bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors Affecting Anxiety Levels in Pre-Cataract Surgery Patients
Authors: MAHYUVI TATA 
Published: June 2023

ABSTRACT
Introduction. Surgery is an experience that can cause anxiety. Anxiety arises as a result of an individual's psychological reactions, and excessive internal and external stimuli or stimuli have an impact on the inability to handle it. Perioperative anxiety in cataract surgery affects the majority of patients, fear of death dominates the patient's concern regardless of whether the patient underwent surgery.
Objective: The aim of this study was to analyze the relationship between characteristics (age, gender, education, and experience) with the level of anxiety of patients undergoing surgical procedures cataract at Bhakti Mulia Hospital Jakarta.
Methods: the research method used was descriptive correlational analytic with a cross-sectional approach. The number of samples was 72 respondents with a non-probability sampling technique, namely quota sampling. The statistical test used was the Spearman Rank.
Results:The results showed that there was a significant correlation of 0.006 with a closeness level of 0.320 between age and anxiety level. There is a significant relationship of 0.000 with a closeness level of -478 between the level of education and the level of anxiety. There is a significant relationship of 0.000 with a closeness level of 0.513 between experience and anxiety levels. Meanwhile, gender characteristics do not show a significant relationship with the level of anxiety with a p-value of 0.515, a closeness level of -0.078. 000 with a closeness level of -478 between the level of education and the level of anxiety. There is a significant relationship of 0.000 with a closeness level of 0.513 between experience and anxiety levels. Meanwhile, gender characteristics do not show a significant relationship with the level of anxiety with a p-value of 0.515, a closeness level of -0.078. 000 with a closeness level of -478 between the level of education and the level of anxiety. There is a significant relationship of 0.000 with a closeness level of 0.513 between experience and anxiety levels. Meanwhile, gender characteristics do not show a significant relationship with the level of anxiety with a p-value of 0.515, a closeness level of -0.078.
Keywords: Pre surgery patient, cataract, anxiety level
Analisis Rencana Strategis Sumber Daya Manusia (SDM) Keperawatan Di Rumah Sakit Wilayah Jakarta
Authors: Hulu Soni Roy Kurniawan 
Published: June 2023

Pendahuluan: Sumber Daya Manusia (SDM) menjadi pemegang peran penting dalam kemajuan organisasi. Perawat adalah profesi terbanyak didalam pelayanan kesehatan yang memerluka prencanaan strategis untuk dapat membantu memaksimalkan kekuatan dan meningkatkan kualitas asuhan keperawatan dan keselamatan pasien. Tujuan: untuk menyampaikan hasil eksplorasi data sumber daya manusia keperawatan dan menganalisis data serta membuat rekomendasi strategis yang dapat dilakukan oleh perawat manajer dan rumah sakit dalam mengelola sumber daya keperawatan di Rumah sakit wilayah Jakarta. Metode: Metode yang digunakan adalah studi kasus menggunakan wawancara dan observasi lapangan. Hasil eksplorasi data kemudian dianalisis dengan menggunakan tinjauan literatur, dan dianalisis menggunakan format SWOT (strength, weakness, opportunity, threats), Matrix IFE (internal factor evaluation) dan EFE (external factor evaluation), serta merumuskan strategi TOWS (threats, opportunity, weakness, dan strength) dan dituangkan dalam tabel Key Performance Indicator (KPI). Hasil: Rumah sakit wilayah Jakarta berada pada posisi maka posisi Sel III. Dengan perencanaan strategis menggunakan strategi Hold and Maintain, dan fokus dalam strategi market penetration dan product development. Dengan nilai IFE sebesar 1,98 (Lemah) dan Nilai EFE = 3,02 (Tinggi). KPI yang telah diformulasikan antara lain Pengembangan pendidikan keperawatan berkelanjutan dengan program beasiswa, pengembangan kompetensi SDM keperawatan, Peningkatan program retensi SDM keperawatan, Peningkatan sistem reward keperawatan berdasarkan jenjang karir dan klaster unit keperawatan, Peningkatan mutu pelayanan keperawatan. Rekomendasi: Rumah sakit X Jakarta dapat melakukan peningkatan kompetensi SDM dengan memberikan kesempatan pengembangan profesi berkelanjutan secara formal maupun informal, meningkatkan mutu dan kualitas pelayanan kepada pasien, meningkatkan retensi karyawan, dan mengembangkan poli cardiac telenursing
Kata Kunci: SDM, Keperawatan, Rencana Strategis, SWOT analisis
Pengaruh Mindfulness Terhadap Depresi Remaja
Authors: Lekatompessy Roland 
Published: June 2023

