bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison between the Hemodynamic Profile with Esmolol versus Morphine as an Adjuvant Agent during Induction of Anesthesia
Authors: Farooq Usama , Ali Rashid , Mehmood Tariq , Yousaf Neelofar , Bhalli Hafiz Ahmed Hassam , Khan Kenan Anwar , Habib Muhammad Farrukh
Published: May 2024

Background: The induction of general anesthesia is a critical phase in anesthetic practice, often associated with significant hemodynamic changes. These changes can lead to complications due to autonomic adrenergic responses. Esmolol, a beta-1 antagonist, is commonly used to blunt these responses, but its availability is limited in some settings. Morphine, a pure mu receptor antagonist, presents a potential alternative.
Objective: This study aimed to compare the efficacy of intravenous esmolol versus intravenous morphine in stabilizing the hemodynamic profile during the induction of general anesthesia.
Methods: This randomized controlled trial was conducted at the Department of Anesthesiology, Combined Military Hospital, from January to June 2023. After obtaining ethical approval and trial registration, 220 ASA-II patients aged 25-55 years scheduled for elective surgeries under general anesthesia were enrolled. Patients were randomized into two groups: Group E (n=110) received 1.5 mg/kg intravenous esmolol three minutes before laryngoscopy and intubation, and Group M (n=110) received 0.1 mg/kg intravenous morphine five minutes before laryngoscopy and intubation. Baseline heart rate, systolic and diastolic blood pressure, and oxygen saturation were recorded after pre-oxygenation with 100% oxygen for three minutes. Post-intubation, the same parameters were measured five minutes after intubation. Statistical analysis was performed using SPSS version 25.0, with independent samples T-tests used to compare means. A p-value of ≤0.05 was considered statistically significant.
Results: The mean age was 39.41 ± 5.13 years in Group E and 39.97 ± 5.08 years in Group M (p=0.414). Mean weight was 68.14 ± 3.88 kg in Group E and 68.08 ± 3.80 kg in Group M (p=0.916). Pre-induction mean heart rate was 71.75 ± 2.33 bpm in Group E and 71.58 ± 2.35 bpm in Group M (p=0.585). Five minutes post-intubation, mean heart rate was significantly lower in Group E (80.73 ± 2.54 bpm) compared to Group M (87.62 ± 2.83 bpm) (p<0.001). Mean systolic blood pressure post-intubation was 132.88 ± 4.65 mm Hg in Group E and 140.25 ± 2.39 mm Hg in Group M (p<0.001). Mean diastolic blood pressure post-intubation was 77.58 ± 2.35 mm Hg in Group E and 85.33 ± 3.71 mm Hg in Group M (p<0.001). Oxygen saturation remained stable in both groups.
Conclusion: Intravenous esmolol is superior to intravenous morphine in blunting the hemodynamic responses to laryngoscopy and intubation, providing a more stable hemodynamic profile during the induction of general anesthesia.
Exploring Antibiotic Resistance Gene Expression in Acinetobacter baumannii Using Microarray Technology
Authors: Nadia Parveen  , Misbah Meharban  , Zoha Tahir  , Mavara Iqbal  , Muhammad Bilal Gohar
Published: May 2024

Background: Antibiotic resistance is a significant challenge in healthcare, particularly in nosocomial infections caused by Acinetobacter baumannii. Efflux pumps play a crucial role in mediating antibiotic resistance in A. baumannii, yet comprehensive evaluation of these pumps and acquired resistance determinants is lacking. Here, we present the development and validation of an oligonucleotide-based DNA microarray for assessing gene expression of efflux pumps and detecting acquired antibiotic resistance determinants in A. baumannii.
Objective: The primary objective of this study was to develop a robust microarray platform capable of simultaneously assessing the expression of efflux pump genes and detecting acquired resistance determinants in A. baumannii. Additionally, we aimed to validate the microarray's performance using mutants overexpressing or deficient in efflux pumps and single-step mutants obtained on various antibiotics.
Methods: The DNA microarray consisted of probes targeting 78 genes, including 17 efflux systems, 15 resistance determinants, and 19 housekeeping genes. Comparative analysis of mutants, along with quantitative reverse transcriptase PCR validation, was conducted to confirm the microarray's accuracy in detecting efflux pump overexpression.
Results: Validation experiments revealed overexpression of RND efflux pumps AdeABC and AdeIJK in mutants obtained on gentamicin, cefotaxime, or tetracycline, as well as identification of a novel efflux pump, AdeFGH, overexpressed in a mutant exposed to chloramphenicol. Clinical isolates showed overexpression of AdeABC and chromosomally encoded cephalosporinase, along with several acquired resistance genes, accounting for the multidrug-resistant phenotype.
Conclusion: The developed microarray demonstrates high sensitivity and specificity in detecting efflux pump expression and acquired resistance determinants in A. baumannii. Its potential utility in identifying antibiotic resistance and novel efflux systems highlights its importance in clinical settings.
To Observe the Dynamic Balance Problem in Deaf Children`s Via Four Square Step Test
Authors: Qayoum Falak , Pirzado Muhammad Hashim , Shaikh Mehak , Uman Muhammad , Rauf Shaista , Shaikh Abdul Qudoos
Published: May 2024

