bluuebunny/crossref_metadata_2025_split huggingface dataset:
Enhancing Critical Thinking Skills in Nursing Higher Education in Preparation for the Industrial Revolution 4.0
Authors: Bangun Argi Virgona , Pragholapati Andria 
Published: March 2021

Nursing higher education will challenge the dynamics of the work environment in the Industrial Revolution Era 4.0 and they will compete with digital technology. Critical thinking skills as one of the basic competencies must support higher education in preparation for the industrial revolution 4.0. Exploring thinking skills makes nursing students will be trained in their punishment and analysis skills according to their knowledge. Critical thinking skills not only guide students to develop continuing skills, but also help nursing students to be motivated to create innovation in college. The aims of this review is to learn the critical skills needed in higher education to prepare for the industrial revolution 4.0 based on literature understanding. There are 6 (six) important things about Critical Thinking in nursing education in the Industrial Revolution Era 4.0, namely Definition of Critical Thinking, Why do we need to focus on critical thinking in higher education, Why is critical thinking needed in industry 4.0 preparation, Industry Innovation 4.0 and human potential to overcome environmental problems, Critical Thinking in Nursing Education, and Educational Strategies for Developing Critical Thinking in Nursing. These critical thinking skills are suitable for equipping students in higher education before they enter different workplaces. Educational strategies in developing critical thinking skills by supporting the use of questions, small group activities, role plays, debates, use of case studies, journals, simulations, puzzles, problem solving and writing assignments. Nursing students who think critically in line with creative thinking and innovation will be useful to survive in the dynamics of the industrial revolution 4.0 and beyond in the world of the future.

Keywords: Critical Thinking, Nursing Higher Education, Industrial Revolution 4.0
The Empowerment of Dasa Wisma as Partners in the Prevention and Control of Drug Abuse in Teenagers in Ratu Agung Sub-District of Bengkulu City
Authors: Samidah Ida , Susiwati . 
Published: March 2021

Teenagers are a vulnerable demographic with regards to the risk of becoming drug users. The high levels of drug abuse at a young age in Indonesia are a growing source of concern. Effective drug abuse prevention needs to start with primary prevention by individuals, families, groups and communities. This study evaluates the empowerment of Dasa Wisma and the homestead program, to identify the influence of the empowerment of Dasa Wisma through partnership on the effectiveness of anti-drug cadres and families in the Ratu Agung Sub-district of Bengkulu City. This research type is quantitative with quasi-experimental design. The design used was pre-test and post-test with control group design (quasi-experiment with control). While the treatment group who felt empowered counted 34.78%, the control group only 12.5% felt empowered, with P value = 0.00. The empowerment of Dasa Wisma affects knowledge, attitude, perception, religiosity, use of spare time, peer group, family harmony and family communication with value P = 0.00. It also affects the liveliness of anti-drug cadres with a value of P = 0.008. Dasa Wisma affects the family activeness in the prevention and control of drugs in teenagers with a value of P = 0.00. Conclusion: it can be concluded that the empowerment of Dasa Wisma as a partner in Ratu Agung sub-district of Bengkulu affects the prevention and tackling of drug abuse in teenagers, either by anti-drug cadres or by family.

Keywords: Empowerment, Dasa Wisma, partner, drugs
Nursing Genetics and Genomics Education in Indonesia: Philosophy and Ethics Study (a Hermeneutics Approach)
Authors: Woitila Wangi Karolus Yosef , Sakinah Innama , Ningsih Dewi Andariya , Vanawati Noviana , Adiningsih Dian , Simatupang Erna Juliana 
Published: March 2021

This study was conducted to provide a philosophical and ethical description of the development of genetics and genomics nursing science and the importance of its incorporation into nursing education in Indonesia. Researchers have adopted five of the seven steps of the Heideggerian hermeneutics. All data has been obtained from literature research. The qualitative analysis of secondary data has applied the data analysis. The Coherence theory of truth criteria has been applied to maintain the consistency of scientific truth. The consistent statement system has used the principle of logic as a guide to interpreting the facts and opinions of others adequately. Nursing genetics and genomics is an ethical, philosophical product of nursing science development and a new scope of science as an adaptation to global health issues. The areas of science in nursing need to be developed further by placing genetics and genomics issues that can be adapted into the curriculum of the nursing higher education curriculum in Indonesia.

