bluuebunny/crossref_metadata_2025_split huggingface dataset:
Disposable Diaper Impact The Toddler’s Toilet Training Readiness
Authors: Arief Yuni Sufyanti , Qur'aniati Nuzul , Hidayati Wahyuning 
Published: July 2022

Introduction : Toilet training is an important developmental milestone in every child’s life. The children who wear cloth diapers than disposable diaper are out of diaper 12 months earlier because they can feel the wetness when they urinate. Kinds of underwear may facilitate the development of toileting skill. The objective of this study was to learn differentiation about toilet training practised between the toddler who ever wear disposable diaper and the toddler who never wear disposable diaper.Methods : This study used case control design. Population was consist of 45 toddler in 24-36 month old. The samples were 34 respondents, 21 toddler as 1st group who ever wear disposable diaper and 13 toddler as 2nd group who never one, taken according to inclusion criteria. The independent variables were wear disposable diaper and never one. The dependent variable was toilet training practised such as the toileting skill of toddler, method of toilet training by the parent, toddler readiness to start toilet training and the parents and environment readiness to start toilet training for toddler. Data were taken by using questionnaire and analysed using Mann Whitney test with significance level of α<0.05.Results : The result showed that there was no differentiation about the toileting skill of toddler (p=0.631), method of toilet training (p=0.249), and the parents and environment readiness to start toilet training (p=0.207) between the groups. There was differentiation about the toddler readiness to start toilet training between the groups with significance level p=0.000.Conclusion : It can be concluded that there are no differentiation about the toilet training practiced beetwen the groups. Discussion : Disposable diaper has influences in the toddler readiness to start toilet training. It has no influences in the toileting skill of toddler, method of toilet training by the parent, and the parents and environment readiness to start toilet training.
Motoric Stimulation Related to Fine Motoric Development on Child
Authors: Triharini Mira , Pradanie Retnayu , Sari Dwiyanti Permata 
Published: July 2022

Introduction: Motor developmental stimulation is an activity undertaken to stimulate the children basic skills and so they can grow and develop optimally. Children who obtain a direct stimulus will grow faster than who get less stimulus. Mother’s behavior of stimulation is very important for children, it is considering as the basic needs of children and it must be fulfilled. Providing good stimulation could optimize fine motor development in children. The purpose of this study was to analyze mother’s behavior about motor stimulation with fine motor development in toddler age 4-5 years old.Method: Design have been used in this study was cross sectional. Population were mothers and their toddler in Group A of Dharma Wanita Persatuan Driyorejo Gresik Preschool. Sample were 51 respondents recruited by using purposive sampling technique according to inclusion and exclusion criteria. The independent variable was mother’s behavior about motor stimulation whereas dependent variable was fine motor development in toddler. The data were collected using questionnaire and conducting observation on fine motor development based on Denver Development Screening Test (DDST). Data then analyzed using Spearman Rho (r) test to find relation between mother’s behaviors about stimulation motor on their toddler fine motor development.Result: Results of this study showed that there were correlations between mother’s knowledge and fine motor development in toddler (p=0.000), between mother’s attitude and fine motor development in toddler (p=0.000), and between mother’s actions and fine motor development in toddler (p=0.000).Conclusion: In sort study found that there were relation between fine motor development and mother’s behavior. Discussion: Therefore mother’s behavior needed to be improved. Further research about stimulation motor and fine motor development aspects in toddler is required.
The Role of Direct Observed Treatment in Tuberculosis Treatment Successful at Community
Authors: Nursalam Nursalam , Makhfudli Makhfudli , Rato Dominikus 
Published: July 2022

