bluuebunny/crossref_metadata_2025 huggingface dataset:
Pemetaan Kawasan Rawan Bencana Banjir dan Penentuan Jalur Evakuasi dengan Metode Network Analysis di Kecamatan Sangatta Utara
Authors: Aswad Janfari Al , Hidayat Arief , Yorika Rahmi , Mustofa Umar
Published: July 2024

Abstract. This study aims to map the flood evacuation route in North Sangatta District. Several analyzes were used in this study to achieve the objectives to be achieved, first of all analyzing the level of vulnerability to floods in North Sangatta District by using the overlay method. In determining the route used network analyst method. Based on the results of the analysis that has been done, it is found that the level of vulnerability to flooding is divided into three, namely low, medium and high. Evacuation routes obtained 22 evacuation route directions with 9 evacuation location points.
Abstrak. Penelitian ini bertujuan memetakan jalur evakuasi bencana banjir di Kecamatan Sangatta Utara. beberapa analisis yang digunakan pada penelitian ini untuk mencapai tujuan yang akan dicapai, pertama-tama menganalisis tingkat kerawanan bencana banjir di Kecamatan Sangatta Utara dengan menggunakan metode overlay. Dalam penentuan rute digunakan metode network analyst. Berdasarkan hasil analis yang telah dilakukan didapatkan tingkat kerawanan bencana banjir terbagi menjadi tiga yaitu rendah, sedang dan tinggi. Rute evakuasi didapatkan 22 arahan jalur evakuasi dengan 9 titik lokasi evakuasi.
Segmental thoracic spinal anesthesia for abdominal surgery; a report of three cases
Authors: Awang Mohamad Azlan , Mohamad Yusof Mohamad Firdaus Bin , Abd Razak Mohamad Hafiz Bin
Published: July 2024

Segmental thoracic spinal anesthesia (STSA) has recently been introduced in clinical practice, but still is not a common procedure. Although there have been some concerns about its potential complications, the method may benefit a specific subset of patients. We present the case reports of three patients, who were operated upon using the STSA technique. Two were performed as emergency procedures, and the third was an elective one. One of the three patients required minimal sedation near the end of the surgery, but none required general anesthesia or intensive care support. All patients recovered completely without complications and were discharged on Day 2. In certain patients, STSA may be a safe and beneficial alternative to general anesthesia. To demonstrate its potential benefit, risks, and use as a routine technique, adequately powered randomised, controlled clinical trials are required.
Keywords: Segmental; Thoracic; Spinal anesthesia; Elective; Emergency; Abdominal; Surgery.
Citation: Awang MA, Mohamad Yusof MF, Abd Razak MH. Segmental thoracic spinal anesthesia for abdominal surgery; a report of three cases. Anaesth. pain intensive care 2024;28(3):582−584; DOI: 10.35975/apic.v28i3.2334
Received: November 22, 2023; Revised: January 22, 2024; Accepted: February 24, 2024
The correlation of risk factors with mortality of geriatric patients in non-operating room anesthesia services
Authors: Asmoro Aswoco Andyk , Isngadi Isngadi , Achsar Aulia Martyana , Laksono Buyung Hartiyo
Published: July 2024

Background & objective: One of the most frequently performed anesthesia services is Non-Operating Room Anesthesia (NORA). In geriatric patients, there are several risk factors which are directly or indirectly related to post-NORA mortality. We aimed to find out the relationship between pre-NORA risk factors and the mortality of geriatric patients receiving NORA services.
Methods: This observational analytical study used the convenient sampling method in seventy patients undergoing NORA. Data collected included pre-NORA risk factors; e.g., age, gender, Body Mass Index (BMI), quality of life, and cognitive function. Mortality within 30 days post-NORA was noted. The data was analyzed using an independent t-test and Spearman correlation with α= 5% and a confidence interval (CI) of 95%.
Results: We included 70 patients as the subject of the study, with a mortality rate of 8.6%. There was a significant difference between BMI (P = 0.034), quality of life (P = 0.001), and cognitive function (P = 0.004) in patients who died with those who remained alive. There were correlations between cognitive function (P = 0.001, R= 0.379) and quality of life (P = 0.009, R= 0.309) with 30 days post-NORA mortality.
Conclusion: There is a positive correlation between the risk factors of cognitive function and quality of life pre-NORA of geriatric patients with 30-day mortality post-NORA. Careful selection and maximum optimization of the geriatric patients selected for non-operating room anesthesia may reduce post-operative mortality.
Abbreviations: MMSE - Mini-Mental State Examination; NORA - Non-Operating Room Anesthesia; ROC - Receiver Operating Characteristic curve; WHOQOL -World Health Organization Quality of Life criteria;
Keywords: Cognitive function, Geriatrics, Mortality, Non-operating room anesthesia, Quality of life,
Citation: Asmoro AA, Isngadi, Achsar AM, Laksono BH. The correlation of risk factors with mortality of geriatric patients in non-operating room anesthesia services. Anaesth. pain intensive care 2024;28(3):459−464; DOI: 10.35975/apic.v28i3.2345
Received: November 28, 2023; Revised: March 29, 2024; Accepted: May 3, 2024
The relevance of preoperative frailty and postoperative delirium in elderly patients undergoing hip surgery
Authors: Nguyen Thang Toan , Khanh Hoa Chu , Ba Tu Nguyen
Published: July 2024

