bluuebunny/crossref_metadata_2025 huggingface dataset:
Systematic Review Comparing the Effectiveness of Robotic verse Laparoscopic Liver Surgery in Colorectal Liver Metastasis (CRLM)
Authors: Merali Nabeel , Ashraf Hajra , Chouari Tarak , Araimi Badriya Al , Lahiri Rajiv , Rockall Timothy A. , Frampton Adam E.
Published: October 2021

Introduction: Colorectal cancer (CRC) is the third most common cancer in the world. The liver is the most common site of metastasis with 15 to 25% of patients presenting with synchronous colorectal liver metastasis (CRLM). This study is aimed at evaluating the long- and short-term outcomes of laparoscopic and robotic CRLM surgery, and directly comparing their respective effectiveness. Methodology: A literature search was performed and all studies that reported on operative characteristics, oncological outcomes for CRLM, morbidity or mortality and cost-effectiveness on robotic or laparoscopic surgery were included. The study design was in keeping with the PRISMA guidelines. Results: From the initial 606 manuscripts identified, 19 studies were included in the final qualitative analysis. A total of 1340 patients with 1194 LLR (Laparoscopic Liver Resection) and 146 RLR (Robotic Liver Resection) cases were analysed. Within the LLR group, the average tumour size excised was 32.1 mm compared to the RLR group of 33.8 mm. The average operative time in the LLR was 193 min, CI of 95% (147.4 min to 238.6 min) compared to RLR 257 min, CI of 95% (201.5 min to 313.8 min) with a p-value < 0.0001. Estimated blood loss was lower in the RLR group (210 mL) compared with the LLR group (246 mL). Conclusion: Despite the higher operative cost, RLRs do not result in statistically better treatment outcomes, with the exception of lower estimated blood loss and excision of larger CRLMs. Operative time and total complication rate are significantly more favourable with LLRs. Our study has shown that robotic liver surgery is safe and feasible in well-selected patients.
Chance and Necessity in the Evolution of Matter to Life: A Comprehensive Hypothesis
Authors: Davankov Vadim
Published: October 2021

Specialists in several branches of life sciences are trying to solve, piece by piece, the immensely complex puzzle of the origin of life. Some parts of the puzzle seem to appear with a rather high degree of clarity, while others remain totally obscure. We cannot be sure that life emerged only on our Earth, but we believe that the presence of large amounts of water in its liquid state is absolutely essential for the emergence and evolution of living matter. We can also assume that the latter exploits everywhere the same light elements, mainly C, H, O, N, S, and P, and somehow manipulates the same simple monomeric and polymeric organic compounds, such as alpha-amino acids, carbohydrates, nucleic bases, and surface-active carboxylic acids. The author contributes to the field by stating that all fundamental particles of our matter are “homochiral” and predominantly produce in an absolute asymmetric synthesis amino acids of L-configuration and carbohydrates of D-series. Another important point is that free atmospheric oxygen mainly stems from the photolysis of water molecules by cosmic irradiation and is not necessarily bound to living organisms on the planet.
Molecular and Serological Characterization of Hepatitis B Virus (HBV)-Positive Samples with Very Low or Undetectable Levels of HBV Surface Antigen
Authors: Kuhns Mary C. , Holzmayer Vera , Anderson Mark , McNamara Anne L. , Sauleda Silvia , Mbanya Dora , Duong Pham T. , Dung Nguyen T. T. , Cloherty Gavin A.
Published: October 2021

Background: Gaps remain in the detection of nucleic acid test (NAT) yield and occult hepatitis B virus (HBV) infection (OBI) by current HBV surface antigen (HBsAg) assays. The lack of detection may be due to HBsAg levels below current assay detection limits, mutations affecting HBsAg assays or HBsAg levels, or the masking of HBsAg by antibody to HBsAg (anti-HBs). In this study, we evaluate the incremental detection of NAT yield and OBI from five diverse geographic areas by an improved sensitivity HBsAg assay and characterize the samples relative to the viral load, anti-HBs status, and PreS1–S2–S mutations. Included is a comparison population with HBV DNA levels comparable to OBI, but with readily detectable HBsAg (High Surface–Low DNA, HSLD). Methods: A total of 347 samples collected from the USA, South Africa, Spain, Cameroon, Vietnam, and Cote D’Ivoire representing NAT yield (HBsAg(−), antibody to HBV core antigen (anti-HBc)(−), HBV DNA(+), N = 131), OBI (HBsAg(−), anti-HBc(+), HBV DNA(+), N = 188), and HSLD (HBsAg(+), anti-HBc(+), HBV DNA(+), N = 28) were tested with ARCHITECT HBsAg NEXT (HBsAgNx) (sensitivity 0.005 IU/mL). The sequencing of the PreS1–S2–S genes from a subset of 177 samples was performed to determine the genotype and assess amino acid variability, particularly in anti-HBs(+) samples. Results: HBsAgNx detected 44/131 (33.6%) NAT yield and 42/188 (22.3%) OBI samples. Mean HBV DNA levels for NAT yield and OBI samples were lower in HBsAgNx(−) (50.3 and 25.9 IU/mL) than in HBsAgNx(+) samples (384.1 and 139.5 IU/mL). Anti-HBs ≥ 10 mIU/mL was present in 28.6% HBsAgNx(+) and 45.2% HBsAgNx(−) OBI, and in 3.6% HSLD samples. The genotypes were A1, A2, B, C, D, E, F, and H. There was no significant difference between HBsAgNx(−) and HBsAgNx(+) in the proportion of samples harboring substitutions or in the mean number of substitutions per sample in PreS1, PreS2, or S for the NAT yield or OBI (p range: 0.1231 to >0.9999). A total of 21/27 (77.8%) of HBsAgNx(+) OBI carried S escape mutations, insertions, or stop codons. HSLD had more PreS1 and fewer S substitutions compared to both HBsAgNx(−) and HBsAgNx(+) OBI. Mutations/deletions associated with impaired HBsAg secretion were observed in the OBI group. Conclusions: HBsAgNx provides the improved detection of NAT yield and OBI samples. Samples that remain undetected by HBsAgNx have exceptionally low HBsAg levels below the assay detection limit, likely due to low viremia or the suppression of HBsAg expression by host and viral factors.
Krüppel-like Factor 2 (KLF2) in Immune Cell Migration
Authors: Wittner Jens , Schuh Wolfgang
Published: October 2021

