bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan Pengetahuan dan Sikap Ibu Nifas dalam Melakukan Perawatan Luka Pereneum di Praktek Mandiri Bidan Leli Kecamatan Datuk Tanah Datar Kabupaten Batu Bara Tahun 2022
Authors: Susilawati Susilawati  , Deby Cyntia Yun  , Lasria Simamora  , Retno Wahyuni
Published: August 2024

BACKGROUND  Postpartum infections still play a role as the main cause of maternal death, especially in developing countries like Indonesia. This problem occurs as a result of midwifery services which are still far from perfect. Other factors causing postpartum infections include poor immune system, poor postpartum care, malnutrition/ malnutrition, anemia, poor hygiene, and fatigue. As a result of improper care of the perineum, it can result in the condition of the perineum being affected by locchea and moisture which will really support the growth of bacteria which can cause infections in the perineum. Infection not only hinders the wound healing process but can also cause damage to the supporting cell tissue, thereby increasing the size of the wound itself, both in length and depth. The causes of maternal death in Indonesia are still dominated by bleeding (32%) and hypertension in pregnancy (20%), followed by infection (5%), prolonged labor (10%), and abortion (5%) apart from obstetric causes, maternal death is also caused by other causes (non-obstetric) amounting to 35% (Indonesian Health Profile, 2019).OBJECTIVE: Knowing the relationship between knowledge and attitudes of postpartum mothers in caring for perenium wounds in the independent practice of Leli midwives, Datuk Tanah Datar sub-district, Batu Bara Regency in 2022. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. RESULTS: knowledge of postpartum mothers and attitudes of postpartum mothers in caring for perennial wounds in the independent practice of Leli midwives, Datuk Tanah Datar subdistrict, Batubara district in 2022. Suggestions are given for research and for research sites and for educational institutions regarding perennial wound care. Suggestions are given for research and for research sites and for educational institutions regarding Bounding Attachment.
Asuhan Kebidanan Komprehensif Pada Ny. F Umur 26 Tahun G2p0a1 Presentasi Bokong Dengan Persalinan Sectio Caesarea Di Wilayah Kerja Puskesmas Bumiayu Kabupaten Brebes Tahun 2023
Authors: Tika Arniza Meidina  , Endang Susilowati  , Nurhidayah Nurhidayah
Published: August 2024

Breech presentation is a pregnancy with an elongated position og the baby where the fetal head is in the fundus and the buttocks are the lowest part of the fetus and most fetuses can carry out a spontaneous version of cephalic presentation at term. Pregnancies with breech presentation with a total of 229 people (Indonesia health profile, 2020). Based in the results of pregnancy, childbirth, newborn, postpartum and family planning care, there was only a problem during the first pregnancy visit at 34 weeks of gestation, namely breech presentation. The researcher implemented comprehensive midwifery care using Varney dan SOAP documentation. This research aims to enable pregnant women to know and understand the location, prevention and treatment. This research uses a qualititave descriptive method with a case study approach. Data collection uses interview methods, observation, physical examination, supporting examinations, medical records, KIA books and other literature. Conclusions in the research can be concluded that health research can broaden the knowledge of pregnant women and can also understand the importance of the dangers of breech presentation delivery.
Hubungan Pengetahuan Dengan Kepatuhan Karyawan Dan Tenaga Kesehatan Terhadap Protokol Kesehatan Era New Normal Di RS Graha Medika
Authors: Hadi Nur Efendi  , Andi Wapa
Published: August 2024

This research began with problems in the field which indicated a lack of awareness among health workers and personnel regarding health protocols in the new normal era. This research aims to determine the relationship between knowledge or education and compliance among employees and health workers. This research uses quantitative methods by testing the relationship between variables. The research location was Graha Medika Hospital with a population of 187 and a sample of 90 using random sampling techniques. The data collection technique uses a questionnaire type with attention to validity and reliability tests. As for the results of this research, there is a significant relationship between knowledge or education and compliance by employees and health workers in maintaining health protocols. This is indicated by the statistical test results of P-Value 0.031 < 0.05.
Manajemen Fisioterapi Dengan Short Wave Diathermy (SWD) Dan Terapi Latihan Pada Kasus Post Closed Reduction Shoulder E.C Fracture Tuberculum Majus Os. Humerus
Authors: Annisa Khalifatul Husna  , Nungki Marliyani
Published: August 2024

Introduction: A humerus fracture is a fracture of the longest and largest bone in the superior extremity which is caused by direct or indirect impact or trauma and can cause damage to bone fragments, and affect the function of the musculoskeletal system which influences activity tolerance so that it can affect the sufferer's quality of life. Objective: Physiotherapy plays a role in reducing pain and overcoming impairment and activity limitation disorders so that it can restore a person's functional ability and quality of life. Method: The method used in this research is a case report where this research involves a woman with the initials Mrs. S, 73 years old, is one of the outpatients at the Medical Rehab Installation at Ngudi Waluyo Regional Hospital. Results: The physiotherapy intervention program in the form of SWD and exercise therapy was given 3 times to Mrs. S at Ngudi Waluyo Regional Hospital showed a decrease and increase in the range of motion of the shoulder joint.
Analisis Penerapan K3 di Pabrik Perkebunan Sawit
Authors: Nur Elviyani Sinaga  , Tri Rahma Sintia  , Rizka Aulia  , Sri Hajijah Purba
Published: August 2024

