bluuebunny/crossref_metadata_2025 huggingface dataset:
Environmental Factors as Contributors to Sleep Disturbance in Critically Ill Patients in Intensive Care Units (ICU): A Descriptive Study
Authors: Rustam Junaidy Suparman , Chaidir Reny
Published: November 2024

Background: Sleep disturbance is a common problem among critically ill patients in the ICU and can significantly affect their overall experience of care. This study aims to study the experience of sleep disturbance in critically ill patients in the ICU.
Methods: This study was conducted in a public hospital in West Sumatra, Indonesia from June to August 2022, using a descriptive approach and focusing on a population of critically ill patients admitted to the ICU. The sample size of 80 participants was determined using power analysis from previous studies, and sampling was done using purposive technique based on inclusion criteria.
Results: The results of this study showed that 37.5% of participants reported experiencing sleep disturbances while being treated in the ICU. This demonstrates the prevalence of problems experienced by critically ill patients and highlights the need for targeted interventions to address them. It is imperative for healthcare providers to recognize the impact of sleep disturbances on patient health and recovery and implement strategies to reduce their impact.
Conclusion: This study showed a significant prevalence of sleep disturbance among critically ill patients in the ICU. This underscores the importance of proactive measures to address this issue and emphasizes the role of healthcare facilities in providing support and education to individuals affected by sleep disturbance. Further research and appropriate interventions need to be conducted to improve the sleep quality of critically ill patients in the ICU contributing to better overall outcomes and quality of care in the ICU.
Utilizing Data Mining Techniques in Geophysical and Biological Analysis for Assessing Environmental Risks
Authors: Ukpene Anthony O. , Molua Collins O.
Published: November 2024

This study aimed to assess environmental risks using data extraction techniques. It focused on geophysical and biological factors and addressed the urgent need for effective risk management strategies to reduce soil erosion, water pollution, and air quality deterioration. A comprehensive dataset was created through the systematic collection of geophysical and biological data including temperature, soil composition, and biological abundance index. It used equipment such as satellite sensors and mountain transmitting stations. Various statistical tools used include decision trees and random forest algorithms. They were used to analyze data and identify important environmental risk factors. The results showed some interesting insights, revealing that the Neural Network has an accuracy of 95.5%, and the Random Forest algorithm predicts risk with an accuracy of 92.0%. It analyzed the classification of environmental hazard zones and identified high-risk zones, such as Zone A, which contains 10,000 people affected by erosion and Zone D, 20,000 people who were at risk from soil contamination. The study concludes that social media can significantly improve understanding and management of environmental risks. Additionally, it provides a useful framework for decision-makers and stakeholders to promote sustainable environmental practices.
HUBUNGAN PERAN KELUARGA DENGAN KEBIASAAN MEROKOK PADA REMAJA DI MADRASAH ALIYAH SWASTA LEBANI DESA LEBANI KECAMATAN TAPALANG BARAT KABUPATEN MAMUJU TAHUN 2019
Authors: Yuliana  D  , Safriadi Darmasnyah A  , Sitti Rabania  , Desi Apriana Kadir
Published: November 2024

Merokok meupakan aktivitas membakar rokok yang sebagian asapnya diisap masuk ke dalam tubuh dan sebagian tersebar di lingkungan sekitar Peran dari orang tua sangatlah penting dalam upaya menekan meningkatnya jumlah perokok di kalangan remaja, karena orang tua sebagai figur contoh. Ketika orang tua adalah perokok berat, maka anak-anaknya akan mungkin sekali untuk mencontohnya. Bahwa orang tua perokok akan berpengaruh dalam mendorong anak mereka untuk menjadi perokok pemula. Di perkirakan pengaruh orang tua akan meningkatkan kemungkinan merokok 3,3 kali pada anak lelaki dan 1,5 kali pada anak perempuan. Penelitian ini dilaksanakan di Madrasah Aliyah Swasta Lebani dari tanggal 12 Juni sampai dengan 10 Juli 2019. Dengan menggunakan metode deskriptif analitik dengan menggunakan desain cross sectional study dengan jumlah sampel  64 remaja dengan kriteria inklusi: Siswa Madrasah Aliyah Swasta Lebani kelas X dan XI, berjenis kelamin laki-laki, usia 15-18 tahun, tidak mengalami gangguan mental dan bersedia menjadi responden. Pengumpukan data dengan menggunakan kuesioner. Dengan menggunakan Uji Statistik Chi-Square  dengan tingkat kemaknaan   ? = 0,05. Analisis data di lakukan dengan analisis univariat dan analisis bivariat pada program SPSS versi 17,0. Hasil penelitian menunjukan bahwa:  bahwa ada hubungan yang bermakna antara peran orang tue dengan kebiasaan merokok dengan nilai p=0,000 > dari nilai a= 0,05. Dianjurkan pada keluarga (ayah dan ibu) agar lebih memahami akan peran orang tua dalam mendidik dan membesarkan anak teristimewa dalam hal mencegah anak sejak dini untuk tidak merokok, dianjurkan kepada petugas kesehatan dalam hal ini Puskesmas Dungkait.
Uji Fisik Formulasi Hand Sanitizer Dengan Bahan Aktif Daun Sirih (Piper betle L) Dari Desa Luhu Kecamatan Huamual Kabupaten Seram Bagian Barat
Authors: Alice M CL Luhulima  , Aulia Debby Pelu  , Jahra Palembang
Published: November 2024

