bluuebunny/crossref_metadata_2025 huggingface dataset:
NEKROLISIS EPIDERMAL TOKSIK DENGAN INFEKSI HIV STADIUM IV : LAPORAN KASUS
Authors: Sissy Sissy , Permatasari Novita Indah , Azzahra Zahwa Arsy , Husna Ismalia
Published: June 2023

Abstrak: Nekrolisis Epidermal Toksik Dengan Infeksi HIV Stadium IV:Laporan Kasus. Nekrolisis epidermal toksik (NET) adalah suatu reaksimukokutaneus yang disebabkan oleh obat. Reaksi ini bersifat akut dan dapatmengancam jiwa yang ditandai dengan adanya nekrosis berat dan pelepasanepidermis. Berikut dilaporkan satu kasus seorang laki-laki 31 tahun dengan luaspermukaan tubuh yang terlibat berupa purpura disertai adanya skin detachmentdengan luas permukaan tubuh yang terlibat sebesar 36% serta adanya keterlibatantiga lesi pada membran mukosa yaitu pada mukosa mata, bibir dan kelamin dengangejala prodromal berupa demam sebelum timbulnya lesi dan didapatkan tandaNikolsky (+), antibodi HIV dengan hasil reaktif sehingga diadaptkan diagnosisnekrolisis epidermal toksik dengan infeksi HIV stadium IV. Pada kasus, penderitamendapatkan terapi berupa eliminasi obat yang dicurigai, pemberian deksametason10 mg-10 mg-10 mg intravena yang diturunkan hingga menjadi metilprednisolonsediaan oral 16 mg tiap 12 jam dalam waktu 14 hari, dan dua hari kemudianditurunkan kembali dosisnya diberikan konseling informasi dan edukasi (KIE).
DEONTOLOGICAL ASPECTS IN THE IMPLEMENTATION OF P-Care AT THE FIRST LEVEL OF HEALTH FACILITIES IN YOGYAKARTA CITY
Authors: Azzahra Zahwa Arsy , Prabandari Yayi Suryo , Fuad Anis , Permatasari Novita Indah , Hasibuan Anggi Khairina Hanum
Published: June 2023

Abstract: Deontological Aspects in The Implementation of P-Care at TheFirst Level of Health Facilities in Yogyakarta City. The 2015 SustainableDevelopment Goals (SDGs) opened a new focus on Universal Health Coverage (UHC).In Indonesia, the UHC concept has been proclaimed since 2000 which is thenorganized by Badan Penyelenggara Jaminan Sosial (BPJS) following the Law of theRepublic of Indonesia number 24 of 2011 Article 9 concerning the National SecurityAdministering Body. In implementing Indonesia’s national health insurance (JKN),BPJS kesehatan uses a cloud-based information system for Fasilitas KesehatanTingkat Pertama (FKTP) / The first level health facility, namely Primary Care (P-Care)which contains medical information for more than 222 million people. According tothe Health Insurance Portability and Accountability (HIPAA), data in P-Care includesProtected Health Information (PHI) which can lead to potential ethical violations. Thisstudy aims to determine ethical issues from the Deontology aspect related to theapplication of P-Care in FKTPs in Yogyakarta City. The Method of research is thesequential exploratory mix method. The deontology point of view was chosen becausethe principle of Deontology, namely personal intrinsic value cannot be separated fromethical issues. The results showed that there are ethical issues in the application ofP-Care in FKTPs in Yogyakarta City, namely privacy and confidentiality, security, andinformed consent with the important issue being the involvement of third parties inP-Care data input, P-Care which can be accessed anywhere, lack of personalvalidation, as well as a printed diagnosis that anyone can read. The most powerfulinfluencing factor is the intrinsic value of each agent in understanding these ethicalissues.
CASE REPORT: LOW BACK PAIN
Authors: Padmasari Nuraini , Fitriyani Fitriyani
Published: June 2023

Abstrak: Low Back Pain. Low Back Pain (LBP) adalah salah satu masalah kesehatanyang paling umum dikeluhkan pasien. Enam puluh persen sampai delapan puluhpersen (60-80%) orang di Eropa pernah mengeluhkan gangguan ini. Menurutpedoman klinis penatalaksanaan LBP yang dikeluarkan oleh American PhysicalTherapy Association yang terbaru, angka kejadian episode pertama LBP dalam 1tahun berada antara 6,3-15,3% dan angka kejadian untuk LBP jenis apapun berkisarantara 1,5-36%. 24-33% penderita mengalami rekurensi dan 10,2% penderitamengalami kronisitas. Gangguan ini dapat disebabkan oleh berbagai hal, darikelelahan otot, radikulopati, trauma (dari yang ringan seperti otot yang tertarikhingga yang berat seperti fraktur tulang belakang), degenerasi jaringan (sepertiosteoporosis dan degenerasi discus intervertebralis), infeksi tulang belakang, stenosisspinal, kelainan bentuk tulang belakang (scoliosis, lordosis, dan kifosis) hinggakanker.
FAKTOR YANG MEMPENGARUHI PERSALINAN SECTIO CAESAREA (SC) DI RUMAH SAKIT SWASTA (ANALISIS DATA SDKI 2017)
Authors: Siregar Dwita Canggi , Kurniati Mala , Sari Nurhalina
Published: June 2023

