bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnostic features of pyomyoma of the uterus in combination with appendicitis (clinical case)
Authors: Lazurenko V.V. , Safonov R.A. , Safonova I.M. , Starkova I.V. , Starkova V.D.
Published: June 2024

The problem of leiomyoma of the uterus is one of the most urgent in gynecological practice due to the wide prevalence of the pathological condition and the possible complex of complications that lead to disability and even death of a woman. A rare complication of leiomyoma, which occurs as a result of its infarction and infection, is pyomyoma, the mortality of which is 21-30%, which is associated with the lack of early diagnosis and, accordingly, timely treatment in full. At the same time, the diagnosis of pyomyoma is difficult due to the lack of pathognomonic symptoms and a fixed clinical picture. The study presents a rare case of complication of a long-standing uterine leiomyoma with the development of pyomyoma and the occurrence of secondary appendicitis with the formation of a utero-appendicular fistula in a menopausal woman. The woman's complaints arose unexpectedly and were characterized by the presence of a pain syndrome, pathological discharge from the vagina, and deterioration of the general condition, which did not have a pathognomonic character. The presence of concomitant pathology was established, in particular, diabetes, which the patient suffered from since childhood and which could cause various pathological conditions of the reproductive system. The authors proved that in the presence of laboratory and general clinical signs of the inflammatory process, there is no need to waste time, but to start antibacterial and anti-inflammatory therapy even before the diagnosis is made, this allows stabilize the patient's condition and prepare for possible invasive interventions. The complexity of diagnosing the disease is shown and the main criteria for making a correct diagnosis are given, taking into account the woman's age, medical history, and the presence of severe extragenital pathology. The work shows that the use of computer tomography did not allow for establishing a diagnosis. It is emphasized that in complex or rarely occurring cases, it is not enough to conduct only non-invasive studies. Invasive techniques are gaining importance, in particular, laparoscopy, which allows detail of the state of internal genital organs and extragenital organs that surround them and can change during the disease.

Keywords: ultrasound diagnostics, purulent tumor of the uterus, laparoscopy.
PERBANDINGAN TEKANAN DARAH ANTARA PEROKOK DAN BUKAN PEROKOK TERHADAP PENDERITA HIPERTENSI DI DESA CIMPU
Authors: Purba Sulastri , Haedir Haedir , Iskandar Iskandar , Tandiallo Devianti , Muzfah Wardah , Abdal Fitriani , Rijal Rijal
Published: June 2024

The smoking behavior of Indonesian people has an impact on health, namely suffering from hypertension. Nicotine in cigarettes can increase blood pressure, while carbon monoxide can reduce the amount of oxygen carried in the blood. This study aims to analyze whether there is a comparison of blood pressure between smokers and non-smokers with hypertension sufferers in Cimpu Village, Suli District, Luwu Regency in 2023. The type of research used is a comparative study with a cross-sectional design. As for the comparison of the blood pressure of smokers and non-smokers in hypertension sufferers in Cimpu Village, Suli District, Luwu Regency in 2023 with a systolic p value of 0.000 <0.025, the result is that there is a significant difference between the blood pressure of smokers and non-smokers. It is hoped that hypertensive patients can stop smoking, so that they can improve their health status and reduce the incidence of hypertension.
Amparo en revisión 227/2020 “Las instituciones públicas de salud deben garantizar el tratamiento requerido por los pacientes con VIH/SIDA, de forma oportuna, permanente, constante y sin interrupciones”
Authors: Espinosa Gutiérrez José Manuel
Published: June 2024

La SCJN, al emitir la presente resolución, que habla de las obligaciones del Instituto Mexicano del Seguro Social para respetar el derecho a la salud de las personas con VIH, le impone la obligación a todas las autoridades judiciales del fuero federal y común, a emitir sus resoluciones y sentencias tomando en cuenta este criterio, la problemática es que la sentencia del amparo, debido al principio de relatividad, únicamente obliga a las partes dentro del conflicto, y no al resto de autoridades administrativas del sector salud, es decir, que en caso de que se vuelva a producir una violación, las demás personas deberán de promover el juicio de amparo para que puedan hacer valer la interpretación al derecho humano a la salud que realizó la SCJN. De ahí la importancia de dar a conocer este criterio jurisdiccional proveniente de la Primera Sala de la Suprema Corte de Justicia de la Nación.
Sobre Nora Jaffary, Historia del aborto en México
Authors: Cabrera Ávila Ana Gabriela
Published: June 2024

Reseña
Sobre Verónica Martínez Martínez, Derecho procesal de la seguridad social
Authors: Herrera Pérez Alberto
Published: June 2024

Reseña
PENGARUH UKURAN PERUSAHAAN, LEVERAGE DAN LIKUIDITAS TERHADAP NILAI PERUSAHAAN (STUDI KASUS PADA PERUSAHAAN FOOD AND BEVERAGE YANG TERDAFTAR DI BURSA EFEK INDONESIA 2019-2021)
Authors: Fitri Ani Endah Fitri Ani Rahayu , Mursito Bambang , Damayanti Ratna
Published: June 2024

Tujuan dari penelitian ini untuk menganalisis pengaruh Ukuran Perusahaan, Leverage dan Likuiditas terhadap nilai perusahaan pada perusahaan dibidang food and beverage yang terdaftar di Bursa Efek Indonesia selama tahun 2019-2021. Populasi yang digunakan adalah seluruh perusahaan food and beverage yang terdaftar di BEI tahun 2019-2021. Sampel ini diambil dengan teknik purposive sampling dengan memilih sampel didasarkan dengan kriteria yang telah ditentukan, maka diperoleh sampel sebanyak 18 perusahaan. Metode dalam penelitian meliputi analisis regresi berganda uji asumsi klasik, uji kelayakan model, uji hipotesis dan uji determinasi. Penelitian ini termasuk penelitian kuantitatif dengan meggunakan data sekunder yang didapatkan dari laporan keuangan perusahaan. Hasil pada penelitian ini menerangkan bahwa ukuran perusahaan mempunyai pengaruh yang signifikan terhadap nilai perusahaan, leverage mempunyai pengaruh yang signifikan terhadap nilai perusahaan, sedangkan pada likuiditas tidak mempunyai pengaruh dan tidak signifikan terhadap nilai perusahaan.
PENGARUH PENGEMBANGAN SDM, PROFESIONALISME, LINGKUNGAN KERJA TERHADAP KINERJA PEGAWAI
Authors: Tri Susilowati Arvina , Mursito Bambang , Pawenang Supawi
Published: June 2024

