bluuebunny/crossref_metadata_2025 huggingface dataset:
The process of challenge formation in Iranian nursing education: A grounded theory study with model presentation
Authors: Nikbakht Nasrabadi Alireza , Ebadi Abbas , Fallahi-Khoshknab Masoud , Najafi-Mehri Soheil , Yaghmaei Farideh , Alhani Fatemeh , Shali Mahboubeh
Published: July 2024

BACKGROUND:

Nursing education faces many challenges that must be identified and removed to improve nursing education and promote the quality of nursing care. Identifying the challenges of nursing education helps to solve or correct the weaknesses and achieve educational goals, which ultimately help to train skilled professionals capable of providing higher quality care to patients. The present study was conducted with the aim of explaining the experiences of nursing tutors in regard to the process of challenge formation in nursing education in Iran.

MATERIALS AND METHODS:

This is a qualitative study with a grounded theory approach that was conducted in two stages. In the first stage, which took about 9 months, 18 experienced nursing tutors with managerial positions were selected by purposeful sampling from universities across the country. Data were collected through semi-structured interviews, field notes, observation, and memos. Data analysis was done by Corbin and Strauss method through MAXQDA software version 10. In the next step, using the method of Walker and Avant (2011), concepts and statements were gathered within a whole and a model was presented.

RESULTS:

Twelve male university tutors and six female tutors participated in this study. The mean age of the participants was 45.38 ± 2.1 years, and their mean work experience was 18.66 ± 3.8 years. The findings showed that the challenges of nursing education could be categorized into three categories (defective educational cycle, efforts to restore the educational structure, and learning is a member of educational family), and 12 subcategories. After analyzing the data, trying to provide a need-based education was determined to be the central theme of this study. The components of model developed in this study were presented in the three axes of improving the tutor’s teaching skills, managing the situation and educational facilities, and facilitating student’s participation in the education process and decision-making.

CONCLUSION:

Identifying barriers and facilitators of need-based education in health policy making can enable nurses to build a better future for their nursing position. To provide need-based education, it is necessary to create a suitable ground and platform for proper education. Such platform and ground are a necessity of educational, therapeutic, and community environments. To achieve this goal, it is recommended to improve the professional capabilities of tutors and support educational organizations.
Ayurveda management is effective in preventing development of complications in a patient of chronic hepatic parenchymal disease awaiting liver transplant: a case report
Authors: Mishra Priyanka , More Anand , Rai Shalini , Gaikwad Pratima
Published: July 2024

Background:

Chronic liver disease (CLD) always carries the risk of life-threatening complications, with the last treatment resort being liver transplant, which has its challenges. Prevention programs and early management of chronic liver diseases are recognized as new health measures worldwide. Ayurveda being a holistic science not only resolves symptoms but also cures patients at the root level and serves as a safe, cost-effective treatment modality.

Aim:

To manage chronic hepatic parenchymal disease in patients awaiting liver transplant with Ayurveda treatment.

Materials and Methods:

In this study, we present a case of a a 35-year-old male patient diagnosed with chronic liver disease with grade 2 esophageal varices and advised for a liver transplant, which has been successfully managed for a duration of past 2.5 years by Ayurveda oral therapy.

Results:

Improvement in clinical signs and symptoms along with decrease in Child–Pugh Grade Score.

Conclusion:

Ayurvedic treatment provides a symptom-free life and improved liver function profile while the patient was awaiting liver transplant. It prolongs the duration for liver transplantation.
Angiolipoleiomyoma of the Uterus with a Dermoid Cyst in the Right Ovary: An Unusual Association
Authors: Gupta Deepika , Malhotra Purnima , Rahar Seema , Ahuja Arvind
Published: July 2024

ABSTRACT

Angiolipoleiomyoma is a benign mesenchymal mass composed of smooth muscle, mature adipose tissue, and abnormal blood vessels. It is rarely diagnosed in uterine masses and its prevalence among benign uterine lesions is 0.06%. We report the case of a 40-year-old female presenting with a complaint of heavy menstrual bleeding. Computed tomography scan revealed a large uterine mass with the right ovarian cyst. Histopathological examination confirmed the nature of the lesion as a benign angiolipoleiomyoma with a dermoid cyst of the right ovary. This rare association is reported to apprise gynecologists to consider this unusual tumor during the management of uterine masses.
Utility of the United Kingdom National Health Services Breast Screening Program Diagnostic Protocol in Fine-needle Aspiration Cytology with Cell Block Preparation in Cases of Palpable Breast Lumps: A Reliable, Fast, and Accurate Diagnostic Method for the Assessment of Breast Lumps with Histopathologic Correlation
Authors: Desai Pratik Bharatbhai , Desai Killol Nathubhai , Panchal Nirav Sureshbhai
Published: July 2024

ABSTRACT

Introduction:

A palpable breast lump is a common diagnostic problem for clinicians and surgeons. Fine-needle aspiration cytology (FNAC) has many advantages such as less cost, less sample processing time, less pain, less chance of hematoma, and less discomfort. FNAC with cell block preparation further increased both sensitivity and specificity by nearly 100%. With the cell block preparation, we can also use newer tests like estrogen receptor–progesterone receptor–human epidermal growth factor receptor 2.

Aims:

The aim of this study was to derive conclusions about the correlation, including sensitivity, specificity, positive and negative predictive values (NPVs), and the diagnostic accuracy of FNAC, with or without cell blocks, compared to the final histopathology in cases of palpable breast masses.

Materials and Methods:

A cross-sectional prospective study was conducted after getting approval from the Human Ethics Research Committee from January 2018 to December 2019, which included 65 patients. Patients diagnosed clinically for breast lumps who underwent diagnostic FNAC with cell block, followed by a histopathological examination at our hospital, were included in the study.

