bluuebunny/crossref_metadata_2025 huggingface dataset:
PAEDIATRIC ACUTE PERITONEAL DIALYSIS IN SOKOTO: REVIEW AND OUTCOME
Authors: PK Ibitoye , FB Jiya
Published: April 2021

Background: Renal replacement therapy (RRT) in form of peritoneal dialysis (PD) is an important treatment procedure in Paediatric Acute Kidney Injury (AKI) management. It is cost effective and materials are easily sourced for in the developing countries. There is paucity of sub-Saharan Africa data on the use of PD in paediatric AKI, hence this study. Methods: This was a retrospective and descriptive study of cohort of children who were admitted into Emergency Paediatrics Unit of Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto, and had PD done between July 1st, 2007 and July 31st, 2019. Age, gender, cause of AKI, indication for dialysis, type of dialysis fluid and peritoneal access used, duration, complication and outcome were documented. Results: A total number of 11 children who had acute PD due to AKI during the duration were studied with male preponderance of 8 (72.7%) and majority (81.8%) belonging to lower social class (IV and V). Their ages ranged between 5 months and 12 years with a mean age of 4.8±3 years. Acute glomerulonephritis (AGN) (n = 5), severe acute diarrhoeal disease (n = 4) and obstructive nephropathy (n =2) were causes of AKI. Peritoneal dialysis was performed manually using percutaneous commercial PD catheters (n=10) and adapted catheter (n=1). Duration of PD ranged from 3 to 17 days (mean: 8.1±4.1 days). The main complications were peri-catheter leakage (n = 6), and catheter obstruction (n = 3), exit wound (n=2) and acute bacterial peritonitis (n = 1). Of the 11 patients, 7 (63.6%) were discharged home alive and well, 3 (27.4%) died and 1(9.1%) left against medical advice. Conclusion: With meticulous attention to aseptic procedure and use of improvised dialysis fluids and catheters or semi-rigid PD catheters where available, PD is an affordable choice of RRT in management of paediatric AKI. Complications are bound to occur and are better anticipated and planned for.
EVALUATING THE EFFECT OF INTERVENTIONS ON BREAST SELF-EXAMINATION KNOWLEDGE AND PRACTICE AMONG ADOLESCENT FEMALE SECONDARY SCHOOL STUDENTS IN DELTA STATE, NIGERIA
Authors: AM Amosu , MO Akpo , DO Akinboye
Published: April 2021

Background: Adolescent females have reduced ability to self-detect breast abnormalities early. Improving their knowledge and practice of breast self-examination (BSE) will reverse this trend. Objective: This study evaluated the effect of two interventions on BSE knowledge and practice among in-school adolescent females in Delta State, Nigeria. Methods: A quasi-experimental research was conducted among ninety female secondary school students selected using a multistage sampling technique from three public secondary schools in the state. There were three groups: two experimental groups and a control. Experimental groups had BSE educational pamphlet alone (BPAM), and a combination of BSE pamphlet and BSE training (BPAME). The control group had a cervical cancer educational pamphlet. Participants were followed-up for eight weeks after the study implementation. Data analysis was done using SPSS version 23.0. Results: Mean age of respondents was 15.64 ± 1.33years. There was a significant difference in the respondents' level of BSE knowledge between baseline and 8 weeks follow-up (BPAM=5.20±2.28 to 21.56±1.85, t =29.44, 29 p<.05; BPAME=7.03±1.13 to 21.73±1.26, t =31.77, p<.05), and a significant difference in the level of BSE practice 29 between baseline and 8 weeks follow-up (BPAM 0.33±1.21 to 4.90± 1.56, t =13.25, p<.05; BPAME= 32.76±4.66 29 to 63.83±2.80, t =18.99, p<.05). Both interventions had same impact on BSE knowledge (Effect size ES=0.97, 29 p=0.000) but BPAME had a higher impact on BSE practice [(BPAM: ES=0.87, p=0.000) and (BPAME: ES=0.92, p=0.000)]. Conclusion: Both interventions had significant influence on the respondents' knowledge and practice of BSE but combined BSE pamphlet and training had more impact on BSE practice.
NA COVID-19 É REAL A NÃO SUSPENSÃO DOS INIBIDORES DO SISTEMA RENINA ANGIOTENSINA ALDOSTERONA?
Authors:   Faculdade de Medicina da Universidade Federal do Pará, Brasil., Moraes de Souza Dilma do Socorro ,   Fundação Pública Estadual Hospital de Clínicas Gaspar Vianna, Belém, PA, Brasil., Souza Rodrigo ,   Fundação Pública Estadual Hospital de Clínicas Gaspar Vianna, Belém, PA, Brasil., Pastana Sampaio Denise Maria ,   Hospital Universitário João De Barros Barreto/ufpa., das Neves Cerqueira Bruna Livia ,   Hospital Porto Dias., Peres Neto João ,   Clínica MedCor, Focaccia Póvoa Fernando ,   Curso de emergências clínicas da Faculdade de Ciências Médicas de Santos/Centro Universitário Lusíada Santos, SP, Brasil
Published: April 2021

