bluuebunny/crossref_metadata_2025_split huggingface dataset:
Thorax trauma severity score and trauma injury severity score evaluation as outcome predictors in chest trauma
Authors: El-Aziz Tamer F.A. , El Din Abdallah Abdallah S. , Abdo Alaa G.A. , El-Hag-Aly Mohammed A. 
Published: September 2022

Objective
The aim was to evaluate the performance of thorax trauma severity score (TTSS) in predicting hospital mortality in thoracic trauma and comparing its performance with the trauma and injury severity score (TRISS).

Background
Because the great risk of thoracic trauma that may be life-threatening especially if uncontrolled, early management of it reduces mortality of polytraumatized patients. TTSS and TRISS were developed for the purpose of prediction of hospital mortality in thoracic trauma.

Patients and methods
This is a prospective comparative study done on 100 patients with chest trauma, either isolated chest trauma or as a part of polytrauma, who presented to the Emergency Department of Menoufia University Hospital during the period from April 2019 to April 2020. TTSS score was applied to assess its performance and comparing it with TRISS score.

Results
TTSS and TRISS scores were applied on 100 patients with trauma meeting inclusion criteria to predict the hospital mortality in thoracic trauma. The area under the receiver operating characteristics curve was 0.88 for TTSS score and 0.892 for TRISS score.

Conclusion
This study demonstrates that the TRISS, and the TTSS, can be used to predict hospital mortality in patients with thoracic trauma; hence, additional prospective studies are required. We believe that the study provides important information regarding validation of the TTSS, as it had a direct correlation with need for oxygenation, ventilator, duration of hospital stay, mortality, or outcome in patients with chest trauma.
Role of nebulized heparin in mechanically ventilated critically ill patients
Authors: Dahroug Amr H. , Zaytoun Tayseer M. , Ahmed Mohamed S. 
Published: September 2022

Background
Mechanical ventilation is a technique for supporting or substituting respiration. Fibrin deposition in the pulmonary microcirculation and alveolar sacs (hyaline membrane generation) is a major inflammatory route of lung injury, as it hinders both alveolar perfusion and ventilation. Heparin lowers fibrin deposition in the lungs and improves clinical outcomes in mechanically ventilated patients, according to clinical and experimental studies. Heparin nebulization may be more efficient than systemic delivery.

Aim
The purpose of this study was to evaluate how nebulized heparin affected both morbidity and mortality rates in mechanically ventilated patients.

Patients and methods
A total of 50 patients who required mechanical ventilation for more than 48 h were assigned into two groups: group 1 (control group) received 0.9% nebulized saline and group 2 (treatment group) received nebulized heparin. All patients were subjected to complete history taking, complete physical examination, routine laboratory investigations, daily arterial blood gas analysis and chest imaging, and Sequential Organ Failure Assessment score every 48 h. The primary end point was to evaluate lung functions such as airway resistance, static compliance, hypoxic index, and ventilator-free days. The development of acute respiratory distress syndrome after enrollment, tracheostomy rate, vasopressor-free days, length of ICU stay, and mortality rate at days 7 and 28 were all secondary end points.

Results
On days 2, 3, 4, 5, and 7, the mean static compliance in the treatment group was considerably higher than in the control group, with a statistically significant difference at days 2 and 4. The mean hypoxic index in the nebulized heparin group was significantly higher than in the control group. The nebulized heparin group had significantly more days without using vasopressors than the control group.

Conclusion
In patients needing mechanical ventilation for more than 48 h, nebulized heparin significantly improved lung static compliance and hypoxic index and was associated with more vasopressor-free days.
PENERAPAN MODEL PEMBELAJARAN INKUIRI TERBIMBING MELALUI TUTOR SEBAYA UNTUK MENINGKATKAN PRESTASI BELAJAR KIMIA SISWA SMA PGRI TABANAN 6 BAJERA
Authors: Mahyuni Ni Wayan Sri 
Published: September 2022

