bluuebunny/crossref_metadata_2025_split huggingface dataset:
Management of Tessier No. 2 Facial Cleft Using Millard Technique with Zig- Zag Ad-vancement Flap: A Case Report
Authors: Maharanii R.Aj Aulia , Nurwiadh Agus , Yusuf Harmas Yazid 
Published: November 2024

Introduction: Craniofacial cleft is a rare congenital disorder that affects facial and skull. development, with an incidence estimated between 1.4-4.9 per 100,000 births. This condition often results in significant complications such as feeding difficulties, impaired speech, hearing issues, and psychosocial challenges. Among craniofacial clefts, the oblique facial cleft, including Tessier No. 2 cleft, is the rarest and least documented. This cleft is characterized by specific soft and hard tissue deformities resulting from a failure of fusion among facial processes during embryonic development. Case: An 8-month-old female presented with a unilateral cleft of the lips, gums, and palate on the left side, accompanied by a Tessier No. 2 facial cleft. The patient's mother reported no history of teratogenic exposure or family history of clefts. Clinical examination revealed hypoplasia of the middle third of the nasal margin, a flattened lateral nose, a widened nasal bridge, and a deviated nasal septum. The patient was diagnosed with unilateral complete labiognatopalatoschizis accompanied by Tessier No. 2 cleft. Case Management: The patient was prepared for labioplasty under general anesthesia after meeting the "rules of ten" criteria (10 weeks old, 10 pounds, 10 grams/dl hemoglobin). The surgery was performed using the Millard technique with a zig-zag advancement flap to achieve optimal tissue coverage and symmetry. Postoperative care included antibiotics, pain management, and follow-up visits. At the 3-month follow-up, the surgical site showed good healing with no signs of infection or significant complications. Conclusion: Understanding the specific anatomy and pathophysiology of Tessier No. 2 clefts is essential for effective surgical planning and outcomes. The modified Millard technique provides satisfactory aesthetic and functional results, although challenges remain. Comprehensive postoperative management and long-term follow-up are crucial to monitor healing and address any complications. Further research and multidisciplinary.Keyword: Facial Cleft, Tessier 2, Millard Technique, Zig-zag Advancement Flap
Efektivitas Slow Deep Breathing untuk Menurunkan Tekanan Darah Pada Penderita Hipertensi di Klinik Pratama Fatwa Medika Cikarang
Authors: Fauzan Joan Fatwa , Cusmarih Cusmarih 
Published: November 2024

ABSTRAK Tindakan Slow Deep Breathing menimbulan efek rileks sehingga memungkinkan seseorang merasa lebih tenang, meningkatkan relaksasi yang dapat menurunkan tingkat kecemasan. Mengetahui efektivitas Slow Deep Breathing untuk menurunkan tekanan darah pada penderita hipertensi di Klinik Pratama Fatwa Medika Cikarang 2024. Metode kuantitatif Quasy Eksperiment, dangan personal pre dan post test design. Teknik yang digunakan total sampling dengan jumlah responden 35. Hasil uji paired samples t-test Slow Deep Breathing nilai rata pre- test 1.6857 dan post- test 9143. Di dapat nilai sig. ( 2-tailed) adalah 0.000 < 0.05. Ada efektivitas Slow Deep Breathing untuk menurunkan tekanan darah pada penderita hipertensi di Klinik Pratama Fatwa Medika Cikarang 2024. Kata Kunci: Slow Deep Breathing, Hipertensi, Rileks ABSTRACT The action of Slow Deep Breathing causes a relaxing effect that allows a person to feel calmer, increasing relaxation which can reduce anxiety levels. Knowing the effectiveness of Slow Deep Breathing to lower blood pressure in people with hypertension at the Pratama Fatwa Medika Cikarang Clinic 2024. . Quantitative methods Quasy Experiment, with personal pre and post test design. The technique used was total sampling with a total of 35 respondents. The paired samples test results t-test Slow Deep Breathing average value pre-test 1.6857 and post-test 9143. In get the sig value. ( 2-tailed) is 0.000 < 0.05. There is an effectiveness of Slow Deep Breathing to lower blood pressure in people with hypertension at Pratama Fatwa Medika Cikarang Clinic 2024. Keywords: Slow Deep Breathing, Hypertension, Relax
