bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparative study on the burden of caregivers of patients with chronic renal failure on continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD)
Authors: SARABIA-ALCOCER Betty , AKÉ-CANCHÉ Baldemar , LÓPEZ-GUTIÉRREZ Tomás Joel , GUTIÉRREZ-ALCÁNTARA Eduardo Jahir
Published: July 2023

Objective: To determine the differences in caregiver burden in patients with chronic renal failure undergoing renal replacement therapy in CAPD and APD. Material and methods: It is an analytical, non-experimental, comparative, cross-sectional, prospective study; with random selection and systematically assigned controls. People who perform the role of caregivers in patients with chronic renal failure on peritoneal dialysis, with renal replacement therapy in the modalities of CAPD and APD integrated into the peritoneal dialysis program in Campeche from January to July 2022, with a total of 60 primary caregivers. The Zarit test questionnaire and the caregiver effort index questionnaire were applied. Contribution: The following overload results were found for the CAPD caregiver of 12.9% and for APD 13.8%, in mild overload for CAPD 22.6% and for APD 10.3% and without overload CAPD 75.9% and APD 65.4%. The predominant gender of the caregiver was female for both modalities of peritoneal dialysis that correspond as follows CAPD 77.4% are women for APD women 75%. The average age found for CAPD was 46.87 and for DPA 45.55, with an average for CAPD and DPA respectively of 31 and 29 years.
Mobile application with augmented reality applied to programming learning
Authors: SÁNCHEZ-JUÁREZ Iván Rafael , PAREDES-XOCHIHUA María Petra , MORALES-ZAMORA Vianney
Published: July 2023

Augmented Reality (AR) is a technology that allows users to have interactive experiences between themselves, the physical world, and the virtual world through the use of digital devices that have a digital camera, such as smartphones, tablets, desktop computers, or laptops. AR has various applications such as entertainment, advertising and marketing, medicine, architecture, engineering, tourism, e-commerce, or education; in the latter, students can visualize different concepts of programming fundamentals or object-oriented programming. The objective of this project is to create a mobile application applying augmented reality to the fundamental concepts of programming so that students can improve their understanding and retention of syntax and examples of terms used in Java. The application is focused on control structures, conditionals, classes, methods, constructors, objects, and arrays. Searching for concepts on the internet, physical or electronic books, or even with classmates, can take up to 5 minutes, with this application, it is possible to see the structure and/or examples in a matter of seconds, besides having the advantage that it does not require internet connectivity.
Le paysage linguistique de Port-au-Prince : le cas de la route de Frères
Authors: Laforêt Johnny
Published: July 2023

Pour tout étranger visitant Haïti pour la première fois, le constat sur le paysage linguistique est inévitable : le français est la langue majoritairement utilisée dans l’espace public urbain. Par exemple, les panneaux indicateurs, les enseignes commerciales, les noms des rues, des bâtiments publics ou privés, les noms des écoles et des églises sont pour la plupart écrits en français. Or, depuis quelques années, le créole haïtien commence progressivement à se tailler une modeste place dans le paysage linguistique via les graffitis, les banderoles à caractère politique et éducatif, etc. À cela s’ajoute aussi l’anglais qui tend à occuper une place non négligeable dans ce paysage linguistique. La Constitution haïtienne de 1987 est sans équivoque : il y a deux langues officielles dans le pays, le français et le créole haïtien. Mais cette même Constitution a pris le soin d’ajouter que seul le créole représente la langue nationale, et elle est la seule langue qui cimente tous les Haïtiens. Malgré cette désignation évidente, le créole peine encore à occuper la place qu’il mérite dans le quotidien scriptural des Haïtiens. Étant la principale langue parlée par tout Haïtien vivant en Haïti, un seul coup d’œil sur la première page du plus grand quotidien haïtien, Le Nouvelliste, donnera une autre perception puisque la prévalence est pour le français dans les colonnes de ce journal et cela représente un autre exemple de franco-dominance. Il faut aussi noter que plupart des notes et circulaires importantes affectant la vie de tous les Haïtiens sont rédigées en français, langue que beaucoup d’Haïtiens ne comprennent pas. Soucieux de la place prépondérante qu’occupent les questions de langues dans le développement du pays, j’ai toujours remarqué cet écart dans le paysage linguistique du pays. De surcroît, lors d’un voyage en Haïti en 2017, ce constat est devenu d’autant plus frappant vu l’absence très remarquée du créole haïtien de la couverture linguistique sur le trajet de l’aéroport Toussaint-Louverture à la route de Frères. S’appuyant sur les travaux de chercheurs canadiens, en particulier Bourhis et Landry (1997) et Cormier (2015) sur le choix et la politique de l’utilisation des langues dans le paysage linguistique d’un pays, cet article vise à présenter le paysage linguistique de la route de Frères, zone pluriculturelle et multilingue et y analyser la visibilité du français, du créole haïtien et de l’anglais au moyen de 174 photographies prises sur cette route durant le mois d’août 2021.
Gateo y orientación espacial en niños del nivel inicial de la provincia de Chulucanas
Authors: Abramonte Vilchez Sofia , Celi Godos Lourdes
Published: July 2023

Objetivo: determinar la relación entre el gateo y la orientación espacial en los niños del nivel inicial de la provincia de Chulucanas. Materiales y métodos: se ajustó a un estudio correlacional y diseño no experimental de corte transversal. La muestra estuvo conformada por 152 niños del nivel inicial. Los instrumentos fueron un Cuestionario del gateo, una ficha de observación y una ficha de recolección de datos sociodemográficos. Respecto al análisis inferencial, se empleó la prueba no paramétrica Chi cuadrado con un nivel de significancia estadística de 0.05. Resultados: se evidenció que hay una relación significativa entre el gateo y orientación espacial (p=0.00), por último, se pudo observar que en lo correspondiente a los datos sociodemográficos se encontró una relación significativa entre edad y espacio (p=0.0005); edad y tiempo (p=0.0001); y entre edad y espacio-tiempo (p=0.000). Sin embargo, respecto al sexo y lugar de residencia no se encontraron resultados significativos. Conclusión: el gateo se relaciona directamente con la orientación espacial. Asimismo, se comprendió que la orientación espacial permite mejorar las habilidades del niño no solo con la ubicación espacial, sino también en diferentes áreas importantes como lo son la lectoescritura, motricidad fina, la propiocepción, el equilibrio, entre otras.
Palabras Clave: Orientación espacial; espacio-temporal; desempeño psicomotriz locomoción; hemisferios cerebrales.
Estilos de personalidad y sintomatología ansiosa en jóvenes que realizan el servicio militar en Chorrillos y Rímac
Authors: Morilla Espinoza Leslie Yajhaira , Garcí­a Romero Marghory Judith
Published: July 2023

