bluuebunny/crossref_metadata_2025 huggingface dataset:
Ontologia(s)
Authors: Pinho Osmundo
Published: February 2022

Neste ensaio, fruto da experiência docente na periferia colonial do capitalismo racializado brasileiro retomo, muito brevemente, a conexão encontrada na filosofia ocidental entre ontologia e linguagem para dar explicitude aos fundamentos da virada linguística e para apontar a transição para uma virada ontológica, discutida dessa forma em duas instâncias, que parecem ter estado até então incomunicáveis. O perspectivismo ameríndio, que poderíamos talvez considerar um capítulo da virada ontológica mais ampla na antropologia social contemporânea, e o afropessimismo afroamericano, descendente das tradições do radicalismo negro norte-americano e da África e diáspora.
"Do facão ao bisturi":
Authors: Silva Marcus Vinícius Martins da , Silva Flávia Luiza da , Alessio Pollianna Aparecida , Silva Ana Luiza de Bem
Published: February 2022

Nesta entrevista, através da generosidade da professora Vera Rodrigues e de sua lúcida sabedoria insurgente, nos foi possível discutir temas e questões um tanto inquietantes, nomeadas pela professora Vera como "o esqueleto dentro do armário". Do facão ao bisturi, expressa aquilo que de maneira transgressora esperamos enquanto cenário potente do fazer antropológico desde uma perspectiva descentralizada, relocalizando ideias, pensamentos, debates e embates que permaneceram à margem durante muitos anos. Mais que isso, a conversa-aula com a professora Vera nos possibilita refletir sobre a articulação que a antropologia produz com as posições identitárias e políticas de quem a faz. Através de sua trajetória, contada por ela mesma, podemos compreender a potência de uma carreira trilhada, que por vezes se entrelaça com o próprio pensar e fazer antropologia.
Postoperative Non-Surgical Interventions to Improve Urinary Continence After Robot-Assisted Radical Prostatectomy: A Systematic Review
Authors: Candela Luigi , Marra Giancarlo , Tutolo Manuela , Rodríguez-Sánchez Lara , Macek Petr , Cathelineau Xavier , Montorsi Francesco , Salonia Salonia , Sanchez Salas Rafael
Published: February 2022

Background The occurrence of postoperative urinary incontinence (UI) remains a problem for patients undergoing robot-assisted radical prostatectomy (RARP). Non-surgical interventions (NSI) in addition to intraoperative techniques and patient behavioral changes have been proposed to improve urinary continence (UC) recovery after RARP. However, to date, the real clinical impact of postoperative NSI remains not well characterized. Materials and Methods We performed a Systematic Review in April 2021, using Allied and Complementary Medicine (AMED), Embase, and MEDLINE according to the PRISMA recommendations and using the Population, Intervention, Comparator and Outcome (PICO) criteria. Primary outcome of interest was the impact of NSI on UC recovery rate and time to achieve UC after RARP. Secondary outcomes of interest were the assessment of patient adherence to NSI, risk factors associated with UI, and correlation between postoperative NSI and sexual activity recovery. Results A total of 2758 articles were screened, and 8 full texts including 1146 patients were identified (3 randomized controlled trials, 3 prospective single-arm trials, and 2 retrospective series). Postoperative NSI of interest included pelvic floor muscle training (PFMT) (n = 6 studies) and administration of oral medications (solifenacin) (n = 2 studies). PFMT appeared to increase UC rates and to accelerate time to achieve UC in the early postoperative period. Similarly, solifenacin provided higher rates of UC recovery and contributed to a certain degree of symptomatic relief. There was a great variability regarding NSI features and data reporting among studies. Major limitations were the small sample sizes and the short follow-up. Conclusion Postoperative NSI to manage UI after RARP include PFMT and solifenacin administration. Both seem to modestly improve early UC recovery. Nonetheless, evidence supporting their routinely use is still weak and lacks appropriate follow-up to evaluate possible benefits on long-term UC recovery.
INCLUSÃO SOCIAL: DESAFIOS DE PESSOAS TRANSGÊNERO NO AMBIENTE DE TRABALHO
Authors: Campelo Arandi , Feliciano Erivaldo , Penha Kathiane
Published: February 2022

RESUMO Pessoas transgênero e travestis estão presentes na população brasileira, assim como em outros países, e têm sua realidade hostilizada, silenciada e oprimida em vários âmbitos, inclusive no mercado de trabalho. O presente trabalho visa atribuir conhecimento aos gestores atuais e do futuro, trazendo uma contribuição social de inclusão e humanidade. Este artigo foi elaborado por meio de uma pesquisa bibliográfica, qualitativa, com materiais já formulados e debatidos por outros autores e pesquisadores, além da utilização de um questionário formulado na plataforma Google Forms. Foram recolhidas amostras de vivências das participantes vinculadas à instituição não governamental NATRAPE (Nova Associação de Travestis e Transexuais de Pernambuco) que trouxeram para o estudo a conclusão de que apesar dos crescentes debates em torno da diversidade, as oportunidades de inserção de pessoas transgênero no mercado de trabalho ainda são escassas, sendo necessárias ações de estímulo à inclusão e ao desenvolvimento de políticas públicas que favoreçam a comunidade LGBTQIA+. Palavras-chave: Inclusão social. Gestão inclusiva. Pessoas transgênero. Ambiente de trabalho.
INTOLERÂNCIA ÀS RELIGIÕES AFRO-BRASILEIRAS NO ESTADO DEMOCRÁTICO DE DIREITO: PERSPECTIVA DA TEORIA RADICAL
Authors: Siqueira Thiago , Cunha Eduardo
Published: February 2022

