bluuebunny/crossref_metadata_2025 huggingface dataset:
Cinsellik Hakkında Konuşmalıyız: Sosyal Adalet Perspektifinden Cinsellik ve Sosyal Hizmet
Authors: KOLAY ÇEPNİ Şükran
Published: July 2022

Social work is a professional academic discipline and profession that contributes to increasing the welfare of the individual, family, environment and society through professional practices in micro, mezzo and macro focus. Sexuality, a fundamental human element, is a complex field in which many people experience difficulties and injustices from time to time. Social workers should not ignore these difficulties, as sexual difficulties and complexities can occupy an important place in the lives of clients and negatively affect their daily lives. Although sexuality is quite suitable to be dealt with theoretically and practically in the field of social work, various researchers criticize that the handling of sexuality issues and sexual difficulties in social work education, research and practice is not sufficient. Invisibility and silence about sexual issues in the field of social work must be destroyed. Various revisions and innovations are needed, starting with social work education and research, in order to support clients with their sexual difficulties. We should recognize sexuality as a political field rather than a personal experience and include it in social work practice. We should consider issues of sexuality in context, in the light of concepts such as sexual well-being, positive sexuality, social justice and universal sexual rights. Keywords: social work, sexuality, social justice, sexual rights.
HUBUNGAN KOMORBIDITAS TERHADAP DERAJAT KEPARAHAN ADMISI DAN OUTCOME PASIEN COVID-19
Authors:   Universitas Sanata Dharma, Putra I Made Adi Ananda , Fenty Fenty ,   Universitas Sanata Dharma
Published: July 2022

COVID-19 is a disease cause by SARS-CoV-2. One of the concerning clinical consideration is the presence of comorbid in patients. The purpose of this research is to identify the association between the comorbidities toward severity of admission and the outcome of COVID-19 patients at Bethesda Hospital Yogyakarta. The research was done observationally with a cross sectional design on 206 COVID-19 patients that was confirmed through RT-PCR at Bethesda Hospital Yogyakarta of June 2020 – June 2021 period. The comorbid data from COVID-19 patients will be analyzed in association to the severity of admission which is divided into mild, moderate, severe and critical degrees as well toward the outcome of COVID-19 patients. The data obtained were analyzed using the chi-square test with a significance level of 0.05. COVID-19 patients with comorbid were found 125 patients (60,68%). The most common comorbidities were cardiovascular disease (38,8%), followed by diabetes (31,6%), and kidney disease (12,1%). COVID-19 patients with two or more comorbidities as 59 (28.64%) and significantly have an association to the severity of admission and the outcome of the patient (p<0,001). The severity of severe (69%) and critical (89,4%) admissions was significantly higher in comorbid COVID-19 patients (p<0,001) and the mortality rate (88,6%) was significantly higher in case of comorbid COVID-19 patients (p<0,001), and COVID-19 patients who do not have comorbidities are 5,073 times more likely to be cured compared to patients who have comorbidities. There is an association between comorbidity toward severity of admission and outcome of COVID-19 patients.
KEENGGANAN WANITA USIA SUBUR (WUS) MELAKUKAN PAP SMEAR TINJAUAN TEORI HEALTH BELIEF MODEL
Authors:   Universitas Sanata Dharma, Wulandari Endaryanti , Gunadji Yohanes Aryo ,   Universitas Sanata Dharma, Rambu Angelina ,   Universitas Sanata Dharma, Melkianus Robert ,   Universitas Sanata Dharma, Gabriel Gabriel K. D M ,   Universitas Sanata Dharma, Saubaki Ivon ,   Universitas Sanata Dharma, Yudith Maria ,   Universitas Sanata Dharma, Sherly Angelina Sherly K. D ,   Universitas Sanata Dharma, Ratih I Dewa Ayu Ratih A. M ,   Universitas Sanata Dharma
Published: July 2022

Background: In Indonesia, the mortality caused by cervical cancer is relatively high because most patients seek treatment after an advanced stage. Human Papilloma Virus (HPV) infection is the main trigger of cervical cancer. Pap smear is early detection that effectively lowers the incidence and mortality rate. However, the number of Women of the Childbearing Age (WUS) who are reluctant to carry out pap smears remains high. Women's awareness regarding cervical cancer prevention is still inadequate. Research Purposes: The study aimed to explore factors related to WUS's reluctance to perform pap smears, reviewed with the Health Belief Model (HBM) theory. Method: This research is descriptive with a qualitative approach through structured interviews. Respondents were all WUS in Griya Salaman Asri Housing, Magelang, Central Java, willing to participate in this study. Interviews were conducted using an interview guide compiled based on HBM constructs. Data were analyzed with content analysis. Result: 26 respondents were interviewed. Most respondents indicated reluctance to do a pap smear (73%). Their reluctance is mainly based on perceptions of obstacles regarding the high cost of the test, less confidence because of fear, shame, and did not entirely trust the health workers. Conclusion: Intervention strategies against factors that affect reluctance to do pap smears can be done through sharing, education, consultation, and free pap smear programs.
FAKTOR YANG MENDASARI PERILAKU KEPATUHAN MAHASISWA DI YOGYAKARTA TERHADAP PROTOKOL KESEHATAN COVID-19 PENDEKATAN COM-B THEORY OF CHANGE
Authors:   Universitas Sanata Dharma, Widiyani Liana Roh , Dias Velia Andrestia ,   Universitas Sanata Dharma, Christina Clodya Gabrielle ,   Universitas Sanata Dharma, Restha I Gede Angga ,   Universitas Sanata Dharma, Devis Vania Rica Rian ,   Universitas Sanata Dharma
Published: July 2022