Objetivo: determinar la relación entre estilos de personalidad y la sintomatología ansiosa en jóvenes que realizan el servicio militar en Chorrillos y Rímac, Lima. Materiales y métodos: el estudio fue correlacional de corte transversal. La muestra fue de 109 soldados de 18 a 25 años. El tipo de muestreo fue no probabilístico. Se utilizaron el Inventario de Estilos de Personalidad de Millon (MIPS), el Inventario de la Ansiedad Rasgo/Estado (IDARE) y una ficha sociodemográfica. Para el análisis estadístico se utilizó Stata 15 y se realizaron las pruebas de Chi-Cuadrado, Kruskal Wallis y ANOVA, y para la prueba de normalidad se empleó Shapiro Wilk. Resultados: se encontró una relación significativa entre conformismo y ansiedad estado (p=0.03). Así también, se evidenció una relación significativa entre expectativas del servicio militar y algunas subescalas de los estilos de personalidad: sensación (p=0.00), sistematización (p=0.04). Conclusión: Conformismo se relaciona con ansiedad estado, ya que se requiere de personas disciplinadas y respetuosas de la autoridad para la fácil adherencia a la vida castrense. Además, la sensación, sistematización y expectativas del servicio militar se asocian, ya que estos estilos cognitivos les permite mostrar un alto grado de compromiso y buena disponibilidad para realizar su servicio, permitiendo que puedan participar de actividades de entrenamiento con agrado. Finalmente, el adquirir conocimientos de la experiencia directa a través de sus sentidos les genera satisfacción, y esto a su vez produce que sean eficientes y que puedan adaptarse a los mínimos detalles del ritmo de vida militar.
Contribuições de Georges Devereux à metodologia de pesquisa em ciências humanas
Authors: Domingues Eliane , Wonsoski Wanessa
Published: July 2023

O objetivo deste artigo é expor uma síntese das principais contribuições de Georges Devereux para o campo da metodologia de pesquisa em ciências humanas: a epistemologia complementarista e a análise da contratransferência do pesquisador. O complementarismo, em Devereux, fundamenta-se na ideia de que a compreensão dos fenômenos humanos necessita de pelo menos uma dupla análise, nunca simultânea: do exterior (da cultura), pela antropologia, e do interior (psiquismo), pela psicanálise. Essa proposta respeita a especificidade de cada disciplina e também pode articular outras disciplinas e saberes na compreensão dos fenômenos humanos. A análise da contratransferência, por sua vez, é entendida como o caminho para a obtenção da objetividade na pesquisa e principal fonte de dados na pesquisa em ciências humanas, embora geralmente negligenciada. Como Devereux é um autor ainda pouco conhecido no Brasil, acreditamos que suas contribuições no campo da metodologia merecem ser estudadas e divulgadas.
Estado e as lutas sociais
Authors: Possas Thiago Lemos
Published: July 2023

O texto apresentado busca levantar parte das teorias marxistas sobre a relação entre a luta de classes e o Estado sob o capitalismo. A problematização empreendida envolve questões como: o Estado é exclusivamente um comitê burguês? Há possibilidade de luta social na instituição estatal? A atuação do Estado pode ser influenciada pela luta social? Qual a relevância da categoria “luta de classes” para a análise do capitalismo? Almeja-se, neste artigo, discutir elementos que possam subsidiar estas questões fundamentais, sem a pretensão de uma resposta acabada, já que a complexidade da temática demandaria um estudo muito mais vasto e complexo, e não caberia em um artigo científico. Trabalhar com a teoria clássica do marxismo sobre o Estado e a política (Marx, Engels e Lênin), sua reelaboração pelo pensamento gramsciano, os desenvolvimentos dados por Poulantzas que também servem de substrato teórico para as discussões levantadas, bem como a comparação com a teoria pachukaniana e com a teoria do “derivacionismo”, são os elementos desenvolvidos de forma sucinta no texto apresentado.
evolução do direito internacional dos direitos dos povos tradicionais
Authors: Amorim André Ricci de , Teixeira Sílvia Gabriel
Published: July 2023

A despeito do reconhecimento dos Direitos Humanos na esfera internacional por ocasião da Declaração Universal dos Direitos Humanos de 1948, nota-se que a sua aplicação prática nem sempre é algo fácil de ser alcançando. Portanto, o escopo do presente artigo é analisar como se desenvolve a proteção dos Direitos Humanos em relação às minorias, em especial, dos povos tradicionais da América Latina. O objetivo geral é despertar no leitor o pensamento crítico acerca da Decolonialidade e chamar sua atenção para a importância de se buscar um Direitos Humanos intercultural que atenda aos verdadeiros anseios das populações tradicionais, onde é reconhecido sua diversidade. O objetivo específico é analisar como tem sido a busca pela proteção dos direitos dessas pessoas a partir da jurisprudência da Corte Interamericana de Direitos Humanos (CIDH). Para isso, o trabalho utiliza métodos bibliográficos como doutrina especializada e instrumentos jurídicos regionais e internacionais que permitem melhor percepção sobre a realidade da evolução do direito internacional na proteção dos direitos dos povos tradicionais. Portanto, o presente tema é atual e merece a atenção da comunidade regional e internacional, a fim de que sejam promovidas políticas públicas mais eficientes e que o sistema de proteção dos direitos humanos dos povos tradicionais esteja em constante ascensão.
desafios da aplicabilidade da BNCC de Ciências da Natureza no Ensino Fundamental
Authors: Machado Vera de Mattos , Olmedo Alessandra dos Santos , Gondin Cristiane Miranda Magalhães
Published: July 2023

