bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH MENGGUNAKAN METODE CORNELL NOTE TERHADAP KETERAMPILAN KOGNITIF MAHASISWA KEPERAWATAN SEMESTER PERTAMA
Authors: Kristina Kristina 
Published: June 2021

Kegiatan belajar pada jenjang perguruan tinggi perlu dilengkapi dengan metode mencatat yang baik dan benar agar kemampuan kognitif yang dimiliki mahasiswa dapat berkembang dengan optimal dan meningkatkan kemampuan akademis secara keseluruhan. Materi pembelajaran pada bidang keperawatan sering kali harus dipahami dan dipraktekkan dengan benar oleh mahasiswa, pentingnya metode pencatatan yang baik juga dapat membantu mahasiswa dengan mudah memahami konsep dan menghafalkan letak serta fungsi anatomi tubuh manusia maupun urutan cara perawatan pasien. Mahasiswa yang berhasil memahami pentingnya pencatatan yang efektif mendapatkan manfaat saat tiba waktunya mengikuti ujian. Keterampilan mencatat yang efektif mendorong mahasiswa menulis intisari pembelajaran dengan tepat. Penelitian ini bertujuan untuk memudahkan mahasiswa memahami pembelajaran di kelas menggunakan metode pencatatan Cornell Note. Mahasiswa keperawatan dapat melakukan pencatatan efektif menggunakan metode Cornell Note sehingga terjadi peningkatan kemampuan akademis dan keterampilan kognitif, proses belajar menjadi lebih efektif dan kreatif. Mahasiswa dalam penelitian ini berjumlah 104 orang mahasiswa yang dibagi menjadi dua kelompok yang sebelumnya ditunjuk secara acak. Kelompok perlakuan akan mencatat selama pelajaran berlangsung menggunakan metode Cornell Note dan kelompok kontrol mencatat biasa. Penelitian ini menggunakan uji paired sample t test untuk mengetahui perbedaan nilai rata-rata antara kedua kelompok. Didapat nilai signifikan (2-tailed) sebesar 0.018 < 0.05 maka H0 ditolak dan Ha diterima. Hasil penelitian ini menunjukkan bahwa penggunaan metode Cornell Note saat mencatat berpengaruh terhadap peningkatan keterampilan kognitif mahasiswa.
Conclusions
Authors: Boorman John 
Published: June 2021

John Boorman is one of cinema's authentic visionaries whose travels have taken him from London in the Blitz to the pinnacle of Hollywood success: the man behind filmes such as Point Blank, Deliverance, Excalibur, Hope and Glory, and The General.
Conclusions continues the story of his life that Boorman began with Adventures of a Suburban Boy and shares what has happened since its publication: films made (such as the award-winning The General) and unmade; new knowledge about the craft of film-making; and, ultimately, the story of his kith and kin, including the death of his cherished elder daughter.
Wielding a metaphorical Excalibur, Boorman's career has been a continual search for the truth that only art can convey, and this memoir shows him at his finest.
Efficacy and safety of low-dose aspirin combined with
low-molecular-weight heparin in treatment
of preeclampsia: a meta-analysis and systematic review
Authors: Wu Chunfeng , Li Liling , Zhang Jiarong , Song Yang 
Published: June 2021

