bluuebunny/crossref_metadata_2025_split huggingface dataset:
Determinan Keberhasilan VBAC (Vaginal Birth After Cesarean-Section): Literatur Review
Authors: Handayani Anindita Yulia , Al Farizi Sofia 
Published: September 2024

ABSTRACT Caesarean section rates are increasing dramatically and have become a global concern. VBAC is one of the best strategies to reduce caesarean section rates so that morbidity and mortality in mothers and babies can be minimized. However, there is very little research on the factors that influence the success of VBAC in Indonesia. used was article search through databases such as PubMed, Scopus, and Web of Science. Eight articles that met the inclusion criteria mentioned the determinants of successful VBAC including maternal age >35 years, augmentation of labor, previous history of VBAC, history of spontaneous labor, rupture of membranes/amniotomy, cervical opening ≥4 cm and cervical thinning ≥50% at hospital admission, low station (≥ 0) at hospital admission, occipito-anterior position, rural residence, no history of stillbirth, counseling on TOLAC at ANC, birth spacing >2 years, parity 3 and 4, monitoring of labor with partograph, duration of labor <8 hours after hospital admission, BISHOP score and TOLAC score at hospital admission, BMI <29 kg/m2, fetal weight <3500 grams, and ANC during pregnancy. All of these factors must be considered when recommending VBAC to a patient to make VBAC a safe option. Keywords: Determinant, Factor, VBAC ABSTRAK Angka operasi caesar meningkat dramatis dan menjadi perhatian dunia. VBAC adalah salah satu strategi terbaik untuk menurunkan angka operasi caesar sehingga morbiditas dan mortalitas pada ibu dan bayi dapat diminimalisir. Namun, penelitian tentang faktor-faktor yang mempengaruhi keberhasilan VBAC di Indonesia sangat sedikit. Penelitian ini bertujuan untuk mengidentifikasi faktor yang mempengaruhi keberhasilan VBAC melalui tinjauan literatur. Metode yang digunakan adalah pencarian artikel melalui database seperti PubMed, Scopus, dan Web of Science. Delapan artikel yang memenuhi kriteria inklusi menyebutkan determinan keberhasilan VBAC antara lain usia ibu >35 tahun, augmentasi persalinan, riwayat VBAC sebelumnya, riwayat persalinan spontan, pecah ketuban/amniotomi, pembukaan serviks ≥4 cm dan penipisan serviks ≥50% saat masuk rumah sakit, low station (≥ 0) saat masuk rumah sakit, posisi oksipito-anterior, tinggal di pedesaan, tidak ada riwayat lahir mati, konseling tentang TOLAC saat ANC, jarak kelahiran >2 tahun, paritas 3 dan 4, pemantauan persalinan dengan partograf, durasi persalinan < 8 jam setelah masuk rumah sakit, skor BISHOP dan skor TOLAC saat masuk rumah sakit, BMI <29 kg/m2, berat janin <3500 gram, dan ANC saat kehamilan. Semua faktor ini harus dipertimbangkan ketika merekomendasikan VBAC kepada pasien agar VBAC menjadi pilihan yang aman. Kata kunci: Determinan, Faktor, VBAC
Perawatan Ibu Nifas dan Bayi Baru Lahir Pada Masyarakat Suku Karo
Authors: Purba Valentina , Fatika Dhea , Nurmaini Ima , Suryani Irma , Nasution Iftiqhori , Paninsari Debora 
Published: September 2024

ABSTRACT Carrying out maternal care during the postpartum period in the Karo tribe is still considered relevant to today's care. Therefore, postpartum care in Karo culture still needs to be reintroduced. Karo culture is still very strong in the implementation of postpartum care for mothers who have just given birth. Traditional medicines are still owned and trusted by the Karo people to this day. One of them is postpartum care for mothers after giving birth, including Kuning Las, Tawar, Minyak Alun Or Minyak Urut, Sembur, and oukup or Mandi Uap, and Bubur Sira Lada. Knowing the Care of Postpartum Mothers and Newborn Babies in the Karo Tribe Community in Pancur Batu sub-district. This research uses quantitative research with chi-square