bluuebunny/crossref_metadata_2025 huggingface dataset:
The Nanoforensic: An Advanced Perspective in Crime Investigation
Authors: Syed Khurram Hassan  , Hafiza Hadia Shehzad
Published: March 2023

Nano forensics is the advanced application of nanotechnology-based techniques to resolve cases in forensic science. Forensic science offers scientific methods in a criminal investigation. Nano-forensics deals with the development of new approaches for fingerprint visualization, DNA isolation, forensic toxicology, explosive detection, identification of body fluids, gunshot residue analysis, detection of illicit drugs, etc. The nanomaterials used in forensic science are nanocrystals, nanoparticles, quantum dots, nanobelts, nanocomposites, nanoclusters, nanotubes, nanorods, etc. The scope of nanotechnology is very wide.
The Skin Lesion Detection and Classification Using Deep Learning
Authors: Areej Fatima
Published: March 2023

Exposure to ionizing radiation (IR) can cause basal cell carcinoma (BCC) development. A skin lesion is a region that is differentiable from another skin surface which can occur because of skin damage, allergy, etc. Even though the majority of skin lesions are mild and are not that dangerous yet few of them are infectious and their severity can turn into skin cancer. In the USA, 5.4 million people are analyzed with skin cancer. The diverse types of skin lesions result in an incorrect diagnosis because of their high similarity. Skin lesions can be treated by dermatologists. The current work proposes a model for the classification of skin lesions. The proposed methodology aims to detect and classify skin lesions using potential and different deep-learning algorithms. The research focuses to achieve state-of-the-art accuracy and compare the performance of algorithms.
A IMUNIDADE PARLAMENTAR À PRISÃO SOB A PERSPECTIVA DA IGUALDADE NA CONCEPÇÃO DE BOBBIO
Authors: Bertuol Junior Altecir
Published: March 2023

O objetivo deste artigo é analisar o alcance da norma constitucional que imuniza parlamentares contra a prisão a fim de listar as situações em que legisladores podem e as em que não podem ser presos. O problema apresentado consiste no seguinte questionamento: qual é o alcance da imunidade à prisão confrontada com o direito fundamental à igualdade? No desenvolver deste escrito, a partir da compreensão de Norberto Bobbio a respeito da igualdade, busca-se realizar as seguintes verificações: se há compatibilidade entre imunidade de parlamentares à prisão e igualdade; se a imunidade alcança a prisão relacionada a fatos de natureza cível; se a imunidade abarca apenas a prisão em flagrante delito ou se inclui outras formas de encarceramento; se a imunidade se relaciona à simples ocupação do cargo público legislativo ou ao efetivo exercício da função parlamentar; em que momento deve ocorrer a prática do ato para que ele seja acobertado pela imunidade parlamentar.
A LIDERANÇA E A SERENDIPIDADE: UMA REVISÃO INTEGRATIVA
Authors: Guimarães Fernanda , Carbonera Jakeline Becker , Cunha Cristiano José Castro de Almeida
Published: March 2023

O objetivo desta pesquisa foi identificar na literatura os principais aspectos da relação entre a liderança e a serendipidade nas organizações. O estudo foi realizado por meio de uma revisão integrativa da literatura cujo o tema foi pesquisado nas bases de dados Scopus, Web of Science e Scielo. A serendipidade, que é a descoberta acidental de uma oportunidade (Cunha, Clegg & Rego, 2015), foi identificada nos estudos pesquisados de maneira associativa com a liderança, como um aspecto relevante no planejamento da gestão organizacional.
A FUNDAMENTALIDADE DO APOIO LEGAL ÀS ATIVIDADES ARQUIVÍSTICAS: O ARQUIVO PÚBLICO MUNICIPAL DE CHAPECÓ
Authors: Migliavacca Katiuscia Winckler
Published: March 2023

Tendo em vista a realidade do Arquivo Público Municipal de Chapecó – APMC, comparada a muitos outros Arquivos Públicos, em diferentes esferas, observou-se após um ano de trabalho, a necessidade e fundamentalidade de manter o apoio legal às atividades arquivísticas desenvolvidas no próprio Arquivo Público e demais órgãos vinculados à Prefeitura Municipal, sempre atualizado. No caso do APMC, o primeiro e principal ponto a ser observado foi a obsolescência da lei de criação do Arquivo, de 1993 e que até 2018 não dispôs de modificações. Haja vista os 25 (vinte e cinco) anos sem atualizações, muitos artigos da legislação antiga já não condiziam mais com a realidade do espaço. Além disso, tratava-se de uma legislação não formulada junto a um responsável técnico na área de arquivo, ou seja, junto a um Arquivista ou a um profissional da Ciência da Informação. A lei não abordava as mínimas e principais funções que um Arquivo Público deve exercer e não utilizava termos técnicos da ciência arquivística. Sendo assim, este artigo visa abordar a atualização da lei nº 3.536/1993 que teve como objetivo atender as atuais demandas do APMC, bem como atuar em paralelo às legislações arquivísticas vigentes de todo país.
Pharma 2023 Marketing the Future
Authors: pharmaceuticals Riggs
Published: March 2023

As stated in "Pharma 2023, The Vision," the pharmaceutical industry is changing drastically. Seven key trends are changing the pharmaceutical sector. This includes a growing emphasis on specialty drugs, a growing need for personalized medicine, a growing reliance on digital technologies, a growing emphasis on patient eccentricities, a growing attention on cost containment, and a growing emphasis on data-driven decision-making. One recent study estimates that, between 2005 and 2010, total actual spending on pharmaceutical advertising rose from US$15.4 billion to US$35.9 billion in the US (the only country for which expenditure on all major advertising and sales activities is available). Another study suggests that the actual figure (including conferences and e-promotion) is closer to US$65.6 billion in the same period. However, many of the industry's largest markets are now saturated with sales representatives, and its promotional strategies are becoming increasingly more effective.
Oil extraction & Gas Absorption from Waste Tyre
Authors:   Parul Institute of Applied Science, Atulbhai Patel Ravi , Harshadbhai Patel Dev , Bhatt Mr.Ritul
Published: March 2023

