bluuebunny/crossref_metadata_2025 huggingface dataset:
ADVANCED MATERNALAGE AND IT'S IMAPCT ON MATERNALAND PERINATAL OUTCOME.
Authors: B. Pisal Priya , Tilwani Kavita
Published: November 2024

Background: Advanced maternal age (AMA) has been traditionally dened as age > 35 years at delivery, although some authors have used the age
limits 40 and even 44 years. Regardless of what is the cutoff for advanced maternal age, pregnancies in women aged > 35 years are considered at
risk of both obstetric complications and interventions. Methods:It is a type of journal article. Study design – retrospective study. The present study
is a type of research article which was conducted in the Department of Obstetrics and Gynaecology, GGMC and JJ Hospital, Mumbai from October
2021 to January 2023, 100 postnatal mothers with age more than or equal to 35 were selected. Results: About 100 women participated in this study
and most of them belonged between the age group of 35 - 39 years of age. Most of the women were multipara. Most of them had postpartum
hemorrhage as the most common post delivery complication. Conclusions: Proper pre conceptional counselling, early ANC registration, regular
ANC visits and adequate intrapartum fetal surveillance is essential to prevent adverse maternal and perinatal outcomes in advanced maternal age.
APPRAISING THE CAUSAL RELATIONSHIP BETWEEN THYROID FUNCTION AND RHEUMATOID ARTHRITIS-A PROSPECTIVE OBSERVATIONAL STUDY
Authors: Biswas Tanuj Kumar , Medhi Kaushik , Bhattacharjee Prithwiraj
Published: November 2024

Objectives:RAis an autoimmune disorder of chronic inammatory disease of unknown etiology characterized by symmetric, erosive polyarthritis
and in some cases extra articular involvement. Local immune responses to any environmental agents release enough cytokines to up regulate local
antigen presenting capacity, allowing auto-antigens. Thus endocrine epithelium becomes the critical source of antigen presenting capacity of autoantigen. The objective of the study is to evaluate thyroid function in newly or previously diagnosed rheumatoid arthritis patients and to assess
disease severity in rheumatoid arthritis patients and to determine the frequency and type of thyroid dysfunction in them. Method: In this
prospective study 32 patients above the age of 18 years fullling the 2010 EULAR/ ACR criteria attending the department of General Medicine
,SMCH from a period of November 2023 to May 2024 was included for the study. Results: Amongst the 32 patients the mean age was 44±14.75
with 84% were females, the Metacarpophalangeal joint and the proximal interphalangeal joint was the most commonly affected, Swan neck
deformity was observed in 12.5%. Rheumatoid factor was positive in 25 patients, with TPO antibodies in 78% of the population . The DAS28 in the
26 patients who were euthyroid ranged from 4.3 to 8.8 and the mean DAS28 was 6.65 ± 1.16.The DAS28 in 6 patients with Thyroid dysfunction
ranged from 5.4 to 7.2 and the mean DAS28 was 6.35 ± 0.87.
A CASE REPORT OF INFECTED DIAPHYSEAL NONUNION OF RADIUS MANAGED
WITH FIBULAR GRAFT AND PLATE FIXATION
Authors: Jacob Tigy Thomas , Dev Aswin V. , PV Sreesankar
Published: November 2024

Background: Chronic osteomyelitis is a highly debilitating condition that causes signicant morbidity and can be extremely difcult to
manage1.The bone gap results due to infection further leading to decrease in healing process of fractures. A 52 year old female Methodology:
following an open fracture of left both bone forearm treated elsewhere presented to us with infected nonunion of radius following plate xation.
She underwent implant removal, antibiotic bone cement application with square nail and external xator. Later external xator was removed and
bular grafting with plating done. The fracture sites underwent complete union and patient was symp Results: tom free and the range of movements
were near normal.
INTERVENTION STUDY OF DIABETES MANAGEMENT WITH INTEGRATIVE YOGA THERAPY.
Authors: Lodha Deepali , Bhojane Sonali , G Mulla Irfan , Surana Anuj
Published: November 2024

An intervention study of diabetes patients with integrative yoga therapy along with dietary intervention was done along with the medical treatment
going on by the physicians with anti-hyperglycemic drugs prescribed to observe complimented in not only better control of blood sugars but also
effective changes in B.M.I., body weight. I also observed a positive approach towards health with behavioral and food choices, which changed the
lifestyle as a whole with the set of yogic practices followed for an 8-12 weeks period under guidance. The normalized range of blood sugars is
observed to minimize the prevalent co-morbidities like elevated lipid neuropathy, CVD risk, and others, with consistent practice of a yogic regime.
The change in B.M.I., which shows fat percent loss, is signicant in preventing comorbidities in the future.
COLONIC MUCORMYCOSIS: AN UNDERAPPRECIATED CAUSE OF CHRONIC DIARRHEA IN A POST RENAL TRANSPLANT PATIENT
Authors: Aravind A , M Umadevi , Kumar B Ramesh , Kumar Reddy D Dinesh , Sahithya L
Published: November 2024

Mucormycosis is a highly lethal fungal infection especially in immunocompromised individuals and a rare cause of chronic diarrhea in solid organ
transplant patients with a Indian prevalence of 2.6-11%. Colonic mucormycosis is rare with a prevalence of less than 1.5%. we present a case of 27
yrs post renal transplant done in 2019 present with chronic non bloody watery diarrhea since 1 year with increasing episodes since 1 month with on
and off remission. In colonoscopy we nd a blackish discoloration of mucosa with small ulcerations extending from caecum to rectum.
Histopathology came as nonspecic colitis, KOH mount shows aseptate hyphae suggestive of Zygomycetae group. Patient responds well with
three weeks of liposomal amphotericin B.
UNCOMMON PRESENTATION OF HYDATID DISEASE: A CASE OF MEDIASTINAL HYDATIDOSIS AND ITS SURGICAL MANAGEMENT
Authors: Sarkar Priyanka , Rai Baruah Amarjyoti , Thiek James
Published: November 2024