Tujuan dari penelitian ini untuk mengetahui apakah ada pengaruh antara Pengembangan SDM, Profesionalisme, Lingkungan Kerja terhadap Kinerja Pegawai di Kantor Badan Pertanahan Nasional Kabupaten Sukoharjo. Populasi yang digunakan adalah seluruh pegawai negeri sipil (PNS) yang berjumlah 74 pegawai yang ada di Kantor Badan Pertanahan Nasional Kabupaten Sukoharjo. Sampel ini menggunakan tekhnik sampel Sensus, dalam penelitian jumlah sampel 74 pegawai. Metode dalam penelitian meliputi meliputi analisis regresieberganda uji asumsi klasik, ujiokelayakan model, ujiohipotesis dan uji determinasi dengan program SPSS 21. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan menggunakan data primer dan sekunder di dapat dengan cara observasi, dokumentasi, kuesioner dan wawancara. Hasil dari penelitian ini menerangkan Pengembangan SDM, Profesionalisme, dan Lingkungan Kerja berpengaruh positif dan signifikan terhadap Kinerja Pegawai.
KEPUTUSAN PEMBELIAN DITINJAU DARI CELEBRITY ENDORSER,DESAIN DAN KUALITAS PRODUK AIR MINUM DALAM KEMASAN MEREK LE MINERALE (Studi Kasus Pada Mahasiswa Aktif Prodi Manajemen Universitas Islam Batik Surakarta)
Authors: Rahmawati Devi Alfina , Kustiyah Eny , Marwati Fithri Setya
Published: June 2024

Tujuan dari penelitian ini adalah untuk mengidentifikasi aspek bantuan variabel celebrity endorser, desain dan kualitas produk terhadap keputusan konsumen dalam membeli air minum dalam kemasan Merek Le Minerale pada mahasiswa aktif prodi Manajemen Universitas Islam Batik Surakarta. Purposive sampling digunakan untuk memilih sampel penelitian untuk penelitian deskriptif kuantitatif ini sebanyak 102 responden dengan populasi 340 mahasiswa. Beberapa uji seperti Regresi linier berganda digunakan dalam analisis ini sebagai metodologi penelitiannya dengan menggunakan metodologi pengujian berdasarkan data normalitas, uji validitas, dan uji reliabilitas, uji multikolinearitas, uji heteroskedastisitas, uji hipotesis, uji F, uji t dan uji determinasi. Dengan alat analisis SPSS versi 25. Temuan penelitian ini menunjukkan bahwa celebrity endorser, desain produk dan kualitas produk secara simultan dan signifikan mendorong konsumen untuk melakukan pembelian air minum merek Le Minerale pada mahasiswa aktif manajemen Universitas Islam Batik Surakarta. Pengaruh celebrity endorser bersifat negatif dan signifikan terhadap keputusan konsumen dalam melakukan pembelian. Desain produk berdampak positif dan signifikan kemungkinan konsumen melakukan pembelian. Kualitas produk memainkan peran utama dalam pilihan akhir konsumen untuk membeli. Menghitung koefisien determinasi (R2), celebrity endorser, desain dan kualitas produk memiliki nilai sebesar 71,9%, sedangkan sisanya 28,1% dipengaruhi oleh variabel diluar penelitian.
PENGARUH MOTIVASI DAN KEDISIPLINAN TERHADAP KINERJA KARYAWAN PADA PT. HADJI KALLA TOYOTA CABANG URIP SUMOHARDJO MAKASSAR
Authors: Basri Surya Kelana , Rahman Agussalim
Published: June 2024

The purpose of this study was to determine the effect of motivation and discipline on employee performance at PT. Hadji Kalla Toyota Urip Sumohardjo Branch. The type of data used in this research is qualitative and quantitative data. The data sources used in this research are primary and secondary data. The analytical method used is descriptive analysis and statistical analysis. The results showed that motivation and discipline both partially and simultaneously had a positive and significant effect on the performance of employees at PT. Hadji Kalla Toyota Urip Sumohardjo Branch.
PENINGKATAN KINERJA MELALUI KOMPENSASI DAN LINGKUNGAN KERJA
Authors: Asmawiyah Asmawiyah , Mukhtar Afiah
Published: June 2024

The purpose this study is to determine the effect of compensation and the work environment on employee performance. The associative method is used in this study. The data collection method used was a questionnaire which was measured using a Liker scale. The sample used in this study is a saturated sample, and the total number of samples is 42 people. The data analysis technique used is partial least squares (PLS). The findings show that compensation and work environment have a significant impact on performance
ANALISIS PROFITABILITAS PADA PT. ASURANSI BINA DANA ARTA (ABDA) TBK YANG TERDAFTAR DI BURSA EFEK INDONESIA
Authors: Dewi Sulfiana , Ellyawati Noor , Reza Reza
Published: June 2024

Penelitian ini bertujuan untuk mengetahui peningkatan profitabilitas yang diukur dengan Net Profit Margin (NPM), Return On Asset (ROA) dan Return On Equity (ROE) pada PT. Asuransi Bina Dana Arta (ABDA) Tbk yang terdaftar di Bursa Efek Indonesia selama 5 periode 2017-2021. Penelitian ini menggunakan penelitian kuantitatif deskriptif. Teknik pengumpulan data dalam penelitian ini menggunakan teknik pengumpulan data sekunder dengan analisis Time-Series.  Hasil penelitian ini menunjukkan bahwa selama 5 periode 2017-2021 Net Profit Margin (NPM) mengalami kenaikan dan dalam kategori sangat baik sesuai dengan standar industri yang ada. Return On Asset (ROA) mengalami kenaikan dengan kategori sangat baik, serta sudah sesuai dengan standar penilaian dan dalam hal ini perusahaan telah mampu menghasilkan laba atas asset yang dimilikinya. Return On Equity (ROE) juga mengalami kenaikan dengan kategori baik dan pada tahun 2018 dan 2019 berada pada kategori kurang, hal ini terjadi karena adanya penurunan jumlah laba pada tahun 2018. Hal ini menunjukkan perusahaan mampu mengelola modal untuk memperoleh laba meskipun kinerja perusahaan mengalami fluktuasi.
PENGARUH MODEL PEMBELAJARAN KOOPERATIF GALLERY WALK TERHADAP HASIL BELAJAR SISWA KELAS X OTKP SMK NEGERI 1 GUNUNGSITOLI T.A 2022/2023
Authors: Yarni Mei , Lahagu Arianto
Published: June 2024

