bluuebunny/crossref_metadata_2025 huggingface dataset:
Platelet-rich plasma role in the local protection of the colon anastomosis
Authors: Plesco Elena
Published: December 2023

Introduction. Intestinal anastomosis dehiscence has been and remains a critical problem in modern colorectal surgery, associated with significant morbidity and mortality. Currently, there are various studies focused on the development of a method to protect the intestinal anastomosis. The new method with the use of biological substances is the local application of platelet-rich plasma. Material and methods. The experimental study included 42 rats, which were divided into two groups. Group 1 – application of unprotected colon anastomosis (n = 21); group 2 – local application of platelet-rich plasma on the colon anastomosis (n = 21). 37 patients were included in the clinical study, who underwent colon anastomosis. The patients were divided into 2 groups: group I (n = 16) had unprotected colon anastomosis and group II (n = 21) - protected anastomosis with platelet-rich plasma. Results. It was experimentally proven that platelet-rich plasma does not aggravate the adhesion process and actually increases significantly the mechanical resistance of colon anastomosis. Microscopical examination demonstrated the acceleration of regenerative processes, in particular, angiogenesis and fibrillogenesis. The clinical study showed significant improvement of the postsurgical results – absence of colon anastomosis dehiscence in cases where local application of platelet-rich plasma was used. Conclusions. A statistically significant increase in dehiscence pressure of the anastomosis at 3rd, 7th and 8th day after surgery was noticed in group 2 vs. group 1. Using platelet-rich plasma does not influence significantly the process of abdominal adhesion, leads to increased regeneration process in the anastomosis area, especially neogenesis and fibrillogenesis (p < 0.5). Using platelet-rich plasma significantly improves the post-surgical results.
The profile of villous chorion vascularization in primary placental insufficiency
Authors: David Valeriu , Petrovici Vergil , Sinitina Lilia , Carpenco Ecaterina , Foca Ecaterina , Fulga Veaceslav , Saptefrati Lilian
Published: December 2023

Introduction. Placentation and autochthonous vascularization during the early period of intrauterine development in primary placental insufficiency are important stages in the establishment of embryo-haemochorial circulation. Vascular and angiogenesis dysfunctions in the early period of gestation are essential in the development of changes in placental vascular status with severe repercussions on pregnancy outcome in the first trimester of gestation. The purpose of the work. Evaluation of vascular density by the application of the anti-CD31 antibody in the chorio-villar germinal site in short-term dysregulated pregnancies. Material and methods. 184 cases were divided into 2 groups: stagnant pregnancies (SP (L1 = 144 cases) and early spontaneous abortion (ESA) (L2 = 40 cases). Control material: pregnancies resolved at social indications/desire (A) (n = 18) distributed according to gestational term (3-5 weeks), (6-9 weeks), and (10-12weeks). The estimation of the histomorphological features was performed by applying the classical conventional method with hematoxylin-eosin (H.E.), and the immunohistochemical evaluation of the vascular density in the chorio-villar profile with the help of the endothelial marker anti-CD31. The statistical relationships between fetal conceptus assessment forms, gestational term, and age were analyzed. Results. Distribution of pregnancies by profile: (SP) – 78.2% vs (ESA) – 21.8%, with vascular disturbances attested in 100% of cases by increasing the density of avascular chorionic villi in the case of stagnant pregnancies in 75% of cases. The application of immunoexpression with anti-CD31 at the level of the stroma of the chorionic villi determined PVI with a maximum mean in the control group (91.51±0.71) vs the ESA and SP groups (82.29±12.96 and 57.47±6.53, respectively). The index of vascularization with lumen (IV/L+) and vascularization index without lumen (IV/L-) were statistically significantly different (p = 0.011) for (SP). Applying the student t-test revealed statistically significant differences for PVI in most groups, except PSD vs SP at the age of 10-12 gestation of weeks (w.g.) At the same time, there are statistically significant differences between the means of vessels with lumen within PSD and SP (t31 = 5.500, p = 0.000005), and the means of vessels without lumen registered statistically significant differences in the PSD and SP groups (t12 = 3.862, p = 0.002). Conclusions. Pregnancy evolution depends on the degree of vascularization, as well as on the quality of the vascular network.
Clinical and morphological forms of chronic pancreatitis: features of development, diagnosis and treatment
Authors: Krylova Olena
Published: December 2023

Introduction. Chronic pancreatitis (CP) is a common disease with a complex pathogenesis, characterized by difficulties in its diagnosis and treatment. Purpose of the study. To determine the main pathogenetic links of clinical and morphological forms of CP, markers of disease progression, to develop a diagnostic algorithm and principles of treatment of patients. Material and methods. 210 patients with CP were examined, who were divided into 4 groups: I - obstructive, II - calcifying, III - fibrous-parenchymal, IV – CP, complicated by pseudocyst. Instrumental, functional, morphological, biochemical, immunological, microbiological methods were used. To study the main morphological and biological changes in the pancreas during the development of CP and to study the effectiveness of the proposed treatment, we conducted experimental studies on 45 laboratory white Wistar male rats weighing 180-230 g. Results. Imbalance of the immune system, oxidative stress, toxic-metabolic disorders, and diseases of the biliary system are important in the development of various forms of CP. However, there are differences in the severity of these changes. The most pronounced activity of fibrotic processes in the pancreas is typical for patients with a long course of the disease and in the presence of complications (pseudocyst). The most unfavorable course and prognosis are seen in the calcifying form of CP. The markers of CP progression are the value of the calcification coefficient of 0.5-1.0, the translocation of DNase I from the cytoplasm to the nucleus of the acinar cell, the activation of collagen formation, the increase in the level of fibrosis activators (TGF-β1, TNF-a), and the intensification of lipid peroxidation processes. An early marker of apoptosis is the translocation of DNase I from the cytoplasm to the nucleus of an acinar cell. Conclusions. The developed diagnostic algorithm allows assessing the pathophysiological features of functional and organic disorders of the pancreas, predicting the course of the disease and choosing the optimal treatment. The proposed treatment of patients with CP effectively reduces the severity of pain and oxidative stress, normalizes the cytokine profile, improves the general condition and quality of life of patients.
Science Teachers' Perspectives on Vaccination and Its Integration into the Science Curriculum
Authors: YENİGÜN Mukaddes , ÇETİN DİNDAR Ayla
Published: December 2023

