bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effectiveness of Acceptance and Commitment Therapy and Combined with Aerobic Training on Anxiety Symptoms, Insulin Resistance and Lipid Profile in Women with Type 2 Diabetes
Authors: Moghaddam Dizaj Herik Nader , Moheb Naimeh , Banaeifar Abdol Ali , Agha Mohammadzadeh Nasser 
Published: March 2021

Objective: The aim of the present study was to examine the effectiveness of Acceptance and Commitment Therapy (ACT) combined with aerobic exercise (AE) on anxiety symptoms, insulin resistance (IR) and lipid profile in women with T2DMmellitus (T2DM).
Materials and Methods: In the present study, 60 T2DM women with a mean age of 33.5 (± 3.52) years were selected from the patients who were referred to the specialized clinic Petroleum Industry in summer 2020. They were randomly divided into four groups of ACT (n=15), AE (n=15), ACT combined with AE (n=15), and the control group (n=15). Intervention programs were performed for 10 weeks, and then indices were collected before and after the intervention using blood tests and Beck Depression Inventory.
Results: ACT led to a significant decrease in anxiety and LDL (P-value: 0.001). Moreover, AE significantly reduced the anxiety index and increased HDL (P-value: 0.001). In addition, the effect of ACT and exercise significantly reduced anxiety (P-value: 0.001) and LDL index (P-value: 0.03) and also increased HDL (P-value: 0.03). However, indices of blood glucose, insulin, insulin resistance, total cholesterol, and triglycerides did not indicate any significant changes in the intervention groups as compared with the control group (P-value<0.05).
Conclusion: According to the obtained findings, the use of psychological intervention along with AE could lead to a significant change in the symptoms of anxiety and some lipid indices in T2DM women. Also caused a non-significant improvement in glycemic index and can be regarded as a solution for diabetics.
The Effect of Combined Exercise Course and Aloe-Vera Supplementation on Renal Function and Lipid Profile in Type 2 Diabetes Mellitus Patients: A Randomized Clinical Trial
Authors: Ahmadi Nasab Ghasem , Delavar Reza , Taheri Hamed 
Published: March 2021

Objective: Renal failure is a complication of diabetes. It can be the risk factor of cardiovascular disease. This study aimed to evaluate the effect of exercise course and Aloe-Vera supplementation on renal function and lipid profile in type 2 diabetes mellitus (T2DM) patients.
Materials and Methods: This is a clinical trial double blind with pre-test and post hoc test analyses with a control group. The studied population included a group of T2DM diagnosed patients among whom 24 men (40-60years) were selected voluntarily and purposefully and were classified into three groups by balanced block randomization method, exercise(E), exercise + supplement (E+S), and control (C), (n=8/group). Combined exercise was planned in two 12-minute repetitive sets with 70% 1RM. Then the participants ran for two 10- minute sets with 70-75% maximum heart rate intensity on treadmill. E+S participants consumed 500 mg/day Aloe Vera for 6 weeks. Obtained data by SPSS-19 software were analyzed using co-variance analysis method with Bonferroni post hoc test (P-value<0/05).
Results: Results showed that E and E+S significantly improved GFR (P-value=0.011) and E with or without Aloe-Vera consumption decreased creatinine levels (P-value=0.042) and increased HDL levels (P-value˂0.001). The results demonstrated that LDL and TG levels showed no significant difference in reaction to the combined exercise and supplementation.
Conclusion: Combined exercise along with Aloe-Vera supplementation has had significant effect on improving renal factors and lipid profile of T2DM diagnosed patients.
Changes in Mitochondrial Dynamic Factors (mfn2 and drp1) Following High Intensity Interval Training and Moderate Intensity Continuous Training in Obese Male Rats
Authors: Hashemi Taklimi Maryamalsadat , Shadmehri Saeedeh 
Published: March 2021

