bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENDAMPINGAN POKJAKES LEMPUING INDAH DALAM MENINGKATKAN PENDIDIKAN DAN PENGETAHUAN SEKS PADA ANAK DI RW I KELURAHAN LEMPUING WILAYAH PUSKESMAS KOTA BENGKULU
Authors: Febriana Erna , Pardosi Sariman , Dahrizal Dahrizal , Nugroho Nehru , Wijaya Andra 
Published: November 2022

Abstrak

Kekerasan seksual terhadap anak meningkat dari tahun ketahun. Peningkatan ini terjadi dibanyak negara, termasuk juga di Indonesia. Dari banyak Propinsi di Indonesia, kekerasan seksual menjadi masalah yang mengkhawatirkan. Banyak anak yang menjadi korbannya, tidak hanya anak perempuan, anak laki- lakipun rawan untuk dijadikan korban kekerasan seksual (Meri Neherta, 2017). Berdasarkan hasil pemaparan dari guru TK IT Al-Pundi pada MMK 2 didapatkan hasil pada tahun 2019 terjadi pelecehan pada anak. Metode kegiatan pengabdian kepada masyarakat ini menggunakan metode pemberdayaan masyarakat dan partisipasi masyarakat dengan pendekatan keperawatan keluarga melalui pengenalan masalah, memutuskan merawat, merawat, memodifikasi lingkungan dan memanfaatkan fasilitas kesehatan. Rencana pelaksanaan kegiatan dialokasika di RW I Kelurahan Lempuing Kota Bengkulu. Evaluasi kegiatan dan monitoring dilakukan secara formatif dan sumatif melalui instrument yang telah disiapkan.
Kata Kunci: Anak, Pelecehan, Pendidikan Seks

Abstract

Sexual violence against children is increasing from year to year. This increase occurred in many countries, including Indonesia. From many provinces in Indonesia, sexual violence is a worrying problem. Many children are victims, not only girls, boys are also prone to be victims of sexual violence (Meri Neherta, 2017). Based on the results of the explanation from the Al-Pundi IT Kindergarten teacher at MMK 2, it was found that in 2019 child abuse occurred. This community service activity method uses community empowerment and community participation methods with a family nursing approach through identifying problems, deciding to care for, caring for, modifying the environment and utilizing health facilities. The plan for the implementation of the activities was allocated in RW I, Lemembu Sub-district, Bengkulu City. Evaluation of activities and monitoring are carried out in a formative and summative manner through the instruments that have been prepared.Keywords: School Children, Covid-19, Knowledge, New Normal

Keywords: Children, Harassment, Sex Education
PENINGKATAN PENGETAHUAN KELUARGA DALAM MENURUNKAN KECEMASAN ORANGTUA DALAM MEMPERSIAPKAN SEKOLAH ANAK DI MASA NEW NORMAL COVID-19
Authors: Saferi Wijaya Andra , Riayadi Agung 
Published: November 2022

Abstrak

Penyebaran Virus Covid-19 menyebabkan banyaknya perubahan pada berbagai sektor kegiatan masyarakat termasuk pada sektor pendidikan. Anak sekolah haru beradaptasi untuk melaksanakan pembelajaran secara daring dari rumah. Hal ini tentu berdampak pada proses belajar mengajar selama ini. Seiring dengan penurunan kasus terkonfirmasi Covid-19 dan perubahan Level di beberapa daerah di Indonesia, pembelajaran tatap muka pada anak sekolah mulai dilaksaksanakan. Hasil wawancara yang dilakukan pada orang tua yang anaknya akan sekolah mengatakan ada perasaan senang karena anak sudah mulai kembali sekolah, tetapi tidak sedikit yang mengatakan cemas karena Covid-19 belum seluruhnya selesai. Mereka takut anak mereka tertular saat di sekolah dan dapat menularkan pada keluarga di rumah. Upaya sosialisasi dan penyuluhan telah dilakukan oleh Dinas Pendidikan dan Kebudayaan dan Puskesmas namun orang tua masih khawatir dengan kondisi anak yang sekolah saat ini. Pendekatan pendidikan kesehatan pada keluarga dapat dilakukan agar orang tua mengetahui kondisi sekolah dan penyelenggaran pendidikan yang aman pada new normal.

