bluuebunny/crossref_metadata_2025 huggingface dataset:
Digital Competence of Librarians as a Factor of Library Activity in the Context of Digital Transformation
Authors: Tolmach Maryna
Published: July 2022

The aim of the research is to prove the role of digital competence as a factor of library activity in the context of digital transformation and the need to ensure the development of digital competence in the improvement of the content of educational programmes.
The research methodology is based on general scientific principles of unity of theory and practice, consistency, complexity, and comprehensiveness of knowledge. The study applies system and content analysis methods, descriptive methods, methods of comparison and generalisation on topical issues of improving the training of library specialists and studying the level of digital competence.
The scientific novelty of the study aims to identify new functions and activities of library professionals emerging in response to the challenges of digital transformation. The increasing importance of the virtual library space and the transformation of libraries into digital hubs lead to the emergence of new “digital” professions focused on supporting digital transformation processes, web content management and web communities that require a high level of digital competence. There are approaches to analyse the content of educational programmes using the digital competence framework for DigCompUA citizens and the national digital literacy test of digital programmes in the article, which will improve the content of educational programmes and further develop a specialised digital competence framework for librarians.
Conclusions. In the context of digital transformation, significant changes are taking place in the activities of libraries, traditional functions are being enriched, and new ones are emerging, initiatives are being introduced to turn libraries into digital hubs, and the list of ways to interact with users is expanding. Strengthening the role of virtual space as a component of libraries implies the availability of both technical and human resources. One of the challenges for formal library education is the formation of digital competence, which should be considered in educational and advanced training programmes. The author has outlined the possible roles of librarians who require digital competence to perform certain tasks using the example of new types of professional activity.
There is an analogy with the research on the digital skills of librarians in the European Union countries. The author has noted the need to study the level of digital competence of library specialists in Ukraine to assess the current state and further modernise the content of training programmes. To diagnose and determine the directions of development, it is proposed to use the digital competence framework for Ukrainian citizens based on European standards of digital literacy and digital literacy testing. It is advisable to develop a specialised framework for librarians.
Present Status and Leading Trends in the Work of Ukrainian Informative Centres Based on the Analysis of Websites' Content
Authors: Lysenko Taras
Published: July 2022

The aim of the article is to consider and highlight the leading trends in IAC work based on the analysis of websites’ content nowadays.
The research methodology is based on the application of content analysis was used for revealing in the material of websites some trends and directions of IAC work, systematisation, and categorisation, which help to reconstruct the real situation of IAC in Ukraine and also methods of generalisation, comparative analysis, induction and deduction.
The set of issues connected with the Ukrainian informative analytical centres (IAC) functioning on the modern stage, mainly regarding the formation of their net structure, formalisation, and activity coordination in a combination of outer challenges, determines the conceptual frameworks and leading trends in IAC work, highlights and considers the most critical tasks of nowadays.
The scientific novelty of the study is the first article-based research of websites of above 50 Ukrainian IAC, mainly that are non-governmental. The article has determined the problematic-thematic directions of their analytical work, such as political-legal and economical; defence-security; international-integrational; social-transformation and cultural; expert and scientific-technical.
Conclusions. Based on the websites’ content analysis, it was determined that most pointed informative and research structures concentrate on their analytical work on political-economic problematic that explains the interests of separate stakeholders and sources of financing for the subjects of the information field. It was shown that including modern trends and challenges following the political-economic problematic starts focused on the integration and safety questions and only after them on social-cultural aspects of the Ukrainian lives most in the part of social standards and democratic freedoms. And very little attention in an expert-analytical environment is put on the improving scientific and technical potential and analytical methodology on which the work of all IAC are based.
Plane problem of discrete environment mechanics
Authors: Bagrii O.V.
Published: July 2022

Many engineering problems related to the design of structures and machines, the mathematical description of technological processes, etc., are reduced to the need to solve a plane problem for materials with a significant effect of internal friction on their deformation. Such materials include a large class of materials in which the compressive strength is greater than tensile. These are composite materials, concretes, rocks, soils, granular, loose, highly fractured materials, as well as structurally heterogeneous materials in which rigid and strong particles are interconnected by weaker layers. The laws of deformation and destruction of such materials differ significantly from elastic ones. A feature of these laws is an increase in resistance to shear deformations and an increase in the strength of materials with an increase in the magnitude of compressive stresses. This is associated with the influence of internal Coulomb friction on the process of their deformation in the limiting and boundary stages.

The need to formulate and solve a special boundary value problem for materials with significant internal friction is because the results of solving problems using models of elasticity and plasticity differ significantly from experimental data. The difference increases when approaching the limiting state of discrete materials and depends significantly on the structure of the material and operating conditions.

The boundary value problem of the mechanics of a deformable solid is formulated as a system of equations of three types: static, geometric, and physical. For all linear and physically nonlinear problems, provided the deformations are small, the first two groups of equations remain the same. Thus, these differences can be attributed to the inconsistency of the accepted in the calculations of physical relations "stress - strain" and the real laws of deformation of these materials, which are more complex rheological objects than structurally homogeneous solids, liquids or gases.