Krüppel-like factor 2 (KLF2), a transcription factor of the krüppel-like family, is a key regulator of activation, differentiation, and migration processes in various cell types. In this review, we focus on the functional relevance of KLF2 in immune cell migration and homing. We summarize the key functions of KLF2 in the regulation of chemokine receptors and adhesion molecules and discuss the relevance of the KLF2-mediated control of immune cell migration in the context of immune responses, infections, and diseases.
Immune cells of the epithelial ovarian cancer microenvironment
Authors: Zhurman Varvara Nikolaevna , Plekhova Natalia Gennadevna , Eliseeva Ekaterina Valeryevna
Published: October 2021

The article is a review of the literature, which analyzes the data on the role of cells of the immune system, cytokines and other biologically active substances secreted by them in the interstitial space of an ovarian tumor. The emphasis is made on the mechanism of realization by immune cells of the stimulating and suppressing action on the development of the tumor. Considerable attention is paid to the prognostic role of immune cells in the development of epithelial ovarian cancer.
Faecal calprotectin testing in UK general practice: a retrospective cohort study using The Health Improvement Network database
Authors: Freeman Karoline , Ryan Ronan , Parsons Nicholas , Taylor-Phillips Sian , Willis Brian H , Clarke Aileen
Published: October 2021

Background

Faecal calprotectin (FC) testing to detect inflammatory bowel disease (IBD) was recommended for use in UK general practice in 2013. The actual use of FC testing following the national recommendations is unknown.

Aim

To characterise the use of FC testing for IBD in UK general practice.

Design and setting

A retrospective cohort study of routine electronic patient records from The Health Improvement Network database from UK general practice.

Method

The study included 6 965 853 adult patients (aged ≥18 years), between 2006 and 2016. FC test uptake, the patients tested, and patient management following testing were characterised.

Results

A total of 17 027 patients had 19 840 FC tests recorded. The mean age of tested patients was 44.2 years. The first FC tests were documented in 2009. FC test use was still increasing in 2016. By 2016, 66.8% (n = 493/738) of practices had started FC testing. About one-fifth (20.7%, n = 1253/6051) of tests were carried out in patients aged ≥60 years. Only 7.8% (n = 473/6051) of the FC test records were preceded by symptoms eligible for FC testing. Only 3.1% (n = 1720/55 477) of patients with eligible symptoms have received FC testing since the national recommendations were published. There was only a small number of patients with symptoms, FC test, and a IBD diagnosis. In total, 71.3% (n = 1416/1987) of patients with a positive and 47.7% (n = 1337/2805) with a negative FC test were referred or further investigated.

Conclusion

Uptake of FC testing in clinical practice has been slow and inconsistent. The indication of non-compliance with national recommendations may suggest that these recommendations lack applicability to the general practice context.
Key Parts of Transmission Line Detection Using Improved YOLO v3
Authors: Renwei Tu , Zhongjie Zhu , Yongqiang Bai , Ming Gao , Zhifeng Ge
Published: October 2021

Unmanned Aerial Vehicle (UAV) inspection has become one of main methods for current transmission line inspection, but there are still some shortcomings such as slow detection speed, low efficiency, and inability for low light environment. To address these issues, this paper proposes a deep learning detection model based on You Only Look Once (YOLO) v3. On the one hand, the neural network structure is simplified, that is the three feature maps of YOLO v3 are pruned into two to meet specific detection requirements. Meanwhile, the K-means++ clustering method is used to calculate the anchor value of the data set to improve the detection accuracy. On the other hand, 1000 sets of power tower and insulator data sets are collected, which are inverted and scaled to expand the data set, and are fully optimized by adding different illumination and viewing angles. The experimental results show that this model using improved YOLO v3 can effectively improve the detection accuracy by 6.0%, flops by 8.4%, and the detection speed by about 6.0%.
A Secure Cellular Automata Integrated Deep Learning Mechanism for Health Informatics
Authors: Pokkuluri Kiran Sree , Nedunuri SSSN Usha Devi
Published: October 2021

Health informatics has gained a greater focus as the data analytics role has become vital for the last two decades. Many machine learning-based models have evolved to process the huge data involved in this sector. Deep Learning (DL) augmented with Non-Linear Cellular Automata (NLCA) is becoming a powerful tool with great potential to process big data. This will help to develop a system that facilitates parallelization, rapid data storage, and computational power with improved security parameters. This paper provides a novel and robust mechanism with deep learning augmented with non-linear cellular automata with greater security, adaptability for health informatics. The proposed mechanism is adaptable and can address many open problems in medical informatics, bioinformatics, and medical imaging. The security parameters considered in this model are Confidentiality, authorization, and integrity. This method is evaluated for performance, and it reports an average accuracy of 89.32%. The parameters precision, sensitivity, and specificity are considered to measure to measure the accuracy of the model.
Text Summarization Technique for Punjabi Language Using Neural Networks
Authors: Jain Arti , Arora Anuja , Yadav Divakar , Morato Jorge , Kaur Amanpreet
Published: October 2021

