bluuebunny/crossref_metadata_2025 huggingface dataset:
Análisis del síndrome de burnout en el personal operativo del centro de salud tipo c ESPOCH – Lizarzaburu de la ciudad de Riobamba
Authors: Haro – Orozco Sofía , Mayorga - Pérez Diego
Published: November 2024

La investigación planteada referente al Síndrome de Burnout (SB), es considerada como una alteración de tipo psicológica ligada al trabajo y su entorno que puede afectar a la calidad de vida del trabajador. El objetivo de este estudio es evaluar el Burnout para determinar sus niveles, así como de las dimensiones que son parte del test. El test MBI (Maslach Burnout Inventory) se aplicó al personal operativo del Centro de Salud Tipo C – ESPOCH – Lizarzaburu Riobamba, donde se determinó los puntajes de las dimensiones despersonalización (DP), cansancio emocional (CE) y realización personal (RP), así como de variables sociodemográficas añadidas al cuestionario para determinar su correlación con el fenómeno investigado.  La población de estudio fueron 67 personas que llenaron el test por medio Google forms, el muestro fue no probabilístico, intencionado, por conveniencia de quienes realizaron el cuestionario. El resultado del test MBI del Síndrome de Burnout: 14.9 % bajo, 83.6 % medio y 1.5 % alto. Se concluye la existencia de Síndrome de Burnout de medio - alta, por lo que es necesario intervenir a estos trabajadores mediante medidas preventivas, técnicas de afrontamiento para disminuir o minimizar los efectos negativos a la salud física y mental.
Comparative numerical study of the energy performance of two different configurations of a hybrid photovoltaic/thermal air collector
Authors: Kombate Yao , N’wuitcha Kokou , Aoukou Komlan Déla Donald , Apedanou Koffi Gagnon , Kolani Yendouban , Attah N’Gissa , Obese Bernard
Published: November 2024

Solar energy is a renewable alternative to fossil fuels. When solar energy is converted into electricity by photovoltaic (PV) solar modules, the heat generated increases the temperature of the PV solar cells and, as a result, reduces their electrical efficiency. Several techniques are used to cool PV solar cells in order to reduce their operating temperature. One technique is the use of hybrid photovoltaic/thermal (PVT) solar collectors, which simultaneously produce electricity and useful heat. In the airflow channel, the heat and mass transfer equations and those derived from the energy balance on the solid layers of the collector were discretized using the finite difference method with an implicit alternating directions (ADI) scheme. All the algebraic equations obtained after discretization were solved using the Thomas algorithm. The aim is to make a numerical comparison of the energy performance of the Verre-PV-Tedlar and Verre-PV-Verre flat-plate air PVT hybrid solar collectors in the climatic conditions of Lomé, Togo. Under the same operating conditions, the average electrical efficiencies of the Verre-PV-Verre and Verre-PV-Tedlar flat-plate air PVT hybrid collectors are 15.34% and 13.85% respectively. There is a 1.49% improvement in electrical efficiency for a Verre-PV-Verre air-source PVT hybrid collector compared with a Verre-PV-Tedlar PVT hybrid collector. The Verre-PV-Verre flat plate PVT air hybrid collector has an average daily electrical energy gain of 0.564 kWh and a thermal energy gain of 0.839 kWh, while the Verre-PV-Tedlar flat plate PVT air hybrid collector has an average daily electrical energy gain of 0.548 kWh and a thermal energy gain of 1.403 kWh.
Vitamin B12 deficiency in dialysis patients: risk factors, diagnosis, complications, and treatment: A comprehensive review
Authors: Araji Ghada , Keesari Praneeth R , Chowdhry Varun , Valsechi-Diaz Jonathan , Afif Sarah , Diab Wassim , El-Sayegh Suzanne
Published: November 2024

Vitamin B12 deficiency is a significant concern among patients with end-stage renal disease undergoing dialysis. However, there hasn’t been extensive research conducted on this particular patient group. The reported incidence rates vary widely, ranging from 20% to 90%, reflecting the complexity of its diagnosis. Dialysis patients often face multiple nutritional deficiencies, including a lack of essential vitamins, due to factors such as dietary restrictions, impaired absorption, and nutrient loss during dialysis. Diagnosing vitamin B12 deficiency in these patients is challenging, and addressing it is crucial to prevent complications and improve their overall quality of life. This review paper delves into the available body of evidence on vitamin B12 deficiency in dialysis patients, examining the contributing risk factors, diagnostic challenges, potential complications, and available treatment options. It provides a well-rounded perspective on the topic, making it a valuable resource for researchers, healthcare practitioners, and policymakers interested in addressing the nutritional needs of dialysis patients.
Probiotic interventions in peritoneal dialysis: A review of underlying mechanisms and therapeutic potentials
Authors: Stepanova Natalia
Published: November 2024

Peritoneal dialysis (PD) is a commonly used modality for kidney replacement therapy for patients with end-stage kidney disease (ESKD). PD offers many benefits, including home-based care, greater flexibility, and preservation of residual kidney function compared to in-center hemodialysis. Nonetheless, patients undergoing PD often face significant challenges, including systemic inflammation, PD-related peritonitis, metabolic disorders, and cardiovascular issues that can negatively affect their quality of life and treatment outcomes. Recent studies have demonstrated the crucial role of the gut microbiome in overall health and treatment results, supporting the hypothesis that probiotics may bring potential benefits to the general population of ESKD patients. However, specific data on probiotic use in PD patients are limited. This opinion review aims to summarize the current knowledge on the relationship between PD and the gut microbiome and offers a novel perspective by specifically exploring how probiotic interventions could improve the outcomes of PD treatment. The review also outlines some clinical data supporting the effectiveness of probiotics in patients undergoing PD and considers the difficulties and restrictions in their application. Based on the current knowledge gaps, this study seeks to explore future research directions and their implications for clinical practice.
Clinical course and outcome of adult patients with primary focal segmental glomerulosclerosis with kidney function loss on presentation
Authors: Jafry Nazarul Hassan , Sarwar Sarfraz , Waqar Tajammul , Mubarak Muhammed
Published: November 2024

BACKGROUND

Kidney function loss or renal insufficiency indicated by elevated creatinine levels and/or an estimated glomerular filtration rate (eGFR) < 60 mL/minute/1.73 m² at presentation in patients with primary focal segmental glomerulosclerosis (FSGS) is commonly seen as a poor prognostic marker for kidney survival. However, a pre>vious study from our center suggested this may be due to hemodynamic factors.