data processing techniques; The population in this study were postpartum mothers and newborn babies in Pancur Batu sub-district. Care for postpartum mothers and newborns in the Karo tribe includes several treatments, namely, oukup, kuning las, tawar (jamu karo), sembur and bubur sira lada. Keyword: Postpartum Mother, Newborns, Karonese Culture ABSTRAK Melakukan perawatan ibu di masa nifas pada suku Karo sampai saat ini dianggap masih relevan dengan perawatan masa kini. Oleh karena itu, perawatan masa nifas pada budaya karo tetap perlu diperkenalkan kembali. Masih sangat kuat budaya karo dalam pelaksanaan asuhan masa nifas pada ibu yang baru melahirkan. Obat-obatan tradisional masih tetap dimiliki dan diyakini oleh masyarakat Karo sampai saat ini. Salah satunya adalah perawatan masa nifas pada ibu pasca melahirkan, antara lain kuning las,tawar,minyak alun atau minyak urut,sembur,dan oukup atau mandi uap,sembur,dan bubur Sira lada. Mengetahui Perawatan Ibu Nifas dan Bayi Baru Lahir Pada Masyarakat Suku Karo Di Kecamatan Pancur Batu. Penelitian ini menggunakan jenis penelitian kualitatif dengan teknik pengolahan data chi-square; Populasi dalam penelitian ini adalah ibu nifas dan bayi baru lahir suku karo yang berjumlah 150, dengan sample yang diambil sebanyak 50 sample. Perawatan ibu nifas dan bayi baru lahir masyarakat suku karo mencakup beberapa perawatan yaitu, oukup, kuning las, tawar (jamu karo), sembur dan bubur sira lada. Kata Kunci: Perawatan Ibu Nifas, Bayi Baru Lahir, Budaya Suku Karo
Gambaran Tingkat Pengetahuan Perawat tentang Patient Safety
Authors: Priyatnanto Hendra , Yousriatin Fajar , Jamil Nurul 
Published: September 2024

ABSTRACT Patient safety is the most important basis and indicator in providing good health services. Patient safety means ensuring that during the process of providing health services the safety and security of patients is guaranteed. To achieve a high patient safety rate, of course, it is obtained from health service providers who have knowledge regarding patient safety. The aim of this research is to determine the description of nurses' knowledge about patient safety. The research was conducted using a quantitative design with a descriptive approach. The population of this research are nurses in North Kayong Regency with a sample size of 48 respondents. The tool used for data collection uses a questionnaire. The research results showed that the level of knowledge of nurses with good criteria was 35 people (72.9%), and with sufficient criteria there were 13 people (27.1%). Based on the results above, it can be concluded that the majority of nurses' knowledge level about patient safety is in the good category. This is supported by level of education, work period of 1-5 years, and history of having participated in patient safety outreach. Keywords: Patient Safety, Nurse, Level of Knowledge ABSTRAK Keselamatan pasien (patient safety) merupakan dasar dan indikator paling utama dalam pemberian pelayanan kesehatan yang baik. Keselamatan pasien artinya memastikan bahwa selama proses pemberian pelayanan kesehatan keamanan dan keselamatan pasien terjamin. Untuk mencapai angka keselamatan pasien yang tinggi tentunya didapatkan dari pemberi pelayanan kesehatan yang memiliki pengetahuan terkait keselamatan pasien. Adapun tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan perawat tentang keselamatan pasien (patient safety). Penelitian dilakukan menggunakan desain kuantitatif dengan pendekatan deskriptif. Populasi penelitan ini merupakan perawat di Kabupaten Kayong Utara dengan jumlah sampel 48 responden. Alat yang digunakan untuk pengumpulan data menggunakan kuisioner. Hasil penelitian didapatkan tingkat pengetahuan perawat dengan kriteria baik berjumlah 35 orang (72.9%), dan dengan kriteria cukup berjumlah 13 orang (27.1%). Berdasarkan hasil diatas disimpulkan bahwa sebagian besar tingkat pengetahuan perawat tentang patient safety berada pada kategori baik. Hal ini didukung oleh tingkat pendidikan, masa kerja 1-5 tahun, dan riwayat pernah mengikuti sosialisasi patient safety.Kata kunci: Patient Safety, Perawat, Tingkat Pengetahuan