. Implementing a culture of safety or safe work in oil palm plantations is very difficult for the workforce, especially those with low education. The palm oil industry faces many risks, including heat exposure, heavy workloads, exposure to hazardous chemicals, fires, and accidents due to heavy equipment. OHS is still seen as a cost and not an investment to prevent work accidents in companies or industries. The purpose of this study was to summarize the journal and find important information about the implementation of OSH in palm oil mills. In writing this journal, a literature review approach was used. The journals used in this study came from journals accessed through Google Schoolar. The results showed that there are several factors that cause To conduct this research, the activities needed to identify risks in the work process, such as fire, fall risk, heat exposure, chemical exposure, and occupational accidents. To conduct this research, the necessary activities to identify risks in the work process at the.
The Effects Of Early And Delayed Palatal Repair On Maxillary Growth And Speech Outcome In Unilateral Cleft Lip And Palate Patients: A Systematic Review
Authors: Raden Ratu Kania Tiaraningrum  , Made Surya Dharmawan  , Ida Ayu Cempaka Dewi Yatindra  , Ratna Rayeni Natasha Rooseno
Published: August 2024

Some cleft clinics use a two-stage method to correct the cleft palate, which helps avoid reduced maximum growth after early hard palate surgery and impaired speech development after late soft palate repair.. This study sought to evaluate the effects of early vs late palatoplasty on speech and maximum growth results. The following databases were searched: Cochrane Library, Science Direct, Pubmed, and NCBI. The primary objective of this study was to determine whether unilateral, non-syndromic cleft lip, alveolus, and palate patients who underwent early or late hard palate surgery before or after 18 months of age had an impact on speech and maxillary development. Things like case studies, reviews, editorials, textbooks, and studies conducted on animals weren't included. The following systematic observations consist of eight studies. Most studies had methodological quality that ranged from fair to good. This review discusses the experience of cleft centers using a variety of one and two stage palatoplasty procedures and timing, and shows inconsistent results regarding maximal progression. The seemingly inconsistent results of the studies included in this observation of speech outcomes suggest that there is insufficient evidence to conclude whether one- or two-stage palatoplasty has a significant effect on maximal development for a variety of reasons. The review provides inconclusive evidence on the impact of hard palate repair timing on facial growth and speech outcomes in unilateral cleft lip and palate patients, highlighting the need for further controlled studies.
Pengaruh Terapi Akupresur Titik PC6 dan ST36 Dalam Mengurangi Mual Muntah Pada Ibu Hamil Trimester I
Authors: Amey Adela Devada  , Sri Kustiyati
Published: August 2024

Perubahan tubuh dan perasaan pada 90% wanita hamil sering kali menyebabkan ketidaknyamanan, terutama mual muntah pada awal kehamilan. Mual muntah yang berlebihan dapat menyebabkan hiperemesis gravidarum, dehidrasi, dan komplikasi lainnya. Mual dan muntah dapat dikurangi dengan terapi akupresur pada titik PC6 dan ST36. Pemblokiran stimulasi mual merangsang nitric oxide dalam tubuh, yang meningkatkan motilitas usus, sehingga mengurangi frekuensi mual pada ibu hamil. Stimulasi pada titik PC6 dan ST36 menyalurkan energi ke organ Zang Fu terkait, sehingga aliran Qi dan darah menjadi normal, fungsi organ Zang Fu seimbang, dan mual muntah berkurang. Penelitian ini untuk mengetahui pengaruh akupresur titik PC6 dan ST36 dalam mengurangi mual muntah pada ibu hamil trimester I. Penelitian ini menggunakan desain pre-eksperimental dengan one group pre-test post-test. Sampel yang didapatkan dari rumus Slovin adalah 26 ibu hamil trimester I dengan teknik consecutive sampling. Hasil penelitian menggunakan uji Wilcoxon menunjukkan nilai p-value < 0,05 (0,000 < 0,05), yang berarti ada pengaruh terapi akupresur titik PC6 dan ST36 dalam mengurangi mual muntah pada ibu hamil trimester I.
Penyuluhan Fisioterapi K3 Dalam Upaya Melakukan Preventif Dan Promotive Low Back Pain Di Penjahit Sartika Express Samarinda, Kalimantan Timur
Authors: Bungan Yepinrigaseva  , Siti Nur Rahimatus Shifa  , Syarif Hidayatullah
Published: August 2024

Introduction: Jobs in long static positions, such as tailors, can cause musculoskeletal disorders (MSDs). MSDs are caused by unergonomic work postures, long work durations, and monotonous movements, resulting in loss of productivity and health problems. In Indonesia, the prevalence of musculoskeletal diseases is around 7.30%. Tailors often experience stiff posture and static muscle loads, causing muscle pain and stiffness in the waist and lower back. Objective: To provide preventive and promotional services and understanding of low back pain to tailors at Sartika Express, Samarinda, East Kalimantan. Method: This counseling is carried out by a health promotion method about low back pain which is carried out with presentations and using flyer media to facilitate education, this aims to understand the tailors, after that conduct a question and answer session to find out the condition and complaints of the tailors and then, educate with exercises and management that can be done independently. Conclusion: The counseling process went well, the tailors were able to follow and understand the exercises that had been taught, this activity got results in the form of understanding related to the exercises that had been taught from 0% to 100% after the counseling was carried out so that it could help the tailors prevent low back pain
Penerapan Ular Tangga Sebagai Media Memperbaiki Tanda & Gejala Risiko Perilaku Kekerasan pada ODGJ di Rumah Sakit Jiwa Palembang
Authors: Dini Anggraini  , Aprida Manurung  , Bangun Dwi Hardika
Published: August 2024