Penelitian ini bertujuan untuk mengetahui apakah pemahaman konsep siswa menggunakan inkuiri terbimbing melalui tutor sebaya dapat meningkatkan prestasi belajar kimia. Penelitian ini dilaksanakan di SMA PGRI Tabanan 6, dengan jumlah subjek sebanyak 17 orang siswa kelas XI MIPA 1. Penelitian ini merupakan Penelitian Tindakan Kelas (PTK), yang dilaksanakan di SMA PGRI Tabanan 6. Penelitian dilakukan pada siswa kelas XI MIPA pada semester ganjil tahun ajaran 2017/2018. Jumlah siswa yang diberi tindakan sebanyak 17 orang. Penelitian ini dilaksanakan dalam dua siklus yang tiap siklusnya terdiri atas perencanaan, pelaksanaan tindakan, observasi, dan refleksi. Metode pengumpulan data dilakukan dengan melakukan tes ulangan harian. Data penelitian dianalisis secara deskriptif dengan pendekatan persentase. Hasil penelitian menunjukkan bahwa 1. prestasi belajar pengetahuan kimia siswa pada siklus I mendapat nilai rata- rata kelas sebesar 69,83 dengan ketuntasan klasikal 77% sedang prestasi belajar keterampilan siswa dengan rata-rata 70,3 dengan ketuntasan klasikal 83% . Prestasi belajar pengetahuan kimia pada siklus II memperoleh nilai rata-rata 71,5 dengan ketuntasan klasikal 93 % sedang prestasi belajar keterampilan siswa dengan rata-rata 71 dengan ketuntasan klasikal 90 %. Dari data prestasi belajar pengetahuan siswa dan prestasi belajar keterampilan siswa terjadi peningkatan maka bisa disimpulkan Penerapan Model Pembelajaran Inkuiri Terbimbing Melalui Tutor Sebaya dapa tmeningkatkan prestasi belajar siswa. Dengan demikian, pemahaman konsep menggunakan inkuiri terbimbing melalui tutor sebaya dapat digunakan sebagai alternatif pembelajaran guna meningkatkan prestasi belajar kimia
Analisis Tingkat Pengetahuan Swamedikasi Obat Batuk pada Pasien ISPA di Apotek Siaga-24 Cikampek
Authors: Riyanti Adha , Emelia Rida 
Published: September 2022

Self-medication is a human behavior that people usually do to get solutions related to health problems, for this reason self-medication must be supervised by pharmacists. Cough is one of the symptoms of ARI that can be treated with self-medication. The purpose of this study was to find out how the level of knowledge of ARI patients on cough medicine self-medication at Apotek standby-24 Cikampek. And to know the role of pharmacy technical personnel in providing information about cough medicine self-medication. This study uses a quantitative descriptive method using a cross sectional research design. Data was collected by means of a questionnaire on 55 respondents. The population in this study were ARI patient with cough symtoms aged 15 to 50 years. The sampling technique used was purposive sampling method. This research was conducted in April - May 2021. The results of this study showed that 95.83% of respondents had a high level of knowledge of cough medicine self-medication and 4.17% showed a low level of self-medication knowledge. Then 87.50% of pharmacy staff provided complete information on self-medication of cough medicine and 12.50% of pharmacy staff were incomplete in providing information on self-medication of cough medicine. The majority of respondents understand what type of cough they suffer from and understand the selection of cough medicine so that self-medication of cough medicine can be achieved according to symptoms
Efektivitas Wrist Stretching, Tendon and Nerve Gliding Exercise dalam Menurunkan Nyeri dan Meningkatkan Fungsional Wrist pada Kasus Carpal Tunnel Syndrome
Authors: Anggraini Cici , Windhy Astari Rahmi 
Published: September 2022

Carpal Tunnel Syndrome (CTS) is a medianus nerve clamp due to entrapment neuropathy when going through the carpal tunnel in the wrist precisely under the flexor retinaculum. The goal of this study is to find out the effectiveness of wrist stretching, tendon and nerve gliding exercise in reducing pain and improving functional wrist in people with Carpal Tunnel Syndrome. To find out the effectiveness of wrist stretching, tendon and nerve in reducing pain and improving functional wrist in cases of Carpal Tunnel Syndrome. A 58-year-old woman with a job before the doughnut seller pandemic. Patients complain of pain in the wrist spreading and feel tingling / numbness in the fingers 1-3, the fingers feel stiff and difficult to shake. Patients therapy for 2x / week in 3 weeks, one patient therapy followed for 20-30 minutes. Patients are given therapy in the form of wrist stretching, tendon and nerve gliding exercise. Pain was measured using numeric rating scale (NRS) and Boston Carpal Tunnel Questionair (BCTQ) for the severity of CTS. After therapy was given the result of a decrease in press pain and motion pain by 1 point, and there was a slight improvement in the functional ability of the wrist measured using BCTQ. The provision of therapy in the form of wrist stretching, tendon and nerve gliding exercise can reduce pain and improve the functional ability of the wrist.
Audit Implementasi Clinical Pathway Diare Akut pada Anak Umur 0 – 18 Tahun di Rumah Sakit Palang Merah Indonesia Bogor
Authors: Mulyaningsih Ellya , Natsir Nugroho Muhammad , Tahjoo Anastina 
Published: September 2022