ABSTRAK
 
Penelitian ini dilaksanakan berdasarkan hasil studi pendahuluan di SMK Negeri 1 Gunungsitoli yang selama ini mengalami masalah dengan kurangnya pemanfaatan model pembelajaran yang telah ada dan hasil belajar siswa pada pembelajaran ekonomi bisnis masih kriteria kurang. Penelitian ini bertujuan untuk mendeskripsikan pelaksanaan kegiatan pembelajaran melalui model pembelajaran kooperatif gallery walk, dan mengetahui ada tidaknya pengaruh yang signifikan terhadap hasil belajar. Penelitian ini dilaksanakan di SMK Negeri 1 Gunungsitoli, dengan menggunakan metode penelitian eksperimen yang populasi penelitiannya adalah seluruh jumlah siswa kelas X OTKP yang terdiri dari tiga kelas. Penarikan sampel dengan menggunakan teknik sampling jenuh. Berdasarkan hasil penelitian, persentase keberhasilan model pembelajaran kooperatif gallery walk berdasarkan observasi guru, yaitu sebesar 90,38% dan ketidakberhasilan yaitu 100% - 90,38% = 9,62%. Hal ini menunjukkan bahwa pelaksanaan model pembelajaran kooperatif gallery walk sudah sangat baik. Pada kelas X OTKP 1 rata – rata hasil posttest ialah 80,20 sedangkan pada kelas X OTKP 2 rata – rata  nilai posttest ialah 65,00.  Nilai signifikan (2-tailed) dan nilai t yaitu sebesar 0,000 dan -9,692. Karena 0,000 < 0,025 dan nilai t berada pada daerah penolakan Ho maka ada hubungan yang signifikan antara tes awal dan akhir pada kelas eksperimen serta Ha diterima.
PENERAPAN MODEL PEMBELAJARAN ACTIVE LEARNING DALAM MENINGKATKAN HASIL BELAJAR SISWA KELAS VIII SMP NEGERI 2 TUHEMBERUA TAHUN PELAJARAN 2022/2023
Authors: Zai Endang , Laoli Bezisokhi
Published: June 2024

ABSTRAK
 
Berdasarkan hasil pengamatan yang dilakukan oleh peneliti di SMP Negeri 2 Tuhemberua khususnya di kelas VIII-1, diketahui bahwa dalam pembelajaran guru belum menerapkan model pembelajaran active learning dan hasil belajar siswa tidak mencapai kriteria ketuntasan minimal. Penelitian ini bertujuan (1) untuk mengetahui proses pembelajaran dengan menerapkan model pembelajaran active learning, dan (2) untuk mengetahui hasil belajar siswa melalui penerapan model pembelajaran active learning di SMP Negeri 2 Tuhemberua tahun pelajaran 2022/2023. Penelitian ini adalah Penelitian Tindakan Kelas (PTK), instrumen yang digunakan berupa lembar observasi guru, siswa, dan tes hasil belajar. Berdasarkan penelitian di lapangan maka ditemukan bahwa (1) Rata-rata hasil observasi untuk responden guru pada pelaksanaan siklus pertama dan kedua yaitu 71,58% dan  92,59%. (2) Berdasarkan  hasil pengamatan untuk siswa pada siklus pertama dan kedua rata-rata sebesar 66,89% dan 83,86%. Berdasarkan hasil evaluasi pembelajaran maka diperoleh rata-rata hasil belajar siswa pada siklus pertama yaitu 65,39, sedangkan pada siklus kedua meningkat menjadi 79,11. Sedangkan persentase ketuntasan yang dicapai pada siklus pertama 63,63% dan pelaksanaan penelitian siklus kedua maka peneliti memperoleh persentase ketuntasan menjadi  86,36%. Dengan demikian maka peneliti menyimpulkan bahwa model pembelajaran active learning dapat meningkatkan hasil belajar siswa SMP Negeri 2 Tuhemberua, khususnya pada mata pelajaran IPS Terpadu.
Kata Kunci : Model Pembelajaran Active Learning, Hasil Belajar Siswa.
PENERAPAN MODEL PEMBELAJARAN BERBASIS PROBING PROMPTING TERHADAP HASIL BELAJAR SISWA DI UPTD SMP NEGERI 1 GUNUNGSITOLI UTARA
Authors: Zendrato Jessika , Laoli Bezisokhi
Published: June 2024

ABSTRAK
 
Penelitian ini dilatar belakangi oleh rendahnya hasil belajar siswa pada mata pelajaran IPS Terpadu di kelas VIII UPTD SMP Negeri 1 Gunungsitoli Utara, yang disebabkan karena kegiatan pembelajaran hanya didominasi oleh guru saja. Tujuan Penelitian ini adalah: (1) Untuk mengetahui penerapan model pembelajaran Probing Prompting dalam proses belajar mengajar (2) Untuk mengetahui hasil belajar siswa pada mata pelajaran IPS Terpadu di kelas VIII SMP Negeri 1 Gunungsitoli Utara Tahun Pelajaran 2022/2023 dengan menerapkan model pembelajaran Probing Prompting.Penelitian ini merupakan Penelitian Tindakan Kelas (PTK). Subjek dalam penelitian ini adalah siswa kelas VIII berjumlah 25 orang. Instrumen penelitian yang digunakan adalah (1) Lembar observasi guru dan siswa, (2) dokumentasi/ foto, (3) tes hasil belajar.Berdasarkan temuan peneliti dilapangan bahwa: (1) Rata-rata hasil lembar observasi guru siklus I yaitu 63,33%, dan observasi siklus II meningkat menjadi 90,83%. (2) Sedangkan hasil lembar observasi siswa pada siklus I rata-rata sebesar 50,96%, dan pada siklus II meningkat menjadi 83,17%. Berdasarkan hasil evaluasi maka rata-rata hasil belajar siswa pada siklus I yaitu 69,80 dengan persentase ketuntasan sebesar 57,65%. Pada Siklus II mengalami peningkatan menjadi rata-rata 86,05 dengan persentase ketuntasan sebesar 100%, persentase tingkat penguasaan baik sekali. Hal ini telah mencapai target yang telah ditetapkan yakni 75%.
 
