bluuebunny/crossref_metadata_2025_split huggingface dataset:
Adapting the Surveillance Platform for Enteric and Respiratory Infectious Organisms at United States Veterans Affairs Medical Centers (SUPERNOVA) for COVID-19 Among Hospitalized Adults: Surveillance Protocol
Authors: Meites Elissa , Bajema Kristina L. , Kambhampati Anita , Prill Mila , Marconi Vincent C. , Brown Sheldon T. , Rodriguez-Barradas Maria C. , Beenhouwer David O. , Holodniy Mark , Lucero-Obusan Cynthia , Cardemil Cristina , Cates Jordan , Surie Diya 
Published: October 2021

Introduction: Early in the COVID-19 pandemic, the Centers for Disease Control and Prevention (CDC) rapidly initiated COVID-19 surveillance by leveraging existing hospital networks to assess disease burden among hospitalized inpatients and inform prevention efforts.Materials and Methods: The Surveillance Platform for Enteric and Respiratory Infectious Organisms at Veterans Affairs Medical Centers (SUPERNOVA) is a network of five United States Veterans Affairs Medical Centers which serves nearly 400,000 Veterans annually and conducts laboratory-based passive and active monitoring for pathogens associated with acute gastroenteritis and acute respiratory illness among hospitalized Veterans. This paper presents surveillance methods for adapting the SUPERNOVA surveillance platform to prospectively evaluate COVID-19 epidemiology during a public health emergency, including detecting, characterizing, and monitoring patients with and without COVID-19 beginning in March 2020. To allow for case-control analyses, patients with COVID-19 and patients with non-COVID-19 acute respiratory illness were included.Results: SUPERNOVA included 1,235 participants with COVID-19 and 707 participants with other acute respiratory illnesses hospitalized during February through December 2020. Most participants were male (93.1%), with a median age of 70 years, and 45.8% non-Hispanic Black and 32.6% non-Hispanic White. Among those with COVID-19, 28.2% were transferred to an intensive care unit, 9.4% received invasive mechanical ventilation, and 13.9% died. Compared with controls, after adjusting for age, sex, and race/ethnicity, COVID-19 case-patients had significantly higher risk of mortality, respiratory failure, and invasive mechanical ventilation, and longer hospital stays.Discussion: Strengths of the SUPERNOVA platform for COVID-19 surveillance include the ability to collect and integrate multiple types of data, including clinical and illness outcome information, and SARS-CoV-2 laboratory test results from respiratory and serum specimens. Analysis of data from this platform also enables formal comparisons of participants with and without COVID-19. Surveillance data collected during a public health emergency from this key U.S. population of Veterans will be useful for epidemiologic investigations of COVID-19 spectrum of disease, underlying medical conditions, virus variants, and vaccine effectiveness, according to public health priorities and needs.
Atezolizumab Plus Chemotherapy vs. Chemotherapy in Advanced or Metastatic Triple-Negative Breast Cancer: A Cost-Effectiveness Analysis
Authors: Liu Xiaoyan , Lang Yitian , Liao Yahui , Zhu Yizhun 
Published: October 2021

Purpose: The IMpassion130 trial demonstrated the efficacy of adding atezolizumab to paclitaxel for advanced or metastatic triple-negative breast cancer (TNBC). The current study evaluated the cost-effectiveness of adding atezolizumab to nab-paclitaxel for TNBC from the perspective of Chinese health sector.Methods: A partitioned survival model was implemented for patients with TNBC. The survival data were derived from IMpassion130 trial. Direct costs and utility values were collected from the Chinese Drug Bidding Database and published literatures. The primary analysis outcomes were quality-adjusted life-years (QALYs) and incremental cost-effectiveness ratios (ICERs). Sensitivity analyses were performed to observe model stability.Results: In the base-case analysis, the ICER of atezolizumab plus nab-paclitaxel vs. nab-paclitaxel is respectively, $176,056/QALY, $118,146/QALY, and $323,077/QALY in the ITT, PD-L1(+) and PD-L1(–) group.Conclusion: Adding atezolizumab to nab-paclitaxel could improve survival time significantly in the PD-L1-positive group, but it is not a cost-effective strategy compared to nab-paclitaxel monotherapy for Chinese patients with advanced or metastatic triple-negative breast cancer in the current economic context of China.
Diagnosis and Treatment of Hypertension Among People Aged 45 Years and Over in India: A Sub-national Analysis of the Variation in Performance of Indian States
Authors: Bhatia Mrigesh , Kumar Manish , Dixit Priyanka , Dwivedi Laxmi Kant 
Published: October 2021