Background & Objectives: Frailty status and delirium are common findings in the elderly in the perioperative period, and are associated with higher frequency of complications and poor outcomes after surgery. This study aimed to determine the rate and relationship between preoperative frailty and postoperative delirium (POD) in elderly people scheduled for hip surgery.
Methodology: A cross-sectional observational study was conducted on 104 elderly patients scheduled for hip surgery from October 2022 to November 2023 at the Centre for Anesthesia and Surgical Intensive Care, Bach Mai Hospital. The Modified Frailty Index (mFI) was used to assess the frailty. It includes 22 clinical and paraclinical variables and is useful to assess the preoperative frailty. We assessed postoperative delirium (POD) using the Confusion Assessment Method for the ICU (CAM-ICU) flow sheet during the first 4 days after surgery. Univariate and multivariate regression analyses were used to determine the association between frailty and delirium.
Results: A total of 104 patients were included in the analysis, and the proportion of patients with preoperative frailty (mFI ≥ 0.25) was 36.5%. Postoperative delirium occurred in 32 patients (30.8%). The frail patient group had a higher rate of postoperative delirium and a significantly longer average duration of delirium than the non-frail group (60.5% vs. 13.6% and 1.26 days vs. 0.35 days, respectively, P < 0.05). Multivariate regression analysis showed that mFI ≥ 0.25 was associated with POD status 4 days after surgery (aOR = 6.29; 95% CI = 1.43-27.6; P < 0.05).
Conclusions: The incidences of preoperative frailty and postoperative delirium in elderly patients undergoing elective hip surgery were 36.5% and 30.8%, respectively. Preoperative frailty is an independent risk factor for increased postoperative delirium.
Abbreviations: ADLs - Activities of Daily Living, NMS - New Mobility Score; ASA - American Society of Anesthesiologists, POD - Post-Operative Delirium; mFI - modified Frailty Index
Keywords: Postoperative delirium; Preoperative frailty; Hip fracture surgery; Elderly patient
Citation: Nguyen TT, Khanh HC, Ba TN. The relevance of preoperative frailty and postoperative delirium in elderly patients undergoing hip surgery. Anaesth. pain intensive care 2024;28(3):423−430; DOI: 10.35975/apic.v28i3.2473
Received: April 03, 2024; Revised: April 14, 2024; Accepted: April 15, 2024
Evaluation of post-elective surgery acute pain management profiles using the APS-POQ-R questionnaire: an observational study
Authors: . Suwarman , Yadi Dedi F. , Supriyadi Supri , Nugraha Prapanca
Published: July 2024

Background & objective: Acute postoperative pain affects 80% of the patients undergoing elective surgery, which raises the risk of morbidity and lowers patient satisfaction with medical care. Various modalities have been employed to make the patient pain free. We studied post-elective surgery acute pain management profiles at a tertiary hospital in West Java, Indonesia to present an overview.
Methodology: The American Pain Society Patient Outcome Questionnaire—Revised (APS-POQ-R) was used in this descriptive observational study. All patients who underwent elective surgery at a tertiary hospital in West Java, Indonesia between March and April 2023 and fulfilled the inclusion criteria, e.g., age from 18 to 65 y, fully conscious, able to communicate in Bahasa Indonesia, willing to participate, were included in the study. Within 24 h following the elective surgery, patients in the inpatient wards underwent interviews. Patients with impaired cognitive function, psychiatric disorders or uncooperative drug addiction, and patients who were planned for intensive care were excluded. Data was analyzed using SPSS version 26. The distribution of the data was examined using the Kolmogorov-Smirnov test. The data was analyzed for the mean ± standard deviation, range or median and range.
Results: About 161 people participated in the study. The majority of participants (60.9%) reported having moderate pain, and 59% with moderate nausea as a side effect of pain medication. Mild emotional status impairment and restricted activities were also observed. Eighty-one percent of the individuals reported having knowledge regarding pain management. With a median score of 8, patient satisfaction was at a favorable level. It is believed that 80% of patients respond well to pain treatment. The degree of patient participation was low.
Conclusions: Despite various post-operative changes, the majority of respondents expressed great satisfaction with their pain management. Improved patient cooperation is therefore, necessary, in addition to encouraging non-pharmacological pain management and providing sufficient pain management information.
Abbreviations: NRS - Numeric Rating Scale; ODS - One Daycare Surgery; PNB - peripheral nerve block; VAS - Visual Analog Scale;
Keywords: APS-POQ-R questionnaire, patient satisfaction, postoperative pain management
Citation: Suwarman, Yadi DF, Suryadi S, Nugraha P. Evaluation of post-elective surgery acute pain management profiles using the APS-POQ-R questionnaire: an observational study. Anaesth. pain intensive care 2024;28(3):481−488; DOI: 10.35975/apic.v28i3.2479
Received: December 28, 2023; Reviewed: January 08, 2024; Accepted: March 14, 2024
Identification of intramolecular conserved G-quadruplex motifs in the genome of the bovine foamy virus
Authors: Balak O. K. , Balak S. O. , Lymanska O. Yu.
Published: July 2024