The article presents research on the purification process of pyrolysis gas from hydrogen sulphide and CO2 which release from waste tyre pyrolysis process. Pyrolysis, a process for treating tyres to create priceless oil, coal, and gas products, is gaining popularity, though. Chemically speaking, the tyre pyrolysis oil is quite complex and contains polar fractions as well as almon, aromatic, and heteroatoms. The fuel properties of tyre oil reveal that it is similar to gas oil or light fuel oil and that it burns successfully in ovens and test engines. The most significant gases created by the pyrolysis of used tyres are CO2, CO2, H2S, and C1-C4 hydrocarbons. revisions to the tyre the updating of higher-grade carbon coal Black and active carbon have been the emphasis of the pyrolysis products on the basis of high value products. It was also claimed that the synthesis of hydrogen from used tyres or converting oil into a chemical food source rich in aromatics involved the employment of catalysts. NaOH in concentration 0.05 M appeared to be the most efficient, showing ∼94% H2S removal efficiency under the conditions studied. To eliminate harmful gases including CO, CO2, and H2S, MDEA (tertiary amine methyl diethanolamine) scrubber gases are released.
Medical Helper Using OCR
Authors: Mukherjee Anumita , Singh Chahat , Shukla Shaleen
Published: March 2023

-In Today's Day to Day Life, more often patients may forget to take their prescribed medications on time, which may lead to delayed in their recovery from that disease. Therefore, it is very important for every patient to take right dosage of medication in right time. So our platform is based on an android application in which user can take a picture of the medicines and with the help of OCR the system will automatically print the text on the screen and save the details of the medicines, it’s dosage and it’s time. The reminder will remind the patient to take their medicine. Key Words: Medical Helper Using OCR, Android, Medicine, MS SQL 2008, Java.
IOT Based IV Bag Monitoring along with Heart Rate and Temperature Measurement
Authors: AP Hridhya , U Rajesh
Published: March 2023

During the peak hours of medical treatment especially during pandemic like Covid 19, healthcare professionals found themselves difficult to manage every patients. In such times, it is not possible for frontline workers to monitor every patient personally. IV bag is a medical technique used to deliver fluids, medications, and nutrition directly into a person’s vein. However, IV drips need to be regularly monitored and replaced and flow of the fluid also needs to be metered depending on the patient and their ailment. It uses a weight sensor to detect as the fluid level in the IV Infusion bottle goes down and transmits the data over IoT. The system measure heart rate, body temperature and weight of the IV bag. When the bottle has gone low level, it sends an alert over IoT. It makes it easier for a single individual to manage multiple patients. The weight sensor is used to measure the weight of the IV bag. The temperature sensor is used to sense the temperature and heart rate sensor is used to sense the heart rate. The current level of IV bag will be displayed on an Android app and this data is transmitted on IOT server via Wifi Module. This level is displayed on IOT server online. Key Words: Heart rate, temperature, heartbeat sensor, load cell, IV bag, Arduino-UNO
Microwave Welding of Metals and Non-metals ( Thermo-Plastics) [Joining or welding of two Materials using microwave]
Authors: Journal IJSREM
Published: March 2023

Welding is the most important manufacturing practice since the evolution of the machine age in human history since the evolution of the iron age in humankind the processing and casting of metals and nonmetals were started and with the evolution of the industrial age or with the invention of welding, the process of manufacturing the complicated design in an efficient time and easiness was possible but traditional welding processes do have disadvantages like weakening of the strength of the material to be welded in terms of structural disturbance on micro as well as a macro level of the structure of the material. The joining of the two materials especially in metals for the formation desired shape for different applications. As global trends focus towards the reduction of hazardous gases like CO2, SO2, NO2 and other environment-polluting hazardous gases, the traditional welding techniques do involve the release of hazardous gases in the environment which results in polluting the environment and ultimately resulting in threatening the life of the planet and human race. Welding is popular in all industries when it comes to joining two materials, especially in metals and other types of welding in joining non-metals. The Microwave welding of two materials (Metals) can be very effective and time-saving in the manufacturing process of various articles and in many other applications involving the joining of two metal surfaces for creating desired products. We can also weld or join nonmetals (Thermo-Plastics), the microwave welding can be effective and time-saving as compared to other types of traditional weldings.
Mushroom like EBG to improve the Gain and Broadband of Patch Antenna for Ku-Band Satellite Application
Authors: VASAVI DHARUGUPALLY , DEEPAK GUNDETI
Published: March 2023

In order to increase the gain of the patch antenna , a Mushroom-like EBG(Electromagnetic Band Gap ) structure is used . EBG structures enhance the patch antenna’s characteristics of directivity, bandwidth and efficiency . Initially, we determined frequency band gap characteristics of mushroom-like EBG unit cell value by using ANSYS software . The periodic arrangement of such mushroom-like EBG structure was not limited by any inter connecting microstrip lines . Different patches of similar configuration were arranged in a pattern to better improvement in an antenna performance . The final design shows an effective increase in Gain . The current distributions on those metal patches are nearly uniform, allowing for substantial gains throughout the working bandwidth. Keywords—EBG , mushroom-like EBG, ANSYS software ,Broadband .
Educação do campo e pedagogia da alternância: diferentes concepções e projetos em disputa
Authors: LIMA Elmo , MELO Keylla , GONÇALVES Marli
Published: March 2023

Esta obra apresenta relatos de pesquisas desenvolvidas por pesquisadores e educadores e educadoras comprometidos/as com o avanço do conhecimento na área da Educação do Campo. Os textos buscam aprofundar a discussão sobre as práticas educativas em escolas campesinas, mostrando limitações e possibilidades para a materialização da Educação do Campo.
40 anos de história: dos pés de chinelo que chegaram ao poder em Rebouças/PR
Authors: ANDRADE Juca
Published: March 2023

Esta obra apresenta os sujeitos e suas participações, contribuições e conquistas em um projeto coletivo de gestão participativa. Aqui é contada a transformação das pessoas e de um dos municípios mais pobres da região Centro-Sul do Paraná. A proposta deste livro é percorrer por meio de entrevistas, como foram as quatro décadas de poder, e deixar um testemunho para as próximas gerações.
Adaptive Reuse of Vernacular Architecture for Conservation in Indonesia: Case Study of South Nias Village, Bawömataluo Conservation Project
Authors: Atmanti Fanitra Pedi , Uekita Yasufumi
Published: March 2023