IntroductionThe role of low-dose aspirin combined with low-molecu�lar-weight heparin (LMWH) in the treatment of preeclampsia (PE) remains
unclear. We aimed to assess the efficacy and safety of low-dose aspirin
combined with LMWH in PE treatment, to provide evidence for clinical PE
management.Material and methodsWe searched PubMed and other databases for ran�domized controlled trials (RCTs) on the effects and safety of low-dose aspi�rin and LMWH in the treatment of PE up to January 31, 2021. Two research�ers strictly followed the inclusion and exclusion criteria to independently
conduct the literature screening, data extraction and quality evaluation. We
used RevMan 5.3 statistical software for synthesized analysis.ResultsA total of 8 RCTs involving 861 patients were included. The syn�thesized outcome indicated that the differences in systolic blood pressure
(MD = –10.61, 95% CI: –13.19 – –8.02), diastolic blood pressure (MD =
–9.24, 95% CI: –14.49– –4.00), 24-hour urinary protein (MD = –2.24, 95%
CI: –3.97– –0.50), prothrombin time (MD = 1.42, 95% CI: 0.53–2.32), ac�tivated partial thromboplastin time (MD = 2.91, 95% CI: 2.06–3.75),
FIB (MD = –1.24, 95% CI: –1.32– –1.15), and adverse perinatal outcomes
(MD = 0.41, 95% CI: 0.20–0.85) between the two groups were statistically
significant (all p < 0.05), while the difference in the adverse reactions of
pregnant women (MD = 0.44, 95% CI: 0.18–1.10) between the two groups
was not statistically significant (p = 0.08). No publication bias was detected
in all the synthesized outcomes (all p > 0.05).ConclusionsLow-dose aspirin combined with LMWH treatment of PE may
be advantageous to improve blood pressure, 24-hour proteinuria and coagu�lation function, and it may reduce the adverse reactions in pregnant women
without increasing adverse perinatal outcomes.
Influenza as an important factor causing increased risk of patients’ deaths, excessive morbidity and prolonged hospital stays
Authors: Drobnik Jarosław , Pobrotyn Piotr , Witczak Izabela , Antczak Adam , Susło Robert 
Published: June 2021

IntroductionInfluenza infection is associated with potential serious complications, increased hospitalization rates and a higher risk of death.Material and methodsA retrospective comparative analysis of selected indicators of hospitalization at the University Hospital in Wroclaw was conducted on patients with confirmed influenza infection and a control group during the 2018–2019 influenza season. The threshold for statistical significance of differences between the groups was set at p < 0.05.ResultsThe types of influenza viruses confirmed in the hospital patients were remarkably similar to those occurring in the general population in Poland. The largest numbers of influenza cases were observed at the departments related to internal medicine where patients with cardiac, lung and renal diseases were hospitalized. The risk of death among the patients with confirmed influenza infection was significantly higher than among the other patients. The highest risk of death was observed among the patients with confirmed influenza infection at the departments related to internal medicine. Considering patients from the entire hospital, the mean length of hospital stay for those with confirmed influenza was 2.13-fold longer than for those in the control group. Comparisons of the median, minimum and maximum lengths of hospitalization between the patients with confirmed influenza infection and the control group reveal even more distinct differences.ConclusionsSignificant differences in the selected indicators of hospitalization were observed between the patients with confirmed influenza infection and the control group; they are associated with serious social costs, such as prolonged hospital stay and a higher risk of death during hospitalization in Poland.
Prescribing errors among adult patients in a large tertiary care system in Saudi Arabia
Authors: Alharaibi Maryam Ali , Alhifany Abdullah A. , Asiri Yousif A. , Alwhaibi Monira M. , Ali Sheraz , Jaganathan Parameaswari P. , Alhawassi Tariq M. 
Published: June 2021

BACKGROUND:
Multiple studies have investigated medication errors in hospitals in Saudi Arabia; however, prevalence data on prescribing errors and associated factors remains uncertain.

OBJECTIVE:
Assess the prevalence, type, severity, and factors associated with prescribing errors.

DESIGN:
Retrospective database review.

SETTING:
Large tertiary care setting in Riyadh.

PATIENTS AND METHODS:
We described and analyzed data related to prescribing errors in adults (>14 years of age) from the Medication Error Electronic Report Forms database for the two-year period from January 2017 to December 2018.

MAIN OUTCOME MEASURE:
The prevalence of prescribing errors and associated factors among adult patients.

SAMPLE SIZE:
315 166 prescriptions screened.

RESULTS:

Of the total number of inpatient and outpatient prescriptions screened, 4934 prescribing errors were identified for a prevalence of 1.56%. The most prevalent types of prescribing errors were improper dose (n=1516; 30.7%) and frequency (n=987; 20.0%). Two-thirds of prescribing errors did not cause any harm to patients. Most prescribing errors were made by medical residents (n=2577; 52%) followed by specialists (n=1629; 33%). Prescribing errors were associated with a lack of documenting clinical information (adjusted odds ratio: 14.1; 95% CI 7.7-16.8,
P
<.001) and prescribing anti-infective medications (adjusted odds ratio 2.9; 95% CI 1.3-5.7,
P
<.01).