Background: Hearing loss is often associated with challenges in dynamic balance among children, impacting their daily activities and quality of life. This study aims to explore the relationship between varying degrees of hearing loss and dynamic balance capabilities among children, addressing a gap in current research on the physiological impacts of auditory impairments.
Objective: To assess and compare the dynamic balance of children with different severities of hearing loss and to establish if there is a linear relationship between hearing loss severity and balance performance.
Methods: A total of 302 children aged 4 to 15 years with varying degrees of hearing loss were recruited for this study. Participants were categorized into subgroups labeled as profound, severe, moderate, and minor hearing loss based on stop-watch tests. The Four Box Step Test was employed to measure each participant's dynamic balance. Data normality was verified using the Kolmogorov-Smirnov test, and differences among groups were analyzed using two-way ANOVA and Tukey's post hoc test.
Results: This study assessed the dynamic balance in children with varying degrees of hearing loss, analyzing data from 172 participants aged 4 to 15 years. The analysis revealed significant gender differences in dynamic balance, with males generally outperforming females. The age-based assessment demonstrated a negative linear trend, indicating that dynamic balance decreases as age increases, with significant variances across different age groups (F(2, 166) = 3.91, p = 0.022). Two-way ANOVA confirmed no significant interaction between gender and age on dynamic balance (F(2, 166) = 2.82, p = 0.062), highlighting that while age significantly affects balance, gender alone does not show a substantial impact.
Conclusion: Dynamic balance decreases as the severity of hearing loss increases, with males generally outperforming females. This study underscores the importance of incorporating balance training in rehabilitation programs for children with hearing loss to enhance their motor performance and safety.
Analysis of the Progress and Optimization Path of Digitization of Corporate Policy Services in China
Authors: Mei Jiaqi , Qi Xiangyu
Published: May 2024

With the rapid development of information technology, the digital transformation of China's corporate policy services has become a key factor in driving corporate innovation and economic growth. Studies have pointed out that digitized policy services have effectively improved policy transparency and the ease of access to policy information for enterprises, while also providing them with a more efficient and precise way to file policy declarations. However, challenges such as information silos, data security and privacy protection still exist in the digitization process. The article further discusses the optimization path and suggests measures such as strengthening cross-departmental data sharing, improving laws and regulations, and enhancing enterprises' digital literacy in order to promote the healthy development of policy service digitization. This study provides valuable references for government departments and enterprises, and is of great significance in promoting the digital transformation of corporate policy services in China.
Myths in General Surgeons Working at Muhammad Medical College Hospital and other hospitals of Mirpurkhas.
Authors: Jawahar Lal  , Iqbal Pathan  , Amtul Husain Muhammad  , Hafiz M.Yousuf  , M. Umar Noor  , Syed Razi Muhammad
Published: May 2024

Background: According to the Webster’s New International Dictionary, a myth is “A belief given uncritical acceptance by the members of a group especially in support of existing or traditional practices.” Clinical decisionsshould, as far as possible, be evidence based. So runs the current clinical dogma.Methodology: A cross sectional study was conducted among the surgeons of MMCH and other hospitals ofMirpurkhas. Data was collected with the help of pre checked questionnaire which was developed by Jeffersonscale.15 common surgical myths were selected from “PRACTICE COMMENTARY OF SURGICAL ROUNDS”published in January, 2004Results: Study was conducted among the 21 General surgeons of MMCH and other hospitals of Mirpurkhasshowed high incidence of myth following, ranging from 14.2 to 85.7.Conclusion: On the basis of our study we conclude- ed that there is resistance to applying the guidelines amongsurgeons.Key Words: Surgical myths, Surgeons, Evidence based practices, MMCH.
La migración venezolana y la seguridad en Colombia
Authors: Arias Henao Diana Patricia , García Perilla Juan Carlos
Published: May 2024

El presente artículo es de reflexión y se formula la siguiente problemática a resolver: ¿cuáles son los impactos de la migración venezolana en los escenarios de seguridad del posconflicto con las Farc-EP?Para ello, se recurrirá a una metodología descriptiva e inductiva, con técnicas de investigación mixta, esto es, cualitativas y cuantitativas. Usará como variables de estudio a la transición política influenciada por variables exógenas, la mutación de las revoluciones, las tensiones binacionales, el éxodo venezolano y los efectos colaterales del crimen organizado. El recorte temporal del estudio parte desde 2016, una vez firmados los Acuerdos del Colón y su proceso de implementación. El cierre del corte es 2024, para poder ofrecer a los lectores, los datos más actualizados y relativos al estudio, así como, permitir establecer en el acápite concluyente, las tendencias del contexto analizado. El recorte espacial es el territorio soberano colombiano.
Les vaches font-elles l’amour? Fisting, stripping, et autres bestialités agricoles
Authors: Fravica Sarah
Published: May 2024

Quand nous parlons de sexualité animale, on peut à tout le moins dire qu’il y a un angle-mort à l’égard des animaux domestiqués. Nous nous intéressons moins à leurs comportements et intentions sexuels qu’aux moyens par lesquels nous pouvons les reproduire le plus efficacement possible ou, à l’inverse, à la façon de limiter leur reproduction. Il ne s’agit pas de leur sexualité, mais bien de notre maîtrise de leur pouvoir reproductif. C’est nous, qui leur faisons des bébés. Pour les vendre, pour les manger. Pour cette raison, je ne sais pas si les vaches font l’amour. Ma question est plutôt ironique, car je sais que cela ne nous préoccupe pas. En m’intéressant à l’infraction de bestialité ainsi qu’à nos mœurs au regard de ce crime, puis par le biais d’une réflexion sur le consentement animal, je problématise les procédures au cœur de l’élevage animalier qui exploitent le système reproductif des animaux domestiqués.
Organizational Dehumanization Impact on Knowledge Hiding and Employee Theft Time: Moderating Effect of Psychological Capital
Authors: Alam Mehboob , Gul Fozia , Kazmi Syed Intasar Hussain , Malik Mohsin Musaddiq
Published: May 2024