RESUMO O presente artigo pretende demonstrar que o tema criminologia radical é de legítimo interesse e relevância na sociedade. A abordagem está baseada nos casos concretos dos processos judiciais em que os réus são de religiões antagônicas, a qual o poder judiciário sopesou a balança do Direito a favor do cristianismo e desfavoreceu a religião de matriz africana em casos de extrema semelhança. Busca-se averiguar o motivo pelo qual as religiões afro-brasileiras são discriminadas no mundo jurídico, uma vez que todos são iguais perante a lei, de acordo com a Constituição Federal de 1988, onde traz à baila o princípio da impessoalidade, pois a administração não pode tratar o indivíduo de maneira diferente por conta de questões ideológicas a não ser que esteja de acordo com o princípio da isonomia. Costumeiramente, na prática, as religiões não cristãs são marginalizadas. É imposto pelo grupo dominante um padrão de comportamento no qual as minorias não se encaixam. O direito penal passa então a ser uma ferramenta de controle social. Para que o modelo de conduta social atribuído pelos mais fortes seja seguido por todos é necessário que a norma penalizadora intervenha. A criminologia radical é uma aplicação do método em Marx para a compreensão do crime e do controle social. Ela busca compreender a realidade não por curiosidade, mas pelo compromisso declarado com o fim da desigualdade social. Palavras-chave: Criminologia radical. Karl Marx. Intolerância. Religiões de matriz africana.
LIDERANÇA NAS ORGANIZAÇÕES: DESAFIOS DE MULHERES GESTORAS NOS DIAS ATUAIS
Authors: Campelo Arandi , Pinheiro Beatriz , Silva Julia
Published: February 2022

RESUMO Este artigo abordou o conceito sobre os desafios de mulheres gestoras nos dias atuais, retratando as dificuldades que esse público enfrenta em busca do seu espaço no mercado ocupacional trabalhista, em defesa do princípio da igualdade. A análise dos dados baseia-se nos resultados de estudos que foram realizados através de uma pesquisa qualitativa, com questionário semiaberto, no ano de 2021. Foram contemplados três campos investigativos com um total de 17 participantes. Uma empresa multinacional contemplou 2 participantes entre 4 existentes; o Condomínio do Shopping Center Guararapes contemplou 12 participantes entre 100 existentes; e a Clínica Amor Saúde contemplou 3 participantes entre 5 existentes. O referencial teórico teve como principal fonte Souza & Cararo (2017). O estudo revelou a significância dos dados, pois nota-se que é imprescindível a inserção e consolidação absoluta da mulher nas atividades econômicas do mercado de trabalho para que, assim, encontre uma estruturação e iguale por competência e não por sexo e gênero a ocupação de cargos. Palavras-chave: Liderança feminina. Desafios de mulheres gestoras. Inserção da mulher no mercado de trabalho.
MARKETING DE RELACIONAMENTO: UM ESTUDO DE CASO COM CLIENTES E LOJISTAS DO SHOPPING GUARARAPES
Authors: Miranda Kamila , Farias Micheline , Carmo Eronildo
Published: February 2022

RESUMO Este artigo tem por objetivo analisar e mostrar a importância do Marketing de Relacionamento para as organizações, as consequências, fidelização e conservação de clientes. Trata-se de uma pesquisa de natureza exploratória, de abordagem direta, por uma busca qualitativa, nas ações do Marketing de Relacionamento voltado para o cliente. A investigação se deu por meio da pesquisa de livros e artigos especializados. Para coleta e análise dos dados foi utilizado um formulário estruturado por meio de entrevistas com gestores, proprietários de lojas e clientes do Shopping Guararapes. Foi possível chegar a conclusão sobre a importância de aprimorar o Marketing de Relacionamento por parte das empresas, com o uso de um planejamento do seu produto, fazendo mais uso de estratégias voltadas para o perfil do público alvo. Palavras-chave: Cliente. Fidelização. Marketing de Relacionamento.
Ruptura vesical espontánea. Reporte de un caso y la importancia de hacer un diagnóstico preciso y oportuno
Authors: García-Saucedo Jesús , Montelongo-Rodríguez Fred Alain , Ochoa-Arvizu Mario Alberto , Robles-Torres José Iván , Gómez-Guerra Lauro Salvador , Caballero-Malacara Valeria
Published: February 2022

Abstract
Description of the clinical case: A 59-year-old male with a history of lower urinary obstructive symptoms presented to the emergency department with a clinical picture of acute abdomen and hematuria of 10 days of evolution. Spontaneous bladder rupture associated with a complication of bladder diverticulum rupture was diagnosed.
Relevance: Spontaneous bladder rupture is a rare condition that can be fatal. In general, this pathology presents with non-specific symptoms, so it is necessary to think about the diagnosis. The case of spontaneous bladder rupture is presented and how the diagnosis was reached, for timely treatment.
Clinical implications: In a patient with a clinical picture of acute abdomen, nitrogen elevation and hematuria in the context of a history of bladder emptying problems, it is important to consider the diagnosis of spontaneous bladder rupture.
Conclusions: Spontaneous rupture of a bladder diverticulum is a very rare entity that presents with nonspecific clinical symptoms and signs. Suspicion should be high when assessing a patient with an acute abdomen, elevated creatinine, and hematuria.
Carcinoma renal de ductos colectores de Bellini: presentación de dos casos y revisión de la literatura
Authors: Gutiérrez-Zurimendi Garazi , García de Casasola-Rodríguez Gonzalo , Urrestizala-Peña Ibon , Aizcorbe-Gómez Mikel , Maldonado-De Sasia Asier , Urresola-Olabarrieta Aranzazu
Published: February 2022

Abstract
Clinical cases: We present two cases of Bellini’s Collecting Duct Renal Carcinoma (CDRC) that appear as suspicious kidney masses with enhancement of the urotelium, without a determinant radiological appearance, diagnosed by anatomo-pathological analysis. We revise the medical history, histological findings and make a review of the literature.
Importance / Clinical implication: Bellini’s collecting duct renal carcinoma is a very rare and aggressive type of kidney cancer (less than 1%), usually diagnosed at advanced stages. It does not present specific radiological characteristics, which makes necessary the histologic and inmunohistochemical analysis to confirm the diagnosis. We must suspect CDRC in infiltrative medular renal masses that do not affect kidney shape, and treat as soon as possible performing surgery, whenever feasible, normally associated with adjuvant chemotherapy. Nevertheless, it usually has an unfavourable evolution.
Conclusion: It is imperative to diagnose and treat this kind of tumours as soon as possible due to its aggressiveness and fatal prognosis.
Abdominal aorta calcifications in patients with kidney stones, is there a link?
Authors: Basulto-Martinez Mario , Cueto-Vega Guillermo José , Arenas-Aquino Amanda Elisa , Espinosa-Aznar José Enrique , Meza-Bosquez Dalia Montserrat , Ortegón-Gallareta Rodrigo , Esqueda-Mendoza Antonio
Published: February 2022

