bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of Antipsychotic Drugs and Orthostatic Hypotension on the Risk of Falling in Schizophrenic Patients
Authors: Ferinauli Ferinauli , Narulita Sari , Hijriyati Yoanita 
Published: April 2021

Background Background: Management of schizophrenia using psychopharmaceuticals requires a long-term treatment. The use of antipsychotic drugs can cause the occurrence of orthostatic hypotension, which leads to the risk of falling in patients. The aim of this study is to determine the effect of the use of antipsychotic drugs and orthostatic hypotension on the risk of falling in schizophrenic patients. Design and methods This study used a descriptive design with 53 respondents. Data were analyzed using the contingency coefficient correlation and Spearman Rank test methods. Results The results of the first study showed no positive effect between the use of antipsychotics on orthostatic hypotension in schizophrenic patients. In addition, a contingency coefficient correlation (C) of 0.199 and p-value of 0.335 (p>0.05) was obtained. The results of the second study showed that there was a significant positive effect between orthostatic hypotension on the risk of falling in schizophrenic patients with a value of r = 0.483 and a pvalue of 0.000 (p0.001). Conclusion It was suggested that the development of this study's result is needed for further research in dealing with the incidence of orthostatic hypotension in order to prevent or reduce the risk of falling in schizophrenic patients.
Chest Pain Symptoms Differences between Diabetes Mellitus and Non-Diabetes Mellitus Patients with Acute Coronary Syndrome: A Pilot Study
Authors: Manistamara Halidah , Sella Yurike Olivia , Apriliawan Sony , Lukitasari Mifetika , Rohman Mohammad Saifur 
Published: April 2021

Background Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently found in hospitals. Atypical characteristics of chest pain have prevented patients from being aware of ACS. Chest pain symptoms have become ambiguous, particularly for specific parameters, such as gender, diabetes mellitus (DM), or other clinical conditions. Therefore, it is critical for high-risk patients to have adequate knowledge of specific symptoms of ACS, which is frequently associated with late treatment or prehospital delay. Therefore, this study aims to identify the particular characteristics of chest pain symptoms in DM and non-DM patients with ACS. Design and methods This is a quantitative and non-experimental research, with the cross-sectional approach used to carry out the analytical observation at a general hospital from January- April 2019. Data were obtained from a total sample of 61 patients, comprising 33 ACS with DM and 28 ACS non-DM patients. Results The result showed that the characteristic of patients with chest pain symptoms has a significant relation to DM and ACS. Therefore, non-DM patients with ACS are more likely to feel chest pain at moderate to a severe level, while ACS-DM patients are more likely to have low to moderate chest pain levels. Conclusion The significant differences in the characteristics of chest pain in DM and non-DM patients suffering from acute coronary syndrome are the points of location of chest pain radiating to the neck and quality of pain.
Understanding the Development of Self-Efficacy for Physical Activity Engagement in Men after Myocardial Infarction: A Preliminary Qualitative Study
Authors: Abu Harlinna binti , Ludin Salizar binti Mohamed , Sowtali Siti Noorkhairina binti 
Published: April 2021

Background This preliminary finding from a qualitative study examined the process of self-efficacy for the development of physical activity (PA) during myocardial infarction (MI) after recovery. A combination of healthy behaviors, including physical activity is the secondary prevention recommended to reduce the risk of recurrent MI. This study aims to understand how self-efficacy for physical activity is developed in a patient after MI by examining their perceptions and personal adherence to physical activity. Design and methods This was a qualitative study and data was collected through semi-structured in-depth recorded phone interviews with eight Malay male participants. They were screened using a questionnaire and participants that met the inclusion criteria were interviewed, and were admitted to National Heart Centre, Malaysia between January to June 2019 diagnosed with MI. The data collected were analyzed using NVivo 12 software and thematic analysis was applied. Results Four preliminary themes emerged from the study: i) beliefs in physical activity; ii) healthy lifestyle: new normal or same old habit; iii) factors determining participation in PA; and iv) physical activity adherence strategies. Conclusions The results of the studies showed that participants understand the need to maintain physical activity, which helps to maintain a healthy life after MI and prevent recurrent infarction. Strategies for developing self-efficacy for physical activity were also discussed. The need to understand that maintaining physical activity as well as adopting a new normal of healthy habit after MI is crucial in order to maintain the health and prevent recurrence of MI.
Implementing Nursing round to Deal with Unresolved Nursing Problem on Patient with Acute Pain: A Case Report
Authors: Rahmawati Ike Nesdia 
Published: April 2021