The rise of disease outbreaks caused by microorganisms such as SARS, bird flu, HIV and COVID-19 has made people use products that contain antiseptics such as soap and hand sanitizer. However, if used continuously it will dissolve the layer of fat and sebum on the skin so that the skin becomes sensitive, dry, and irritated. The development of antiseptic products can be done with natural ingredients such as green betel leaf extract (Piper betle L). It is known that green betel leaf (Piper betle L) has long been used in traditional medicine and can be a natural antiseptic ingredient for making hand sanitizer. This study aims to determine the formulation of hand sanitizer from betel leaf extract (Piper betle L) accompanied by a physical stability test. The materials used in this study were methyl paraben, triethanolamine (TEA), glycerin, aquadest, 95% ethanol, lime juice, green betel leaf extract obtained from the reflux extraction process. The research was conducted by varying the betel leaf extract 55%, 60%, 65%, 70%, 75%. Tests were carried out by covering organoleptic observations (shape, color, odor), pH, homogeneity, dispersion.
HUBUNGAN TUGAS KESEHATAN KELUARGA DENGAN KEJADIAN HIPERTENSI DI DESA TIMBUOLO TENGAH KECAMATAN BOTUPINGGE KABUPATEN BONE BOLANGO
Authors: Wiwi Piola  , Andi Nur Aina Sudirman  , Sri Devi Padang  , Ananda Rizki
Published: November 2024

Hipertensi atau tekanan darah tinggi merupakan bentuk penyakit tidak menular, penyakit ini tergolong penyakit yang menahun tidak dapat disembuhkan akan tetapi dapat dicegah tingkat keparahannya, pencegahan keparahan penyakit ini berasal dari dalam diri penderita dan keluarga. Tujuan dari penelitian ini untuk mengetahui hubungan tugas kesehatan keluarga dengan kejadian hipertensi.Desain penelitian menggunakan metode survey analitik dengan pendekatan cross sectional. Jumlah populasi sebanyak 31 orang, penentuan sampel menggunakan teknik total sampling. Hasil penelitian didapatkan mayoritas responden mengalami hipertensi kategori sedang dengan tugas kesehatan keluarga kurang, analisis data uji chi square hitung > chi square tabel (14,280 > 0,3550) atau  p=0.006 < 0.05. Kesimpulan pada penelitian ini Ha diterima yang berarti terdapat hubugan tugas kesehatan keluarga dengan kejadian hipertensi di Desa Timbuolo Tengah Kecamatan Botupingge Kabupaten Bone Bolango. Saran untuk keluarga agar melaksanakan tugas kesehatan keluarga yaitu mengenal masalah kesehatan, membuat keputusan tindakan kesehatan yang tepat, merawat keluarga yang sakit, memberihkan lingkungan rumah dan menggunakan fasilitas kesehatan untuk pengobatan.
HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT KECEMASAN PASIEN PREOPERASI SECTIO CAESAREA DI RUMAH SAKIT MA SENTOT PATROL INDRAMAYU
Authors: Kayubi Kayubi  , Hasim Asyari  , Indra Ruswadi
Published: November 2024

Patients who are going for sectio caesarea, face uncomfortable feelings including anxiety, this is related to concerns about the threat to their lives, therefore, family support is very important to reduce anxiety, because it can increase the spirit of life and reduce patient anxiety and strengthen commitment to undergoing treatment. The purpose of the study was to understand the relationship between family support and anxiety levels of preoperative sectio caesarea patients at the MA Sentot Patrol Hospital, Indramayu. This study uses a quantitative research design with non-experimental methods and a descriptive approach. The population in this study were all patients who underwent sectio caesarea surgery as many as 42 patients and the sample used a total sampling technique, where the entire population was taken as a sample.
The results of the study: 59.5% of families supported preoperative sectio caesarea patients, 31% of preoperative sectio caesarea patients experienced mild anxiety and 23.8% experienced severe anxiety, based on the chi square statistical test obtained p value 0.000 < (0.05) .
Conclusion: there is a relationship between family support and anxiety levels of preoperative sectio caesarea patients at the MA Sentot Patrol Hospital, Indramayu Regency. Suggestion: for nurses, considering that there is a relationship between family support and the patient's level of anxiety, they should provide nursing interventions, especially for preoperative sectio caesarea patients, involving the family, so that the impact of the patient is calm in facing the sectio caesarea operation.
HUBUNGAN PEMANFAATAN PERPUSTAKAAN DENGAN PRESTASI BELAJAR MAHASISWA D-III KEBIDANAN
Authors: Ariawati Susiandari
Published: November 2024

Perpustakaan suatu tempat yang berisi kumpulan buku-buku maupun bukan buku (non book material) yang diorganisasi secara sistematis dalam suatu ruang sehingga dapat digunakan untuk membaca, mencari bahan pelajaran, hiburan dan dosen juga dapat menggunakan sebagai penunjang proses belajar mengajar. Penelitian ini bertujuan untuk mengetahui hubungan pemanfaatan perpustakaan terhadap prestasi belajar mahasiswa di D-III Kebidanan STIKes Fatimah Mamuju. Metode penelitian yang di gunakan adalah cross secsional study dengan jumlah populasi 232 Mahasiswa dan sampel 70 mahasiswa yang di ambil secara acidental. Dari hasil analisis univariat pada pemanfaatan perpustakaan mendapatkan hasil ya sebanyak 39 orang (55,7%) dan yang mendapatan hasil tidak sebanyak 31 orang (44,3%) sedangkan pada prestasi belajar yang mendapatkan hasil baik sebanyak 43 orang (61,4%) dan yang kurang dalam prestasi belajar sebanyak 27 orang (38,8%). Hasil penelitian dengan Uji korelasi produck moment test pada Variabel pemanfaatan perpustakaan di peroleh nilai p (0.000) artinya ada hubungan antara pemanfaatan perpustakaan dengan prestasi belajar mahasiswa D-III kebidanan STIKes Fatimah Mamuju tahun 2019. Berdasarkan hasil penelitian yang dilakukan di prodi D III Kebidanan STIKes Fatimah Mamuju terdapat hubungan antara pemanfaatan perpustakaan dengan prestasi belajar mahasiswa. Diharapkan kepada mahasiswa di prodi D III Kebidanan STIKes Fatimah Mamuju untuk memanfaatkan perpustakaan dengan sebaik-baiknya   sehingga lebih mudah untuk mencapai prestasi yang lebih baik.
Hubungan Inisiasi Menyusu Dini (IMD) Dengan Involusi Uteri Ibu Post Partum Di RS Tni-Al Dr F X Suhardjo Tahun 2020
Authors: Epi Dusra
Published: November 2024

