bluuebunny/crossref_metadata_2025_split huggingface dataset:
Penerapan Person-Centered Untuk Meningkatkan Kepercayaan Diri Rendah Pada Mahasiswi STKIP
Authors: Nurhayati Nurhayati 
Published: January 2022

Self Confidance yang tinggi merupakan salah satu faktor penting untuk meraih prestasi bagi mahasiswa, dengan meraih prestasi yang tinggi mahasiswa akan merasa bangga dan bahagia. Berbeda dengan mahasiswa yang memiliki self confidance yang rendah, mereka tidak akan mencoba untuk berhasil dalam apapun karena mereka berpikir akan gagal jika mereka melakukannya. Mahasiswa menilai dirinya mudah pesimis, malas dalam mengerjakan tugas yang diberikan dosen, mengumpulkan tugas tidak tepat waktu dan tidak bisa menargetkan lulus kuliah. Tujuan dalam penelitian ini adalah untuk mengetahui gambaran kepercayaan diri rendah pada mahasiswa dan mengetahui hasil person centered untuk meningkatkan kepercayaan diri mahasiswa. Metodologi yang digunakan adalah dengan pendekatan single case experiment Pada penelitian ini desain yang digunakan adalah A-B-A design, yaitu desain penelitian yang terdiri dari dua fase baseline sehingga memungkinkan untuk mengetahui hubungan sebab akibat antara variabel terikat dan variabel bebas. Pengukuran perilaku menggunakan metode pencatatan berupa interval recording dengan interval waktu 30 menit. Bahwa program intervensi ini, yang terdiri dari person centered cukup efektif dalam mengatasi kepercayaan diri rendah mahasiswa. Dengan perolehan hasil yang menunjukan adanya perubahan mean persentase percaya diri yang rendah S pada tahap baseline (A1), intervensi, dan baseline (A2). Pada tahap baseline (A1), mean persentase percaya diri rendah berkisar antara 78,7 persen sampai dengan 79,8 persen. Kemudian dilakukan intervensi psikologis dalam dalam bentuk person centered. Pada tahap intervensi, mean perilaku berkisar antara 85 persen sampai dengan 10 persen artinya mengalami penurunan. Kemudian setelah intervensi dihentikan, peneliti melakukan pengulangan baseline (A2) dan diperoleh mean persentase percaya diri rendah berada pada kisaran 21,95 persen hingga 4,05 persen dan mengalami penurunan setelah di intervensi. Dari intervensi yang dilakukan terhadap S dengan person centered terlihat bahwa terdapat perubahan yang lebih baik, yaitu berkurangnya kepercayaan diri yang rendah.
Psikosomatis Ditinjau Dari Self-Resilience yang Dimiliki Mahasiswa Semester Akhir di Universitas ‘Aisyiyah Yogyakarta
Authors: Fanira Syarli , Rohmadani Zahro Varisna 
Published: January 2022

Psikosomatis adalah suatu gejala fisiologis yang disebabkan oleh psikis. Mahasiswa tingkat akhir yang sedang mengerjakan skripsi, bagaimana mereka bisa menyelesaikan skripsi tepat pada waktunya, membutuhkan suatu ketekunan dan kekuatan dalam diri. Mahasiswa harus mampu beradaptasi dengan keadaan yang ada itu disebut self resilience. Self resilience merupakan daya tahan atau daya lenting yang dimiliki oleh setiap individu, untuk mampu bertahan dalam menghadapi permasalahan, kesulitan dan tekanan, serta mampu beradaptasi dengan keadaan menyulitkan tersebut.Penelitian ini menggunakan metode kuantitatif dengan model penelitian deskriptif korelasi. Penelitian ini menggunakan sampel sebanyak 51 responden di Universitas ‘Aisyiyah Yogyakarta. Data dikumpulkan dengan menggunakan skala likert yaitu skala psikosomatis dan self resilience. Data dianalisis menggunakan uji korelasi product moment dengan bantuan program SPSS versi 16.0, pada penelitian diperoleh hasil kecenderungan psikosomatis sebanyak 28 (54%) masuk dalam kategori cukup rendah, pada self resilience terdapat 28 (55%) masuk dalam kategori tinggi. Korelasi dari kedua variabel yaitu memperoleh 0,002 kurang dari 0,05 artinya terdapat korelasi yang signifikan, serta diperoleh koefesien korelasi sebesar -0,417**, dengan arah hubungan bersifat negatif yang diasumsikan, dimana semakin tinggi self resilience yang dimiliki individu, maka semakin rendah untuk mengalami psikosomatis, begitupun sebaliknya.
A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?
Authors: Sümer Aziz , Çelik Sebahattin , Vartanoğlu Aktokmakyan Talar , Pekşen Çağhan , Anıl Savaş Osman , Talih Tutkun , Sancak Tunahan , Kuşçu Yağmur 
Published: January 2022