Socioscientific issues are complex dilemmas that lack clear-cut answers. The purpose of this current study was to investigate in-service science teachers' perspectives on vaccination, consider a socioscientific issue, and assess their views regarding its significance in science education and potential integration into the curriculum. Forty-nine in-service science teachers participated in this study, using convenient sampling, and collected their responses to six open-ended questions administered online. Teachers were asked whether they discuss everyday topics in the classroom, and most teachers confirmed that they integrate daily-life subjects into their lessons. Similarly, in response to questions about including science-related topics not covered in the curriculum, the majority expressed their willingness to engage in these discussions, especially regarding vaccination. Regarding their ability to provide information about vaccination, a significant portion of science teachers reported feeling confident in their capacity to do so. Additionally, when asked about the importance of students' knowledge about vaccination and its integration into the curriculum, 39 teachers advocated for its inclusion, seven opposed it, and two acknowledged its significance but not integration into the curriculum. Notably, when questioned about the difficulty of explaining vaccination-related topics, 32 teachers indicated they would not encounter challenges. This research underscores the pivotal role of science teachers in fostering informed discussions about vaccination and highlights the potential benefits of integrating this crucial subject into science education. The findings of this study underscore science teachers' recognition of the importance of addressing socioscientific issues, such as vaccination, in the curriculum, provided that appropriate adjustments are made.
Yükseköğretim Öğrencilerinin Uzaktan Eğitimde Öğrenme Stratejilerini Kullanma Durumlarının İncelenmesi
Authors: YÜKSEL Akça Okan , ÇETİN Ekmel , ATASOY Bilal
Published: December 2023

Öğrenme stratejilerinin geliştirilmesi kadar öğrencilerin bu becerilere ne düzeyde sahip olduklarının belirlenmesi de önemlidir. Bu kapsamda çalışmanın amacı, uzaktan eğitim ortamlarındaki öğrenenlerin ihtiyaç duydukları öğrenme stratejilerinin kullanım durumunu belirlemek için Meijs ve arkadaşları (2019) tarafından geliştirilen aracı Türkçe’ye uyarlamaktır. İkinci amaç ise, uyarlanan ölçekten elde edilecek verileri çeşitli değişkenler açısından analiz ederek Türkiye’deki uzaktan eğitim ortamlarında öğrencilerin öğrenme stratejilerini kullanma durumlarını ortaya koymaktır. Bu çalışmada, öğrencilerin uzaktan eğitime yönelik kullandıkları öğrenme stratejilerini tümüyle ortaya koymak amaçlı tarama çalışması deseni kullanılmıştır. Araştırmada veri toplama aracı olarak, öğrencilerin demografik ve diğer bilgilerini içeren kişisel bilgi formu ve MSQL-B DE ölçeği kullanılmıştır. Bu çalışmada AFA ve DFA birlikte kullanılmıştır. Doğrulayıcı Faktör analizinden elde edilen parametreler de modelin uyumlu olduğunu göstermiştir. Bulgular incelendiğinde ortalamalara göre karmaşık bilişsel strateji kullanımı en yüksek ortalamaya sahiptir. Basit bilişsel strateji kullanımı, akademik düşünme ve zaman, mekân ve çaba yönetimi sırasıyla kullanılan stratejilerdir. Başkalarıyla iletişim stratejisi diğerlerine göre en az kullanılan strateji olarak belirlenmiştir. Araştırmanın sonuçları uzaktan eğitim sürecinde öğrenme stratejilerinin kullanımı konusunda literatürden edinilen veriler doğrultusunda farklı öğelerle mümkün olabildiğince zengin bir içerik sağlamaktadır. Gelecek çalışmalarda uzaktan eğitimde öğrenme stratejilerine yönelik farklı öğelerin çalışılması durumu söz konusu olabileceği gibi işin içerisine ders işleme süreci ve akademik başarı gibi etkenler de dahil edilebilir.
No Exit: Death Drive, Dystopia, and the Long Winter of the American Dream in Harold Ramis’s The Ice Harvest
Authors: Smith Eric D.
Published: December 2023

This article examines Harold Ramis’s 2005 noir comedy The Ice Harvest as the critically dystopian counter-panel to his beloved 1993 film Groundhog Day, a film frequently discussed within the paradigm of utopia. While starkly different in genre, tone, and reception, the two films comprise a dialectical dyad that registers the historical transition from the utopian cultural effervescence of the early 1990s to the tragic foreclosure of imaginative horizons and the dystopian transformation of economic, political, and social landscapes in the new millennium. In The Ice Harvest, the author argues, this is achieved through a strategic reactivation of film noir as a variant of the critical dystopia.
Engineering the Welfare State: Economic Thought as Context to Boye’s Kallocain and Huxley’s Brave New World
Authors: Gammelgaard Signe Leth
Published: December 2023