AIM

To observe the clinical and biochemical parameters, treatment response, kidney survival, and overall outcomes of adult patients with primary FSGS presenting with kidney function insufficiency.

METHODS

This retrospective observational study was conducted at the Department of Nephrology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan, from January 1995 to December 2017. During this period, 401 biopsy-proven primary FSGS patients were identified, of which 98 (24.4%) presented with kidney function loss or renal insufficiency defined as eGFR < 60 mL/minute/1.73 m² at presentation and were studied in detail.

RESULTS

Among the 98 patients with renal function loss on presentation, the mean age was 30.9 years ± 13.6 years with a male-to-female ratio of 2.5:1. The mean serum creatinine level was 2.2 mg/dL ± 1.3 mg/dL and mean eGFR 37.1 mL/minute/1.73 m2 ± 12.8 mL/minute/1.73 m2. The mean 24-hour urinary protein excretion was 5.9 g/day ± 4.0 g/day, and the mean serum albumin was 2.1 g/dL ± 1.0 g/dL (median: 1.5 g/dL). The mean systolic blood pressure (BP) was 132.7 mmHg ± 19.8 mmHg, and the mean diastolic BP was 87.4 mmHg ± 12.7 mmHg. Steroid treatment was given to 81 (82.6%) of 98 patients for an average duration of 19.9 weeks ± 14.4 weeks, with a mean total steroid dose of 4.4 g ± 1.5 g. Treatment response showed that 20 (24.6%) patients achieved complete remission, 9 (11.1%) achieved partial remission, and 52 (64.1%) did not respond. The baseline eGFR was significantly lower in the non-responsive group (P = 0.006). The distribution of FSGS variants was also significantly different among steroid-responsive and non-responsive groups (P = 0.012).

CONCLUSION

Renal function loss in FSGS patients at presentation does not necessarily indicate irreversible kidney function loss and a significant number of patients respond to appropriate treatment of the underlying disease.
Short-term renal and patient outcomes of primary immunoglobulin-associated mesangiocapillary glomerulonephritis: Insights from a developing country
Authors: Elahi Tabassum , Ahmed Saima , Mubarak Muhammed
Published: November 2024

BACKGROUND

Primary immunoglobulin (Ig)-associated mesangiocapillary glomerulonephritis (Ig-MCGN) is an immune complex glomerulonephritis of unknown etiology. It is a common cause of chronic kidney disease in developing countries. There is limited data available on renal and patient outcomes of this disease from developing countries.

AIM

To determine the short-term renal and patient outcomes of adults with a tissue-confirmed diagnosis of primary Ig-MCGN at a single center in Pakistan.

METHODS

A retrospective cohort study of adult patients was conducted on biopsy-proven Ig-MCGN cases diagnosed between 1998 and 2019 at the Sindh Institute of Urology and Transplantation, Karachi, Pakistan. Secondary causes were excluded. The primary endpoint was renal survival without end-stage kidney disease (ESKD) or mortality. The secondary endpoint was the rate of remission during the 2-year follow-up period. Survival curves were made with the use of Kaplan-Meier estimates.

RESULTS

A total of 163 patients were included in the study and their mean follow-up duration was 29.45 months ± 21.28 months. Among baseline characteristics, young age, lower estimated glomerular filtration rate, requirement of kidney replacement therapy, presence of crescents, and severity of interstitial fibrosis and tubular atrophy were found to have a significant association with renal outcomes. The renal outcomes were negatively correlated with the presence of hypertension, level of complements, and degree of proteinuria. In all, 63 (37.4%) patients were treated with steroids and 21 (13%) received combination therapy (cyclophosphamide with steroids). At 2 years, 124 (76.07%) patients were in complete remission or partial remission [56 (34.3%) and 68 (41.71%), respectively], while 32 (19.63%) patients progressed to ESKD and 7 (4.29%) patients died.

CONCLUSION

The outcomes of primary Ig-MCGN are guarded in Pakistan and require further prospective studies to improve our understanding of this relatively common disease so that more personalized treatment approaches can be developed.
Spent Time of Orbiting Eletron Generating the Quantized Energy En in the Hydrogen Like Atom
Authors: Soln Josip
Published: November 2024

Despite the large literature on hydrogen-like atoms, one cannot find any mention as to how long an electron spends in the orbit to generate the quanized radiation energy En. Here, the Heisenberg representation of operators is exteded so as to be able to deal also with imverse oprators. This is necessary when dealing with Coulomb potentials. This then allows to write down the general hydrogen-like atom in a compact form. With the help of operator algebra that includes also the inverse operators, one arrives at the differential equation of the electron trajectory with respect to time.The time solution is achieved through established coupled integral equations. While already established quantized radiation electron energy En is proportional to 1/n2, the newely derived quantized electron circular time tn(e) is proportional to n3 with n=1,2,3,..,and tn(e) being of the order of 10−16 sec in magnitude.
Developing an Analytic Rubric for Japanese EFL Learners’ Summary Writing
Authors: Kato Makiko
Published: November 2024