Kondisi kesehatan mental termasuk depresi merupakan beban utama penyakit bagi remaja secara global. Fokus pada kesehatan mental anak dan remaja harus menjadi prioritas utama di seluruh dunia karena sebagian besar masalah kesehatan mental yang dialami oleh orang dewasa berasal dari awal kehidupan. Salah satu cara untuk mendukung kesehatan mental remaja adalah dukungan kepada anak-anak misalnya program pelatihan dan program pengembangan anak dan remaja salah satunya melalui mindfulness yang merupakan terapi kepada diri sendiri yang berfokus pada kondisi sekarang tanpa menghakimi masa lalu, masa sekarang, maupun masa depan. Penelitian ini bertujuan untuk mengetahui pngaruh mindfuness terhadap depresi remaja. Penelitian ini adalah penelitian kuantitatif dengan desain pre post test, sampel 12 remaja yang mengalami depresi di Sekolah Minggu Latuhalat, pengambian sampel menggunakan purposive sampling, analisis data menggunakan uji wilcoxon. Hasil penelitian menemukan bahwa ada pengaruh mindfulness terhadap penurunan tingkat depresi remaja. Bagi pembaca pada umumnya dan bagi tenaga kesehatan pada khususnya kiranya artikel ini dapat menjadi pedoman untuk mengatasi depresi remaja melalui mindfulness.
Kata Kunci: depresi, mindfulness, remaja.
KẾT QUẢ CHĂM SÓC, ĐIỀU TRỊ NGƯỜI BỆNH SAU PHẪU THUẬT SỎI TIẾT NIỆU TẠI BỆNH VIỆN ĐA KHOA TỈNH HẬU GIANG
Authors: Hồ Thị Mỹ Lang , Nguyễn Minh Hiệp , Lê Thị Kim Định 
Published: June 2023

Đặt vấn đề: Chăm sóc người bệnh sau phẫu thuật sỏi tiết niệu là đóng vai trò quan trọng trong toàn bộ quá trình điều trị giúp tăng kết quả điều trị, thúc đẩy quá trình phục hồi. Mục tiêu nghiên cứu: 1). Mô tả một số đặc điểm lâm sàng, cận lâm sàng của người bệnh được phẫu thuật sỏi tiết niệu ; 2). Phân tích kết quả chăm sóc người bệnh và một số yếu tố liên quan đến kết quả chăm sóc người bệnh được phẫu thuật sỏi tiết niệu. Đối tượng và phương pháp nghiên cứu: Mô tả cắt ngang, tiến cứu trên 220 người bệnh chỉ định phẫu thuật điều trị sỏi tiết niệu tại Ngoại thận - Tiết niệu, Bệnh viện Đa khoa tỉnh Hậu Giang từ tháng 11/2020 đến tháng 4/2021. Kết quả: Có 88,6% người bệnh có đau hông lưng/đau bụng; 18 người bệnh có tiểu gắt/tiểu buốt; có 1 trường hợp tiểu máu (0,5%); 4 trường hợp sốt chiếm 1,8%. Đa số người bệnh có thời gian mắc bệnh là < 3 tháng chiếm 95,5%. Bạch cầu tăng chiếm 42,3%; urê tăng chiếm 5% và 3,6% tăng creatinine. Có 48,1% sỏi niệu quản đơn thuần; 6,4% sỏi thận đơn thuần; 3,6% sỏi bàng quang đơn thuần, 40,5% sỏi thận + sỏi niệu quản. 61,4% sỏi bên phải. Tỷ lệ đánh giá kết quả chăm sóc người bệnh đạt chiếm 75,5%. Yếu tố liên quan: người bệnh suy dinh dưỡng có kết quả chăm sóc tốt thấp nhất chiếm 55,6%; cao nhất là dinh dưỡng bình thường chiếm 82,2%; không có tiền sử bệnh có kết quả chăm sóc tốt hơn, 82,0% và 68,8%; sự khác biệt có ý nghĩa thống kê với p<0,05. Kết luận: Kết quả chăm sóc bệnh nhân sỏi tiết niệu sau phẫu thuật chưa cao. Cần tăng cường công tác chăm sóc đối với người bệnh suy dinh dưỡng và có tiền sử bệnh.
English Language Learning in Elementary Schools Difficulties and Solutions
Authors: Al-Shami Dr. Ibrahim Ali 
Published: June 2023