CONCLUSION:
Inadequate documentation in electronic health records and prescribing of anti-infective medications were the most common factors for predicting prescribing errors. Future studies should focus on testing innovative measures to control these factors and their impact on minimizing prescribing errors.

LIMITATIONS:
Polypharmacy was not considered; the data are from a single healthcare system.

CONFLICT OF INTEREST:
None.
Pediatric trauma at a single center in the Qassim region of Saudi Arabia
Authors: Alomani Hakem , Fareed Abdulbaset , Ibrahim Hassan , Shaltoot Ahmed , Elhalawany Ahmed , Alhajjaj Mohammad , Dakhel Abdullah , Alshammasi Muath , Almosallam Osamah 
Published: June 2021

BACKGROUND:
Trauma is one of the leading causes of pediatric mortality so the prevention of pediatric trauma is an important goal of any healthcare system. There are only a few studies on pediatric trauma in Saudi Arabia. The availability of data is vital for healthcare leaders in planning for healthcare services.

OBJECTIVE:
Assess the epidemiology, patterns, and outcome of trauma in the pediatric population in the Qassim region in Saudi Arabia.

DESIGN:
Descriptive medical records review.

SETTING:
A single-center, academic specialized pediatric referral hospital.

PATIENTS AND METHODS:
We reviewed all electronic and paper records for children (<14 years of age) admitted with a diagnosis of trauma to Maternity and Childrens Hospital (MCH) in Buraidah city in the two-year period between January 2017 and December 2018.

MAIN OUTCOME MEASURE:
Type of injury, length of stay, and mortality.

SAMPLE SIZE:
133 children.

RESULT:
In this cohort, 77 cases (58%) were admitted to the pediatric intensive care unit (PICU) and 56 (42%) to the pediatric surgery ward. The median (interquartile range) age was 5 (1.1-8) years, and 92 (69%) were boys. The most frequent trauma was road traffic accidents, accounting for 70 cases (52%), followed by fall from a height for 40 (30%) cases. Traumatic brain injury was the most frequent type of injury, accounting for 56 cases (42%), and blunt abdominal trauma was in 11 cases (8.3%). Neurosurgery was the primary subspecialty actively involved in 62 cases (47%). Of the injured children who were admitted to PICU, 36 (46%) needed mechanical ventilation support, while 7 (9%) of those admitted to PICU required the insertion of intra-costal drainage. The mortality in our study was 3.7% (5 cases); 4 of 5 deaths were secondary to road traffic accidents.

CONCLUSION:
Pediatric trauma is a serious problem in our region with high mortality compared to international benchmarks. Road traffic accidents are the leading type of pediatric trauma, followed by falls from height. Further studies and perhaps national efforts are needed to identify ways to prevent road traffic accidents, and optimize the data registry and trauma services.

LIMITATION:
There were many missing data and incomplete files that affect accuracy and preclude generalization.

CONFLICT OF INTEREST:
None.
Hearing loss among patients with type 2 diabetes mellitus: a cross-sectional study
Authors: Al-Rubeaan Khalid , AlMomani Murad , AlGethami Aisha Khalaf , Darandari Jamal , Alsalhi Abdulaziz , AlNaqeeb Dehkra , Almogbel Ebtehal , Almasaari Fatima H. , Youssef Amira M. 
Published: June 2021

BACKGROUND:
Hearing loss is an underestimated comorbid condition in type 2 diabetes.

OBJECTIVES:
Investigate hearing loss as a comorbidity associated with type 2 diabetes mellitus and evaluate the factors associated with hearing loss.

DESIGN:
Cross-sectional.

SETTING:
Tertiary care center, diabetes clinic.

PATIENTS AND METHODS:
Patients with type 2 diabetes, aged 30 to 60 years, were randomly selected to participate. All patients underwent clinical ear examinations and were referred for full audiological evaluation. Otoacoustic emission was used to assess inner function, tympanometry to assess middle-ear function, and pure tone air/bone audiometry to assess hearing sensitivity. Risk factors for hearing loss were assessed by multivariate logistic regression.