Faktor yang Mempengaruhi Tingkat Kecemasan Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa
Authors: Amaludin Mimi , Safitri Dewin , Arisandi Defa , Akbar Ali , Nurpratiwi Nurpratiwi , Hidayat Uti Rusdian , Alfikrie Fauzan , Hatmalyakin Debby 
Published: September 2024

ABSTRACT Prolonged hemodialysis therapy will certainly have an impact on the psychological condition of chronic kidney failure patients. One of them is the emergence of anxiety. Many factors can cause anxiety in kidney failure patients, such as age, family support system and length of treatment. This study aims to determine the factors that influence the anxiety level of chronic kidney failure patients undergoing hemodialysis. The design of this research is descriptive correlation research with a cross sectional approach. The research results showed that the majority of respondents had moderate anxiety (54.5%), with factors influencing anxiety namely age, education level, duration of hemodialysis and family support. Factors that influence anxiety include age, education level, duration of hemodialysis and family support. Keywords: Chronic Kidney Failure, Hemodialysis, Anxiety ABSTRAK Terapi hemodialisa dalam jangka waktu yang berkepanjangan tentunya akan berdampak kepada kondisi psikologis pasien gagal ginjal kronis. Salah satunya adalah munculnya kecemasan. Banyak faktor yang dapat menyebabkan munculnya kecemasan pada pasien gagal ginjal seperti usia, support sistem keluarga dan lamanya menjalani. penelitian ini memiliki tujuan untuk mengetahui faktor-faktor yang mempengaruhi tingkat kecemasan pasien gagal ginjal kronis yang menjalani hemodialisa. Desain penelitian ini merupakan penelitian deskriptif korelasi dengan pendekatan cross sectional. Hasil penelitian menunjukkan sebagian besar responden memiliki kecemasan sedang (54,5%), dengan faktor yang mempengaruhi kecemasan yaitu usia, tingkat pendidikan, lama hemodialisa dan dukungan keluarga. Faktor-faktor yang mempengaruhi kecemasan diantaranya usia, tingkat pendidikan, lama hemodialisa dan dukungan keluarga. Kata Kunci: Gagal Ginjal Kronis, Hemodialisa, Kecemasan
Analisis Pre Marital Screening sebagai Upaya Pencegahan Stunting di Kota Jambi
Authors: Siregar Sri Astuti , Asparian Asparian , Lanita Usi , Reskiaddin La Ode 
Published: September 2024

ABSTRACT Indonesia is still working hard to overcome the stunting problem. Even though there has been a decline, further efforts are still needed to achieve the national target of 14% in 2024. Prospective brides are one of the target groups in implementing the acceleration of stunting reduction.Pre marital screening or pre-marital examination is a preventive measure that must be taken to prevent health problems for oneself, one's partner, or one's offspring in the future. This research uses quantitative methods with a cross-sectional approach. Random samplingproportional simple random sampling from 11 sub-districts in Jambi City, there were 81 prospective brides and grooms. There is a significant relationship between education (p-value=0.016), knowledge (p-value=0.009), and attitude (p-value=0.026) on the implementation of Pre Marital Screening. While the age variable (p-value=0.279) does not show a significant relationship with the implementation of Pre Marital Screening. Therefore, there needs to be a collaborative effort to improve services to bride and groom, so that implementation Pre Marital Screening is not only considered as one of the pre-marital administrative documents. Keywords: Premarital Screening, Catin, Stunting ABSTRAK