The risk of violent behavior is the result of anger or fear which is a response to feelings of threat, which will show several signs and symptoms such as sharp gaze, stiff body posture, red face and harsh words, so intervention is given using the media using snakes and ladders to improve the signs and symptoms. violence. Aiming to improve the signs and symptoms of violent behavior through modality therapy using the snakes and ladders game, the method used is a case study to explore nursing care to improve the signs and symptoms by observing and pre-test and post-test checklists on clients with violent behavior. The results of the implementation that had been carried out were a decrease in 14 signs and symptoms of violent behavior, in patient I there was a decrease in 4 out of 6 signs and symptoms, in patient II there was a decrease in 7 out of 10 signs and symptoms, in patient III there was a decrease in 3 out of 5 signs and symptoms. , patient IV experienced a decrease in 6 of 9 signs and symptoms, patient V experienced a decrease in 4 of 7 signs and symptoms and patient VI experienced a decrease in 4 of 9 signs and symptoms of violent behavior. So there is an influence on the application of the snakes and ladders game media to improve signs and symptoms in patients with violent behavior.
Pemanfaatan Birth Ball dalam Kala Satu Persalinan untuk Mempercepat Penurunan Kepala Janin
Authors: Nazla Anugerah Widia Hendri  , Jumiati Jumiati
Published: August 2024

The aim of this research plan is to determine the effectiveness of using a gym ball on lowering the head in pregnant women and speeding up the duration of labor. The method in this research is a case study using qualitative descriptive methods. The place of implementation is at PMB Rosita S.Tr Keb which is located at Citra Kencana Housing, Jl. Taman Karya No.17, Tuah Karya, Kec. Handsome, Pekanbaru City Riau 28293, Indonesia. The research was conducted on Mrs.  The types of data used are primary data and secondary data. Other research results indicate that the Pelvick Rocking Exercise can speed up the first stage of the active phase of labor in multigravida mothers. This is similar to the results of research which also shows that the gym ball technique with pelvic rocking can speed up the length of labor in the first stage of the active phase by 52.61% and in terms of descent and rotation of the fetal head at the beginning of the active phase (dilatation: 3-5 cm) and the second stage.
Kajian Penggunaan Matriks Pada Formulasi Tablet Lepas Lambat
Authors: Tarizza Puspa Anggrelia  , Amelia Saputri Ginting  , Yeka Khafidz Illa Rosyidah  , Maratul Istifadah  , Faizal Agustino  , Dewi Rahmawati  , Yani Ambari  , Marthy Meliana Ariyanti Jalmav  , Muhammad Fithrul Mubarak
Published: August 2024

This research discusses the use of matrices in sustained-release tablet formulations to optimize the active substance release profile. Extended-release tablets are a type of tablet formulation designed to release the active substance gradually in the body over a certain period of time. The main purpose of sustained-release tablets is to maintain drug levels in the blood or target area over a longer period of time, compared to conventional tablets which release the active substance quickly after ingestion. The method used in this research is a qualitative approach which aims to deepen an in-depth understanding of the phenomenon being studied. As a result, selecting the right type of matrix proves to be crucial in achieving the expected therapeutic effectiveness. Polymer matrices, both natural and synthetic, play an important role in controlling the stability and efficiency of tablets and their ability to gradually release active substances.
Gambaran Pengetahuan, Sikap, dan Tindakan Ibu dalam Upaya Pencegahan Acute Kidney Injury (Gagal Ginjal Akut) Pada Anak di Wilayah Kerja Puskesmas Mokoau Tahun 2023
Authors: Grysh Claudia Suharmin  , Hartati Bahar  , La Ode Liaumin Azim
Published: August 2024

Acute Kidney Injury (AKI) in children is a global concern, with cases reported in Panama, India, Haiti, and Nigeria. In Indonesia, the incidence significantly increased in 2022, raising concerns about the importance of prevention. This study aims to describe the knowledge, attitudes, and actions of mothers in preventing Acute Kidney Injury (AKI) in children in the working area of Mokoau Health Center in 2023. The research method used is descriptive qualitative with a phenomenological approach. Data were collected through interviews with five mothers of children aged 0-5 years and one general practitioner at Mokoau Health Center. The findings indicate that mothers' knowledge of Acute Kidney Injury (AKI) is still limited, and their attitudes are generally concerned but not very proactive. Preventive actions taken are still suboptimal, with mothers often relying on self-care before seeking medical help when the condition worsens. This is due to the lack of available information and insufficient access to adequate health education. These findings highlight the need for enhanced health education to improve awareness and the effectiveness of preventive measures among mothers.
Effects of noise on information corruption in the quantum teleportation algorithm
Authors: Sudarshan Neha , Hoffman Anthony
Published: August 2024

In the quickly growing field of quantum computing, interference called “noise” causes discrepancies within the results of a quantum experiment. We aimed to observe the effects of noise on the quantum teleportation algorithm, which is used to transport the quantum state of one qubit to another qubit over distances. When the information in the teleportation algorithm is passed through noisy channels, the data can easily become corrupted. We conducted this study in order to observe the effects of noise on the information that travels through these channels. We aimed to understand the nature of the data corruption to help create improved and more faithful methods of data communication. Prior to conducting this study, we expected that the noise would have the most effect on the real and simulated backends and the least effect on the perfect backend. Through this study, we ran teleportation circuits on three different backends (a perfect simulation, a noisy simulation, and the real hardware) and compared the final results with our expected states. We observed that the predicted effects of noise on the information is accurate in some respects but that noise has the potential to drastically alter and corrupt the data. Moreover, the real hardware we used was far more susceptible to noise interference than the simulations. Our findings indicate that, to prevent the information from being compromised, other methods of noise reduction must be employed in conjunction with the quantum teleportation algorithm.
Violence Under The Regulation Of The New Criminal Code Of The Republic Of Armenia
Authors: Tumasyan Davit
Published: August 2024