This study aimed to develop and revise an analytic rubric based on the results of a survey of the difficulties experienced by raters when assessing the English summaries of Japanese English learners, as reported in a previous study (Kato, in press). In this study, three raters repeatedly discussed and established four categories: “Integration,” “Language Use,” “Paraphrasing,” and “Content Accuracy.” They created descriptors for each category from 0 to 5. The three raters evaluated the summaries of 20 Japanese university students for two types of original English texts. The results showed that the inter-rater reliability of Texts A and B was sufficiently high in all categories. Moreover, the correlation between categories was confirmed to measure independent constructs. This indicated that the analytic rubric created, based on Kato’s (in press) survey report from the raters, is also useful in terms of reliability and validity. This study proposed an analytic rubric that can serve as a foundation for constructing a more user-friendly rubric for future raters.
Extraction and evaluation for anti-diabetic effects of some Indian plant extracts
Authors: Boda Rambabu
Published: November 2024

Diabetes is a metabolic disease associated with changes in the structure and function of several biological systems. The main cause of tissue injury is persistent hyperglycaemia. The past 20 years have seen increased expansion of the harmful effects of persistent hyperglycaemia, even if peripheral neuropathy and small and large vascular disease can also be used to explain diabetes-related organ failure. Liophyllum decastes, Butea monosperma, and Opuntia dillenil fruit extracts were shown to pass phytochemical testing. The study findings of Butea Monosperma, Opuntia dillenil, and Liophyllum decastes distilled (150 mg/kg) and (300 mg/kg) on STZ-tempted DM rats were paired with Glibenclamide. The glucometer method, serum and urine analysis, as well as factors including body weight, food consumption, glucose levels, and biochemical analysis, were used to determine the blood sugar rankings. Liophyllum decastes fungus fruit, Opuntia dillenil Planned fruit, and distilled Butea monosperma leaves all have anti-diabetic properties for diabetics.
Evaluation of Rhus Tox, a homeopathic formulation for treatment of Parkinson’s and Alzheimer’s disease: a network pharmacology and ex-vivo approach
Authors: D Sujatha
Published: November 2024

Rhus toxicodendron, commonly known as Rhus tox, is a potent homeopathic medication widely used in the treatment of rheumatoid arthritis and is claimed to have potential benefits for neurodegenerative disorders. Given the ability of homeopathic medications to address the root causes of diseases, our study aimed to evaluate Rhus tox for Parkinson’s Disease (PD) and Alzheimer’s Disease (AD) using in-silico, ex-vivo, and network pharmacology approaches to obtain comprehensive information on its multi-component and multi-target effects. Phytoconstituents of Rhus tox were collected from PubMed and screened for ADMET properties. Targets for these constituents were predicted using the Binding Database and DisGeNET, resulting in 61 targets for Parkinsonism and 85 targets for alzhiemer’s disease. Protein-protein interactions (PPIs) were analysed using the STRING database. A Venn diagram was constructed for all these targets, and 5 out of 13 common targets were selected for docking studies. From these analyses, kaempferol and quercetin were identified as promising neuroprotective agents with good blood-brain barrier (BBB) permeation. The docking studies validated these predictions as most of the constituents showed good binding affinity with EGFR, SNCA and MAO-B. It was further validated using MAO inhibition assay, in which Quercetin was found to be highly efficacious, with an IC50 value of 32.69 μg/mL among the other flavonoids studied for MAO inhibition assay. The Rhus Tox also showed MAO inhibition assay similar to the standard seligiline. To conclude, we can propose that Rhus Tox primarily acts on the dopaminergic pathway, serotonergic pathway, and EGFR signaling pathway. Further in vitro and in vivo studies are needed to confirm the mechanism action and efficacy of Rhus Tox for treatment of neurodegenerative diseases.
Comparative, anti-infective screening and molecular docking studies of 4-amino-1, 2, 4-triazole derivatives
Authors: Toraskar M P
Published: November 2024

The rise of drug-resistant bacteria is a problem in medicine. This highlights the need to find new molecules that have anti-infective properties. In this study, thiosemicarbazone derivatives were made using a 4-amino-1,2,4-triazole structure. We have evaluated at the anti-infective activity against E. coli, S. aureus, C. albicans, & M. tuberculosis. Among the compounds tested, 4g showed activity at concentrations of 1 μg/ml & 2 μg/ml against E. coli and S. aureus. The molecule 4c had anti-infective activity at a concentration of 6.25 μg/ml against M. tuberculosis. Four compounds had nitro, anthracene, & chlorine (both mono & disubstituted) groups and were effective against all the bacteria we tested. Analysis of molecular binding was also done to see how these compounds bond with E. coli (PDB ID: 1HSK), S. aureus (PDB ID: 1HSK), C. albicans (PDB ID: 5V5Z), and M. tuberculosis (PDB ID: 4P8H).
A systematic approach of efficacy and safety of herbal medicine in the treatment of Vitiligo
Authors: Pal Biplab
Published: November 2024

Vitiligo is a chronic dermatological disorder caused by the loss of melanin. Conventional therapies for vitiligo require prolonged treatments, have low efficacy, and are complicated by side effects. This study aimed to review the role of herbal medicine in the treatment of vitiligo. A comprehensive search was conducted in PubMed, Embase, and Google Scholar for studies conducted till December 2023 using related keywords linked with Boolean operators such as AND, OR, and NOT. Subsequently, a more comprehensive search was performed using the name of each specific herb. A variety of herbs were used to treat vitiligo. The most widely used herbal therapies among vitiligo populations were Khellin, Ginkgo biloba L., Picrorhiza kurroa, Polypodium leucotomos, Cucumis melo, Psoralea corylifolia L., Turmeric, Curcumin, and Nigella sativa L. were used either alone or in combination with other therapies. The majority of herbs were found to be efficacious with negligible side effects. No severe toxicities were reported. Most herbal medicines showed a positive impact on vitiligo. Therefore, healthcare providers may consider herbal medicine as an option for patient’s refractory to conventional therapies
Effects of pelvic clock exercise on pelvic alignment in females with primary dysmenorrhoea
Authors: Shivalkar Aishwarya
Published: November 2024