G-quadruplexes (G4s) are guanine-rich DNA structures, which play an essential regulatory role in key steps of the viral life cycle (replication, transcription regulation, translation). Currently, there is no relevant information about putative G4s in the bovine foamy virus (BFV) genome. The goal of the present study was the determination of such conservative non-B-DNA structures as conservative G-quadruplexes, which can be formed by two and three G-quartets in the mRNA, sense, and antisense strands of the bovine foamy virus proviral DNA. Bioinformatic analysis was used to search motifs of intramolecular G-quadruplexes in BFV mRNA and proviral DNA and to determine the G-score (a parameter that characterizes the stability of the G-quadruplex in relative units). Based on multiple alignments of 27 BFV isolates 26 putative conservative G-quadruplexes from two G-quartets were found in mRNA and sense strand of BFV proviral DNA with G-score from 30 to 36. 32 G4s formed by two G-quartets with a G-score from 30 to 36 and 2 G4s formed by three G-quartets were found in the antisense strand of BFV proviral DNA with a G-score of 53. These two G4s are direct repeats and are localized in U5 5'LTR and U5 3'-LTR. The density of G4s was 2.1/kbp in the sense strand of BFV proviral DNA and 2.8/kbp in the antisense strand. A localization map of potential stable conserved intramolecular G-quadruplexes formed by two and three G-tetrads on the BFV genome was created. Conservative G4s are unevenly distributed throughout the BFV genome. A distinctive feature of the BFV genomic organization is the fact that the antisense strand of the BFV proviral DNA is characterized by a significantly higher density of G-quadruplexes compared to one of the sense strands. The QGRS Mapper software detects a significantly higher number of potential G4s (34 G4s in the antisense strand of BFV proviral DNA) compared to the G4Hunter software (7 G4s)
Economics sanction and barley price regime change in Iran
Authors: Farsi Aliabadi Mohammad Mehdi , Fakari Behzad
Published: July 2024

In Iran, barley is considered the second-largest cultivated crop. However, more than 40% of Iran’s requirements are imported from the international market. Due to the importance of barley in providing livestock feed and food security, its price variation is a critical issue for Iranian governments. Therefore, in this study, the influence of different determinants of domestic barley price, such as international price, real effective exchange rate variation, price volatility of barley, Russian-Ukrainian armed conflict, and the existence of economic sanctions, has been investigated by applying the Markov-Switching model. The main results indicated that in both states, the real effective exchange rate was the primary determinant of the domestic price. Moreover, the impact of international price in first state is much more powerful than the second state. Also, the results revealed that the persistence of US economic sanctions amplified barley prices in both regimes. According to these findings, the government should eliminate interventions in the barley market by utilizing the preferential exchange rate for importing barley. Moreover, pursuing a political agenda to create a stable political condition and lift economic sanctions should be considered the priority for the government to mitigate the barley price upsurge.
Optimizing Bitter Mustard Plants (Brassica Juncea L.) Growth and Production by Administering Inorganic Fertilizer and Liquid Organic Fertilizer
Authors: Pratekno Tito Priya , Hariyati Adam Dini , Lestari Widya
Published: July 2024

Bitter mustard greens (Brassica juncea) are a leaf vegetable widely consumed in Indonesia. This research aims to evaluate the effect of a combination of NPK fertilizer and liquid organic fertilizer from banana weevils on the growth of bitter mustard greens. The method used was a factorial randomized block design with two factors (NPK and organic fertilizer) and three replications. Analysis of variance was carried out to analyze significant differences between treatments, with further tests using Duncan's Multiple Range Test (DMRT) at a significance level of 5%. The results showed that treating 10g NPK + 100ml POC Banana Stem and 10g NPK + 200ml POC Banana Stem consistently gave the best results on various growth parameters of bitter mustard plants. The 10g NPK + 100ml POC Banana Stem treatment produced the highest plant height at each observation stage, while the 10g NPK + 200ml POC Banana Stem treatment showed the highest number of leaves and plant fresh weight. The combination of NPK fertilizer and banana hump liquid organic fertilizer has proven to be effective in improving the growth quality of bitter mustard greens, including plant height, greater number of leaves and optimal fresh weight
TEHETSÉG AZONOSÍTÓ, KOMPLEX TELJESÍTMÉNYDIAGNOSZTIKAI PROTOKOLL A KOSÁRLABDÁZÁSBAN
Authors: Balogh László , Rátgéber László , Nagy Dóra
Published: July 2024

If we want to gain a competitive advantage over our domestic and international competitors in continuous competition, the first task is to filter and select the sport or the given sport correctly. Later based on the current results of sports science, it is necessary to consistently, consciously, complete the complex, time-consuming process of talent management. Selection process requires a lot of patience and perseverance.
The aim of talent identification is to select children in sports with specific skills that can be systematically transformed into practice.. It is necessary to measure complex, sport-specific components of performance. Researchers in a meta-analysis of talent identification protocols in team sports found that physical parameters such as height, body weight, body composition, and physiological capacities such as aerobic capacity, anaerobic strength, strength, coordination, and agility play a role. On the other hand, the quality of specific psychological-mental skills is also critical in identifying talents.
PHYTOCHEMICAL SCREENING OF ANCHOTE (COCCINIA ABYSSINICA (LAM.)) AND EFFECT OF EXTRACT VIA AEROBIC EXERCISE ON ENDURANCE PERFORMANCE
Authors: Olkaba Getahun Hambisa , Ayalew Abnet
Published: July 2024

Many aspects affect sports performance, and nutrition may be one of the most important. The study aimed to examine the phytochemical composition and assess the impact of supplementing Anchote (Coccinia abyssinica (Lam.)) with aerobic exercise on the endurance performance of the Mattu Kenema male football club.
Eighteen players from the Mattu Kenema football team were chosen based on an experimental research methodology. The selected athletes were divided into three groups at random: the supplement group (SG = 6), the aerobic exercise group (AG = 6), and the supplement with the aerobic exercise group (SAG = 6). Every day, members of the SG group took an Anchote (Coccinia abyssinica (Lam.)) supplement, while AE spent 45–60 minutes exercising aerobically. SAG took both interventions for 12 weeks. Pre-tests and post-tests were conducted on all parameters, such as the 12-minute run test and push-up.
The phytochemical screening result of Anchote (Coccinia abyssinica (Lam.)) extract showed the presence of various secondary metabolites such as phenol, flavonoid, tannin, glycoside, steroid, and terpenoids. The proximate composition of this extract indicates the higher content of carbohydrates (69%) and the lower fat value (2.1%).
Based on the study, 12 weeks of Achote (Coccinia abyssinica (Lam.)) consumption combined with aerobic exercise was thus shown to improve players' fitness levels at Mattu Kenema male football club. Based on the findings, Anchote (Coccinia abyssinica (Lam.)) supplement associated with aerobic exercise would enhance endurance performance due to the extract's secondary metabolites such as flavonoid, tannin, and phenol.
Influence of Financial Literacy, Social Environment, and Financial Technology Against Financial Behavior
Authors: Simu Tiberias Krisgaharu , Rahmawati Christina Heti Tri , Yuniarto Albertus Yudi
Published: July 2024

