bluuebunny/crossref_metadata_2025 huggingface dataset:
Risk assessment for obstructive sleep apnea in stroke patients: a cross-sectional study
Authors: Assunção Darah Fontes da Silva , Gonzaga Bruno Pissolati Mattos , Chung Gabriel , Silva Lohana Santana Almeida da , Prado Marcelle Sanjuan Ganem , Freitas Paulo Henrique Maia de , Lopes Rônney Pinto , Marcusso Rosa Maria Nascimento , Albuquerque Tamara Melissa Zavadzki , Gagliardi Rubens José
Published: July 2023

Introduction: Stroke is the second most prevalent cause of death in the world and an important cause of disability in adults. Obstructive sleep apnea (OSA) is an independent risk factor for stroke and is associated with poor poststroke functional outcome if left untreated. Objectives and methods: In this cross-sectional study, we aimed to determine the prevalence of OSA in ambulatory stroke patients using the STOPBang (snoring, tiredness, observed apnea, blood pressure, body mass index, age, neck size, gender) questionnaire. Casuistic and results: A total of 149 patients completed the clinical assessment. Mean age was 57.47 years, 75 (50.34%) were men and 74 (49.66%) were female. Among the patients, 56.37% were smokers or former smokers, and mean body mass index was 27.01 kg/m2 . The median STOP-Bang score was 3 (interquartile range: 2–4). 69.12% were considered moderate to severe risk for OSA (STOP-Bang score ≥3). For the identification of OSA, the questionnaire demonstrated sensitivity of 83.5%, accuracy of 75.2% and specificity of 45.5%. Among the 84 patients who answered the question about the presence of previous OSA symptoms, 59.53% had a negative answer. Discussion: Approximately two out of three stroke patients were classified as moderate to high risk for OSA, reinforcing the need for screening for the disease in this population. In addition, almost 60% reported no symptoms prior to cerebrovascular disease. Finally, the high sensitivity in this study confirms the usefulness of the tool in screening patients for diagnosis and therapeutic intervention. Conclusion: New studies are needed to evaluate OSA prevention and treatment strategies, as this measure will help in the global clinical recovery of the patient after the stroke.
Relationship between social support and spirituality and religiosity in epilepsy in adults
Authors: Crepaldi Carla Rossini , Petrarca Yasmin Meneguci , Ramalho Danilo Wingeter , Prado Pedro , Tedrus Glória
Published: July 2023

Introduction: There is still no consensus in the literature on how religiosity/ spirituality (R/S) would act as an instrument of social support in individuals with chronic diseases. Objectives: To evaluate the perception of social support and R/S measures in adult patients with epilepsy (PCE). Methods: Data from the Brief Multidimensional Measure of Religiosity/Spirituality (BMMRS-P) and the Social Support Satisfaction Scale (ESSS) of 44 PCE were evaluated. BMMRS-P and ESSS data were related to the clinical variables of epilepsy, with statistical tests, with P < 0.05. Results: Gender was female in 28 (63.6%) cases, mean age was 44.3 ± 14.3 years, and mean disease duration was 28.1 ± 16.1 years. The reported religion was Catholic in 25 cases, Evangelical in 13 cases, other in 2 cases and no religion or agnostic in 4 cases. The total score on the BMMRS-P self-assessment was 4.2 ± 1.7, and the total score on the ESSS was 55.5 ± 4.0. Younger PCE have less organizational religiosity (Person correlation; -0.360; P = 0.019). There is a greater perception of forgiveness (0.367; P = 0.024) and religious and spiritual overcoming (0.437; P = 0.006) in PWE with younger age at the time of the first epileptic seizure. The duration of epilepsy was negatively correlated with daily spiritual experience (-0.310; P = 0.040), with religious support (-0.440; P = 0.003) and with organizational religiosity (-0.309; P = 0.041). Schooling correlated with organizational religiosity (0.401; P = 0.009). There was a significant correlation between the perception of social support in the friends dimension and religious support (0.325; P = 0.031) of the BMMRS-P. There was no significant difference in the perception of social support and R/S according to the epilepsy variables and the type of epilepsy syndrome. Conclusion: Social support in epilepsy is important for PWE to deal with the unpredictability of epileptic seizures, with the stigma and social restrictions that these individuals are sometimes subject to. The use of R/S can positively contribute to coping with psychosocial aspects of epilepsy.
Epidemiological profile of Stroke hospitalizations in Brazil from 2017 to 2022 and the role of primary health care
Authors: Batista Valéria Bruna Souza , Santos Rebeca Lima de Almeida , Rodrigues Pedro Veiga , Novaes Ana Flávia , Evangelista Pedro Ferreira de Souza , Silva Júnior Ronaldo Teixeira da , Costa Davi Tanajura
Published: July 2023

Introduction: Stroke is the most disabling neurological disorder and the second leading cause of death in Brazil. In turn, the acute and chronic clinical repercussions lead to the need for Primary Health Care (PHC) to act as a tool for access, continuity and quality of care, as well as to prevent risk factors. Objectives: To identify the profile of patients hospitalized for stroke in Brazil and the role of PHC. Methods: Quantitative, descriptive and ecological study based on TabNet data on stroke hospitalizations in Brazil during the years 2017 to 2022, using the variables processing year, region, sex and age group 1. Results: There were 971,205 hospitalizations for stroke with emphasis on 2022, which recorded 181,190 cases, 13% higher than the previous year and 16% above the average of the previous 5 years. By regions, the Southeast is the leader (42.4%), followed by the Northeast and South. According to gender, there was a predominance of male patients 10% more than females, a pattern observed in all regions. Per age group, the elderly (72%) were the most affected, with prevalence between 70 and 79 years (26.2%), highlighting the relation of population aging with the pathophysiological process of the disease. In this sense, it denotes the importance of the role of PHC in acting in primary prevention and control of risk factors related to stroke, as well as in the secondary prevention of new events, to reduce the number of hospitalizations. Conclusion: Stroke is a disease with high morbimortality. The epidemiological profile can be a potential tool for identifying and directing resources to PHC, especially considering regional sociodemographic aspects in order to offer prevention, quality care and resolve bad outcomes.
Case report: baló concentric sclerosis in a patient presenting with dyslexia, dysgraphia, and agraphesthesia
Authors: Barbosa Adriel Rêgo , Gambardella Ruan , Maffei Rafael , Fraiman Pedro , Lima Márcio , Pinheiro Gabriel , Faria Victor , Férrer João , Amorim André , Oliveira Enedina Maria Lobato de
Published: July 2023

