bluuebunny/crossref_metadata_2025_split huggingface dataset:
Faktor Risiko yang Memengaruhi Kejadian Tuberkulosis (TB) Paru di Wilayah Kerja Puskesmas Perbaungan
Authors: Sipayung Jeni Susanto , Hidayat Wisnu , Silitonga Evawani M 
Published: January 2024

Abstrak
Latar belakang: Tuberkulosis (TB) merupakan penyakit yang disebabkan oleh kuman Mycobacterium Tuberculosis. Tahun 2021, WHO menyatakan bahwa sekitar 9,9 juta orang meninggal yang diakibatkan oleh penyakit tuberkulosis paru. Faktor yang dapat memengaruhi kejadian TB paru diantaranya yaitu faktor lingkungan. Penelitian ini bertujuan untuk mengetahui faktor risiko yang memengaruhi kejadian penyakit TB paru di wilayah kerja Puskesmas Perbaungan tahun 2022. Faktor risiko yang diteliti berupa kepadatan hunian, ventilasi, suhu, kelembapan, pencahayaan, lantai rumah dan dinding rumah.
Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain case-control. Jumlah sampel sebanyak 96 responden yang terdiri dari 48 kasus dan 48 kontrol. Analisis data menggunakan uji Chi-Square dan juga regresi binari logistik.
Hasil: Hasil analisis bivariat didapatkan kepadatan hunian (0,014), ventilasi (0,038), kelembapan (0,008), pencahayaan (0,002), lantai rumah (0,000), dan dinding rumah (0,002) merupakan faktor yang dapat memengaruhi kejadian TB paru. Sedangkan suhu (0,540) bukan merupakan faktor yang dapat memengaruhi kejadian TB paru..
Kesimpulan: Diharapkan kepada pihak puskesmas untuk lebih sering memantau dan meningkatkan survei serta memberikan penyuluhan terkait TB paru dan juga diharapkan kepada masyakarat agar lebih membenahi rumah secara berkala dan menjaga kebersihan rumah.
Risk Faktors Affecting the Incident of Pulmonary Tuberculosis (TB) in the Working Area of Perbaungan Public Health Center
Abstract
Background: Tuberculosis was a disease caused by Mycobacterium Tuberculosis. According to WHO (2021), 9.9 million people have died due to pulmonary tuberculosis (TB). One of the factors affecting TB incidents was the environment. The research aims to find out the factors affecting the incidents of pulmonary TB in the working area of the Public Health Center of Perbaungan in 2022.
Methods: Risk factors investigated encompass occupancy density, ventilation, temperature, humidity, lighting, as well as home floor and walls condition. This is a quantitative research that uses case-control. The sample was consisted of 96 respondents included 48 cases and 48 controls. Data was analyzed using Chi-Square and binary logistic regression tests.
Result: Based on bivariate test results, this study was found that the occupancy density (0.014), ventilation (0.038), humidity (0. 008), lighting (0.002), home floor condition (0.000) dan home wall condition (0.002) was the factors affecting the incidents of TB. While, temperature (0.540) is not the factor that can affect the incidents of TB.
Conclusion: It is suggested that puskesmas frequently monitor and give counseling related to TB and the society clean their houses regularly and keep the house clean
Asuhan Keperawatan Penerapan Batuk Efektif pada Pasien Asma dengan Bersihan Jalan Nafas Tidak Efektif
Authors: Yuna Septia  , Fitri Afdhal  , Indra Frana Jaya KK  , Andre Utama Saputra  
Published: January 2024

