclusions The flavour parameter has a significant effect on panellists’ acceptance, with a p-value <0.05.
Knowledge, Awareness and Dietary Practice on Urolithiasis among General Population in Kuantan, Pahang, Malaysia: Preliminary Findings
Authors: Sowtali Siti Noorkhairina , Arifin Siti Roshaidai Mohd , Nazli Nor Syawanidamia , Shukri Nor Azwani Binti Mohd , Khattak Muhammad Muzaffar Ali Khan , Ab Rashid Islah Munjih , Binti Muhamad Suhana , Adzali Fatin Noraliah 
Published: April 2021

Background To date, no studies have been published at evaluating the level of knowledge, awareness and practice of dietary, particularly regarding to urolithiasis in patients or the general population. This study aims to provide basic information on the level of knowledge, awareness and dietary practice among general population in Kuantan, Pahang. Design and methods The respondents (n=30) were conveniently recruited within 10 kilometers radius of Kuantan city. The data were obtained using semi-guided administered questionnaires, which consists of four parts: socio-demographic data, lifestyle and clinical history (Part A); attitude and awareness on dietary practice regarding urolithiasis (Part B); food frequency questionnaire on urolithiasis (Part C) and level of knowledge on urolithiasis (Part D). Results Majority of the respondents were women (70%), Malay (83.3%), mean age of 33.97 (±9.27), married (63.3%), completed higher education level (60%), working with government sector (33.3%) and have fixed monthly income (53.3%). Some of them had hypertension (n=4), diabetes (n=1), gout (n=1) and intestinal problem (n=1). Majority (80%) claimed having no family history of urolithiasis, consumed alcohol (10%), exercise with average frequency 2-3 times/week (46.7%) and heard about urolithiasis from healthcare worker (46.7%). The respondents’ awareness about urolithiasis is considered to be good [81.23 (±9.98)] but having poor knowledge score [2.70 (±1.149)]. Majority preferred whole meal bread, white rice, chicken meat, mackerel fish, chicken egg, apple, carrot, mustard leave and fresh milk in daily intake. Lesser plain water intake than standard requirement was noticed among respondents. Seasoning powder was commonly used for seasoning. Conclusions Generally, the general population of Kuantan, Pahang was aware of urolithiasis disease but needed more information on dietary aspect in terms of knowledge and food choice.
Ultrasound-guided assessment of gastric residual volume in patients receiving three types of clear fluids
Authors: Doctor Jeson Rajan , Chandan Pramila , Shetty Nitin , Gala Kunal , Ranganathan Priya 
Published: April 2021

Background and Aims:
Ultrasonography (USG) is used to evaluate gastric residual volume (GRV); however, this technique may have inter-assessor variability. This study aimed to measure GRV in three groups of fasted patients 2 h after they received 200 mL of water, clear apple juice or apple-flavoured oral rehydration solution (ORS) and to determine inter-assessor reliability of USG-guided GRV measurement.

Methods:
We randomised 90 adult patients planned for elective cancer surgery, with no risk factors for delayed gastric emptying, to receive 200 mL of water, clear apple juice or apple-flavoured ORS after overnight fasting. Two hours later, two blinded assessors (a trained anaesthesiologist and a radiologist) independently determined USG-guided GRV. The primary outcome was GRV measured by the radiologist. The secondary outcome was inter-assessor correlation and agreement in GRV measurements.

Results:
There was no statistically significant difference in median GRV between groups (apple-flavoured ORS 74.8 mL, apple juice 63.7 mL, and water 62.1 mL, P = 0.11). We found poor correlation between measurements of radiologist and anaesthesiologist (Intra-class correlation coefficient 0.3, 95% confidence intervals 0.09 to 0.48, P value 0.002). The average (mean) bias was 5.4 mL (standard deviation 42.3 mL) and the 95% limits of agreement were -79.2 ml to +90 ml.

Conclusion:
Patients receiving 200 mL of water, clear apple juice or apple-flavoured ORS had comparable GRV after 2 h. There was poor correlation and agreement between GRV measurements of different assessors, indicating that more training may be required for anaesthesiologists to attain proficiency in the quantitative assessment of GRV.
Study comparing different airway assessment tests in predicting difficult laryngoscopy
Authors: Panjiar Pratibha , Bhat Kharat Mohammed , Yousuf Irshad , Kochhar Anjali , Ralli Tanya 
Published: April 2021

Background and Aims:
Limited studies are available comparing diagnostic accuracy of various airway predictors in geriatric patients. We conducted this study with primary aim to evaluate and validate the predictive value of 'standard airway predictors' like modified Mallampati test, thyromental distance (TMD), sternomental distance, neck movement (NM), mouth opening (MO), dentition and 'new airway predictors' like upper lip bite test (ULBT), ratio of height to thyromental distance and thyromental height test (TMHT) for predicting difficult laryngoscopy in geriatric patients.