Abstract
Objective: To investigate the correlations between abdominal aortic calcifications (AAC) and the underlying urinary metabolic abnormalities in stone-formers (SF).
Methods: Patients with a 24 h urinary panel and computed tomography scan were included. The Kauppila Score (KS) was used to quantitatively assess AAC; clinical data and stone information were also recorded. The Spearman correlation was utilized.
Results: A total of 54 patients were included, the mean age was 46.4±11.2, 75.9% were female, and 59.3% had AAC. Hypertension and AAC were associated (p=0.026), and the KS was higher in patients with hypertension. Hypocitraturia (98.1%) and hypercalciuria (16.7%) were the most frequent urinary abnormalities, but they were unrelated to AAC (p>0.05). The 24 urinary panel, blood biochemistry, stone burden and hardness, and body mass index were not correlated to the KS (p>0.05).
Limitations: This work had the following limitations:  its retrospective nature, a relatively small sample, and the lack of an automated informatics-based assessment of AAC.
Conclusion: The link between cardiovascular diseases and kidney stones is still to be elucidated. Our finding differs from the other few studies reported on the literature, as no correlation was found between AAC and the urinary metabolic abnormalities in SF.
Infecciones enfisematosas del tracto urinario. Una razón para estar alerta
Authors: García-Perdomo Herney Andrés , Ocampo-Domínguez Hugo Hernán
Published: February 2022

N/A
Déficits no controle externo da administração pública brasileira: apontamentos teóricos e diretrizes a partir da atuação do Tribunal de Contas do Estado do Rio Grande do Sul
Authors: Gesta Leal Rogério , Meira de Oliveira Chaiene
Published: February 2022

O presente trabalho tem como objetivo delimitar quais posturas podem ser adotadas para sanar os déficits no controle externo da administração pública. Com isso, diante das considerações doutrinárias e análise de jurisprudência quanto ao controle externo da administração pública brasileira, tem-se o seguinte problema de pesquisa: quais medidas podem ser adotadas para sanar os déficits encontrados no controle externo da administração pública? Para tanto se utilizou o método de abordagem dedutivo, método de procedimento monográfico e técnicas de pesquisa que se resumem à pesquisa bibliográfica em livros, revistas, periódicos, notícias, teses, dissertações, bem como decisões do Tribunal de Contas do Estado do Rio Grande do Sul. Os objetivos específicos são conceituar o controle da administração pública e suas formas; analisar o controle externo da administração pública a partir da atuação do Tribunal de Contas do Estado do Rio Grande do Sul no que se refere a irregularidades em contratos administrativos e; propor medidas que possam ser utilizadas para sanar os déficits encontrados. Desse modo, a conclusão é no sentido da necessidade de serem aprimorados os instrumentos de controle da administração pública, sobretudo no que tange a colaboração interinstitucional dos agentes colaboradores, bem como da adoção de políticas públicas.
EL SISTEMA DE PROTECCIÓN DE LAS PERSONAS MAYORES EN EL DERECHO FRANCÉS: DIVERSIFICACIÓN Y PROPORCIONALIDAD DE LAS MEDIDAS
Authors: Jarufe Daniela Wadia
Published: February 2022

Resumen. Esta investigación tiene por objeto principal dar a conocer el modelo legal de protección de las personas mayores en el Derecho francés en el que, a partir de la ley Nº 2007-308 de 5 de marzo de 2007 (cuya entrada en vigencia es del año 2009 y que modifica principalmente las normas del Código civil) ha operado una transformación sustancial desde aquella concepción únicamente médica o asistencial de la discapacidad (aún vigente en nuestro país)  a una visión social- jurídica, que exige el respeto de la autonomía y la conservación de la capacidad jurídica de las personas, todo cuanto sea posible; previendo, sin embargo, determinadas limitaciones (necesarias y razonables) de la capacidad de obrar que no significan, creemos, un atentado a la personalidad jurídica del mayor vulnerable.

Palabras clave. protección de mayores; discapacidad; capacidad.
Survey of radiation protection amongst non-radiology staff working in fluoroscopy-guided operating theatres at public health institutions in the eThekwini district of KwaZulu-Natal
Authors:   , Hundah Shillah Nyaradzo
Published: February 2022

Background Although fluoroscopy facilitates the performance of less invasive surgical techniques and therefore an increase in its use outside the radiology department, it carries with it the burden of radiation exposure. Several studies on radiation exposure during fluoroscopy-guided surgical procedures have been conducted in South Africa, but no known knowledge, attitude and practices (KAP) study has been conducted on radiation protection. Together with inadequate radiation protection practices among non-radiology theatre staff, the dearth of reported research on this subject has created the need for this study. This study therefore aimed to determine the KAP relating to non-radiology staff during fluoroscopy-guided operating procedures at public health institutions in the eThekwini district of KwaZulu-Natal. The relationships between KAP, demographic factors and intentions to implement radiation protection practices were related to the theory of planned behaviour. Methodology Ethical approval and gatekeeper permissions were obtained from the relevant stakeholders. A quantitative cross-sectional survey was adopted to collect data from non-radiology staff in fluoroscopy-guided operating theatres at eThekwini district public health institutions. Random stratified sampling was used to obtain a sample of 179 participants. A validated questionnaire was administered over 12 weeks. Respondents signed a consent form prior to participating and no names were provided on the questionnaire for purposes of confidentiality. Data were analysed using descriptive and inferential statistical tests such as the Chi- square test, Fisher‟s exact test and Spearman‟s rho correlation coefficient. Results The response rate was 54%, the respondents‟ mean age was 38.46 ± 9.47 years, and the majority (66.7%) were female. The respondents demonstrated moderate radiation-related knowledge (61.22%) and exceptional attitude (98.98%), but poor radiation protection practices (3.06%). The respondents‟ specialty, profession and hospital where they are working demonstrated a significant association with their KAP scores (p < 0.05). There are significant positive correlations between knowledge and attitude (r = 0.270, p = 0.021), and attitude and intention (r = 0.348, p = 0.008), and significant negative (inverse) correlations between knowledge and practice (r = -0.264, p = 0.017), and attitude and practice (r = -0.280, p = 0.014). There are no significant correlations between knowledge and intention, and intention and practice (p > 0.05). Conclusion Although the respondents have good knowledge and attitude, their radiation practices are poor. This indicates a need for further radiation protection training and improved awareness of and research into exact levels of radiation exposure and the consequences of such exposure.
A Comparative Analysis of Fibre Bragg Grating Sensor and Conventional Electrical Strain Gauge Model for Structural Health Monitoring
Authors: P ObajeS. , M Abdullahi Z. , E AgbonE. , OgweR E&
Published: February 2022