O currículo escolar é compreendido como um instrumento orientador das ações das unidades escolares. Com a homologação da Base Nacional Comum Curricular (BNCC) em 2017, foi instituído um currículo em todo território brasileiro, cabendo aos estados, municípios e ao Distrito Federal cumprir a obrigatoriedade da normativa. O objetivo deste trabalho foi analisar e discutir habilidades de Ciências da Natureza do 2º ano do Ensino Fundamental da BNCC, pautadas na Teoria Antropológica do Didático (TAD) e na Transposição Didática (TD). O estudo foi de cunho qualitativo, com o desenvolvimento de Organizações Praxeológicas (OP). Foi realizado um recorte das habilidades da BNCC para analisar a unidade temática Vida e Evolução. Constituímos a praxeologia desta unidade, identificamos técnicas complexas, o que dificulta o processo de ensino para o 2º ano, além de requerer grande quantidade de conceitos. As relações propostas nas habilidades são de grande complexidade para esta etapa de ensino. Evidenciamos que há imposição de uma Instituição sobre outras, cujo documento apresenta determinismo excessivo, não considerando a diversidade em seus aspectos sociais, ambientais e culturais. Portanto, para minimizar a complexidade do trabalho do professor desse nível de ensino, com as habilidades da BNCC, sugerimos a elaboração de Organizações Praxeológicas, a partir da análise e interpretações das habilidades. Diante disso, o professor poderá compreender a dimensão de cada uma das habilidades e redimensionar sua Organização Didática.
Brasil para que(m)?
Authors: Henriques Hugo Rezende
Published: July 2023

Pensar uma nação é ao mesmo tempo a reconhecer e disputar. Perceber o quadro geral de forças que constituem e digladiam pela brasilidade é uma tarefa que cabe unicamente à Filosofia do Estado, prenhe das contribuições científicas que a possibilitam. O presente artigo busca realizar uma leitura do Brasil em três momentos que seguem todos atuando e disputando, por si ou por prepostos, o sentido da verdadeira brasilidade. O Brasil em-si é uma nação de afetos e dor, um povo cujas riquíssimas tradições encanta e cujas agruras desperta interesse, seus projetos são de tímida projeção externa e um deixar-se a si na existência dos povos como tais. O Brasil para-si, por sua vez, é uma nação mercantil, intrépida e racional, bem como profundamente violenta, e cujos projetos se baseiam na manutenção da inserção brasileira numa ordem econômica mundial na qual nossa posição já está dada. O Brasil em-si-para-si emerge entre os dois primeiros, e é uma nação de paixões e alegria, um povo cujas tradições se amalgamam e reconectam incessantemente para o formar o novo, e cujos projetos são de garantia de um lugar para o Brasil no mundo por sua singularidade e altivez. Compreender em que medidas uma ou outra dimensão da nação brasileira conquista poder político e que tipo de projetos delineia para os futuros do nosso Estado parece um exercício essencial para tomarmos consciência das dinâmicas de poder centrais do Brasil e, eventualmente, nos posicionarmos de maneira consequente em face das demandas e perspectivas de cada uma delas.
filosofia e a universidade como utopia
Authors: Mayos Solsona Gonçal
Published: July 2023

A filosofia, a universidade e o modelo atual de educação apresentam aspectos eutópicos e positivos, mas também irrealistas e inclusive negativos. Analisaremos brevemente um ou outro. Por exemplo, a filosofia usou habilmente o mito, mas também cedeu a ele. A universidade nasceu como um "universo" de pessoas livremente dedicadas à vida reflexiva, mas também recaiu no dogmatismo hierárquico e na "hybris do ponto zero". Sob a orientação, primeiro da Igreja e depois do Estado, a filosofia e a universidade se reconfiguraram em conflito com a teologia e as tecnociências. Seu objetivo era, antes de mais nada, "governar as pessoas" por meio do "poder pastoral" (Foucault) e da "antropotécnica" (Sloterdijk), mas cada vez mais se voltaram para o mercado e para a razão e o conhecimento instrumentais. Hoje, até mesmo o lazer e o turismo se tornaram produtivos e uma fonte de "capital humano". É por isso que devemos nos lembrar de que outras filosofias, universidades e formações são possíveis e continuam sendo fundamentais para manter o "cimento da polis" (Aristóteles). Além disso, a "inteligência artificial" ameaça transformá-las radicalmente, talvez introduzindo um "imaginário" hegemonicamente não humano (Harari). Seria uma ruptura mais retumbante do que a "morte de Deus"... a morte do humano?
PENGARUH EFIKASI DIRI DAN PELATIHAN TERHADAP KINERJA KARYAWAN DENGAN KOMITMEN ORGANISASI SEBAGAI VARIABEL MEDIASI PADA PT. PHAPROS TBK WILAYAH JATENG DIY
Authors: Ekowati Yunia , Hidayah Siti , Handayani SB.
Published: July 2023

Abstract : The purpose of this study was to analyze the effect of self-efficacy and training on employee performance with organizational commitment as a mediating variable. The population in this study were employees of PT. Phapros Tbk Central Java DIY Branch. This study uses purposive sampling, Data processing method using SPSS. The results of hypothesis testing show that self-efficacy has a positive and significant effect on organizational commitment. Training has a positive and significant effect on organizational commitment. Organizational commitment has a positive and significant effect on employee performance. Self-efficacy has a positive and significant effect on employee performance. Training has a positive and significant effect on employee performance. The results of the analysis of mediating variables using the Sobel test, found that organizational commitment can mediate the effect of self-efficacy on employee performance. Organizational commitment can mediate the effect of training on employee performance.
Si può dire il secondo più grande? E il terzo migliore?
Authors: D'Achille Paolo
Published: July 2023