The article uses an approach where the material is immediately considered as quasi-continuous, and the physical equations are based on the experimentally obtained relationships between the invariants of the stress and strain tensors, which consider the influence of both molecular connectivity and internal Coulomb friction.
Tribological properties of anode-spark coatings on aluminum alloys
Authors: Dykha O. , Babak O. , Makovkin O. , Posonskiy S.
Published: July 2022

It is established that at present the technology of anode-spark coatings in general is well studied. However, the lack of recommendations for the choice of modes of technological processes and tribological characteristics in different operating conditions limit the widespread introduction of this technology. The task of this work was to analyze the processes of anode-spark coatings, improve technology and study the wear resistance of samples processed by this and traditional anode technology. The development of technology for the application of protective coatings on valve metals in the conditions of spark discharge included the choice of electrolyte and mode of operation of the bath: voltage, current density, hydrodynamic conditions and other parameters. Wear resistance tests were performed on a special installation. Structurally, the installation is made in two positions, which allows you to test two samples with different load conditions at a constant sliding speed. The design of the installation implements the friction scheme of the liner shaft. The study of anode-spark coatings in the mode of limiting lubrication was studied in the environment of industrial oil. The wear criterion was the weight wear of the samples according to the results of weight measurements before and after wear. It is established that prolonged electrolysis in the conditions of sparking leads to the formation of anode coatings that exceed in their properties the films obtained by non-sparking oxidation. Comparative studies of the wear resistance of anode-spark coatings and galvanic anode coatings under the same test conditions showed that the wear of anode-spark coatings is almost twice lower for the entire load range. The considered technology is recommended for increase of wear resistance of elements of devices from the aluminum alloys working in the conditions of corrosion and mechanical wear
Thermodynamic substantiation of the direction of nonequilibrium processes in triadconjugations of machine parts based on the principles of maximum and minimum entropy
Authors: Aulin V.V. , Lysenko S.V. , Hrynkiv A.V. , Holub D.V.
Published: July 2022

The article gives a thermodynamic substantiation of the direction of nonequilibrium processes in tribocouples of machine parts, in tribosystems, based on the principles of maximum and minimum entropy. It is clarified how nonequilibrium processes can be substantiated on the basis of the minimum and maximum function of entropy production: linear and nonlinear nonequilibrium processes and their different thermodynamics. The entropy production function is considered as a function of thermodynamic force flows and thermodynamic flows.

The theory of nonequilibrium processes is based on the Liouville equation for classical tribosystems, taking into account external influences or perturbations. It is shown that in thermodynamic processes in tribosystems the principle of entropy maximization is realized as the second principle of synergetics.
Influence of high-modulus filler content on critical load on tribocouples made of microheterophase polymer composite materials
Authors: Aulin V.V. , Lysenko S.V. , Hrynkiv A.V. , Derkach O.D. , Makarenko D.O.
Published: July 2022

The influence of the content of high-modulus filler on the assessment of the critical load on the conjugation of polymeric composite materials is theoretically substantiated from the tribological point of view. Various cases of destruction of polymeric composite materials are considered. The conditions under which the setting of polymeric composite materials is observed, as well as the conditions of their destruction are formulated. Both viscous and brittle fracture of polymeric composite materials are considered. The main focus is on critical loads and stresses depending on the content of high-modulus filler, taking into account the modulus of elasticity of the polymer matrix and filler and the nature of their destruction
Kinematic analysis and synthesis of cutter movement of slotting machine
Authors: Pasika V.R. , Roman D.A. , Kharzhevskyi V.O.
Published: July 2022

The kinematic characteristics of the links and individual points of the mechanism are determined by the method of closed geometric contours and the method of designing plans. The forces of interaction between the links of the mechanism are determined by the method of kinetostatics, and the balancing moment by considering the dynamic equilibrium of the crank and the method of power balance. The drawbacks of the structural scheme of the mechanism are revealed and the ways of their elimination are offered.

The results of research are presented in the form of graphical dependences of the kinematic parameters of the cutter, reactions or hodographs of forces in kinematic pairs. The moments of resistance forces and inertia forces are determined and the dynamic and mathematical models of the movement of the mechanism are constructed. The technology of determining the power of the electric motor is shown, and its stable area of operation is approximated by a straight line.

Kinematic synthesis was performed and a modernized mechanism was obtained in which the cutter can move according to a predetermined law, in particular, without soft shocks at the boundaries of the kinematic cycle and with quasi-constant speed (error up to 5%) in the middle of the kinematic cycle
Using a functional approach in solving problems improve performance waterjet equipment
Authors: Salenko O. , Khorolska М. , Lopata V. , Solovuch E. , Kulyzhskyi V.
Published: July 2022

The paper shows the influence of parameters of the calibration tube jet-abrasive devices on the quality of the process of waterjet cutting critical parts. The results of modeling the formation of two-phase flow and its movement in the calibration tube. Determined that the effects wear ductal fluid of the tube varying intensity and character. In this regard there is the need for functional-oriented approach to the choice of means to ensure the desired geometric parameters of the tube. It is concluded that the decrease in the intensity of ductal Shot material of the tube and thus maintain its geometric parameters is possible by the use of suitable protective coatings , thickness and physical and mechanical characteristics are selected on the basis of Value attributes according to the intensity and type of abrasive loading surface
Development of the technology of stowing the developed space during mining
Authors: Kovalskii Evgenii , Gromtsev Kirill
Published: July 2022

An analysis of the world experience in the development of potash deposits shows that the main problems arising during their development are a high level of mineral losses, an increased risk of flooding of mine workings as a result of water-proof layer discontinuance and the development of emergency water inflows in the mined-out spaces. Reduction of potash ore losses can be achieved by using a long-pillar mining system, but this method is limited by the peculiarities of the geological structure of the potash deposits and the need to preserve the continuity of the water-proof layer during its underworking. The safety of underworking of the water-proof layer can be improved by using the stowing of the developed longwall space. However, the question of the influence of the stowing on the height of the zone of water supply cracks development remains little-studied. The world experience of stowing the developed spaces in the development of layers with long pillars is analyzed and the technology of placing the stowing masses, which can solve these problems, is proposed. The considered technology and the proposed solutions are supported by laboratory tests of stowing materials and mathematical modeling of deformation zones in the overlying rocks.
Lesões da bexiga e do cólon de ratos wistar submetidos à carcinogênese química de duas etapas
Authors: Bononi Alexandra Procópio , Caetano Camila da Silva , Rocha Noeme de Souza , Oliveira Susie Vieira de , Salvadori Daisy Maria Fávero , Camargo João Lauro Viana de
Published: July 2022