Pelvic changes are prevalent in girls with dysmenorrhoea. Pelvic clock exercise helps in sensorimotor training of pelvis. The purpose of this study was to determine the effects of pelvic clock exercise on pelvic parameters in dysmenorrhoea. 46 females were included in the study to perform pelvic clock exercise for 4 weeks. The baseline data was recorded before and after 4 weeks. The pelvic parameters were checked with pelvic inclinometer and pain using VAS. The Wilcoxon signed rank test was used to compare pelvic tilt, pelvic torsion, and pain. Comparison of pelvic parameters before and after 4 weeks showed that pelvic clock exercise reduced pelvic tilt and pelvic torsion. Current study concluded pelvic clock exercise to be beneficial in improving the pelvic alignment and thus reducing pain in females with dysmenorrhoea.
The Contribution of Quality of Work Life to Employee Job Satisfaction in Travel and Tourism Industry: A Theoretical Construct
Authors: Alhussami Dr. Abdulmalik M.
Published: November 2024

Tourism industry is one of the most intensive labor sector in the world which generates employment opportunities and income for the global economy, but the work in tourism industry is characterized by difficulty due to irregular and long working hours and pressure that employees have to work under to satisfy the expectations of various customers. For the purpose of sustainable tourism development, the management of tourism industry has to take care of quality of work life in order to enable employees to meet their important personal needs and to effectively balance their personal and work life. The objective of the current study is to find out whether there is contribution of QWL to employees job satisfaction in tourism industry, to add to literatures of tourism and human resources and to provide some valuable recommendations that can be applicable by tourism service providers to enhance QWL of employees and hence their level of job satisfaction.. After reviewing several literatures the study found that there is a significant relationship between QWL and employee job satisfaction or in other words, QWL contributes significantly to employee job satisfaction in tourism industry. The study highly recommended that the management of tourism industry should promote QWL practices to enhance the level of employee job satisfaction and hence employee productivity in tourism industry from one hand and to enhance customer satisfaction from the other hand and this last plays a crucial role in success of tourist establishments and tourism industry in general.
PEMBERDAYAAN KELUARGA TERHADAP PEMANFAATAN MAKANAN LOKAL PADA BALITA DI DESA NOEPESU
Authors: Jane Leo Mangi
Published: November 2024

Masalah gizi terbagi menjadi masalah makro dan mikro.  Masalah gizi makro adalah masalah yang utamanya disebabkan oleh kekurangan atau ketidakseimbangan asupan energi dan protein. Manifestasi masalah gizi makro bila terjadi pada wanita subur dan ibu hamil yang kekurangan energi kronis (KEK) adalah berat badan bayi baru lahir yang rendah (BBLR). Keadaan tersebut bila terjadi pada anak balita akan mengakibatkan marasmus dengan kwashiorkor atau marasmic kwashiorkor dan selanjutnya akan terjadi gangguan pertumbuhan pada anak usia sekolah. Masalah gizi terbagi menjadi masalah makro dan mikro.  Masalah gizi makro adalah masalah yang utamanya disebabkan oleh kekurangan atau ketidakseimbangan asupan energi dan protein. Manifestasi masalah gizi makro bila terjadi pada wanita subur dan ibu hamil yang kekurangan energi kronis (KEK) adalah berat badan bayi baru lahir yang rendah (BBLR). Keadaan tersebut bila terjadi pada anak balita akan mengakibatkan marasmus dengan kwashiorkor atau marasmic kwashiorkor dan selanjutnya akan terjadi gangguan pertumbuhan pada anak usia sekolah. Tujuan dari penelitian ini mengetahui pengaruh pemberdayaan keluarga  terhadap  pengetahuan pengelolaan  makanan lokal Bagi Balita di Desa Noepesu. . Besar sampel 120 ibu yang mempunyai balita untuk kelompok eksperimen dan 60  orang ibu balita sebagai kelompok control 60 orang.Hasil penelitian  variable pengetahuan gizi (X1) mempunyai pengaruh positif terhadap perilaku gizi ibu dengan koefisien regresi sebesar 0,333. artinya bahwa apabila pengetahuan gizi meningkat sebesar 1 persen maka perilaku gizi akan meningkat sebesar 0,333 persen. Simpulan dari penelitian ini pemberdayaan keluarga berpengaruh terhadap pengetahuan  ibu dalam memanfaatkan makanan local untuk balita
PENGARUH KUALITAS PELAYANAN KESEHATAN TERHADAP LOYALITAS PASIEN RAWAT INAP DI RUMAH SAKIT UMUM DAERAH H. ANDI SULTHAN DAENG RADJA BULUKUMBA TAHUN 2020
Authors: Momen Amalia  , Nursapriani Nursapriani
Published: November 2024

