bluuebunny/crossref_metadata_2025 huggingface dataset:
HUBUNGAN ANTARA SKIN PREPARATION DENGAN INFEKSI LUKA OPERASI POST SECTIO CAESAREA DI RS ACHMAD MOCHTAR BUKITTINGGI
Authors: Leenesa Calvindra , Sriyanti Roza
Published: September 2020

Latar BelakangÂ : Infeksi luka operasi merupakan masalah yang sering ditemukan saat ini dalam tindakan pembedahan. Departemen Kesehatan RI melaporkan pada tahun 2011 sebanyak 55,1% infeksi luka operasi ditemukan di rumah sakit pemerintah. Hal tersebut sejalan dengan data WHO tahun 2010, dimana sectio caesarea rate di Indonesia tercatat sebesar 6%. Skin preparation dapat digunakan untuk mencegah infeksi luka operasi, dengan cara mengurangi jumlah kuman pada kulit sebelum dilakukan insisi.TujuanÂ : Untuk melihat hubungan antara skin preparation dengan infeksi luka operasi post sectio caesarea di RS Achmad Mochtar Bukittinggi.MetodeÂ : Penelitian yang dilakukan bersifat analitik mengunakan desain cross sectional study dengan melihat rekam medis subjek sesuai waktu dan tempat penelitian. Sampel adalah seluruh rekam medis ibu melahirkan secara sectio caesarea di Bagian Obstetri dan Ginekologi RS Achmad Mochtar Bukittinggi pada periode 1 Januari 2017 sampai 31 Desember 2017. Sampel diambil dari populasi yang memenuhi kriteria inklusi dan eksklusi. Pengambilan sampel mengunakan teknik simple random sampling yang diambil dari rekam medis RS Achmad Mochtar Bukittinggi. Analisis statistik untuk menilai kemaknaan menggunakan uji chi-square.HasilÂ : Kelompok sectio caesarea yang dilakukan skin preparation tanpa menggunakan chlorhexidine gluconate memiliki jumlah tertinggi (59,8%), dengan infeksi luka operasi post sectio caesarea sebesar 70,7%.KesimpulanÂ : Terdapat hubungan antara skin preparation dengan infeksi luka operasi post sectio caesarea yang bermakna (p<0,021) di RS Achmad Mochtar Bukittinggi.Kata KunciÂ : Sectio caesarea, skin preparation dan infeksi luka opera
Hubungan Skor Plasenta Akreta Indeks (PAI) dengan Kejadian Plasenta Akreta pada pasien bersalin di bagian kebidanan RSUP.dr.M.Djamil Padang
Authors: Putri Intan Firmana , Ariadi Ariadi
Published: September 2020

Tujuan: Mengetahui hubungan skor PAI dengan kejadian plasenta akreta pada pasien plasenta previa suspek akreta yang bersalin di RSUP M. Djamil Padang.Metode: Penelitian ini merupakan studi analitik menggunakan desain cross sectional study dengan sampel seluruh pasien dengan plasenta previa totalis suspek akreta yang bersalin di bagian kebidanan RSUP M. Djamil Padang selama periode 1 Januari 2017 â€“ 30 April 2018. Data diambil dari rekam medis pasien yang mencangkup umur, status paritas, riwayat persalinan, dan skor PAI dari hasil pemeriksaan USG. Hubungan skor PAI dengan kejadian plasenta akreta dianalisis menggunakan uji T independen dengan derajat kemaknaan <0,05. Hasil penelitian disajikan dalam bentuk tabel.Hasil: Selama periode penelitian didapatkan 30 pasien bersalin dengan plasenta previa suspek akreta di RSUP M. Djamil Padang. Diketahui bahwa kasus plasenta akreta lebih banyak terjadi pada multipara (57,7%), suspek akreta (57,7%), memiliki riwayat SC (65,2%), dan rerata umur pasien dengan akreta 34,7 Â± 3,5 tahun. Dan dapat disimpulkan bahwa rerata skor PAI pada pasien dengan plasenta akreta lebih tinggi dibandingkan tidak akreta dan terdapat hubungan bermakna antara skor PAI dengan kasus plasenta akreta (p>0,05).Kesimpulan: Rerata skor PAI pada pasien dengan plasenta akreta lebih tinggi dibandingkan tidak akreta dan terdapat hubungan bermakna antara skor PAI dengan kasus plasenta akretaKata Kunci: Plasenta Akreta, Skor PAI
Gambaran Hasil HPV Test dengan PAP Test pada Pasien dengan Lesi Prakanker Serviks di RSUP Dr M Djamil Padang
Authors: Prima Angga Trifianda , Friadi Andi
Published: September 2020

TujuanÂ : Mengetahui gambaran hasil HPV Test dengan PAP Test pada pasien dengan lesi prakanker serviks di RSUP Dr. M. Djamil Padang.MetodeÂ : Penelitian ini menggunakan metode deskriptif dengan sampel seluruh pasien dengan lesi prakanker serviks yang memiliki hasil HPV test dan PAP test di RSUP Dr. M. Djamil Padang selama periode 1 Januari 2015 â€“ 31 Desember 2017. Data diambil dari rekam medis pasien yang mencakup diagnosis, hasil PAP test dengan metode Hybrid Capture (HC) dan HPV test.HasilÂ : Selama periode penelitian didapatkan 80 pasien dengan hasil PAP test mengarah kepada lesi prakanker dan kanker serviks. Dari 80 pasien hanya 4 kasus dengan hasil HPV test positif.KesimpulanÂ : Pada penelitian ini banyak didapatkan lesi prakanker serviks dengan hasil HPV test negatifKata KunciÂ : Lesi prakanker serviks, PAP test, HPV test
KEEFEKTIFAN MISOPROSTOL PERORAL SEBAGAI PEMATANGAN SERVIKS PADA KETUBAN PECAH DINI KEHAMILAN ATERM DENGAN SKOR BISHOP â‰¤ 4 DI PADANG
Authors: Serudji Joserizal , Erkadius Erkadius
Published: September 2020