Considering that the definition “violence” received a new interpretation in the new RA Criminal Code, which entered into force on July 1, 2022, it became necessary to consider the content of this definition and the possibility of its application within the framework of the Аrticles of the Special Part of the RA Criminal Code. This issue has become more relevant due to the differences in the interpretation of the definition “violence” enshrined in Article 3 of the RA Criminal Code, and the term previously given by the RA Court of Cassation on November 1, 2012 in the criminal case ԱՐԴ/0176/01/11 in relation to Arevik and Tsovinar Sahakyan: especially since practice not only accepted the position of the indicated RA Court of Cassation and widely applied it. As a result of the comprehensive analysis carried out in this context, implementing the goals of this study, recommendations of both a legislative and practice were presented. It is undeniable that intentional physical influence on another person against his/her will or regardless his/her will, or causing him/her physical harm in this way is considered violence, however, this definition doesn’t completely solve the issues posed by the RA Criminal Code, and doesn’t satisfy the requirements of certain Articles of the Special Part of the RA Criminal Code. Consequently, on the basis of the presented recommendations, it will be possible not only to clarify the existing confusion that arises between the analyzed definitions, but also, by applying the presented interpretations in practice, to form a judicial-investigative practice that will comply with legislative norms and is based on the principles of law.
The article examines the problem of the definition “violence” of practical and theoretical significance, based on which the article can be useful to both theorists and practitioners. The presented comments can be effective for formulating further decisions of the RA Court of Cassation, as well as for specialists carrying out legislative activities.
Bodies Authorized To Be Released From Criminal Liability On The Basis Of Effective Repentance
Authors: Hambardzumyan Virab
Published: August 2024

The article refers to the actual problems of exemption from criminal liability on the basis of effective repentance. It is aimed at analyzing the problems that have arisen during the application of this tool-the circle of bodies (persons) who have the authority to be released from criminal liability on the basis of effective repentance, its application by the court and other interrelated issues.
In the course of the application of the new criminal and Criminal Procedure legislation of the Republic of Armenia, different approaches have appeared regarding the range of bodies (persons) authorized to use this tool, its application by the court and other interrelated issues. Within the framework of this article, the actual problems of exemption from criminal liability on the basis of effective repentance were analyzed and reasonable proposals for ensuring uniform practice were presented.
ÁP DỤNG ĐỊNH NGHĨA SEPSIS-3 VÀ qSOFA TRONG CHẨN ĐOÁN NHIỄM KHUẨN HUYẾT Ở BỆNH NHÂN XƠ GAN
Authors: Phan Ngọc Phương Thảo , Du Trọng Đức , Phạm Trần Diệu Hiền , Đào Bách Khoa , Nguyễn Thành Công , Lê Đỗ Đình Nguyên , Bùi Thị Hồng Hạnh , Hồ Đặng Trung
Published: August 2024

Mục tiêu: Đánh giá khả năng tiên đoán tử vong của tiêu chuẩn Sepsis-3 và thang điểm qSOFA trên bệnh nhân xơ gan có nhiễm khuẩn.Đối tượng và phương pháp: Nghiên cứu mô tả hàng loạt ca các trường hợp xơ gan có nhiễm khuẩn từ 18 tuổi trở lên từ tháng 5/2019 đến tháng 6/2020 tại Bệnh viện Bệnh Nhiệt đới.Kết quả: Trong 352 bệnh nhân xơ gan có tình trạng nhiễm khuẩn, ổ nhiễm khuẩn thường gặp nhất là nhiễm khuẩn tiểu (31,5%), theo sau đó là viêm phúc mạc (28,7%) và viêm phổi (18,5%). Vi khuẩn Gram âm chiếm ưu thế, trong đó Escherichia coli (40%), Klebsiella pneumoniae (13%) và Aeromonas spp. (8%) là ba tác nhân thường gặp nhất. Tỷ lệ tử vong chung là 8,8%. Tất cả bệnh nhân trong nghiên cứu đều được ghi nhận điểm qSOFA. Chỉ có 178/352 (50%) bệnh nhân thu thập được SOFA nền và được tính ∆ SOFA. Tại thời điểm dùng kháng sinh, qSOFA (OR = 2,04; KTC 95% 1,29 - 3,23; p = 0,002), ∆ SOFA (OR = 1,63; KTC 95% 1,24 - 2,14; p < 0,001) có mối liên quan có ý nghĩa thống kê với tử vong trong thời gian nằm viện. Không có sự khác biệt khi so sánh khả năng tiên đoán tử vong của hai thang điểm qSOFA (AUROC = 0,651) và ∆ SOFA (AUROC = 0,741), p = 0,8.Kết luận: Thang điểm qSOFA dễ thực hiện, có thể thu thập được ở tất cả bệnh nhân và khả năng tiên đoán tử vong của qSOFA không khác biệt so với tiêu chuẩn Sepsis-3. Do đó, có thể áp dụng tiêu chuẩn qSOFA ≥ 2 để làm thêm các xét nghiệm đặc hiệu để chẩn đoán nhiễm khuẩn huyết ở bệnh nhân xơ gan khi không có SOFA nền.
A review of community resilience indicators using a systems measurement framework
Authors: Dillard Maria K , Walpole Emily , Loerzel Jarrod
Published: August 2024

