bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factores relacionados con desenlaces adversos en bacteriemia por Klebsiella pneumoniae
Authors: Botero Baena Sandra Milena 
Published: September 2023

Objetivo: relacionar factores demográficos, clínicos y terapéuticos con desenlaces adversos en pacientes mayores de 18 años con bacteriemia por Klebsiella pneumoniae en un Hospital de III nivel de la ciudad de Manizales, Caldas.

Metodología: estudio observacional, relacional, retrospectivo. Se seleccionaron 79 pacientes de un hospital de la ciudad de Manizales entre enero 2017 y diciembre 2018; se recolectaron variables demográficas, clínicas, terapéuticas y desenlaces adversos. Se realizó análisis bivariado con el paquete estadístico SPSS STATISTICS Versión 22.

Resultados: el sexo masculino predominó (62%), la edad promedio fue 58 años, antecedente de procedimiento quirúrgico (73,4%), uso de antibióticos (75,8%) y dispositivos invasivos antes del diagnóstico de la bacteriemia (89,9%); el 72,2% tuvo ingreso a UCI, 74,7% presentó sepsis, 48,1% shock séptico, 59,5% necesidad de ventilación mecánica, 67,1% soporte inotrópico o vasopresor y 15,2% terapia de reemplazo renal; la mortalidad intrahospitalaria fue 38%. Los factores protectores para la presentación de desenlaces adversos fueron: edad >60 años, lactato <4 mmol/l, recibir tratamiento dirigido, monoterapia con meropenem y APACHE <15. Como factores de riesgo para desenlaces adversos: uso de sonda vesical y catéter venoso central, sexo femenino, antecedente de cirugía reciente, albúmina sérica <2mg/dl, comorbilidades como la insuficiencia cardiaca y la diabetes mellitus.

Conclusiones: la bacteriemia por klebsiella pneumoniae genera desenlaces adversos, entre ellos, larga estancia hospitalaria y alta mortalidad. Además existen factores que pueden relacionarse con su presentación, por lo que se requieren estudios prospectivos y multicéntricos que aborden esta temática.
HÁBITOS SALUDABLES Y CONDICIONES DE SALUD EN TRABAJADORES DE CONFECCIÓN: CASO DE ESTUDIO DE DOS EMPRESAS DE CONFECCIÓN EN BUCARAMANGA, COLOMBIA
Authors: Daza Rios Cindy Tatiana , Ramírez Sierra Yuly Andrea , Muñoz Cáceres Maira Ximena , Sanabria Aceros Andrea Paola 
Published: September 2023

Objetivo: analizar los hábitos saludables y condiciones de salud en un grupo trabajadores de confección de dos empresas de Bucaramanga, Colombia. Materiales y métodos: Se realizó un estudio de alcance analítico, con enfoque cuantitativo y de corte transversal, la muestra correspondió a un grupo de 36 trabajadores de dos empresas caso de estudio, la muestra fue tomada durante el 2020-1. Para esto se aplicó un cuestionario y posteriormente se realizó un análisis de agrupamiento de k-medias. Resultados y Conclusiones: se encontraron diferencias entre el grupo 1 y grupo 2, mostrando reporte de mayor frecuencia y diversidad de morbilidad en el grupo 2 que en el grupo 1, así como un perfil socio-demográfico similar, jornadas laborales extensas y porcentajes bajos de estilos de vida saludables en ambos grupos; por consiguiente se recomienda aprovechar los entornos laborales para promover hábitos alimenticios saludables y actividad física, de esta forma se fomentan además otros comportamientos saludables y se promueve la disminución del riesgo de enfermedad cardiovascular y otras enfermedades crónicas no trasmisibles.
RESPIRATORY FUNCTION IN CHILDREN WITH CEREBRAL PALSY
Authors: Almeida Karielly Cássia de , Rasera Carmen Caroline , Ripka Wagner Luis , Mélo Tainá Ribas , Neves Eduardo Borba 
Published: September 2023