A interação dos bloqueadores do sistema renina angiotensina com o SARS-CoV-2 permanece obscura. Os inibidores do sistema renina angiotensina aldosterona (IECAs) e os bloqueadores do receptor AT1 da angiotensina 2 (BRAs) são fármacos com evidências robustas para terapia farmacológica de pacientes portadores, principalmente de hipertensão arterial e insuficiência cardíaca, além de outras comorbidades cardiovasculares. Os pacientes que se beneficiam desta terapêutica são considerados grupos de risco para má evolução desta virose e não há na literatura um consenso a respeito desta questão, em vista do vírus utilizar a expressão da ECA2 para penetração no ser humano. Apesar destas considerações fisiopatológicas da biologia do vírus, as principais diretrizes recomendam não suspender a terapia dos pacientes em uso dos bloqueadores do sistema renina angiotensina aldosterona no curso da infecção com o COVID-19. Aditivamente, o estudo BRACE-CORONA trouxe evidências mais consistentes para não suspensão desses fármacos.
HIPERTENSÃO RESISTENTE EM PACIENTE COM DIAGNÓTICO DE HIPERALDOSTERONISMO PRIMÁRIO: RESPOSTA AO EPLERENONE
Authors:   Cardiocentro Natal, RN, Brasil., de Souza Spinelli Antônio Carlos , dos Santos Póvoa Rui Manuel ,   Universidade de São Paulo UNIFESP São Paulo SP Brasil, Dantas Julizar ,   Fundação Educacional Lucas Machado (FELUMA)- FCMMG Belo Horizonte MG Brasil
Published: April 2021

A maioria dos pacientes com hipertensão arterial (HA) não tem etiologia clara e é classificada como hipertensão primária. No entanto, 5% a 10% desses pacientes podem ter hipertensão secundária, o que indica presença de uma causa subjacente e potencialmente reversível. Em adultos com 65 anos ou mais, estenose da artéria renal aterosclerótica, insuficiência renal e hipotireoidismo são causas comuns. A hipertensão secundária deve ser considerada na presença de sintomas e sinais sugestivos, como hipertensão grave ou resistente, idade de início inferior a 30 anos (especialmente antes da puberdade), hipertensão maligna ou acelerada e aumento agudo da pressão arterial a partir de leituras previamente estáveis. Outras causas subjacentes da hipertensão secundária incluem hiperaldosteronismo, apneia obstrutiva do sono, feocromocitoma, síndrome de Cushing, doença da tireoide, coarctação da aorta e uso de certos medicamentos. A hipertensão arterial resistente (HAR) é definida quando a pressão arterial (PA) permanece acima das metas recomendadas com o uso de três anti-hipertensivos de diferentes classes, incluindo um bloqueador do sistema renina- angiotensina (inibidor da enzima conversora da angiotensina [IECA] ou bloqueador do receptor de angiotensina [BRA]), um bloqueador dos canais de cálcio (BCC) de ação prolongada e um diurético tiazídico (DT) de longa ação em doses máximas preconizadas e toleradas, administradas com frequência, dosagem apropriada e comprovada adesão. Hipertensão arterial acompanhada de supressão da atividade da renina plasmática (ARP) e aumento da excreção de aldosterona caracteriza a síndrome de aldosteronismo primário. Esse quadro foi descrito, pela primeira vez em 1955 por Conn, em um paciente hipertenso grave hipocalêmico e com secreção elevada de aldosterona, que submetido à adrenalectomia direita resultou em cura da HA.
DOENÇA DE CUSHING E HIPERTENSÃO ARTERIAL: RELATO DE CASO
Authors:   Disciplina de Cardiologia da UNIFESP, São Paulo, SP, Brasil, Nasse Vinicius , Catto De Marchi Daniel ,   Disciplina de Cardiologia da UNIFESP, São Paulo, SP, Brasil, R Bezerra de Oliveira Fernanda ,   Disciplina de Cardiologia da UNIFESP, São Paulo, SP, Brasil, Machado Valéria ,   Cardiopatia Hipertensiva da Disciplina de Cardiologia da UNIFESP, São Pualo, SP, Brasil, Focaccia Póvoa Fernando ,   Cardiopatia Hipertensiva da Disciplina de Cardiologia da UNIFESP, São Pualo, SP, Brasil, Nogueira Bombig Maria Teresa ,   Cardiopatia Hipertensiva da Disciplina de Cardiologia da UNIFESP, São Pualo, SP, Brasil, Póvoa Rui ,   Cardiopatia Hipertensiva da Disciplina de Cardiologia da UNIFESP, São Pualo, SP, Brasil
Published: April 2021

Caso clínico de VNS, 23 anos, sexo feminino, branca, solteira, estudante, natural e procedente de São Paulo-SP com queixa de “pressão alta” há 4 anos. A paciente foi encaminhada para consulta ambulatorial após ter sido atendida em pronto-socorro (PS) com cefaleia, tonturas e pressão arterial (PA) 210x110 mm Hg e medicada com losartana 50 mg a cada 12 horas e hidroclorotiazida 25 mg ao dia. Na avaliação ambulatorial relatava episódios prévios de cefaleia holocraniana de forte intensidade, latejante, de início gradual há 4 anos com piora há 2 anos, que a levava ao pronto-socorro (PS) com muita frequência. Além disso, referia aumento de peso e fraqueza generalizada. Ao exame físico apresentava-se com níveis elevados da PA 160x100 mm Hg em uso das medicações prescritas no PS, obesidade grau III (IMC 41), adiposidade localizada (giba), acantose nigricans e estrias violáceas abdominais. Foi diagnosticada a doença de Cushing associada à hipertensão arterial não controlada, realizados ajustes dos agentes anti-hipertensivos (associado anlodipino 5 mg a cada 12 horas) e solicitados exames laboratoriais. A monitorização ambulatorial da PA (MAPA) de 24 horas caracterizou a hipertensão resistente, as dosagens de cortisol (cortisol salivar = 8h:172; após 23h:280, supressão com dexametasona =<2,5) e a ressonância nuclear magnética evidenciou um macroadenoma da hipófise confirmando o diagnóstico da doença de Cushing com base nos achados do exame físico, laboratorial e de imagem. A paciente foi tratada clinicamente com cetoconazol via oral sem sucesso e após isso submetida a ressecção transesfenoidal do macroadenoma de hipófise. Após o tratamento cirúrgico, houve perda de peso e resolução da hipertensão confirmada pelas medidas ambulatoriais de consultório e pela MAPA.
IMPACTO DA HIPERTENSÃO ARTERIAL NA PREVALÊNCIA DO PÉ DIABÉTICO NO BRASIL: UMA ANÁLISE DE 10 ANOS
Authors:   Centro Universitário FTC, Salvador, BA, Brasil, Reis Rodrigues Fábio Henrique , Scarlet Berto Santos Letícia ,   Centro Universitário FTC, Salvador, BA, Brasil, Batista Neves Cunha Magalhães Lucélia ,   Curso de Medicina da Faculdade de Tecnologia e Ciências, FTC, Salvador, BA, Brasil,
Published: April 2021