Bawömataluo village, which is located in Nias Island, Indonesia, is among the most important National Cultural Properties. The village has the highest number of surviving traditional houses in one village in Indonesia (53% left – Fanitra Pedi A., 2017, p. 64). The architecture is considered to be the finest artistic masterpiece in Indonesia. The change of agriculture type in the 20th century and vast improvement of infrastructure in the 21st century cause poverty and bring difficulties in sustaining the cultural property. Villagers modify their houses by replacing some of the building materials with the ones that are more economical in price, but this contributes to the destruction of the original structure. Most Nias villagers still want to stay in their traditional houses. But, due to the maintenance funding problem and introduction to healthy houses in the 20th century, some materials were changed into industrial materials and some parts were damaged. There is an initiative to use traditional house/omo hada as a homestay program which allows villagers to have a close contact with local and international tourists and earn more income. This research observed 30 omo hada and took two samples for a deeper space understanding. This paper tries to investigate activities in the two samples of omo hada with and without homestay activities. The investigation finds out that tawolo (communal space that is located at the front of the house) is a frequently used space which occupies 40% area of the second floor and föröma (private space that is located at the back of the house) is the least used space with 60% area of the second floor which is suitable for adaptive reuse in omo hada.
Corresponsales y Primera Guerra Carlista: primer intento sistemático por cubrir un conflicto bélico
Authors: Cristina Barreiro Gordillo , Elías Durán de Porras
Published: March 2023

En el siguiente artículo se presenta el caso de la cobertura de la Primera Guerra Carlista, en el que varios periodistas de distintas cabeceras británicas viajaron a la Península para informar de este conflicto civil.
Aspectos militares de la guerra civil de los siete años en Cataluña (1833-1840)
Authors: Manuel Santirso Rodríguez
Published: March 2023

Aunque la guerra civil carlista de 1833-1840 en Cataluña formó parte del conflicto general en España, presentó algunos rasgos propios, debidos a las particularidades políticas, administrativas y geográficas del territorio. En el bando carlista, predominó siempre la guerra de guerrillas, incluso a partir de 1837, cuando existió un territorio dominado de forma estable, así como un centro político y una jefatura militar bien definidos. Frente a ello, el bando isabelino ensayó varias estrategias contrainsurgentes, con mejor o peor resultado, pero que siempre fueron innovadoras. Los intentos finales de una paz negociada no tuvieron éxito, y la victoria isabelina se produjo por la concentración de sus fuerzas en la ofensiva final.
Las expediciones carlistas
Authors: Alfonso Bullón de Mendoza y Gómez de Valugera
Published: March 2023

Uno de los aspectos más singulares de la Primera Guerra Carlista es el envío por ejército carlista del Norte de diversas expediciones militares cuyo propósito era establecer la guerra en el interior de España. Estas columnas, que recorrieron todas las regiones de la Península, incorporaron a sus filas miles de voluntarios y ocuparon ciudades de la importancia de Córdoba o Valladolid, pero fueron incapaces de abrir nuevos frentes estables. De los 35.000 hombres que formaron parte de las mismas más de la mitad no
regresaron
jurado jerezano Alonso de Suazo (1484-1523):
Authors: Ruiz Pilares Enrique José
Published: March 2023

En el tránsito de los siglos XIII al XV se fueron fortaleciendo en Castilla las élites políticas urbanas, llegando a su consolidación en el reinado de los Reyes Católicos. Tomando como referencia la trayectoria vital de Alonso de Suazo y su marco de relaciones en la ciudad de Jerez de la Frontera, una de las más importantes de la Andalucía bajomedieval, se analizarán los mecanismos de ascenso y consolidación política de su linaje en el seno del grupo dirigente. En primer lugar, se describirán las estrategias matrimoniales, la inversión y gestión de un patrimonio urbano y rural, así como la obtención y traspaso de oficios como elementos fundamentales para reforzar la posición alcanzada. Por otro lado, se estudiarán las vías de promoción y ascenso social, como el servicio a la monarquía, en calidad de vasallo y contino regio, a la nobleza señorial, con diferentes responsabilidades castrenses, y como representante de la ciudad, ostentando el oficio de jurado. En último lugar, se analizarán los discursos políticos esgrimidos ante la sociedad política jerezana para justificar esta multiplicidad de lealtades en conflicto. Discursos asentados en marcos ideológicos de referencia en la época como el bien común o el servicio regio. Alonso de Suazo no era un caso excepcional dentro de las élites urbanas castellanas, sino, como se verá en este trabajo, un ejemplo de las complejas estrategias desarrolladas a finales de la Edad Media para encumbrarse y salvaguardar la posición alcanzada dentro del grupo dirigente.
Enseñar, deleitar y divertir
Authors: Améndolla Spínola Diego Carlo
Published: March 2023

Con base en los postulados de Johan Huizinga, Roger Caillois, Hans-Georg Gadamer y Jean-Michel Mehl, en este artículo se establecen las características y tipologías principales del juego con el objetivo de vincular dicho concepto con el modelo de caballería representado en la producción literaria cortesana escrita entre los siglos XI y XIII. En síntesis, sostenemos que la reproducción oral de las narraciones literarias puede ser comprendida como un fenómeno de divertimento, donde el narrador y el público conviven en un espacio y momento con reglas específicas, que promueve la reproducción de los valores cortesanos y caballerescos en un ambiente que se puede comprender como lúdico.
Effectiveness Difference of Pomegranate Peel Extract and Green Tea on Salivary pH
Authors:   Department of Oral Biology, Faculty of Dentistry, Prof. Dr. Moestopo (Beragama) University, Jakarta, Oktanatuli Poetry , Taher Pinka ,   Department of Oral Biology, Faculty of Dentistry, Prof. Dr. Moestopo (Beragama) University, Jakarta, Zikir Azyyati Patricia ,   Department of Oral Biology, Faculty of Dentistry, Prof. Dr. Moestopo (Beragama) University, Jakarta, Herawati Margaretha ,   Department of Oral Biology, Faculty of Dentistry, Prof. Dr. Moestopo (Beragama) University, Jakarta, Shara Dhea Adena ,   Student, Faculty of Dentistry, Prof. Dr. Moestopo (Beragama) University, Jakarta
Published: March 2023