Objective: Obesity is a global health epidemic with considerable co-morbidities. The increasing demand for bariatric surgery has led to the emergence of new techniques. We modified previously described Mini Gastric By-pass(MGB) technique via leaving a bridge at the most cranial 2 cm of the fundus of the human stomach to the follow-up and treatment of the remnant stomach and duodenum. We would like to entitle this new technique as Bridged MGB and aimed to apply on rabbits as an experimental study.
Material and Methods: The study was performed in the experimental animal laboratory of university after ethical approval was taken from the local ethics committee. Described new technique was applied to 2.1 and 3.2 kg 2 New Zealand rabbits.
Results: As a result of the operations, one of the rabbits died on the day of the operation; the other rabbit was exitus postoperatively on the third day. In autopsies, although no problem was detected at the anastomoses, necrosis was detected in the large curvature of both rabbits.
Conclusion: Rabbit, one of the popular experimental animals, has been shown to be different from the human gastrointestinal system in both arterial and topographic aspects and it has been emphasized that it varies according to the species and even the diet and the climate. We believe that our study failed as a result of these differences and that animals more similar to humans should be used in gastrointestinal experimental studies.
Lessons learned from blunt trauma abdomen: Surgical experience in level I trauma centre
Authors: Singh Amit , Prasad Ganpat , Mishra Prabhakar , Vishkarma Kuldeep , Shamim Rafat 
Published: January 2022

Objective: The number of accident cases is increasing day by day, so as the challenges. With an emphasis on trauma care, the government started a 120 bedded level I trauma centre in northern India catering to a population of 2.8 million in June 2018. Through this article, we aimed to share our experience of blunt abdominal trauma management from a new level I trauma centre.
Material and Methods: In this retrospective observational study, historical analysis of all available records from July 2018 to March 2020 was done. Inclusion criteria included blunt trauma abdomen with or without associated injuries. Data regarding age, sex, mechanism of injury, time taken to reach the hospital, the pattern of solid organs and hollow viscus injuries, associated extra abdominal injuries, mode of treatment, complications, length of ICU and hospital stay, and mortality were reviewed.
Results: Overall, 154 cases sustained abdominal injuries during the study period. Seventy-five percent were male. The most common cause of blunt trauma abdomen was road traffic crashes. Operative management was required in 57 (37.01%) cases while 97(62.98%) were managed non-operatively (NOM). Mean ICU stay was 05.73 days, while the average hospital stay was 12 days (range 10-60 days). Procedures performed included splenectomy, liver repair, primary closure of bowel injury, and stoma formation. Complications occured in 16.88% cases and the overall mortality rate was 11.68%.
Conclusion: The study revealed that among 154 cases of fatal blunt abdominal trauma, road traffic crash was the most common cause of blunt abdominal trauma, predominantly affecting males. The visceral and peritoneal injury frequently perceived was liver in 40 cases (25.9%), spleen 66 (43%), intestine 21(13.6%) and kidney 13 cases (09%). Abdominal injury was associated with other injuries like head, chest and extremity injuries in 52.5% cases. Duration of injury, presence of associated injury and preoperative ventilation requirement were independent predictors of mortality apart from contributary factors such as clinical presentation, organ involved and presence of complications.
Is there an increasing trend of risk-reducing prophylactic mastectomy procedure in preventing breast cancer among women?
Authors: Arslan Bilal , Tazeoğlu Deniz , Dağ Ahmet , Berkeşoğlu Mustafa , Ayça Özdemir Asena 
Published: January 2022