Methods:
This prospective, observational study was conducted on 140 patients above 65 years of age of either sex, scheduled for elective surgery under general anaesthesia requiring endotracheal intubation. The age, weight, height, body mass index (BMI) and airway parameters were recorded. The laryngoscopic view was assessed by modified Cormack-Lehane scale. Standard formulae were used to calculate validity indexes.

Results:
The incidence of difficult larygoscopy found in our study was 25%. The mean age of our study population was 69.37 ± 4.23 years. TMD exhibited the highest sensitivity (80%) and negative predictive value (NPV) (91.86%) as compared to other studied airway predictors. The positive predictive value (PPV) of ULBT was 100%. Moreover, ULBT exhibited highest accuracy (82.14%) and odds ratio (86.88) and high specificity (91.30%) for predicting difficult laryngoscopy in geriatric patients. NM and TMHT also exhibited high accuracy (77.85%, 77.14%) and PPV (59.09%, 52.94%).

Conclusions:
TMD and ULBT both showed good predictive value in diagnosing difficult laryngoscopy in geriatric patients. Furthermore, NM and TMHT also exhibited higher diagnostic accuracy in predicting difficult airway in these patients.
Correlation between radial and femoral arterial blood pressure during reperfusion in living donor liver transplantation
Authors: Thomas Manu , Kumar Lakshmi , Jain Priyanka , Sarma Chitra , Paul Shabala , Surendran Sudhindran 
Published: April 2021

Background and Aims:
Accurate blood pressure measurements are the mainstay for the efficient management of abrupt cardiovascular changes during reperfusion in liver transplant. We sought to compare the femoral and radial pressures during reperfusion and at T1:baseline, T2: 1 h in dissection: T3:portosystemic shunt, T4:reperfusion, T5: at bile duct anastomosis.

Methods:
A retrospective study was performed amongst 102 adult patients who underwent R lobe living donor liver transplantation. Mean arterial pressure (MAP) and systolic arterial pressure (SAP) at 10 s intervals at reperfusion and at five fixed time points were compared by intraclass correlation coefficient (ICC) and limits of agreement by Bland–Altman statistics.

Results:
MAP by both routes had a good correlation at all time points during reperfusion (overall ICC: 0.946 [0.938, 0.949]) in comparison with SAP (overall ICC: 0.650 [0.6128, 0.684]). At the lowest reperfusion pressure (reperfusion point), MAP showed high levels of agreements (ICC: 0.833 [0.761, 0.885]), whereas SAP showed only a poor level of agreement (ICC 0.343 [0.153, 0.508]). The Bland–Altman analysis for MAP showed a bias of 7.18 (5.94) mmHg and limits of agreement of − 4.5 mmHg to + 18.8 mmHg and for SAP a bias of 25.2 (22.04) mmHg and limits of agreement of − 18.0 mmHg to + 68.4 mmHg at the reperfusion point. The incidence of post-reperfusion syndrome (PRS) was 52.94% by femoral and 57.84% by radial routes.

Conclusions:
Radial MAP correlated well with femoral MAP during reperfusion and at predefined time points and can be used interchangeably for intraoperative monitoring. A high incidence of PRS was noted by our technique of measurement.
Growth inhibitory properties and antimicrobial evaluation of Aloe schweinfurthii (Baker) leaf rind extract
Authors: Salawu Kayode Muritala , Oyerinde Abdulsalam Ayodeji , Aliyu Abdulmalik , Obajemihi Obafemi Ibitayo 
Published: April 2021

