bluuebunny/crossref_metadata_2025_split huggingface dataset:
Game Changer
Authors: Parra Gerby , Tan Emily 
Published: July 2021

The COVID-19 pandemic has caused such an unprecedented disturbance to the world, particularly on the economy, and caused significant disruption to the education ecosystem. It has affected school organizations and forced school leaders to adopt alternative ways of learning. The transition to online education posed many challenges in engaging students to participate actively, and one of the solutions is for teachers to create better digital lessons using gamification elements. But despite the prevalence of technology, educators lack the knowledge and skills to captivate students' interest to participate actively in online learning. At present, there is a dearth of studies on the application of gamification to teachers' online lessons during the COVID-19 pandemic. Educators must capitalize on new engaging technological trends as a form of techno-structural OD intervention to complement their pedagogies, teaching processes and encourage students' online participation. This concept paper highlights the benefits of applying gamification to education, particularly on how teachers can utilize game elements in creating, managing, and updating digitalized lessons to motivate students amidst the pandemic. The paper also explores fostering a healthy culture for students' heightened level of motivation, increased acquisition of knowledge, and learning new skills. It encourages schools to adopt the appropriate type of gamification and suggests future researchers on the various types and elements of gamification that can be adapted by selected schools.
Optimizing Nutritional Status in Patients Undergoing Radical Cystectomy: A Systematic Scoping Review
Authors: Alam Syed M. , Michel Carrie , Robertson Hilary , Camargo Juliana T. , Linares Brenda , Holzbeierlein Jeffrey , Hamilton-Reeves Jill M. 
Published: July 2021

BACKGROUND: Nutrition is a modifiable risk factor for patients undergoing multimodal oncologic interventions and plays a major supportive role in the setting of bladder cancer. For patients undergoing radical cystectomy (RC), malnutrition is associated with increased postoperative complications and mortality. OBJECTIVES: The purpose of this scoping review is to characterize the role of nutritional interventions for patients undergoing RC for bladder cancer. METHODS: A multi-database systematic scoping review based on the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews (PRISMA-ScR) guidelines was performed. Search terms were developed a priori to identify clinical trials that focused on nutritional interventions for patients with bladder cancer undergoing RC. Eligible articles were original research articles or abstracts from clinical trials evaluating nutritional interventions in adult patients undergoing RC. Articles were excluded if they did not focus on a nutritional intervention, if patients did not carry a diagnosis of bladder cancer, or if RC was not performed. Articles were reviewed independently by the authors, and inclusion/exclusion were based on consensus agreement. RESULTS: A total of 83 articles were identified, of which 17 were included in the final analysis. A total of 49 articles were excluded during abstract screening. An additional 17 articles were excluded based on the review of full-text articles. Results of the scoping review suggest that data on the use of nutritional screening, assessment, and intervention for patients undergoing RC are scarce. Although parenteral nutrition (PN) appears to be associated with greater complications after RC, early introduction of food postoperatively or feeding enterally offers benefit and immunonutrition supplements with a focus on a high protein diet have the potential to better optimize surgical outcomes. CONCLUSIONS: Although the prevalence and consequences of malnutrition among patients undergoing RC are well-established, there are limited data evaluating the use of nutritional screening, assessment, and interventions for this population. The pursuit of future clinical trials in this space is critical.
Penentuan Aspek Lokasi dan Analisis Kelayakan Investasi Pendirian Rumah Sakit Kelas C di Kabupaten Cirebon
Authors: Idaman Northa , Anita Lella , Fasa Muhammad Iqbal 
Published: July 2021

Penelitian ini bertujuan untuk menganalisis beberapa alternatif lokasi kecamatan di Kabupaten Cirebon yang akan dipilih sebagai lokasi pendirian rumah sakit kelas C. Penelitian menggunakan pendekatan kualitatif dan kuantitatif. Pendekatan kualitatif dilakukan untuk mendeskripsikan kondisi di lapangan, sedangkan pendekatan kuantitatif dilakukan melalui uji kepakaran dengan metode pembobotan dan peratingan terhadap alternatif lokasi kecamatan, yaitu Palimanan, Plumbon dan Karangsembung. Hasil peneltian menunjukkan bahwa stakeholders kunci, yaitu Dinas Kesehatan Kabupaten Cirebon merekomendasikan pembangunan rumah sakit di wilayah timur Kabupaten Cirebon. Hasil analisis kepakaran menunjukkan bahwa Kecamatan Karangsembung merupakan lokasi yang tepat untuk dibangun rumah sakit kelas C.
KEMAMPUAN PEMECAHAN MASALAH MATEMATIS SISWA KELAS XI BERDASARKAN MATH ANXIETY
Authors: Hella Jusra Windy Safitri, 
Published: July 2021