As natural disasters have increased in frequency and magnitude, there has been an increasing need to understand what underlying factors are likely to lead to faster recovery and more resilient communities. One way of addressing this need has been to develop sets of indicators or indicator indices that serve as proxy measurements for resilience, which is an emergent system property and cannot be directly measured. Once operationalized, resilience indicators can be used for planning, making funding decisions, and tracking program progress. Since all of these uses can have profound effects on community well-being, it is important that indicator selection involves stakeholders and is based on the best available science. For the latter criteria, this can be determined by assessing what evidence is used to justify indicator choices and validating candidate indicators on observed data. Previous reviews of resilience indicator frameworks have attempted to gauge the state of evidence used for indicator selection by looking for consensus of indicator choices across different frameworks. Similar to a multi-expert elicitation, it is inferred that agreement on an indicator among frameworks points to strong evidence that the indicator is a good measurement of resilience. Using a novel categorization methodology based in systems science, this study reviews a small set of resilience frameworks for indicator consensus. Compared to previous reviews, this methodology allows for clear distinction between consensus of concepts and consensus of indicators to measure concepts. Our results show two new insights. The first is that common usage of an indicator does not mean that agreement also exists on what the indicator is actually measuring. The second is that even if a common indicator has agreement on what concepts are measured, it is not guaranteed that this consensus is backed by high quality evidence. These results call into question the practice of reviewing many frameworks to identify common indicators during model development, and instead points to the need for more detailed assessment of background evidence and indicator validation.
O USO DE GESSO AGRÍCOLA NA PECUÁRIA
Authors: Sperançolo Martins Lorena , Da Costa Silva Maria Eduarda , Denise Vieira da Silva
Published: August 2024

O gesso agrícola, conhecido também como condicionador de solo promove melhoria das propriedades físicas, físico-químicas e da atividade biológica do solo. O seu uso na pecuária, proporcionará uma melhor alimentação para os bovinos, uma vez que o valor nutricional da planta forrageira será potencializado através da nutrição do solo. O gesso disponibiliza cálcio e enxofre ao solo, melhorando sua estrutura e permitindo que o capim desenvolva raízes mais profundas. Como resultado, as plantas serão mais resistentes ao veranico e demorarão mais para secar durante a seca, beneficiando o produtor rural.
Conocimiento y aceptación de la vacunación en estudiantes de una universidad pública de Tarma
Authors: Castro Galarza Cesar Raul , Canchari Fierro Yoselyn Ericka , Manyari Cervantes Galia Mavel , Huaman Huaman Mirian Lourdes
Published: August 2024

El objetivo de la investigación fue determinar la relación que existe entre el nivel de conocimientos y la aceptación de la vacunación en estudiantes de la Universidad Nacional Autónoma Altoandina de Tarma – Junín. La investigación es de enfoque cuantitativo, de nivel correlacional, de diseño No experimental: Descriptivo correlacional; la población de estudio lo constituyeron 132 estudiantes de la universidad, se tuvo una muestra de 99 estudiantes, para la recolección de datos se usó la técnica de la encuesta y el instrumento fue el Cuestionario de conocimiento sobre las vacunas y aceptación de la vacunación. El 36.36% de estudiantes tienen un nivel de conocimiento sobre las vacunas entre bueno y otro porcentaje similar tiene nivel de conocimiento regular, el 26.26% tiene un nivel de conocimiento malo y el 1.01% tiene nivel de conocimiento muy bueno. El 76.77% de estudiantes presenta una aceptación excelente a la vacunación, el 14.14% presenta una aceptación aceptable, el 8.08% presenta¿ una aceptación regular y el 1.01% presente una inadecuada aceptación. Conclusión: Existe relación positiva muy baja entre el nivel de conocimientos y la aceptación de la vacunación en estudiantes de la Universidad Nacional Autónoma Altoandina de Tarma – Junín.
Investigating Students` Competencies of English through Online Learning: Does It Jeopardize Students` Psychological Needs?
Authors: Indrawati  , Halfiziya Heleni
Published: August 2024

Covid-19 pandemic has totally transformed how teaching and learning implemented in the classroom. It urged the teachers to use technology in their learning. It’s not only about moving the offline class to the screen-tech class but it’s more about the capability of delivering the lesson through online platforms, such as Google Classroom. In fact, the problems encountered by teachers and learners are very complexed. It deals with the internet connection, teachers’ competencies in using the online platform, proper gadget, and students’ difficulties in customizing themselves to a new learning era. The latest is indeed affect their psychological need; their learning anxiety increased and some factors might influence the effectiveness of learning itself.  This study discussed how anxiety in learning can be a significant issue in creating a cozy learning atmosphere which is barely needed in making meaningful instructions
El Conocimiento de los Alumnos de Secundaria sobre la Acentuación Gráfica para su Desarrollo Académico
Authors: Carreta Sánchez Claudia Verónica
Published: August 2024