Abstrak: Faktor Yang Mempengaruhi Persalinan Sectio Caesarea (SC) DiRumah Sakit Swasta (Analisis Data SDKI 2017). Dari hasil Survei Demografidan Kesehatan Indonesia 2017 angka persalinan SC Indonesia sebesar 17,02 %,SDKI 2012 sebesar 12% dan SDKI 2007 sebesar 7%. Terjadi peningkatan dari SDKI2007-2017, beberapa penelitian menunjukkan bahwa terdapat beragam faktor yangmempengaruhi persalinan SC di Rumah Sakit Swasta di Indonesia. Oleh karena itupeneliti tertarik untuk mengetahui pengaruh faktor (umur ibu, riwayat SC, paritas,pendidikan, pekerjaan, kepemilikan jaminan kesehatan, dan komplikasi kehamilan)dengan persalinan SC berdasarkan data SDKI 2017. Jenis penelitian ini merupakanpenelitian kuantitatif dengan desain penelitian cross sectional. Populasi penelitianadalah seluruh wanita usia subur (15-49 tahun) dengan kriteria inklusi yaitu WUSyang pernah melahirkan secara Sectio Caesarea (SC), selama periode survei tahun  2017. Sedangkan kriteria eksklusi yaitu data tidak lengkap. Sampel penelitian ialah 1398 responden. Instrumen penelitian adalah kuesioner SDKI. Analisa data yang digunakan yaitu analisa univariat, analisa bivariat menggunakan uji chi-square dan analisa multivariat menggunakan regresi logistik multivariabel. Penelitian ini menghasilkan tiga variabel yang ditemukan dominan dalam mempengaruhi persalinan Sectio Cesarea di Rumah Sakit Swasta yaitu umur ibu yang tidak berisiko (OR : 1.26, p-value : 0.001), ibu yang tidak bekerja (OR : 0.77, p-value : 0.001), ibu yang memiliki jaminan kesehatan (OR : 1.66, p-value : 0.001). Ditemukan adanya interaksi antara pekerjaan dengan kepemilikan jaminan kesehatan dengan p-value : 0.042. Faktor dominan yang mempengaruhi persalinan SC di Rumah Sakit Swasta berdasarkan data SDKI 2017 yaitu kepemilikan jaminan kesehatan dengan OR = 1.66. Saran : Diharapkan kepada pelayanan kesehatan agar dapat memberi kebijakan khususnya untuk jaminan kesehatan dalam persalinan yang harus sesuai dengan indikasi, selain itu dapat dilakukan penyebaran informasi dalam hal menentukan persalinan baik secara online atau offline.
HUBUNGAN ANTARA PEKERJAAN DENGAN KEJADIAN NEPHROLITHIASIS DI RUANG RAWAT INAP BEDAH RSUD Dr. ABDUL MOELOEK PROVINSI LAMPUNG
Authors: Yustika Reny , Purnanto Eko , Triswanti Nia , Kumala Indra
Published: June 2023