Background The determining factors for improvement of health services quality includes nursing services. Furthermore, a method for providing this quality nursing services is professional nursing care model, and comprises nursing round. However, fewer hospitals implement this due to several barriers including lack of knowledge and practices. This study is, therefore, aimed at identifying improvements in quality of nursing care and solving of patient's problem by frequent nursing rounds. Design and Method This study employed a single case report design using exploratory and descriptive methods. A 27-year-old male underwent nephrectomy surgery to treat hydronephrosis. The person still revealed persistent pain in the surgery area even though it has been treated for 3 days. The staff nurses administered nursing round to discuss and solve this problem. The study participation was voluntary, while the involved patient gave the informed consent. The steps of nursing round procedure including preround, round, and post-round were used to solve the problem. Results The results indicated that nurses discovered blood clots in the patient's drain during nursing round. The cause of the persistent pain was revealed and used to determine the intervention modification needed. It was recommended to evacuate the blood clot and followed by appropriate pain management. Furthermore, the problem in the patient with acute pain was resolved. Results The results indicated that nurses discovered blood clots in the patient's drain during nursing round. The cause of the persistent pain was revealed and used to determine the intervention modification needed. It was recommended to evacuate the blood clot and followed by appropriate pain management. Furthermore, the problem in the patient with acute pain was resolved.
Job Satisfaction and Caring Behavior among Nurses in a Military Hospital: A Cross-Sectional Study
Authors: Putra Kuswantoro Rusca , Andayani Tutut , Ningrum Evi Harwiati 
Published: April 2021

Background Caring is the major focus of nursing practice, and their behavior has an impact on the quality of patient care, and it is very important that they are satisfied while working. The strong relationship between job satisfaction and nurses caring behavior is well established, and therefore the managers can be encouraged to provide better conditions for nurses’ satisfaction. The aim of this study was to investigate the relationship between job satisfaction and the caring behavior of nurses in the Military Hospital. Design and methods A survey with a self-assessment questionnaire was carried out from August to December 2019. Participants were 121 nurses working in a military hospital Malang, Indonesia. The data was collected using the Job Satisfaction Survey (JSS) and Caring Behavior Inventory (CBI- 24). The data were analyzed using rank Spearman and multiple linear regression. Results Job satisfaction had a positive correlation with the caring behavior of nurses (p=0.003; r=0.266). Furthermore, there were four job satisfaction dimensions namely supervision, contingent rewards, co-workers, nature of work and communication dimensions were positively correlated with nurses’ caring behavior (p<0.05) while salary, promotion, benefits, operating procedure dimensions are not related to nurse's caring behavior (p>0.05). Conclusions Caring behavior of nurses is influenced by job satisfaction. Therefore, it is necessary to provide supervision, contingent rewards, empowerment, collaboration program for the nurses to reconstruct the nursing working environment to be healthier and increase the caring behavior of nurses.
Body Mass Index, Physical Activity, and Physical Fitness of Adolescence
Authors: Dewi Ratna Candra , Rimawati Nanda , Purbodjati  
Published: April 2021

Background Adolescents experience growth and significant changes in body composition which influence physical activity and response to sport or exercise. The level of physical fitness in adolescent girls is usually lower than that of boys, due to differences in body composition and levels of physical activity. The aim of this study was to examine the relationship between fat mass percentage, body composition, physical activity, and physical fitness. Design and methods This study used an analytical observational, and cross-sectional design with total samples consisting of 70 male and female students aged 14-15 years. They were selected through simple random sampling, and the data collected were anthropometric measurements, body composition, physical activity and physical fitness. In addition, the Pearson correlation test was used for data analysis. Results The results showed that 68.57% of participants had a normal body mass index, 74.3% had moderate physical activity, and 44.28% had fat mass percentage including an obesity category and, 54.29% had low physical fitness. Furthermore, the Pearson test showed a significant relationship between physical activity, body mass index and fat mass percentage with physical fitness. Conclusions An increased fat mass percentage is associated with decreased levels of physical fitness. Furthermore, a good determinant of low physical fitness in obese conditions is the percentage of fat mass rather than BMI.
Associations between Nutrition Knowledge, Protein-Energy Intake and Nutritional Status of Adolescents
Authors: Veronika Antika Prycilla , Puspitawati Theresia , Fitriani Ayu 
Published: April 2021