Este artículo de investigación se centra en la problemática educativa de la acentuación gráfica en alumnos de secundaria, una habilidad crucial para el desarrollo académico, especialmente en asignaturas de lengua y comunicación. Se analizan los resultados de diversas evaluaciones que reflejan la capacidad de los estudiantes para aplicar correctamente las reglas de acentuación, identificando los errores más comunes y sus posibles causas. Además, se exploran factores como la metodología de enseñanza, los recursos didácticos y las habilidades cognitivas y metacognitivas que influyen en el rendimiento escolar y el aprendizaje significativo de los alumnos. Se presenta una metodología basada en estudios cualitativos que incluye la revisión de evaluaciones nacionales y estudios previos sobre ortografía. Los resultados indican que la omisión de la tilde en palabras agudas es el error más frecuente, afectando al 71% de los estudiantes evaluados. También se examina la relación entre la ortografía y el desempeño en lectura y escritura, destacando que la habilidad ortográfica está intrínsecamente relacionada con la comprensión lectora y la reflexión sobre la lengua.
Dual Access Control for Cloud Storage and Sharing
Authors: T.S. Sandeep , Hegde Shreedhara N. , Pui Lin C.
Published: August 2024

In the field of distributed computing, a significant innovation is now being developed. The process of storing information is extremely difficult for every single person on the planet. Data storage and retrieval can be accomplished in the most straightforward and expedient manner possible through the utilisation of distributed computing. When it comes to distributed computing, security is the most important consideration. An alternative approach to provide access control for distributed computing is what this research work intend to illustrate. Distributed computing can benefit from this design's protective admission control. Additionally, it makes use of a watch and a progressive design in order to facilitate access control, that is more exact. It is possible for us to send, download, and erase papers to and from the fog with ease using this method.
Importance application discipline Yāma and Nyāma for yoga trainer in Bali
Authors: WIDYASTUTI NI PUTU , LUCKY JULIANT KRISNANINGTYAS DIVANDKA SAVITA
Published: August 2024

Background: Application discipline Yāma and Nyāma hold roles crucial for yoga trainers in Bali, good in development personal or professional. Yāma, which includes principles of ethics like ahimsa (without violence), satya (honesty), asteya (no stealing), brahmacharya (control self), and aparigraha (no greedy), purposeful For form moral character and integrity a yoga trainer . On the other hand , Nyāma, which consists from saucha (cleanliness), santosha (satisfaction), tapas (discipline), svadhyaya (study self), and Ishvara pranidhana (surrender to God), focuses on spiritual development and well-being inner. Practicing yoga trainer second principle This in a way consistent. Not only capable of creating an environment practice that is harmonious and conducive, but also plays a role as an example for his students. Method: This qualitative study examines how yoga trainers in Bali apply Yāma and Nyāma. Data were collected through in-depth interviews with 25 trainers, participatory observations, and documentation. Thematic analysis was used to identify and interpret key themes related to the application of these principles in teaching and personal development. Findings: Discipline Yāma and Nyāma help coach in controlling emotions, increase concentration, and maintain mental balance, which in turn increase quality yoga teaching. Additionally, implementation​ discipline also supports coaches in undergoing a healthy and sustainable, which is essential in maintaining stamina and energy positive . In Bali, it is known as a spiritual and cultural center, and applications to Yāma and Nyāma become more significant. Culture local rich with spiritual values are in line with the principles of yoga, so it makes it easier to coach For integrate discipline This in life daily. Conclusion: With internalization of Yāma and Nyāma, yoga trainers in Bali can enrich their spiritual experience, enhance professionalism, and deliver a more positive impact to the yoga community. Application discipline This Not only as moral rules, but as road comprehensive, reflective life​ harmony between body, mind, and soul. Novelty/Originality in this Study: This study crosses the line between ancient tradition and modern practice, revealing how the principles of Yama and Nyama translate into the lived realities of yoga instructors in Bali. By investigating the unique intersection of yoga philosophy, Balinese culture, and the global wellness industry, this study provides valuable insights into the adaptation and relevance of spiritual teachings in a contemporary context.
LES RUPTURES DU TENDON CALCANEEN : ASPECTS EPIDEMIOLOGIQUES ET CLINIQUES A PROPOS DE 23 CAS
Authors: DIOUF, et al Alioune Badara
Published: August 2024

Introduction : The rupture of the calcaneal tendon, alsoknown as the Achilles tendon, is a solution of total or partial continuity of the tendon. The objective of ourstudywas to describe the different epidemiological, clinical, therapeutic and functional aspects of thislesion.Matériels et méthodes : This was a continuousretrospectivestudy of 23 cases collected in the HALD orthopedicdepartment over a period of 09 years. Results : Our patients are dividedinto 18 men and 5 women. The meanagewas 38. 16 patients practiced a recreational sport and 7 patients weresedentary. The prevailingcircumstancesweresports accidents especially football gameswith 65.52 percent. Two patients hadankle fractures on the sameside of the lesion, only one patient wasdiabetic and anotherhad a history of calcanealtendonitistreatedwithcorticostero id infiltrations. The most important clinicalsigns for calcaneal rupture were the positive Thompson test in 21 patients (91.3 percent), Brunet Guedj'ssignfoundin 8 patients (34.8 percent), and the impossibility of monopod support in 16 patients (69.56 percent). The ultrasound and the standard face and profile radiographywereperformedin 17 and 19 patients, respectively.Discussion : The ruptures of the calcaneal tendon had been littledescribed in the literatureuntil the middle of the 20th century. Over the pasttwodecades, severalauthors have reported an increase in the incidence of ruptures of the calcaneal tendon. Diabetes, gout, systemic lupus erythematosus [73], corticoid infiltrations [80], Osgood Schlatter disease and all osteochondrosesshouldbesystematicallyinv estigated.Conclusion : The management of rupture of the calcaneal tendon remains a controversialsubject. The development of percutaneous and functional techniques has not yet made it possible to concludethat one treatmentissuperior to another. Key words: rupture, calcaneal tendon, accident, sport, corticoïd
EVALUATION DE LA DOULEUR POSTOPERATOIRE AUX URGENCES CHIRURGICALES DU CHU ARISTIDE LE DANTEC
Authors: LEYE, et al... Papa Alassane
Published: August 2024