In the contemporary world, utilization of digital content has risen exponentially. For example, newspaper and web articles, status updates, advertisements etc. have become an integral part of our daily routine. Thus, there is a need to build an automated system to summarize such large documents of text in order to save time and effort. Although, there are summarizers for languages such as English since the work has started in the 1950s and at present has led it up to a matured stage but there are several languages that still need special attention such as Punjabi language. The Punjabi language is highly rich in morphological structure as compared to English and other foreign languages. In this work, we provide three phase extractive summarization methodology using neural networks. It induces compendious summary of Punjabi single text document. The methodology incorporates pre-processing phase that cleans the text; processing phase that extracts statistical and linguistic features; and classification phase. The classification based neural network applies an activation function- sigmoid and weighted error reduction-gradient descent optimization to generate the resultant output summary. The proposed summarization system is applied over monolingual Punjabi text corpus from Indian languages corpora initiative phase-II. The precision, recall and F-measure are achieved as 90.0%, 89.28% an 89.65% respectively which is reasonably good in comparison to the performance of other existing Indian languages’ summarizers.
Dormir, soñar, roncar, madrugar, tener pesadillas, sueños eróticos y perder el tiempo en Los Coloquios de Palatino y Pinciano de Juan Arce de Otálora
Authors: Guardiola Juan
Published: October 2021

Pocos son, en comparación con los dedicados a otros diálogos de la época, los trabajos que, desde que saliera a la luz en 1995 la primera edición de la obra, han concedido atención crítica a Los Coloquios de Palatino y Pinciano de Juan Arce de Otálora (1515/1520-1562). Este diálogo de carácter abierto y enciclopédico, nacido de un visible afán de totalidad, permite gracias a su heterogeneidad de contenidos numerosas vías para el enfoque de la crítica. La representación del sueño, el dormir, la vigilia o los ensueños, así como otros ejes temáticos que derivan de esta, constituye un punto de partida rico en matices y que permite múltiples interpretaciones. La materia onírica, que emana como tantas otras de la tesis central, vertebra una parte de las interlocuciones, culmina con ciertas jornadas, traduce los conocimientos de Arce sobre el tema y evidencia la curiosidad que los hombres del Renacimiento sintieron por los arcanos de la subjetividad humana, nada impropios de un género con alcances pedagógicos como el diálogo.
El hombre nuevo y la religión. Misterio Bufo de V. Maiakovski e Iván en el Paraíso de A. Lunacharski
Authors: López Arriazu Eugenio
Published: October 2021

A partir de una discusión acerca de las diferentes concepciones filosóficas, políticas y literarias que atañen a la noción de hombre nuevo, concepto que tuvo un desarrollo particular en la literatura rusa y en las consignas e ideales políticos de la Revolución Rusa, el presente artículo se propone discutir la manera en que dicho concepto se forja y modula en dos textos literarios de comienzos de la revolución. Emprenderemos para ello el análisis de Misterio Bufo, de V. Maiakovski e Iván en el Paraíso, de A. Lunacharski. Si bien ambos textos apelan a la religión para construir por contraste un nuevo ideal secular del hombre, sus poéticas y técnicas literarias producen modelos del hombre nuevo no solo muy diferentes entre sí, sino reveladores de las tensiones internas entre los agentes revolucionarios respecto del curso que deseaban para la revolución.
A MEDICINA DE FAMÍLIA E COMUNIDADE NA PERSPECTIVA DOS DISCENTES E DOCENTES DAS UNIVERSIDADES PÚBLICAS DO ESTADO DE MINAS GERAIS
Authors: Barbosa Simone de Pinho , de Paula Patrícia Aparecida Baumgratz , Amorim Maria Marta Amancio , Cavalcante Ricardo Bezerra , Serejo Yan Oliveira, Júlia Jannotti , Pio Lawrence Monteiro de Oliveira
Published: October 2021

A Medicina de Família e Comunidade visa ao atendimento integral das pessoas, famílias e comunidade por meio de ações preventivas e terapêuticas. O médico de família e comunidade é um especialista em Atenção Primária à Saúde, portanto, deve ter formação geral que lhe permita ser o primeiro contato do paciente, sempre que esse procure o serviço de saúde. No campo da formação médica, recorte ao qual se debruça esse estudo, a especialidade de Medicina de Família e Comunidade é a mais preparada para atuar na atenção primária à saúde frente às necessidades e aos desafios impostos diariamente aos profissionais e serviços de saúde. Assim o objetivo desse estudo é compreender e analisar a área de Medicina da Família e Comunidade na formação acadêmica dos discentes dos Cursos de Medicina de instituições de ensino superior públicas do estado de Minas Gerais. Trata-se de um estudo de casos múltiplos, escritivo-exploratório ao analisar os Projetos Pedagógico do Curso e a Matriz Curricular de 14 Cursos de Medicina de Universidades Públicas do estado de Minas Gerais, qualitativo ao analisar 16 entrevistas realizadas na plataforma SurveyMonkey®, com 42 discentes, docentes e coordenadores dos Cursos de Medicina. A quantidade de disciplinas relativas à Medicina de Família e Comunidade variou de 7 a 21 e as disciplinas totais do curso de 37 a 91. A carga horária total do Curso de Medicina variou de 7245 horas a 8820 horas, com média de 7.863 horas, conforme carga horária mínima de 7.200 horas, preconizada pelas Diretrizes Curriculares Nacionais. A carga horária referente às disciplinas e estágio em Medicina de Família e Comunidade variou de 810 a 2940 horas, com percentuais entre 10% a 34,60% em relação à carga horária total curricular. Dos sujeitos entrevistados dez são discentes, quatro docentes e dois coordenadores. Foi unânime a afirmação, tanto no grupo de discentes, quanto de docentes e coordenadores que os projetos pedagógicos dos Cursos de Medicina em que atuam objetivam a formação de um profissional generalista e humanista, o que coaduna com a análise documental dos projetos pedagógicos quanto ao perfil do egresso e os objetivos do curso.
Letterform Legibility and Visual Perception: a speculation
Authors: Zender Mike
Published: October 2021