Penelitian ini bertujuan untuk mendeskripsikan tentang kemampuan pemecahan masalah matematis siswa berdasarkan math anxiety siswa. Subjek pada penelitian ini adalah siswa kelas XI SMA di Jakarta dengan jumlah 66 orang. Teknik pengumpulan data yang digunakan adalah angket Math Anxiety dan tes kemampuan pemecahan masalah matematis. Penelitian ini merupakan penelitian deskriptif statistik dengan teknik analisis data yang digunakan adalah korelasi bivariate pearson dan deskripsi data. Berdasarkan hasil penelitian ditemukan bahwa siswa yang memiliki tingkat math anxiety tinggi maka kemampuan pemecahan masalah matematis siswa rendah. Sebaliknya, siswa yang memiliki tingkat math anxiety rendah maka kemampuan pemecahan masalah matematis siswa tinggi.Kata Kunci: Kemampuan Pemecahan Masalah Matematis, Math Anxiety
FETOMATERNAL OUTCOME IN PREGNANCY WITH CARDIAC DISEASE
Authors: Bafna Kalyani K , Nakum Kanaklata , Vithal Aditi 
Published: July 2021

Objective(S): Cardiac disease is an important cause of maternal morbidity and mortality in both antepartum as well as in postpartum period. Incidence of heart disease with pregnancy is <1%. Aim of this study is to determine maternal complications with heart disease, mode of delivery & fetal complications.
Materials & Methodology: This is a retrospective study conducted at Gopinath Maternity Home, Sir-T Hospital, Bhavnagar. From May 2020- April 2021. All pregnant women with various cardiac disease (previously established or diagnosed during pregnancy) who came to labor room or OPD are included.
Result: 30 pregnant women out of 2683 deliveries were identified with cardiac disease giving prevalence of 1.12% in this study. 15(50%) women belonging to NYHA class-1 & 8(26.6%) belonged to NYHA class 2. Class 3(3 patients =10%) & class 4(4patients= 13.3%) were admitted immediately. 18(60%) women were case of valvular heart disease, out of which 12(66.6%) cases were of RHD, 2(11.1%) were MS, 3(16.6%) AS, 1(5.5%) MR. 10(33.33%) cases were congenital heart disease. Maternal mortality were 4(13.33%). Out of 30 cases, 18(69.2%) women had LSCS, 6(23.07%) had vaginal delivery,2(7.7%) had vaccum & 3(10.3%) had abortion. Out of 26 deliveries 2(7.7%) were IUFD, 6(23.07%) Preterm, 7(26.9%) IUGR. Total there were 9(37.5%) NICU admissions.
Conclusion: Prognosis of pregnancy with heart disease has improved but management of it is still a challenge for obstetricians. Pre-conceptional counseling plays an important role by benefiting women with severe heart disease and thus help in reducing maternal morbidity and mortality.
Keywords: cardiac disease, maternal outcome, fetal outcome
RISK FACTORS AND PREGNANCY OUTCOME OF ABRUPTIO PLACENTA: A RETROSPECTIVE STUDY
Authors: Savani Kinjalben A. , Nakum Kanaklata , Vithal Aditi 
Published: July 2021