Introduction:Postoperative pain (OPD) is a major concern of the patient after the procedure. Its management is part of a quality approach to perioperative care. The purpose of this study was to evaluate the management of the OPD in the ERU Aristide Le Dantec. Material and methods : This is a cross-sectional and descriptive double-survey carried out during a week during the month of May 2018 in the Surgical Emergencies of the Aristide Le Dantec Hospital: patient satisfaction survey on the management of their DPO and a survey of knowledge and Practices of Doctors enrolled in surgical DES providing guards. The questionnaires come from an evaluation tool proposed by a group of experts from SOFRED (French-speaking society for the study of pain) and Epicenter (European Expertise Group). Results : 32 patients responded to the patient questionnaire, 21 men and 11 women. DPO was the main concern in 50% of patients. 84.4% of patients had not received information on the management of their DPO. A DPO was found in 96.9% of patients, 67.7% of whom experienced severe pain. 22.6% of the patients were not relieved by analgesic treatment. 34 DES responded to the physician questionnaire. 76.5% of DES had not received DPO training. The DPO was evaluated by 91.2% of the DES whose 62.8% used simple interrogation. 52.9% of the DES revealed the lack of protocol prescribed for the management of the DPO. Conclusion : Our study reveals the lack of information to patients about the DPO, insufficient management of the DPO of the patients, the lack of training of the DES on the DPO and the absence of protocols prescribed for the DPO. Keywords: Postoperative pain, investigation, surgical emergencies
KYSTES ET FISTULES CERVICAUX CONGENITAUX A L’HOPITAL POUR ENFANTS DE DIAMNIADIO (SENEGAL) : ASPECTS EPIDEMIOLOGIQUES, CLINIQUES ET PRISE EN CHARGE
Authors:   Service d’ORL et Chirurgie cervico-faciale, Hôpital pour Enfants de Diamniadio, SY, et al.. Abdou
Published: August 2024

Introduction: Cervical cysts and fistulas are considered congenital anomalies localized in a tissue or organ of the neck. The aim of this work was to study the epidemiological and clinical aspects of cervical cysts and fistulas and to evaluate their management in the ENT department of Diamniadio Children's Hospital (Senegal). Patients and Methods: This was a retrospective and descriptive study, performed at the ENT department of Diamniadio Children's Hospital over a period of 4 years and 7 months from February 2013 to September 2017. All patients elderly 0-15 years, with the diagnosis of congenital cysts and/or fistulas, were included. Results: Cervical cysts and fistulas accounted for 1.87% of surgical indications in ENT. Patients aged less than 5 years were the most represented (68%) with a peak in 2-3 years. The sex ratio was 0.55. The majority of patients came from the suburbs of Dakar (51.6%). The most common clinical forms were distributed as: thyroglossal tract cyst (32.3%), preheliceal fistulas (19.4%), cystic lymphangiomas (19.4%). In all cases, the treatment was surgical, away from any infectious episode. The evolution was favorable in 93% of the cases. Conclusion: The prevalence of cysts and fistulas was low in our study and their management was consistent and in line with current standards. Keywords: congenital malformations; embryology neck; cysts and fistulas neck
ASPECTS EVOLUTIFS APRES TRAITEMENT CONSERVATEUR DES CANCERS DU SEIN A L’INSTITUT DU CANCER DE DAKAR. A PROPOS DE 72 CAS
Authors:   Service de Cancérologie- Hôpital Aristide Le Dantec de Dakar-Sénégal, DIENG r Mamadou Moustapha
Published: August 2024

Conservative treatment has become the standard treatment for early-stage breast tumors. It accounts for more than 75% of breast cancer treatments in developed countries and in our institution 6%. We studied the evolutionary aspects of breast cancer treated in a conservative modality at the Aristide Le Dantec Hospital Cancer Institute between 2000 and 2009. Objectives Describe the epidemiological profile, their evolutionary and therapeutic aspects. Methodology This work is a descriptive retrospective study of breast cancer patients selected over a 10-year period from January 2000 to December 2009 and treated conservatively at the Joliot Curie Institute in Dakar. Results We selected 72 patients out of 1100 cases treated for histologically confirmed breast cancer who had an initial conservative treatment representing 6.54%. The average age of our patients was 44.4 years. Quadrantectomy associated with axillary dissection was performed in 64 patients, or 89% of cases. Radiotherapy was performed in 53 patients, or 73.6% of cases. Twentytwo percent had locoregional recurrence (n = 16). Of the 16 patients who had recurrence, (87.5%) (n = 14) had local recurrence and 2 (12.5%) had lymph node recurrence in the internal breast chain. The average time to onset of recurrence was 17.44 months. Twenty-six percent (n =) had developed metachronous metastasis. The average time to onset of metastases was 22.63 months. The recurrences were treated by mastectomy followed by chemotherapy and radiotherapy in 8 patients, 5 patients underwent mastectomy followed by chemotherapy, 1 patient received chemotherapy alone, 1 patient received chemotherapy and palliative radiotherapy for recurrence at the the internal mammary chain and 1 patient lost to follow-up without treatment after recurrence. Metastases were treated according to different therapeutic strategies. Overall survival was 80% at 5 years and 10 years for patients with no recurrence and 37% at 5 years and 10 years for patients with recurrence. Conclusion Conservative treatment of breast cancer is possible. The results need to be improved by the generalization of mammography to discover early stages. The choice of a conservative treatment must take into account local relapse factors and diagnostic, therapeutic and follow-up means to avoid the occurrence of recurrence in order to improve patient survival.
ACOUPHENES REVELANT UNE DOLICHO-ARTERECAROTIDE INTERNE
Authors:   Service d’ORL – CCF, Hôpital Militaire de Ouakam, Dakar, Sénégal., THIAM Ndèye Fatou
Published: August 2024