Indonesia hingga kini masih bekerja keras untuk mengatasi masalah stunting. Meskipun mengalami penurunan, masih diperlukan upaya lebih lanjut untuk mencapai target nasional 14% di tahun 2024. Calon pengantin (Catin) merupakan salah satu kelompok sasaran dalam pelaksanaan percepatan penurunan stunting. Pre marital screening atau pemeriksaan pra nikah merupakan sebuah tindakan pencegahan yang wajib dilakukan untuk mencegah terjadinya permasalahan kesehatan pada diri sendiri, pasangan, maupun keturunan kedepannya Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Pengambilan sampel secara proportional simple random sampling dari 11 Kecamatan di Kota Jambi berjumlah 81 calon pengantin. Terdapat hubungan yang signifikan antara pendidikan (p-value=0,016), pengetahuan (p-value=0,009), dan sikap (p-value=0,026) terhadap pelaksanaan Pre Marital Screening. Sementara variable umur (p-value=0,279) tidak menunjukkan adanya hubungan signifikan dengan pelaksanaan Pre Marital Screening. Oleh sebab itu, perlu adanya upaya kolaboratif dalam meningkatkan pelayanan kepada Catin, sehingga pelaksanaan Pre Marital Screening tidak hanya dianggap sebagai salah satu kelengkapan berkas administratif pra nikah. Kata Kunci: Pre Marital Screening, Catin, Stunting
Pengetahuan dan Sikap Remaja Putri tentang Kebersihan Alat Kelamin pada Saat Menstruasi
Authors: Wahyuna Rahmi , Siregar Farida Linda Sari 
Published: September 2024

ABSTRACT Hygiene during menstruation is a component of personal hygiene that plays an important role in the health behavior status of a person including avoiding disturbances in the function of the reproductive organs. One of the efforts that can be made in preventing the occurrence of these problems is important to instill self-awareness to maintain the cleanliness of the genital area from an early age and the need for knowledge, attitudes, on the importance of caring for the area.This research is a quantitative research with a descriptive research design, and using a cross-sectional approach method. The study’s aim was to identify the knowledge and attitudes of adolescent girls about hygiene during menstruation at SMA Al-Fattah in medan. The population were adolescent girls with a sample of 41 respondents using total sampling. Data processing/analysis using frequency distribution tables with percentages. The results of this study indicate that adolescents' knowledge about genital hygiene during menstruation is in the sufficient category, namely 30 people (73.2%), attitudes in the Positif category with a total of 31 people (75,6%). Knowledge and attitudes are the unity of eating behavior, the better the knowledge and attitudes the better the behavior of adolescent girls about genital hygiene during menstruation. Keywords: Knowledge, Attitude, Menstrual Hyigiene, Adolescents ABSTRAK Kebersihan pada saat menstruasi merupakan komponen kebersihan diri yang memegang peranan penting dalam status perilaku kesehatan sesorang termasuk menghindari adanya gangguan pada fungsi alat reproduksi. Salah satu upaya yang dapat dilakukan dalam mencegah terjadinya masalah tersebut adalah kesadaran diri untuk menjaga kebersihan area genital sejak dini dan perlunya pengetahuan, sikap akan pentingnya merawat area tersebut. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian deskriptif, menggunakan metode pendekatan cross-sectional. Tujuan penelitian adalah mengidentifikasi untuk mengetahui pengetahuan dan sikap remaja putri tentang kebersihan pada saat menstruasi di SMA Al-Fattah di Medan. Populasi dalam penelitian ini adalah remaja putri dengan sampel 41 responden menggunakan total sampling. Pengolahan/analisis data menggunakan tabel distribusi frekuensi dengan persentase. Hasil penelitian ini menunjukkan bahwa pengetahuan remaja tentang Kebersihan alat kelamin saat menstruasi dalam kategori cukup yaitu sebanyak 30 orang (73,2%), sikap dalam kategori Positif dengan jumlah 31 orang (75,6%). Pengetahuan dan sikap merupakan kesatuan dari perilaku makan semakin baik pengetahuan dan sikap maka perilaku remaja putri tentang kebersihan alat kelamin pada saat menstruasi akan semakin baik. Kata Kunci: Pengetahuan, Sikap, Kebersihan Menstruasi, Remaja