Ketuban Pecah Dini (KPD) didefinisikan sebagai pecahnya ketuban sebelum terjadinya kontraksi (his). KPDÂ Â Â  ini terjadi 5-10% dari seluruh persalinan. 70% kasus KPD terjadi pada persalinan aterm. Sehingga KPD yang terjadi pada kehamilan aterm agar dilakukan induksi persalinan untuk menurunkan kejadian resiko komplikasi ibu dan janin. Penelitian ini dilakukan untuk membandingkan efektifitas pematangan serviks pada pemberian misoprostol 25 ug peroral dengan yang tidak diberikan pada ketuban pecah dini aterm dengan skor bishop kecil atau sama dengan (â‰¤) 4. Penelitian dilakukan di bagian Obstetri dan Ginekologi RS Dr. M. Djamil Padang dan RS Reksodiwiryo Padang dari bulan November 2013 sampai Agustus 2014 menggunakan metode Simple Random Sampling. Subjek yang memenuhi kriteria inklusi dilakukan penilaian keadaan serviks dan dilakukan pemeriksaan laboratorium dan non stress test kemudian data direkapitulasi dan dilakukan uji statistik. Terdapat perbedaan yang signifikan kenaikan skor bishop pada pemberian misoprostol 25 ug peroral dengan yang tidak diberikan pada ketuban pecah dini aterm dengan skor bishop kecil atau sama dengan (â‰¤) 4. Hal ini dibuktikan dengan nilai p value diperoleh sebesar 0,000 < 0,05. Dan tidak didapatkan efek samping pada penelitian iniKata Kunci: Keefektifan misoprostol, pematangan serviks, ketuban pecah dini
PERBEDAAN SKOR KECEMASAN TAYLOR MINNESOTA ANXIETY SCALE (TMAS) MATERNAL PADA KEHAMILAN DENGAN PREEKLAMPSIA DAN HAMIL NORMAL
Authors: Serudji Joserizal , Machmud Rizanda
Published: September 2020

Penatalaksanaan preeklampsia masih terbatas pada pengendalian tekanan darah dan gejala-gejalanya serta pe- mantauan maternal-fetal yang ketat. Sampai saat ini, sangat sedikit perhatian yang diberikan pada konsekuensi psikologis dari preeklampsia, terutama kecemasan maternal. Gangguan kecemasan pada seseorang dapat diiden- tifikasi dengan menggunakan instrumen kuesioner pengukur kecemasan, salah satunya adalah kuesioner Taylor Minnesota Anxiety Scale (TMAS). Penelitian ini dilakukan untuk mengetahui perbedaan skor kecemasan TMAS maternal pada kehamilan dengan preeklampsia dan kehamilan normal. Penelitian ini merupakan suatu penelitian cross sectional yang dilakukan mulai bulan Maret-Agustus 2014 dengan jumlah sampel sebanyak 40 orang, yaitu 20 wanita hamil dengan preeklampsia dan 20 wanita hamil normal yang memenuhi kriteria inklusi dan eksklusi. Kecemasan sebagai keadaan pada subjek penelitian diukur dengan kuesioner TMAS. Analisis yang digunakan untuk mengetahui perbedaan skor kecemasan TMAS maternal pada kehamilan dengan preeklampsia dan kehami- lan normal adalah uji-t. Pada kelompok kehamilan dengan preeklampsia, rerata skor kecemasan TMAS maternal adalah 30,45 Â± 9,65. Sedangkan pada kelompok kehamilan normal, rerata skor kecemasan TMAS maternal adalah 18,50 Â± 7,62. Setelah dilakukan uji statistik, terdapat perbedaan rerata skor kecemasan TMAS maternal yang sig- nifikan antara kelompok kehamilan dengan preeklampsia dan kelompok kehamilan normal (p = 0,000).Kata kunci: Skor Kecemasan TMAS Maternal, Preeklampsia.
PERBEDAAN TINGKAT PENGETAHUAN IBU HAMIL PRIMIGRAVIDA YANG MELAKUKAN KUNJUNGAN ANTENATAL PADA DOKTER SPESIALIS OBGYN DENGAN BIDAN DI KOTA PADANG
Authors: Apriani Susanti , Adnani Syahredi Syaiful , Bachtiar Hafni
Published: September 2020

Angka kematian ibu menurut Survey Demografi dan Kesehatan Indonesia (SDKI) 2012, meningkat sig- nifikan menjadi 359 per 100.000 kelahiran hidup.1Â Didapatkan dalam Survei Kesehatan Rumah Tangga (SKRT) 2001 angka kematian ibu dapat diturunkan hanya dengan pelayanan kesehatan dasar seperti antenatal. Berdasarkan laporan UNICEF, hanya sekitar 45% diberitahu tentang tanda-tanda komplikasi kehamilan. Penelitian ini dilakukan dengan metodeÂ cross sectionalÂ untuk mengetahui perbedaan tingkat pengetahuan ibu hamil yang melakukan kunjugan antenatal pada dokter spesialis Obgyn dengan bidan di kota Padang. Ibu hamil primigravida yang melakukan kunjungan antenatal pada dokter spesialis den- gan bidan di kota Padang, sebesar 73,8% mempunyai tingkat pengetahuan yang tinggi. Tidak terdapat perbedaan tingkat pengetahuan ibu hamil yang melakukan kunjugan antenatal pada dokter spesialis Obgyn (p > 0.05)Kata Kunci:Â Antenatal, Bidan, Dokter Spesialis Obgyn, pengetahuan
Ovarian Pregnancy
Authors: Widayat Widayat , Ariadi Ariadi
Published: September 2020

Tujuan: Melaporkan kasus Kehamilan OvariumBahan dan Metode: Artikel ini menggambarkan laporan kasus seorang wanita berusia 33 tahun, dengan diagnosa Kehamilan Ovarium pada G2P0A1H0 gravid 6-7 minggu. Pasien datang ke IGD RSUP Dr. M. Djamil Padang. Pemeriksaan USG tersebut memberikan kesan Ectopic pregnancy in right ampula tube. Setelah dilakukan laparoskopi tampak kehamilan ektopik di ovarium kanan tanpa dengan perdarahan. Kesan kehamilan ovarium kanan. Dilakukan dilakukan tindakan Oophorektomi partial dan evakuasi jaringan dengan perdarahan selama tindakan Â± 30 cc.Hasil: Pasien mendapatkan intervensi tindakan laparoskopi tampak kehamilan ektopik di ovarium kanan tanpa dengan perdarahan, ovarium kiri ukuran dalam batas normal. Kesan kehamilan ovarium kanan. Dilakukan dilakukan tindakan Oophorektomi partial dan evakuasi jaringan dengan perdarahan selama tindakan Â± 30 cc. Jaringan dilakukan pemeriksaan histologi Patologi Anatomi.Kesimpulan: Kehamilan ovarium merupakan salah satu bentuk kehamilan ektopik yang paling jarang, kadang sulit didiagnosa karena dapat dibingungkan dengan kehamilan ektopik tuba atau kista ovarium hemoragik. Kehamilan ovarium dapat rupture pada trimester pertama kehamilan.Kata Kunci: Ovarian Pregnancy, Laparoscopi, Oophorektomi partial
Chronic Uterine Inversio due to Myoma Geburt
Authors: Utama, SpOG(K) Bobby Indra
Published: September 2020

