bluuebunny/crossref_metadata_2025 huggingface dataset:
Um olhar bioético sobre autonomia do paciente oncológico em optar pelos cuidados paliativos
Authors: Montezello Débora
Published: March 2021

Este estudo objetivou conhecer as expectativas dos pacientes oncológicos, que se encontram em tempo livre da doença, mas que mantêm o vínculo com a Instituição para acompanhamentos periódicos. Os dados foram coletados no Instituto Brasileiro de Controle do Câncer (IBCC), em janeiro de 2008, por meio de entrevistas individuais com 30 pacientes. Os questionários foram analisados segundo a metodologia de análise do conteúdo de Laurence Bardin. Foi consenso o não conhecimento da existência dos cuidados paliativos e o seu significado, porém, sentiram a importância e o benefício que podem ser ofertados aos pacientes em estágio avançado da doença, sem possibilidade de cura. Todos otimistas, afirmam que fariam tudo novamente se fosse necessário. É ressaltada a autonomia em optar por tratamentos e a importância da vida e seu resgate em todos os momentos.
Teoria e práxis: suas relações dialéticas (uma reflexão sobre enfermagem)
Authors: Jaques Maria Ermelinda Miranda Ribeiro
Published: March 2021

A evolução do conhecimento e da tecnologia exigem, em todos os ramos, a procura e disponibilização dos mais variados recursos. E, no campo da saúde, aos enfermeiros são exigidas as mais diversas competências em todas as esferas de actividade, relacionadas com a saúde, ou em todos os campos e espaços da vida humana, cuidando, educando, aconselhando, ajudando, dirigindo ou investigando. O seu contributo é fundamental para a promoção da saúde dos indivíduos, das famílias e das comunidades. Estes profissionais constituem uma força humana e profissional de primeiro plano, cuja actuação tem de pautar-se pelo evoluir da ciência e sem esquecer o impacto de fenómenos como o envelhecimento populacional, a pobreza e outras problemáticas actuais...
Enfermagem, saúde mental e atenção básica: reconstruindo cenários, ressignificando vidas
Authors: Guimarães Jacileide
Published: March 2021

Desde o fi nal da década de 1970, a assistência psiquiátrica e de saúde mental brasileira busca concretizar novas formas de lidar com o sofrimento psíquico ou doença mental. Isso vem se dando com o processo de Reforma Psiquiátricabrasileira defl agrado em 1978 sob o lema “Por uma sociedade sem manicômios”. Assim, surgem novas propostas de acolhimento, atendimento e assistência ao sofrimento psíquico...
Implementação do processo de enfermagem: estudo de caso numa Unidade de Terapia Intensiva
Authors: Barros Wesley Gondim , Frota Oleci Pereira , Ferreira Adriano Menis
Published: March 2021

Estudo descritivo com abordagem qualitativa do tipo estudo de caso, objetivando implementar o processo de enfermagem para uma cliente em uma Unidade de Terapia Intensiva (UTI), baseado na teoria de Wanda Horta. Para a coleta de dados utilizou-se um instrumento previamente validado na literatura, específico para pacientes hospitalizados em UTI. Os diagnósticos de enfermagem foram identificados segundo a taxonomia II da NANDA, foram traçadas metas e objetivos, bem como elaboradas as intervenções de enfermagem segundo a Classificação Internacional das Intervenções de Enfermagem - NIC. Os principais diagnósticos identificados foram: desobstrução ineficaz de vias aéreas, perfusão tissular ineficaz (periférica), integridade da pele prejudicada, volume excessivo de líquido, risco de desequilíbrio na temperatura corporal, risco de infecção e integridade tissular prejudicada. Os resultados evidenciaram a importância do Processo de Enfermagem como mola mestra na prestação de cuidados frente ao cliente de alta complexidade.
Projeto de acolhimento e humanização para acompanhantes: a inserção do serviço social e da enfermagem de uma instituição federal do Rio de Janeiro
Authors: Marsico Erika Fonseca Camargo , Silva Sandra Batista da
Published: March 2021

O presente trabalho descreve a prática do Assistente social e da Enfermeira no atendimento a familiares e acompanhantes de pacientes internados em um Hospital Federal Universitário no Rio de Janeiro, utilizando como ferramenta metodológica uma reunião semanal realizada com esses acompanhantes do serviço de internações clínicas. Essa atuação é fundamentada no Programa Nacional de Humanização do Ministério da Saúde, nos Códigos de Ética Profissional do Assistente Social e do Enfermeiro e na discussão de temas emergentes do cotidiano do processo de hospitalização. Considerando que o assistente social e o enfermeiro são os profissionais que se apresentam como os principais elos de ligação entre paciente, família e instituição de saúde, este trabalho teve como objetivos desenvolver atividades com orientações e educação em saúde, baseando-se no tripé que norteia a instituição: Ensino – Pesquisa – Assistência. Os resultados obtidos foram: diminuição de queixas a ouvidoria; maior número de acompanhantes orientados sobre direitos e deveres e sobre a composição da equipe multiprofissional; melhor controle da quantidade de pertences e alimentos nas enfermarias trazidos pelos acompanhantes, aumento de doadores de sangue e redução dos conflitos existentes entre família e equipe.
Gerontologia
Authors: Almeida Meives Aparecida Rodrigues de
Published: March 2021