This short paper explores a straightforward insight: that the basic features of visual perception map instructively onto the letterform skeletons of the Latin alphabet. Linking findings from visual perception ith knowledge about typography and reading might advance our knowledge of how letterforms function visually. This knowledge could be used to develop a formal measure of letterform legibility, to rovide means to distinguish between a text and a display typeface, and to provide guidance for typeface design.
Low-Level Laser Therapy Techniques and Equipment for Occupational Disease Prevention in Precision Workers
Authors: Mal’kova NYu , Petrova MD
Published: October 2021

Background: The problem of protecting and maintaining health of workers in the microelectronics industry exposed to adverse occupational factors including tension and overstrain of the muscles of the upper extremities and visual strain, gains special relevance. Objective: Introduction of the developed and patented low-level laser therapy techniques to recover functions of vision and the musculoskeletal system impaired in the course of work. Materials and methods: The study involved 65 chip assemblers aged 26–41 years. Their eyes, the back of the hands, and the collar area were exposed to low-level laser radiation from the red region of the spectrum. All employees were examined by a neurologist and a surgeon and their working conditions were evaluated. The accommodation apparatus was tested using an AKA-01 type accommodation meter. Results: After five 10-minute sessions, we registered an increase in the volume of absolute accommodation during the observation period before and after the work shift by 28 % and 19 %, respectively. On subsequent days of observation, we noted an increase in the accommodation during 10 days, followed by a decrease by the 30th day of observation. Application of preventive techniques helped eliminate spinal cord disorders in all workers. Blood circulation in fingers increased by 66 % compared to the initial condition. Discussion: Low-level laser therapy improves blood supply, intensifies redox processes in the retina of the eye, skin cells, and blood vessels. Conclusions: Low-level laser radiation of the red region of the spectrum relieves the spasm of accommodation and normalizes the efficiency of the accommodation apparatus. Such laser therapy helps eliminate spinal cord disorders and improve blood circulation. Introduction of the developed techniques can prevent occupational diseases and reduce disability in patients.
Apresentação e Palavra do Editor
Authors: Juliani Douglas
Published: October 2021

-
O PROJETO ARCO NORTE NA AMAZÔNIA E A SUA RELAÇÃO COM O AGRONEGÓCIO
Authors: Rodrigues Jondison Cardoso
Published: October 2021

Na última década, muitos países em desenvolvimento tiveram um aumento significativo de investimentos em infraestrutura, principalmente, por meio de investimentos públicos, privados, e de parceria público-privada. O Projeto Arco Norte Amazônia (PANA), no plano generalista (e pouco crítico), corresponderia aportes no setor de infraestrutura, como forma de criar novas orientações, organizações espaciais e modos de conectividade com a produção logística, principalmente de complexos portuários na Amazônia Legal, com forte participação do Estado brasileiro. O objetivo do artigo é refletir criticamente acerca do PANA e sua relação com o agronegócio, tendo por base a apreensão e interpretação analítica do projeto enquanto “totalidade concreta” (processual e empírica), a partir da compreensão desse empreendimento enquanto “palavra”, “investimento” e “espoliação”. Assim mostrando de forma ampliada, conexa, complementar e dialética os sentidos, no caso, os objetivos e interesses interescalares, geopolíticos e geoeconômicos múltiplos do projeto Arco Norte.
HUBUNGAN DISMENORE DENGAN GANGGUAN SIKLUS HAID PADA REMAJA DI SMA N 1 MANADO
Authors: Juliana Indah , Rompas Sefti , Onibala Franly
Published: October 2021

Abstract: Teenagers is the transition period, which characterized by the changes of eitherphysical, psychie, and biological which we call it as puberty. Puberty in teenage girl markedby menstruation, the first year of first menstruation or menarche is time where oftendisruption happened. The Purpose of this research is to know the relationship between thedysmeorrhea with the disturbance of menstrual cycle of the teenage girls in SMA N 1Manado. This research methodology is using the observational design with the CrossSectional approach. The population of this research were 1.103 female students, and thedetermination technique is using Slovin formula. The research sample were 92 people whomet the inclusion criteria. The research instrument are using observation sheet regarding theintensity of pain and menstrual cycle experienced by the respondents. The result of statisticaltest using the Chi Square with the confidence level of 95% (α=0.05) with the value p = 0.023,which means p< α= 0.05. The conclusion is, the result of this research showing a significantrelation between dysmenorrheal and menstrual cycle disorders in teenage girls in SMA N 1Manado.Keywords : Dysmenorrhea, Mesntrual Cycle, Teenager.Abstrak: Remaja merupakan masa transisi, yang ditandai dengan perubahan baik fisik,psikis, maupun biologis yang kerap disebut pubertas. Pubertas pada remaja putri ditandaidengan menstruasi, tahun-tahun pertama sejak menstruasi pertama kali atau menarchemerupakan masa-masa sering terjadinya gangguan. Tujuan penelitian ini untuk mengetahuihubungan antara dismenore dengan gangguan siklus haid pada remaja di SMA N 1 Manado.Penelitian ini merupakan Metode penelitian kuantitatif dengan desain penelitian yaitu crosssectional. Populasi pada penelitian ini sebanyak 1.103 siswa perempuan, teknik penentuansample menggunakan rumus slovin, didapati sampel sebanyak 92 orang yang memenuhikriteria inklusi. Instrument penelitian ini menggunakan lembar observasi mengenai intenitasnyeri dan siklus haid yang dialami responden. Hasil uji statistic menggunakan uji Chi Squaredengan tingkat kepercayaan 95% ( α ≤ 0.05), di dapati nilai p= 0.023, yang berarti p< α=0.05.Kesimpulan hasil penelitian ini menunjukan adanya, hubungan yang signifikan antaradismenore dengan gangguan siklus haid pada remaja di SMA N 1 Manado.Kata Kunci : Dismenore, Siklus Haid, Remaja.
HUBUNGAN POLA ASUH ORANG TUA DENGAN PERILAKU AGRESIF PADA ANAK USIA REMAJA DI SMA N 1 KAKAS
Authors: Warouw Inggrid , Posangi Jimmy , Bataha Yolanda
Published: October 2021

