bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluasi Drug Related Problems (DRPS) Pada Pasien Diabetes Melitus Tipe II dengan Komplikasi Penyakit Ginjal Kronik di RS X Yogyakarta
Authors: Kusumiati Marna , Atmaja Sarah Puspita , Murdiana Happy Elda 
Published: January 2024

ABSTRACT The prevalence of Diabetes Mellitus (DM) sufferers increases every year, especially type 2 DM, because this often causes complications and even death. Type 2 diabetes mellitus has a major impact on the development of chronic kidney disease (CKD), based on uncontrolled type 2 diabetes over a long period of time. Achieving maximum therapeutic effects with minimal side effects is one of the responsibilities of pharmaceutical care, one of which is identifying the occurrence of Drug Related Problems (DRPs). The aim of this study was to evaluate DRPs in Type 2 DM patients with CKD complications at RS x Yogyakarta as evaluation material in handling the incidence of DRPs in type 2 DM patients with CKD complications. The method in this research is descriptive quantitative with data collection using a total sampling technique on retrospective data from medical record documents at the inpatient installation of Hospital The conclusion in this study is that the characteristics of type 2 DM sufferers with CKD are mostly women (51.35%), with age > 60 (67.56%), and the highest CKD stage is G5. The most common cause of DRP cases is inappropriate drug selection (64%), giving rise to the problem of unsafe drug events in patients (56%). Keywords: Diabetes Mellitus Type 2, Chronic Kidneys Disease (CKD), Drug Related Problems (Drps), Hospitalization. ABSTRAK Prevalensi penderita Diabetes Melitus (DM) setiap tahun mengalami peningkatan khususnya DM tipe 2, sehingga tidak sedikit yang menyebabkan komplikasi hingga kematian. DM tipe 2 berdampak besar pada pengembangan Penyakit Ginjal Kronis (PGK), akibat tidak terkontrolnya penyakit DM tipe 2 dalam jangka waktu lama. Pencapaian efek terapi maksimal dengan efek samping minimal adalah salah satu tanggungjawab farmasi salah satunya mengidentifikasi terjadinya Drug Related Problems (DRPs). Tujuan penelitian ini adalah melakukan Evaluasi DRPs pada Pasien DM Tipe 2 dengan komplikasi PGK di RS x Yogyakarta sebagai bahan evaluasi dalam penanganan kejadian DRPs pada pasien DM tipe 2 dengan komplikasi PGK. Metode dalam penelitian ini adalah deskriptif kuantitatif dengan pengambilan data menggunakan teknik total sampling pada data retrospektif dokumen rekam medis diinstalasi rawat inap RS X Yogyakarta Januari 2019 – Mei 2023. Hasil penelitian didapat penyebab Kasus DRP terjadi karena pemilihan obat yang tidak tepat (64%) dan pemilihan dosis obat kurang tepat (36%), dan potensi masalah yang terjadi adalah kejadian obat yang tidak aman pada pasien sebesar (56%) dan Kejadian pengobatan yang tidak efektif (44%). Kesimpulannya adalah, Penyebab Kasus DRPs paling banyak terjadi adalah pemilihan obat yang tidak tepat (64%), sehingga menimbulkan potensi masalah yakni kejadian obat yang tidak aman pada pasien sebesar (56%). Kata Kunci: Diabetes Melitus Tipe 2, Penyakit Ginjal Kronik (PGK), Drug Releted Problems (Drps), Rawat Inap.
Implementation of Nawa Cita's 5th Agenda in The Healthy Indonesia Program with a Family Approach
Authors: Isasih Widani Darma , Inayati Rizqa , Damayanti Vinna Amalia Resi , Gunawan Iman 
Published: January 2024

ABSTRACT The Healthy Indonesia Program is one of Nawa Cita's 5th agenda programs to improve the quality of life of Indonesian people. PIS-PK at the Nipah Community Health Center in 2022 has not achieved 100% on all indicators, so an assessment of the input, process and output is needed to determine the implementation of PIS-PK at the Nipah Community Health Center as a first step to finding the root cause of the problem. This research was conducted at the Nipah Community Health Center, using a case study approach with descriptive analysis. The data collection method is through observation, document review and FGD with 6 key informants. The results found that the implementation of PIS-PK on input indicators was still not optimal in the aspects of human resources, facilities and infrastructure, and funding. In the process indicator, further intervention has not been implemented in families that are in the unhealthy category and the IKS output indicator is at 0.16 < 0.80, which means it is in the unhealthy category. So it can be concluded that the implementation of PIS-PK at the Nipah Community Health Center has not been carried out optimally. Keywords: Public, Health, Policy
Pengaruh Menggendong Metode M Shape dengan Bonding Attachment dan Kualitas Tidur Bayi
Authors: Hanum Parida , Rita Syarifah , Samra Syarifah Zoehra , Ginting Susiani , Wahyuni Susi , Sari Tania Permata , Aritonang Murni 
Published: January 2024

