bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient-reported outcome trajectories the first 24 months after surgery for cervical spondylotic myelopathy: a Quality Outcomes Database study
Authors: Zeitouni Daniel , Johnson Sarah E. , Ibrahim Sufyan , Bisson Erica F. , Mummaneni Praveen V. , Haid Regis W. , Chan Andrew K. , Chou Dean , Wang Michael Y. , Knightly John J. , Meyer Scott , Gottfried Oren N. , Shaffrey Christopher I. , Virk Michael S. , Fu Kai-Ming G. , Shaffrey Mark E. , Park Paul , Foley Kevin T. , Upadhyaya Cheerag D. , Potts Eric A. , Turner Jay D. , Uribe Juan S. , Tumialán Luis M. , Coric Domagoj , Bydon Mohamad , Asher Anthony L. 
Published: January 2025

OBJECTIVE
Cervical spondylotic myelopathy (CSM) shows varying levels of improvement after surgical treatment. While some patients improve soon after surgery, others may take months to years to show any signs of improvement. The goal of this study was to evaluate postoperative improvement, patient-reported outcomes, and patient satisfaction up to 2 years after surgical treatment for CSM, which will help optimize the current treatment strategies and effectively manage patient expectations.

METHODS
This was a retrospective study of prospectively collected data using the Quality Outcomes Database. The primary outcomes of interest were achievement of the minimal clinically important difference (MCID) for the numeric rating scale for neck and arm pain, modified Japanese Orthopaedic Association, Neck Disability Index, and EQ-5D scores and postoperative satisfaction (North American Spine Society scale). Early and sustained improvement was defined as MCID achievement in at least one patient-reported outcome measure (PROM) at the 3-, 12-, and 24-month follow-ups. Transient improvement was defined as MCID achievement only at the 3-month and/or 12-month follow-up but not at the 24-month follow-up. Late improvement was defined as MCID achievement in at least one PROM only at the 24-month follow-up.

RESULTS
There were 630 patients included in the comparative analysis. A total of 463 (73.5%) patients achieved early and sustained improvement, 105 (16.7%) patients experienced transient improvement with subsequent decline, 25 (4.0%) patients reported late improvement, and 37 (5.9%) patients did not report any clinically meaningful improvement after surgery. Patients with an anterior approach were more likely to be in the early and sustained improvement group. African American patients (OR 2.98, 95% CI 1.14–7.76; p = 0.03) were more likely to report late improvement when compared with White patients. The overall satisfaction rate at the 24-month follow-up was 87.8%.

CONCLUSIONS
These findings indicate that 73.5% of patients achieve early and sustained improvement, and 87.8% of patients are satisfied with surgery 24 months postoperatively.
Optimasi dan Uji Coba Prototype Pembangkit Listrik Tenaga Picohydro dengan Turbin Archimedes
Authors: Apriani Yosi , Fadilah Fadilah , Kamilah Balqis , Saputra Yusuf , Marlizen Abdi 
Published: January 2025

Desain penelitian ini berfokus pada pengembangan pembangkit listrik tenaga pikohidro dengan menggunakan turbin Archimedes. Proses desain melibatkan pembuatan dan pembangunan pembangkit listrik tenaga pikohidro, dimulai dengan tinjauan literatur untuk mengumpulkan referensi yang relevan tentang Pembangkit Listrik Tenaga Pikohidro (PLTPH) dan memahami persiapan yang diperlukan sebelum memulai konstruksi. Pendekatan ini termasuk mengumpulkan data tentang pengoperasian pembangkit listrik tenaga pikohidro. Pada penelitian ini pengukuran yang dilakukan sebanyak 10 kali menghasilkan debit air rata-rata 0,46 m³/dtk, sehingga memungkinkan pembuatan prototipe pikohidro dengan head 1,3 meter, turbin ulir berdiameter 18 cm, tebal sudu 4 mm, jarak antar sudu 10 cm, 1 sudu, 7 lilitan, dan dan sudut bilah 25°. Kinerja prototipe dinilai dengan memeriksa efek debit air pada putaran turbin dan kecepatan generator. Hasilnya menunjukkan kecepatan putaran turbin sebesar 112,2 RPM dan kecepatan putaran generator sebesar 758,4 RPM, yang mengindikasikan bahwa debit air yang di dapatkan lebih tinggi akan meningkatkan kecepatan turbin dan kecepatan generator.
Impact of anxiety and stress on the readiness among students after new student orientation programs
Authors: Afriani Nur Fitri , Elsanti Devita 
Published: January 2025