Asma merupakan suatu penyakit obstruksi saluran nafas yang dapat ditemui pada orang dewasa Asma menyerang saluran pernapasan yang menyebabkan hiperaktivitas bronkus dan obstruksi jalan nafas terhadap berbagai rangsangan yang ditandai dengan gejala episodik berulang berupa mengi, batuk, sesak napas dan rasa berat di dada. Gejala ini menyebabkan penyumbatan dengan penumpukan sekret di paru-paru sehingga terjadi masalah bersihan jalan nafas tidak efektif cara yang dapat menanggulangi masalah ini dengan melakukan asuhan keperawatan intervensi non farmakologi yaitu penerapan batuk efektif. Tujuan penelitian ini bertujuan untuk melaksanakan asuhan keperawatan pada pasien asma dengan penerapan batuk efektif. Metode penelitian yang digunakan adalah metode deskriptif dengan pendekatan studi kasus, dan intervensi latihan batuk efektif, subyek pada studi kasus terdapat 2 klien. Teknik pengumpulan data meliputi wawancara, observasi, pemeriksan fisik dan dokumentasi. Penelitian dilakukan di Rumah Sakit Bhayangkara Mohamad Hasan Palembang Pada Tanggal 05-09 Juli 2023. Hasil menunjukkanpada tahap pengkajian dilakukan ke klien 1 dan 2 yang memiliki keluhan pasien mengatakan sesak nafas, badan terasa lemas dan lesu, batuk, pilek. Diagnosa Keperawatan Bersihan Jalan Nafas Tidak Efektif dan Pola Nafas Tidak Efektif. Setelah tiga hari dilakukan intervensi latihan batuk efektif dan implementasi SLKI dan SIKI masalah teratasi. Kesimpulan studi kasus yaitu intervensi latihan batu efektif ini sangat efektif pada masalah bersihan jalan nafas tidak efektif pada pasien asma Brochial.
Pengaruh Konsumsi Jantung Pisang Kepok Terhadap Peningkatan Produksi ASI Pada Ibu Menyusui
Authors: Zelharsandy Vika Tri , Soleha Marchatus 
Published: January 2024

Pemberian ASI (Air Susu Ibu) memiliki peran penting dalam mendukung pertumbuhan dan perkembangan bayi. Namun, tidak sedikit ibu menyusui yang mengalami kendala dalam produksi ASI yang cukup. Salah satu bahan alami yang mungkin memiliki potensi untuk meningkatkan produksi ASI adalah jantung pisang kepok. Penelitian ini bertujuan diketahuinya Pengaruh Konsumsi Jantung Pisang Kepok Terhadap Peningkatan Produksi ASI pada Ibu Menyusui. Penelitian ini menggunakan metode quasy eksperimen dengan desain penelitian control group design yang dilakukan pada dua kelompok yaitu kelompok konsumsi jantung pisang dan kelompok tidak konsumsi jantung pisang. Uji statistik menggunakan uji t dengan tingkat kemaknaan (α=0.05). Hasil penelitian ini menunjukan bahwa rata-rata produksi ASI setelah pemberian jantung pisang pada ibu menyusui adalah 6,87 dan rata-rata produksi ASI yang tidak diberi jantung pisang pada ibu menyusui adalah 3,73, hasil uji statistik ada pengaruh konsumsi jantung pisang kepok terhadap peningkatan produksi ASI pada ibu menyusui (p value = 0,001). Simpulan penelitian ini ada pengaruh konsumsi jantung pisang kepok terhadap peningkatan produksi ASI pada ibu menyusui di RB Asri Palembang. Disarankan untuk meningkatkan upaya peningkatan cakupan ASI eksklusif dan dapat memberikan penyuluhan mengenai manfaat konsumsi jantung pisang untuk peningkatan produksi ASI.
PENERAPAN TERAPI RELAKSASI OTOT PROGRESIF TERHADAP PENURUNAN KADAR GLUKOSA DARAH PADA PASIEN DM TIPE II
Authors: Nikmah Nur Ayu Hijrotun 
Published: January 2024