Background: The COVID-19 pandemic has had an impact on the world of education, that were very limited. Nowadays, with the current decline in COVID-19 cases in Yogyakarta, teaching and learning activities have started to be carried out offline. It is necessary to be aware that this teaching and learning activity risks the occurrence of clusters of the spread of the COVID-19 virus. Therefore, student compliance with health protocols is very important to be encouraged. The factors that underlie adherence to health protocols need to be studied more in order to maintain and improve student compliance. Research purpose: The research aims to study the factors that underlie student compliance in implementing health protocols. Methods: The research was conducted using a descriptive qualitative method, where the informants were University students in Yogyakarta. The interview guide is made with the framework of the Capacity, Opportunity and Motivation Behavior constructs (COM-B Theory of Change). Result: Of the 20 students interviewed, all informants showed adherence to the health protocol. The factors that underlie student compliance include physical ability, knowledge, availability of equipment, facilities and infrastructure, social support from families and those around them, support from government or campus authority’s policies and regulations, motivation in the form of awareness, intention and sense of responsibility. However, some informants stated that there were physical and social barriers in the form of difficulty using masks during strenuous activities, experiencing irritation due to the use of hand washing soap/ hand sanitizer, difficulty maintaining distance in public places, and difficulty avoiding handshakes with the closest people. Conclusion: Physical and social barriers that occur can be overcome by continuing education intervention strategies to the community and disciplinary supervision of health protocols, especially in public places.
Hubungan Kebiasaan Menggunakan Handuk Bersama, Kepadatan Hunian, Dan Ventilasi Dengan Kejadian Skabies Di Panti Asuhan
Authors: Lilia Deli , Novitry Fera
Published: August 2022

Penyakit Skabies pada umumnya menyerang individu yang hidup berkelompok seperti pada panti asuhan. Banyaknya orang yang tinggal dalam satu kamar memungkinkan penularan penyakit skabies menjadi lebih tinggi. Hal ini juga dipengaruhi oleh personal higiene  yang buruk serta sanitasi lingkungan fisik yang kurang sehat. Tujuan penelitian ini adalah untuk mengetahui hubungan  kebiasaan  penggunaan  handuk  bersama  kepadatan hunian, ventilasi dengan kejadian skabies di Panti Asuhan. Desain penelitian yang digunakan adalah desain penelitian Cross Sectional. Populasi dalam penelitian ini adalah semua yang tinggal di panti asuhan An Nur sebanyak 70 orang dengan pengambilan sampling menggunakan total sampling..Hasil uji chi square di dapatkan terdapat hubungan yang bermakna terhadap kebiasaan menggunakan handuk bersama (p value 0,005), kepadataan hunian (p value 0,000), dan ventilasi (p value 0,000) dengan kejadian skabies, Panti Asuhan An-Nur Wilayah Kerja UPTD Puskesmas Sukaraya tahun 2022. Penelitian ini diharapkan dapat meningkatkan pengetahuan  dengan cara sosialisasi guna meningkatkan kesadaran anak-anak panti asuhan untuk dapat patuh dalam hubungan personal hygiene dan sanitasi lingkugan terhadap kejadian skabies.
PENGARUH VARIASI KONSENTRASI CARBOPOL 940 TERHADAP FORMULASI DAN AKTIVITAS SEDIAAN GEL TABIR SURYA EKSTRAK ETANOL DAUN KEMANGI (Ocimum Basilicum L.)
Authors: Suhartinah Suhartinah
Published: August 2022

Latar belakang

Tabir surya adalah sedian kosmetik yang tujuan pemakaiannya untuk menyerap dan menangkal sinar ultraviolet serta menurunkan dampak radiasi uv yang berbahaya pada kulit. Daun kemangi mengandung senyawa fenolik yaitu flavonoid dan tanin dan adanya gugus kromofor maka dapat  digunakan sebagai tabir surya karena mampu menyerap sinar UV. Tujuan penelitian untuk mengetahui pengaruh variasi Carbopol 940 terhadap formulasi dan aktivitas sediaan gel tabir surya ekstrak etanol daun kemangi.

Metode Penelitian

Proses ekstraksi daun kemangi menggunakan metode maserasi etanol 96%. Formulasi sediaan gel daun kemangi dengan variabel konsentrasi carbopol 940 yang berbeda yaitu 0,5%, 1%, dan 1,5%. Sediaan gel dari setiap formula diuji mutu fisik, stabilitas, penentuan nilai SPF metode spektrofotometri UV-Vis dan pengujian eritema dengan paparan lampu exoterra UV B selama 1 hari pada hewan uji kelinci jantan (New Zealand) .

Hasil Penelitian

Sediaan gel formula 2 konsentrasi carbopol 1% memiliki mutu fisik dan stabilitas yang paling baik. Nilai Sun protection factor (SPF) ekstrak etanolik daun kemangi = 36,10 dan ketiga formula gel memiliki SPF kategori proteksi ultra yaitu Formula 1= 16,10, formula 2 = 17,78 dan formula 3 = 17,59. Hasil analisis SPSS menunjukkan adanya perbedaan yang signifikan. Hasil uji eritema pada 6 kelompok kelinci dalam waktu 24 jam tidak menyebabkan eritema pada punggung kelinci.

Kesimpulan

Ada pengaruh variasi Carbopol 940 terhadap formulasi dan aktivitas sediaan gel tabir surya ekstrak etanol daun kemangi.
Evolutionary game analysis of promoting the development of green logistics under government regulation
Authors: Dong Yu , Yang Tingting ,   School of Management, University of Science and Technology of China, Hefei 230026, China
Published: July 2022