Students as the nation's successors have a role in increasing Indonesia's financial literacy index. Therefore, students need to be equipped with financial literacy, character building through the social environment so that they do not behave irrationally, use of financial technology (fintech) to facilitate financial transactions so that students can behave financially well by carrying out appropriate financial management. to determine the influence of financial literacy, social environment and fintech on the financial behavior. This research uses 875 students from the Faculty of Economics, Sanata Dharma University Class of 2019-2020. This research sample uses a portion 96 students. Purposive sampling was used as a sampling technique with the criteria being that respondents were fintech users, for example Gopay, Shoope-Pay, Ovo, Dana, and so on. Chi-Square and Multiple Linear Regression are used as data analysis techniques. The research results show that financial literacy, social environment and fintech the financial behavior of students at the Faculty of Economics, Sanata Dharma University. That it is hoped that students will have knowledge about financial literacy, be able to choose the right social environment, and have knowledge about fintech products that will help students have good behavior so they can carry out appropriate financial management and avoid illegal investments.
Financial Distress During the Covid-19 Pandemic:Altman and Springate Model Prediction
Authors: Andri Herdiansah , Paranita Ekayana Sangkasari
Published: July 2024

The purpose of this research is to analyze the prediction of financial distress of retail trade companies. This research chose to use the Altman and Springate Models since both of them are the most accurate and conservative models to predict. The calculation of the Altman and Springate Score is based on an equation formula for data in the period before and during the Covid-19 pandemic. The Altman’s Score is grouped in the Safe Zone, Grey Area, and Financial Distress; while the Springate’s Score is grouped in the Safe Zone and Financial Distress categories. Altman Model Analysis stated that most of the companies experienced decreased scores, the company's financial performance during Covid-19 pandemic was predicted financial distress and belonged to the Grey Zone category than before Covid-19 pandemic. Springate Model Analysis states that all companies have decreased scores, and the company's financial performance during Covid-19 pandemic is predicted financial distress than before Covid-19 pandemic. Springate Model revealed a more conservative indicator, but both models stated there are still several companies in the Safe Zone category to continue their business. The originality of this research is focused on the retail trade companies as the most affected industry by Covid-19 pandemic. In addition, this research analyzes financial distress based on the Altman Z-Score and Springate Model as the most powerful model to predict.
Decision Making Factors In An Ecotourism Visit In The Situ Gunung Natural Tourism Park West Java
Authors: Sukamdani Hariyadi B , Sulistyadi Yohanes , Sukwika Tatan , Sukamdani Nugroho B , Eddyono Fauziah
Published: July 2024

The Situ Gunung Nature Tourism Park (TWA) is a conservation area that was developed by prioritizing the concept of ecotourism. However, the ecotourism program created could have been more optimal, considering the requests and desires of visitors. This research aims to determine the factors that underlie decision-making for ecotourism visits at TWA Situ Gunung, West Java. The variables explained include the concept of ecotourism, intention to revisit, perception of cleanliness, and ticket price differentiation. The method used in this research is SmartPLS to test the proposed hypothesis. The analysis results show that ticket prices negatively influence ecotourism visits, with a coefficient of -0.058 (H1). On the other hand, cleanliness has a positive effect with a coefficient of 0.224 (H2), and security has a positive impact of 0.180 (H3). The accessibility factor is proven to have the most significant influence on ecotourism visits, with a coefficient of 0.464 (H4). The results of this research indicate that to increase ecotourism visits, managers need to focus on improving accessibility and cleanliness, as well as reconsidering ticket pricing strategies. Thus, this research contributes to the development of ecotourism that is more responsive to visitor needs and preferences, increasing visits and supporting conservation desires at Situ Gunung TWA.
Pola Komunikasi Kelompok dalam Membentuk Konsep Diri pada Komunitas Punk Taring Babi
Authors: Leasfita Ade
Published: July 2024

The punk community is still a social phenomenon that is one of the focuses of public attention because of their appearance and the things they do. Most of the people still consider them negative. The purpose of this study was to understand and know the communication patterns of the Taring Babi Punk Community in shaping the Self-Concept through the activities carried out by them. This research is a discussion to describe a reality in social phenomena that occur in society. The method used in this research is descriptive qualitative method, namely by making observations and direct interviews with informants. For the data processing technique itself, it uses data reduction techniques, data presentation and also draws conclusions. For the validity of the data using source triangulation technique. The results of this study indicate that the Taring Babi Punk Community uses communication patterns as part of their communication process to the community. This communication pattern forms a positive self-concept for the Taring Babi Punk Community. This research also reveals how the Taring Babi Punk Community forms their self-concept through the process of social interaction and also the social actions they take to be accepted by the community.Kata kunci: Communication, Self-Concept, Punk Community
O Papel da Oxigenação por Membrana Extracorpórea (ECMO) no Manejo da Hipertensão Pulmonar Persistente do Recém-Nascido
Authors: De Oliveira Filho João Edilson , Silva Carrijo Vinícius , De Jesus Prates Maria Luiza , Braga Ramalho dos Anjos Gabriella , Rocha Guimarães Ritter Wainny , Raulino Rêgo Maria Clara , De Queiroz Souza Luana , Guedes Assis Dutra Thiago , Tavares Fogaça Marcus Vinicius
Published: July 2024