Introduction: Cardiovascular disease (CVD) is the single largest contributor to non-communicable disease (NCD) deaths, with hypertension contributing to a significant proportion of these deaths. This study aims to provide estimates of the prevalence, awareness, treatment and control of hypertension at sub-national levels in India and identifies well and under-performing states with respect to the diagnosis and treatment of hypertension.Methods: The study utilises data from the Longitudinal Study of Ageing in India (LASI), a nationally representative survey of more than 72,000 individuals. Age-sex adjusted prevalence rates of self-reported hypertension was calculated using the direct standardisation method. Multivariable logistic regression was performed to assess the association of self-reported hypertension with the various individual co-morbidity, lifestyle, and household factors. Self-reported prevalence was compared with an objective measure of hypertension for each state, and funnel plots were constructed to assess the performance of states.Results: Our findings suggest that the overall prevalence of age-sex adjusted self-reported hypertension was 25.8% in India with significant variation among states. Results based on logistic regression confirm that those individuals who are elderly, obese, belong to a higher socio-economic group and have associated co-morbidities are at increased odds of reporting hypertension. Overall, 4 out of 10 adults over 45 years of age in India are not aware of their hypertensive condition, and of those who are aware, 73% are currently taking medication, and only 10% of these have their hypertension under control. Based on the performance, states were classified into high and low performing categories. States with an increased proportion of population below the poverty line had significantly lower performance with respect to the diagnosis of hypertension, whereas states with higher literacy rates and greater availability of specialist doctors at community health centres (CHCs) had significantly better performance with respect to treatment-seeking behaviour.Conclusion: The findings of this study and its policy implications are discussed. Based on state performance, strategies are proposed in terms selective targeting vs. population-based strategies. High impact states and sub-groups are identified where intense efforts are needed to tackle the growing menace of hypertension in India.
Overweight and Obesity are Potential Risk Factors for Disrupted Nocturnal Sleep in Iranian Adults: A Cross-Sectional Study
Authors: Darroudi Susan , Sharifan Payam , Sadeghzadeh Parastoo , Namjou Negin , Zamiri Bidary Mohammad , Zamani Parvin , Esmaily Habibollah , Ferns Gordon A. , Moohebati Mohsen , Ghayour-Mobarhan Majid 
Published: October 2021

Objectives: Obesity is a risk factor for several chronic conditions, including sleep disorders. We aimed to analyze the relationship between BMI, body fat percentage (FAT%), hip and waist circumference, and weight on the duration of nocturnal sleep.Methods: This study was part of the MASHAD cohort study. In all participants BMI and FAT% were measured. BMI was used to categorize individuals as obese, overweight, and normal subjects. FAT% was used to categorize individuals into tertile: tertile 1 (low) &lt; 27.5, tertile 2 (medium) 27.5–41, and tertile 3 (high) &gt; 41. The level of nightly sleep duration was categorized into three groups: &lt;6, 6–8 (reference group), and &gt;8 h.Results: There was a significant inverse association between body weight and duration of sleep (p &lt; 0.05). Obese and overweight participants had 1.152 OR (CI:1.083–1.225) and 1.126 OR (CI:1.063–1.194) for a short duration of nocturnal sleep, respectively, relative to those with a normal BMI.Conclusion: BMI was an independent determinant of nocturnal sleep duration; obesity and overweight may have negative consequences on sleep duration. Weight control should be considered as a factor in adjusting sleep quality.
THE PEDAGOGICAL CONDITIONS FOR THE FORMATION OF READINESS OF FUTURE TOURISM MANAGERS FOR INNOVATIVE ACTIVITY
Authors: Kostiuchyk S. 
Published: October 2021