Kata kunci :  Probing Prompting  dan Hasil Belajar
UPAYA MENINGKATKAN KEAKTIFAN BELAJAR EKONOMI MENGGUNAKAN PENDEKATAN PEMBELAJARAN MIKIR (MENGALAMI, INTERAKSI, KOMUNIKASI, DAN REFLEKSI)
Authors: Alam Samsu , Muslim Fachruddiansyah , Putra Iwan
Published: June 2024

Penelitian ini bertujuan untuk mengetahui (1) keaktifan belajar ekonomi melalui pendekatan pembelajaran MIKIR (2) meningkatkan hasil belajar melalui pendekatan pembelajaran MIKIR  di kelas XII IPS 1 SMAN 13 kota jambi.
Penelitian ini adalah penelitian tindakan kelas (PTK) subjek penelitian ini adalah semua siswa kelas XII IPS I dengan jumlah 35 orang siswa. Perlakuan yang di berikan kepada subjek penelitian untuk meningkatkan keaktifan belajar siswa dan hasil belajar  mata pelajaran Ekonomi dengan pendekatan pembelajaran MIKIR.
Temuan penelitian ini sebagai berikut. (1) pelaksanaan pembelajaran dengan menggunakan pendekatan pembelajaran MIKIR  sudah sesuai dengan prosedur pelaksaan pembelajaran. (2) meningkatkan nilai rata-rata kelas pada test awal sebesar 2.630 Dengan tingkat ketuntasan belajar sebesar 75,14 Pada siklus I nilai rata-rata kelas sebesar 2.940 dengan tingkat ketuntasan belajar sebesar 84,14 dan siklus II nilai rata-rata sebesar 3.345 Dengan ketuntasan belajar sebesar 95,57 (3) meningkatkan hasil belajar siswa dari tes awal sampai siklus II.
PENDIDIKAN KEWIRAUSAHAN DAN KREATIVITAS TERHADAP KEBERHASILAN USAHA
Authors: ANDRIANI YASIN NURFATWA , Jumria Jumria
Published: June 2024

Penelitian ini bertujuan untuk menguji pengaruh pendidikan ekonomi dan kreativitas terhadap keberhasilan usaha para 60 pelaku usaha di kota Makassar. Penelitian ini  menggunakan metode analisis regresi berganda dan  uji t. Penelitian ini menemukan bahwa ada pengaruh positif dan signifikan dari pendidikan kewirausahaan dan kreativitas terhadap keberhasilan usaha. Melalui uji t diperoleh nilai t hitung dari variabel pendidikan kewirausahaan sebesar 4.115, dan nilai t hitung dari variabel kreativitas sebesar 7,805 dan R square sebesar  0,780. Temuan ini menunjukkan bahwa pendidikan kewirausahaan tidak hanya memberikan landasan teoritis terhadap konsep kewirausahaan tetapi juga membentuk sikap, perilaku dan pemikiran wirausaha, disamping itu pengembangan bisnis juga memerlukan kemampuan inovasi dan kreativitas untuk menjawab tantangan bisnis, terutama dalam mencari produk dan layanan yang unggul.
ANALISIS PENERAPAN SIKLUS AKUNTANSI PADA OMAH KARKAS
Authors: Asmarawati Budi , Nurtyatimah Nurtyatimah , Yustrianthe Rahmawati
Published: June 2024

This research aims to determine and analyze the accounting cycle in one of the MSMEs, namely, Omah Karkas. For this reason, the object of this research is the accounting cycle implemented by Omah Karkas. This type of research is qualitative, descriptive type. Data collection techniques were carried out using interviews, observation and documentation. Meanwhile, data analysis techniques start from organizing (reducing and selecting relevant data), presenting data (using data triangulation), interpreting and drawing conclusions. The results of this research indicate that Omah Karkas has carried out financial records. However, the financial records that have been carried out are quite simple
DETERMINAN KEPUTUSAN PEMBELIAN MAKANAN HALAL
Authors: Ali Hardana Ali Hardana , Nasution Jafar , Anugrah Nasution Ananda
Published: June 2024

Abstract: The halal food industry is growing rapidly in Indonesia. One of them is boiled snail street food in Padangsidimpuan City. Research was conducted on 99 consumers of boiled snail street food. This research uses quantitative research with instrument testing through validity and reliability tests. Then multiple linear regression analysis is used to determine the effect of the independent variable on the dependent variable. The results show that the variables price, halal awareness and level of religiosity have a positive and significant effect on the decision to purchase halal food at the Adangsidimpuan boiled snail street food. Other findings in this research show that the halal label variable has no influence on the decision to purchase halal food at Padangsidimpuan boiled snail street food.
Herbal Treatment of Pneumonia (Treatment of Pneumonia from Medicinal Plants): A Review
Authors: Mishra Sanjana , Verma Navneet Kumar , Kumar Tarun
Published: June 2024

Infectious diseases are caused by pathogenic microorganisms such as bacteria; fungus, influenza, and parasites. Illnesses have the ability to transmit between people through direct or indirect means. The world's second most common cause of death is infectious diseases. Roughly 25% of the medications humans require come from plants found in rainforests. Only a little amount of scientific research has been done on therapeutic plants. Due of bacteria's resistance to the antibiotics that are now in use, new antibacterial medicines have to be developed. In rural and underdeveloped parts of India, a variety of plants are commonly utilized as herbal medicines to cure infectious ailments. This chapter reviews the literature on the use of medicinal plants to treat illnesses like pneumonia and malaria. Traditional medicine is preferred primary health care system in many rural areas for variety of reasons, including its affordability and efficacy. The current study focused on existing medicinal plant literature, with ethnobotany, phytochemistry and pharmacology details being highlighted. All of examined plants showed potent action, supporting their conventional uses as well as their ability to cure common diseases. Curcuma longa L., Punica granatum L. and Justicia adhatoda L. were most widely used plant families for pneumonia therapy in research area (each with seven plants); of these, Curcumalonga L., Punica granatum L. and Justicia adhatoda L. had most inhibiting ability against Staphylococcusaureus and Streptococcus pneumoniae. Ascorbic acid, curcumin, vasicine, piperine, quercetin, myricetin and gallic acid have all been derived from these plants and are said to have antibacterial properties. Although Himalayan region has wide range of ethnomedicinal plants used to treat pneumonia, research on in-vivo activity, toxicology, and mechanism of action is minimal. As result, in order to produce novel antibacterial drugs from studied plant species, thorough study of these aspects
Leiomyosarcoma of the Left Femur: A Case Report and Review of the Literature
Authors: Ameur Hind , Gedeon Motsatsa M. , Barkich S. , Oumghare N. , Darfaoui M. , Alomrani A. , Khouchani M.
Published: June 2024