Involution is the process by which the uterus returns to its pre-pregnancy state. Abnormal involution or sub-involution is where the uterus fails to involute at the expected rate. The purpose of this study was to determine the relationship between Early Breastfeeding Initiation (Imd) and Uteri Involution of Post Partum Mothers at the TNI-AL Dr F X Suhardjo Hospital in 2020. The type of research used was an analytical survey research type with a Cross Sectional/Cross-Cutting approach. The population in this study were post partum mothers totaling 50 people. The sampling technique in this study was Proposive Random Sampling with a total sample of 44 people. Data analysis consisted of univariate and bivariate analysis using computerized analysis and presented in the form of tables and narratives. The results showed that the results of statistical tests showed that there was no significant relationship between IMD (Early Breastfeeding Initiation) and the incidence of uterine involution in postpartum mothers where p> 0.05 or p = 1.000. It was concluded that there was no significant relationship between early initiation of breastfeeding (IMD) of mothers after delivery and the incidence of post partum uterine involution.
Pengaruh Pendidikan K3 Tentang APD Terhadap Pengetahuan Pekerja Karet PTPN XIV Teluk Elpaputih Kecamatan Teluk Elpaputih
Authors: Ira Sandi Tunny
Published: November 2024

The majority of workers think that the work procedure with PPE has been quite long because there have been no serious complaints after carrying out this work. However, it was found that several workers had injuries to their hands due to being hit by knives, this occurred due to not using gloves as a form of PPE, and some of these workers even required special treatment and had to take time off work. This research aims to determine the knowledge of rubber workers before and after being given counseling about PPE as well as the influence of occupational safety and health education about PPE on rubber workers at PTPN XIV Teluk Elpaputih, Teluk Elpaputih District, Central Maluku Regency. This research uses a quasi-experimental method with a one-group pre-post test design approach. This research sample used a total sampling method, totaling 63 respondents. The research instrument uses a questionnaire. Data processing with SPSS uses the Wilcoxon nonparametric test. The Wilcoxon test results showed that 1 respondent's knowledge had decreased. 58 respondents' knowledge increased and 4 respondents' knowledge remained the same. From the research results it can be concluded that the knowledge of rubber workers before being given treatment reached the lowest score for respondents was 4 people and the knowledge of respondents after being given treatment that reached the highest score for respondents was 10 people. And there is the influence of occupational safety and health education regarding PPE (personal protective equipment).
PERAN PETUGAS KESEHATAN DENGAN TINGKAT PARTISIPASI POSYANDU LANSIA DI DESA ESANDOM SATU KECAMATAN TOMBATU TIMUR KABUPATEN MINAHASA TENGGARA
Authors: Silvia Dewi Mayasari Riu  , Kristine Dareda
Published: November 2024

This increase in the elderly population makes the government need to formulate policies and programs aimed at elderly population groups so that they can play a role in building public health. One of the government policies is that health services are provided at health centers, such as providing good and quality services, giving priority to elderly people and providing safe and easily accessible facilities, providing support or guidance to the elderly and their families on an ongoing basis. The purpose of this study was to determine the relationship between the role of health workers and the participation level of Posyandu for the elderly in Esandom one, Tombatu Timur District, Southeast Minahsa Regency. The study used a cross sectional analytic descriptive research method. The sample of respondents was 88 people using purposive sampling. Data collection using questionnaires and observation sheets. Analyzed with the chi square statistical test. The results of the study were 68 respondents (77.3%) with the highest age, 73 respondents (83.0%) had the highest education. Chi square test results obtained p value <? 0.05. The conclusion in this study is that there is a relationship between the role of health workers and the participation level of the Posyandu for the elderly in Esandom one, Tombatu Timur District, Southeast Minahsa Regency. Suggestions are expected that the Puskesmas can use this research as one of the bases in health promotion for the elderly.. Suggestions are expected that the Puskesmas can use this research as one of the bases in health promotion for the elderly.
HUBUNGAN PERAN DAN FUNGSI KEPALA RUANGAN DENGAN KUALITAS HANDOVER PASIEN DI RUANG RAWAT INAP RS TK.II ROBERT WOLTER MONGISIDI
Authors: Norman Alfiat Talibo  , Irma M. Yahya  , Sherin D. Boda
Published: November 2024

Patient safety is a basic thing in the quality of health and nursing services. During the handover process, a nurse must be as effective as possible, as clearly as possible, as short as possible and as comprehensively as possible regarding nurses' independent and collaborative actions. The purpose of this study was to determine the relationship between the role and function of the head of the room with the quality of handovers at Tk.II Robert Wolter Mongisidi Hospital Manado. This research method uses descriptive analytic with a cross sectional approach where the independent and dependent variables are studied simultaneously. The sample of respondents as many as 32 people using random sampling. Data collection using a questionnaire sheet. Analyzed with Chi Square ? 0.05 statistical test. The results of the study obtained p value = 0.036, where p value = 0.000, which is smaller than = 0.05, meaning that the alternative hypothesis (Ha) is accepted or there is a relationship between the role and the quality of handovers at Tk.II Robert Wolter Mongisidi Hospital Manado. p value = 0.000 where p value = 0.000 which is smaller than = 0.05 meaning that the alternative hypothesis (Ha) is accepted or there is a relationship between function and handover quality at Tk.II Robert Wolter Mongisidi Hospital Manado The conclusion of this study is that there is a relationship between the role and function of the head of the room with the quality of handover at the Tk.II Robert Wolter Mongisidi Hospital, Manado. Suggestions from the results of this study can be used as input for hospital considerations that are used to improve health services and design nursing service policies in terms of patient handover by conducting ongoing education or training so that the level of knowledge and nursing actions becomes better.
SOSIALISASI BAHAYA NARKOBA DI MA HUSNUL KHATIMAH KELURAHAN ROWOSARI SEMARANG
Authors: Diana Dayaningsih  , Nanang Khozim Azhari  , Abdul Malik  , Andaruning  , Anisa Rahmadinia  , Aura Hisyi  , Husni Aditya
Published: November 2024