Cancer and infectious diseases combined are leading cause of death and public health concern. In developing countries, about 80% of the populace depends on medicinal plants for their general health care needs including treatment of infectious diseases and cancer. Aloe schweinfurthii (Aloaceae) is a small medicinal herb that is commonly used for the treatment of cancerous and infectious diseases in South-West Nigeria. The focus of this study was to evaluate the growth inhibitory and antimicrobial activities of the herb. The rind of the herb was collected, air dried, pulverized and extracted into distilled methanol by cold maceration. The dried extract obtained was subjected to growth inhibitory and antimicrobial assays. The extract displayed concentration dependent growth inhibitory activity with IC50 of 484.7±2.16 and 1188±2.32µg/mL compared to cyclophosphamide with IC50 of 174.3±0.19 and 834.5±0.84 µg/mL in Sorghum bicolor radical and Allium cepa root growth inhibitory assays, respectively. The extract displayed concentration dependent antibacterial and antifungal effects with the highest activity against C. freundi (18 mm zone of inhibition) at 50 mg/mL. The extract of Aloe schweinfurthii leaf rind displayed marked growth inhibitory and antimicrobial bioactivities. The extract maybe considered as a viable candidate for discovery of chemotherapeutic agent (s).
Keywords: Growth inhibition, Antimicrobial, Aloe schweinfurthii, Chemotherapeutic Agent
Quality attributes of twenty-nine brands of ciprofloxacin: post-marketing in vitro analyses, microbiological assay and in vivo simulation
Authors: Muhammad Hashiya S. , Okpe Patience O. , Olorunfemi Patrick O. , Ochekpe Nelson A. , Hamza Wale R. , Ngwuluka Ndidi C. 
Published: April 2021

Ciprofloxacin is a fluoroquinolone antibiotic employed to treat infections. There are over three hundred registered generic brands of ciprofloxacin in Nigeria. There has been an observed marked variation in therapeutic or clinical outcome with change in brands by health professionals and patients. In a previous study of six (6) brands we had reported a high degree of inequivalence. In this study, twenty-nine (29) brands of ciprofloxacin were extensively evaluated against compendia requirements. Microbial sensitivity against two test organisms was conducted. In-vitro drug release and in-vivo simulation were established. Analysis of the data generated indicated that all brands passed qualitative test using TLC and disintegration test, six failed hardness test, one failed friability, nine failed antimicrobial assay and six failed percentage content assay. Conclusions drawn from the study for evidence-based clinical decisionwould include the fact that three brands only were found to be bioequivalent to the innovator brand, Ciproxin; while eight brands were bio-inequivalent using the three models of similarity factor (f2), and difference factor (f1) in two media and dissolution efficiency (DE) in pH 4.5. The three brands (Cipro-All, Cifran And Ciprogem) may confidently be used interchangeably with the innovator brand
Keywords: Bioequivalence; Ciprofloxacin Drug quality; Generic substitution; Post-marketing surveillance
Nigeria’s development process, methodology and milestones planned for VISION 20:2020 - 13 years after
Authors: Abanikannda M.O. , Omobuwa O. 
Published: April 2021

How has Nigeria performed in the area of human resource development and a knowledge-based economy?
Amidst various reforms agenda, policies, development plans and programmes, Vision 2010, Seven-Point Agenda and a host of others, Nigerian leaders have articulated the Vision 20:2020, which targets to catapult Nigeria into the league of the first global 20 economies by the year 2020. This article focuses only on the second pillar of Nigerian vision 2020 which is “Human resources development and knowledgebased economy” and compare recent development indicators for Nigeria with those of advanced countries, the first 20 of which Nigeria aspired to join this year (2020). In contrast to the situation in highincome OECD nations, the vast majority of Nigerians are ill-fed, ill-clothed, ill-housed and ill-educated. They live in the rural areas characterized by massive underdevelopment. Poverty is the basic malady of Nigeria which is involved in misery-go-round, as part of the slum of the world economy. Nigeria's Vision 20:2020 is, therefore, too ambitious. Furthermore, against the backdrop of the antecedents of policy reversals, summersaults and failures in Nigeria, the Vision is utopian. Recommendations include commitment of the leadership to sufficient discipline and political will to enforce development policies and programmes.
MÜŞTERİ MEMNUNİYETİ ÖLÇÜM KALİTESİNİ, TERCİH EDİLEN ÖLÇEK DERECESİ NASIL ETKİLER?
Authors: TAVŞAN Nihat , DURAN Cem 
Published: April 2021