Introdução: O diabetes mellitus é uma doença de alta prevalência, tanto em países em desenvolvimento quanto nos países desenvolvidos tendo como um dos seus principais fatores risco a hipertensão arterial e como uma de suas complicações vasculares o desenvolvimento do pé diabético. Objetivo: Realizar uma comparação entre a prevalência do pé diabético entre indivíduos diabéticos normotensos e indivíduos diabéticos hipertensos para definir se a hipertensão atua como fator agravador dessa complicação. Método: Estudo epidemiológico, descritivo e retrospectivo, com dados retirados do departamento de informática do sistema único de saúde (DATASUS), através do TABNET pelo programa HIPERDIA, que acompanha indivíduos hipertensos e/ou diabéticos. O período analisado foi janeiro de 2002 até janeiro de 2012, totalizando 10 anos de análise. Os dados referentes às variáveis “diabetes tipo 01” e “diabetes tipo 02” foram somadas, formando o grupo de indivíduos diabéticos normotensos. E os dados referentes à variável “hipertensão com diabetes” formou o grupo de indivíduos diabéticos hipertensos. Desses grupos, foi selecionado os indivíduos com pé diabéticos e esses dados foram sumarizados, a partir de cálculos de proporção, agrupados no Excel® e foi aplicado o teste exato de Fisher. Resultados: A proporção do pé diabético em indivíduos diabéticos normotensos foi de 3,14%, já em indivíduos diabéticos hipertensos foi de 4,38%, sendo seus dados estatisticamente significante (OR: 1,43; IC 95%, 1,34-1,51; p <0,001). O perfil epidemiológico de diabéticos normotensos tem maior prevalência no sexo masculino, em 50-54 anos, 24,05% tabagistas e 30,41% com sobrepeso. Os diabéticos hipertensos apresentam maior prevalência no sexo feminino, em 60-64 anos, 30,48% tabagistas e 46,51% com sobrepeso. Conclusão: Conclui-se que a hipertensão arterial atua como um significante fator agravador para o desenvolvimento do pé diabético. Sendo assim, diante da escassez de estudos, o presente trabalho mostra-se relevante, servindo como base na compreensão dos aspectos epidemiológicos acerca da relação entre diabetes e hipertensão.
Experiencing Moral Distress in Mental Health Nursing in Thailand
Authors: UPASEN Ratchaneekorn , SAENGPANYA Weeraphol
Published: April 2021

Mental health nurses have to confront distressing situations in caring for patients and families, in which several predicaments can lead to moral distress. This study explored moral distress experienced by mental health nurses. A qualitative narrative inquiry was used to gain a better understanding of moral distress Together with purposive sampling and snowball methods. The data were collected from 41 mental health nurses who met the inclusion criteria through in-depth interviews and then, the data were analyzed by using content analysis. This narrative study revealed that experiences from keeping the patient safe is a significant core theme among mental health nurses, involving five themes: (1) frustration in giving best work performance, (2) concerning the patient safe, (3) being stressed at work, (4) experiencing self-condemnation, and (5) sleeping difficulty. Support needed to face moral distress was also presented in this study. The stories of moral distress from this study may contribute to the understanding of health professionals concerning how it occurs and what attributes are involved. Situations leading to moral distress and support needed can shed light on the development of policy that can prevent and help relieve moral distress among mental health nurses for a greater quality of healthcare in Thailand.
FILOSOFIA AFRICANA: UM CONTEXTO DESCONTEXTUALIZADO PELO OCIDENTE
Authors: Negreiros Regina Coeli Araújo Trindade
Published: April 2021

O presente artigo se propõe a questionar o estatuto da filosofia ocidental a partir da percepção de que a filosofia africana foi vilipendiada pelo eurocentrismo e ressaltar nessa relação filosófica, o conceito do Ubuntu, considerado um dos termos fundadores da ética africana, representando uma práxis sócio-cultural, espiritual e política, sendo, portanto, um termo utilizado para conceituar a filosofia que permeia a convivência social coletiva. Enquanto uma ética comunitária, o Ubuntu assinala para o caráter complexo de uma filosofia relacionada à humanidade, conectando de forma biocêntrica, humanos e não-humanos, sensível e o inteligível concomitantemente, fato este que se choca com o conceito elegido pelo pensamento filosófico eurocêntrico.  Para alcançar o objetivo pretendido será utilizado o método filosófico para revisar conceitos e a própria historia da filosofia no ocidente, através de pesquisa exploratória com fulcro bibliográfico e uma abordagem que parte da especulação filosófica e histórica, utilizando os principais nomes da filosofia africana e da história da filosofia no ocidente.
ADÖLESANLAR VE ÜREME SAĞLIĞI SORUNLARI
Authors: ÇITAK Gizem
Published: April 2021