This research work presents a comparative analysis of Fibre Bragg Grating (FBG) sensor model and the conventional Electrical Strain Gauge (ESG) model for Structural Health Monitoring (SHM). SHM have been mainly deployed in telecommunication facilities owing to their exceptional ability to monitor infrastructures in hazardous environment. In this research, the FBG sensitivity was compared with that of the ESG sensor at different strain and stress values, at Poisson’s ratio ( ) of 0.19525 and 0.3, at effective refractive index (neff) of 1.44 and 1.5, and Gauge Factor (GF) of 1.1 and 1.5 respectively. FBG (A) is the FBG sensor with Poisson’s ratio of 0.3 and effective refractive index of 1.44, while FBG (B) is the FBG sensor with Poisson’s ratio of 0.19525 and effective refractive index of 1.5. The simulation result shows that FBG(A)performs better than FBG(B)by, 7.25% and 8.05% increment in sensitivity strain and stress. Also, 2.7% increment in sensitivity for ESG was achieved for induced strain and stress values on the composite structure at GF of 1.1 and 1.5 respectively. Additionally, it was observed from the obtained results that there exists a linear relationship between the FBG and ESG sensors. This observation shows that the FBG sensor can perfectly replace the conventional ESG sensor in SHM, in view of the additional advantages of the FBG sensor which are small size, immune to electromagnetic interference, light weight just to mention a few over ESG sensor.
Multi-Critical Water Depths and Precise Discharge Determination for Symmetrically Compound Channel in Unsteady State Flows
Authors: Ruey, LUO Edward Ching-
Published: February 2022

The critical depth, which making unstable flow situation for necessary avoiding on design, of channel flow influences the water-surface profile obviously, and it defines the relationships between specific energy and discharge. Generally speaking, for a given discharge and the shape of cross-section, the minimum specific energy will have the corresponding only one critical depth as the initial condition for computing the steady gradually varied flow. In this paper, we will discuss the situation of critical depths on symmetrically compound channel flows in unsteady state incorporating a general definition of Froude number based on the 1D unsteady momentum and continuity equations with the self-derived 3D velocity profile. With the self-derived velocity profile, the critical depth may be calculated step-by- step and the precise discharge determined and compared. Examples for calculations and comparisons for critical depth and discharge are given and some discussion also presented finally.
The importance of laboratory parameters of the lipid
transport system and adipose tissue hormones in assessing the course of chronic
Authors: Roytman A. P. , Sedova N. A. , Ivanova E. A. , Godkov M. A.
Published: February 2022

The main manifestations of metabolic syndrome (MS) are disorders of carbohydrate and lipid metabolism and their hormonal regulation. The combined nature of metabolic disorders can significantly affect the course and prognosis of CHF in elderly people with metabolic syndrome. To determine the features of the combined effect of metabolic laboratory parameters and biological active factors of adipose tissue in patients with CHF and metabolic syndrome on the course of the disease. A comparison was made between a group of patients with CHF complicated by MS(n=37) and a group of patients with CHF without MS (n=37). The parameters of lipid metabolism (cholesterol CH and lipoproteins LP), the lipid transport system (ApoA1 and ApoB), leptin, adiponectin and resistin and their mutual relations were studied. The ratio of ApoB/ApoAI levels was indicative, which was 0.80±0.32 in patients with CHF without MS, and 1.12±0.46 in patients with CHF with MS (p <0.05). A significant correlation was found between the ratio of ApoB/ApoA1 levels and abdominal obesity (r=0.42, p<0.05), functional class of CHF (r=0.463, p<0.05), LDL-C level (r=0.518, p<0.05), and triglycerides (r=0.476, p<0.05). Also, significant results were obtained for the leptin/adiponectin ratio. For this ratio, 4 ranks were derived depending on the value of the leptin (ng/ml)/adiponectin (mcg/ml) ratio: less than 1 - rank 0 was assigned, with values of the ratio in the range 1 - 3 - rank 1, in the range 3.1 - 6 - rank 2, and above the value 6 - rank 3. Of the 22 patients who had improved CHF at the end of hospitalization, all at the beginning of hospitalization had a rank 0 or 1 ApoB/ApoA1 ratio. Thus, ranking the values of the ratio of ApoB/ApoA1 levels, and especially leptin/adiponectin, can suggest the probability of successful treatment of CHF or the probability of deterioration of the patient’s condition, up to a fatal outcome.
PENYULUHAN TENTANG CARA MENGATASI KECEMASAN IBU HAMIL MENJELANG PERSALINAN
Authors: Oktapianti Rika , Triyanti Dempi
Published: February 2022

Kehamilan disebut suatu episode dramatis terhadap kondisi biologis, psikologis dan adaptasi dari seorang wanita yang pernah mengalaminya. Sejak saat hamil ibu sudah mengalami kecemasan. Kecemasan meningkat menjelang persalinan terutama pada trimester III. Berdasarkan Kemenkes RI 2015 Di Indonesia terdapat 373.000.000 orang ibu hamil, yang mengalami kecemasan dalam menghadapi persalinan ada sebanyak 107.000.000 orang (28,7%). Sedangkan seluruh populasi di pulau sumatera terdapat 679.765 ibu hamil, yang mengalami kecemasan dalam menghadapi persalinan sebanyak 355.873 orang (52,3%). Tujuan pengabdian masyarakat ini adalah untuk mengetahui cara mengatasi kecemasaan ibu hamil menjelang persalinan. Metode yang dilakukan yaitu penyuluhan cara mengatasi kesemasan menjelang persalinan bagi peserta penyuluhan. Hasil yang diperoleh dalam kegiatan ini adalah para ibu hamil mengetahui tentang pengertian, penyebab kecemasan, tingkat kecemasan, faktor-faktor yang mempengaruhi kecemasan ibu hamil dalam menghadapi persalinan dan tekhnik untuk mengurangi rasa cemas menjelang persalinan. Serta memberikan dorongan bagi tenaga kesehatan dalam memberikan motivasi pada setiap konseling pada setiap konseling ibu hamil.
SKRINING ANEMIA SEBAGAI UPAYA PENINGKATAN KESEHATAN IBU HAMIL DI PRAKTIK MANDIRI BIDAN TANJUNG DELITUA
Authors: Purba Agnes , Haslin Sharfina
Published: February 2022