Hubungan Pemberian Komunikasi, Informasi, Edukasi (KIE) Kontrasepsi dengan Kepuasan Akseptor KB Pil di Wilayah Kerja Puskesmas 1 Sukawati Gianyar
Authors: Dewi Ni Wayan Trisna , Noriani Ni Ketut , Darmayanti Putu Ayu Ratna 
Published: November 2024

ABSTRACT Family planning is a program designed to prevent unexpected births. The family planning program is one of the government's efforts to suppress excessively high population growth by using family planning, such as the birth control pill. Birth control pills are a method of contraception for women in the form of pills or tablets. The pill contains a combination of the estrogen hormones and progesterone or which only contains the progesterone hormone. To determine the correlation between the provision of contraceptive educational information communication and satisfaction of pill acceptors in the working area of public health center of Gianyar I. This study employed quantitative design with cross-sectional approach. The sample of this study recruited by using Accidental Sampling technique. The statistical showed that p-value of 0.001 <0.05. The data were analysed by using Fisher exact test. There is a correlation between the provision of contraceptive educational information communication and satisfaction of pill acceptors in the working area of public health center of Gianyar I Keywords: IEC, Birth control pills, Satisfaction, Contraception ABSTRAK Keluarga berencana merupakan suatu program yang dibuat untuk menghindari kelahiran yang tidak diinginkan, program keluarga berencana menjadi salah satu upaya pemerintah untuk menekan pertambahan pertumbuhan penduduk yang terlalu tinggi yaitu dengan menggunakan KB salah satunya KB pil. KB pil merupakan suatu cara kontrasepsi untuk wanita yang berbentuk pil atau tablet didalam strip yang berisi gabungan hormon estrogen dan progesteron atau yang hanya berisi dari hormon progesteron saja. Untuk mengetahui hubungan Pemberian Komunikasi, Informasi, Edukasi (KIE) kontrasepsi dengan kepuasan akseptor KB pil di wilayah kerja Puskesmas 1 Sukawati Gianyar. Metode yang digunakan yaitu kuantitatif dengan pendekatan cross-sectional. Teknik sampling yang digunakan adalah Accidental Sampling. Hasil uji statistik menggunakan uji Fisher exact test diperoleh p-value 0,001 < 0,05. Pada penelitian ini yaitu terdapat hubungan antara pemberian komunikasi informasi edukasi (KIE) kontrasepsi dengan kepuasan akseptor KB pil di wilayah kerja puskesmas I Sukawati Gianyar. Kata Kunci: KIE, KB Pil, Kepuasan, Kontrasepsi
Faktor-faktor Gaya Kepemimpinan yang Berhubungan dengan Motivasi Perawat Pelaksana Diruang Rawat Inap Rumah Sakit Pertamina Bintang Amin
Authors: Anjani Ni Wayan Oktavia , Isnainy Usastiawaty C. A. S. , Kusumanignsih Dewi 
Published: November 2024

ABSTRAK Decline in work motivation in health service workers has a negative impact on the quality of services provided by health workers, one of which is nurses. One of the factors that affect the low motivation of nurses is leadership, Leadership style is a method used in the leadership process, which is carried out through the leadership behavior of the head of the room to influence nurses to act according to the desire to achieve goals. The aim of this research is to determine the leadership style factors that are related to the work motivation of implementing nurses in the inpatient room at Pertamina Bintang Amin Hospital. Type of research used is quantitative