bluuebunny/crossref_metadata_2025 huggingface dataset:
Frecuencia y factores de riesgo para la hipoglucemia neonatal en un hospital regional, 2021
Authors: Lezcano de Leguizamón María Cristina , Ríos González Carlos
Published: December 2022

Introducción: La hipoglucemia que es la reducción en la concentración de glucosa de la sangre en circulación, es un trastorno metabólico común en el recién nacido (RN), sobre todo en aquellos que tienen factores predisponentes como bajo peso al nacer, grande para la edad gestacional, pretérmino, dificultad respiratoria, sepsis, diabetes e hipertensión materna y otros menos frecuentes.

Objetivos: analizar la frecuencia de la hipoglucemia y su relación con los factores de riesgo en Recién Nacidos (RN), del Hospital Regional de Encarnación en el año 2021.

Metodología: estudio observacional, descriptivo de corte trasversal con componente analítico, en niños del alojamiento conjunto del Servicio de Neonatología del Hospital Regional de Encarnación, de abril a junio del 2021. Fueron incluidos aquellos en los que, por presentar algún factor de riesgo se determinó el nivel de glucosa en sangre capilar con tira reactiva y glucómetro.

Resultados: los RN nacieron por cesárea en el 70%, control prenatal insuficiente en el 8,2% sexo masculino el 57%, pretérmino 25%, Apgar bajo 1,18%, dificultad respiratoria 11%, bajo peso al nacer 17%, grande para la edad gestacional 35% Las madres presentaron diabetes gestacional en el 22% e hipertensión materna en el 12%. Los factores de riesgo de riesgo se presentaron en 21,8% e incidencia de hipoglucemia en 4,1%.

Conclusión: En los 774 niños que nacieron en ese periodo, la frecuencia de hipoglucemia fue menor a la citada en la literatura. El análisis se realizó mediante las pruebas estadísticas de Fischer y los factores de riesgo relacionados en forma estadísticamente significativa (p=0.05), fueron el control prenatal insuficiente, hipertensión materna, diabetes gestacional, prematuridad y los pequeños para la edad gestacional.
Pituitary macroadenoma causing vision loss in Wyburn-Mason syndrome: illustrative case
Authors: Hug Nicholas F. , Purger David A. , Moss Heather E. , Dodd Robert L.
Published: December 2022

BACKGROUND

Wyburn-Mason syndrome (WMS) is a neurocutaneous disorder consisting of vascular malformations of the brain, eye, and skin. These include characteristically high-flow intracranial and intraorbital arteriovenous malformations (AVMs) that present commonly with visual deterioration, headache, and hemiplegia. Complete removal of these lesions is challenging. Most patients are followed closely, and intervention occurs only in the setting of worsening symptoms secondary to AVM growth or hemorrhage. Here the authors present the first known case of a patient with WMS and a pituitary macroadenoma.

OBSERVATIONS

A 62-year-old man with a 30-year history of WMS with right basal ganglia and orbital AVMs and right eye blindness presented for new-onset left-sided vision loss. A pituitary adenoma was identified compressing the optic chiasm and left optic nerve. Magnetic resonance imaging and digital subtraction angiography studies were obtained for surgical planning, and the patient underwent an endoscopic transnasal transsphenoidal resection, with significant postoperative vision improvement.

LESSONS

Given the variable presentation and poor characterization of this rare syndrome, patients with WMS presenting with new symptoms must undergo evaluation for growth and hemorrhage of known AVMs, as well as new lesions. Further, in patients undergoing intracranial surgery, extensive preoperative imaging and planning are crucial for safe and successful procedures.
Von Hippel-Lindau disease with intracranial hemorrhage due to arteriovenous anastomosis via multiple spinal hemangioblastomas: illustrative case
Authors: Ikeuchi Yusuke , Nishihara Masamitsu , Ashida Noriaki , Hosoda Kohkichi
Published: December 2022

BACKGROUND

Some spinal hemangioblastomas (HBLs) resemble spinal vascular malformations. Intracranial subarachnoid hemorrhage (SAH) secondary to spinal HBL has rarely been reported.

OBSERVATIONS

A 67-year-old man with a prolonged von Hippel-Lindau disease (VHL) history presented with sudden headache and vomiting. Cranial and cervical computed tomography (CT) revealed severe infratentorial, supratentorial, and cervical SAH. Cranial CT angiography and magnetic resonance imaging revealed a mismatch in hemorrhage and intracranial tumor localization, with no vascular lesions that could lead to intracranial SAH. Cervical CT angiography revealed abnormal blood vessels originating from 5 spinal tumors suspected to be HBLs. We considered that the SAH was caused by venous reflex from vascular malformation–like spinal HBLs. Transarterial embolization (TAE) of the feeding artery of HBLs was performed to improve symptoms and reduce rebleeding risk. Nine months after TAE, angiography showed no venous reflux into the intracranial space. Ten months later, the authors excised the T1–2 tumor because the patient complained of progressive paralysis of the right upper extremity.