Este estudo descreve as lesões morfológicas da bexiga e em cólon em ratos Wistar, de ambos os sexos, submetidos a um teste alternativo para a identificação de cancerígenos químicos. Desenvolvido por pesquisadores japoneses em ratos Fischer 344 machos, em 1996, este teste foi adotado, com algumas modificações, pelo Instituto Brasileiro do Meio Ambiente e Recursos Naturais Renováveis (IBAMA), como fonte de evidência de carcinogenicidade química. Os animais foram separados em seis grupos, um deles o controle não-tratado. Os grupos 2, 3 e 4 sofreram iniciação multi-orgânica da carcinogênese pelo tratamento sequencial com N-dietilnitrosamina (DEN, 100 mg/kg i.p.), N-metil-N-nitrosouréia (MNU, 80 mg/kg i.p.), N-butil-N-(4-hidroxibutil)nitrosamina (BBN 0,05 % via água de beber, semanas 1 e 2), dimetil-hidrazina (DMH, 160 mg/kg, s.c.) e dihidroxi-propil-nitrosamina (DHPN 0,1% via água de beber, semanas 3 e 4). A promoção da carcinogênese foi estabelecida à partir da 6a. semana, pela mistura, na ração, de 0,05% fenobarbital (grupos 3 e 5) ou 0,01% 2-acetilaminofluoreno (2-AAF, grupos 4 e 6), até o final do experimento, na 30a. semana. Na bexiga, a lesão vesical mais relevante foi a hiperplasia papilífera/nodular (HPN), particularmente nos grupos machos iniciados e promovidos para a carcinogênese. No cólon, ocorreram focos de criptas aberrantes (FCA), adenomas e adenocarcinomas. As neoplasias do cólon ocorreram em todos os grupos iniciados de ambos os sexos, mas aumento significativo da incidência de adenocarcinomas só ocorreu nos machos promovidos por 2-AAF. Os resultados indicam que a iniciação da carcinogênese foi efetiva nos animais tratados e documentam o padrão de lesões que ocorre na bexiga e cólon de ratos Wistar.
Cuidados paliativos:
Authors: Schramm Fermin Roland
Published: July 2022

Palestra proferida por ocasião da 1° jornada de cuidados paliativos e dor do Instituto Nacional de Câncer - Rio de Janeiro de 25 a 27 de novembro de 1999. Pretende esclarecer, do ponto de vista da bioética, os argumentos em jogo nesta complexa problemática, na esperança de que ela sirva para ulteriores aprofundamentos do debate, que considero indispensáveis para tomadas de decisão esclarecidas.
Neonatal cholestasis – A case report on congenital bile acid synthetic defect type 4 and severe anemia
Authors: Saxena Sufla 
Published: July 2022

Congenital defects of bile acid synthesis are rare disorders that cause progressive liver dysfunction. We present a case of alpha methylacyl-CoA racemase (AMACR) deficiency with non-spherocytic hemolytic anemia who presented with rapidly progressive severe cholestasis and liver failure with normal gamma-glutamyl transferase levels. After extensive investigation, he was found to have AMACR deficiency with HBB gene mutation associated with non-spherocytic hemolytic anemia possibly explaining the severity of the disease. To the best of our knowledge, a similar association has not been reported so far.
Multiple Grade IV Pressure Injuries in a Young Boy: ALook Into the Pathognomic and Management of Iliac Crest Pressure Injury
Authors: Shah Sheerin , Mittal Rajinder K , Garg Ramneesh , Singh Karan , Gautam Sumit
Published: July 2022

Pressure Injury (PI), not only exerts physical burden on a patient’s body but also adds to his mental and economic stress [1]. Chronically ill, bed ridden and aged patients are always predisposed to development of pressure injury unless nursed with frequent position changes over an air mattress [2]. Every now and then, we come across, young patients who develop PI, either because of insensate and powerless lower limbs or prolonged bed ridden medical conditions. The temptation to close any pressure ulcer primarily should always be resisted [3]. We hereby, present a case report of a 17 years boy, who sustained cervical spine injury after road traffic accident, 10 months back and later developed multiple pressure injuries over bilateral trochanter and left ilium. We discuss the pathognomics of occurrence of pressure injury at unusual sites like ilium and our management for coverage of such defects.
Emphysematous pancreatitis presenting as new-onset diabetes mellitus with multi-organ dysfunction: Managed successfully with medical management alone
Authors: Singh Nitesh Kumar , Ambinathan Jaya Nath , Knotek Mladen
Published: July 2022

Emphysematous pancreatitis is one of the rare and potentially fatal complications of acute pancreatitis. We present here the case of a 69-year-old man who presented with abdominal discomfort, vomiting, and constipation with features of sepsis due to Klebsiella pneumoniae bacteremia and new-onset diabetes mellitus. Elevated serum lipase levels and abdominal computed tomography scan showing pancreatic necrosis with air bubbles suggestive of emphysematous pancreatitis. He was managed conservatively as the surgical intervention was differed in view of unstable hemodynamics and thrombocytopenia. The entire emphysematous pancreatitis and sepsis resolved with medical management alone although surgical necrosectomy may be indicated at presentation.
Heterotopic pancreatic tissue in gall bladder incidentally detected in a case of acute cholecystitis: A case report and review of the literature
Authors: Mishra Gaurav , Galande Sneha , Sethna Kaiumauz Sohrab , Mahajan Pravin , Patil Adwait , Venkateswaran Vaidehi
Published: July 2022