This study illustrates when organizational dehumanization leads to infrequent (deviant) job behavior. So, this study aims to investigate the impact of organizational dehumanization on perceived incivility, knowledge hiding, and employee theft time. In addition, the moderating effect of psychological capital is examined among organizational dehumanization and perceived incivility, as well as the mediation of perceived incivility about organizational dehumanization and deviant (abnormal) job behavior (time theft and knowledge hiding). This study is based on the COR and SET theory. The information was gathered from manufacturing sector employees utilizing the time-lag method of intervals T1/T2/T3 correspondingly. The data demonstrate that organizational dissent is a problem. Additionally, the psychological capital of the workforce reduced the negative impacts of organizational dehumanization on perceived rudeness. This study offers insights into reducing organizational stressors to buffer employee deviant behaviors by considering behavioral results of organizational dehumanization or management. This study also provides directions for new manufacturing industry research
Estrategias administrativas en la optimización de recursos en los procesos de enfermedades pulpares
Authors: Piedra Andrade Rafael Bernardo , Vasquez Erazo Edwin Joselito
Published: May 2024

The administration of resources within the dental clinic of the Catholic University of Cuenca, has shown to have a positive impact for the training and production of students, taking into account a sample such as the treatments carried out in the eighth cycle, in this sense it is proposed as an objective , establish administrative strategies that contribute to the optimization of resources and the efficiency of results in the processes that are carried out in the Dental Clinic of Pre-professional Practices. A quantitative investigation is followed with a retrospective approach of the treatments that are carried out within the clinic, for the validation of data a longitudinal approach was taken into account where the files where said treatments were carried out were analyzed, taking as a sample the number of patients and compare the incidence of patients who come with a diagnosis focused on the area of ​​endodontics, within the results, it was found that there is a demand of 75% greater, for other areas of the dental area, compared to the area of ​​endodontics that only was 25%, this will allow the provision and optimization of planned resources.
Los proyectos de investigación-acción en la formación de las competencias investigativas de los estudiantes universitarios
Authors: García Álvarez Ignacio , Batista Salvador Amauri , Mena Campos Alodio
Published: May 2024

The present article is aimed at making an approximation on the contribution of research - action projects in the training of research competence in university students since their initial formation. It addresses the theoretical foundations that underpin this research paradigm which responds to the current demands imposed by society as consequences of the development of information and communication technologies. It is for this reason that a strategy is proposed for the formation of the investigative competence of students from the development of the research projects - action, allowing not only to prioritize the acquisition of knowledge and skills, but also, the Training of attitudes and the individual commitment that along with the knowledge and the skills allow to give satisfactory answers to their professional performance, with the purpose of giving solution to the investigative insufficiencies that today is manifested in the educative practice.
Tipología de complicaciones relacionadas con la cirugía tiroidea en el contexto de estudios de la ciencia, tecnología y sociedad
Authors: Solarana Ortiz Joaquín Alejandro , Lorenzo Díaz José Guzmán , Santiesteban Collado Neyla , Torres Guerra Andria , Rodríguez Pascual Yasmín
Published: May 2024

In order for the surgeon to carry out the adequate and timely prevention or treatment of complications related to thyroid surgery, it is necessary that he or she has an elementary level of theoretical and practical knowledge. An important aspect for this purpose is the classification of these complications, interacting with science and technology, in addition to taking into account that it favors the social environment where it operates. A documentary observational study was carried out in the Pubmed database with the aim of modeling a typology for these complications. 256 publications on the subject were reviewed, and it was concluded that most authors do not classify them, they only list the most frequent, and 29.1% classify them as early and late. As far as it was reviewed, no evidence was found that assesses its nature and lethality. The modeling of the typology proposed in this research contributed to determine the educational, economic and social importance that the subject has for the surgeon, in line with the essential contribution to society with the early reincorporation of the uncomplicated patient, for which it constitutes a social technology of an organizational nature for the prevention, diagnosis and treatment of said complications. The realities and gaps in the existing traditional classifications raised a problem that was given a possible solution with this research as a contribution to the relationship between science, technology and society.
La vulneración al derecho a la defensa en el procedimiento directo en delitos de tránsito
Authors: Cando-Lagla Freddy Xavier , Morales-Navarrete Martha Alejandra
Published: May 2024

Ecuadorian legislation, like other legislation, is being updated according to the progress and development of society. Therefore, legislators within the Ecuadorian penal system have developed different types of processes to sanction an infraction, among which is the direct procedure. Being this, a new, fast, agile and effective procedure, which shortens time and omits unnecessary procedural phases to reach a quick opinion and without so many formalities. Procedure that, once the flagrancy has been qualified, the judge, within a maximum period of twenty days, must set a day and time for the trial hearing. The question then arises: Is twenty days enough time for the alleged offender to put together his defense strategy? This inductive research, with a qualitative approach, refers to the violation of the right to defense in the direct procedure in transit matters, setting as an objective: Analyze the direct procedure in transit matters according to the COIP and the existence or not, of the violation of the right to defense.
Influencia de un programa de ejercicios físicos adaptados para el desarrollo de la coordinación motriz en niños de 8 a 12 años del equipo de atletismo Marlins de Ciudad del Carmen, México
Authors: López-Pérez Juan Pablo , Toledo-Sánchez Marisol , Prieto-Noa Juan , Matos-Ceballos José Jesús
Published: May 2024

The purpose of the research was to determine the influence that an adapted physical exercise program exerts on the development of motor coordination in children who train athletics for the Marlin's team, which will allow them to be part of a group of athletes in the future, who have a good competitive level in this discipline. The research is of a longitudinal type, as the measurements are made over time, it is part of a pre-experimental design with pre-test and post-test to the same group. A comparison of paired samples is made to eliminate the error bias that the pre-experiment has. The methods used to respond to the detected problems are diverse with emphasis on measurement as the main method that allowed statistical analysis according to the type of study selected. The contribution is materialized in the very conception of the motor program for children who train athletics. The conclusions refer that derived from the diagnosis, difficulties in motor coordination were observed in the selected sample, which demonstrated the need for the development of this program. After applied, it could be verified that it had a positive influence on the athletics training process, it was possible to significantly improve motor coordination in children from 8 to 12 years of age from the Marlins athletics team and with it the execution of the different techniques used in this sport.
Depresión relacionada a la adherencia al tratamiento nutricional en pacientes con diabetes Mellitus Tipo 2
Authors: Bastida-Reyes Mayte , Pérez-Jaimes Alejandra Karina , Estrada-Reyes César Uziel
Published: May 2024