Introduction: Baló Concentric Sclerosis (BCS) is a rare inflammatory demyelinating disease of the central nervous system. Commonly reported symptoms and its classic neuroimaging findings can lead to a mistaken diagnosis of expanding lesions. The aim is to report on a case of a rare etiology of altered parietal lobe cortical functions, and the importance of topographic reasoning. Review of the patient’s file for clinical history, neurological exam, and complementary tests was performed. Case report: A 36-year-old male patient presented to the emergency room (ER) with complaints of sudden difficulties in reading and writing. He also recalled a perception of numbness on the right side of his body throughout the 15 days before ER evaluation. On neurological exam, the patient presented with dyslexia, dysgraphia, right agraphesthesia, and right hemihypesthesia to all sensory modalities. Magnetic resonance imaging showed a lesion on the left inferior parietal lobe with alternating isointense and hypointense concentric ring-like bands on T1-imaging; hyperintense alternating lamellae on T2-sequences; high signal intensity at the lesion edge on DWI. Its location matched our topographic hypothesis, based on the neurological exam, and its appearance was typical for BCS. We observed other demyelination lesions fulfilling the dissemination in time and space criteria. Cerebrospinal fluid was collected, without infectious signs. Treatment was started with methylprednisolone 1 g/day for seven days and five plasmapheresis sessions. Conclusion: BCS usually presents with subacute elevated intracranial pressure symptoms and classic focal demyelinating deficits, like hemiparesis and ataxia. Unlikely, cortical disturbances can be the main presentation, making topographic reasonig fundamental. Occasionally, BCS has an acute onset, mimicking a stroke event.
Young patient with pineoblastoma and four-year progression-free survival, still under follow up: a case report
Authors: Geraldo Thais Rodrigues Barbosa , Pazini Andréa Martini , Santos Adrialdo José , Melo Suely Moreira Mayamone de , Gambirasio Bruna Gutierres , Bernardes Leonardo de Sousa
Published: July 2023

Pineal tumors comprise 1% of all primary central nervous system neoplasms. They are classified as Pineocytoma, Pineal parenchymal tumor of intermediate differentiation, and Pineoblastoma, as well as Papillary tumor of the pineal region. Pineoblastomas are most commonly seen in children and teenagers and exhibit aggressive clinical behavior, with frequent metastases throughout the craniospinal axis. Most cases commonly presents with findings of elevated intracranial pressure (headache, nausea/vomiting, and decreased level of consciousness) as a result of obstructive hydrocephalus from compression of the cerebral aqueduct by the tumor mass. Parinaud syndrome (upgaze paralysis, convergence nystagmus, and near-light dissociation) is also seen, as a result of compression of the dorsal midbrain structures. Here we represent a case of a female patient, who started with progressive headache at the age of eighteen, in 2017. After further investigation, she was diagnosed with obstructive hydrocephalus, which was found to be caused by a tumor in the pineal region. Admission to the São Paulo Hospital happened on february 2019 (two years after starting the symptons), when she was submitted to biopsy. Histopathological analysis shower grade IV Pineoblastoma. She underwent radiotherapy from march to april 2019 and two cycles of chemotherapy from march to september 2019, with Ifosfamide, etoposide, carboplatin and vincristine. Despite the fact that the median overall survival of the PB is around 20 months after maximal resection and adjuvant chemotherapy/radiotherapy, our patient has been under follow up since 2019, performing cranial magnetic resonance imaging every six months and maintaining clinically and radiologic signs of stable disease.
Clinical manifestations and self-limited course of a low-flow carotid-cavernous fistula
Authors: Gubeissi Mariana Campos , Moreira Heloisa Lopes Cohim , Guida Lucas Oliveira Cantaruti , Castro Roberto Sobocinski , Valente André Lopes , Coradine Tacio Luis Cavalcante , Silva Gisele Sampaio
Published: July 2023

An 80-year-old female patient with a history of long-standing systemic arterial hypertension presented with a gradually progressive frontal headache, diplopia and decreased right eye movement for one month. On admission to the hospital, her blood pressure was 190/120 mmHg, despite the regular use of four antihypertensive medications. She had right eye proptosis, hyperemia and chemosis. Neurological examination revealed a fixed mydriatic pupil, light perception visual acuity on the right eye, plegia of all extrinsic ocular muscles and absence of ocular murmur. A brain computed tomography imaging revealed right orbital congestion, enlargement of the right extrinsic ocular muscles and right periorbital fat, as well as of the convexity of the lateral wall of the right cavernous sinus. Contrast-enhanced imaging showed arterial flow in the right ophthalmic vein. Her laboratory test results, including serology for HIV, syphilis, viral hepatitis, rheumatology laboratory screening and tumor biomarkers were unremarkable. Her cerebrospinal fluid was clear and colorless, opening pressure of 13 mmHg, 3.3 cell, 4 erythrocytes, protein 67 mg/dL, glucose 74 mg/dL and lactate 21.6 mg/dL. Following a week of adequate blood pressure control, her symptoms improved. Digital subtraction angiography was performed, revealing an increase in the right intraorbital arterial flow and the size of the ophthalmic vein, consistent with thrombosis of the cavernous sinus but with no evidence of an arteriovenous shunt. Improvement in symptoms was due to the spontaneous closure of the fistula caused by local thrombosis. A left renal artery stenosis was found as the cause of refractory systemic arterial hypertension, with no need for surgical intervention. This case exemplifies the clinical symptoms and the possibility self-resolving nature of a low-flow carotid-cavernous fistula.
Stroke-like symptoms in Lyme Disease, a case report
Authors: Cavasana Gabriel Flamarin , Nakazato Paula Carolina Grande , Nakano Bruno Eiji , Chinelato Sarah de Souza , Irikura Rodrigo Batista , Silva Bruna Santos , Colognesi Anouar Sacca , Migueis Isabella Brasileiro , Viveiros Gustavo Carvalho , Pereira Fabio de Araujo
Published: July 2023