Background : Uterine inversion is a rare obstetric emergency but potentially serious complication of labour. This disease characterized by severe pain and can cause life threatening condition. If these not immediately identified, the massive and underestimated blood loss can lead to hypovolemic shock. There for, early diagnosis and management of this condition is desirable.Objective : Report on the management of chronic uterine inversion due to myoma geburtMethods: Case reportCase: A 46 years old patient was admitted to the gynaecology ward of Dr. M. Djamil Central General hospital with slight bleeding from vagina since 1 month ago with 2-3 pieces of underware dark-red colored, with pain. Bleeding from the vagina often recurs. There was a mass revealed from vagina with size as bigÂ  as babyâ€™s head. The massÂ  had pus and necrotic tissue.Conclusion: Uterine inversion is an serious obstetric complication due to life threaten of the patient. Its low incidence leads to scarce experience in solving this kind of situation. There are some risk factors or mechanism as an underlying etiology of uterine inversion. The authors concluded that the presence of myoma geburt can be assosiated with the chronic uterine inversion. Surgical approach by eksterpation of myoma geburt withÂ  total hysterectomy can be the right procedure. Therefore, it is essential to keep in mind this diagnosis in all cases of vaginal bleeding.Keywords: uterine inversion; myoma geburt
G2P1A0H1 Gravid 27-28 Minggu + Janin Mati Kehamilan Abdominal
Authors: Fitriansyah Irwin , Rifendra Gerry
Published: September 2020

Kehamilan abdominal adalah bentuk kehamilan yang jarang terjadi namun memberi risiko yang sangat tinggi baik morbiditas dan mortalitas terhadap janin maupun ibu. Keadaan ini merupakan salah satu bentuk yang paling serius dari kehamilan ektopik.Â  Angka kejadian kehamilan abdominal berbeda-beda, Rahman dkk, mendapatkan angka kejadian 1 diantara 130.200 kelahiran. Di Amerika Serikat antara tahun 1970-1983 terdapat 10,9 kehamilan abdominal/100.000 kelahiran hidup dan 9,2 kehamilan abdominal /1000 kehamilan ektopik. Pada tindakan laparotomi, manajemen plasenta merupakan tantangan terberat,Â  karena harus dipersiapkan dan direncanakan secara baik. Pada Laporan kasus ini wanita 36 tahun dengan diagnosis G2P1A0H1 gravid 27-28 minggu + Kehamilan Abdominal + Janin Mati + Anemia Ringan. Dilakukan Laparotomi untuk melahirkan bayi ,Â  Durante operasi dilakukan eksplorasi tempat perlekatan plasenta. Di dapatkan plasenta tertanam di cavum douglas dengan melekat pada Colon Ascenden, Rectum, colon desenden, usus dan peritoneum. Tampak sebagian plasenta sudah terlepas dari penanaman nya, disertai tumpukan stout cell. Dilakukan pelepasan plasenta di seluruh tempat perlekatan. Sisa plasenta di bersihkan satu persatu dengan penjepitan dengan punster clem secara perlahanKata kunci:Kehamilan Abdominal,Â  Janin Mati, Laparotomi
Uterus Didelphys dengan Agenesis Servik Bilateral
Authors: Rizary Dwinda , Hendry Dedy
Published: September 2020

LATAR BELAKANG : Anomali duktus mullerian adalah kelainan kongenital sistem reproduksi wanita yang disebabkan oleh perkembangan embriologis yang abnormal selama dalam kandungan. Jika disertai dengan agenesis serviks dan infertilitas maka harus dilakukan tindakan intervensi. Diagnosa yang akurat dan penanganan yang tepat sangat menetukan terhadap masa depan reproduksi dan penanganan infertilitas pada pasien.OBJEKTIF : Melaporkan penanganan kasus uterus didelphys yang disertai dengan agenesis serviks bilateral.METODE : Laporan kasusKASUS : Dilaporkan kasus wanita usia 34 tahun dengan amenore primer dan infertilitas primer 9 tahun, nyeri siklik yang tidak khas, perkembangan seks sekunder yang normal dan dari pemeriksaan ginekologi didapatkan agenesis servik. Pemeriksaan USG transvaginal didapatkan adanya massa dengan kesan adenomiosis. Dilakukan laparoskopi tampak 2 massa, 1 massa menyerupai adenomiosis dengan ukuran 9x6x5cm berlokasi di lateral pelvis kiri dan massa lain berupa uterus hipoplasia dengan ukuran 2x2x1cm tampak 2 tuba dengan 2 ovarium dalam batas normal. Massa uterus yang menyerupai adenomiosis dengan lokasi jauh dari vagina sehingga sulit dilakukan anastomoses sedangkan uterus lainnya hipoplasia dan non fungsional. Dilakukan histerektomi pada massa adenomiosis dengan hasil PA adenomiosis.KESIMPULAN : Uterus didelphys dengan agenesis serviks bilateral dengan 1 uterus adenomiosis dan terletak dilateral pelvis sulit dilakukan anastomose uterovagina sehingga dilakukan histerektomi. Uterus kedua hipoplasia dan nonfungsional sehingga tidak dilakukan tindakan apa-apa. Perlu dipikirkan â€œfuture fertilityâ€ pada pasien ini dan berbagai pilihan cara untuk memiliki anak.Kata kunci:Amenore Primer, Uterus Didelphys, Agenesis Serviks, Adenomiosis
Diagnostic Value of Cyclooxygenase-2 Serum Levels in Predicting Preterm Labor
Authors: Suhandri Wiwin , Djanas Dovy
Published: September 2020