Due to the strong negative externalities of traditional logistics, the green logistics that developed from traditional logistics has the advantages of saving resources and protecting the environment. However, in the competitive market environment, enterprises will not implement green logistics based on their own revenues and competitiveness and, instead, will choose the best choice from the actions of a series of internal and external factors. To explore the effect of various factors on the implementation of green logistics by enterprises, this study constructs a tripartite evolutionary game model of the governments, logistics enterprises, and users from the perspective of the participants in the process of logistics greening and analyzes the evolutionarily stable strategies of each participant under different situations. Netlogo software is used to simulate and analyze the initial willingness of the participants, the intensity of government subsidies and fines, and the probability that the enterprises’ speculative behaviors are founded on the system’s evolutionary paths and results. The results demonstrate that the initial willingness of the governments, logistics enterprises, and users to participate has different effects on the evolutionary results of the system. Government subsidy and fine measures significantly impact the strategic choices of enterprises and users. Compared with users, enterprises are more sensitive to government subsidies, and compared with fines, government subsidies have a greater impact on enterprises’ behavior choices. Moreover, the governments should strengthen the publicity of green logistics, formulate judgement standards and an evaluation system for green enterprise logistics, and restrain the speculative behaviors of enterprises.
PEMBERIAN RENDAM KAKI AIR HANGAT TERHADAP TEKAN DARAH PADA IBU HAMIL TRIMESTER III DENGAN HIPERTENSI : LITERATURE REVIEW
Authors: 88 Yuniza
Published: July 2022

ABSTRAK

Latar Belakang: Penyakit Hipertensi dalam kehamilan merupakan tekanan darah tinggi yang terjadi saat kehamilan berlangsung dan biasanya pada bulan terakhir kehamilan atau lebih setelah 20 minggu usia kehamilan pada wanita yang sebelumnya normotensif, tekanan darah mencapai nilai 140/90 mmHg upaya menangani penyakit tekanan darah tinggi menggunakan terapi non farmakologi disamping terapi farmakologi yaitu dengan memberikan terapi rendam kaki menggunakan air hangat kepada ibu hamil yang mengalami hipertensi. Tujuan: Untuk menganalisis artikel yang berjudul pemberian rendam kaki air hangat terhadap tekanan darah pada ibu hamil trimester III Metode Penelitian: Literature Review antara tahun 2016 sampai 2021 bahasa Indonesia dan bahasa inggris, data diperoleh dari database elektronik melalui google scholar. Hasil: Terdapat tujuh artikel yang berasal dari  dalam negeri dengan menyatakan hasil yang sama bahwa adanya penurunan tekanan darah ibu hamil yang mengalami hipertensi sesudah dilakukan pemberian rendam kaki air hangat yang mencapai rata-rata penurunan tekanan darah sistolik mencapai 13-16 mmHg dan diastolik 8-9 mmHg dan nilai p value antara 0,000-0,003<0,05. Kesimpulan: Berdasarkan kajian dari tujuh artikel diatas dapat disimpulkan Terdapat pengaruh pemberian rendam kaki air hangat terhadap tekanan darah pada ibu hamil Trimester III.

 

Kata Kunci : Ibu Hamil Trimester III , Rendam Kaki Air Hangat , Tekanan Darah.

 

 

ABSTRACT

Background: Hypertension in pregnancy is high blood pressure that occurs during pregnancy and usually in the last month of pregnancy or more after 20 weeks of gestation in women who were previously normotensive, blood pressure reaching a value of 140/90 mmHg. An effort to treat high blood pressure using non-pharmacological therapy, namely by providing foot soak therapy using warm water to pregnant women who have hypertension. Objective: To analyze the article entitled giving warm water foot soaks on blood pressure in third trimester pregnant women with hypertension. Research Methods: Literature Review between 2016-2021 Indonesian and English, data obtained from an electronic database through Google Scholar. Results: There were seven articles originating from within the country stating the same results that there was a decrease in blood pressure of pregnant women who experience hypertension after giving warm water foot soaks which achieve an average reduction in systolic blood pressure of 13-16 mmHg and diastolic 8-9 mmHg and p-value between 0.000-0.003 < 0.05 Conclusion: based on the study of the seven articles above, it can be concluded that there was an effect of giving warm water foot soaks on blood pressure in third trimester pregnant women.

Keywords:. Thrid Trimester Pregnant Women, Warm Water Foot Soak, Blood Pressure.
PENGARUH PEMASANGAN CERVICAL COLLAR TERHADAP PERTOLONGAN PERTAMA PADA PASIEN KECELAKAAN DENGAN FRAKTUR SERVIKAL : LITERATURE REVIEW
Authors: Apriyani Apriyani
Published: July 2022

Latar Belakang : Kecelakaan Lalu Lintas adalah suatu peristiwa di jalan yang sedikitnya diakibatkan oleh satu kendaraan yang menyebabkan cedera, kerusakan, dan kerugian. Fraktur merupakan salah satu kejadian yang paling sering akibat dari terjadinya kecelakaan, Fraktur servikal adalah terpisahnya kontinuitas tulang pada vertebra servikalis. Penanganan pada fraktur servikal adalah dengan cara menggunakan pemasangan servikal collar atau penyangga leher yang berfungsi membatasi gerak servikal untuk immobilisasi, mencegah komplikasi, dan mempertahankan sirkulasi dan pernapasan. Tujuan : Untuk Menganalisis artikel jurnal penelitian tentang Pengaruh Pemasangan Cervical Collar terhadap Pertolongan Pertama Pada Pasien Kecelakaan dengan Fraktur Servikal. Metode Penelitian : Review Literatur antara tahun 2015-2020. Pencarian artikel di lakukan dengan menggunakan database elektronik seperti google scholar, pubmed, dan sciencedirect untuk menjawab tujuan penulisan. Kombinasi kata kunci yang di gunakan dalam pencarian artikel adalah pemasangan cervical collar, pertolongan pertama pasien kecelakaan dengan fraktur servikal. Hasil : Berdasarkan hasil ulasan terdapat 10 artikel yang di dapatkan bahwa fenomena yang telah di jelaskan berkaitan dengan pengaruh pemasangan cervical collar terhadap pertolongan pertama pada pasien kecelakaan dengan fraktur servikal dapat membantu dalam penanganan awal yaitu immobilisasi, mencegah komplikasi dan mempertahankan jalan napas. Kesimpulan : Berdasarkan dari hasil 10 artikel ilmiah yang telah dapat di simpulkan bahwa pemasangan servikal collar dapat membantu proses immobilisasi, mencegah komplikasi dan mempertahankan jalan napas.
PENGARUH IMPLEMENTASI KEBIJAKAN PROTOKOL KESEHATAN TERHADAP PENURUNAN KEJADIAN COVID-19
Authors: Sayati Dewi -
Published: July 2022