Background: The acidic environment due to the interaction of bacteria in the oral cavity triggers the occurrence of dental caries. It is characterized by the increased of bacterial activity at critical pH (4.5-5.5). Mouthwash is used as an antibacterial, but it has unwanted side effects. Herbal mouthwash is considered as an alternative, such as pomegranate peel extract and green tea which have been tested for their effectiveness against Streptococcus mutans bacteria. Objective: To provide information on the differences in the effectiveness of pomegranate peel extract and green tea on salivary pH. Methods: This is an experimental study with a pretest-posttest control group design. Normality test using Shapiro-Wilk, and statistical test using Paired T-Test and Independent T-Test. Results: There was a significant difference in effectiveness between pomegranate peel extract and green tea on salivary pH. Conclusion: Pomegranate peel extract is able to increase salivary pH while green tea lowers salivary pH. This difference in effectiveness allows for different indications to take advantage of the two types of herbs.
AN ANALYSIS OF GST'S EFFECT ON THE FINANCIAL PERFORMANCE OF SELECTED INDIAN COMPANIES
Authors: Jain Rakesh , Gokhru Anjali
Published: March 2023

There is a wide range of opinions and responses to GST between producers, service providers, and market intermediaries. Especially in India, there is a dearth of research providing empirical support for the positive or bad consequences of GST. So, we set out to see how businesses fared a full year after implementing GST by conducting an experiment. Companies listed on the BSE were selected at random, and three were picked for further scrutiny. The financial impact of the GST was measured. The results and methodology were discussed in this study. In order to fill a void in the literature, our study shed light on how the new indirect tax regime affects the bottom lines of businesses. Findings from this research will help policymakers, strategists, and managers address the challenges posed by GST. Research shows that businesses' financial performance is not noticeably different before and after GST.
MANAGING BUSINESS CHALLENGES OF INDIAN AUTOMOBILE INDUSTRY - A COST BASED APPROACH
Authors: Dave Hardik , Kulkarni Vilas
Published: March 2023

Any organization, big or small conducts its operations with  profit being one of the main objectives to continue its existence and growth. As the Indian manufacturing industry has evolved through different stages since post-independence era, it has been by far observed that as the regular business takes over, internal and external problems plague a manufacturing unit in difference measures but they are hardly examined systematically to arrive at sustainable measures to address them. Automobile industry is found to be an apt example of Indian growth story as it is reflective of Indian customer sentiment through the years, hence  can be appreciated better. This paper studies various constraints based on problems identified through discussions with management of Indian automobile manufacturers across different function, which have been broadly explained throughout the paper. It also offers practical solutions which are suggested as outcome of these discussions while connecting dots through top management perspective.
Mentorship Programming to Enhance Physician Leadership Development
Authors: Scheinbart Lee
Published: March 2023

Physician leaders often are appointed into formal roles either by default or through a proxy. Although this may seem reasonable from a clinical perspective, if that individual lacks any formal training in administration, management, much less leadership, the results of such an appointment may be suboptimal. This article discusses a strategy for mentorship training, because it is incumbent upon administrative leaders, such as practice managers or business development directors, to support their physician dyad partners and provide them with the needed tools and resources to be successful.
Use of Botanicals in Modern Healthcare
Authors: Chen See Patrick , Baum Neil
Published: March 2023

As a result of the increase in demand for botanical products, modern healthcare providers need to become knowledgeable about these products. This article provides a brief review of the use of botanicals, what role these products may have in contemporary medicine, the importance of understanding the interactions between botanical and conventional medications, the resistance of physicians to prescribing botanicals, and the use and safety of botanical products.
How Patients Are Using Social Media: What Every Healthcare Professional Should Know
Authors: Horinek Madison , Coffin Janis
Published: March 2023

The numbers of social media platforms and users have increased rapidly in the past few years. With social media now at the forefront of our lives and accessible with the touch of a finger, patients are turning more frequently to social media with their healthcare questions and concerns instead of their provider. Healthcare professionals must understand how patients navigate social media and the risks and benefits the digital age provides. Social media can be used positively by patients to connect with others traversing difficult diagnoses, but also can pose a threat when misinformation is dispersed. Healthcare professionals need the tools to confidently affirm current trends, dispute medical misinformation, and even produce their own evidence-based content online.
HUBUNGAN ANTARA SIKLUS MENSTRUASI, LAMA MENSTRUASI, KEBIASAAN SARAPAN PAGI DAN POLA AKTIVITAS SEHARI- HARI DENGAN KEJADIAN ANEMIA PADA REMAJA PUTRI DI MA ROUDLOTUT THOLIBIN WILAYAH KERJA PKM PURWOSARI KOTA METRO
Authors: Mariam Erma
Published: March 2023

Anemia adalah suatu penurunan masa sel darah merah, atau total hemoglobin secara lebih cepat, kadar hemoglobin normal pada wanita sudah menstruasi adalah 12,0 gr/dl dan untuk wanita hamil 11,0 gr/dl. 53,7% - 56% angka kejadian anemia terjadi di Negara-negara berkembang. Di MA Roudlotut Tholibin terdapat 12,75 % remaja yang mengalami anemia. Tujuan dari penelitian ini adalah untuk mengetahui Hubungan Antara Siklus Menstruasi, Kebiasaan Sarapan Pagi, Lama Menstruasi, Dan Pola Aktivitas Sehari-Hari Dengan Kejadian Anemia pada remaja putri.

Jenis penelitian ini adalah Analitik, subjek penelitian yaitu 115 remaja putri di MA Roudlotut Tholibin tekik sempling menggunakan teknik quota sempling. pengumpulan data menggunakan kuesioner dan pemeriksaan hemoglobin dengan Hb Digital. Analisis univariat menggunakan distribusi frekuensi, dan bivariat menggunakan chi squere.