Iron deficiency is the most common cause of anemia in pregnancy. Complications that can occur from anemia in pregnant women are postpartum hemorrhage, low birth weight babies, premature birth and impaired fetal growth and development. Iron tablets are given once a day for 90 days during pregnancy. The survey at the Tanjung Clinic District Deli Tua that every pregnant woman is given antenatal care, education about the health condition of the mother and fetus and the administration of iron tablets, however monitoring of maternal health conditions through checking hemoglobin must still be carried out to ensure the effectiveness of iron tablets given to pregnant women. For this reason, PkM is carried out as a screening for anemia in pregnancy. This community service was carried out at PMB Tanjung Deli Tua in the form of physical examinations for pregnant women, checking hemoglobin levels with an easy touch device, giving iron tablets and providing education about the benefits and how to consume iron tablets correctly. The results obtained were that the majority of LiLA of pregnant women were 23.5 cm (95.4%) and the majority of pregnant women were secondary (52.2%). Then it was found out of 46 pregnant women who were examined 1 person (2%) had anemia. Through this PkM activity, it is necessary to collaborate with the nearest puskesmas to provide additional food for pregnant women who experience anemia and KEK.
PROMOSI KESEHATAN PENTINGNYA GIZI SEIMBANG DAN VAKSIN DI ERA PANDEMI
Authors: Faisal Nugroho Riezky , Martining Wardani Erika
Published: February 2022

During the COVID-19 pandemic, people are encouraged to adopt a healthy lifestyle. Several ways can be done to prevent transmission, including the consumption of balanced nutrition and vaccines. Health promotion is important. The purpose of the service is to promote health about the importance of balanced nutrition and vaccines in the pandemic era in Surabaya. The method in this service is by providing health promotion webinars. Participants in this service were 66 participants. Before and after the provision of health promotion in the form of education, an evaluation was carried out by distributing questionnaires via a google form link containing pre and post test questions. The results of this community service show that the majority of participants aged 30-39 years (63%), participants who know about balanced nutrition have a pre-test result of 24.2%, and post-test results are obtained as much as 78.8%, participants who know about vaccines get pre-test results. test 21.2%, and post test 81.8%, while the statistical test results obtained p = 0.001, meaning that there is a significant difference between public knowledge before and after being given health promotion through webinars. It is important to give health promotion as a preventive effort about balanced nutrition and vaccines on a regular basis so that people know and apply the knowledge that has been obtained so that people stay healthy in the midst of this covid-19 pandemic
PELATIHAN DAN PENDAMPINGAN FOTOGRAFI SEBAGAI UPAYA PENINGKATAN KUALITAS DOKUMENTASI DI DESA WISATA NGERANGAN
Authors: Khasanah S. I. , Istiyanto J. , Muhammad S. N. , Shevalinzi W.B. A. , Nurdin Akhmad
Published: February 2022

Berawal dikenal sebagai desa cikal bakal angkringan, mulai pertengahan Tahun 2021 Desa Ngerangan melalui Badan Usaha Milik Desa atau BUMDes Ngerangan Jaya sedang mengembangkan Desa Wisata Ngerangan dengan memanfaatkan potensi setiap wilayah dusun. Kurangnya pengetahuan tentang pemanfataan teknologi informasi menjadi salah satu permasalahan dalam pengembangan desa wisata ini. Strategi pemanfaatan media sosial sebagai media digital marketing merupakan salah satu contoh pemanfaatan teknologi informasi. Dokumentasi berupa foto sebagai obyek promosi harus mampu menarik perhatian bagi sesama pengguna media sosial, sehingga foto tersebut harus berkualitas baik dan menarik. Tujuan dari pengabdian ini yaitu memeberikan pembekalan, pelatihan dan pendampingan teknik fotografi dan editing terhadap anggota aktif Desa Wisata Ngerangan. Kegiatan ini dilaksanakan di Balai Desa Ngerangan dengan peserta pengurus utama PKK setiap Dusun di Desa Ngerangan. Kegiatan diawali dengan pemaparan tujuan pengabdian ini, selanjutnya pembekalan, praktik teknik fotografi, dan praktik editing foto. Hasil dan evaluasi kegiatan ini dipantau melalui Media Sosial Whatsapp Grup. Hasil pengabdian ini menunjukkan peningkatan kemampuan peserta dalam fotografi dan editing sebelum dan sesudah yang layak digunakan sebagai obyek promosi maupun konten dimedia sosial.
FAKTOR YANG MEMENGARUHI KESIAPAN IBU PREMENOPAUSE MENGHADAPI MASA MENOPAUSE DI KOMPLEK ASRAMA KHATULISTIWA KOTA PONTIANAK TAHUN 2021
Authors: Nababan Putri Rizky Parlina
Published: February 2022