where the design in this research uses an analytical survey with a cross sectional approach. The population in this study included nurses in pediatrics, surgery, internal medicine, 3rd floor and 4th floor, totaling 59 respondents. The sampling technique in this research is total sampling. Research shows that there is a relationship between democratic leadership style and work motivation. The result is a p-value of 0.001, where the p-value is <0.05, Odd-Ratio 37.500(7.219-194.796).There is a relationship between the democratic leadership style of the head of the room and the work motivation of implementing nurses at Pertamina Bintang Amin Hospital Keywords: Leadership Style, Democratic, Authoritarian, Participative, Motivational ABSTRAK Menurunnya motivasi kerja pada tenaga pelayanan kesehatan berdampak negatif terhadap kualitas pelayanan yang diberikan oleh tenaga kesehatan salah satu nya perawat. Salah satu faktor yang mempengaruhi rendahnya motivasi perawat adalah kepemimpinan, Gaya kepemimpinan adalah suatu cara yang digunakan dalam proses kepemimpinan, yang dilakukan melalui perilaku kepemimpinan kepala ruangan untuk mempengaruhi perawat agar bertindak sesuai dengan keinginan untuk mencapai tujuan. Tujuan penelitian ini adalah diketahui faktor-faktor gaya kepemiminan yang berhubungan dengan motivasi kerja perawat pelaksana di ruang rawat inap Rumah Sakit Pertamina Bintang Amin. Jenis penelitian yang digunakan adalah kuantitatif dimana rancangan dalam penelitian ini menggunakan survey analitik dengan pendekatan cross sectional. populasi dalam penelitian ini ada perawat pelaksana di ruang anak, bedah,penyakit dalam, lantai 3 dan lantai 4 yang berjumlah 59 responden. Teknik sampling dalam penelitian ini adalah total sampling. pada penelitian ini terdapat hubungan antara gaya kepemimpinan demokratis dengan motivasi kerja diperoleh hasil p-value 0,001 dimana nilai p-value <0,05 , dengan Odd-Ratio 37.500(7.219-194.796). Adanya hubungan antara gaya kepemimpinan demokratis kepala ruangan dengan motivasi kerja perawat pelaksana di Rumah Sakit Pertamina Bintang Amin. Kata Kunci: Gaya Kepemimpinan, Demokratis, Otoriter, Partisipatif, Motivasi
Fungal Skin Diseases and Associated Factors in Outpatients of Bangabandhu Memorial Hospital, Chattogram
Authors: Ahmed Shalahuddin 
Published: November 2024

Background: Fungi are ubiquitous in nature and exist as free living saprobes that derive no obvious benefits from parasitizing human. Fungal infection or mycosis is a disease caused by fungi. The prime objective was to determine the prevalence of the fungal skin diseases and explore the associate factors including socio-economic status, demographical and personal hygiene of the patients. Materials and methods: This cross sectional research study was performed in the Outpatients Department of Dermatology and Venereology, Bangabandhu Memorial Hospital, Chattogram during the period from January 2023 to April 2023 (120 days). A total number of 200 patients were randomly selected. Results : Among 200 patients, 75 patients had fungal infection with highest prevalence (37.50%) where ringworm 58(77.33%) and oral candidiasis 3(4.00%) where highest and lowest. In case of associate factors, summer season (60.00%) married (77.67%) secondary education (36.00%) Tk 15000/- Tk-20,000/- monthly (37.33%) and upper middle class status (37.33%) Muslims (86.67%) Traders (32.00%) Urban areas (70.66%) tap water (69.33%) recurrent infections (62.66%) and Overcrowding family (66.66%) had higher prevalence of fungal infections of skin. Conclusion: This study provides a fair picture of fungal skin diseases, better health education, properly maintain personal hygiene, improvement of standard of living, proper case diagnosis and proper treatment and management may remain of importance in managing fungal skin diseases.