Purpose: to characterize the pulmonary function of children with cerebral palsy (CP) and to compare it with children with typical development (TD). Methods: the study was with 20 children TD and 21 CP, both sexes aged between 6-12 years (9.41 ± 1.47), with cognitive ability to perform the spirometry test. Wilcoxon / Mann Whitney test hypothesis compare the values obtained in both groups and intragroup in relation to gender and in the functional classifications of CP. Results: TD group showed a significant difference and higher spirometry values in males, whereas for children with CP there was no difference in relation to sex. In addition, the TD group demonstrated better values of forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and peak expiratory flow (PEF) than the CP group. There were significant differences and better spirometric values for children with CP less compromised in the comparisons between the functional, topographic levels, and functional gait pattern. Conclusion: there is a tendency towards obstructive and restrictive breathing patterns in the children with CP, observable mainly by the decrease in FVC, FEV1, and PEF compared DT. CP children with worse functionality have greater respiratory impairments.
Nuevas acepciones del rol del fisioterapeuta para la prescripción del ejercicio y la promoción de actividad física
Authors: PINZON RIOS IVAN DARIO 
Published: September 2023

Resumen
El fisioterapeuta es el profesional idóneo, capacitado y cimentado científicamente para prescribir ejercicio y promover la práctica de actividad física. Desde esta perspectiva, está inmerso en un mundo dinámico, cambiante y debe estar preparado y actualizado para propender la adopción de hábitos y estilos saludables. Por ello, este artículo de reflexión, busca redefinir el rol del fisioterapeuta, analizando diferentes acepciones involucradas en su práctica profesional relacionada con dichas intervenciones. Se revisó literatura disponible en las bases de datos Pubmed, EBSCO, Scielo y PEDro, incluyendo 111 fuentes bibliográficas para su análisis. Se pudo concluir que existen factores como la multidimensionalidad del comportamiento sedentario, la necesidad de asegurar la atención de calidad, el conocer la población y dinámica social, las teorías y modelos conductuales, empoderar a los pacientes/clientes y el manejo de nuevas tecnologías permitirá realizar intervenciones exitosas.
PENGARUH SOSIALISASI GERAKAN 1 RUMAH 1 JUMANTIK DAN PEMBERIAN OBAT PEMBASMI JENTIK TERHADAP HASIL PEMERIKSAAN JENTIK PADA BAK KAMAR MANDI WARGA DESA KEDUNGKEMBAR SIDOARJO
Authors: Ariprabowo Tri , Amalia Agil Octa , Aini Wilda Qurotul , Adawiyah Rofitul 
Published: September 2023

Aedes aegypti adalah jenis nyamuk yang dapat membawa virus Dengue yang penyakit menyebabkan demam berdarah yang ditularkan melalui gigitan nyamuk genus Aedes. Nyamuk Aedes Aegypti saat ini masih menjadi vektor atau pembawa penyakit demam berdarah yang utama. Selain demam berdarah, Aedes Aegyptijuga merupakan pembawa virus demam sangat luas Metode yang diterapkan dalam penelitian ini adalah metode korelasi. Metode penelitian korelasi digunakan untuk mengukur serta menganalisis hubungan atau hubungan antara dua atau lebih variabel. Korelasi menampilkan orientasi (baik positif maupun negatif) dan kekuatan hubungan antara variabel-variabel tersebut. Oleh karena itu, terdapat kesamaan tujuan antara metode ini dan tujuan penelitian yang ingin mengidentifikasi hubungan antara “sosialisasi gerakan 1 rumah 1 jumantik” dan hasil pemeriksaan jentik.Sig 0,004 yang berarti dibawah 5% (0,05). bisa dikatakan ada perubahan yang signifikan setelah penyuluhan.Pada penelitian ini juga membuktikan bahwa ternyata ada hubungan pemberian sosialisasi terkait pentingnya menjaga kebersihan bak mandi dan terbebas dari jentik terhadap hasil pemeriksaan jentik. Dengan hasil yang bisa dikatakan signifikan melalui 2 uji yaitu uji regresi sederhana yang menghasilkan nilai F- 13,395 dengan nilai signifikansi 0,220,05. Dan pada uji T-test juga menghasilkan nilai Sig 0,004 yang berarti dibawah 5% (0,05).
Kata kunci— Demam Berdarah Dengue (DBD), Aedes aegypti, Satu Rumah Satu Larva Gerakan Pengamat,jumantik
Pengaruh Perhatian Orang Tua, Pengalaman Keagamaan, Dan Kesadaran Beragama Siswa Terhadap Ekspresi Keagamaan Siswa Sekolah Menengah Atas Dharma Putra
Authors: Aprlia Anjali , Yuriani Yuriani , Marjoko Sabar 
Published: September 2023