Depression is closely related to current diseases, one of them, Diabetes Mellitus (DM); likewise, misinformation leads the patient not to adhere to a nutritional treatment; In this article, two important variables will be studied for the patient, the health personnel and to grant a successful nutritional intervention. The objective of the article is to analyze the relationship between depression and adherence to nutritional treatment in patients with type 2 DM. A detailed investigation of scientific articles was carried out on Internet pages such as PubMed, Redalyc, Google Scholar, Scielo and Elsevier; collected from 2016 to 2021, with the variables anxiety, depression, adherence to nutritional treatment and type 2 diabetes mellitus. A moderate and significant inverse relationship was found between perceived social support and trait anxiety (rho=-.173**; p<0.05). In addition, a highly significant relationship was found between perceived social support and adherence to treatment (rho=,224**; p<0.05).; In addition, in the year 2020 by Rondón, J and Angelucci, L. it was verified that the proposed model obtained an adequate goodness of fit: Chi2 of 68.51; p < 0.05 GFI = 0.95; RMSEA = 0.08; AGFI = 0.91; PNFI = 0.47; and CFI = 0.74, in which no relationship was found between adherence and depression. However, the constructor of adherence to treatment showed validity problems, for which reason it was modified and a new model was proposed, obtaining better measures of goodness of fit. Thus, a negative relationship between the constructs was obtained, that is, the greater the adherence, the less depression. Mental health has been affected by stress, the relationship with others, time, tension, negative emotions, lack of progress or the appearance of communications, leading the patient to feel anxiety and depression; and with this, the prevalence of diseases has triggered fears about what is expected in the future, the treatment and the results in each patient.
La impunidad en los procesos de violencia intrafamiliar durante el confinamiento obligatorio por COVID-19
Authors: Zurita-Verdezoto Mónica Susana , Santamaría-Velasco Juan Pablo
Published: May 2024

The general objective of this research is to analyze impunity in cases of domestic violence during mandatory confinement by COVID-19. The increase in cases of domestic violence in Ecuador is addressed; the precautionary or protection measures that people can access, the causes to file the cases, the criminal process in cases of domestic violence, and the aspects that lead to cases of domestic violence going unpunished. The methodological approach of the research is qualitative, the methods to consider are the bibliographic review, the analysis of cases, through the contribution of various authors and scientific bases, which were approached in a descriptive and explanatory manner based on Ecuadorian legislation. It was observed that cases of domestic violence have been increasing during the COVID-19 pandemic, the population's lack of knowledge of their rights and of the measures that come with this crime, the inadequate practice of the judicial authorities in charge of guaranteeing and sanction unlawful conduct, have been related to impunity, against a State that has not generated effective responses around this problem.
La proporcionalidad en sanciones a instituciones educativas en procedimientos sancionatorios
Authors: Terán Tobar Joan Anaisse , Ruiz Bautista José Antonio
Published: May 2024

The purpose of the administrative sanctioning procedure is to reestablish public order through the exercise of the sanctioning power, by means of which reasoned and motivated sanctions are established to the alleged administrative responsible parties. The purpose of the present investigation is to analyze the administrative act as a consequence of the administrative sanctioning procedure to educational institutions subject to the Organic Law of Intercultural Education, when these have incurred in some anti-juridical conduct foreseen in the legal system as an administrative infraction or illicit and to determine to what extent there is a lack of application of proportionality in the sanctions and how this may affect the stability of the administrative act and the constitutional and subjective rights of the receiver of the administrative act. Therefore, and in order to determine the lack of application of proportionality and the possible affectation, a theoretical-descriptive research of documentary type will be carried out, since it is necessary to analyze the administrative procedure from each of its stages and phases and at the same time determine from the requirements of validity of the administrative act how the final decision can be vitiated.
Consideraciones sobre la seguridad alimentaria en hogares mexicanos durante la pandemia de Covid-19
Authors: Blas Yáñez Sandra , De Haro Mota Rebeca
Published: May 2024

This study determined the level of food security in Mexican households in the COVID-19 pandemic according to the characteristics of the members. To this end, the harmonized version of the Latin American and Caribbean Food Security Scale was applied between May and August 2020. It was detected that 16.0% of households had food security (FS), FS was higher in households with persons aged 26 to 64 years (16.2%) and 65 years and older (15.2%). The prevalence of severe food insecurity was higher (26.3%) in households where three or more persons under 15 years of age lived and in households where the number of economic contributors decreased. These results provide useful information on the HS situation prevailing during COVID-19. They suggest that the most vulnerable households in post-pandemic times will be those in which there are more minors and in which the number of economically active persons decreases.
Estudio de vinculación con la colectividad de odontología de la Universidad Católica De Cuenca
Authors: Vintimilla Coronel Santiago Efraín , Vasquez Erazo Edwin Joselito
Published: May 2024

Linking with the community is one of the institutional strengths of social transformation and practical learning for future professionals who are trained in the career of dentistry, for this we intend to determine the target market to which the dental services of the Catholic University of Cuenca can be oriented, identifying the most unprotected groups and lower middle economic status that cannot access dental services because of their poverty, For this purpose, a qualitative methodology will be used, with a descriptive approach, because it will determine the areas or sectors of the canton of Cuenca that need dental intervention in different specialties, the market study allowed to identify the most important requirements that the identified population needs, these are education in dental health, prophylaxis and in greater percentage dental surgery among other needs. The market study is a type of research or tool used to guarantee or optimize the decision-making process and to envision the outlook of the dental career in terms of pre-professional practices and community service, creating a permanent link between the university and society.
ASUHAN KEPERAWATAN PADA Ny. L DENGAN P2A0 POSTPARTUM DENGAN ROBEKAN PERINEUM GRADE IV DI GEDUNG C LANTAI IV RUMAH SAKIT UMUM DAERAH CIBABAT CIMAHI
Authors: Rahayu Dedeh Sri , Nengsih Wartinengsih warti
Published: May 2024

