bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hubungan Stress dengan Kejadian Hipertensi di Rumah Sakit Mitra Medika Medan Tahun 2020
Authors: Zakaria Mulidan , Ngadino Muflih 
Published: July 2024

Hipertensi merupakan salah satu masalah kesehatan utama setiap negeri karena bisa menimbulkan penyakit jantung dan stroke yang mematikan.Menurut WHO (World Health Organization)sekitar 1, 13 miliar orang di dunia mengidap hipertensi. Sebagian besar (Dua Pertiga) tinggal di negara berkembang. Pada tahun 2015, 1 dari 4 pria dan 1 dari 5 wanita memiliki hipertensi.Prevalensi hipertensi di Asia Tenggara menurut WHO adalah 25 %. Tujuan penelitian ini yaitu untuk mengetahui hubungan stress dengan kejadian hipertensi di Rumah Sakit Mitra Medika Tanjung Mulia Tahun 2020. Desain yang digunakan dalam penelitian ini adalah survey analitik dengan rancanganan penelitian cross sectional, Populasi dalam penelitian ini sebanyak 49 orang penderita Hipertensi di rumah Sakit Mitra Medika Medan, Sampel penelitian ini diambil keseluruhan populasi (total sampling) sebanyak 49 orang. Analisis data dilakuakan dengan analisa univariat dan analisa bivariat dengan menggunakan Chi-square. Hasil penelitian menunjukkan terdapat hubungan signifkan yaitu nilai probabilitas (asymp.sig) 0,042 dari tingkat kepercayaan 0,05 maka Ha diterima dan H0 ditolak artinya ada hubungan stres dengan Kejadian Hipertensi Dirumah Sakit Mitra Medika Medan Tahun 2020. Kesimpulan dalam penelitian ada hubungan stres dengan kejadian hipertensi di Rumah Sakit Mitra Medika Tahun 2020.
Hubungan Pola Aktivitas Fisik dan Pola Makan dengan Kadar Gula Darah pada Pasien Diabetes Mellitus di Klinik Pratama Millenium Medan
Authors: Kaban Ani Rahmadhani , Syaiful Dedi 
Published: July 2024

Diabetes mellitus merupakan suatu penyakit menahun yang ditandai oleh kadar glukosa darah melebihi normal dan gangguan metabolisme karbohidrat, lemak protein yang disebabkan oleh kekurangan hormon insulin secara relatif maupun absolut. Kurangnya aktivitas fisik merupakan salah satu faktor yang ikut berperan yang menyebabkan resistensi insulin pada diabetes mellitus. Serta makan secara berlebihan dan melebihi jumlah kadar klori yang dibutuhkan oleh tubuh dapat memicu timbulnya diabetes mellitus. Tujuan penelitian untuk mengetahui pola aktivitas fisik dan pola makan dengan kadar gula darah pada pasien diabetes mellitus di di Klinik Pratama Millenium Medan Tahun 2020. Desain penelitian ini menggunakan Survei Analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah pasien diabetes mellitus berjumlah 225 responden, sedangkan sampel berjumlah 69 responden. penelitian dilakukan bulan September sampai bulan oktober dan digunakan adalah accidental sampling yaitu teknik pengumpulan data dengan kuesioner pola aktivitas fisik dan pola makan dengan kadar gula darah. Analisis data dengan persen uji chi-square univariat dan bivariat α = 0,05. Hasil penelitian menunjukkan bahwa ada hubungan antara pola aktivitas fisik dengan kadar gula darah pada pasien diabetes mellitus (p-value 0,012), ada hubungan antara pola makan dengan kadar gula darah pada pasien diabetes mellitus (p-value 0,018). Kesimpulan dalam penelitian terdapat hubungan antara pola aktivitas fisik dan pola makan dengan kadar gula darah pada pasien diabetes mellitus di Klinik Pratama Millenium Medan. dilakukan penelitian lebih lanjut tentang pola aktivitas fisik dan pola makan dengan kadar gula darah pada pasein diabetes mellitus, dengan mengunakan lokasi penelitian dan metode penelitian yang berbeda.
Efektivitas Pemberian Air Rebusan Daun Binahong (Anredera Cordifolia) dengan Hipertensi pada Lansia di Dusun Ii Desa Helvetia Medan
Authors: Butar Butar Maria Haryati , Siregar Maya 
Published: July 2024