Hasil penelitian diperoleh dari 115 remaja putri terdapat 36 remaja putri (31,3 %) remaja putri dengan anemia, mayoritas, remaja putri mempunyai siklus menstruasi 21 hari yaitu 44 remaja putri (38,3%), terdapat 83 remaja putri (71,2%)  yang lama menstruasinya > 7 hari, serta mayoritas remaja putri tidak melakukan sarapan pagi yaitu sebanyak 83 remaja putri (72,1%), dan terdapat sebanyak 90 remaja putri (78,3 %) yang aktif mengikuti kegiatan ekstrakulikuler, les, dan organisasi. Dari hasil penelitian pembahasan tidak terdapat hubungan siklus menstruasi dengan anemia dengan P value (0,169) > a (0,05), terdapat hubugan antara lama menstruasi dengan anemia dengan P value (0,044) < a (0,05) dan OR 2,605, terdapat hubungan antara kebiasaan sarapan pagi dengan anemia dengan  P value (0,004) < a (0,0)5 dan OR 3,318, serta terdapat hubungan antara aktivita sehari-hari dengan anemia dengan P value (0,042) < a (0,05) dan OR 0,394.
GAMBARAN FAKTOR-FAKTOR KEJADIAN PLASENTA PREVIA DI RSUD DR. H ABDUL MOELOEK BANDAR LAMPUNG
Authors: Hidayati Nurma
Published: March 2023

Plasenta Previa adalah plasenta yang berimplantasi pada segmen bawah rahim demikian rupa sehingga menutupi seluruh atau sebagian dari ostium uteri internum (Prawirohardjo, 2010:495). Berdasarkan hasil data pra survey di RSUD Dr. H. Abul Moeloek Bandar Lampung kejadian plasnta previa tahun 2012 terdapat 144 kasus (3,9%) dari 3.673 ibu bersalin, tahun  2013 yaitu 120 kasus (3,1%) dari 3.869 ibu bersalin dan tahun 2014 yaitu 48 kasus (3,6%) dari 1.347. Penelitian ini bertujuan mengetahui gambaran faktor-faktor  plasenta previa berdasarkan (paritas, jarak kehamilan, riwayat abortus, riwayat SC dan kehamilan kembar).

Jenis penelitian yang digunakan yaitu deskriftif, populasi ibu bersalin yang mengalami plasenta previa di RSUD Dr. H. Abdul Moeloek Bandar Lampung Tahun 2015 berjumlah 54 ibu bersalin dan sampel dengan teknik total sampling. Cara ukur yang digunakan dengan dokumentasi rekam medik dengan alat ukur berupa lembar ceklis dianalisa secara univariat dengan distribusi frekuensi.

Hasil penelitian  berdasarkan gambaran faktor resiko paritas sebagian besar pada multipara (2-5) 34  (63,0 %) ibu bersalin,  jarak kehamilan < 2 tahun yaitu 28 (63,6%) ibu bersalin, riwayat abortus yaitu 30 (56,6%) ibu bersalin, tidak ada riwayat SC yaitu 37 (68,5%) ibu bersalin dan tidak hamil kembar yaitu 45 (83,3%) ibu bersalin.

Kesimpulan dari hasil penelitian di RSUD Dr. H. Abdul Moeloek Bandar Lampung Tahun 2015 ibu yang mengalami plasenta previa beradasarkan faktor paritas terbanyak yaitu multipara (2-5), faktor jarak kehamilan terbanyak yaitu jarak kehamilan <2 tahun, faktor riwayat abortus terbanyak yaitu ada riwayat abortus, faktor riwayat SC terbanyak yaitu tidak ada riwayat SC dan faktor hamil kembar terbanyak yaitu tidak hamil kembar. Oleh karena itu diharapkan bagi petugas kesehatan khususnya bidan untuk melakukan penatalaksanaan perdarahan antepartum karena plasenta previa agar diharapkan dapat menurunkan angka kematian ibu
GAMBARAN FAKTOR RESIKO KANKER SERVIKS PADA IBU YANG MELAKUKAN TEST IVA DI PUSKESMAS GANJAR AGUNG KOTA METRO
Authors: Susanti Tri
Published: March 2023

Di Indonesia kanker serviks merupakan jenis kanker paling banyak menyerang wanita usia produktif. Kanker serviks biasanya menyerang wanita berusia 35-55 tahun. Berdasarkan Profil Kesehatan Kota Metro 2014 cakupan deteksi dini kanker serviks menurut Kecamatan dan Puskesmas sebanyak 527 kasus. Cakupan deteksi dini kanker servik dengan IVA Test yaitu Ganjar Agung sebanyak 191 kasus (36,2%). Tujuan penelitian untuk mengetahui gambaran faktor resiko kanker serviks pada ibu yang melakukan test IVA di Puskesmas Ganjar Agung Kota Metro pada Tahun 2018.

Penelitian ini bersifat deskriptif, subjek penelitian yaitu  ibu yang melakukan pemeriksaan IVA test, objek penelitian adalah faktor ibu yang melakukan test IVA (usia, paritas, pekerjaan, pendidikan, merokok, penggunaan kontrasepsi, riwayat kanker keluarga, dan usia pertama kali melakukan hubungan seks). Populasi sebanyak 68 responden, teknik total sampling, pengumpulan data menggunakan cheklis.

Hasil penelitian menunjukkan bahwa usia ≥ 35 tahun yaitu 53 orang (78,0%), paritas  <3 yaitu 36 orang (53,0%), ibu yang tidak bekerja 46 orang (67,7%), pendidikan ibu dengan tingkat pendidikan dasar 25 orang (36,8%), ibu tidak merokok 60 orang (88,2%), kontrasepsi hormonal 67 orang (98,6%), tidak memiliki riwayat kanker keluarga 59 orang (86,8%), usia ibu pertama kali melakukan hubungan seks ≥ 17 tahun yaitu 68 orang (88,2%).