Angka Kematian Ibu masih tinggi penyebab Angka Kematian Ibu adalah fistula, hematoma, infeksi dan perdarahan, perdarahan ini menjadi salah satu penyebab dari robekan perineum atau rupture perineum. Perineum adalah daerah yang terletak antara vulva dan anus, panjangnya rata-rata 4 cm. Komplikasi dari rupture perineum adalah fistula, hematoma, infeksi dan perdarahan. Menurut laporan yang didapat dari Ruang Nifas Gedung C lantai 4 Rumah Sakit Umum Daerah Cibabat Cimahi, pada periode Juli-Desember 2016 angka partus spontan mencapai 41,37%. Asuhan keperawatan ini bertujuan mendapatkan pengalaman secara nyata dan penulis mampu dalam memberikan asuhan keperawatan dengan pendekatan proses keperawatan yang meliputi pengkajian, diagnosa keperawatan, perencanaan, pelaksanaan, dan evaluasi keperawatan. Laporan studi kasusÂ  ini menggunakan metode studi kasus. Untuk memperoleh data menggunakan teknik observasi, wawancara,Â  pemeriksaan fisik. Hasil pengumpulan data didokumentasikan dalam bentuk studi kasus. HasilÂ  studi kasus: Asuhan keperawatan yang dilakukan pada Ny.L selama 6 hari terhitung pada tanggal 21-26 Febuari 2017 diperoleh diagnose keperawatan mengenai gangguan rasa nyaman nyeri, resiko infeksi, ansietas dan kurang pengetahuan. Tahap perencanaan penulis menyusun rencana tindakan sesuai dengan permasalahan yang ada, kemampuan, situasi dan kondisi. Tahap pelaksanaan tindakan yang dilakukan penulis sesuai dengan rencana yang telah disusun sebelumnya. Pada tahap evaluasi dari 4 diagnosa yang didapat semuanya teratasi, dalam implementasinya memerlukan kerja sama dengan perawat ruangan agar masalah klien dapat teratasi semuanya. Simpulan : Berdasarkan hasil penelitian studi kasus bahwa kasus post partum dengan rupture perineum perlu adanya penatalaksanaan yang dapat membantu percepatan kesembuhan luka dan tidak menyebabkan infeksi pada luka rupture perineum.Kata kunciÂ  : Studi kasus, Rupture perineum
HUBUNGAN PENGETAHUAN IBU TENTANG KELAS IBU HAMIL DENGAN PEMILIHAN PERTOLONGAN PERSALINAN
Authors: Karwati Karwati
Published: May 2024

Salah satu faktor tingginya AKI di Indonesia adalah disebabkan karena masih rendahnya cakupan pertolongan oleh tenaga kesehatan dari target 90 %. Salah satu program kesehatan yang diharapkan turut berperan dalam menurunkan angka kesakitan dan kematian melalui Kelas Ibu Hamil. Kelas Ibu Hamil merupakan sarana untuk belajar bersama tentang kesehatan bagi ibu hamil. Dalam bentuk tatap muka dalam kelompok. Penelitian ini bertujuan untuk mengetahui Hubungan Pengetahuan Ibu tentang Kelas Ibu Hamil dengan Pemilihan Pertolongan Persalinan di Puskesmas Leuwigajah Cimahi Selatan Tahun 2013. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan ibu tentang kelas ibu hamil dengan pemilihan pertolongan persalinan. Metode penelitian yang digunakan adalah metode studi kolerasi dengan pendekatan (cross sectional). Ukuran sampel 24 ibu hamil. Pengolahan data dianalisis denan cara univariat (distribusi frekuensi) dan bivariat (uji chi square). Hasil analisis menunjukan dari 16 ibu hamil yang berpengetahuan baik (83,3 %) semuanya bersalin di Nakes. Hasil uji statistik diperoleh p value 0,003 (<0,05) yang artinya terdapat hubungan antara pengetahuan ibu tentang kelasÂ  ibu hamil dengan pemilihan pertolongan persalinan.
Hubungan Ibu Bekerja Dengan Pemberian Asi Eksklusif Pada Bayi Usia 6 Bulan Di Puskesmas Cimahi Selatan Tahun 2017
Authors: Yuliana Yuliana , Juaeriah Ryka , Rohimahi Neng Ika Siti
Published: May 2024