A Hipertensão Pulmonar Persistente do Recém-Nascido (HPPN) é uma condição grave que impede a oxigenação adequada do sangue neonatal associada a alta morbidade e mortalidade. Caracteriza-se pela persistência de alta resistência vascular pulmonar, shunts extrapulmonares e hipoxemia severa, devido a fatores genéticos, inflamatórios e ambientais. Os tratamentos convencionais incluem oxigênio suplementar, ventilação mecânica e agentes farmacológicos como óxido nítrico inalatório e sildenafil. No entanto, muitos neonatos permanecem refratários, necessitando de abordagens alternativas como a oxigenação por membrana extracorpórea (ECMO). A ECMO fornece suporte cardiopulmonar temporário para neonatos com insuficiência respiratória severa e hipoxemia refratária, permitindo a recuperação dos pulmões e do coração. No entanto, seu uso apresenta riscos significativos, como complicações hemorrágicas e infecciosas. Este estudo visa revisar a literatura sobre a ECMO no manejo da HPPN, avaliando sua eficácia e segurança em comparação aos tratamentos convencionais, e identificando lacunas de conhecimento para futuras pesquisas. A metodologia inclui uma revisão sistemática de artigos científicos, conferências e relatórios técnicos. Os resultados indicam que a ECMO melhora significativamente as taxas de sobrevivência em neonatos com HPPN refratária, embora associada a complicações graves que requerem gestão rigorosa. Estudos de seguimento mostram a necessidade de programas de intervenção precoce para melhorar os desfechos neurodesenvolvimentais. A introdução de inovações tecnológicas e práticas clínicas aprimoradas tem melhorado a segurança e eficácia da ECMO. Em conclusão, a ECMO representa uma intervenção crítica para neonatos com HPPN refratária, necessitando de mais pesquisas para otimizar seu uso e melhorar os cuidados neonatais.
Avaliação da Eficácia e Segurança de Novos Filtros Solares: Uma Revisão Integrativa
Authors: Spinelli Santos Pereira Beatriz , Dutra Martinez Emerick Maria Gabrielle , Bettoni Delatorr Laura , Neme Holliday Pedro Henrique , Costalonga Lovatto Samuel
Published: July 2024

A avaliação da eficácia e segurança de novos filtros solares exige uma abordagem abrangente que considera tanto os benefícios quanto os possíveis riscos associados ao uso desses produtos. A análise detalhada dos ingredientes ativos e das formulações é essencial para garantir que os filtros solares ofereçam proteção adequada contra a radiação ultravioleta (UV), minimizando ao mesmo tempo qualquer potencial efeito adverso para a saúde.
A eficácia dos filtros solares é medida pela capacidade de bloquear ou absorver a radiação UV, prevenindo danos à pele como queimaduras solares, envelhecimento precoce e câncer de pele. Novas formulações são constantemente desenvolvidas para aumentar o fator de proteção solar (FPS), melhorar a estabilidade ao longo do tempo e sob exposição solar, além de proporcionar uma aplicação mais agradável e uniforme na pele. Estudos clínicos e laboratoriais são fundamentais para testar esses aspectos, garantindo que os novos produtos ofereçam a proteção prometida.
A segurança dos ingredientes utilizados em filtros solares é uma preocupação constante. Ingredientes como oxibenzona e avobenzona, comuns em muitos filtros solares, têm sido alvo de estudos para avaliar seu potencial de causar irritação, alergias ou outros efeitos sistêmicos ao serem absorvidos pela pele. A pesquisa contínua e a revisão regulatória são cruciais para assegurar que os produtos no mercado sejam seguros para uso a longo prazo, especialmente considerando o uso frequente e em áreas extensas do corpo.
Além da eficácia e segurança para os usuários, a sustentabilidade ambiental dos filtros solares está ganhando destaque. Ingredientes como o oxibenzona têm sido identificados como nocivos para os ecossistemas marinhos, especialmente para os corais. Portanto, há um movimento crescente para desenvolver filtros solares que sejam seguros tanto para os humanos quanto para o meio ambiente.
Em suma, a avaliação da eficácia e segurança de novos filtros solares é um processo complexo que envolve múltiplas facetas, desde a proteção UV e a segurança dos ingredientes até o impacto ambiental. Uma abordagem integrada e contínua de pesquisa e desenvolvimento é essencial para assegurar que os filtros solares ofereçam proteção eficaz e segura, contribuindo para a saúde pública e a preservação ambiental.
RISCO DE MIOCARDITE APÓS VACINAÇÃO CONTRA COVID-19 EM CRIANÇAS DE ATÉ 12 ANOS
Authors: Medeiros Gabriel dos Santos , Trigueiro Silva Maria de Fátima , Abreu de Lira Francisca Evelyn , De Oliveira Prata Pessoa Camila , Sousa Ana Beatriz Vieira , Suassuna de Aquino Ana Caroliny , Marinho de Lima Junior Umberto
Published: July 2024