Introduction: First described in Brazil in 1992, Lyme disease (LD) is a multisystem bacterial infection caused by Borrelia burgdorferi and transmited by infected ticks of the genus Ixodes or Amblyomma. LD prevails in temperate climate countries, with some few cases reported in Brazil. In early disseminated LD, main neurologic findings are meningitis, cranial neuropathy, radiculoneuropathy, cerebellar ataxia and encephalomyelitis. Neurologic features of late LD include confluent mononeuropathy multiplex, peripheral neuropathy and encephalopathy. Diagnosis is essencially clinical, with possibility of serologic testing. The treatment includes antibiotics and must be individualized. Objectives: We aim to present a LD case with stroke-like presentation. Results: A 43-year-old man presented with central facial palsy, vertical nystagmus, headache, vertigo and nausea. Magnetic resonance imaging (MRI) showed hyperintense oval lesion in T2/FLAIR in the left middle cerebellar peduncle, with diffusion restriction. At first, he was diagnosed with of ischaemic stroke. After two weeks of symptoms onset, MRI showed an enhancement in the previous cerebellar lesion with normal angiogram. Cerebrospinal fluid analysis was also normal. The patient received a 5-day pulse therapy, with partial clinical response and yet, a new MRI showed an increased lesion with the same previous features and CSF protein of 71. Viral CSF screening, cryptococcal and cysticercosis antigens, oligoclonal bands were negative. LD serology came out positive, allowing the treatment with ceftriaxone for 28 days. Due to partial response, alternative treatment with benzathine penicillin, doxycycline and tinidazole was instituted, achieving satisfactory results. Conclusion: LD may mimic other neurologic syndromes, thus neurologists frequently ought to consider it as a differential diagnosis.
Prevalence of fatigue in patients with ischemic stroke: a cross-sectional study
Authors: Chung Gabriel , Kormanski Matheus Kohama , Gonzaga Bruno Pissolati Mattos , Silva Lohana Santana Almeida , Mendes Natalia Trombini , Albuquerque Tamara Melissa Zavadzki , Cavalheiro Renan Brandão Rambaldi , Marcusso Rosa Maria Nascimento , Lopes Rônney Pinto , Gagliardi Rubens Jose
Published: July 2023

Introduction: Stroke is the leading cause of disability worldwide, not only due to motor impairment, but to many sequelae in other domains. Fatigue is one of the most impacting symptoms in the quality of life in post stroke patients, with estimated prevalence around 30%. Objectives and methods: We present a cross-sectional study that aimed to determine the prevalence of fatigue in patients with ischemic stroke followed in the neurovascular outpatient clinic of a tertiary hospital in São Paulo, Brazil, using the Fatigue Assessment Scale (FAS) questionnaire. It can range from 0-50 points, proportional to symptom intensity; scores equal or over 24 points indicate fatigue in such individuals. Casuistics and results: One hundred and fifty seven questionnaires were analyzed and classified according to the FAS. Mean age was 58 years, 74 (47.13%) individuals were men and median FAS score was 21 points (interquartile range: 18–29). Of the interviewees, 64 individuals (40.76%) were classified as having fatigue by the established cut-off; in this subgroup, mean age was 55 years and 28 (43.75%) were men. Discussion and conclusion: In this study, around 40% of post-stroke patients have fatigue, indicating a high prevalence in our population. Fatigue has a high impact on the quality of life of patients, also worsening in functionality and mortality, due to lesser participation in rehabilitation and physical activities. Thus, the health professional dealing with post-stroke patients must be aware and prepared to help patients in coping with fatigue.
Acquired hemichorea secondary to hyponatremia: a case report
Authors: Chung Gabriel , Gonzaga Bruno Pissolati Mattos , Assunção Darah Fontes da Silva , Prado Marcelle Sanjuan Ganem , Kormanski Matheus Kohama , Cavalheiro Renan Brandão Rambaldi , Gisoldi Emerson , Venturi Alexandre , Koto Rafael Yoshio
Published: July 2023

Introduction: Chorea is a movement disorder characterized by involuntary, random and irregular movements. In the emergency department, the most common causes of chorea are cerebrovascular disorders, but other conditions may also play an important role. The aim is to present a rare case of acquired hemichorea secondary to hyponatremia by reviewing the patient’s records. Case report: A 73-year-old female patient with a history of arterial hypertension, dyslipidemia, active smoking, and heart failure, taking enalapril, hydrochlorothiazide, furosemide and simvastatin, was admitted to the emergency department after falling from standing height and hitting her head, also presenting choreic movements in the right side of her body. The patient started amitriptyline for chronic low back pain in the last month and had been experiencing apathy and weight loss since; the choreic movements had started a week before admission and had progressively worsened. On admission, the patient presented with fluctuating level of consciousness and hemichorea. Complementary evaluation showed leukocytosis and hyponatremia (117 mg/ dL); magnetic resonance imaging of the brain showed diffuse brain atrophy without any other findings compatible with hemichorea and the lumbar puncture did not reveal any additional findings; a pulmonary infection was detected by the chest computed tomography. The patient was treated for pulmonary infection and hyponatremia. Haloperidol was started, but the chorea was fully solved after hyponatremia correction over the next few days and did not return after haloperidol weaning. Discussion: We presented the case of a 73-year-old woman with acquired hemichorea secondary to hyponatremia, which resolved completely after the metabolic disorder was corrected. Although this condition has been described, its incidence remains unclear, as few cases have been reported.
Rezension von: Mayenberger, Charlotte, Bad Buchau
Authors: Rieber Christof , Mayenberger Charlotte
Published: July 2023