Background : One of the challenges in handling Covid-19 is that there are people who are against government policies. Some of these people still don't believe in the Covid-19 virus, distrust the information and reality about Covid-19 that the government provides, and not complying with government policies, including the implementation of health protocols. According to data from the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU), Indonesia is in the top 20 list in the world. To be precise, it is in the 18th position, with the number of cases reaching 1,837,126 (as of June 24, 2021), and the death toll reaching 51,059 people. Methods: The research design is a descriptive quantitative survey with a cross sectional approach and the sampling technique used is accidental sampling and a sample of 71 respondents, which was then performed a chi-square statistical test, with a confidence degree of 95%. Results: The results of the statistical test show that there is a relationship between communication (p value 0.003), attitude (p value 0.001), and attitude of the implementer (p value 0.004) with a decrease in the number of cases of covid-19.
Reformulating a Market-Driven Service Strategy of Community-Based Tourist Destinations Post-Pandemic Covid-19: Evidence from Indonesia
Authors: Ginting Ginta , Janita Dewi Ike
Published: July 2022

The COVID-19 pandemic has exposed tourism villages to various challenges. Tourism villages as a form of rural tourism which are managed by local people face more serious problems due to their lack of expertise. This study aims to apply customer-driven strategies in formulating strategies to market tourism villages. Employing marketing concepts of service quality, satisfaction, and revisit intention, this research investigates the mediating role of satisfaction in the relationship between service quality and revisit intention. Tourist perceptions are further analyzed based on their demographic and psychographic characteristics to provide insights into the formulation of segmentation strategies. This research collects data from 203 people who have visited tourism villages. Data were collected offline and online using Google Forms. Results of Regression Analysis with Mediation and Bonferonni's Multiple Comparison indicated that Reliability, Empathy, and Tangibles have a positive effect on satisfaction. Further, satisfaction fully mediates the effect of Reliability and Empathy on revisit intention. Meanwhile, satisfaction partially mediates the effect of Responsiveness and Tangibles on revisit intention.
Analysis of Service Quality for BPJS Health Participants: A Case Study of a Private Hospital in Bandung
Authors: Harjo Dwikora , Prihadini Diana , Tinka Jeruth Ngonzi , Flores Mara Elaiza Augustine , Natision Alian
Published: July 2022

Hospitals as one of the health care facilities in general have a very important role in efforts to improve the health status of the Indonesian people. Increasing public awareness about health results in greater demands for improving health services. This study aims at answering the question of how the service is perceived by BPJS health participants at a private hospital in Bandung and what aspects were complained by the BPJS participants. This is a qualitative research with a case study approach. Data was collected by means of semi-structured interviews with 20 BPJS health users. The results of this study indicate that of the 14 elements of service principles, the principle of justice in obtaining services is the element that receives the most complaints. Complaints are addressed not only to service officers but also to medical personnel. Therefore, it is important for hospitals to improve the quality of service by paying attention to the elements of justice for each patient.
HIV, Hepatitis B, Hepatitis C, and Syphilis: prevalence and serodiscordance between women and their partners
Authors: Scherer Aline , Silveira Mariângela Freitas da , Nunes Bruno Pereira
Published: August 2022

Introduction: The prevention of vertical transmission of sexually transmitted diseases is the object of research by several authors, who reinforce the importance of knowing the serological status of a woman’s sexual partner. Objective: To evaluate the prevalence and serodiscordance of HIV, hepatitis B, hepatitis C, and syphilis infections among women admitted to a maternity hospital in southern Brazil and their partners. Methods: 350 women and their partners were interviewed in a service-based cross-sectional study conducted from August 16 to November 23, 2018. Results: 4.0% of the women and 4.3% of the men had one of the infections studied. Among women, 2.0% already knew they were HIV positive, 2.0% had a positive rapid test for syphilis and there was no positive result for hepatitis B or C. A total of 299 (85.4%) partners were located. Of these, 293 (98.0%) agreed to answer the study questionnaire. Of all men interviewed, 281 (95.9%) agreed to undergo an rapid test. Among men, 1.4% already knew they were HIV positive and 0.4% had chronic hepatitis B disease. There was a similar percentage of men with a positive rapid test for syphilis and hepatitis C (1.4%). Regarding couples, 6.8% had some positive test. Most of the positive test subjects were in a serodiscordant relationship (16 serodiscordant couples and 3 positive concordant couples). Conclusion: These results reinforce the importance of testing men to prevent the infection of a negative partner and the vertical transmission of sexually transmitted infections. The high acceptance, by men, to undergo an rapid test at the time of the woman’s hospitalization demonstrated the viability of this strategy in the maternity ward.
Propuesta estratégica de desarrollo turístico, caso de estudio: comunidad Huaorani Dikapare, parroquia Inés Arango, cantón Francisco de Orellana
Authors:   KILLARI SCIENCE-GIKS, Escuela Superior Politécnica de Chimborazo, Sede Orellana, El Coca 220001, Ecuador, Proaño Gabriela Lucero , Torres Erica Armijos ,   Escuela Superior Politécnica de Chimborazo, Sede Orellana, El Coca 220001, Ecuador, Toledo Villacís Marco ,   Research Group YASUNI-SDC, Escuela Superior Politécnica de Chimborazo, Sede Orellana, El Coca 220001, Ecuador
Published: July 2022