Penelitian ini bertujuan untuk mengetahui pengaruh perhatian orang tua, pengalaman keagamaan, dan kesadaran beragama siswa terhadap ekspresi keagamaan siswa SMA Dharma Putra. Penelitian ini menggunakan pendekatan kuantitatif dengan metode penelitian ex post facto. Teknik pengambilan sampel penelitian menggunakan simple random sampling. Responden penelitian ini berjumlah 137 siswa yang terdiri dari kelas X, XI, dan XII. Instrument pengumpulan data menggunakan angket yang telah diuji validitas dan reliabilitas. Validitas instrumen penelitian ini menggunakan dua jenis validitas yaitu validitas isi dan validitas empiris. Data yang dikumpulkan sebelum dianalisis menggunakan regresi linier berganda. Dari hasil analisis data dapat disimpulkan bahwa terdapat pengaruh perhatian orang tua, pengalaman keagamaan, dan kesadaran beragama terhadap ekspresi keagamaan siswa dengan nilai signifikansi 0,004 serta diperoleh Fhitung 4,692 > Ftabel 2,67. Sumbangan efektif pengaruh perhatian orang tua, pengalaman keagamaan, dan kesadaran beragama terhadap ekspresi keagamaan siswa SMA Dharma Putra sebesar 9,6% yakni dengan pola asuh yang benar, penguatan Saddha (keyakinan), serta kesadaran beragama dengan perilaku sesuai nilai ajaran agama yang diyakini.
The Evaluation of YouTube Videos’ Quality About Pediatric Urological Diseases
Authors: CAKİR Hakan , ÇAĞLAR Ufuk 
Published: September 2023

Purpose: To evaluate the quality and reliability of YouTube videos on pediatric urological diseases (PUD).
Methods: This study was performed between 1 August - 7 August 2023. Turkish YouTube videos related to 'paediatric urology', 'circumcision', 'undescended testis', 'phimosis', 'hypospadias', 'vesicoureteral reflux', 'nocturnal enuresis' and 'testicular torsion' were evaluated. The videos were divided into professional (doctor, nurse, hospital, etc.) and non-professional (patient, patient relatives, news, etc.) according to the uploading source. Video characteristics (number of views, video length, likes, dislikes and comments) were compared between the groups. Video quality was assessed with DISCERN and Global Quality Score (GQS).
Results: A total of 498 videos, 312 professional videos and 186 non-professional videos, were included in the study. The number of views and likes were statistically significantly higher in the professional video group than in the non-professional video group (p=0.001 for both parameters). Mean DISCERN score and GQS score were significantly higher in the professional group than in the non-professional group (p=0.001, and p=0.001; respectively).
Conclusion: Professional videos about PUD had significantly higher quality and reliability according to DISCERN score and GQS. Moreover, YouTube videos uploaded by professional health care providers had significantly higher ‘view’ number, and ‘like’ number.
Warring Autonomies: Vaccine Mandates for Healthcare Workers and the Competing Rights of Patient and Healthcare Worker Autonomy in Pandemic Policy
Authors: Paetkau Tyler 
Published: September 2023

<p> The Covid-19 pandemic brought to the fore tensions between the rights of healthcare workers (HCWs) and the patients they care for. Nowhere are these tensions more evident than in debates over the right to autonomy and whether these rights allow HCWs to refuse vaccination. In the following, I argue that while both parties have a right to autonomy, the patients right to autonomy generally overrides that of the HCW. Still, the patient’s rights do not necessarily entail that HCWs possess a duty to be vaccinated. Instead, it entails that HCWs take reasonable actions to respect the autonomy of the patients. </p>
Prediksi Financial Distress: Analisis Metode Altman Z-Score, Zmijewski, dan Grover pada Perusahaan Sektor Transportasi dan Logistik
Authors: Ramadhani Rina , Yuliani Yuliani , Saputri Nyimas Dewi Murnila , Muthia Fida 
Published: September 2023