LESSONS

In HBL with prolonged VHL, intracranial hemorrhage due to venous regurgitation via a mimicked vascular malformation may occur. Reducing venous reflux with TAE may improve symptoms and prevent rebleeding.
INCREASING THE EFFICIENCY OF THE TREATMENT OF ENDOPARODONTAL LESIONS
Authors: Mammadov F.Y. , Bayramova V.M. , Ahmedbeyli R.M.
Published: December 2022

Chronic inflammation in the periodontium, pulp and periodontium, through the pocket of which the infection can spread towards the root apex and cause a retrograde development of the inflammatory process in the pulp and periapical tissues, is considered as an odontogenic focus.
Aim: to study the state of periodontal tissues, periodontitis in the presence of a periapical focus of infection and the dynamics of its change in complex treatment.
Material and methods. 150 medical records of a dental patient were studied, among them a randomized controlled study of 100 patients with combined endodontic and periodontal lesions and 50 individuals not burdened by this pathology was also conducted. At the next stage a study of 41 patients with EPL was conducted. The patients were divided into two groups depending on the treatment algorithm: I – with a diagnosis of EPL20 patients of the main group, who, along with standard treatment, received additional therapy with decontamination of CC and laser curettage with a dental diode laser (Picasso Life); II with a diagnosis of EPL 21 patients in the control group with traditional treatment. Evaluation of the effectiveness of traditional and proposed methods of treatment of endoperiodontal lesions was carried out by assessing the degree of gingival bleeding (SBI index (Muhlemann H.R. modified by Cowell I., 1975)) and probing depth (PD).
Results. The age indicators for patients of two groups most often varied within 40-49 years. The second most frequent was the age of the subjects, which amounted to 50-59 years. When studying the influence degree of industrial environment factors with irritating and general toxic properties on the frequency of occurrence of EPl, it was found that in the main group 14.0% of patients with this pathology have been working in such conditions for a long time. In addition, in the control group, the number of persons professionally burdened with inflammatory periodontal diseases without signs of apical periodontitis was 16.0%. In the course of further analysis of the obtained anamnestic data, it was revealed that alcohol abuse occurred in the main group in 36.0% of cases, in the control group in 24.0%. Abuse of tobacco products, against the background of which there is inflammation of the gums in the form of hyperemia, edema, bleeding, was noted by half of the patients in the control group and almost the same number of patients in the main group 48.0%, in whom pathological changes in the periapical region were detected in parallel.
Conclusion. At certain periods of observation, statistically significant distinguishing intergroup signs were clearly expressed 6 months after the completion of therapeutic and preventive measures, and this trend in a sharp and significant decrease in gum bleeding and periodontal pocket depth continued by the end of observations in the main group when using a laser.
A MODERN VIEW ON THE INFLUENCE OF TOBACCO HEATING MEANS ON THE CONDITION OF PERIODONTAL TISSUES
Authors: Kiiun I.D. , Soltys O.M.
Published: December 2022

Tobacco smoking is one of the urgent social and medical problems of our time, as well as the cause of many serious diseases (oncological, cardiovascular, respiratory, etc.). The prevalence of smoking in Ukraine remains at a fairly high level: on average, 40.1% of men and 8.9% of women smoke (this is almost ¼ of the entire adult population). The harmful effects of tobacco smoking are well known to doctors of various specialties, but few people pay attention to the fact that smoking also causes negative consequences for the oral cavity, because the mucous membrane of the oral cavity and periodontal tissue are the first to be hit by the harmful factor. The prevalence of smoking among the population of Ukraine aged 12 and older in 2020 was 16.5%, which is 2% less than in 2019. Since 2006, when electronic cigarettes appeared on the world market, there has been a constant increase in their sales. This increase in sales is reflected in survey data, especially in high-income countries, and is linked to the benefits of e-cigarettes, which some people believe carry fewer health risks compared to traditional cigarettes, due to their lack of toxic chemicals that are formed in large quantities during the combustion of tobacco. Scientific data does not allow us to claim that the use of any type of tobacco product can be safer for health, compared to others. According to a 2020 WHO report, the use of tobacco heating devices containing nicotine leads to symptoms of nicotine dependence. The aerosol of the above-mentioned cigarettes can cause malfunction of some cells of the human body. The reason lies in the composition of their liquids: most of them contain toxic substances metals, carbonyls, harmful aromas, etc. Therefore, the best way to get rid of all risks is to completely stop using tobacco and nicotine in any form. Therefore, it is important for the dental professional to understand the difference between the effects of new products and traditional smoking, while encouraging the patient to completely quit smoking.
FEATURES OF REPARATIVE OSTEOREGENERATION AFTER TEETH EXTRACTION, METHODS OF REPLACEMENT OF BONE TISSUE DEFECT OF THE JAWS (LITERATURE REVIEW)
Authors: Kolesnichenko M.O.
Published: December 2022

Introduction. Vertical and horizontal atrophy of the alveolar process, which occurs after tooth extraction, can create negative prerequisites for the surgical stage of dental implantation and requires additional surgical interventions.

The purpose of the study is to conduct an analysis of literary sources of Ukrainian and foreign authors regarding the features of reparative regeneration of bone tissue after tooth extraction.

Results and discussion. After tooth extraction, the alveolar process undergoes resorption in the vertical, transverse and sagittal planes. Mostly, atrophy occurs during the first year after tooth extraction, in particular, during the first three months. Initially, there is a decrease in bone thickness, not height. The resorptive process continues during the following years; however, the rate of bone loss gradually decreases. The mandible is more prone to resorption than the maxilla, and the distal segments of both jaws show more extensive atrophic phenomena compared to the mesial ones.