Hipertensi merupakan salah satu faktor utama terjadinya penyakit kardiovaskuler dan menjadi salah satu beban kesehatan global yang paling penting karena kasus kardiovaskuler merupakan salah satu penyumbang kematian tertinggi di dunia termasuk di Indonesia. Pengobatan hipertensi dapat dilakukan secara farmakologis dan non farmakologis. Salah satu pengobatan non farmakologis dan terapi komplementer seperti air rebusan daun binahong (anredera cordifolia) yang mengandung flavonoid tinggi yang dapat menurunkan tekanan darah. Tujuan penelitian ini untuk mengetahui distribusi frekuensi tekanan darah sebelum dan sesudah diberikan air rebusan daun binahong (anredera cordifolia) pada lansia di Dusun II Desa Helvetia. Penelitian ini merupakan penelitian kuantitatif, menggunakan quasi experiment (quasi ekseperiment). Populasi dalam penelitian ini yaitu seluruh lansia yang hipertensi di Dusun II Desa Helvetia. Pengambilan sampel menggunakan total sampling yaitu dengan sampel sebanyak 40 lansia. Tekanan darah diukur sebelum pemberian air rebusan daun binahong (anredera cordifolia) selama 7 hari, lalu di ukur kembali. Persentase terjadinya perubahan tekanan darah sebelum dan sesudah dilakukan terapi air rebusan daun binahong untuk sistol 151,55 menjadi 93,5 sedangkan untuk diastol 94,33 menjadi 86,80 yang artinya terjadi penurunan tekanan darah pada sistol dan diastol. Hasil analisa data dengan menggunakan uji paired sample T-test pada sistol dan diastol menunjukkan nilai P= 0,000 yang berarti nilai P=0,05, artinya ada efektivitas terapi air rebusan daun binahong (anredera cordifolia) terhadap penurunan tekanan darah pada pasien hipertensi. Diharapkan lansia dengan hipertensi dapat menurunkan tekanan darah dengan mengkonsumsi air rebusan binahong secara rutin.
Hubungan Antara Tingkat Stress dengan Kejadian Hipertensi pada Lansia di Puskesmas Negeri Lama Kecamatan Bilah Hilir Kabupaten Labuhan Batu
Authors: Hanim Hizrah , Bakti Agus Surya 
Published: July 2024

Hipertensi adalah penyakit mematikan salah satu yang ada di dunia hipertensi juga disebut tekanan darah tinggi. Hipertensi adalah suatu keadaan kronis yang ditandai dengan meningkatnya tekanan darah pada dinding pembuluh darah arteri. Keadaan tersebut melibatkan jantung bekerja lebih keras untuk mengedarkan darah ke seluruh tubuh melalui pembuluh darah. Stres dalam arti secara umum adalah perasaan tertekan, cemas dan tegang. Dalam bahasa sehari-hari stres dikenal sebagai stimulus atau respon yang menuntut individu untuk melakukan penyesuaian. Metode Penelitian ini menggunakan analitik kuantitatif dengan menggunakan pendekatan cross sectional. Populasi pada penelitian ini adalah seluruh lansia yang mengalami hipertensi di Puskesmas Negeri Lama Kecamatan Bilah Hilir Kabupaten Labuhan Batu yang berjumlah 769 pada tahun 2020. Pengambilan sampel yang digunakan adalah Acidental sampling, pengambilan sampel dalam jumlah yang ditentukan peneliti sebanyak 88 orang. Hasil Berdasarkan hasil analisa dengan menggunakan Uji Chi-Square memperlihatkan bahwa nilai signifikan dengan Tingkat stres p-value (0,006). Hasil uji bivariat menunjukkan bahwa ada hubungan antara tingkat stres dengan kejadian hipertensi pada lansia di Puskesmas Negeri Lama Kecamatan Bilah Hilir Kabupaten Labuhan Batu Tahun 2021. Kesimpulan Kesimpulan dalam penelitian ini menunjukan bahwa secara statistik ada hubungan antara tingkat stres dengan kejadian hipertensi pada lansia dipuskesmas negeri lama kecamatan bilah hilir kabupaten labuhan batu tahun 2021. Disarankan kepada Responden hipertensi sebagai bahan informasi lansia pentingnya mengetahui penanganan kejadian hipertensi, sehingga lansia mampu untuk menanganinya secara tepat dan mampu mengurangi tingkat stress akibat kejadian hipertensi.
Faktor-Faktor yang Memengaruhi Terjadinya Low Back Pain di Poli Neurologi RS Mitra Medika Tanjung Mulia Medan
Authors: Syaiful Dedi , Mulidan Mulidan 
Published: July 2024