Objective: Mitochondrial content and function are important determinants of oxidative capacity and metabolic efficiency of skeletal muscle tissue. The aim of this study was to investigate the changes in mitochondrial dynamic factors (mfn2 and drp1) following high intensity interval training (HIIT) and moderate intensity continuous training (MICT) in obese male rats.
Materials and Methods: In this experimental study, 40 male wistar rats after inducing obesity with high fat diet (for 10 weeks), eight rats from the high-fat diet group (O) and eight rats of the standard dietary group (C) were sacrificed and other obese rats were randomly divided into three groups: obesity control (OC), MICT and HIIT groups. The HIIT protocol includes 10 bouts of 4-minute activity with intensity of 85-90% vo2max and 2-minute active rest periods and MICT protocol with intensity of 65-70% VO2max with covered distance was matched to that of HIT protocol for 12 weeks and 5 sessions per week. Protein levels of mfn2 and drp1 soleus muscle were measured by Western blot. For analyzing the data, One-way ANOVA and Tukey post hoc with SPSS–23 and the significance level was P-value≤ 0.05.
Results: Induction of obesity was associated with a significant decrease in soleus muscle mfn2 and drp1 (P-value= 0.001). The intervention of HIIT and MICT significantly increased of mfn2 and drp1 compared to control group (P-value= 0.001). Also, mfn2 and drp1 were significantly higher in HIIT compared to MICT group (P-value= 0.001).
Conclusion: It seems that HIIT and MICT increase the mitochondrial dynamic factors in skeletal muscle, and the effects of HIIT are significantly higher.
Dietary Food Groups and Nutrient Intake in Association with Multiple Sclerosis: A Case-Control Study
Authors: Fallah Yakhdani Monire , Mohammadi Mohammad , Salehi Abargouei Amin , Mirzaei Masuod , Rahimdel Abolghasem , Abaszadeh Fathabadi Zeynab , Dolatabadi Maryam , Entezari Maryam , Ebrahimi Ali Asghar 
Published: March 2021

Introduction: It has been proposed that dietary intake is associated with multiple sclerosis (MS). The present case-control study was conducted to investigate the relationship between intake of different food groups and occurrence of MS among the recently diagnosed adult patients in Yazd City, Iran.
Materials and Methods: In the current study, a group of 45 patients who have recently been diagnosed with MS and 100 healthy controls were investigated in this research. Participants were matched regarding their gender. Dietary intakes were assessed using a self-administered semi-quantitative food frequency questionnaire (FFQ). Participants also completed a demographic questionnaire including information such as age, gender, marital status, job, education, sun exposure, smoking, sunscreen, body mass index (BMI), economic status, as well as their spouses' occupations and education. Logistic regressions in crude and multivariable-adjusted models were used to investigate the relationship between food groups and the odds of developing MS.
Results: The findings showed that participants with high consumption of fruits, potatoes, refined grains, pickles, and fibers had a significantly lower chance for developing MS after adjustment for the maximum possible confounding variables (P < 0.05).
Conclusion: The present study revealed that several food groups or nutrients are associated with the development of MS. Further multi-central prospective studies including more participants are needed to confirm these results
Heavy Metals Tolerance Potential of Fungi Species Isolated from Gold Mine Tailings in Ghana
Authors: Sey Emmanuel , D. Belford Ebenezer J. 
Published: March 2021