Chatt Maa Shi Hosp Med Coll J; Vol.22 (2); July 2023; Page 51-55
Factors affecting quality of life among older adults with hypertension in Wenzhou, China: A cross-sectional study
Authors: Hu Qiongfang , Toonsiri Chanandchidadussadee , Hengudomsub Pornpat 
Published: November 2024

Background: In China, the incidence of hypertension rises significantly with age, resulting in a markedly reduced quality of life (QoL) among older patients compared to the general population. Therefore, it is essential for healthcare providers, particularly nurses, to identify the predictive factors that influence QoL in this demographic.
Objective: This study aimed to describe the QoL levels and investigate the predictive power of perceived health status, self-care behavior, and social support on QoL among older patients with hypertension in Wenzhou, China.
Methods: A cross-sectional study was conducted with 131 patients with hypertension aged 60 and above, visiting the Cardiovascular Outpatient Department of The Second Affiliated Hospital of Wenzhou Medical University. Data were collected using validated instruments between November and December 2022 and analyzed using descriptive statistics and stepwise multiple regression.
Results: The overall QoL was moderate (Mean = 75.52, SD = 5.86). Self-care behavior (β = 0.421, p <0.001), social support (β = 0.416, p <0.001), and perceived health status (β = -0.170, p <0.001) were significant predictors of QoL, collectively explaining 82.7% of the variance.
Conclusions: The findings highlight the importance of self-care behavior, social support, and perceived health status as critical factors influencing QoL among older patients with hypertension. Nurses and other healthcare providers should focus on enhancing these areas through targeted education and support initiatives to improve the overall well-being of this vulnerable population.
Kebiasaan Minum Tablet Tambah Darah dan Kejadian Anemia pada Remaja Putri
Authors: Karwati Karwati , Yanti Damai , Maryati Sri 
Published: November 2024

<p align="center"><em>The results of a study in Leuwigajah, Cimahi City on the habit of taking iron tablets among female high school students showed that they sometimes only took a small portion of the iron tablets because of nausea and decreased appetite. Therefore, a study was needed that aims to analyze the correlation between the habit of taking iron tablets and the incidence of anemia, in preparation for becoming a mother. This study applied a cross-sectional design involving 202 female high school students in grade 12 in Leuwigajah, South Cimahi. Cimahi City, selected using the stratified random sampling technique. The habit of taking iron tablets was measured by filling out a questionnaire, while the incidence of anemia was measured by taking capillary blood. Furthermore, a correlation analysis was carried out between the two variables using the Chi-square test. The results of the analysis showed a p value of 0.064, so it could be interpreted that there is no significant correlation between the habit of taking iron tablets and the incidence of anemia. It was concluded that the habit of taking iron tablets is not a significant determinant of the incidence of anemia in female adolescents in Leuwigajah, South Cimahi. Cimahi City.</em></p><p><strong><em>Keywords</em></strong><em>: female adolescents; anemia; iron tablets</em><em></em></p><p><strong> </strong></p><p align="center"><strong>ABSTRAK</strong></p><p><strong> </strong></p><p>Hasil studi di Leuwigajah, Kota Cimahi tentang kebiasaan meminum tablet tambah darah para siswi SMA menunjukkan bahwa mereka kadang-kadang hanya meminum sebagian kecil tablet tambah darah karena timbulnya rasa mual dan berdampak pada penurunan nafsu makan. Oleh karena itu diperlukan penelitian yang bertujuan untuk menganalisis korelasi antara kebiasaan minum tablet tambah darah dengan kejadian anemia, dalam rangka persiapan menjadi ibu. Penelitian ini menerapkan rancangan <em>cross-sectional</em> yang melibatkan 202 siswi SMA kelas 12 di Leuwigajah, Cimahi Selatan. Kota Cimahi, yang dipilih dengan teknik <em>stratified