bluuebunny/crossref_metadata_2025 huggingface dataset:
Rare Cause of Liver Cell Failure in Infants: Wolman Disease
Authors: Filali Imane , Aouraghe Hanae , Hmimidi Ikrame , Abilkassem Rachid , Agader Aomar
Published: August 2023

Wolman disease is an extremely rare hereditary metabolic lipid storage disorder, characterized by a total deficiency of lysosomal acid lipase (LAL), which leads to the accumulation of cholesteryl esters and triglycerides in the lysosomes, resulting in more or less progressive damage to numerous organs, thus presenting the patient with vomiting, diarrhea, and severe malnutrition. With a fatal outcome in the first months of life if untreated. We present the case of a two-month-old infant admitted for abdominal distension; physical examination revealed jaundice, hepatomegaly, and splenomegaly; biological investigations revealed hepatic cytolysis, anemia, and thrombocytopenia. Imaging studies showed bilateral calcifications of the adrenal glands. The diagnosis of Wolman disease was confirmed by measuring the activity of the collapsed lysosomal acid lipase.
Complex Fistula Management: Interval Tightening of Rubber Seton and Regular Wound Dressing Case Study
Authors: Imtiaz Farhan , Haque Md. Meshbahul , Nahid Towhidul Hasan , Karim Md. Romijul
Published: August 2023

Anorectal abscess and fistula in ano pose common challenges in colorectal surgeons. This case series of 25 patients with complex fistula in ano highlights the importance of precise preoperative evaluation, including imaging modalities such as CT scan and MRI. Surgical management involved the placement of cutting rubber setons in most cases, combined with a ten-day antibiotic course. Follow-up evaluations at six months revealed successful outcomes in terms of wound healing and continence maintenance through patient education on kegel exercises. This study emphasizes the significance of individualized treatment strategies and meticulous postoperative care for achieving favorable results in complex fistula cases.
Successful Cervical Epidural Blood Patch as a Treatment of Spontaneous Intracranial Hypotension - A Case Report
Authors: Cho Joonho , Kim Jimin , Lim Yun Hee , Lee Woo Yong
Published: August 2023

Background: Spontaneous intracranial hypotension can be a source of headache due to a continuous cerebrospinal fluid leakage. Case: A 33-year-old male patient with unremarkable history was presented with a headache, accompanying posterior neck stiffness and tinnitus lasting for 4 days. The opening pressure from cerebrospinal fluid tapping was 60mmH2O. Magnetic resonance imaging of the neck showed fluid collection at right C1-2 level, suggesting spontaneous intracranial hypotension. The headache did not respond to conservative treatments. Epidural blood patch was performed at C4-5 level. On postoperative day 1, remnant headache was only 20 percent and patient was discharged the day after. Conclusions: In spontaneous intracranial hypotension with leakage site at high cervical level, an epidural blood patch at a different cervical level can be safely performed to relieve the symptoms.
Bosworth Plasty: Experience of the Orthopedical and Traumatological Department of Ibn Sina Hospital, Rabat
Authors: Abakka M. , Ouagari H. El , Baidriss Y. , Loughzail R. , Mekkaoui M. J. , Bouffetal M. , Bassir R. A. , Kharmaze M. , Lamrani M. O. , Berrada M. S.
Published: August 2023

The old rupture of the calcaneal tendon can be explained by a lack of knowledge of the initial diagnosis, an ultrasound falsely reassuring or after the failure of an initial treatment. Before the third week, the direct suture is frequently possible. The chronic rupture is between the third week and the third month. Calcaneal tendon lengthening techniques can then be indicated if the loss of substance, which exceeds 2.5 cm. After three months, tendon retraction requires tendon reconstruction or transfer for treat the old break. A surgical indication can be justified in case of pain, instability or when autonomy may be compromised in the elderly subject. Many surgical techniques have been described. They use tendon transfers, autografts or synthetic ligaments. The repair technique using a reversal aponeurosis of the triceps sural was popularized by Bosworth.
Rare Case of a Bilateral Shoulder Dislocation in a 28 Years-Old Patient: About a Case and Review of the Literature
Authors: Abakka M. , Ouagari H. El , Baidriss, Y. , Loughzail R. , Mekkaoui M. J. , Bouffetal M. , Bassir R. A. , Kharmaze M. , Lamrani M. O. , Berrada M. S.
Published: August 2023

Pure anterior bilateral shoulder dislocations are rare clinical entities. About thirty cases are described in the literature. We report a case of a patient of 28 years old, with no known pathological history, who was received in the emergency room following a public road accident. We discuss the unusual mechanism of this trauma about this dislocation and its treatment.
Refeeding Syndrome in a Woman with Colorectal Cancer: A Case Report
Authors: Sriri I. , Ahallat A. , Laalim S. Ait
Published: August 2023

In digestive surgery, nutritional management of an undernourished patient is nowadays systematic and well codified, and must be part of the initial management measures. However, it is not always risk-free, as inadequately managed renutrition of a patient during a period of undernutrition, or during the post-operative period, can have deleterious clinic-biological manifestations, all too often ignored by practitioners, which we group together under the name of refeeding syndrome. Refeeding syndrome reflecting the transition from catabolic to anabolic metabolism usually occurs within five days of refeeding in patients who have undergone prolonged fasting or in a postoperative context including digestive cancer surgery. Patients may present with water-electrolyte disorders, in particular hypophosphatemia and/or hypokalemia and/or hypomagnesemia, thiamine deficiency, as well as neurological, pulmonary, cardiac, neuromuscular and hematological complications, which can lead to the patient's death. Here we present the case of a patient who underwent surgery in the General Surgery Department at Mohamed 6 University Hospital in Tangier for colorectal cancer. The patient subsequently developed an inappropriate refeeding syndrome accompanied by shock and altered consciousness in the postoperative period. Unfortunately, the patient passed away within a few hours following these complications. This is a cause of mortality that can occur without any surgical complications but remains underdiagnosed in daily practice. The management of this syndrome involves first of all the identification of patients at risk and the prevention of it by careful clinic-biological monitoring, including special hydro electrolyte monitoring, as well as the development of feeding reintroduction protocols tailored to each patient's needs.
Comparative Assessment of the Effects of two Vegetation Zone Forests on Plant Litter Quantity and Quality in Taraba State, Nigeria
Authors: M. Soba T. , S Abdulazeez B. , I Ndagi H.
Published: August 2023