According to literature data, 29-63% of horizontal and 11-22% of vertical bone loss occurs during the first 6 months after tooth extraction without the use of alveolar process preservation techniques.

Conclusions. Thus, the atrophy of the alveolar process, which occurs after tooth extraction, is uneven in different areas of the jaws, depends on many factors and determines the need for its augmentation for further dental implantation. Procedures for preserving the volume of the alveolar process cannot fully prevent bone tissue atrophy.
DYNAMICS OF CHANGES IN THE ELECTROMYOGRAPHIC INDICATORS OF MASTICATING MUSCLES DURING THE PROSTHETIC REHABILITATION OF PATIENTS WITH PATHOLOGICAL ABRASION OF TEETH WHEN USING REMOVABLE PARTIAL FIXED DENTURES
Authors: Balia H.M. , Kuz V.S. , Shemetov O.V. , Martynenko I.M. , Kuz I.O.
Published: December 2022

Pathological abrasion of teeth is a fast process, accompanied by changes in the dental tissues and tissues of periodontium, as well as a disorder of the functions of the masticatory muscles and TMJ (temporomandibular joint). According to different authors, the prevalence of pathological abrasion of hard dental tissues ranges from 4% to 57% at a younger age and reaches 91% in the elderly age. The difficulties of prosthetic rehabilitation of this category of patients are caused by combined morpho-functional disorders. Therefore, the ability to assess the condition of the masticatory muscles is quite important for the further development of the doctor's actions and the preparation of a treatment plan.

The aim of the study was to determine the state of the masticatory muscles using electromyographic studies in individuals with a generalized form of pathological abrasion, namely, with those forms which are combined with defects of dental rows of different localization before treatment and in the distant periods after treatment compared to the norm.

For clinical assessment of the quality of prosthetic results, we recruited a clinical observation group and a control group. All patients of the clinical group were made constructions of removable partial fixed dentures. To achieve the aim, we used the electromyographic recording of the masticatory muscles’ biopotentials during the masticatory movements in the specified time.

The results of our research work indicate that after 1 year of use of the above-mentioned dentures, the amplitude indicator during voluntary compression is 602.92±5.98 μV, which is close to the norm (641.58±10.01 μV) and almost three times more than before using this type of dentures (191.16±9.16 μV). A similar pattern is observed during voluntary chewing: the amplitude approaches the norm (643.92±9.11 μV) and is 628.54±5.77 μV compared to the results before using dentures (203.86±9.21 μV).

The integral indicator of electromyographic research (coefficient “K”) which shows the neuro-reflex activity of the masticatory muscles in patients who used removable partial fixed dentures evidenced a tendency towards positive dynamics of changes in this indicator (1.02±0.01 in the norm versus 1.31 ±0.06 after 1 month, 1.20±0.04 after 6 months and 1.06±0.02 after 1 year).
HISTOPATHOLOGICAL PATTERNS OF CERVICAL CANCER AMONG FEMALES PRESENTING TO MAKERERE UNIVERSITY PATHOLOGY CORE REFERENCE LABORATORY. A 5-YEAR REVIEW
Authors: Moses Mwanja
Published: December 2022

The study aimed to determine the histopathological pattern of cervical cancer among females presenting to Makerere university pathology core reference laboratory. Information on patients who had a cervical cancer diagnosis by histology from 2017 to 2021.The Data collected was analyzed using SPSS version 18. A total of 120 patients from 2017 to 2021 were recruited into the study. The mean age of the patients was 47.5 (SD 13.1), the youngest patient was 21 years and the oldest was 80 years of age. Cervical cancer was more prevalent in women aged between 35 to 54 years 77(64.2%) and women with HIV infection 26(21.7%). Squamous cell carcinoma presents in 102 (85%) patients was the most prevalent pattern of cervical cancer. This was followed by adenocarcinoma 7 (5.8%) and adenosquamous 5 (4.2%) histological patterns of cervical cancer. Cervical cancer is predominant among women with HIV and women aged 35-55 years. Squamous cell carcinoma is the most prevalent pattern of cervical cancer in Uganda present in every 9 out 10 cervical cancer patients. Routine screening of all HIV positive women and women aged 35 years and above is recommended.
Learning loss during the pandemic: Views of Indonesian teachers and parents
Authors: Kristiana Ika Febrian , Widayanti Costrie Ganes , Widodo Prasetyo Budi , Indriana Yeniar
Published: December 2022

The pandemic situation has dramatically caused a shift from face-to-face learning to online-based distance learning. Learning loss has become an unanticipated impact and threatens almost all students in the world, including Indonesia. This qualitative study was aimed to explore the understanding of teachers and parents in Indonesia about learning loss. A total of 16 participants consisting of teachers and parents (M.age = 44.5; Female = 81.25%; Male = 18.75%) were involved in focus group discussions as the data collection process. This is narative research using thematic analysis from Braun Clarke (2006) was used in data analysis. There were 6 final themes about learning loss, namely: the determinants, the forms, the negative impacts, the strategies to minimize, the parties who are responsible for overcoming it, and the expectations of teachers and parents. The unique findings of this study establishing the possibilities for future research include decreased motivation and positive characters as a new form of learning loss, teacher capacity in conducting online learning, technological literacy for parents, and learning loss for students with special needs as well as network constraints and unnecessary involvement from parents (finishing student assignments) as parts of the causes of learning loss. It is necessary to have a strategy in overcoming learning loss in a collaborative effort from various parties responsible for the education system in Indonesia.
Self-Information Module on Psychotropic Drug Management Among Mentally Ill Patients Attending Psychiatric OPD
Authors: Hiremath Prabhuswami , Patil Sangeeta , Shinde Mahadeo , Kamble Dhananjay
Published: December 2022