This study examined whether there are difficulties facing the students in elementary schools in learning English as a foreign language. Data was collected from three elementary schools in Hajjah city; also it was collected from academic teachers in Hajjah college. The findings show that there are four main factors that cause such difficulties, which are:-
1- Curriculum
2- Teacher effect
3- Environment and facilities
4- Psychology of the students.
The research runs in five chapters. Chapter one gives an introductory remarks about the research theoretical background, research significance; it also outlines the research hypothesis and objectives. Chapter two was mainly allocated for the previous related researches and studies. Chapter three shows methodology and design. Chapter four discusses the data analysis and results. Finally, in chapter five, the researchers talked about the research recommendations and suggestions for further studies.
Abordagem FEW Nexus (nexo água-energia-alimento) para o desenvolvimento sustentável através dos ODS da ONU
Authors: Viana Hildebrando Mazzardo Marques , Silva Tania Nunes da 
Published: June 2023

Objetivo/Finalidade: Analisar como a Abordagem do FEW Nexus pode contribuir na promoção do desenvolvimento sustentável, tendo os ODS da ONU como meta e servir como uma nova abordagem epistemológica e ontológica na resolução de problemas relacionados a uma realidade complexa dos dias atuais, como o desenvolvimento sustentável.
Desenho/metodologia/abordagem: Revisão da literatura sobre o estado atual das pesquisas envolvendo o uso da Abordagem do FEW Nexus, a partir de um panorama global até o cenário da pesquisa sobre o tema no Brasil. Também foi feita a caracterização da abordagem de FEW Nexus, e sua ligação com os conceitos do desenvolvimento sustentável.
Resultados: Se demonstrou que abordagem de FEW Nexus, quando relacionada ao conceito de desenvolvimento sustentável, pode buscar nos Objetivos do Desenvolvimento Sustentável as metas tangíveis que, eventualmente, este paradigma é criticado por não oferecer. A análise auxilia no entendimento de como, nessa perspectiva, o FEW Nexus considera os tradeoffs na gestão de recursos naturais, as possibilidades de direcionamento de políticas públicas e programas sociais e econômicos, utilizando como metas os ODS da ONU.
Originalidade/valor: Demonstrar a aplicabilidade da Abordagem do FEW Nexus dentro das Ciências Sociais Aplicadas, onde essa abordagem é utilizada numa frequência muito menor em comparação às Ciências exatas. Possibilidade de oferecer uma contribuição para a elaboração de política públicas que possam atender um problema crucial para a sustentabilidade, que é o ataque a pobreza em nível de Brasil e mundial.
ЕЩЁ РАЗ О БУДДИЗМЕ В ЗОЛОТОЙ ОРДЕ
Authors: Васильев Дмитрий 
Published: June 2023