Results:

FNAC without cell block sensitivity, specificity, positive predictive value (PPV), NPV, efficiency rate, and diagnostic accuracy are 91.3%, 100%, 100%, 90.1%, 86.2%, and 96.5%, respectively. FNAC with cell block sensitivity, specificity, PPV, NPV, efficiency rate, and diagnostic accuracy are all 100%. All of our results beat the standard estimate.

Conclusions:

Fine-needle aspiration cytology is a patient-friendly, easy, reliable, repeatable, and simple diagnostic test. Whenever it is combined with cell block preparation, improves the accuracy of FNAC diagnosis which is more accurate and comparable to golden-standard biopsy with histopathology examination.
Diagnostic Efficacy of Enhanced Visual Assessment [Visual Check] for Triaging Cervical Cancer Screen Positive Women
Authors: Shamsunder Saritha , Mishra Archana , Kumar Anita , Beriwal Rajni , Ahluwalia Charanjeet , Das Sujata
Published: July 2024

ABSTRACT

Introduction:

Colposcopy is important for triaging any abnormal cervical screening test. Scarcity of trained colposcopists and colposcopy centers is a big hurdle to screening programs in low- and middle-income countries.

Objectives of the Study:

The objective was to assess the performance of the artificial intelligence incorporated into the mobile optical device technologies (ODT) Enhanced Visual Assessment (EVA visual check) against physician colposcopic diagnosis and the gold standard of histopathology.

Materials and Methods:

It was a cross-sectional observational study conducted on women referred to a colposcopy clinic following an abnormal screening test. Colposcopic examination was performed by colposcopists using the MobileODT EVA system. Physician’s impression and Visual Check analysis were compared with the final histopathological analysis or cytology. Cases with normal cytology and normal colposcopy did not undergo biopsy, and these were considered normal.

Results:

A total of 2050 women were screened, and 147 screen-positive women were recruited in the study. EVA Visual Check had a sensitivity of 86.8% (75–95), specificity of 28.7% (20–39), positive predictive value (PPV) of 40.7% (32–50), negative predictive value (NPV) of 79.4% (62–91), and diagnostic accuracy of 49.7% (41–58) for diagnosing cervical intraepithelial neoplasia (CIN) 1+ lesions. EVA Visual Check has a sensitivity of 89.3% (72–98), specificity of 26.1% (18–35), PPV of 22.1% (15–31), NPV of 91.2% (76–98), and diagnostic accuracy of 38.1% (30–46) for CIN 2+ lesions.

Conclusion:

MobileODT EVA colposcope with AI has sensitivity comparable to physician’s diagnosis, whereas specificity, PPV, and NPV were less than that of physician’s diagnosis. It could prove valuable for triage of screen-positive women for further management.
Carcinoma Endometrium Coexisting in Huge Procidentia
Authors: Mundhra Rajlaxmi , Bahadur Anupama , Rajput Rashmi , Kumar Arvind
Published: July 2024

ABSTRACT

Surgery remains the gold standard treatment for endometrial cancer. Vaginal approach is suitable for candidates with low risk for lymph node metastasis or in elderly females with extensive comorbidities, especially when surgery is done for palliative purpose only. We herein describe a case of cancer endometrium in huge procidentia, managed by vaginal hysterectomy followed by hormonal therapy.
Dental auxiliaries’ knowledge, attitude, and practices regarding noma prevention: A cross-sectional study in Northwestern Nigeria
Authors: Bala Mujtaba , Kaura Muhammad Abubakar , Tsafe Anas Bawa , Jaafar Rufai , Fawa Sadeeq Abubakar , Abdulkadir Ahmad
Published: July 2024

Objective:

The objective is to evaluate dental auxiliaries’ knowledge, attitudes, and practices for the prevention of noma disease.

Materials and Methods:

This was a cross-sectional study conducted over 6 months. After obtaining ethical clearance from the Sokoto and Zamfara State Ministries of Health, all consenting dental assistant staff who met the selection criteria were administered a validated questionnaire containing 17 questions assessing the respondents’ knowledge, attitudes, and practices. They were recruited using a self-administered questionnaire. The overall score was classified as “low” if the average score was 50% or less (50% or less), satisfactory (51%–69%), or good (70% or more). Data were analyzed using IBM SPSS version 20 software.

Results:

A total of 149 respondents returned the questionnaire, of which 80 (53.7%) were men and 69 (46.3%) were women. The mean ± standard deviation age of respondents was 27.37 ± 7.00 years, with a range of 20–58 years. The age of respondents was divided into four groups, and the majority of 112 respondents (75.2%) were in their 30s. The majority of respondents, 141 (94.6%), know about the prevention of noma disease. The total respondent score was 1827 points (72.1%), which was evaluated as “good.”

Conclusion:

Knowledge, attitudes, and practices of dental auxiliaries in the field of noma prevention are good. Dental auxiliaries, if supervised and appropriately trained, can play a role in noma prevention by actively participating in and disseminating information on specific preventive measures such as scaling and polishing.
Evolution of orthodontic aligners: A narrative review
Authors: Nakhate Trupti Shankar , Kangane Suresh , Joshi Yatishkumar S , Bhutada Payal Brijlal , Nair Swathilekshmi , Bhoir Aavesh
Published: July 2024