While the political aspects of the interwar dystopias have received much attention, less focus has been given to the specific correlation to the economic thinking and developments of the period, in particular the prominence of economic planning. This article suggests that such a connection is significant by examining a key Swedish novel from the period, Kallocain, in relation to the early economic theory of the Scandinavian welfare state. The article then relates these findings to links between Brave New World and the thinking of John Maynard Keynes. Finally, the kinds of critique articulated in these fictional works are centered around the citizens’ emotional and interior lives in new planned societies, and around their views on bad, disloyal, or painful feelings.
Three Moderate Solutions to Income Inequality in Utopia: Hertzka, Herzl, and Wells
Authors: Morris Donald
Published: December 2023

This article describes three utopian attempts to ameliorate the negative effects of income inequality that are less revolutionary than those of More and Bellamy. Rather than dispensing with money or gold, these three utopias modify existing institutions with the aim of lopping off the extremes of both wealth and poverty without upending the entire social and economic structure. Discussion includes Theodor Hertzka’s Freeland (1891), Theodor Herzl’s Altneuland: The Old New Land (1902), and H. G. Wells’s A Modern Utopia (1905). The three utopias provide potential solutions by undercutting causes of poverty and intergenerational wealth accumulation rather than by economic leveling, and by stressing a fresh start for each generation. The primary tools in this effort are education, universal healthcare, a safety net of basic income, fiscal transparency, confiscatory estate taxes, and common ownership of land.
Deprem Bölgesinde Görev Yapan Öğretmenlerin Deprem Kaygısının Belirlenmesi
Authors: KARBEYAZ Aytekin
Published: December 2023

Bu araştırmada amaç; deprem bölgesinde görev yapan öğretmenlerin deprem kaygısını belirlemektir. Araştırma karma araştırma yöntemi içerisinde yer alan çeşitleme metoduna göre desenlenmiştir. Araştırmada nicel veriler rastgele örneklem seçme yöntemi kullanılarak 208 öğretmenden, nitel veriler ise tipik örneklem seçme yöntemi kullanılarak 10 sınıf öğretmeninden elde edilmiştir. Çalışmada nicel veriler “Deprem Kaygısı Ölçeği” sayesinde; nitel veriler ise araştırmacı tarafından geliştirilen yapılandırılmış görüşme formu ile toplanmıştır. Nicel veriler SPSS 20.0 bilgisayar paket programı ile; nitel veriler ise NVivo 9.0 bilgisayar paket programından yararlanılarak içerik analizi yöntemi ile analiz edilmiştir. Bu araştırmada nicel ve nitel veriler ayrı ayrı analiz edilmiş ve sonrasında tartışma, sonuç kısmında birleştirilerek raporlanmıştır. Verilerin analizi sonucunda; öğretmenlerin Deprem Kaygısı Ölçeği’nden aldığı puanın, ortalamanın üstünde olduğu, deprem puanlarının cinsiyet açısından kadınlar lehine anlamlı bir farklılık gösterdiği, öğretmenlerin Deprem Kaygısı puanlarının yaş değişkeni ve yaşanılan şehre göre ise anlamlı bir farklılık göstermediği ortaya çıkmıştır. Ayrıca görüşmelerden ise; katılımcıların deprem sonrasında herhangi bir binaya girdiklerinde endişelendikleri ve korktukları, oluşan artçı sallantılardan rahatsız oldukları, bir bina içerisinde iken herhangi bir nesneyi sallanırken gördüklerinde huzursuz oldukları ortaya çıkmıştır. Katılımcılar ayrıca deprem ile ilgili konuşulmasını istemediklerini ve depremle ilgili konuşulduğunda ise konuşan kişiye kızdıklarını ve üzüldüklerini anlatmışlar ve ilaveten yıkılan bir bina gördüklerinde üzüldüklerini ifade etmişlerdir. Ayrıca bazı katılımcılar bina içinde bir ses duyduklarında heyecanlandıklarını açıklamışlar ve depremden sonra yaşanan üzüntülerden dolayı baş dönmesi ve vücutlarında terlemelerin oluştuğunu da eklemişlerdir. Elde edilen bulgulara göre çeşitli önerilerde bulunulmuştur.
Cartografia do sensível: Os mapas mentais como linguagem no processo de representação espacial
Authors: Lima Vinicius , Spironello Alexandra , Spironello Rosangela
Published: December 2023

Contexto: O presente resumo se refere à aplicação de uma oficina itinerante para alunos da graduação em Geografia, dos cursos de bacharelado e licenciatura da Universidade Federal de Pelotas- UFPel, na IX Semana Acadêmica da Geografia UFPel: Trajetórias e Conexões e VII Mostra e Seminário PIBID Geografia. O objetivo da oficina foi elucidar os diferentes usos da cartografia, com ênfase na utilização de mapas mentais como linguagem. Metodologia: Dentre as diferentes linguagens presentes em sala de aula, reconhecendo a dificuldade dos alunos e futuros professores com a cartografia, escolhemos abordar os mapas mentais. O uso dessa linguagem permitiu instigar o pensar e a representação dos diferentes espaços, através das múltiplas características presentes nos mais diversos usos dos mapas mentais, como os sentidos. Considerações: Como resultado, a presente proposta trouxe elementos importantes que contribuem para o conhecimento e apropriação da cartografia no cotidiano dos sujeitos, por meio do uso de mapas mentais como ferramenta cartográfica. Essa abordagem auxilia no processo de ensino e aprendizagem de Geografia.
KİTAP İNCELEMESİ: HOW CHINA’S RISE IS CHANGING THE MIDDLE EAST
Authors: ATEED Ejazul Haq
Published: December 2023