Charlotte Mayenberger: Bad Buchau. Meine Stadt. Landschaft. Geschichte. Kultur. Biberach: Biberacher Verlagsdruckerei 2017; 167 S., 293 Abb., geb., 14,80 EUR
Rezension von: Armer, Stephanie, Friedenswahrung, Krisenmanagement und Konfessionalisierung
Authors: Schöllkopf Wolfgang , Armer Stephanie
Published: July 2023

Stephanie Armer: Friedenswahrung, Krisenmanagement und Konfessionalisierung. Religion und Politik im Spannungsfeld von Rat, Geistlichen und Gemeinde in der Reichsstadt Ulm 1554-1629 (Forschungen zur Geschichte der Stadt Ulm 35). Ulm 2015; 500 S., 6 s/w-Abb., 49,00 EUR
Rezension von: Renner, Martin, "Doch ist’s nur Vatertausch …"
Authors: Scheinhammer-Schmid Ulrich , Renner Martin
Published: July 2023

Martin Renner: „Doch ist’s nur Vatertausch …“. Die Säkularisation der schwäbischen Klöster Marchtal, Buchau und Neresheim durch das Fürstenhaus Thurn und Taxis (Phil. Diss. Universität Stuttgart 2013). Marburg: Tectum Verlag 2014; 2 Bde., 914 S., zahlr. Abb., Karten und Schaubilder, brosch., 79,95 EUR
Rezension von: Eitel, Peter, Oberschwaben im Kaiserreich (1870-1918)
Authors: Kuhn Elmar L. , Eitel Peter
Published: July 2023

Peter Eitel: Geschichte Oberschwabens im 19. und 20. Jahrhundert. Bd. 2: Oberschwaben im Kaiserreich (1870-1918). Ostfildern: Thorbecke 2015; 360 S, zahlr. Abb., 29,90 EUR
Rezension von: Bosch, Manfred; Burger, Oswald, "Es war noch einmal ein Traum von einem Leben"
Authors: Kniep Jürgen , Bosch Manfred , Burger Oswald
Published: July 2023

Manfred Bosch/Oswald Burger: „Es war noch einmal ein Traum von einem Leben“. Schicksale jüdischer Landwirte am Bodensee 1930–1960. Mit einem Beitrag von Christoph Knüppel (Südseite. Kultur und Geschichte des Bodenseekreises 3). Konstanz/München: UVK 2015; 240 S., geb., zahlr. Ill., 24,99 EUR
CHALLENGES FACING CIVIL AVIATION AT JUBA INTERNATIONAL AIRPORT, JUBA CITY, CENTRAL EQUATORIA STATE
Authors: Yor Dr. Angelo Okic
Published: July 2023

This study is conducted to discuss the challenges facing Civil Aviation at Juba International airport, Juba City, Central Equatoria State. Moreover, the study concentrated on illustration of Civil Aviation historical background in South Sudan in general. On the same occasion, the paper tried to explain the theories of Civil Aviation. Nevertheless, the study employed the questionnaire for data collection. It also used descriptive method for data analysis. In addition, the study employed the qualitative and quantitative methods in data collection. Also, the study used tables in data analysis, beside the map of Juba city as well as figures of Airplane was employed as materials in the study. On the other hand, the findings of the study found that 94% of respondents affirmed that lack of skills in Civil Aviation safety had contributed to an increase in number of accidents at international airport, Juba City, Central Equatoria State.  In addition, 92% of respondents availed that political instability in South Sudan affected the progress in Civil Aviation at Juba International airport in particular as well as other airports in the country in general. Moreover, the study recommended that Civil Aviation workers should be oriented and train on Civil Aviation safety and equipped them with civil aviation regulations as well as main techniques of specialization. Also, the study recommended for the relocation of the airport because it is based in the area near to the residential sites.
ESSENTIAL AMENITIES IN ANAMBRA STATE POLYTECHNIC MGBAKWU; ITS IMPLICATION ON STAFF AND STUDENTS ATTITUDES, PERFORMANCES AND EDUCATIONAL DEVELOPMENT
Authors: O.M Onoura , C.I Chigbo. , I.M Ibekwe , A.C Okoye.
Published: July 2023

The study looks at the availability of basic amenities in Nigeria higher institutions of learning and the implication on students’ attitudes and academic performances. Primary data were collected and the data collected from the respondents was analyzed using chi-square test, exploratory data analysis and Pearson’s chi-squared test. The result of the findings revealed that electricity, transportation, water supply, information and communication technology, and lecture theatres have significant influence on the performance of students in Higher institutions in Nigeria.
Prevalence of Luminal A, Luminal B, HER2 enriched and triple negative breast carcinoma in population of Sindh
Authors: Fatima Ghulam , Khan Muhammad Rahil , Memon Riyasat Ahmed , Ali Zahid , Vandana Osheen , Akhtar Rehan
Published: July 2023

The incidence of breast cancer has increased significantly in Asian countries in comparison to Western countries, and it is now one of the leading causes of cancer-related death among women worldwide. Each year, 1.5 million women (25% of all cancer women) are diagnosed with BC around the world, and this number is expected to rise to 2.2 million by 2025. In particular, breast cancer shows biologic heterogeneity in terms of risk factors, natural histories, responses to therapy, and prognostic features that vary considerably between ethnic and geographical groups. Many studies have focused on the distinctions between tumor subtypes because of the importance they play in guiding therapeutic decision making in breast cancer. These factors include histological grade, tumor type and size, and the presence of lymph node metastasis. As a proxy for profiling gene expression, immunohistochemical examination of breast cancer tissue with various biomarkers is employed. This method is cheap, widely accessible, reliable, and technically not demanding. The purpose of this research was to analyze the relationship between molecular subtypes of breast cancer and certain pathological characteristics.
Occurence of urinary tract infections in type 2 diabetes mellitus patients taking Sodium-Glucose Co-Transporter-2 (SGLT-2) inhibitors to regulate their blood sugar levels
Authors: Ashfaq Mahnoor , Shafique Sadia , Niazi Zenab , Shah Syed Yasir , Memon Siraj , Qureshi Kashifa , Banaras Faizan
Published: July 2023