Masalah penyalahgunaan narkoba menjadi permasalahan yang serius terutama yang melibatkan generasi muda atau generasi milenial saat ini. Untuk mewujudkan sumber daya manusia yang unggul dan tangguh harus dilaksanakan sedini mungkin upaya pencegahan supaya generasi penerus tidak terjerat narkoba, perlu nya dukungan dari berbagai pihak baik dari pemerintah, masyarakat, maupun LSM yang telah menyuarakan dan peduli dengan masalah narkoba ini. Penyalahgunaan narkoba termasuk ke dalam salah satu bentuk kenakalan remaja khusus. Setiap orang  yang  menyalahgunakan  zat-zat  terlarang pasti  memiliki alasan  mereka  masing-masing sehingga mereka dapat terjebak masuk ke dalam perangkap narkotika, narkoba atau zat adiktif. Mencermati kondisi tersebut maka diperlukan pembekalan pengetahuan bagi remaja tentang bahaya penyalahgunaan narkoba, sehingga mereka bisa menjadi sumber informasi yang baik dan benar serta mampu mengajak teman – temannya untuk menghindarkan diri dari penyalahgunaan narkoba. Akademi Keperawatan Kesdam IV/Diponegoro Semarang ikut berperanserta dalam mensosialisasikan bahaya narkoba ini dikalangan remaja dengan memberikan pendidikan kesehatan kepada siswa MA Khusnul Khatimah Kelurahan Rowosari Semarang yang dikemas dalam bentuk pengabdian masyarakat Akademi Keperawatan Kesdam IV/Diponegoro Semarang
REFRESHING PENGETAHUAN TENTANG VIRUS CORONA DALAM MENYAMBUT “NEW NORMAL” DIMASA PANDEMI COVID 19
Authors: Nanang Khosim  , Sonia Selviana  , Afifah Kurniawati  , Ainnur Rizqiana D  , Figo Hendra N  , Inka Nur Safitri
Published: November 2024

Virus Corona merupakan keluarga besar virus yang menyebabkan penyakit ringan sampai berat, seperti common cold atau pilek dan penyakit yang serius seperti MERS dan SARS 1. Penyakit karena infeksi virus ini disebut COVID-19. Virus Corona bisa menyebabkan gangguan ringan pada sistem pernapasan, infeksi paru-paru yang berat, hingga kematian 2. Adapun penyebab secara pasti dari virus ini belum dapat diketahui secara pasti. Penyebaran virus ini dapat terjadi melalui sekresi dari manusia ke manusia, sekresi ini meliputi air liur, pernafasan atau droplet 3. Maka dari itu pemerintah mengambil  tindakan  tegas  dengan  melakukan  pembatasan  berskala  besar, seperti menutup tempat keramaian secara sementara. Namun saat ini dengan era “New Normal”, masyarakat sudah sedikit diberikan kelonggaran dalam melakukan aktivitas.
 
Kata Kunci : Covid 19, Refreshing, New Normal
Edukasi Tentang Asi Dan Manajemen Laktasi Kota Makassar
Authors: Imelda Iskandar  , Sumarni Sumarni  , Julia Novita
Published: November 2024

The nutritional problems faced in Indonesia today remain the same, namely that many children suffer from malnutrition. The national movement to increase breastfeeding is one of the government's efforts to improve the health status of mothers and children. However, the achievement of exclusive breastfeeding has not been achieved, one of the reasons is the breastfeeding factor. Meanwhile, the point in the success of providing exclusive breastfeeding and continuing it for up to 2 years is related to a mother's understanding of lactation management. So this service activity is carried out to teach mothers who are young pregnant, late pregnant and have just given birth to a 1 month old baby to participate so that their knowledge increases. The method in this activity is a pre-test before providing information related to breastfeeding and lactation management, then continuing with the post-test to see the success of the activity. The mothers' enthusiasm was seen to be very high and resulted in a strong determination to be able to provide exclusive breast milk to their babies. The success rate of this activity was 80%, judged from the responses and questions from the participants.
Gambaran Pengetahuan Remaja Tentang Gejala – Gejala Awal Penyakit Menular Seksual di SMA Negeri 11 Makassar
Authors: Yenni Yenni  , Andi Tenri Angka
Published: November 2024