Sağlık açısından en önemli ulusal başarı göstergelerinden biri, o ülkenin gençlerinin iyilik hali ve sağlık düzeyi göstergeleridir. Gençlerin, özellikle gelişmekte olan ülkelerde, genellikle kendi ve karşı cinsin özellikleri, vücut işlevleri ve üreme özellikleri konularında yeterli bilgilerinin olmadığı bilinmektedir. Bu bilgisizlikle erken yaşta cinsel yaşam, evlilik, doğurganlık, cinsel yolla bulaşan hastalıklar, aile planlaması yöntemi kullanmama gibi birçok üreme sağlığı sorunları ortaya çıkarmaktadır. Dünya Sağlık Örgütü’nün gelişmekte olan ülkelere ait verileri, adölesanların üreme sağlığı konularında bilgi kaynağı olarak en sık arkadaş ve medyayı kullandıklarını ortaya koymaktadır. Cinsel eğitim alınan kaynağın sorulduğu uluslararası bir çalışmada ise en önemli bilgi kaynağı olarak arkadaş, cinsel eş ve kitap olduğunu belirtmişlerdir. Ülkemizde adölesan sağlığı ile ilgili birçok proje yürütülmesine karşılık; TNSA 2018 verilerine göre; adölesanlarda gebeliği önleyici yöntem kullanımındaki yaygınlık oranının 15-19 ve 20-24 yaş aralığında sırasıyla %36 ve %53 olarak düşük olduğu bildirilmiştir. Araştırmalar ve cinsel sağlık eğitimi deneyimleri gençlerin; üreme fizyolojisi, gebelikten korunma ve HIV/AIDS gibi temel cinsellik ve üreme sağlığı konularında yeterli bilgilerinin olmadığını göstermektedir. Adölesanlarla ilgili yapılan çoğu araştırmada eğitim alacakları kişinin sağlık profesyoneli olmasını istediklerini ifade etmişlerdir. Sağlık profesyonelleri üreme sağlığı konularında gerekli bilgi ve danışmanlığı sağlayabilmeli, adölesanların büyüme-gelişmesi ile ilgili bilgi sahibi olmalı ve anormal durumları saptayabilmelidir. Bu derlemede amaç; Dünyada ve Türkiye’de adölesanlara yönelik üreme sağlığı sorunlarını tartışmak ve sağlık profesyonellerinin rol ve sorumlulukları ile ilgili farkındalık kazandırmaktır.
Manfaat Aromatherapy Lavender dan Chamomile Mengatasi Nyeri Perineum Ibu Nifas
Authors: Mayangsari Dewi , Sari Desti Gita
Published: April 2021

Abstrak. Masa nifas adalah masa dimana ibu banyak mengalami proses adaptasi, salah satunya yaitu proses penyembuhan luka perineum. Luka perineum bisa disebabkan karena robekan spontan maupun tindakan episitomi. Salah satu intervensi penanganan nyeri adalah penatalaksanaan nonfarmakologi, seperti pemberian aromaterapi. Aromaterapi yang digunakan untuk menurunkan rasa nyeri diantaranya adalah lavender dan chamomile. Tujuan penelitian ini Untuk mengetahui perbedaan efektifitas pemberian aromaterapi lavender dan chamomile pada ibu nifas penurunan rasa nyeri perineum di BPM Makhilah Boro. Desain yang digunakan adalah quasy experiment dengan rancangan two grup pretest-posttest menggunakan uji korelasi Mann-Whitney . Sampel yang digunakan berjumlah  34 sampel dibagi menjadi 2 kelompok. Hasil yang didapatkan ada perbedaan  antara pemberian  aromaterapi lavender dan chamomile terhadap penurunan rasa nyeri perineum pada ibu postpartum di BPM Makhilah Boro (p-value=0.028< 0,005). Terdapat perbedaan sebelum dn sesudah pemberian aromaterapi lavender dan chamomile dan Aromaterapi lavender lebih efektif daripada aromaterapi chamomile terhadap penurunan rasa nyeri perineum pada ibu nifas di BPM Makhilah Boro.

Kata kunci: Ibu nifas, Aromaterapi lavender, Aromaterapi chamomile, Nyeri perineum

 

Effectiveness of Giving Aromatherapy Lavender and Chamomile Minimizing Perineum Pain In Postpartum Women at BPM Makhilah Boro

 

Abstract The postpartum period is a period in which mothers undergo many adaptation processes, one of which is the process of healing perineal wounds. Perineal injury can be caused by spontaneous tears or epicitomy. One of the pain management interventions is management non-pharmacological, such as giving aromatherapy. Lavender and chamomile aromtherapy is used to relieve pain. To determine the difference in the effectiveness of lavender and chamomile aromatherapy for postpartum mothers to reduce perineal pain in BPM Makhilah Boro.Methodology: The design used was a quasy experiment with a two-group pretest-posttest design using thecorrelation test Mann-Whitney . For the study, 34 samples divided into two groups were used. There was a difference between the gifts  Lavender andaromatherapy chamomile on reducing perineal pain in postpartum mothers at BPM Makhilah Boro (p value 0,028 < 0,005) . There is a difference before and after giving lavender and chamomile aromatherapy and Lavender aromatherapy is more effective better than Chamomile aromahterapy for reducing perineal pain in postpartum mothers at BPM Makhilah Boro.

Keywords  : Postpartum mothers, Lavender Aromatherapy, Aromatherapy Chamomile,Perineal Pain
Pengaruh Massage Effleurag Terhadap Kemampuan Head Control Extensi Bayi Usia 3-4 Bulan
Authors: Hastina H , Suharto S , Awal Muh.
Published: April 2021

Abstrak. Head control merupakan salah satu penggerak yang terpenting dari sebagian besar dalam penilaian perkembangan bayi. Gangguan head control sering dikutip sebagai faktor resiko awal penundaan perkembangan head control. Penelitian ini merupakan jenis penelitian quasi eksperiment yang bertujuan untuk mengetahui pengaruh massage bayi dengan teknik effleurage  terhadap kemampuan head control extensi pada posisi tengkurap bayi usia 3-4 bulan, dimana responden penelitian dibagi menjadi dua yaitu kelompok perlakuan berjumlah 8 responden dan kelompok control berjumlah 8 responden. Penelitian ini dilaksanakan di puskesmas paccerakkang Makassar. Instrument penelitian dengan menggunakan Test Of  Infant Motor Performance (TIMP) yang digunakan untuk menilai control kepala pada bayi usia 34 minggu sampai dengan 4 bulan. Penelaian ini menilai seberapa lama dan seberapa tinggi bayi dapat mengangkat dan mempertahankan kepala saat posisi tengkurap. Berdasarkan uji mann whitney diperoleh nilai p 0.001 < 0,005 yang berarti bahwa ada pengaruh yang bermakna antra kelompok perlakuan (massage bayi) dengan kelompok kontrol. Untuk melihat hasil yang lebih baik berdasarkan nilai selisih reratanya ternyata kelompok perlakuan lebih tinggi nilai selisih rerata yaitu 18,75 dibanding kelompok kontrol.