Background and Aim: The occurrence of urinary tract infection (UTI) in type 2 diabetes (T2DM) administered with sodium glucose co-transporter-2 (SGLT2) inhibitors are still debatable. The present study aimed to assess the occurrence of UTI in T2DM patients taking SGLT-2 inhibitors to regulate their blood sugar levels. Patients and Methods: This cross-sectional study was carried out on 369 T2DM patients investigated in the Nephrology division of Khyber Teaching Hospital, Peshawar from January 2022 to December 2022. Dapagliflozin and empagliflozin were SGLT-2 inhibitors drugs given to each individual. Patient’s detailed history and genitourinary infections were noted from medical records. Pain during micturition, micturition urgency, redness, abdominal pain, vomiting, and frequency of micturition, fever, soreness, and diarrhea were recorded using questionnaire based proforma. Results: Of the total 369 patients, the frequency of patients administered with dapagliflozin and empagliflozin was 178 (48.2%) and 191 (51.8%) respectively. Among 178 patients, there were 112 (62.9%) male and 66 (37.1%) females. Among 191 patients, there were 136 (71.2%) male and 55 (28.8%) females. The occurrence of UTIs in patients using dapagliflozin and empagliflozin was 18 (10.1%) and 28 (14.7%) respectively.
Arabic literature: Ali Ahmed Ba-Kathir’s Omar ibn Al-Khattab an epic verse drama (1)
Authors: Dahami Yahya Saleh Hasan , Alzahrani Mohammed Ahmed Mohammed
Published: July 2023

This paper attempts to cast light on a leading poet-playwright who signifies several Arabic cultures, proficiencies, and skills. The study aims at revealing to what extent the play Omar is a modern Arabic poetic play. Omar is a historical drama that deals with social problems. Omar presents a vision of Arabic drama in the modern age, but it is also a poetic play. For that, it is the task of the researcher to try to prove that Omar bears several grounds, such as poetic devices and connotative symbols, to be called a poetic drama. The investigator adopts the critical-descriptive method in analyzing the first scene of the introduction of the play, Omar. The paper is planned with an introductory overview dealing with a brief view of poetic drama and blank verse. The second part deals with Ali Ahmad Ba-Kathir as a pioneer poet-dramatist. The main part of the study deals with the epic play Omar with reference to the first scene of the introduction, shedding light on the skillfulness of the writer in manipulating poetic and musical devices. The task finishes with recommendations and a brief conclusion.
Sistema estadístico aeronáutico del estado de Honduras
Authors: Ordóñez Castellón José Isaac , Mantilla Pérez Liliana Yaneth
Published: July 2023

El presente artículo resume la propuesta de un Sistema Estadístico Aeronáutico para el Estado de Honduras, el cual es un software desarrollado para gestionar datos en tiempo real, con la finalidad de tener un control sistematizado de todas las operaciones aeronáuticas realizadas en los cuatro aeropuertos internacionales del país (Toncontín, Ramón Villeda Morales/La Mesa, Golosón y Juan Manuel Gálvez). Este sistema detalla el flujo aéreo de vuelos comerciales, privados y militares, los pasajeros y la carga transportada por todas las aerolíneas que desarrollan actividades comerciales en el territorio nacional, registrando todos y cada uno de los aspectos que comprende la realización de un vuelo, desde el origen, el destino, el tipo de aeronave, el designador comercial de la aerolínea, la hora UTC y las fechas de ejecución de la operación, todo esto sintetizado en una plataforma estadística, donde se vinculan los datos generados por los Departamentos de Navegación Aérea, Planificación Aeronáutica, Transporte Aéreo y Facilitación de la Agencia Hondureña de Aeronáutica Civil (AHAC), asimismo, cuenta con un dominio en Internet, logrando generar interrelaciones de datos, cálculos matemáticos y sinergias de información. Proporcionando información estratégica que permite una toma de decisiones ágil y acertada. Todo el software cuenta con un sofisticado sistema de usuarios que permite elevar los mecanismos de seguridad y controlar la información ingresada por medio de bitácoras de registro que se almacenan en bases de datos dónde se interrelacionan los datos de forma ordenada para brindar información de calidad.
Importancia forrajera y nutricional de Leucaena leucocephala en sistemas silvopastoriles
Authors: Hernández-Melchor Gloria Isabel , Hernández-Hernández Manuel , Sol-Sánchez Angel , Rosales-Martínez Froylan , Hernández-Salinas Gregorio
Published: July 2023

Antecedentes: De la revisión bibliográfica se generó un análisis de los valores y beneficios que generan los sistemas silvopastoriles (Si) en asocio con Leucaena leucopcephala (Lam.) de Wit., con especial referencia a manejo agronómico, integración árbol-pasto, densidad, intervalos de corte, producción y calidad nutricional de la biomasa. El objetivo fue recopilar información existente sobre el uso de leucaena como forraje.Metodología: Se revisaron artículos publicados desde 1999 a 2022. Los años con mayor producción científica fueron 2016, 2020, y 2014, con 8, 7 y 6 obras respectivamente, 2000 y 2004 no registraron artículos. Se obtuvo bibliografía de temas diversos, que citan la importancia de posible integrar leguminosas en los pastizales para incrementar la carga animal por hectárea, incrementar peso y producción de leche, en comparación con los sistemas que solo emplea pastos como alimento de los animales. Resultados: Los Si con asocio de leucaena constituyen una de las mejores alternativas para incrementar la ganancia de peso en la ganadería principalmente en zonas semisecas, ya que en ellos se hace un uso más eficiente del espacio y se obtiene un alimento de mejor calidad nutricional, mayor aporte de materia seca (MS), proteína cruda (PC), menor contenido de fibra detergente neutro (FDN) y de fibra detergente ácido (FDA). Conclusiones: Dentro de las condiciones a considerar en este sistema se debe tener presente la densidad la altura de corte, fecha y forma de siembra para obtener el mayor volumen de forraje por época.
Hubungan Peran Tenaga Kesehatan, Persepsi Ibu Mengenai Covid-19 dan Fasilitas Pelayanan Kesehatan terhadap Status Imunisasi Dasar Bayi pada Masa Pandemi di Puskesmas Kedung Badak Tahun 2022
Authors: Hartati Dewi
Published: July 2023