Introduction : The succeeded of the tuberculosis treatment depends on the obedience of the patient in taking the tuberculosis’s medication assisted by the direct observed treatment shortcourse (DOTS) to refrain resistancy and dropping out of the program. The aimed of this study was to analyze the correlation between DOTS’s role with the successfullness of lung’s tuberculosis treatment program at Bajawa city.Methods : A cross sectional simple random sampling design was used in this study. Population were all the Direct Observed Treatment Supervisors and patients who have had finished their treatment of tuberculosis. Sample were 43 respondents. The independent variables in this study were the role of the DOTSs, education level, family support, motivation and the DOTSs attitude. The dependent variables were the patient’s obedience in taking medication and the evaluation of the acid fast bacterias in their sputum. Data were collected by using questionnaire and observation sputum the to evaluate acid fast bacteria. Data were analyzed by using Spearman Rho with significance level with α<0.05.Results : The result showed that role of the DOTSs had significance correlation with the succeeding program of tuberculosis (r=0.023), education level had significance correlation (r=0.043), family support as the DOTS had significance correlation (r=0.021), motivation (r=0.032) and attitude (r=0.014).Conclusion: It can be concluded that the role of the DOTS has correlation with succesing tuberculosis treatment. Discussion : The role of PMO cause the succesfully of Tb treatment for the community in Bajawa City, Ngada NTT.
Individual Characteristic and Reward System Relate to Nurses’ Performance
Authors: Kusnanto Kusnanto , Guntarlin Siti , Purnihasti Endah 
Published: July 2022

Introduction : Nurses are one of the most important profession in health care system. Lack of reward systems and different of individual nurse’s characteristic will be contributed to the quality of nursing service given. This study was aimed to explain the correlation between individual characteristic and nurse reward system with nurse’s performance at RSUD Bontang.Methods : This study used cross-sectional design involved 39 respondents, taken by purposive sampling. The independent variable were individual characteristic and nurse reward system and the dependent variable was nurse’s performance. Data were collected by using questionnaires and analyzed using linier regression with level of significance α≤0,05.Results : Results showed that there were significant correlation between nurse’s performance with individual characteristic and reward system.Conclusion : It can be concluded that individual nurse’s characteristic and nurse reward system had correlation between nurse’s performance nursing care quality. Discussion : Individual characteristic factors (sex, age, education, seniority or work period) and nurse’s reward system must be considered to make judgement policy efficiency by human research. Further research must be done for identification factors who related nurse’s performance.
String Bean Juice Decreases Blood Glucose Level Patients with Diabetes Mellitus
Authors: Harmayetty Harmayetty , Krisnana Ilya , Anisa Faida 
Published: July 2022

Introduction: Type 2 diabetes mellitus is deficiency of insulin and caused by decreases of insulin receptor or bad quality of insulin. As a result, insulin hormone does not work effectively in blood glucose regulation. String bean juice contains thiamin and fiber may regulate blood glucose level. The aim of this study was to analyze the effect of string bean juice to decrease blood glucose level of patients with type 2 diabetes mellitus. Method: This study employed a quasy-experimental pre-post test control group design and purposive sampling. The population were all type 2 diabetes mellitus patients in Puskesmas Pacar Keling Surabaya. Sample were 12 patients who met inclusion criteria. The independent variable was string bean juice and dependent variable was blood glucose level. Data were analyzed by using Paired T-test with significance level of α≤ 0.05 and Independent T-test with significant level of α≤0.05. Result: The results showed that string bean juice has an effect on decreasing blood glucose between pre test and post test for blood glucose with independent T-test is p=0.003.In conclusion, string bean juice has an effect on blood glucose level in patients with type 2 diabetes mellitus.Discussion: The possible explanation for this findings is string bean juice contains two ingredients: thiamine and fiber. Thiamine helps support insulin receptors and glucose transporter in cells hence GLUT-4 could translocated to the cell membrane brought glucouse enter to the intracellular compartment, that leads to blood glucouse level well regulated. Dietary fiber reduces food transit time so slowing the glucose absorption. Therefore blood glucose level will be decreased.
Nurse’ Caring Behaviour Improve The Satisfaction of Patient’s Mother
Authors: Arief Yuni Sufyanti , Ertawati Ertawati , Laili Durrotul 
Published: July 2022