Introduction: Psychiatric drugs, which are also used to treat mental problems, are given to a significant number of patients in today’s society. Many persons who have been diagnosed with psychiatric problems are now able to lead happy lives as a direct result of the use of psychiatric drugs. Aims: The purpose of this study was to evaluate the effectiveness of a self-information module on the management of psychotropic medicines for carers of mentally ill patients who were attending the psychiatric outpatient department at Krishna Hospital. evaluation of the knowledge of psychotropic drug use among caretakers of psychiatric patients is the purpose of this study, in order to determine the usefulness of the information module. to establish a connection between the findings and a range of relevant demographic data. Methodology: Consisted of using an evaluating strategy in conjunction with a one-group pre-test post-test pre experimental design. The mental outpatient department of Krishna Hospital in Karad served as the site of the study. The population of this study is comprised of all of the carers of psychiatric patients who visited the psychiatric outpatient department (OPD). The sample included sixty caretakers of patients who were being treated with antipsychotic medications. A technique known as non probability sampling is one in which the sample is collected by the use of a method that does not provide every individual in the population with an equal chance of being selected. The goals of the study served as the foundation for the development of the instrument. Result: The findings showed that 50 (83.33%) of the samples had an average level of expertise regarding the administration of psychotropic medicines. The results show that the 10 (16.66%) samples had inadequate understanding on the administration of psychiatric drugs. The table reveals that not a single sample achieved a perfect score of 0 (100%) on the pre-test. In the post-test, 54 (90%) of the samples have good knowledge regarding the management of psychotropic drugs, 5 (8.33%) of the samples have average knowledge regarding the management of psychotropic drugs, and only 1 (1.66%) of the samples have poor knowledge regarding the management of psychotropic drugs. The knowledge scores regarding the management of psychotropic medicines prior to and after undergoing the self-information module of 60 observations had a mean of 13.15 before the test and 23.45 after the test. Before the test, the standard deviation was 2.7558, and after the test, it was 2.9968. The null hypothesis is rejected since the computed result for the t-test statistical test is 57.592, and the p-value for the test is less than 0.05, hence the test rejects the null hypothesis. Conclusion: It has been demonstrated that the self-information module is an effective way for increasing the level of knowledge that carers have on the administration of psychiatric drugs.
A Study to Evaluate the Impact of a Planned Teaching Programme on Nursing Students’ Knowledge, Attitude, and Practice in Concerning New Coronavirus
Authors: Hiremath Prabhuswami , Shinde Mahadeo , Katti Rohini
Published: December 2022

Introduction: Taking a look at how well-informed KIMSD nursing students are about the coronavirus can provide light on how people in the area currently think and act, which in turn can lead to a better understanding of the factors that encourage the adoption of healthy habits. Aims: The purpose of this study is to evaluate the impact of a planned education programme on nursing students’ understanding, attitudes, and behaviour toward the newly discovered coronavirus. 1) One goal is to determine how well KINS students understand and apply information they learn about COVID-19. 2) Assess the impact of the COVID-19 education programme on student learning, attitudes, and behaviour at the undergraduate level. Material and Method: The study’s methodology relied on an evaluative research strategy. The study employs a one-group pre-post test design. Ninety samples were used in the analysis. The research was done at the Krishna Institute of Nursing. The method of sampling utilised here is the random sampling method. A knowledge, attitude, and practise questionnaire was used to gather the information. The KAP lesson for COVID-19 was presented to the students following the pre-test, as was originally scheduled. Result: One-fifth of the students in the survey were between the ages of 17 and 18, while the remaining 62% were between the ages of 18 and 19. Additionally, 74% of the students were female, 64% were Hindu, 64% were from Maharashtra, and 44% got their news from the media. On average, students scored 11 (with a standard deviation of 5.3) on the pretest, and 18.8 (with a standard deviation of 4.79) on the post-test. The mean attitude score was 6.03 (SD = 2.86) on the pre-test and 9.01 (SD = 2.36) on the post-test. The average practise score was 6.27 (with a standard deviation of 2.35) on the pretest, and 10.26 (with a standard deviation of 2.35) on the posttest. There was no statistically significant correlation between nursing students’ knowledge, attitude, and practise with respect to the new coronavirus and a variety of demographic factors. Knowledge, as measured by the post-test, increased by t = 10.88, P 0.0001; attitude, by t = 7.62, P 0.0001; and practise, by t = 11.38, P 0.0001, indicating that the proposed instruction programme was effective. Conclusion: We conclude that the knowledge, attitudes, and practises of nursing students before and after the implementation of a structured training programme are statistically different. Nursing students can benefit from a more informed perspective on COVID-19 after participating in a well-planned education programme.
A Study to Teach Breast Feeding to Caesarean Mothers at Tertiary Hospitals to Develop a Protocol
Authors: Shinde Mahadeo , Katti Anagha
Published: December 2022