Keywords: Education; Ethics; Genetics; Genomics; Philosophy
A New Exclusive Breastfeeding Booklet to Improve Self-Efficacy
Authors: Hartati Suryani , Hakim Nuraini 
Published: March 2021

Breastfeeding self-efficacy is defined as the mother’s belief in their ability to breastfeed the baby. Health education is important to increase the mother’s confidence. The purpose of this study was to test the effect of an exclusive breastfeeding booklet to increase breastfeeding self-efficacy in prenatal mothers until the postnatal period. This study was conducted using a quasi-experimental design. The results showed that providing a booklet for mothers increased self-efficacy towards exclusive breastfeeding with the mean after intervention was 60.97, p<0.005. Our study suggests health care professionals provide health education and motivate mothers to improve their confidence with regards to breastfeeding for at least six months.

Keywords: Breastfeeding self-efficacy, exclusive breastfeeding, health education
Community Perception of Tuberculosis Management Program in Suburban Surabaya: A Qualitative Study
Authors: Mundakir . , Asri . , Winata Septian G. , Wiliyanarti Pipit F. , Priyanti Ratna P. 
Published: March 2021

Tuberculosis (TB) is still one of the main infectious diseases in Indonesia. The national program, Directly Observed Treatment short course (DOTS), that began in 2014 is unable to deal with TB cases comprehensively. The community has an important role in TB management because they directly intersect with patients and public health. The aim of this study is to explore the condition of the TB management program. A descriptive qualitative study was conducted in three sub-districts with high cases of TB. A semi-structured interview was conducted with 25 participants drawn from the suburban TB task force, community health volunteer groups, Community health Nurses, and subdistrict officers. Results reveal four themes which affect the implementation of TB management programmes: volunteer shortage, do for humanitarian intention, the myth and stigma, providing social and economic support. In conclusion, communitybased TB management needs to be improve in the availability of budget, staff, training and resources while maintaining the ongoing work of the TB task force team.

Keywords: Community-based management, Community Health Volunteer, Descriptive Qualitative, Humanitarian Intention, Social support, TB.
Chromosomal Microarray Analysis on Intergenerational Effects of Oligomeric Proanthocyanidins Against Bisphenol-A Induced Brain Deformities
Authors: Osman Fatin Naziha , Zakaria Fatin Nadzirah , Zulazlan Siti Aishah , Hashim Nooraain , Dasiman Razif , Hashim Nina Keterina 
Published: March 2021

Oligomeric Proanthocyanidins (OPC) is a type of polyphenolic compound which have been demonstrated to have anti-cancer, anti-oxidant, anti-inflammatory and anti-mutagenic properties that may have the potential to reduce intergenerational effect of BPA towards DNA. This study was conducted to determine the effect of OPC on the DNA damage of BPA-induced rats using microarray CGH Chromosome Karyotyping. Adult Male Sprague Dawley rats were divided into six groups which are Normal, BPA, OPC10, OPC20, BPA+OPC10 and BPA+OPC20. The administration of BPA and/or OPC were conducted for 21 days using oral gavage before being mated with female rats of the same age at 1:1 mating ratio. Once the female rats were confirmed pregnant, the male rats were decapitated and their blood were collected for chromosome microarray analysis. The male offspring (F1 generation) were allowed to grow until 10 weeks old and their blood were also collected for chromosome microarray analysis. BPA group had a deletion of Vomeronasal receptor genes in which the deletion magnitude increased from P to F1 generation may affect the ability of the rats to detect chemosensory cues during neurobehavioral test. The amplification of Major Histocompatibility complex (MHC) class I gene in BPA+OPC20 group may aid in a better performance during hippocampal-dependent memory tests. These results suggested that OPC could be a potential agent in reducing the intergenerational effect of BPA. Current finding may enrich our understanding particularly in the possible mechanism of OPC on BPA-induced memory impairment

Keywords: Bisphenol-A, Brain, microarray CGH Chromosome Karyotyping, Oligomeric Proanthocyanidins, Intergenerational
The Relationship Between Case Manager Competence and Nurse Burnout in Indonesia
Authors: Lusiyana Ana , Handiyani Hanny , Pujasari Hening 
Published: March 2021

This study aims to identify the relationship between case manager competency and nurse burnout in Indonesia. A cross-sectional survey was conducted with 235 nurses in three hospitals located in Jakarta and Tangerang. The questionnaire used in this study comprise of: demographic data; General Self Efficacy Scale; Nurse Manager Competency Scale; and Oldenburg Burnout Inventory. Most respondents experienced emotional exhaustion and disengagement. The case manager’s competence reported low. Analysis showed that the case manager’s competence in actuating, communication, and problem-solving associated with nurse burnout. Direction, communication competency, and problem-solving competency of the case manager may reduce the burnout of nurse executor. Improving the competence of nurse manager is very important in order to reduce nurse burnout.