Low Back Pain (LBP) merupakan salah satu masalah kesehatan yang berupa nyeri akut maupun kronik yang dirasakan di daerah punggung bawah dan biasanya merupakan nyeri lokal maupun nyeri radikular atau keduanya di daerah lumbosacral yang dapat disebabkan oleh inflamasi, degeneratif, kelainan ginekologi, trauma dan gangguan metabolik. Nyeri punggung bawah juga terjadi oleh karena berbagai faktor, diantaranya faktor pekerjaan yang melibatkan aktivitas yang berlebihan seperti mengangkat benda yang berat. Untuk Mengetahui Faktor-Faktor Yang Memengaruhi Terjadinta Low Back Pain di Poli Neurologi RS Mitra Medika Tanjung Mulia Tahun 2023. Desain penelitian yang digunakan dalam penelitian ini menggunakan metode survei analitik dengan pendekatan crossectional. Penelitian ini dilakukan di Poli Neurologi Rumah Sakit Mitra Medika Tanjung Mulia. Populasi dalam penelitian ini adalah pasien low back pain yang berjumlah 2.113 responden dari bulan januari 2023 - maret 2023. Teknik pengambilan sampel yang digunakan adalah purposive sampling dengan mengacu pada rumus slovin yaitu 96 responden. Instrumen pengumpulan data menggunakan analisis univariat dan bivariat. Uji yang digunakan adalah uji Chi-Square.Hasil penelitian Berdasarkan hasil penelitian dengan uji chi-square karakteristik umur dengan low back pain terlihat nilai 0,34, lama kerja dengan kejadian low back pain terlihat nilai p-value 0,42, sikap kerja dengan kejadian low back pain terlihat nilai p-value 0,44.Kesimpulan: bahwa terdapat hubungan yang signifikan antara karakteristik umur, lama kerja, sikap kerja dengan kejadian low back pain di Poli Neurologi RS Mitra Medika Tanjung Mulia.
Perilaku Ibu terhadap Kehamilan Risiko Tinggi di Desa Telaga Serdang Bedagai
Authors: Febrianti Rini , Pakpahan Sulastry 
Published: July 2024

Risiko tinggi dalam kehamilan merupakan suatu proses kehamilan yang mempunyai risiko lebih tinggi dan lebih besar dari kehamilan normal pada umumnya baik itu pada ibu maupun bayinya dengan adanya risiko terjadinya penyakit atau kematian sebelum atau pun sesudah proses persalinanya kelak. Penelitian bertujuan untuk mengetahui Prilaku ibu dengan kehamilan risiko tinggi di Desa Telaga Serdang Bedagai Tahun 2021. Penelitian ini menggunakan desain crossectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester II Desa Telaga sebanyak 131 orang dan sampel menggunakan 57 orang. Analisis data menggunakan uji chi square. Hasil uji chi square menunjukkan hasil ada hubungan pengetahuan (p=0,003), sikap (p=0,000) dengan kehamilan resiko tinggi. Bagi Ibu Hamil. Diharapkan kepada ibu hamil agar meluangkan waktu untuk berkunjung ke tempat pelayanan kesehatan seperti Bidan Desa, Klinik, Puskesmas untuk melakukan pemeriksaan kehamilan sehingga dapat diketahui kondisi ibu dan janin serta dapat dilakukan upaya pencegahan kehamilan.
Advancements and Considerations in Ceramic Bearings for Total Hip Arthroplasty: A Narrative Review
Authors: Alhomayani Khalid M 
Published: July 2024