Heterotopic pancreatic tissue in the gall bladder is a very uncommon lesion. In most cases, it is an incidental finding. The placement of pancreatic tissue in an organ outside the pancreas is called pancreatic heterotopy. Heterotopic pancreas is commonly found in the stomach, small intestine, and Meckel’s diverticulum. It has rarely been seen in the gall bladder, bile duct, splenic hilum, or liver. We present a case of incidentally discovered heterotopic pancreatic tissue in a case of acute cholecystitis in a 63-years-old lady having a history of pain in the right hypochondriac region.
journey of neuroendocrine carcinoma of the brain from the primary to metastatic tumor
Authors: Chaudhari Sachin , Patel Sachinkumar , Pradhan Dipendra , Partha Ghosh , Tiwari Mona
Published: July 2022

The neuroendocrine tumors most commonly originate in the lung, liver, and gastrointestinal tract. They can be graded into a three-tiered system depending on their proliferation index. These tumors frequently metastasize to the regional lymph nodes. Neuroendocrine tumors of the brain are very rare. Most of them are metastatic and a handful of cases are primary. Hereby, we present a case of brain neuroendocrine carcinoma, which was solitary with no evidence of the primary tumor in the body at the time of neurosurgery. However, treating physicians vigilantly kept him on regular follow-up and investigated further. The patient was diagnosed to have a lesion in the lung 3 months after surgery. Thus, it was considered primary neuroendocrine carcinoma of the brain; however, regular follow-up and further positron emission tomography scan showed a small mass in the lung and adrenal gland. Based on this, a final diagnosis of metastatic neuroendocrine carcinoma of the brain was made.
Rifampicin-induced thrombocytopenia in a patient of disseminated tuberculosis
Authors: Agarwal S Vinayak , Kumar Nishant
Published: July 2022

Thrombocytopenia may be associated with a variety of conditions and risks depending on its severity, ranging from mild epistaxis tolife-threatening bleeding. Many drugs or herbal remedies can cause thrombocytopenia by either inhibiting platelet production and/orenhancing their destruction from the peripheral blood-mediated through an immunological mechanism implicating drug-dependentantibodies. Drugs are a common cause of acute immune-mediated thrombocytopenia in adults, the drug etiology is often initiallyunrecognized. Most cases of drug-induced thrombocytopenia are caused by drug-dependent antibodies that are specific for the drug structure and bind tightly to platelets by their Fab regions but only in the presence of the drug. Thrombocytopenia is an uncommon but life-threatening complication of certain antitubercular drugs. The discovery of isolated thrombocytopenia in a patient taking several medications presents a challenging clinical problem. We report a case of a young immunocompetent female who presented with disseminated tuberculosis and was found to have rifampicin-induced thrombocytopenia.
Spurious thrombocytopenia in the mother and baby – A red herring clinical entity
Authors: Chandra Babu Aruna , Kuriakose Mathews E , Francis Johny Vakayil
Published: July 2022

Spurious thrombocytopenia or pseudothrombocytopenia (PTCP) is an important clinical entity, in which the presence of autoantibodies or anticoagulants used during blood sampling causes in vitro clumping of platelet and thereby resulting in a falsely low automated platelet count. The most common cause of platelet clumping is ethylenediaminetetraacetic acid used as an anticoagulant in the blood samples. The other reasons for PTCP include the presence of autoantibodies such as cold agglutinin, giant platelet, and platelet satellitism. There are very few cases of spurious thrombocytopenia in the newborn period published in the literature. We are reporting a case of PTCP due to platelet satellitism in a baby born to a mother with a similar condition.
EDITORIAL VOL 4 NO 1 (2021): SIASAT PANDEMI
Authors: Akademia Jurnal Mitra
Published: July 2022

Di tengah upaya pemerintah bersama masyarakat untuk menanggulangi penyakit menular dan menjadi pandemic, covid-19, ternyata peran insan akademik yang bekerja di ranah pendidikan tinggi tidak dapat dianggap sepi. Upaya insan akademik dalam mengatasi pandemic covid-19 sangat terlihat pada tataran pencegahan misalnya penyediaan alat test bagi individu maupun sampai pada seruan para epidemiolog yang bahkan sempat viral di berbagai platform media sosial. Tercatat pula beberapa akademisi menawarkan formula vaksin untuk menangkal virus inimenjangkiti individu.
PEMANFAATAN ALAT UKUR INDEKS MASSA TUBUH BERBASIS ANDROID UNTUK EVALUASI GIZI BALITA
Authors: Nurjihan Shita Fitria
Published: July 2022