Introdução: A recente pandemia do COVID-19, resultou em uma crise de saúde global sem precedentes. Felizmente, a corrida para o desenvolvimento acelerado das vacinas permitiu uma estratégia de enfrentamento que permitiu a retomada de uma relativa normalidade, mas não sem antes trazer outros desafios consigo. Os efeitos adversos resultantes da vacinação foram um dos pontos de crítica para aqueles que questionavam a segurança dos imunizantes. A miocardite, em particular, foi frequentemente citada como uma justificativa para a hesitação vacinal. Objetivo: Analisar e responder à pergunta: “vacinas contra a COVID-19 causam miocardite em crianças de até 12 anos?” Métodos: Revisão Integrativa da Literatura, realizada nas plataformas de busca Medical Publisher (PUBMED); Biblioteca Virtual em Saúde (BVS) e Brasil Scientific Electronic Library Online (SCIELO), utilizando-se Descritores em Ciências da Saúde (DeCS) em inglês associados a utilização do operador booleano (AND) – "COVID-19 Vaccines" AND "Myocarditis" AND  "Incidence" AND "Children", após a aplicação dos critérios de inclusão e exclusão, selecionaram-se doze (12) artigos que constituíram a pesquisa. Resultados: Embora alguns estudos mostrem reações adversas diversas, como: alteração de humor, fadiga, distúrbios do sono, dor no local da injeção, febre, inflamação localizada e artralgia, não foi visto a prevalência da miocardite, fato esse mais predominante em pacientes com comorbidades adjacentes (n=05; 41,6%). Conclusão: De acordo com os estudos selecionados, não existe evidência científica suficiente que aponte a relação entre a vacinação contra a COVID-19 e a ocorrência dos eventos adversos, como a miocardite, em crianças de até 12 anos.
Impacto da COVID-19 nas Doenças Renais: Desafios Clínicos
Authors: Pecinalli Luisa , Eleutério Sartore Eduarda , Da Silva Bahiense Igor , Moreira Peterle Laysa , Tavares Mariano Maria Eduarda , Nogueira da Costa Maria , Gonçalves Zoppé Milene , Lima de Freitas Franciele , Franskoviak Cunha Silva Ana Carolina
Published: July 2024

Este artigo aborda os impactos da COVID-19 nos rins, com foco em pacientes pré-existentes com nefropatias. O vírus SARS-CoV-2, por seu tropismo pelas células renais via ACE2, causa danos endoteliais significativos. A lesão renal aguda (LRA) associada à COVID-19 pode levar a desfechos graves, especialmente em pacientes com condições renais prévias. Pacientes com LRA têm alto risco de progressão para doença renal crônica (DRC), enquanto aqueles em diálise enfrentam maior suscetibilidade à infecção e taxas de mortalidade elevadas durante a pandemia. A pandemia também impactou negativamente o cuidado de pacientes com comorbidades renais, reduzindo acesso e tempo de diálise. Transplantes renais foram menos realizados devido ao risco de infecção pós-transplante. O manejo das complicações renais exige identificação precoce, monitoramento contínuo e abordagem multiprofissional, especialmente em casos de síndrome cardiorrenal e SDRA.
CIRURGIA GINECOLÓGICA: INOVAÇÕES, DESAFIOS E PERSPECTIVAS FUTURAS
Authors: Alves Lucas Parizi , Schneider Felipe Fraga , Zamboni Sofia Barbosa , Silva Ana Carla Gardene Moreira , Costa Victoria Melo , Bastos Eduarda Hannaui , Furquim Ynara Caroline de Abreu , Ferreira Júlia SIlva , Santos Indra Silva , Silva Celijane Almeida , Farias Julyanna de Andrade
Published: July 2024

Este artigo tem como objetivo realizar uma varredura abrangente da literatura médica vigente sobre as inovações, desafios e perspectivas futuras na cirurgia ginecológica. Nos últimos anos, a cirurgia ginecológica tem experimentado uma transformação significativa devido ao avanço de tecnologias minimamente invasivas e ao desenvolvimento de técnicas cirúrgicas avançadas. Uma revisão enfoca especificamente a relação entre a qualidade de vida e a satisfação dos pacientes submetidos a diferentes tipos de cirurgias cirúrgicas, incluindo a comparação entre próteses totais mucossuportadas e próteses totais implantossuportadas. Para a seleção dos artigos, foram utilizados os motores de busca Google Scholar, Scopus e Web of Science, empregando os unitermos “Qualidade de vida, Satisfação, Prótese total mucossuportada, Prótese total implantossuportada”. Os resultados indicam que as inovações tecnológicas, como a cirurgia robótica e a laparoscopia avançada, têm melhorado os resultados clínicos e a recuperação pós-operatória dos pacientes. Em particular, os usuários de próteses totais implantossuportadas apresentam uma qualidade de vida e satisfação superiores em comparação aos usuários de próteses totais mucosuportadas. No entanto, desafios significativos, como o alto custo das novas tecnologias e a necessidade de treinamento especializado para os profissionais de saúde, ainda precisam ser enfrentados. O artigo conclui que, apesar desses desafios, as perspectivas futuras para a cirurgia ginecológica são promissoras, com um aumento esperado na adoção de tecnologias avançadas que continuem a melhorar os resultados clínicos e a qualidade de vida dos pacientes.
MORTALIDADE MATERNA POR DOENÇAS HIPERTENSIVAS GESTACIONAIS NO BRASIL
Authors: Mendonça Geovana Ponciano , Santos Alice Veras , Magalhães Leyliane Diógenes , Brito Karla Daniella Almeida Oliveira de , Gomes Anna Karynna Barbosa , Nóbrega Francisco Ricardo Resende da , Duarte Bárbara Ellen Lopes , Bauer Ingrid Oliveira Bosenbecker , Silva Alyne Leitão , Cavalcanti Wellen Bárbara Braga , Pinheiro Geanderson Victor Ferreira , Costa Milla Tavares Prates , Carvalho Lívia Rodrigues
Published: July 2024