ABSTRACTDiabetes mellitus is a state of chronic hyperglycemia accompanied by various metabolic disorders due to hormonal disturbances which cause various chronic complications in the eyes, kidneys, nerves and blood vessels. The insulin hormone is needed to help glucose enter the body’s cells to be broken down into energy. When the body is no longer sensitive to insulin action, glucose cannot enter the body’s cells to be broken down into energy so that it ends up remaining in the bloodstream, resulting in high blood sugar levels. That can one of intervention stabilize blood glucose levels, is by doing progressive muscle relaxation.This study used a case report design. The subjects used were patients with unstable blood glucose levels. Analysis data uses descriptive analysis by looking at blood sugar levels on the first day and the last day after application. Application shows that after applying progressive muscle relaxation for 4 days, there is a decrease in blood sugar levels in type II DM patients, from 335mg/Dl to 188mg/dl. The application of progressive muscle relaxation can reduce blood sugar levels in type II DM patients, so this relaxation can be used as an intervention to stabilize blood glucose levels.Keywords: Blood Sugar Levels, Diabetes Mellitus Type II, Progressive Muscle RelaxationABSTRAKDiabetes mellitus merupakan keadaan hiperglikemia kronik disertai berbagai kelainan metabolik akibat gangguan hormonal yang menimbulkan berbagai komplikasi kronik pada mata, ginjal, saraf dan pembuluh darah. Hormon insulin dibutuhkan untuk membantu glukosa masuk ke sel-sel tubuh untuk dipecah menjadi energi. Ketika tubuh tidak lagi sensitif terhadap kerja insulin, glukosa tidak dapat masuk ke dalam sel tubuh untuk dipecah menjadi energi sehingga akhirnya tetap berada di aliran darah, sehingga terjadi kadar gula darah yang tinggi. Upaya yang dapat dilakukan perawat untuk menstabilkan kadar glukosa darah salah satunya dengan melakukan relaksasi otot progresif. Rancangan karya tulis ilmiah ini menggunakan desain laporan kasus (case report). Subyek yang digunakan yaitu pasien dengan ketidakstabilan kadar glukosadarah. Data dilakukan menggunakan analisis deskriptif dengan melihat kadar gula darah pada hari pertama dan hari terakhir setelah penerapan.Penerapan menunjukkan bahwa setelah dilakukan penerapan relaksasi otot progresif selama 4 hari, terjadi penurunan kadar gula darah pada pasien DM tipe II yaitu dari 335mg/Dl menjadi 188mg/dl. Penerapan relaksasi otot progresif dapat menurunkan kadar gula darah pada pasien DM tipe II, sehingga relaksasi ini dapat dijadikan sebagai salah satu intervensi untu menstabilkan kadar glukosa darah.Kata Kunci : Diabetes Mellitus Tipe II, Kadar Gula Darah, Relaksasi Otot Progrsif
Isozyme profiling of Antioxidant Enzyme in Macrotyloma uniflorum
Authors: Bhatta Kalpita , Samal Himansu Bhusan , Mohanty Pratikshya 
Published: January 2024

The current climate change and pollution scenario has invariably increased the abiotic stress of salinity, heavy metals, and temperature on plants. Abiotic stress impacts the plant's defense system, impacting the crop's growth, yield, and productivity. The present investigation emphasised the antioxidant ability of Macrotyloma uniflorum under nickel stress which forms a major part of defense mechanism. It intricately evaluates the antioxidant activities of M. uniflorum with respect to different Nickel doses. The antioxidant defense system of plants includes enzymes including super oxide dismutase (SOD), catalase (CAT), peroxidase (POX), glutathione peroxidase (GPX), and dehyrdoascorbate reductase (DHAR). These enzymes act as scavengers to ameliorate the free radicals cellular metabolism produces. Therefore, the present study gives a comprehensive understanding of the antioxidant enzymatic system with special reference to the role of each enzyme in response to the abiotic stress, especially nickel. By studying the isozyme pattern of these enzymes, we can compute the antioxidant activities in a very detailed manner. Different concentrations of Ni in the range of 25 ppm to 125 ppm were taken to find the optimum concentration of Ni for its antioxidant activities. SOD1 isozyme was the most prominent one among all at 25 ppm. The intensity of GPX2 in the black variety is more prominent at 100 ppm as compared to the control. Thus, the results obtained could be easily used to evaluate the minimum concentration of Nickel for antioxidant.
Determinants of vaccine adherence among non-dialysis chronic kidney disease patients in Qatar
Authors: Habib Mhd Baraa , Ali Khaled , Rahhal Alaa , Obeidat Ibrahim , Altermanini Mohammed , Sawaf Bisher , latif Tarek Abdel , Hamad Abdullah , Bougmiza Iheb , Aly Sahar Ismail , Mahmoud Khaled Mohamed 
Published: January 2024