Tujuan: Mengetahui nilai diagnostik kadar serum cyclooxygenase 2 dalam memprediksi persalinan pretermMetode:Pemeriksaan kadar COX-2 serum dengan metode ELISA pada Ibu hamil dengan kehamilan 28 minggu sampai 36 minggu dibandingkan dengan Ibu hamil dengan kehamilan â‰¥ 37 minggu pada saat inpartu kala 1 fase aktifHasil:Diketahui rerata kadar COX-2 pada persalinan preterm yaitu 21,88Â±18,22 lebih tinggi jika dibandingkan pada persalinan aterm yaitu 4,88Â±2,35 ng/ml, hasil uji statistik didapatkan nilai p=<0,001 maka dapat disimpulkan terdapat perbedaan yang bermakna kadar serum cyclooxygenase 2 pada persalinan preterm dan persalinan aterm. Nilai diagnostik kadar serum cyclooxygenase 2 dalam memprediksi persalinan preterm berada pada cut off point 7,039 ng/ml dengan sensitifitas 86,1% dan spesifisitas 86,1%Kesimpulan Terdapat perbedaan yang bermakna kadar serum cyclooxygenase 2 pada persalinan preterm dan persalinan atermKata kunci:cyclooxygenase 2, memprediksi persalinan preterm, persalinan preterm
Hubungan Tingkat Stres dengan Gejala Vaginitis pada Mahasiswi Program Studi Kedokteran FK UNAND 2019
Authors: Megawati Melsi , Adnani Syahredi Syaiful , Rahman Sukri
Published: September 2020

Tujuan: untuk mengetahui hubungan antaraÂ  tingkat stres dengan gejala vaginitis pada mahasisiwi program studi Fakultas Kedokteran Universitas Andalas Angkatan 2019.Metode: MetodeÂ  pada penelitian ini adalah analitik observasional dengan desain cross-sectional. Pengambilan sampel dilakukan dengan non-probability sampling. Â Besar sampel adalah 140 dengan melakukan wawancara terpimpin pada 140 mahasiswi Program Studi Kedokteran Fakultas Kedokteran Universitas Andalas Angkatan 2019. Tingkat stres mahasiswi diukurÂ  dengan kuesioner stres dari Depression Anxiety Stress Scale (DASS 42) dan kuesioner gejala vaginitis. Analisis data menggunakan uji Chi-Square.Hasil: lebih dari setengah responden yaitu sebanyak 71 responden (50,6%) mengalami stres. Tingkat stres sedang merupakan presentase terbesar yaitu sebanyak 31 orang Â (43,6%). Sebagian besar responden yaitu sebanyak 121 responden (86,4%) mengalami gejala vaginitis. Hasil uji statistik didapatkan p-value = 0,943.Kesimpulan: Lebih dari setengah reponden mengalami stres dan sebagian besar responden mengalami gejala vaginitis. Nilai p-value menunjukkan bahwa tidak terdapat hubungan bermakna antara tingkat stres dengan gejala vaginitisKata kunci:Stres, vaginitis, remaja
Perbandingan Cadangan Ovarium Sebelum Dan Setelah Tindakan Laparoskopi Kistektomi â€œFertility Sparingâ€ Pada Penderita Kista Endometriosis
Authors: Rizary Dwinda , Hendry Dedy
Published: September 2020

Laparoskopi Kistektomi tetap menjadi pilihan lini pertama untuk penanganan kista endometriosis. Namun tindakan ini akan menimbulkan kerusakan terhadap ovarium. Tindakan â€œfertility sparingâ€ adalah dilakukannya manajemen terhadap pasien endometriosis dengan menghemat uterus dan ovarium sehingga tidak banyak jaringan yang terbuang. Tujuan Penelitian : Penelitian ini membandingkan nilai cadangan ovarium sebelum dan setelah tindakan laparoskopi kistektomi dengan memakai tiga marker yaitu kadar AMH (Anti Mullerian Hormon), kadar FSH dan Estradiol pada siklus haid hari kedua atau ketiga dan nilai AFC (Antral Follicle Count) dengan USG Trasnvaginal. Â Materi dan metode : Penelitian ini adalah penelitian eksperimental yang dilakukan terhadap 25 orang penderita endometrioma. Cadangan ovarium sebelum dan setelah tindakan laparoskopi dinilai dengan tiga marker yaitu AMH, FSH dan Estradiol serta AFC. Dilakukan laparoskopi kistektomi dengan teknik yaitu tanpa energi elektrik koagulasi yang berlebihan, obat vassopresin yang disuntikkan ke dinding kista, teknik â€œstripping of the membraneâ€ pada kista, tanpa suturing/ penjahitan, teknik kompresi untuk mengatasi perdarahan, menghindari pengangkatan kantong kista hingga ke daerah hilus. Analisis statistic untuk menilai kemaknaan menggunakan paired t test. Hasil : Terdapat perbedaan rerata kadar AMH dimana sebelum laparoskopi lebih tinggi yaitu 1,77 Â± 0,39 ng/ml sedangkan setelah laparoskopi 1,54 Â± 0,38 ng/ml. Rerata kadar FSH dimana setelah laparoskopi lebih tinggi yaitu 10,13 Â± 6,51 mlU/ml sedangkan sebelum laparoskopi 6,91 Â± 4,59 mlU/ml. Rerata kadar estradiol dimana sebelum laparoskopi lebih tinggi yaitu 99,65 Â± 77,18 mlU/ml sedangkan setelah laparoskopi 63,67 Â± 35,22 mlU/ml. Terdapat perbedaan AFC antara sebelum laparoskopi dan setelah laparoskopi dimana 15 orang (60%) AFC <4, 10 orang (40%) AFC 4-6,Â  saat sebelum laparoskopi dan 8 orang (32%) AFC <4, 8 orang (32%) AFC 4-6, dan 9 orang (36%) AFC 7-10 saat setelah laparoskopi. Terdapat hubungan yang bermakna dari hasil analisis statistic ( terjadi penurunan cadangan ovarium sebelum dan setelah tindakan laparoskopi kistektomi â€œfertility sparingâ€) (p=0.001). Kesimpulan : Terdapat pengaruh tindakan laparoskopi kistektomi terhadap penurunan cadangan ovarium yaitu AMH mengalami 13,3% penurunan (p=0,001) , FSH mengalami 31,6% kenaikan (p=0,001), estradiol mengalami 47,8% penurunan (p=0,001), dan AFC mengalami 47,9% kenaikan (p=0,003).Kata kunci: Laparoskopi Kistektomi, Endometriosis, Anti Mullerian Hormone, Antral Follicle Count, FSH, Estradiol
Description of Anemia Case on Referral Patients At Mother and Child Hospital Siti Hawa Padang in January â€“ December 2018
Authors: Marni Herti , Desmiwarti Desmiwarti
Published: September 2020