Kader posyandu mempunyai tugas memberdayakan dan memberikan kemudahan kepada masyarakat guna memperoleh pelayanan kesehatan bagi ibu, bayi, dan anak balita. Saat ini, para kader Posyandu Anyelir di Kelurahan Pancoran Mas Depok mempunyai permasalahan penting terkait dengan mutu layanan yaitu dalam kegiatan pemantauan kualitas gizi balita seperti pengukuran massa tubuh dan tinggi badan. Kegiatan tersebut dilakukan secara bertahap dan masih manual menggunakan timbangan yang digantungkan dengan kain atau timbangan konvesional dan alat meteran secara manual untuk mengukur tinggi badan. Dengan adanya dua alat yang berbeda, maka proses kedua pengukuran ini memerlukan dua tahap pengukuran yaitu menimbang massa tubuh dan kemudian mengukur tinggi badan. Hal ini menyebabkan proses pengukuran memerlukan waktu yang lebih lama, terlebih lagi jumlah balita di Posyandu Anyelir cukup banyak yaitu ±426 balita. Oleh karena itu tim pengabdian kepada masyarakat Program Studi Telekomunikasi memberikan solusi sebuah alat pengukur massa tubuh dan tinggi badan yang terintegrasi dengan aplikasi android untuk mengevaluasi gizi balita. Dengan menggunakan alat ini maka kegiatan pemantauan kualitas gizi balita dapat lebih efektif dan hasil evaluasi gizi balita tercatat secara otomatis pada aplikasi android sehingga mempermudah dan meningkatkan kualitas pelayanan kesehatan kader posyandu kepada masyarakat.
PENCEGAHAN KELAHIRAN STUNTING DENGAN PENINGKATAN PENGETAHUAN RISIKO PERNIKAHAN DINI DI DESA BANDARASRI KABUPATEN MOJOKERTO
Authors: Isfatayati Nur , Santosa Bernadheta Donabella Ega , Utari Komang Mega Ilda , Putricia Andini Mutiara , Hartono Verina Dewanti , Fahrudin Tresna Maulana
Published: July 2022

Stunting is one of the nutritional problems in children that is of global concern, especially in lower-middle-income countries. According to the World Health Organization (WHO), stunting is a developmental disorder in children caused by poor nutrition, repeated infections, and inadequate psychosocial stimulation. In 2021, the stunting prevalence rate in Mojokerto Regency reached 27.4%. This raises many concerns about reducing stunting rates. The purpose of community service in the form of the Thematic Student Community Service - Independent Learning-Independent Campus (MBKM) program is to increase public knowledge about the risks of early marriage as an effort to prevent stunting. The method used is socialization where participants consisted of 37 people between 13 and 20 years of age who were residents of Bandarasri Village. Based on the survey results, the percentage obtained shows a decrease in the number on the indicator "very interested" in early-age marriage from 18.9% to 13.5%. Based on these percentages, it can be concluded that the socialization carried out by KKN students of UPN "Veterans" Jawa Timur had an impact on reducing the risk of early marriage for teenagers in Bandarasri Village,Ngoro District, Mojokerto Regency. Keywords—stunting prevention, risk knowledge, early-age marriage, Bandarasri village, MojokertodistrictAbstrak Stunting adalah salah satu permasalahan gizi pada anak yang menjadi perhatian dunia, terutama di negara – negara berpenghasilan menengah ke bawah. Menurut World Health Organization (WHO), stunting merupakan gangguan perkembangan pada anak yang disebabkan oleh gizi buruk, infeksi yang berulang, dan simulasi psikososial yang tidak memadai. Pada tahun 2021 angka prevalensi stunting di Kabupaten Mojokerto mencapai 27,4%, hal ini menimbulkan kekhawatiran yang membuat upaya penurunan angka stunting lebih digencarkan. Tujuan dari pengabdian masyarakat dalam bentuk program Kuliah Kerja Nyata Tematik MBKM Desa Bebas Stunting adalah untuk meningkatkan pengetahuan masyarakat mengenai risiko pernikahan usia dini sebagai upaya pencegahan stunting. Metode yang digunakan adalah metode sosialisasi di mana partisipan terdiri dari 37 orang yang merupakan warga Desa Bandarasri dengan usia mulai dari 13 - 20 tahun. Berdasarkan hasil survei, persentase yang didapat menunjukkan penurunan angka pada indikator “sangat minat” menikah di usia dini dari 18,9% menjadi 13,5%. Berdasarkan persentase tersebut dapat disimpulkan bahwa sosialisasi yang dilakukan oleh mahasiswa KKN UPN “Veteran” Jawa Timur cukup berdampak untuk mengurangi risiko pernikahan dini bagi remaja di Desa Bandarasri, Kecamatan Ngoro, Kabupaten Mojokerto.Kata kunci—pencegahan stunting, pengetahuan risiko, pernikahan usia dini, Desa Bandarasri, KabupatenMojokerto
Effect of Early versus Delayed Cord Clamping on Hematological Parameters of Term Neonates
Authors: Ravishankar Chaithra , Das Ratan Kumar , Dalal Chandra Bhanu , Pattanaik Tapan
Published: July 2022

Objectives : To compare the serum bilirubin, hemoglobin, and hematocrit in term infants undergoing delayed cord clamping with early cord clamping after normal and caesarean delivery.Methods : This is a prospective observational study. The neonates in which cord clamping was done within 15 seconds were considered in early cord clamping (ECC) group and where cord clamping was done after 1 minute was considered in delayed cord clamping (DCC) group. The PCV, Hb, serum bilirubin were observed after 48 hours in both the groups and compared.Results : There was statistically significant difference in means of Hb level (p = 0.001) and PCV level (p = 0.001) between DCC and ECC group whereas no statistically significant difference was present in total serum bilirubin level (p = 0.359).Conclusion: There was no significant increase in risk of polycythaemia and hyperbilirubinemia between delayed cord clamping and early cord clamping group rather has beneficial effects in increasing the haemoglobin and haematocrit in the infants.Keywords : delayed cord clamping, early cord clamping, hematocrit, hemoglobin, serum bilirubin, hyperbilirubinemia.