Introduction: Having a caesarean section is one of the obstacles to getting started with breastfeeding at an earlier age. When a mother gives birth via caesarean section, she typically needs some more time to heal before she can physically feel ready to hold and nurse her newborn child. This typically results in a delay in the beginning of breastfeeding for the mother. The nurse is responsible for assisting the mother in the development of the required skills in order for her to be able to feed her baby on her own. Breastfeeding is the method of choice since it fulfils both the psychological and physiological requirements of the newborn. As a result of its one-of-a-kind physical, metabolic, and immunological properties, it is the ideal nourishment for newborn infants. Aims: This study is to better understand how breastfeeding can be improved for mothers who have had caesarean sections. The goals of this study were to determine the level of breastfeeding expertise among women who had caesarean sections and were hospitalised in tertiary care facilities. Methods: Using a non-probability convenient sampling technique, a quantitative approach with a quasi-experimental design was used to choose sixty moms who had given birth after LSCS. Result: The study’s findings showed that out of 60 postnatal caesarean women, only 15 (23.33%) have strong understanding about the technique of breastfeeding, while 31 (51.67%) mothers have average knowledge and 14 (25%) caesarean mothers had low knowledge regarding breastfeeding technique. Conclusion: The findings of the study indicate that there is a requirement for education for moms who have had caesarean sections regarding proper nursing technique following delivery.
To Evaluate the Effectiveness of a Self-Instructional Module on First-Year Nursing Students in Covid-19 Pandemic
Authors: Patil Sangeeta , R. Mohite Vaishali , C. Mohite Namrata , Shinde Mahadeo
Published: December 2022

Introduction: During the COVID 19 pandemic, people had less opportunity to contact with one another socially. In some areas of the world, students were even barred from attending school or colleges. Aims: The purpose of this study was to research and evaluate the efficacy of a self-instructional module on social anxiety among first-year nursing students participating in the COVID-19 programme. Material and Method: The components and procedures: An experimental investigation was carried out to determine whether or not a self-instruction module is beneficial in lowering levels of social anxiety. A total of one hundred samples were collected using straightforward sample methods in accordance with inclusion criteria. Self-instructional module as well as a questionnaire that was developed by the individual and then validated by specialists. (Score equals Mild Level of Social Anxiety when between 1 and 25, Moderate Level of Social Anxiety when between 26 and 50, and Severe Level of Social Anxiety when between 51 and 75. The design consisted of one group undergoing a pre-test and a post-test. A pre-test had been completed, and a self-instruction module had been distributed to every student. After waiting a week after the initial test, the same questionnaire was used. Statistics, both descriptive and inferential, were used to analyse the data. Results: The majority of the students in this experimental research project on Scio demographic factors are between the ages of 18 and 19 years old, 56 (56%) from rural area, from urban area 63(63%). Internet-based sources of information make up 72 percent of the total. 9 percent of students had light social anxiety, 79 percent had moderate social anxiety, and 12 percent of students had severe social anxiety in the level of social anxiety as a pre-test. After the post-test, one hundred percent of students reported mild anxiety, whereas none of the students reported mild or severe anxiety. There was no discernible correlation found with any of the Scio demographic factors. Conclusion: The students were able to better meet their intellectual and emotional needs, as well as experience a reduction in their levels of social anxiety, by engaging in self-directed learning.
Stress and Physiological Variables in People with Coronary Artery Diseases
Authors: S. Bhosale Tejas , K. Choudhari Samir , Shinde Mahadeo
Published: December 2022

Introduction: As the number of people diagnosed with heart disease continues to rise on a daily basis, it has developed into a condition that poses a risk to one’s life. The current epidemic of coronary artery disorders can be explained, in large part, by a number of modifiable risk factors that are related with one’s way of life. According to the findings of various research studies, coronary heart disease can be a primary reason for morbidity and mortality in adults. Aims: The purpose of this study is to evaluate patients who have coronary artery diseases in terms of their physiological parameters as well as their levels of stress. Materials and Method: The research was quantitative, based on surveys, and it was conducted on patients suffering from cardiac disorders. A total of 54 samples were chosen using the Simple Random approach. Before the data collecting began, authorization from the ethical committee was acquired. After getting permission from the location, the patients were approached about their interest in taking part in the study, and informed consent was collected from each one of them. The use of structured questions allowed for the evaluation of physiological markers as well as stress. It was decided to collect the demographic variables. Statistics, both descriptive and inferential, were applied to the study of the acquired data, and the results were examined. Result: The findings showed that 51 subjects (94.44%) had a fever of 98 degrees Fahrenheit. The majority of the subjects 18, or 33.33 percent, had a heart rate that was between 71 and 80 beats per minute. Regarding blood pressure, 17-24 breaths per minute were included in the respiratory rates of 38 (70.37%). The blood pressure of the majority of the 30 individuals (55.55%) was below 140/90mmHg. According to spo2, a maximum of 28 (51.8%) of the participants belonged to the 95% group. The majority of the samples, 37.03%, exhibited mild stress, whereas 27.7% of the samples exhibited moderate stress, and 35.18% exhibited severe stress. Conclusion: The findings of this investigation imply that the majority of the samples in the present study had fluctuation in their physiological parameters, and the vast majority of the samples experienced moderate to severe stress.
Analyzing the Impact of Antenatal Depression on Birth Outcomes in Selected Tertiary Level Hospital
Authors: B. Karale Rajashri , Shete Shushma , Shinde Mahadeo
Published: December 2022