Background: Abruptio placenta is the most common cause of antepartum haemorrhage which is defined as separation of normally situated placenta after 20 weeks of gestation and before birth of fetus. Obstetrical haemorrhage accounts for almost half of all postpartum deaths in developing countries. Aim of study was to determine maternal and fetal outcome in pregnancy complicated by abruption.
Methods: This was a retrospective study conducted at Gopinath maternity home, Sir T. Hospital, Bhavnagar. From MAY 2020 –APRIL 2021.all pregnant women came to labour room with diagnosis of abruptio placenta were included.
Results: Total patients of abruption Identified Are 33 out of 2683 deliveries giving incidence of 1.1% In this study. Most of them are found at 26-35 years of age with 33-36 weeks of gestation. It is associated with multiparity in 57.5%. Vaginal bleeding is the most common presenting complain followed by absent fetal movement. 72.7% cases had association with preeclampsia. There is higher LSCS rates (61%) as compared to vaginal deliveries (39%). Most common complication found is DIC (30.3%) and next common is ARF (24.2%). case fatality rate of 6.06%. In our study 60.6% still birth and 39.3% live birth. Many of them required NICU admission.
Conclusion: Abruption is continued to be responsible cause of maternal and foetal adverse outcome. early detection and proper management prevents morbidity associated with it. Combined care is required for it.
Keywords: Abruptio placenta, risk factors, feto-maternal outcome.
HUBUNGAN ANTARA PENGETAHUAN DENGAN PERILAKU PENCEGAHAN PENULARAN TB PADA PENDERITA TB PARU DI POLI PARU RUMAH SAKIT PROF. DR.SULIANTI SAROSO
Authors: Noviati Kurniasih Dian , Widianingsih Cicilia 
Published: July 2021

Abstrak : TB merupakan penyakit menular yang menjadi masalah di Indonesia karena diperkirakan setiap hari 425 orang meninggal akibat TB di Indonesia . Perilaku pencegahan TB dilakukan untuk menurunkan angka penularan penyakit TB terhadap orang â€“ orang di lingkungan sekitar. Pengetahuan tentang pencegahan penularan TB paru merupakan bekal utama untuk mencegah penularan dan penyebaran penyakit Tuberkulosis Paru. Perilaku dapat terdiri dari pengetahuan, sikap dan tindakan. Penelitian ini merupakan penelitian kuantitatif dengan jenis deskriptif korelatif dengan desain cross sectional. Sampel sebanyak 60 pasien yang diambil dengan teknik rondom sampling. Penelitian ini bertujuan mengetahui hubungan pengetahuan dengan perilaku pencegahan penularan TB Paru. Hasil penelitian menyebutkan bahwa 96,7% responden berpengetahuan rendah, 100% bersikap mendukung dalam pencegahan TB Paru dan 100% berperilaku tidak mendukung pencegahan TB paru. Hasil analisa bivariat menggunakan regresi linier menunjukkan bahwa terdapat hubungan pengetahuan dengan pencegahan TB paru.Â Abstract : TB is an infectious disease due to a problem in Indonesia is estimated every day 425 people died from TB in Indonesia. TB preventive behavior is done to reduce the rate of transmission of TB to people - people in the neighborhood. Knowledge of prevention of transmission of TB is the main provision to prevent the transmission and spread of pulmonary tuberculosis. The behavior may consist of knowledge, attitudes and actions. This research is a quantitative study with a descriptive correlative with the cross-sectional design. Sample has collected amount 60 patients were taken by random sampling. This objective study to determine the relationship of knowledge with pulmonary TB infection prevention behavior. The result study 96.7% of respondent knowledgeable low, 100% attitude supportive in the prevention of pulmonary TB and 100% behavior not support the prevention of pulmonary tuberculosis. The linear regression indicates that there is a relationship of knowledge to the prevention of pulmonary tuberculosis.
PENCEGAHAN VENTILATOR-ASSOCIATED PNEUMONIA DENGAN PEMBERIAN PROFILAKSIS STRESS ULCERS
Authors: Anandani Adinta 
Published: July 2021