Untuk mengetahui kepatuhan multidisplin dalam implementasi clinical pathway pada kasus diare akut pada anak umur 0-18 tahun, kelengkapan pengisian clinical pathway sesuai dengan SPO yang diperlukan sebagai sarana dalam peningkatan mutu pelayanan kesehatan dan akreditasi di Rumah Sakit Palang Merah Indonesia Bogor. Penelitian ini didesain meggunakan mixed methode yaitu kuantitatif dan kualitatif dengan sequensial (sequential mixed method design). Strategi mixed method yang digunakan adalah sequential explanatoris sequencial design (Quan - Qual mixed methods design). Jumlah sampel 58 clinical pathway diare akut pada anak yang terintegrasi di dalam rekam medis, menggunakan teknik purposive sampling. Pengumpulan data menggunakan metode kuantitatif dan kualitatif dengan pendekatan grounded theory selanjutnya dianalisis menggunakan SPSS 16. Kemudian disusun kuesioner untuk melihat representasi social. Hasil penelitian kepatuhan DPJP dan perawat 100%, farmasi 0% dan nutritionis 53,4%, prognosis bonam 48,3%. Rata-rta LOS pada diare akut 4-6 hari (51,7%). Umur responden rata-rata 0-5 tahun (93,1%), jenis kelamin laki-laki 60,3%, berat badan 1-20kg (93,1%), anamnesis BAB cair > 5x sehari (44,8%), diagnosis diare akut dehidrasi 56,9%, varian diagnosis diare akut dehidrasi 65,5%, hasil kuisioner 40% participant menjawab ya untuk pengisian Clinical Pathwaysecara manual dan 76% participant menjawab setuju untuk pengisian clinical pathway dengan lengkap. Hasil analisis data dari kuisioner partisipan didapat efektivitas clinical pathway adalah 68% hal ini belum sesuai dengan standar yang ditetapkan yaitu 70%. Efektivitas tidak tercapai karena tidak semua multidisiplin terlibat dalam pengisisn clinical pathway. Hal ini karena audit dan evaluasi belum dilakukan dengan seharusnya. Efektivitas dapat tercapai bila semua multidisiplin dapat melaksanakan semua tugas yang didukung oleh sarana dan prasarana serta peraturan atau ketentuan yang dibuat sehingga dapat mencapai target dengan berorientasi pada hasil dan proses yang direncanakan
Tingkat Kepatuhan Pengobatan pada Pasien Prolanis Diabetes Melitus Tipe 2 di Klinik Jatisari Karawang Periode bulan Januari – Maret 2021
Authors: Aliyana Aliyana , Rosmiati Meiti 
Published: September 2022

Diabetes mellitus is a metabolic disease characterized by hyperglycemia that occurs due to defects in insulin secretion, insulin action or both. Half-life is very important, especially in long-term treatment in order to achieve therapeutic success. As in the Hadith narrated by Muslim. That every disease has a cure. Then the drugs used obediently will help the patient's condition get better. In the management of the disease, the role of the patient becomes very important, especially in terms of increasing adherence to therapy in order to achieve optimal blood glucose levels to prevent more severe complications. The purpose of this study was to describe the level of treatment of patients with diabetes mellitus prolanis at Jatisari Clinic in the period from January to April 2021. The type of research conducted an observational study using a descriptive method. Sampling using a total sampling technique with a sample of 99 patients. The primary data collection instrument used a Morisky Medication Adherence Scale 8 items (MMAA-8) questionnaire find the level of adherence therapy in Diabetes Mellitus patients. The results of the study found that the level of adherence to treatment in patients with diabetes mellitus prolanis at Jatisari Clinic according are "High Adherence" , “Medium Adherence”, and “ Low Adherence” with 33 patients (33.33%) , 43 patients (43.44%) and 23 patients (23.22%) respect ively
Tindakan Aborsi Akibat Pemerkosaan Ditinjau Menurut Pandangan Islam, Bioetika Kedokteran dan Hukum Di Indonesia
Authors: Hakiim Arsyzilma , Abdullah Mariyam , Romelah Romelah 
Published: September 2022