Background: Hydatid disease, primarily caused by Echinococcus granulosus, commonly affects the liver and lungs but can present in unusual
sites such as mediastinum which is rare and presents diagnostic and therapeutic challenges. We rep Case Presentation: ort a case of a 31-year-old
male who presented with progressive dyspnea , persistent cough , dysphagia and hoarseness of voice. Imaging studies revealed a cystic mass in the
superior mediastinum with characteristics suggestive of esophageal duplication cyst. Intraoperative and HPE conrmed the diagnosis of
mediastinal hydatidosis. Surgical resection was performed through posterolateral thoracotomy with ca Management : reful removal of the cyst to
prevent rupture and spillage . Postoperatively, the patient continued on albendazole and was closely monitored. Follow-up imaging showed no
recurrence of the cyst. Mediastinal hydatidosis is a rare but important condition to consider in th Conclusion: e differential diagnosis of mediastinal
masses. Effective management of the cyst, and thorough postoperative follow-up to ensure complete resolution and prevent recurrence.
PREVALENCE OF INCIDENTAL ULTRASOUND ABDOMEN AND PELVIS FINDINGS ALONG WITH NORMAL RANGE OF MEASUREMENTS IN HEALTHY YOUNG FEMALE POPULATION FROM NORTH INDIA
Authors: Prakash Sharma Surg Cdr Dev , Abhilasha Kumari Surg Lt Cdr
Published: November 2024

Normal size of Liver, Spleen, Kidneys in Indian population is not published till now. We rely on western literature to decide the abnormal values,
which may not be correct. Even the prevalence of gallstones, renal stones etc. are not known for Indian population. This study aims to provide
objectivity in a subset of healthy Indian population. Ultrasound abdomen performed in young healthy females and attempt made to develop the
normogram.
PREVALENCE OF CRYPTOSPORIDIOSIS IN WESTERN INDIA
Authors: Dey Susmita , Bhagat Yogita Vasantrao , Majumdar Nilanjan
Published: November 2024

Introduction: Cryptosporidium hominis, Cryptosporidium parvum, Cryptosporidium meleagridis, Cryptosporidium felis, and Cryptosporidium
canis are the ve main Cryptosporidium species that cause infection. Among these ve species C. hominis and C. parvum are most common which
account for 95% of human cases of cryptosporidiosis. This study aim to estimate prevalence of Cryptosporidiosis in Western India. Methodology:
The study is a cross-sectional study involving patients attending hospital with gastro-intestinal symptoms. Stool samples were received from
patients admitted in various clinical departments as well as patients visiting OPD with complaints of diarrhoea for a period of 1 year. Results: A
total of 100 stool samples were received out of which 67 were male and 33 were female patients. About 20 patients had presence of oocyst of
cryptosporidium in their stool samples by iodine and saline mount examination followed by Modied Acid-fast staining & the highest number of
cases was seen in the age group of 1-5 year (35%). The highest association between HIV seropositivity and cryptosporidium infection was seen
among older patients (50%) followed by the adult age group of 18-40 years. The age group of 1-5 year showed 28.6% prevalence.The highest
number of cases was seen among the lower class. ELISA was found positive in 25 patients for Cryptosporidium parvum antigen. And the highest
number of positivity by ELISAwas found in the age group of 1-5 years. Conclusion: Cryptosporidiosis is prevalent globally and has a signicant
impact on immunosuppressed individuals.
PLATELET TO LYMPHOCYTE RATIO AS A MARKER FOR IN-HOSPITAL MORTALITY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION.
Authors: Pradhan Shradha , Islam Sahidul , Bhattacharjee Rajkumar , Choudhury Ahmed Hussain , Kar Janmejay , Roy Tirthankar , Alam Nurul , Nath Manab , Swami Abhijit
Published: November 2024

Introduction : Platelet-to-lymphocyte ratio (PLR) is an upcoming haematological inammatory bio-marker in coronary artery disease. Platelets
play the dominant role in development, destabilization, and rupture of the atherosclerotic plaque whereas lymphocytes play a dominant role in
chronic inammation of atherosclerosis. Thus lower lymphocyte count is associated with increased cardiovascular risk and mortality. Aim: In this
study we aim to evaluate the role of PLR in the prognosis of acute myocardial infarction (AMI), by assessing the relation with in-hospital mortality
of the patients. Material and Methods: The study included 369 patients admitted with AMI. The study population was divided into two groups
based on the 50th percentile value of on admission PLR, i.e. patients with PLR > 132 as High PLR group (N=181) and PLR < 132 as Low PLR
group (N=188). The statistical test used was Chi- square test and Point-Biserial Correlation Test. Results: Risk factors of coronary artery disease
and treatments administered during the in-hospital period were similar between the groups. In-hospital mortality was increased in the high PLR
group when compared to the low PLR group (9.70% vs. 2.73 %, p <0.05). X2 (1, N =369) = 6.56, p <.05. By Point-Biserial Correlation Test,
correlation was found out between mortality and PLR ratio with r value of 0.396 Conclusion: This study showed that PLR has signicant role in
predicting in hospital mortality in patients with AMI. As an easily available and inexpensive inammatory marker which is readily available with
the complete blood count (CBC), PLR seems to be a promising indicator for the prognosis of AMI.
ENDOSCOPIC SUCTION CLEARANCE VERSUS TRADITIONAL EAR MOPPING: ADVANCEMENTS IN OTOLOGICAL CARE
Authors: Sanap Ravi Shriram
Published: November 2024

The evolution of otological care has witnessed signicant advancements with the introduction of endoscopic techniques, particularly in the
management of ear disorders. This study compares the efcacy, safety, and patient outcomes of endoscopic suction clearance against traditional ear
mopping. Through a prospective study conducted in a tertiary care center, we analyze patient outcomes, procedural efciency, and the overall
impact of these techniques on otological practice. Our ndings demonstrate that endoscopic suction clearance offers superior results, particularly
in chronic and complex cases, and represents a critical advancement in otological care.
A IMPORTÂNCIA DO BRINCAR NA EDUCAÇÃO INFANTIL
Authors: Almeida Danyelle Cristina Caixeta Lopes , Paula Samara Cristina Candido de
Published: November 2024