The study was carried out to assess plant litter quantity and quality between montane and high forest zones of Taraba State, Nigeria. Two forest reserves were randomly selected out of the forest zones in Taraba State for this study; the forests were River Amboi and Ngel Yaki forest reserves for high forests and montane forest zones respectively. Two 10 kilometers line transects were established in each of the forest reserves along which 20 m x 20 m plots were laid at 2 kilometers intervals. Plants litter samples were systematically collected from each plot for onward transfer to the laboratory for analysis using standard laboratory procedures. Plant litter was analysed for litter quantity and quality parameters. Student’s t-test and Pearsons correlation coefficient were used to compare and determine the relationship between the plant litter parameters assesed respectively between the two forest zones. There was significant difference in plant litter quantity (P<0.05) between Montane forest (0.6630) and High forest (0.5040). The distribution of litter quality, Mg (0.000) and Na (0.000) showed that montane forest significantly higher than the high forest (p ˂ 0.05). Organic carbon (0.357), Total nitrogen (0.598), available Phosphorus (0.662), K (0.428), Ca (0.531), and S (0.564) show no significant differences (p ˃ 0.05) between the montane and high forest zones. The result showed that in montane forest correlation between Na and Ca were significant (0.684) at (p ˂ 0.05). However, litter quantity and available phosphorus was significantly and negatively correlated (- 0.655) at (p ˂ 0.05). At high forest K and organic carbon was significantly and negatively correlated (- 0.644) at (p ˂ 0.05) litter quantity and TN also showed significantly and negatively correlation (- 0.751) at (p ˂ 0.05). Inclusion montane forest had higher litter quantity and quality than high forest.
Intrusion of over erupted Mandibular Molar using Single Buccal Shelf bone screw & Modified Lingual Arch
Authors: NE Kolge , VJ Patni , VK Ravindranath , LW Rodrigues , AA Jain , MM Lodd
Published: August 2023

The present paper describes a technique for the intrusion of over erupted Mandibular Molar using a single Buccal Shelf screw and a modified lingual arch. The objective was to incorporate only a single Buccal shelf screw, with a higher success rate than inter-radicular screws along with a modified lingual arch, which is more comfortable to the patient and convenient for the operator, compared to a two-screw technique for intrusion.
Lactobacillus Probiotics and their Impact on Periodontal Diseases
Authors: Camarena Angélica Hurtado- , Higuera Nicolás Serafín- , Cortez E. G. Chávez- , Rubio Viviana Pitones-
Published: August 2023

The alteration of the eubiosis of the oral microenvironment, together with other risk factors, promotes the development of the most common chronic inflammatory diseases in the oral cavity, gingivitis, and periodontitis; they are characterized by the destruction of the gingiva and underlying tissues that support and house the teeth. Because of this, a patient without timely and adequate treatment can lose teeth. The elimination of supragingival plaque, scaling, and root planing, combined with antibiotics in some cases are the treatments for these diseases and are focused on controlling the growth of microorganisms considered pathogenic periodontal. This study reviews the literature on the use and effect of probiotics as a treatment alternative for periodontal diseases in various types of trials. In recent decades, bacterial resistance has increased over the years and has motivated the search for alternative methods such as probiotics, among which are bacterial species of the genus Lactobacillus. They have even been shown to be effective in periodontal diseases by controlling the growth of etiological agents and reducing the inflammation of the tissues affected by periodontal diseases.
Analysis of Success Dimensions: Financial Information System at the Directorate General of Livestock and Animal Health of the Ministry of Agriculture
Authors: Mawardi Arif , Hidayatullah Syarif , Respati Harianto
Published: August 2023

According to the Letter from the Director General of the Treasury of the Ministry of Finance Number: 51 / PB / 2021 dated February 22, 2021, the Agency-Level Financial Accounting System (SAKTI) is an application that budget recipients from the State Budget (APBN), Directorate General of Livestock Health, the Ministry of Agriculture are required to use. The author examines the fixed asset module from a variety of modules in SAKTI, such as the Receivables Module, Inventory Module, Fixed Asset Module, Reporting Module, Budgeting Module, Commitment Module, Treasurer Module, Payment Module, and Administration Module. The author analyzes the fixed asset module as an end user, so hereby the author tries to make Information Quality, System Quality, Service Quality, User Satisfaction and Net Benefits as variables, therefore the success of the Delone and Mclean approach model information system on SAKTI makes assessment indicators on SAKTI.
Considerations in the Area of Management: Directions and Currents
Authors: MA Sławomir Zawada,
Published: August 2023

Management science is a discipline that is designed for practical application. The origins of the economic stream were given by F. W. Taylor and the administrative stream by H. Fayol. For several decades, both currents have integrated into the systemic current. The determining factor for changes in organizations is the oscillating environment, which in the literature is referred to as the VUCA condition.
دور هيئة النزاهة الاتحادية وديوان الرقابة المالية في مكافحة الفساد
Authors: حامد هادي عبدالله أل عمر حامد هادي عبدالله أل عمر
Published: August 2023