Introduction: Heavy metal contamination has necessitated a less expensive and non-destructive clean-up technique such as mycoremediation. This study aimed to isolate, identify, and evaluate the tolerance of fungi species in different concentrations of heavy metals for their potential use in bioremediation.
Materials and Methods: Fungi were isolated by serial dilution and spread plate techniques from gold tailings and their tolerance to different concentrations of As, Cd, Cr, Cu, Pb, Zn (as potential bioremediation candidates) was evaluated. Fungal radial growths were recorded daily over a 14 days’ incubation period to establish their tolerance levels using the Tolerance Index.
Results: Five isolated fungi species belonged to the genera Aspergillus, Trichophyton, Rhizopus, Trametes, and Trichoderma. Except for Trichophyton rubrum, the other fungi species were tolerant to all Cr concentrations (0 – 100ppm), but no significant difference was observed in mycelia growth compared to their controls. With high tolerance index ranging from 0.91 to 1.02, Trichoderma viride and Rhizopus oryzae were tolerant to all Cu concentrations (0 – 125ppm). High tolerance was exhibited by Trametes versicolor to Cd at 25 and 50 ppm, and by Rhizopus oryzae at 25 ppm, but no significant difference was found in mycelia growth. Rhizopus oryzae tolerated all As and Pb concentrations with high tolerance index ranging from 0.81 to 1.00. It also tolerated Zn at 200-600ppm concentration with a tolerance index from 0.80 to 0.91.
Conclusion: The selective nature of these fungi species for specific heavy metal tolerance indicates their potential for selective use as effective bioremediative clean up agent of heavy metals contaminated sites.
Effects of Feedback and Education on Nurses’ Clinical Competence in Mechanical Ventilation and Accurate Tidal Volume Setting
Authors: Norouzrajabi Samira , Ghiyasvandian Shahrzad , Jeddian Alireza , Karimi Rozveh Ali , Sayadi Leila 
Published: March 2021

Background: Patients under mechanical ventilation are at risk of ventilator-associated complications. One of these complications is lung injury due to high tidal volume. Nurses’ competence in mechanical ventilation is critical for preventing ventilator-associated complications. This study assessed the effects of feedback and education on nurses’ clinical competence in mechanical ventilation and accurate tidal volume setting.
Methods: This single arm pretest-post-test interventional study was conducted in 2019 at Shariati hospital affiliated to Tehran University of Medical Sciences. Participants were 75 conveniently selected nurses. Initially, nurses’ clinical competence in mechanical ventilation and ventilator parameters of 250 patients were assessed. A mechanical ventilation -based feedback and education intervention was implemented for nurses. Finally, mechanical ventilation clinical competence of nurses and ventilator parameters of 250 new patients were assessed. Moreover, patients’ height was estimated based on their ulna length and then, their predicted body weight was calculated using their estimated height. Accurate tidal volume was determined per predicted body weight.
Results: The mean score of nurses’ clinical competence increased from 8.27±3.09 at pretest to 10.07±3.34 at post-test (p<0.001). The mean values of both total tidal volume and tidal volume per kilogram of predicted body weight were significantly reduced respectively from 529.84±69.11 and 9.11±1.73 (ml) at pretest to 476.30±31.01 and 7.79±1.14 (ml) at post-test (p<0.001).
Conclusion: The feedback and education intervention is effective in promoting nurses’ clinical competence in mechanical ventilation and reducing tidal volume. Thereby, it can reduce lung injuries associated with high tidal volume and ensure patient safety.
Factors Analysis Related to the Response Time of Nursing Services Based on the ATS II Category in the Emergency Installation
Authors: Sumbara . , Fadli . , Safruddin . 
Published: March 2021

The response time for nursing refers to the time required to provide emergency nursing care to patients following the triage assessment. This study seeks to analyze the factors associated with the response time of nursing services based on the ATS II category in the emergency department and the magnitude of the influence of age, knowledge, education, and length of work on response time. The method used in this research was correlational, with a cross sectional method and a questionnaire sheet. The research sample was comprised of 20 nurses. Data analysis was used the Pearson correlation test. The results showed that there was a relationship between age, education, length of work and knowledge with response time, with the value of each variable as follows: age with a p-value of 0.015 and r 0.533; education with a p-value of 0.005 and r 0.601; length of work with a p-value of 0.000 and r 0.739; and knowledge with a p-value of 0.002 and r 0.638. From the results of the analysis, it can be concluded that the strongest determinant factors for response time are length of work and level of knowledge. This study concludes that improving nurse education and training related to handling emergency patients should be prioritised.