Introduction: Satisfaction of mother is the success indicator of nursing care in children ward. Most research show that nurses have a low motivation to provide on others caring behaviour. They pay more attention to curing. Thus most patient’s mother still not satisfied with the nurse care behavior. The aim of this study was to investigate correlation between nurse caring behaviour with satisfaction of patients’ mother in nursing care services.Method: A correlation study design was used in this study.There were 27 respondents who met the inclusion criteria. The independent variable was the nurse caring behavior and the dependent variable was satisfaction of patients’ mother. Data were collected by using questionnaire then analyzed by using Spearman Rank Correlation with significance level of α≤0.05. Result: The result showed that the nurse caring behaviour and the patients’ mother satisfaction had significance correlation (p=0.038). It can be concluded that nurse caring behaviour correlates to patient’s mother satisfaction in children ward. Discussion: Nurses should apply caring behavior for the patients and family to built patients’ mother satisfaction.
Satria Nusantara Breathing Exercise Improves the Senior Citizens’ Level of Fitness
Authors: Kusnanto Kusnanto , Makhfudli Makhfudli 
Published: July 2022

Introduction: Aging is a slowly losing process of the ability of tissues to regenerate and keep their normal structure and function in order to stand on from any disturbance, including infection. In older people degeneration of organs like muscles, bones, heart, blood vessels and nerve systems cause decrease in hearty. Satria nusantara gym are an alternative solution to increase hearty. The objective of this study was to examine the effect of satria nusantara gym on fitness level to old people. Method: The research use the pre eksperimental design by using approach of one group pre test post test design. Sampling technique in this research is non probability sampling by using saturated sampling. Samples taken as much 20 old people which is following satria nusantara gym. Data were analyzed using paired t- test with significance level α≤0.05. Result: The result showed that satria nusantara gym give positive effect to old people. It can be cocluded that satria nusantara gym cause increase fitness level to old people. Discussion: It’s recommended further research need more variable for representative result.
The Decrease of Anxiety in Secsio Sesaria Mother with "Sayang Bunda" Model
Authors: Setyorini Dhiana , Bahrudin Moch. 
Published: July 2022

Introduction: Mother with secsio sesaria will find an problem, both a physical and psychological problems. A psychological problem that often happen in mother with secsio sesaria is an Anxiety problem. The aimed of this study was to know the effectiveness of "SAYANG BUNDA" in reducing the anxiety of seccio caesaria mother.Method: Quasy Experimental Pretest-Postest with contol group design was used in this study. The population in this study was mother with electif sectio sesaria who pregnant examinated in Darmo Hospital, William Both Hospital, Suwandi Hospital, Bunda Hospital and Darus Syifa' Hospital of Surabaya. Total sample was 60 people divided into 30 of intervention group and 30 of control. The samples was taken by Quota sampling. The effectiveness of "SAYANG BUNDA" to decrease anxiety was analyzed by using t test (independent samples t-test).Result: The Results of homogeneity test found that between control and intervention groups were homogeneous (p ≥ 0.05). The results of this study indicate that there were signi fi cant differences on anxiety between control and intervention group (p = 0.00), the control group had an average higher anxiety than the intervention group after getting "SAYANG BUNDA". Similarly to the level of anxiety, anxiety levels decreased after getting "SAYANG BUNDA" (p = 0.018).Discussion: "SAYANG BUNDA" effective for reducing anxiety in women with secsio sesaria. The implication of this study is health education with "SAYANG BUNDA" can be applied to mothers with planned elective cesarean section at the time of antenatal education.
Modul Anticipatory Guidance Merubah Pola Asuh Orang Tua yang Otoriter dalam Stimulasi Perkembangan Anak
Authors: Hasinuddin M. , Fitriah Fitriah 
Published: July 2022