ABSTRACT Babies who are held and cuddled enough will become calm babies because they cry and fuss less. Thus, babies have lots of time and energy to grow and develop physically and interact with the environment. The purpose of this research is to determine the effect of carrying the M Shape method with bonding attachments and the quality of baby sleep. The type of research used was a quasi experiment with pre-test and post-test without control group design. The population in this study was all 50 babies who came to the Hj Rosdiana Midwife Practice. The subject sampling technique used a total sampling of 50 people. The type of data used in this research is primary and secondary data with a questionnaire instrument. Research data analysis was univariate and bivariate analysis using Wilcoxon. The results of the research explain the effect of carrying the M Shape method with bonding attachments and the quality of baby sleep with a P value of 0.016 and 0.002. This research is expected to provide information about the effect of carrying the M Shape method with bonding attachments and the quality of baby sleep. Keywords: Carrying M Shape, Bonding Attachments, Sleep Quality ABSTRAK Bayi yang yang cukup digendong dan didekap alan menjadi bayi yang tenang karena lebih sedikit menangis dan rewel. Dengan demikian, bayi memiliki banyak waktu dan energi untuk tumbuh dan berkembang secera fisik dan berinteraksi dengan lingkungan. Tujuan penelitian ini adalah untuk mengetahui Pengaruh Menggendong Metode M Shape Dengan Bonding Attachment Dan Kualitas Tidur Bayi. Jenis penelitian yang digunakan adalah quasy experiment dengan pre-test and post-test without control group design. Populasi dalam penelitian ini adalah seluruh bayi yang dating ke Praktek Bidan Hj Rosdiana sebanyak 50 orang. Teknik pengambilan subjek menggunakan Total sampling sebanyak 50 orang. Jenis data yang digunakan pada penelitian ini adalah data primer dan sekunder dengan instrument kuesioner. Analisa data penelitian adalah anlias univariat dan bivariat dengan Wilcoxon. Hasil penelitian menjelaskan Pengaruh Menggendong Metode M Shape Dengan Bonding Attachment Dan Kualitas Tidur Bayi dengan nilai Pvalue 0,016 dan 0,002. Penelitian ini diharapkan dapat memberikan informasi tentang Pengaruh Menggendong Metode M Shape Dengan Bonding Attachment Dan Kualitas Tidur Bayi. Kata Kunci : Menggendong M Shape; Bonding Attachment; Kualitas Tidur
Penerapan Terapi Inhalasi Nebulizer Pada Anak Usia Prasekolah dengan Gangguan Bersihan Jalan Nafas di RSUD Al-Ihsan Jawa Barat: Studi Kasus
Authors: Nurani Rai , Cahyaningsih Henny , Kusmiati Sri 
Published: January 2024

ABSTRAK Anak usia prasekolah merupakan kelompok yang rentan terhadap penularan bronkopneumonia. Bronkopneumonia mengalami peradangan yang terjadi pada parenkim paru yang dapat dilokalisir dan biasanya dapat terkena bronkiolus dan alveolus ditandai dengan batuk produktif, pernapasan cepat dan dangkal, bernapas dengan mengi, sulit bernapas. Salah satu tindakan keperawatan yang dapat dilakukan untuk mengatasinya dengan pemberian terapi inhalasi nebulizer. Penulisan karya ilmiah ini bertujuan untuk untuk menganalisis penerapan terapi inhalasi nebulizer pada anak usia prasekolah dengan gangguan bersihan jalan nafas yang menjalani perawatan rawat inap di RSUD Al-Ihsan Provinsi Jawa Barat. Studi kasus ini menggunakan pendekatan deskriftif dengan menerapkan intervensi pemberian terapi inhalasi nebulizer selama 3-4 hari sebanyak 2x24jam dengan menggunakan obat Ventolin 2,5Mg. Ketidakefektifan bersihan jalan napas pada An.A dan An.D teratasi dengan lama 3-4 hari. Penerapan terapi inhalasi nebulizer efektif dalam mengatasi gangguan bersihan jalan nafas pada anak usia prasekolah. Kata Kunci: Bronkopneumonia, Usia prasekolah, Terapi inhalasi, Nebulizer ABSTRACT Preschool children are a group that is vulnerable to transmission of bronchopneumonia. Bronchopneumonia is inflammation that occurs in the lung parenchyma which can be localized and can usually affect the bronchioles and alveoli, characterized by a productive cough, rapid and shallow breathing, wheezing, difficulty breathing. One of the nursing actions that can be taken to overcome this is by administering nebulizer inhalation therapy. The aim of writing this scientific work is to analyze the application of nebulizer inhalation therapy in preschool children with airway clearance disorders who are undergoing inpatient treatment at Al-Ihsan Hospital, West Java Province. This case study uses a descriptive approach by implementing the intervention of providing nebulizer inhalation therapy for 3-4 days 2 x 24 hours using the drug Ventolin 2.5Mg. The ineffectiveness of airway clearance in An.A and An.D resolved within 3-4 days. The application of nebulizer inhalation therapy is effective in treating airway clearance disorders in preschool children. Keywords: Bronchopneumonia, Preschool Age, Inhalation Therapy, Nebulizer
Work Management in Improving the Quality of Nursing for Tuberculosis Patients
Authors: Septiani Febi 
Published: January 2024