Abstrak: Hubungan Antara Pekerjaan Dengan Kejadian Nephrolithiasis DiRuang Rawat Inap Bedah RSUD Dr. Abdul Moeloek Provinsi Lampung.Nephrolithiasis adalah gangguan urologi yang disebabkan oleh pengendapansubstansi yang mengandung komponen Kristal dan matriks organik dalam air kemihatau zat-zat sisa hasil sekresi tubuh yang jumlahnya berlebihan mengendap di dalampelvis atau kaliks ginjal. Faktor resiko seperti jenis kelamin, usia, riwayat keluarga,asupan cairan yang kurang memadai, terlalu lama duduk di tempat bekerja, dan jugaobesitas dapat meningkatkan resiko secara signifikan terkait kasus batu salurankemih atau BSK. Penelitian ini bertujuan untuk mengetahui apakah ada hubunganantara pekerjaan dengan kejadian nephrolithiasis di ruang rawat inap bedah RSUDDr. H. Abdul Moeloek provinsi Lampung. Penelitian dilaksanakan pada Oktober-November 2022 dengan teknik pengambilan yaitu total sampling sebanyak 68sampel. Hubungan antara pekerjaan dengan kejadian nephrolithiasis menunjukkanterdapat hubungan antara kedua variabel. Hasil uji statistik didapatkan nilai p value= 0,027 maka dapat disimpulkan ada hubungan yang signifikan antara pekerjaandengan kejadian nephrolithiasis. Dan dari analisis diperoleh pula nilai OR = 1,118artinya pasien dengan kategori pekerjaan sedang memiliki kecenderungan untukterjadinya nephrolithiasis dibandingkan pasien dengan pekerjaan berat. Dandiperoleh juga interval kepercayaan (0,333-3,753) dimana pada intervalkepercayaan tidak mengandung nilai odds ratio 1 sehingga menunjukkan adanyahubungan antara pekerjaan dengan dengan kejadian nephrolithiasis.
PERBEDAAN ANTARA PEER ASSESSMENT DENGAN SELF-ASSESSMENT DALAM KETERAMPILAN KLINIS MAHASISWA KEDOKTERAN UNIVERSITAS MUHAMMADIYAH SEMARANG
Authors: Shafania Sevilsa Putri , Romadhoni Romadhoni , Arfiyanti Mega Pandu , Novitasari Andra
Published: June 2023

Abstrak: Perbedaan Antara Peer Assessment dengan Self-Assessmentdalam Keterampilan Klinis Mahasiswa Kedokteran UniversitasMuhammadiyah Semarang. Mahasiswa kedokteran harus menguasaiketerampilan klinis seperti yang tertera dalam Standar Kompetensi DokterIndonesia (SKDI). Apabila mahasiswa tidak mempelajari keterampilan klinis denganbenar, maka kemungkinan akan menyebabkan masalah di kemudian hari.Pelaksanaan peer assessment dan self-assessment dapat mendorong mahasiswauntuk mengambil tanggung jawab yang lebih besar terhadap pembelajaran mereka.Tujuan dari penelitian ini adalah untuk mengetahui perbandingan antara peerassessment dengan self-assessment dalam keterampilan klinis mahasiswa S1Kedokteran. Penelitian ini bersifat kuantitatif, observasional analitik denganpendekatan cross-sectional. Instrumen yang digunakan adalah form berupachecklist keterampilan klinis. Pengambilan sampel menggunakan teknik purposivesampling dan dianalisis menggunakan analisis bivariat dengan uji mann whitney.Sampel penelitian adalah mahasiswa tahun ketiga Fakultas Kedokteran UniversitasMuhammadiyah Semarang. Penelitian ini mendapatkan sampel sebanyak 60responden. Rerata nilai peer assessment sebesar 87,53±12,21 dan nilai selfassessment sebesar 88,46±12,44. Hasil analisis bivariat perbedaan nilai peerassessment dan self-assessment adalah p=0,339. Tidak terdapat perbedaan antarapeer assessment dengan self-assessment dalam keterampilan klinis MahasiswaProgram Studi Pendidikan Dokter.
ANALISIS TINGKAT KEPUASAN PASIEN POLI PENYAKIT DALAM TERHADAP PELAYANAN KEFARMASIAN DI INSTALASI FARMASI RUMAH SAKIT PERTAMINA BINTANG AMIN BANDAR LAMPUNG
Authors: Malinda Sherin , Angin Martianus Perangin , Primadiamanti Annisa
Published: June 2023

Abstract: Analisis Tingkat Kepuasan Pasien Poli Penyakit Dalam Terhadap Pelayanan Kefarmasian Di Instalasi Farmasi Rumah Sakit Pertamina Bintang Amin Bandar Lampung, Skripsi, Program Studi Farmasi, Fakultas Ilmu Kesehatan, Universitas Malahayati, Bandar Lampung. Kepuasan adalah tanggapan pelanggan atau pengguna jasa untuk setiap pelayanan yang diberikan. Pelayanan kesehatan yang bermutu adalah pelayanan yang mampu memuaskan setiap pengguna jasa kesehatan kepada pengguna layanan kesehatan sebagai customer sesuai kode etik dan standar pelayanan profesi. Tujuan penelitian ini adalah untuk mengetahui tingkat kepuasan pasien poli penyakit dalam terhadap pelayanan farmasi yang diukur menggunakan lima dimensi di Instalasi Farmasi Rumah Sakit Pertamina Bintang Amin Bandar Lampung. Penelitian ini dilakukan dengan metode penelitian deskriptif non-eksperimental dengan pendekatan cross sectional. Hasil penelitian pada tingkat kepuasan pasien poli penyakit dalam terhadap pelayanan kefarmasian di Instalasi Farmasi Rumah Sakit Pertamina Bintang Amin kategori puas paling tinggi pada dimensi empati (Empaty) dengan nilai 79,8%. Selanjutnya pada bukti langsung (Tangible) 79,5%, dimensi keandalan (Reliability) 78,3%, dan dimensi jaminan (Assurance) 77%. Sedangkan tingkat kepuasan paling rendah pada dimensi ketanggapan (Responsiveness) dengan nilai 73,1%. Terdapat hubungan usia dan golongan dengan kepuasan pasien, tidak ada hubungan antara jenis kelamin, pendidikan dan pekerjaan dengan kepuasan pasien poli penyakit dalam di Instalasi Farmasi Rumah Sakit Pertamina Bintang Amin.
STROKE NON HEMORAGIK : LAPORAN KASUS
Authors: Azzahra Sahla Delia , Fitriyani Fitriyani
Published: June 2023