The aim of this research is to determine the description of adolescent knowledge about the early symptoms of sexually transmitted diseases based on the definition, early symptoms and types of STDs at SMA Negeri 11 Makassar. The type of research used was descriptive research, to determine adolescent knowledge about the early symptoms of sexually transmitted diseases at SMA Negeri 11 Makassar in 2018. The results of research conducted on 50 respondents at SMA Negeri 11 Makassar showed that there were 49 people (98 %) of respondents who answered correctly about the definition of sexually transmitted diseases, 47 people (94%) answered correctly about the symptoms of sexually transmitted diseases and 47 people (94%) answered correctly about the types of sexually transmitted diseases. From the results of the research the author draws the conclusion that adolescent knowledge based on the definition of sexually transmitted diseases is good with the highest percentage of 98%, based on the symptoms of sexually transmitted diseases is good with the highest percentage of 94%, based on the types of sexually transmitted diseases is good with the highest percentage of 94 %. It is recommended that students of SMA Negeri 11 whose level of knowledge is in the good category to be maintained and who are still lacking to motivate themselves to study and seek more information about sexually transmitted diseases.
PENERAPAN PENGARUH POSISI LATERAL INKLIN 300 TERHADAP PENCEGAHAN DEKUBITUS PADA PASIEN STROKE DI RUANG CEMPAKA RS PANTIWILASA CITARUM SEMARANG
Authors: Agus Prabowo  , Ainnur Rahmanti
Published: November 2024

Stroke is the sudden death of brain tissue caused by the lack of oxygen due to the impaired blood supply. Patients with stroke need to be given strengthen joints therapy, one of them is 300 lateral incline positions. The purpose of this case study is to analyze the position in stroke patients after the intervention of mobilization exercise every 2 hours for 6 days in Cempaka ward of RS Pantiwilasa Ciratum Semarang. The type of this research is descriptive case study approach method. The subjects of this study are two stroke patients with good functional outcomes, where the score for Modified Rankin Scale is between 0-2, willing to be respondents, never received a lateral 30? lateral incline therapy. The immobilization analysis is done descriptively and measured by Braden scale. Hence, the result of the study is the decrease of the risk shows by the changing of risk scale from 10 to 13. The recommendation of the research is the need of nurse consistency in mobilization to prevent decubitus in stroke patients.
Gambaran Umum Deteksi Dini CA Serviks Dengan Pap Smear pada Pasangan Usia Subur di Puskesmas Kesu
Authors: Yenni Yenni  , Andi Tenri Angka
Published: November 2024

A Pap smear is an attempt to take fluid from the cervix to examine the presence of abnormalities in the cells around the cervix. In this examination, it can usually be determined whether the cells in the mouth of the uterus are still normal, have changed into cancer, or have become cancer cells. Apart from that, inflammation and infection of the cervix can be determined from this examination. The aim of the research is to find out the general picture of early detection of cervical CA with pap smears in couples of childbearing age at the Kesu Health Center. This research was carried out by the Kesu Health Center. The method in this research uses descriptive analytics by taking a sample of 100 centers, with an accidental sampling technique, namely taking samples by taking into account the researchers' considerations. The data used in the research is primary data with the variables studied namely early detection of cervical CA with pap smears. Based on 100 respondents who had good knowledge, 47 people (47%), had sufficient knowledge, 49 respondents (49%) and had sufficient knowledge, 4 people (4%). Based on 100 respondents who received information sources, 40 respondents (40%) from print, electronic and non-media media did not know where to get pap smears and 60 respondents (60%) who did not get information from print, electronic and non-media media did not know where to get pap smears. Based on 100 respondents, all of them did not know where to get a pap smear. The conclusion is that there are more PUS who have sufficient knowledge and less and do not know where to check pap smears. It is hoped that the midwives at the Kesu' Community Health Center will further increase their education to couples of childbearing age so that they are willing to carry out early detection examinations for cervical Ca.
HUBUNGAN DUKUNGAN KELUARGA DENGAN PELAKSANAAN 3M (MENGURAS MENUTUP MENGUBUR) DALAM UPAYA PENCEGAHAN DEMAM BERDARAH DENGUE DI WILAYAH KERJA PUSKESMAS LIMBOTO
Authors: Nikmawaty Puluhulawa  , Andi Nuraina Sudirman  , Puspa A. Mustapa  , Devy Lestari
Published: November 2024

Demam Berdarah Dengue merupakan salah satu penyakit menular yang disebabkan oleh  virus dengue  melalui gigitan nyamuk Aedes aegypti. Cara paling efektif  memberantas vektor penularan DBD adalah dengan kegiatan pemberantasan sarang nyamuk (PSN) dengan pelaksanaan  3M. Salah satu faktor yang mempengaruhi pelaksanaan 3M adalah dengan adanya dukungan keluarga dengan bentuk dukungan informasi, dukungan instrumental, dukungan penilaian dan dukungan emosional. Tujuan dari penelitian ini untuk mengetahui hubungan dukungan keluarga dengan pelaksanaan 3M dalam upaya pencegahan demam berdarah dengue. Jenis penelitian yang digunakan adalah kuantitatif dengan pendekatan cross sectional. Pengambilan sampel pada penelitian ini 97 kepala keluarga menggunakan teknik Cluster Random Sampling. Instrumen yang digunakan adalah lembar kuesioner dan observasi. Hasil yang diperoleh adalah ada hubungan dukungan informasi keluarga didapatkan nilai P-value 0,003, Dukungan instumental didapatkan nilai P-value 0,001, Dukungan penilaian keluarga didapatkan nilai P-value 0,001, Dukungan emosional keluarga didapatkan nilai P-value 0,001 dengan pelaksanaan 3M di Wilayah Kerja Puskesmas Limboto.
PENGARUH PEMBERIAN AROMA TERAPI BUNGA MAWAR TERHADAP TEKANAN DARAH PADA PASIEN HIPERTENSI DI PUSKESMAS KOMBOS KOTA MANADO
Authors: Irma M. Yahya  , Kristine Dareda  , Musdhalifa Kilian
Published: November 2024