Meningkatnya status sosial dalam masyarakat pada saat ini mempengaruhi tuntutan masyarakat akan kualitas pelayanan penyedia jasa kesehatan. Hal ini menuntut para penyedia jasa pelayanan kesehatan selalu meningkatkan kualitas pelayanannya untuk lebih baik lagi. Bagi penyedia jasa kesehatan bukanlah hal yang mudah untuk dapat memberikan pelayanan serta kualitas pelayanan yang baik karena pelayanan yang diberikan oleh penyedia jasa kesehatan secara langsung dirasakan oleh pasien sehingga bila terdapat sedikit kelalaian dalam menangani pasiennya dapat berdampak buruk bagi pasien dan bagi penyedia jasa kesehatan itu sendiri Tujuan penelitian ini yaitu untuk mengetahui pengaruh antara kualitas pelayanan kesehatan terhadap loyalitas pasien rawat inap di RSUD H. Andi Sulthan Daeng Radja kota Bulukumba tahun 2020. Jenis penelitian yang digunakan dalam penelitian ini yaitu penelitian kuantitatif dengan pendekatan desain cross sectional. Jumlah sampel dalam penelitian ini sebanyak 64 pasien rawat inap yang telah menjalani perawatan selama lebih dari 24 jam serta pasien dalam kondisi sadar dan dapat melakukan komunikasi dengan baik. Berdasarkan hasil uji Chi-quare pada semua kategori di peroleh nilai P= 0,001 dengan menunjukkan p < 0,05 yang berarti ada pengaruh antara Tangible, reliabilitas, ketanggapan, jaminan dan empati terhadap loyalitas pasien. Dengan demikian, maka H? diterima dan Ho di tolak yang berarti ada pengaruh antara kualitas pelayanan kesehatan terhadap Loyalitas Pasien rawat inap di Rumah Sakit Umum Daerah H. Andi Sulthan Daeng Radja Bulukumba.
ASUHAN KEPERAWATAN DENGAN PENATALAKSANAAN TEKNIK RELAKSASI GENGGAM JARI DAN NAFAS DALAM TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI
Authors: Rifka Zalila  , Dewi Sartika
Published: November 2024

Background : Hypertension is a medical condition characterized by increased contraction of arteries which causes resistance to blood flow which increases blood pressure against the walls of blood through narrow blood vessels. Objective : To determine the effect of finger grip relaxation techniques and deep breathing on reducing blood pressure in hypertensive patients. Methods : Research design with descriptive method with case study approach. The implementation of Hypertension nursing care was carried out in the internal medicine room starting from June 15 to June 21, 2021. The subjects in this study were 2 patients suffering from hypertension morning and afternoon. Results : After being treated for 3 days, the results showed that the blood pressure of both patients decreased in patient 1 Mr “I” from 180/100 mmHg to 160/90 mmHg, in patients 2 Mrs “S” from 160/100 mmHg to 140/90 mmHg the pain scale of the two patients from 6 (moderate) to 3 (mild) the body is not weak, has started to be energetic and can sleep at night. cooperation between the health team and patients and families is very necessary for the success of nursing care for patients. Conclusion : With the management of finger grip relaxation techniques and deep breathing to reduce blood pressure in hypertensive patients with the results of the nursing evaluation the problem was partially resolved.
Studi Tentang Hubungan Sikap Dengan Upaya Ibu Dalam Pemberian Imunisasi Dasar Pada Anak Di Kawasan Pesisir Dan Kepulauan Tatinang
Authors: Windatania Mayasari  , Harmiyati Harmiyati
Published: November 2024

Immunization is one of intervention to give immune for the baby/child with the procedure input vaccine into the body so the body could make antibody against  to disease spesificly. Immunization services for baby/child at tatinang have not yet reached Universal Child Immunization. It was mean more than 90%  had achieved. They are BCG (50%), DPT (40%), Hepatitis B (20%), Polio (60%) and Campak (10%).  The aim of this research to know sttitude related  to mother’s effort for giving immunization in children at tatinang. This research is analysis description with cross sectional study. All of mothers who have child 12-23 month at tatinang, as respondent have taken by total sampling (30 respondent) and used chi-square with significant level ?=0,055. Result of research has showed that there was relationship between attitude p=0,000. For respondent to more interesting in giving immunization for children base on their ages to protection from some disease
HUBUNGAN PENGETAHUAN DAN SIKAP PENDERITA TB PARU DENGAN KEPATUHAN MINUM OBAT ANTI TUBERKULOSIS DI PUSKESMAS KOMBOS
Authors: Sali M. Papeti  , Dewi Suharto
Published: November 2024

Pulmonary TB is an airborne infectious disease that mostly attacks the lungs. Knowledge is information that is captured by the five human senses, then developed through language and ways of thinking. Noncompliance and lack of understanding of the community in the use of drugs is one of the causes of therapy failure. Providing knowledge and understanding of patients in the use of drugs will have an impact on medication adherence and success in using drugs for therapy. The purpose of this study was to determine the relationship between knowledge and attitudes of pulmonary TB patients with adherence to taking anti-tuberculosis drugs at the Kombos Health Center Manado City. This study uses an analytical descriptive research design with a cross-sectional approach. The sampling technique in this study used a sampling technique using total sampling with a total of 42 respondents. The data collection technique was carried out using a questionnaire and using the Chi-Square test with a significance level of a = 0.05. The results of the study respondents had a low level of knowledge on medication adherence with a p value = 0.00, and had a low attitude towards medication adherence with a p value = 0.032. The conclusion of this study is that there is a relationship between knowledge and attitudes of pulmonary TB patients with adherence to taking anti-tuberculosis drugs at the Kombos Health Center Manado City.
PENYULUHAN KESEHATAN PERSIAPAN MENARCHE DI SDN METESEH KECAMATAN TEMBALANG SEMARANG
Authors: Yuni Astuti  , Erni Suprapti  , Apriliya Dwi S  , Badriyatul Khasanah  , Dina Farkhana  , Dina Farkhana  , Inas Shafa  , Kristiyana Yeni
Published: November 2024