Kata Kunci: Anak Sekolah, Covid-19, Pengetahuan, New Normal,

Abstract

The spread of the Covid-19 virus has caused many changes in various sectors of community activity, including the education sector. School children must adapt to carry out online learning from home. This certainly has an impact on the teaching and learning process so far. Along with the decline in confirmed cases of Covid-19 and changes in levels in several regions in Indonesia, face-to-face learning for school children has begun to be implemented. The results of interviews conducted with parents whose children are going to school said that they felt happy because their children had started going back to school, but not a few said they were worried because Covid-19 had not been completely finished. They are afraid that their children will catch it at school and can infect their family at home. Socialization and counseling efforts have been carried out by the Department of Education and Culture and the Puskesmas, but parents are still worried about the condition of their children currently attending school. The approach to health education in the family can be done so that parents know the condition of schools and the implementation of safe education in the new normal.

Keywords: School Children, Covid-19, Knowledge, New Normal
Pengaruh Video Edukasi dan Leaflet Terhadap Pengetahuan dan Sikap Remaja Tentang Konsumsi Sayur dan Buah di SMAN 05 Seluma
Authors: Wahyu Tetes , Rian anugrah esa  , Darwis Darwis 
Published: November 2022

Prevalensi kurang konsumsi buah dan sayur di Provinsi Bengkulu terus meningkat dari 93,5% menjadi 95,5%, Pada remaja usia 10-14 tahun di Bengkulu yang mengkonsumsi buah dan sayur dari proporsi makan 1-2 porsi per hari hanya 90,1%, 3-4 porsi hanya 8,0% dan 5 porsi atau lebih per hari hanya 0,4%. Tujuan penelitian untuk mengetahui pengaruh penyuluhan gizi dengan menggunakan video edukasi dan leaflet terhadap pengetahuan dan sikap remaja tentang konsumsi sayur dan buah sebagai antioksidan dalam meningkatkan sistem imun pada masa pandemi COVID-19 Di SMA Negeri 05 Seluma tahun 2021. Penelitian ini merupakan jenis penelitian quasi eksperimental dengan rancangan penelitian two group pre test and post test. Lokasi penelitian di SMA Negeri 05 Kabupaten Seluma, waktu penelitian pada bulan Januari-Februari 2021. Populasi penelitian adalah seluruh siswa-siswi SMA Negeri 05 Kabupaten Seluma sebanyak 680 orang.Teknik Sampling yang digunakan yaitu Non Probability Sampling. Sampel penelitian ini ditentukan dengan metode purposive sampling sejumlah 40 orang yaitu kelas X IPA 1 dan IPA 3. Data dianalisis Univariat, Bivariat t-test dependen/wilcoxon test dan t-test independen/mann whitney. Hasil penelitian menunjukan terdapat perbedaan pengetahuan dan sikap remaja. Edukasi dilakukan menggunakan media video edukasi dan leaflet tentang konsumsi sayur dan buah sebagai upaya untuk meningkatkan pengetahuan dan sikap remaja. Kedua media dikembangkan semenarik mungkin. Diharapkan untuk penelitian selanjutnya selain mengukur pengetahuan dan sikap juga dapat mengukur tingkat konsumsi sayur dan buah serta menentukan sampel yang akan diambil agar penelitian tidak hanya dilakukan disekolah tetapi juga dilakukan dilingkungan masyarakat
PENGARUH KONSELING DIET ENERGI TINGGI PROTEIN TINGGI (ETPT) TERHADAP ASUPAN ENERGI DAN PROTEIN PADA PENDERITA TUBERKULOSIS PARU DI KOTA BENGKULU
Authors: Simbolon Demsa 
Published: November 2022