Kesimpulan dari penelitian ini  berdasarkan faktor resiko umur yaitu ≥ 35 tahun, paritas yaitu < 3, pekerjaan yaitu ibu yang tidak bekerja, pendidikan tingkat pendidikan dasar, ibu yang tidak merokok, ibu dengan kontrasepsi hormonal, ibu yang tidak memiliki riwayat keluarga, usia ibu yang pertama kali melakukan hubungan seks ≥ 17. Oleh karena itu diharapkan bagi petugas kesehatan untuk melakukan promosi atau penyuluhan tentang test IVA serta pendekatan kepada seluruh ibu baik PUS maupun WUS  yang mungkin memiliki faktor resiko terjadinya infeksi leher rahim
HUBUNGAN ANTARA PEKERJAAN IBU DENGAN PEMBERIAN ASI EKSKLUSIF PADA BAYI DI MASA PANDEMI
Authors: Khoiriyah Hikmatul Khoiriyah
Published: March 2023

Breast milk (ASI) is an emulsion of fat in a solution of protein, lactose and organic salts secreted by the two glands of the mother's breast, which is useful as the main food for the baby. Exclusive breastfeeding based on Government Regulation Number 33 of 2012 concerning Exclusive Breastfeeding is breast milk that is given to babies from birth for six months, without adding and/or replacing with other foods or drinks (except drugs, vitamins, and minerals) (Kemenkes RI , 2020). The purpose of this study was to determine the relationship between mother's work and exclusive breastfeeding for babies during the pandemic. The research was conducted with analytical research methods, with a cross sectional approach. The population used in this study were mothers who had babies aged 6-11 months in the working area of the Ganjar Agung Health Center for the January-May 2021 period, namely 47 mothers. The results of statistical tests using the Chi Square test showed that there was a relationship between the two variables with p value = 0.000 less than = 0.05, meaning that there was a relationship between mother's work and exclusive breastfeeding. The conclusion in this study is that the mother's occupation affects exclusive breastfeeding, working mothers have limited time with their babies so they tend not to be successful in exclusive breastfeeding.Keywords : Occupation, Exclusive Beastfeeding
HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN INFEKSI SALUARAN PERNAFASAN AKUT (ISPA)
Authors: Rahayu Ria Muji
Published: March 2023

Acute Respiratory Infection (ARI) is a major cause of infectious disease morbidity and mortality in the world. Nearly four million people die from ARI every year, 98% of which are caused by acute respiratory infections. The purpose of this study was to determine the relationship between exclusive breastfeeding and the incidence of ARI in children under five at the Yosomulyo Public Health Center, Metro Central District, Metro City in 2022. Analytical research method with a cross sectional approach. The population of toddlers aged 7-60 months who visited the Yosomulyo Health Center in May-June amounted to 80 toddlers, taking the sample using accidental sampling technique. The measuring method used is by distributing questionnaires and observations with a measuring instrument in the form of a questionnaire sheet which is analyzed univariately with frequency distribution and bivariate with chi square test. The results of the study on the distribution of the incidence of ARI among toddlers were 43 toddlers (53.75%) and 37 people did not experience ARI (46.25%), most of them did not give exclusive breastfeeding as many as 41 toddlers (51.25%) and exclusive breastfeeding as many as 39 children under five (48.75%). There is a relationship between exclusive breastfeeding and the incidence of ARI with a value of 2count of 7.155 and a value of 2table with dk = 1 of 3.841. The conclusion obtained from this study is the distribution of the incidence of ARI in under five children as many as 43 children (53.75%) and 41 infants not given exclusive breastfeeding (51.25%). There is a relationship between exclusive breastfeeding and the incidence of ARI in toddlers, so it is recommended for health workers at the Yosomulyo Health Center to increase counseling efforts to mothers, especially related to the incidence of ARI and the importance of exclusive breastfeeding for the health of toddlers.
GAMBARAN FAKTOR RESIKO PEREMPUAN YANG MENGALAMI KANKER SERVIK DI RSUD DR.H.ABDOEL MOLOEK PROVINSI LAMPUNG
Authors: Puspasari Ike Hesti , Admin Admin
Published: March 2023

Kanker servik atau sering disebut kanker mulut rahim merupakan salah satu penyakit kanker yang paling banyak ditakuti perempuan yang ditunjukan dengan adanya pertumbuhan sel yang tidaknormal sehingga mengakibatkan terjadinya gangguan pada leher rahim. Tujuan penelitian ini adalahuntuk menganalisi gambaran faktor resiko perempuan yang mengalami kanker serviks di ProvinsiLampung. Metode penelitian ini adalah deskritif dengan tehnik pengambilan sampel yaitu total sampling.Populasi penelitian ini adalah seluruh perempuan yang mengalami kanker serviks di RSUDDr.H.Abdoel Moloek berjumlah 83 orang. Hasil penelitian menunjukan bahwa dari 83 kasus kanker serviks, 46 (55,42%) diantaranya dengan paritas multipara, 33 (39,76%) grandemultipara dan 4 (4,82%) primipara, 73 (87,95%)melakukan menikah dini dan 10 (12,05%) tidak melakukan menikah dini, 59 (71,08%) memiliki satupasangan seksual dan 24 (28,92%) memiliki lebih dari satu pasangan seksual, 69 (83,14%)mempunyai riwayat penggunaan kontrasepsi hormonal dan 14 (16,86%) non hormonal. Berdasarkan hasil penelitian dapat disimpulkan bahwa faktor resiko terjadinya kanker servikyaitu Paritas, Usia Menikah, Riwayat Kontrasepsi Hormonal, Jumlah Pasangan Seksual, Merokok,PMS (Penyakit Menular Seksual), Usia, Perawatan Organ Reproduksi yang salah sangat berhubunganerat dengan perempuan yang sudah menikah. Maka dari itu disarankan bagi perempuan untukmelakukan deteksi dini kanker serviks yaitu dengan tes IVA (Inspeksi Visual dengan Asam Asetat)setiap satu tahun sekali.
HUBUNGAN PREMATURITAS DENGAN KEJADIAN ASFIKSIA PADA BAYI BARU LAHIR DI RSUD JEND. AHMAD YANI KOTA METRO TAHUN 2016
Authors: Mariam Erma , Admin Admin
Published: March 2023