O brincar na infância tem um papel central e uma importância fundamental para o desenvolvimento global da criança. As contribuições para a formação da criança alcançam diversos âmbitos, como o social, afetivo, motor, cultural, cognitivo, afetivo e emocional. Através do brincar as crianças interagem umas com as outras, aprendem regras de convivência que vão nortear a vida em sociedade, ampliam seu universo lúdico, aprimoram a comunicação consigo mesma e com o mundo ao seu redor. Lev Vygotsky afirmou que ao brincar, a criança assume papéis e aceita as regras próprias da brincadeira, executando, imaginariamente, tarefas para as quais ainda não está apta ou não sente como agradáveis na realidade. Por meio das brincadeiras, a criança aprende e, consequentemente, é protagonista na construção do seu próprio conhecimento, ampliando sua capacidade de raciocínio, autonomia e senso crítico. Observa-se que no brincar, a criança entra de forma simbólica no mundo adulto, agindo, reagindo, criando, recriando, pensando, repensando e imitando ao representar um fato, uma pessoa ou um objeto. Zanluchi (2005, p. 89) afirma que quando brinca, a criança prepara-se para a vida, pois é através de sua atividade lúdica que ela vai tendo contato com o mundo físico e social, bem como vai compreendendo como são e como funcionam as coisas. Na atualidade em que vivemos, os pais não dedicam muito tempo para brincar com seus filhos e a tecnologia está cada vez mais presente na vida dos pequenos substituindo o espaço da brincadeira. Nesta perspectiva, cabe a nós educadores refletir sobre o brincar dentro do espaço escolar, observando suas contribuições, potencialidades e, ao mesmo tempo, permitindo que as crianças vivenciem experiências de aprendizagem significativas através das brincadeiras.
Impulso al Pensamiento Complejo
Authors: Lezama Valdés Joaquín Aurelio
Published: November 2024

En el presente texto se propone el abordaje de la enseñanza del pensamiento en general y del pensamiento complejo en lo particular. Para hacer esto, se incluye el trabajo de diferentes expertos, quienes explican el pensamiento y las implicaciones de este tópico para la educación. Se muestran, además, estrategias de enseñanza capaces de fomentar el desarrollo del pensamiento en el ámbito de la cotidianeidad del aula.
Jóvenes rurales de Pradera: Voces, desafíos y proyecto de vida en un contexto de postconflicto
Authors: Benítez Mendivelso Marcela , Sánchez Jaramillo Carlos , Rubio Dania Estefanía
Published: November 2024

Este estudio exploró cómo el contexto de postconflicto y las particularidades de las instituciones educativas rurales influyen en el proyecto de vida de estudiantes de básica secundaria y media en Pradera, Valle del Cauca. Municipio, marcado por la presencia de grupos armados ilegales y el desplazamiento forzado. A través de estudio transversal descriptivo con un enfoque mixto que combinó encuestas y entrevistas semiestructuradas se analizaron los datos de 114 participantes, incluyendo estudiantes, padres, docentes, directivos docentes e instancias del gobierno municipales. Los resultados revelaron que los jóvenes afectados por el conflicto armado presentan mayores dificultades para la construcción de proyectos de vida a largo plazo y menor confianza en sus capacidades. Además, se identificó una estrecha relación entre las expectativas familiares y el aprendizaje de los estudiantes. En conclusión, es fundamental fortalecer el acompañamiento socioemocional de los estudiantes, promover espacios de diálogo y participación, y articular las acciones de la comunidad educativa con las políticas públicas municipales para favorecer el desarrollo de proyectos de vida significativos. Se recomienda, además, la formación de docentes en competencias socioemocionales y la creación de redes de apoyo comunitario para fortalecer la resiliencia de los jóvenes. Este estudio contribuye a comprender la compleja interrelación entre el conflicto, la educación y los proyectos de vida de los jóvenes en contextos de postconflicto en Colombia.
Influencia de las emociones en la enseñanza y aprendizaje de la física
Authors: Mosquera Jonathan Andrés , Amórtegui Cedeño Elías Francisco
Published: November 2024

La enseñanza tradicional de la física ha sido percibida como abstracta y desconectada de la vida cotidiana, lo que ha generado actitudes negativas y desinterés en los estudiantes. El objetivo del estudio es reconocer y caracterizar la influencia de las emociones en los estudiantes de secundaria del departamento del Huila durante el aprendizaje de la física. Para esto, se utilizó una metodología mixta, aplicando cuestionarios a estudiantes de 15 municipios, lo que permitió valorar la carga emocional que traen al aula y su impacto en el aprendizaje. Los resultados revelaron que las emociones negativas, como el miedo y la frustración, están relacionadas con la falta de contextualización del currículo y las metodologías tradicionales, centradas en la memorización de contenidos abstractos. Estas emociones dificultan el proceso de asimilación de conceptos científicos, lo que refuerza la percepción de la física como una asignatura árida. En este sentido, se subraya la necesidad de integrar de manera más explícita la dimensión afectiva en el diseño curricular, proponiendo que una enseñanza emocionalmente inteligente puede mejorar la comprensión y la actitud de los estudiantes hacia la física, promoviendo un aprendizaje más profundo y significativo.
Hubungan Status Gizi Ibu Hamil dan Kunjungan Antenatal Care (ANC) dengan Kejadian Kehamilan Risiko Tinggi Di Puskesmas Simomulyo Tahun 2023
Authors: Intan Tsalsa Cahyaning Endik Ony , Tabita Hasianna Silitonga Hanna , Henderi Hendera , Ritunga Imelda
Published: November 2024