Clear aligners seem to be a new modality for patients undergoing orthodontic treatment; the initial concept of this treatment evolved in the 20th century. Remensnyder’s “Flex-O-Tite” appliance led to the introduction of the aligner, from this Kesling tooth positioner appliance made up of rubber-based 1945 proposed the concept of using it for minor tooth movements in a sequential series. The purpose of this article is to provide information about chronologically ordered evolution of aligners. Various types of generations and attachments used in different aligner systems. An online search was done using databases from PubMed and Google Scholar to find the articles. Database search was done with the following string: ((aligners [Title/Abstract]) AND (comparison [Title/Abstract])) AND (((fixed appliance [Title/Abstract]) OR (braces [Title/Abstract])) OR (fixed orthodontic appliance [Title/Abstract])). 3 articles are included in the narrative review to evaluate the better outcomes of the treatment effectiveness between fixed orthodontic treatment and aligners with short summary of chronological ordered evolution, generations and attachments of aligners. The overall effectiveness of orthodontic treatment depends upon the knowledge of clinician therefore knowledge about recent advances is important for proper treatment of the patient.
Exploration and analysis of anxiety and sleep disorders among medical personnel in medical observation and isolation sites
Authors: Ma Yadong , Zhou Hongrang , Zhang Zhicheng , Liu Qunqun , Lin Changpo
Published: July 2024

Objective:

This study aims to assess the mental well-being and factors that influence medical personnel engaged in safeguarding tasks at medical observation and isolation sites amid COVID-19 prevention efforts in Qingpu District, Shanghai. The findings will provide evidence to inform the development of effective preventive strategies.

Methods:

A survey employing the Self-Rating Anxiety Scale (SAS), Pittsburgh Sleep Quality Index (PSQI), and a custom basic information questionnaire was conducted among medical personnel stationed at medical observation isolation sites in Qingpu District, Shanghai, during COVID-19 pandemic.

Results:

Out of the 379 medical personnel surveyed, 132 individuals (34.8%) exhibited symptoms of anxiety, while 252 individuals (66.5%) reported sleep disorders. The multivariate logistic regression analysis revealed that sex (OR=2.44, 95%CI: 1.28-4.65) and living with elderly (OR=1.64, 95%CI: 1.03-2.62) significantly affected the anxiety levels among healthcare workers. Although five variables including age, marital status, professional title, living with children, and living with elderly were examined for their impact on sleep quality, none of these factors showed statistically significant differences.

Conclusions:

During the COVID-19 pandemic, anxiety symptoms and sleep disorders among medical personnel stationed at medical observation isolation sites varied based on sex, age, marital status, education level, professional title, and living arrangements. These findings underscore the importance of addressing these concerns and implementing measures to enhance and alleviate anxiety and sleep disorders among medical personnel in isolation settings.
Ethnomedicinal survey of anti-urolithiatic medicinal plants used in the region of Mascara, Algeria
Authors: Toumi Safia Lakhdar , Ali Badra Moulei
Published: July 2024

Objective:

To conduct an ethnomedicinal survey and conserve traditional medicinal practices in the Mascara region of northwestern Algeria. In this region, traditional medicinal knowledge has primarily been transmitted orally, and the study aims to document it in written form for better utilization in the field of pharmacology.

Methods:

Purposive sampling with semi-structured questionnaires was adopted with ethnobotanical data obtained from 135 local informants, including 22 herbalists. The study participants were asked about their sociodemographic profiles and ethnomedicinal knowledge about anti-urolithiatic medicinal plants.

Results:

Sixty-three anti-urolithiatic species belonging to 59 genera and 32 families were inventoried. All plants are prescribed orally, and decoction presents the most common preparation method (46.0%). Seeds are the most used parts (27.0%). The most frequent botanical families were Apiaceae, Lamiaceae, Fabaceae, and Rosaceae. The predominant anti-urolithiatic plants are Herniaria hirsute L., Hordeum vulgare L., Linum usitatissimum L., Zea mays L., Lavandula angustifolia Mill., and Apium graveolens L.

Conclusions:

This study highlights the diversity of the phytotherapeutic practices used against urolithiasis in the region of Mascara. It also suggests that ethnomedicine is well-entrenched in local health practices in this area. However, this knowledge acquired by the local inhabitants over the centuries risks disappearing since it is mainly held by older people and is not documented.
Dermatopathia pigmentosa reticularis: a rare case report
Authors: Khan Suhail , Raut Saurabh , Loganathan Eswari
Published: July 2024

Dermatopathia pigmentosa reticularis (DPR) is a very rare ectodermal disorder with autosomal dominant mode of inheritance. It is associated with a mutation in the keratin 14 gene on chromosome 17. It is characterized by a diagnostic triad of generalized reticulate hyperpigmentation, non-cicatricial alopecia, and onychodystrophy. We hereby report a case of a 26-year-old female who presented with reticulate hyperpigmentation all over the body, diffuse non-cicatricial alopecia, and onychodystrophy. Apart from this triad, she also had poorly developed dermatoglyphics.
Impact of a codesigned and coproduced patient-centred discharge form on communication and understanding
Authors: Cushnahan Aiden , Sie Boon Shih , Wadhwa Vikas
Published: July 2024

Introduction:

Adverse clinical outcomes and patient dissatisfaction with care often have elements of poor communication. Factors such as illness and pharmacotherapy can affect cognition, and overestimation of patients’ health literacy may contribute to suboptimal communication with patients regarding their hospitalisation and post-discharge instructions. Improved patient understanding and recall of their diagnoses and treatment is critical for adherence to treatment, follow-up and optimal clinical outcomes. The aim of the study was to assess whether a coproduced and codesigned patient-centred discharge form (PCDF) improves patients’ understanding of their discharge diagnosis, in-hospital treatment and post-discharge plan.

Methods:

A sample of 111 patients was enrolled through simple randomisation by admission to one of two identically operating general medicine wards. Over a 3-month period, 59 patients received the coproduced and codesigned form and 52 patients were controls. Assessment of patients’ understanding of diagnosis, in-hospital management, post-discharge instructions and overall experience of care was undertaken by a blinded phone survey conducted approximately 6 days after discharge.