O presente estudo tem como objetivo analisar o perfil epidemiológico de doenças hipertensivas durante o período gestacional no Brasil. Trata-se de um estudo epidemiológico, de caráter descritivo e abordagem quantitativa com dados extraídos do  Sistema de Departamento de Informação e Informática do Sistema Único de Saúde (DATASUS) por meio do Sistema de Informações sobre Mortalidade (SIM) em um recorte temporal de 2018 a 2022, as variáveis analisadas foram óbitos por ano, raça/cor, regiões e faixa etária. Na seleção de dados foram obtidos 170.093 óbitos maternos por doenças hipertensivas gestacionais, houve uma prevalência no ano de 2021 (40.166), na região Sudeste (76.093), faixa etária entre 55 a 64 anos (22.757) e a população branca com (78.509). Ademais, mesmo nos dias atuais a mortalidade materna permeia com altos índices, dessa forma, é preciso que estratégias sejam desenvolvidas para atuar diretamente na redução dos óbitos promovendo uma assistência pré-natal, planejamento familiar adequado e educação em saúde no período gestacional.
CUIDADOS MULTIDISCIPLINAR NA PCR E AVANÇOS REVISÃO DE LITERATURA
Authors: Guimarães Letícia Neves , Ferreira Natana Ribeiro , Ribeiro Gabriela Moreira de Almeida , Silva Deborah Araujo , Fonseca Rynele Almeida de , Barros Lívia Andrade , Lemes Bruna Rafaela da Silva , Silva Jane Cris da , Rocha Charles Frederico , Lima Roberta Karine Miranda de , Westry Alan Guillermo Avila , Silva Juan Carlos Da , Gonçalves Rariane Jaqueline Wurdel
Published: July 2024

A parada cardiorrespiratória (PCR) refere-se à interrupção repentina da circulação e respiração, sendo uma situação de emergência que requer uma equipe capacitada para agir rapidamente, a fim de reduzir os riscos e assegurar a sobrevivência do paciente. Este estudo teve como objetivo realizar uma revisão bibliográfica sobre a atuação da equipe multiprofissional diante de pacientes com parada cardiorrespiratória. Trata-se de uma pesquisa descritiva, do tipo revisão integrativa da literatura, com abordagem qualitativa. A busca foi realizada nas bases de dados: LILACS, SCIELO e BDENF, por meio da BVS e do Scholar Google. Os artigos foram coletados em setembro de 2020, utilizando os descritores: Equipe de Saúde, Parada cardiorrespiratória e Emergência. Após a aplicação dos critérios de inclusão, foram selecionados 8 estudos. A equipe multiprofissional que atende pacientes com parada cardiorrespiratória precisa ser qualificada, trabalhar de forma integrada e garantir um atendimento de excelência para promover a recuperação do paciente. Concluiu-se que a atuação conjunta e sincronizada da equipe multiprofissional melhora o estado de saúde do paciente, aumentando sua sobrevida e reduzindo as possíveis sequelas decorrentes da PCR.
EFEITOS DA LIRAGLUTIDA E SEMAGLUTIDA DURANTE A GESTAÇÃO
Authors: Souza Alex Moreira , Carvalho Afonso Denofre de , Silva Aline Favero da , Molina Beatriz Colombo , Almeida Brunna Silva , Barros Caio Marcos Castaldeli Alves de , Lençone Gustavo , Silva Ingrid Condor Loureiro da , Casanova Julia Tabile , Campos Kleysson Handersson Arantes Souza de , Godoy Leticia Jacomassi de , Galli Renato Malavazi
Published: July 2024

Foi realizada uma busca nas bases de dados PubMed e Lilacs para estudos que avaliaram as decorrências maternas e neonatais do uso de liraglutida e semaglutida durante a gestação. A observação dos estudos revelou uma variabilidade importante nos achados, destacando a necessidade de mais pesquisas para estabelecer conclusões plenas sobre a segurança do uso de semaglutida e liraglutida durante a gestação.
DESAFIOS E ESTRATÉGIAS NA GESTÃO DE OVERDOSE DE FENTANIL E O USO DA NALOXONA
Authors: Paiva Marina Farias de , Lopes Marcos Túlio Buarque Tenorio , Barros Bruna da Silva , Moura Armando da Silva , Lima Pedro Vitor Leal de , Dias Matheus Furtado , Cruz Ana Clara Sousa , Aquino Jean Lucas Lopes de , Lustosa Leticia de Melo , Souza Luiza Lima Pinto de , Dias Matheus Inácio Morato , Gomes Daniela Cavalcante , Campos Fabrícia Martins de Oliveira , Vilela Yasmin Pires , Gotardo Taísa Cristina , Costa Ritta de Cássia Vilar Honório , Filho Flavio Barbosa Pinheiro , Tabanez Cássio Felipe de Resende , Junior José Camargo
Published: July 2024

Desde o final dos anos 1990, os Estados Unidos enfrentam uma grave crise de opioides, agravada pela disseminação do fentanil. Essa crise evoluiu em três ondas: abuso de opioides prescritos, aumento do uso de heroína e mortes relacionadas ao fentanil. A elevada potência e a rápida ação do fentanil, junto com sua presença no mercado ilícito, dificultam o tratamento de overdoses e exigem novas abordagens terapêuticas. A naloxona, eficaz contra outros opioides, mostra-se menos eficaz contra o fentanil devido à sua complexa farmacocinética e efeitos adversos. Estudos recentes sugerem a necessidade de doses maiores de naloxona, monitoramento rigoroso e suporte respiratório para melhorar os resultados clínicos. Além disso, há uma necessidade urgente de mais pesquisas para determinar a dosagem ideal de naloxona e avaliar novas intervenções. O treinamento adequado dos profissionais de saúde e políticas públicas eficazes são essenciais para combater a crise dos opioides.
Sosialisasi dan Pelatihan Berbagai Jenis Media Sosial sebagai Promosi Peningkatan Kunjungan K1 Kehamilan di Puskesmas Sungai Tabuk 3 Kabupaten Banjar
Authors: Handayani Eka , Anggraini Septi , Dhewi Siska , Anwary Ahmad Zacky , Agustina Norsita
Published: July 2024