Penyebab penting dari tingginya Angka Kematian Ibu (AKI) adalah kehamilan risiko tinggi. Tinggi rendahnya risiko kehamilan salah satunya dipengaruhi oleh status gizi ibu hamil. Risiko kehamilan dan status gizi ibu hamil diketahui melalui antenatal care yang dilakukan sebanyak enam kali selama kehamilan. Penelitian ini bertujuan untuk menganalisis apakah ada hubungan antara status gizi ibu hamil dan kunjungan ANC terhadap kejadian kehamilan risiko tinggi di Puskesmas Simomulyo tahun 2023. Jenis penelitian ini adalah analitik observasional dengan pendekatan case control menggunakan data sekunder yaitu rekam medis ibu hamil tahun 2023. Populasi penelitian meliputi ibu hamil di Puskesmas Simomulyo tahun 2023 dengan jumlah sampel sebesar 45 ibu hamil risiko tinggi dan 45 ibu hamil bukan risiko tinggi. Analisis data yang digunakan adalah uji chi-square untuk melihat hubungan dan uji odds ratio untuk melihat peluang faktor risiko menyebabkan kehamilan risiko tinggi. Dari hasil analisis didapatkan frekuensi terbanyak adalah ibu hamil berusia 26-35 tahun (47,8%) dan ibu hamil multipara (56,7%). Dari uji statistik didapatkan ada hubungan antara status gizi ibu hamil dengan kehamilan risiko tinggi dengan hasil p-value<0,05, dan tidak ada hubungan antara kunjungan ANC dengan kehamilan risiko tinggi dengan hasil p-value>0,05. Berdasarkan hasil analisis odds ratio (OR) mengenai status gizi, risiko terjadinya kehamilan risiko tinggi pada ibu hamil dengan Indeks Massa Tubuh (IMT) yang tidak normal meningkat 4,462 kali dibandingkan dengan ibu hamil dengan IMT yang normal. Diperlukan peningkatan upaya pencegahan kejadian ibu hamil risiko tinggi dan promosi mengenai faktor-faktor yang menimbulkan kehamilan risiko tinggi, khususnya mengenai gizi ibu hamil sehingga dapat menurunkan AKI.
Customer Satisfaction in Indigenous Telecommunication Companies In Nigeria: Role Of Service Quality
Authors: Adedayo Olufemi Ogunberu , Omolade Sunday Adeyemi , Timilehin  Olasoji Olubiyi , Adekunle Oluwole Binuyo , Olajide-Arise Temi
Published: November 2024

The Nigeria's telecommunication sector is strongly impacted by customer satisfaction and more so the sector is a competitive landscape where key companies (MTN, GLO, AIRTEL, and 9MOBILE) are vying to maintain their market share, ensure consumer satisfaction, and cultivate enduring service quality. Service quality is a major factor in determining customer satisfaction, especially in relation to mobile services offering, network reliability, data speed, and coverage. Therefore, this study examined service quality and customer satisfaction of selected telecommunication firms in Nigeria. The study employed quantitative method and survey research while the population for the study consisted ninety-four service team members selected from three (3) telecommunication firms with the largest number of subscribers in Nigeria. The sample size used for this study was total enumeration. The study employed a validated adapted questionnaire which was on a six-point likert-type scale and it was administered to the study participants to collect primary data. The reliability test of the questionnaire was achieved with Cronbach Alpha values was between 0.818 and 0.847. Data analysis and test of hypothesis was conducted with descriptive and inferential statistics. The result obtained from the analysis revealed that service scope has statistically positive and significant effect on market share of selected telecommunication firms in Nigeria (β = 0.515, t = 8.059, p<0.05). The study concluded that service quality affect customer satisfaction of selected telecommunication firms in Nigeria. It was recommended that firms should place more efforts in improving the quality of products and services in order to improve customer satisfaction and help reduce customer attrition.
Analisis Kinerja Keuangan Dengan Metode Eva, Mva, Dan Sva (Studi Kasus Pada Perusahaan Subsektor Makanan dan Minuman Yang Terdaftar di BEI Periode 2021-2023
Authors: Imelda Liska , Rezky Amalya Wulan
Published: November 2024

Perusahaan subsector food and beverage (f&b) adalah perusahaan manufaktur terbesar dibandingkan subsektor lainnya. Hal ini menunjukkan bahwa industri makanan dan minuman sangat penting bagi pertumbuhan ekonomi Indonesia. Selain itu, industri ini memiliki prospek yang sangat cerah karena sebagian besar masyarakat bergantung pada makanan dan minuman untuk bertahan hidup. Akibatnya, beberapa investor bersedia menaruh uangnya ke dalam bisnis ini. karena ada banyak ruang untuk tumbuh dan berkembang bagi perusahaan makanan dan minuman, salah satu kategori sektor industri di Bursa Efek Indonesia (BEI). Tujuan penelitian ini adalah menganalisis dan memahami modal kerja perusahaan makanan dan minuman yang terdaftar di Bursa Efek Indonesia dengan menggunakan metode Economic Value Added (EVA), Market Value Added (MVA), dan Shareholder Value Added (SVA) pada tahun 2021–2023. Jenis penelitian ini merupakan penelitian deskriptif kuantitatif dengan populasi dan sampel yaitu pada perusahaan sub sektor makanan dan minuman yang terdaftar di Bursa Efek Indonesia. Dari hasil penelitian didapat bahwa perusaahaan sunsektor makanan dan minuman paeriode 2021-2023 rata-rata bernilai potif dari segi EVA, MVA, dan SVA, yang berarti kinerja keuangan perusahaan-perusahaan tersebut baik.
The Role of Internal Audit Practice in Promoting Operational Compliance: Evidence from Addis Ababa Housing Development Corporation
Authors: Gizachew Melisew Chekole
Published: November 2024

This research investigates the role of internal audit practices in promoting operational compliance within public sector organizations, with a focus on Addis Ababa Housing Development Corporation. Internal audit is essential in ensuring compliance with policies, laws, and regulations, contributing to the overall effectiveness and governance of organizations. The study examines key internal audit practices such as audit frequency, auditor independence, auditor competency, and audit reporting. A quantitative approach was employed, utilizing structured questionnaires distributed to finance managers, internal auditors, and senior accountants. Data were analyzed using descriptive and inferential statistics to determine the impact of internal audit practices on operational compliance. he results show that all the studied audit factors positively contribute to enhancing compliance. Auditor independence had the most significant influence, followed by auditor competency, audit frequency, and audit reporting. This highlights the necessity of frequent audits, unbiased auditor reporting, and specialized skills to ensure adherence to operational regulations. These findings emphasize the importance of strengthening internal audit practices in Ethiopia's public sector to improve governance and mitigate organizational risks. The study provides insights into improving audit practices, especially in resource-constrained environments like Ethiopia, and underscores the need for continued investment in auditor training and independent reporting mechanisms to safeguard organizational integrity
PENGARUH PEMBERIAN PUTIH TELUR TERHADAP ADEKUASI HEMODIALISIS DAN STATUS GIZI PASIEN PGK TAHAP V HEMODIALISIS
Authors: Syauqy Ahmad
Published: November 2024