Results:

Patients who received PCDF were significantly more likely to report adequate understanding of their hospital management (P < 0.001) and the post-discharge plan (P < 0.001). There was no statistically significant difference between the intervention and control groups in terms of understanding of diagnosis. Patients who received PCDF reported better understanding of care and recall of admission.

Conclusion:

The use of PCDF is associated with improved patient understanding with respect to their hospital management and post-discharge instructions. It is also associated with high levels of satisfaction as assessed by measures of patient experience.
Asymptotic analysis and optimization of an elastic body surrounded by thin layers
Authors: El Jarroudi Mustapha , El Amrani Jamal , El Merzguioui Mhamed , Er-Riani Mustapha , Settati Adel
Published: July 2024

We consider an elastic body surrounded by thin elastic layers along a part of its boundary. We study the asymptotic behavior of the structure as the maximum thickness of the layers tends to zero. We derive an effective boundary integral energy involving a matrix of Borel measures not charging polar sets and having the same support contained in the boundary. We characterize this matrix for three special cases: periodic layers, layers which are determined by a given nonnegative function

h

, and layers with abrupt changes along self similar fractals. We then consider an optimal control problem, which consists in determining the shape of the best material distribution around the elastic body, under the maximal work of external loads, and characterize the optimal zones on its boundary where possible elastic layers could take place.
Agentive reading in the Middle: The structure of Polish reflexiva tantum
Authors: Dadan Marcin R.
Published: July 2024

Morphosyntactic marking connected with the Middle contexts, broadly speaking expressing the involvement and affectedness of the subject (Cotticelli Kurras and Rizza 2013, Inglese 2020), tends to give rise to characteristic Voice syncretism, i.e., the appearance of different readings, e.g., inherently reflexive, anticausatives, antipassive, etc., which are argued to occur via allosemy at LF (Arad 2003, 2005; Marantz 2013a, 2013b; Wood 2015, 2016; Wood and Marantz 2017; Oikonomou and Alexiadou 2022).1 Looking at reflexiva tantum (RT), i.e., predicates with reflexive clitic się (SE) without any non-się marked counterparts, this paper claims that in a language like Polish, where the Middle readings are not expressed by non-active/mediopassive synthetic morphology, this class of contexts does not have to be related to one specification of the Voice, but since it depends on the reflexive SE-clitic, the syntax of the Middle encompasses all the contexts that license the insertion of this element. Only a subset of the syncretic readings in Polish arises as post-syntactic allosemy, and unergative and unaccusative SE-reflexives differ with regards to the base-generation of the nominative-marked subject. Importantly, agentive readings involve the agentive Voice with the NP argument merged in its specifier. Polish reflexiva tantum are discussed in cross-linguistic contexts of other non-alternating predicates, i.e., media tantum and deponents, and it is shown that they cover the same semantic spectrum, but differ in the syntax, especially in their active and agentive readings. It is shown that the idiosyncratic and omplex nature of reflexive tantum is reflected in its potential to create idiomatic extensions, which arise due to both overt syntax and post-spellout allosemy.
Le labyrinthe comme motif métadiscursif dans la création littéraire de Christian Grenier
Authors: Langbour Nadège
Published: July 2024

The labyrinth motif appears regularly in Christian Grenier's novels. In diegesis, it is always linked to myth and the fates of Daedalus, Theseus and Ariadne. It is also a diegetic motif that structures the setting, organizes the characters' quest and generates suspense. But this motif is above all a metadiscursive metaphor that theorizes the author's writing. In particular, he evokes the meandering construction of police intrigues. It also represents the referential games developed by Christian Grenier: By mixing the words of other writers with his own, offers his readers the opportunity to enter a kind of intertextual labyrinth.
Réparer les vivants de Maylis de Kerangal : un labyrinthe salvateur
Authors: Rousseau Guillaume
Published: July 2024

This article focuses on the modern image of the labyrinth-rhizome in Maylis de Kerangal’s novels. Basing on the analyses of Gilles Deleuze and Felix Guattari (introduction to Mille plateaux), we explain the characteristics of this strange labyrinth, always in recomposition, and show how it fascinates the novelist. In a second step, we take the example of the labyrinth model which appears in Réparer les vivants : we formulate the hypothesis that it could represent the operation of the Cristal computer application used by health professionals for the organ transplantation procedure. Thus, the labyrinth ceases to be a place of perdition, it can save lifes.
La mère – source de la vie. Un destin de femme dans l’imaginaire aquatique fin de siècle
Authors: Sasin Eliza
Published: July 2024

The current article aims to present the woman’s destiny, which was expressed by the poets of French symbolism in the symbols that create the aquatic universe of 19th century, consisting of both female mythological characters and water itself as an element, which has been endowed with characteristics appropriate for mothers. The historical-literary and comparative method permit to present the figure of the mother as a woman’s destiny glorified in the epoch. Its main elements that emerge from the poems are fertility, providing nutrition, peace and safety. In addition, it can be concluded that the poetic image corresponds to the social vision, responding to the needs of the contemporary society.
The Roles of a Pastor’s Wife in the Post-COVID 19 Pandemic Era in Reference to Evangelical Church Winning All (ECWA) and the Salvation Army, Nigeria
Authors: Olajide Grace O , Olajide Rev. Michael D
Published: July 2024