ABSTRAK
Tuberkulosis paru (TBC) merupakan salah satu penyakit menular yang termasuk masalah kesehatan masyarakat global termasuk di Indonesia. Penderita TBC di Indonesia merupakan negara dengan penderita tuberkulosis terbanyak setelah India dan China. Tujuan penelitian untuk mengetahui pengaruh konseling terapi diet Energi Tinggi Protein Tinggi (ETPT) terhadap asupan energi dan asupan protein pada penderita tuberkulosis paru di Kota Bengkulu Tahun 2019. Penelitian ini menggunakan desain Quasi Eksperiment. Teknik pengambilan sampel secara purposive sampling. Jumlah sampel sebanyak 64 penderita TBC di 7 Puskesmas yang menyebar di Kota Bengkulu. Pengumpulan data asupan penderita tuberkulosis paru menggunakan Formulir Food recall 2x24 jam. Konseling gizi pada kelompok intervensi dilakukan 3 kali selama 1 minggu menggunakan media booklet sedangkan kelompok kontrol diberikan leaflet. Analisis data menggunakan uji t-test dependen dan uji t-tes independent. Hasil penelitian menemukan penderita TBC sebagian besar laki-laki. Konseling gizi efektif meningkatkan rata-rata asupan energi dan protein. Pada kelompok intervensi terjadi peningkatan rata-rata asupan energi dari 1277 kkal menjadi 1634 kkal (28%), sedangkan pada kelompok kontrol dari 1210 kkal menjadi 1552 kkal (27%). Pada kelompok intervensi, rata-rata asupan protein juga meningkat dari 52,38 gr menjadi 71,01 gr (35,5%), sedangkat pada kelompok kontrol dari 47,05 gr menjadi 62,05 gr (30,6%). Promosi kesehatan melalui konseling gizi efektif meningkatkan asupan energi dan protein. Diharapkan agar petugas gizi meningkatkan pelayanan gizi dengan melakukan promosi gizi melalui berbagai metode untuk meningkatkan asupan energi dan asupan protein pada penderita tuberkulosis paru.
Bacteriological Study on Surgical Site Infection in Rangpur Medical College and Hospital
Authors: Islam Md Hamidul , Mishu Minim Parvin , Afroze Nusrat , Mahmud MH , Islam Md Shariful , Shah Md Shahin 
Published: November 2022

Background: Surgical site infections (SSIs) is a major problem in both developed and developing countries. In developing countries like Bangladesh, infection in surgical patients has been appearing as a serious risk due to insurgence of drug resistance. Surgical site infections (SSIs) contribute significantly to increased health care costs in terms of prolonged hospital stay and lost working days. The problem was largely unexplored in Rangpur Medical College and Hospital, Rangpur.
Objective: The aim of the study was to evaluate the bacteriological study on surgical site infections in Rangpur Medical College & Hospital.
Methods: This cross-sectional observational study was conducted in the Department of Surgery at Rangpur Medical College Hospital. 72 patients of all ages, sex who developed surgical site infection were included through purposive sampling for observation and clinical follow up and wound swab was microbiologically evaluated.
Results: Of the 72 cases, SSI developed 30.6% (22) following elective surgery and 69.4% (50) following emergency surgery. 7 cases were associated with co-morbid conditions like diabetes mellitus (2), malignancy (4) and tuberculosis (1). Most common organisms were Escherichia coli (30 /54) followed by Staphylococcous aureus (14/54), Pseudomonas (07/54) and Klebsiella (03/54).The antibiogram pattern of the organism isolated from wound swab of SSIs were analyzed with commonly used antibiotics. Resistance of Escherichia coli to Amoxycillin, Cotrimoxazole, Doxycycline and Nalidixic acid were 100%, 91.5%, 71.4% and 60.5% respectively. In case of, Staphylococcus aureus 87.5% were resistant to penicillin and Cotrimoxazole. Resistance of Pseudomonas spp. to Ciprofloxacin, Ceftazidime and Gentamicin were 31.2%. 6.3% and 50% respectively. In case of Klebsiella spp, it showed that 100% strains were resistant to Amoxycillin like Esch. coli but all strains were sensitive to both Ceftriaxon and Imipenem.
Conclusion: The study emphasizes the need for the evidence-based infection control and antibiotic prescription policies in the hospital.
J Rang Med Col. September 2022; Vol. 7, No. 2:12-19
Eating Disorders: Reviews on Update in Diagnosis and Management
Authors: Hossain Md Shakhawat , Ul Anwar Md Mahfuj , Maknunnahar - , Motin Md Abdul , Alam Md Shafiul , Hossain Jimma , Ali Md Naushad , Rana Abu Hena Md Shohel 
Published: November 2022