Objective: Total hip arthroplasty (THA) is a widely successful orthopedic procedure offering relief to patients suffering from hip joint disorders. Ceramic bearings, particularly ceramic-on-ceramic (CoC) surfaces, have gained attention for their remarkable tribological properties and biocompatibility. This article discusses the role of ceramic bearings in THA, including their historical background, stability, and potential complications. It explores the advantages of CoC bearings, such as their low wear rates and reduced risk of complications like aseptic loosening and prosthetic joint infections and delves into considerations like ceramic fracture and squeaking phenomena.
Materials and methods:This article is based on a rigorous literature search conducted across reputable academic databases, including PubMed, Scopus, Web of Science, and Google Scholar, the succeeding search keywords were applied: “total hip arthroplasty”, “ceramic- on-ceramic”, “total hip arthroplasty dislocation”, “prosthetic joint infections”, “ceramic fractures”, “aseptic loosening”, “squeaking”.
Conclusion: Ceramic-on-Ceramic (CoC) bearings, while promising, are not commonly used in primary hip arthroplasty due to cost concerns and surgical precision requirements. However, they are gaining ground for younger, active patients. Technological advancements have reduced the risks of implant fracture. Additionally, noise generation is not associated with an increase incomplication Nevertheless, patients should be informed about these rare risks during the preoperative consent process.
Bangladesh Journal of Medical Science Vol. 23 No. 03 July’24 Page : 617-625
Clinical profile of Wilson Disease with Neurological Presentations : A cross sectional study in Bangladesh perspective
Authors: Fatema Kanij , Rahman Md Mizanur , Hossain Mohammad Monir , Begum Fahmida , Islam Kazi Ashraful , Akhter Shaheen 
Published: July 2024

Objective: Wilson Disease (WD) of neurological presentation is rare in pediatric population . Very limited study has been done in this disorder particularly from Bangladesh. This study was done to describe clinical profile of children with Wilson Disease with neurological presentation.
Methods: This cohort study was conducted in the Department of Pediatric Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU), from July 2018 to July 2021. Children under 18 years of age having either neurological or combined hepatic and neurological features of WD were included.
Results: Total 74 patients were taken as study case. A male predominance was observed. Age of presentation was comparatively late in neuro-hepatic group. Jaundice and cirrhosis of liver was observed in more than two third cases of neuro-hepatic group. Most of the patients of both group presented with deterioration of school performance (100% and 88.89%, respectively), dystonia (95% and 75.63%, respectively), drooling (85% and 75.93%, respectively), altered activity of daily living (85% and 77.78%, respectively), dysphasia (95% and 81.48%, respectively). Patients with neuro-hepatic manifestations had significantly lower serum ceruloplasmin and serum albumin while that of urinary total copper excretion was significantly higher in this group. In MRI of brain, most affected parts were putamen, head of caudate nucleus and thalamus.
Conclusion:. The most important clinical features school performance deterioration, dystonia, impaired daily activity and jaundice. Patients with neuro-hepatic features had lower serum ceruloplasmin and higher urinary total copper. In MRI, most affected part was putamen, thalamus and head of caudate nucleus. Most patients showed some improvement or remained stable after treatment.
J Bangladesh Coll Phys Surg 2024; 42: 265-272
An Exploration of Millennials' Attitudes Towards the Use of Artificial Intelligence Chatbots for Customer Service within E-commerce Platforms
Authors: Uddin Mohd Nasim , Thiam Low Wee , Afjalur Rahman Mohammad , Mokhtar Sadaf 
Published: July 2024