El turismo es considerado como una de las alternativas para el desarrollo local. Sin embargo, una condición para el desarrollo del turismo es que esté correctamente planificado y gestionado. El objetivo del estudio fue establecer una propuesta estratégica de desarrollo turístico en la comunidad Huaorani Dikapare. La metodología utilizada estuvo enfocada en realizar un diagnóstico situacional de la comunidad en función a levantamiento de información primaria y secundaria de la oferta y la demanda turística. También se aplicaron talleres participativos para realizar el análisis interno y externo de la actividad turística en la comunidad y finalmente de forma conjunta entre involucrados se estableció la propuesta estratégica de desarrollo del turismo comunitario. Los principales resultados indican que existen aspectos importantes en el diagnóstico situacional sobre los ámbitos físico espacial, socio cultural y económico productivo. Además, se identificaron y priorizaron nudos críticos y factores claves de éxito relevantes. Finalmente, la propuesta estratégica abarca nueve proyectos para ser ejecutados con una inversión para cinco años de $71500. En conclusión, la implementación de las estrategias propuestas debe ser por medio del trabajo conjunto entre los actores públicos, privados y comunitarios relacionados con la gestión turística del territorio.
The Relationship between the Characteristics of the Village Midwives and the Geographical Location of the Village Maternity Post (POLINDES) with the Quality of Antenatal Care Services in Southwest Sumba Regency
Authors: Ndapa Conchita Emiliana , Wardani Diadjeng Setya , Sutrisno Dan
Published: August 2022

One of the provinces that have had a rise in MMR since 2019 is East Nusa Tenggara (NTT) Province. Southwest Sumba Regency saw an upsurge in maternal mortality cases in 2019, with ten cases; in 2020, there were nine cases; and as of October 2021, there were 14 MMR mothers. Having better antenatal care is one of the crucial measures to lower MMR and IMR. In order to perform their duties in accordance with the established standard operating procedures, midwives must be as prepared as feasible. One of them is raising the bar on several aspects of service quality, such as technical proficiency, service accessibility, effectiveness, efficiency, continuity, security, convenience, information, timeliness, and interpersonal relationships. This study has a cross-sectional design and is an analytical observational study. Using inclusion and exclusion criteria, a sample of 120 respondents was selected using the cluster random sampling technique. The information was gathered through the distribution of a questionnaire about midwives' knowledge of common antenatal care (ANC) examination services and the completion of a checklist to investigate the aspects of midwifery service quality and patient comfort during ANC visits. Chi-square analysis was used to examine the data. On the traits of the village midwives, the chi-square test and correlation test findings were obtained. Knowledge was the impacting factor (p-value 0.000; r = 0.599). With ANC visits, Polindes' distance from the houses of pregnant women had a p-value of 0.001 (r= 0.293). The p-value for the distance between Polindes and the residences of expectant women having quality ANC service is 0.027 (r=0.202). A p-value of 0.004 (r= 0.265) was obtained for the outcomes of the ANC visit test and the quality of ANC services. Knowledge and the geographic location of Polindes are the features of village midwives associated with the quality of ANC services in Southwest Sumba Regency. Keywords: Characteristics, of Village Midwives Distance to Village Maternity Post (Polindes) Quality of Antenatal Care (ANC)
Is the Use of Transanastomotic Tube Beneficial in Pyloric Atresia?
Authors: Demir Mesut , Odabaşi Serkan , Demirci Şeyma , Kaba Meltem , Sever Nihat , Yildiz Abdullah , Karadağ Çetin Ali
Published: August 2022

Introduction: Congenital pyloric atresia (CPA) is a rare gastrointestinal system anomaly characterized by gastric outlet obstruction. This study evaluated patients operated for CPA in the past 15 years. The impact of use or non-use of transanastomotic feeding tubes (TATs) on the follow-up results was examined. Material and Method: Patients operated for CPA between 2005 and 2020 were evaluated. Further, cases in whom TATs were used and cases in whom TATs were not used were evaluated in two sub-groups. The impact of presence orabsence of TATs on postoperative follow-up results was examined. Results: In this study, a total of 12 patients consisting of 7 boys and 5 girls were evaluated. The mean birth week was 35.1 ± 2.4 (31-38) weeks and the mean birth weight was 2602.9 ± 599.6 (1680-3620) grams. The mean time of operation was postnatal 3.8 (1-10) days. Among the cases, 8 (66.7%) had type 1 atresia, and 4 (33.3%) had type 2 atresia. Heineke-Mikulicz pyloroplasty was performed on 9 (75%) cases, and gastroduodenostomy was performed on 3 (25%) cases. 4 (33.2%) patients had various additional anomalies. The patient with EB (8.3%) died due to sepsis in the early postoperative phase. In 8 cases (66.7%), intraoperative TAT placement was performed. In cases with TATs, the time to postoperative feeding and length of stay were statistically determined to be lower. Discussion: Pyloric atresia is a rare intestinal system obstruction. Comorbidity with congenital anomalies increases mortality. Intraoperative TAT insertion enables early enteral feeding. Keywors: Congenital pyloric atresia, gastrointestinal system, transanastomotic feeding tubes
Health-Related Quality of Life After Complete Versus Infarct Artery-only Percutaneous Coronary Revascularization in Multi-Vessel Disease with St Segment Elevation Myocardial Infarction
Authors: Haq Muhammad Rehanul , Shaikh Javed Khurshed , Kalwar Muhammad Hashim , Butt Muhammad Hassan , Gajoo Altaf Hussain , Rizvi Syed Nadeem Hassan
Published: August 2022