Hipertensi merupakan gangguan pada sistem sirkulasi.Seseorang dikatakan hipertensi apabila keadaan tekanan darah mengalami peningkatan diatas normal yaitu ? 140 mmHg untuk tekanan sistolik dan atau ? 90 mmHg untuk tekanan diastolik secara terus-menerus.
Penatalaksanaan dalam mengatasi hipertensi terbagi menjadi dua, yaitu pengobatan farmakologis dan nonfarmakologis. Terapi non farmakologis yang relatif praktis dan efisien yaitu saalah satunya dengan cara pemberian aromaterapi bunga mawar. Tujuan penelitian yaitu mengetahui pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado.
Penelitian dilakukan bersifat eksperimental menggunakan desain penelitian one group pretest-postest design. Sampel diambil berdasarkan jumlah responden sebanyak 22 orang dengan menggunakan accidental sampling. Pengumpulan data dilakukan dengan cara melakukan observasi. Selanjutnya data yang terkumpul diolah dengan menggunakan bantuan komputer program SPSS versi 16.0 untuk dianalisa menggunakan uji wilcoxon sign test.
Hasil penelitian diperoleh bahwa sebelum pemberian aroma terapi bunga mawar didapatkan rata-rata tekanan darah yaitu 151/90 mmHg. Setelah pemberian aroma terapi bunga mengalami penurunan rata-rata tekanan darah yaitu 136/81 mmHg. Data di uji dengan wilcoxon sign test. Dengan hasil nilai p value= 0,000 < ? = 0,05 dengan demikian H_0 ditolak dan H_aditerima.Artinya ada pengaruh pemberianaroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado.
Kesimpulan dalam penelitian ini terdapat pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Saran agar penelitian ini dapat menjadi tambahan informasi kepada mahasiswa tentang pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pasien hipertensi danjuga dapat dijadikan sebagai bahan bacaan maupun pembelajaran bagi mahasiswa.
Mastectomia unilateral em cadela - relato de caso
Authors: Forteza Mariana Marques , Lima Jamily Gomes , Rusa Karolina
Published: November 2024

A neoplasia mamária ocorre frequentemente em cadelas mais velhas que não passaram pelo procedimento de castração, pois a presença de hormônios sexuais é considerada a principal causa. Esses tumores podem se apresentar de tamanho variável e os exames de citologia e histopatológico são os principais métodos diagnósticos utilizados. Esse trabalho tem como objetivo relatar o caso de carcinoma em tumor misto, levando em conta uma cadela de 10 anos de idade, com histórico de retirada da cadeia mamária direita e um nódulo com crescimento progressivo em mama inguinal esquerda, com cerca de 5 cm. O tratamento escolhido foi a mastectomia para retirada cirúrgica de toda cadeia. Concluiu-se que o estadiamento TNM é uma importante ferramenta para classificação de malignidade, tornando-se essencial para o prognóstico e escolha do tratamento adequado.
Oratura e inclusão: mais poesia na vida e na educação
Authors: Pereira Cléia Demétrio , Gonçalves Heloísa Helena Leal , Custódio Nathália Cristina
Published: November 2024

Este texto resulta do projeto de cultura, realizado em 2023, no contexto de duas escolas de educação básica em Santa Catarina: Escola Básica Municipal Desdobrada Osvaldo Galupo em Florianópolis e Escola Estadual Básica Monsenhor Francisco Giesberts em Armazém, com o objetivo de ampliar as possibilidades pedagógicas, a partir do universo da literatura e da oratura no processo de inclusão escolar de estudantes com e sem deficiência dos anos iniciais do ensino fundamental. A pesquisa-ação foi o caminho metodológico que subsidiou este estudo, em cinco etapas: a primeira, centrou-se na seleção de contos e textos, em que as histórias foram disponibilizadas em diferentes formatos para estabelecer contato e diálogo; a segunda envolveu a história contada e seu elemento principal, a voz; a terceira foi um convite ao mundo da literatura na forma do desdobramento de  histórias com narrativas abertas que navegam entre o lirismo e a poesia; a quarta versou o exercício da escrita, ilustração e narração; a quinta e última brindou-se com a execução de uma mostra literária online e da construção de um portfólio com as produções. Por meio da análise das produções de arte foi possível evidenciar, dentre outras possibilidades, que a literatura e oratura nas mediações pedagógicas constituem em si alto potencial para favorecer a inclusão escolar de todas as crianças, em seus percursos de escolarização, de forma criativa e poética.
Os limites do ambiente de trabalho em casa: o adoecimento dos empregados e a escassez de regulamentação do regime de home office e teletrabalho sob a perspectiva do direito do trabalho brasileiro
Authors: Silva Roberta Mariana Alves e , Nunes Shâmya Caroline Sousa
Published: November 2024

Este artigo examina os principais impactos do home office e do teletrabalho na saúde física e mental dos trabalhadores, com ênfase nos desafios impostos pela escassez de regulamentação no direito trabalhista brasileiro. O estudo aborda a questão central: a ausência de regulamentação adequada para o regime de home office e teletrabalho no direito brasileiro contribui para o adoecimento e prejuízo à saúde do trabalhador? A pesquisa revela que a falta de normas claras contribui para problemas musculoesqueléticos e transtornos psicológicos, como a Síndrome de Burnout, exacerbados pela sobrecarga de trabalho, falta de ergonomia e dificuldade em separar vida profissional e pessoal. Além de comparar a legislação trabalhista brasileira com regulamentações internacionais, o estudo destaca a urgência de ajustes normativos para proteger os trabalhadores remotos, incluindo o direito à desconexão e propondo boas práticas internacionais. A metodologia adotada é descritivo-analítica, com base em pesquisa qualitativa e documental, abrangendo artigos, legislações e estudos de fontes nacionais e internacionais, utilizando descritores como teletrabalho, home office, legislação trabalhista e previdenciária, saúde do trabalhador e Burnout. O objetivo é contribuir para o debate sobre políticas públicas que garantam melhores condições de trabalho e bem-estar aos profissionais em regime de home office e teletrabalho.
Diagnóstico da osteoartrite (OA) do joelho: uma abordagem computacional com redes neurais profundas e imagética motora
Authors: Gomes Osmar Ferreira , Pinheiro Oberdan Rocha , Santos Alex Álisson Bandeira
Published: November 2024