Anoushiravan Ehteshami ve Nev Horesh tarafından yazılan "Çin'in Yükselişi Orta Doğu'yu Nasıl Değiştiriyor" başlıklı bu kapsamlı kitap, Çin'in Orta Doğu ile gelişen ilişkilerinin karmaşık dinamiklerini araştırımaktadır. 2020'de basılan kitap, çok dilli bir yaklaşımla tarihsel bağlamları ve Çin'in aralarında İran, Suudi Arabistan, Mısır, Türkiye ve İsrail'in de bulunduğu büyük bölgesel oyuncularla ilişkilerindeki güncel değişimleri analiz etmektedir. Yazarlar, Çin'in Orta Doğu'daki tarihsel ve güncel çıkarlarının, küresel nüfuza yönelik daha geniş bir stratejik hedefin yanı sıra, öncelikle enerji ithalatı ihtiyacı olmak üzere ekonomik kaygılardan kaynaklandığını ileri sürmektedir.
Análise comparativa das normativas dispostas à regularização fundiária do Plano Diretor de Goiânia de 2007 e 2022
Authors: Nunes Larissa Marques Lourenço
Published: December 2023

Este artigo realiza uma análise comparativa entre as normativas estabelecidas para a regularização fundiária contida nos Planos Diretores de Goiânia dos anos de 2007 e 2022. Por meio de uma revisão detalhada das disposições legais e diretrizes relacionadas à regularização fundiária em ambas as versões do Plano Diretor, são identificadas diferenças, semelhanças e evoluções ao longo do período estudado. A análise destaca mudanças significativas nas abordagens, políticas e instrumentos destinados à regularização fundiária, considerando aspectos legais, socioeconômicos e urbanísticos. Os resultados desta comparação proporcionam insights sobre o desenvolvimento das políticas de regularização fundiária em Goiânia, oferecendo uma visão crítica das transformações legislativas e suas implicações para a gestão urbana.
Para além da tecnocracia: Marcuse, Feenberg e as dimensões sociais da tecnologia na contemporaneidade
Authors: Oliveira Flávio Rodrigues de , Costa Maria Luisa Furlan , Yaegashi Solange Franci Raimundo
Published: December 2023

Este artigo tem por objetivo estabelecer um paralelo entre as perspectivas críticas de Herbert Marcuse e Andrew Feenberg em relação à interação entre tecnologia e sociedade no contexto da sociedade contemporânea. Embora um intervalo temporal considere esses dois autores, é possível identificar semelhanças em suas reflexões, especialmente à luz da abordagem da Teoria Crítica que se propõe a refletir sobre Filosofia da Tecnologia, bem como os seus impactos. Enquanto Marcuse alerta para o potencial de opressão e controle social inerente à tecnologia, Feenberg propõe uma visão mais democrática e participativa, em que ela, quando pensada dentro de uma estrutura pública e jurídica, pode potencializar o desenvolvimento social. Nessa perspectiva, ao estabelecer os encontros e desencontros entre as teorias em questão, por meio de uma análise do Estado do Conhecimento, o estudo buscou contribuir para compreensão das dimensões sociais da tecnologia e estimular reflexões críticas sobre o seu papel na quadratura atual; de uma sociedade, hibridizada pelas relações analógicas e digitais.
Histórico dos regimes jurídicos fundiários no Brasil e em Goiânia
Authors: Castro Jorge Henrique Marques Dominguito de , Moraes Lucia Maria
Published: December 2023

O histórico dos regimes jur1ídicos fundiários no Brasil e em Goiânia revela a desigual distribuição de terras, a concentração de domínio e a migração da população rural para áreas urbanas, questões essas que persistem como desafios socioeconômicos, afetando ainda hoje a distribuição de riqueza e a equidade no acesso à propriedade imobiliária. Assim, considerando que compreender o passado é fundamental para abordar os desafios atuais e futuros relacionados à terra e a propriedade imobiliária, tanto no Brasil como em Goiânia, este artigo buscou compreender a evolução histórica desses regimes, para que se possa, a partir dessa compreensão, alcançar um futuro mais equitativo e promissor nessa temática. Para isso, enfoca primeiramente no histórico dos regimes jurídicos fundiários no Brasil e, após, no Município de Goiânia, analisando e ponderando os principais aspectos de cada qual.
Nursing First Aid to Emergency Events in Agricultural Areas: Literature Review
Authors: Kurniyawan Enggal Hadi , Yustiana Titik Sandiva , Shofiyyah Firdaus Putri , Nasywa Ramadhanti Salsabhila , Tri Afandi Alfid , Endrian Kurniawan Dicky , Rosyidi Muhammad Nur Kholid
Published: December 2023

Being a farmer who works directly in the environment certainly has many risks at work, one of which is the occurrence of unwanted events that can threaten the health of farmers. Some problems are classified as emergencies and must be handled immediately to avoid fatalities. One example is the occurrence of snake bite emergencies in farmers. This study aims to determine some emergencies in agricultural areas and how to provide first aid. The method used in this study was a literature review of articles from article search engines such as PubMed, Google Scholar, and Science Direct analyzed using the PRISMA technique by including articles published in the last five years. The results found that emergencies that often occur in agricultural areas include venomous snake bites, pesticide poisoning, contracting dengue fever from mosquitoes, and rat bites that cause rat-bite fever. First aid methods that can be performed on someone whom a snake has bitten are by calming the victim, immobilizing the victim's entire body by laying him in the recovery position and immobilizing the affected body part using either a sling, splint, or pressure bandage immobilization (PBI) method. Nurses have a role in educating and counseling farmers on how to first aid someone who experiences snake bites, rat bites that cause rat bite fever, and drowning in fishermen.
The Effect of Binahong Leaves (Anredera cordifolia) Decoction on Perineal Wound Healing among Post-Partum Women
Authors: Novelia Shinta , Syamsiah Siti , Aprilia Risa
Published: December 2023