The research aims to identify the determinants impacting millennials' adoption intention towards AI-powered chatbots in eCommerce customer service. This quantitative study employed a survey instrument to collect data from 113 millennials, utilizing a convenience sampling approach. The well-established Technology Acceptance Model (TAM) served as the foundation, extended to incorporate trust and social influence alongside perceived usefulness and ease of use. Linear regression analysis tested the hypothesized relationships. The findings reveal a significant positive influence of all four factors (PU, ease of use PU, PEOU, trust, and SI) on millennials' intention to utilize AI chatbots. Trust emerged as the most impactful determinant. The study's generalizability might be limited due to the sample size and recruitment method. Future research should consider a more diverse sample encompassing socio-cultural, technical, and socioeconomic factors. E-commerce companies can leverage these findings to optimize their AI chatbots for customer service and achieve greater adoption among millennials. Strategies include prioritizing trust-building mechanisms, harnessing social influence, enhancing the perceived usefulness of the chatbot's functionalities, and ensuring user-friendly interfaces. This research contributes to narrowing the knowledge gap by investigating factors influencing millennials' adoption of AI chatbots in eCommerce customer service.
Aleitamento Materno: Uma abordagem sobre a assistência e orientação do enfermeiro durante a consulta de pré natal na Atenção Primária à Saúde
Authors: Deus Francisca Regilene de Sousa de , Moreira Fabielle Lins Rangel Peluso , Silva Halene Cristina Dias de Armada e , Vieira Natane Cristina dos Santos , Moreira Barbara Barros , Vieira Ana Carolina Tavares 
Published: July 2024

Introdução: Este artigo tem como objetivo discutir sobre a importância do aleitamento materno e o papel do enfermeiro na Estratégia de Saúde da Família (ESF) neste processo de orientação da Família. Metodologia: A pesquisa bibliográfica onde foram classificados 20 artigos a partir dos critérios de inclusão e exclusão. 2: Procurou-se também apresentar a relevante atuação do enfermeiro na orientação às gestantes e puérperas sobre o aleitamento materno. Foram usados os descritores em Ciências da Saúde (DeCS): Enfermeiro, Aleitamento materno, Gestante e Orientação, por meio do operador booleano AND. Conclusão: É fundamental que o enfermeiro continue a incentivar essas mulheres através da promoção em saúde, objetivando a redução da morbi-mortalidade infantil e o desmame precoce, principalmente em casos onde se há fatores passíveis de prevenção (como nos casos de mastite, doenças diarreicas e desnutrição).
Auditory listening effort and reaction time: a comparative study between single sided deaf cochlear implant users and normal hearing controls
Authors: Voola Marcus Windsor Rao , Tavora-Vieira Dayse , Wedekind Andre , Bogdanov Caris , Acharya Aanand 
Published: July 2024

IntroductionCochlear implant (CI) provision has been shown to be the only hearing rehabilitation option that can improve speech perception in noise and sound localization in SSD listeners. Individuals with SSD are known to exert increased listening effort when compared to normal hearing individuals, and this remains true even with CI use. Recently, reaction time (RT) has emerged as a promising metric for quantifying listening effort. As such, the current study compared performance (RT and Accuracy) of SSD participants (with and without the use of their CI) to normal hearing (NH) listeners. We assessed three listening conditions: (1) monaural listening in quiet, (2) free field listening in quiet, and (3) free field listening in background noise.MethodSSD CI data was retrospectively obtained from two past studies conducted by the group. For monaural listening and free field listening in quiet, the same 10 SSD CI participants and 10 NH controls was recruited. For free field listening in noise condition, 12 SSD CI participants and 12 NH controls were recruited. In all condition, participants were required to complete an auditory oddball task, discerning odd and even numbers. RT and target accuracy were the metrics recorded.ResultsIn monaural listening conditions, SSD CI users exhibited significantly delayed RTs compared to their NHE and to NH controls when stimuli was played directly through the CI. Surprisingly, the RT for the NHE of SSD CI users was also delayed when compared to the NH controls. Free field listening in quiet conditions showed increased RTs for SSD CI users, with and without CI, compared to NH controls, indicating the persistent impact of SSD on processing. In free field listening in noise, CI use significantly improved RTs for SSD individuals but did not reach NH levels. Despite the RT differences, task accuracy remained comparable between groups.DiscussionSSD CI users exhibited longer RTs in all test conditions, suggesting they expend more listening effort than normal hearing controls. This increased effort likely accounts for the delayed RTs, highlighting the additional processing challenges faced by SSD CI users.
Pseudomonas aeruginosa mucinous phenotypes and algUmucABD operon mutant characteristics obtained from inpatients with bronchiectasis and their correlation with acute aggravation
Authors: Tan Yuxue , Dai Zhongshang 
Published: July 2024