الفساد الإداري والمالي هو اخطر انواع الفساد ، لأنه يمس هيبة الدولة من خلال الوظيفة العامة والوظيفة في القطاع الخاص ، علما أن الوظيفة العامة تعد من الركائز الأساسية والضرورية لكيان المجتمع لأنها تدير المرافق الحيوية وتعمل على إشباع الحاجات ، ولا شك إن الوظيفة العامة تقوم بها هيئات وكذلك دوائر الدولة ومؤسساتها وتسمى هذه المؤسسات في القانون بالأشخاص المعنوية ، وهي تحتاج لمن يعبر عن إرادتها ويقوم مقامها في الأعمال القانونية والأعمال المادية فضلا عن تمثيلها أمام القضاء سواء المدعي أم المدعى عليه ؛ إذ إن الموظفين هم الذين يقومون بهذا الدور الرائد في بناء المجتمع وتنميته
Connectivity in Early Childhood and Primary Education
Authors: Thuy Nguyen Thi
Published: August 2023

The connection between early childhood education and primary education is a crucial condition for preparing children for school and providing essential support for the content, methods, and organization of the educational process within schools. The connectivity between early childhood and primary education relates to establishing relationships to address consistent issues in childcare and education. This includes the relationship between educational content and the methods of its implementation. Essentially, connectivity represents the relationship between preceding educational stages and the subsequent stage, inheriting specific characteristics from prior experiences into the future. According to experts, the key to connectivity lies in resolving the conflicts between the care and education of children in early childhood and primary school. This article analyzes the theoretical basis of connectivity from early childhood to primary education. Additionally, it identifies the necessary conditions and provides some recommendations for implementing connectivity to ensure the optimal development of children.
The Digital Transformation of Diplomacy: Implications for the African Union
Authors: Manuwa Toye
Published: August 2023

The digital transformation of diplomacy is a rapidly evolving process that is having a profound impact on the way countries interact with each other. The African Union (AU) is no exception, and the digital transformation of diplomacy is presenting the AU with both opportunities and challenges. The study therefore examines the digital transformation of diplomacy with particular reference to its impacts for the African Union. To achieve this, a literature review type of research design was adopted, while the related literature, texts, books, articles and journals were used as source of data collection and analysis. The study observes that the African continent lags behind other regions in its digital development, yet there are opportunities for digital diplomacy to promote peace and security in Africa. Recommendations were made on how the AU can maximize the benefits of digital transformation and minimize the risks, which invariably will help the AU to achieve its goals of unity and integration and to play a more effective role in the global arena.
Social Representation of the Environment and Perception of the Mining Industry in Cote d'ivoire: The Case of the People of Agbaou in the Sub-Prefecture of Didoko
Authors: Fatoumata Kone
Published: August 2023

Since the 1990s, there has been significant development of the mining sector in West Africa (Soro, 2011). Côte d'Ivoire, which has significant mining potential, intends to use this sector as a vector for economic and social development, to make up for the shortcomings of the agricultural sector, which for decades was considered to be a pillar of development. However, the Ivorian mining industry also faces recurrent protests from local populations (Gnamien, 2014). Given the strategic importance of this sector, it is necessary to gain a better understanding of the social representations of these populations in the face of the social and environmental challenges posed by mining projects. This study therefore sets out to understand the ideologies associated with the mining industry by local communities. It focuses on the specific case of Agbaou Gold Operations (AGO), which operates the Agbahou gold mine in the Divo department and has repeatedly experienced social tensions surrounding its activities. Using a methodology based on literature review, observation, interviews and, as an analytical tool, thematic content analysis, this study enabled us to understand the dynamics of the social and political context in which the mine operates. This study enabled us to understand the socio-environmental dynamics induced by AGO's activities as perceived by local populations.
Stages of Government Administrative Fast Services in the COVID-19 Pandemic in Probolinggo District
Authors: Widiarto Rochmad , Ngarawula Bonaventura , Prianto Budhy
Published: August 2023

This research aims to describe and analyze the implementation of LAPAK. This study uses a qualitative research approach to analyze the Miles Huberman Model. The research location was conducted in Sukapura District, Probolinggo Regency, because of the research substance under study. The research method used is a qualitative research type with a descriptive approach with a research focus on the stages of implementing sub-district administration fast services and supporting and inhibiting factors in implementing sub-district administration fast services. The results showed that the implementation of the District Administration Fast Service (LAPAK) policy during the Covid 19 Pandemic in Sukapura District, Probolinggo Regency, through Phase I, Phase II, and Phase III, which in this case was supported by several factors such as the legal basis and facilities and infrastructure I and supported by fast response behaviour from LAPAK operators. On the other hand, several things must be considered to avoid obstacles, including the coordination system and lack of public awareness.
Sexual Minorities - Men who have Sex with Men1, Transgender2 and Lesbian3 Women in Côte d'Ivoire: Between Life Paths and Hesitations in the Process of Constructing Gender Identity
Authors: Antoine Kobena Kouadio , Josué Biekoua Yadjoro
Published: August 2023

The construction and acceptance of the identity or sexual orientation of sexual minorities by society and the individual are realities that are constantly in crisis. This reality is all the more perceptible in societies where minorities are strongly discriminated against as a result of certain social considerations. In Côte d'Ivoire, the legal vacuum on the issue of sexual minorities leaves them prey to practices that are sometimes demeaning to certain members of the community. This article provides an insight into the lives of some of Côte d'Ivoire's sexual minorities (MSM, TG and Lesbian) and the hesitations that mark the construction of their gender identity. Based on a qualitative approach with four (04) leaders of the LGBTQ+ community on the one hand, and referring to social identity theory on the other, it emerges that the construction process is discontinuous or disjointed due to hesitations created by internal and external factors. Internally, the individual's decisions or choices help to create hesitations or set up these situations. From an external point of view, the family or social context and certain discriminatory behaviours with regard to the sexual orientation of individuals have a strong influence on the acceptance and definition of a gender identity within this category of the population.
Acute Intestinal Occlusion by Ileo-Sigmoid Node: About a Case
Authors: S Dembélé, K. , I Diarra, , S Konate, , A Dembele, , M Keita, , K Malle, , M Coulibaly, , D, Fomba, , D Kanthe, , A Diarra, M. , S Camara, , A Dicko, O. A.
Published: August 2023