Desde que comecei a dedicar meus estudos na área de gerontologia, que é a ciência que estuda o processo de envelhecimento sob múltiplos aspectos, entre os quais os biológicos, psicológicos, políticos, sociais, econômicos e espirituais, venho observando vários discursos na literatura de muitos autores que afirmam existir um grande desafio, que é o cuidar da população idosa. Sendo assim a investigação do processo de envelhecimento atinge, neste início do século XXI, uma importância e uma prioridade evidente. Entretanto, espero que em breve a gerontologia não seja apenas uma ciência formal mas também uma ciência intervencionista, pois os discursos nem sempre vêm ao encontro das realidades encontradas e vivênciadas...
O ambiente e as inter-relações do paciente internado com doença infecto-contagiosa
Authors: Gasparin Carmen Gasparin , Dyniewicz Ana Maria Dyniewicz , Kalinowski Luísa Canestraro
Published: March 2021

Este estudo descritivo-exploratório objetivou identificar o ambiente e as inter-relações de portadores de doenças infecto-contagiosas. Foi realizada por meio de entrevista com 15 questões, entre fevereiro e março de 2009, com 42 pacientes na cidade de Curitiba/PR. Nos resultados destacam-se: o atendimento na admissão foi considerado ótimo para 60% dos entrevistados; 98% se sentem acolhidos; 67% consideram ótimo o conforto nas enfermarias; 80% consideram ótimas as refeições e roupas de uso hospitalar; para 38% os médicos são os que menos esclarecem suas dúvidas; para 43% os profissionais demonstram mau humor e 57% permanecem no leito a maior parte do tempo. Conclui-se que há necessidade de melhorias no relacionamento com a equipe de saúde. Para os pacientes há tempo ocioso e isto afeta sua recuperação. Sugere-se que ações educativas e lúdicas sejam implementadas na instituição
O significado da maternidade e seus reflexos para o processo de vida da adolescente-mãe
Authors: Pacheco Elisa , Andréia Clara , Lacerda Juliana , Pinto Aline Ramos de Carvalho , Silva Verônica Caé da
Published: March 2021

Estudo descritivo exploratório com abordagem qualitativa que tem como objetivos: conhecer o significado da maternidade para a adolescente e identificar as mudanças na vida da adolescente advindas da maternidade. As depoentes foram adolescentes primíparas, selecionadas no alojamento conjunto de um hospital público de emergência do Rio de Janeiro. A entrevista foi realizada através de visita domiciliar previamente agendada, no período de pós-parto tardio. Com base na análise de conteúdo, o agrupamento das informações deu origem a três categorias temáticas: 1) O significado da maternidade - para as depoentes a maternidade é permeada pela relação de afeto e apego entre o binômio mãe-filho, fazendo parte desta fase a maternagem; 2) Mudanças na adolescência geradas pela maternidade – reconhecem que a maternidade acarreta mudanças em sua vida, em virtude das exigências incorporadas; 3) A relação de afeto presente no binômio mãe-filho - torna-se evidente a relação prazerosa desencadeada pelo contato mãe-bebê, apontando um precoce amadurecimento para assumir o cuidado do filho a partir da presença do concepto. Sendo assim, reconhecemos que os aspectos subjetivos da maternidade para estas adolescentes contribuirão para um direcionamento na assistência a estas mulheres.
Sistematização da assistência de enfermagem – proposta de diagnóstico de enfermagem específico para o paciente idoso com doença cardiovascular
Authors: Lainetti Kelly Regina , Silva Márcia de Fátima da
Published: March 2021

Trata-se de uma pesquisa quali-quantitativa, descritiva e exploratória, que teve como objetivo levantar os problemas de enfermagem dos pacientes portadores de patologia cardiovascular no intuito de descrever os diagnósticos de enfermagem específicos a esta população. Foram abordados 84 pacientes com idade igual ou maior de 60 anos e levantados os reais problemas de enfermagem apresentados nestes pacientes durante o período de janeiro a março de 2008. Os resultados foram analisados obtendo o levantamento de 23 diagnósticos específicos para esta população de acordo com os problemas encontrados. O estudo permitiu apontar algumas contribuições para a área assistencial por identificar os problemas e levantar os diagnósticos de enfermagem específicos a esta população, o que contempla a atitude do enfermeiro como instrumento na ação do cuidado ao paciente idoso.
Perfil sociodemográfico e clínico de mulheres assistidas na consulta enfermagem ginecológica de uma localidade litorânea do Rio de Janeiro
Authors: Mouta Ricardo José Oliveira , Caixeiro-Brandão Sandra Maria Oliveira Caixeiro-Brandão , Mota Cristina Portela da , Viana Andréa Araújo
Published: March 2021