ABSTRACT 
Improving the nutritional status of hemodialysis patients prevents malnutrition and hyperphosphatemia, which affect hemodialysis adequacy and are predictors of morbidity and mortality in hemodialysis patients. This study aimed to analyze the influence of egg white supplementation on hemodialysis adequacy and the nutritional status of hemodialysis patients. The study employed a quasi-experimental pre-post-test with a control group design. Subjects were divided into two groups; the control group received education, while the intervention group received education and egg white supplementation of ±168 grams three times a week for two months. Energy and protein intake were controlled using the SQFFQ. Measurements of muscle mass, albumin, phosphorus, and adequacy (Kt/V) were conducted before and after the study. Statistical analysis was performed using SPSS 24.0. There were significant differences in albumin and muscle mass before and after treatment in both groups (p<0,05). There was a significant difference in Kt/V before and after treatment in the intervention (p=0,04) group but not in the control group. Albumin and muscle mass increased after treatment but remained within normal levels. Egg white supplementation of ±168 grams three times a week is beneficial in preventing malnutrition in dialysis patients.
Keywords: egg white, albumin, muscle mass, phosphorus, Kt/V
ABSTRAK
Perbaikan status gizi pasien hemodialisis mencegah malnutrisi dan hiperfosfatemia yang mempengaruhi adekuasi hemodialisis dan merupakan prediktor morbiditas, mortalitas pasien hemodialisis. Penelitian bertuhuan untuk menganalisis pengaruh pemberian putih telur terhadap adekuasi hemodialisis dan status gizi pasien hemodialisis. Desain penelitian ini  quasi experimen pre-post-test with kontrol group design. Subjek dibagi 2 kelompok yaitu kelompok kontrol mendapat edukasi sesuai kebutuhan gizi sedang kelompok intervensi mendapat edukasi dan  putih telur sejumlah ± 168 gr frekuensi 3x/minggu selama 2 bulan. Asupan energi dan proteinnya dikontrol menggunakan form SQ-FFQ .Pengukuran masa otot ,kadar albumin, fosfor, adekuasi (Kt/V) dilakukan sebelum dan sesudah penelitian. Analisis statistik menggunakan SPSS 24.0. Hasil penelitian menunjukkan terdapat perbedaan signifikan albumin dan massa otot sebelum dan sesudah diberikan perlakuan pada kedua kelompok (p<0,05). Terdapat perbedaan signifikan Kt/V sebelum dan sesudah diberikan perlakuan pada kelompok intervensi (p=0,04), tetapi tidak pada kelompok kontrol. Terdapat peningkatan albumin dan massa otot sesudah diberikan perlakuan tetapi tetap dalam kadar normal. Pemberian putih telur sejumlah ±168 g 3x/ minggu bermanfaat mencegah malnutrisi pasien hemodialisis.
Kata kunci: putih telur, albumin, masa otot, fosfor, Kt/V
The effect of turmeric parent extract gel (Curcuma longa Linn) on incision wound healing in male white rats (Rattus norvegicus)
Authors: Kaban Vera Estefania , Nasri Nasri , Rani Zulmai , Suci Nurul , Karo Sekali Elva Swandi , Sagala Hasel Untung Bersinar
Published: November 2024

One plant that has been shown to aid wound healing is turmeric. Turmeric has been scientifically proven to have choleretic and anti-inflammatory properties. Turmeric contains curcumin, which has antibacterial and antioxidant qualities that can accelerate the migration and re-epithelialization of cells useful in wound healing, including myofibroblasts, fibroblasts, and macrophages. This study aimed to determine the effect of turmeric mother extract gel on wound healing in male white rats (Rattus norvegicus). This study was conducted using experimental tests. Turmeric extract was prepared using 96% ethanol solvent with a maceration process. A 2 cm long incision wound was made on the back of white rats. The test animals were then divided into five groups to receive different treatments. Groups 3, 4, and 5 received turmeric mother extract gel with concentrations of 1%, 5%, and 10%, while Group 1 was negative control and Group 2 was positive control. The results showed that the incision wounds in male white rats could heal faster - on average, about 7.10 days - when treated with 96% ethanol extract of turmeric mother with doses of 1%, 5%, and 10%. This study concludes that a 10% turmeric mother extract gel is the best method to accelerate wound healing.
Pengaruh Konsumsi Air Kelapa Hijau Terhadap Penurunan Nyeri Disminorhea Pada Siswi Di SMA PAB 6 Helvetia Medan Tahun 2022
Authors: Marlina Marlina , Pratiwi Debby , Mouliza Nurul
Published: November 2024

Permasalahan nyeri haid adalah permasalahan yang paling sering dikeluhkan saat perempuan datang ke dokter berkaitan dengan menstruasi. Nyeri menstruasi dapat menyerang perempan yang mengalami menstruasi pada usia berapapun. Tidak ada batasan usia dan sering disertai dengan kondisi-kondisi yang memperberat seperti pusing, berkeringat dingin bahkan hingga pingsan. Tujuan penelitian untuk mengetahui pengaruh pengaruh pemberianair kelapa muda hijau terhadap penurunan nyeri Dysminorhea pada remaja.  Metode penelitian ini menggunakan desain Pre-eksperimental Design dengan menggunakan pendekatan one group pre-test post-test. Populasi penelitin 40 orang dan pengambilan sampel menggunakan tehnik qouta sampling,populasi dalam penelitian ini yaitu ramaja dan dengan jumlah sampel 17 responden. Berdasarkan hasil uji statistik dengan uji Wilcoxon didapatkan nilai Asymp.Sig (2-tailed) 0.000, nilai ini lebih kecil dari nilai alpha (α) 0.05. sehingga dapat disimpulkan Ha diterima dan Ho ditolak maka dapat disimpulkan bahwa ada pengaruh yang signifikan sebelum dan sesudah diberikan minuman air kelapa muda hijau terhadap penurunan nyeri dismenorhea. Hasil penelitian ini menyimpulkan bahwa terdapat pengaruh yang signifikan pemberian air kelapa muda hijau dalam penurunan nyeri Dysmenorhea pada remaja.
PRÁTICAS INTEGRATIVAS E COMPLEMENTARES NA ATENÇÃO BÁSICA: CONHECIMENTO E HABILIDADE DO ENFERMEIRO
Authors: Da Silva Souza Juliana kelly , Lima dos Santos Monyka Brito , Araujo Tânia Maria , Silva Kelly Cristina Moraes , Xavier do Nascimento Grazielly Nogueira , Rodriguez Flores Nelly Luz , De Assis Fagundes Rafaela , Azevedo Vianna Camilla Lohanny , Conceição Costa Danielly , Santos Silva Thaianne Gabrielle , Alves De Abreu Irla , Silva Andreia Marques da
Published: November 2024