Objective: Prophylactic contralateral/bilateral mastectomy (PCM/PBM), as a risk-reducing mastectomy procedure, has a few evidence-based indica- tions; however, there is an increasing trend in the total number of operations globally. Worldwide famous actress Angelina Jolie was detected to have BRCA-1 mutation and underwent a prophylactic bilateral mastectomy in 2013. The procedure was perceived as ‘lifesaving’ worldwide, which eventually led to a significant increase in BRCA gene mutation analysis and PCM/PBM. In this study, it was aimed to evaluate our risk-reducing PCM/PBM results.
Material and Methods: Twenty-seven patients underwent risk-reducing PCM/PBM between 2010-2018, but only 22 patients were included into the study. A retrospective analysis was carried out on demographics, family history, preoperative diagnoses, pathological findings, mastectomy details, reconstructive procedures, neoadjuvant chemotherapy, BRCA analysis, educational status, and mastectomy indications.
Results: Surgical indications or major reasons for surgery were as follows: BRCA-1 mutation (n= 5), BRCA-2 mutation (n= 3), malignant-like areas in magnetic resonance imaging (n= 2), lobular carcinoma in situ (n= 3) and intense anxiety (n= 9). Eighteen patients (82%) underwent an additional re- constructive procedure via implantation or autologous tissue and four patients (18%) underwent mastectomy only. PCM/PBM by years was as: 2010 (n= 1), 2011 (n= 0), 2012 (n= 1), 2013 (n= 2), 2014 (n= 1), 2015 (n= 2), 2016 (n= 3), 2017 (n= 4), 2018 (n= 8), which represents the recently increasing trend.
Conclusion: Risk-reducing PCM/PBM was performed in 59.1% of the patients (n= 13) for a significant medical reason, whereas for distress about a relapse or a new disease on the contralateral breast on the remaining 40.9% of the patients (n= 9). Evidence in the literature shows that risk-reducing mastectomy does not affect survival, although it lowers breast cancer incidence. Close surveillance, cancer screening, and chemoprevention methods should have priority.
The comparison of short-term results of marsupialization method in operated patients with acute pilonidal abscess and chronic pilonidal sinus
Authors: Öztürk Alaattin 
Published: January 2022

Objective: This study aimed to compare the short term results of the marsupialization method for the treatment of patients with acute pilonidal abscess and chronic pilonidal sinus disease treated in single step and to investigate the feasibility of final pilonidal sinus treatment in single step in patients with pilonidal abscess.
Material and Methods: A total of 58 patients who were operated on using the marsupialization method were included in this study. Patients with acute pilonidal abscess were included in Group 1 (23 patients) and those with chronic pilonidal sinus disease were included in Group 2 (35 patients). Pilonidal sinus was excised as a whole by a vertical elliptic incision, with some surrounding intact tissue. After excision, the wound edges were sutured to the postsacral fascia. Daily dressings were performed by relatives at home. The patients were instructed to visit the hospital for follow-up 1-2 times a week. Student’s t-test was used to compare the parameters between the groups.
Results: The mean wound length was 73.4 and 61.7 mm in Group 1 and Group 2, respectively. The mean duration of wound closure was 59.3 and 54.1 days in Group 1 and Group 2, respectively. There was no significant difference between the groups in terms of age, operation time, hospital stay, and duration of wound closure; however, wound length was significantly shorter in Group 2 than in Group 1.
Conclusion: The definitive treatment of acute pilonidal abscess can be achieved in single step by using marsupialization method as well as in patients with chronic pilonidal disease.
The management of xanthogranulomatous cholecystitis
Authors: Şimşek Gürcan , Şahin Alpaslan , Hakan Metin Şükrü , Eşref Ulutaş Mehmet , Arslan Kemal 
Published: January 2022

Objective: Xanthogranulomatous cholecystitis (XGC) is a rare variant of chronic cholecystitis. This rare pathology is characterized by severe and progressive fibrosis of the gallbladder wall as well as infiltration of fat-laden macrophages.
Material and Methods: The final pathology report of 8213 cholecystectomies performed between 2011 and 2019 was evaluated retrospectively, and patients whose pathology result was reported as XGC were included in the study. Patients’ demographic characteristics, pathology results, and surgical methods were evaluated. Logistic regression analysis was performed for risk factors on conversion to open cholecystectomy.
Results: The rate of XGC among cholecystectomies was 0.91%. Mean age of the patients was 57.32 years. Laparoscopic cholecystectomy was applied to 92% (n: 69) of the patients. None of the patients had cancer suspicion in the preoperative period, but cancer suspicion was found in 10.6% of the patients during the operation. With the frozen test, unnecessary surgeries were prevented in these patients. Conversion rate to open cholecystectomy was found to be 26.09%. The most common reason for conversion to open cholecystectomy (66.7%) was intense fibrosis. Increased gallbladder wall thickness and acute cholecystitis were found to be statistically significant risk factors in ultrasonography (p< 0.05). Total complication rate in XGC cases was 3.9%.
Conclusion: XGC is an extremely rare disease and is difficult to diagnose before cholecystectomy. Especially in preoperative USG, in cases with no suspicion of malignancy, but with suspected malignancy during the operation, histopathological examination with frozen method before extensive surgery may prevent unnecessary dissection and related morbidities.
Impact of curative parathyroidectomy on left ventricular functions assessed with 2D ECHO and MUGA study
Authors: Abuji Kishore , Dahiya Divya , Sood Ashwani , Parmar Madan , Kumar Bhadada Sanjay , Vijayvergiya Rajesh , Behera Arunanshu 
Published: January 2022