Abstrak : Ventilator-associated pneumonia (VAP) adalah pneumonia yang terjadi lebih dari 48 jam setelah pemasangan intubasi endotrakeal akibat dari mikroorganisme yang masuk saluran pernapasan bagian bawah melalui aspirasi sekret orofaring yang berasal dari bakteri endemik di saluran pencernaan atau patogen eksogen yang diperoleh dari peralatan yang terkontaminasi atau petugas kesehatan. Terapi dengan menggunakan proton pump inhibitor sebagai profilaksis terhadap stress ulcer yang mungkin ditimbulkan akibat pemakaian ventilator mekanik mungkin terkait dengan peningkatan risiko terjadinya hospital acquired pneumonia (HAP). Berdasarkan dataâ€“data komparatif dari beberapa penelitian randomized IDSA (2005) merekomendasikan penggunaan sukralfat dibandingkan dengan H2-blocker dalam PSU untuk mengurangi kemungkinan timbulnya VAP.Â Abstract: Ventilator-associated pneumonia (VAP) is pneumonia that occurs more than 48 hours after endotracheal intubation due to microorganisms that enter the lower respiratory tract by aspiration of secretions oropharynx derived from endemic bacteria in the digestive tract or pathogen exogenous obtained from contaminated devices or health workers. Therapy using proton pump inhibitors as prophylaxis against stress ulcer (PSU) which may be incurred as a result of the use of a mechanical ventilator may be associated with an increased risk of hospital acquired pneumonia (HAP). Based on comparative data from several randomized studies IDSA (2005) recommends the use of sucralfate compared with H2-blockers in the PSU to reduce the likelihood of onset VAP.
GAMBARAN KESINTASAN 3 TAHUN PASIEN HIV/AIDS BERDASARKAN KETIDAKPATUHAN BEROBAT DI RUMAH SAKIT PENYAKIT INFEKSI PROF. DR. SULIANTI SAROSO TAHUN 2010-2012
Authors: Dhermawan Sitanggang Hendra , Yunis Miko Wahyono Tri , Rusli Adria , Korib Sudaryo Mondastri 
Published: July 2021

Abstrak : Penelitian ini bertujuan untuk mengetahui gambaran kesintasan 3 tahun pasien HIV/AIDS berdasarkan ketidakpatuhan berobat. Penelitian ini menggunakan desain kohort retrospektif di RSPI Prof. Dr. Sulianti Saroso tahun 2010-2012. Probabilitas survival kumulatif pasien HIV/AIDS di RSPI Prof dr. Sulianti Saroso pada tahun kedua (bulan ke-24) adalah 95,6% dan tahun ketiga (bulan ke-36) adalah 91%. Probabilitas kesintasan 3 tahun pasien yang patuh minum obat (97,6%) lebih tinggi dibandingkan pada yang tidak patuh minum obat (83,1%). Berdasarkan ketidakpatuhan terhadap janji ambil obat, probabilitas kesintasan 3 tahun pasien yang patuh ambil obat (93,8%) juga lebih tinggi dibanding yang tidak patuh (88,1%). Ketidakpatuhan minum obat dapat menyebabkan kegagalan terhadap penekanan replikasi virus HIV, sehingga meningkatkan kemungkinan bermutasinya virus HIV yang dapat menyebabkan resisten terhadap obat dan akhirnya dapat meningkatkan risiko kematian. Ketidakpatuhan terhadap janji ambil obat pada 1 tahun pertama juga diasumsikan juga akan menunjukkan ketidakpatuhan terhadap janji ambil obat selanjutnya dan menunjukkan ketidakpatuhan minum obat, sehingga meningkatkan risiko kematian. Perlu dilakuakan monitoring cakupan kepatuhan minum obat pasien HIV/AIDS secara berkala sebagai kewaspadaan dini terhadap risiko kematian pasien HIV/AIDS.Â Abstract :The objective of this study was to described 3-years survival of patients with HIV/AIDS based on non-compliance medication. This study used a retrospective cohort design at RSPI Prof. Dr. Sulianti Saroso in 2010-2012. The cumulative survival probability of patients with HIV/AIDS at RSPI Prof. dr. Sulianti Saroso in the second year (24th month) was 95.6% and the third year (in the 36th) was 91%. Probability 3-years survival patients with HIV/AIDS whom were adherence (97,6%) was higher than non-adherence (83,1%). Based on incompliance to appointment of taking drugs, probability 3-years survival among patient whom were compliance (93,8%) was also higher than incompliance (88,1%). Nonadherence to ART may caused a failure of the suppression on HIV viral, thus increase the possibility of HIV virus mutations that can lead to drug-resistant and ultimately increase the risk of death. Poor compliance to appointments of taking drugs in the first year also assumed the poor adherence of the next assignment to take drugs in the further, and show disobedience to ART, so it will increase the risk of death. Need to monitor coverage of medication adherence of patients with HIV/AIDS in a regular basis as the early warning on the risk of death among patients with HIV/AIDS.
Hubungan Dukungan Emosional Keluarga dengan Keberhasilan Pelaksanaan Program Pengobatan HIV/AIDS di Rumah Sakit Penyakit Infeksi (RSPI) Prof. Dr. Sulianti Saroso
Authors: Hindun Audhah Maulia , Agustina Marisca 
Published: July 2021