Menopause adalah suatu bagian akhir dari proses biologis siklus menstruasi yang terjadi dikarenakan oleh penurunan produksi hormon estrogen yang dihasilkan oleh ovarium. Tahun 2016 di Indonesia baru mencapai 14 juta perempuan menopause atau 7,4% dari total populasi yang ada dan pada tahun 2020 jumlahnya diperkirakan mencapai 11,54%. Tujuan penelitian untuk mengetahui dan menganalisa faktor yang memengaruhi kesiapan ibu premenopause menghadapi masa menopause di Komplek Asrama Khatulistiwa Kota Pontianak Tahun 2021. Jenis penelitian ini menggunakan Mix Methods dengan strategi metode Eksplanatoris Sekuensial. Penelitian dilakukan di Komplek Asrama Khatulistiwa Kota Pontianak. Populasi berjumlah 48 orang, sampel dengan teknik total sampling sebanyak 48 responden, sedangkan informan kualitatif 3orang perwakilan ibu premenopause. Hasil uji chi-square diperoleh pada variabel tingkat pendidikan p= 0,009, status pekerjaan p=0,006, pengetahuan p=0,002, sikap p=0,005, tingkat stress p=0,007, dukungan keluarga p=0,004, aktivitas fisik p=0,006 yang menunjukkan adanya faktor yang memengaruhi kesiapan ibu premenopause menghadapi masa menopause. Variabel yang sangat berpengaruh adalah sikap ibu premenopause dengan nilai Exp(B) 22,625. Kesimpulan dalam penelitian ini adalah ada pengaruh tingkat pendidikan, status pekerjaan, pengetahuan, sikap, tingkat stress, dukungan keluarga, aktivitas fisik terhadap kesiapan ibu premenopause menghadapi masa menopause di Komplek Asrama Khatulistiwa Kota Pontianak Tahun 2021. Disarankan kepada tempat penelitian agar penelitian ini dapat dijadikan sebagai bahan informasi dan masukan saat dilakukannya penyuluhan atau kegiatan kesehatan lainnya, khususnya bagi ibupremenopause agar dapat mempersiapkan diri dengan baik dalam menghadapi masa menopause kelak.
HUBUNGAN PENGETAHUAN DAN SIKAP SUAMI DALAM MENGHADAPI ISTRI YANG HYPERMESIS GRAVIDARUM PADA TRIMESTER I DI KLINIK SEHAT KASIH BUNDA
Authors: Saragih Rismaida
Published: February 2022

Kehamilan merupakan suatu hal yang sangat didambakan Selama kehamilannya. Mual dan muntah sering terjadi selama kehamilan 70% dan 85% dengan sekitar setengah dari presentase ini mengalami muntah. Keadaan Hiperemesis Gravidarum yang sangat komplikasi tersebut mengakibatkan lebih dari setengah juta ibu yang mengalami mual dan muntah di setiap tahunnya, dari jumlah tersebut terjadi di indonesia diperkirakan mencapai 40%. Sedangkan menurut laporan Dinas Kesehatan Kota Medan pada tahun 2018 terdapat 206 wanita hamil trimester pertama yang mengalami mual muntah dari seluruh jumlah ibu hamil trimester pertama yaitu 465 orang. Dan didapat survei pendahuluan di Klinik Sehat Kasih Bunda terhadap 10 suami, yang membawa istrinya pada kehamilan trimester I, 40% orang Suami memberikan perhatian penuh pada istrinya dan mendampinginya dan 60% orang suami hanya mengantarkan saja. Dan dari 10 suami 70% tidak mengetahui bahwa pentingnya mendampingi istri pada saat emesis gravidarum dan bagi suami kehamilan trimester I dianggap hal yang tabu  bagi para wanita. Tujuan umun Untuk mengetahui Hubungan Pengetahuanan Sikap Suami Dalam Menghadapi Istri yang Hypermesis Gravidarum Pada Trimester I di Klinik sehat kasih bunda. Metode penelitian bersifat Analitik deskriptif Dengan pendekatan cross sectional. Data yang digunakan adalah data primer yang diperoleh langsung dari responden dengan menggunakan lembar kusioner. Populasi dalam penelitian ini adalah Suami Dalam Menghadapi Istri yang Hypermesis Gravidarum Pada Trimester I. Cara pengambilan sampel dan penelitian ini adalah dengan tehnik total sampling. Hasil penelitian bahwa mayoritas pengetahuan responden berpengetahuan Cukup sebanyak 18 responden (51.5%) dan sedangkan minoritasnya berpengetahuan Kurang 4 responden (11.4%). mayoritas sikap yang positif sebanyak 20 responden (57.1%), sedangkan minoritasnya sikap yang negatif sebanyak 15 responden (42.9%). mayoritas pengetahuan baik dengan Sikap Positif sebanyak 11 responden (70.3%) dan minoritas pengetahuan kurang dengan Sikap Negatif sebanyak 1 responden (10.5%). Sedangkan nilai p-value pada tabel diatas 0.05 maka (p) < 0.05 maka H0 ditolak sehingga ada Hubungan pengetahuan dan sikap Suami Dalam Menghadapi Istri yang Hypermesis Gravidarum Pada Trimester I di Klinik sehat kasih bunda. Kesimpulan dan saran. Mayoritas pengetahuan baik dengan sikap positif sebanyak 9 responden (52.9%) dan minoritas pengetahuan kurang dengan sikap positif sebanyak 2 responden (11.8%). Sedangkan nilai p-value pada tabel diatas 0.05. Sehingga dapat menambah wawasan dan Diharapkan pada suami agar tetap meningkatkan pengetahuan yang baik dengan sikap yang semakin positif terhadap Istri yang Hypermesis Gravidarum Pada Trimester I. Dan memperluas wawasan dalam mengidentifikasikan serta memberikan informasi         mengenai Hypermesis Gravidarum
MANAJEMEN PENGELOLAAN OBAT DIINSTALASI FARMASI RUMAH SAKIT UMUM DAERAH dr. ZUBIR MAHMUD KABUPATEN ACEH TIMUR TAHUN 2021
Authors: Hariani Husna , Fitriani Arifah Devi , Sari Mayang
Published: February 2022