The status of a pastor’s wife is an honourable position with huge responsibility. She holds a unique role in advising, encouraging, and cautioning the man who bears the responsibility of leading the church. Yet, the pastor’s wife is an often neglected discourse both in the academic and ministerial spaces. Churches like the Evangelical Church Winning All (ECWA) adumbrate the role of the pastor’s wife both in liturgy and operations. There is a paucity of literature on the personality and role of a pastor’s wife. Nevertheless, the COVID-19 pandemic has made the role of the pastor’s wife more cumbersome. Church life has not remained the same since the emergence of the COVID-19 pandemic and the eventual lockdown laws on social, public, and religious convergence. This study sought to determine the role that a pastor’s wife plays alongside her husband in the ministry. A descriptive approach was adopted as the basic methodology for this study with the research tool of structured interviews. The role of women in the early church is also briefly reconnoitred in order to demonstrate that women have a very important in a church, including the wives of ministers and preachers. The study recommended that churches like ECWA should give due attention to the status and role of pastors’ wives in their traditions and liturgy.
Also, ECWA, like Salvation Army, should prepare and organize ongoing educational programmes to equip and empower pastors’ wives for optimum performance and fruitful results in church ministries. Likewise, pastors’ wives are enjoined to rise to their calling by giving necessary support to their spouses at home, church, and community spaces.
Penentuan Lokasi Titik Halte Koridor 4 Trans Semarang Berdasarkan Potensi Demand dan Efektivitas Penumpang Menggunakan Qgis
Authors: Wahyu Dwi , Aditya I Putu Arya
Published: July 2024

Kota Semarang merupakan kota yang memiliki 34 trayek angkutan umum yang beroperasi dengan jumlah penduduk tahun 2021 sebesar 1,656,564 jiwa. Penyebaran penduduk di masing- masing kecamatan di Kota Semarang belum merata, sehingga penentuan lokasi titik halte juga harus sesuai dengan kondisi eksisting baik berupa potensi dari demand maupun efektivitas dari penumpang. Pada trayek BRT Trans Semarang Koridor 4, memiliki fasilitas tempatpemberhentian angkutan umum yang belum optimal. Tujuan dari penelitian ini adalah untuk mengkaji lokasi pemberhentian angkutan umum Koridor 4 Trans Semarang dengan berdasarkan potensi bangkitan dan tarikan penumpang. Metodelogi penelitian dilakukan dari tahapan identifikasi masalah yang terjadi pada wilayah studi, dilanjutkan dengan pengumpulan data baik primer berupa survei inventarisasi halte dan dinamis, data sekunder berupa jaringan trayek. Selanjutnya dilakukan analisa berdasarkan karakteristik demand, kebutuhan titik halte berdasarkan jarak, penentuan titik halte pada demand. Hasil analisis menunjukan kebutuhan halte pada trayek Koridor 4 Trans Semarang dengan perhitungan permintaan, terhadap 6 halte yang tidak efektif dari segi jumlah penumpang dan jarak antar halte yang belum sesuai, sehingga dipindahkan ke titik demand yang lebih besar pada trayek Koridor 4 Trans Semarang.
Penelusuran Informasi Untuk Melandasi Penyusunan “Buku Pedoman Penyuluhan Keselamatan Jalan, Program Sadar Lalu Lintas Usia Dini”
Authors: Hidayati Tri Susila , Pradana Brasie
Published: July 2024

Keselamatan jalan harus ditumbuhkan oleh masing-masing pelaku transportasi berupa bentuk kejujuran atau willingness untuk selanjutnya dibentuk adanya kesadaran atau awareness terhadap keselamatan lalu lintas angkutan jalan. Dibutuhkan metode penyuluhan yang dapat mengubah mind set dan menanamkan dengan akar yang kuat mind set budaya keselamatan berlalu lintas sejak usia dini. Pendidikan sadar lalu lintas usia dini (SALUD) memanfaatkan masa “golden age” sudah dilaksanakan di banyak daerah. Agar pendidikan SALUD dapat terarah, terukur, sehingga dapat menghasilkan dampak yang optimal pada pembangunan budaya keselamtan jalan  diperlukan “Buku Pedoman Penyuluhan Keselamatan Jalan Program Sadar Lalu Lintas Usia Dini” sebagai acuan. Tujuan dari penelitian ini adalah : 1) Menyusun laporan hasil penelusuran informasi untuk melandasi penyusunan “Buku Pedoman Penyuluhan Keselamatan Jalan, Program Sadar Lalu Lintas Usia Dini”, dan 2) Membuat desain  “Buku Pedoman Penyuluhan Keselamatan Jalan, Program Sadar Lalu Lintas Usia Dini” .
SISTEM INFORMASI VERIFIKASI ANGGOTA KOPERASI PADA DINAS KOPERASI KOTA MEDAN BERBASIS WEB
Authors: Pratama Fadillah , Elyas Ananda Hadi , Hasugian Buyung Solihin
Published: July 2024

Peran Dinas Koperasi dan UKM dalam pemberdayaan usaha kecil menengah di Provinsi Kalimantan Selatan adalah membantu para pelaku usaha kecil menengah dalam mengembangkan kemitraan dan efesiensi usaha, memperluas pangsa pasar dengan produk koperasi usaha kecil menengah berdaya saing. Meningkatkan profesionallisme sumber daya manusia dalam merancang dan mengembangkan model pendidikan juga pelatihan bagi koperasi usaha kecil menengah.Dinas Koperasi mengarahkan para pelaku usaha kecil menengah yang tidak dipilih dalam pelatihan di balai koperasi karena terbatas dalam segi pembiyayaan menyarankan para pelaku usaha kecil menengah yang tidak dilatih tadi diusulkan untuk masuk komunitas usaha mikro kecil menengah seperti GKN ( Gerakan Komunitas Nasional) dan komunitas usaha mikro kecil menengah lainya.Hasil penelitian pertama, Dinas Koperasi Provinsi Kalimantan Selatan membantu para pelaku Usaha Kecil Menengah yang sudah ter program di Dinas Koperasi Kota Banjarmasin dan yang sudah disurvei ke Koperasi daerah-daerah yang sudah terdata, berkoordinasi dengan Pemerintah Daerah dalam mencari para Pelaku Usaha Kecil Menengah yang dilatih di Balai Koperasi dan melakukan Pelatihan, guna mempermudah para Pelaku Usaha Kecil Menengah mengembangkan Usaha atau Produknya. Kedua kendala yang dihadapi dinas koperasi dalam pemberdayaan usaha kecil menengah terbatasnya dari segi pembiyayaan sehingga tidak semua para pelaku usaha kecil menengah mendapatkan pelatihan di balai koperasi.
Perancangan Aplikasi Manajemen Proyek Sistem Informasi Dalam Pengendalian Proyek Pembangunan Berbasis Web
Authors: Tanjung Dariana , Yahfizham Yahfizham
Published: July 2024