Os objetivos do estudo foram descrever e discutir o perfil sociodemográfico e clínico das mulheres assistidas na consulta de enfermagem ginecológica em 2005 em uma unidade básica da baixada litorânea, do estado do Rio de Janeiro. Constituiu-se em estudo exploratório, descritivo e com abordagem quantitativa. A análise do perfil sociodemográfico permitiu concluir que a faixa etária de maior adesão ao programa é a de 21 até 30 anos, com percentual significativo de mulheres idosas; o principal estado civil é de mulheres casadas, emparelhando com o de mulheres sem cônjuge referido; as mulheres atendidas estão, em sua grande maioria, inseridas no mercado de trabalho, seguidas das profissionais do lar. Os principais resultados do perfil clínico através do Papanicolau apontaram para inflamação e metaplasia escamosa; NIC I e NIC II foram detectados um caso de cada. Foi detectado um percentual elevado de mulheres portadoras de agente infeccioso.
Seasonal influence on polymorphic flowering behaviour, fruitset and seed recovery in brinjal (Solanum melongena L.) cultivars
Authors: Raja K
Published: March 2021

Flowering behavior in brinjal (Solanum melongena L.) shows that it produces four type of flowers viz., long, medium, short and pseudoshort styled flowers. Among these flowers, the long and medium styled flowers have the biggest ovary and set fruits in both the cultivars viz., PLR 1 and PLR (Br.) 2. Whereas, short and pseudoshort styled flowers did not set fruits. In addition, the highest fruitset (84.7%) was recorded in long styled flowers than the medium styled flowers (77.7%). However, no significant difference in seed recovery was observed in the fruits from long and medium styled flowers. The seasonal influence on flowering and fruitset was also noticed; in which, Kharif season with less difference in day-night temperatures, high rainfall and relative humidity and less wind velocity favoured occurrence of more number of long and medium styled flowers with high fruitset in both the cultivars.
Impact of weather parameters on alternaria blight of Indian mustard [(Brassica juncea (L.) Czern. & Coss.)]
Authors: Punia Rakesh , Kumari Pavitra , Kumar Anil , Rathi AS , Avtar Ram
Published: March 2021

Progression of Alternaria blight disease was measured on two susceptible Indian mustard varieties viz., RH 30 and RH 0749 sown at three different dates. The maximum increase in disease severity was recorded between first weeks of February and last week of February. During this period, the maximum and minimum temperature, relative humidity at morning and evening, average vapour pressure of morning and evening, maximum and bright sunshine hours and wind speed were higher, which resulted in congenial conditions for severe infection by the pathogen. The disease severity was positively correlated with maximum and minimum temperature, average vapour pressure, wind speed, sunshine hours and evaporation, while relative humidity and rainfall negatively correlated with Alternaria blight on both the varieties. A maximum value of area under disease progress curve was observed on cultivar RH 30 (651.1 cm2) as compared to RH 0749 (578.9 cm2), when crop was sown on 9th November.
Effects of Trichoderma viride and copper hydroxide on rhizome rot of ginger
Authors: Tripathi AK , Singh AK
Published: March 2021

To assess the impact of rhizome rot disease management on growth and yield of ginger a study was carried out. Rhizome treatment with copper hydroxide resulted 86% ginger germination followed by Trichoderma viride which was 81% over local check. The results further revealed that rhizome treatment by copper hydroxide and its soil drenching effectively controlled rhizome rot disease (67%) with reduced disease incidence (4.6%) followed by Trichoderma viride which controlled the disease by 53.5% and reduced the disease incidence to 6.8% over local check. Extension and technology gap was recorded 2.5 and 3.8 t/ha. Raised bed planting, use of Trichoderma viride, disease free seed and rhizome treatment were adopted by 53.3, 26.6, 29.3 and 24% respondents.
Genetic variability and correlation studies among yield and yield contributing characters of yardlong bean (Vigna unguiculata ssp. sesquipedalis L. Verdc.)
Authors: Haque Muhammad Shahidul , Azad Afifa , Saha Nihar Ranjan , Islam Mohammad Monirul
Published: March 2021

Twenty-five genotypes of yardlong bean were planted in the field to determine genotypic variances and correlations among characters related to yield. Analysis of variance revealed a highly significant difference among the genotypes for all traits, indicating the presence of variability. The phenotypic coefficients of variations were found slightly higher than the genotypic coefficients of variations, which suggests that the apparent variation is not only genetic but also influenced by the growing environment. High heritability and a high genetic advance were observed in pod yield per plant, pod weight and the number of pods per plant. Yield/plant was positively and significantly correlated with the number of pods/plant, pod length and the number of seeds/pod. The combination of the high heritability along with high genetic advance provides a clear image of the traits in the selection process reflecting the presence of additive gene action for the expression of these traits and improvement of these characters could be done through selection.
Implementasi Model Pembelajaran Terpadu Di SDI Darush Sholihin Kecamatan Tanjunganom Kabupaten Nganjuk
Authors: Anwar Anwar
Published: March 2021