The article highlighted the problems of professional training of tourism managers and their acquisition of relevant competencies during the studies at a higher education institution.
In the current conditions of rapidly changing circumstances and the rapidly developing world, it’s worth paying attention to the training of future managers of tourism, in particular the formation of their relevant competencies that can ensure successful activity in the modern tourism industry.
The opinions of scientists engaged in research and study of the concept of "competence" and "competency" are analyzed, certain competencies and competences for specialists in the field of tourism are considered. The importance of supplementing competencies with an innovative component for further training of future tourism managers is determined.
The innovation and investment component is characterized as the presence of special training in the field of Internet marketing and management theory – the ability to apply economic methods and models to optimize innovative solutions.
Innovative training is primarily a competence in the direction of innovative development of the enterprise, firm, institution, organization, which involves knowledge of the creation and implementation of innovation processes, theoretical and practical aspects of innovation, and their impact on enterprise development at different levels.
The main competencies have been supplemented with innovative components for the successful preparation of the future manager for innovation and investment activities in tourism which includes competence in the field of innovative specialization of the enterprise, which provides knowledge of technology of innovation processes, psychological and pedagogical training to understand the specifics of teams and groups, solving various problems in production and service teams.
The main competencies for the manager of the tourism expert who will carry out innovative activity are defined: moral and psychological competence, pedagogical competence, professional and business competence. Also, the pedagogical conditions of preparation of the future manager for acquisition of the corresponding competences are accordingly considered.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN TERJADINYA LASERASI JALAN LAHIR PADA PERSALINAN NORMAL DI PMB SRI HARTI BANYU BIRU
Authors: Putri Risma Aliviani , Lestari Puji 
Published: October 2021

Laserasi atau robekan jalan lahir adalah robekan yang terjadi di garis tengah dan bisa menjadi luas apabila kepala janin lahir terlalu cepat saat persalinan, sudut arkus pubis lebih kecil daripada biasa, kepala janin melewati panggul dengan ukuran yang lebih besar. Banyaknya kasus laserasi jalan lahir pada ibu dengan persalinan normal menimbulkan upaya untuk menekan bahkan mencegah terjadinya kasus tersebut agar tidan meningkatkan Angka Kematian Ibu (AKI).Tujuan penelitian ini untuk menganalisis faktor apa saja yang mempengaruhi terjadinya laserasi jalan lahir pada ibu bersalin normal di PMB Sri Harti, Banyu Biru Kab. Semarang.Populasi dalam penelitian ini adalah ibu bersalin tahun 2018 di PMB Sri Harti Banyu Biru. Pengambilan sampel menggunakan Total Sampling dengan teknik pengumpulan data yang digunakan adalah data ibu bersalin yang mengalami laserasi di tahun 2018. Analisis Data menggunakan uji statistik Non parametrik yaitu Chi square.Hasil uji chi square pada paritas ibu dan faktor jarak kelahiran didapatkan hasil nilai p value <0.05 sehingga ada hubungan yang signifikan terhadap kejadian laserasijalan lahir. Faktor berat badan bayi terhadap kejadian laserasi jalan lahir didapatkan hasil nilai p value 0.533>0.05 sehingga tidak ada hubungan yang signifikan terhadap kejadian laserasi jalan lahir
HUBUNGAN PERSEPSI IBU TENTANG STIMULASI PERKEMBANGAN ANAK DENGAN STIMULASI PERKEMBANGAN ANAK
Authors: Veftisia Vistra , Pranoto Heni Hirawati 
Published: October 2021