Abstrack: Adolescent aggressive behavior is an emotional state that is a mixture of feelings of frustration and hatred or anger. This is based on the emotional state in depth of each person as an important part of the emotional state that can be projected into the environment, inside or destructively. One of the factors thant influence aggressive behavior is parenting which is divided into three types, that are authoritarian parenting, permissive pareting, and democratic parenting. The porpose oh this study is to know The Relationship of Parenting Style with Aggressive Behavior Adolescent at SMA N 1 Kakas. The research method uses a cross sectional approach. Respondents consisted of 74 teenage boys in class XI with sampling techniques using Total Sampling. Data collection using a quessionnare. Chi square test result with confidence level of 95% v (α 0.05), where the value of P = 0.023 is smaller than α = 0.05. Conclusion there is a relationship between parenting parents with aggressive behavior inadolescent in SMA N 1 Kakas.Keywords: The Relationship of Parenting style, Aggressive Behavior, Adolescent.Abstrak:Perilaku agresif remaja merupakan suatu keadaan emosi yang merupakan campuran perasaan frustasi dan benci atau marah. Hal ini didasari keadaan emosi secara mendalam dari setiap orang sebagai bagian penting dari keadaan emosional yang dapat diproyeksikan ke lingkungan, ke dalam diri atau secara destruktif. Salah satu faktor yang mempengaruhi perilaku agresif adalah pola asuh orang tua yang terbagi dalam tiga tipe, yaitu pola asuh otoriter, pola asuh permisif, dan pola asuh demokratis. Tujuan peneliti ini adalah mengetahui hubungan pola asuh orang tua dengan perilaku agresif pada anak usia remaja di SMA N 1 Kakas. Metode penelitian menggunakan pendekatan cross sectional. Responden terdiri dari 74 remaja laki-laki kelas XI dengan teknik pengambilan sampel menggunakan Total Sampling. Pengumpulan data menggunakan kuesioner. Hasil Uji Chi Square dengan tingkat kepercayaan 95%v(α 0,05), dimana nilai p = 0,023 lebih kecil dari α = 0,05. Kesimpulan ada hubungan antara pola asuh orang tua dengan perilaku agresif pada anak usia remaja di SMA N 1 Kakas.Kata Kunci : Pola asuh orang tua, Perilaku agresif, Remaja.
HUBUNGAN PENANGANAN AWAL GASTRITIS DENGAN SKALA NYERI PASIEN UGD RUMAH SAKIT GMIM BETHESDA TOMOHON
Authors: Rizky Irfan Irianto , Kepel Billy J. , Killing Maykel
Published: October 2021

Abstract : Gastritis is inflammation of the gastric mucosa and sub gastric mucosa. the management of gastritis which needs to be considered as the main problem or the patient's main consideration of this disease is pain. The initial management of gastritis can affect the patient's pain intensity. The purpose of the study was to identify the relationship between the initial management of gastritis and the patient's pain scale at UGD RSU GMIM Bethesda tomohon. Method uses a correlation analytic research design with a cross sectional approach The sample in this study patients who entered the Emergency Room of the GMIM Hospital in Bethesda Tomohon and had been gastritis diagnosed with a population is 60 patients. Results of the study used the spearmen’s test at a significance level is 95%, significant for initial management of gastritis with the patient's pain scale ( p value 0,066 ; α 0,05). Conclusion, initial management of gastritis related with the patient's pain scale at UGD RSU GMIM Bethesda Tomohon. Keywords : Gastritis, initial Management of Gastritis, Pain Scale. Abstrak : Gastritis adalah proses inflamasi pada mukosa lambung dan sub mukosa lambung. Dalam penatalaksanaan penyakit gastritis hal yang perlu diperhatikan yang menjadi masalah atau keluhan utama pasien dari penyakit ini adalah nyeri. Penatalaksanaan awal gastritis dapat mempengaruhi insensitas nyeri pasien. Tujuan penelitian untuk mengindentifikasi hubungan antara penatalaksanaan awal gastritis dengan skala nyeri pasien UGD RSU GMIM Bethesda Tomohon. Metode penelitian ini menggunakan desain penelitian analitik korelasi dengan pendekatan cross sectional. Sampel penelitian ini adalah pasien yang masuk di UGD RSU GMIM Bethesda Tomohon dan telah didiagnosis gastritis dengan jumlah populasi sebanyak 60 pasien. Hasil penelitian dengan menggunakan uji spearman pada tingkat kemaknaan 95%, signifikan untuk penatalaksanaan awal gastritis dengan skala nyeri pada pasien (nilai p 0,066 ; α 0,05). Kesimpulan, Penatalaksanaan awal gastritis berhubungan secara bermakna dengan skala nyeri pasien gastritis di UGD RSU GMIM Bethesda Tomohon.Kata Kunci : Gastritis, Penatalaksanaan awal Gastritis, Skala Nyeri
HUBUNGAN POLA ASUH ORANG TUA DENGAN PERILAKU JAJAN ANAK USIA SEKOLAH (9-12 TAHUN) DI SD GMIM SENDANGAN SONDER
Authors: Lonto Jesica S. , Umboh Adrian , Babakal Abram
Published: October 2021