The ileosigmoid node is a rare surgical emergency. We report a case of intestinal obstruction by ileosigmoid node that occurred in a young adult patient himself accompanying another patient. Management was early and confirmation was intraoperative.
Utilisation of the Partograph by Midwives in Relation to Birth Outcomes at Selected Health Facilities in Solwezi District, Zambia
Authors: Mwaka Clayson , Mayimbo Sebean , Kwaleyela Concepta N.
Published: August 2023

Background: Zambia has seen a decline of maternal mortality rate (MMR) from 213 per 100,000 live births to 183 per 100,000 live births and the infant mortality rate (IMR) from 45 per 1,000 live births to 43 per 1,000 live births (United Nations, 2020). In spite of this, the ministry of health (MoH) has continued advocating for the use of the partograph in preventing negative birth outcomes. Nevertheless, most available research nationally and internationaly show that it is unclear whether there is a relationship between utilisation of the partograph and birth outcomes. Objective: The study aimed at investigating the relationship between utilisation of the partograph and birth outcomes. Methods and Materials: A cross-sectional quantitative study design was used. The systematic random sampling was used to select 183 partographs and convenience sampling was used to select 20 midwives. The materials used were self-administered questionnaire/ partograph checklists, Statistical Package for Social Sciences (SPSS) version 22 and the Chi square test. Results: The study has indicated that use of the partograph in monitoring women in labour has the potential to influence birth outcome which could be appropriate or inappropriate. The cross tabulation showed no correlation between utilisation of the partograph birth outcomes as most partographs with bad utilisation still had a p value of 0.045. Conclusion: There is no relationship between utilisation of the partograph and birth outcomes.
Ultrasound Findings of Suspected Breast Cancer Lesions in Females Accessing Breast Ultrasound Services in Selected Hospitals in Lusaka, Zambia
Authors: Sutherland Oliver , kafwimbi Stefan , Kaonga Patrick , Chinyama Jonathan , Bwanga Osward , Sichone James
Published: August 2023

Background: Breast cancer is the most common malignancy among women in Zambia. Ultrasound can be a useful tool for early diagnosis of breast cancer based on the breast lesions’ features. However, an overlap in the ultrasound features of malignant and benign breast tumours has been noticed together with a paucity of information on the ultrasound features that are more suggestive of breast cancer. Objective: The purpose of this study was to identify ultrasound features of suspected breast cancer lesions which may assist in ascertaining a high breast cancer or benign breast disease suspicion index, that may be used to prioritise patients requiring further and urgent management for breast cancer. Methods: Systematic random sampling was used for the selection of participants in this study. The selected patients first underwent an ultrasound scan in the Ultrasound department to obtain the breast lesion ultrasound features. The histology results for the same patients were then obtained from the University Teaching Hospital (UTH) histology laboratory or the histology report filed in the patient’s medical file. Results: Irregular shape of breast lesions, vertical orientation of breast lesions, hypoechogenicity of breast lesions, complex echo pattern of breast lesions, irregular or spiculated margin contours of breast lesions, compression of breast lesion surrounding tissue, absence of hyperechogenic spots in breast lesions and a breast lesion boundary with neither a hyperechoic halo nor thin capsule (None) were found to be associated with breast cancer. No breast lesion showed less than 3 ultrasound features suspicious for breast cancer. Hyperechoic spots in breast lesions were found to be associated with non-cancerous breast lesions. Conclusion: Low-resource countries, such as Zambia, where access to imaging diagnostic equipment such as Mammography and Magnetic Resonance Imaging machines (MRI), and histology examinations are scarce, the preceding ultrasound findings .......
Mature Teratoma of the Ovary in a 14-Year-Old Girl: A Case Report at the Reference Health Centre in Commune I of Bamako, Mali
Authors: I Diarra, , Y Sylla, , B Karembe, , M Sanogo, , B Ballo, , S Kassogue, , S Dembele, K. , M Dramé, B. , B Samake, , K Haidara, M. , O Kone, , D Fomba, , D Kanthe, , A Togo,
Published: August 2023

Ovarian masses are rare in young girls. They are mainly represented for functional cysts and benign tumors, the most common of which is mature ovarian teratoma. The early diagnosis of an ovarian teratoma is not easy and is often late. We present the case of a mature ovarian teratoma diagnosed in a 14-year-old girl. His management consisted of a right adnexectomy. The postoperative course was simple.
Artificial Intelligence (AI): An Armamentarium of Forensic Odontologist to Discern Child Abuse
Authors: Swarnaa Chaturvedi , Priya Singh , Deepak Umapathy , Saurabh Srivastava
Published: August 2023

Three in every four children has confronted child abuse of one kind or another, and the past few decades have shown a tremendous rise in the tally of such incidents. The most common type of child abuse includes physical, mental, emotional, and psychological abuse. There has been a rapid breakthrough in artificial intelligence technology in recent years, and it has also spread its branches in the field of Forensic Odontology. Forensic Odontologists have significantly used AI technology to decipher bite marks and mandibular morphology and estimate age. Pediatric Forensic Odontology presents significant challenges and opportunities for applying AI. In this article, we discuss the application of AI, particularly concerning recognizing signs of child abuse in head and neck structures. Sixteen papers were selected, keeping their practical relevance in the steps of diagnosis of child abuse in mind. Dental forensic experts should consider an advanced diagnosis of child abuse as it could considerably allow the identification of child abuse cases and early intervention.
Pengaruh Gejala Depresi pada Ibu Postpartum terhadap Keberhasilan Pemberian Asi di Puskesmas Minggir Kabupaten Sleman
Authors: Arami Nova , Mulasari Surahma Asti , Hani Umu
Published: August 2023

