bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stenotrophomonas maltophilia
Authors: Sannathimmappa Mohan B. , Nambiar Vinod , Aravindakshan Rajeev , Al-Kasaby Nashwa M. 
Published: March 2021

Objectives: Stenotrophomonas maltophilia, a Gram-negative non-fermentative bacillus, has emerged as an important nosocomial pathogen in recent years. It is intrinsically resistant to many antibiotics and has the ability to acquire antibiotic resistance by multiple mechanisms. Treating Stenotrophomonas infections, therefore, is a serious challenge for physicians. This study aimed to investigate the antibiotic susceptibility patterns and risk factors contributing to S. maltophilia infections. Methods: A retrospective cross-sectional study was conducted at Sohar Hospital in Sohar, Oman. The demographic, clinical and microbiological data of individuals from whom S. maltophilia was isolated between September 2016 and August 2019 were reviewed. Descriptive statistics were presented as frequencies and percentages. Results: A total of 41 S. maltophilia isolates from clinical specimens of 41 patients were studied. Infection occurred predominantly in males (73%) and the majority of patients (88%) were either ≤5 years old or >60 years old. All inpatients had at least one comorbidity while 50% had more than one. All inpatients were exposed to various medical interventions such as intensive care (44%), mechanical ventilation (41%), haemodialysis (25%), Foley’s catheterisation (13%) and central venous lines (6%). Most patients (81%) were in hospital longer than two weeks. The susceptibility rates of S. maltophilia to minocycline (97%), trimethoprimsulfamethoxazole (93%) and levofloxacin (92%) were high; the rate was lowest for ceftazidime (50%). Conclusion: S. maltophilia was found to be an important nosocomial opportunistic pathogen. Prolonged hospital stay and exposure to various medical interventions were key factors contributing to the development of infection. Minocycline and ceftazidime were found to be the most and least susceptible drugs, respectively.

KEYWORDS
Nosocomial Infection; Opportunistic Infections; Fluoroquinolones; Hemodialysis; Ventilation; Oman.
The Effect of Implementation Intention on Improving Physical Activity Level and Cardiovascular Fitness in Patients with Type 2 Diabetes: A Randomized Control Study
Authors: Abdolkarimi Mahdi , Morowatisharifabad Mohammadali , Asadpour Mohammad 
Published: March 2021

Objective: Regular physical activity (PA) is one of the most effective recommendations to prevent diabetic complications. However, the reported level of PA is low in this group. This study evaluates intervention based on the implementation intention (II) theory, to improve the level of PA and the health of patients with diabetes.
Materials and Methods: This randomized control study was conducted on 124 patients with type 2 diabetic. The participants were randomly assigned in to two groups. PA level was measured by using International Physical Activity Questionnaire (IPAQ). The Rockport test was used in order to measure Maximal oxygen consumption volume (vo2max). In the intervention group, Individuals were asked to identify details of the behavior of PA and their own strategies for removing the barriers of exercise. Post-tests took place 3 month later. Normal distributed data were analyzed using two independent and paired sample T-test. Wilcoxon, Mann-Whitney tests were used to compare PA level.
Results: The results showed that although the median level of PA after the intervention (396) had increased. This difference was not statistically significant (P-value= 0.12). Also, after three months vo2max score (19.91) was not significantly different from before (P-value= 0.30).
Conclusion: Intervention based on II had no significant effect on level of PA in patients with type 2 diabetes. Using multiple methods, as well as incorporating it with motivating interventions should be investigated to increase the level of PA in this group
Effect Of Combination Of Kegel's Exercise And Bladder Training In Reducing Urine Inncontinency Episodes In Elderly In Persahabatan Hospital, Jakarta
Authors: Sumedi . , Philip Koshy , Hafizurrachman Muhammad 
Published: March 2021