Keywords: length of work; knowledge; education, response time; age
The Effect of Hypnotherapy on the Reduction of Blood Glucose Levels in Diabetes Mellitus Type-2
Authors: Hasymi Yusran , Suwanto . 
Published: March 2021

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia, which occurs due to abnormalities in insulin secretion, insulin action, or both. Most cases of diabetes mellitus are diabetes mellitus type-2. The purpose of this study was to determine the effect of hypnotherapy on reducing blood glucose levels in patients with diabetes mellitus type-2. The research used a quasi-experimental design with a non-equivalent control group design. Purposive sampling was used, and 30 respondents selected. The instrument in this study was a single stick tool. The intervention group was given standard therapy treatment in the form of bio-energy therapy and hypnotherapy, while the control group was only given standard therapy treatment in the form of bio-energy therapy. Univariate analysis of the results indicates that the average blood glucose level before treatment was 234.67 mg/dl and after treatment was 194.67 mg / dl. Bivariate analysis based on the results of the Wilcoxon Signed Ranks Test obtained a p-value of 0.002 (p-value <0.05). This means that hypnotherapy reduced blood glucose levels in diabetes mellitus type-2 sufferers. This study recommends the nursing profession apply hypnotherapy as an alternative or non-pharmacological complementary therapy that can be used to reduce blood glucose levels in people with diabetes mellitus type 2.

Keywords: Hypnotherapy, diabetes mellitus type 2, blood glucose levels
Integration of Therapy in Reducing the Onset of Depression in Older Adults: Case Report
Authors: Pradana Anung Ahadi , Sahar Junaiti , Permatasari Henny 
Published: March 2021

Depression in older adults is known to have a high impact on their quality of life. Depressive conditions experienced by older adults require the implementation of therapies that can reduce depression levels. The purpose of this report is to provide an evidence-based practice of integrated therapies programs to reduce depression levels in nursing care involving 10 elderly people. The integration program consists of cognitive restructuring therapy, deep breathing relaxation and Benson relaxation interventions, guided autogenic, and behavior modification with laughter therapy. The implementation was carried out for 8 months, consisting of 2 sessions with each implementation for 4 months. The measurement results using the Geriatric Depression Scale (GDS)-15 showed a change in the depression level of older adults between preand post-treatment by 2.4 points. The results of this study are expected to be applied in community health services.

Keywords: Case study, Depression, Older adults, Therapy
A Pilot study of Seven-Day Education Program “door-to-door” to Improve Knowledge, Attitude, and Practices towards 2019-nCoV During Stay at Home in Indonesia
Authors: Amaliyah Eli , Aminah . 
Published: March 2021

Because of the 2019-nCoV shutdown, there is a need for creative ways to spread the information to those without internet access. The aim of this study to test the feasibility of a ‘Seven-Day Education Program to Improve Knowledge, Attitude, and Practices’ in Indonesia. This research involves a quasi-experimental study with one group pre-test and post-test design, and was carried out from April to May 2020 in Serang, Banten Province, Indonesia. The education program was developed in seven days providing information door-to-door and direct consultation via a social media group for studied participants. The topics consisted of 7 themes, namely: (1) general information of 2019-nCoV; (2) transmission of 2019-nCoV; (3) signs and symptoms of 2019-nCoV; (4) what should I do if they have symptoms of COVID-19 and when should they seek medical help; (5) self-isolation; (6) how to use a mask correctly; (7) prevention of 2019-nCoV. The study had a total of 140 respondents. Knowledge of transmission routes and prevention and control for clinical presentation was enhanced after seven days experiencing the educational program. Following the intervention, the trust of the participants in winning the fight against 2019-nCoV increased. There has been a decline in the last few days before people who go to a crowded place and a rise in the proportion of people wearing masks as they go out (p<0.05). Probably this approach could be applied to reach more people in Indonesia’s rural area during this condition. A future study involving more comprehensive methods and more innovation is required in Indonesia to improve awareness, attitudes, and practices towards 2019-nCoV.