Industri konstruksi mengalami perkembangan yang pesat, tetapi juga dihadapkan pada tantangan yang semakin kompleks dalam pengelolaan proyek pembangunan. Namun, banyak proyek pembangunan menghadapi kendala seperti keterlambatan, peningkatan biaya, dan masalah kualitas, yang sebagian besar disebabkan oleh kurangnya sistem informasi yang efisien. Aplikasi sistem informasi manajemen proyek menawarkan solusi komprehensif untuk mengatasi tantangan ini dengan menyediakan alat yang membantu perencanaan, pelaksanaan, pengendalian, dan pelaporan proyek secara efisien. Penelitian ini bertujuan untuk merancang dan mengembangkan sistem informasi manajemen proyek dalam pengendalian proyek pembangunan, dengan fokus pada penggunaan metode waterfall. Metode waterfall dipilih karena sifatnya yang linear dan berurutan, sehingga memudahkan pemahaman dan pengendalian proses pengembangan. Penelitian ini dimulai dengan mengidentifikasi masalah, melakukan studi literatur, dan mengidentifikasi kebutuhan sistem. Kemudian, sistem diuji dan diimplementasikan sesuai kebutuhan yang telah diidentifikasi sebelumnya. Setelah itu, laporan penelitian disusun untuk menyajikan hasil dari penelitian ini. Hasil penelitian ini mencakup desain sistem informasi manajemen proyek yang dapat mengelola proyek pembangunan mulai dari tahap perencanaan hingga penyelesaian. Sistem ini memungkinkan kontraktor untuk memasukkan data proyek, membaginya menjadi berbagai bagian seperti data bahan, alat, pekerja, dan detail proyek, dan menghasilkan laporan yang disetujui oleh direktur.
Perancangan Manajemen Proyek Sistem Informasi Hasil Pertanian UPTD Benih Induk Palawija Tanjung Selamat
Authors: Siahaan Melva Aliyah Royani , Yahfizham Yahfizham
Published: July 2024

Penelitian ini bertujuan untuk mengembangkan sistem informasi terintegrasi untuk UPTD Benih Induk Palawija Tj. Selamat, dengan fokus pada pemantauan produksi dan distribusi benih serta memberikan informasi pertanian kepada petani. Metode penelitian yang digunakan adalah analisis kebutuhan, perancangan sistem menggunakan Unified Modeling Language (UML), dan sistem implementasi. Hasil penelitian menunjukkan bahwa sistem informasi yang dikembangkan dapat meningkatkan efisiensi manajemen inventaris benih, mengurangi risiko ke keseimbangan stok, dan meningkatkan produktivitas pertanian. Selain itu, portal informasi petani berhasil meningkatkan pengetahuan dan keterampilan mereka dalam mengelola tanaman palawija. Kesimpulannya, implementasi sistem ini memberikan manfaat yang signifikan bagi petani di UPTD Benih Induk Palawija Tj. Selamat dalam meningkatkan efisiensi dan produktivitas pertanian, serta memberikan dampak positif terhadap pertumbuhan ekonomi lokal dan meningkatkan kesejahteraan petani.
Ngứa trong thai kỳ - dưới góc nhìn da liễu
Authors: Lê Hà Yến Chi , Phạm Chí Kông , Huỳnh Minh Nhật
Published: July 2024

Mang thai là một trạng thái thay đổi sâu sắc về sinh lý và nội tiết, liên quan đến nhiều thay đổi ở da và các cơ quan phụ, từ đó xuất hiện triệu chứng ngứa trên lâm sàng. Ngứa trong thai kỳ khá phổ biến với nhiều mức độ tổn thương, có thể là dấu hiệu đầu tiên của bệnh ngứa đặc hiệu thai kỳ - nhóm các bệnh lý chỉ xuất hiện trong thời kỳ mang thai và hậu sản (phát ban đa dạng ở thai kỳ, phát ban cơ địa ở thai kỳ, Pemphigoid thai kỳ, vảy nến mụn mủ thai kỳ và ứ mật thai kỳ), có thể chỉ là bệnh da liễu tình cờ xảy ra trong thai kỳ, cũng có thể do mang thai làm nặng thêm các bệnh lý da liễu đang mắc. Hơn 90% phụ nữ mang thai trải qua một hoặc nhiều dạng thay đổi về da và có thể dẫn đến ngứa. Mặc dù vậy, tình trạng này vẫn chưa được bác sĩ các chuyên khoa (da liễu, sản khoa…) đánh giá đầy đủ và dữ liệu liên quan đến tính an toàn của thuốc điều trị ngứa/bệnh nền gây ngứa trong thai kỳ còn nhiều hạn chế. Trong tổng quan này, chúng tôi minh họa dịch tễ học, sinh lý bệnh có thể có, đặc điểm lâm sàng và chẩn đoán các bệnh khác nhau liên quan đến thai kỳ, đồng thời thảo luận về các phương pháp điều trị ngứa an toàn, cân bằng lợi ích/nguy cơ sức khỏe của mẹ và cả những nguy cơ tiềm ẩn cho thai nhi.
Gia tăng nồng độ βhCG 48 giờ trước điều trị: yếu tố mới dự đoán kết quả điều trị nội khoa thai lạc chỗ bằng Methotrexate
Authors: Nguyễn Thị Kim Anh , Võ Xuân Phúc
Published: July 2024