Asfiksia merupakan keadaan dimana bayi baru lahir tidak dapat bernafas dengan spontan dan teratur setelah lahir. Faktor yang dapat menyebabkan asfiksia yang lebih signifikan adalah prematur.Dari data yang diperoleh di RSUD Jend. Ahmad Yani Kota Metro terdapat 102 (15%) bayi yangmengalami asfiksia dari 680 kelahiran. Tujuan penelitian adalah untuk mengetahuiadakahhubunganprematuritasdengankejadianasfiksia pada bayi baru lahir di RSUDJend. Ahmad YaniKota MetroTahun 2016. Ruang lingkup penelitian meliputi subjek yaitu seluruh bayi baru lahir,sedangkan objek yaitu hubungan prematuritas dengan kejadian asfiksia.Metode penelitian ini adalah analitik dengan pendekatan Cros sectional. Populasi dan sampelberjumlah 680 bayi dan teknik pengambilan sampel menggunakan total sampling. Alat pengambilandata menggunakan lembar checklist. Analisis data menggunakan analisis univariat dan analisisbivariat.Hasil uji statistik di peroleh p-value = 0,000 maka dapat disimpulkan bahwa ada hubunganyang signifikan antara prematur dengan kejadian asfiksia pada bayi baru lahir. Analisis keeratanhubungan diperoleh nilai OR = 12,959 artinya bayi prematur beresiko 12,959 kali lebih besar untukmengalami asfiksia. Kesimpulan yang di dapat dari penelitian ini adalah terdapat hubungan prematuritas dengankejadian asfiksia pada bayi baru lahir di RSUD Jend. Ahmad Yani Kota Metro tahun 2016. Hasilpenelitian ini diharapkan dapat menjadi bahan masukan bagi tenaga kesehatan untuk mengatasikejadian prematur, sebagai dokumen dan bahan bacaan untuk menambah wawasan, serta memotivasiguna melakukan penelitian lebih lanjut.
GAMBARAN FAKTOR IBU YANG MENGALAMI ABORTUS DI RSUD DR. H. ABDOEL MOELOEK PROVINSI LAMPUNG TAHUN 2016
Authors: Maliana Andesia , Admin Admin
Published: March 2023

Abortus adalah ancaman atau pengeluaran hasil konsepsi sebelum janin dapat hidup diluar kandungan sebagai batasan ialah usia kehamilan kurang dari 20 minggu atau berat janin kurang dari 500 gram. Abortus merupakan  masalah kesehatan karena memberikan dampak pada kesakitan dan kematian ibu.

 Cakupan data RSUD Dr. H.Abdoel Moeloek Provinsi Lampung kejadian abortus pada tahun 2014 terdapat 169 kasus (49,8%) dari 339 penyulit kehamilan, pada tahun 2015 terdapat 164 kasus (47,1%) dari 348 penyulit kehamilan, dan pada tahun 2016 terdapat 129 kasus (39,3%) dari 328 penyulit kehamilan.Abortus menjadi angka kesakitan ibu nomor 1 bagian ginecologi di RS Abdoel Moeloek Provinsi Lampung.

 Jenis penelitian ini adalah penelitian deskriptif. Populasi penelitian ini adalah Ibu yang mengalami abortus di RSUD DR. H.  Abdoel Moeloek Provinsi Lampung tahun 2016. Pengambilan sample menggunakan teknik total sampling. Jenis pengumpulan data menggunakan data sekunder dengan lembar checklist. Analisa data menggunakan analisis univariat.

 Hasil penelitian dari 129 responden, pada analisa univariat di peroleh mayoritas distribusi frekuensi terdapat usia ibu yang beresiko sebanyak 57 orang ( 44,2 %), dan tidak beresiko sebanyak 72 orang ( 55,8 % ).

 Simpulan dari penelitian ini adalah sebagian besar ibu yang mengalami abostus di RSUD DR. H Abdoel Moeloek Provinsi Lampung tahun 2016 sebagian besar berusia tidak beresiko. Tempat penelitian sudah memberikan pelayanan.
GAMBARAN KUALITAS PELAYANAN ANTENATAL DI WILAYAH KERJA PUSKESMAS SUMBER SARI BANTUL KOTA METRO TAHUN 2016
Authors: Gapmelezy Ezzy , Admin Admin
Published: March 2023

Di negara miskin, sekitar 25-50% kematian wanita usia subur disebabkan hal berkaitan dengankehamilan. Data di Dinas Kesehatan Kota Metro pada tahun 2016 Cakupan kunjungan ibu hamil K4tertinggi di Ganjar Agung dan Mulyojati yaitu (100%), terendah di Karang Rejo yaitu (97,6%), danSumber Sari Bantul berada di urutan ke tujuh yaitu (99,1%). Tujuan dari penelitian ini untukmengetahuigambaran kualitas pelayanan antenatal di wilayah kerja Puskesmas Sumbersari Bantul Kota Metro Tahun2016.Metode penelitian yaitu Deskriptif. Populasi pada penelitian ini adalah ibu hamil diwilayah kerjaPuskesmas Sumbersari Bantul Kota Metro Tahun 2016 dan sampel berjumlah 180 ibu hamil. Cara ukuryang digunakan buku KIA, alat ukur berupa lembar checklist kemudian dianalisa secara univariat dengandistribusi frekuensi.Hasil didapatkan bahwa kunjungan antenatal K4 sesuai standar 121 ibu (67,22%), penimbanganberat badan sebanyak 180 ibu (100%) pengukuran tinggi badan sebanyak 148 ibu (82,22%), pengukurantekanan darah sebanyak 180 ibu (100%), Pengukuran LiILA sebanyak 159 ibu (88,33%), PengukuranTFU sebanyak180 ibu (100%), skrining TT sebanyak 119 ibu (66,11%), Pemberian tablet Fe diberikan 90tablet sebanyak 101 ibu (56,11%), pemeriksaan presentasi janin sebanyak 180 ibu (100%), pemeriksaanDJJ sebanyak 178 ibu (98,89%), Pelaksanaan temu wicara sebanyak 180 ibu (100%), Pelayanan teslaboratorium rutin yang tidak lengkap sebanyak 143 ibu (79,44%), laboratorium khusus (HbsAg) tidakdilakukan sebanyak 115 ibu (63,89%) Tatalaksana kasus dengan kondisi tidak berisiko sebanyak 124 ibu(68,89%).Kesimpulan penelitian kualitas pelayanan antenatal diwilayah kerja Puskesmas Sumbersari Bantulkota Metro tahun 2016 menunjukkan bahwa sebagian besar ibu hamil melakukan ANC sesuai standar,dilakukan penimbangan BB, pengukuran TB, LiLA, TFU, skrining TT, diberikan tablet Fe <90 tablet,dilakukan pemeriksaan leopold, DJJ, temu wicara, tes laboratorium rutin tidak lengkap, HbsAg tidakdilakukan, tatalaksana kasus tidak beresiko. Sehingga disarankan untuk dapat meningkatkan sertamempertahankan kualitas pelayanan antenatal, dengan mengerahkan ibu hamil untuk melakukankunjungan antenatal sesuai dengan standar minimal yaitu 4 kali selama kehamilan ditempat pelayanankesehatan, serta mengerahkan petugas kesehatan terutama bidan dalam memberikan pelayanan sesuaidengan standar pelayanan yang memenuhi komponen 10T pada setiap kunjungan ibu hamil
PERBEDAAN KENAIKAN BERAT BADAN PADA AKSEPTOR KB SUNTIK KOMBINASI DENGAN SUNTIK DMPA DI BPS Y. SRI SUYANTININGSIH KULON PROGO
Authors: Setyoningsih Fitri Yuliastuti , Admin Admin
Published: March 2023