ABSTRACT Primary health services are efforts made to increase access to quality health services. The increasing burden of tuberculosis in the world is inadequate health services, practices carried out that do not comply with SOPs, causing the detection of tuberculosis to worsen. Quality nursery provides services to achieve the patient's desires orexpectation. Service quality is influenced by Tangibles, Reliability, Responsiveness, Assurance and Empathy. Improving the quality of nursing in hospitals can be done with work management. Psychologically, they consider their work to be meaningful, there is a sense of responsibility for the work they do so that the results of their work can increase patient satisfaction. Performance management is a process used for planning, organizing, implementing, monitoring and evaluating. The aim of this research is to identify work management in improving the quality of tuberculosis nursing. The method used in this research is a literature review. The library sources used are laws and journals. Article literature sources consist of Scopus, Science direct, Proques, JSTOR, EBSCOhost, Spingerlink, Pubmed, Google Scholar. By using the keywords "tuberculosis", "patient perspective", "quality of nursing" and "performance". Work management requires planning, organizing, implementing, monitoring and evaluating to improve service quality. Facilities, good communication, ability to provide services, ability to help, listen and resolve patient complaints, provide attention and motivation can improve the quality of nursing. Work management in hospitals is very necessary to improve the quality of nursing services in hospitals Keywords:Tuberculosis, Patient Perspective, Nursing Quality, Work Management
Efektifitas Teknik Kompres Air Hangat dan Air Dingin Terhadap Bendungan Asi Pada Ibu Post Partum di TPMB Bidan A Kecamatan Babelan Kabupaten Bekasi Tahun 2023
Authors: Hilmiah Yayah , Farlikhatun Lili 
Published: January 2024

ABSTRACT The incidence of ASI dams caused by the release of milk that is not smooth, because the baby does not feed his mother often enough. An initial survey conducted in April 2023 at TPMB Midwife A, Babelan District, Bekasi Regency, in 2023 found that there were 20 postpartum mothers who experienced ASI dams. To determine the effectiveness of giving warm and cold water compresses to breast milk dams in postpartum mothers. This study used a quasi-experimental with purposive sampling with a sample of 32 people. Data techniques included in uivariate analysis using frequency distribution and bivariate analysis using SPSS program statistical calculations. The results of this study indicate that the value of the Paired Sample Test obtained a sig (2-tailed) value of 0.000 <0.05, so there is a difference between the pretest and posttest values so that it can be concluded that there is an effectiveness of giving warm compresses and cold compresses to breast milk dams for Postpartum Mothers at TPMB Midwife A, Babelan District, Bekasi Regency in 2023. There is an effectiveness of giving warm compresses and cold compresses to breast milk dams for Postpartum Mothers at TPMB Midwife A, Babelan District, Bekasi Regency in 2023. It is hoped that the method of giving warm compresses and compresses cold as a reference for intervention against breast milk in postpartum mothers. Keywords: Compression Techniques, Cold Water, Warm Water, Breast Milk Dams, Post Partum Mothers ABSTRAK Kejadian bendungan ASI yang disebabkan oleh pengeluaran air susu yang tidak lancar, karena bayi tidak cukup sering menyusui pada ibu nya. Survei awal yang dilakukan pada bulan April 2023 di TPMB Bidan A Kecamatan Babelan Kabupaten Bekasi Tahun 2023 didapatkan ada 20 ibu nifas yang mengalami bendungan ASI. Mengetahui efektifitas pemberian kompres air hangat dan air dingin terhadap bendungan ASI pada ibu Post Partum. Penelitian ini menggunakan quasi esperimental dengan purposive sampling dengan sample 32 orang. Teknik data termasuk dalam analisis uivariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan perhitungan statistik program SPSS. Hasil dari penelitian ini menunjukkan bahwa nilai Paired Sampel Test didapatkan nilai sig (2-tailed) adalah 0,000 < 0,05 maka terdapat perbedaan antara nilai pretest dan posttest sehingga dapat disimpulkan adanya efektifitas pemberian kompres hangat dan kompres dingin terhadap bendungan ASI pada Ibu Postpartum di TPMB Bidan A Kecamatan Babelan Kabupaten Bekasi Tahun 2023. Terdapat efektifitas pemberian kompres hangat dan kompres dingin terhadap bendungan ASI pada Ibu Postpartum di TPMB Bidan A Kecamatan Babelan Kabupaten Bekasi Tahun 2023. Diharapkan metode pemberian kompres hangat dan kompres dingin sebagai acuan intervensi terhadap bendungan ASI pada Ibu Postpartum. Kata Kunci: Teknik Kompres, Air Dingin, Air Hangat, Bendungan ASI, Ibu Post Partum
Language of Trust in "Raya and The Last Dragon" Movie (A Discourse Analysis)
Authors: Alim Alim 
Published: January 2024