Introduction: Anticipatory guidance is a method used by nurses to help parents provide the development of behavior change towards a better understanding of their children. The purpose of this study was to analyze the provision modul of anticipatory guidance to parents and their effects on patterns of authoritarian parenting in stimulating development in kindergarten Dharmawanita Bangkalan Regency.Methods: The design in this study was experimental pre post test with control group. The population was the parents of students in Dharmawanita Bangkalan kindergarten in 2010. Respondents were 15 people in the treatment group and 15 people in control group who meet the inclusion criteria. Data collected by using a questionnaire. Data then analyzed using Wilcoxon and Mann Whitney test.Result: The result showed that the differences in upbringing the parents before and after the anticipatory guidance given p value of 0.001, whereas in the control group there was no difference with a p value of 0.083. To find out the difference of counselling terms between treatment and control groups were performed by mann whitney test with p-value (0,004) < α (0.05). Conclusion: Based on these results we can conclude that modul of anticipatory guidance has an impact on the upbringing of parents in stimulating growth in children in kindergarten Dharmawanita Bangkalan. Research on the effect of anticipatory guidance by the nurse to child development is necessary as a follow up of this research by considering the factors that in fl uence the development of the child itself.
Model Asuhan Keperawatan Terhadap Peningkatan Adaptasi Kognisi dan Biologis pada Pasien Terinveksi HIV
Authors: Nursalam Nursalam 
Published: July 2022

Introduction: PAKAR model that focused on coping strategy and social support (nurse, family and patients) lead to positive coping mechanism through the learning process. The purpose of the study was to examine the effect of PAKAR toward adaptive response on PWH infection. PNI and nursing sciences from Roy paradigm were used in this study. Method: Quasy-experimental pre-post-test non randomized control group design is used in this study. Forty (40) PWH infections in Intermediate Department Care for Infection Disease (UPIPI) Dr. Soetomo hospital in Surabaya were selected and non-randomized assignment divided into 2 groups of 20, experiment and control group. In vitro- test were used to measure biological response change: cortical, CD4, IFNγ, and Anti-HIV. Psychological, social, and spiritual response were measured and observed by using questionnaires, in depth interview and Focus Group Discussion. A Multivariate analysis was used to evaluate the data of biological response and non-parametric test: Wilcoxon and Mann Whitney were used to measure cognitive response. Result: Result showed that there were significantly differences on cognitive response between PAKAR and Standard, namely; spiritual response on be patient, social response on emotional stable, and acceptance response on anger and bargaining. In addition, biological response were significantly differences between the groups with F = 0.497 and p = 0.000. The cortical and Anti-HIV variables were the pattern contribution between the groups, with 77.5%. The increase the number of CD4 was found to be the dominance factor that was correlated toward the positive of cognitive response caused by PAKAR. Discussion: PAKAR model that focused on coping strategy and utilizing social support lead to treat cognitive response PWH infection. The model is based on nursing science theory (Roy and Hall) combined with psychoneuroimmunology paradigm that is able to induce immune response modulation, especially the increase of the number of CD4. The increase of CD4 will induce IFN-γ to help macrophage in destroying HIV.
The Increase of Self Personal Hygiene Patient with Hallusination by Nursing Methods of Partisipatif and Rewards Approach
Authors: Noor Sirajudin , Rubiyana Heny Desyi , Al-Alabij Adijani 
Published: July 2022

Introduction: The number of mental disorder has been increased dramatically and it is predicted that one out of four citizen suffered with mental disorder. The commonest problem for the patient schizophrenia with hallusination is unfullﬁll of basic needs. The objective of the study was to analyse the effect of partisipatif and reward approach on the need of basic human in term of feeding, toileting, dressing, bathing, and moving patient with halusination Sambang Lihum hospital in Banjarmasin.Methods: Design of the study was pra-experimental, static-group comparison design. Fifty ﬁve (55) sampel was recruited by purposive sampling for patient schizophrenia with halusination stabil condition and calm.The sample were divided into two goups contol and intervention group. Data were collected by check list and observation of the status of self personal care. Data were analysed by wilcoxon and Mannwhitney with signiﬁcancy level α < 0.05.Result: Result showed that methods of partisipatif and rewards effect on the self personal hygiene for the patient with hallusination, with p = 0.001.Conclusion: Partisipatif and reward methods was effective on the increase of self personal hygienne for the patient with hallusination.
The Development of Nutrition Demand Enquiry Model for Preschool-Aged Children Based on Health Promotion Model
Authors: Has Eka Mishbahatul Mar'ah , Sustini Florentina , Armini Ni Ketut Alit 
Published: July 2022