Keywords: burnout, case manager, managerial competencies, work environment
Factors Related to Self-Breast Examination in Fertile Women in the Work Area of Cimahi Tengah Public Health Center Indonesia
Authors: Marlina Dini , Waslia Dede 
Published: March 2021

Breast cancer is a major problem for women’s health in the world, especially in developing countries that have limited resources such as in Indonesia. The reason is because of the lack of an effective screening program to detect conditions before cancer or cancer at an early stage including treatment before further invasive processes. Early detection of breast cancer needs to be done to reduce mortality. Breast selfexamination (BSE) can find breast cancer up to 75-85% if done routinely. Willingness to do breast self-examination (BSE) is one form of behavior that is influenced by many factors including predisposing factors, supporting factors and reinforcing factors. The research aimed to determine factors associated with breast self-examination (BSE) in Fertile Age Women in the Cimahi Middle Health Center Working Area 2017. This study was conducted using quantitative method with cross sectional approach. The population in this study were Fertile Age Women in the working area of the central Cimahi Community Health Center with a sample of 120 people using random sampling techniques. Data collection was carried out through direct interviews using a questionnaire. The results of the study concluded that of the 120 respondents, the majority of respondents (74.2%) did breast self-examination (BSE). Predisposing factors related to BSE are Menarch (Pvalue 0,000), history of breast cancer (Pvalue 0.002), parity (Pvalue 0.001) and knowledge (Pvalue 0.001). The enabling factors related to BSE are information sources (Pvalue 0.006), the availability of information media (Pvalue 0.012), and the availability of facilities that support the BSE (Pvalue 0,000). The reinforcing factors associated with BSE are friend support (Pvalue 0,000), husband / family support (Pvalue 0,000), and support of health workers (Pvalue 0,000). Fertile Age Women mostly do breast self-examination (BSE). The most related predisposing factor is Menarch, enabling factor is the availability of facilities, while the most related reinforcing factor is husband / family support. It is expected that health workers can improve their skills in early detection of breast cancer through the BSE program so that the discovery of breast cancer cases can be found as early as possible and the provision of information using the media so that the public will be exposed to information easily through the information conveyed.

Keywords: breast cancer, early detection, breast self-examination, Fertile Age Women, behavior
Analysis of Risk Factors that are Related to Lung Respiratory Symptoms
Authors: Mauliku Novie Elvinawaty , Suhat . , Mutia Tri 
Published: March 2021

Lung respiratory symptoms are a collection of symptoms impairment in the functions of pulmonary due to accumulation high concentration of dust particle. The impact of lung respiratory symptoms is pneumoconiosisdisease. 30%-50% of all occupational diseases are because of pneumoconiosis and 40,000 new cases of pneumoconiosis are caused by workplace dust exposure. The aim of the research is to analysis the risk factors related to lung respiratory symptoms in workers in PT. X West Java. The research used a cross-sectional study which was conducted in PT X with 65 respondents selected by proportional random sampling. Data was collected by interview, observation and measuring. The instrument was used in this research is a questionnaire American Thoracic Societ (ATS) standard consisting of 36 respiratory symptoms lung, low volume sampler, thermohigrometer, scale and microtois equipment. There were 55.4% respondents have respiratory symptoms lungs. The statistical results showed significant correlation of respiratory symptoms lungs with levels of dust total (p = 0.0001, PR=2,813), temperature (p=0,007, PR=0,491), humidity (p=0.0001, PR=7,925), and age (p=0,049, PR=0,615), while the daily of exposure (p=0,498, PR=1,853), smoking habit (0.038, PR=1.944), nutritional status (p=0,418, PR=1,211) and disease history (p=0,247, PR=1,879) were not associated with respiratory symptoms lung on workers PT. X West Java. The Respiratory symptoms lung was a symptom that the cause of the environment and the capacity of the worker