This research discusses the language of trust in Raya and the Last Dragon movie based on the trust-repair discourse model established by Fuoli and Paradis. This research aims to describe trust-repair discourse in Raya and the Last Dragon movie. This research used a descriptive qualitative method. The sources of data in this research are divided into two categories namely movies as primary data and audiovisual sources as secondary data. The data was collected through downloading the movie, watching the movie, reading intensively, and selecting the data, based on communicative action models of Fuoli and Paradis. The data was analyzed by presenting, describing, interpreting, and concluding the data to answer the research question of this research. The result shows that there were 10 data Raya and Sisu in the movie suffers from trust-repair. There are two reasons to trigger Raya's broken trust. Her friend betrays her. Her friend and her people try to steal her village’s gem. In this Raya makes her start hard to trust anyone else. She fears something terrible that can happen to Sisu. Therefore, she never trusts other people around her. Sisu sees this. Sisu thinks that such a broken trust will make Raya in trouble. Finally, Sisu tries hard to teach Raya to trust other people. Sisu uses restore neutralizing the negative and emphasizing the positive. They eventually succeed in building Raya’s trust in others.
Smoltification, seawater performance, and maturation in Atlantic salmon (Salmo salar) fed different fat levels
Authors: Mota Vasco C. , Verstege Gerhardus C. , Striberny Anja , Lutfi Esmail , Dessen Jens-Erik , Sveen Lene , Burgerhout Erik , Bou Marta 
Published: January 2024

IntroductionThe use of recirculating aquaculture systems (RAS) to produce Atlantic salmon smolts has resulted in exceptionally high fish growth rates. However, there are potential negative trade-offs between fast growth and key physiological processes, such as inadequate smoltification and early sexual maturation, which can both be linked to body energy reserves.MethodsThis study determined the effect of i) dietary fat levels on Atlantic salmon whole-body fat and fatty acids composition, growth performance and smoltification and ii) a previous dietary regime on seawater growth performance and male early sexual maturation. In freshwater RAS, salmon parr (~19g) were fed 3 fat levels (20, 24, and 28%) over a 14-week period at 12°C. Subsequently, in seawater flow-through systems, smolt (~96g) were fed a control diet (26%) for 12 weeks at 2 temperatures (12 and 16°C).ResultsDietary fat levels resulted in differences in k-factor, fish whole-body fat and fatty acids composition; the low fat diet resulted in fish with a 23% lower whole-body fat when compared to the other two dietary groups at the end of the freshwater phase. These differences in whole-body fat faded at the end of the seawater phase. During the freshwater phase, all three feeds resulted in a comparable growth performance and smoltification indicator values, including k-factor, gill Na+, K+-ATPase, blood serum chloride and smolt index score. In contrast, water temperature resulted in fish body weight differences, where groups reared at 16°C were larger than those reared at 12°C. Nevertheless, both temperature regimes supported a similar thermal growth coefficient. Smolts grown at 16°C showed a higher level of the sex steroids androstenedione compared to those at 12°C. However, 11-ketotestosterone and testosterone levels did not differ despite a trend for higher levels at 16°C. Furthermore, testis histology at the final sampling indicated that some individuals showed initial signs of maturation (stage 3).DiscussionIn conclusion, varying dietary fat levels (20 - 28%) during the freshwater phase did not influence smoltification or male early sexual maturation during the subsequent grow-out phase. However, a temperature increase from 12 to 16°C resulted in larger fish and appeared to stimulate early male maturation in some fish individuals.
The highs and lows of lifting loads: SPM analysis of multi-segmental spine angles in healthy adults during manual handling with increased load
Authors: Proud Jasmine K. , Garofolini Alessandro , Mudie Kurt L. , Lai Daniel T. H. , Begg Rezaul K. 
Published: January 2024