O cuidado com o ser humano de forma integral, tem sido um dos maiores desafios e enfoques da humanização em todo ciclo de vida. Este estudo objetivou-se em analisar os conhecimentos e habilidades dos enfermeiros da atenção primária de saúde, quanto ao uso das práticas integrativas e complementares. Trata- se de uma pesquisa de campo do tipo descritiva- exploratória com abordagem qualitativa e quantitativa, realizada em dez Unidades Básicas de Saúde da zona urbana de Caxias – Maranhão. Os resultados obtidos pela pesquisa correspondem ao desconhecimento e a não habilidade dos profissionais enfermeiros quanto ao exercício das Práticas Integrativas e Complementares como ferramenta de promoção à saúde na atenção básica. Sobre a aplicabilidade das práticas complementares em saúde observou-se que as mesmas devem ser inseridas no âmbito de promover aos usuários possibilidades preventivas de assistência à saúde. Concluiu-se que uma das estratégias para modificar esse cenário seria a reestruturação dos componentes curriculares dos cursos da área da saúde, principalmente dos cursos de Enfermagem, inserindo disciplinas e/ou estágios em que propiciem a utilização prática e teórica das Práticas integrativas e complementares, para que os profissionais estejam capacitados para atuar com tais recursos nos cenários de assistência.
Resolução Cirurgica de Envolvimento endodontico-periodontal. Relato de Caso
Authors: Pfau Eduardo Augusto , Pfau Veruska , Tomazinho Luiz Fernando , Nascimento Vanessa , Sella Pedro , Pereira Brunna , Kushino Antônio Marcos Massaharo , Francisco Fabiana
Published: November 2024

A relação entre a doença periodontal e pulpar foi descrita por vários autores do passado e já está bem definida e comprovada pela literatura. Desde então, o termo 'lesão endo-perio' tem sido usado para descrever as lesões decorrentes de produtos inflamatórios encontrados em graus variáveis, em ambos tecidos.  As doenças combinadas verdadeiras apresentam, frequentemente, um prognóstico reservado. Geralmente, o tratamento endodôntico adequado resultará em cicatrização das lesões de origem pulpar. O prognóstico das doenças combinadas depende, sobretudo, do sucesso da terapia periodontal. O Objetivo deste trabalho foi relatar um caso de envolvimento Endodôntico-Periodontal, onde foi realizada também a plastia radicular e posterior recobrimento gengival cirúrgico. Conclui-se que, um bom diagnostico, com posterior execução precisa do caso, resultaram em sucesso do caso, como pode ser visto no acompanhamento clinico do mesmo.
Saúde Mental de Gestantes com HIV: Relação com a Adesão ao Tratamento e Desfechos Neonatais.
Authors: Figueiredo Mayra Gabriela Freire , Scandiuzzi Maria Eduarda Caldo , SOUSA ADRIANO DE OLIVEIRA , Castelo Branco Maria Eduarda Viana , Andrade Isabela Santos , Fiuza Isadora Cristina Silva , Araújo Maria Luísa Sousa , da Silva Francisco Admano Neves , Bernini Leandro Marteleto , Hayacida Mariana Yumi Querino , Carvalho Murillo Moreira Oliveira de , Tavares Fábio de Toledo Gandra , Souza Lillian Socorro Menezes de , Vieira Felipe Pretel Antunes , Soares Amandha Pimenta
Published: November 2024

O HIV é considerado um desafio de saúde pública em escala global, assim como também a saúde mental das gestantes. O perfil epidemiológico indica um crescimento no número de casos entre mulheres em idade reprodutiva, com um significativo aumento de diagnósticos durante o pré-natal, o que torna a gravidez um período sensível, marcado por medo, ansiedade, preconceitos e estigmas. Este artigo tem como finalidade examinar a literatura científica sobre os benefícios que a rede de apoio social proporciona às gestantes que convivem com o HIV. Para isso, foi realizada uma revisão integrativa da literatura, utilizando bancos de dados como Scientific Library Online (SCIELO), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Banco de Dados em Enfermagem (BDENF), National Library of Medicine (NLM-PUBMED), Biblioteca Virtual em Saúde (BVS) e Medical Literature Analysis and Retrieval System Online (MEDLINE). Foram encontrados 4 artigos publicados nos idiomas originais: Português (1) e Inglês (3), que satisfizeram os critérios de inclusão e abordaram a questão central: “Quais são os benefícios da rede de apoio social às gestantes que vivem com HIV”? Destacam-se grupos de apoio de organizações não governamentais, compostos por mães que também enfrentam o HIV, que vivenciaram o diagnóstico, o estigma e a exclusão social, além de alcançar a aceitação e um melhor entendimento sobre a condição, incluindo gestantes com diagnósticos recentes. Conclui-se que as redes de apoio social voltadas às gestantes que convivem com HIV são limitadas; no entanto, observa-se que o suporte social proporcionado por esses grupos tem um impacto positivo na adesão ao tratamento e na aceitação de gravidezes não planejadas, assim como uma compreensão mais aprofundada do diagnóstico.
MÁ OCLUSÃO CLASSE II DE ANGLE COM EXTRAÇÃO
Authors: Espindula Cariny , Justino Duarte Josefa Nicole
Published: November 2024

A classe II é uma alteração que ocorre devido a diferentes disposições dos ossos basais, maxilar e mandibular e como consequência o relacionamento dentário pode se tornar incorreto e estar associado a problemas estéticos e funcionais. O tratamento da Classe II pode ser realizado sem extrações ou com extrações de dois ou quatro pré-molares. Porém, uma maior proporção de sucesso do tratamento pode ser esperada com extrações de dois pré-molares superiores, independente do padrão facial e da relação maxilomandibular. Objetivo: Descrever sobre o tratamento da má oclusão de classe II com extração dentária. Metodologia: Trata-se de um estudo de revisão integrativa com abordagem qualitativa dos dados, com busca a sites da internet, artigos científicos e revista, utilizando-se dos seguintes descritores: má oclusão classe II, extração dentária e ortodontia corretiva.
ACESSO LIMITADO, VIDAS EM RISCO: O IMPACTO DA DESIGUALDADE NOS SERVIÇOS DE SAÚDE SOBRE A INSUFICIÊNCIA RENAL AGUDA NAS REGIÕES MAIS POBRES DO BRASIL
Authors: Airam de Pinho Lênio , Coimbra Rocha Antonio Gabriel , Moura Wehmuth Sampaio Paulo Eduardo , Lages Santos Maria Clara , Medeiros Max Lourdes Judith , Martins de Lima Gabriele Camila , Araújo Silva Felícia , Guimarães Cortez Lima João Pedro , Barbosa de Araújo Borges Víthor , Coelho Soares Pedro Henrique , Duarte Silva Layane , Moura Sousa Silva Maria Luíza , Vieira Da Silva Neto Aminadá , Viana de Oliveira Maria Vitória , Gonçalves Fontenele Gomes Michele Gaze
Published: November 2024