Introduction: Psychological problems are one of the primary concerns for pregnant women, and depression is the most prevalent mental health condition that a woman may experience during her pregnancy and the perinatal period anywhere in the world. Aims: The purpose of this research was to determine the correlation between the severity of depression experienced in the final trimester of pregnancy and the outcome of the pregnancy. Materials and Methods: The level of depression experienced during the third trimester was evaluated by means of descriptive research. Data were obtained from fifty pregnant mothers at Krishna Hospital in Karad, Maharashtra, using a straightforward random selection procedure in both the prenatal outpatient department and the postnatal ward. In order to obtain the responses, interviews were conducted with fifty pregnant women who were in their third trimester according to their EDD. The demographic information was gathered through the use of a structured questionnaire, and the level of depression was determined using the Hamilton Depression Rating Scale (HAM-D). The data were summarised and described using frequency, percentage, means, and standard deviation, and inferential statistics like the chi-square (2) test were used to determine whether or not there was a relationship between the variables. Result: The outcomes of the study indicate that a total of 9 mothers (18%) did not suffer from depression, 22 mothers (44%) did suffer from mild depression, 16 mothers (32%) did suffer from moderate depression, and 3 mothers (6%) did suffer from severe depression. It was found that there was a significant association between the level of depression and the type of delivery (p = 0.0141), that there was a significant association between the level of depression of the mother and the weight of the baby (p = 0.0149), but that there was no significant association between the weight of the baby and the type of delivery (p = 0.8765). Conclusion: The findings of the study indicated that pregnant women experience depression during their third trimester, which necessitates the quick attention of medical professionals so that the condition does not have an impact on the outcome of the pregnancy.
Assessing Nurses’ Knowledge and Attitudes Toward Pressure Ulcers in a Tertiary Care Setting
Authors: R More Ujwala , B Shinde Mahadeo
Published: December 2022

Introduction: Context and goals: “Constant attention by an experienced nurse may be just as crucial as a big operation performed by a surgeon.” 1 It is not uncommon for patients to develop pressure ulcers, which require correct guidelines and care from nurses. Because of this, it is important for nurses to be knowledgeable about healthy positions, specific protection, and the early recognition of symptoms, as well as other factors that can assist individuals in maintaining and promoting good health. Aims: To evaluate existing knowledge, as well as current, practises regarding the prevention of pressure ulcers. Methods: A research study using a cross-sectional design was carried out on one hundred registered nurses working in tertiary care facilities affiliated with Krishna Hospital and Medical Research Centre Karad. A questionnaire that the participants had to fill out on their own was used to evaluate their level of knowledge. Result: The findings show that the bulk of personnel, 83%, fall within the age range of 30 years, while the remaining 17% fall within the age category of 30 years or older. 62% of staff nurses possessed average levels of knowledge, 19% possessed good levels of knowledge, and 19% possessed poor levels of knowledge. Perspectives of the nursing staff with reference to pressure ulcers 40% staffs were neutral, 35% staffs disagreed and 25% staffs agreed. The purpose of this study was to investigate the knowledge and attitude of staff nurses regarding pressure ulcers. The findings suggest that in the future, there is a requirement for a systematic teaching programme in order to improve the knowledge of staff nurses. Conclusion: The prevention of pressure ulcers frequently requires the utilisation of low technology; nonetheless, careful attention is necessary in order to address the risk factor for pressure ulcers
Çeşitli gıda örnekleri ve kesimhanelerden izole edilen bazı patojen bakterilerin biyofilm oluşturma yeteneğinin araştırılması
Authors: UYANIK Tolga , BÖLÜKBAŞ Ayşegül , GÜCÜKOĞLU Ali , ÇADIRCI Özgür
Published: December 2022

Biyofilmler, bakterilere güçlü tolerans ve uygun yaşam ortamları sağlayan, ekstraselüler polimerik maddelere gömülü mikroorganizmalar topluluğudur. Çoğu patojen özellikteki mikroorganizma, uygun koşullar oluştuğunda gıdalarda ve gıda ile temas eden yüzeylerde biyofilm oluşturarak gıda endüstrisinde ve halk sağlığı açısından sorunlara yol açmaktadır. Bu çalışmada, daha önceki çalışmalarla çeşitli gıda örnekleri ve kesimhane ortamından izole edilen ve moleküler yöntemlerle identifiye edilmiş, toplam 120 Salmonella Virchow, Salmonella Infantis, Listeria monocytogenes, Escherichia coli, Staphylococcus aureus, Enterococcus faecalis, Enterococcus faecium izolatı materyal olarak kullanıldı. Biyofilm oluşumunun kalitatif olarak tespiti amacıyla Kongo Kırmızısı Agar kullanıldı. Yapılan analizler doğrultusunda, toplam 120 izolattan 15’inin (%12,5) kalitatif olarak biyofilm ürettiği tespit edildi. Kalitatif olarak biyofilm oluşturduğu tespit edilen suşların biyofilm oluşturma gücü mikroplak yöntemiyle kantitatif olarak araştırıldı. Mikroplak yöntemine göre 2 E. faecium ve 1 E. faecalis suşu güçlü biyofilm üreticisi; 2 L. monocytogenes (serotip 1/2a) suşu orta düzey biyofilm üreticisi; 4 E. coli, 4 S. aureus ve 2 L. monocytogenes (serotip 1/2a ve serotip 4b) suşu zayıf biyofilm üreticisi olarak belirlendi. Salmonella spp. suşlarının tümü biyofilm üretimi açısından negatif olarak belirlendi. Sonuç olarak; süt, mandıra ürünleri, tüketime hazır gıdalar ve kesimhanelerden izole edilen bakterilerde biyofilm üretiminin hem halk sağlığı hem de gıda işletmeleri için önemli olduğu düşünülmektedir. Bu nedenle, gıda işleme tesislerinde, üretim hattı boyunca temizlik ve dezenfeksiyon işlemlerinin gerçekleştirilmesinde HACCP, İyi Üretim Uygulamaları gibi gıda sanitasyon sistemlerine riayet edilmesinin biofilm oluşumunun önüne geçilmesinde faydalı olacağı öngörülmektedir.
KETERLIBATAN PEMERINTAH DALAM PENGEMBANGAN USAHA MIKRO KECIL MENENGAH DI KOTA MAKASSAR SELAMA PANDEMI COVID-19
Authors: Gunawan Muhammad Taufan , Alzah Salam Fadillah , Serpian Serpian
Published: December 2022