Penelitian ini bertujuan untuk mengetahui perbedaan hasil prediksi financial distress dan tingkat akurasi antara metode Altman Z-Score, Zmijewski, dan Grover pada perusahaan sektor transportasi dan logistik yang terdaftar di Bursa Efek Indonesia. Rancangan penelitian ini adalah penelitian kuantitatif dengan jenis penelitian kuantitatif deskriptif. Menggunakan jenis data sekunder dan teknik pengumpulan data dengan teknik dokumentasi. Periode pengamatan selama empat tahun, yaitu 2018 hingga 2021. Teknik pengambilan sampel menggunakan purposive sampling diperoleh 23 perusahaan. Teknik analisis data dengan Kruskal-Wallis. Hasil temuan penelitian menunjukkan bahwa terdapat perbedaan prediksi antara Altman Z-Score, Zmijewski dan Grover. Diantara ketiga metode prediksi financial distress, metode Zmijewski adalah yang paling akurat. This study aims to determine differences in financial distress prediction results and the level of accuracy between the Altman Z-Score, Zmijewski, and Grover methods for transportation and logistics sector companies listed on the Indonesia Stock Exchange. The design of this research is a quantitative research with a descriptive quantitative research type. Using secondary data types and data collection techniques with documentation techniques. The observation period is four years, namely 2018 to 2021. The sampling technique used purposive sampling obtained 23 companies. Data analysis technique with Kruskal-Wallis. The research findings show that there are differences in predictions between the Altman Z-Score, Zmijewski and Grover. Among the three financial distress prediction methods, the Zmijewski method is the most accurate.
Is There a Relationship Between TP-e/QT Ratio and Spinal Anesthesia-Related Cardiovascular Events in Pregnant Women?
Authors: COŞKUN İlker 
Published: September 2023

Introduction and Objective: Prolonged TPe interval has been reported to reflect the abnormal distribution of ventricular repolarization which can be used as a marker of ventricular arrhythmias. Since prolonged TPe/QT ratio is associated with cardiac pathologies, it is thought that it may also be associated with cardiovascular adverse events that occur during and after spinal anesthesia. The aim of this study is to investigate whether there is a relationship between prolonged TPe/QT ratio, which is routine preoperative non-invasive patient data that can be evaluated easily, and perioperative adverse cardiovascular events during cesarean section in pregnant women undergoing spinal anesthesia.
Materials and Methods: Voluntary consent was obtained for our study in which 144 pregnant women who were planned for elective cesarean section were included. QT interval was measured based on the initial point where the Q wave or the R wave in the absence of the Q wave started to the last point where the T wave ended. TPe interval measurement was based on the peak point of the T wave and the end point of the T wave convexity. Lead V5 was primarily used for TPe measurement. TPe/QT ratios were calculated in Microsoft office excel program. Patients' demographic characteristics, heart rate, systolic, diastolic and mean arterial pressures were recorded every five minutes intraoperatively.
Results: A weak positive correlation was found between the height variable and the Tpe/QT ratio (p=0.022, r=0.191). As the height increased, the TPe/QT ratio increased. Although it did not reach the level of statistical significance, we found that the TPe/QT ratio was longerin cases with intraoperative bradycardia and hypotension than in cases without complications. The TPe/QT ratio was above 0.21 in patients who developed bradycardia and hypotension. Examination of the correlation between the amount of ephedrine use and TPe/QT ratio revealed a weak positive correlation (p=0.012, r=0.208).
Conclusion: TPe/QT ratio is a novel cardiac marker with high predictive power, is non-invasive, quite inexpensive, and very practical to measure in the early detection of cardiac events, especially arrhythmia. This novel predictive marker can be used in anesthesia practice, preoperative examination and patient follow-up in the intraoperative operating room to predict fatal cardiac arrhythmias or intraoperative hypo/hypertension.
Keywords: Spinal anesthesia, pregnancy, TPe/QT ratio, cardiovascular event
Lessons Learned from COVID-19 to better address future threats to global health security: A Critical Analysis of Experts Perspectives
Authors: Budiman Dicky , Nurlaela Neneng , Setiawaty Vivi , Chu Cordia 
Published: September 2023

Emerging infectious diseases have had a significant impact on the Asia-Pacific region in recent years, including a severe acute respiratory syndrome outbreak that occurred in 2002-2003, which had a substantial impact on several Asia-Pacific economies, the outbreak of highly pathogenic Asian avian influenza A (H5N1) that followed in 2006, strains of H1N1, and Middle East respiratory syndrome (MERS). There is an increasing frequency and impact of emerging infectious diseases (EID), as demonstrated by the current global outbreak of COVID-19 (coronavirus disease 2019). The Asia-Pacific region is particularly vulnerable to the spread of EID across national borders.
In collaboration with the Ministry of Health of the Republic of Indonesia, the Asia Pacific Economic Cooperation (APEC) Health Working Group conducted an International Workshop on Managing Emerging Infectious Diseases (MEID) in Jakarta, Indonesia, on 12–16 September 2022. The workshop focused on a lesson-learning approach and aimed to strengthen global and domestic preparedness for the next pandemic.
Four key lessons can be drawn from the APEC region's COVID-19 pandemic. First, zoonotic outbreaks threaten health security, making One Health an urgent necessity. Secondly, collaboration and partnership are essential to combating the pandemic. Thirdly, decisive leadership is essential at all global and local levels. Finally, risk communication builds trust and acknowledges uncertainty during a crisis. These lessons could strengthen the evidence base for regional policy responses and better responses to future threats.
De novo extended-release Tacrolimus in Kidney Transplant Patients; Is it safe?
Authors: İSLAM Mahmud , FIRAT Necattin , PINAR Musa , ÖZTOP Kenan Evren , ÇAKIRSOY ÇAKAR Gözde , ERCAN Zafer , SARIGEDİK Enes , DHEİR Hamad 
Published: September 2023