Objective: Primary hyperparathyroidism (PHPT) is associated with increased cardiovascular morbidity and mortality with inconsistent results on the reversibility of cardiovascular changes after parathyroidectomy (PTx). The present study was undertaken to evaluate both structural and functional cardiac changes and their reversal after PTx in patients with PHPT.
Material and Methods: Thirty patients of symptomatic PHPT without cardiovascular risk factors were evaluated prospectively by means of 2D echocar- diography (ECHO) and Multigated Acquisition (MUGA) study before surgery and six months after curative parahyroidectomy.
Results: Nine of 30 patients had hypertension which improved in two after PTx (p 0.20). Two patients had left ventricle hypertrophy on 2D ECHO pre- operatively which improved after PTx (p< 0.001). Left ventricular ejection fraction (LVEF) did not show significant change before and after PTx on 2D ECHO. Nine out of 30 patients had hypertension which improved in two after PTx (p 0.20). Two patients with left ventricle hypertrophy on 2D ECHO preoperatively improved after PTx (p< 0.001). Left ventricular ejection fraction (EF) did not depict significant change before and after PTx on 2D ECHO. Whereas, four out of six patients with preoperative EF <50% representing systolic dysfunction on MUGA study showed improvement after PTx. On 2D ECHO, eight patients depicted diastolic dysfunction which improved in six patients after curative surgery (p= 0.07). However, on MUGA study, 13 pa- tients presented with tTPF >180 ms indicating diastolic dysfunction, of which ten showed improvement after PTx (p= 0.007).
Conclusion: The present study analyzed preoperative and postoperative cardiac function using both 2D ECHO and MUGA study. MUGA study provided a more objective assessment of the cardiac function by determining left ventricular ejection fraction and diastolic dysfunction.
An indirect effect of COVID-19 pandemic: Increased pediatric perforated appendicitis rate due to delayed admission
Authors: Ergün Ergun , Sözduyar Sümeyye , Gurbanova Aynur , Serttürk Fırat , Çiftçi Ergin , Özdemir Halil , Arga Gül , Kübra Konca Hatice , Çınar Güle , Akdemir Kalkan İrem , Gülten Ezgi , Selvi Can Özlem , Şen Akova Birsel , Suat Fitöz Ömer , Vatansever Göksel , Tekin Deniz , Göllü Gülnur , Bingöl-Koloğlu Meltem , Yağmurlu Aydın , Çakmak Murat , Ateş Ufuk 
Published: January 2022

Objective: Appendicitis is a common surgical emergency among children. The coronavirus pandemic affected the system of hospitals more than any other field, and great amount of people were concerned about visiting the hospitals for any reason. In this study, it was aimed to evaluate the profile of appendicitis by emphasizing perforated and acute appendicitis in the pandemic period and to compare the rates with previous three years.
Material and Methods: Charts of the children who underwent laparoscopic appendectomy due to appendicitis between March 11-September 30 between 2017-2020 were retrospectively analyzed in terms of demographic data, duration of symptoms, duration between hospital admission and surgery, radiologic imaging and perioperative outcomes.
Results: This study includes 467 children who underwent laparoscopic appendectomy. There were 97 procedures in 2020, 111 in 2019, 146 in 2018 and 113 in 2017. Multiple comparison tests revealed that age did not show difference; but onset of symptoms in admission (p= 0.004), hospitalization time before surgery (p< 0.001), total hospitalization time (< 0.001) showed statistically significant difference between years. Pairwise comparisons showed that these parameters were increased in 2020 compared to other years. Perforated appendicitis rate was significantly increased in 2020 when compared to previous years.
Conclusion: Although there is no direct relation between appendicitis and COVID-19 infection in the current knowledge, perforated appendicitis was found to be increased in children during the COVID pandemic. Reason of the higher rate of perforated appendicitis may be multifactorial; however, the pandemic appears to have a role in increased morbidity in children with appendicitis indirectly due to delay of hospital admissions.
Esophageal perforation: diagnosis, management and decision-making – a retrospective tertiary centre study
Authors: El-Sourani Nader 
Published: January 2022