random sampling</em>. Kebiasaan minum tablet tambah darah diukur melalui pengisian kuesioner, sedangkan kejadian anemia diukur dengan pengambilan darah kapiler. Selanjutnya dilakukan analisis korelasi antara kedua variabel menggunakan uji <em>Chi-square</em>. Hasil analisis menunjukkan nilai p yaitu 0,064, sehingga bisa diinterpretasikan bahwa tidak ada korelasi secara signifikan antara kebiasaan minum tablet tambah darah dengan kejadian anemia. Disimpulkan bahwa kebiasaan minum tablet tambah darah bukan merupakan determinan yang signifikan dari kejadian anemia pada remaja putri di Leuwigajah, Cimahi Selatan. Kota Cimahi.</p><p><strong>Kata kunci</strong>: remaja putri; anemia; tablet tambah darah</p><p><strong> </strong></p>
Terapi Bermain Puzzle untuk Meningkatkan Fungsi Kognitif Lansia
Authors: Wahyuningsih Tri , Aryanti Dita 
Published: November 2024

<p align="center"><em>The increase in life expectancy is accompanied by an increase in the number of elderly people. Decreased cognitive function is a problem faced by the elderly. Efforts that can be made to maintain cognitive function are through increasing activities that stimulate the brain. Puzzle therapy is one of the non-pharmacological therapies to stimulate cognitive function and slow the onset of dementia. This study aimed to determine the benefits of applying puzzle play therapy to the cognitive level of the elderly. This study was a case report on an elderly person who was given puzzle therapy, then cognitive function measurements were carried out using a cognitive function level measurement instrument (MMSE). Measurements were taken in the phases before and after the provision of puzzle play therapy. Then a descriptive comparative analysis was carried out and presented textularly. The results of the analysis showed that there was a change in the MMSE score in the elderly from 21 to 27. Furthermore, it was concluded that descriptively, puzzle play therapy can improve the cognitive function of the elderly. It is hoped that puzzle therapy can provide information to the wider community to overcome the problem of independence of the elderly who experience decreased cognitive function.</em></p><p><strong><em>Keywords</em></strong><em>: elderly; cognitive function; puzzle play therapy</em></p><p><strong> </strong></p><h3 align="center">ABSTRAK</h3><p><strong> </strong></p><p>Peningkatan usia harapan hidup dibarengi dengan peningkatan jumlah penduduk lanjut usia. Penurunan fungsi kognitif merupakan masalah yang dihadapi lansia. Upaya yang dapat dilakukan untuk mempertahankan fungsi kognitif adalah melalui peningkatan aktivitas yang menstimulasi otak. Terapi puzzle merupakan salah satu terapi non farmakologi untuk merangsang fungsi kognitif dan memperlambat terjadinya onset demensia. Studi ini bertujuan untuk mengetahui manfaat penerapan terapi bermain puzzle terhadap tingkat kognitif lansia. Studi ini merupakan laporan kasus pada seorang lansia yang diberikan terapi puzzle, lalu dilakukan pengukuran fungsi kognitif menggunakan instrumen pengukuran tingkat fungsi kognitif (MMSE). Pengukuran dilakukan pada fase sebelum dan sesudah pemberian terapi bermain puzzle. Lalu dilakukan analisis perbandingan secara deskriptif dan disajikan secara tektular. Hasil analisis menunjukkan bahwa terjadi perubahan skor MMSE pada lansia dari 21 menjadi 27. Selanjutnya disimpulkan bahwa secara deskriptif, terapi bermain puzzle dapat meningkatkan fungsi kognitif lansia. Diharapkan terapi puzzle dapat informasi kepada masyarakat luas untuk mengatasi masalah kemandirian lansia yang mengalami penurunan fungsi kognitif.</p><p><strong>Kata kunci: </strong>lansia; fungsi kognitif; terapi bermain puzzle </p>
Pengetahuan, Sikap dan Tindakan Petugas Kesehatan Sebagai Determinan Upaya Pengelolaan Limbah Padat Medis Rumah Sakit
Authors: Talakua Febry 
Published: November 2024