MAIN OUTCOME MEASURE:
Frequency, severity and risk factors for hearing loss.

SAMPLE SIZE:
157

RESULTS:
Of the 157 patients, 77 had hearing loss in both ears (49.0%), 13 in the right ear only (8.3%), 14 in the left ear only (8.9%), and 53 (33.8%) had normal hearing. In the 181 ears with sensorineural hearing loss, 90 had mild loss (49.7%), 69 moderate loss (38.2%), 16 severe loss (8.8%) and 6 had profound loss (3.3%). Disabling hearing loss was observed in 46 (29%) patients. A higher frequency of hearing loss was present in patients with glycated hemoglobin levels ≥8%. In the multivariate logistic regression analysis, the most important factors associated with hearing loss were longer diabetes duration, poor glycemic control and the presence of hypertension.

CONCLUSIONS:
Hearing loss is an underestimated comorbid condition in type 2 diabetes that warrants frequent hearing assessments and management. Strict glycemic and hypertension control is essential for the minimization of the effects of diabetes on hearing sensitivity.

LIMITATIONS:
Small sample size, limited age window (30-60 years), which was chosen to eliminate the natural aging effect on hearing. Cross-sectional nature was not ideal for the assessment of causality.

CONFLICT OF INTEREST:
None.
PENGARUH MODEL PEMBELAJARAN TREFFINGER TERHADAP KEMAMPUAN BERPIKIR KRITIS DAN HASIL BELAJAR SISWA
Authors: Aisyah Sumiara , Riyanto Yatim , Suhanadji Suhanadji 
Published: June 2021

Penelitian ini bertujuan untuk mengetahui pengaruh model pembelajaran treffinger terhadap Kemampuan berpikir kritis dan hasil belajar siswa. Penelitian ini merupakan penelitian eksperiemen, desain penelitian yang digunakan adalah Quasi Experimental Research. Kelas eksperimen yang menggunakan perlakuan dengan menggunakan model pembelajaran treffinger, satu kelas hanya menggunakan model pembelajaran konvensional. Data hasil penelitian yang diperoleh hasil kemampuan berpikir kritis siswa pada saat pretest di kelas eksperimen sama dengan kelas kontrol hal ini ditunjukkan dengan nilai (0.891)˃ (1.7138) sedangkan untuk kemampuan berpikir kritis pada posttest ada perbedaan kelas eksperimen dan kelas kontrol dengan nilai (0,852) ) ˃ (1.7138), dan data hasil penelitian yang diperoleh hasil belajar siswa pada saat pretest di kelas eksperimen sama dengan kelas kontrol hal ini ditunjukkan dengan nilai (0.891)˃ (1.7138) sedangkan untuk hasil belajar pada posttest ada perbedaan kelas eksperimen dan kelas kontrol dengan nilai (0,852) ) ˃ (1.7138)) Jadi ada pengaruh model pembelajaran treffinger terhadap kemampuan berpikir kritis dan hasil belajar kelas IV pada subtema keberagaman budaya bangsaku di Sekolah Dasar Muhammadiyah 24 Ketintang Surabaya.

Kata Kunci : Kemampuan berpikir kritis, hasil belajar, Model pembelajaran, treffinger
ANATOMICAL AND VISUAL OUTCOME OF COMBINED PHACO-VITRECTOMY VS VITRECTOMY ALONE
Authors: Irfan Muslim  , Asad Aslam Khan  , Nasir Chaudhry  
Published: June 2021