Peneliti ini dibingkai dalam topik besar program implementasi model pembelajaran terpadu yang difokuskan agar dapat meningkatkan keefektifan peserta didik di SDI Darush Sholihin Nganjuk. Permasalahan yang diajukan dalam penelitian ini meliputi pertanyaan: 1). Bagaimanakah implementasi model  pembelajaran terpadu di SDI Darush Sholihin Nganjuk. 2). Bagaimana implementasi model pembelajaran terpadu dapat meningkatkan keefektifan pembelajaran di SDI Darush Sholihin Nganjuk. Jenis pendekatan penelitian ini menggunakan Penelitian kualitatif dengan jenis studi kasus. Metode pengumpulan data dalam penelitian ini dilakukan dengan menggunakan tiga metode yaitu;  Pengamatan terlibat (participant observation), Wawan cara mendalam (indepth interview)  dan Dokumentasi. Data yang terkumpul setelah data dikumpulkan, lalu pengkodean kemudian diolah dan disajikan serta dibahas lalu dikumpulkan. Penelitian ini berhasil memperoleh temuan sesuai pertanyaan permasalahan yang pada garis besarnya dapat disimpulkan sebagai berikut:1) Pembelajaran terpadu di SDI Darush Sholihin menggunakan beberapa macam model yang digunakan berdasarkan pola pengintegrasian materi atau tema. Berdasarkan pola tersebut, terdapat sepuluh model pembelajaran terpadu yang dipakai SDI Darush Sholihin yaitu: (1) terpisah ( fragmented ), (2) terhubung (connected), (3) tersarang (nested), (4) terurut (sequenced), (5) terbagi (shared), (6) terjaring (webbed), (7) terikat (threaded), (8) terpadu (integrated), (9) terbenam (immersed), (10) jaringan (networked), Adapun bentuk atau model pembelajaran terpadu yang dirancang di SDI Darush Sholihin adalah bentuk tematik (terjala/webbed) untuk kelas bawah (1-3). 2) Keefektifan pembelajaran terpadu tercermin dari bermaknanya pembelajaran. Pembelajaran yang bermakna menghasilkan siswa yang aktif dalam proses belajar mengajar yang menyenangkan, sehingga terjadi komunikasi dua arah guru dan murid. Pembelajaran yang menyenangkan jika guru kreatif dan terdapat variasi cara belajar sehingga menghasilkan prestasi belajar yang baik
Engaging Students in Error Analysis and Correction: A learner-Centered Approach to Improving Linguistic Accuracy
Authors: Manirakiza Evariste , Hakizimana Innocent
Published: March 2021

Students frequently commit errors despite spending huge amount of time studying language. This paper discusses a classroom-based teaching inquiry about error analysis and correction. The study focused on the use of simple past in paragraphs. The objectives of the investigation were to understand the extent to which dealing with students’ errors in a leaner-centered classroom improves accuracy in English and to assess students’ attitudes to the approach in language learning. The inquiry involved 62 first-year students from the College of Agriculture, Animal Sciences and Veterinary Medicine at the University of Rwanda. Individual and group work, a questionnaire and class observations were data collection tools. Findings revealed that the majority of students significantly improved their writing as a result of analyzing their errors in written work. In addition, students reported that correcting errors together gave them confidence and freedom to explore their language use more freely, to discuss their errors, to learn new words in their field of study, and to avoid repeating error while writing. Class observations showed that students were discussing and listening to each other’s opinions attentively and critically. The researchers concluded that students acquire more language accuracy when they are deeply involved in error analysis as they feel motivated and responsible for their own learning.
The Identification of Key Online Learning Dispositions of College Students Learning in A Blended Learning Course
Authors: Rolé Sharon
Published: March 2021

This paper discusses part of a practitioner research case-study which I carried out with a class of thirty-seven college students learning chemistry in a blended learning context. The full two-year study involved a multi-method interpretivist approach using observations, unsolicited meetings, VLE tracking system, students’ reflective journal, online informal discussions, questionnaires, focus groups and individual interviews. The study identified four key student online learning dispositions, i.e., the dispositions of resourcefulness, resilience, reciprocity and responsibility. These dispositions were identified as persona-related enablers for online learning and were found to be crucial for the students to develop a deep approach to learning. They were also instrumental for changes in the students as learners. These included changes in epistemological beliefs, study patterns, study habits and above all, changes in learner roles and learning identities. Notable changes occurred in a group of learners who were initially reluctant to learn from the online environment. This study showed that student learning dispositions may be transferred from one context to another. This includes a transfer of learning dispositions from the online environment to the face-to-face traditional classroom setting. Several educators argue that learning dispositions should be included as educational goals in educational curricula and should serve as practical strategies in creating learning environments. Learning activities should provide students with opportunities to develop and cultivate desirable dispositions for learning.
Moral Development in Adolescents as A Key Indicator for The Prevention of Violent Behavior in Their Couples’ Relationships
Authors: Cuadrado-Gordillo Isabel , Fernández-Antelo Inmaculada , Martín-Mora Parra Guadalupe
Published: March 2021

Dating violence is a multidimensional and cross-cultural problem that in the last decade has extended worryingly to teenage age. The consequences are so serious and lasting over time that they cause serious psychological, educational, family and social implications. Knowledge of predictive indicators and the consequences that these aggression and victimization processes cause, can offer an important guide for the design of prevention and intervention protocols that contribute to decrease the prevalence of cases, to facilitate their identification, to give an answer faster and more efficient. This study emphasizes the moral development of adolescents as a key indicator and, specifically, in the level of moral disengagement they present. The aims are: a) Analyze the level of moral disengagement of adolescents, as well as the mechanisms they use to accept and normalize violent behaviors; b) Know what mechanisms of moral disengagement predict certain forms of aggression in dating relationships. The sample consists of 2029 adolescents (55.4% girls) with ages between 14 and 18 years (M = 16.2; SD = 1.2). The results indicate that adolescents have a moderate level of moral disengagement (M = 2,562; SD = 0.4362) and the most commonly used disengagement mechanisms coincide with the diffusion and displacement of responsibility for the damage caused. As the level of disengagement increases, the mechanisms that adolescents use to validate and approve aggressive behaviors committed and suffered are diversified. Finally, it is found that the use of mechanisms such as dehumanization and euphemistic language are strong predictors of certain forms of victimization.
Schooling vs Home Education: Implications in Measuring Success in Home Education in The United Kingdom
Authors: Govaerts Fadoua
Published: March 2021