Perbedaan kenaikan berat badan pada akseptor KB suntik kombinasi dengan suntik DMPAdi BPS Y. Sri Suyatiningsih Kulon Progo. Kontrasepsi hormonal seperti suntik memiliki daya kerjayang lama, namun setiap metode kontrasepsi tentu mempunyai efek samping. Dengan timbulnyaefek samping dari pemakaian kontrasepsi menyebabkan akseptor menghentikan atau ganti dengankontrasepsi lain. Penambahan berat badan merupakan salah satu efek samping yang seringdikeluhkan oleh akseptor suntik.Dari hasil pre survei terhadap 40 akseptor KB didapatkan hasil untuk akseptor KB suntikkombinasi 60% mengalami kenaikan berat badan dan KB suntik DMPA 80% mengalami kenaikanberat badan. Tujuan dalam penelitian ini adalah untuk mengetahui perbedaan kenaikan berat badanpada akseptor suntik kombinasi dan suntik. Jenis penelitian ini menggunakan analitik observasionaldengan pendekatan cross sectional.Populasi dalam penelitian ini adalah semua ibu peserta KB suntik yang pemakaiannya lebihdari dua belas bulan pada tahun 2010 sebanyak 285 akseptor KB suntik. Sampel dalam penelitianini sebanyak 84 responden, teknik sampling yang digunakan adalah simple random sampling. Alatpengumpulan data dengan menggunakan rekam medik akseptor KB suntik. Analisa datamenggunakan analisa univariat dan bivariat. Pengolahan data dengan menggunakan uji independentt testyang sebelumnya diuji normalitasnya data menggunakan uji one sampel kolmogorov-smirnov.Hasil penelitian rata-rata kenaikan berat badan pada akseptor suntik kombinasi sebesar2,8690 kg dan Rata-rata kenaikan berat badan pada akseptor suntik DMPA sebesar 4,5833 kg. Adaperbedaan signfikan antara kenaikan berat badan pada akseptor suntik kombinasi dan suntik DMPAdi BPS Y. Sri Suyantiningsih tahun 2010 yang dibuktikan oleh hasil Uji T test Independent Sampledengan t-hitung = -5,395 dengan sig. = 0,001.Dengan penelitian ini diharapkan dapat bermanfaat bagi tenaga kesehatan agar memberikanpenjelasan mengenai perbedaan kenaikan berat badan bagi pengguna KB suntik kombinasi danDMPA agar calon akseptor memilih KB suntik dengan didasarkan pada kesadaran mengenai efeksamping KB suntik berkaitan dengan kenaikan berat badan.
HUBUNGAN USIA, PARITAS DAN KEHAMILAN GANDA DENGAN KEJADIAN BAYI BERAT LAHIR RENDAH DI RSUD ABDUL MOELOEK PROVINSI LAMPUNG
Authors: Khoiriyah Hikmatul , Admin Admin
Published: March 2023

Angka kematian bayi merupakan indikator yang menentukan derajat kesehatan. Kematianneonatal memberikan kontribusi terhadap 59% dari kematian seluruh bayi di Indonesia. DataRiskesdas tahun 2013 menunjukkan angka kejadian BBLR sebanyak 10,2%. Di RSUD AbdulMoeloek, BBLR menjadi penyebab kematian neonatal nomor tiga setelah sepsis dan RDS. Angkakejadian BBLR di RSUD Abdul Moeloek meningkat dari tahun 2015 yaitu 13,9% meningkatmenjadi 27,3% pada tahun 2016. Tujuan penelitian ini adalah diketahui hubungan usia, paritas dankehamilan ganda dengan kejadian BBLR di RSUD Abdul Moeloek tahun 2017.Jenis penelitian ini adalah analitik dengan pendekatan croos sectional. Populasi dalampenelitian ini yaitu seluruh ibu bersalin di RSUD Abdul Moeloek tahun 2017 yang berjumlah 1401orang, dengan teknik pengambilan sampel menggunakan stratified random sampling, yaituberjumlah 589 responden. Analisa data menggunakan analisa univariat dengan distribusi frekuensidan bivariat dengan rumus chi square. Alat ukur berupa rekam medis dan cara ukur menggunakanlembar checklist.Hasil penelitian ini menunjukkan bahwa sebagian besar ibu melahirkan tidak BBLR yaitusebanyak 72,7%, sebagian besar ibu berusia tidak beresiko yaitu sebanyak 73,7%, paritas terbanyakmultipara yaitu 63%, dan sebagian besar ibu tidak hamil ganda sebanyak 93,0%. Tidak terdapathubungan antara usia ibu dengan kejadian BBLR dengan p-value 0,654 > 0,05, tidak terdapathubungan antara paritas ibu dengan kejadian BBLR dengan p-value 0,628 > 0,05, dan terdapathubungan antara kehamilan ganda dengan kejadian BBLR dengan p-value 0,000 < 0,05.Kesimpulan penelitian ini menunjukkan bahwa tidak terdapat hubungan antara usia dengankejadian BBLR, tidak terdapat hubungan paritas dengan kejadian BBLR, dan terdapat hubunganantara kehamilan ganda dengan kejadian BBLR. Oleh karena itu disarankan kepada ibu hamil untukmelakukan ANC yang teratur sehingga petugas kesehatan dapat melakukan deteksi dini danpemantauan penambahan berat badan ibu untuk mencegah BBLR.