Mục tiêu nghiên cứu: Nghiên cứu sự biến thiên nồng độ βhCG trước, trong điều trị liên quan đến kết quả điều trị nội khoa  Thai lạc chỗ bằng Methotrexate.  
Đối tượng và phương pháp nghiên cứu: Mô tả cắt ngang có theo dõi 41 bệnh nhân được chẩn đoán thai lạc chỗ và điều trị  nội khoa bằng Methotrexate liều đôi tại Bệnh viện Trường Đại học Y - Dược Huế từ tháng 1/2020 đến 6/2022.
Kết quả: Tỷ lệ thành công chung là 85,4%; Nồng độ βhCG trung bình ban đầu tại thời điểm điều trị là 1.814 ± 1.377,3 mUI/ml;  Tỷ lệ gia tăng nồng độ βhCG trước điều trị ≤ 20,8% trong 48 giờ trước điều trị liều thứ nhất có giá trị dự đoán kết quả điều trị  thành công với độ nhạy 82,9%, độ đặc hiệu 83,3% (AUC: 0,881, p: 0,003), đây là yếu tố dự đoán độc lập có ý nghĩa kết quả  thành công bằng MTX; Không tìm thấy sự khác biệt nồng độ βhCG trung bình ở nhóm thành công 1.729,3 ± 1.341,7 mUI/ml  và nhóm thất bại là 2.308 ± 1.609,9 mUI/ml (p > 0,05).  
Kết luận: Sử dụng điểm cắt sự gia tăng nồng độ βhCG trong vòng 48h trước điều trị ≤ 20,8% so với thời điểm quyết định  điều trị như một yếu tố dự đoán độc lập về kết quả điều trị thành công thai lạc chỗ bằng Methotrexate.
Đánh giá kết quả điều trị hội chứng tinh trùng ít - yếu - dị dạng bằng phương pháp tiêm tinh trùng vào bào tương noãn tại Bệnh viện Phụ sản - Nhi Đà nẵng
Authors: Phạm Chí Kông
Published: July 2024

Mục tiêu: Đánh giá kết quả điều trị tiêm tinh trùng vào bào tương noãn (ICSI) trên bệnh nhân vô sinh nam do hội chứng tinh trùng ít-yếu-dị dạng (OAT) và xác định một số yếu tố liên quan đến kết quả phương pháp tiêm tinh trùng vào bào tương noãn. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang được thực hiện trên 160 cặp vợ chồng điều trị IVF/ICSI tại Bệnh viện Phụ sản – Nhi Đà Nẵng từ tháng 01/2020 đến tháng 12/2020 có kết quả tinh dịch đồ OAT đã được chuyển phôi.
Kết quả: Phương pháp ICSI  điều trị các trường hợp vô sinh nam do OAT  có tỷ lệ thụ tinh trung bình là 72,1 ± 19,0% và tỷ lệ tạo phôi trung bình là 79,5 ± 20,0%, tỷ lệ thai lâm sàng, tỷ lệ thai sinh sống và tỷ lệ sẩy thai lần lượt là 52,5%, 45%, 7,5%. Mật độ tinh trùng, sự hiện diện của tinh trùng di động tiến tới và sự có mặt của tinh trùng có hình thái bình thường không ảnh hưởng đến tỷ lệ thụ tinh, tỷ lệ phôi tốt, tỷ lệ thai lâm sàng, tỷ lệ thai sinh sống và tỷ lệ sẩy thai.
Kết luận: Điều trị phương pháp (ICSI) trên nhóm bệnh nhân vô sinh nam do OAT có hiệu quả cao. Kết quả ICSI chưa thấy bị ảnh hưởng bởi một số chỉ số của tinh dịch đồ bệnh nhân OAT.
Sperm concentration, progressive rate and normal morphology sperm rate had no significantly effected to fertilization rate, good – embryo rate, clinical pregnancy rate, live birth rate and misscariage rate. Conclusions: ICSI increased the IVF success rates in the patients with OAT syndrome. There were no correlations between the sperm concentration, progressive rate and normal morphology rate with ICSI’s results
Формування системи законодавчих, нормативно-правових, доктринальних і керівних документів з питань військової охорони здоров’я та медичного забезпечення Збройних Сил України
Authors: Kazmirchuk A. P. , Livinskiy V. G. , Zhahovskiy V. O.
Published: July 2024

Мета роботи. Дослідження стану опрацювання законодавчих, нормативно-правових, доктринальних і керівних документів з питань охорони здоров’я військовослужбовців і медичного забезпечення Збройних Сил (ЗС) України в контексті функціонування Медичних сил ЗС України та розвитку системи військової охорони здоров’я.
Матеріали та методи. Використано законодавчі та нормативно-правові акти з питань охорони здоров’я і оборони держави, доктринальні та керівні документи, інформаційно-довідкові матеріали і публікації з питань військової охорони здоров’я та медичного забезпечення ЗС України. Методи дослідження: історичний, бібліографічний, аналітичний, системного підходу, узагальнення.
Результати. Досліджено та висвітлено формування законодавчої і нормативно-правової бази з питань військової охорони здоров’я та доктринальних і керівних документів з медичного забезпечення ЗС України в їх розвитку. Встановлено, що за роки незалежності у ЗС України напрацьовано велику кількість доктринальних і керівних документів з питань охорони здоров’я військовослужбовців та медичного забезпечення ЗС України, які потребують періодичного перегляду та оновлення. Стверджується, що на цей час виникла необхідність систематизувати їх за ієрархією, напрямами діяльності Медичних сил ЗС України та призначенням, сформувавши Систему законодавчих, нормативно-правових, доктринальних і керівних документів з питань військової охорони здоров’я та медичного забезпечення ЗС України, що дозволить запобігти їх дублюванню, а також допоможе визначитися з необхідністю опрацювання тих чи інших відсутніх на цей час документів.
Висновки. Формування Системи законодавчих, нормативно-правових, доктринальних і керівних документів з питань військової охорони здоров’я та медичного забезпечення ЗС України є важливим чинником забезпечення медичної складової високої боєздатності та боєготовності ЗС України. Робота щодо опрацювання системи законодавчих, нормативно-правових, доктринальних і керівних документів з питань військової охорони здоров’я та медичного забезпечення ЗС України має проводитися із залученням керівного складу та інших посадових осіб органів управління медичним забезпеченням, провідних наукових і науково-педагогічних фахівців у галузі військової та цивільної охорони здоров’я, з урахуванням напрямів та етапів розвитку ЗС України і системи військової охорони здоров’я, визначених програмними документами, а також потреби військ (сил) у медичному забезпеченні.
Прояви стигми та дискримінації серед медичного персоналу щодо ВІЛ-інфікованих осіб: стан на напрями подолання
Authors: Ganja I. M. , Ivanko О. М. , Antomonov Yu. M.
Published: July 2024