ASI Eksklusif adalah pemberian ASI saja pada bayi dari ibu, tanpa tambahan makanan padat atau cair lainnya. WHO merekomendasikan pada ibu diseluruh dunia untuk menyusui secara eksklusif pada bayinya dalam 6 bulan pertama setelah lahir untuk mencapai pertumbuhan, perkembangan dan kesehatan yang optimal. Sekitar 70% ibu menyusui di Indonesia adalah wanita bekerja. Bekerja menuntut ibu untuk meninggalkan bayinya pada usia dini dalam jangka waktu yang cukup lama setiap harinya, sehingga memiliki pengaruh negatif terhadap kelangsungan pemberian ASI. Penelitian ini bertujuan untuk mengetahui hubungan ibu bekerja dengan pemberian ASI eksklusif pada bayi di Puskesmas Cimahi Selatan Tahun 2017. Metode penelitian menggunakan deskriptif korelasional dengan pendekatan cross sectional. Populasinya adalah seluruh ibu yang memiliki bayi usia 6-12 bulan, pada bulan Januari tahun 2017 sebanyak 303 bayi. Teknik pengambilan sampel menggunakan teknik accidental sampling pada bulan Mei 2017 dengan sampel sebesar 75 ibu yang mempunyai bayi usia 6-12 bulan. Pengumpulan data dalam penelitian ini dianalisis secara univariat dan bivariat dengan menggunakan uji statistik chi-square. Berdasarkan analisis dapat disimpulkan bahwa paling banyak ibu bekerja (61,3%) dan bayi tidak mendapatkan ASI eksklusif (65,3%). Hasil analisis bivariat diketahui bahwa ibu bekerja mempunyai hubungan dengan pemberian ASI Eksklusif dengan nilai p.value = 0,000 dan Î± = 0,05. Berdasarkan hasil penelitian ini diharapkan kepada petugas kesehatan terutama bidan untuk meningkatkan kegiatan penyuluhan sebagai upaya meningkatkan pengetahuan, keterampilan dan motivasi ibu mengenai pemberian ASI Eksklusif dengan tepat dan benar walaupun dengan status ibu bekerja.Kata Kunci : Nifas, Bekerja, ASI Eksklusif
HUBUNGAN RESPONSE TIME PERAWAT DENGAN KEPUASAN PASIEN DI IGD RS CIBABAT
Authors: Murniati Murniati , Suryani Meilati , Fitria Pipit
Published: May 2024

Kepuasan pasien ditentukan oleh pelayanan yang salah satunya adalah waktu tanggap (response time) yang cepat dan penanganan yang tepat. Kepuasan pasienÂ  menjadi indikator keberhasilan kualitas pelayanan rumah sakit dan menjadi modal untuk mendapatkan pasien lebih banyak dan loyal dilihat dari dengan jumlah kunjunganÂ  yang meningkat. Tujuan penelitian ini adalah untuk melihat gambaran tentang hubungan antara response time perawat dalamÂ Â  memberikan pelayanan dengan kepuasan pelanggan di IGD RS.Cibabat. Penelitian ini menggunakan desainÂ  penelitian yang bersifat survey analitik dengan pendekatan cross sectional dan tehnik sampling yang peneliti gunakan adalah nonÂ Â  probability sampling yaitu accidental sampling dengan populasi yang digunakan dalam penelitian ini adalah 2623 pasien di IGD RS.Cibabat. Sampel yang digunakanÂ  adalah 97 pasien. Instrumen yang digunakan dalam penelitian ini adalah stop watch/arloji untuk menghitung response time dan kuesioner untuk kepuasan pasien. Hasil penelitian menunjukkan bahwa response time perawat IGD RS.Cibabat adalah cepat. Kepuasan pelanggan menunjukkan puasÂ  terhadap pelayanan di IGD. Ada hubungan antara response time perawat dalam memberikan pelayanan dengan kepuasan pasien dengan p value 0,000 < Î± (0,05). DiharapkanÂ Â  semakinÂ  di tingkatkannya response time sehingga pasien puas dan kunjungan akan bertambah tentu saja akan meningkatkan kualitas pelayanan secara keseluruhan di Rumah Sakit. Berdasarkan hasil penelitian hasil penelitian terapi rendam kaki air hangat ini diharapkan bisa dijadikan alternative intervensi yang dapat dilakukan secara continue pada penderita hipertensi.Â Kata Kunci : ResponseTime, Kepuasan pasien, KualitasÂ
HUBUNGAN POSISI TIDUR DENGAN KUALITAS TIDUR PASIEN CONGESTIVE HEART FAILURE
Authors: Indrawati Lina , Nuryanti Lisna
Published: May 2024

Tidur merupakan salah satu kebutuhan dasar yang sangat penting untuk dipenuhi secara adekuat. Pada pasien congestive heart failure (CHF) kebutuhan istirahat dan tidur sering terganggu akibat masalah kesehatan. Masalah kesehatan yang sering dijumpai adalah sesak nafas dan insomnia akibatnya kebutuhan tidur pasien tidak dapat terpenuhi secara adekuat sehingga akan mempengaruhi pola tidur seseorang. Terganggunya pola tidur akan berdampak pada kualitas tidur seseorang. Salah satu penanganan yang penting dilakukan pada pasien CHF adalah dengan pengaturan posisi tidur. Tujuan penelitian ini adalah untuk mengetahui hubungan posisi tidur dengan kualitas tidur pasien CHF. Desain penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Pemilihan sampel menggunakan teknik total sampling. Adapun jumlah sampel dalam penelitian ini adalah 40 responden.Hasil penelitian menggunakan uji statistik chi square dengan tingkat kemaknaan 95%, didapat p value (0,006) < nilai Î± (0,05) dan kesimpulan dari penelitian ini adalah ada hubungan antara posisi tidur dengan kualitas tidur pasien CHF. Kata Kunci: Kualitas Tidur, Posisi Tidur, CHF
FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN HIPERTENSI PADA PRA LANSIA (45-59 TAHUN) DI POSBINDU ASTER
Authors: Shanty Sandra , Wahyuningsih Tri
Published: May 2024