Introduction : We report a case of left unilateral tinnitus revealing an internal carotid dolicho-artery. Case It was a 15-year-old patient who had consulted for left unilateral tinnitus, pulsating, disappearing at the pressure of the jugulo-carotidian axis evolving for 1 month. The tone audiogram and Doppler ultrasound of the neck vessels were normal. The angio-CT scan of the supraaortic trunks found a loop of the left internal carotid artery in its pre-petrous portion related to an internal carotid dolicho-artery. In collaboration with thoracic and cardiovascular surgeons, we concluded that there was a congenital anomaly and recommended therapeutic abstention with long-term monitoring. Conclusion : Tinnitus, from all causes, would affect 10 to 17% of the general population. 5% of these tinnitus are said to be objective and are related to specific etiologies that are predominantly vascular. The diagnosis of these tinnitus requires a rigorous approach. Treatment is that of the cause and often involves a multidisciplinary approach. Keywords: Objective tinnitus, carotid artery
LES PLAIES IATROGENES DES VOIES BILIAIRES (PIVB) LORS DES CHOLECYSTECTOMIES COELIOSCOPIQUES A DAKAR
Authors: TOURE, et al... Alpha Oumar
Published: August 2024

Introduction: iatrogenic bile ducts injuries (IBDJ) are quite rare complications occurring during laparoscopic cholecystectomy. Very few studies have assessed their impact on our operating conditions. Patients and methods: we conducted a retrospective study from September 2011 to December 2015 in the General Surgery department of Aristide Le Dantec Hospital, including all the listed cases of IBDJ occurring during cholecystectomies. We studied their prevalence, risk factors, diagnostic aspects and the management of these IBDJ. Results: during this period, out of a total of 169 cholecystectomies, 5 cases of IBDJ were identified, ie a prevalence of 2.9%. The risk factors found were inflammation (3 cases) and anatomical variations (2 cases). Three cases were post-operatively diagnosed and the other 2 were intraoperatively. The identified lesions all involved common bile duct with4 located under the convergence (3 types D and 1 type E1 of Strasberg) and 1 at the convergence (type E4). The surgical approach was alaparotomy in 3 patients and laparoscopy for the other. Immediate repair was carried out in 2 cases. As gestures, 2hepatico-jejunal anastomoses were performed, 2 direct suture of the lateral wound and two drainage procedures. The postoperative follow-up was marked by the occurrence of 2 bile fistulas spontaneously closed, and, of an angiocholitis after hepaticojejunalanastomoses without stenosis which progressed favorably under medical treatment. For the rest of the patients, the follow-up was uneventful and no death have been recorded. Conclusion: PVB is a rather rare complication of laparoscopic cholecystectomies. Their discovery can be made at different per- or post-operative moments conditioning diagnostic and therapeutic management with close multidisciplinary radio-medical-surgical collaboration. Keywords: bile duct injury; cholecystectomy; laparoscopy
COMPLICATIONS DES FISTULES ARTERIO-VEINEUSES POUR HEMODIALYSE CHRONIQUE AU SENEGAL: A PROPOS DE 354 CAS
Authors: Diop, et al Momar Sokhna
Published: August 2024

Summary Introduction: Chronic kidney disease (CKD) is a major public health problem. In sub-Saharan Africa its prevalence was estimated at 13.9% in 2014. Despite an increase in the number of kidney transplants, which is the best treatment for patients with CKD, chronic hemodialysis is still the most used treatment. Implementation of a hemodialysis treatment requires a vascular approach whose native arteriovenous fistula (AVF) provides the best access because of its low complication rate, its long-term use and its lower costs, compared to the graft arteriovenous and central venous catheter. Aims: This study was conducted to clarify: the different techniques for creating these arteriovenous fistulas for hemodialysis used in a context of a sub-Saharan African country, to report and analyze the various complications that pose a real problem for the sustainability of these AVFs and to specify the nature of their care in a sub-Saharan country such as the Senegal. Materials and methods: This was a monocentric retrospective, descriptive and analytical study of patients who had benefited from the support for a AVF complication during the 06-year period from January 2012 to December 2017 at FANN in Thoracic and Cardiovascular Department. Results: The number of cases included in the study was 354 cases of complications recorded on 280 AVFs in 200 patients with chronic renal failure or 1.4 AVFs complicated per patient. There was a female predominance with a sex ratio of 0.81. The average age of our patients was 46.95 years (11-87). Nephroangiosclerosis was the leading cause of chronic renal failure in our series (16.5%). One hundred and sixty-six of our patients were already on dialysis, including 161 on hemodialysis and 5 on peritoneal dialysis. Most of the complicated AVFs in our study were native (99.29%). Only 2 complicated AVFs were prosthetic (0.71%). The average lifespan of AVFs in our study was 3.7 months (0-73). Among the complications identified, early thrombosis was 52.1%, hemorrhage 24.6%, early infections 7.9%, late maturation 4.3 %, late thrombosis at 21.4%, aneurysms at 8.2%, false aneurysms at 5.7%, late infections at 3.9% and hight flow at 0.7%. Keywords : Arteriovenous fistulas, Complications, Senegal