Objective: The purpose of this study was to compare the HRQoL of patients who had complete revascularization at the time of the first admission to those who underwent revascularization of the infarct artery alone using the EQ-5D (European quality of life-5 dimensions) self-report questionnaire. Background: The effect of revascularization procedures on health-related quality of life (HRQoL) in patients with multivessel disease who undergo primary percutaneous coronary intervention is the subject of controversy (P-PCI). Methods and Results: There was a significant difference between individuals with STEMI who received revascularization of the infarct-related artery alone and those who got total revascularization. we divided the group by the extent of complete revascularization (n=147) or the extent of IRA-only revascularization (n = 153) during the index admission Mobility, self-care, routine activity, pain or discomfort, anxiety, and sadness were all evaluated using the EQ-5D scale. The prevalence of heart failure and the gender of patients were different at baseline. Patients who had full revascularizations had lower mean ±SD (EQ-VAS and EQ-5D) utility ratings than those who had infarct artery revascularizations alone after 2 years of follow-up. (70.00 (±19.9) vs. 51.04 (±17.8), P < 0.04, and 0.71 (±0.03) vs0.61 (±0.03), P<0.005, respectively). Conclusion: Complete revascularization produced clinically significant increases in quality of life when compared to treating just the IRA at 24 months. Keywords: Complete Revascularization, Infarct-related artery, Primary percutaneous coronary angioplasty, ST-segment elevation.
Correlation of Spot Urine Albumin to Creatinine Ratio and 24-Hrs. Urinary Protein Excretion in Pregnancy Induced Hypertension Cases
Authors: Parveen Naheed , Siddiqi Erum , Awan Shazia , Abbasi Madiha , Nigar Roohi , Baloch Mehwish
Published: August 2022

Background: Preeclampsia remains a leading cause of maternal morbidity and mortality worldwide. 24-hour urinary protein estimation remains the gold standard method for the diagnosis of preeclampsia. However, there was a controversy in the existing literature regarding the positive predictive value of spot urinary protein to creatinine ratio, which caused the present study. Aim: The aim of this study was to determine the positive predictive value of spot urinary protein to creatinine ratio for the diagnosis of preeclampsia taking 24-hour urinary protein as the gold standard. Study Design: It was a cross-sectional survey. Setting: Research was conducted at the Department of Obstetrics & Gynecology Civil Hospital, Hyderabad. Duration: 6 months after the approval of synopsis 17th October 2020 to 16th April 2021 Material and Methods: This study involved 114 pregnant women aged between 18-40 years presenting for a routine antenatal checkup after 28 weeks of gestation (as per dating scan) and having raised blood pressure ≥160/110mmHg on at least two occasions at least 4 hours apart. Preeclampsia was suspected if the spot urinary protein to creatinine ratio was ≥0.2. 24-hour urinary protein excretion was estimated and diagnosis of preeclampsia was confirmed if it was ≥300mg in 24 urine specimens. Results: The mean age of the women was 26.6±6.2 years while the mean gestational age was 34.3±1.6 weeks. 26 (22.8%) women were primiparas and 88 (77.2%) women were multiparas. The mean BMI of these women was 26.7±4.2 Kg/m2 and 32 (28.1%) women were obese. Diagnosis of preeclampsia was confirmed in 111 (97.4%) women on 24-hour urinary protein excretion. It yielded a positive predictive value of 97.4% for spot urinary protein to creatinine ratio in the diagnosis of preeclampsia, taking 24-hour urinary protein excretion as the gold standard. A similar positive predictive value was noted across various subgroups of women based on age, gestational age, parity, and BMI. Conclusion: In the present study, the positive predictive value of spot urinary protein to creatinine ratio was found to be 97.4% in predicting preeclampsia in hypertensive pregnant women regardless of patient’s age, gestational age, parity, and BMI which along with the associated advantage of spot specimen collection and timely results (compared to the routine practice of 24-hour urinary protein estimation which wastes precious time and delays the patient’s treatment), advocates the preferred use of spot urinary protein to creatinine ratio in the evaluation of hypertensive pregnant women in future obstetric practice. Keywords: Preeclampsia, 24-Hour Urinary Protein, Spot Urinary Protein to Creatinine Ratio, Positive Predictive Value
Estimation of Serum Sialic Acid in the Patients of Type-2 Diabetes Mellitus
Authors: Chandio Sofia , Shafi Nazish , Asif Maria , Khan Fahad Aman , Laghari Sindhu , Memon Ali Raza
Published: August 2022

Background: Diabetes Mellitus is one of the leading cause of morbidity & mortality all over the world. The poor glycemic control in the patients of type-II diabetes mellitus can lead the development of complications which cause the morbidity in the life of diabetic population. The aim of this study was to estimate the serum sialic acid in the patients of type- II diabetes for early prediction of diabetic complications. Methodology: This case comparative study was conducted at the Diabetes Clinic of LUMHS Jamshoro with the collaboration of the Department of Biochemistry at LUMHS. A total of 84 diagnosed cases of type-II Diabetes Mellitus were included in this study. In group A, 40 diabetes mellitus cases were diagnosed with a history of diabetes less than five years, while in group B 44 had histories of diabetes over ten years. Spectrophotometers were used to measure serum sialic acid levels using Ehrlich's reagent. SPSS version 22 was used for data analysis with independent student t tests applied. Results: The mean serum sialic acid level of group A was 56.42 ± 5.67 mg/dl, while serum sialic acid level of group B was 69.88 ± 7.34 mg/dl. There was significant (p<0.05) increased level of serum sialic acid in the type-II diabetic patients of group B, which indicate there is more chance to development of micro vascular complications in type-II diabetic patients with prolong duration for their diseases period. Conclusion: Estimation of serum sialic acid in the patients of type-II diabetes mellitus is one of the early predictive marker for the complications of diabetes mellitus. Keywords: Type-II Diabetes Mellitus, Serum Sialic Acid, Estimation, HBA1C
Magnesium Sulfate Therapy's Effects on GCS Scores in Patients with Severe TBI
Authors: Khalil Saqib , Ujjan Badar Uddin , Haq Mian Ayaz Ul , Saeed Hafiz Fahad Ullah , Memon Fayaz Ahmed , . Sangeet
Published: August 2022