Soft tissue sarcomas of the limbs are rare tumors with a poor prognosis. Their diagnosis is difficult and its histological confirmation. Surgery represents the main therapeutic weapon while radiotherapy allows better local control. Chemotherapy is reserved for high-grade tumors with high metastatic potential. Our work is based on a study of a rare case of metastatic leimyosarcoma of the thigh in a 49-year-old patient.
Pregnancy and Acromegaly: About 2 Cases
Authors: Jaddi Oussama , Ali Zineb Ait Si , Rafi Sana , Mghari Ghizlane El , Ansari Nawal EL
Published: June 2024

Introduction: Pregnancies in women with acromegaly are rare. Literature reports indicate the absence of fetal malformations, rarely symptomatic increases in adenoma volume, and a possible risk of gestational diabetes and pregnancy-induced hypertension in women not adequately controlled by medication before pregnancy. Variations in somatotrope function have been rarely studied. Observations: Our two patients had previously undergone surgery for somatotrope adenomas and were treated with somatostatin analogs before pregnancy, with treatment discontinued upon pregnancy diagnosis. All pregnancies were normal without gestational diabetes, pregnancy-induced hypertension, or pituitary tumor syndrome. No newborns had congenital malformations. Conclusion: Pregnancy does not appear to worsen acromegaly in young patients well-controlled with somatostatin analogs before pregnancy.
Optimizing Patient Satisfaction: The Impact of Nurse-Initiated Rounds with Collaborative Pharmacist Involvement
Authors: Ali Alyami Kharsan , Zamanan Abduallah Mahdi Al , Rayshan Ali Salem Al- , Zandan Salem Al Al , Almuhamid Ali Hamad Hadi , Sharyah Refaan Hassn S La , Ali Al Mutairi Meshari , Moibed Alrsheedi Majed , Mutairi Salem Osaimer Al , Noktan Al Bahri Majed , A Al Giraish Nagi Mofareh , Ali Alghamdi Zainah , Hadi Almansour Mahdi Fheed
Published: June 2024

Background: Patient satisfaction is a crucial aspect of healthcare, as it not only affects the overall quality of care but also influences patient outcomes and hospital reputation. Nurse-Initiated Rounds are when nurses take the lead in patient care rounds, which can help to enhance patient satisfaction by delivering more customized care and attention. Collaborative pharmacist involvement, on the other hand, can help enhance medication management and eliminate medication errors, resulting in higher patient satisfaction. Therefore, the purpose of the study was to evaluate the impact of Nurse-Initiated Rounds with Collaborative Pharmacist Involvement on patient satisfaction. Methods: A clinical trial using a non-equivalent control group design was used in the study by involving 68 participants from the hospital medical and surgical wards. The participants were assessed using the Newcastle Satisfaction with Nursing Scale and a tool to measure patient satisfaction with pharmaceutical care. The study group received the Nurse- initiated rounds of collaborative pharmacist involvement. The data were analyzed by using descriptive and inferential statistics. Results: The study reported that the experimental group, which received nurse-initiated rounds with collaborative pharmacist involvement, demonstrated significantly higher levels of patient satisfaction compared to the control group on various aspects of nursing care and pharmaceutical care. The experimental group's mean score on the first day was 6.06 (SD=0.531), whereas the control group's was 4.75 (SD=1.578). Conversely, the experimental group scored 8.21 (SD=0.632) on the fifth day of hospitalization, compared to 5.76 (SD=2.227) for the control group. Conclusion: The study findings concluded that nurse-initiated rounds with collaborative pharmacist involvement resulted in in higher satisfaction, improved drug management, and better patient care and attention. The findings also emphasized on importance of inter-professional collaboration and patient-centered care in improving satisfaction levels and overall healthcare outcomes.
Prevalence and Risk Factors of Iron Deficiency Anemia in Saudi Arabia: A Systematic Review
Authors: Alhamed Meath Saud , Alhashim Ahmed Abdullah Alsayed , Joher Abdullatif Mohammed Al
Published: June 2024

Objectives: To evaluate the prevalence and associated risk factors of iron deficiency anemia (IDA)in Saudi Arabia. Methods: A thorough search of pertinent databases was done in order to find studies that satisfied the requirements for inclusion. A thorough search of PubMed, Web of Science, SCOPUS, and Science Direct was conducted to find pertinent literature. Results: Nineteen studies, including a total of 20,929 participants and 18,236 (87.1%) of them were females, were included in our data. The prevalence of IDA in the total population ranged from 9.8% in preschool children and 75.3% in pregnant women, and the pooled prevalence was 7043 (33.7%). Regarding pregnant women and women in the childbearing period, the incidence of IDA was significantly correlated with increased gravidity, parity, use of tea and coffee, primiparas, younger moms, those without prenatal care or iron supplements, menorrhagia, antacid or nonsteroidal antidepressant use histories, family and personal history of IDA, occasional meat consumption, and inadequate iron and vitamin C intakes. The improved socioeconomic position of Saudi Arabian children did not affect the prevalence of IDA. Obesity, supplement consumption, and a positive family history of IDA were significantly associated with the increased prevalence of IDA. Conclusion: The prevalence among pregnant women, women in the childbearing period, children, and adolescents in Saudi Arabia is still high. The study's conclusions emphasize the need to increase public knowledge of the value of a balanced diet and the regular inclusion of foods high in iron in daily meals. The findings of this study provide valuable insights into the risk variables that raise the prevalence of IDA in the study area and serve as a roadmap for future research endeavors addressing IDA.
An Analysis of Indian Commercial Dynamism in International Trade: 2000-2021
Authors: Samsul Alam , Repon Miah , Rasheda Akter Rupa
Published: June 2024