Abstrak

Tujuan: Untuk membandingkan bilirubin serum, hemoglobin, dan hematoklit pada bayi aterm yang dilakukan delayed cord clamping dan early cord clamping setelah persalinan normal dan seksio sesarea.Metode: Studi ini merupakan studi prospektif. Neonatus yang dilakukan cord clamping dalam 15 detik dikelompokkan pada delayed cord clamping (DCC). PCV, Hb, bilirubin serum diobservasi dalam 48 jam pada kedua kelompok, kemudian dibandingkan.Hasil: Terdapat perbedaan signifikan antara kadar Hb (p = 0,001) dan PCV (p = 0,0010 antara kelompok DCC dan ECC, sedangkan tidak terdapat perbedaan signifikan pada kadar bilirubin serum total (p = 0,3590Kesimpulan: Tidak terdapat peningkatan signifikan polisitemia dan hyperbilirubinemia antara DCC dan ECC.Kata kunci: delayed cord clamping, early cord clapming, hematokrit, hemoglobin, serum bilirubin, hyperbilirubinemia
Treatment Approach for A Rare Case of Cervical Cancer in Pregnancy
Authors: Putri Yuannita I. , Wiranegara Gumilang
Published: July 2022

Abstract

Objective: To add a new overview of cervical cancer in pregnancy and to review several treatment approaches using available guidelines.

Methods: Case report.

Case: A 29 years old woman, gravida 3 para 2 in 10 weeks of pregnancy, was presented with vaginal bleeding and bloody vaginal discharge. Ultrasound examination showed a 10 weeks single live intrauterine fetus and a mass on the cervix. The histopathological report revealed a poorly differentiated cervical adenocarcinoma without invasion of lymphovascular space. Patient was diagnosed with cervical carcinoma FIGO stage IB3 in 10 weeks of pregnancy. The patient opted to unpreserved the pregnancy. Radical hysterectomy with fetus in situ and bilateral pelvic lymphadenectomy was performed. Patient was referred to undergo adjuvant radiation therapy.

Conclusion: Cervical cancer in pregnancy is a rare and special condition that requires individual planning for the diagnostic and treatment approaches.

Keywords: cervical cancer, cervical cancer in pregnancy, fetus in situ hysterectomy, pregnancy,  radical hysterectomy.

                                  

Abstrak

Tujuan: Untuk menambah gambaran kasus mengenai kanker serviks dalam kehamilan serta membahas pendekatan terapi menggunakan pedoman – pedoman yang ada.

Metode: Laporan kasus.

Kasus: Seorang perempuan berusia 29 tahun dengan G3P2 usia kehamilan 10 minggu datang dengan keluhan perdarahan pervaginam dan keputihan bercampur darah. Hasil dari USG menunjukkan adanya janin berusia 10 minggu serta massa pada serviks. Hasil pemeriksaan histopatologi menunjukkan adanya adenokarsinoma serviks berdiferensiasi buruk tanpa invasi limfovaskuler. Pasien didiagnosis dengan kanker serviks stadium FIGO IB3 dalam kehamilan 10 minggu. Pasien setuju untuk dilakukan terminasi kehamilan. Pada pasien kemudian dilakukan laparotomi histerektomi radikal dengan fetus in situ serta limfadenektomi pelvik bilateral. Pasien kemudian dirujuk untuk dilakukan terapi ajuvan dengan radiasi.  

Kesimpulan: Kanker serviks pada kehamilan merupakan suatu kondisi khusus sehingga perencanaan diagnostik dan manajemen terapi membutuhkan perencanaan secara individual di setiap kasusnya.

Kata kunci: Kanker, kanker serviks, kanker serviks dalam kehamilan,  kehamilan, , histerektomi radikal, histerektomi dengan fetus in situ.
The Impact of Premature Rupture of Membranes (PROM) and Low Birth Weight (LBW) Infant Outcomes to the Survival Rate
Authors: Hasanuddin  , Wijaya Dannu , Darusalam Dora
Published: July 2022

Abstract

Objective: To determine the impact of premature rupture of membranes and the outcome of low birth weight on the survival rate one week after birth in RSUDZA Banda Aceh.

Method: This study used an observational analytic study with a prospective cohort study design. The research samples were 84 samples that met the inclusion and exclusion criteria. The data source used was primary data obtained by direct examination by weighing the newborn at birth and during visits.

Results: There was an impact of premature rupture of membranes and the outcome of low birth weight on the survival rate of infants after one week. The results showed that the p-value <0.000. The lowest neonatal survival rate was in the group weighing less than 1000 grams, namely 0%. Weight group 1000 grams to 1500 grams with a survival rate of 55% and group weight 1500 grams to 2500 grams with a survival rate of 95%.

Discussion: There was an impact of premature rupture of membranes and the outcome of low birth weight on the survival rate one week after birth in RSUDZA Banda Aceh.

Keywords: low birth weight (LBW), preterm premature rupture of membranes, survival rate.

 

Abstrak

Tujuan : Untuk mengetahui dampak ketuban pecah dini dengan luaran berat badan lahir rendah terhadap survival rate satu minggu setelah dilahirkan di RSUDZA Banda Aceh.

Metode: Penelitian ini menggunakan studi analitik observasional dengan desain penelitian kohort prospektif. Sampel penelitian sebanyak 84 sampel yang memenuhi kriteria inklusi dan eksklusi. Sumber data yang digunakan adalah data primer yang diperoleh dengan cara pemeriksaan langsung dengan penimbangan bayi saat baru lahir dan ketika kunjungan.

Hasil: Ada dampak ketuban pecah dini dengan luaran berat badan lahir rendah terhadap survival rate bayi setelah satu minggu didapatkan hasil bahwa p-value <0,000. Survival rate neonatal terendah pada kelompok berat badan di bawah 1000 gram yakni 0%. Kelompok berat badan 1000 gram sampai di bawah 1.499 gram memiliki survival rate 55% dan kelompok berat badan 1.500 gram sampai 2.499 gram memiliki angka survival rate 95%.