Background: The transition from one school to another marks a critical phase in a student’s educational journey. The transition from elementary school to high school can be challenging as it is a significant milestone in adolescent development. During this period, students experience a variety of physical, emotional, and social changes along with new environments, friendships, and increased academic demands. This can also lead to anxiety and stress in adolescents. Anxiety and stress are mental health conditions that can negatively impact a person's emotional, cognitive, and social functioning. A 2022 study by the Indonesian Adolescent Mental Health Survey found that anxiety disorders are the most common mental health problem among adolescents, affecting 3.7% of the population.
Purpose: To determine the impact of anxiety and stress on the readiness among students after new student orientation programs.
Method: This study used a quantitative descriptive design with a cross-sectional approach. The study was conducted from July to October at Telkom junior high school, Purwokerto. The population of the study was 210 seventh grade students, but the sample was selected using simple random sampling so that the sample used was 114 respondents. The sample inclusion criteria included students who participated in the school environment introduction program, had a mobile phone, and were in good physical health, while the exclusion criteria were students in grades VIII and IX and students who did not participate in the school environment introduction program. The independent variables in this study are anxiety and stress, while the dependent variable is the school readiness of respondents after the school environment introduction program.The research instrument used was the DASS 42 questionnaire consisting of 28 items to measure the level of anxiety and stress experienced by respondents..
Results: The average age of respondents was 12.219 years with a standard deviation of 0.475 in the age range of 11-13 years as many as 83 respondents (72.8%) and the majority were male as many as 70 respondents (61.4%). the Spearman correlation coefficient of -0.516 with a significance value (Sig. 2-tailed) of 0.000, this indicates a significant negative correlation between anxiety levels and students' readiness to go to school. Conversely, the Spearman correlation coefficient for stress levels with students' readiness to go to school after the school environment introduction activity is -0.996 with a significance value (Sig. 2-tailed) of 0.000, this also indicates a significant negative correlation between stress and school readiness.
Conclusion: There is a strong negative correlation between anxiety and stress levels and students' readiness for school after being introduced to the school environment. This suggests that lower stress levels are associated with higher readiness for school. Conversely, higher stress levels are associated with lower readiness for school.
Pengaruh Layanan Whatsapp Berbasis Edukasi terhadap Kepatuhan Mengkonsumsi ARV pada Orang dengan HIV/AIDS di RSUD RBC
Authors: Margareta Herta , Hermawan Nur Sefa Arief , Listina Febria 
Published: January 2025