Background Adolescence is a period of life with specific health and developmental needs. Nutrition in adolescents is necessary to be considered because it has to be in a balanced form. The data of Sleman District Health Office 2016 showed that 114 adolescents in Public Health Center of Mlati 1 had undernutrition. Also, it showed that the highest prevalence was at Vocational High School of Muhammadiyah Mlati, which was 42% male and 31% female students. This study aims to know the association of nutrition knowledge, protein-energy intake and adolescents’ nutritional status at Vocational High School of Muhammadiyah Mlati, Sleman Yogyakarta. Design and methods This was an observational analytical study with a cross-sectional design. The subjects were adolescents aged 15-18 years, selected using stratified random sampling with a total of 58 persons. Data collected were analyzed using the Spearman Rank Correlation for bivariate technique (where α = 0.05). Results It was shown that 81.0% had a good nutrition knowledge, 91.4% had deficit energy intake, 82.8 % had deficit protein intake, and 58.6% had severe nutritional status. Bivariate analysis showed that there was no significant relationship between nutrition knowledge and nutritional status (p=0.394), but energy intake and nutritional status were related (p=0.010 <α =0.05). Furthermore, protein intake and nutritional status had a significant relationship (p=0.039 <α =0.05). Conclusions To be concluded, there was a correlation between the protein and energy intake and nutritional status of adolescents.
Mindfulness Matters: Use and Perceptions of Mindfulness Practices Among Athletic Trainers
Authors: Goodman Ashley , Howard Jennifer S. 
Published: April 2021

Context
Mindfulness practices are effective for injury or illness recovery, decreasing stress and anxiety, and strengthening emotional resilience. They are also beneficial for health care professionals' wellbeing and improving patient outcomes and safety. However, mindfulness has not been studied in athletic trainers.

Objective
To investigate athletic trainers' use of mindfulness practices and their perceptions of its importance for self-care and patient or client care.

Design
Cross-sectional study.

Setting
All athletic training practice settings.

Patients and Other Participants
A total of 547 athletic trainers who were currently practicing completed the survey.

Main Outcome Measure(s)
We developed an 18-item survey that measured use (1 = never to 6 = very frequently) and perceptions (1 = strongly disagree to 7 = strongly agree) of mindfulness practices. Mann-Whitney U or Kruskal-Wallis tests with post hoc pairwise comparisons were performed to assess differences in use (P &lt; .05). A related-samples Wilcoxon signed rank test was calculated to assess differences in participants' perceptions between self-care and patient or client care.

Results
Overall, 86% (n = 471) of respondents reported involvement in some form of mindfulness practice, with females (median [interquartile range] = 4 [2–5] versus males: 3 [2–4]; P &lt; .002), those not in a committed relationship (4 [2–5] versus those in such a relationship: 3 [2–4]; P = .048), and those without children in the home (4 [2–5] versus those with children in the home: 3 [2–4]; P = .040) describing the highest frequency of use for self-care. Females (4 [2–4] versus males: 3 [2–4]; P &lt; .001), those without children in the home (3 [2–4] versus those with children in the home: 3 [2–4]; P = .036), and those in emerging (4 [2–4]; P = .003) or collegiate (3 [2–4]; P = .006) settings most frequently incorporated mindfulness into patient or client care. Overall frequency of use for self-care was higher than for patient or client care (4 = occasionally [2–4] versus 3 = rarely [2–4]; P &lt; .001). Mindfulness practices were perceived as more important for self-care than for patient or client care (6 [5–7] versus 5 [5–6]; P &lt; .001).