Kata kunci : Massage Effleurage, head control, bayi usia 3-4 bulan.

 Effect of Massage Effleurage on Head Control Ability of Infant 3-4 Month Old Extensions

Abstract. Head control is one of the most important drivers of most of the assessment of infant development. Head control disorders are often cited as a risk factor for early delays in head control development. This research is a quasi-experimental research which aims to determine the effect of massage effleurage on the ability of head control extension in the prone position of infants aged 3-4 months, where the research respondents are divided into two, namely the treatment group of 8 respondents and the control group of 8 respondents. This research was conducted at the Puskesmas Paccerakkang Makassar. The research instrument used the Test Of Infant Motor Performance (TIMP) which was used to assess head control in infants aged 34 weeks to 4 months. This study assesses how long and how high the baby can lift and hold the head in a prone position. Based on the Mann Whitney test, the p value was 0.001 <0.005, which means that there was a significant effect between the treatment group (baby massage) and the control group. To see a better result based on the mean difference value, it turns out that the treatment group has a higher mean difference value, namely 18.75 than the control group.

Keywords  : massage effleurage, head control,baby aged 3-4 months
Efek Syukur terhadap Kesehatan Mental: A Systematic Review
Authors: Putri Prystia Riana , Nurrahima Artika , Andriany Megah
Published: April 2021

Abstrak. Intervensi syukur memberikan berbagai efek pada kesehatan mental. Namun, review yang membahas outcome secara sistematis belum tersedia sehingga sistematik review ini akan mengidentifikasi secara sistematis efek syukur terhadap variabel-variabel kesehatan mental. Penelitian dengan sistematik review ini menggunakan artikel yang bersumber dari sciencedirect dan PubMed dengan menerapkan kata kunci gratitude intervention dan mental health, terbit tahun 2015- 2019, full text, berbahasa inggris, dan menggunakan metode randomized controlled trial (RCT). Artikel dipilih melalui proses penentuan pertanyaan penelitian, pencarian literatur, analisis referensi, dan merumuskan hasil. Didapatkan 6 artikel eligible dengan hasil analisis lebih lanjut mengungkapkan bahwa syukur memiliki pengaruh terhadap penurunan emosi negatif (stres dan depresi) dan meningkatkan emosi positif (mampu meningkatkan kepuasan hidup, hubungan sosial, dan menciptakan lingkungan yang positif). Intervensi syukur memiliki pengaruh positif terhadap kesehatan mental sehingga intervensi ini dapat diintegrasikan perawat ke dalam proses penyusunan tindakan keperawatan.

Kata kunci: Gratitude, Intervensi keperawatan; Mental health; Sistematik review; Terapi.

 

Gratitude Effects on Mental Health: A Systematic Review

 Abstract. Gratitude is one of the complementary therapies that nurses can provide in order to maintain mental health. The aim of the current study was to conduct a systematic review to identify the effects of gratitude on mental health variable. Articles used are from Sciencedirect and PubMed by applying gratitude and mental health as keywords, articles published in 2015-2019, full text, in English, and using a randomized controlled trial method. There were 54,427 articles obtained from search results on electronic database sources, while articles to be used after the analysis were carried out were as many as 6 eligible articles. The results of further analysis revealed that the effects of gratitude have an influence on decreasing negative emotions such as stress and depression, being able to increase life satisfaction, happiness, social relations, and create a positive environment. Gratitude intervention had a positive influence on mental health so that this intervention can be integrated nurses into the process of preparing nursing implementation.

Keywords: Gratitude; Mental health; Nursing intervention, Systematic Review; Therapy.
Hubungan Jenis Pekerjaan dengan Pemilihan KB Metode Kontrasepsi Jangka Panjang
Authors: Damayanti Tri Yunita Fitria , Sari Dwi Kurnia Purnama , Qonitun Umu
Published: April 2021

Abstrak. Capaian Akseptor Metode Kontrasepsi Jangka Panjang (MKJP) sangat rendah dibandingkan dengan KB Non-MKJP. Penelitian ini membahas analisa hubungan jenis pekerjaan ibu dengan pemilihan KB metode kontrasepsi jangka panjang yang dipilih. Pendekatan cross sectional digunakan dalam penelitian ini. Populasi dan sampel dalam penelitian ini adalah Seluruh Akseptor yang menggunakan KB jangka panjang Di Dusun Kenthu, Desa Tahulu Kecamatan Merakurak, Kabupaten Tuban Bulan Juli-Agustus 2020. Variabel independen dalam penelitian ini adalah jenis pekerjaan ibu, sedangkan jenis kontrasepsi jangka panjang merupakan variabel dependen. Analisa data dengan menggunakan korelasi Spearman. Berdasarkan analisa hasil penelitian menunjukkan bahwa jenis pekerjaan tidak berhubungan dengan pemilihan KB Metode kontrasepsi jangka panjang. Jenis pekerjaan dapat dipastikan tidak berhubungan dengan pemilihan metode KB, maka untuk meningkatkan capaian program KB MKJP, pemerintah dapat melakukan penyuluhan tentang efek samping, indikasi, kontraindikasi, cara kerja semua alat kontrasepsi, dan komplikasi MKJP.