Diskusi: Ada dampak ketuban pecah dini dengan luaran berat badan lahir rendah terhadap survival rate satu minggu setelah bayi dilahirkan di RSUDZA Banda Aceh.

Kata kunci: berat badan lahir rendah (BBLR), ketuban pecah dini, survival rate.
Recombinant FSH versus hMG in Controlled Ovarian Stimulation for IVF
Authors: Supriyadi Agus , Harzif Achmad K. , Al Jaidy Wael O.
Published: July 2022

Objectives: To investigate the relationshipxbetween gonadotropins which are used in the process of controlled ovarian stimulation, rFSH and hMG, and the in vitro fertilization outcomes, which are oocyte number, embryo number, and fertilization rate during the period of 2013 to 2019.Methods: This research was a cross sectional study. Data from medical record of patients who underwent the in vitro fertilization procedure at Melati Clinic, Harapan Kita Child and Mother Hospital were obtained. This research collected the oocyte number, embryo number, and fertilization rate of eligible patients who received rFSH or hMG stimulation.Results: Four hundred and fifty four patients were eligible for the research, further divided into 309 patients who received rFSH and 145 patients who received hMG. Non-parametric test revealed that patients who belong to the rFSH group had a statistically significant higher oocyte number, embryo number, and fertilization rate compared to hMG group with p < 0.05.Conclusion: Significant difference of oocyte number, embryo number, and fertilization rate exists between rFSH and hMG group (p < 0.05) with the mean oocyte number, embryo number, and fertilization rate are consistently observed higher in the rFSH group compared to hMG group.Keywords: controlled ovarian stimulation, hMG, infertility, in vitro fertilization, rFSH

 

Abstrak

Tujuan: Mengetahui hubungan stimulasi ovarium terkendali yang mendapatkan sediaan gonadotropin berupa rFSH dan hMG dengan luaran FIV berupa jumlah oosit, jumlah embrio, dan tingkat pembuahan pada periode 2013– 2019Metode: Penelitian ini menggunakan desain potong lintang menggunakan data rekam medis yang menjalani program FIV di Klinik Melati Harapan Kita tahun 2013 – 2019. Data yang digunakan adalah data pasien yang menjalani program dengan protokol rFSH dan hMG dibandingkan dengan luaran jumlah oosit, fertilization rate, dan jumlah embrio.Hasil: Dari 454 pasien yang memenuhi kriteria, 309 pasien menggunakan rFSH sebagai obat stimulasi ovarium dan 145 pasien menggunakan hMG sebagai obat stimulasi ovarium. Hasil uji non parametrik lebih tinggi pada kelompok pengguna rFSH dengan ketiga variabel yang diteliti ditemukan bermakna secara signifikan dengan hasil p < 0,05.Kesimpulan: Terdapat perbedaan yang signifikan antara jumlah oosit, tingkat pembuahan, dan jumlah embrio pada kelompok rFSH dan hMG (P < 0,05) dengan rata-rata oosit, tingkat pembuahan, dan jumlah embrio kelompok rFSH lebih besar daripada kelompok hMG

Kata kunci: hMG, infertilitas, fertilisasi in vitro,  rFSH,  stimulasi ovarium
Interaction of Physical Activity and Body Mass Index with Age at Menarche
Authors: Anwar Filsa P. , Nora Hilwah , Ridwan Muhammad
Published: July 2022

Objective: To investigate the interaction of physical activity and body mass index with age at menarche in Babun Najah Junior High School.Methods: This was a cross sectional study. The sampling technique in this study is non-probability sampling by a total sampling.Results: The results of the study were processed using the Chi-Square statistical test on 142 samples, obtained p-value = 0.748 (p>0.05) for the relationship between physical activity and age at menarche, p-value = 0.048 (p<0.05) for relationship between body mass index with age at menarche, and p-value > 0.05 for the interaction of physical activity and body mass index with age at menarche.Conclusions: There is no interaction of physical activity and body mass index with age at menarche in Babun Najah Junior High School.Keywords:   body mass index,  interaction, menarche age,  physical activity.

 

Abstrak

Tujuan: Mengetahui interaksi aktivitas fisik dan indeks massa tubuh dengan usia menarche di Madrasah Tsanawiyah Swasta Babun Najah.Metode: Jenis penelitian ini adalah observasional analitik dengan desain penelitian potong lintang. Teknik pengambilan sampel dalam penelitian ini adalah pengambilan sampel non probabilitas dengan metode total sampling.Hasil: Terdapat hubungan antara indeks massa tubuh dengan usia menarche (p-value = 0,048) , tidak terdapat hubungan antara aktivitas fisik dengan usia menarche (p-value = 0,784) serta tidak terdapat interaksi antara aktivitas fisik dan indeks massa tubuh dengan usia menarche (p-value > 0,05).Kesimpulan: Tidak terdapat interaksi aktivitas fisik dan indeks massa tubuh dengan usia menarche di Madrasah Tsanawiyah Swasta Babun Najah.Kata kunci: aktivitas fisik, indeks massa tubuh, , interaksi, usia menarche
Maternal and Perinatal Outcomes of COVID-19 in Pregnant Women
Authors: Pramana Putu H. I. , Wirawan Gede B. S. , Astiti Made Y. D. , Kaspan
Published: July 2022