Ci sono pervenuti quesiti sulla correttezza di espressioni come il secondo figlio più grande, la seconda più grande (in contesti diversi rispetto a quando è preceduto da la prima, più piccola).
HUBUNGAN PENDIDIKAN DAN STATUS PEKERJAAN DENGAN PEMBERIAN ASI EKSKLUSIF
Authors: Wahyuni Endah Tri , Utami Istri
Published: July 2023

Latar Belakang:ASI (Air Susu Ibu) merupakan asupan yang sangat penting bagi bayi. ASI mengandung kandungan gizi yang sempurna dan bermanfaat untuk bayi. Asi Eksklusif adalah pemberian ASI sedini mungkin setelah persalinan sampai bayi berumur 6 bulan. Salah satu faktor ketidakberhasilan ibu memberikan ASI Eksklusif adalah status ibu bekerja. Ibu menyusui yang bekerja seringkali mengalami hambatan lantaran singkatnya masa cuti hamil dan melahirkan mengakibatkan sebelum masa pemberian ASI Eksklusif berakhir mereka sudah harus kembali bekerja. Selain itu, pendidikan yang rendah juga seringkali dikaitkan dengan ketidakmampuan ibu menyusui dalam memberikan ASI secara Eksklusif. Tujuan dari penelitian ini unuk mengetahui hubungan pendidikan dan status pekerjaan dengan pemberian ASI Eksklusif. Penelitian ini dilakukan di Desa Sariharjo Ngaglik Sleman. Sampel berjumlah 40 ibu menyusui dengan teknik pengambilan sampel simple random sampling

Metode: Penelitian ini merupakan penelitian deskriptif analitik denan pendekatan kuantitatif. Rancangan penelitian yang digunakan dalam pendekatan kuantitatif adalah cross sectional.

Hasil: Hasil penelitian menunjukkan ada hubungan pendidikan dan status pekerjaan dengan pemberian ASI Eksklusif dengan hasil uji statistik diperoleh p value 0,521<alpha (0,05), OR : 1,600 (pendidikan dengan pemberian ASI eksklusif), p value  0,003 < alpha (0,05), OR 9,208 (status pekerjaan dengan pemberian ASI Eksklusif)

Kesimpulan: Ada hubungan pendidikan dan status pekerjaan dengan pemberian AS Eksklusif
IDENTIFIKASI METALLO-β-LACTAMASE (MBL) PADA ISOLAT BAKTERI GRAM NEGATIF DI RUMAH SAKIT KOTA PALEMBANG
Authors: Patricia Venny , Yani Ahmad
Published: July 2023

Latar Belakang: Resistensi antibiotik merupakan ancaman bagi efektifitas pencegahan dan pengobatan terhadap penyakit infeksi. Antibiotik beta laktam ditemukan pertama kali sampai sekarang, angka kejadian infeksi oleh bakteri penghasil ESBL semakin meningkat diseluruh dunia. Ada 3 kelas menurut klasifikasi Ambler, diantara nya kelas B yaitu metallo-beta-lactamase (MBL) paling banyak menyebar dan banyak didominasi oleh bakteri Enterobactericeae yang merupakan bagian dari bakteri gram negatif. mengetahui prevalensi enzim Metallo beta lactamase (MBL) pada isolat bakteri gram negatif berdasarkan metode fenotif dan genotif sehingga akan didapatkan data terkait resistensi antibiotik ESBL khususnya Metallo-ꞵ-Lactamase. Metode: Penelitian ini berupa studi laboratorik dengan survei klinis secara cross sectional. Konfirmasi fenotif menggunakan Double-disk synergy test (DDST) dan Combined disk synergy test (CDST) dan secara genotif dengan mendeteksi gen IMP, VIM dan NDM. Hasil: Total 88 isolat didapatkan hasil uji DDST positif sebanyak 44(50%) isolat dan CDST sebanyak 87(98.8%) isolat. Konfirmasi MBL secara genotif didapatkan positif hanya pada gen IMP 7(7.9%) isolat, sedangkan pada gen VIM dan NDM semuanya negatif. Data secara fenotif pada sampel yang positif gen IMP, didapatkan sebagai berikut yaitu DDST positif sebanyak 4(4.5%) dan CDST positif sebanyak 7(7.9%). Sensitifitas dari perbandingan dua metode tersebut diperoleh hasil sebanyak 51.1% dan Spesifisitas sebanyak 100%. bakteri terbanyak yaitu K.pneumonia 45(51,1%) dan E.coli 31(35,2%). Sampel terbanyak sputum 34(38,6%); pus 18(20,5%) serta urine 13(14,8%).

Kesimpulan: Metode konfirmasi secara fenotif yang lebih mudah dipakai yaitu menggunakan metode CDST dan masih terdapat gen positif MBL pada isolate gram negatif.

 

Kata kunci : Fenotif, Genotif, Gram negatif, MBL
KESIAPSIAGAAN BENCANA GEMPA BUMI DALAM KEPERAWATAN: TINJAUAN PENELITIAN
Authors: Cahyo Firman Dwi , Ihsan Farly , Roulita Roulita , Wijayanti Nunik , Mirwanti Ristina
Published: July 2023

Background: In the face of disasters, preparedness is the key to safety. This shows that there is a need for a preparedness plan in the field of disaster nursing, especially earthquakes so that it can minimize losses that will occur.

Objective: This review aims to improve a practical understanding of earthquake disaster preparedness.

Method: Search articles using keywords in the Pubmed, CINAHL, Science Direct, and Official Website databases with the criteria for articles using Indonesian or English, full text available published between 2011 and 2021. The search results obtained 667 articles and obtained 7 relevant articles.

Result: Earthquake preparedness plans need to be anticipated starting from the family structure which emphasizes that each individual and family personnel have a role in earthquake disaster preparedness, as well as in community and community settings which emphasize cooperation, disaster mitigation, and post-disaster recovery plans.