Latar Belakang: Cakupan imunisasi di semua fasilitas pelayanan kesehatan menurun akibat adanya wabah Covid-19. Bagaimanapun, bayi harus tetap mendapatkan imunisasi dasar lengkap agar memiliki kekebalan yang spesifik terhadap penyakit. Cakupan Imunisasi Dasar Lengkap di Puskesmas Kedung Badak sebelum masa pandemi cenderung stabil, namun di tahun 2020 terjadi penurunan yang cukup signifikan. Hal tersebut dikarenakan terbatasnya akses masyarakat terhadap layanan imunisasi, ketersediaan vaksin serta fasilitas layanan yang ada.
Tujuan: Untuk mengkaji bagaimana hubungan peran tenaga kesehatan, persepsi mengenai Covid-19 dan fasilitas pelayanan kesehatan terhadap status imunisasi dasar bayi pada masa pandemi di Puskesmas Kedung Badak, Bogor.
Metode: Penelitian dilaksanakan dengan pendekatan cross-sectional, menggunakan teknik total sampling sebanyak 45 orang. Kriteria sampel adalah ibu yang memiliki bayi usia 12–18 bulan yang berkunjung untuk imunisasi di Puskesmas Kedung Badak, Bogor selama bulan Januari 2022. Pengumpulan data dilakukan menggunakan kuesioner dan wawancara. Instrumen kuesioner penelitian meliputi: peran tenaga kesehatan, persepsi mengenai Covid-19 dan fasilitas pelayanan kesehatan.
Hasil: Sebanyak 34 responden (76%) telah mendapatkan imunisasi dasar lengkap. Sebanyak 43 responden (96%) menilai bahwa tenaga kesehatan memiliki peran yang baik. Sebanyak 39 orang (87%) memiliki persepsi yang benar mengenai Covid-19. Sebanyak 41 responden (91%) menilai fasilitas pelayanan kesehatan baik.
Kesimpulan: Terdapat hubungan antara peran tenaga kesehatan dan fasilitas pelayanan kesehatan dengan status imunisasi dasar bayi di Puskesmas Kedung Badak, Bogor. Sementara itu, tidak ada hubungan antara persepsi ibu mengenai Covid-19 dengan status imunisasi dasar bayi.
Hubungan Pengetahuan, Stimulasi dan Status Gizi dengan Perkembangan Bicara dan Bahasa pada Balita di Posyandu Atsiri Permai Kabupaten Bogor Tahun 2022
Authors: Norhadewi Inggit , Syarah Maryam , Putri Siti Rafika
Published: July 2023

Introduction: Speaking and language are children's abilities to respond to sounds heard, convey their wishes, and follow orders given. They are also very important indicators in life to communicate.
Objectives: This study aims to determine the relationship between knowledge, stimulation, and nutritional status with speech and language development in toddlers at Posyandu Atsiri Permai, Bogor Regency.
Method: The research method used is quantitative analysis with a cross-sectional approach, namely a research design in which measurements or observations of stimulants are carried out at one time or at a time. The samples used were 77 samples based on solvency calculations. data were collected using a questionnaire and analyzed using the chi-square test.
Result: the results of the above study can be concluded that: From 77 respondents in this study, it was found that mothers with less knowledge were 44 respondents or 57.1%, mothers with attitudes that did not stimulate toddlers were 40 respondents or 51.9% and toddlers with poor nutritional status there are 41 respondents or 53.2%.
Conclusion: This makes the variables Knowledge, Stimulation and Nutritional Status have a significant relationship to speech development in toddlers with the result that the p-value of Knowledge is 0.000, the p-value of Stimulation is 0.009 and the p-value of Nutritional Status is 0.005.
Kualitas Pelayanan dan Sarana Prasarana Berhubungan dengan Kepuasan Pasien Rawat Jalan Eksekutif
Authors: Wijayanti Siti , Daely Wesley
Published: July 2023

Latar Belakang: Kepuasan merupakan perasaan senang yang dirasakan oleh seseorang yang dihasilkan dari perbandingan antara kesenangan terhadap suatu kegiatan dan sebuah produk dengan harapan mereka. Pengukuran kepuasan pasien merupakan salah satu bagian integral dari strategi manajemen rumah sakit di seluruh dunia. Kepuasan pasien dan kualitas layanan kesehatan menjadi tolak ukur keberhasilan pemberian layanan di rumah sakit.
Tujuan: Penelitian ini bertujuan untuk melihat melihat hubungan kualitas pelayanan dan sarana prasarana dengan kepuasan pasien rawat jalan eksekutif di Rumah Sakit Hermina Mekarsari Tahun 2021.
Metode: Desain penelitian yang digunakan adalah deskriptif dengan pendekatan cross-sectional. Pengumpulan data menggunakan kuesioner. Pada penelitian ini teknik pengambilan sampel yang digunakan adalah teknik accidental sampling Jumlah sampel adalah 96 orang. Uji statistic menggunakan uji Chi-Square.
Hasil: Hasil penelitian diperoleh sebagian besar responden menyatakan kualitas pelayanan baik yaitu 55 (57,3%), sebagian besar responden menyatakan saranan prasarana tidak baik yaitu 50 (52,1%) dan sebagian besar responden puas  yaitu 84 (87,5%). Hasil uji statistik diperoleh hasil bahwa terdapat hubungan antara kualitas pelayanan (p-value = 0,035) dan sarana prasarana (p-value = 0,045) dengan kepuasan pasien.
Kesimpulan: Terdapat hubungan antara kualitas pelayanan dan sarana prasarana dengan kepuasan pasien rawat jalan eksekutif di RS. Hermina Mekarsari tahun 2021.
Pengaruh Pemberian Sup Labu Siam dan Daun Seledri terhadap Kadar Tekanan Darah pada Penderita Hipertensi di Kelurahan Kalabahi Timur Kecamatan Teluk Mutiara Kabupaten Alor - NTT
Authors: Natalia Maria Desi , Ruliani Syarifah Nur , Rindu Rindu
Published: July 2023