Latar Belakang: Kelancaran pengeluaran ASI dipengaruhi oleh beberapa faktor salah satunya faktor psikologis yaitu kecemasan. Pada umumnya ibu pasca persalinan sering mengalami kelelahan dan perubahan mood seperti kecemasan, cemas terhadap dirinya dan cemas memikirkan bayinya. Kecemasan tersebut dapat mempengaruhi kelancaran pengeluaran ASI pada ibu postpartum. Tujuan Penelitian: penelitian ini adalah untuk mengetahui pengaruh gejala depresi pada ibu postpartum terhadap keberhasilan pemberian ASI. Metedologi: Penelitian ini menggunakan metode mixed method. Pendekatan kuantitatif menggunakan cross sectional untuk mengetahui pengaruh variabel bebas dan terikat. Responden dalam penelitian ini sebanyak 38 ibu postpartum. Pendekatan kualitatif secara fenomenologi dengan melakukan wawancara mendalam untuk mengetahui pengaruh gejala depresi pada ibu postpartum terhadap keberhasilan pemberian ASI. Penelitian ini menggunakan uji statistik dengan Chi-Square. Hasil: Penelitian ini menggunakan uji statistik dengan Chi-Square didapatkan p 0,420 (0,05) berarti bahwa gejala depresi postpartum tidak berpengaruh pada keberhasilan pemberian ASI. Kesimpulan: Simpulan dari penelitian ini, ibu yang tidak memiliki gejala  depresi lebih berhasil memberikan ASInya dari pada ibu yang memiliki gejala. Faktor yang mempengaruhi gejala depresi postpartum yaitu faktor obstetri, biologi, psikologi dan sosiodemografi. Namun faktor yang paling dominan mempengaruhi yaitu faktor sosiodemografi.
Pengaruh Penundaan Pemotongan Tali Pusat Terhadap Kadar Hemoglobin pada Bayi Baru Lahir di Rumah Sakit Prima Medika
Authors: Widiantari Kadek , Idayani Desak Nyoman , Sugiartini Ni Ketut Ayu
Published: August 2023

Latar Belakang: Anemia defesiensi besi merupakan masalah kesehatan yang sering terjadi pada bayi dengan kejadian tertinggi pada umur 6- 24 bulan. Salah satu penyebab kejadian anemia adalah adanya ICC (Imediettly Cord Clamping) di setiap persalinan. Pengkleman tali pusat secepatnya akan mengambil darah bayi 54-160 cc. Tujuan penelitian: Tujuan penelitian ini untuk mengetahui pengaruh penundaan pemotongan tali pusat terhadap kadar hemoglobin pada Bayi Baru Lahir. Metodelogi: Metode penelitian yang digunakan dalam penelitian ini yaitu Quasy Eksperiment dengan rancangan Posttest Only Control Group Design. Metode pengambilan sampel dalam penelitian ini menggunakan teknik purposive sampling  dengan jumlah sampel sebanyak 30 bayi baru lahir terdiri dari 15 sebagai kelompok intervensi dan 15 sebagai kelompok kontrol. Hasil: Hasil penelitian didapatkan yaitu rata-rata kadar hemoglobin bayi baru lahir pada kelompok intervensi setelah diberikan perlakuan adalah 18,15 gram/dL dengan standar deviasi 1,08 sedangkan untuk kelompok kontrol post-test nilai rata- rata kadar haemoglobin bayi yaitu 16,29 gram/dL dengan standar deviensi 0,74. Hasil uji statistik menunjukan bahwa, nilai p=0,000 < 0,05. Kesimpulan: Berdasarkan uji statistic didapatkan ada pengaruh penundaan pemotongan tali pusat terhadap kadar hemoglobin pada Bayi Baru Lahir. Diharapkan hasil penelitian ini dapat dijadikan refrensi dalam menentukan kebijakan Rumah Sakit, khususnya dalam menerapkan penundaan pemotongan tali pusat sebagai upaya pencegahan anemia defisiensi besi.
Hubungan Pengetahuan tentang KB IUD terhadap Keikutsertaan Akseptor KB IUD di PMB Ni G.P Sutreptininghati, A.Md.Keb
Authors: Wahyuningsih Putu , Aswitami Ni Gusti Ayu Pramita , Adhiestiani Ni Made Egar , Sumawati Ni Made Risna
Published: August 2023

Latar Belakang: Alat kontrasepsi yang mempunyai efektivitas cukup tinggi dan merupakan alat kontrasepsi non hormonal serta bisa digunakan dalam jangka panjang yaitu Intra Uterine Device (IUD). Tujuan Penelitian: Untuk mengetahui hubungan pengetahuan tentang KB IUD terhadap keikutsertaan akseptor KB IUD di PMB Ni G.P Sutreptininghati, A.Md.,Keb. Metedologi: Design penelitian ini adalah deskriptif kuantitatif yang menggunakan pendekatan cross sectional. Jumlah sampel sebanyak 35 orang Akseptor KB aktif pada bulan Desember dengan teknik Total Sampling. Penelitian ini dilakukan di PMB Ni G.P Sutreptininghati, A.Md.,Keb pada bulan Desember 2022. Data dikumpulkan melalui kuesioner yang diberikan kepada responden. Hasil: Hasil analisis diperoleh nilai signifikansi sebesar 0.000 nilai tersebut < 0.05 maka H0 ditolak dan H1 diterima.Kesimpulan: Terdapat hubungan antara Pengetahuan tentang KB IUD Terhadap Keikutsertaan Akseptor KB IUD di PMB Ni G.P Sutreptininghati, A.Md.,Keb.
Hubungan Resiliensi Keluarga dengan kekambuhan pada Orang dengan Gangguan Jiwa (ODGJ) di Wilayah Kerja UPTD. Puskesmas Nusa Penida I
Authors: Darmawan I Putu , Prihandhani IGAA Sherlyna , Darmawan A.A Kompiang Ngurah
Published: August 2023