Objective: The main purpose of this study is to examine whether or not magnesium sulphate improves the Glasgow Coma Scale (GCS) scores of individuals who have suffered severe traumatic brain injury. Study Design: Prospective study Place and Duration: Women medical college Abbottabad and Department of Neurology Hayatabad Medical Complex, during from Jan, 2021 to June, 2021. Methods: This research includes 72 participants of both sexes. Patients were between the ages of 18 and 55 when they were enrolled. All the patients had severe traumatic brain injury and magnesium sulphate treatment was administered to each patient. All of the patients' demographic information was obtained after they signed an informed permission form. In this study, the Glasgow coma score (GCS) was measured on the first and forth days of hospitalization, respectively. The SPSS 20.0 version was used to analyze all of the data. Results:Amon 73 included patients,males were higher in numbers 41 (56.9%) than females 31 (43.1%). Presented patients had mean age 43.6±9.39 years and had mean BMI 25.8±12.83 kg/m2 . Post traumatic mean time of brain injury was 6.16 ±4.41 hours. At first day without magnesium sulfate mean GCS of the patients was 7.3±8.30 but at the 4th day GCS was 11.9±6.42 with p value < 0.04. GCS, on the other hand, showed no significant differences between gender and illness duration. Conclusion: The results of this study led us to the conclusion that the use of magnesium sulphate was an effective method for treating traumatic brain injury in patients. GCS was improved among patients when magnesium sulphate was administered on the seventh day. Keywords: Magnesium Sulfate, traumatic brain injury, Glasgow Coma Score (GCS)
Comparative Evaluation of Bedside Index of Severity in Acute Pancreatitis Bisap) & Modified Computed Tomography Severity Index (MCTSI) in Assessing Severity of Acute Pancreatitis
Authors: Ullah Rahman , Nazir Mashal , Khan Farooq , Asim Fazal Muhammad , Shahana Nazia , Yousafzai Asim Khan , Nazir Kainat
Published: August 2022

Objective: To compare diagnostic accuracy of BISAP and MCTSI in predicting the severity of Acute pancreatitis. Study design: cross sectional study. Setting: Surgical department Khyber Teaching Hospital, Peshawar and Bacha Khan Medical Complex, Swabi. Duration: 6 months Jan, 2021 to June, 2021 Material and Methods: In this study a total of 246 patients were observed. The demographic, clinical and laboratory data of all consecutive patients with a primary diagnosis of AP admitted/transferred to our ward were prospectively collected and then this data were retrospectively analyzed. The day of admission is defined as the first 24hr of hospitalization in our ward or in the referring hospital/ward. Contrast enhanced CT(CECT) and BISAP score were calculated after 72hrs in all patients and they were categorized into three severity grades of Acute pancreatitis based on Atlanta classification 2012 as discussed in operational definition. BISAP score greater than 4 and MCTSI score greater than 8 were considered severe acute pancreatitis. Results: In this study mean age was 45 years with SD ± 16.21. Forty three percent patients were male while 57% patients were female. MCTSI had sensitivity 89.83%, specificity 60%, Positive predictive value was 98.14%, Negative predictive value was 20% and the overall diagnostic accuracy was 88.61%. While BISAP had sensitivity 82.05%, specificity 70%, Positive predictive value was 98.49%, Negative predictive value was 14.89% and the overall diagnostic accuracy was 82.52%. Conclusion: Our study concludes that the diagnostic accuracy of MCTSI is better than BISAP score in predicting the severity of acute pancreatitis. Keywords: MCTSI, BISAP score, severe acute pancreatitis.
OSPOSOBLJENOST VASPITAČA ZA PRIMENU ART-TERAPIJE U SVAKODNEVNOM RADU SA DECOM U VRTIĆU
Authors: Cigić Gavrilović Dunja , Colić Uglješa
Published: July 2022

Pod art-terapijom se, u najširem smislu, podrazumeva kreativna upotreba  umetničkih medija u svrhu postizanja pozitivne promene ličnosti. U svakom art-terapijskom procesu neophodni su klijent, terapeut, upotreba umetničkih medija i aktivna procedura koja uključuje verbalnu i neverbalnu ekspresiju. Umetnički mediji koji se koriste u art-terapiji su brojni: slikanje, vajanje, drama, igra, muzika, film, video, poezija, crtež i dr. U radu se opisuje iskustvo u primeni art-terapije sa decom u vrtiću, a zasnovano je na Vinikotovom konceptu. Opisano iskustvo nije nastalo u kontekstu kliničke psihologije, već u kontekstu svakodnevnog odrastanja dece u predškolskoj ustanovi. Dobijena zapažanja u ovom radu sugerišu mogućnost da art-terapijа, pored uspeha u kliničkim uslovimа, može isto toliko da bude uspešna i u vaspitno-obrazovnim ustanovama.
PODRŠKA RODITELJIMA DECE SA DIJABETESOM U VRTIĆU
Authors: Bulatović Anđelka , Galić Maja , Gladić Silvia
Published: July 2022