Anak remaja merupakan masa transisi dari anak-anak menuju dewasa. Perkembangan yang mencolok pada masa remaja usia 10 sampai 19 tahun adalah terjadinya kematangan identitas seksual dan perkembangan organ reproduksi untuk memasuki masa dewasa (Supartini, 2012). Perubahan terpenting yang terjadi pada remaja perempuan adalah haid pertama kali (menarche). Menarche dianggap  sebagai tanda kedewasaan  pada remaja perempuan di beberapa daerah, sehingga mereka dianggap sudah mampu melakukan tugas sebagai seorang wanita.
Santrock (2010), menyimpulkan bahwa anak perempuan yang mengalami menarche akan mengalami kondisi psikologis seperti cemas, stres, takut dan beresiko mengalami depresi karena terjadi perubahan fisik setelah menarche. Salah satu cara menghadapi hal tersebut dengan meningkatkan pengetahuan anak melalui pendidikan kesehatan di sekolahan mengenai menarche. Sekolah merupakan tempat yang paling tepat untuk melakukan pendidikan kesehatan karena sekolah merupakan lingkungan terdekat anak setelah lingkungan keluarganya. Sekolah dapat menjadi langkah strategis dalam upaya peningkatan kesehatan pada anak usia sekolah
Penyusunan Laporan Keuangan Sesuai Standar bagi Pelaku UMKM
Authors: Endang Dwi Wahyuningsih  , Sudarman Sudarman  , Hani Krisnawati  , Mudjiyono Mudjiyono  , Praditya Dewi A
Published: November 2024

Pertumbuhan ekonomi Kabupaten Pekalongan yang semakin membaik, tidak diikuti dengan kesadaran warga dalam kepatuhan pembayaran pajak secara tepat waktu dan sesuai dengan penghasilannya. Hal tersebut dapat dilihat dari tingkat kepatuhan wajib pajak untuk melaporkan Surat Pemberitahuan Tahunan (SPT) pajak di KPP Pratama Pekalongan yang masih kurang. Melihat visi misi Kabupaten Pekalongan, memberikan suatu dorongan kepada masyarakat untuk terus meningkatkan potensi sumber daya yang ada, misalnya di bidang pertanian, perdagangan, perkebunan, bahkan di bidang pendidikan. Meningkatnya pemanfaatan potensi sumber daya akan menjadikan meningkatnya pertumbuhan ekonomi di Kabupaten Pekalongan. Peningkatan pertumbuhan ekonomi berkaitan dengan kesadaran dan kepatuhan warga Kabupaten Pekalongan terhadap pajak. Kegiatan Pengabdian Kepada Masyarakat (PKM) ini diharapkan dapat memberikan pengenalan dan dorongan bagi para guru untuk mengenalkan dan menerapkan pentingnya melaksanakan kepatuhan perpajakan, baik terhadap sesama guru, pada siswa, maupun lingkungan sekitar.
Faktor-Faktor Yang Berhubungan dengan Kejadian Stunting pada Balita di Puskesmas Rumbia Kabupaten Jeneponto
Authors: Yenni Yenni  , Andi Tenri Angka
Published: November 2024

Stunting is defined as the condition of children aged 0 – 59 months, where the height for age is below minus 2 Standard Deviations (<-2SD) from the WHO median standard. The aim of the research is to determine the factors associated with the incidence of stunting in toddlers at Community Health Centers. Rumbia, Jeneponto Regency. The type of research used was an analytical survey with a cross sectional study approach. The sample was 72 toddlers in Rumbia village using a purposive sampling technique. The results of the research show that there is a relationship between maternal employment and the incidence of stunting in toddlers at the Rumbia health center, Jeneponto Regency with a p value = 0.034 < ? 0.05, there is a relationship between maternal education and the incidence of stunting among toddlers at the Rumbia health center, Jeneponto Regency with a p value = 0.003 < ? 0.05, there is a relationship between the number of children and the incidence of stunting in toddlers at the Rumbia health center, Jeneponto Regency with a p value = 0.016 < ? 0.05. Conclusion: There is a relationship between mother's employment, mother's education and number of children with the incidence of stunting among toddlers at the Rumbia Community Health Center, Jeneponto Regency.
PENGARUH PIJAT REFLEKSI KAKI TERHADAP TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI DI WILAYAH PUSKESMAS ROWOSARI SEMARANG
Authors: Muhammad Ary Sulaiman  , Margiyati Margiyati
Published: November 2024

Hypertension is not infectious disease which occupy the third place in the region’s small-scale Clinics Rowosari Semarang. Less healthy lifestyles as well as stress lead to uncontrolled hypertension and cause various complicatio. Foot reflexiology message is one of complementary therapies with muscle compression techniques giving rise to a relaxing effect and the lower blood pressure. The purpose of this study  is illustrate the aplication of reflexiology message theraphy to lower blood preassurein hypertensive clients.The methods used in this research is a descriptive case study method with case study approach. The subject are 2 people with criteria of age 35-65 years old and suffering from hypertension grade I and II. Intervensions carried out in the form of foot reflexiology massage therapy 30-60  minutes for three days a row. The results of the case study shows that there is a decrease of blood preassure 160/90 mmHg  143/83 mmHg be on subject I and subject II 180/100 mmHg to 155/87 mmHg. Foot reflexiology message therapy is recomended as a nursing intervention in the client management of clients  with hypertension.
PENERAPAN BIBLIOTERAPI UNTUK MENURUNKAN TINGKAT KECEMASAN ANAK USIA SEKOLAH SELAMA HOSPITALISASI DI RSUD DR. ADHIYATMA, MPH SEMARANG
Authors: Tri Santoso  , Erni Suprapti
Published: November 2024