ABSTRACT HIV/AIDS patients in Mesuji Regency, Lampung continue to grow until August 2023 there were 141 people. The number of 141 people with HIV/AIDS itself obtained from 2016 has increased until August 2023. The purpose of the study was to find out the effect of the influence of short message service (whatsapp) based on education on adherence to taking antiretrovirals in people with HIV / AIDS at Ragab begawe caram hospital kab.Mesuji Year 2024. Based on the results of the analysis using statistical tests with the Wilcoxon test, it was obtained p = 0.000 where the value of α = 0.05, this shows that the value of p <α, then the null hypothesis (Ho) is rejected and the alternative hypothesis (Ha) is accepted, thus it can be concluded that there is an effect of Educational-Based Whatsapp Short Message Services on Compliance with Taking Antiretrovirals in people with HI / AIDS at the Ragab Begawe Caram Regional General Hospital, Mesuji Regency. Suggestions It is necessary to conduct further research on other factors related to adherence to taking antiretroviral drugs for patients with HIV / AIDS so that it can be used to explore other information needs of clients Keywords: Antiretroviral Compliance, HIV/AIDS, Whatsapp ABSTRAK Penderita HIV/AIDS di Kabupaten Mesuji, Lampung terus bertambah hingga Agustus 2023 tercatat ada 141 orang. Jumlah 141 orang penderita HIV/AIDS sendiri didapatkan dari tahun 2016 mengalami peningkatan sampai bulan agustus tahun 2023. Tujuan penelitian Diketahui Pengaruh pengaruh Layanan Pesan Singkat (whatsapp) Berbasis edukasi Terhadap kepatuhan Mengkonsumsi Antiretroviral Pada orang Dengan HIV/Aids diRumah Sakit Ragab begawe caram kab.Mesuji Tahun 2024. Jenis penelitian ini menggunakan rancangan Quasi eksperimental yaitu pre-eksperimental design dengan pendekatan Two Grup Pretest-Posttest. Berdasarkan Hasil analisis menggunakan uji statistik dengan uji wilcoxon diperoleh p=0.000 dimana nilai α=0.05, hal ini menunjukan bahwa nilai p<α, maka hipotesis nol (Ho) ditolak dan hipotesis alternative (Ha) diterima, dengan demikian bisa disimpulkan bahwa ada pengaruh Layanan Pesan Singkat Whatsapp Berbasis Edukasi Terhadap Kepatuhan Mengkonsumsi Antiretroviral pada orang dengan HI/AIDS Di rumah sakit umum daerah Ragab Begawe Caram Kab.Mesuji. Saran Perlu dilakukan penelitian lebih lanjut tentang faktor-faktor lain yang berhubungan dengan Kepatuhan Minum obat antiretroviral pasien dengan HIV/AIDS sehinnga bisa digunakan untuk menggali kebutuhan informasi lain Terhadap Klien. Kata Kunci: Kepatuhan Antiretroviral, HIV/AIDS, Whatsapp
Hubungan Mekanisme Koping Bermain Puzzle Berbasis Adaptasi dengan Aktivitas Belajar Siswa di Sekolah Dasar
Authors: Marcello Steven Aldo , Prabasari Ninda Ayu , Juwita Linda 
Published: January 2025

ABSTRACT Learning activities are an important principle in the teaching and learning process. In a learning process, adaptation is needed by both teachers and students (students). The researcher wanted to know the correlation between the adaptation-based puzzle game concept with student learning activities. Explanatory survey research design with a cross-sectional approach, population of 5-6 elementary school students with a total sample of 123 students using the rule of thumb. The majority of students have sufficient perception and information of playing puzzles, sufficient learning about puzzles, sufficient assessment and positive emotions in playing puzzles. Active student learning, as much as 11.4% active, 18.7% quite active, and 69.9% less active. The results of statistical tests showed that there was a significant effect between puzzles on student learning activities (p-value = 0.000). Adaptation-based puzzle games as a form of coping mechanism have a significant correlation with student learning activities, where students will adapt to a given puzzle game and can provide an adaptive response in the form of student learning activities that have active, moderately active and less active categories. Keywords: Puzzle, Learning Activity, Student ABSTRAK Aktivitas belajar merupakan prinsip yang penting dalam proses belajar mengajar. Dalam suatu proses pembelajaran, adaptasi diperlukan baik oleh guru maupun peserta didik (siswa). Peneliti ingin mengetahui hubungan konsep permainan puzzle berbasis adaptasi dengan aktivitas belajar siswa. Desain penelitian explanatory survey dengan pendekatan cross-sectional, populasi siswa kelas 5-6 SD dengan jumlah sampel sebanyak 123 siswa menggunakan rule of the thumb. Mayoritas siswa memiliki persepsi dan informasi bermain puzzle yang cukup, pembelajaran tentang puzzle yang cukup, penilaian yang cukup dan emosi yang positif dalam bermain puzzle. Keaktifan belajar siswa, sebanyak 11,4% aktif, 18,7% cukup aktif, dan 69,9% kurang aktif. Hasil uji statistik menunjukkan terdapat pengaruh yang signifikan antara puzzle terhadap aktivitas belajar siswa (p-value= 0,000). Permainan puzzle berbasis adaptasi sebagai bentuk mekanisme koping memiliki hubungan yang signifikan dengan aktivitas belajar siswa, dimana siswa akan beradaptasi dengan permainan puzzle yang diberikan dan dapat memberikan suatu respon adaptif berupa aktivitas belajar siswa yang memiliki kategori aktif, cukup aktif dan kurang aktif. Kata Kunci: Puzzle, Aktivitas Belajar, Siswa
Kelengkapan dan Ketepatan Waktu Pengembalian Rekam Medis Pasien: Tinjauan Literatur
Authors: Pringgayuda Fitra 
Published: January 2025