Conclusion: Understanding, awareness, and ability related to earthquake disaster preparedness for individuals, families and the community needs to be improved through health education, training, and disaster simulations and needs to be given to the community including disaster awareness, situation and disaster risk analysis, disaster preparedness strategies, prevention, and what to do in the event of a disaster, disaster communication and triage as well as first aid during a disaster and basic life support.
MANAJEMEN RISIKO DALAM MENGANTISIPASI KEJADIAN BENCANA DI WILAYAH KERJA PUSKESMAS KOTA PALEMBANG
Authors: Simamora Sarmalina , Mangunsong Sonlimar , Dalilah Anayani
Published: July 2023

Latar Belakang: Palembang secara histori termasuk kota yang tidak rawan bencana alam. Namun karena jumlah penduduk terus meningkat, pembangunan fisik semakin banyak, tentu ruang terbuka hijau semakin berkurang. Bencana mulai timbul, seperti banjir saat hujan lebat, dan kebakaran saat kemarau. Dalam mengantisipasi bencana, Puskemas memiliki tugas dalam melaksanakan manajemen risiko terhadap potensi bencana di Kota Palembang. Kesiapan menghadapi bencana ini sangat dipengaruhi oleh pengetahuan tenaga kesehatan dan pengelolaannya. Tujuan penelitian ini adalah untuk mengidentifikasi pengetahuan tenaga kesehatan yang diberi tanggung jawab sebagai pengelola, kebijakan yang ada di Puskesmas seperti ketersediaan SOP dan pendanaan yang berdampak terhadap aspek kesiapsiagaan Puskesmas dalam penanggulangan bencana di wilayah kerjanya masing masing.

Metode: Jenis penelitian ini adalah penelitian non eksperimental dengan rancangan deskriptif. Pengambilan data dilakukan dengan kuesioner dan wawancara terhadap 13 orang tenaga kesehatan yang Puskesmasnya ada di wilayah yang pernah terdampak bencana.

Hasil: Petugas Puskesmas memiliki pengetahuan yang baik (97%), sekalipun belum tersedia kebijakan yang memadai (86%), belum ada SOP (52%), dan sumber pendanaan yang jelas (35%) di beberapa Puskesmas. Sedangkan, penilaian terhadap aspek kesiapsiagaan Puskesmas berdasarkan kegiatan wawancara termasuk dalam kategori baik: (80%).

Kesimpulan: Penempatan tenaga kesehatan sebagai pengelola risiko bencana di Puskesmas sudah tepat, karena semuanya sudah memiliki pengetahuan yang baik. Hal ini akan lebih baik jika semua Puskesmas diperkuat dengan kebijakan di kota Palembang.
ANALISIS FAKTOR RISIKO KEJADIAN TB PARU DI KABUPATEN TULANG BAWANG
Authors: Sulaiman Dedek , Setiaji Bambang , Budiati Endang , Naue Dian Adhe Bianggo
Published: July 2023

Latar Belakang: Berdasarkan Global TB report 2021, Indonesia menduduki peringkat ke 3 di dunia. Kabupaten Tulang Bawang pada tahun  020 tercatat angka treatment Coverage sebesar 613 TB SO dan 1TB RO (43,49%), tahun 2021 tercatat 611 TB SO dan 0 TB RO (43,28%) dan pada tahun 2022 tercatat 675 TB SO dan 0 TB RO (40,45%), dari target nasionalyang dicanangkan oleh pemerintah sebesar 78%, tentu pencapaian tersebut masih belum memenuhi target. Tujuan penelitian ini adalah untuk mengetahui faktor risiko kejadian TB Paru di Kabupaten Tulang Bawang.

Metode: Jenis penelitian dalam penelitian ini adalah kuantitatif. Dengan menggunakan desain dan pendekatan case control  jumlah sempel 114 responden besar sampel 57 sempel kasus, sampel control sebanyak 57, tehnik pengambilan sampel dalam penelitian ini adalah dengan purposive sampling Objek dalam penelitian ini adalah kejadian Tuberkulosis. 

Hasil: Sebagian besar responden merokok (62,3%), dan sebagian besar memiliki status gizi baik (55,3%) dan memiliki Riwayat kontak dengan penderita TB paru(57,0%) dan sebagian besar memiliki kondisi rumah sehat (63,2%). Terdapat hubungan perilaku merokok dengan kejadian TB paru dan nilai OR (odds Ratio) 3,181 dengan kejadian TB paru dan nilai OR (odds Ratio) 4,977. Terdapat hubungan riwayat kontak penderita dengan kejadian TB paru dan nilai OR (odds Ratio) 4,139 Terdapat hubungan kondisi rumah dengan kejadian TB paru dan nilai OR (odds Ratio) 6,016

Kesimpulan: Terdapat hubungan status gizi, kondisirumah, Riwayat kontak penderita, Riwayat merokok, dengan kejadian TB paru
CASTLEMAN DISEASE – A RARE CASE REPORT OF NON-CLONAL LYMPHOPROLIFERATIVE DISORDER PRESENTING AS A HUGE NECK MASS
Authors: Gopal Reddy Shilpa , Rema Devi Remya , Krishnappa Indrani
Published: July 2023

Castleman disease is an uncommon lymphoproliferative disease also known as angiofollicular lymph node hyperplasia. It can be classied as unicentric or mutlicenteric type based on the clinical presentation. Histological variants can be either hyaline vascular or plasma cell type. Here we present a case Castleman disease occurring as a huge cervical lymphnode swelling in a young man. Surgical excision was done & hyaline vascular variant of Castleman disease was conrmed on histopathological examination. In addition, we discuss the pathogenesis, clinical features and reported comorbidities of unicentric and multicentric type and evaluate effective treatment strategies based on the results of lymph node biopsy and careful staging. The aim of this discussion is to revisit this very rare condition and emphasise the importance of histology to conrm the diagnosis from other lymphoproliferative conditions. Kaposi sarcoma & HIV are closely associated with this disorder and hence require thorough investigation.
PREVALENCE OF OVERWEIGHT AND OBESITY AMONG URBAN SCHOOLAGE CHILDREN
Authors: Kumar Tulsyan Puneet , Goel Nupur , Dwivedi Preeti , Bhargava Neeta , Bhatnagar Shirish
Published: July 2023