Conclusions
Athletic trainers perceived mindfulness practices as more important for personal wellbeing and used them, albeit occasionally, more for self-care than for patient or client care. Differences in gender, relationship status, children, and setting were observed. Mindfulness-based interventions for athletic trainer wellbeing and patient-centered care and implementation barriers should be explored.
Haemodynamic responses following orotracheal intubation in patients with hypertension---Macintosh direct laryngoscope versus Glidescope®videolaryngoscope
Authors: Meshram Tanvi M , Ramachandran Rashmi , Trikha Anjan , Rewari Vimi 
Published: April 2021

Background and Aims:
Glidescope®videolaryngoscope (GVL) is a video intubation system with 60° angle blade that provides excellent laryngeal view, does not require alignment of oral, pharyngeal, and laryngeal axes for visualisation of glottis, thus causing less stimulation of orolaryngopharynx. The aim of this study was to compare haemodynamic responses (blood pressure and heart rate) and airway morbidity using the Macintosh direct laryngoscope (MDL) and the Glidescope®videolaryngoscope (GVL) in hypertensive patients.

Methods:
Fifty patients with hypertension controlled on antihypertensive medications scheduled for elective surgery under general anaesthesia were randomly assigned to group GVL (n = 25) or group MDL (n = 25). Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP) were recorded at baseline, after induction, pre-intubation, at intubation, 1, 2, 3, 4, and 5 min after intubation. Time to intubation, number of attempts, complications during intubation, and postoperative airway complications (sore throat, hoarseness, dysphagia, and cough) were also recorded.

Results:
There was a statistically significant increase in SBP, DBP, and MBP at intubation [(P = 0.003, 0.013, 0.03), 1 min (P = 0.001, 0.012, 0.02), 2 min (P = 0.04, 0.02, 0.04), and 3 min (P = 0.02, 0.01)] in the MDL group as compared to GVL group. The time to intubate was significantly greater in the GVL group as compared to MDL group (P = 0.0006). There was no significant difference in the incidence of intraoperative and postoperative airway complications.

Conclusion:
In the hands of an experienced anaesthesiologist, the use of GVL in controlled hypertensive patients is associated with less haemodynamic response as compared to Macintosh Laryngoscope without any increase in airway complications.
Hypoxaemia and its clinical predictors among children with pneumonia at a tertiary centre in Osogbo, Southwestern, Nigeria
Authors: Odeyemi A.O. , Adebami O.J. , Okeniyi J.A.O. , Odeyemi A.O. , Kayode O.V. 
Published: April 2021

Objective: Hypoxaemia is a feature of severe pneumonia particularly among children aged less than five years. This study aimed to determine the prevalence and clinical predictors of hypoxaemia among children with pneumonia.Methods: It was a hospital-based cross-sectional observational study involving 129 children aged 1 - 59 months with both clinical and radiological pneumonia. The haemoglobin oxygen saturation (SPO ) was 2 obtained at presentation. Hypoxaemia was defined as SPO < 90 percent. 2Result: Of the129 subjects studied, 49 (38.0%) had hypoxaemia. The clinical signs that were significantly associated with hypoxaemia were central cyanosis (p= 0.012), grunting (p= 0.014), nasal flaring (p< 0.001), lethargy (p< 0.001), restlessness (p= 0.002), loss of consciousness (p< 0.001), and inability to feed (p< 0.001). A combination of nasal flaring with central cyanosis, grunting or tachypnoea were significant predictors of hypoxaemia (p= 0.029, 0.017 and <0.001 respectively). Tachypnoea and nasal flaring had the highest sensitivity and specificity among the clinical signs for hypoxaemia. Prolonged hospital stay (> 5 days) and mortality were significantly associated with hypoxaemia (p< 0.001).Conclusion: Hypoxaemia is common among children hospitalized for pneumonia. It is an important determinant of hospital stay and outcome.
Keywords: Hypoxaemia, pneumonia, hospitalized children, under-fives, clinical predictors.
Nigeria’s development process, methodology and milestones planned for VISION 20:2020 - 13 years after
Authors: Omobuwa O. , Hassan M.B. 
Published: April 2021