This paper aims to address the current limitations of measuring success in Home Education. Educational achievements in schools are measured through standard knowledge-based assessments which take place during various stages in a child’s formal education, based on the National Curriculum. However, due to the unique purpose, aims and methods used by Home Educators, current measurements and standards are incompatible with achievements identified by Home Educating families. The established traditional concepts of educational success are the framework of current measurement of educational achievements, which may be contrary to the concepts of families who follow different philosophical understandings of education. The reality of each family having their individual aims and purpose of Home Education has resulted in their achievements to be immeasurable by the traditional standards as used in schools. This paper aims to argue that it is necessary to review current philosophical and theoretical concepts in education, apart from knowledge-based education as set out by the state in the National Curriculum.  This will allow us to develop new common grounds in measurement of educational success inclusive of individual achievements set out by Home Educators.
Analisis Kenyamanan Pencahayaan di Ruang Kelas SMKN 2 Bandar Lampung
Authors: Indrakesuma Farhan Giano , Munawaroh Ai Siti
Published: March 2021

Ruang kelas merupakan tempat berlangsungnya kegiatan belajar mengajar siswa dan guru yang selalu rutin dilaksanakan setiap hari sehingga perlunya pencahayaan yang ideal untuk kegiatan belajar yang baik. Namun kenyataan di lapangan masih banyak ruang kegiatan belajar mengajar yang tidak memenuhi syarat standar pencahayaan ruang kelas yaitu 250 lux. Penelitian ini bertujuan untuk mengetahui keadaan ruang kelas yang ada di SMKN 2 Bandar Lampung. Metode penelitian menggunakan pendekatan kuantitatif secara deskriptif. Hasilnya ditemukan ruang kelas tersebut masih di bawah standar dan diperlukan penelitian lanjutan untuk mencari tahu solusi lainnya.
Prosthetic valves in the pulmonary position
Authors:   , Pragt Hanna
Published: March 2021

In this thesis the prosthetic heart valve in the pulmonary position has been analyzed. The results in this thesis demonstrate that there is a need for a suitable valve for the pulmonary position, tailored to the physiological circumstances of the right ventricle and the young age of this population. Currently available valve types each have its own limitation that tend to be more prone in the pulmonary position. We have demonstrated that a mechanical prosthetic valve can be a suitable option for pulmonary valve replacement. furthermore, we have demonstrated that the hemodynamic conditions in which the valve is placed influence the functionality of valve. Our results showed that the quality of life of congenital heart disease patients with a prosthetic valve is comparable to the general population. Overall, we can conclude that the use of prosthetic valves in the pulmonary valve is suboptimal, while life expectancy increases and in particular the Quality of Life of patients with a pulmonary prosthetic valve does not seem to be affected.
Recommendations to Improve Education for Students with Autism through Distance Learning Strategies and Assistive Technologies during the COVID-19 Pandemic
Authors: Alkhoui Dr. Dalliah
Published: March 2021

The COVID-19 pandemic has created new educational challenges and presented new opportunities for educators and students with learning disabilities, especially due to the increased awareness and focus on inclusive education. While extensive research has been done on effective strategies for teaching students with autism in an inclusive classroom environment, there is minimal research conducted on strategies for distance learning education for students with autism. This group is at a higher risk of being excluded from online education compared to their peers who have no learning difficulties. Recommended strategies for enhancing effective online education for students with autism include strategies for developing instructional materials. Another is collaborative engagements with all stakeholders to develop an understanding of each student’s strengths and weaknesses. The other is the provision of teacher training and continuous professional development. Next up is developing strategies for creating effective home-based learning environments such as providing all the required infrastructure for online learning. Finally, are strategies for instructional delivery such as the use of effective assistive technologies such as Zoom, collaboration with caregivers, and ensuring the active engagement of the students during instruction delivery.
Pengaruh Terapi Meditasi (Dzikir) terhadap Tingkat Stres pada Lansia
Authors: Sutioningsih Suci , Suniawati Sri , Hamsanikeda Suhuda
Published: March 2021

Stress is a condition which produced by an environment alteration which received as a case challenging, threatening or damaging the equilibrium or dynamic state of a person. Stress experienced by humans can be derived from various sources from within of a person, family, and environment. On an elderly is not uncommon that stress can often occur. To overcome and relieve a stress, there are several ways can be do such as gymnastics, reflection, laughter therapy, aromatherapy, and meditation. The purpose of this study was to find out the meditation therapy (dzikir) effect to the stress levels of elderly. This study uses the analytical method with a One-Group Pre-Test-Posttest Design. The sampling method used is purposive sampling. Population use all elderly at the Mojopahit Elderly Institution of Mojokerto at 2012 with a sample of 20 respondents, the data obtained from the dissemination of questionnaires. The result of the respondents study included to the middle criteria are about 2 people (10%) and the low criteria are about 18 people (90%). In the data analysis, researcher use a t-test with the provisions of p<a ( p=0.015; a=0.05). From the result of research known p=0.015 < 0.05, its mean there is an effect of meditation therapy (dzikir) implementation to the stress levels of elderly. So the meditation therapy (dzikir) should be applied at the elderly institution as a daily activity for the elderly, especially to relieve a stress. Keywords  : stress, meditation therapy, elderly
Pengaruh Komunikasi Terapeutik Perawat terhadap Tingkat Kecemasan pada Pasien Pre Operasi
Authors: Sulastri Sulastri , Trilianto Arif Eko , Ermaneti Yunely
Published: March 2021