Abstract : Parenting is a pattern of interaction between parents and children. Children and snack foods are two things that are difficult to resolve because children have a penchant for more food, especially children of primary school age. The Purpose of this study is to find out the relationship between parenting and school children's snacking behavior aged 9-12 years at SD GMIM Sendangan. The Method of this study uses cross-sectional study design, using the chi-square test, with total sampel taken amounted to 64 people. The Conclusions based on the results of the analysis using the Chi-Square test show that there is the relationship of Parenting with Snacking behavior in Children’s schools aged 9-12 years at SD GMIM Sendangan Sonder with a significant value = 0.007 less than α 0.05.Keywords : Parenting , Snacking BehaviorAbstrak : Pola asuh orang tua merupakan pola interakasi antara orang tua dan anak. Anak-anak dan makanan jajanan merupakan dua hal yang sulit untuk dipisahkan karena anak-anak memiliki kegemaran untuk mengkonsumsi jenis makanan secara berlebihan, khususnya anak-anak usia sekolah dasar. Tujuan Penelitian : Untuk mengetahui Hubungan pola asuh orang tua dengan perilaku jajan anak sekolah Usia 9-12 Tahun di SD GMIM Sendangan. Desain Penelitian ini menggunakan penelitian cross sectional, dengan menggunakan uji chi-square dan teknik total sampling dengan jumlah sampel sebanyak 64 orang. Kesimpulan berdasarkan hasil analisis dengan menggunakan uji statistik chi-Square menunjukan terdapat hubungan Pola Asuh Orang Tua dengan Perilaku Jajan di sekolah Usia 9-12 Tahun di SD Gmim Sendangan Sonder dengan nilai signifikan = 0.007 atau kurang dari α 0.05.Kata Kunci : pola asuh orang tua, perilaku jajan
FUNGSI AFEKTIF KELUARGA DAN FUNGSI SOSIALISASI KELUARGA DENGAN PERILAKU SEKSUAL REMAJA
Authors: Pattiruhu Immanuel Chandra Supit , Rompas Sefti , Simak Valen
Published: October 2021

Abstract: Sexual behavior is risky behavior that aims to attract the attention of the opposite sex which involves touching physical limbs between men and women who have reached intimate relationships. Family functions that are not good can affect adolescent sexual behavior. Therefore, the affective function of the family and family socialization functions play a special role in adolescent growth and development. The aim of this research was to determine the corelation between family affective function and family socialization function with adolescent sexual behavior in SMK Negeri 1 Manado. The research design used descriptive analysis with a cross sectional study approach. This research involved312 respondents obtained by using the Simple Random Sampling technique. The results of the statistical test using Chi-square test at a significance level of 95%, obtained a significant value ρ = 0,000 <α (0,05) for affective function of family with sexual behavior in adolescent andρ = 0,000 <α (0,05)for socialization function of family with sexual behavior in adolescent. Conclusion there is a corelation between family affective function with adolescent sexual behavior and there is a corelation between family socialization function with adolescent sexual behavior.Keywords : Affective Function, Function of Socialization, Adolescent, Sexual BehaviorAbstrak : Perilaku seksual merupakan perilaku beresiko yang bertujuan untuk menarik perhatian lawan jenis yang melibatkan sentuhan secara fisik anggota badan antara pria dan wanita yang telah mencapai pada hubungan intim. Fungsi keluarga yang tidak baik dapat mempengaruhi perilaku seksual remaja. Oleh karena itu, fungsi afektif keluarga dan fungsi sosialisasi keluarga sangat berperan khusus dalam tumbuh kembang remaja. Tujuan untuk mengetahui hubungan fungsi afektif keluarga dan fungsi sosialisasi keluarga dengan perilaku seksual remaja di SMK Negeri 1 Manado. Desain penelitian yang digunakan yaitu Deskriptif Analitik dengan pendekatan Cross Sectional Study. Sampel berjumlah 312 responden yang didapat dengan menggunakan tehnik Simple Random Sampling. Hasil penelitian uji statistic menggunakan uji Chi-square pada tingkat kemaknaan 95%, didapatkan nilai signifikan ρ = 0,000 < α (0,05) untuk Fungsi Afektif keluarga dengan perilaku seksual remaja dan ρ = 0,000 < α (0,05) untuk Fungsi Sosialisasi keluarga dengan perilaku seksual remaja. Kesimpulan ada hubungan antara fungsi afektif keluarga dengan perilaku seksual remaja dan ada hubungan antara fungsi sosialisasi keluarga dengan perilaku seksual remaja.Kata kunci : Fungsi Afektif, Fungsi Sosialisasi, Perilaku Seksual, Remaja
STATUS PARITAS DENGAN TEKNIK MENYUSUI PADA IBU POST PARTUM
Authors: Pasiak Sri Meyke , Pinontoan Odi , Rompas Sefty
Published: October 2021

Abstract:Breastfeeding is the ideal way for mom to express affection on her daughter and thebest way for mom to paint food full of nutrients, but the reality is still a lot of mothers whocannot breastfeed by breastfeeding Technique. Methods this study used a cross-sectionalresearch design cros with entire population mother post!, in Clinics And health centers inManado Tuminting Wori Minut, using primary data interviews and observations as well assecondary data obtained from the clinic. Samplingis done in a non probability sampling withpruposive samplingtechniques. The number of samples as many as 47 respondents. The datapresented in the form of a Frequency Table, the analysis of the data used is the analysis ofunivariate and bivariat analysis method using chi-square. Research results based on thecharacteristics of the mother post!, respondents have age 19-25 years, educated in highschool, and worked as the IRT Primipara and Multipara parity with, the majority ofrespondents who do good on nursing Techniques parity multipara (59.6%), sedangankanrespondents who do less good feeding Techniques on primipara parity. Test results of chisquare.Get results in a value of p = 0.01 smaller than α = 0.05. In conclusion, the results ofthis study showed no connection between status which meant parity with the technique ofbreastfeeding on maternal post.Keywords:Status Of Parity, Breastfeeding TechniquesAbstrak: Menyusui merupakan cara yang ideal bagi ibu untuk mengekspresikan kasih sayangpada anaknya dan cara terbaik bagi ibu untuk memberikan makanan yang penuh gizi, namunkenyataan masih banyak ibu yang tidak dapat menyusui dengan teknik menyusui yang benar.Metode penelitian ini menggunakan desain penelitian cros sectional dengan populasi seluruhibu post partum di Puskesmas Tuminting Manado Dan Puskesmas Wori Minut, denganmenggunakan data primer wawancara dan observasi serta data sekunder yang didapat daripihak Puskesmas. Pengambilan sampel dilakukan secara non probability sampling denganteknik pruposive sampling. Jumlah sampel sebanyak 47 responden. Data disajikan dalambentuk Frequency Table, Analisis data yang digunakan adalah analisis univariat dan bivariatdengan menggunakan metode analisis chi-square. Hasil penelitian berdasarkan karakteristikibu post partum, responden memilki usia 19-25 tahun, Berpendidikan SMA, dan bekerjasebagai IRT dengan paritas Multipara dan Primipara, mayoritas responden yang melakukanTeknik menyusui yang baik pada paritas multipara (59,6%), sedangkan responden yangmelakukan teknik menyusui yang kurang baik pada paritas primipara. Dari hasil ujichisquaredidapatkanhasil nilai p = 0,01 lebih kecil dari α = 0,05. Kesimpulan, hasil penelitianini menunjukan ada hubungan yang bermakna antara status paritas dengan teknik menyusuipada ibu post partum.Kata Kunci:Status Paritas, Teknik Menyusui
DUKUNGAN SUAMI DENGAN KESIAPAN ISTRI : STUDY CROSS SECTIONAL DI RS IBU DAN ANAK MANADO
Authors: Mandey Chaterine Pingkan , Kundre Rina , Bataha Yolanda
Published: October 2021