Вступ. Проблема стигматизації та дискримінації щодо ВІЛ-інфікованих та хворих на СНІД стосується багатьох закладів охорони здоров’я в усьому світі, в тому числі й в Україні.
Мета дослідження полягає у вивченні різних проявів стигми та дискримінації серед медичних працівників закладів охорони здоров’я в системі Міністерства оборони України по відношенню до ВІЛ-інфікованих.
Матеріали та методи. Дослідження по визначенню рівня стигми та дискримінації щодо ВІЛ-інфікованих осіб серед медичних працівників здійснювалося методом анонімного анкетування 1360 осіб медичного персоналу закладів охорони здоров’я в системі МО України.
Результати. У статті наведені результати анонімного анкетування медичного персоналу закладів охорони здоров’я в системі МО України. Встановлено, що медичний персонал в цілому виявляє толерантність до ВІЛ-інфікованих, але коли питання стосується особистої поведінки, толерантність знижується. Отримані результати дають підстави говорити про те, що навіть у медичних працівників існують страхи, пов’язані з ВІЛ, особливо щодо застосування їх до себе, що у випадку захворювання до них будуть ставитися упереджено.
Висновки. Результати дослідження дозволили виявити основні прогалини в знаннях лікарів з медичних, етичних, правових аспектів щодо стигматизації ВІЛ-інфікованих. Отримані результати дають підґрунтя для визначення напрямків та планування дій по зниженню стигми та дискримінації щодо ВІЛ-інфікованих осіб серед медичних працівників та доводять необхідність розширення та доповнення цієї теми у навчальних програмах лікарів всіх спеціальностей та додаткового навчання середнього та молодшого медичного персоналу.
Епідеміологічні паралелі туберкульозу та інфекцій, що передаються переважно статевим шляхом, в період воєнного стану і невідкладні медичні заходи
Authors: Kravchenko V. G. , Yareshko A. G. , Kaidashev I. P. , Loban’ G. A. , Yemchenko Ya. O. , Vorodyukhina A. K.
Published: July 2024

Вступ. Війна як фактор дестабілізації нормального життя, руйнування матеріально-технічної і житлової бази, а також порушення  суспільно-виробничої діяльності населення, породила переміщення і міграцію людей, що призвело в Україні і окремих її районах до суттєвого підвищення захворюваності на туберкульоз і інші інфекційні хвороби, навіть в умовах збереження надання медичної допомоги з діагностики і лікування захворювань. 
Мета. Вивчити вплив війни в Україні на поширеність соціально небезпечних інфекційних захворювань серед населення в порівнянні з літературними даними.
Матеріали і методи. Провести аналіз змін захворюваності на соціально небезпечні хвороби (туберкульоз та інфекції, які передаються статевим шляхом) за даними звітних матеріалів МОЗ України і Полтавської області в умовах воєнної агресії російської федерації проти України.
Результати. За час воєнних дій в Україні показники захворюваності на туберкульоз підвищилась із 44,0 у 2021 році до 48,4 на 100 тис населення у 2023 році, а в Полтавській області з 34,9 до 59,1 на 100 тис населення. Якщо по Україні захворюваність піднялась майже до епідемічного порогу, то в Полтавській області цей показник значно перевищує його. Захворюваність на туберкульоз серед дітей  підліткового віку  за три останні роки подвоюється кожного року: 2021 р. - 8,5; 2022 р. -16,3; 2023 р. - 32,6 на 100 тисяч населення, в структурі клінічних форм серед осіб, контактних по туберкульозу, за останні роки частота малих форм туберкульозу легень зменшилась в 4,1 рази, при цьому переважають тяжкі поширені форми туберкульозу. Реальна епідемічна ситуація з поширення інфекцій, що передаються статевим шляхом, у тому числі і сифілісу, залишається невідомою, зокрема у зв’язку з тим, що питання реєстрації хворих з приватних медичних закладів до офіційної звітності з інфекцій, що передаються статевим шляхом, досі не врегульовано на належному рівні.
Висновки. Заразність контагіозних інфекцій вимагає від медичних працівників контролю з недопущення хворих на туберкульоз та інфекції, що передаються статевим шляхом, в колективи військовослужбовців, організацію своєчасного виявлення і проведення ефективного лікування таких хворих, забезпечення військових індивідуальними засобами профілактики інфекційних захворювань, а також систематичне  проведення санітарно-просвітницької роботи серед військових з акцентом на запобіганні випадкових статевих контактів і користування, в разі потреби, засобами персональної профілактики інфекцій, що передаються статевим шляхом.