Introduction: Chronic kidney disease (CKD) is a global health problem. Reduced innate and adaptive immunological responses predispose CKD patients to infections. Despite the clinical and epidemiological importance of CKD and the great value of vaccination as a prophylactic measure, the utilization of recommended vaccines in Qatar has not yet been evaluated.
Methods: We conducted a cross-sectional study to estimate the level of influenza, pneumococcal, and hepatitis B vaccination and the predictors of adherence to these recommended vaccines among non-dialysis CKD patients receiving renal ambulatory care in Qatar from 1 September 2020 to 30 April 2021. Complete vaccination was defined as receiving the three vaccines, and partial vaccination was defined as receiving one or two vaccines. The full and partial vaccination predictors were assessed using multivariate logistic regression and reported as odds ratio (OR) with p<0.05 indicating statistical significance.
Results: 416 non-dialysis CKD patients were included in our analysis. 73% were males; the mean age was 56 ± 15 years. More than 50% of the patients were from the Middle East, followed by 36% from Asia. Most patients had concurrent hypertension, concurrent diabetes mellitus, and were stage V CKD. Only 12% of the patients were fully vaccinated, while 73% received partial vaccination. The predictors of vaccination included age, gender, Asian origin, employment, living conditions, concurrent medical conditions, CKD stage, allergy to medications, and use of injectable medications. Only stage V CKD positively predicted adherence to full and partial vaccinations in non-dialysis CKD patients.
Conclusion: There is very low adherence to the recommended vaccines in CKD patients, with a prevalence of complete vaccination of 12% only. Increased public awareness about the importance of vaccination in CKD may improve the adherence rates among these patients in Qatar.
Parkinsonism-Hyperpyrexia Syndrome in a patient undergoing upper gastrointestinal surgery: A case report
Authors: Shaikh Nissar , Saadeddin Adnan 
Published: January 2024

Background: Parkinsonism-hyperpyrexia syndrome (PHS) is a potentially life-threatening condition that occurs due to the abrupt withdrawal or significant dose reduction of antiparkinsonian medications. It presents similarly to neuroleptic malignant syndrome (NMS) and is characterized by severe rigidity, fever, autonomic instability, and altered mental status.
Case: A 62-year-old male with a 10-year history of Parkinson’s disease (PD) underwent laparoscopic mesh repair for a left-sided diaphragmatic and large hiatus hernia. His antiparkinsonian medications included levodopa/carbidopa, amantadine, pramipexole, and benzhexol. Medications were withheld as part of the nil per os (NPO) status. Postoperatively, he developed withdrawal features, including tremors, difficulty speaking, tachycardia, hypertension, fever, and sweating. PHS, resulting from the withdrawal of antiparkinsonian medications, was diagnosed. The patient was transferred to the intensive care unit (ICU), intubated, and his antiparkinsonian medications were reintroduced. The patient’s condition improved gradually, and he was discharged home on the 15th postoperative day.
Discussion: The abrupt discontinuation of antiparkinsonian medications precipitated PHS in our patient. Recognizing the clinical picture of PHS and differentiating it from other possible conditions, such as neuroleptic malignant syndrome and malignant hyperthermia, is pivotal. Management involves resuming medications and providing supportive care. Early recognition and prompt reintroduction of the antiparkinsonian medications are essential for the patient’s recovery.
Conclusion: PHS is a rare but potentially life-threatening condition that occurs due to the withdrawal of antiparkinsonian medications, leading to an acute hypodopaminergic state. Our case emphasizes the importance of careful perioperative management of antiparkinsonian medications and early recognition and management of withdrawal symptoms in patients with Parkinson’s disease undergoing surgery.
Determinants of Repayment Performance of Agricultural Loans Clients of RBDI, Abuyog Branch
Authors: Loreño Dustin , Teves Joviel 
Published: January 2024