Eating disorders are common and frequently missed behavioral disorders associated with significant physical, mental and social morbidity and mortality. Among psychiatric illness, mortality rate of anorexia nervosa and bulimia nervosa is about 10% and 1% at 10 years of diagnosis respectively. All clinicians should ask about eating habits (such as dieting, binge-eating, and weight control behaviors etc) and weight concerns in high risk groups, even when they have no concerns about eating or weight. The DSM-5 and ICD-11 list 6 distinct eating disorders: 1) Anorexia nervosa, 2) Bulimia nervosa, 3) Binge-eating disorder (BED), 4) Avoidant/restrictive food intake disorder (ARFID), 5) Rumination disorder and 6) Pica. Since the incidence of eating disordered patients in appears to be rising, it is a time demanding issue to deliver multidisciplinary treatment for them. As eating disorders frequently involve multi-system disorders such as gastrointestinal, neurological and endocrine, early screening and assessment of patients with eating disorders is essential. Treatments for eating disorders depend on its types and focus on behavioral change, targeting normalizes the weight and eating habits. Depending on the severity of malnutrition and associated medical conditions, eating disorders may be treated with patient education , cognitive behavioral therapy (CBT), family-based treatment (FBT), specialist supportive clinical management (SSCM) and Pharmacotherapy (TCAs, MAOIs, and SSRIs).
J Rang Med Col. September 2022; Vol. 7, No. 2:63-68
Biomechanical evaluation of an allograft fixation system for ACL reconstruction
Authors: Benca Emir , van Knegsel Kenneth P. , Zderic Ivan , Caspar Jan , Strassl Andreas , Hirtler Lena , Fuchssteiner Christoph , Gueorguiev Boyko , Windhager Reinhard , Widhalm Harald , Varga Peter 
Published: November 2022

The purpose of this study was to compare the biomechanical stability, especially graft slippage of an allograft screw and a conventional interference screw for tibial implant fixation in ACL reconstruction. Twenty-four paired human proximal tibia specimens underwent ACL reconstruction, with the graft in one specimen of each pair fixed using the allograft screw and the other using the conventional interference screw. Specimens were subjected to cyclic tensile loading until failure. The two fixation methods did not show any statistical difference in load at graft slippage (p = 0.241) or estimated mean survival until slippage onset (p = 0.061). The ultimate load and the estimated mean survival until failure were higher for the interference screw (p = 0.04, and p = 0.018, respectively). Graft displacement at ultimate load reached values of up to 7.2 (interference screw) and 11.3 mm (allograft screw). The allograft screw for implant fixation in ACL reconstruction demonstrated comparable behavior in terms of graft slippage to the interference screw but underperformed in terms of ultimate load. However, the ultimate load, occurring at progressive graft slippage, may not be considered a direct indicator of clinical failure.
Accuracy and feasibility with AI-assisted OCT in retinal disorder community screening
Authors: Bai Jianhao , Wan Zhongqi , Li Ping , Chen Lei , Wang Jingcheng , Fan Yu , Chen Xinjian , Peng Qing , Gao Peng 
Published: November 2022