Latar Belakang: Ada beberapa faktor yang terkait dalam proses perawatan penderita ODGJ dengan kekambuhan adalah adanya distres psikologis, keluarga menjadi depresi, koping, dukungan sosial, fungsi keluarga serta adanya resiliensi. Tujuan Penelitian: Penelitian ini bertujuan mengidentifikasi hubungan resiliensi keluarga dengan kekambuhan pada orang dengan gangguan jiwa (ODGJ). Metedologi: Jenis penelitian yang digunakan adalah penelitian observasional analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah 43 keluarga ODGJ yang berada di wilayah kerja UPTD. Puskesmas Nusa Penida I. Teknik pengambilan sampel dilakukan dengan teknik Purposive Sampling. Instrumen yang digunakan dalam penelitian ini adalah kuesioner dan uji statistic yang digunakan adalah Uji Chi- Square dengan ɑ 0,05. Hasil: Hasil penelitian menunjukkan bahwa terdapat hubungan antara resiliensi keluarga dengan kekambuhan pada orang dengan gangguan jiwa. Hasil uji statistik dengan Chi Square mendapatkan nilai p= 0,013 (< α =0,05) ada hubungan signifikan antara resiliensi keluarga dengan kekambuhan orang dengan gangguan jiwa. Dengan demikian Resiliensi keluarga dapat menurunkan angka kekambuhan pada ODGJ. Kesimpulan Disarankan kepada masyarakat dalam peningkatan resiliensi keluarga bisa dilakukan melalui selalu memberi dukungan pada ODGJ dalam pengobatan dan perawatan gangguan jiwanya.
Asuhan Kebidanan Paripurna Pada Kehamilan Risiko Tinggi (Skor Poedji Rochjati 10)
Authors: Yuliawati Dwi , Rukmi Anggun Ika Mustika
Published: August 2023

Latar Belakang: Kehamilan risiko tinggi merupakan kondisi kehamilan yang memiliki risiko terjadinya  morbiditas dan mortalitas selama persalinan atau nifas. Upaya yang dapat dilakukan yaitu dengan melakukan asuhan kebidanan secara Continuity of Care (CoC) pada ibu mulai masa hamil, bersalin, nifas, neonatus dan KB. Tujuan Penelitian: Tujuan studi kasus yaitu memberikan asuhan kebidanan paripurna pada Ny “M” dari masa kehamilan sampai dengan KB. Metedologi: Penelitian menggunakan desain kualitatif deskriptif dengan pendekatan studi kasus tunggal. Metode pengumpulan data dengan wawancara, observasi dan studi dokumentasi. Hasil: Hasil asuhan kebidanan pada Ny.”M” G3P2002 yaitu kehamilan tergolong risiko tinggi dengan Skor Poedji Rochjati 10 (usia ≥35 tahun dan jarak anak ≥10 tahun). Pada masa hamil, Ny. “M” mengeluh nyeri pinggang. Ibu bersalin di RSUD Kabupaten Kediri secara normal dan tidak ditemukan masalah. Pada masa nifas, ibu mengeluh nyeri jahitan perineum. Pada neonatus, terdapat penurunan berat badan di minggu pertama. Ibu memilih menggunakan metode kontrasepsi AKDR post plasenta dan tidak ditemukan masalah. Penatalaksanaan dengan pendekatan terapi komplementer sudah diberikan sesuai diagnosa atau masalah yang ditemukan. Kesimpulan Asuhan kebidanan paripurna pada Ny “M” dengan kehamilan risiko tinggi dapat mencegah terjadinya risiko komplikasi baik pada ibu maupun bayi.
Hubungan Tingkat Pengetahuan dengan Kepatuhan Minum Obat pada Pasien Hipertensi di Yogyakarta
Authors: Christiyani Novia Christiyani , Marlina Theresia Titin , Estri Arimbi Karunia
Published: August 2023

Latar Belakang: Prevalensi penderita HT dari tahun ke tahun semakin meningkat. Dengan pertambahan usia, lansia mengalami penurunan fungsi fisiologis karena proses penuaan sehingga pada lansia banyak muncul penyakit tidak menular. Pengetahuan lansia merupakan hal yang memiliki andil dari banyak factor yang berkaitan dengan kepatuhan dalam mengkonsumsi obat. Hipertensi yang tidak terkontrol dapat menimbulkan komplikasi dan dapat mempengaruhi kualitas hidup lansia. Tujuan Penelitian: Tujuan penelitian ini adalah menganalisis hubungan pengetahuan tentang hipertensi dengan kepatuhan minum obat hipertensi di Yogyakarta. Metedologi: Penelitian ini merupakan penelitian korelasi dengan rancangan cross sectional. Jumlah sampel sebanyak 71 responden penderita Hipertensi. Uji statistic yang digunakan adalah analisis korelasi spearman rank untuk mengetahui korelasi antara tingkat pengetahuan dengan tingkat kepatuhan minum obat. Hasil: Berdasarkan hasil pengukuran tingkat pengetahuan sebagianbesar yaitu 31 responden (43,7%) memiliki tingkat pengetahuan yang tinggi dan 38 responden (53,5%) memiliki tingkat kepatuhan minum obat rendah. Hasiluji Spearman rank terdapat hubungan yang signifikan dan positif antara tingkat pengetahuan dengan kepatuhan minum obat (p value 0,000 < 0,05) dengan kekuatan hubungan kuat, dibuktikan dengan nilai correlation coeficient yaitu 0,871. Kesimpulan Perawat perlu memberikan edukasi tentang penyakit hipertensi dan pentingnya minum obat dengan metode yang lebih sederhana sehingga mudah untuk di ingat terutama oleh lansia.
The psychosomatics attributes in Plato’s Timaeus and Charmides: disease and health of man
Authors: Araújo Hugo Filgueiras de
Published: August 2023