Introduction
Separation of Neurosensory retina from RPE(Retinal Pigment Epithelium) is described as retinal detachment. Recently Pars plana vitrectomy has emerged as a preferred surgical treatment for management of uncomplicated primary rhegmatogenous retinal detachment. Various studies have evaluated the results of combined phaco-vitrectomy, the combined approach allows faster visual recovery and has cost effectivity for patient. The rationale of this study is to compare the anatomical and visual outcome of combined phacoemulsification and vitrectomy vs vitrectomy alone
Materials and methods
This prospective randomized controlled trial was performed at Eye Unit II Mayo Hospital Lahore (tertiary care eye hospital in Lahore), Pakistan from August 2019 to February 2020. 36 patients full filling the inclusion criteria were divided into two groups 18 patients each. Group A was of combined Phaco-vitrectomy and Group B was of vitrectomy only. The Mann-whitney test as test of significance was applied and P≤0.05 was considered statistically significant.
Results
BCVA done Pre-operatively for Group A and B, P-value was > 0.05 which was insignificant. Best corrected visual acuity at first week post operatively was significantly lower in patients in which we used gasses as internal tamponade as compared those in which we used silicon oil as tamponade. The BCVA at 1 month showed improvements in both groups, however the BCVA in group B was significantly lower than group A, P-value being < 0.05. The BCVA at 3 month showed improvements in both groups, however the BCVA in group B was significantly lower than group A, P-value being < 0.05.
Anatomical Outcome was seen as weather retina was attached or detached. In Group A detachment was present in all follow-ups in 2/18 patients while in Group B detachment was present in all follow-ups in 3/18 patients. The P-value was >0.05 and thus the difference between two groups was insignificant.
Conclusion
visual acuity did not differ among the two groups preoperatively and on first follow-up at 1 week. The P value being >0.05 in both. However there was significant difference between the two group at 1 month and 3 months follow up, P value being < 0.05 in each. The visual acuity was significantly better in Group A i.e combined phaco- vitrectomy.
For anatomical outcome no difference was seen between the groups. The P value was > 0.05. So the visual outcome of group A was significantly better than group B while the anatomical outcome was the same.

Keywords
Phacoemulsification, Three ports pars plana vitrectomy, best corrected visual acuity, retinal detachment.
Dietary supplementary glutamine and L-carnitine enhanced the anti-cold stress of Arbor Acres broilers
Authors: Liu Yang , Yang Yuying , Yao Ruizhi , Hu Yajie , Liu Peng , Lian Shuai , Lv Hongming , Xu Bin , Li Shize 
Published: June 2021

Abstract. Newborn poultry in cold regions often suffer from cold stress,
causing a series of changes in their physiology and metabolism, leading to
slow growth and decreased production performance. However, a single
anti-stress substance cannot completely or maximally eliminate or alleviate
the various effects of cold stress on animals. Therefore, the effects of the
supplemented glutamine and L-carnitine on broilers under low temperature
were evaluated in this study. Broilers were randomly allocated into 16
groups which were respectively fed with different levels of glutamine and
L-carnitine according to the L16 (45) orthogonal experimental
design for 3 weeks (the first week is the adaptive feeding period; the
second and third weeks are the cold exposure period). Growth performance
was recorded, and blood samples were collected during cold exposure. The
results showed the supplementation had altered the plasma parameters, growth
performance and cold-induced oxidative stress. The increase of
corticosterone and suppression of thyroid hormone was ameliorated.
Supplemented groups had lower daily feed intake and feed-to-gain ratio, higher
daily weight gain and better relative weights of immune organs. Plasma
glucose, total protein, blood urea nitrogen and alkaline phosphatase
changed as well. Oxidative stress was mollified due to the improved
activities of superoxide dismutase and glutathione peroxidase, heightened
total antioxidant capacity and stable malondialdehyde. Dietary glutamine and
L-carnitine improve the growth performance, nutritional status and cold
stress response of broilers at low temperature, and their interaction
occurred.
Authors: Ratnadi Ari , Sugiartini Desak Ketut Sugiartini 
Published: June 2021