Pengelolaan obat merupakan serangkaian kegiatan perencanaan, penganggaran, pengadaan, penyimpanan, pendistribusian, penghapusan, dan pengendalian guna mendukung upaya pencapaian tujuan organisasi. Penelitian ini bertujuan untuk mengetahui sistem pengelolaan obat pada layanan Instalasi farmasi RSUD dr.Zubir Mahmud Kabupaten Aceh Timur.
Penelitian ini merupakan penelitian kualitatif dengan jenis data yang digunakan adalah data primer dan data sekunder. Informan dalam penelitian ini terdiri dari kabid penunjang medis, kepala bagian perencanaan, ketua komite farmasi dan terapi,kepala instalasi farmasi, kepala gudang, koodinator farmasi rawat jalan, koordinator farmasi rawat inap, koordinator depo OK, staf pengadaan, staf keuangan dan pasien.
Hasil penelitian menunjukkan bahwa perencanaan obat dengan metode komsumsi dan belum menggunakan metode analisis VEN – ABC. Penganggaran persediaan obat menggunakan anggaran Badan Layanan Umum Daerah (BLUD). Pengadaan obat dilakukan dengan cara pembelian langsung tidak secara e-purcising karena menunggaknya tagihan obat, penyimpanan obat menggunakan sistem FIFO (First in first out) dan FEFO (First expired first out). Pendistribusian obat kepasien rawat jalan dengan cara individual prescribing sedangkan pasien rawat inap menggunakan cara one daily dispensing (ODD).
Kesimpulan dari penelitian ini adalah manajemen pengelolaan obat diRSUD dr.Zubir Mahmud Kabupaten Aceh timur sudah sesuai standar yang ditetapkan yaitu untuk perencanaan, pengadaan,penyimpanan dan distribusi obat sesuai dengan SOP yang ditetapkan oleh RSUD dr.Zubir Mahmud sedangkan untuk penganggaran mengacu pada Permendagri RI No.79 tahun 2008 akan tetapi ketersediaan obat masih kurang terpenuhi.Disarankan untuk memberikan pelatihan-pelatihan untuk SDM yang ada dan penambahan sarana dan prasarana yang memadai diRSUD dr.Zubir Mahmud.
FAKTOR YANG MEMENGARUHI KEJADIAN HIPERTENSI PADA LANSIA DI UPT PUSKESMAS SIGUMPAR
Authors: Simanjuntak Tetty JR , Nasution Zuraidah , Utami Tri Niswati
Published: February 2022

Menurut American Heart Association atau AHA dalam Kemenkes , Hipertensi merupakan Silent Killer, dengan gejala yang dapat bervariasi pada masing masing individu dan hampir sama dengan gejala penyakit lainnya, Kemudian menurut Riskesdas Sumatera Utara 2018 data penderita hipertensi pada usia 55-64 sebanyak 13.02%, usia 65-74 tahun sebanyak 18,07% dan usia 75 tahun keatas sebanyak 16,21%. Jenis penelitian ini menggunakan survei analitik deskriptif dengan rancangan cross sectional. Populasi dalam penelitian ini adalah seluruh lanjut usia  (≥60 tahun) penderita hipertensi di Wilayah kerja UPT Puskesmas Sigumpar sebanyak 102 orang.sedangkan sampel berjumlah 102 orang dengan cara total sampling. Analisa data dilakukan dengan analisis univariat, bivariat dan multivariat. Berdasarkan hasil uji chi-square diketahui bahwa kejadian hipetensi berpengaruh terhadap riwayat Keluarga, merokok, obesitas, pola makan, aktivitas fisik dan etnis p = 0,000, artinya ada pengaruh  Riwayat Keluarga, merokok, obesitas, pola makan, aktivitas fisik dan etnis terhadap kejadian hipertensi. Dari hasil analisis multivariat diketahui variabel yang paling berpengaruh dalam penelitian ini adalah variabel obesitas dengan nilai OR 83. Kesimpulan dalam penelitian ini adalah obesitas  merupakan faktor yang dominan berpengaruh terhadap kejadian hipertensi di UPT Sigumpar. Untuk dapat menekan prevalensi kejadian hipertensi diharapkan kerjasama Dinas Kesehatan, puskesmas dan petugas kesehatan. Disarankan kepada petugas kesehatan diharapkan dapat melakukan penyuluhan cara mengatasi  masalah hipertensi
HUBUNGAN FAKTOR INDIVIDU DAN POSTUR KERJA DENGAN KELUHAN LOW BACK PAIN PENJAHIT KECAMATAN MEDAN BARU
Authors: Syaputra Hari , Nyorong Mppeaty , Utami Tri Niswati
Published: February 2022

Usaha sektor informal merupakan salah satu usaha yang memiliki risiko kesehatan yang cukup tinggi. Salah satu usaha informal yang banyak terdapat di Indonesia dan memiliki risiko kesehatan yang cukup tinggi adalah usaha menjahit. Tujuan penelitian ini untuk menganalisis hubungan faktor individu dan postur kerja dengan keluhan low back pain penjahit Kecamatan Medan Baru. Jenis penelitian ini adalah observasional analitik dengan pendekatan cross sectionalstudy. Populasi dalam penelitian ini adalah semua penjahit diKecamatan Medan Baru yang berjumlah 68 orang dengan jumlah sampel sebanyak 62 orang yang ditentukan menggunakan metode purposive sampling. Analisa menggunakan analisis univarat, bivariat dan multivariat. Hasil uji chi square menunjukkan bahwa usia (p= 0,001<0,05), jenis kelamin (p= 0,021<0,05), masa kerja (p= 0,084>0,05), lama kerja (p= 0,000 <0,05) dan potur kerja (p= 0,002<0,05). Uji regresi logistik menunjukkan bahwa variabel yang paling berpengaruh terhadap keluhan low back pain adalah lama kerja dengan nilai Exp (B) 17,170. Kesimpulan penelitian ini usia, jenis kelamin, lama kerja, postur kerja memiliki hubungan dengan keluhan low back pain, sedangkan masa kerja tidak memiliki hubungan dengan keluhan low back pain. Diperlukan upaya untuk mengurangi risiko keluhan low back pain pada pekerja dengan melakukan stretching, perbaikan terhadap keadaan duduk dan melakukan senam punggung untuk terciptanya hasil kerja yang lebih maksimal.
FAKTOR - FAKTOR YANG BERPENGARUH TERHADAP PENERAPAN KESELAMATAN PASIEN DI RUANGAN RAWAT INAP RSU PERMATA MADINA PANYABUNGAN
Authors: Kalsum Ummi , Asriwati Asriwati , Moriza Tengku
Published: February 2022