Anxiety is a problem associated with all sorts of foreign procedures that occur when a person feels threatened physical or psychological. Hospitalization and a series of actions procedures before surgery can also cause acute distress and increased anxiety in patients. Range of possible bad could happen that would endanger patients, patients with anxiety showed symtomp irritability, insomnia, restless, listless, crying and not sleeping soundly. The design used is Pre Experiment. Amount of samples 28 respondents. Intake of sampel by using is technics of Quota Sampling. Data collecting use Questionnaire. Processing data using T test (T-Test). From the analysis of data obtained 7.111 T and T table calculated with α = 0.05 is 2.052, 7.111 calculated in order to obtain T> T table 2.052, then the H1 accepted which means  there's Influence Of Communications of Terapeutik Nurse To Storey Level Dread Of Patient of Pre Operate surgical operation room RSUD dr. Abdoer Rahem sub-province of Situbondo. This is seen in patients of pre operation anxiety levels are affected by therapeutic communication. So that each respondent is expected to more actively ask anything that is not known to the officer about the anxiety that occurs. Keywords  : Therapeutic Communication, Dread, Pre Operation
Hubungan Pola Asuh Orang Tua dalam Menstimulasi Perkembangan Motorik Kasar dan Halus Usia Pra Sekolah
Authors: MUNIR ZAINAL , Yulisyowati Yulisyowati , Virana Helpy
Published: March 2021

At this stage of growth and development of  children pre- school age 3-4 years, children begin to master a variety of physical skills and courage. However, there are still come pre school age children are to afraid of being in a foreign environment at school. If that happens then the pre school children have delays in development. Child development is influence by the pattern of care applied by the parents. Authoritative parenting strongly influence the high level of courage and skill of children. The study aims to determine the relationship of parenting the parent to stimulate the development of groos motor and fine motor skills in children. Research methods and correlational design using cross sectional approach by using purposive sampling techniqus sampling. The population of this study were parents with pre school age children 3-4 years in early childhood AL-Firdaus Bahrul ‘Ulum Tambakberas Jombang, which amount to 32 people with a large sample of 22 people. Method of data collection use questionnaires and observation sheets DDST (Denver Development Screening Test), and then data is analyzed by Chi-Square test. The result of correlation analysis Chi-Square majority of respondents found that authoritative parenting implement as many as 20 people (90,9%) with development of gross motor that delay. Respondent who apply the authoritative parenting style with development of fine motor skills that normal . And indulgent parenting style with development of fine motor skills that delay with Asymp. Sig ρ = 0.000, which means there is a relationship between the pattern of care in stimulating the development of gross motor and fine motor skills of children. From this research it can be concluded that authoritative parenting pattern can be applied to parents of pre school children aged 3-4 years so that children growth and develop well in early childhood Bahrul ‘Ulum AL-Firdaus Tambakberas Jombang.Keywords: Parenting pattern, gwoth and development, Denver Development   Skrining Test
Pengaruh Pijat Oksitosin Terhadap Pengeluaran ASI Pada Ibu Post Partum Primipara Di RSIA Srikandi IBI
Authors: Kholisotin Kholisotin , Munir Zainal , Astutik Lina Yulia
Published: March 2021

Mother's milk (ASI) is the first and best food that must be given to babies because it contains nutrients that are needed in the process of growth and development of children's intelligence. One of the causes of failure to support breast milk has not been released from breast milk after the mother receives it. Expenditures of breast milk can be accelerated by non-pharmacological actions, namely through oxytocin massage which can be done by massaging the area around the back (vertebra pars thoratica) to stimulate the release of breast milk. Objective: This study aimed to determine the effect of oxytocin massage on the release of breast milk in primipara postpartum mothers at RSIA Srikandi IBI. Method: this study is a pre-experimental study with a static group comparison design: randomized control group only design,  the number of respondents in this study were 36 consisting of 18 experimental groups and 18 control groups. Results: this study used a paired t-test t test obtained P = 0.001 (P <0.05). Keywords  : Oxytocin Massage, Primiparous Post Partum M/other
Efektivitas Promosi Kesehatan Menggunakan Media Audiovisual Terhadap Keaktifan Lansia ke Posyandu Lansia
Authors: Andayani Sri Astutik , Khotimah Husnul , Desy Sry , Trilianto Arif Eko , Razaq Hefniy
Published: March 2021