The puerperium is a period of recovery for the uterine organs as they were before pregnancy as well as physical and psychological changes in the mother. One of the problems during the puerperium is the perineal wound that occurs due to a spontaneous wound or episiotomy during delivery. The wound can be said to be healed if within 1 week the condition of the wound is dry, closed and there are no signs of infection. Delay in the healing time of perineal wounds can be a problem including bladder and birth canal infections. This study aims to determine the effect of water decoction of binahong leaves (Anredera cordifolia) on the healing of perineal wounds among postpartum women at PMB "M" Bogor Regency in 2022. This type of research uses a quasi-experimental research design with a posttest-only research design. The population and samples in this study were postpartum mothers with perineal injuries of degrees I-II as many as 30 respondents. The sampling technique in this study was total sampling and data collection was carried out by observation. Data analysis was performed using the Mann-Whitney U test to determine the effect of intervention in one intervention group compared to the control group. The results showed that there was an effect of boiled water from binahong leaves on the healing of perineal wounds with first- and second-degree wounds in postpartum women. The results of the Mann-Whitney U test obtained a p-value of 0.000 (<0.05). The use of boiled water from binahong leaves can accelerate the healing process of perineal wounds among postpartum women at BPM "M" Bogor Regency. It is hoped that the use of boiled water from binahong leaves can be recommended and applied by health workers to postpartum women who experience grades I and II perineal injuries.
Correlation between Family Support and Obedience of Blood Pressure Control in Patients with Primary Hypertension
Authors: Yuni Ni Kadek Yuni Lestari
Published: December 2023

Hypertension is a major health problem for non-communicable diseases. Family support is the best preventive strategy to help family members maintain their health. This study aimed to determine the correlation between family support and obedience to blood pressure control in patients with primary hypertension. This research method is a quantitative descriptive correlation design with a cross-sectional approach. The sample was 71 patients with primary hypertension using the purposive sampling technique. The results showed that most patients with primary hypertension were in the good category about 47 respondents (66.20%) and compliance with blood pressure control in patients with primary hypertension was in the high category about 41 respondents (57.75%). The analysis using the rank Spearman test showed that the value of p = 0.000 (p<0,05) indicates a correlation between family support and compliance with blood pressure control. r value is 0,570 (moderate strength) and positive correlation direction means that the better the family support, the higher blood pressure control compliance. Family support has a significant influence on family members who suffer from hypertension, the family functions to carry out nursing care practices to care for sick family members, including obediently controlling blood pressure. Based on the research results, it is hoped that the Community Health Center can provide ongoing education about managing hypertensive patients, especially family involvement in patient care.
Improving The Clean and Healthy Living Behavior of Adolescents in Rural Areas of Indonesia: An Educational Intervention Program
Authors: Wardani Novita Putri Eka , Kamila Nurul , Febrianti Nadya Vallentina , Yunanto Rismawan Adi
Published: December 2023

Clean and Healthy Living Behavior (Perilaku Hidup Bersih dan Sehat / PHBS) in schools is an effort to create a healthy environment in schools that is aware of preventing disease, improving health, and being active in maintaining a healthy environment in schools independently. This service aims to increase the awareness, attitudes, and PHBS skills of Tempurejo youth by counseling on clean and healthy living behavior based on the SI-TeSa mobile application. The quasi-experiment used pre-post and post-test questionnaires with research indicators, namely knowledge and attitudes, by dividing respondents into a control group (n=30) and an intervention group (n=30). Simple random sampling with a total of 60 respondents based on G power analysis (effect size 0.3, α err probability 0.05, power 0.95). Educational intervention program with PHBS education as well as two demonstrations including the 6 steps for washing hands and reviewing the SI-TeSa (Sistem Informasi Terampil Kesehatan) mobile application. The results of the pre-post Wilcoxon test for the intervention group showed a sig value <0.001 (p = 0.05). This indicates that there is an influence of education on clean and healthy living behavior based on the SI-TeSa mobile application. Meanwhile, the control group showed a sig value of 0.124 (p=0.05), indicating that there was no influence of education on clean and healthy living behavior. There was a significant increase in knowledge and attitude scores before and after the SI-TeSa mobile application-based healthy living behavior counseling was carried out.
The Correlation between Nutritional Status and Age of Menarche among Adolescent Students
Authors: Dwi Anggraini Fety , Hikmawati Nova , Wahyuningsih Sri
Published: December 2023