Kasus kekerasan terhadap perempuan di Indonesia terus menjadi sorotan, dimana terdapat peningkatan kasus dari tahun sebelumnya (Tahun 2020). Pada tahun 2021 muncul kasus kekerasan terhadap perempuan yaitu kasus pemerkosaan yang dilakukan pada 13 santriwati. Aborsi sering menjadi pilihan sebagai cara menekan trauma psikologis yang dialami korban pemerkosaan. Tujuan dari penelitian ini adalah memberikan tinjauan tindakan aborsi akibat pemerkosaan ditinjau menurut pandangan islam dan bioetika kedokteran serta memberikan gambaran kebijakan hukum tindakan aborsi akibat pemerkosaan di negara yang telah memiliki sistem aborsi secara legal akibat perkosaan, serta memberikan gambaran dampak dari kebijakan yang telah dilakukan. Jenis penelitian yang digunakan yuridis empiris dengan mengumpulkan dan menganalisis, serta berfokus pada pandangan islam, kaidah bioetika, dan norma hukum yang berlaku. Hasil penelitian ini menunjukkan bahwa kajian dari sisi agama islam, tindakan aborsi akibat perkosaan di perbolehkan, sebelum usia kehamilan 40 hari dan di sepakati oleh tim yang berwenang. Sedangkan dari kajian bioetika kedokteran, dapat dilihat dari indikasi medis dalam hal ini kehamilan akibat pemerkosaan yang dapat mengakibatkan gangguan kesehatan mental dengan menerapkan prinsip beneficence and non-maleficence, respect for human dignity and human right, respect for autonomy, dan respect for confidentiality and privacy. Tindakan aborsi akibat pemerkosaan secara hukum di Indonesia dan beberapa negara telah banyak diatur, akan tetapi dalam implementasinya masih menjadi tantangan dalam menyediakan akses informasi dan penyediaan layanan kesehatan yang memadai
Gambaran Tingkat Kecemasan pada Lansia Terhadap Penyakit Stroke Di Puskesmas Ponorogo Selatan
Authors: Armyati Eky Okviana , Nurwulan Pravitasari Dwi 
Published: September 2022

Stroke merupakan penyakit yang menakutkan bagi siapa saja. Stroke adalah sindrom klinis yang awal timbulnya mendadak, progresif, cepat, berupa deficit neurology fokal atau global yang berlangsung 24 jam atau lebih atau langsung menimbulkan kematian, dan semata-mata disebabkan oleh gangguan peredaran darah otak non traumatic. Pada penelitian ini analisa data dilakukan dengan deskriptif statistik yaitu penghitungan statistik untuk menjabarkan dan mensintesa data. Dengan menggunakan prosedur statistika ini mengevaluasi, menyimpulkan, mengorganisasi, menginterprestasikan serta menyajikan informasi yang jelas dengan angka-angka bermakna. Dalam penelitian ini peneliti menggunakan metode penelitian deskriptif yaitu memaparkan peristiwa-peristiwa yang urgen terjadi pada masa kini. Stroke disebut juga dengan penyakit serebrovoskuler. Penyakit ini menunjukkan adanya beberapa kelainan otak baik secara fungsional maupun struktural yang disebabkan oleh keadaan patologis dari pembuluh darah serebral atau dari seluruh sistem pembuluh darah otak. Patologis ini menyebabkan perdarahan dari sebuah robekan yang terjadi pada dinding pembuluh atau kerusakan sirkulasi serebral oleh oklusi parsial atau seluruh lumen pembuluh darah dengan pengaruh yang bersifat sementara atau permanen. Menurut etiologi dari stroke adalah sebagai berikut: Infark Otak (80%).
An Integrated Comprehensive Tailor-Made Rehabilitation Conservative Treatment For Idiopathic Adolescent Scoliosis
Authors: Gusti Pratiwi Regina Emmanuela 
Published: September 2022

Scoliosis is an abnormal lateral curvature of the spine associated with or without rotation of the vertebrae. Scoliosis is not just a cosmetic problem, but it has impact on many aspects of a person’s quality of life. One’s can experience pain, posture, respiratory, psychosocial problems. In This case report we would like to demonstrated an integrated comprehensive, tailor-made rehabilitation treatment for adolescent scoliosis. The patient is a 15-year-old female with complaints of scoliosis and back pain. Her first menarche was when she was 11 years old. No medical Problem was found. She loved to hang out with her friends and family but since her back hump getting worse, she ashamed of herself and sometimes refused to meet them or cover it with thick layer clothes. The pain in scale of 6 has been present for 1 year. She is unhappy with her body alignment and posture. From physical examination we found The Adam forward bend test was positive. From the x-ray before treatment showed the cobb angle was 20. Pelvic tilt (+), Risser sign 3-4, with Scoliosis C Curve. She can easily do her activities without feeling easily tired nor dyspnoea. She was prescribed a tailor-made Boston brace, physical exercise, heating modality, psychosocial intervention. After 12 weeks of therapy and bracing there was an improvement in posture, minimal pain (3-4), and she became more confidence and happy. The spine malalignment and the curvature can compress spinal disks, irritate nerve, strain joints, tighten muscles and it leads to pain. Because of this spine malalignment can affect posture it can leads to a psychosocial problem. Since the cobb angle was 20 degrees, no full maturation found, it is indicated for Brace prescription, to correct posture and prevent progressivity of curve angle. A proper exercise with heating modality can decrease muscle spasm and pain, maintain flexibility and strengthen spine/core muscle. The earlier diagnosis and treatment of an adolescent scoliosis can give so much different; it depends on the maturation and the cobb angle. In this comprehensive treatment needs a support not only from the patient but also from her society.
Preoperatif Belirteçlerin Endometriyal İntraepitelyal Neoplazi Hastalarında Endometriyum Kanserini Öngörmedeki Rolü
Authors: KOSE Caner , KÖRPE Büşra , KORKMAZ Vakkas , USTUN Yaprak 
Published: September 2022