Aim and objectives: The present study was carried out with the aim to assess the prevalence of overweight and obesity among urban school going children aged 10-15 years. Materials and method: Evaluation of overweight and obesity was done using anthropometric measurements. Body weight, waist circumference and height of the children was measured. BMI was calculated. Children having BMI >85th percentile of genderspecic BMI for age value were dened as overweight and those having BMI >95th percentile of gender specic BMI for age value were dened as obese. 3- Prevalence of obesity and overweight was 12.4% in both males and females. Among High school students, proportion of obese was signicantly higher as compared to other nutritional status (90.91% vs. 17.93%, 41.44% & 48.67%). Results: Prevalence of Overweight and obesity among school going children aged 10-15 years was found to be 11.30% and 1.10% respectively. Frequent visits (once/week) for outside eating was signicantly higher in Obese as compared to underweight, normal and overweight. Conclusion: We established that energy and fat intake of obese and overweight children was signicantly higher as compared to underweight and normal weight children, thus stressing on the need to understand the energy balance context. This nding indicates the need for a lifestyle modication in order to change the situation.
DIAGNOSIS AND TREATMENT OF IDIOPATHIC INTRACRANIAL HYPERTENSION AT A TERTIARY CARE MULTISPECIALTY HOSPITAL IN NORTHEAST INDIA
Authors: Barman Aparajita , Ghose Manash , Das Rupjyoti , Ranjan Barua Amit , Deka Prasenjit , Chandra Borah Nomal , Gang Sneha , Barman Ananya
Published: July 2023

Idiopathic intracranial hypertension (IIH) is a condition of unknown etiology and is characterized by elevated intracranial pressure. In this case
series we describe the clinical features and responses to treatment of patients presented with IIH. It is a retrospective study of four patients who
were presented in our hospital between August 2020 and December 2021 and all patients ethnically belonged to northeast India. The patients were
evaluated and diagnosed based on history, physical examination, imaging as well as modied Dandy criteria. Low doses of acetazolamide were
recommended for all the patients. Timely diagnosis and accurate treatment of IIH is of utmost importance to avoid any irreversible visual loss.
PORTAL HYPERTENSION COMPLICATED BY GASTROESOPHAGEAL VARICES IN A PATIENT WITH MYELOFIBROSIS – A CASE REPORT.
Authors: A. Gajbhar Rutuja , Sai Sanjeev Kumar G. , Vishwanath Suryawanshi Nitin
Published: July 2023

Myelobrosis is a hematological neoplastic condition in which there is inadequate production of blood cells due to brosis and scarring of the bone marrow which might lead to the formation of portal venous clots and extramedullary hematopoiesis. It is thought that this extrahepatic portal venous clots are responsible for the cause of noncirrhotic portal hypertension in this population. The incidence of portal hypertension occurs as a complication in around 10-17% of patients [1]. Here, we describe a case of a 54-year-old female patient who presented with one episode of hematemesis. On examination, severe pallor was present and spleen was moderately palpated (gure 1). Upper gastrointestinal endoscopy revealed varices and ligation was done. Radiological imaging showed portal cavernoma formation; secondary to portal hypertension due to extrahepatic portal vein obstruction (EHPVO). Her complete blood count showed bi-cytopenia for which a bone marrow biopsy was done suggestive of myelobrosis
PRIMARY YOLK SAC TUMOR OF THE CEREBELLUM: AN UNUSUAL OCCURRENCE
Authors: Waje Aasawari , Shenoy Asha , Kolhe Ashvini
Published: July 2023

Primary pure yolk sac tumors (YST) arising in the central nervous system (CNS) are extremely rare and generally arise in pineal (62%) and suprasellar (31%) regions. To best of our knowledge, till date only 10 cases of Primary YST arising in cerebellum are reported in the literature. YSTs have very poor prognosis. Most of them occur in childhood, between 7 months to 3 years of age. Pathologist should be aware that the primary yolk sac tumors can present at unusual anatomical sites like cerebellum, which would aid its early diagnosis and appropriate treatment. Herein, we report a case of Primary YST involving cerebellar vermis and right cerebellar hemisphere in a 4-year-old female.
HEARING EVALUATION IN PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALYSIS
Authors: Singh Ankita , Soni Smita , Sharma Himanshu , Goel Aditya , Rajagopal Abhishek
Published: July 2023

Introduction: Chronic kidney disease (CKD), affects many organ systems. Accumulation of uremic toxins and prolonged hemodialysis affects almost every tissue, including auditory system. There is defect in microcirculation within the inner ear which principally causes the electrolytic imbalance resulting in the impairment of endocochlear potential and sensory transduction. Material and Method: an observational study was conducted in our tertiary care hospital in CKD patients on hemodialysis compared with non-CKD patients, from janurary 2021 to November 2022. Pure Tone Audiometry (PTA) was done at regular 3-month intervals. The results of PTA for each ear was recorded and type of hearing impairment was observed by the tracings on the audiogram. Results– In our study we reported prevalence of sensorineural hearing loss in 51.16% patients of CKD compared to normal participants in group where the prevalence was 11.63%. The hearing loss was bilateral (86.36%) and the degree of hearing loss was mild type in 30.23%, and we reported that 40.9% had high frequency hearing loss. It was noted that 10 (45.4%) out of 22 patients with hearing loss had stage 5 kidney disease. Conclusion- This study showed that hearing loss was more prevalent among patients with CKD on hemodialysis. In majority of the patients, the hearing loss was mild, bilateral, sensorineural, and mostly affecting higher frequencies.
INCIDENCE AND ASSOCIATION OF POSSIBLE RISK FACTORS FOR SURGICAL SITE INFECTION IN CLASS I & CLASS II SURGICAL WOUNDS
Authors: Yadav Amit , Kumar Gupta Ashok
Published: July 2023