The paper analyzes in Plato the integration/συναμφότερον between the human soul and body in Charmides and Timaeus exploring the ideas of health/ὑγίεια and disease/νόσος and how they originate in man. The thesis is that in Plato’s thought there is a strong presence of an integrated view of man, the relationship between the constitutive instances (soul and body) being psychosomatic, since both suffer (πάσχω) influence from each other. The nuances of the soulbody relationship are also considered with regard to the psychophysical aspects of this compound. As a consequence, it goes beyond the dualistic interpretation erroneously propagated by philosophy manuals, which insist that in Plato the soul must despise the body. In other words, what “seems” in Plato’s texts to be a reference to a strong tension between soul and body is in fact a warning by the philosopher of the need for a balanced integration between both.
Adorno leitor e crítico de Husserl: a reformulação da dialética desde a crítica à fenomenologia
Authors: Correia Fábio Caires , Perius Oneide
Published: August 2023

Para compreender a relação de Adorno com a fenomenologia, ou melhor, a relação Adorno-Husserl, é importante distinguir dois momentos indissociáveis: (I) a crítica da fenomenologia operada a partir da dialética, e (II) o reconhecimento da legitimidade de um momento fenomenológico contra idealismo hegeliano. Do ponto de vista conceitual, trata-se, portanto, de desconstruir a primazia do imediato, que caracteriza o conceito fenomenológico do dado, para depois denunciar a pretensão idealista de uma totalização de todas as mediações em um sistema de pensamento. A coexistência desses dois requisitos no mesmo método poderia ter sido reduzida, se não a uma contradição, ao menos a uma aporia. O acerto de contas com o idealismo husserliano torna-se, portanto, prima facie, uma importante chave de leitura para a compreensão da filosofia de Adorno. Ainda mais quando se trata da forma negativa que sua dialética assumirá. Essas são as questões que este artigo pretende discutir.
LACKEY, Jennifer. The Epistemology of Groups. Oxford: Oxford University Press, 2021. 224 p.
Authors: Da Cas Cichoski Luiz Paulo
Published: August 2023

A obra The Epistemology of Groups de Jennifer Lackey apresenta uma posição singular, não tão comumente defendida, no campo da Epistemologia Coletiva. Característico da posição da autora em outros temas (onde o aspecto crítico, a argumentação negativa, é sempre muito saliente), a posição defendida se estrutura a partir de um meio-termo entre as posições consolidadas na literatura. O campo da Epistemologia Coletiva é dividido por abordagens individualistas e coletivistas. Individualistas argumentam que uma análise restrita às propriedades dos indivíduos que compõem a realidade social é suficiente para a explicação de quaisquer fenômenos. Aplicando essa ideia à Epistemologia Coletiva, teríamos a tese individualista de que crença, justificação e conhecimento de grupo devem ser entendidos a partir das crenças, justificação e conhecimento dos indivíduos que os integram. Coletivistas defendem que algumas propriedades epistêmicas de grupos não são redutíveis às propriedades epistêmicas de seus membros. Eles argumentam que há casos de divergência entre níveis, onde o grupo pode crer que p, estar justificado em crer que p, ou saber que p, enquanto nenhum membro crê, está justificado ou sabe. A abordagem de Lackey se posiciona significativamente no lado individualista do debate, concedendo uma posição coletivista apenas para a asserção de grupo, mas se mantendo individualista nas questões centrais da Epistemologia Coletiva: crença, justificação e conhecimento.
Lakatos, leitor dos programas de investigação de Popper
Authors: Dias Elizabeth Assis
Published: August 2023

Lakatos é um filósofo que fez parte do círculo dos discípulos de Popper e que até certo ponto seguiu seu mestre. Ao elaborar sua noção de programa de investigação científica adotou muitas ideias defendidas por Popper, mas também tinha a pretensão de superá-lo Neste trabalho, tomando por base a noção de “programa de investigação”, que no nosso entender se faz presente no pensamento dos dois filósofos, o nosso objetivo é investigar em que aspectos Lakatos deu um passo a frente de seu mestre. Para tal, iremos primeiramente, evidenciar que em Popper já se encontra elaborada a noção de “programa de investigação”, considerando suas ideias acerca da “estrutura organizada,” que norteia as investigações científicas e de “programa de investigação metafísica”. Posteriormente, iremos apresentar a noção de “programa de investigação científica” de Lakatos como uma releitura dos programas popperianos, procurando evidenciar que ele deu unidade e maior sistematicidade aos mesmos e procurou solucionar certos impasses que os fragilizavam.
Duas finitudes: a recepção de Heidegger e Karl Jaspers pela categoria weiliana do finito
Authors: Soares Daniel
Published: August 2023

Eric Weil, Karl Jaspers e Martin Heidegger são três filósofos alemães, um deles, judeu: Weil apresenta na categoria do finito uma possibilidade entre os discursos filosóficos que compreende Heidegger e Jaspers. O presente artigo propõe uma compreensão parcial de Jaspers e Heidegger por meio da categoria do finito weiliana e da retomada operada por essa possibilidade do discurso – a finitude – da categoria da obra, cuja fenomenologia é o nazismo. Para esse objetivo, dividiu-se o artigo em três seções, seguidas de uma introdução. Na Introdução apresentamos a relação entre os três pensadores dada por meio de dois textos de Weil. Também elencamos os motivos da escolha das obras de Heidegger e Jaspers que serão discutidas. A primeira seção do artigo contém uma apresentação dos conceitos weilianos que são a base para as seções seguintes. Na segunda seção, esses conceitos são cotejados com o pensamento heideggeriano. Na terceira seção, aplicamos o mesmo método ao pensar de Jaspers, mostrando as limitações que o pensamento de Heidegger encontra no plano político. Encerramos com um pequeno balanço da discussão.
A verdade factual e o contador de estórias em Hannah Arendt: reflexões sobre a ação política do filósofo
Authors: Castelo Branco Judikael
Published: August 2023