AbstrakLatar belakang : Dukungan emosional keluarga merupakan salah satu aspek dukungan keluarga yaitu suatu bentuk kenyamanan, perhatian ataupun bantuan yang diterima individu dari orang yang berarti baik secara perorangan maupun kelompok. Tujuan penelitian ini untuk mengidentifikasi hubungan dukungan emosional keluarga dengan pelaksanaan program pengobatan pasien HIV/AIDS.Metode : Desain dalam penelitian ini adalah deskriptif korelasional dengan pendekatan cross sectional. Sample dalam penelitian ini adalah pasien HIV/AIDS yang melakukan pengobatan dipokja HIV/AIDS RSPI Prof. Dr. Sulianti Saroso sebanyak 98 pasien yang diambil dengan teknik purposive sampling. Data di analisis secara univariat dan bivariat dengan uji Chi Square.Hasil : Dari 98 responden sebagian besar yaitu 54 (54,1%) menyatakan kurang mendapatkan dukungan emosional keluarga dan 53 (53.1%) tidak rutin dalam pelaksanaan program pengobatan pasien HIV/AIDS. Ada hubungan yang signifikan antara dukungan emosional keluarga dengan kepatuhan program pengobatan HIV/AIDS (PValue = 0,01).Kesimpulan : Ada hubungan antara dukungan emosional keluarga dengan kepatuhan program pengobatan HIV/AIDS.Â AbstractBackground : Emotional support is one of familyâ€™s support aspect and a form of comfort, care and help that received by a person from someone important for them. The purpose of this research is to identified the correlation of emotional support and the implementation of HIV treatment programs.Methods: The design of this research is descriptive correlation with cross sectional approach. The amount of samples is 98 patien with HIV/AIDS from pokja-HIV/AIDS at RSPI Prof. Dr. Sulianti Saroso. Data analysis consist of univariate and bivariate analysis with chi square test .Results : Of the 98 respondents most of which 54 (54.1%) expressed less get emotional family support and 53 (53.1%) is not routine in the implementation of the treatment of patients with HIV/AIDS. There was a significant correlation between emotional support families with the compliance program HIV/AIDS treatment ( Pvalue = 0,01).Conclusion : There is a significant correlation between emotional support and the adherence of HIV treatment.
Gambaran Kegagalan Perbaikan CD4 Pasien Koinfeksi TB-HIV Berdasarkan Jarak Waktu Pemberian Antiretroviral Pasca Obat Anti Tuberkulosis di Rumah Sakit Penyakit Infeksi (RSPI) Prof. Dr. Sulianti Saroso
Authors: Musdalifah NFN , Djuwita Ratna , Rusli Adria , Korib Mondastri 
Published: July 2021