Amaç: Endometriyal intraepitelyal neoplazi (EIN) tanısı olan kadınlarda preoperatif belirteçlerin endometriyal kanser (EC) için prediktif değerini belirlemektir.
Gereç ve Yöntem: Ocak 2014 ile Aralık 2021 yılları arasında tersiyer bir merkezde preoperatif endometriyal biyopsi sonucu EIN olan 611 hasta retrospektif olarak incelendi. Dahil edilme kriterlerini karşılayan 181 hasta çalışmaya alındı ve nihai patoloji sonuçlarına göre üç gruba ayrıldı: Grup 1’e benign sonuçları olan 60 hasta, grup 2’ye EIN olan 71 hasta ve grup 3’e EC olan 50 hasta dahil edildi. Üç grup arasında demografik, klinik ve biyokimyasal özellikler karşılaştırıldı. EIN’de eşzamanlı endometriyal kanser için Ca125’in prediktif değerini belirlemek için ROC analizi kullanıldı.
Bulgular: Ortalama preoperatif Ca125≥ 35U/ml seviyeleri üç grup arasında farklıydı (38.02±2.73, 41.61±6.19, 63.63±39.78, p
Diagnosing parasitic infestation in a patient with tuberculosis
Authors: Praveena Raveendran 
Published: September 2022

This report describes a case of diarrhea, abdominal pain, and strongyloidiasis in a 33-year-old woman. She had co-existing abdominal tuberculosis. The role of repeated stool microscopy in patients with a compromised immune system with a high index of clinical suspicion for the parasite is important. Strongyloidiasis was not clinically suspected in this patient and was diagnosed as part of evaluation for diarrhoea. But the case raises the importance not only of testing for strongyloidiasis in tuberculosis patients with symptoms suspicious of strongyloidiasis but also therapy for the parasite in such instances. Treatment with steroids for tuberculosis may also worsen the symptoms of strongyloidiasis.
The role of width of pars compacta of substantia nigra and the midbrain area in patients with Parkinson’s disease and progressive supranuclear palsy with healthy aged individuals
Authors: Hosapatna Mamatha , Aparna Verma  , Antony Sylvan D’Souza  , L. C. Prasanna 
Published: September 2022

Introduction and Aim: Though numerous image processing software exists to analyse the images, measurement of substantia nigra width and midbrain area are simple yet definite tools to distinguish and diagnose the Parkinson’s disease (PD) and progressive supranuclear palsy (PSP) when complimented with clinical findings. Comparing the brainstem parameters in healthy, (neurodegenerative) diseased, and during the treatment helps us to assess the disease monitoring i.e., severity and progress of the disease, and formulate the best treatment strategies. This study aimed at comparison of the thickness of substantia nigra (SN) in Parkinson's disease (PD) and progressive supranuclear palsy (PSP) with aged healthy individuals by magnetic resonance (MR) imaging.
Material and Methods: This observational study includes the evaluation of MR images of 50 aged healthy individuals with no obvious neurological diseases, 35 classical PD, and 15 PSP patients from the Department of Radiology. Quantitative planimetric evaluation of midbrain area was calculated and the width of substantia nigra (SN) was evaluated as per standard reference criteria with computer assisted image analysis and interpretation program.
Results: The parameters like means of midbrain area and the pars compacta thickness on both right and left sides were compared both in PD and PSP patients with healthy individuals. MR image analysis showed significant decrease in the thickness of pars compacta of SN in PD patients than in PSP patients when compared with age matched healthy aged individuals.
Conclusion: Parkinsonian diseases are always associated with the neuronal loss leading to volume alterations by causing midbrain atrophy. Magnetic resonance imaging of the thickness of SN is simple and reliable imaging markers to differentiate PD and PSP when combined with clinical symptomatology.