The aging process is defined by the change in the behavior of organisms according to age, which typically results in a decrease in the ability to survive and take care of themselves. This deterioration can, in humans, be influenced by biological, psychological, social, functional and spiritual factors. Urinary incontinence is a condition that typically affects the elderly, and has a huge impact on the daily lives of sufferers. This study considers the effect of a combination of Kegel’s exercises and bladder training in decreasing episodes of urinary incontinence in the elderly. This study uses a Quasi-experimental design with a Pretest-Posttest with Control Group design. The results demonstrate that there are significant differences in the average frequency of urination, hold time and frequency of urinary incontinence between the first and second measurements in the treatment group (each value p=0.0001). The combination of Kegel’s exercise and bladder training is proven to decrease the episode of urinary incontinence in the elderly.

Keywords: Kegel’s Exercise, Bladder Training, Urine Inncontinency
The effect of Pursed Lips Breathing Exercises on the Oxygen Saturation Levels of Patients with Chronic Obstructive Pulmonary Disease in Persahabatan Hospital, Jakarta
Authors: Sumedi . , Philip Koshy , Hafizurrachman Muhammad 
Published: March 2021

Patients with chronic obstructive pulmonary disease can face increased resistance of airflow, air trapping, and lung hyperinflation. This condition can also cause decreased lung ventilation functions. Using a pursed lips breathing exercise can strengthen respiratory muscles that can improve oxygen saturation by maintaining airflow to bronchus and its branches and alveolus which then can prevent collapse in bronchiolus. The purpose of the study was to identify the effect of pursed lips breathing exercises on the oxygen saturation levels in patients with chronic obstructive lung disease in Persahabatan hospital, Jakarta. The design was quasi experimental, with a control group pre-post test design. A random sampling technique was used in the study. The exercise was provided to the intervention group for six days. The findings showed that the lung ventilation function is significantly different between preand post-intervention for both groups (p=0.00). Further, the average lung ventilation function in the intervention group is significantly different from that of the control group after intervention (p=0.012). In addition, while there is a significant relationship between subject age and the increase of the lung ventilation score (p=0.001), there was no relationship between height and the increase of oxygen saturation (p=0.091) and no significant relationship between sex and the increase of oxygen saturation (p=0.346). Based on these findings, the pursed lips breathing exercise is recommended to patients with chronic obstructive lung disease in order to improve the level of oxygen saturation.

Keywords: Oxygen saturation, Pursed lips breathing exercise, Chronic Obstructive Pulmonary Disease.
The Role of Teacher Educational Training Programs in Reducing the Risk of Bullying in the Integrated Islamic Elementary School in Bengkulu
Authors: Husni . , Asmawati . 
Published: March 2021

There is, according to the Indonesia Child Protection Commission, a problem with bullying in the top level of public schools. Bullying is an act of violence which is done intentionally or unintentionally by a person or group of people who have the power or desire to commit violence to others. This study seeks to determine the effect of education training for teachers on reducing the risk of bullying in an integrated Islamic elementary school in Bengkulu city. It was a quasi-experimental pre-post test with the control group. The sample was 50 teachers (intervention and control groups), using a consecutive sampling technique, with data collected via a questionnaire to measure each teacher’s knowledge and skill. Data were analyzed using Wilcoxon and Man Whitney test for group teachers. The Wilcoxon statistical test of ρ value = 0.010 (ρ <0.05). Mann Whitney test of knowledge and skills with a value of ρ = 0.0001 (ρ <0.05). There were differences in teachers’ knowledge and skill before and after training. There were differences in knowledge and skill between the intervention and the control groups of teachers. However, this study could identify no significant difference in the risk of student bullying score after the teachers implemented their new knowledge for at least two weeks.