ABSTRACT Effective and efficient medical record management is essential to improving the quality of health services in various health facilities. However, many studies have shown that late returns and incomplete filling of medical records are still major challenges. The purpose of this literature review is to identify factors that influence the completeness and timeliness of medical record management. The method used is a literature review of studies that focus on individual and organizational characteristics, health worker workload, medical record filling procedures, and reward and punishment policies. The results of the review indicate that the completeness and accuracy of medical record return are influenced by several main factors: (1) individual and organizational characteristics such as discipline and management support, (2) high workload of health workers that reduces the time to fill out medical records, (3) inefficiency and lack of understanding of medical record filling procedures, and (4) inconsistent reward and punishment policies. In conclusion, improving the quality of medical record management requires a holistic approach that involves individual coaching, organizational reform, procedure optimization, and implementation of clear and effective policies. Keywords: Completeness, Timeliness, Return, Medical Records ABSTRAK Pengelolaan rekam medis yang efektif dan efisien sangat penting dalam meningkatkan mutu pelayanan kesehatan di berbagai fasilitas kesehatan. Namun, banyak penelitian menunjukkan bahwa keterlambatan pengembalian dan ketidaklengkapan pengisian rekam medis masih menjadi tantangan besar. Tujuan dari literature review ini adalah untuk mengidentifikasi faktor-faktor yang memengaruhi kelengkapan dan ketepatan waktu pengelolaan rekam medis. Metode yang digunakan adalah tinjauan sistematis terhadap studi-studi yang berfokus pada karakteristik individu dan organisasi, beban kerja tenaga kesehatan, prosedur pengisian rekam medis, serta kebijakan reward and punishment. Hasil review menunjukkan bahwa kelengkapan dan ketepatan pengembalian rekam medis dipengaruhi oleh beberapa faktor utama: (1) karakteristik individu dan organisasi seperti kedisiplinan dan dukungan manajemen, (2) tingginya beban kerja tenaga kesehatan yang mengurangi waktu untuk pengisian rekam medis, (3) inefisiensi dan kurangnya pemahaman terhadap prosedur pengisian rekam medis, dan (4) kebijakan reward and punishment yang tidak konsisten. Kesimpulannya, peningkatan kualitas pengelolaan rekam medis memerlukan pendekatan holistik yang melibatkan pembinaan individu, reformasi organisasi, optimasi prosedur, dan penerapan kebijakan yang jelas dan efektif Kata Kunci: Kelengkapan, Ketepatan Waktu, Pengembalian, Rekam Medis
Hubungan Gaya Hidup dengan Kejadian Hipertensi di Wilayah Kerja UPT Puskesmas Kenali Lampung Barat
Authors: Pratama Andri Mulya , Hermawan Nur Sefa Arief , Novariana Nova 
Published: January 2025