Anemia is the most common hematological disorder in pregnant women, primarily caused by iron deficiency. Many factors affect hemoglobin levels such as socioeconomic, educational level, age, parity, etc. Globally, there are 40.1% of women who experience anemia in pregnancy, with more than half due to iron deficiency.This study is a descriptive study using a cross sectional design with a population of anemic obstetric patients who were treated at Siti Hawa Hospital Padang from January 2018 to December 2018. All populations that met the inclusion criteria were taken as samples, so that 50 samples were obtained. Total population of hospitalized obstetric patient was 1994 patient.The results showed that the most obstetric patients with anemia found in 20-35 years old patients, in the second and third pregnancies. Most commonly found in non-bleeding patients with moderate degrees of anemia. The most patients came from Lubuk Begalung, Padang Timur, and Pauh. In addition, 3 patients were referred from outside the city of Padang, which are from the Mentawai Islands, Dharmasraya, and Pariaman.Keywords: anemia, age, parity, diagnosis, area
MULTIGRAVIDA WITH UNCONTROLLED HYPERTHYROID AND BILATERAL PLEURAL EFFUSION
Authors: Sutrisno Muhammad Al Farisi , Herlambang Herlambang , Firmansyah Firmansyah
Published: September 2020

Background: Hyperthyroid is a hypermetabolic condition caused by abnormal thyroid gland function resulting in overproduction and overexpression of thyroid hormone. The prevalence of hyperthyroid during pregnancy is 0.1-0.4%, where 85% of case are presented as graveâ€™s disease. Objective: To report the treatment of uncontrolled hyperthyroid during pregnancy.Method: Case Report Case:Â  Ms. S, Female, 33 years old, presenting with brethlessness since 5 days before admission. Breathlessness persist and aggravated by lying down position. The patient has history of hyperthyroid since 1 years before admission. The blood pressure was 120/80 mmHg, respiration rate 28 times/min, and body temperature 36,7oC. Uterus fundal height 26 cm, cephalic presentation, fetal heart rate 130 times/min, single fetus intrauterine and alive. Laboratoric test for leukocyte: 21,300/ul, T4 level 22.8 mg/dl dan T3 level 2.9 mg/dl. The patient diagnosed with G3P2A0 31-week gestational age single alive fetus intrauterine with uncontrolled hyperthyroid and bilateral pleural effusion. Treatment consist of propylthiouracil as the drug of choice for anti-thyroidal drug, nifedipine for gestational hypertension and furosemide to treat the pleural effusion.Â  Conclusion: History taking, physical examination, thyroid function test, and maintaining euthyroidism during pregnancy is a key to reduce the risk of maternal and fetal complication.Keywords: hyperthyroid, pregnancy , IUGR
Colposcopy Findings In High-Grade Cervical Precancer Lesion
Authors: Friadi Andi
Published: September 2020

Cervical precancer lesion can generally be seen in the transformation zone. Colposcopy allows us to see an image of enlarge precancer lesion in the transformation zone. The colpocopist should consider some important things to determine the appearance of low-grade lesion or high-grade lesion. Two important things are the description of abnormal epithelium and the description of abnormal blood vessels. The description of the abnormal epithelial seen after administration of acetic acid 3-5%,Â  acetowhite looks faster and disappears slower. The â€œwhiteâ€ lesion is more concentrated like the color of shells, with clear border and surface contour. To find the abnormal blood vessels more clearly, we can use the green filter. High-grade lesion shows rough mosaic and rough punctation or both. In addition, finding the cervical blood vessels can help us to determine high-grade lesion. By understanding the description of the epithelial cervix and abnormal blood vessels , we will easily distinguish high-grade lesions from low grade lesion. Â Keywords: cervical precancer, colposcopy findings
Perimortem Cesarean Section : As Resucitative Hysterotomy On Maternal Cardiac Arrest
Authors: Dewi Madona Utami , Adnani Syahredi Syaiful , Taslim Emilzon
Published: September 2020

Maternal cardiac arrest or maternal collaps is defined as an acute event involving the cardiorespiratory systems and/or brain, resulting in a reduced or absent consciousness level (and potentially death), at any stage in pregnancy and up to six weeks after delivery. Perimortem Cesarean Section (PCS) is performed either during maternal cardiac arrest or during impending maternal cardiac arrest toresuscitate mother and fetal. Current recommendations for maternal resuscitation include performance of the procedure following five minutes of unsuccessful cardiopulmonary resuscitation. The most common aetiology of maternal collaps was know as â€œ4 H andÂ  4 Tâ€ (Hypovolemia, Hypoxia, Hypo/Hyperkalemia,Hypothermia; Tromboembolism, Toxicity, Tension pneumothorax, Tamponade). Resuscitation in maternal cardiac arrest is mostly similar with non-pregnant patient resuscitation. There are several considerations need to be addressed in primary survey such as endotracheal tube 1 size smaller, supplemental O2 regardless of peripheral saturation, aggressive volume resuscitation, and uterine displacement to relieve compression of the IVC.Keywords: Maternal cardiac arrest; non-pregnant patient resuscitation
Criminal law protection of competition in the European Union, Germany, Great Britain and France
Authors: Danilovskaia Anna
Published: September 2020

The object of this research is competition policy and criminal law policy with regards to protection of competition in Europe that are similar to the Russian approach of countering infringement on fair competition. Legislation on competition is dynamically developing in all countries, which causes corresponding changes in their criminal law policy. For improving the effectiveness of cartel detection, many countries endorsed leniency policy for cartels, as well as make amendments to their laws due to proliferation of unfair competition, particularly on the Internet, as well irregularities in tendering. The analysis of modern sources of competition and criminal law of Germany, Great Britain and France, as the first European countries that developed the rules aimed at protection of competition, can be valuable for understanding the concept of protection of competition adopted by the world community, as well as its European model. The consists in broadening the existing knowledge on criminal law protection of competition in Europe, acquired as a result of comprehensive research of the legislations of the European Union, Germany, Great Britain and France in the area of protection of fair competition with consideration of recent amendments, including leniency policy for cartels. The author concludes that Europe has a developed criminal law mechanism for counteracting anticompetitive behavior, which is characterized by a range of prohibited acts, application of versatile criminal law measures to the persons guilty of such infringements, differentiated approach to the questions of their criminal liability, and substantial main and additional sanctions applicable to not only physical entities, but also legal entities in some countries. The obtained results can be useful in lawmaking, scientific and educational activity.
Challenging Gender Hierarchies in Narratives of the Nation: Representations of Women in Zintgraff and the Battle of Mankon and Hard Choice
Authors: Nkealah Naomi Epongse , Oluwasuji Olutoba Gboyega
Published: September 2020