Sürdürülebilir müşteri ilişkileri yönetimi, sürdürülebilir müşteri değerinden; müşteri değerini anlamanın yansıması ise müşteri memnuniyetinin ölçümünden geçmektedir. Bu gerçekten hareketle müşteri memnuniyetinin ölçümünde ölçek derece seçimi kritik rol oynamaktadır. Netice itibariyle kurumların mümkün olan en iyi ölçüm enstrümanı ile hareket etmeleri onların müşteri devamlılığını sağlıklı biçimde kurmalarını sağlayacaktır. Halihazırda kurumlar müşteri memnuniyetini çeşitli derecede ölçekler kullanarak ölçmektedirler.
Amaç: Bu araştırmanın amacı; üç, beş, yedi ve on dereceli ölçekler ile müşteri memnuniyetinin ölçüm farklılıklarını ortaya koymak ve müşteri memnuniyeti ölçümünde ideal ölçek derece sayısına yönelik bir yaklaşım geliştirmektedir. Böylelikle müşteri memnuniyeti ölçümü yapan araştırmacıların ve uygulamacıların daha güvenilir sonuçlara ulaşmaları sağlanacaktır.
Yöntem: Bankacılık sektöründe yapılan bu araştırmaya toplam 212 katılımcı iştirak etmiştir. Banka müşterilerinin hizmet aldıkları bankaya dair memnuniyet seviyeleri üçlü, beşli, yedili ve onlu ölçekler vasıtasıyla ölçülmüş, akabinde hangi dereceli ölçeğin müşteri sadakatini daha güvenilir olarak açıkladığı sınanmıştır.
Bulgular: Müşteri memnuniyetinin müşteri sadakatine olan etkisinin de nomolojik anlamda sınandığı araştırma bulguları ışığında; on dereceli ölçeğin müşteri sadakatini açıklamakta diğer ölçek derecelerine kıyasla daha anlamlı sonuçlar doğurduğu ortaya konmuştur.
Özgünlük: Türkiye’de memnuniyet ölçek derecesinin müşteri sadakatini ne güvenilirlikte açıkladığına dair bir çalışma bulunmamaktadır. Bu yönüyle çalışma literatürde özgün bir rol oynamaktadır.
Anahtar Kelimeler: Müşteri Memnuniyeti, Müşteri Memnuniyeti Ölçümü, Müşteri Elde Tutma, Müşteri Sadakati.
Antistress Activity of Tinospora Cordifolia with Application of Yoga
Authors: Biswas Partha , Saha Achintya , Maity Lakshmi Narayan 
Published: April 2021

Aim: Mental stress can lead to various biochemicals, physiological and psychological changes in human body. The present study was designed to evaluate the antistress activities of Tinospora cordifolia (wild) Miers associated with yogaMethods:Â A randomized double blind placebo control 8 weeks study was conducted. The mental stress patients were diagnosed clinically by using different validated psychological rating scales. A total of 63 patients with mental stress were randomized into four groups. The antistress activities of the treatments were measured by different psychological rating scales as well as various biochemical parameters i.e. lipid profile, serum glucose concentration.Results:Â The serum glucose, lipid like triglyceride, cholesterol, ldl â€“cholesterol and psychological parameters like anxiety, depression were significantly increases in patients with chronic mental stress. However following treatment with Tinospora cordifolia associated with practice of yoga significantly reduced various stress induced psychological and biochemical parameters (P< 0.001)Conclusion:Â The findings of the clinical study suggested that Tinospora cordifolia and practice of yoga have significant anti stress activities as shown by its mitigating effects on chronic stress induced psychological and biochemical perturbation comparable to that induced by well known adaptogenic agent diazepam.Â
Development and validation of Stability Indicating HPLC method for estimation of Embelin in Embelia tsjeriam cottam(Vidanga)
Authors: Kulkarni Sweta V , Damle Mrinalini C 
Published: April 2021

Â Â Â Â Â Â Embelin, is an active phytoconstituent obtained from fruits of Embelia tsjeriam cottam, commonly known as Vidanga. A simple stability indicating HPLC method for the estimation of Embelin has been developed and validated as per ICH Q2A(R1). Sample was eluted using HiQsil C8 (4.6mmÃ—250mm) column. The mobile phase consisted of Methanol: Acetonitrile: 1% O-phospheric acid in water in the ratio of 70:15:15 v/v/v which was sonicated to degas and delivered at a flow rate of 1ml/min at ambient temperature. The retention time of Embelin was 6.05 Â± 0.2 minutes. Studies were performed using an HPLC system equipped with a UV detector; the response was monitored at 291 nm. A good linear relationship over the range of 2â€“10 Âµg/ml concentrations with correlation coefficient value of 0.999 was obtained. The accuracy of the method is indicated by good recovery in the range of 98.9-101.2 % and precision less than 2% RSD. The limit of detection and limit of quantification were found to be 0.47 and 1.44Âµg/ml respectively. Embelin was subjected to stress conditions as per ICH Q2A(R2) and a significant degradation was found to occur by acid hydrolysis, oxidation and thermal stress. Stress degradation studies on embelin provide an insight into its stability.Â