 Kata kunci : MKJP, Keluarga berencana, Jenis Pekerjaan

 

The Corellation between Type of Work and Selection of Long Acting Contraception Method In Kenthu Hamlet, Tahul Village, Merakurak District, Tuban Regency in 2020

 Abstract. The accomplishment of acceptors of long-term contraceptive methods is very low compared to long-term non-contraceptive methods. This study discusses the analysis of the relationship between the type of mother's occupation and the choice of long-term contraceptive method. A cross-sectional approach was used in this study. The population and sample in this study were all acceptors using long-term family planning in Kenthu Hamlet, Tulu Village, Merakurak District, Tuban Regency in July-August 2020. The independent variable in this study was the type of maternal occupation, while the type of long-term contraception was the dependent variable. Data analysis using the Spearman correlation. Based on the analysis of the research results, it shows that the type of work is not related to the choice of family planning methods of long-term contraception. The type of work can be ascertained that it is not related to the choice of family planning methods, so to improve the achievements of the long-term contraceptive method, the government can provide counseling about side effects, indications, contraindications, how all contraceptives work, and complications of the long-term contraceptive method.

 Keywords: long-term contraceptive, family planning, type of work
Comportamientos Tecnológicos en el Sector Olivícola de la Provincia de La Rioja. El rol del Sistema Local de Innovación.
Authors: Starobinsky Gabriela
Published: April 2021

La presente investigación aborda el rol del Sistema Local de Innovación (SLI) sobre los esfuerzos innovativos de las firmas para el sector olivícola de La Rioja, Argentina. El análisis empírico se efectúa en base a una encuesta conducida por la Universidad Nacional de Chilecito en 2012, para cuyo procesamiento se construyen regresiones Quasi-Poisson y Logit Binomial. Los resultados muestran que mayor cantidad de relaciones de cooperación promueven mayores esfuerzos tecnológicos. Sin embargo, la heterogeneidad entre las firmas y las debilidades del SLI limitan su desempeño.
Analysis of Welding Behaviour of Friction Stir Welded UHMW-PE Plate
Authors: Azhagar M. , Kamalakannan S. , Kesavavannan N. , Riyaz S. Mohamed , Vijayaragavan Mr. R.
Published: April 2021

Polypropylene is one of the thermoplastic materials used in the lot of engineering applications such as marine, aerospace, automotive, toys and etc. Friction Stir Welding (FSW) is a solid-state method of used for joining metals. FSW process was successfully extended to join thermoplastic materials. Friction Stir Welding (FSW) is a solid-state process in joining thermoplastic materials. Polymers are engineering materials used for future technological development as the polymer processing and fabrication techniques have developed novel plastic products and components in major industries. Particularly UHMWPE is one of the polymer materials with a lot of engineering applications and a study on the behavior of the joining properties of polyethylene by FSW is necessary at this stage. In this investigation, FSW process has to be applied to join a polyethylene plate of 8 mm thickness with specially designed threaded tool pin profile. The research will be applied Taguchi Method on UHMWPE specimen of dimensions 100 × 100 × 8 mm, which have following parameters: various RPM, Feed and Axial Load. The experiments will be done in following aspects: Ultimate tensile strength and other mechanical properties. The main objective of the experimental of factors affecting to mechanical property of UHMWPE with FSW at different welding parameters and it has to be followed by L4 arrays.
A Review on Current Situation of Coronavirus (COVID-19)
Authors: Shekh Arif S. , Thorat Jayshri V. , A. Sheikh Aijaz , Biyani K. R.
Published: April 2021

Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus. Most people infected with COVID-19 virus will experience mild to moderate respiratory illness and recover without requiring special treatment. Older people and those with underlying medical problem like cardiovascular disease, Diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness. The best way to prevent and solve down transmission is to be well informed it causes and how it spread. Protect yourself and other from infection by washing your hands or using alcohol base rub frequently and not touching your face. The COVID-19 virus spread primarily through droplets of saliva or discharge from the nose when an infected person coughs or sneezes, so it’s important that you also practice respiratory etiquette (for ex. by coughing into a flexed elbow).The COVID-19 is a respiratory illness and the primary transmission of C0VID-19 route is through person to person contact and through when a contact infected person coughs or sneezes with respiratory droplets. No evidence of viruses that causes respiratory illness being transmitted via food or packaging. Corona viruses multiply in animal or human host, they cannot multiply in food.
Aproximación basada en Blockchain para crear un modelo de confianza en la enseñanza superior abierta y ubicua
Authors: Lizcano Casas David , Lara Torralbo Juan Alfonso
Published: April 2021

Este trabajo ha obtenido un Accésit del Premio Estudios Financieros 2018 en la modalidad de Educación y Nuevas Tecnologías.
Bitcoin ha supuesto una revolución en las transacciones digitales y en la economía mundial. Propone un modelo descentralizado de confianza para realizar transacciones basadas en una criptomoneda. Miles de seguidores defienden su descentralización e independencia, su seguridad y versatilidad. Sus detractores lo tachan de burbuja especulativa, de medio para fomentar la ciberdelincuencia o de pseudotimo piramidal, además de construirse en torno a una tecnología no escalable e ineficiente. Pero ¿y si fuera posible aprovechar las bondades del Blockchain, la tecnología subyacente a Bitcoin, para revolucionar las enseñanzas superiores y su adecuación al mundo laboral actual? ¿Y si en lugar de transacciones económicas se gestionan transacciones de contenidos, enseñanzas y competencias, evaluadas por consenso por estudiantes, formadores y empleadores para eliminar de una vez por todas el gap entre el mundo académico y el laboral? En este trabajo se presenta un modelo basado en Blockchain para resolver los retos actuales de la educación superior, cada vez más dispersa, abierta y ubicua. El modelo propuesto puede implantarse en cualquier entidad formadora para adecuar sus enseñanzas a las necesidades concretas de perfiles profesionales validados por empleadores del sector. Se ha validado dicho modelo por medio de un prototipo con resultados más que aceptables.
Un software educativo como una herramienta pedagógica en la mejora de las habilidades de lectoescritura utilizando el método ecléctico
Authors: Miranda Palma Carlos Andrés , Romero González Rosa María
Published: April 2021