Background: Hypertension is a problem that needs to be watched out for because there are no specific signs and symptoms, of hypertension and some people still feel healthy to do their activities as usual, this is what makes hypertension a silent killer.
Purpose: To determine the effect of chayote soup and celery leaves on blood pressure levels in respondents with hypertension in the East Kalabahi Village, Teluk Mutiara District, Alor Regency, NTT.
Methods: This research is a quantitative study by conducting experiments to find the effect of treatment. The type of research used was pre-experimental designs (non-designs), with a one-group pre-test and post-test design. The sample used in this study was total sampling i.e. 30 people.
Results: The results of the t-paired sample test for systolic blood pressure obtained t (29) = 9.798 p-value = 0.000 < α = 0.05 and the Wilcoxon Signed Ranks test for diastolic blood pressure yielded Z-count = -3.694 p-value = 0.000 < α = 0.05, which means H0 is rejected and Ha is accepted.
Conclusion: There is an effect of giving chayote soup and celery leaves on blood pressure levels in hypertension sufferers in the Kalabahi Timur Village, Teluk Mutiara District, Alor Regency, NTT.
Tingkat Pengetahuan tentang Anemia dan Hubungannya dengan Kepatuhan Konsumsi Tablet Fe pada Remaja Putri di MTS Raudhatul Muta’allimin Tahun 2021
Authors: Melinda Tryanova
Published: July 2023

Introduction: Adolescence is a period that is passed in every individual development, adolescent development is a period of individual development which is a period of achieving mental, emotional, social, physical and escape patterns from childhood to adulthood
Objectives: To find out the relationship between the level of knowledge about anemia and the compliance with consumption of Fe tablets in young women at MTs Raudhatul Muta'allimin in 2021
Methods: The research design used is correlation analytic with a cross-sectional correlation or cross-sectional approach. Cross-sectional approach. The population in this study were female students at Mts Raudhatul Muta’allimin 75 people. The sample calculation in this study was total sampling. The sample inclusion criteria in this study were young women who attended school at Mts Raudhatul Muta’allimin in 2021. The instrument used a questionnaire. In this study, the Chi-square test was used to see the dependence between the independent variables and the dependent variable on a nominal or ordinal scale.
Results: The results of the bivariate analysis of the level of knowledge of anemia showed p = 0.000, and the bivariate analysis of adherence to Fe tablet consumption showed p = 0.000.
Conclusion: Based on the results of research on the relationship between the level of knowledge about anemia and adherence to Fe tablets consumption in adolescent girls at MTs Raudhatul Muta'allimin in 2021
Hubungan Gaya Hidup, Pola Makan Serta Kualitas Tidur Lansia terhadap Pengendalian Hipertensi di Wilayah Kerja Puskesmas Parungpanjang Bogor Tahun 2022
Authors: Rosliana Ita
Published: July 2023

Pendahuluan: Hipertensi lanjut usia berarti tekanan darah sistolik lebih dari 140 mmHg dan tekanan darah diastolik lebih dari 90 yang diukur 3 kali per hari pada seseorang yang berumur ≥65 tahun.
Tujuan: Untuk mengetahui hubungan life style, pola makan serta mutu tidur lanjut usia terhadap pengendalian hipertensi di Daerah Kerja Puskesmas Parungpanjang Bogor Tahun 2021.
Metode: Jenis riset deskriptif analitik secara cross-sectional. Populasinya adalah 123 orang dan sampelnya sebanyak 77 orang dengan Teknik sampling menggunakan purposive sampling. Pengumpulan data menggunakan kuesioner dan pengujian menggunakan Chi-Square Test.
Hasil: Hasil penelitian ini menunjukan bahwa hubungan antara variabel gaya hidup dengan variabel pengendalian hipertensi lansia diperoleh nilai  P-Value = 0,198 dan hasil OR = 0,47 (0,18-1,24),  hubungan antara variabel pola makan dengan variabel pengendalian hipertensi lansia diperoleh nilai P-Value = 0,036 dan hasil OR = 3,18 (1,18-8,54), dan hubungan antara variabel kualitas tidur dengan variabel pengendalian hipertensi lansia diperoleh nilai P-Value= 0,682 dan hasil OR = 0,69 (0,24-1,98).
Kesimpulan: Ada hubungan antara pola makan terhadap pengendalian hipertensi lansia dan tidak ada hubungan antara gaya hidup dan kualitas tidur dengan variabel pengendalian hipertensi lansia.
Faktor Risiko Aspek Lingkungan dan Aspek Perilaku terhadap Kejadian Demam Berdarah Dengue (DBD) di Wilayah Kerja Puskesmas Sukmajaya Kota Depok Tahun 2022
Authors: Rahma Firda Azkia , Rahayu Dinda Fenia Sindhi , Prawira Luqman Yoga , Nandini Mutiara , Bariyah Ratu Alfiyatul
Published: July 2023