Ideas of nationalisms as masculine projects dominate literary texts by African male writers. The texts mirror the ways in which gender differentiation sanctions nationalist discourses and in turn how nationalist discourses reinforce gender hierarchies. This article draws on theoretical insights from the work of Anne McClintock and Elleke Boehmer to analyse two plays: Zintgraff and the Battle of Mankon by Bole Butake and Gilbert Doho and Hard Choice by Sunnie Ododo. The article argues that women are represented in these two plays as having an ambiguous relationship to nationalism. On the one hand, women are seen actively changing the face of politics in their societies, but on the other hand, the means by which they do so reduces them to stereotypes of their gender.
Qualidade de vida em pacientes diabéticos: revisão de literatura
Authors: Ribeiro Luana Martins Araújo , Ribeiro Tatiana Martins Araújo , Gomes Ingrid Cristiane Pereira
Published: September 2020

Objetivo: Avaliar, através de uma revisão, sobre a qualidade de vida em pacientes diabéticos. Métodos: Trata-se de uma revisão integrativa cujo tema foi pesquisado na base de dados do PubMed e Scielo, com descritores “Quality of life AND Diabetes Mellitus” e “Qualidade de vida AND Diabetes Mellitus”, respectivamente, sendo incluídos apenas artigos dos últimos três anos. Resultados: Os artigos desenvolvidos através de questionários evidenciaram que a qualidade de vida em diabéticos é menor que em pacientes não diabéticos, devido, principalmente, à mudança do estilo de vida que a doença gera. Tal fato está relacionado também às complicações presentes na ausência ou inadequação do tratamento, assim como à própria terapia farmacológica, às alterações de estilo de vida que são impostas e à ansiedade presente em grande parte desses pacientes. Assim, tais indivíduos têm que lidar com complicações físicas e mentais que a doença proporciona, causando prejuízo no modo de viver. Considerações finais: Pacientes diabéticos possuem menor qualidade de vida, tanto no âmbito físico como no emocional, quando comparados com indivíduos que não possuem a doença.
A não realização do exame papanicolaou e comportamentos de risco em mulheres com vida sexual ativa
Authors: Oliveira Ermínia Mayra Felix de , Oliveira Silvia Ximenes , Caldas Mona Lisa Lopes dos Santos , Oliveira Moisés Barbosa , Oliveira Marisa Ximenes , Lima Thoyama Nadja Felix de Alencar
Published: September 2020

Objetivo: Descrever os motivos da não realização do exame Papanicolaou e o comportamento de risco em mulheres sexualmente ativas.  Métodos: Trata-se de um estudo descritivo-exploratório com abordagem quantitativa, realizado com 100 mulheres assistidas pelo NASF em um município do interior da Paraíba. A coleta dos dados ocorreu entre agosto e outubro de 2019, por meio da aplicação de um questionário e analisados de acordo com a literatura pertinente associada a uma análise estatística descritiva. Resultados: A maioria das mulheres são jovens, em união estável com renda familiar abaixo de um salário mínimo. Tiveram início da atividade sexual antes dos 18 anos, com parceiro fixo. O motivo da não realização do exame citológico foi a vergonha. 84% já ouviram falar em HPV e 83% sabem a forma de transmissão. A maioria tem de 1 a dois parceiros sexuais e realizam o exame anualmente. Conclusão: Apesar das estratégias nacionais para aumentar a cobertura do exame, ainda existem dificuldades relacionadas a realização, como a vergonha e o medo, influenciando na baixa cobertura a nível nacional.
O fenômeno do suicídio indígena no Brasil: revisão integrativa da literatura
Authors: De Oliveira Anderson Gomes , Da Silva Carla Andreele Moraes Lima , Silva Ilrislanny Montenegro Costa , De Sousa Adriana Duarte , Leite Neila França , De Farias Altair Seabra , E Souza Ana Beatriz Souza , Barroso Francisco Mailon Pereira , Ferreira Kátia Cilene Rodrigues , Braga Maria de Lourdes da Cruz
Published: September 2020

Objetivo: Descrever o fenômeno do suicídio indígena no Brasil. Métodos: Trata-se de revisão integrativa da literatura, que buscou descrever o fenômeno do suicídio de populações indígenas no Brasil, a partir de publicações científicas indexadas nas bases de dados Scientific Electronic Library Online (SCIELO); Literatura Latino-Americana em Ciências da Saúde (LILACS) e Literatura Internacional em Ciências da Saúde (MEDLINE) entre janeiro de 2010 a dezembro de 2018, cuja amostra final resultou em 6 artigos. Resultados: O perfil do indígena suicida é similar em todos os contextos estudados. A morte frequentemente ocorre nos domicílios e o método preferencial é o enforcamento seguido por envenenamento. Elementos da cosmologia indígena como o “enfeitiçamento”, “estrago” e “inveja” que, teriam como objetivo causar malefícios à pessoa a qual eles foram destinados, também figuram como causadores do suicídio. Por fim, a  própria forma como é representado o post-mortem do suicida, apontam para as especificidades encontradas na significação do auto-extermínio neste contexto. Considerações finais: O suicídio entre indígenas configura-se como um grave problema de saúde pública, pois além das questões já conhecidas, necessitamos levar em consideração as caraterísticas locorregionais, de populações etnicamente diferenciadas.
O trabalho do assistente social na saúde mental: revisão narrativa
Authors: Moreira de Araújo Adelina Almeida
Published: September 2020