<p align="center"><em>The amount of medical waste from health facilities is increasing, and health care facilities that have implemented medical waste management according to the new standards are 2,431 out of 12,831 health care facilities. The purpose of this study was to determine the relationship between knowledge, attitudes and actions of health workers with efforts to manage solid medical waste in hospitals. This study was conducted at the Raja Ampat District Hospital, with a cross-sectional design. The sample size in this study was 163 respondents selected using a simple random sampling technique. All research variables were measured using a questionnaire. The collected data were analyzed using the Chi-square test for the knowledge and attitude factors, and Fisher's exact test for the action factor. The results showed that the p value for was 0.000 for the knowledge factor, 0.049 for the attitude factor and 0.000 for the action factor. Thus, it could be interpreted that the three factors were correlated with efforts to manage solid medical waste in hospitals. Furthermore, it was concluded that knowledge, attitudes and actions are determinants of efforts to manage solid medical waste at the Raja Ampat District Hospital.</em></p><p><strong><em>Keywords</em></strong><em>: solid medical waste; management; knowledge; attitude; action</em></p><p><strong> </strong></p><p align="center"><strong>ABSTRAK</strong></p><p><strong> </strong></p><p>Jumlah limbah medis yang berasal dari fasilitas kesehatan semakin lama semakin bertambah, dan fasilitas pelayanan kesehatan yang telah melaksanakan pengelolaan limbah medis sesuai standar baru 2.431 dari 12.831 fasilitas pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui hubungan antara pengetahuan, sikap dan tindakan petugas kesehatan dengan upaya pengelolaan limbah padat medis di rumah sakit. Penelitian ini dilaksanakan di RSUD Kabupaten Raja Ampat, dengan rancangan <em>cross-sectional</em>. Ukuran sampel dalam studi ini adalah 163 responden yang dipilih dengan teknik <em>simple random sampling.</em> Seluruh variabel penelitian ini diukur menggunakan kuesioner. Data yang telah terkumpul dianalisis menggunakan uji <em>Chi-square</em> untuk faktor pengetahuan dan sikap, dan <em>Fisher’s exact test</em> untuk faktor tindakan. Hasil penelitian menunjukkan bahwa nilai p untuk adalah 0,000 untuk faktor pengetahuan, 0,049 untuk faktor sikap dan 0,000 untuk faktor tindakan. Dengan demikian, bisa ditafsirkan bahwa ketiga faktor tersebut berkorelasi dengan upaya pengelolaan limbah padat medis di rumah sakit. Selanjutnya disimpulkan bahwa pengetahuan, sikap dan tindakan merupakan determinan dari upaya pengelolaan limbah padat medis di RSUD Kabupaten Raja Ampat.</p><strong>Kata kunci</strong>: limbah padat medis; pengelolaan; pengetahuan; sikap; tindakan
Education and its effect on monetary poverty of households in Peru
Authors: Quispe Mamani Julio Cesar , Cáceres Quenta Rolando , Guevara Mamani Marcial 
Published: November 2024

IntroductionThe objective of this research was to determine the effect of education on poverty in Peruvian households, in the period 2022.MethodsFor which the quantitative approach was considered, of a non-experimental research type, with a descriptive correlational design, considering the information collected in the National Household Survey (ENAHO); the logit-binomial logistic regression model was used to measure the effect of the variables expenditure on education, monthly economic income, years of schooling, the mother tongue of the head of the household, age of the head of the household, marital status of the head of the household, gender of the head of the household, and area of residence, on the probability of being poor, according to the poverty line established by the INEI.Results and discussionAccording to the results obtained, expenditure on education, monthly economic income, years of schooling, and area of residence explain the probability of being poor in a negative way, while the mother tongue of the head of the household, the age of the head of the household, the marital status of the head of the household, and the gender of the head of the household explain the probability of being poor in a positive way. Therefore, it was determined that there is a significant effect of education on whether households in Peru are considered poor or not.