Objective: To evaluate the accuracy and feasibility of the auto-detection of 15 retinal disorders with artificial intelligence (AI)-assisted optical coherence tomography (OCT) in community screening.Methods: A total of 954 eyes of 477 subjects from four local communities were enrolled in this study from September to December 2021. They received OCT scans covering an area of 12 mm × 9 mm at the posterior pole retina involving the macular and optic disc, as well as other ophthalmic examinations performed using their demographic information recorded. The OCT images were analyzed using integrated software with the previously established algorithm based on the deep-learning method and trained to detect 15 kinds of retinal disorders, namely, pigment epithelial detachment (PED), posterior vitreous detachment (PVD), epiretinal membranes (ERMs), sub-retinal fluid (SRF), choroidal neovascularization (CNV), drusen, retinoschisis, cystoid macular edema (CME), exudation, macular hole (MH), retinal detachment (RD), ellipsoid zone disruption, focal choroidal excavation (FCE), choroid atrophy, and retinal hemorrhage. Meanwhile, the diagnosis was also generated from three groups of individual ophthalmologists (group of retina specialists, senior ophthalmologists, and junior ophthalmologists) and compared with those by the AI. The area under the receiver operating characteristic curve (AUC), sensitivity, and specificity were calculated, and kappa statistics were performed.Results: A total of 878 eyes were finally enrolled, with 76 excluded due to poor image quality. In the detection of 15 retinal disorders, the ROC curve comparison between AI and professors’ presented relatively large AUC (0.891–0.997), high sensitivity (87.65–100%), and high specificity (80.12–99.41%). Among the ROC curve comparisons with those by the retina specialists, AI was the closest one to the professors’ compared to senior and junior ophthalmologists (p &lt; 0.05).Conclusion: AI-assisted OCT is highly accurate, sensitive, and specific in auto-detection of 15 kinds of retinal disorders, certifying its feasibility and effectiveness in community ophthalmic screening.
Temporal trends of arrhythmias at delivery hospitalizations in the United States: Analysis from the National Inpatient Sample, 2009–2019
Authors: Thakkar Aarti , Kwapong Yaa A. , Patel Harsh , Minhas Anum S. , Vaught Arthur J. , Gavin Nicole , Zakaria Sammy , Blumenthal Roger S. , Wu Katherine C. , Chrispin Jonathan , Dani Sourbha S. , Sharma Garima 
Published: November 2022

BackgroundCardiac arrhythmias are associated with increased maternal morbidity. There are limited data on trends of arrhythmias among women hospitalized for delivery.Materials and methodsWe used the National Inpatient Sample (NIS) database to identify delivery hospitalizations for individuals aged 18–49 years between 2009 to 2019 and utilized coding data from the 9th and 10th editions of the International Classification of Diseases to identify supraventricular tachycardias (SVT), atrial fibrillation (AF), atrial flutter, ventricular tachycardia (VT), and ventricular fibrillation (VF). Arrhythmia trends were analyzed by age, race-ethnicity, hospital setting, and hospital geographic regions. Multivariable logistic regression was used to evaluate the association of demographic, clinical, and socioeconomic characteristics with arrhythmias.ResultsAmong 41,576,442 delivery hospitalizations, the most common arrhythmia was SVT (53%), followed by AF (31%) and VT (13%). The prevalence of arrhythmia among delivery hospitalizations increased between 2009 and 2019. Age &gt; 35 years and Black race were associated with a higher arrhythmia burden. Factors associated with an increased risk of arrhythmias included valvular disease (OR: 12.77; 95% C1:1.98–13.61), heart failure (OR:7.13; 95% CI: 6.49–7.83), prior myocardial infarction (OR: 5.41, 95% CI: 4.01–7.30), peripheral vascular disease (OR: 3.19, 95% CI: 2.51–4.06), hypertension (OR: 2.18; 95% CI: 2.07–2.28), and obesity (OR 1.69; 95% CI: 1.63–1.76). Delivery hospitalizations complicated by arrhythmias compared with those with no arrhythmias had a higher proportion of all-cause in-hospital mortality (0.95% vs. 0.01%), cardiogenic shock (0.48% vs. 0.00%), preeclampsia (6.96% vs. 3.58%), and preterm labor (2.95% vs. 2.41%) (all p &lt; 0.0001).ConclusionPregnant individuals with age &gt; 35 years, obesity, hypertension, valvular heart disease, or severe pulmonary disease are more likely to have an arrhythmia history or an arrhythmia during a delivery hospitalization. Delivery hospitalizations with a history of arrhythmia are more likely to be complicated by all-cause in-hospital mortality, cardiovascular, and adverse pregnancy outcomes (APOs). These data highlight the increased risk associated with pregnancies among individuals with arrhythmias.
Effectiveness and safety of Linggui Zhugan decoction for the treatment of premature contraction in patients with coronary heart disease: A systematic review and meta-analysis
Authors: Liu Longkun , Zhao Yan , Birling Yoann , Sun Yuxin , Shang Qinghua , Hu Zhong-Jing , Liu Jianping , Liu Zhaolan 
Published: November 2022