Penelitian ini bertujuan untuk memberikan gambaran terkait dengan sejauh mana aturan-aturan pemerintah dalam mengembangkan Usaha Mikro Kecil Menengah (UMKM) di Kota Makassar. Penelitian ini menggunakan pendekatan kualitatif dengan menggunakan metode kajian literatur. Hasil menunjukkan bahwa dimensi pengembangan sumber daya manusia dan keuangan menjadi fokus pemerintah dalam mengembangkan umkm.
PENGARUH KINERJA KEUANGAN TERHADAP NILAI PERUSAHAAN PADA SEKTOR PERBANKAN DI BURSA EFEK INDONESIA PERODE 2018 - 2020
Authors: Melda Melda , Sumatriani Sumatriani , Usman Ahmadi
Published: December 2022

This study aims to determine Effect of Financial Performance on Firm Value. The Financial Performance measured by using CAR (Capital Adequacy Ratio), NPL (Non Perfoming Loan), NIM (Net Interest margin), BOPO and LDR (Loan to Deposit Ratio). Meanwhile the Firm Value measured by using (PBV) Price to Book Value. This study used secondary data with the sample comprising banking companies listed in the Indonesia Stock Exchange (BEI) in 2018-2020 by using purposive sampling method. There were 25 Commercial Banks that qualified as research samples. Analysis technique used is a classic assumption test covering normality test, mulicolinierity test, heterocedastisity test and autocorrelation test. Other tests are multiple linier regression and hypothesis test using t-statistic and test use f-statistic to test partial regression coefficient in level of significance 5%. The results of this research showed that using CAR (Capital Adequacy Ratio), NPL (Non Perfoming Loan), NIM (Net Interest margin), BOPO and LDR (Loan to Deposit Ratio) has significantly positive effects toward (PBV) Price to Book Value.
PELATIHAN, PENILAIAN KINERJA, DAN KOMPETENSI TERHADAP KINERJA PEGAWAI (STUDI KASUS PERUSAHAAN UMUM DAERAH)
Authors: Balele Bintang , Hariyanti Hariyanti , Kustiany Kustiany
Published: December 2022

This study aims to analyze the relationship between training, performance appraisal, and competence on employee performance at the Regional Drinking Water Company (PERUMDA) in Maros Regency. This research is a consensus research in which all the population used as respondents, which are 57 employees. Based on statistical results, the study found that training and performance appraisal affects positively and significantly employee performance. Differently, the study did not find the relationship between competence on employee performance. This suggest that competence based on education, with the exception of training and coaching, did not drive up the employee performance.
PERANAN PEMIMPIN DALAM MENINGKATKAN DISIPLIN KERJA PADA PT BOSOWA BERLIAN MOTOR MAKASSAR
Authors: Harbani Harbani , Muslimin Muslimin , Dzamir Muhammad Roif
Published: December 2022

This study aims to determine: (1) how is the role of leaders in improving work discipline at the Branch Head of PT Bosowa Berlian Motor Makassar. (2) what is the factors hinder the leader's role in improving work discipline at the Branch Head of PT Bosowa Berlian Motor Makassar. The research method used is descriptive research type. The sampling technique used is a saturated sampling technique where the entire population is used as a sample of 75 samples. The data collection methods used are interviews, questionnaires and observation. Data analysis used is quantitative analysis supported by qualitative analysis and data processing using frequency distribution table. The results of this study indicated that the role of leaders in improving work discipline at the Branch Head of PT. Bosowa Berlian Motor Makassar can be said to be "not good".
PENGARUH GREEN MARKETING TERHADAP MINAT BELI PRODUK AVOSKIN (STUDI KASUS PADA FOLLOWERS AKUN TWITTER @AVOSKINBEAUTY)
Authors: Gani Irma Sari , Pane Dian , Amansyah Farida
Published: December 2022