Objetivo: Discutir, por meio de revisão narrativa da literatura científica, a atuação do Assistente Social na Saúde Mental. Revisão bibliográfica: A partir da Reforma Psiquiátrica em 1978, asilos e hospitais psiquiátricos são substituídos gradualmente por serviços psicossociais abertos e comunitários, com vistas ao atendimento das necessidades individuais dos usuários em sofrimento psíquico utilizando-se de abordagem humanizada. Sendo a violação dos direitos sociais um grande desafio lançado ao Assistente Social demandado pela Saúde Mental, faz-se necessário uma análise sobre o seu fazer profissional nesse espaço de trabalho, seu papel de atuação, entender como se dá o acolhimento no campo da saúde, além de situar a população usuária enquanto sujeitos de direitos, ressaltando a importância da escuta qualificada junto ao serviço social. Considerações finais: As expressões da Questão Social na Saúde Mental são verificadas a partir da exclusão social dos usuários em sofrimento psíquico através da privação de seu convívio social, na falta de inserção nas redes intersetoriais, além da estigmatização que enfrentam diariamente, acarretando-lhes prejuízos sociais e emocionais.
Chemical Anthropomorphism: Acting Out General Chemistry Concepts in Social Media Videos Facilitates Student-Centered Learning and Public Engagement
Authors: Hight Matthew , Nguyen Nhien , Su Timothy
Published: September 2020

This Article describes the educational and public engagement outcomes of an activity called the “ChemClout Challenge” that was implemented in a general chemistry course at UC Riverside. Students worked in groups to make chemistry-themed videos, posted them to social media platforms, then voted on their favorite videos. The majority of students elected to make videos where they anthropomorphized general chemistry concepts, physically acting out principles such as ideal gas law relationships and electrolyte solubility. Students reported enjoying these anthropomorphized videos most. These types of videos received over one million views worldwide within the first month of posting on the social media platform, TikTok. After the course was over, 75 students completed voluntary Likert scale surveys to assess the educational and outreach impact of the ChemClout Challenge. 88% of students reported that the activity made chemistry more relatable, whereas 76% of students noted that the activity helped them retain course concepts two months after the course was completed, indicating the activity benefitted student learning. Moreover, 84% of students reported that their friends and family members outside of UC Riverside watched the videos, with 72% of students reporting that they explained the chemical concepts of their videos to their friends. These studies indicate that student-created social media videos that anthropomorphize chemistry are highly effective vectors for student-centered learning and public engagement in chemical concepts. This activity may find particular utility for educators during the COVID-19 pandemic, as it is compatible with distance learning.
Molecular Diffusion in a Flexible Mesoporous Metal-Organic Framework over the Course of Structural Contraction
Authors: Walenszus Francesco , Bon Volodymyr , Evans Jack D. , Kaskel Stefan , Dvoyashkin Muslim
Published: September 2020

In situ 1H pulsed field gradient (PFG) NMR was used to investigate molecular diffusion of n-butane at 298 K during the negative gas adsorption (NGA) transition caused by contraction of the flexible metal-organic framework DUT-49(Cu). Supported by molecular dynamics simulations, it provided crucial insight to confined diffusion within a highly-flexible pore environment. The self-diffusion coefficients were derived from the experiment and compared with simulations, capturing the diffusion during n-butane adsorption and desorption. This complementary approach has yielded experimental characterization of molecular diffusion mechanisms during the unique process of NGA.
Interaction Analyses on SARS-CoV-2 Spike Protein Based on Large-Scale Correlated Fragment Molecular Orbital Calculations
Authors: Akisawa Kazuki , Hatada Ryo , Okuwaki Koji , Mochizuki Yuji , Fukuzawa Kaori , Komeiji Yuto , Tanaka Shigenori
Published: September 2020

At the stage of SARS-CoV-2 infection to human cell, the spike protein consisting of three chains, A, B and C, with a total of 3.3 thousand residues plays the key role, and thus its nature have attracted considerable interests. Here, we report interaction analyses on the spike protein of both closed (PDB-ID: 6VXX) and open (6VYB) structures, based on large-scale fragment molecular orbital (FMO) calculations at the level of up to the fourth-order Møller-Plesset perturbation with singles, doubles and quadruples (MP4(SDQ)). Inter-chain interaction energies were evaluated for both structures, and mutual comparison indicated considerable losses of stabilization energies in the open structure, especially in the receptor binding domain (RBD) of chain-B. By two separate calculations for the RBD complexes with angiotensin converting enzyme 2 (ACE2) (6M0J) and B38 Fab antibody (7BZ5), it was found that this stabilization loss of RBD was partially compensated by the binding with ACE2 or antibody.
Who Needs the Undercommons? Refuge and Resistance in Public High Schools
Authors: Greer G. H.
Published: September 2020

This paper is a theoretical discussion of The Undercommons: Fugitive Planning and Black Study (Harney & Moten, 2013) as a contribution to critical education in public schools. The undercommons serves here as an epistemic device, or a way of seeing and knowing, in relation to public education. The function of this device is to establish an appreciative view of student survival and activist behaviours and to centre educational policy as a potential mechanism of student exclusion. I propose that the practice of inclusion in schools coexists with unacknowledged operations of exclusion. The undercommons is employed as a lens to make such mechanisms of disenfranchisement apparent. I advocate here for an extension of inclusive education which, in addition to targeted supports for particular demographic groups, must concern itself with more general practices of disenfranchisement.
Pursuing Freedom, Making Strange: Pedagogical Considerations for Art as an Other
Authors: Parker Lana
Published: September 2020

This analysis addresses the ethical and epistemological considerations for using an arts-based pedagogy in the classroom as a means of disrupting dominant hegemonies and as a foundation for a more inclusive, robust democracy. The work advances two arguments. First, education must seek recourse for a renewed democracy by focussing on our ethical and political responsibilities in relation to the other. Second, art can serve to act as that other in unique and powerful ways in the classroom. I begin by proposing that an intersubjective relation is at the heart of both ethics and politics. I then consider how art can serve as an other in that relation. To conclude, I discuss the pedagogical implications for art as an other in pursuing freedom and advancing toward democracy.
Resisting Indifference Through the Brooch of Bergen Belsen
Authors: Greenway Kate
Published: September 2020

In this extract from, and commentary on, my master’s thesis, “The Brooch of Bergen Belsen: A Journey of Historiographic Poiesis” (winning York University Department of Education Best Major Research Paper 2010), I explore a single aesthetic experience, an encounter with a small hand-made floral cloth brooch donated to the Holocaust Memorial Museum. At the start of my inquiry, I had only the object—the brooch itself—my emotional reaction to it, and the few lines of text on a curated museum card. I wondered, how do we create “spaces for remembrance” (Simon 2005) and what are the implications for teaching, learning and living in a just society? How arewe accountable to Simon’s (2004) demand for “non-indifference?” Arts-based research methodologies such as historiographic poiesis have allowed me to merge the scholar and artist, to engage in research as an iterative process where deeper questions engender more complex and embodied responses, and to create an aesthetic intervention: an open, dialogic text and artworks that provoke new understandings of narratives previously overlooked.
Pig Girl: An Indigenous Woman’s Perspective Through “Scriptive Things”
Authors: Trudeau Lyn
Published: September 2020