Keywords: training, bullying, elementary school
The Relationship Between Self Care and Quality of Life Among Coronary Heart Disease Patient After Receiving Percutaneous Coronary Intervention: A Systematic Review
Authors: Herdiman . , Harsono Heri 
Published: March 2021

Coronary Heart Disease is a chronic disease with the highest morbidity and mortality rates in the world. Management is needed in the form of self-care management as a core element for CHD patients in order to improve the quality of life. Until now, there has been no comprehensive summary regarding self-care and quality of life for CHD patients with stents attached. This study aims to summarize research studies that link self-care and QOL in CHD patients after receiving Percutaneous coronary intervention. Systematic review using three databases (PubMed, ScienDirect, Google Scholar) for previous studies published in the last 10 years (2010–2020). The Joana Bright Institute format and PRISMA guidelines were used to assess the quality of studies and assist in the selection of articles. Data was extracted and summarized by the author using data extraction tools from JBI. Five articles from 2,729 studies were included. The results show inconsistency, namely three studies have a significant relationship and two studies have an insignificant relationship. All questionnaire domains used in the five articles state that the self-care domain of smoking cessation and exercise are correlated with the QOL domain of physical function, body pain, vitality, mental health, symptom domains and satisfaction. Only three articles reported the strength of the relationship (r = 0.117–0.64) and two articles didn’t report the strength of the relationship. By knowing self-care and QOL of CHD patients after receiving PCI, it’s hoped that the hospital can better understand and provide promotive/preventive education related to self-care management so that the patient’s QOL increases significantly.

Keywords: Self-care, quality of life, Coronary Heart Disease, Percutaneous Coronary Intervention, Systematic Review
Description of Cognitive Function in Diabetes Mellitus: A Literature Review
Authors: Puspasari Susy , Andrianto Endar 
Published: March 2021

Cognitive decline in diabetes mellitus is not fully understood, though is generally ascribed to blood sugar levels exceeding normal (hyperglycemia), hypoglycemia conditions and insulin resistance. Cognitive function consists of aspects of memory, attention, executive function, perception, language, and psychomotor functions which affect the decline in cognitive function, especially in people with Diabetes Mellitus. This study aims to summarize the results of research on cognitive function in people with Diabetes Mellitus. The research method used was a literature review with an assessment using JBI critical appraisal tools. Articles were sourced via the PubMed database and Google Scholar using the search term ‘Cognitive Function AND Diabetes Mellitus’. The inclusion criteria were studies with quantitative design, full text, a population comprised of patients with Diabetes Mellitus, written in Indonesian or English. Six articles were reviewed, all the results state that patients with Diabetes Mellitus experienced a decrease in cognitive function, especially in the Executive Function, Visuospatial, and the Memory Domains.

Keywords: Cognitive function, Diabetes mellitus, Literature review
Psychological Stress of Nurses During the Covid-19 Pandemic
Authors: Oktovin . , Basit Mohammad , Peni Margareta Rosa 
Published: March 2021

The COVID-19 pandemic has captured the world’s attention, especially regarding the risk of stress. The majority of nurses experience mild and moderate levels of stress. This is because nurses are particularly at risk of being infected with COVID-19. Many of nurses feel hot and breathless because of the PPE. This research illustrates the phenomenon of psychological stress amongst nurses working during the pandemic. This research uses a quantitative descriptive research approach. The research sample was 157 nurses working in all health care facilities from various regions in Indonesia, selected using convenience sampling. The results showed a high risk of stress, with the nurses experiencing mild and moderate stress. The study concludes by suggesting the government and health care providers pay greater attention to the early detection and reduction of stress, providing sports facilities, increasing the number of nurses, regular meetings to reflect on the problems faced and psychological consulting facilities of nurses.