ABSTRACT Hypertension is one of the diseases that can be caused by an unhealthy lifestyle. Lifestyle describes daily behavior patterns that lead to efforts to maintain physical, mental and social conditions which include consuming unhealthy foods and smoking. The results of the 2018 Basic Health Research stated that the prevalence of hypertension at the age of 18 years was 658,201 individuals. The type of research used was quantitative research, an observational analytical approach with a cross-sectional design. This research was conducted in the Kenali Health Center Work Area. The population and sample were based on data on hypertension cases at the Kenali Health Center UPT as of May 2024, as many as 144 respondents using a purposive sampling technique. Based on the results of the study, it is known that there is a relationship between smoking history, obesity, stress levels, and dietary salt intake patterns on the incidence of hypertension. However, the results showed that there was no relationship between physical activity and the incidence of hypertension. Based on the research above, it is hoped that health centers can increase knowledge about the dangers of smoking, obesity prevention and stress management, and regulate dietary salt intake patterns. Keywords: Hypertension, Lifestyle, Smoking, Obesity, Physical Activity, Stress, Salt Intake ABSTRAK Hipertensi merupakan salah satu penyakit yang dapat disebabkan oleh gaya hidup yang tidak sehat. Gaya hidup menggambarkan pola perilaku sehari-hari yang mengarah pada upaya memelihara kondisi fisik, mental dan sosial yang meliputi mengkonsumsi makanan yang tidak sehat dan merokok. Hasil Riset Kesehatan Dasar tahun 2018 menyatakan bahwa prevalensi hipertensi pada umur 18 tahun sebanyak 658.201 individu. Jenis penelitian yang digunakan ialah jenis penelitian kuantitatif, pendekatan analitik observasional dengan desain cross sectional. Penelitian ini dilakukan di Wilayah Kerja Puskesmas kenali. Populasi dan sampel berdasarkan data kasus hipertensi di UPT Puskesmas Kenali Per Bulan Mei tahun 2024 sebanyak 144 responden dengan menggunakan teknik purposive sampling. Berdasarkan hasil penelitian diketahui bahwa ada hubungan antara riwayat merokok, obesitas, tingkat stres, dan pola makan asupan garam terhadap kejadian hipertensi. Namun didapatkan hasil bahwa tidak ada hubungan aktivitas fisik dengan kejadian hipertensi.Berdasarkan penelitian di atas diharapkan puskesmas dapat meningkatkan pengetahuan tentang bahaya rokok, pencegahan obesitas dan penanggulangan stres, serta mengatur pola makan asupan garam yang dikonsumsi. Kata Kunci: Hipertensi, Gaya Hidup, Merokok, Obesitas, Aktivitas Fisik, Stres, Asupan Garam
Daya Terima Produk Inovasi Kombinasi Daun Kelor, Kolagen dan Daun Stevia sebagai Minuman Fungsional untuk Kesehatan
Authors: Winahyu Diah Astika , Wulandari Shinta , Marlina Leny , Pertiwi Zherly Anticha 
Published: January 2025

ABSTRACT The availability of Moringa leaves is quite abundant and easy to get. However, its use in food or beverage products is still relatively small, as it is only processed into meals. Processing Moringa leaves into a powder product as a functional drink, which is expected to last a long time and be ready for consumption. This type of research is non-experimental research with a descriptive approach using hedonic tests (liking tests). The hedonic test involved 30 panelists. The functional drink is made in three different formulations. In the appearance assessment, 33.34% of panelists chose the criteria that they really liked formulation III. As much as 30% of the panelists selected the aroma assessment as the criteria for really liking formulation I. The taste and texture of this functional drink were most liked in formulation III, with 40% and 33.3% respectively. In terms of appearance, taste and texture, the panelists chose the criteria that they really liked formulation III. Formulation I was selected by the panelists based on aroma criteria. Keywords: Functional Drinks, Moringa Leaves, Hedonic Test ABSTRAK Ketersediaannya daun kelor cukup melimpah dan mudah di dapatkan. Namun pemanfaatannya dalam produk pangan atau minuman masih tergolong sedikit seperti hanya diolah menjadi sayur. Mengolah daun kelor menjadi produk serbuk sebagai minuman fungsional, yang diharapkan dapat tahan lama dan siap untuk dikonsumsi. Jenis penelitian ini adalah penelitian non-eksperimental dengan pendekatan deskriptif dengan menggunakan uji hedonik (uji kesukaan). Dalam pengujian uji hedonik melibatkan 30 panelis. Minuman fungsional dibuat dalam tiga formulasi berbeda. Pada penilaian kenampakan 33,34% panelis memilih kriteria sangat suka pada formulasi III. Penilaian aroma sebanyak 30% panelis memilih kriteria sangat suka pada formulasi I. Rasa dan tekstur minuman fungsional ini paling banyak disukai pada formulasi III sebanyak 40% dan 33,3%. Dari segi kenampakan, rasa dan tesktur para panelis memilih kriteria sangat suka pada formulasi III. Formulasi I dipilih para panelis pada kriteria aroma. Kata Kunci: Minuman Fungsional, Daun Kelor, Uji Hedonik
Factors That Influence the Event Diabetes Millitus at Sumbersari Bantul Hospital Metro City
Authors: Supardi Supardi , Ayubbana Sapti , Inayati Anik , Dewi Nia Risa 
Published: January 2025