Implemented posyandu elderly there are obstacles that often faced is low visit, one of cause factor is low of knowledge of elderly so that beneficiary of posyandu elderly still not maximal. The purpose of this research is to know the influence of health promotion about elderly posyandu by use audio visual media toward liveliness of elderly in following elderly posyandu. The design use in this research is Quasy Experimental with pretest-posttest with control design. This research was conducted at Maesan Bondowoso health center with 55 respondents with total sampling technique. This analysis used Wilcoxon and Mann-Whitney test. The results showed that health promotion was effective to increase the member of ekderly visit to the elderly health center with p value 0,000. Keywords  : Health Promotion, Elderly Health Centre, elderly active
Dukungan Sosial Keluarga dengan Kepatuhan Minum Obat pada Penderita Kusta di Kabupaten Bondowoso
Authors: Agusstyawan Farid Wahyudi
Published: March 2021

Leprosy is a type of chronic and contagious disease that can cause disability. Factors related to leprosy treatment include patient knowledge, medication adherence, family support, access to health services and the role of health workers. The purpose of this study was to determine the relationship between family social support and adherence to taking medication for lepers in Bondowoso Regency by using a cross sectional design. using two analyzes namely univariate and bivariate with chi-square test (α = 0.05). The results showed that the characteristics of respondents were more in the productive age group and most were male. Most respondents have a history of completing primary / MI education and have a job. The most dominant type of leprosy is MB type and the level of disability is mostly at level 0 disability. Most respondents have good medication adherence levels and have family social support consisting of emotional support, assessment support, information support and instrumental support in the category well. Bivariate analysis using the chi-square test showed that there was a significant relationship between emotional support, assessment support, information support, instrumental support and adherence to taking medication for lepers (p-value = 0,000). This shows that emotional support, assessment support, information support and instrumental support influence the compliance of taking leprosy in Bondowoso Regency. Keywords: Family social support, Compliance with medication
Hubungan Tingkat Pendidikan dan Self Efficacy Dengan Self Managemen pada Pasien Hipertensi di Puskesmas Tamanan
Authors: Ratnasari Dwigita
Published: March 2021

Background Degenerative disease is an increasing disease in Indonesia and the most common disease found in Indonesia is hypertension. Hypertension is a direct risk factor for the onset of myocardial infarction and cerebrovascular accidents (CVA). The purpose of this study was to determine the relationship between the level of education and self efficacy with self-management in hypertensive patients at Puskesmas Tamanan. This research method uses Cross Sectional research design. The sample in this study were all hypertensive patients at the Tamanan Puskesmas as many as 120 patients. The sampling technique used in this study was using simple random sampling. Data analysis using spearmen correlation test. The results of the analysis data obtained α 0.01, which means that there is a relationship between education, self efficacy and self management. Conclusion Low education levels in patients with hypertension do not become an influence on self efficacy and patient self-management.
HUBUNGAN DUKUNGAN SOSIAL KELUARGA DENGAN TINGKAT KEMANDIRIAN LANSIA DI DESA TAAL TAPEN KABUPATEN BONDOWOSO
Authors: Duhita Ratu Narendra
Published: March 2021

Elderly is an advanced stage of a life process that will be experienced by all individuals. The aging process in the elderly tends to potentially reduce the level of independence of the elderly in carrying out daily activities. This type of research is a correlational analytic method that aims to reveal the relationship of Family Social Support with the Level of Independence of the Elderly in Taal Village RT 14, RW 04 Tapen Bondowoso Regency. correlative between variables. Data were obtained about the category of family social support with the independence of the elderly in the village of RT 14, RW 04 Tapen  Bondowoso district most respondents in the category of social support with good elderly independence were 15 people (93.3%), while a small proportion of social support categories with poor elderly independence were not good as many as 2 people (10.0%). The results of the analysis of the relationship of social support with the level of independence of the elderly Spearman rho statistical test results with the help of SPSS for Windows software program, obtained the value of p = 0,000 with a significant level of 0.05 (p <0.05) so that it can be concluded that H0 is rejected which means there the relationship of family social support with the independence of the elderly. If the family's social support is good, it will affect the level of independence of the elderly and among them, the cause of the elderly's independence is due to the lack of family social support and decreased the function of all cells in the elderly.
Pengalaman Personal Hygiene Pada Santri Putra Dengan Penyakit Scabies Di Pondok Pesantren Darullughah Wal Karomah Sidomukti Kraksaan Probolinggo
Authors: Khotimah Husnul , Andayani Sri Astutik , Maulidah Robiyatul
Published: March 2021

Scabies is a skin disease caused by an infestation of the sarcoptes scabie mite, which is transmitted by direct human contact and indirect human contact. The problem of santries  experiencing scabies is related to their poor personal hygiene, because each individual has different characteristics in maintaining personal hygiene. This research is qualitative research, the research subjects are male santries of junior high school and high school darullughah wal karomah sidomukti kraksaan probolinggo. data collection methods used observation, interviews, and documentation. This qualitative research with a phenomenological approach aims to obtain in-depth information about personal hygiene exsperinces of male santries in islamic boarding schools. Five participants were selected based on the research criteria and were saturated. Focusing selective analysis (the selective or high-painting approach) was used in data analysis. four themes identified in this research: 1) personal hygiene experience for santries 2) the environment around the santris 3) the impact of scabies on the santries 4) the handling of the satries in dealing wiht scabies. The results of this research indicate : 1) there is a description of how santries maintain ther personal hygiene properly in islamic boarding school, namely that clothes and toiletries are not used interchangedably 2) there is description of how the santris protect the environmennt around the santries 3)there is an illustration of the impactt that will arise when santris experience scabies. 4) there is a description of how the santris can overcome  scabies in islamic bording schools
Microbiological justification of the application of cyprofloxacin and tinidazole combination for antimicrobial chemistry in dentistry
Authors: Tsarev V. N. , Ushakov R. V. , Nuruev N. N. , Ushakov A. R. , Trefilova Yu. A. , Labazanov A. A.
Published: March 2021

Relevance. According to modern concepts, virulent representatives of periodontal pathogenic bacteria are actively involved in the development of both periodontal pathology and various forms of odontogenic infection. The species diversity of these pathogens determines the need for a combined approach when choosing antimicrobial drugs.