Association of cardiac autonomic nerve function with serum zinc, calcium and magnesium in female hypothyroid patients
Authors: Mannan Mahua , Sultana Shamima , Sarkar Bipasha , Sarkar Nandita 
Published: September 2024

Background: Hypothyroidism is related to impaired cardiac autonomic nerve activity with altered levels of serum Zinc (Zn), Calcium (Ca) ‍and Magnesium (Mg).Altered Serum Zn,Caand Mg levels are also associated with autonomic imbalance and may raise cardiovascular risk.Heart rate variability (HRV) is an important marker for assessing cardiac autonomic nerve function(CANF). Objectives: To evaluate the association of serum Zn, Cal and Mglevels withCANF in female hypothyroid patients. Methods: This analytical cross-sectional study was conducted on 40 female hypothyroid patients aged 18-45 years. Thirty apparently healthy women were control. Serum Zn, Ca and Mg levels were estimated by autoanalyzer and CANF was assessed by time domain analysis of HRV recorded by Power Lab 8/35 AD Instruments, Australia. Statistical analysis was done by Independent sample‘t’ test, One way ANOVA followed by post-hoc Bonferroni test and Pearson’s correlation coefficient test. Results: Among time domain parameters of HRV, standard deviation of the RR intervals (SDRR), coefficient variation of RR interval (CVRR), SD rate, standard deviation of the difference between successive RR intervals (SDSD), square root of mean squared differences of successive RR intervals (RMSSD), proportion of RR interval with duration >50 ms (pRR50%) were significantly lower (p<0.05) in all hypothyroid patients as compared to control. On correlation analysis, serum Zn, Ca and Mg were significantly positively correlated with SDSD(p<0.01, p<0.001,p<0.01) RMSSD(p<0.01, p<0.001, p<0.01), pRR50%(p<0.01, p<0.01, p<0.05)and serum Ca was also positively correlated with SDRR(p<0.05) in hypothyroid patients. Conclusion:Serum ZnCa and Mg were associated with cardiac autonomic dysfunction. in female hypothyroid patients.
J Bangladesh Soc Physiol 2023;18(1): 27-34
Pendampingan Komunitas Belajar Mini Produktif SDN Kolpajung 2 Pamekasan Melalui E-Kombel Sebagai Upaya Mewujudkan Ekosistem Pendidikan Inklusif
Authors: Zayyadi Moh , Lanya Harfin , Linarsih Yanti , Mansyur Muhammad Umar , Rizqiyah Tsalitsatur , Rochmadyan Nabillah Ayuditya 
Published: September 2024

Tujuan pengabdian ini adalah memberikan pendampingan komunitas belajar mini produktif SDN Kolpajung 2 Pamekasan melalui E-Kombel sebagai upaya mewujudkan ekosistem pendidikan inklusif. Kegiatan ini dilaksanakan di SDN Kolpajung 2 Pamekasan dengan fokus pada implementasi komunitas belajar. Metode pelaksanaan kegiatan yang digunakan dalam pengabdian kepada masyarakat adalah refleksi awal, perencanaan, perancangan E-Kombel sebagai inovasi, lokakarya atau pelatihan, implementasi IPTEKS, pendampingan dan evaluasi, serta keberlanjutan program. Dengan kegiatan pendampingan ini, sekolah sangat terbantu dalam pelaksaaan komunitas belajar, baik komunitas belajar internal maupun secara eksternal. E-Kombel sebagai aplikasi berbasis IT yang sangat efektif untuk menambah waktu terbatas di Sekolah dapat dilaksanakan di rumah. E-Kombel menjadikan komunitas lebih keren dan canggih dan dokumen administrasi tersimpan lebih aman daripada secara manual. Ada beberapa saran dan masukan dari peserta pengabdian adalah adanya diharapkan bisa lebih banyak lagi pengaplikasian E-kombel untuk mewujudkan ekosistem Pendidikan Inklusif di sekolah