El método ecléctico es una técnica para apoyar a los estudiantes con problemas de lectoescritura. Este método se propone como estrategia de aprendizaje para el desarrollo de un software educativo que busca mejorar las habilidades lectoescritoras de los estudiantes con problemas de aprendizaje. Se menciona la situación que se pretende atender con este software educativo. Se analiza si el software educativo con estas características puede ser considerado como una herramienta pedagógica. Asimismo, se presentan las actividades, los instrumentos de medida y los indicadores del método ecléctico que se utilizarán para el desarrollo de las actividades de aprendizaje y para medir la utilidad del software educativo. Finalmente, se describe lo que se espera al utilizar el método ecléctico en la definición de las estrategias de aprendizaje y del estado actual del desarrollo del software educativo.
OPTIMIZATION OF COLOR PERCEPTION PROCESS IN THE PRINT PRODUCT BY THE STEEP CLIMBING METHOD BY BOX-WILSON
Authors:   Tashkent State Technical University, Eshbaeva U , Shin I , Djalilov A
Published: April 2021

In the article is discussed the optimization of color perception process of printed products by the method of steep climbing in Box-Wilson. There are presented results of experiment planning and statistical modeling of the process of color perception with the offset printing method on paper, including synthetic polymers. It is presented a mathematical model of the color perception by the Box-Wilson steep ascent method, it is achieved the optimum range for the response function in the form of the paint layer thickness depending on the pressing force (pressure), the pressing process speed and paper smoothness. As a result, on the basis of the obtained color perception model, optimal parameters were established, which allow to hold objective assessment and prediction of the color perception of the printed materials. The results of the study are the basis for the rational determination of the compositional composition of the experimental paper in its design and development of both paper and printing products.
OPTIMIZATION OF MODES OF ELECTR POWER SYSTEMS BY GENETIC ALGOROTHMS
Authors: Pulatov B
Published: April 2021

In article discusses issues for solving optimization problems based on the use of genetic algorithms. To date, the genetic use algorithm for solving various problems. Which includes the shortest path search, approximation, data filtering and others. In particular, data is being examined regarding the use of a genetic algorithm to solve problems of optimizing the modes of electric power systems. Imagine an algorithm for developing the development of mathematical models, which includes developing the structure of the chromosome, creating a started population, creating a directing force for the population, etc. As well as the presentation, the selected structure should take into account all the features and limitations imposed on the desired solution, as well as the fact that the implementation of crossоver and mutation algorithms directly depends on its choice. To solve optimization problems, a block diagram of the genetic algorithm is given.
ANALYSIS OF TRANSITION PROCESSES IN POWER SYSTEMS WITH HYDROENERGETIC ISTALLATIONS
Authors:   Tashkent State Technical University, Nurmatov O , Matkarimov S
Published: April 2021

This article is presented an overview of hydro mechanical and electromechanical processes. Little attention was paid to the study of these two areas at the same time. The two directions above are the results of a simultaneous study. A joint study of these components of a single process received little attention. In conclusion, conclusions are drawn on the effect of AER (automatic excitation regulator) on the damped operational parameters and ensuring the stable operation of hydropower plants. The results can be used in the reconstruction of existing and designing new pumping stations, so transients are considered for a certain range of variation of these parameters. One of the difficult modes is to reduce the voltage on the tare of the station,especially on the system buses. The analysis shows that a decrease in voltage on the system buses by more than 8% leads to the output of the LED out of synchronism, if during this period for some reason the ARV of the machine is turned off. The characteristics of transients with a decrease in voltage on the system tires by 2% are given.
PHYSICO-CHEMICAL PROPERTIES OF PHOSPHATE CATION-EXCHANGE RESIN
Authors:   Tashkent State Technical University, Sharipova U , Pulatov Kh , Nazirova R , Kedel’baev B
Published: April 2021

There are investigated sorption and desorption characteristics of phosphate cation-exchange resin among metals: copper, nickel, cobalt, an uranyl-ion depending on pH-environment, the ionic form of cation-exchange resin, concentration of investigated cations. Interaction of cation-exchange resin in Na- and H-forms with solutions of salts sulphate of copper, nickel, cobalt, chloride sodium, calcium and nitrate of uranyl is studied. It is shown, that ions of copper, nickel, cobalt and an uranyl-ion by phosphate cation-exchange resin sorb at the expense of an ionic exchange and partially at the expense of formation of coordination communications with ionogenic group of cation-exchange resin. A study of the sorption of uranyl ions depending on the concentration of uranyl nitrate in the range of 0.01-0.1 N showed that with an increase in the concentration of uranyl in the studied interval, the value of sorption of uranyl increases slightly. The studied phosphate cation exchanger has a sufficiently high sorption and desorption ability to the ions of the tested metals.
ANALYSIS OF TRAINING PROGRAMS FOR THE TRAINING OF AIR TRAFFIC CONTROLLERS FOR DETERMINING THE FIELD OF DIGITIZATION
Authors:   Tashkent State Technical University, Shukurova Sabohat , Shamsiev Z , Sterenharz A
Published: April 2021