Introduction: Manual handling personnel and those performing manual handling tasks in non-traditional manual handling industries continue to suffer debilitating and costly workplace injuries. Smart assistive devices are one solution to reducing musculoskeletal back injuries. Devices that provide targeted assistance need to be able to predict when and where to provide augmentation via predictive algorithms trained on functional datasets. The aim of this study was to describe how an increase in load impacts spine kinematics during a ground-to-platform manual handling task. Methods: Twenty-nine participants performed ground-to-platform lifts for six standardised loading conditions (50%, 60%, 70%, 80%, 90%, and 100% of maximum lift capacity). Six thoracic and lumbar spine segments were measured using inertial measurement units that were processed using an attitude-heading-reference filter and normalised to the duration of the lift. The lift was divided into four phases weight-acceptance, standing, lift-to-height and place-on-platform. Statistical significance of sagittal angles from the six spine segments were identified through statistical parametric mapping one-way analysis of variance with repeated measures and post hoc paired t-tests.Results: Two regions of interest were identified during a period of peak flexion and a period of peak extension. There was a significant increase in spine range of motion and peak extension angle for all spine segments when the load conditions were increased (p &lt; 0.001). There was a decrease in spine angles (more flexion) during the weight acceptance to standing phase at the upper thoracic to upper lumbar spine segments for some condition comparisons. A significant increase in spine angles (more extension) during the place-on-platform phase was seen in all spine segments when comparing heavy loads (&gt;80% maximum lift capacity, inclusive) to light loads (&lt;80% maximum lift capacity) (p &lt; 0.001).Discussion: The 50%–70% maximum lift capacity conditions being significantly different from heavier load conditions is representative that the kinematics of a lift do change consistently when a participant’s load is increased. The understanding of how changes in loading are reflected in spine angles could inform the design of targeted assistance devices that can predict where and when in a task assistance may be needed, possibly reducing instances of back injuries in manual handling personnel.
The application of custom 3D-printed prostheses with ultra-short stems in the reconstruction of bone defects: a single center analysis
Authors: Zhang Peng , Tian Wen , Li Po , Zhang Fan , Qu Guoxin , Du Xinhui , Liu Guancong , Niu Xiaoying 
Published: January 2024

Objective: Considering the advantages and widespread presence of 3D-printing technology in surgical treatments, 3D-printed porous structure prostheses have been applied in a wide range of the treatments of bone tumor. In this research, we aimed to assess the application values of the 3D-printed custom prostheses with ultra-short stems for restoring bone defects and maintaining arthrosis in malignant bone tumors of lower extremities in children.Methods: Seven cases of pediatric patients were included in this study. In all cases, the prostheses were porous titanium alloy with ultra-short stems. MSTS 93 (Musculoskeletal Tumor Society) scores were recorded for the functional recovery of the limbs. VAS (Visual analogue scale) scores were utilized to assess the degree of painfulness for the patients. X-ray and MRI (magnetic resonance imaging) were applied to evaluate the bone integration, prostheses aseptic loosening, prostheses fracture, wound healing, and tumor recurrence during follow-up.Results: During follow-up, none of the patients developed any postoperative complications, including prostheses aseptic loosening, prostheses fracture, or tumor recurrence. Radiological examinations during the follow-up showed that prostheses implanted into the residual bone were stably fitted and bone defects were effectively reconstructed. The MSTS 93 scores were 24.9 ± 2.9 (20–28). VAS scores were decreased to 5.8 ± 1.2 (4.0–7.0). No statistically significant differences in leg length discrepancy were observed at the time of the last follow-up.Conclusion: 3D-printing technology can be effectively applied throughout the entire surgical treatment procedures of malignant bone tumors, offering stable foundations for the initial stability of 3D-printed prostheses with ultra-short stems through preoperative design, intraoperative precision operation, and personalized prosthesis matching. With meticulous postoperative follow-up, close monitoring of postoperative complications was ensured. These favorable outcomes indicate that the utilization of 3D-printed custom prostheses with ultra-short stems is a viable alternative for reconstructing bone defects. However, further investigation is warranted to determine the long-term effectiveness of the 3D-printing technique.