ObjectiveAlthough the mechanism is unclear, Pseudomonas aeruginosa (PA) infection directly affects the frequency of acute exacerbations in patients with bronchiectasis. The aims of this article are to analyze the genetic mutation characteristics of the algUmucABD operon in PA, isolated from hospitalized patients with bronchiectasis, and to explore independent risk factors for frequent acute exacerbations of bronchiectasis.MethodsBased on the number of acute exacerbations that occurred in the past year, these patients with bronchiectasis were divided into those with frequent acute exacerbations (Group A) and those with non-frequent acute exacerbations (Group B). We identified the distribution of mucoid phenotypes (MPs) and alginate morphotypes (AMs) in PA, and classified them into I–IV categories based on their different AMs; otherwise, the gene mutation types (GMTs) of the algUmucABD operon were tested. Subsequently, the relationship between GMT, MP, and AM and the independent risk factors for frequent acute exacerbations in patients with bronchiectasis were explored.ResultsA total of 93 patients and 75 PA strains, from January 2019 to August 2023, were included in this study. The MP and AM distributions of PA were as follows: 64 strains (85.33%) of mucoid (the AMs were 38 strains of type I, 3 strains of type II, and 23 strains of type IV) and 11 strains of non-mucoid (the AM was type III only). Mucoid PA with algU, mucA, mucB, and mucD mutations accounted for 19.61%, 74.51%, 31.37%, and 50.98%, respectively. GMT was divided into the following: mucA mutations only, mucA combined with other gene mutations, other gene mutations without mucA mutations, and without gene mutations. In 91.7% of PA with type I of AM, only mucA mutations occurred, and in both separate MP and AM, the GMT differences were statistically significant. Lastly, the number of lung lobes with bronchiectasis and the number of PA with mucA mutations only were the independent risk factors for frequent acute exacerbations.ConclusionThe mucA mutation was primarily responsible for the mucoid of MP and type I of AM in PA, and it was also an independent risk factor for frequent exacerbations of bronchiectasis.
Extensive myocardial calcifications: a systematic literature review of a rare pathological phenomenon
Authors: Sozzi Fabiola B. , Gnan Eleonora , Faggiano Andrea , Giangiacomi Francesco , Iacuzio Laura , Canetta Ciro , Santangelo Gloria , Pisaniello Marco , Eker Armand , Carugo Stefano 
Published: July 2024

IntroductionMyocardial calcifications (MC) represent a relatively rare pathological process, which may accompany different cardiovascular conditions and can be broadly categorized as dystrophic or metastatic. Myocardial infarction (MI) has been traditionally regarded as the main cause of MC overall; however, no updated comprehensive data on the relative incidence of different forms of MC is available. The purpose of this systematic review of the literature is to analyze the currently available evidence on MC in terms of pathophysiology, diagnosis, and clinical presentation.Methods and resultsA total of 241 studies including a total of 368 patients affected by extensive MC were included in the final review. The majority of patients (69.8%) presented with dystrophic MC. Endomyocardial fibrosis (EMF) represents the single most common etiology of MC (24.2%), while sepsis/acute systemic inflammatory syndrome (SIRS) and chronic kidney disease were identified as the second and third most common causes respectively. The relative incidence of etiologies also varies across the years, with MI being more represented before 1990, and sepsis/SIRS becoming the single most common cause of MC after 1990. Multimodality imaging was used in the work-up of MC in 42.7% of cases. The most commonly employed imaging modality overall was echocardiography (51.9%), while after 1990 computed tomography scan became the most widely used tool (70.1%).ConclusionThe present systematic review provides new insights into the pathophysiology of MC. Previously thought to be mainly a consequence of ischemic heart disease, our data indicate that other diseases, namely EMF and sepsis/SIRS, are indeed the main conditions associated with MC. The importance of multimodality imaging in the work-up of MC is also highlighted.