The article emphasizes the high demands that are put forward to the professional knowledge and skills of air traffic controllers. Attention is drawn to ICAO's civil aviation training policy, which supports the human resource development strategies developed by Member States and the aviation community and provides access to a sufficient number of qualified and competent professionals. Based on this, the feasibility of research and improvement of the educational process of training air traffic controllers is substantiated. As a research method, the collection, processing and analysis of statistical data is used. As the subject of the study, educational programs for the training of aviation specialists of higher educational institutions of the USA, the Russian Federation, the Czech Republic, the Republic of Belarus and the Republic of Uzbekistan were adopted. The article presents the results of the analysis of curricula, arguing the choice of the most relevant areas of the educational process, in which it is advisable to digitalize educational and methodological support. The analysis concerns the content of curricula, the composition of academic disciplines and the motivations established for them. Based on the analysis, the dominant requirements are identified that determine the specifics of education for the training of specialists for air traffic management and services. It has been established that in the structures of curricula of specialized disciplines the greatest attention is given to knowledge of regulatory legal documents. This became the evidential basis to make a conclusion about the relevance of digitalization of educational and methodical manuals related to regulatory legal documents and the use of electronic educational technologies in the training process of air traffic controllers.
STRUCTURIZATION AND MODELLING OF TECHNICAL DEVICES OF HAZARDOUS PRODUCTION FACILITIES
Authors:   Tashkent State Technical University, Kadirov A , Kadirova A , Abdeev R
Published: April 2021

Every year, the problem of industrial safety is becoming increasingly relevant. The effective industrial safety management system (ISMS) organization becomes especially important for nuclear energy, chemical, petrochemical, oil and gas, mining, metallurgical industries, coal mines and other industries, including enterprises with hazardous production facilities (HPF). Any violation of operating modes, unaccounted technological and operational defects can lead to serious consequences and accidents, accompanied by significant material costs and technological disasters. An important place among the problems of industrial safety is the problem of trouble-free operation of technical devices (units, machines and mechanisms, technical systems and complexes, technological equipment, instruments and apparatus) of hazardous production facilities. However, existing approaches to solving this problem have limited application. The article proposes an effective solving method of the problem based on the use of graph models. The advantage of such modelling is the simplicity, clarity and ease of mathematical algorithmization of the studied production processes and technical systems.
APPLICATION THE BASIC CONCEPTS AND LAWS OF METHAMATICS IN THE FIELD OF MODERN TECHNOLOGY
Authors:   Tashkent State Technical University, Khudoyberdiyev N , Tolipova N
Published: April 2021

This article we will discuss the mathematical formula and basic terms specific to engineering practitioners. Mathematics can solve a given problem quickly and easily in the form of a definition, even if it is used as an integral or matrix. In this article, it can be tried to apply the advanced portion of the mathematics matrix to the generation of electricity, i.e.by adding various additions and notes to the given circuit diagram, we can identify the current matrix.Several physical bodies, such as conical cushioning objects, were used to calculate the kinetic energy produced by rotating axes and to provide precise integrative methods for determining fluid distribution in power plant construction.When addressing various parts of mathematics, such as mechanics, physics and engineering, integrative calculus is called continuously of mathematics. The reasons for integrating the integrated kangi into practice are, first, the opposite of integral differentiation, and second, integral cohesion coefficient and threshold.This article mainly illustrates the ways in which problems can be solved in a very comprehensive way.
SOLUTIONS OF THE PROBLEM OF RANDOM VIBRATIONS IN HEREDITARY-DEFORMABLE SYSTEMS USING IMPULSIVE FUNCTIONS
Authors:   Tashkent State Technical University, Xaldibayeva Inobat
Published: April 2021

In recent years, probabilistic-statistical methods for studying various problems of mechanics of solid deformable bodies are being applied more than ever. The principal part of its field of application is the development of a general theory of strength and a hereditarily deformed solid. As known, the theory of random oscillations is increasingly being used in technology. Current research is aimed to present a numerical-analytical approach for studying the dynamic response of a hereditarily deformable system to unsteady input influences. It is established that the dynamic reaction of hereditarily deformable systems to an arbitrary form of random perturbations can also be represented as the Duhamel integral if the impulse transition function satisfies special Cauchy problems for the integro-differential equation (IMU). A study proposes an accurate analytical solution to the IMU of an impulsive transition function in existing weakly singular Rzhanitsyn-Koltunov nucleuses.
VULNERABILITY ANALYSIS OF EMERGENCY RESPONSE SYSTEM BASED ON NAVIGATIONAL UNITS IN CASE OF VEHICLE ACCIDENTS
Authors:   Tashkent State Technical University, Rustamov S , Sharipov K , Pulatov T
Published: April 2021

When we focusing Emergency response system based on navigational units vulnerability to intentional interference and an opportunity incentive to attackers who wants to fool or impair Emergency response system based on navigational units especially smartphones and drones then Spoofing interference is a considerably powerful attack than jamming cause of jammer attacks block GNSS legitimate communication signals immediately on several receivers this arise mitigation strategy and counter measures for efficient jamming detection before damages are done. However, spoofing attack is most dangerous type of interference where produces GNSS like signals and fool receiver without interrupting GNSS operations where receiver navigation system is not able to do any counter measures until the fatal point. Positioning unit for all applications are not immune to this kind of attacks. Form a general perspective, a positioning unit is made of several sensors providing the actual position information, with the GNSS sensor playing a core role, being usually the only one providing an absolute estimation of the position, and others aiding or refining such information.
DEVELOPMENT OF A MATHEMATICAL MODEL OF THE ELECTRICAL CONDUCTIVITY OF FEED WATER IN TPS
Authors:   Tashkent State Technical University, Isakhodjaev Kh , Alimova L , Usmonov N , Yusupov Z
Published: April 2021

The article deals with the development of mathematical model of electric conductivity of thermal power station TPS process waters. The ranges of possible temperatures of heat carrier (water) samples are given. The plots of empirical expressions in the range of temperatures from 0 to 120 °С and at higher temperatures are analyzed. The results obtained by these formulas for the temperature range from 0 to 100 °С are practically the same. The figures indicate changes in calculated limit motions of and ions depending on temperature. The calculated equation of reduction of specific electrical conductivity to the value at 25 °С for pure water is obtained.