Stimulasi perkembangan anak tidak berjalan dengan baik, kurangnya stimulasi perkembangan yang dilakukan ibu dikarenakan faktor pendidikan ibu, tidak tersedia sarana untuk menstimulasi, masih percaya mitos yang menyatakan bahwa setiap anak akan berkembang dengan sendirinya, persepsi ibu tentang stimulasi perkembangan anak yang kurang benar, kurangnya informasi tentang stimulasi perkembangan anak yang di dapat dari tenaga kesehatan, karena tenaga kesehatan lebih fokus dalam pemantaun pertumbuhan anak. Mengetahui Hubungan Persepsi Ibu Tentang Stimulasi Perkembangan Anak Dengan Stimulasi Perkembangan Batita Pada Ibu Yang Memiliki Batita Di Desa Gogik Kabupaten SemarangPenelitian menggunakan desain analitik correlationl dengan pendekatan cross sectional. Jumlah sampel dalam penelitian ini adalah 52 responden dengan pengambilan sampel menggunakan Purposive sampling. Analisis bivariat menggunakan uji chi Square. Terdapat hubungan yang signifikan antara persepsi ibu tentang stimulasi perkembangan anak dengan stimulasi perkembangan batita pada ibu yang memiliki mabatita (p=0.002). Tenaga Kesehatan Hendaknnya dalam memberikan asuhan kepada anak tidak hanya berfokus pada pertumbuhan anak saja tetapi juga memberikan asuhan untuk perkembangan anak terutama terkait stimulasi perkembangan anak.
Faktor-Faktor yang Mempengaruhi WUS Melakukan Skrining Kanker Serviks
Authors: Jaya rochkmana Meika , Susanti Susanti , Fitrini Ardhita Listya 
Published: October 2021

Kanker serviks adalah penyebab kanker paling umum kematian dikalangan wanita di negara berkembang. Angka kematian kanker serviks juga meerupakan indikator keberhasilan kesehatan, Delapan puluh lima persen (85%) diantaranya ada di negara berkembang, kurang pengetahuann, keinginan, dukungan lingkungan. Penyebab kanker serviks 70% dari Human Papilloma Virus (HPV) tipe 16 dan 18. Tujuan Tinjaukan pustaka ini bertujuan untuk membahas faktor-faktor yang berpengaruh terhadap keikutsertaan wanita usia subur dalam skrinning kanker serviks. Metode tinjauan pustaka ini mengunakan literature review. Pencarian sistematis dari artikel yang relevan di Pubmed, Proquest, Science Direct, google schoolar dan portal garuda dengan publikasi dari tahun 2010 sampai dengan 2020. Hasil dan Pembahasan pengetahuan bagus tidak menjamin bahwa skrinning kanker serviks akan dilakukan. Dukungan lingkungan akan membantu WUS dalam meyakinkan diri untuk melakukan skrinning. Penggunakan media edukasi sangat membantu dalam menyampaikan informasi agar lebih menarik, dan kelompok konsultasi kesehatan sangat berpengaruh karena akan bertukar pengalaman dari yang sudah pernah melakukan skrinning kanker serviks.Kesimpulan skrinning kanker serviks yang dilakukan oleh WUS dipengaruhi dari banyak aspek tidak hanya dari dalam diri sendiri namun aspek dukungan dari lingkungan dan petugas kesehatan juga sangat berpengaruh. Media edukasi seperti poster, film, booklet, dan audiovisual lainnya juga berpengaruh terhadap minat WUS untuk melakukan skrinning kanker serviks.
Persalinan dengan Faktor Risiko Tinggi Oleh Karena Umur Di Desa Patas
Authors: Armini Luh Nik , Sulyastini Ni Komang 
Published: October 2021