Infrastructure development
Infrastructural development is a key requirement for the development of any nation as it is an indispensable tool in facilitating growth and development. The usefulness of infrastructure cuts across many varying sectors relevant to development including health, education, agriculture, telecommunication, power, etc. as well as the sustenance of economic growth and preservation of the environment for sustainable economic development. This article takes a look at the critical areas/aspects of infrastructure for the purpose of judging the level of accomplishment of the Vision 2020. The sectors examined are: power supply, transportation, information communication and technology (ICT), education, health, agriculture, land use management, rural and urban development, water supply and waste management. By and large, Nigeria can not be said to have met her tall, yet laudable goals of the vision 2020, largely as a result of inadequacies in governance, policies and other factors. There is a great need for significant improvement in the political will of the government of the day to commit to the goals and aspirations of the nation for rapid development.
Las tecnologías del aprendizaje y el conocimiento en el proceso de enseñanza
Authors: Girón Sánchez Iris María 
Published: April 2021

Dentro de la sociedad guatemalteca se habla frecuentemente del uso y riesgo de las Tecnologías de la Información y Comunicación, las cuales son interactivas e interconexionadas, para permitir realidades comunicativas, siendo necesario partir del objetivo central de la investigación, determinar el uso de las Tecnologías del Aprendizaje y el Conocimiento, caracterizadas por su componente metodológico, que genera un aprendizaje significativo, dentro del proceso de enseñanza, siendo la didáctica impartida por los profesores universitarios la ciencia y arte necesaria para la calidad educativa.
El estudio es mixto, presentando datos cuantitativos y cualitativos, de los instrumentos validados para el análisis de resultados, partiendo de un muestreo intencionado, no probabilístico, siendo la muestra dirigida, por las características específicas en el grupo, elegidos por oportunidad, tres docentes y sesenta estudiantes universitarios, de tres cursos de la Maestría en Docencia Universitaria, del Departamento de Postgrado, Facultad de Humanidades de la Universidad de San Carlos de Guatemala.
Los datos recolectados, parten de las técnicas aplicadas, la observación, cuestionarios, grupos focales y programas de los cursos, el objetivo es que por medio de los resultados se determina la manera en que los profesores universitarios han aprovechado y aplicado las Tecnologías del Aprendizaje y el Conocimiento en la didáctica, con la guía, orientación, asesoría, acompañamiento al estudiante, para superar limitaciones o desventajas en el desarrollo de actividades académicas que fortalecen el aprendizaje significativo y autónomo, usando diferentes dispositivos, herramientas, redes sociales, programas y plataformas, en diferentes escenarios en la educación a distancia y presencial.
FİNANSAL BAŞARISIZLIK TAHMİNİNDE KARINCA KOLONİSİ OPTİMİZASYON YAKLAŞIMI: BORSA İSTANBUL’DA BİR ARAŞTIRMA
Authors: TERZİ Serkan , KIYMETLİ ŞEN İlker 
Published: April 2021

Amaç: Bu çalışmanın amacı, Borsa İstanbul İmalat Sanayiinde işlem gören şirketlerin finansal başarısızlık tahmininde güvenilir bir model geliştirmektir. Bunun için Borsa İstanbul’da kayıtlı 100 üretim şirketinin 2005-2019 yılları arasında finansal tablolarından elde edilen 18 değişken analizde kullanılmıştır.
Yaklaşım: Finansal başarısızlık tahmininde optimizasyon algoritmaları içinde yer alan karınca kolonisi algoritması tabanlı bir yaklaşım (antminer +) kullanılmıştır.
Bulgular: Yapılan çalışma sonucunda finansal başarısızlık tahmininde en yüksek başarım oranına sahip kurallar tespit edilmiştir. Bazı değişkenlerin finansal başarısızlık riski ile doğrudan ilişkili olduğu belirlenmiştir. Ayrıca oluşturulan kuralların başarı oranlarının %82-%93 arasında olduğu belirlenmiş olup, ortalama başarı oranı ise %88 olarak tespit edilmiştir. Bu nedenle kullanılan algoritmanın literatüre göre geçerli olduğu tespit edilmiştir.
Özgünlük: Literatürde finansal başarısızlığın tespiti için karınca koloni algoritmasının (AntMiner+) kullanıldığı az sayıda çalışma mevcuttur. Türkiye’de ise finansal başarısızlık tespitinde bu algoritmayla yapılan çalışma bulunmamaktadır.