Bacgroumd: The third trimester of pregnancy is the time to prepare for birth and position as parents, as attention is focused on the presence of the baby, so it is also called the waiting period. Husband's positive support to his wife in the third trimester of pregnancy will have a positive impact on fetal growth and development, physical health, and maternal psychological. Purpose : is to find out the relationship between husband's support and wife's readiness in third trimester pregnancy in Ibu dan Anak Kasih Ibu Manado Hospital. Method : this study used descriptive analytic with Cross Sectional Study approach. Data collection was done through the questionnarie about wife’s knowledge and support from husband’s in third Trimester of pregnancy. Data analysis used Chi-Square test. This study involved 37 respondents using the total sampling technique. The results of this study ρ value = 0,003 <α (0,05). Conclusion there is a relationship between husband's support and wife's readiness in trimester of pregnancy III. Keywords : Labor, Trimester III, Husband Support Abstrak : Kehamilan trimester III merupakan waktu mempersiapkan kelahiran dan kedudukan sebagai orang tua, seperti terpusatnya perhatian pada kehadiran bayi, sehingga disebut juga sebagai periode penantian. Dukungan suami yang bersifat positif kepada istri pada kehamilan trimester III akan memberikan dampak positif terhadap pertumbuhan dan perkembangan janin, kesehatan fisik, dan psikologis ibu. Tujuan untuk mengetahui hubungan dukungan suami dengan kesiapan istri pada kehamilan trimester III di rs ibu dan anak kasih ibu manado. Desain penelitian : Penelitian ini menggunakan deskriptif analitik dengan pendekatan Cross Sectonal Studi. Pengumpulan data dilakukan menggunakan kuesioner tentang pengetahuana istri dan dukungan suami pada masa kehamilan Trimester III. Analisa data menggunakan Chi-Square test. Penelitian ini menggunakan 37 responden dengan menggunakan teknik total sampling. Hasil dari penelitian ini menunjukkan nilai ρ = 0,003 yang berarti nilai p< α (0,05). Kesimpulan ada hubungan antara dukungan suami dengan kesiapan istri pada kehamilan trimester III.Kata kunci : Persalinan, Trimester III, Dukungan Suami
STRES KERJA DENGAN PERSEPSI PERILAKU CARING PADA PERAWAT
Authors: Hangewa Nathania , Bawotong Jeavery S. , Katuuk Mario E.
Published: October 2021

AbstrackBackground The perception of caring behavior is an important thing that must be considered by nurses in providing nursing care. Excessive work stress can affect the quality of health services. The purpose of this study was to determine the relationship between nurses work stress and perception of caring behavior. Method: This study used correlation analytic research design with cross sectional approach. Sample in this study were 34 respondents. Data collection using questionnaire sheets that have been used previously by Nopa (2016) and Rika (2012) whose validity has been tested. The Results using the spearman correlation test, the results obtained r -0,004 and p 0,983 ; 0,05. Conclusion, work stress of nurses is not significantly related to the perception of caring behavior in the emergency room and ICU at GMIM General Hospital Pancaran Kasih Manado. Suggestions, for hospitals to be able to improve the quality of nursing services related to the perception of caring behavior in patients. Keywords: work stress, perception of caring behavior AbstrakLatar Belakang Persepsi perilaku caring merupakan hal penting yang harus diperhatikan oleh perawat dalam memberikan asuhan keperawatan. Stres kerja yang berlebihan dapat mempengaruhi mutu pelayanan kesehatan yang diberikan. Tujuan penelitianuntuk mengetahui hubungan stres kerja perawat dengan persepsiperilaku caring. Metode penelitian ini menggunakan desain penelitian analitik korelasi dengan pendekatan cross sectional. Sampel dalam penelitian ini sebanyak 34 responden. Pengumpulan data menggunakan lembar kuesioner yang pernah digunakan sebelumnya oleh Nopa (2016) dan Rika (2012) yang telah diuji validitasnya. Hasil penelitian dengan menggunakan uji korelasi spearman, hasil diperoleh nilai r -0,004 dan nilai p 0,983 ; α 0,05. Kesimpulan, stres kerja perawat tidak berhubungan secara bermakna dengan persepsi perilaku caring di IGD dan ICU RSU GMIM Pancaran Kasih Manado. Saran,bagi rumah sakit agar dapat meningkatkan mutu pelayanan keperawatan yang berkaitan dengan berpersepsi perilaku caring pada pasien.Kata Kunci : stres kerja, persepsi perilaku caring.
STUDY CROSS SECTIONAL : DUKUNGAN KELUARGA DENGAN KEPATUHAN HEMODIALISA PADA PASIEN GAGAL GINJAL KRONIS
Authors: Paath Chauverim Jeremi Gotlieb , Masi Gresty , Onibala Franly
Published: October 2021