Keywords: COVID-19 Pandemic, Nurse, Nurse Stress
Knowledge and Self-Efficacy Towards Eating Behaviors by People Living with Diabetes Mellitus
Authors: Sari Lisa Anita , Astuti Ani , Merdekawati Diah 
Published: March 2021

Diabetes mellitus sufferers have metabolic issues caused by insulin disorders which indicate hyperglycemia. Behavior related to food and eating, including the amount of calories, dietary choices, setting a meal plan, and control dietary challenges are particularly important for diabetes mellitus sufferers owing to the impact of these measures on the speed with which blood glucose levels increase. With better understanding, diabetic patients can analyze their food intake and adopt appropriate eating behaviors. Self-efficacy can affect the patient’s commitment to their health. Knowledge and self-efficacy support healthy eating behavior patterns. This study aims to identify the relationship between knowledge and self-efficacy with regards to eating behaviors among people living with diabetes mellitus. Bandura’s promotion model was provided as a conceptual framework. A simple random sampling technique was used to recruit 201 participants with diabetes mellitus type 2. Data collection was via a Demographic Questionnaire, an Eating Behavior Questionnaire, a Diabetes Knowledge Questionnaire (DKQ), and a Diabetes Mellitus Self-Efficacy Questionnaire (DMSQ). Data was analysed using univariate and bivariate analysis. The results indicate that participants’ eating behavior, knowledge, and self-efficacy were at a low level. This study also indicated a significant relationship between knowledge (p < 0,000) and self-efficacy (p < 0,00) and eating behaviors. The results provide important information to suggests that community nurses should increase the knowledge about diabetes mellitus management and use self-efficacy to design effective intervention to promote healthy eating behavior to keep blood sugar in control.

Keywords: eating behavior, knowledge, self-efficacy, diabetes mellitus
Evaluating Preceptee’s Learning Achievements During the Covid-19 Pandemic
Authors: Rumbo Helmi , Mbaloto Freny Ravika , Mauruh Chely Veronica , Metungku Fanny , Sondakh Julianti Reygina , Ambabunga Sriwanti 
Published: March 2021

Since the beginning of the Covid-19 pandemic, higher education institutions in Indonesia have had to revise their learning management systems to ensure they can be accessed from anywhere and anytime by students and lecturers. This study aims to evaluate whether there is a difference in learning achievement by Nursing Students in the professional stage (Ners Preceptee) when comparing offline learning programs with online programs. The independent variable is learning method; the dependent variable is learning achievement. A cross-sectional study design was conducted through a secondary data. This study used two different groups, in which preceptees’ score’ within offline learning programs and online learning programs were compared in June 2020. A total of 52 Ners Preceptee scores were analyzed by using Mann-Whitney U test. The result revealed that significant differences exists in median Learning Achievement scores between the online group and offline group (p = 0.002). It can be concluded that Learning Management Systems including supporting facilities can have an impact on student learning outcomes.

Keywords: Learning, Method, Covid-19, Ners, Profession.
Description of Palliative Care Needs Among the Elderly in Indonesia
Authors: Hadiyani Wini , Juniarni Lia , Kusuma Putri Tri Antika Rizki 
Published: March 2021

Indonesia is the third largest country in the world, with the number of elderly reaching 80 million. The increase in this demographic will impact the level of care from health services available for the elderly, further increasing their problems with the disruption of daily activities, decreased physical ability, psychological, autonomy, spiritual, social, and financial functions. These needs are adopted from the Problems and Needs of Palliative Care (PNPC) assessment tools. This study aimed to describe the elderly’s need for palliative care. This study used descriptive quantitative analysis with a cross-sectional approach. The number of samples was 13 elderly based on G * Power 3.1.9.7, with an estimated dropout of 10%. The instrument used PNPC, which has been adapted into Bahasa with 35 questions in total. Statistical analysis showed the elderly’s needs maximum value was at physical as well as psychological aspects. Physical complaints in the elderly are obtained that vary depending on the condition of the elderly and are associated with other health issues, related to the level of fitness followed by the elderly’s independence. This study recommends health professionals, especially nurses, to conduct an initial assessment to evaluate the physical needs of the patient by reducing and resolving any health-related symptoms and fulfilling their psychological needs.