The study first looks at the fundamentals of growth rate, trade balance, coverage rate, openness rate, and the share of global indicators before presenting each of them in more detail. It thus assesses India's overall commercial dynamism. A thorough analysis is made using data gathered from the World Bank's databank in order to carry out this study. An analysis of time series data isperformed using data from 2000 to 2021. MS Excel is then used to analyze the data and provide a suitable interpretation. The results show that India has an average growth rate of 12.16 for imports and 12.02 for exports, a deficit tradebalance over the years, a coverage rate that ranges from 78.49 (2012) to 97.97 (2020), trade openness that ranges from 26 (2001) to 56 (2012) percent, and a total global market share of 2.52 (2021) and 0.79. (2000). Researchers, other stakeholders in the field, and policymakers in nearby counties, specifically mentioning Bangladeshi, Pakistani, Myanmar and Indian governments, could all benefit from this study's findings.
Impact of Electronic Health Records on Patient Confidentiality, Measuring the Perception of Health Care Professionals in Eastern Saudi Arabia
Authors: Alzamaie Reem , Miraj Shaima
Published: June 2024

Background: Patient information in the hospital and any healthcare set up is very important, storing information appropriately ensures that the quality of the patient records is top notch. So, the main objectives were deeply understanding the use of information technology in ensuring that the patient’s confidentiality is in eastern Saudi Arabia is highly elevated.
Methods: The study is a qualitative, descriptive, and cross-sectional to explore various healthcare’s’ perception on the importance of electronic health records in improving patients’ confidentiality in the major hospitals in eastern Saudi Arabia. Qualitative data was obtained from surveying bathe response of the responses of different questions regarding electronic health records. The surveys conducted have been analyzed using Cronbach’s alpha tool that was adopted from the Agency for Healthcare Research and Quality.
Results: 144 healthcare personnel were surveyed through questionnaires. 144 of them took part effectively in the survey. From the survey, 98% of the research participants acknowledged that the use of electronic health records improves confidentiality of the healthcare workers. 70% of the participants agree that they have been issues regarding electronic health records and confidentiality. All the research participants agree that being secretive in keeping patient information.
Conclusion: Electronic health records are very important in the healthcare set up, it is greatly evident that various healthcare workers from various hospitals in eastern Saudi Arabia have weighed in on their perception of the use of electronic health records in the eastern said Arabia. Most of them have shown that the healthcare workers should treat healthcare information with the utmost dignity.
Smart Bricks Curing System using IoT
Authors: S. Elarmathi , C. Purusothaman , N. Prasanth , P. Harishkumar K , A. Mohammed Reyan
Published: June 2024

The existing curing method for bricks lacks in precision and efficiency, resulting in inferior strength and durability in the finished product. Traditional procedures may result in over- or under-curing, causing cracks and decreased structural integrity. Furthermore, manual monitoring and intervention are labor-intensive and prone to human mistake. A smart bricks curing system designed specifically for concrete bricks is critical for obtaining optimal strength and durability. This technology seeks to reduce cracks that threaten the longevity of concrete by maintaining precise moisture levels during the hydration process. The research’s central feature is the implementation of sensors that continuously monitor moisture and temperature levels within the bricks.
FCM and CBAC based Brain Tumor Identification and Segmentation
Authors: Nagalakshmi K. , Maheswari R. , Priya T. C. Jaanu , Therese J. Francy , Durga M. Devi
Published: June 2024

A brain tumor are an abnormal growth of cells within the brain, forming a mass that can be either cancerous (malignant) or non-cancerous (benign). Despite their differences, both types of tumors can pose serious health risks. As these tumors grow, they can increase intracranial pressure, leading to potential brain damage. This increased pressure can result in various symptoms such as headaches, seizures, vision problems, and changes in cognitive function. The potential for life-threatening consequences makes early detection and treatment crucial. The objective of the research is to develop a system or algorithm capable of accurately identifying the presence of brain tumors within medical imaging data (CT or MRI scans) and subsequently segmenting the tumor regions from the surrounding healthy brain tissue. This research aims at building an automated multi stage reliable system for classifying MRI images as tumor or non-tumor images. However, the research aims to diagnose brain tumor by extracting the tumor region accurately. The main contribution of this work is to automatically segment the tumor region from the MRI brain images, using Fuzzy C-Means (FCM) Clustering and the Content-Based Active Contour (CBAC) method. The CBAC method helps to resolve the issues of saddle points and broken edges in the extracted tumor region.
ABORDAGENS CIRÚRGICAS EM ÚLCERAS PÉPTICAS PERFURADAS: COMPARAÇÃO ENTRE TÉCNICAS LAPAROSCÓPICAS E ABERTAS
Authors: Bueno Maria Clara Quatrin , Biselo Roberto , Sales Regilane Doth , Silva Bruno Eduardo Lara da , Lopes Emilly Caroline , Cardoso Tarlei Fernandes , Santos Gracielle Fernandes Cardoso Mendonça , Costa Allison Gonçalves Silva Dutra , Bacco Luigi Alcântara , Nascimento Luccas Fernandes , Beserra José Henrique , Gomes Gustavo Ivankovic , Teles Stephanie Louise Ribicki
Published: June 2024

Úlcera péptica é uma lesão que ocorre na mucosa do estômago ou do duodeno, caracterizada pela erosão do tecido devido à ação do ácido gástrico e das enzimas digestivas. Assim, o tratamento de úlceras pépticas perfuradas representa um desafio significativo na prática cirúrgica devido à necessidade de intervenção rápida e eficaz para prevenir complicações graves. Nos últimos anos, as abordagens laparoscópicas têm ganhado popularidade em comparação com as técnicas abertas tradicionais.  Objetivo: Comparar as abordagens cirúrgicas laparoscópicas e abertas no tratamento de úlceras pépticas perfuradas, avaliando a eficácia, segurança e os resultados clínicos de cada técnica. Metodologia:  Foram utilizadas as bases de dados Cochrane, Scielo e Pubmed, buscando artigos publicados entre os anos de 2020 e 2023, nos idiomas Português ou Inglês. Considerações Finais: A cirurgia laparoscópica oferece benefícios significativos, incluindo menor dor pós-operatória, recuperação mais rápida e menores taxas de infecção. No entanto, a cirurgia aberta continua sendo crucial em casos de pacientes com instabilidade hemodinâmica ou com perfurações complexas que dificultam a visualização laparoscópica. A decisão entre as duas abordagens deve ser individualizada, considerando as condições clínicas do paciente, a experiência do cirurgião e os recursos disponíveis, para garantir a melhor recuperação possível e reduzir o risco de complicações.
IMPORTÂNCIA DOS CUIDADOS AO CÂNCER DE COLO DE ÚTERO NA SAÚDE PÚBLICA
Authors: Netto Pedro Ribeiro de Sales , Lopes Antônio Carlos Aurianne Simão , Silva Lídice Fontes Machado da , Araújo Thays Oliveira Maia de , Rossini Antônio Carlos Gustavo Pinheiro , Sales Tatiane Silva Gonçalves de , Santos Bruna Flores Moraes , Silva Joana de Ângelis Ponte e , Damaceno Gabriela Alves Miranda , Milhomem Antônio Carlos Thalissa Silva dos Santos , Castro Franco Montoro Vivian Trevisan de , Santos Ana Helena Silva
Published: June 2024