Аннотация. Статья посвящена анализу археологических остатков трёх сырцовых сооружений, исследованных в разные годы на грунтовом могильнике «Маячный бугор» в Астраханской области. Они интересны в свете рассмотрения проблемы изучения археологических следов присутствия буддизма в Золотой Орде. В.П. Костюков предложил список основных черт, присущих буддистским погребениям, подчеркнув, что «Маячный бугор» является одним из наиболее изученных некрополей, на которых присутствуют захоронения с признаками буддизма. Два из открытых на могильнике сооружений представляли собой квадратные сырцовые постройки, в одной из которых обнаружены остатки трупосожжения на стороне с обожжёнными семенами культурных растений. Рядом со вторым была обнаружена монета – одна из самых ранних в Улусе Джучи. Третье сооружение имело сложную структуру – к прямоугольной основной постройке со следами прокала внутри примыкали с юга, востока и севера захоронения в склепах, которые содержали богатый инвентарь. Постройка стояла в центре огороженной сырцовой стеной площадки, на которой было выявлено 11 захоронений, покойные в которых были ориентированы головами на восток. В статье выдвигается предположение, что данные постройки связаны с культурой буддизма ввиду наличия буддистских захоронений на могильнике. Сравнительный анализ показывает близость описанных построек ступам-субургамам. Возможно, остатки архитектурных сооружений на Маячном бугре являются основаниями буддистских ступ.
Материалами исследования послужили результаты раскопок на грунтовом могильнике «Маячный бугор», который является остатками городского некрополя Красноярского городища золотоордынской эпохи. На «Маячном бугре» выделяется ранняя часть некрополя, которая датируется по монетным находкам в захоронениях началом – первой четвертью XIV века. Захоронения выполнены с соблюдением ряда специфических требований, характерных для буддистского погребального обряда. Именно в наиболее ранней части некрополя выявлены остатки нескольких сооружений из сырцового кирпича, три из которых, наиболее сохранившиеся, описываются в статье. При помощи сравнительного метода были выявлены общие и особенные черты сооружений. Историко-археологические связи были установлены с использованием историко-сравнительного метода. Хронологическая атрибуция проведена с помощью относительной датировки погребальных комплексов по нумизматическим материалам. При исследовании использовались архивные материалы и полевые отчеты об археологических исследованиях, а также аналитические работы исследователей, обращавшихся к теме присутствия буддизма в Золотой Орде.
Prevalence and Perception of Herbal Medicine Use among Patients with Chronic Diseases in a Nigerian Teaching Hospital
Authors: Okenwa Samuel Chukwuemeka , Ofili Samuel Chijioke , Ekweozor Chika Augusta , Onyishi Ebere , Eze Ifeanyi , Odor Chiamaka Rita , Iyi Chidera , Samuel Boniface Ebuka , Nwajiobi Somtochukwu Maria-Regina , Chijiekwu Nwachukwu Emmanuel , Igbokwe Wisdom J. , Asogwa Ezinne , Emmanuel Stephanie , Njoku Precious 
Published: June 2023

Background: Man's quest to manage illness over many years has led to the development of complementary and alternative medicine (CAM). There are many types of CAM, and the most utilized is herbal medicine. The relevance of herbal medicine has increased over the years due to the surge in health demands and other factors that influence the management of diseases. Hence, this study was conducted to ascertain the frequency and pattern of herbal medicine use among patients diagnosed with chronic diseases in the University of Nigeria Teaching Hospital, its predictors, magnitude, and perception.
Methodology: This was a cross-sectional descriptive study conducted among adult patients (n = 319) diagnosed with various chronic diseases, such as Diabetes Mellitus, Hypertension, Glaucoma, cancer, etc., from October 2022 to November 2022, at the University of Nigeria Teaching Hospital, Enugu, Nigeria. Questionnaires were administered through face-to-face interviews with patients.
Results: A total of 319 patients were included in this study. The gender distribution is 139 males and 180 females. The rate of herbal medicine use was 65.2%. Herbal medicine use among the female gender was higher, but there was no relationship between gender and herbal medicine use (P = 0.842). Of participants using herbal medicine, 46.1% used it for treating their health condition, 30.4% used herbal medicine to improve well-being, and 10.3% for preventing diseases. Their perception of herbal medicine uses as compared to conventional synthetic medicine based on modifications of some issues found from literature reviews that militate against the use of herbal medicine such as dose (15% strongly agreed, 20.1% agreed, 23.2% neutral, 18.8% disagreed and 22.9% strongly disagreed) etc.
Short Conclusion: The study discovered that patients in Nigeria with chronic conditions frequently use herbal medicines. Age, gender, marital status, occupation, education, monthly income, religion, health insurance, the timing of sickness diagnosis, the number of medications prescribed, and multiple chronic conditions were all linked to the usage of herbal medicines.
Type 2 Diabetes and Its Association With Psychiatric Disorders in Young Adults in South Korea
Authors: Lee Min-Kyung , Lee Su-Young , Sohn Seo-Young , Ahn Jiyeon , Han Kyungdo , Lee Jae-Hyuk 
Published: June 2023