This research was conducted on followers of @avoskinbeauty twitter account. This research aimed to find out the effect of green marketing on buying interest in Avoskin products on the followers of @avoskinbeauty twitter account. The type of research used was associative research. Sampling technique used was stratified purposive sampling. Data collection techniques were carried out using questionnaires distributed to 100 followers of @avoskinbeauty twitter account. The data obtained were analyzed using simple linear regression analysis, coefficient of determination and t-test with the help of SPSS 25.0 program. The results of this research indicated that green marketing had a positive and significant effect on buying interest in Avoskin products on followers of @avoskinbeauty twitter account. Green marketing contributes 28.3% in influencing the buying interest of followers of the @avoskinbeauty twitter account towards Avoskin products.
IMPLIKASI INOVASI PRODUK TERHADAP KEUNGGULAN BERSAING PRODUK BUNGA SEGAR PADA UMKM “ILOMATA” TOMOHON
Authors: Rambing Precylia Ribka , Paendog Melky Krisna , Kumaat Arief Perdana , Pessak Roman
Published: December 2022

The large number of entrepreneurs in the field of selling fresh flowers in the city of Tomohon requires MSMEs to create unique and attractive products by implementing an innovation strategy in their business. By implementing innovations in fresh flower products, it is expected that MSMEs can produce products that have competitive advantages. This study aims to determine how much influence partially and simultaneously product innovation has on the competitive advantage of Ilomata fresh flower products. This research uses quantitative methods and uses a Likert scale as a measurement. The sampling technique uses a nonprobability sampling technique, namely purposive sampling technique. The population in this study were consumers of MSME Ilomata Tomohon fresh flower products, from this population there were 60 samples to be studied. The data analysis technique used in this study is multiple linear regression analysis. The results showed that partially the product innovation variable for each dimension had a significant effect because it had a t-count > t-table (2.004) and a significance level <0.05. Taken together the independent variable Product Innovation  has a significant influence on the dependent variable Competitive Advantage with Fcount 12.692. The coefficient of determination is 67.7%, meaning that the influence of the product innovation variable on competitive advantage is 67.7%, while the remaining 32.3% is influenced by other variables not examined in this study.
Pengaruh Perubahan Suhu dan Tekanan Udara Terhadap Jumlah Koloni Kuman Pada Ruang Kamar Operasi RSUD Dr. Soetomo Surabaya
Authors: Minarno Budi , Peristiowati Yuly
Published: December 2022

Background: Hospital as one of the health facilities where health efforts are held. Health efforts are every activity to maintain and improve health, aiming to realize an optimal degree of health for the community. The cause of the disease can be in the floor, air, medical and non-medical equipment, that's one of the priorities of the hospital is patient safety. The purpose of the study was to find out the effect of changes in temperature and air pressure on the number of bacterial colonies in the operating room of Dr. Soetomo Regional General Hospital Surabaya.Methods: Design observational research with a cross-sectional approach. The population of all operating room rooms in Dr. Soetomo Regional General Hospital Surabaya is 86 rooms. Sampled all 86 spaces with total sampling techniques. Independent variables are temperature and air pressure. The dependent variable is the number of germ colonies.Results: The results showed no effect on the effect of room temperature on the number of bacterial colonies in the emergency operating room. In this case the temperature standard used is Permenkes RI Number 7 of 2019 obtained the category of room temperature with a standard of 22-27oC (p = 0.221). However, there is an effect of room temperature on the number of bacterial colonies in the emergency operating room (p =0.009) in Kepmenkes Number 1204 / Menkes / SK / X / 2004 obtained the room temperature category with a standard of 19-24oC. There is an influence of air pressure on the number of bacterial colonies in the emergency operating room based on Decree No. 7 of 2019, namely p = 0.002 and Kepmenkes Number 1204 / Menkes / SK / X / 2004 which is p = 0.000.Conclusions: A simple indicator of pressure monitoring is the tape attached at each entrance of the operating room, relatively immobile so that the possibility of air pressure inside the operating room with outside is balanced, when it should be positive pressure.
Evaluasi Manajemen Linen Unit Laundry RSUD Kota Madiun
Authors: Ferawaty Eka , Wardani Ratna
Published: December 2022

Background: Hospitals as institutions providing health services must keep abreast of technological developments, so as to be able to compete  in a healthy manner with other hospitals to create the best service quality for customers. The purpose of the study was to determine the evaluation of linen management at Madiun hospital city in 2020.Methods: Observational research design using descriptive qualitative method. The selection of informants through primary data and secondary data. The number of main informants is 4 people and triangulation informants are 3 people. This research uses interview, documentation and triangulation techniques. Collecting data using in-depth interviews, observation and documentation studies. The research was conducted at the Madiun hospital city in March-April 2021. The data analysis techniques used data reduction, data presentation and conclusion drawing.Results: The results of research that has been carried out at the Madiun hospital city regarding evaluation of linen management. In general, The input components (human resources, infrastructure, guidelines and Standard Operating Procedure) in the management of linen at Madiun hospital city are not in accordance with the Hospital Linen Management Guidelines. The process components (planning, implementation of activities, and control) in the management of linen are generally not in accordance with the Hospital Linen Management Guidelines. The output component of linen management is the implementation of linen management that is not in accordance with the SPM (Minimum Service Standards) indicator standard.Conclusions: The obstacles that arise are due to constraints in input aspects such as human resources, policies and infrastructure that are not appropriate, causing the linen management process flow to be not optimal. As in the implementation process, there are still things that are not running according to Standard Operating Procedure. There has not been strong coordination between linen managers in the laundry and in the room so that it proves the weak control of facilities and infrastructure, linen inventory, quality and age of linen.