Objective: Perforation of the esophagus is an extremely rare but life-threatening emergency associated with a high morbidity and mortality. Therefore, time-management is of utmost importance and it is crucial to have an algorithm for diagnostic methods and the subsequent decision-making process.
Material and Methods: All patients who were diagnosed with an esophageal perforation between 2010 and 2020 at our university hospital were ret- rospectively analysed. In addition to patient demographics, the diagnostic method, treatment strategy, defect size and location, etiology and mortality were recorded.
Results: A total of 27 patients were identified with an esophageal perforation. All patients were diagnosed through a computed tomography initiat- ing the treatment algorithm 18 patients underwent conservative/endoscopic treatment, while 9 patients received primary surgery for event-related complications. The overall mortality rate was 25.9%, 11.1% within the endoscopic group and 55% within the surgical group.
Conclusion: A timely diagnosis in cases of an esophageal perforation is of utmost importance. Therefore, every patient should undergo an emergency computed tomography (CT) with oral and intravenous contrast followed by an upper endoscopy if event-related complications are ruled out in the CT.
Pediatric renal transplantation; 10 years experience
Authors: Okut Gökalp , Mert Doğan Güleç , Murat Doğan Sait 
Published: January 2022

Objective: Although renal transplantation (RT) is the first treatment option for children with end-stage renal failure, the number of transplanted chil- dren remains low compared to adults. Experience of the individual pediatric transplant center is very important in the prognosis of pediatric transplant recipients. In this study, our pediatric RT experience was presented.
Material and Methods: We retrospectively analyzed the data of 27 patients who had RT in our clinic between April 2009 and April 2019.
Results: Fifteen of the patients were males, and mean age of all patients was 12.36 ± 4.18 years (range 4-17 years). The most frequent etiology for end- stage renal disease (ESRD) was vesicourethral reflux. Eighteen (66.7%) of the transplanted kidneys came from cadaveric donors and 9 (33.3%) from live donors. One patient had preemptive RT and one patient had a re-RT. Twenty-two patients were on peritoneal dialysis program and four patients were on hemodialysis program. Mean dialysis time before transplantation was 29 (3-104) months. Bleeding was the most common surgical complication. Delayed graft function developed in four patients, and all of their grafts were from cadaveric donors. Rejection developed in 12 of our patients, graft loss was observed in only four of them. Considering all patients, graft survival rates were 100% in the 1st and 3rd years, and 92% in the 5th year.
Conclusion: Pediatric RT program is difficult to establish, maintain and develop. Complications after transplantation are not uncommon; therefore, early detection and appropriate management are needed. Strategies are still needed to increase post-transplant success.
Extreme living donation: A single center simultaneous and sequential living liver-kidney donor experience with long-term outcomes under literature review
Authors: Yankol Yücel , Karataş Cihan , Kanmaz Turan , Koçak Burak , Kalayoğlu Münci , Acarlı Koray 
Published: January 2022

Objective: Living liver and kidney donor surgeries are major surgical procedures applied to healthy people with mortality and morbidity risks not providing any direct therapeutic advantage to the donor. In this study, we aimed to share our simultaneous and sequential living liver-kidney donor experience under literature review in this worldwide rare practice.
Material and Methods: Between January 2007 and February 2018, a total of 1109 living donor nephrectomies and 867 living liver donor hepatectomies were performed with no mortality to living-related donors. Eight donors who were simultaneous or sequential living liver-kidney donors in this time period were retrospectively reviewed and presented with their minimum 2- year follow-up.
Results: Of the 8 donors, 3 of them were simultaneous and 5 of them were sequential liver-kidney donation. All of them were close relatives. Mean age was 39 (26-61) years and mean BMI was 25.7 (17.7-40). In 3 donors, right lobe, in 4 donors, left lateral sector, and in 1 donor, left lobe hepatectomy were performed. Median hospital stay was 9 (7-13) days. Two donors experienced early and late postoperative complications (Grade 3b and Grade 1). No mortality and no other long-term complication occurred.
Conclusion: Expansion of the donor pool by utilizing grafts from living donors is a globally-accepted proposition since it provides safety and successful outcomes. Simultaneous or sequential liver and kidney donation from the same donor seems to be a reasonable option for combined liver-kidney transplant recipients in special circumstances with acceptable outcomes.