ImportanceBecause type 2 diabetes (T2D) has become increasingly prevalent among young adults, the study of the association of T2D with psychiatric disorders in young adults is important for early detection and timely intervention.ObjectiveTo determine whether a diagnosis of a psychiatric disorder is associated with increased risk of developing T2D in young adults.Design, Setting, and ParticipantsThis large-scale prospective cohort study used data collected by the South Korean National Health Insurance Service between 2009 and 2012, representing 97% of the South Korean population. Young adults aged 20 to 39 years with and without diagnoses of psychiatric disorders were included in the study. Young adults with missing data and those with a history of T2D were excluded from the study. The cohort was followed up to monitor development of T2D until December 2018. Data were analyzed from March 2021 to February 2022.ExposureDiagnosis of 1 of 5 psychiatric disorders, including schizophrenia, bipolar disorder, depressive disorder, anxiety disorder, and sleep disorder.Main Outcomes and MeasuresThe primary outcome was newly diagnosed T2D during a follow-up period of 7.59 years. The incidence rate of T2D was calculated as the number of new cases per 1000 person-years during the follow-up period. The Cox proportional hazards regression model was used to estimate the hazard ratios (HRs) and 95% CIs for T2D incidence. Exploratory analyses were performed for subgroups stratified by age and sex.ResultsIn total, 6 457 991 young adults (mean [SD] age, 30.74 [4.98] years; 3 821 858 men [59.18%]) were followed up, including 658 430 individuals with psychiatric disorders. The cumulative incidence of T2D differed significantly between individuals with and without psychiatric disorders (log-rank test, P &amp;lt; .001). Incidence rates of T2D for individuals with and without psychiatric disorders were 2.89 and 2.56 per 1000 person-years, respectively. Individuals with a diagnosis of any psychiatric disorder showed a higher risk of developing T2D than those without a diagnosis (adjusted HR, 1.20; 95% CI, 1.17-1.22). The adjusted HRs for T2D were 2.04 (95% CI, 1.83-2.28) for individuals with schizophrenia, 1.91 (95% CI, 1.73-2.12) for individuals with bipolar disorder, 1.24 (95% CI, 1.20-1.28) for individuals with depressive disorder, 1.13 (95% CI, 1.11-1.16) for individuals with anxiety disorder, and 1.31 (95% CI, 1.27-1.35) for individuals with sleep disorder.Conclusions and RelevanceIn this large-scale prospective cohort study of young adults, 5 psychiatric disorders were significantly associated with an increased risk of developing T2D. Young adults with schizophrenia and bipolar disorder in particular were at a higher risk of T2D. These results have important implications for early detection of and timely intervention in T2D for young adults with psychiatric disorders.
Association of Preoperative High-Intensity Interval Training With Cardiorespiratory Fitness and Postoperative Outcomes Among Adults Undergoing Major Surgery
Authors: Clifford Kari , Woodfield John C. , Tait William , Campbell Holly A. , Baldi James Chris 
Published: June 2023