The Correlation of PD-L1 Overexpression With Tumor Budding In Cervical Carcinoma
Authors: Lestari Desak Putu Oki , Analysa Analysa , Armerinayanti Ni Wayan , Riasa I Nyoman Putu , Artha I Gusti Alit 
Published: September 2024

Background: Several studies have proven the relationship between PD-L1, which is known as an immunotherapy target, and poor prognosis. The presence of a tumor budding (TB) group tumor outside the main tumor is also associated with a poor prognosis. The purpose of this study was to determine the relationship between PD-L1 and the grade of TB in cervical carcinoma. Methods: The design of this research is a case-control study with a retrospective approach. The sample is from a paraffin block of the primary cervical cancer tumor from the results of surgery in Balimed Denpasar Hospital between 2020 and 2023. From the statistical formula for the case-control study, a minimum sample of 15 is obtained for the case group with the criteria of high-grade TB, while 15 people were in the control group with low-grade TB. Immunohistochemistry (IHC) PD-L1 is positive if the membrane or cytoplasm is brown, and is negative if there is no brown color on the membrane or cytoplasm. Inferential statistics were used to evaluate the relationship between PD-L1 overexpression and low- and high-grade TB in cervical carcinoma using a chi-square test. Results: The results of this research revealed (p = 0.273) that there was no correlation between PD-L1 expression and high- and low-grade TB. Overexpression of PD-L1 was associated with a 2.250-fold increased risk of high-grade TB (OR = 2.250 with a 95% confidence interval of 0.103–1.915). Conclusions: The severity of TB does not correlate with PD-L1 expression. The functions of PD-L1 and other variables in the carcinogenesis of TB development are the cause of this weak association.
Necrosis area, Tumor Size, and Lymph Node of Breast Cancer
Authors: Laili Kharima , Pratiwi Sari Eka , Ilmiawan Muhammad In'am , Trianto Heru Fajar , Fitrianingrum Iit 
Published: September 2024

Background: Breast cancer is the leading cause of cancer deaths in women worldwide in 2020. The high mortality rate is often influenced by various reasons, one of which is patients's prognosis. One of the prognostic factors is necrosis area, caused by hypoxic tumor tissue that can affect tumor growth and metastasis. Therefore, this study aims to determine the relationship between necrosis area with tumor size and lymph node metastasis in breast cancer patients. Methods: This study was an observational analytic with a cross-sectional approach. This research was conducted at the Anatomical Pathology Laboratory of Dr Soedarso Pontianak General Hospital and the Microscopy Laboratory of the Faculty of Medicine Tanjungpura University from September until November 2022. The study sample was 55 slides of Formalin-Fixed Paraffin-Embedded (FFPE). The study was conducted by observing the preparations under a microscope and then analyzed using ImageJ and SPSS software. The independent variable in this study was the necrosis area in the tumor microenvironment, and the dependent variables were tumor size and lymph node metastasis in breast tissue. Results: All study samples were female patients with invasive ductal carcinoma. Breast cancer tends to occur in patients aged 48-55 years. The highest percentage of necrosis area was 21% and the most diagnosed breast tumor size and lymph node metastasis were stage T4 and stage N2. Spearman's rho correlation test showed that there was no relationship between necrosis area and tumor size (p = 0.122; r = 0.16) and lymph node metastasis (p = 0.637; r = 0.18). Conclusions: There is no correlation between necrosis area with tumor size and lymph node metastasis of breast cancer patients in the Anatomical Pathology Laboratory at Dr Soedarso Pontianak General Hospital.