Relatar por meio das evidências cientificas acerca da importância dos cuidados ao câncer do colo do útero na saúde pública. Métodos: Trata-se de uma revisão integrativa da literatura de caráter qualitativo. A busca dos trabalhos envolvidos na pesquisa foi realizada nas seguintes bases de dados: SCIELO, LILACS, BDENF e MEDLINE, a partir dos descritores em ciências da saúde: “Assistência integral à saúde”, “Câncer do colo do útero” e “Saúde pública”. Os critérios de inclusão foram: publicados no período entre 2014 e 2024, cujo acesso ao periódico era livre aos textos completos, artigos em idioma português, inglês e espanhol e relacionados a temática. Critérios de exclusão foram: artigos duplicados, incompletos, resumos, resenhas, debates, artigos publicados em anais de eventos e indisponíveis na íntegra. Resultados: Os principais fatores de risco para o aparecimento do CCU são o início precoce da atividade sexual, múltiplos. parceiros, tabagismo, baixa condição socioeconômica, multiparidade e outros Conclusão: O presente estudo conclui que o CCU é uma doença bastante prevalente nas mulheres podendo ser evitada por meio das orientações preventivas feitas pelos profissionais da atenção primária.
Faktor yang Berpengaruh dengan Status Gizi Balita di Perkotaan dan Perdesaan
Authors: Pertiwi Putri , Haniarti Haniarti , Nurlinda Nurlinda
Published: June 2024

Masalah gizi lebih rentan dialami oleh anak-anak. Permasalahan yang dihadapi di perkotaan dan perdesaan cukup banyak, salah satunya adalah permasalahan gizi. Tujuan dari penelitian ini adalah untuk mengetahui apakah ada hubungan antara pekerjaan orang tua, pendapatan, pendidikan, pengetahuan, serta pola makan dengan status gizi balita di perdesaan dan perkotaan. Jenis penelitian yang digunakan dalam penelitian ini adalah kuantitatif dengan pendekatan cross-sectional. Penelitian ini dilaksanakan di Puskesmas Tonggolobibi Desa Tonggolobibi Palu dan Puskesmas Sangurara Kota Palu yang dilaksanakan pada bulan Maret-April 2023. Populasi pada penelitian ini yaitu balita usia 0-59 bulan di wilayah kerja Puskesmas Tonggolobibi dan wilayah kerja Puskesmas Sangurara Kota Palu sebanyak 1.243 balita. Pengambilan sampel menggunakan teknik accidental sampling diperoleh sampel sebanyak 30 balita di Puskesmas Tonggolobibi dan 63 balita di puskesmas Sangurara. Hasil uji chi-square didapatkan bahwa Berdasarkan hasil peneliitian disimpulkan bahwa pekerjaan orang tua, pendapatan orang tua, tingkat pengetahuan ibu, dan yang berkaitan dengan pola makan yaitu asupan protein dan lemak juga ada hubungan dengan status gizi balita di perkotaan dan di perdesaan. sedangkan pendidikan dan asupan energi hanya di perkotaan yang berhubungan dengan status gizi balita. Sementara, pekerjaan orang tua dan asupan karbohidrat, baik di perkotaan maupun perdesaan tidak ada hubungan dengan status gizi balita. Saran untuk ibu balita agar senantiasas memperhatikan status gizi balita dengan memantau pertumbuhan, asupan makan, dan berat badannya.
Pengetahuan dan Sikap Remaja Putri tentang Kehamilan Usia Dini
Authors: Wahyuningsih Sri , Nurmasita Nurmasita , Rahmawati Rahmawati , Fakhriyah Durratul
Published: June 2024

Kehamilan usia dini merupakan kehamilan di bawah umur 20 tahun yang disebabkan adanya pergaulan bebas akibat kurangnya pengetahuan dan informasi, rendahnya peran orang tua serta adanya pengaruh sosial budaya. Kehamilan usia dini dapat berisiko tinggi terhadap keguguran, infeksi, keracunan kehamilan, kematian ibu, serta masalah perkembangan dan pertumbuhan janin. Penelitian ini merupakan penelitian kuantitatif deskriptif yang bertujuan untuk mengetahui tingkat pengetahuan dan sikap remaja putri tentang kehamilan usia dini. Teknik pengambil sampel dengan random sampling dan diperoleh jumlah subjek penelitian sebanyak 32 siswi. Dari hasil analisis data diperoleh 50,0% subjek memiliki tingkat pengetahuan yang cukup, sedangkan dalam hal sikap 81,75% subjek telah memiliki sikap positif terhadap upaya pencegahan kehamilan usia dini. Sehingga dapat disimpulkan bahwa tingkat pengetahuan mayoritas subjek masih dalam kategori cukup, sedangkan dalam hal sikap sebagian besar subjek telah mendukung upaya pencegahan kehamilan usia dini.
Potensi Ekstrak Kulit Pisang (Musa paradisiaca L.) dalam Sediaan Emulgel-Kitosan untuk Mempercepat Penyembuhan Ulkus Diabetikum
Authors: Prayogi Norbertus Marcell , Sianturi Maureen Angelica br. , Balqis Gasela Zalianti , Haq Rais Amaral , Risyhade Vania Putri , Jausal Anisa Nuraisa
Published: June 2024