A osteoartrite (OA) do joelho é uma patologia degenerativa comum, caracterizada pela deterioração da cartilagem articular, que resulta em dor intensa, rigidez e perda de função. O diagnóstico precoce e preciso da OA do joelho é crucial para o tratamento eficaz e para a melhoria da qualidade de vida dos pacientes. No entanto, o diagnóstico clínico de OA do joelho é desafiador devido à variabilidade nos sintomas e à necessidade de avaliações radiográficas e clínicas detalhadas. O objetivo deste artigo é desenvolver um modelo computacional robusto e preciso para o diagnóstico da osteoartrite do joelho utilizando redes neurais profundas (Deep Leaning) e técnicas de imagética motora. A proposta visa criar um protocolo de diagnóstico eficiente que possa ser utilizado clinicamente para identificar a OA do joelho de forma rápida e precisa. O projeto utilizará uma abordagem baseada em CNN para analisar sinais de EEG associados à imagética motora. Os dados de EEG serão processados para extrair características relevantes que alimentam a rede neural. A modelagem incluirá a construção de uma rede neural convolucional (CNN) para a análise e validação dos sinais de EEG. Os resultados preliminares desse estudo são promissores, com uma acurácia de validação em torno de 96% e um F1-Score de 95%. Esses resultados indicam que o modelo em desenvolvimento possui alta precisão e confiabilidade no diagnóstico da OA do joelho, superando métodos tradicionais e demonstrando o potencial das redes neurais profundas em diagnósticos na área médica.
A clinical approach for no prep direct composite veneers with opaquer/ tint to reshape a smile: a case report
Authors: Karlovic Felipe , Neres-Santiago Anuar Sadat , Ramalho Juliana Alves da Silva , Morimoto Susana
Published: November 2024

Dental aesthetic has a profound influence on both self-esteem and social interactions. Patients desire changes in their smiles, while dentists aim for the preservation of dental and adjacent structures, as well as durability. In this context, no-prep resin veneers emerge as a potential solution, as they allow for the preservation of the maximum amount of healthy dental structure, pulp integrity, and dental strength. Nevertheless, treating darkened substrates poses a challenge, and conservative options like composite resins have gained recognition as restorative materials due to their aesthetic qualities and ability to preserve healthy dental tissue. A protocol can help dentists, especially by describing the stages of making direct no-prep veneers, achieving better clinical success. This article presents a clinical step-by-step guide approach to fabricating light-cured composite prepless veneers, using opaque and tints to mask dark backgrounds, and preserving the dental substrate in a patient with multiple restorations, changes in color, and shape. Light-cured composite prepless veneers comply with the principles of biomimetics and offer advantages such as conservation of dental structures, versatility, one-session preparation, cost, mechanical properties, and excellent aesthetics, however, skill with this technique is required.
Educação permanente: potencializando a aprendizagem no contexto do trabalho em saúde
Authors: Dias Caroline Prudente , Paixão Marta Caroline Araújo da , Lima Gabrielle do Nascimento , Sousa Carla Quaresma Durães de , Vieira Evelyn Lais Santos , Dias Hércules Bezerra , Nascimento Liliane Silva do
Published: November 2024

A educação permanente potencializa a aprendizagem durante o processo de trabalho. O presente trabalho descreve a experiência de residentes do Programa de Residência Multiprofissional em Saúde (Atenção Básica / Saúde da Família) do Centro Universitário do Estado do Pará (CESUPA) no processo de ações de educação permanente realizadas no âmbito dos cenários de práticas. Os temas abordados foram Ação em saúde sobre o Fevereiro Roxo (Conscientização sobre Alzheimer, Fibromialgia e Lúpus) e Laranja (Conscientização sobre Leucemia), Ação em saúde sobre o Outubro Rosa (Prevenção do câncer de mama), Capacitação sobre o preenchimento das fichas de notificação de violência interpessoal e autoprovocada, Capacitação sobre o Previne Brasil e o preenchimento das informações no PEC e CDS, Oficina sobre a construção da Programação Anual de Saúde, Oficina sobre as Práticas Integrativas e Complementares em Saúde. As práticas na residência multiprofissional possibilitaram a inserção dos profissionais nos sistemas de saúde, ao realizar ações de educação permanente com foco na abrangência dos conceitos de saúde e mudança no ambiente de trabalho.
A integração da inteligência artificial e do Blockchain e no contexto da organização da informação
Authors: Santana Paulo Campanha , Duque Cláudio Gottschalg
Published: November 2024

O objetivo do presente trabalho é analisar em que medida a tecnologia disruptiva como Blockchain integra-se com a Inteligência Artificial (IA), no contexto da Organização da Informação. A evolução informacional progride de forma exponencial, com o surgimento de tecnologias que buscam dar segurança e transparência nas relações na sociedade, como o Blockchain que coexiste com o avanço crescente da IA. Essa nova tecnologia disruptiva é um repositório de dados, que funciona como um banco de dados de forma descentralizada e segura, em que os usuários aceitam os dados, analisando-os, e a IA busca desenvolver programas inteligentes. Portanto, surge o questionamento de que em que medida pode haver integração entre elas. Para tanto, fruto de uma metodologia hipotético-dedutiva, pode-se constatar que são inúmeras as possibilidades de integração, que ocorrem em diversas áreas como negócios, saúde, controle de tráfego, entre outras. Por conseguinte, ela conferirá mais segurança, credibilidade e transparência nas relações.
Modelagem tridimensional do disco articular a partir de tomografia computadorizada visando estudo e análise da prótese de ATM personalizada
Authors: Paiva Bruna Beatriz de , Honório Natália Zaghi , Gregolin Rafael Ferreira
Published: November 2024