Kesejahteraan suatu negara diukur melalui kesehatan ibu dan anak. Kematian yang terjadi di Indonesia masih cenderung lebih tinggi jika dibandingkan dengan kematian ibu yang terjadi di negara maju maupun negara di ASEAN. Kematian ibu sekitar 90% banyak terjadi saat atau segera setelah proses persalinan dengan penyebab tertingginya sejak satu dekade terakhir karena perdarahan. Buleleng sebagai penyumbang terbesar kematian ibu di Provinsi Bali selama tiga tahun berturut-turut. Desa Patas yang berada di kabupaten buleleng merupakan desa penyumbang terbesar kehamilan risiko tinggi akibat faktor umur dan jarak kelahiran. Penelitian ini dilakukan guna mendeskripsikan persalinan dengan fakto risiko umur di Desa Patas selama Tahun 2018- Bulan Agustus 2020. Penelitian dilakukan dengan menggunakan data sekunder yang diambil dari register persalinan Desa Patas. Sampel penelitian adalah ibu bersalin dengan faktor risiko tinggi umur dan tercatat di register persalinan bidan di Desa Patas. Hasil penelitian yang didapatkan yaitu persalinan dengan faktor risiko tinggi umur sebanyak 22,1%. Persalinan dengan faktor risiko tinggi umur di Desa Patas sebagian besar ditemukan pada ibu multigravida sebanyak 68,2%, persalinan terbanyak di lakukan di Praktek Mandiri Bidan sebesar 71,1%, persalinan berlangsung secara spontan 72,9% dan komplikasi persalinan yang dialami 15,8%. Persalinan dengan faktor risiko tinggi karena umur merupakan salah satu dari empat terlalu yang merupakan penyebab tidak langsung kematian ibu. Promosi kesehatan, peningkatan kualitas pemeriksaan kehamilan, peningkatan cakupan KB pada WUS merupakan salah satu upaya untuk menurunkan faktor risiko tinggi karena umur.
Efektivitas Pemberian Terapi Musik Klasik Terhadap Penurunan Intensitas Nyeri Pada Pasien Post Sectio Caesarea Di Ruang Flamboyan 1 RSUD Salatiga
Authors: Novadhila Purwaningtyas  , Masruroh  
Published: October 2021

Pain is the most dominant problem in post perative section caesarea. Classical music therapy is one of the non-pharmacological methods with relaxation techniques. In Salatiga regional hospital accident management uses pharmacological techniques, namely analgesic administration and non-pharmacological techniques used to reduce pain are deep breathing techniques and have never used music therapy to reduce treatment in post cesarean patients. To find out the effectivity of classical music therapy toward decreasing pain intensity to post sectio caesarea patient . This research used pre-experimental with a pre-test and post-test design. The sampling technique in this research used a purposive sampling with a total sample of 15 mothers post section caesarea . Test analysis used a statistical paired sample T test. The results of the study obtained an average age of 29 years of respondents with the education of most junior high schools, the average pain before intervention was 7.60 and after intervention was 5.73. There was a significant difference of pain intensity before and after being given classical music therapy (P value 0,000). Statistically the provision of classical music therapy can reduce pain intensity in post section caesarean patients (P value 0,000).
ABSTRAK
Nyeri merupakan masalah yang paling mendominasi pada pasca pembedahan section caesarea.Terapi musik klasik merupakan salah satu metode non farmakologi dengan teknik relaksasi. Di RSUD Salatiga penatalaksanaan nyeri menggunakan teknik farmakologi yaitu pemberian analgesik dan teknik non farmakologi yang digunakan untuk mengurangi nyeri adalah teknik nafas dalam dan belum pernah menggunakan terapi musik untuk mengurangi nyeri pada pasien post operasi Caesar. Untuk mengetahui efektifitas pemberian terapi musik klasik terhadap intensitas nyeri pada pasien post section caesarea Penelitian ini menggunakan pre eksperimental dengan pendekatan pre test and post test design. Teknik pengambilan pada penelitian ini menggunakan purposive sampling dengan jumlah sampel penelitian sebanyak 15 ibu post section caesarea . Uji analisis menggunakan uji statistik paired sample T test. Hasil peneltian diperoleh rata-rata umur responden 29 tahun dengan pendidikan sebagian besar SMP, rata-rata nyeri sebelum diberikan intervensi sebesar 7,60 dan sesudah diberikan intervensi sebesar 5,73. Ada perbedaan signifikan intensitas nyeri sebelum dan sesudah diberikan terapi musik klasik ( P value 0,000 ). Secara statistik pemberian terapi music klasik dapat menurunkan intensitas nyeri pada pasien post section caesarea (P value 0,000 ).
Gambaran Pengetahuan Tentang Prebiotik Jahe Untuk Penurunan Nyeri Haid Pada Mahasiswi DIII Kebidanan Universitas Ngudi Waluyo Ungaran Tahun 2021
Authors: Atika Purnama Sari  , Rini Susanti  
Published: October 2021