Keywords: respiratory symptoms lung, dust total levels, temperature, humidity, smoking habit
Effectiveness Of Tepid Sponge Compresses And Plaster Compresses On Child Typhoid Patients with Fevers
Authors: Hastuti Dwi , Kulsum Dewi Ummu , Ismuhu Siti Rahmawati , Ropei Oop 
Published: March 2021

Background: Typhoid is infectious disease which is still encountered widely in various developing countries, especially those located in the tropic and subtropics. Fever is a clinincal manifestation that is often the main complaint of the sufferer. Action can be done to lower body temperature that is tepid sponge compress and plaster compress. Purpose: The purpose of this study is to determine the comparison of the effectiviness of tepid sponge compress and plaster compress of changes body temperature in school age children with typhoid fever in cibabat hospital in year 2017. Methods: The method used is quasy experiment research method with the approach of pretest and post test two design group. As many as 24 samples were taken at the patient ward of hospital Cibabat. Respondents divided into two groups namely tepid sponge compress and plaster compress by way concecutive sampling. This study was conducted for 20 minutes at each intervenstion. Data analysis used Wilcoxon test, dependen t test, and Mann-Withney. Results: Average body temperature before and after given tepid sponge compress are 38,75°C and 38,08°C with temperature different is 0,67°C. While average body temperature before and after given palster compress are 38,80°C and 38,57°C with temperature different is 0,23°C. Mann-Withney test result show that the p value = 0,000 < α = 0,05 which means bottom tepid sponge compress is more effective in lowering body temperature in scholl age children compared with plaster compress. Conclusion: Based on the result of the study, it can recommend tepid sponge compress in the implementation of nursing care to lower body temperature in typhoid fever patients.

Keywords: Fever, Plaster compress, Tepid sponge
Clinical Characteristics and Complications in Patients Undergoing Permanent Pacemaker Implantation
Authors: Mabika Mazwi , Mpanya Dineo , Patel Anupa , Kalk Thomas , Tsabedze Nqoba 
Published: March 2021

Abstract

Background: Pacemakers are electronic impulse generators that are implanted to restore a regular heart rhythm in patients with symptomatic bradycardia. A large body of epidemiological data on permanent pacemaker implantation (PPI) originates from developed countries with minimal data from developing regions, especially sub-Saharan Africa. This study aims to describe patient demographics, clinical indications, short-term and long-term complications in patients undergoing PPI at the Charlotte Maxeke Johannesburg Academic Hospital, which is a large urban public teaching hospital in Johannesburg, South Africa.

Methods: We retrospectively reviewed in-patient and out-patient medical records of consecutive patients who underwent index PPI over ten years (January 2009 to November 2018).

Results: The study cohort comprised of 565 patients, of which 325 (57.52%) were female. The median age at first PPI was 71.8 [interquartile range: 61.7–78.8] years. The indications for pacemaker implantation were atrioventricular (AV) block in 417 (73.81%) and sinus node dysfunction in 114 (20.18%). A total of 40 (7.08%) patients experienced PPI-related complications. Lead dislodgement was the most common complication occurring in 16 (3.05%) patients. Females were 3.8 times more likely to experience a complication [odds ratio (OR): 3.80; 95% CI: 1.40–10.32, P = 0.009].

Conclusion: In this study, AV block was the most common indication for PPI, and the complication rate was found to be 7.08%. Furthermore, the risk of developing a complication was significantly higher in females.
The Evolving Antibiotic Profile of Paediatric Urinary Tract Infections at a Tertiary Hospital in Cape Town
Authors: Irusen Shaegan , Rabie Helena , du Buisson Christel 
Published: March 2021

Abstract

Background: Urinary tract infection (UTI) is a common problem in infants presenting to hospitals with fever. International data reports that uropathogens and their associated antibiotic susceptibility is evolving. This study describes the organism profile and the respective antibiotic resistance patterns in a paediatric unit at a tertiary hospital in the Western Cape, South Africa.