Introduction The most prevalent kind of hospital-acquired illness (HAI) is known as a surgical site infection (SSI). An SSI is a surgical site infection that begins at the incision made after an invasive procedure and then spreads to other areas of the body. At present, a surgical site infection (SSI) is dened as “An infection that manifests itself during the rst thirty days after surgery if there is no implant left in place, or within the rst twelve months after surgery if there is an implant left in place”. Aim And Objectives Aim This study aims to nd out the incidence and association of possible risk factors for surgical site infection in class I & class II surgical wounds. Objectives Primary 1) To nd out the incidence of surgical site infection in class I & II surgical wounds. 2) To nd out the association of possible risk factors in surgical site infection. Secondary 1) To suggest measures to reduce the incidence of SSI in class I & II surgical wounds in our hospital. Materials and methods The study was conducted on a total of 289 patients from 1 December 2020 to 31 July 2022. Following details like type of surgery by wound class (classI/II), Elective/Emergency surgery, type of SSI, duration of surgery, antimicrobial prophylaxis used or not, drain used or not, duration of pre-operative period, total stay in hospital till discharge were noted. Surgical site was inspected after 48hrs of surgery and as and when required thereafter up to 30 days. Swabs were taken from the infected wounds and culture and sensitivity was done by the department of microbiology through standard methods. Results The incidence of SSI was 15.6%. The prevalence of SSI increased with age with higher prevalence among more than 60 years age group, more than 10 days in hospital , those undergoing emergency procedure. All risk factors and were signicantly associated with the occurrence of SSI and Clean contaminated surgery.
PETRIFIED BY THE HIDDEN CRAB: AN INTERESTING CASE OF ENCEPHALOMYELITIS.
Authors: D Dularijith. , Sathya Tejaswini Durgam , Azharudeen Mohammed , Pavai Arulnambi Thamil , Narasimhan Ranganathan Lakshmi
Published: July 2023

Encephalomyelitis is inammation of brain and spinal cord. Aetiology is varied including autoimmune, infectious, vaccine associated, and paraneoplastic. Early recognition is of crucial importance because neurological symptoms and signs often precede the diagnosis of cancer. Early detection makes it a treatable entity and alters the course of the disease. We present a case of lung malignancy in a 62-year-old woman, who had encephalomyelitis as her primary symptom without exhibiting any of the cardinal signs of lung malignancy. CT Chest and Whole body PETCT revealed primary lesion in right lung with ipsilateral pulmonary, pleural, mediastinal nodal and skeletal metastasis suggesting paraneoplastic aetiology for the neurologic presentation. This paper revealed that when a patient, especially elderly presents with myelitis or encephalomyelitis, paraneoplastic aetiology also should be evaluated.
CAN NACT CHANGE INTENT OF TREATMENT IN LOCALLY ADVANCED OROPHARYNGEAL SQUAMUS CELL CARCINOMA WITH N2, N3 METASTASIS
Authors: Kumar Diwan Ashok , Mutha Seema , Mahobia Vijay
Published: July 2023

Background: Oral squamous cell carcinoma (OSCC) is the most common type of tumor in the oral cavity. Early stage tumors account for about 30% of the tumors. The majority of the tumors are locally advanced and have relatively poor prognosis with 5 years survivals <50- 60%. Neoadjuvant chemotherapy (NACT) in head and neck cancers has been investigated for long with an aim of reducing surgical margins, distant metastasis rates, andimproving outcomes. To assess clinico-radiological i Objective: mpact of NACT in locally advanced oropharyngeal SCC with N2,N3 metastasis. This is prospective case control study conducted at governm Methods: ent medical college and hospital, Nagpur over 35 patients with locally advanced oropharyngeal SCC with N2 ,N3 metastasis from May2021- May 2022. At the time of presentation, patient evaluated with clinico-radiological protocol consisting of clinical size, overlying skin induration, CECT neck and thorax. The mean age of Results: population was 54 yrs (24-75 yrs). Among 31 patients,1 patient who belongs to N2 stage have complete response. 15 patients, in which 11 and 4 patients are with N2 and N3 stage respectively are having partial response. 4 patients with N2 stage and 3 patients with N3 stage are having stable disease. Post-NACT 17 patients treated with radical chemoradiation. The denitive curative radiation dose administered to the primary tumor was 66-70 Gy, administered as fractions of 1.8 Gy/day, 5days/week. Weekly cisplatin at a dose of 30 mg/m² was given as an IV infusion for 1 hr period for 6-7 weekly doses during the course of radiotherapy. In developing countries like India, where Conclusion: patients belongs to poor socioeconomic status, where patient compromise their health issues, they used to neglect their disease because of nancial problem, we can do best of the treatment by giving upfront NACT to the patients of locally advanced oropharyngeal SCC with N2,N3 metastasis.
STUDY OF FETO-MATERNAL OUTCOME IN INSTRUMENTAL VAGINAL DELIVERIES AT A TERTIARY CARE CENTRE
Authors: Kumar Nain Pushpendra , Sharma Urvashi , Garg Swati , Chishti Jawahira
Published: July 2023