Hospitalization is a process that has planning or emergency reasons that require the child to stay in the hospital. Hospitalization at school-aged children is 6-12 years forcing children to part with their beloved environment such as family and group soisalnya causing anxiety. Anxiety is an emotional response to the assessment of something dangerous, associated with feelings of uncertainty, helplessness, fear of fear is not clear why. This case study illustrates the application of bibliotherapy to decrease the anxiety level of school-aged children during hospitalization. The case study design used is descriptive case study. The case study was conducted in RSUD Dr. Adhiyatma, MPH Semarang. result of case study got decrease of subject anxiety level I before application of bibliotherapy value of anxiety level 40 after application of bibliotherapy decrease to 34 and subject II anxiety level level before applying of bibliotherapy value of anxiety level 31 after application of bibliotherapy decrease to 26. subject of subject anxiety level decrease 6 value and subject II down 5 values.
FAKTOR-FAKTOR YANG MEMPENGARUHI PEMILIHAN PENGOBATAN TRADISIONAL PADA PASIEN FRAKTUR KE SANGKAL PUTUNG DI SIDOMULYO SELATAN
Authors: Arifin Umar  , Haslinda Damansya  , Nurul Hasanah  , Verawati Monoarfa
Published: November 2024

Di Indonesia pengobatan tradisional sangkal putung sudah menjadi pilihan alternativ oleh masyarakat untuk menyembuhkan fraktur (patah tulang). Pengobatan sangkal putung di Sidomulyo Selatan dipengaruhi oleh beberapa masalah antaranya pengaruh keluarga atau teman, biaya yang terjangkau maupun adat budaya yang mengharuskan masyarakat berobat ke pengobatan tradisional. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi pemilihan pengobatan tradisional pada pasien fraktur ke sangkal putung di sidomulyo selatan. Penelitian ini menggunakan metode Deskriptif Kuantitatif dengan rancangan penelitian Cross Sectional. Sampel diambil menggunakan tehnik total sampling dengan jumlah sampel 55 responden. Pengumpulan data menggunakan lembar kuesioner dengan analisis data menggunakan Chi Square dengan tingkat kemaknaan (? : 0,05). Hasil penelitian menunjukan nilai P Value dukungan sosial sebesar p=0,003 lebih kecil (p=0,05), P Value faktor ekonomi sebesar p=0,022 lebih kecil (p=0,05), P Value faktor budaya sebesar p= 0,010 lebih kecil (p=0,05). Sehingga bisa disimpulkan ada pengaruh antara dukungan sosial, faktor ekonomi dan faktor budaya terhadap pemilihan pengobatan tradisional.
DUKUNGAN SOSIAL PADA IBU USIA REMAJA DALAM PENGASUHAN ANAK USIA INFANT
Authors: Dayaningsih Diana , Erni Suprapti  , Feri Tri Y  , Aprillya Dwi S
Published: November 2024

Teenage pregnancy and parenthood among teenagers are still a matter of international concern because of the potential adverse consequences for society, families and individuals. Teen pregnancies are more than 80% unplanned. The transition to parenting experienced by teens creates a period of instability that demands new parenting roles. Parenting by adolescent mothers will be more effective when adolescent mothers receive strong social and emotional support from their families and partners. The purpose of this study was to explore social support for adolescent mothers in the care of infant children. Qualitative research methods with an Interpretative Phenomenological Analysis (IPA) approach. Respondents in this study there were 5 respondents who met the inclusion criteria were taken using purposive sampling technique. The data was obtained using a semi-structured interview method. The research credibility was achieved by using triangulation of sources through interviews with the mothers of the main participants. The results showed that the five participants expressed various experiences of being a mother that varied when caring for infant age children depending on the situation experienced by each mother. Social support for adolescent mothers in child care includes 4 themes, namely 1). Instrumental Support, 2). Information Support, 3). Financial Support, 4). Emotional Support Based on the results of this study, it is hoped that there will be a special program for adolescent mothers, in which the role of health workers is able to support mothers' efforts to obtain optimal education and skills in parenting.
Pengaruh Guided Imagery Terhadap Tingkat Stres Siswa Belajar Daring di SMP Laikit
Authors: Kristine Dareda  , Irma Yahya  , Arfel Silvester Pramono
Published: November 2024

Pandemi Covid-19 memberikan tantangan dalam lembaga pendidikan Indonesia. Pemerintah menerapkan kebijakan pembatasan berskala besar. Masyarakat diharuskan beraktivitas dirumah. Peraturan membuat siswa stres dikarenakan keterbatasan jaringan, kuota dan banyak tugas. Tujuan dari penelitian untuk mengetahui pengaruh guided imagery terhadap tingkat stres siswa kelas 8 dalam pembelajaran daring di SMP Katolik Laikit. Desain penelitian menggunakan quasy experiment pre-post test. Sampel penelitian ini berjumlah 10 responden. Data diolah menggunakan SPSS 16 dan di analisa menggunakan uji Wilcoxon. Hasil didapatkan usia terbanyak ada 4 responden yaitu 13 tahun dan jenis kelamin terbanyak ada 8 responden yaitu laki-laki. Didapatkan P Value = 0.023 (0.05), maka Ha diterima dan Ho ditolak. Kesimpulan diambil adalah terdapat pengaruh dalam pemberian teknik guided imagery terhadap tingkat stres siswa kelas 8 dalam pembelajaran daring di SMP Katolik Laikit. Diharapkan dapat meningkatkan tingkat pengetahuan dalam melakukan teknik relaksasi untuk menurunkan stres.
Atuação do enfermeiro na prevenção da septicemia associado ao cateter venoso central em unidade de terapia intensiva
Authors: Steffens Fernanda Maria Genoway , Silva Flávia Bravo Figueiredo da , Fabriz Luciana Aparecida
Published: November 2024