The aim of the work is to provide a microbiological substantiation of the use of a combined dosage form of ciprofloxacin and tinidazole for the treatment of periodontal and odontogenic infections based on the determination of the spectrum of action and the characteristics of the activity of the components.

Materials and methods. Determination of the sensitivity of various strains of periodontal and odontogenic infection pathogens (P. intermedia, S. constellatus; S. sanguis, K. pneumoniae, S. aureus – MRSA) was carried out by the method of automated cultivation of strains with different concentrations of the tested drugs – ciprofloxacin and tinidazole.

Results. Differences in the activity of the components of the combined preparation ciprofloxacin and tinidazole were found in terms of the sensitivity of strains of aerobic and anaerobic pathogens to them. Aerobic strains, including MRSA, were inhibited by ciprofloxacin in a low concentration range (6.25 μg / ml), but for some anaerobic strains the activity of ciprofloxacin was borderline (12.5 μg / ml). This confirmed the need to include tinidazole in the composition of the complex preparation.

Conclusion. The combination of ciprofloxacin and tinidazole provides coverage of the full spectrum of periodontal and odontogenic infections and can be used as the agent of choice in the antimicrobial chemotherapy algorithm for head and neck infections.
Differentiated approach to the development of methods of pathogenetic therapy of pain dysfunction of the temporomandinary joint
Authors: Konnov V. V. , Kochkonyan T. S. , Domenyuk D. A. , Pichugina E. N. , Konnov S. V. , Khodorich A. S. , Bizyaev A. A. , Arushanyan A. R.
Published: March 2021

The issues of structural organization, function and diagnosis of diseases of the temporomandibular joint have long attracted the attention of not only morphologists, dentists, maxillofacial surgeons, but also doctors of related specialties. Temporomandibular disorders are among the most common non-odontogenic pain syndromes in the maxillofacial region and are considered a variant of musculoskeletal pain syndrome. Based on the analysis of the results of clinical and functional studies, an algorithm for the management of patients with terminal dentition defects complicated by signs of painful dysfunction of the temporomandibular joint was proposed. Therapeutic measures, depending on the degree of painful dysfunction of the temporomandibular joint, included the following stages: occlusive splint therapy; physiotherapy treatment with dynamic electroneurostimulation; prosthetic treatment of end defects of the dentition; stabilization of the spatial relationship of the jaws. Complex therapeutic measures are aimed at normalizing the functional activity of the dentoalveolar apparatus by restoring the uniform distribution of the occlusal load.
Evaluation of the effectiveness of xenogenic material at the site of the osteoplastic procedure on the alveolar ridge of the jaw in case of exposure of the dPTFE membrane
Authors: Zhdanov A. V. , Aleshin D. S. , Khasanov S. M. , Gabrielyan N. G. , Eldashev D. S.-A. , Boyko E. M. , Dolgalev A. A.
Published: March 2021

Various types of techniques increase the volume of the atrophied alveolar ridge are used as bone blocks, ridge splitting, osteoperiostal flap, etc. However, one of the most promising methods to date is the GBR method. The use of bone-substituting materials and isolating membranes gives a reliable and predictable result in dental implantology. Recent studies using the dPTFE (dense polytetrafluoroethylene ) membrane have shown a positive result at the site of regeneration even if the membrane itself is exposed in repaired period. With this type of complication the membrane is removed at a period of 4–6 weeks and replaced with a collagen membrane with subsequent approximation of the edges of the flap by sutures (24, 25). This article shows the possibility of regenerating the bone graft from sole xenogenic material using dPTFE membrane in case wound dehiscence in repaired period but without using the collagen membrane coating step after removing dPTFE and it healing by secondary tension.
Asthenic syndrome in patients with COVID‑19: pathogenesis, clinic, diagnosis and medical rehabilitation
Authors: Petrova L. V. , Kostenko E. V. , Eneeva M. A.
Published: March 2021

The purpose of this review was to assess the prevalence of asthenic syndrome (AS) in patients infected with SARS-CoV‑2, and to determine the effect of AS on the process of convalescence and the course of comorbid diseases.

Main provisions. AS is one of the most common manifestations after a COVID infection of varying severity, which in neurological patients can aggravate the course of the underlying disease and reduce the effectiveness of rehabilitation measures. Timely diagnosis allows you to identify AS and correct it with the use of medication and non-drug methods.

Conclusion. Due to the limited number of studies concerning AS in COVID‑19, it is necessary to further study the clinical features of this disease, to develop algorithms for medical rehabilitation, taking into account the clinical polymorphism of AS.