AbstrakLatarbelakang : Memulai terapi Antiretroviral (ARV) lebih awal berisiko menimbulkan interaksi Obat Anti TB (OAT) dengan ARV, efek samping obat, keracunan akibat obat, tantangan kepatuhan minum obat dan terjadinya Immune Reconstitution Inflammatory Syndrome (IRIS).Metode : Penelitian ini menggunakan design penelitian kohort restrospektif dengan follow-up selama satu setengah tahun. Penelitian dilaksanakan di Rumah Sakit Penyakit Infeksi (RSPI) Prof. Dr. Sulianti Saroso Tahun 2016. Populasi studi adalah pasien Ko-infeksi TB-HIV yang naive ART dan tercatat pada rekam medis periode Januari 2010 - November 2014. Data pasien diperoleh dari rekam medis pasien dengan kriteria inklusi sampel adalah pasien usia â‰¥15 tahun, mendapat OAT minimal 2 minggu sebelum ART dimulai, dan memiliki data hasil pemeriksaan CD4 sebanyak dua kali dengan total sampel sebanyak 164 orang.Hasil : Probabilias kumulatif kegagalan perbaikan CD4 pasien ko-infeksi TB-HIV sebesar 14,43%. Hazard rate kegagalan perbaikan CD4 pada pasien yang memulai terapi ARV 2-8 minggu setelah OAT dibandingkan dengan yang menunda terapi ARV 8 minggu setelah OAT masing-masing 767 per 10.000 orang tahun dan 447 per 10.000 orang tahun (p=0,266).Kesimpulan : Hazard rate kegagalan perbaikan CD4 pada pasien yang memulai terapi ARV 2-8 minggu setelah OAT lebih tinggi dibandingkan dengan hazard rate pada pasien yang menunda terapi ARV 8 minggu setelah OAT.Â AbstractBackground : Starting Antiretroviral Treatment (ART) earlier was assosiated to pharmacologic interactions, side effect, high pill burden, treatment interruption, and Immune Reconstitution Inflammatory Syndrome (IRIS).Methods : This study used cohort restrospective design with one and half year time to follow up. This study was conducted from May to June 2016 at Infectious Disease Hospital Sulianti Saroso. Study population were TB-HIV coinfected patients, noted as a naive ART patient in medical records from january2010-november 2014. A total 164 patients â‰¥ 15 years old, had ATT 2 weeks before ART and had minimum 2 CD4 sell count laboratorium test results.Result : The cumulative probability of CD4 response failure among TB-HIV co-infected patients was 14,43%. Hazard rate of CD4 response failure was 767 per 10.000 person year in early ART (2-8 weeks after OAT) versus 474 per 10.000 person year in delayed ART (8 weeks after OAT) (p=0,266).Conclusion : Hazard CD4 repair failure rate in patients who started ARV therapy 2-8 weeks after OAT higher than the hazard rate in patients who deferred antiretroviral therapy 8 weeks after OAT.
Perubahan Jumlah CD4 Setelah Enam Bulan Pertama Terapi Antiretroviral di RSPI Prof. Dr. Sulianti Saroso
Authors: Rahayuni Sri , Mariana Nina , Lapau Buchori , Arifin Evy Nurvidiya , Maemun Siti 
Published: July 2021

Latar belakang: Pemberian ARV dapat mengoptimalkan outcome klinis ODHA. Di Indonesia, informasi tentang efek terapi ARV setelah 6 bulan pertama terhadap perubahan jumlah CD4 masih terbatas. Penelitian bertujuan mengidentifikasi perubahan jumlah CD4 setelah 6 bulan pertama pemberian jenis ARV Kombinasi Obat Terpisah (KOT) dan Kombinasi Dosis Tetap (KDT) di RSPI Prof. Dr. Sulianti Saroso periode Januari 2014-Maret 2017. Metode: Desain penelitian adalah kohort retrospektif, jumlah sampel 154, terdiri dari 87 ODHA yang mendapatkan KOT dan 87 KDT. Pengambilan sampel secara consecutive sampling dengan sumber data rekam medis. Setelah data terkumpul, dilakukan analisis univariat, bivariat menggunakan uji Chi Square, dan multivariat dengan regresi logistik. Hasil: Dari 87 yang mendapatkan KOT, 26 (29,9%) CD4 menurun/tetap dan 61(70,1%) meningkat. Sedangkan yang mendapatkan KDT, 3 (3,4%) CD4 menurun/tetap dan 84 (96,6%) meningkat. Pada ODHA yang adherence juga mengalami peningkatan CD4. Ada hubungan yang bermakna pemberian jenis ARV dan adherence dengan perubahan CD4 (p<0,05). Risiko penurunan CD4/tetap 11 kali lebih tinggi pada ODHA yang mendapatkan KOT daripada KDT (95%CI=2,98-41,61), sedangkan risiko penurunan CD4/tetap 6 kali lebih tinggi pada ODHA yang tidak adherence (95%CI=2,10-16,14). Kesimpulan: Perubahan jumlah CD4 dipengaruhi oleh penggunaan ARV KOT atau KDT Â dan juga adherence.