Introduction: Preschool-aged children are not able to manage their nutrition independently. They need help, especially from their mother. Mother's behavior has effect on preschool's nutritional status. The aim of this study was to develop nutrition demand enquiry model for preschool-aged children based on Health Promotion Model.Method: Design used in this research was an observational analytic with cross sectional approach that was conducted in Karangturi Village, Gresik, East Java. The population was mothers of preschool aged children listed on Integrated Health Post for Underﬁves (Posyandu Balita) along April–May 2012. Simple random sampling was used to take the sample. Sample size was 90 respondents. The independent variables were personal factors (age, motivation, and ethnicity), perceived beneﬁt, perceived barrier, perceived self-efﬁcacy, and commitment. The dependent variable was mother's behavior on nutrition of preschool children. Data were collected using questionnaire and food recall 24 hour. Data were analyzed using PLS (Partial Least Square) Regression.Result: The result showed that 1) personal factors had correlation with perceived beneﬁt, perceived barrier, and perceived self-efﬁcacy; 2) perceived beneﬁt and perceived barrier had correlation with commitment; 3) commitment had no correlation with mother's behavior on nutrition. Perceived beneﬁt and perceived barrier had direct correlation with mother's behavior on nutrition. Discussion: It can be concluded that mother's perceived beneﬁt and perceived barrier was correlated with mother's behavior on nutrition. Nurses are key health care professionals responsible for increasing health education activities about how to manage nutrition of preschool age children. So, mother should have good behavior on preschool age children's nutrition.
15% of Talar Osteochondral Lesions Are Present Bilaterally While Only 1 in 3 Bilateral Lesions Are Bilaterally Symptomatic
Authors: Rikken Quinten G.H. , Wolsink Lisanne M.E. , Dahmen Jari , Stufkens Sjoerd A.S. , Kerkhoffs Gino M.M.J. 
Published: July 2022

Background:
The primary aim of the present study was to determine the prevalence of osteochondral lesions of the contralateral talus in patients with computed tomography (CT)-confirmed osteochondral lesions of the talus (OLT). The secondary aims were to determine if the contralateral lesions were symptomatic and to describe the demographic characteristics and radiographic presentation of patients with bilateral OLT.

Methods:
To identify patients with bilateral OLT, we utilized a cross-sectional database of consecutive patients with a CT-proven OLT who had undergone bilateral CT scanning at our hospital between January 1989 and June 2021. The primary outcome was the prevalence of bilateral OLT. Patients with bilateral OLT were grouped into a unilaterally symptomatic group and a bilaterally symptomatic group. Patient and lesion characteristics were compared between these groups as well as between the symptomatic and asymptomatic ankles in the unilaterally symptomatic group. Radiographic examination included lesion volume, location, and morphology.

Results:
Of 1,062 patients with OLT, 161 (15%) had bilateral OLT. Of the patients with bilateral OLT, 53 (33%) were bilaterally symptomatic. Patients who were bilaterally symptomatic were younger (p = 0.03) and more likely to present with a non-traumatic etiology (p < 0.01) in comparison with those who were unilaterally symptomatic. No differences were observed between the unilaterally and bilaterally symptomatic groups in terms of lesion morphology, volume, or location. In the unilaterally symptomatic group, lesion volume was significantly larger in symptomatic ankles in comparison with the contralateral, asymptomatic ankles (p < 0.01), but no significant differences were observed in terms of lesion morphology or location.

Conclusions:
In patients presenting with symptomatic OLT, the prevalence of bilateral OLT was 15%, and 1 in 3 patients with bilateral OLT were symptomatic on both sides. Larger lesion volume was associated with the presence of symptoms in patients with bilateral OLT. For patients with bilateral OLT, the treating team should be aware that younger patients and patients without a history of trauma are at a higher risk for having bilateral symptoms.

Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.