Methods: A retrospective study on urine samples sent to the National Health Laboratory Service from 1 January 2012 to 31 December 2013 was performed. UTI was defined as a single organism growth >105 cfu/ml and leukocytes >1000 cells/ml. The organisms and antibiotic sensitivities were described and stratified into either community, hospital-associated or hospital-acquired infections.

Results: Two hundred and eighty-two samples met the study definitions for inclusion in the study. Escherichia coli was cultured most frequently (50.7%) followed by Klebsiella pneumoniae (22.7%) and Proteus mirabilis (4.6%). Extended-spectrum beta-lactamase (ESBL) producing organisms accounted for 26.6% of identified UTI; K. pneumoniae accounted for 54/75 (72%) of those infections. Of ESBL-producing organisms, 6.7% of E. coli were sensitive to piperacillin–tazobactam and 33.3% to amikacin. K. pneumoniae displayed 18.5% and 68.5% sensitivity to piperacillin–tazobactam and amikacin, respectively. E. coli isolates were highly resistant to amoxicillin/ampicillin (90.8%). K. pneumoniae demonstrated high rates of resistance to co-amoxiclavulanate acid (88.7%) and cefotaxime/ceftriaxone (98.2%).

Conclusion: The organism population and antibiotic sensitivity profile is evolving in-line with published data. These antibiograms support current hospital policy to treat hospital-associated and acquired infections with piperacillin–tazobactam and amikacin empirically thereby limiting carbapenem drug pressure. Predictors for uropathogen antibiotic resistance require further investigation.
COVID-19 and Multisystem Inflammatory Syndrome in Children
Authors: Saggers Robin T. 
Published: March 2021

Abstract

Setting: A literature review was undertaken to provide an overview of the evidence of COVID-19 in the paediatric population with special interest in the South African situation.

Key Messages: Children of all ages are susceptible to COVID-19, yet they largely have asymptomatic or mild forms of the disease. Despite most cases not being severe, clinicians should maintain a high index of suspicion for COVID-19 infection in children and monitor for progression of illness, particularly among infants and children with underlying conditions, who may have more severe disease. The serious and life-threatening presentation of multisystem inflammatory syndrome in children is important to recognise, but outcomes are good if referral to an appropriate setting is undertaken and management initiated early.

Conclusions: While the disease itself mostly spares children, measures taken to curb the spread of the virus may have detrimental effects on children, particularly in low-and-middle-income settings. More research is needed into the long-term outcomes of COVID-19 in children.
Influenza: The Ongoing Risk
Authors: Richards Guy A. , Feldman Charles 
Published: March 2021

Abstract
The COVID-19 pandemic has eclipsed seasonal influenza in perceived importance. It is critical, however, that we remain aware of the importance of influenza as a pathogen and encourage as many people as possible to vaccinate, but particularly those at risk. Benefits accrue even if the vaccine is only partially effective. This relates to a reduction in transmission, antibiotic use, secondary bacterial infections, myocardial injury, healthcare costs and mortality. We dare not have our attention completely diverted from influenza as the consequences could be dire. This review examines the health impact of influenza and discusses appropriate preventative measures.
Aktivitas Antibakteri Kombinasi Vitamin C dan Amoksisilin sebagai Bahan Alternatif Intrakanal Medikamen terhadap Enterococcus faecalis secara In Vitro
Authors: Ayuningtyas Julia Eka Putri , Astuti Pudji , Fatmawati Dwi Warna Aju 
Published: March 2021

Bacteria that are often found in cases of pulp necrosis and root canal treatment are Enterococcus faecalis. Elimination of microorganisms in the root canal can use intracanal medicament. The intracanal medicament can be used from antibiotics such as amoxicillin. The antibacterial power of amoxicillin can be increased by combination with vitamin C to prevent resistance. This research aimed to determine the zone of inhibition of vitamin C and amoxicillin against Enterococcus faecalis. The method used in this study is well diffusion method. Inhibition is shown through the clear zone around the wellbore at 24 hours, 48 ​​hours, 72 hours after incubation. The number of research samples is 16 consisted of 4 groups consisting of amoxicillin, vitamin C, a combination of vitamin C and amoxicillin, and 3 MIX MP. The data were tested by non-parametric statistical analysis Kruskal Wallis and Mann Whitney. The result showed that vitamin C and amoxicillin's antibacterial activity as alternative material intracanal medicament is equivalent to antibacterial 3 MIX MP.