Introduction: Pregnancy is a fertilization or the union of sperm and ovum, followed by nidasi or implantation. This study aimed to determine the level of of pregnant women’ knowledge of first trimester toward imminent abortion dangerous. Methods: This research used descriptive method with non probability sampling technique. Research sample consisted of 35 respondents selected by purposive sampling. Collecting data used questionnaires. Result: The results show that from 35 respondents in the research samples found the characteristics of respondents by the age of 11 respondents (31.4%) aged 20-25 years, based education of 35 respondents, as research subjects were 11 respondents (31.4%) had high school, based on the work of 35 respondents as a research subject as much as 14 respondents (40.0%) worked as a farmer / worker. In the research variables for the level of knowledge of pregnant women in first trimester of the danger threatened abortion is found that out of 35 respondents as research subjects the majority of respondents 16 people (45.7%) have a level of knowledge sufficient, as many as 8 respondents (22.9%) good knowledge and as many as 11 respondents ( 31.4%) less knowledgeable. Conclusions: In this case the midwifes are expected to continue to provide counseling at the time of expectant mothers who visit the dangers associated with abortion imminent.
Keywords: Knowledge, Pregnant women, Imminent abortion
Pengaruh Terapi Tertawa Dengan Media Menonton Video Stand-Up Comedy Terhadap Kecemasan Mahasiswa Keperawatan Semester I Menjelang UAS Di STIKes Buleleng
Authors: Wahyuni Komang Putri 
Published: June 2021

Abstrak: Kecemasan adalah sebagai suatu keadaan dimana seorang merasa tidak nyaman dan adanya tekanan sistem saraf otonom dalam aktivitas rangsang akibat ancaman yang tidak diketahui. Kecemasan sendiri berpengaruh terhadap performa dari orang yang mengalaminya, contohnya penurunan prestasi akademik dari mahasiswa. Salah satu alternative untuk mengatasi kecemasan yakni dengan terapi tertawa. Penelitian ini bertujuan .untuk menganalisis Pengaruh Terapi Tertawa Dengan Media Menonton Video Stand Up Comedy Terhadap Kecemasan Mahasiswa Keperawatan Semester I Menjelang UAS di STIKes Buleleng. Desain penelitian ini yaitu pra eksperimental dengan rancangan one group pre dan post-test design. Besar sampel yang digunakan yaitu 51 responden yang telah dipilih dengan menggunakan teknik purposive sampling. Pengumpulan data dilakukan menggunakan lembar kuesioner HARS (Hamilton Anxiety Rating Scale). Penelitian ini menggunakan uji Wilcoxon dengan taraf signifikan α = 0,05. Didapatkan hasil data nilai rata-rata pre 17.86 dan nilai rata-rata post 6.24. Hasil uji menggunakan uji Wilcoxon didapatkan nilai p (0,000) < α (0,05), artinya H0 ditolak dan Ha diterima. Sehingga dapat disimpulkan bahwa terdapat pengaruh terapi tertawa terhadap kecemasan mahasiswa keperawatan semester I menjelang UAS di STIKes Buleleng.
KEJADIAN ASFIKSIA PADA KETUBAN PECAH DINI DI RUANG NICU RSUD KABUPATEN BULELENG
Authors: Hartaningrum Putu Intan , Wulandari Ni Ketut Ayu 
Published: June 2021

Pendahuluan: Beberapa faktor telah diteliti sebagai penyebab asfiksia pada bayi baru lahir diantaranya asfiksia yang disebabkan karena ketuban pecah dini. Hal ini tidak terlepas dari pemantauan apgar skor yang dilakukan di ruang NICU RSUD Kabupaten Buleleng. Setiap ibu yang melahirkan yang memiliki riwayat obetetri yang baik dan buruk saat bayinya lahir akan memiliki nilai apgar skor yang berbeda. Adapun tujuan dari penelitian ini adalah untuk mengetahuai kejadian asfiksia pada ketuban pecah dini di ruang NICU RSUD Kabupaten Buleleng. Metode: Jenis penelitian ini retrospektif deskriptif. Hasil: Hasil penelitian menunjukkan bahwa 189 kejadian asfiksia yang disebabkan oleh ketuban pecah dini dengan tingkat asfiksia didapatkan bayi yang mengalami asfiksia ringan sebanyak 43 (22,8) bayi dan pada asfiksia sedang sebanyak 134 (70,9) bayi. Dan bayi yang mengalami asfiksia berat sebanyak 12 (6,3) bayi. Kesimpulan dari penelitian yang dilakukan masih banyak kejadian asfiksi yang disebabkan oleh ketuban pecah dini di ruang NICU RSUD Kabupaten Buleleng tahun 2018