Indigenous representation in various genres has always been questionable in regards to who has a voice, and content that is culturally sensitive and appropriate. This paper critically examines the controversial theatrical play Pig Girl (Murphy, 2013) through the lens of Robin Bernstein’s (2011) “scriptive things” theory. Although Pig Girl sought to give voice to Canada’s missing and murdered Indigenous women, it instead was sharply criticized by Indigenous community members. This paper explores historical ideologies corresponding to the dehumanization of and violence perpetrated against Indigenous women based on the imagery provided by those who created and promoted the Pig Girl stage play. The paper discusses how such imagery can re-inscribe prior beliefs and be interpreted with “things” depicted within the playʼs narrative. The paper also addresses the function of interpellation and imagery, aesthetic intervention, and resulting associations
Complete Issue
Authors: Mogadime Dolana
Published: September 2020

Complete Issue for 28(2)
E3Cs: A Research-Based Model for Effective Digital Learning for K-6 Schools
Authors: Figg Candace , Crawford Keith , Lu Chunlei , Lu Olivia
Published: September 2020

Due to the COVID-19 pandemic, teachers in Ontario were thrust into a new teaching situation at the end of the 20192020 school year for which few were prepared. To address the need for guidance in transitioning to distance teaching, we offer the e-3Cs model, a research-based framework with flexible elements essential for promoting optimum distance interactions for K12 learning, more specifically applied to younger learners (K6). Serving as a tool for designing age-appropriate digital instruction while honouring and caring for affective domain needs of students, the model provides the necessary support for teachers in the purposeful design of digital learning communities.
Making ‘Math Making’ Virtual
Authors: Figg Candace , Khirwadkar Anjali , Welbourn Shannon
Published: September 2020

Due to the COVID-19 pandemic, university professors are challenged to re-envision mathematics learning environments for virtual delivery. Those of us teaching in elementary teacher preparation programs are exploring different learning environments that not only promote meaningful learning but also foster positive attitudes about mathematics teaching. One learning environment that has been shown to be effective for introducing preservice teachers to the creative side of mathematics—the mathematics makerspace—promotes computational thinking and pedagogical understandings about teaching mathematics, but the collaborative, hands-on nature of such a learning environment is difficult to simulate in virtual delivery. This article describes the research-based design decisions for the re-envisioned virtual mathematics makerspace.
How education can help shape a new story in a post-pandemic world.
Authors: Drake Susan , Reid Joanne
Published: September 2020

Globally, nations are grappling with massive social and economic disruptions and the disparities exposed by the COVID-19 pandemic. The world is in the middle of a wicked problem—one so complex that it is difficult to find a solution. The “Story Model” was developed as a transdisciplinary curriculum model and a collaborative problem-solving model for K to 16. The model can address wicked problems in ways that traditional problem-solving procedures cannot because it allows for messiness, multilayered complexity, and a big picture perspective. With a deeper understanding of the interdependent and interconnected patterns occurring both locally and globally, educators and students alike can contribute actively to shaping a new story that reflects their values, beliefs, and actions.
Assessing Higher Education in COVID-19 Era
Authors: Kumar Rahul
Published: September 2020

COVID-19 has changed how universities operate. The changes are in all spheres and caused by demands of social distancing rules predominantly mediated by various digital technologies. Applying Bauman’s (1993) ethics of technology on newly initiated assessment practices, this article raises ethical concerns of relying on solutions solely manufactured by technology companies without professors’ and students’ input, various considerations of privacy, and overall ethical concerns that the use of any new technology raises. The article concludes by beseeching all stakeholders to collaborate to construct the tools for tomorrow that meet pedagogical needs without compromising Bauman’s ethical concerns.
中国德州市陵城区 2020 年高标准农田建设项目方案分析
Authors: 马 振斌 , 吴 琼
Published: September 2020

为提高陵城区高标准农田建设，中国德州市陵城区按照上级要求，经调查研究和科学论证，启动了陵城区 2020 年高标准农田建设项目。论文介绍了项目区的概况，分析了存在的问题，提出了工程建设方案。
生态水利工程与水资源保护探讨
Authors: 李 璐璐
Published: September 2020

水资源分配不均，人均占有量少是中国水资源的基本情况。近些年来，在经济持续快速增长的过程中，中国生态环境受到了较为严重的破坏，出现了资源不合理开发、污染问题突出等现象，造成了资源紧缺的问题。水资源开发利用不合理的问题是中国当前急需解决的重点问题之一，随着近年来中国生态水利工程的建设，逐渐推动水资源的利用向着可持续的方向发展，能有效解决当前中国水资源面临的污染问题，满足人们日常生产生活的水资源需求，同时还具有水资源的调配作用，改善水资源分布不均所带来的影响，优化水资源的配置，提高水资源利用率，改善水资源发展现状，促进生态平衡。论文从生态水利工程与水资源保护的角度进行了探讨，研究具体的实施方案。
中国德州市陵城区建设节水型农业规划思路
Authors: 徐 洪园
Published: September 2020

为建设中国德州市陵城区节水型农业，陵城区结合实际情况，对农田水利工程建设进行了规划。论文介绍了陵城区水资源开发利用现状，分析存在的问题，提出了节水型农业建设规划思路。
POR QUE HAVERIA NO BRASIL UM SISTEMA DE REVISÃO JUDICIAL SUPERFORTE? A ANÁLISE DO CONTROLE DE CONSTITUCIONALIDADE E O PROTAGONISMO DO PODER JUDICIÁRIO
Authors: Novais Cabral Ana Luiza , Duarte Ribeiro Sidiney
Published: September 2020

O artigo analisa os aspectos relativos ao modelo brasileiro de controle de constitucionalidade, sendo debatido o nítido protagonismo do STF. A pesquisa se pautou em aderir uma acepção mais delineada entre ambos os instrumentos. O debate se demonstra relevante em torno do judicial review e sua possível fragilidade frente à democracia a partir da perspectiva de Mark Tushnet. Desta forma, o sistema de controle de constitucionalidade no Brasil, demonstra-se como um poder de revisão judicial superforte, onde a tensão entre sua atribuição judicial de garantia da permanência das limitações constitucionais se eleva ao último grau.