Menstruation for the first time in young women is called menarche which is experienced by girls aged 11 to 14 years. Recently, few researche show there is an earlier age of menarche because of higher nutritional status. The purpose of this study was to determine the relationship between nutritional status and the age of menarche in female students in grades 4, 5, and 6 at Dawuhan Lor 01 Public Elementary School, Sukodono District, Lumajang Regency. The analytic correlation research design with a cross- sectional time approach was used on 39 respondents at Dawuhan Lor 01 Public Elementary School, Sukodono District, Lumajang Regency. Measuring tools in this study were respondent characteristic questionnaires, nutritional status observation sheets, and menarche age. Spearman's rho test was used to answer the purpose of this study. The results showed that the majority of female students had good nutritional status as many as 29 female students (74.4%). The majority of female students have normal menarche age (11-13 years) as many as 24 respondents (61.5%). There is a significant relationship between nutritional status and the age of menarche in grades 4, 5, and 6 at SDN Dawuhan lor 01, Sukodono Lumajang District, namely p-value 0.001. So that nutritional status can affect the age of menarche, normal nutritional status also affects the normal age of menarche. Therefore, the importance of nutritional intake for the age of menarche, parents should be able to pay attention to their daughter's nutritional intake and nutrition because it can be related to the incidence of menarche experienced by their daughter.
Self-Concept and Stigma in Narcotics Addicts in Clinics Pratama Narcotics Rehabilitation LRPPN BI Medan
Authors: Fransiska Octaviani Silaen Maria , Marlindawani Purba Jenny
Published: December 2023

Drug addicts during their rehabilitation encounter problems regarding how people label them which is called “stigma” which can affect the drug addicts’ self-concept. The research aims to find out the self-concept and stigma of Drug Addicts in Pratama Drug Rehabilitation Clinic of LRPPN BI Medan. This descriptive quantitative research is conducted in Pratama Drug Rehabilitation Clinic of LRPPN BI Medan using a total sampling technique. The research questionnaires consist of demographic questionnaires, self-concept questionnaires, and internalized stigma questionnaires. The result indicates that the self-concept of 58 respondents (93,5%) falls in a positive category and 4 respondents (6,5%) fall in a negative category. Meanwhile, 34 respondents (54,4%) feel a negative stigma from the society. It is recommended that society not label or give a negative stigma on drug addicts but motivate them to have self-confidence and motivate them to recover from addiction.
Case Report: Evaluation of Patient Diagnosed Perianal Fistula According to Abdellah's 21 Nursing Problems Model
Authors: Yücel Ilknur , ER M. Nasrullah
Published: December 2023

This case report aimed to provide nursing care to the patient diagnosed with Perianal Fistula for the nursing diagnoses in Faye Abdellah's "21 Nursing Problem Theory and North American Nurses Association (NANDA) classification system. Material and Methods: Verbal and written consent was obtained from the patient and the attending physician for the research. Results: He was married at the age of 62. The patient, who has four children and had perianal fistula surgery in 2002, was admitted to the Gastroenterohepatology Polyclinic of a training and research hospital due to increased rectal discharge and constipation recently. disease. There is no known disease in the family history. There is no known history of drug use and known allergy. Conclusion and Suggestions: The case was examined based on Faye Abdellah's "21 Nursing Problem Theory" and the North American Nurses Association (NANDA) Nursing care was given by using the nursing diagnoses in the classification system.
Factors Related to Premature Rupture of Membranes (PROM)
Authors: Novelia Shinta , J Wowor Tommy , Indriyani
Published: December 2023

One of the contributors to morbidity and mortality rates in mothers and babies is infection caused by premature rupture of membranes (PROM), where the amniotic membrane which is a barrier to the entry of germs that cause infection is no longer there and can be dangerous for the mother and fetus. This study aims to determine the factors associated with the incidence of premature rupture of membranes at the Ciruas Health Center in 2018. The study design is cross sectional. The population is 140 childbearing women who were in the Ciruas Health Centre during study period. 33 women were selected purposively as the sample based on inclusion and exclusion criteria. The results show that the incidence of PROM at the Ciruas Community Health Center was quite high (63.6%). Most of the mothers who gave birth had a high risk of giving birth (60.6%), were primiparous (51.5%), had a term gestational age (63.6%), and lacked knowledge about pregnancy and childbirth (54.5%). There was a relationship between age (p=0.003), parity (p=0.008), gestational age (p=0.010), and knowledge (p=0.027) with the incidence of premature rupture of membranes in in childbirth women at the Ciruas Health Center in 2018. It is hoped that the community health center can provide intensive delivery services to mothers who are at high risk of experiencing PROM. Apart from that, it is also necessary to provide counseling, information, and education regarding danger signs during labor for mothers who are giving birth.
Implementasi Terapi Bermain (Play Dough) pada Anak Pre-School yang Menjalani Perawatan Hospitalisasi dengan Masalah Keperawatan Ansietas: Studi Kasus
Authors: Musviro Musviro , Nurparamitha Bahari Pita , Wahyuningsih Sri , Hayati Nurul , Dwi Fibriansari Rizeki
Published: December 2023

Hospitalisasi merupakan salah satu penyebab trauma dan psikis pada anak yang dirawat di rumah sakit. Menurut UNICEF menunjukkan anak yang mengalami dampak hospitalisasi sekitar 84% di rumah sakit. Salah satu dampak yang terjadi pada anak adalah kecemasan. Tujuan dari penelitian ini adalah untuk mengeksplorasi Asuhan Keperawatan pada Anak yang Menjalani Perawatan Hospitalisasi dengan Masalah Keperawatan Ansietas di Ruang Bougenville RSUD dr. Haryoto Lumajang. Metode pengumpulan data yang dillakukan  adalah wawancara; observasi dan studi dokumentasi. Hasil Terapi bermain menggunakan play dough atau plastisin berbahan alami yang dilakukan selama 15-30 menit, satu kali dalam sehari menunjukkan anak lebih tertarik dan mengikuti arahan dalam bermain sehingga dapat mengalihkan rasa cemas nya selama di rumah sakit.
Farm Family Support in Increasing Health Awareness
Authors: Kurniyawan Enggal Hadi , Balqis Malikal , Irfan Aditya Pratama Muhammad , Putri Permata Hati Harum , Ega Isfadillah Onny , Tri Afandi Alfid , Rosyidi Muhammad Nur Kholid
Published: December 2023