Data from the World Health Organization (WHO, 2017) states that globally around 830 women die every day due to complications during pregnancy and childbirth, with an MMR rate of 216 per 100,000 live births. As many as 99% of maternal deaths are due to problems with pregnancy and childbirth. The recapitulation of the KIA Report for the Sungai Tabuk 3 Public Health Center from January – June 2022 is 45%, while the target for the district itself is around 50%. The implementation method in this community partnership program activity is divided into 2 (two) activities, the first stage is outreach activities and the second stage is through training and assistance in creating social media, in this case WhatsApp business, which is an appropriate social media for promoting health services. Community Service at Sungai Tabuk 3 can be carried out well. The important role of the Village Midwife, Community, Family, neighborhood association, and cadre with community consultation activities as a forum for discussion to understand the problems and needs that exist in the community, Media in the form of Leaflets and Benners which are installed and distributed by residents has been carried out well. The results of community service have shown increase in K1 visits by pregnant women during evaluations and whatsapp business that has been used by midwives can be utilized effectively.
Peningkatan Pengetahuan Ibu Hamil Trimester I tentang Penurunan Mual dan Muntah dengan Akupresur Pericardium 6
Authors: Gustina Gustina , Nurbaiti Nurbaiti
Published: July 2024

Excessive nausea and vomiting result in a weak body, pale face and the frequency of urination decreases drastically so that body fluids are reduced, blood becomes thick (hemoconcentration) and can slow down blood circulation which means that oxygen consumption and tissue food are also reduced. The first trimester is the period when the fetus is in the early stages of the formation of body organs, if the mother suffers from excessive nausea and vomiting, it will result in the mother's nutrition not being met, this has a bad impact on the developing fetus, including causing slow fetal growth and BBLR. One of the non-pharmacological treatments to reduce nausea and vomiting is acupressure. Acupressure therapy to reduce nausea and vomiting is carried out by manually pressing on the pericardium 6 (PC 6) point in the wrist area.  The purpose of this community service is to increase the knowledge of pregnant women in the first trimester about reducing nausea and vomiting with Pericardium 6 (Pc 6) acupressure. The activity method, carried out from February to August 2023 at PBM Yustati Ambarita, Jambi City, is a form of educational activity for pregnant women in the first trimester. After the education, a posttest was carried out using the same questionnaire with the pretest. The results of the education showed an increase in maternal knowledge after participating in the education. Before the education, 11 mothers had good knowledge and 19 mothers had poor knowledge. After education, all mothers have good knowledge about pericardium acupressure to overcome nausea and vomiting in pregnant women in the first trimester.
Edukasi untuk Meningkatkan Pengetahuan tentang Makanan Bergizi pada Ibu Hamil dalam Pencegahan Stunting
Authors: Hastuti Lidia , Wahyuni Tri , Mardiyani Ridha , Mumtahanah Al , Khairillah Yuyun Nisaul , Riwayati Riwayati
Published: July 2024

The direct causes of stunting include inadequate nutritional intake and infectious diseases. Lack of awareness and knowledge of women of childbearing age, especially pregnant women, regarding the importance of nutritious food and types of nutritious food during pregnancy, can contribute to stunting. The solution offered is the provision of health education, this activity will be aligned with the government. Activities were carried out synergistically in one of the villages, namely Bange Village with the participation of the Community Health Center, District Head, Village Head, and nutrition practitioners. The objective of this study is to increase the knowledge and understanding of pregnant women about the importance of consuming nutritious food during pregnancy to prevent stunting in their babies. Beside it, to conduct the health promotion at the community base by providing health education about the importance of nutritious food and nutritious foods for pregnant women and their processing. Before the activity was carried out, a pre-test was carried out and after that a post-test was given to evaluate the results of the health education carried out. Evaluation of activities by assessing the comparison of pre-test scores and post-test scores. After the health education activities are completed, pregnant women are given additional food packages. Health education about the importance of nutritious food and nutritious foods for pregnant women and their processing is proven to increase knowledge.
Edukasi Latihan Prenatal Yoga pada Ibu Hamil sebagai Upaya Mengurangi Kecemasan dan Optimalisasi Posisi Janin
Authors: Arlym Lisa Trina , Nursasmita Rizqi , Lomrah Siti
Published: July 2024

Hormonal, anatomical and mechanical changes in pregnant women cause various kinds of complaints in pregnant women. Yoga during pregnancy provides benefits to physical, mental health and fetal position. The aim of this community service is to increase understanding and knowledge of pregnant women about prenatal yoga and to practice prenatal yoga movements to reduce anxiety and optimize fetal position. The service methods applied were education, prenatal yoga practice, qualitative evaluation and discussion. Activities will be carried out on 19 and 26 November 2023 at TPMB Jeanne Depok. The community service activity was attended by 10 pregnant women. The results of the community service activities were that all participants understood the benefits of prenatal yoga and most participants said their bodies felt better, sleeping became comfortable. It was concluded that after education and prenatal yoga practice it could be understood and provide benefits to the mothers.