A injúria renal aguda (IRA) é uma condição marcada por perda rápida e potencialmente reversível da função renal, levando ao acúmulo de resíduos metabólicos e distúrbios eletrolíticos, o que pode aumentar significativamente a mortalidade e a morbidade. No Brasil, as desigualdades no acesso aos serviços de saúde têm agravado o impacto da IRA, especialmente nas regiões mais pobres, onde a infraestrutura limitada e a falta de recursos adequados pioram as condições dos pacientes. A condição afeta principalmente grupos vulneráveis, como neonatos com asfixia perinatal, recém-nascidos submetidos a cirurgia cardíaca e prematuros extremos. Nas regiões mais desfavorecidas do Brasil, como o Norte e o Nordeste, a prevalência de causas evitáveis de IRA, como infecções e choque hipovolêmico, é maior devido à escassez de cuidados primários e de infraestrutura hospitalar. Em contraste, nas áreas mais ricas, o acesso a cuidados avançados permite uma abordagem mais eficaz para o manejo de lesões renais. A falta de acesso a serviços de saúde de qualidade também compromete a detecção precoce e a prevenção da IRA, resultando em desfechos clínicos adversos. Estratégias eficazes de manejo, como controle hemodinâmico, administração de fluidos e prevenção de novas lesões renais, muitas vezes não são viáveis em áreas carentes, onde faltam profissionais capacitados e equipamentos adequados. Em alguns casos, a ausência de suporte para terapias renais substitutivas em hospitais regionais contribui para maior mortalidade entre pacientes mais pobres. Iniciativas de saúde pública voltadas para a prevenção e detecção precoce da IRA enfrentam limitações em regiões desfavorecidas, onde a desigualdade nos serviços de saúde continua a impactar negativamente a população.
PLANEJAMENTO EM LAMINADOS CERÂMICOS: OS BENEFICIOS DO PROTOCOLO CONSERVADOR.
Authors: Inglis Suellen , Batista da Silva Paulo Maurício , Akemy Kubota Joyce , Vieira da Silva Gomes Carlos Eduardo
Published: November 2024

Descrever um relato de caso clínico em reabilitação estética substituindo facetas em resina compostas para laminados cerâmicos, do seu planejamento executado por meio do fluxo digital à realização das etapas clínicas enfatizando os benefícios do protocolo conservador. Paciente sexo feminino, 30 anos, compareceu ao curso de especialização em prótese dentária em um instituto odontológico no norte do Brasil, com a queixa principal de insatisfação na aparência estética do seu sorriso a mesma apresentava  facetas em resina composta no arco superior com aspecto poroso, escurecido e falhas nas regiões cervicais. A partir dos exames solicitados, fotos e scaneamento intraoral planejou-se uma reabilitação estética com cerâmicas por meio do fluxo digital. Com a evolução de protocolos minimamente invasivos os laminados cerâmicos tem alcançado destaque entre os procedimentos reabilitadores devido as excelentes características funcionais e estéticas que melhor reproduzem as características ópticas do dente, juntamente com melhores resultados clínicos em longo prazo. O planejamento reabilitador de acordo com as necessidades do paciente associado aos princípios científicos são os eixos para uma reabilitação estética satisfatória.
A ATUAÇÃO DO FARMACÊUTICO NA ORIENTAÇÃO E IMPACTOS DO USO INDEVIDO DE MEDICAMENTOS ISENTOS DE PRESCRIÇÃO EM FARMÁCIAS
Authors: Vulcao da Mota Maria Clara , TEIXEIRA DOS SANTOS RAHYJA , ALVES DE SOUSA YAMA MAYURA
Published: November 2024

Este estudo teve como objetivo compreender a atuação do farmacêutico na orientação sobre o uso de medicamentos isentos de prescrição (MIP) e os impactos do uso inadequado desses medicamentos na saúde pública. Por isso, o foco está na promoção do uso racional de MIP, prevenindo os riscos associados à automedicação e destacando o papel do farmacêutico como educador da população. Para isso, a pesquisa utilizou uma revisão bibliográfica baseada em fontes científicas, como PubMed, SciELO e LILACS, revisando artigos e estudos publicados entre 2010 e 2024. Foram analisadas as principais abordagens sobre o uso de MIP, automedicação e as intervenções farmacêuticas para mitigar riscos relacionados. A partir disso, os resultados indicam que a automedicação é uma prática comum no Brasil, com 77% da população utilizando medicamentos sem prescrição. Durante a pandemia de COVID-19, o uso indiscriminado de MIP, como ivermectina e hidroxicloroquina, aumentou significativamente, levando a complicações de saúde, como intoxicações, resistência bacteriana e internações hospitalares. A atuação do farmacêutico, por meio de orientações e campanhas educativas, demonstrou eficácia na redução desses riscos, principalmente em grupos vulneráveis, como idosos. Por fim, conclui-se que o papel do farmacêutico é indispensável na prevenção dos riscos associados ao uso inadequado de MIP. A presença constante do farmacêutico nas farmácias e a promoção de campanhas de conscientização são essenciais para o uso responsável de medicamentos. Além de garantir a segurança dos pacientes, essas ações ajudam a reduzir os custos com internações e tratamentos emergenciais, promovendo um sistema de saúde mais sustentável e eficiente.
Factors Affecting Employees Motivation: An Exploratory study of employees at The General Administration of Education in Jeddah
Authors:   Jeddah, Saudi Arabia, King Abdulaziz University, Maqbul Mahmoud Yusef
Published: November 2024