Objective: To describe and identify risk factors of maternal and perinatal outcome of COVID-19 in pregnant women.Methods: Literature search was conducted on MEDLINE and Google Scholar databases for articles published in December 2020 to January 2021. Keywords used includes ‘COVID-19’, ‘pregnant women’, ‘maternal outcome’ and ‘fetal outcome.’ Critical appraisal and selection were conducted to identify articles that fulfill inclusion criteria. The selected articles were analyzed thematically to answer the research questions.Results: Literature search yielded 124 articles with 11 included in final analysis. The results showed low to moderate risk of maternal and perinatal adverse outcomes, including low risks for maternal and perinatal mortality coupled with moderate risk for maternal ICU admission and preterm birth with NICU admission for the newborn. Higher risk was observed for pregnant women with symptomatic COVID-19 infection, which points to the necessity for awareness of the risk and targeted early detection efforts.Conclusion: There are low risk for adverse maternal and perinatal outcomes, including mortality and ICU/NICU admission, associated with COVID-19 infection in pregnant women. Risk factors for adverse outcomes included pregnant women with symptomatic COVID-19 infection.Keywords:  COVID-19, ICU, maternal mortality, NICU, perinatal mortality, preterm birth

Abstrak

Tujuan: Mendeskripsikan dan mengidentifikasi faktor risiko luaran maternal dan perinatal COVID-19 pada ibu hamil.Metode: Penelusuran literatur dilakukan di database MEDLINE dan Google Scholar untuk artikel yang diterbitkan pada Desember 2020 hingga Januari 2021. Kata kunci yang digunakan meliputi 'COVID-19', 'wanita hamil', 'keluaran ibu' dan 'hasil janin'. Penilaian dan seleksi kritis dilakukan untuk mengidentifikasi artikel yang memenuhi kriteria inklusi. Artikel yang dipilih dianalisis secara tematis untuk menjawab pertanyaan penelitian.Hasil: Penelusuran literatur menghasilkan 124 artikel dengan 11 termasuk dalam analisis akhir. Hasil penelitian menunjukkan risiko rendah hingga sedang untuk luaran buruk maternal dan perinatal, termasuk risiko rendah untuk kematian maternal dan perinatal ditambah dengan risiko sedang untuk masuk ICU ibu dan kelahiran prematur dengan masuk NICU untuk bayi baru lahir. Risiko yang lebih tinggi diamati untuk wanita hamil dengan infeksi COVID-19 bergejala, yang menunjukkan perlunya kesadaran akan risiko dan upaya deteksi dini yang ditargetkan.Kesimpulan: Terdapat risiko rendah untuk laran buruk maternal dan perinatal, termasuk kematian dan rawat inap di ICU/NICU, terkait dengan infeksi COVID-19 pada wanita hamil. Faktor risiko untuk luaran buruk adalah wanita hamil dengan gejala infeksi COVID-19.Kata kunci: COVID-19, ICU, kelahiran preterm, mortalitas maternal, mortalitas perinatal, NICU
Study on Identification and Projection of Food Commodity Price Cycles during the COVID-19 Pandemic Period as a Study of Supervision Aspects of Food Product Marketing in Bangka Belitung
Authors: Akbar Muhammad Faisal , Fahria Izma
Published: July 2022

This study examined the projected price of food marketing in the Province of the Bangka Belitung Islands as a step in deepening the issue of food security due to the COVID-19 pandemic. The COVID-19 pandemic in the Province of the Bangka Belitung Islands had a significant impact on the issue of food security. This was caused by the deficit of several strategic food commodities and caused the prices of this food to increase quite high compared to other provinces in Indonesia, such as several provinces in Sumatra and Java. Therefore, local governments as policymakers have a high enough interest in maintaining prices for strategic commodities, especially food. This study intends to compare the volatility of food prices before and after the COVID-19 pandemic. The data used is time-series data on weekly food prices in a traditional Pangkalpinang City market for September 2018 to February 2021. The data analysis technique uses the Vector Autoregression (VAR) method or Vector Error Correction Model (VECM) with the help of statistical software EViews. The results of this study indicate that several important commodities that support community life are predicted to increase significantly, including rice, chicken meat, and chicken eggs. The three food commodities that experienced an increase had a fairly high fluctuation. Beef and red chilies show declining projections in the 8-week forecast period. Meanwhile, cooking oil prices, granulated sugar, shallots, and garlic are still stable.
PERCEPÇÃO DE MULHERES SOBRE O EXAME PREVENTIVO DO CÂNCER DE COLO DO ÚTERO NA ATENÇÃO BÁSICA
Authors: Gonçalves Dias Ernandes , Nunes Érica Fernanda Rodrigues , Pereira Luciana Lima , Campos Lyliane Martins , Caldeira Maiza Barbosa
Published: July 2022

Objetivou-se identificar a percepção das mulheres sobre a realização do exame preventivo do câncer do colo do útero em uma Estratégia Saúde da Família do município de Espinosa, Minas Gerais. Trata-se de um estudo descritivo de abordagem qualitativa realizado com 12 mulheres com idade de 27 a 54 anos. Os dados foram coletados no período no período de agosto a setembro de 2021 por meio de uma entrevista semiestruturada e analisados mediante Análise Temática. Os resultados mostram que as informantes se sentem constrangidas e têm sentimentos de medo, vergonha, tensão, ansiedade, às vezes sentem incômodo frente à realização do exame preventivo. No entanto, as mulheres sabem da importância de realizá-lo e consideram ser uma maneira de cuidado com a saúde. Espera-se que os achados deste estudo possam colaborar com os profissionais de saúde para identificar os sentimentos vivenciados pelas mulheres durante a realização do exame preventivo uma vez que estes possam ser barreiras para adesão exame, e assim, reorientar as práticas de cuidados com esse público na promoção de ações mais adequadas para melhorar o rastreio e diagnóstico precoce do câncer do colo do útero.