Diabetes melitus merupakan penyakit metabolik dengan angka kejadian tinggi yang dapat menyebabkan berbagai komplikasi kronik, seperti ulkus diabetikum. Ulkus diabetikum cenderung sulit untuk disembuhkan dan memiliki risiko tinggi terhadap infeksi. Penelitian ini bertujuan untuk menemukan potensi ekstrak kulit pisang kepok dalam sediaan emulgel-kitosan sebagai alternatif dalam mempercepat penyembuhan ulkus diabetikum dan didasari atas tingginya jumlah limbah pisang kepok di Provinsi Lampung. Metode penelitian yang digunakan adalah gabungan antara metode kualitatif dan kuantitatif. Teknik pengambilan sampel dilakukan menggunakan pretest-posttest only control group design. Data yang diperoleh kemudian diuji Anova dan uji makroskopis berdasarkan kriteria Nagaoka. Objek penelitian merupakan tikus Wistar putih jantan dengan kriteria inklusi yang dibagi menjadi tiga kelompok perlakuan, yakni kelompok K0 (kontrol negatif), K1 (sediaan emulgel-kitosan ekstrak kulit pisang kepok 20%), dan K2 (sediaan emulgel-kitosan ekstrak kulit pisang kepok 30%). Berdasarkan penelitian, didapatkan bahwa data dari setiap kelompok perlakuan menunjukkan hasil berbeda, tetapi tidak bermakna (p>0,05), dengan sediaan emulgel-kitosan ekstrak kulit pisang kepok dengan konsentrasi sebesar 20% memberikan hasil paling maksimal dalam proses penyembuhan ulkus diabetikum. Hal tersebut menyimpulkan bahwa sediaan emulgel-kitosan dengan ekstrak kulit pisang kepok mampu mempercepat penyembuhan ulkus diabetikum.
Pengetahuan dan Sikap dengan Kecemasan pada Wanita Menopause
Authors: Asikin Badria , Lestari Ima Mustika Tri , Bahrum Sri Wahyuni
Published: June 2024

Knowledge has an important role in determining a person's level of anxiety. Knowledge and experience possessed by a person can also determine the person's attitude in life. The purpose of this study was to determine the relationship between knowledge and attitudes towards anxiety in menopausal women in the Maricaya sub-district. The research sample was 40 people. The research instrument was an observation sheet of questions about the knowledge of menopausal mothers and an observation sheet of questions about the attitude of menopausal women about changes during menopause. Statistical test results using the chi-square test obtained a value of p = 0,008, which means it is smaller than $\alpha$ (0,05). Thus, the research hypothesis was declared accepted, meaning that there was a relationship between knowledge and the anxiety level of menopausal women. Statistical testing using the chi-square test obtained a value of p = 0,011, which means it is smaller than $\alpha$ (0,05). Thus, the research hypothesis is declared accepted, meaning that there is a relationship between attitude towards the anxiety level of menopausal women. The conclusion of this research is that all knowledge and attitudes have a relationship with the level of anxiety in postmenopausal women in the Maricaya sub-district
Mekanisme Koping dalam Menghadapi Menarche pada Santriwati
Authors: Harlia Putri Triyana , Rahmah Nurul Wafda Marpunir , Fujiana Fitri
Published: June 2024

Pubertas pertama dialami oleh santriwati di lingkungan pondok pesantren yang ditandai dengan terjadinya menarche. Terdapat berbagai respon yang dideskripsikan melalui sebuah mekanisme koping pada santriwati yang mengalami menarche terutama di lingkungan pondok pesantren. Studi ini bertujuan untuk mengidentifikasi bagaimana gambaran mekanisme koping dalam menghadapi menarche pada santriwati. Pendekatan cross sectional telah digunakan dalam penelitian ini, teknik sampling yang digunakan yaitu nonprobability sampling dengan metode consecutive sampling dengan populasi berjumlah 252 orang dan didapatkan subjek sebanyak 70 orang santriwati sesuai dengan kriteria inklusi. Instrumen pengumpulan data penelitian menggunakan kuesioner strategi koping Brief Cope.  Dari total 70 santriwati yang berkontribusi dalam penelitian ini, santriwati menggunakan dua mekanisme koping termasuk PFC 66(±4,14) dan EFC 64 (±10,11), meskipun demikian, dengan rata-rata terbanyak koping yang digunakan yakni koping religion 2,15(±1,227), koping emotional support 1,47 (±1,230), acceptance 1,43(±0,194), serta self distraction 1,91(±1,211). Koping yang tidak pernah digunakan adalah substance.
Studi Sequential Explanatory Sedentary Lifestyle dan Lingkar Pinggang sebagai Parameter Obesitas Abdominal pada Pegawai
Authors: Madya Nurhuda Puspa , Ningrum Dedah , Sopiah Popi
Published: June 2024

Obesitas abdominal merupakan masalah kesehatan yang ditandai dengan penumpukan lemak viseral dan dapat menimbulkan gangguan metabolik. Obesitas abdominal dapat dipicu oleh sedentary lifestyle yang menjadi rutinitas pegawai kantor. Penelitian ini bertujuan untuk mengetahui hubungan antara sedentary lifestyle dengan lingkar pinggang pada pegawai. Penelitian ini menggunakan mixed-method dengan desain sequential explanatory. Penelitian kuantitatif dilakukan dengan studi cross-sectional. Sampel berjumlah 140 pegawai di kantor badan daerah Kabupaten Sumedang melalui proportionate stratified random sampling. Penelitian kualitatif melalui wawancara semi berstruktur kepada dua orang pegawai. Analisis kuantitatif dilakukan secara univariat dan bivariat menggunakan uji korelasi Rank Spearman, sedangkan penelitian kualitatif menggunakan thematic analysis. Hasil penelitian menunjukkan bahwa sebagian besar pegawai berada pada tingkat sedentary lifestyle sedang (73,58%). Selain itu, subjek dengan obesitas abdominal didominasi oleh perempuan (52,50%). Hasil uji korelasi menunjukkan tidak terdapat hubungan yang signifikan antara sedentary lifestyle dengan lingkar pinggang pada pegawai (p-value=0,407). Penelitian menghasilkan tema yaitu 1) Tipe Sedentary Lifestyle Pegawai dihari Kerja 2) Perilaku Sedentary dan Aktivitas Fisik Pegawai dihari Libur. Perilaku sedentary pegawai disertai konsumsi camilan yang mengandung karbohidrat dan lemak, kopi, rokok, serta aktivitas fisik. Penelitian selanjutnya diharapkan dapat menganalisis faktor-faktor lain penyebab obesitas abdominal pada pegawai.