A inserção de cateteres centrais é comum em Unidades de Terapia Intensiva, devido a administração de inúmeros medicamentos e monitorização de pacientes, porém existe o risco de sepse relacionada ao manejo desses cateteres. Este estudo objetivou identificar os estudos nacionais e internacionais que abordam sobre a atuação do enfermeiro na prevenção de septicemia associado ao cateter venoso central em unidade de terapia intensiva. Trata-se de um estudo de revisão integrativa da literatura, realizado em seis etapas: 1) elaboração da pergunta norteadora; 2) busca ou amostragem na literatura; 3) Coleta de dados; 4) Análise crítica dos estudos incluídos; 5) Discussão dos resultados e 6) apresentação da revisão integrativa. As buscas aconteceram em base de dados da biblioteca virtual de saúde durante o período de setembro e outubro de 2024. Foram considerados como critérios de inclusão artigos originais dos idiomas português e inglês publicados nos últimos cinco anos. Excluiu-se notas editoriais, estudos de revisão e relatos de experiências. Após a leitura criteriosa dos estudos, elegeu-se 07 artigos que contemplaram o objetivo proposto, dos quais emergiram as categorias temáticas: “implementação da colaboração interprofissional”; “implantação de protocolos e ferramentas de monitorização” e a ”formação continuada”. Considerações finais: O estudo contribui para a implementação de boas práticas de enfermagem e a prevenção da sepse relacionada a cateteres central.
Mudanças estruturais na hidrotalcita baseadas em Mg e Al com diferentes íons na interlamela
Authors: Cardoso Julia Ismerio , Câmara João Luiz Martins Mattoso , Gravino Nicoly , Faria Sabrina Costa , Sanches Sabrina Guimarães , Ramos Vitor , Rodrigues Clarissa Perdomo , Huertas Jhonny
Published: November 2024

Hidróxidos Duplos Lamelares (HDLs) baseados em Mg e Al foram sintetizados pelo método de coprecipitação em pH constante com diferentes precursores para estudar a influência dos ânions cloro, carbonato e nitrato como contra-íons na intercamada dos HDLs. As amostras apresentaram picos de difração característicos da fase hidrotalcita. Foram encontrados valores diferentes do espaçamento basal de: 7,75 Å, 8,02 Å e 8,61 Å, correspondentes as amostras sintetizadas com os ânions ,  e , respectivamente. Os resultados de infravermelho mostraram bandas características dos ânions utilizados durante a síntese. O ânion presente na intercamada também produziu mudanças morfológicas e texturais nas amostras. Perdas de peso característicos à eliminação dos íons hidroxila, cloreto, carbonato e nitrato, foram encontrados nas análises termogravimétricas. Conclui-se que a carga e o tamanho do ânion na intermacada influenciaram o espaçamento basal. Ânions carbonato tem um arranjo mais compacto pela carga 2+, apresentando um espaçamento basal menor, além disso, favorecem a formação de partículas com morfologia lamelar e área específica maior. Ânions nitrato pelo seu tamanho e carga 1+ favorecem um espaçamento basal maior com arranjo mais desordenado na intercamada, morfologia não lamelar e menor área específica.
Análise do impacto da plataforma Quizizz no aprendizado de estudantes em disciplinas de curso técnico
Authors: Silva Rogério Migdon Vieira da , Moraes Jaqueline de Fátima Cabral , Cabral Brenda Inara Pereira , Nina Natasha Veruska dos Santos , Moraes Francianny Keyla Cabral , Moraes Fransuelen Kedma Cabral , Cabral Anderson Steiller Rodrigues , Moraes Fabricia Kelly Cabral
Published: November 2024

Os jogos digitais oferecem uma perspectiva inovadora e prática para o ensino, contribuindo com o ensino tradicional. Eles facilitam o entendimento de conceitos da área técnica de forma lúdica e prática. Neste sentido, a presente pesquisa teve como objetivo investigar a contribuição da plataforma Quizizz como ferramenta para o ensino-aprendizagem dos conteúdos das disciplinas de Fruticultura e Sistemas Agroecológicos da Produção Vegetal III nos cursos técnicos em Agropecuária e Agroecologia nível médio integrado do Instituto Federal do Amapá no município do Porto Grande. Os resultados foram obtidos através de questionamentos realizados após o uso da ferramenta durante as aulas e através da comparação das médias das notas nas avaliações aplicadas de forma tradicional e com a utilização do Quizizz. Neste sentido, foi observado que a ferramenta apresentou potencial contribuição com as aulas ministradas, tornando-as mais interativas, dinâmicas, divertidas e interessantes para os discentes. verificou-se que os jogos digitais utilizados na terceira avaliação favoreceram na construção do conhecimento melhorando as aulas, devido facilitarem a interação, interesse e engajamento dos discentes. Ademais, a inserção de ferramentas tecnológicas nas aulas de fruticultura e SAPV III pode ser uma estratégia eficaz utilizada pelos docentes. Houve a promoção de uma aprendizagem ativa permitindo uma maior participação e compreensão do conteúdo de forma mais atraente, tornando os discentes protagonistas do seu processo de aprendizagem.
Pterostilbeno: aspectos farmacocinéticos e seus efeitos no exercício físico
Authors: Brandalize Danielle , Brandalize Michelle , Oliveira Paulo Renato de
Published: November 2024

O exercício físico é considerado um fator importante para um estilo de vida saudável, com efeito protetor contra doenças cardiovasculares, endócrinas, osteomusculares e neoplasias. Quando praticado regularmente, promove adaptações que diminuem os efeitos negativos dos radicais livres. No entanto, dependendo da intensidade, pode ter efeitos adversos, induzindo estresse oxidativo, inflamação e fadiga muscular. Muitos estudos buscam nutracêuticos que atenuem o estresse oxidativo e a inflamação causados pelo exercício físico. O pterostilbeno (PST), um nutracêutico com propriedades antioxidantes, anti-inflamatórias, antidiabéticas, antidislipidêmicas, antitumorais e antineoplásicas, pode apresentar efeitos promissores na mitigação dos danos causados pelo estresse oxidativo induzido pelo exercício físico. Esta revisão fornece um resumo dos aspectos farmacocinéticos e farmacodinâmicos do PST, com foco nos seus efeitos antioxidantes e anti-inflamatórios e na sua ação sobre o exercício físico.