ImportancePreoperative high-intensity interval training (HIIT) is associated with improved cardiorespiratory fitness (CRF) and may improve surgical outcomes.ObjectiveTo summarize data from studies comparing the association of preoperative HIIT vs standard hospital care with preoperative CRF and postoperative outcomes.Data SourcesData sources included Medline, Embase, Cochrane Central Register of Controlled Trials Library, and Scopus databases with no language constraints, including abstracts and articles published before May 2023.Study SelectionThe databases were searched for randomized clinical trials and prospective cohort studies with HIIT protocols in adult patients undergoing major surgery. Thirty-four of 589 screened studies met initial selection criteria.Data Extraction and SynthesisA meta-analysis was performed according to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Data were extracted by multiple independent observers and pooled in a random-effects model.Main Outcomes and MeasuresThe primary outcome was change in CRF, as measured by either peak oxygen consumption (V̇o2 peak) or 6-Minute Walk Test (6MWT) distance. Secondary outcomes included postoperative complications; hospital length of stay (LOS); and changes in quality of life, anaerobic threshold, and peak power output.ResultsTwelve eligible studies including 832 patients were identified. Pooled results indicated several positive associations for HIIT when compared with standard care either on CRF (V̇o2 peak, 6MWT, anaerobic threshold, or peak power output) or postoperative outcomes (complications, LOS, quality of life), although there was significant heterogeneity in study results. In 8 studies including 627 patients, there was moderate-quality evidence of significant improvement in V̇o2 peak (cumulative mean difference, 2.59 mL/kg/min; 95% CI, 1.52-3.65 mL/kg/min; P &amp;lt; .001). In 8 studies including 770 patients, there was moderate-quality evidence of a significant reduction in complications (odds ratio, 0.44; 95% CI, 0.32-0.60; P &amp;lt; .001). There was no evidence that HIIT differed from standard care in hospital LOS (cumulative mean difference, −3.06 days; 95% CI, −6.41 to 0.29 days; P = .07). The analysis showed a high degree of heterogeneity in study outcomes and an overall low risk of bias.Conclusions and RelevanceThe results of this meta-analysis suggest that preoperative HIIT may be beneficial for surgical populations through the improvement of exercise capacity and reduced postoperative complications. These findings support including HIIT in prehabilitation programs before major surgery. The high degree of heterogeneity in both exercise protocols and study results supports the need for further prospective, well-designed studies.
The Warmth of Death: Alexander Brodsky and the Necropolis in the Womb of the Metropolis
Authors: Pisciella Susanna 
Published: June 2023

AbstractMoscow‐born artist and architect Alexander Brodsky's work is very much infused with its Russian context; its geography, landscape, climate and political regimes. For him, ‘penumbra is a permanent state of gaze’. Architect and researcher Susanna Pisciella looks at his continuous migration between architecture and art installation, and suggests that he also finds inspiration in the shadow of language.
A Path to the Light: Variations and Multiple Dimensions
Authors: Kettani Driss 
Published: June 2023

AbstractArchitect Driss Kettani offers us a poetic exposition of the emotional and religious sensations that light, darkness and penumbra can instigate and perpetuate within human consciousness. The play of light, position of the observer, shift of colour, and the delicate, complex geometries of the mashrabiyas of the southern Mediterranean all have a role in this dance of light and shade.
Seeking the Almost: Designing Shade
Authors: Bricolo Filippo 
Published: June 2023

AbstractCo‐founding partner of Bricolo Falsarella Associati, Filippo Bricolo describes himself as a designer of penumbra, and spends much of his studio time choreographing the practice's designs and buildings. He believes the fast pace of contemporary living, communication and technology, with its techno‐positivist agenda, has made consideration of the penumbra almost extinct. Here he describes some of the architectural shadowy set‐pieces of his office and others.
As If Without Time: The Nuclear Twilight Zone
Authors: Bärmann Matthias 
Published: June 2023

AbstractIn the post‐nuclear explosion test zone of Opytnoe Pole in eastern Kazakhstan, light seems to have beaten darkness. Yet it is an eerie light, bland and cast over a ubiquitously barren landscape devoid of animals and humanity. Contemporary art curator Matthias Bärmann describes the extraordinary and disturbing history of the site that has created the stark vistas and bleached structures in the work of photographer Ursula Schulz‐Dornburg.