Health problems such as under-five nutrition, exclusive breastfeeding, breast examination, and adherence to taking TB medication in children have become a global concern to increase awareness of the health of farming family members. Low health among farming families is often caused by low family support. This can lead to an increased risk of severe health conditions and diseases and affect the overall quality of life and well-being of farming family members. Therefore, family support is needed to improve family health status. This study aims to analyze support farming families for health awareness. The method used in this study was a literature review article from article search engines such as PubMed, Google Scholar, and Science Direct, which was analyzed using the PRISMA technique by including articles published in the last five years. The study results show that the support of the farming family is very influential on health awareness. Family support is very influential on health awareness. Family support can increase family awareness to improve nutrition, comply with treatment, realize the importance of exclusive breastfeeding for babies, and be able to do regular health checks. Action and education are needed to improve social functions and family communication, increase family support, and encourage better family health awareness.
The Effect of The Use of Birthball on The Intensity of First Stage Active Phase Labor Pain
Authors: Carolin Bunga Tiara , Julia Rifiana Andi , Komariah Dedeh
Published: December 2023

Research in the United States around 70% to 80% of mothers who give birth expect the birth to take place without feeling pain. Currently, 20% to 50% of deliveries in private hospitals in Indonesia are carried out by Caesarean section. The current trend is for mothers to choose to give birth via cesarean section to avoid pain during normal birth. This study was to determine the effect of using a birthball on the intensity of labor pain during the first active phase. This type of research is quasi-experimental with a pretest-posttest two-group design. The population of this study is all mothers giving birth normally at the Az-Zahra clinic. The sample in the study consisted of 30 respondents. The research instrument uses the Numeric Rating Scale (NRS) sheet. Data were analyzed using the Paired T-test and Independent T-test. The average pretest labor pain score in the experimental group was 7.13, while the post-test was 3.33, and the p-value was 0.489. The average pretest labor pain score in the control group was 6.53, while the post-test was 7.80, and the p-value was 0.044. The results of the Independent T-test showed a p-value of 0.489. Giving the Birthball method can reduce the intensity of labor pain during the first active phase. It is hoped that the Birthball method can be applied in all maternity clinics or independent midwives in Indonesia.
The Effect of Giving Avocado Fruit (Persea Americana) and Honey on Hemoglobin Levels among Trimester III Pregnant Women with Anemia
Authors: Carolin Bunga Tiara , Rukmaini  , Situmorang Silferia Liester Maulina
Published: December 2023

Anemia is a health problem in pregnant women with a high prevalence which can have an impact on maternal and fetal death. Pregnancy can aggravate the incidence of anemia due to hemodilution. Providing Fe tablets and education on good nutrition can prevent anemia. Avocados and honey are foods that contain Fe and Vitamin C which can increase blood hemoglobin levels to prevent anemia. This study aims to determine the effect of avocado and honey on blood hemoglobin levels in third-trimester pregnant women in the intervention group and control group and to determine the average hemoglobin levels before and after treatment in the experimental group and control group. The research design used was quasi-experimental research with a pre and post-test design with the control group. The sample in this study was 30 respondents in the third trimester of pregnancy, consisting of 15 respondents in the control group and 15 respondents in the intervention group. The sampling technique uses a purposive sampling technique. The research instrument used a hemoglobin examination observation sheet. Data were analyzed using paired samples t-test and independent t-test. The results of the study showed that there was a significant average difference in hemoglobin levels before and after being given avocado in the intervention group, p=0.000. Avocados and honey can increase hemoglobin levels in third-trimester pregnant women. It is hoped that avocados and honey can be applied as nutritional education in health services.
Personal Hygiene Reduces the Risk of Soil-Transmitted Helminth Worm Infection
Authors: Kurniawan Dicky Endrian , Hadi Kurniyawan Enggal , Ferdy Rivaldi Muchamad , Yahya Fahrezi Rizki , Risqi Aprianti Safira , Tri Afandi Alfid , Rosyidi Muhammad Nur Kholid
Published: December 2023

Vegetable farmers risk being infected with Soil Transmitted Helminth (STH) due to frequent direct contact with soil contaminated by STH eggs. Worm infections transmitted through the soil cause disturbances in the tissues and organs of the body by taking nutrients from the vegetable growers' bodies, which can cause serious complications. The search process was carried out using a literature review using four databases, namely Google Scholar, Science Direct, WorldCat, and PubMed, with a publication range of 2018-2023. From all search results, ten articles match the research criteria. The results showed that vegetable farmers who have good personal hygiene can reduce the risk of STH infection. The presence of health workers here is expected to enable them to carry out health promotion, health education, and outreach to the community, especially to vegetable farmers, regarding good personal hygiene to prevent STH transmission.
Management of Snake Bites in the Agricultural Sector
Authors: Nur Kholid Rosyidi Muhammad , Hadi Kurniyawan Enggal , Dwi Puja Lestari Mayang , Ayuning Tyas Aryani , Salzabilla Flaurenza Septia , Ayu Setyaningrum Ritha , Dewi Kumala
Published: December 2023