ObjectiveTo evaluate the effectiveness and safety of Linggui Zhugan decoction (LZD) as an adjunct treatment of premature contraction in patients with coronary heart disease.MethodsPubMed, Embase, Web of Science, ClinicalTrials.gov Cochrane Library, Chinese Knowledge Infrastructure, Wanfang database, Sino Med, and VIP database were searched from inception until July 2022. Two reviewers independently selected randomized controlled trials assessing the effectiveness of LZD combined with conventional antiarrhythmic drugs in treating premature contraction in patients with coronary heart disease compared to conventional antiarrhythmic drugs only. The clinical effectiveness was considered as the primary outcome, and the times of premature junctional beats in 24 h after treatment along with adverse reactions were considered secondary outcomes. The Cochrane risk of bias 2 tool was used for the risk of bias assessment. Meta-analysis was conducted using RevMan 5.4.1. and RStudio software.ResultsA total of 14 studies including 1,236 participants were included. The primary outcome indicated that, compared with antiarrhythmic drugs alone (especially β receptor blockers), the combination of LZD and conventional antiarrhythmic drugs resulted in higher clinical effectiveness (RR = 1.29, 95% CI: [1.22,1.36]) and lower number of premature junctional beats in 24 h (MD = −71.14, 95% CI: [−76.23, −66.06]) at end-of-intervention. The differences in adverse reactions (RR = 0.42, 95%CI: [0.15, 1.14], p = 0.09) were not significant. The risk of bias was marginally high among the studies. Funnel plot and Harbord’s test (t = 1.63, p = 0.1346) indicated no existence of publication bias.ConclusionThe current evidence shows that LZD can increase the effectiveness of conventional antiarrhythmic drugs for treating premature contraction in patients with coronary heart disease. However, the results should be interpreted with caution because of the high overall risk of bias. Future studies with appropriate randomization and double-blind methods are warranted to confirm these findings.Systematic review registration[https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=296628], identifier [CRD42022296628].
Optimization of intra-operative electrophysiological localization of the ligament of Marshall
Authors: Langmuur Sanne J. J. , Taverne Yannick J. H. J. , van Schie Mathijs S. , Bogers Ad J. J. C. , de Groot Natasja M. S. 
Published: November 2022

BackgroundThe ligament of Marshall (LOM) may play a role in the pathophysiology of several tachyarrhythmias and accurate electrophysiological localization of this structure is crucial for effective ablation therapy. This study therefore quantifies electrophysiological properties of the LOM, and identifies which electrogram (EGM) recording (uni- or bipolar) and processing technologies [local activation time (LAT) and/or voltage mapping] are most suitable for accurate localization of the LOM.MethodsThe LOM was electrophysiologically identified in 19 patients (mean age 66 ± 14 years; 12 male) undergoing elective cardiac surgery using intra-operative high-density epicardial mapping, to quantify and visualize EGM features during sinus rhythm.ResultsOnly a third of LOM potentials that were visualized using unipolar EGMs, were still visible in bipolar activation maps. Unipolar LOM potentials had lower voltages (P50: LOM: 1.51 (0.42–4.29) mV vs. left atrium (LA): 8.34 (1.50–17.91) mV, p &lt; 0.001), less steep slopes (P50: LOM: –0.48 (–1.96 to –0.17) V/s vs. LA: –1.24 (–2.59 to –0.21) V/s, p &lt; 0.001), and prolonged activation duration (LOM: 20 (7.5–30.5) ms vs. LA: 16.5 (6–28) ms, p = 0.008) compared to LA potentials. Likewise, bipolar LOM voltages were also smaller (P50: LOM: 1.54 (0.48–3.28) mV vs. LA: 3.12 (0.50–7.19) mV, p &lt; 0.001).ConclusionThe LOM was most accurately localized in activation and voltage maps by using unipolar EGMs with annotation of primary deflections in case of single potentials and secondary deflections in case of double or fractionated potentials.