Keywords: Education Program, Knowledge, Attitude, Practices, 2019-nCoV
Analysis of the Management Information System Application Related with Service Data at Hajj Regional General Hospital of Makassar
Authors: Thabran Talib Muhammad , Meilany Lilik , Sukawan Ari 
Published: March 2021

This study analyzes the information system at the Hajj Regional General Hospital of Makassar as a service that is needed for both professional health workers and the served community. The information is about service achievement targets, managerial strategic planning, efficiency and effectiveness of health services.This study aims to obtain information service data that will be utilized by a Management Information System (MIS) which includes computerization needs, information personnel, usage of computers and information system support. The research design is a descriptive survey which was conducted from July to August 2019 and data collection was performed by using questionnaires, observation and document review. The results of the study from 50 respondents showed that 29 respondents (58%) filled in basic data as service data information was very high and very complete (79.87%.) Application of the hospital MIS based on the need for computerization and MIS personnel is very high, which are 88.87% and 89.96%. MIS has a great position and is more important in the hospital business industry due to service information is an indication of health service standards. Hospital MIS is an information system that performs all transaction management therefore information management has results in decision making by providing an indicator for the appearance of health services.One of its functions is to handle the recording of service costs, both for action and medication starting from outpatient care until the patient is discharged from the hospital. This research focuses on inpatient service data information that will be used as MIS, which includes computerization needs, information personnel, and the usage of computers and supporting information systems. Our study revealed that the application of MIS at Hajj Regional General Hospital of Makassar must be supported by the media of communication devices, application programs and human resources who have the profession in information systems and advice, the leadership and administrators that will improve the efforts of MIS which can be handled professionally to create an orderly administration, management and advance the quality of health services.

Keywords: Information Systems, Management, Service Data
Pre- and Post-Conference Practices Amongst Nursing Students During Clinical Practice: A Literature Review
Authors: Sudrajat Diwa Agus , Rizki Nopia 
Published: March 2021

A conference is a team meeting which is undertaken by nursing staff at every shift change. The conference is conducted before (pre-conference) or after (post-conference) handover. The implementation of this conference has an impact on student skills in reporting plans and results of nursing care during shift changes. This study seeks to acquire an overview of the implementation of pre-conference and post-conference practices by nursing students in clinical practice. This research is a literature review study with five articles. Article ratings are measured using the JBI (The Joanna Briggs Institute Critical Appraisal Tools) format. The literature review was conducted using one database (Google Scholar) for previous studies published in the last 10 years (2010–2020). Of the five articles included in this study, one concluded the discussion pre-conference badly, two concluded the pre-conference was not optimal, and two articles concluded the pre-conference processes were acceptable. For the results obtained in post-conference research, one article did not explain explicitly about the implementation of the post-conference procedures, one concluded that the implementation of the post-conference was not optimal, one concluded that the implementation of the post-conference was quite optimal, and two articles concluded that the post-conference procedures were quite good. It is hoped that the results of this literature review can provide education and information for students, science, educational institutions related to the implementation of the method conference. Nursing students are advised to hold conferences accordingly with standard operating procedures (SOP) for good implementation results

Keywords: Nursing Student, conference, clinical practice
Systematic Review of Spiritual Experiences in HIV Patients
Authors: Alawiyah Wiwi , Lindayani Linlin , Herdiman . 
Published: March 2021

One of the consequences caused by problems that occur in HIV patients is a change in the quality of life, particularly that relating to spirituality. This article offers a systematic review of previous studies regarding the spiritual safety of HIV patients. Inclusion criteria for article searches were studies conducted on patients with HIV, over 18 years of age, diagnosed with HIV for more than 6 months, qualitative studies, and exploring spiritual experiences. The quality assessment of each article was carried out using the standard format of the JBI Critical Appraisal Checklist for Qualitative Study. The results of this study include eight articles matching the criteria, and produce four themes that can represent all the articles analyzed: getting closer to God; having hope and life goals; needing support; and finding meaning in life. By identifying and classifying the spiritual experiences of HIV patients, it is hoped that their families will be able to provide motivation in dealing with the problems that occur. It is also hoped that practitioners will be able to use the results of this study as material in collecting assessment data on HIV patients.

Keywords: Spiritual Experience, HIV, Qualitative and Literature Review