According to WHO, in the world the incidence rate is quite high. The incidence of dysmenorrhoea in young women on average: 16.8% -81%. The average in European countries menstrual pain occurs in women 45-97%. The lowest Bulgarian prevalence is 8.8%, the highest is 94% in Finland. The highest prevalence of dysmenorrhea is often found in adolescent girls, which is estimated: 20-90%. About 15% of adolescents have severe dysmenorrhea (Sulistyorinin, 2017). The purpose of this study was to determine the knowledge of students about ginger prebiotics to reduce menstrual pain in students of DIII Midwifery, Ngudi Waluyo Ungaran University in 2021.Quantitative descriptive research with survey. The sample in this study were 32 female students of DIII midwifery, Ngudi Waluyo Ungaran University. Sampling technique with sampling Total. Data analysis using frequency distribution. The results of this study are then given an interpretation based on the variables studied based on the criteria of good, adequate and insufficient. The results of this study indicate that students of DIII midwifery at Ngudi Waluyo Ungaran University have knowledge of Ginger Prebiotics for Menstrual Pain Reduction, the overall knowledge is good with a total of 32 people (100,0%). For female students to further improve their knowledge about health, especially about ginger prebiotics to reduce menstrual pain, by practicing how to process them every month with herbs
ABSTRAK
Menurut WHO, didunia disminore angka kejadiannya cukup tinggi. Kejadian dismenorea pada perempuan muda rata-rata:16,8%-81%. Rata-rata di negara Eropa nyeri haid terjadi pada perempuan 45-97%. Prevelensi terendah Bulgaria 8,8%, tertinggi mencapai 94% dinegara Finlandia. Prevelensi dismenorea tertinggi sering ditemui pada remaja perempuan, yang diperkirakan: 20-90%. Sekitar 15% remaja mengalami dismenorea berat (Sulistyorinin, 2017). Tujuan penelitian ini untuk mengetahui Pengetahuan Mahasiswi tentang Prebiotik Jahe Untuk Penurunan Nyeri Haid di Mahasiswi DIII Kebidanan Universitas Ngudi Waluyo Ungaran Tahun 2021. Penelitian deskriptif kuantitatif dengan Survey. Sampel pada penelitian ini adalah mahasiswi DIII kebidanan Universitas Ngudi Waluyo Ungaran sejumlah 32 mahasiswi. Teknik pengambilan sampel dengan Sampling Total. Analisa data menggunakan distribusi frekuensi. Hasil penelitian ini kemudian diberi interpretasi berdasarkan variabel yang diteliti berdasarkan kriteria baik, cukup dan kurang. Hasil penelitian ini menunjukkan bahwa mahasiswi DIII kebidanan Universitas Ngudi Waluyo Ungaran memiliki pengetahuan tentang Prebiotik Jahe Untuk Penurunan Nyeri Haid, pengetahuan keseluruhan baik dengan jumlah 32 orang (100,0%). Bagi mahasiswi untuk lebih meningkatkan pengetahuannya tentang kesehatan khususnya tentang Prebiotik Jahe Untuk Penurunan Nyeri Haid yaitu dengan mempraktikkan cara pengolahannya setiap datang bulan dengan herbal.