ABSTRACT Diabetes mellitus is a chronic disease that requires long-term medical treatment, by controlling blood sugar levels to cause diabetes complications. Diabetes is often referred to as the 'mother' of various diseases. The reason is, diabetes can be the cause of many disease complications, such as heart disease, kidney disease, eye disease, foot disease, nerve disease, stroke, hypertension and many others. To identify factors associated with the incidence of diabetes mellitus complicated by hypertension. The research design used was Cross Sectional. The population of this study was all Diabetes mellitus patients who came to visit Sumbersari Bantul Hospital, Metro City from January 15 to February 14 2024. The sample size was 40 respondents, determined using Total Sampling. Statistical tests use Chi Square (X2). This study concluded that there was a significant and meaningful relationship for the variables level of education (p value = 0.007) and (OR: 16.00), consumption patterns (p value = 0.035) and active smoking (p value = 0.027) with the incidence of Diabetes Militus who experience hypertension, while those that do not have a significant relationship are the variables age, gender, body mass index, genetics, physical activity, and sleep patterns with the incidence of Diabetes Militus who experience hypertension. Keywords: Smokers, Hypertension, Diabetes Mellitus, ABSTRAK Diabetes mellitus merupakan penyakit kronis yang membutuhkan perawatan medis yang lama, dengan cara mengendalikan kadar gula darah untuk terjadinya komplikasi diabetes. Diabetes sering disebut-sebut sebagai ‘ibu’ dari berbagai penyakit. Pasalnya, diabetes bisa menjadi penyebab dari banyak komplikasi penyakit, seperti penyakit jantung, penyakit ginjal, penyakit pada mata, penyakit pada kaki, penyakit saraf, stroke, hipertensi dan masih banyak lagi lainnya. Mengidentifikasi factor-faktor yang berhubungan dengan kejadian diabetes millitus dengan komplikasi hipertensi. Desain penelitian yang digunakan yaitu Cross Sectional. Populasi penelitian ini adalah seluruh pasien Diabetes mellitus yang datang berkunjung ke RSUD Sumbersari Bantul Kota Metro dari tanggal 15 Januari-14 Februari 2024. Jumlah sampel sebanyak 40 responden yang ditentukan dengan menggunakan Total Sampling. Uji statistik menggunakan Chi Square (X2). Penelitian ini menyimpulkan bahwa ada hubungan yang siqnifikan dan bermakna untuk variabel jenjang pendidikan (p value = 0,007) dan (OR : 16,00), pola konsumsi (p value = 0,035) dan perokok aktif (p value = 0,027) dengan kejadian Diabetes Militus yang mengalami hipertensi, sedangkan yang tidak ada hubungan yang bermakna adalah variable umur, jenis kelamin, indek masa Tubuh, genetic, aktifitas fisik, dan pola tidur dengan kejadian Diabetes Militus yang mengalami hipertensi. Kata Kunci: Perokok, Hipertensi, Diabetes Mellitus