Dijabetes melitus tip 1 se najčešće javlja u dečjem uzrastu i predstavlja hronično oboljenje kod kog usled nedostaka insulina dolazi do povećanja vrednosti glukoze u krvi. Nakon uspostavljanja dijagnoze, neophodno je što pre započeti terapiju kako bi se prevenirale akutne i hronične komplikacije. Način na koji će dete prihvatiti dijabetes i živeti sa njim zavisi najvećim delom od načina na koji se roditelji odnose prema tome. Dakle, odgovornost roditelja u prihvatanju dijabetesa deteta veoma je velika, pa je stoga potrebno roditelje osnažiti, pružiti im podršku, ohrabriti i podsticati na usvajanje novih znanja i veština potrebnih za razumevanje prirode ove bolesti, kao i na usvajanje najboljih načina da pomognu svom detetu da sa njom živi. Prilikom uključivanja deteta u vrtić, važno je da se vaspitači upoznaju sa oboljenjem i ovladaju tehnikama pružanja podrške detetu kako bi mu se obezbedionesmetan boravak u vrtiću. Da bi doživljaji i iskustva deteta obolelog od dijabetesa bili u manjoj meri traumatični, preporučuju se različite stvaralačke aktivnosti. Dobrobiti likovnih aktivnosti su mnogobrojne jer su to urođene, spontane sposobnosti koje ne zahtevaju verbalnu komunikaciju i stoga su naročito pogodne za decu koja nekada nisu u stanju da rečima opišu ono što osećaju. U radu je pojašnjen pojam art-terapije, dati su primeri dobre prakse i preporuke za roditelje dece koja su obolela od dijabetesa.
PERDA AUDITIVA INDUZIDA POR RUÍDO NO TRABALHO: ANÁLISE DE CASOS, MECANISMOS FISIOPATOLÓGICOS E REPERCUSSÕES SÓCIO PREVIDENCIÁRIAS
Authors: Ramalho de Araújo Lemos Vieira Henrique , Vitti Vieira Borges Isadora , Souza Tagliatte Mauro , Barboza de Souza José Guilherme , Souza Chagas Helena de , Garcia Reis Junior Antonio
Published: July 2022

A perda auditiva induzida por ruído – PAIR – constitui importante entidade nosocomial responsável por motivos de consulta na especialidade de Otorrinolaringologia e sua interface com o mundo do trabalho é objeto de interesse também para a Medicina do Trabalho, com consequentes implicações no absenteísmo e licenças médicas dos pacientes acometidos, que por sua vez impactarão o sistema sócio previdenciário. Os perfis mais sujeitos a serem afetados por PAIR envolvem homens jovens, negros, com baixa escolaridade e sem união estável. Indústrias como a metalurgia e a tecelagem, bem como as atividades desenvolvidas em lavanderias, serralherias e marcenarias, estavam associadas à maior exposição sonora ruidosa. Logo, é uma enfermidade ocupacional que deve ser prevenida, uma vez que os danos são irreversíveis e podem gerar aposentadorias precoces.
Modern Practice of Using Interactive Forms and Methods of Preventive Education of the Student Youth
Authors:   Petro Mohyla Black Sea National University, Surgova Svitlana , Faichuk Olena
Published: August 2022

The research is devoted to the use of interactive forms and methods of preventive education of students. The purpose of the article is to reveal the essence and possibilities of effective interactive forms and methods of preventive education of students. The purpose and objectives of preventive education which is the basis for the formation of positive social attitudes of the student youth are analyzed. The conducted research concludes that interactive forms and methods of preventive education are aimed at the development of students’ mental abilities, their individuality and uniqueness, their positive changes in the awareness, health culture. The result of the implementation of interactive forms and methods of preventive education of students is to obtain knowledge, social experience in the process of communication not only with adults, but also with peers, to increase competence in the formation of health culture, and to prevent negative behavior.
„Майсторските класове“ и ролята им за повишаване професионалната подготовка на бъдещите педагози
Authors:   Sofia University „St. Kliment Ohridski“, Nikolova Yordanka
Published: August 2022

The article presents and analyzes the conducted training seminars in the form of shared good pedagogical practices; the criteria for selecting a teacher to share his/her pedagogical experience and ideas with the future pedagogues in order to better prepare them for the performance of their professional duties in terms of distance learning, blended learning, in person learning; the innovative moments in the shared procedural innovations and innovations in the services are highlighted; the results of the survey of students' opinions and evaluation positions on the effectiveness and applicability of the proposed ideas are summarized and analyzed.
El viaje de Mariel: Sui Generis y las tensiones intergeneracionales sobre la moral sexual a principios de los setenta
Authors: Guzmán Facundo
Published: August 2022

La aparición de Sui Generis y su disco Vida (1972) fue un punto de inflexión en el que muchas mujeres se incorporaron como público al ambiente del rock en Argentina. En este primer disco, temas como el amor romántico, la sexualidad y la masculinidad se tocaron de forma innovadora y disruptiva. Desde un abordaje que da importancia a los efectos performativos genéricos de la música, el siguiente trabajo intentará comprender este fenómeno a partir del análisis de “Mariel y el capitán”. La canción aborda con humor las tensiones intergeneracionales de la época acerca de la moral sexual, y propone un “nosotros” y un “ellos” que habilitan la articulación de una identidad entre las oyentes. A la vez, veremos cómo entrando en la segunda década del siglo XXI, y en el contexto de la reciente sanción de la Ley de Matrimonio Igualitario (2010), las interpretaciones sobre la canción se actualizan a través de rumores sobre su composición.
Assessment of haematological parameters in patients with OSMF
Authors: Ettishree Ettishree , Mahajan Bela , Sahota Jasjit Kaur
Published: July 2022

Background: Oral submucous fibrosis (OSMF) is an insidious disease affecting any part of the oral cavity and predominantly occurs among Indians. The present study was conducted to assess haematological parameters in patients with OSMF. Materials & Methods: 46 patients of OSMF of both genders and 46 healthy control were selected. Five millilitres of fasting venous blood were obtained to calculate haemoglobin level using and Sahli's method and the ferrone system was used for serum iron levels measurement. The chemiluminescent microparticle intrinsic factor test was used to quantify vitamin B12 in human serum. Results: Group I had 26 males and 20 females and group II had 23 males and 23 females. The mean PCV (%) was 44.3 and 36.2, MCV (fl) was 87.4 and 70.2, MCH (g/dl) was 27.6 and 25.1, MCHC (g/dl) was 32.9 and 28.3, Hb (gm%) was 13.5 and 10.1, iron (mg/dl) was 120.4 and 46.8 and vitamin B12 (pg/Ml) was 426.2 and 226.8 in group II and group I respectively. The difference was significant (P< 0.05). Conclusion: All haematological factors was greatly reduced in OSMF patients.