Este artigo articula a figura do contador de estórias e o conceito de verdade factual para refletir sobre elementos da filosofia de Hannah Arendt importantes também à compreensão da nossa situação política. Nele, o pensamento de Arendt é visto como tributário da história e disposto a um modelo alternativo de pensar: o pensamento narracional. Duas ideias que giram em torno da figura do contador de estórias e do conceito de verdade factual. O objetivo desta pesquisa é, então, retomar a reflexão arendtiana sobre a verdade factual a fim de compreendermos nosso próprio contexto, marcado por negacionismo e mesmo por ideias como a de “pós-verdade”. A escolha da autora não é fortuita, mas se justifica pela abordagem na qual a verdade não é tomada como questão epistemológica, neutra. Para tanto, dividimos nosso texto em quatro partes. Na primeira, retomamos aspectos essenciais na relação entre o pensamento arendtiano e a história. Na segunda, a mesma questão é vista a partir da interrogação acerca do modo adequado de responder ao “imperativo do testemunho” sobre a experiência concentracionária. Na terceira, voltamo-nos à figura do contador de estórias e do “pensamento narracional” como alternativa ao ponto de vista arquimediano. Por fim, encontramos a noção de verdade factual que, na verdade, sustenta todos momentos anteriores.
O misticismo quântico e os desafios impostos à epistemologia e ao conhecimento científico
Authors: Simões Eduardo
Published: August 2023

O objetivo do presente artigo é o de apresentar o tema do misticismo quântico, até então negligenciado pela maioria dos epistemólogos, como um assunto, ao mesmo tempo instigante, também desafiador. Quando as posições místicas nascem de interpretações científicas legítimas, portanto, conciliadoras com a ciência, a exemplo de muitos aspectos do antirrealismo de muitas interpretações ortodoxas da mecânica quântica, tratam-se tão somente de problemas epistêmicos para os quais reflexões e elucidações são exigidas, mas que não comprometem o poder preditivo e de aplicação da teoria. Por outro lado, quando tais posições passam a ser desafiadoras da ciência, aí temos um desafio que nos é imposto para o qual soluções são exigidas. É justamente esse momento que estamos vivenciando no interior da ciência física: um emaranhado de teorias místicas que sequer tangenciam as finalidades e identidade da teoria quântica se colocam como se fossem verdades. Cabe à própria teoria quântica, contudo, refletir sobre o seu percentual de comprometimento com esse estado de coisas, visto de sua conformidade histórica com atitudes de indeterminação, incerteza, descontinuidade e falta de nexo causal.
O jogo das cartas lógicas de Shiver
Authors: Sautter Frank Thomas
Published: August 2023

Anthony Shiver (2013) desenvolveu dois jogos de cartas lógicas para a prática da derivação no contexto da Lógica Proposicional Clássica. Embora ele tenha apresentado os contornos gerais desses jogos, muitos detalhes do desenho deles estão faltando. Neste artigo proponho uma metodologia para o desenho detalhado do primeiro dos jogos de Shiver. Esta metodologia utiliza uma abordagem informacional para a seleção das cartas do baralho, que conforma-se a critérios de alcançabilidade de cada carta e de balanço entre elas.
PERCEPÇÃO DE ESTUDANTES DE ODONTOLOGIA SOBRE AS IMPLICAÇÕES DAS ATIVIDADES LABORATORIAIS SOBRE AS PRÁTICAS CLÍNICAS: ESTUDO TRANSVERSAL
Authors: Silva Frank Machado , Carvalho Thiago de Amorim
Published: August 2023

Enquanto espaço de aprendizagem que precede as atividades clínicas, o laboratório pré-clínico propicia aos estudantes de Odontologia, a vivência necessária do conhecimento de materiais, instrumentais e técnicas que serão utilizados em pacientes, em um ambiente controlado. O objetivo deste trabalho foi compreender as implicações das práticas pré-clínicas sobre as atividades clínicas pela percepção dos próprios estudantes de Odontologia, de uma instituição privada de ensino superior. Foi realizado um estudo transversal, exploratório, com aplicação de questionário estruturado para 87 estudantes de Odontologia, que estavam matriculados no segundo, quarto ou sexto período, no segundo semestre de 2022. O questionário abordava questões sociodemográficas, além de tempo de uso do laboratório em horas extracurriculares e a percepção sobre boas práticas laboratoriais e sua influência nas práticas clínicas, a influência da presença de monitores e estagiários também foi questionada. O perfil sociodemográfico dos estudantes de Odontologia é de brancos, jovens com renda mensal entre 2 e 5 salários-mínimos. Os estudantes passam em média 1 a 3 horas extracurriculares no laboratório, apesar da maior parte dos entrevistados acreditar que a maior quantidade de horas de práticas laboratoriais favorece o aprendizado e sua atuação clínica, além de relatarem que a presença do estagiário e do monitor, favorecem o processo de aprendizagem. Verifica-se após o exposto que os estudantes reconhecem a importância da prática pré-clínica para suas futuras atividades clínicas, desta forma cabe as instituições de ensino ofertar manter o aprimoramento constante dessas habilidades como a adaptação constante dos ambientes de simulação, visando sempre a maior similaridade com o que se encontra na vivência clínica, com a presença de monitores e estagiários, fatores esses que associados potencializam o processo ensino-aprendizagem.