Snake bites are the one that causes high rates of morbidity and mortality among workers in the agricultural sector. Snake bites can be a medical emergency that can endanger human life, and snake venom can damage local tissues, resulting in permanent disability and amputation. This study aims to identify farmers' knowledge related to snakebite management. A literature review searched three databases, Google Scholar, ScienceDirect, and PubMed, for all study designs between 2019 and 2023. The researcher found ten studies that met the inclusion criteria in the review. The high risk of snake bites for farmers makes it essential for farmers to know the most critical things in snakebite management. When bitten by a snake, the most important thing to do is first aid treatment in a threatening situation. Some factors that can affect the management of snake bites on farmers are the characteristics of farmers who are usually male with a low educational background and level of knowledge. In addition, low experience will affect the ability to handle first aid. Nurses can be present as extension workers to increase farmers' knowledge about first aid for snake bites to farmers.
Occupational Hazards for Workers in The Battery Factories and Phosphate Fertilizers: Brief Review and Case Presentation
Authors: Hattab Faiez
Published: December 2023

Background: Workers in the battery factory and phosphate fertilizer industry are exposed to harmful sulfuric acid and metal vapors in manufacturing units. Aims: To describe dental, oral, and general health hazards to underappreciated workers in these industries and factors associated with the occurrence and severity. Methods: Dental and oral conditions of workers in the production lines were determined by using indices for teeth erosion, oral hygiene, and gingival health. Interviews and questionnaires were used to assess the general health problems, habits, oral hygiene practices, years of service, protective and safety measures, etc. Results: Results: Surveys show that 67%–86% of production line workers experience symptoms of tooth sensitivity, dry mouth and nose, dysgeusia, burning/itchy eyes, and abdominal discomfort. They also complain of loss of appetite, fatigue, irritability, and muscle or joint pain. Examinations revealed that nearly all workers had poor hygiene and periodontal problems, with 78% experiencing gum bleeding on probing (33%) and spontaneous bleeding (45%). More than two-thirds (79%) of workers had dental erosion on anterior teeth and occlusal abrasion of the posterior teeth. A dense teeth discoloration on the eroded anterior and tartar deposits was obvious. Conclusions: Overexposure to hazardous vapors generated in the manufacturing processes associated with the unsafe workplace, lack of self-protection, poor personal health care, and inadequate medical services are factors strongly involved in the deterioration of workers’ health.
Type 2 Diabetes in Non-Sedentary Workers with Long Working Hours “An Evidence-Based Case Report”
Authors: Sofyan Marwan , Widyahening Indah Suci , Soemarko Dewi Sumaryani
Published: December 2023

Background: Type 2 diabetes mellitus is a serious threat to public health and the economy. Several reviews suggested that working long hours has a negative effect on health, especially metabolic disorders.Objective: To determine whether long working hours increase the incidence of diabetes mellitus in non-sedentary workers.Methods: A literature search using PubMed, Scopus, and Proquest was conducted based on the clinical question. Selected studies were critically reviewed for their validity using Oxford University’s Center for Evidence-Based Medicine’s etiological study criteria.Result: Three relevant studies were found. A cohort study found that non-clerical workers and shift workers with long working hours had a significantly higher risk of developing diabetes with a Hazard Ratio (HR) of 2.28 (95% Confidence Interval [CI] 1.13-4.82). However, the dominant risk factor that may have influenced the outcomes could not be clearly identified. In contrast, a cross-sectional study found no significant association (p>0.05) between working overtime and diabetes prevalence among field workers. Another cross-sectional study showed that blue-collar workers with long working hours had a higher likelihood of prediabetes with an adjusted Odds Ratio (aOR) of 1.54 (95% CI 1.15-2.06). However, since this is a cross-sectional study, the causal relationship is uncertain. Conclusion: Studies regarding the relationship between long working hours and an increased risk of type 2 diabetes mellitus in non-sedentary workers showed inconsistent and unclear results. Further evaluation is still needed to find more evidence on the health effects of long working hours on workers.
XVIII CONGRESSO BRASILEIRO DE TRANSPLANTES
Authors: Associação Brasileira de Transplantes de Órgãos
Published: December 2023

ANAIS DO XVIII CONGRESSO BRASILEIRO DE TRANSPLANTES; XXI CONGRESSO LUSO BRASILEIRO DE TRANSPLANTES; XVII ENCONTRO DE ENFERMAGEM EM TRANSPLANTES E FÓRUM DE HISTOCOMPATIBILIDADE DA ABHI.
Penyuluhan Pemasaran Digital di Kelurahan Gadingharjo, Sanden, Bantul, Yogyakarta
Authors: Sari Niken Permata
Published: December 2023

Kegiatan pengabdian kepada masyarat ini dilaksanakan dengan memberikan penyuluhan kepada pelaku UMKM di Kelurahan Gadingharjo, Sanden, Bantul, Yogyakarta. Tujuan pelaksanaan kegiatan pengabdian untuk memberikan tambahan pemahaman dan pengetahuan terkait pemasaran digital supaya pelaku usaha dapat memanfaatkan pemasaran digital sebagai media promosi dan penjualan. Pemasaran digital dapat dilakukan dengan memanfaatkan kemudahan dari HP Android melalui aplikasi whatsapp, Instagram, facebook dan e-commerce. Selain itu, pemasaran digital juga perlu didukung oleh aspek seperti desain, kualitas, branding, dan kemasan. Kegiatan pengabdian ini dilaksanakan dengan metode ceramah dan tanya jawab. Hasil dari kegiatan ini memberikan manfaat bagi peserta dalam meningkatkan pemahaman para pelaku UMKM di Kelurahan Gadingharjo, Sanden, Bantul, Yogyakarta tentang pemasaran digital.