Hipertensi menjadi masalah pada lansia karena sering ditemukan menjadi faktor risiko stroke dan PJK. Berdasarkan profil Propinsi Jawa Barat pada tahun 2007 prevalensi penyakit hipertensi pada lanjut usia adalah 40,18%. Namun fenomena yang ada di masyarakat saat ini umur 45-59 tahun sudah banyak yang mengalami penyakit hipertensi. Berbagai faktor yang mempengaruhi terjadinya hipertensi yaitu obesitas, konsumsi garam berlebih, stress dan kebiasaan merokok. Tujuan adalah untuk mengetahui faktor-faktor yang berhubungan dengan kejadian hipertensi pada pra lansia di Posbindu Aster Kp. Cibogo Rw 06 Kelurahan Leuwigajah Tahun 2012. Metode penelitian yang digunakan yaitu survey analitik dengan pendekatan cross sectional. Penelitian ini menggunakan sampel klien yang berkunjung ke Posbindu Aster Kp. Cibogo Rw 06. Jumlah sampel sebanyak 61 orang dengan penentuan sampel menggunakan Accidental Sampling. Data diperoleh dengan wawancara menggunakan kuesioner dan analisa secara statistik menggunakan uji Chi-Square. Hasil uji statistik didapatkan bahwa obesitas (p value = 0,004), konsumsi garam berlebihan (p value = 0,004),Â  stress (p value = 0,0001), dan kebiasaan merokok (p value = 0,0001) sehingga terdapat hubungan yang signifikan dengan kejadian hipertensi. Pra lansia di Posbindu Aster yang mengalami hipertensi dipengaruhi oleh obesitas, konsumsi garam berlebihan, stress dan kebiasaan merokok. Oleh karena itu, petugas kesehatan perlu meningkatkan pendidikan kesehatan tentang diet, aktifitas fisik secara teratur, mengontrol stress dan mengurangi merokok. Kata Kunci : Cross sectional, Posbindu, Hipertensi
PENGETAHUAN PASIEN TENTANG TUBERKULOSIS
Authors: Atira Atira , Rosalia Rina
Published: May 2024

Kejadian tuberkulosis oleh Mycobacterium tuberculosis bakteri masih cukup tinggi khususnya pada wilayah kerja Poliklinik Paru RSAU Dr. M Salamun yaitu sekitar 1994 orang pada tahun 2015. Tujuan penelitian ini untuk mengetahui pengetahuan pasien tentang tuberkulosis pada pasien tuberkulosi. Metode penelitian ini menggunakan metode survey deskriptif. Analisa data menggunakan univariat. Populasi pada penelitian ini yaitu semua pasien rawat jalan di Poliklinik Paru RSAU Dr. M Salamun denganÂ  besaran sampel 84 responden. Teknik yang digunakan yaitu teknik Accidental Sampling. Hasil penelitian didapatkan data pengetahuan yaitu sebagian kecil atau 16 (19.05%) responden memiliki pengetahuan baik, dan 23 (27.38%) responden memiliki pengetahuan cukup, serta 45 (53.57%) responden memiliki pengetahuan kurang. Simpulan pengetahuan pasien tentang tuberkulosis kategori kurang.Â  Saran bahwa perlu diberikan penyuluhan tentang pengetahun tentang tuberkuosis pada pasien agar penyakit tuberkulosis dapat dicegah. Kata Kunci: pengetahuan, tuberkulosis, Mycobacterium tuberculosis
GAMBARAN PENGETAHUAN IBU MENGENAI PENYAKIT NASOFARINGITIS (COMMON COLD) PADA ANAK USIA 5-14 TAHUN DI WILAYAH KERJA PUSKESMAS CIPAGERAN CIMAHI
Authors: Fatonah H.S. Sofa , Agustina Agnes
Published: May 2024

Kejadian batuk pilek ataupun penyakit nasofaringitis (common cold) merupakan penyakit yang umum terjadi pada anak-anak. Penyakit ini biasanya akan berlangsung selama 1 sampai 2 minggu. Gejala yang menyertai common cold seperti demam, bersin, batuk dan pilek. Hal ini memang kadang tampak mengkhawatirkan ditambah lagi bila anak mengalami batuk tak henti-hentinya disertai muntah. Data Dinas Kesehatan Kota Cimahi didapatkan tahun 2015 kejadian common cold pada usia 5-14 tahun sebanyak 3927 orang dengan kejadian di Puskesmas Cipageran sebanyak 405 orang. Hasil wawancara terhadap 10 ibu yang berkunjung ke Puskesmas dengan didapatkan 6 orang ibu tidak mengetahui penyakit yang diderita. Tujuan penelitian untuk mengetahui pengetahuan berdasarkan pengertian dan penularan, gejala, pencegahan dan pengobatan penyakit nasofaringitis (common cold) pada anak usia 5-14 tahun. Common cold adalah infeksi primer di nasofaring dan hidung yang sering mengeluarkan cairan, penyakit ini banyak dijumpai pada bayi dan anak. Penelitian ini merupakan penelitian deskriptif dengan cara pengumpulan data melalui data primer dengan jumlah responden sebanyak 83 orang. Hasil penelitian menunjukkan bahwa pengetahuan ibu mengenai pengertian dan penularan penyakit nasofaringitis (common cold) berpengetahuan cukup sebanyak 39 orang (47%), pengetahuan ibu mengenai gejala penyakit nasofaringitis (common cold) berpengetahuan cukup sebanyakÂ Â Â  43 orang (51,8%), pengetahuan ibu mengenai pencegahan dan pengobatan penyakit nasofaringitis (common cold) berpengetahuan kurang sebanyak 44 orang (53%). Secara keseluruhan pengetahuan ibu mengenai common cold berpengetahuan kurang sebanyak 43 orang (51,8%). Hasil penelitian disarankan kepada pihak kesehatan untuk melakukan penyuluhan kepada ibu yang ada di wilayah kerjanya mengenai swamedikasi common cold sehingga ibu tidak salah dalam melakukan tindakan swamedikasi tersebut. Â Kata KunciÂ  :Â  Pengetahuan, Common Cold, deskriptif
HUBUNGAN BEBAN KERJA PERAWAT DENGAN CARING PERAWAT DI RUANG RAWAT INAP RAFAEL DAN MIKAEL RUMAH SAKIT CAHYA KAWALUYAN PADALARANG
Authors: Pasaribu Keiko , Khunaefi Ahmad , Anwar Muhamad
Published: May 2024