As peças a serem criadas para próteses devem ser submetidas a análises e estudos, desde os esforços sofridos pela prótese, a avaliação da região do membro substituído e até mesmo a escolha do material adequado a ser utilizado. O objetivo desse trabalho é propor uma representação da interface entre o côndilo e a fossa articular (disco articular) de material implantável e que seu protótipo possa ser produzido por manufatura aditiva com total conexão a uma prótese da ATM (articulação temporomandibular) personalizada. Foi realizada a avaliação de tensões e deformações no disco articular criado para a prótese da ATM pelo método dos elementos finito. Foram utilizados o ambiente virtual SolidWorks para desenvolvimento do conjunto e este, submetido a análises no software Ansys utilizando a interface Workbench. As condições de contorno aplicadas foram simplificadas através de forças nas posições dos principais músculos que sofrem esforços durante a mastigação, as fossas temporais foram consideradas como pontos fixos e a região dos dentes incisivos como uma mola de alta rigidez 2000 N/mm³. O material da placa foi a Liga de Titânio (Ti6Al4V) fabricado por manufatura aditiva e do disco articular foi o Polietileno de Ultra-alto Peso Molecular e configurados através da união do tipo joint (junção colada) no modelo. A deformação máxima no disco articular foi de 6,7x10⁻⁵ mm e a tensão de Von Misses foi de 1,83MPa.
Auditoria em saúde na agenda presidencial brasileira
Authors: Alves Junival Santos , Dias Cristiano Araujo , Jesus Ederlan Antônio de , Silva Temistocles Damasceno
Published: November 2024

O objetivo do presente estudo foi analisar a atenção dada a auditoria em saúde na agenda administrativa presidencial brasileira, durante os anos 2000 a 2022. Na agenda administrativa utilizou-se a classificação funcional – programática que define as dotações orçamentárias por esfera (Fiscal; Seguridade Social; Investimentos), função (Saúde), subfunção (Administração Geral; Proteção e Benefícios ao Trabalhador; Formação de Recursos Humanos; Desenvolvimento Científico; Tecnologia da Informação; Comunicação Social; promoção da saúde e prevenção), unidades orçamentárias e programas com base na portaria n. 42, de 14 de abril de 1999, do Ministério do Orçamento e Gestão, possibilitando assim, a compreensão da atenção dada a determinada política no processo de planejamento orçamentário. Tratou-se de uma pesquisa documental, de caráter exploratório com abordagem mista qualitativa e quantitativa (Gil, 2008). Os resultados apontam ocorreram muitas mudanças na dinâmica orçamentária da auditoria em saúde no período de 2002 a 2022, havendo divergência principalmente entre os projetos empenhados e liquidados em relação aos pagos. De 2018 a 2019 a divergencia foi ainda maior pois as dotações atuais cairiam significativamente em relação aos projetos de leis e as dotações inicias menores que a 2017. De 2020 a 2021 a queda foi altíssima em todos os sentidos, sendo 2020 o ano mais baixo em relação ao orçamento para auditoria. Já em 2022 o equilíbrio voltou a se estabilizar, porém ainda há uma divergência habitual onde a dotação atual ainda se mantém menor do que os projetos de leis e as dotações iniciadas.
The Urgency of Philosophy of Science for Doctoral Students of Law
Authors: Purnomo Vicki Dwi , Heri Santoso  , Edy Lisdiyono
Published: November 2024

Philosophy of science plays a very important role for doctoral students in law, because it provides a critical, reflective, and in-depth foundation for thinking in conducting advanced legal research. This article discusses the urgency of philosophy of science for doctoral students in law from several main aspects, including epistemological and ontological foundations, development of theoretical frameworks, critical evaluation of scientific methods, and improvement of legal reasoning skills. Philosophy of science also provides ethical guidance in research and helps students understand the relationship between law and other disciplines, such as sociology and politics. Through a deeper understanding of philosophy of science, doctoral students in law can compile more comprehensive, relevant, and impactful research, and make significant contributions to the development of legal science in the future.
The Implementation of E-Wallet on the Efficiency of Financial Management of Mataram University Students
Authors: Fajrin Muhammad Fadhly , Pusparini Herlina
Published: November 2024

This study aims to examine the effect of e-wallet implementation on the efficiency of financial management of Mataram University students. This study uses associative research with a quantitative approach. Using the Slovin formula from a population of 35,271 which resulted in 395 students selected as research samples. Data collection techniques online via google form. Research data analysis was carried out using SmartPLS 3.0. The results showed that the implementation of e-wallets had a significant effect on the efficiency of financial management of Mataram University students. This study suggests that e-wallet implementation is carried out wisely in order to have a good impact on financial management behavior, especially among students.
Work Flexibility and Income as Determinants of Performance of Online Motorcycle Taxi Drivers in Medan City
Authors: Tambunan Debora , Sibarani Hendra Jonathan , Pakpahan Dewi Rafiah
Published: November 2024

This study aims to analyse the effect of work flexibility and income on the performance of online motorcycle taxi drivers in Medan City. Based on the results of data analysis, it was found that work flexibility has a significant influence on employee performance, with a t-count value of 2.789 greater than the t-table of 1.984 and a significance value of 0.000 which is smaller than 0.05. Income or salary also shows a positive and significant influence on driver performance, with a t-count value of 3.768 greater than the t-table 1.984 and a significance value of 0.012 which is smaller than 0.05. In addition, simultaneous hypothesis testing shows that work flexibility and income together have a significant effect on employee performance, with an F-count value of 3.675 which is greater than the F-table of 3.090 and a significance value of 0.000 which is smaller than 0.05. These results indicate that work flexibility and income have a significant influence on improving the performance of online motorcycle taxi drivers in Medan City.