Introduction: Dengue Hemorrhagic Fever (DHF), commonly known as Dengue Hemorrhagic Fever (DHF), is an acute viral infectious disease caused by the dengue virus belonging to the Arthropod-Borne virus, genus Flavivirus, family Flaviviridae. In 2020, the Sukmajaya sub-district has a high number of dengue cases, there are 153 cases.
Objectives: This study aimed to determine the description of risk factors from environmental and behavioral aspects to the incidence of dengue hemorrhagic fever in the working area of Sukmajaya Public Health Center, Depok City.
Method: This research method uses a quantitative method with a descriptive approach and in this research, we get 65 respondents by taking data using a checklist.
Result: The description of the characteristics of the community shows that women and men have the same opportunity to get DHF, those aged 26-65 years who are vulnerable to being infected, the level of education is still low so they still don't know about prevention of DHF. The description of the behavioral aspect was obtained by respondents whose preventive behavior was good, namely as many as 39 (60%) of respondents and 26 (40%) of respondents whose prevention preventives were not good. An overview of environmental aspects showed that 25 (38.5) respondents found larvae in their homes. And as many as 40 (61.5%) respondents at home did not find any larvae.
Conclusion: The results of the health degree study found that the 10 highest diseases in the Sukmajaya Public Health Center, Depok City were against DHF in the first order.
Pengaruh Pacifier terhadap Kenyamanan pada Neonatus Selama Transportasi Ambulans di AGD Dinkes DKI Jakarta Tahun 2022
Authors: Seputro Rio Kurniawan hadi , Syifa Nurul Ainul , Gunardi Saiful
Published: July 2023

Pendahuluan: Transportasi antar fasilitas bayi baru lahir yang sangat kritis merupakan komponen intergral dari perawatan perinatal, Proses transportasi bayi baru lahir dengan menggunakan ambulance menimbulkan stress fisik, pengeraman, dan ketidaknyamanan yang disebabkan oleh getaran, gerakan, akselerasi, pengeraman, kebisingan, dan guncangan, Kenyamanan neonatus juga perlu diperhatikan, untuk tetap menjaga Kesatabilan selama trasportasi dan memepertahankan Kesejahteraan Neonatus selama transport.
Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh pacifier terhadap kenyamanan pada neonatus selama transportasi ambulans
Metode: Desain penelitian yang digunakan dalam penelitian ini adalah penelitian kuantitatif dengan rancangan Quasi Experiment Without Control. Desain penelitian yang di gunakan adalah pre-test and post-test whitout control. dengan pengkajian Comfort Neo Sclae, sampel yang di gunakan sebanyak 47 sampel menggunakan teknik total sampling. Uji statistic menggunakan uji wicoxon.
Hasil: Berdasarkan hasil uji statistic menunjukan hasil uji Wilcoxon (p=0,000). Karena nilai p<0,05 maka H0 ditolak. Jadi terdapat pengaruh yang signifikan antara sebelum diberikan pacifier dan setelah diberikan pacifier.
Kesimpulan: Pemberian pacifier untuk memberikan kenyamanan pada neonatus sangat berpengaruh terhadap kenyamanan pada neonatus, dibandingkan sebelum diberikan pacifier.
Hubungan Peran Orangtua Sebagai Pengawas Minum Obat (PMO) dengan Kepatuhan Minum Obat pada Anak dengan Tuberkulosis
Authors: Ratnasari Rani
Published: July 2023

Latar Belakang: Tuberkulosis merupakan penyakit penyebab kematian kedua pada anak. Salah satu tatalaksana Tuberculosis pada anak yaitu dengan pemberian Obat Anti Tuberculosis (OAT).
Tujuan: Untuk mengetahui hubungan peran orangtua sebagai pengawas minum obat (PMO) dengan kepatuhan minum obat pada anak dengan tuberculosis di Poli DOTS RSUD Kota Bogor tahun 2022
Metode: Desain penelitian ini menggunakan pendekatan cross-sectional dengan jumlah populasi 50 responden. Teknik sampling menggunakan total sampling. Alat pengumpulan data ini menggunakan kuesioner. Uji statistik penelitian ini menggunakan chi-square fisher exact test.
Hasil: Hasil uji chi-square dengan menggunakan fishers exact test didapatkan nilai ρ 0,030 < α 0,05.
Kesimpulan: Terdapat hubungan antara peran orangtua sebagai PMO dengan kepatuhan minum obat pada anak dengan Tuberculosis di Poli Dots RSUD Kota Bogor tahun 2022
Efektifitas Air Seduhan Zingiber Officinale (Jahe) terhadap Ibu Hamil yang mengalami Emesis Gravidarum
Authors: Betriani Ubat
Published: July 2023

Latar Belakang: Mual dan muntah selama kehamilan mempengaruhi secara psikologis lebih dari 80% wanita hamil serta menimbulkan efek yang berarti terhadap kualitas hidup. Sebagian ibu hamil merasakan mual dan muntah merupakan hal yang biasa terjadi selama kehamilan dan sebagian merasakan sebagai sesuatu yang tidak nyaman dan mengganggu aktivitas sehari-hari.
Tujuan: Untuk mengetahui manfaat dan khasiat zingiber officinale (jahe) sebagai penanganan alternatif terapi pada ibu hamil yang mengalami emesis gravidarum di Klinik Rani Permata Medika, Cilandak, Jakarta Selatan tahun 2021.
Metode: Penelitian ini termasuk ke dalam penelitian kuantitatif dengan design One Group Pre-test and Post-test. Sample di dapat menggunakan Purposive Sampling sebanyak 30 responden di observasi selama 7 hari. Data di olah menggunakan SPSS.
Hasil: menunjukan hasil uji normalitas Shapiro-wilk terdapat dataSig (p<0,05). Uji Wilcoxon terdapat nilai p-value 0,003 (p<0,05) yang artinya ada pengaruh Air seduhan zingiber officinale (Jahe) terhadap penurunan emesis gravidarum pada ibu hamil .
Kesimpulan: Terdapat pengaruh pemberian air seduhan zingiber officinale (Jahe) di Klinik Pratama Rani Permata Medika, Cilandak-Jakarta Selatan yang dilakukan selama 7 hari terhadap ibu hamil yang mengalami emesis gravidarum memiliki penurunan mual muntah kategori mengganggu ke ringan