Aim & Objectives: To study the maternal and neonatal outcomes in patients undergoing instrumental vaginal delivery (vacuum & forceps delivery) at a tertiary care teaching hospital. Mahatma Gandhi University of Study Centre: Medical Sciences & Technology, Sitapura, Jaipur. Methods & Material: This retrospective study was carried out in patients undergoing instrumental vaginal delivery during the study period i.e., April 2020 to March 2022. In the present study, A Total of 2762 patients were delivere Results: d, out of which 42 (1.52 %) patients were delivered by instrumental vaginal delivery. These 42 patients were included in the study. Out of these 42 patients; 32 (76.19%) were vacuum deliveries and 10 (23.81%) were forceps deliveries. Maximum instrumental deliveries were in 26 – 30 yrs. age group i.e., 20 (47.62 %) and in 38-40 weeks of gestation i.e., 37 (88.09 %). In the present study, the most common indication for Instrumental vaginal delivery (vacuum & forceps) was poor maternal efforts i.e., 28 (85.71%), followed by foetal distress i.e., 4 (14.28%). In total instrumental deliveries cervical lacerations were found in 5 i.e., 11.90 per cent cases and vaginal lacerations were present in 7 i.e., 16.66 per cent cases. We noted that 9.52% of cases had instrumental marks, 14.28% had foetal asphyxia, and 19.04% of cases required neonatal ICU admissions. Instrumental Conclusion: vaginal delivery remains a useful procedure if applied judiciously by a trained obstetrician. It helps improve neonatal and maternal outcomes and reduces the caesarean delivery rate.
SICKLE CELL DISEASE- CORRELATION BETWEEN HPLC PATTERN AND HEMATOLOGICAL PARAMETERS IN HOMOZYGOUS AND HETEROZYGOUS PATIENTS- A RETROSPECTIVE STUDY
Authors: B Neelayadakshi. , Rajeshwar Rajeshwar , E Yogalakshmi. , Chander. R Vimal , Raghavan. A.T.M Venkat
Published: July 2023

Sickle cell disease (SCD) is an inherited disorder occurring due to the presence of hemoglobin-S (Hb-S), a mutated form of hemoglobin.1 Although SCD is primarily a disorder of the red cells, it has been found that the white blood cells (WBC) and the platelets are also affected by the inherited mutation.2 In this study we aim to analyse the haematological parameters Objective: and the high-performance liquid chromatography (HPLC) patterns and to prole the various types of haemoglobins and their relative percentage in sickle cell cases, and to compare the complete blood count and HPLC results between the sickle cell homozygous and heterozygous groups This i Methods: s a retrospective study done in Saveetha Medical College. The study included a total of 45 patients, suffering from SCD and attending our institute between January 2018 to December 2022. The patients were categorized in 2 groups- Sickle cell homozygous (SCA) and sickle cell heterozygous (SCT) patients, based on the HPLC results. The complete blood count (CBC) values and HPLC patterns were analysed and compared between the 2 groups. In our study, of the total 45 Results: patients, 14 were found to be HbSS- homozygous- Sickle cell anaemia (SCA) patients, and 31 patients were found to be Hb-S heterozygous (SCT), thus sickle cell trait (SCT) being more common. The most common age group affected in both groups was 21 to 30 years. Overall SCD was found to be more common among females. Among the haematological parameters haemoglobin (Hb) levels and red blood cell (RBC) count was signicantly lower in SCA patients, while total WBC count was signicantly higher in SCA patients when compared to SCT patients. HemoglobinF (Hb-F) and Hemoglobin-S (Hb-S) was signicantly higher among the SCA patients in HPLC, when compared to SCT patients.
NEONATAL MULTISYSTEM INFLAMMATORY SYNDROME (MIS-N) : A CASE SERIES FROM A TERTIARY CARE HOSPITAL IN NORTH INDIA
Authors: Dwivedi Preeti , Goel Nupur , Singh Vanya , Agarwal Vikas
Published: July 2023

Introduction: Multisystem inammatory syndrome in children is uprising issue amongst all the paediatrician in the world. It is speculated that a
upregulation of immune system after being triggered by SARS COV infection is the main cause. MIS-N is an extrapolation of such symptoms in
neonates which cannot be explained by any other cause. We reviewed the perinata Material & Method: l history, clinical features, and outcomes of
5 neonates with features consistent with MIS-C/MIS-N Anti-SARS-CoV-2 IgG and IgM Result: antibodies were tested in all neonates. All
presented with features consistent with MIS-C within rst 5 days after birth. Three out of ve neonates had cardiac involvement with AV block,
coronary dilatation or ventricular dysfunction. Other ndings included respiratory distress, refusal to feed, thrombocytopenia. All infants had
elevated inammatory biomarkers and received steroids while only three received IVIG. We hypothesise somehow maternal SARS- Conclusion:
CoV-2 exposure and transplacental antibodies cause multisystem inammatory syndrome in neonates (MIS-N). Immunomodulation may be
helpful to some extent, but more studies are needed
COMPARISON OF DIAGNOSTIC EFFICACY OF FEMALE PELVIC MASSES WITH ULTRASONOGRAPHY AND COMPUTED TOMOGRAPHY
Authors: Roy Ujaan
Published: July 2023

Gynecological pelvic masses have recently become more prevalent. However, the majority of women were unaware of pelvic masses until they were found during a routine gynaecological checkup. The main goal of the study is to see how well diagnostic imaging methods like computed tomography and ultrasonography help narrow down the list of possible diagnoses for patients who come in with abdominal pain or a mass, giving doctors the information they need to treat the patients properly. The study was Methods- conducted over a two-year period, from October 2020 to October 2022. Most of the 50 female patients in the study who went to the radiology department with lower abdomen pain and irregular periods were between the ages of 35 and 50. All patients who received ultrasound examinations had any lumps that were deemed sonographically ambiguous or potentially malignant further examined using a CT scan. Of the 50 mas Results- ses discovered in 50 individuals, 40 were benign, 08 were malignant, and 2 had no real mass at all. Sonography and the nal diagnosis did not agree well with the origin of 50 masses, although CT and the nal diagnosis agreed quite well. In 30 (48%) cases, sonography was able to identify the mass's origin; in 32 (52%) cases, it was unable to do so. Sonography couldn't tell for sure in 12 cases of uterine masses whether the mass was a solid ovarian tumour or a pedunculated broid because it was hard to tell. Two masses that were sonographically questioned had unfavourable results. On a CT scan, one of these was the loops of feces-lled intestine that stood out on an ultrasound and looked like a solid mass. In 93% of the masses examined by CT scan, the origin could be identied. The one tumour that was mistakenly identied as an ovarian cancer was the one tumour that was of ovarian origin. Conclusion- Due to the outstanding soft tissue contrast and organ-specic information produced in the pelvis, CT is noticeably superior to US in every way in diagnosing pelvic masses.