Background: This study aimed to investigate whether de novo extended-release tacrolimus (ERT) therapy is safe in kidney recipients.
Methods: The study was single-center, retrospective, and included a total of 57 patients, including 30 patients in the ERT group (Group 1) and 27 patients in the immediate-release tacrolimus (IRT) group (Group 2). Demographic and laboratory characteristics of the patients were recorded. Complications such as acute drug toxicity, acute rejection, new-onset diabetes mellitus after transplantation, and development of hypertension, opportunistic infection, and hospitalization data were recorded.
Results: The mean age of the patients was 46.23±14.2 years in the ERT group and 47.04±14.6 years in the IRT group. There were 21 (70%) males in group 1, while 20 (74%) patients in group 2 had a male gender (P=0.73). The rate of improved serum creatinine values in the first week postoperatively was similar in both groups. While the mean tacrolimus levels on postoperative day 1 were significantly lower in the group- 1 (P
Optimalisasi Peran Masyarakat dalam Pencegahan Penyakit Kronis (Hipertensi, Diabetes Melitus dan Gout Arthritis) di Desa Talumelito
Authors: Sudirman Andi Nur aina , Febriyona Rona , Paneo Ibrahim 
Published: September 2023

ABSTRAK Penyakit kronis merupakan penyakit dengan ciri bersifat menetap, menyebabkan ketidakmampuan pada penderitanya, dan untuk menyembuhkannya penderita perlu melakukan perawatan dalam periode waktu yang lama. Umumnya, lansia memiliki satu atau lebih kondisi kronis. Kegiatan pengabdian ini bertujuan untuk memberikan penyuluhan tentang “optimalisasi peran masyarakat dalam pencegahan penyakit kronis ( hipertensi, diabetes mellitus, dan gout atrhiritis )di desa talumelito”. Kegiatan penyuluhan ini di lakukan pada tanggal 16 Januari 2023, mulai pukul 13.00 s.d 17.00 WITA. Bertempat di Aula Kantor Desa Talumelito, Kecamatan Telaga Biru, Kabupaten Gorontalo. Kegiatan ini di lakukan untuk mengundang masyarakat terutama orang dewasa dan lansia di Desa Talumlito, untik diberikan penyuluhan oleh tim pengabdi dan mahasiswa yang dilibatkan. Kegiatan ini melibatkan mahasiswa Universitas Muhammadiyah Gorontalo. Pentingnya pencegahan penyakit kronis ( hipertensi, diabetes mellitus, dan gout atrhiritis ) dapat membantu memperbaiki kesehatan klien dengan menjaga pola makan dan pola hidup sehingga derajat kesehatan masyarakat dapat meningkat. Kata Kunci: Diabetes mellitus, Hipertensi, Gout Artritis, Peran Masyarakat ABSTRACT Chronic disease is a disease with sedentary characteristics, causing disability in the sufferer, and to cure it, the patient needs to be treated for a long period of time. Generally, the elderly have one or more chronic conditions. This service activity aims to provide counseling about "optimizing the role of the community in preventing chronic diseases (hypertension, diabetes mellitus, and gout atrhiritis) in Talumelito Village". This counseling activity was carried out on January 16 2023, starting at 13.00 to 17.00 WITA. Located in the Hall of the Talumelito Village Office, Telaga Biru District, Gorontalo Regency. This activity was carried out to invite the community, especially adults and the elderly in Talumlito Village, to be given counseling by the service team and students involved. This activity involved University of Muhammadiyah Gorontalo students. The importance of preventing chronic diseases (hypertension, diabetes mellitus, and gout atrhiritis) can help improve client health by maintaining diet and lifestyle so that the degree of public health can increas.Keywords: Diabetes mellitus, Hypertension, Gout Arthritis, Role of Society