This research aims to systematically explore the intrinsic and extrinsic factors influencing employee motivation in the General Administration of Education in Jeddah. Through qualitative methods, the study seeks to identify and understand the impact of career development, leadership styles, organizational culture, work-life balance policies, and external economic factors on motivation(Al Doghan & Albar, 2015).Furthermore, the research aims to investigate and identify the key factors, both intrinsic and extrinsic, that significantly influence employee motivation within the General Administration of Education in Jeddah ,proposing strategies for improvement in educational administration. The significance lies in bridging the gap between academic knowledge and practical applications, ultimately enhancing the quality of education and administrative efficiency in the region. The study employs an exploratory study with a mono-method design utilizing semi-structured interviews for data collection. Thematic analysis is employed to extract insights from the gathered qualitative data(Delve,Ho,2023).The research sample comprises 15 employees from the general administration of education in Jeddah, including administrative assistants to department heads. The participants consist of 8 males and 7 females, with varying ages ranging from 30 to 55 years old. Years of experience range from 7 to 33 years, with a mix of job titles including administrative roles and managerial positions.The study concluded that job satisfaction and opportunities for personal growth play a crucial role in enhancing employee motivation and productivity. It also showed that a positive work culture and transformational leadership contribute to increasing motivation levels. Additionally, the research emphasized the importance of achieving a balance between work and personal life, and the need to understand and address economic factors to maintain high levels of motivation and commitment.
"ﻓﻌﺎﻟﻴﺔ ﺍﻟﻮﺍﻗﻊ ﺍﻻﻓﺘﺮﺍﺿﻲ ﻓﻲ ﺗﻌﺰﻳﺰ ﺍﻟﺘﺮﻭﻳﺞ ﺍﻟﺴﻴﺎﺣﻲ ﺍﻟﺴﻌﻮﺩﻱ"
Authors:   قسم الصحافة وﺍﻹﻋﻼﻡ/ تخصص: الإعلام ﺍﻟﺮﻗﻤﻲ/ ﺟﺎﻣﻌﺔ ﺍﻟﻤﻠﻚ ﻋﺒﺪ ﺍﻟﻌﺰﻳﺰ/ ﻛﻠﻴﺔ ﺍﻻﺗﺼﺎﻝ ﻭﺍﻹﻋﻼﻡ, ﺍﻟﺠﺎﺭﺩ ﺩﻭﻟﺔ ﺇﺑﺮﺍﻫﻴﻢ
Published: November 2024

في ظل اعتماد العديد من الدول على الوسائل التقليدية للترويج السياحي لبرامجها ووجهاتها السياحية هدفت الدراسة الحالية إلى التعرف على فعالية الواقع الافتراضي في تعزيز الترويج السياحي في المملكة العربية السعودية، حيث تمثلت أهمية الدراسة في تأثير تقنية الواقع الافتراضي على الخبراء في مجال السياحة وأثرها في تعزيز الترويج السياحي للوجهات السياحية بالمملكة العربية السعودية ،حيث تمثل التساؤل الرئيس في: التعرف على ﻓﻌﺎﻟﻴﺔ ﺍﻟﻮﺍﻗﻊ ﺍﻻﻓﺘﺮﺍﺿﻲ ﻓﻲ ﺗﻌﺰﻳﺰ ﺍﻟﺘﺮﻭﻳﺞ ﺍﻟﺴﻴﺎﺣﻲ ﻣﻦ وجهة نظر ﺍﻟﺨﺒﺮﺍء ﻓﻲ ﺍﻟﻤﺠﺎﻝ ﺍﻟﺴﻴﺎﺣﻲ
"القواعد والإجراءات المنظمة لاستخدامات الذكاء الاصطناعي بالمملكة العربية السعودية وآثارها القانونية"
Authors:   باحثة، ماجستير القانون والممارسة المهنية، كلية الحقوق، جامعة الملك عبدالعزيز، المملكة العربية السعودية, التونسي أ.آيات بنت أحمد , المعلم د. سليمان بن محمد ,   أستاذ مساعد، قسم القانون الخاص، كلية الحقوق، جامعة الملك عبدالعزيز، المملكة العربية السعودية
Published: November 2024

لقد شهد العالم في الآونة الأخيرة تطورات تقنية بميزات تحاكي العالم البشري، فكما أن هناك ذكاء للإنسان وذكاء للكائنات الحية فإن هناك ذكاء للمنظمات الذكية والتي تتبع أسلوب برمجي مبني على تقنيات حاسوبية عالية الأداء بتطبيقات تقنية متنوعة وبرمجيات ذكية عبر صناعة آلات تقوم بإعمال مشابهة لما يقوم بها الإنسان بهدف جعل الحياة والعمل أفضل وبأقل تكلفة.
"القيادة الاستباقيَّة للقيادات الأكاديمية بكليات جامعة الملك عبدالعزيز"
Authors:   قسم الادارة التربوية/ كلية التربية/ جامعة الملك عبدالعزيز, الفهمي خديجة بنت سلطان بن عليان
Published: November 2024

هدفت الدِّراسَة إلى التعرف على واقع ممارسة أبعاد القيادة الاستباقيَّة للقيادات الأكاديمية بكليات جامعة الملك عبدالعزيز، وقد استخدمت المنهج الوصفي المسحي، والاستبانة كأداة لجمع المعلومات، وتكون مجتمع الدِّراسَة من (٦١٢٩) من القيادات الأكاديمية، وتم اختيار عينة عشوائية بسيطة بلغ عددها (٢٤٥) قائدًا أكاديميًا، وقد أظهرت نتائجها التالي: أن واقع ممارسة القيادات الأكاديمية لأبعاد القيادة الاستباقيَّة قد جاء بدرجة عالية، كما أظهرت عدم وجود فروق ذات دلالة إحصائية عند مستوى الدالة (٠٬٠٥α ≤) تعزى لمتغير (النوع الاجتماعي، المسمى الوظيفي، الكلية)، وقد أوصت الدِّراسَة بالعديد من التوصيات منها: إقامة لقاءات وجلسات حوارية دورية بين القيادات الأكاديمية لمشاركة الخبرات والتجارب في التعامل مع الأزمات المختلفة، و إنشاء لجنة تواصل تضم ممثلين عن القيادات الأكاديمية والإدارات المختلفة للجامعة بهدف تسهيل التواصل وتبادل المعلومات، و تطبيق آلية الفرق التي تدار ذاتيًا لتمكين الموظفين من اتخاذ القرارات.