Beban kerja adalah sejumlah target pekerjaan atau hasil yang harus dicapai dalam satu satuan waktu. Hasil studi pendahuluan terhadap 6 orang perawat dengan menggunakan lembar observasi work sampling didapat hasil sebesar 88,9% lebih tinggi dari nilai standar titik optimum waktu kegiatan produktif yaitu 80%. Dalam usaha yang dilakukan perawat untuk menyelesaikan kegiatannya dalam memberikan pelayanan pada pasien, perawat dituntut untuk memberikan pelayanan yang berkualitas, diantaranya adalah memberikan pelayanan dengan sikap caring. Perilaku caring perawat adalah pengetahuan, sikap, dan keterampilan seorang perawat dalam merawat pasien dan keluarga dengan memberikan dorongan positif, dukungan, dan peningkatan pelayanan. Tujuan penelitian ini adalah untuk mengetahui hubungan beban kerja perawat dengan caring perawat di ruang rawat inap Rafael dan Mikael Rumah Sakit Cahya Kawaluyan Padalarang. Metode yang digunakan dalam penelitian ini adalah dengan survei analitik dengan menggunakan pendekatan cross sectional dimana pengumpulan data penelitian dilakukan bersamaan antara variabel dependen dan independen. Populasi dalam penelitian ini sebanyak 23 orang perawat dengan teknik total sampling. Pengumpulan data dianalisis secara univariat dan bivariat dengan menggunakan distribusi frekuensi dan chi square. Hasil penelitian hampir seluruhnya yaitu 19 orang perawat (82,6%) memiliki beban kerja tinggi dan sebagian besar yaitu 12 orang (52,2%) memiliki caring yang baik. Hasil uji statistik dengan chi square menunjukan tidak ada hubungan antara beban kerja dengan caring perawat dengan nilai p value 0,317 > Î± (0,05). Sehingga perlu dikaji lebih lanjut faktor-faktor yang mempengaruhi caring selain dari faktor beban kerja.Â Kata Kunci : Beban Kerja, Caring Perawat, Work Sampling, Chi Square
HUBUNGAN POLA ASUH IBU DALAM PEMBERIAN MAKAN DENGAN KEJADIAN STUNTING PADA ANAK USIA 24-59 BULAN DI PUSKESMAS LEUWIGAJAH CIMAHI SELATAN 2019
Authors: Fatonah Sofa
Published: May 2024

Stunting (tubuh pendek) adalah hasil jangka panjang dari kekurangan nutrisi dengan tinggi badan menurut umur kurang dari -2 SD (Standar Deviasi) di bawah median panjang (WHO, 2010). prevalensi stunting Â Secara global 22,% pada anak dibawah usia 5 tahun (UNICEF et al.,2017), nasional 37,2%(Riskesdas, 2013), jawa barat 29,9% (Pikiran Rakyat, 2018), Kota Cimahi terdapat 9,75%(Dinkes Cimahi, 2018), puskesmas leuwigajah 10,39% (puskesmas leuwigajah 2018) Â Pola asuh adalah penyebab tidak langsung dari kejadian stunting dan apabila tidak dilaksanakan dengan baik dapat menjadi penyebab langsung dari kejadian stunting, artinya pola asuh adalah faktor dominan sebagai penyebab stunting (UNICEF, 2015). Tujuan penelitian ini untuk mengetahui hubungan pola asuh ibu dalam pemberian makan dengan kejadian Stunting Pada Anak Usia 24-59 Bulan Di Puskesmas Leuwigajah Cimahi Selatan 2019. Metode penelitian ini kolerasi dengan pendekatan cross sectional Teknik pengambilan sampel yaitu menggunakan accidental sampling dengan jumlah 95 responden. Intrument yang digunakan kuisioner. Hasil penelitian dianalisis dengan menggunakan uji Chi-Square menunjukkan nilai p=0,003 < Î± (0,05), sehingga dapat disimpulkan bahwa terdapat hubungan yang bermakna antara pola asuh makan dengan kejadian stunting pada anak usia 24-59 bulan di wilayah kerja Puskesmas Leuwigajah Cimahi Selatan.Â Â Â Kata kunciÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â  : pola asuh ibu, pemberian makan, stunting , anak usia 24-59 bulan
PERILAKU PENCEGAHAN TERHADAP KEJADIAN DEMAM BERDARAH DENGUE PADA MASYARAKAT
Authors: Atira  , Sukmarahayu Vera Legina , Phytriyani Rima
Published: May 2024

Penyakit Demam Berdarah Dengue (DBD) merupakan salah satu masalah kesehatan masyarakat di Indonesia karena dapat menyerang seluruh kelompok umur dan sering menimbulkan kematian. Angka kesakitan di wilayah Kabupaten Cianjur pada tahun 2018 yaitu terdapat 361 kasus DBD yang tersebar di wilayah kerja dinas kesehatan Cianjur dengan angka kesakitan sebanyak 1543 per 100.000 penduduk dan angka kematian 0,28% per 100.000 penduduk. Salah satu faktor penyebab adalah perilaku pencegahan masyarakat yang kurang baik. Tujuan penelitian yaitu untuk mengetahui hubungan perilaku pencegahan terhadap kejadian DBD pada masyarakat. Metode penelitian menggunakan survei Analitik Cross sectional. Teknik pengambilan sampel yaitu Stratified Random Sampling dengan perolehan sampel 100 responden. Hasil penelitian menunjukkan sebanyak 100 responden ditemukan berperilaku baik melakukan pencegahan DBD sebanyak 82 (82%) responden, sedangkan 18 (18%) responden yang berperilaku buruk tidak melakukan pencegahan DBD. Responden yang ditemukan terjangkit DBD sebanyak 28 (28%) responden, sedangkan responden yang tidak terjangkit DBD sebanyak 72 (72%) responden. Saran: Tim Kesehatan perlu meningkatkan pengetahuan promotif dan preventif yang berkaitan dengan perilaku 3M Plus pada masyarakat agar terbebas dari DBD.
Kata Kunci : Demam Berdarah Dengue, Perilaku Pencegahan