Keywords: Elderly, Physic, Problems and Needs of Palliative Care, Psychologic
Relationships Between Social Media News About Covid-19 and Level of Alertness on Family with Stunted Children in Tasikmalaya City
Authors: Mulyana Hilman , Sansuwito Tukimin Bin , Nandang Ate 
Published: March 2021

The high prevalence of Covid-19 can have quite serious physical and psychological impacts. The coverage on social media about the Covid-19 outbreak is sometimes wrongly interpreted by readers, such as families who have stunted children who are perceived to be at high risk for Covid-19. The aim of this study is to find out the relationship between social media news about Covid-19 and the level of vigilance displayed by families with at-risk children in this category. Correlational analysis was used with cross-sectional approach to asses a sample of 75 families residing in the Kawalu district, and a questionanaire was used as the research instrument. with a research instrument in the form of a questionnaire. Statistical tests were conducted which employed the Spearman rank. The results indicate that the relationship between social media news about Covid-19 and the level of vigilance displayed by families with children in this vulnerable category was (p-value = 0.004), the use of social media to access Covid-19 news in the medium category is 66 people (88.0%) and the alert level is in the medium category. as many as 68 people (90.7%). Many adverts aim ton inspire fear in order to heighten subsceptibility to marketing messages. This has a particular impact on families where children have special dietary requirements to alleviate their medical conditions, and if these nutritional needsd are not met there is a risk that their condition will intensify. It is particularly important, therefore, that public health center nurses focus on direct messaging to the affected families during the pandemic and in its aftermath.

Keywords: Covid-19, Level of Alertness, Social Media News, Stunting.
Analysis of Factors Influencing Students to Enroll in Medical Record and Health Information Program at the School of Health Sciences Panakkukang Makassar, South Sulawesi
Authors: Asriyanti . , Syamsuddin . , Ilyas Arief Azhari 
Published: March 2021

One of the principles of higher education is freedom in choosing a study program based on the student’s interests and abilities. These elements influence the student’s decisions in choosing a college/university. School of Health Sciences Panakkukang, one of the tertiary institutions organizing the D-3 Medical Records and Health Information (RMIK) Study Programs, is becoming an increasingly popular choice. This can be seen from the number of students enrolled (214 in 2016, 225 in 2017, 177 in 2018, and 122 in 2019). The students’ decision to choose the Study Program is influenced by cultural, social and personal factors. This study’s objective is to determine the effect of these factors on the selection of Study Programs. This research uses a descriptive analytic quantitative approach with a cross-sectional research design. The study population was 524 students with a sample of 84 respondents taken proportionally (20 first-year students, 28 second-year students and 36 thirdyear students). The results showed that the cultural and personal factors did not significantly influence the selection of D-3 RMIK Study Programs with sig. cultural factors of 0.595> 0.05, personal factors with sig. of 0.197> 0.05. While the social factors significantly influence the selection of D-3 RMIK Study Programs with sig. of 0.000 <0.05. The cultural, social and personal factors have a combined effect of 33.8%.

Keywords: cultural, social, personal factors.
Factors Associated with the Implementation of Patient Safety at X Hospital, Karawang, Indonesia
Authors: Suryani Lilis , Kurniawan Ricky , Perdani Agni Laili 
Published: March 2021

Patient safety is a significant global health problem and a top priority for incidents prevention. Data revealed that the patient safety goals’ average implementation was only 33.5%, far away from the 100% target. The compliance of hand hygiene among nurses, meanwhile, was only 28.6%. This study aims to analyze factors associated with the implementation of patient safety goals among nurses at X Hospital Karawang. A cross-sectional approach with a simple random sampling technique was implemented in this study. A total of 117 nurses in the inpatient room were recruited in this study. A significant relationship showed knowledge, supervision, motivation, and the implementation of patient safety goals (p-value < 0.05). Supervision from the head nurse is the most associated factor. By improving the quality of Supervision, will influence the application of patient safety goals; therefore, that a patient safety culture is created and achieved well. recommend to define clearly the significant of patient safety and what kind of indicators we can use to measure this? and evaluate qualitatively (not using percetange) to indicate the extent to which patient safety is applied.

Keywords: patient safety goals, Supervision, knowledge, motivati