The study aimed to present the profile of the agricultural loan clients of RBDI, describe the loan assessment process, describe the loan monitoring process in RBDI, identify the determinants of loan repayment performance of RBDI agricultural loan clients and to recommend courses of action to improve loan application assessment, loan monitoring, and loan collection activities of RBDI. The study used the Logit Regression Analysis and the model Y = β0 + β1X1 + β2X2 + β3X3 + β4X4 + . . . . . . . βnXn + e was developed. The binary response is non-payment (default) and payment (non-default). The determinants were the socio-demographic and socio-economic characteristics of the agricultural loan clients, as well as the loan application and monitoring activities of the bank. The profile of the agricultural loan clients of RBDI showed commonalities of the clients in terms of age (63% are above 45 years old), most of them were not able to finish college (53% secondary level) and most are married (77%) with more than 3 dependents (73%). Age was determined as a statistically significant factor affecting the non-payment or loan default. The increase in family size and schooling dependents also raises the probability of default. The result that higher educational level and increase in dependents reduces the probability of default has to be further verified. As the size of land increases and the farming experience increases, the probability of loan default decreases.
A pragmatic study of Porcine Acellular Dermal Matrix Mesh in Ventral and Parastomal Hernia repairs. Evaluation of outcomes from a tertiary centre.
Authors: DANIEL SUDIN , Solkar Maseera , Sehgal Rishabh , Riyad Kallingal 
Published: January 2024

Aims and Objectives: Incidence of complex ventral hernias and those with contamination are increasing. Synthetic meshes are not favoured due to increased risk of wound complications. Biologic meshes are used as an alternative given their biocompatible safety, but, there is lack of strong evidence to recommend its routine use. Hence, it is up to institutions to evaluate the safety and efficacy to support its continuing usage, which is the basis of this study.

Methods: A retrospective review of a prospectively maintained PADM mesh database was performed focussing on midline and parastomal hernias. Demographic data, surgical techniques and short- and long-term complications were reviewed.

Results: 71cases, (acute/elective 10/61) were included. The median age group, sex ratio in the acute and elective groups were 67 years (36-83yrs) and 62years (25-93yrs), 2:1 and 4:3 respectively. Mean ASA score was 3.4 in acute and 2.4 in elective group. Midline hernias constituted 37/ 61 (60%) and Parastomal hernias, 40% (24/61). Component separation was performed in 29 cases, which includes bilateral anterior component separation in 16, unilateral anterior component in 11 and posterior component separation in 2. Median length of stay was 11days (1-180d) and 15 days (1-159d) in the elective and acute groups respectively. Median length of follow up was 18 months (12 -72 months). There were 5 deaths within 90 days. Recurrences were noted in 6/37 (16%) midline repairs and 8/24 (33%) parastomal hernias.
Conclusion: Our limited PADM series showed acceptable results in comparison with available studies. As such we find it a useful adjunct in the repair of complex ventral hernias.
How I do it Afferent loop obstruction (ALO) with hyper-amylasemia and deranged liver function test , are we going to see this complication more frequently again? Emergency conversion of One anastomosis gastric bypass (OAGB) to a Roux-en-Y Gastric bypass (
Authors: Al-Ardah Mahmoud Isam 
Published: January 2024

Abstract
Afferent loop syndrome is a known complication of gastric surgery specifically after Billroth II and to a lesser extent a Roux –en-Y reconstruction. However the incidence decreased over the years proportionally with the decrease in the number of gastric surgery.
Afferent loop syndrome can be either acute or chronic with different presentation and treatment options. The acute type can occur early post operatively or it could be delayed presentation. Acute ALS is associated with complete closed loop obstruction and considered a surgical emergency, whereas chronic ALS is mostly related to partial obstruction of the afferent loop.
This rare complication can occur after the single anastomosis gastric bypass (Omega loop bypass) as it is a type of Billroth II reconstruction of gastric pouch –jejunostomy.
With the increase in the number of SAGB performed all over the world as weight reduction surgery for morbidly obese patient s surgeons should be aware of this complication and the treatment options.
Pengaruh Anggaran dan Realisasi terhadap Kinerja Keuangan Kabupaten Sumbawa Barat Tahun 2018-2022
Authors: Amri Ade Mulyadi , Zulkieflimansyah Zulkieflimansyah , Yamin Ahmad 
Published: January 2024