Abstract: Chronic Kidney Disease is progressive and irreversible kidney dysfunction where the body fails to maintain metabolim and fluid and electrolyte balance. Hemodialysis therapy is one of managements of CKD. Disobedience may causing failure of the therapy so it can increase mortality and morbidity numbers. Purpose: The purpose of this research is to find out the correlation beetween family support and hemodialysis adherence of patients with CKD. Method: this study used descriptive Analytic with Cross Sectional Study approach. This study involved 50 respondents with Chronic Kidney Disease using the total sampling technique. Data collection was done through the questionnaire about family’s support and hemodialysis therapy adherence of patient of CKD. The result of this study showed a significant correlation with p value=0,000 (α<0,05). Conclusion: There is a significant correlation beetween family support and hemodialysis therapy adherence of patients with CKD. Further studies are suggested to do other research about specification of family’s support with the example instrumental support.Key Words:     Chronic Kidney Disease, Family Support, Hemodialysis Therapy      Adherence. Abstrak: Gagal ginjal kronis merupakan gangguan fungsi ginjal yang progresif dan ireversibel dimana tubuh gagal untuk mempertahankan metabolisme dan keseimbangan cairan dan elektrolit. Terapi hemodialisa adalah salah satu penanganan gagal ginjal kronis. Ketidakpatuhan dapat menyebabkan kegagalan terapi sehingga meningkatkan angka mortalitas dan morbiditas. Dukungan keluarga merupakan salah satu faktor penting dalam meningkatkan kepatuhan terapi. Tujuan: ujuan penelitian ini untuk mengetahui hubungan dukungan keluarga dengan kepatuhan terapi hemodialisa pada pasien GGK. Desain Penelitian: Penelitian ini menggunakan Deskriptif Analitik dengan pendekatan cross-sectional Study. penelitian ini menggunakan 50 responden  dengan menggunakan teknik total sampling. Pengumpulan data dilakukan menggunakan kuesioner tentang dukungan keluarga dan kepatuhan menjalani terapi hemodialysis pada pasien CKD. Hasil dari penelitian ini menunjukan hubungan yang signifikan dengan nilai p=0,000 yang berarti nilai p<α=0,05. Kesimpulan: Dapat disimpulkan bahwa ada hubungan yang bermakna antara dukungan keluarga dengan kepatuhan hemodialisa pada pasien GGK. Bagi peneliti selanjutnya disarankan untuk melakukan penelitian tentang dukungan keluarga yang lebih spesifik contohnya dukungan instrumental. Kata Kunci: Gagal Ginjal Kronis, Dukungan Keluarga, Kepatuhan Hemodialisa
PERILAKU CARING PERAWAT DENGAN KEPUASAN PASIEN
Authors: Wuwung Edgar Ch. Q. , Gannika Lenny , Karundeng Michael
Published: October 2021

Abstract: Background Nursing Services is a holistic service that encompasses Bio, Psycho, Socio and Spirituality which contains Caring attitude. Patient satisfaction can be influenced by several factors one of them is caring attitude of nurses.The Purpose of this study is to identify relationship between Nurse’s Caring and Patient Satisfaction at Hospital GMIM Pancaran Kasih Manado. Method of this study used cross sectional study design. Sample of this study consist of 90 respondents taken by random sampling method and data collection method used nurses caring and patient satisfaction  questionnaire. Chi-square was used to analyze the data. the Results of this study showed  out of 90 respondents, most of them were Satisfied (60%) and said that the Nurse have Caring attitude (58,9%) with p-value 0.04 smaller than 0.05. Conclusion of this study stated there was a relationship between Nurse’s Caring and Patient Satisfaction at Rumah Sakit Umum GMIM Pancaran Kasih Manado. Suggestions from this study are nurses expected should maintain the quality of Nursing Care so that patient satisfaction can be maintained.Keywords: Nurse’s Caring, Patient Satisfaction, Nurse, Nursing Management.Abstrak: Latar Belakang Pelayanan Keperawatan merupakan suatu pelayanan yang holistik yang melingkupi Bio, Psiko, Sosio dan Spiritual yang didalamnya terkandung sikap Caring. Kepuasan  pasien  dapat dipengaruhi oleh beberapa faktor salah satunya adalah sikap caring perawat. Tujuan studi ini untuk mengetahui hubungan antara perilaku Caring Perawat dengan Kepuasan Pasien di Rumah Sakit Umum GMIM Pancaran Kasih Manado. Metode studi ini menggunakan desain penelitian cross-sectional. Sampel studi ini berjumlah 90 responden dengan metode pengambilan sampel random sampling dan untuk mengumpulkan data menggunakan kuesioner perilaku caring perawat dan kepuasan pasien. Uji chi-square untuk melakukan analisa data hubungan kedua variabel  Hasil dari penelitian ini, didapatkan dari 90 Responden yang diteliti sebagian besar Mengatakan puas (60%) dan berpendapat bahwa perawat  memiliki perilaku Caring (58,9%) dengan p-value 0.04 lebih kecil dari 0.05. Kesimpulan dari penelitian ini bahwa terdapat hubungan antara Perilaku Caring Perawat dan Kepuasan Pasien di Rumah Sakit Umum GMIM Pancaran Kasih Manado. Saran dari penelitian ini diharapkan perawat agar mempertahankan kualitas Asuhan Keperawatan agar kepuasan pasien dapat tetap terjaga. Kata Kunci : Perilaku Caring, Kepuasan Pasien, Perawat, Keperawatan Manajemen