Keselamatan pasien merupakan suatu sistem yang membuat asuhan pasien menjadi lebih aman. petugas kesehatan sering salah mengidentifikasi pasien, identifikasi dan pengelolaan risiko pasien yang kurang tepat, pelaporan dan analisis insiden yang kurang sesuai, serta kurang memberikan solusi untuk meminimalkan timbulnya risiko dan mencegah terjadinya cedera yang disebabkan oleh kesalahan akibat melaksanakan suatu tindakan atau tidak mengambil tindakan yang seharusnya diambil. Tujuan penelitian ini adalah untuk menganalisa faktor-faktor yang berpengaruh terhadap penerapan keselamatan pasien di ruangan rawat inap RSU Permata Madina Panyabungan. Penelitian ini menggunakan metode survei analitik dengan desain cross sectional. Populasi dalam penelitian ini sebanyak 35 orang. Teknik pengambilan sampel dalam penelitian ini dengan menggunakan metode total sampling. Penelitian ini menggunakan data primer yang diperoleh secara langsung dengan membagikan kuesioner, kemudian dilakukan uji Chi Square dengan nilai kemaknaan 95 % ( = 0,05%). Hasil penelitian menunjukkan ada pengaruh pengetahuan dan supervisi terhadap penerapan keselamatan pasien di ruangan rawat inap Rumah Sakit Permata Madina Panyabungan dengan nilai ρ value = 0,000, dan ρ 0,038. Tidak ada pengaruh sikap dan beban kerja terhadap penerapan keselamatan pasien di ruangan rawat inap Rumah Sakit Permata Madina Panyabungan dengan nilai ρ value = 0,081 dan ρ value 0,126. Kesimpulan dari penelitian ini adalah ada pengaruh yang signifikan antara pengetahuan dan supervisi terhadap penerapan keselamatan pasien di ruangan rawat inap Rumah Sakit Permata Madina Panyabungan. Tidak ada pengaruh sikap dan beban kerja terhadap penerapan keselamatan pasien di ruangan rawat inap Rumah Sakit Permata Madina Panyabungan. Disarankan kepada pihak manajemen RSU Permata Madina Panyabungan dapat memberikan pelatihan kepada semua Perawat pelaksana tentang penerapan keselamatan pasien.
GAMBARAN PERILAKU IBU NIFAS TENTANG TEKNIK MENYUSUI YANG DIRAWAT GABUNG DI RSUD SEKARWANGI KABUPATEN SUKABUMI
Authors: MANALU LISBET OCTOVIA
Published: February 2022

Breastfeeding techniques that are not mastered by the mother will have an impact on the mother, such as mastitis, lumpy breasts, sore nipples, while babies do not want to breastfeed, which results in the baby not getting enough milk. The purpose of this study was to find out the description of the behavior of post-partum mothers regarding breastfeeding techniques that were treated in the Sekarwangi Hospital, Sukabumi. The methodology of research who used a descriptive survey research, with a total sample of 54 postpartum mothers. The research instrument adapted Nursalam's (2016) lactation management observation sheet. The data analysis conducted by researchers was descriptive analysis. The results of the analysis showed that most of the respondents had bad behavior about breastfeeding techniques, namely as many as 37 peoples (68.5%). The conclusion of this study shows that the behavior of post-partum mothers about breastfeeding techniques that are treated in the Sekarwangi Hospital is not good. So that nurses are expected to further enhance their roles as caregivers, educators and counselors for postpartum mothers related to proper and correct techniques of breastfeeding.

ABSTRAKTeknik menyusui yang tidak dikuasai oleh ibu akan berdampak pada ibu seperti mastitis, payudara bergumpal, putting sakit, sedangkan pada bayi dapat dipastikan bayi tidak mau menyusui yang berakibat bayi tidak akan mendapatkan ASI cukup. Tujuan penelitian ini adalah mengetahui gambaran perilaku ibu nifas tentang teknik menyusui yang dirawat gabung di RSUD Sekarwangi Kabupaten Sukabumi. Metodologi penelitian ini menggunakan penelitian survey yang bersifat deskriptif, dengan jumlah sampel 54 orang ibu nifas. Instrumen penelitian mengadaptasi lembar observasi manajemen laktasi Nursalam (2016). Analisa data yang dilakukan oleh peneliti adalah analisis deskriptif. Hasil analisis menunjukan sebagian besar responden berperilaku kurang baik tentang teknik menyusui yaitu sebanyak 37 orang (68.5%). Simpulan dari penelitian ini menunjukkan perilaku ibu nifas tentang teknik menyusui yang dirawat gabung di RSUD Sekarwangi kurang baik. Sehingga perawat diharapkan dapat lebih meningkatkan perannya sebagai caregiver, edukator dan konselor terhadap ibu nifas terkait teknik menyusui yang baik dan benar.
Elucidating the critical oligomeric steps in secondary organic aerosol and brown carbon formation
Authors: Ji Yuemeng , Shi Qiuju , Ma Xiaohui , Gao Lei , Wang Jiaxin , Li Yixin , Gao Yanpeng , Li Guiying , Zhang Renyi , An Taicheng
Published: February 2022

Abstract. Small α-dicarbonyls represent the major precursors for secondary organic aerosol (SOA) and brown carbon (BrC) in the atmosphere, but the chemical mechanisms leading to their formation remain unclear. Here we elucidate the fundamental kinetics and mechanisms for aqueous-phase oligomerization of glyoxal (GL) using quantum chemical and kinetic rate calculations. Our results identify several essential isomeric processes for GL, including protonation to yield diol/tetrol and carbenium ions, nucleophilic addition of carbenium ions to diol/tetrol as well as to free methylamine/ammonia (MA/AM), and deprotonation to propagate oligomers and N-heterocycles. Both protonation and nucleophilic addition occur without activation barriers and are dominantly driven by electrostatic attraction. Deprotonation proceeds readily via water molecules in the absence of MA/AM but corresponds to the rate-limiting step for N-containing cationic intermediates to yield N-heterocycles. On the other hand, the latter occurs readily via a catalytic process by acidic anions (eg., SO42-). A carbenium ion-mediated reaction rate of GL is 4.62 × 10-3 s-1 under atmospheric conditions, in good agreement with the experimental data. Our results provide essential mechanistic and kinetic data for accurate assessment of the role of small α-dicarbonyls in SOA and BrC formation.