Tujuan dari penelitian Ini adalah untuk menganalisis pengaruh anggaran pendapatan dan realisasi terhadap kinerja keuangan daerah pada Pemerintah Kabupaten Sumbawa Barat periode 2018-2022. Penelitian ini merupakan penelitian mix methode yaitu kuantitatif, dengan analisis data menggunakan pendekatan deskriptif dan verifikatif. Data yang digunakan dalam penelitian ini adalah data Pendapatan dan realisasi Pemerintah Kabupaten Sumbawa Barat tahun 2018-2022. Uji Validitas dan Uji Reliabilitas yang dilakukan dalam penelitian ini menggunakan metode analisis Regresi berganda, sementara perhitungan pendapatan menggunakan analisis rasio pendapatan dan kinerja keuangan. Hasil penelitian menunjukkan menunjukkan bahwa pendapatan daerah Kabupaten Sumbawa Barat mengalami fluktuasi yang signifikan dari tahun ke tahun. Terdapat penurunan pendapatan pada tahun 2019 dan 2020, namun diikuti oleh pertumbuhan yang kuat pada tahun 2021 dan 2022, kemudian kinerja keuangan di Pemerintah Kabupaten Sumbawa Barat pada tahun 2022 mencatat kinerja keuangan yang sangat tinggi, dengan peningkatan signifikan dalam anggaran hingga 1.116.451.228.327 rupiah dan realisasi yang sangat tinggi mencapai 1.494.739.533.955 rupiah, menghasilkan kinerja keuangan sebesar 134%, dan terdapat pengaruh yang signifikan antara anggaran dan realisasi secara simultan terhadap kinerja keuangan pemerintah Kabupaten Sumbawa Barat. Penelitian ini menyimpulkan bahwa, ketika realisasi sesuai atau bahkan melebihi anggaran, hal ini menunjukkan kemampuan organisasi dalam mengelola sumber daya keuangan secara efektif. Pengelolaan anggaran yang efektif dan pencapaian realisasi yang baik juga dapat meningkatkan kepercayaan masyarakat atau stakeholder terhadap organisasi.
Auxin Production by Bacillus simplex Enhanced the Growth of Zea mays (L.) under In-Vitro and In-Vivo Conditions
Authors: Shafaq Navid  , Sana Tanveer  , Basharat Ali  
Published: January 2024

In the current study Bacillus simplex was evaluated for its role inimproving the growth of maize (Zea mays (L.)) under lab and natural environmental conditions. Bacterial strains were tested for several biochemical traits and auxin biosynthesis. Maize seeds were surface sterilized and treated with bacterial strains as single and mixed cultures to evaluate the enhancement of maize vegetative growth parameters. All bacterial strains exhibited positive results for catalase, citrate and nitrate while negative for urease, indole, triple sugar iron and oxidase test. Colorimetric analysis revealed significant production of auxin by Z-13 (6.7μg/ml), Z-09 (5.8μg/ml), Z-37 (5.7 μg/ml), Z-38 (5.7μg/ml), Z-02 (5 μg/ml), Z-37 (4.5 μg/ml)and Z-04 (3.5 μg /ml) at 1000μg/ml concentration of L-tryptophan. At 0 μg/ml conc of L-tryptophan, Z-37, Z-13, Z-04, Z-09and Z-38 also manifested significant levels of auxin biosynthesis. In-vitrorooting assay revealed that Z-09, Z-35 and Z-37 showed significant increase in root length i.e., 1.2, 1.18 and 1.11-fold, respectively, as compared to control. Pot trials under natural conditions manifested significant improvements in shoot length by Z-38 (67.1%), Z-13 (51%), and Z-09 (43%), over control. Most significant results for fresh weight (120%) and dry weight (100%) in maize were shown by strain Z-38. Among mixed cultures C-1 (Z-02, Z-04, Z-09) improved shoot length (42%) and fresh weight (45%) with respect to control. Improvement in vegetative growth parameters of maize suggests that B. simplex can be used as an effective biofertilizer.