Abstrak: Stroke non hemoragik. Stroke merupakan salah satu penyakit utama yang menyebabkan kematian terbanyak di dunia dan penyebab utama ketiga kematian di Amerika Serikat, dengan jumlah kematian 90.000 wanita dan 60.000 pria setiap tahun. Di Indonesia, 8 dari 1000 orang menderita stroke. Stroke dibagi menjadi dua, yaitu stroke hemoragik dan stroke non hemoragik. Sebagian besar (80%) disebabkan oleh stroke non hemoragik. Stroke non hemoragik dapat disebabkan oleh trombus dan emboli. Memahami patofisiologi stroke non hemoragik akibat trombus penting dalam penatalaksanaan pasien, khususnya dalam memberikan terapi secara tepat.
Peningkatan Kesadaran Guru Wanita dalam Deteksi Dini Kanker Payudara Era Kegawatdaruratan Covid-19 di Sman 4 Tanjungpinang, Kepulauan Riau
Authors: Rianda Dewi Puspa , Deliana Muthia
Published: June 2023

ABSTRACT The prevalence of cancer diagnosed by doctors is more common in women 2.9 per mil compared to men, and occurs in productive ages ranging from 25-34 years as much as 1.21 per mil and increases at 55-64 years old, which is 4.62 per mil. Likewise in the Riau Islands, it is one level higher than the average prevalence throughout Indonesia. The sooner cancer is detected, the easier it will be to treat it. Early cancer diagnosis and treatment can improve overall cancer patient outcomes. The goal after this activity is to increase knowledge of female teachers in the Covid-19 emergency era in detecting breast cancer early. The activities carried out were in the form of health promotions, video screenings and demonstrations using manikins. The results of the dedication of 30 participants showed an increase in knowledge in the form of an average pretest score of 79 to an average post test score of 96. There was an increase in the knowledge of female teachers at SMAN 4 Tanjungpinang, Riau Archipelago. Conclusion: this service activity increases the knowledge and independence of female teachers at SMAN 4 Tanjungpinang so that they can teach it to SMAN 4 students in early detection of breast cancer Keywords: Awareness, Female Teachers, Early Detection, Breast, Cancer  ABSTRAK Prevalensi penyakit kanker yang terdiagnosa dokter lebih banyak terjadi pada perempuan 2,9 permil dibandingkan laki-laki, dan terjadi pada usia produktif mulai dari 25- 34 tahun sebanyak 1,21 permil dan meningkat pada usia 55-64 tahun yaitu 4,62 permil. Begitu juga di Kepulauan Riau berada satu tingkat lebih tinggi dibandingkan prevalinsi rata-rata diseluruh Indonesia. Semakin cepat kanker terdeteksi maka semakin mudah juga penanganan yang akan diberikan. Adanya diagnosis kanker dini dan perawatannya dapat meningkatkan outcome pasien kanker secara umum. Tujuan setelah kegiatan ini terjadi peningkatan pengetahuan dan motivasi pada guru Wanita di era kegawatdaruratan covid-19 dalam mendeteksi dini kanker payudara. Adapun kegiatan yang dilakukan berupa promosi Kesehatan, pemutaran video sadari dan demonstrasi sadari menggunakan manikin. Hasil pengabdian dari 30 peserta didapatkan adanya peningkatan pengetahuan berupa nilai rerata pretest 79 menjadi nilai rerata ost test 96. Terdapat peningkatan pengetahuan guru Wanita di SMAN 4 Tanjungpinang, Kepulauan Riau. Kesimpulan: kegiatan Pengabdian ini menambah pengetahuan dan kemandirian guru Wanita di SMAN 4 Tanjungpinang sehingga dapat mengajarkannya pada siswi SMAN 4 dalam melakukan deteksi dini kanker payudara. Kata Kunci: Kesadaran, Guru Wanita, Deteksi Dini, Kanker, Payudara
Penyuluhan Tentang Pentingnya Asi Eksklusif pada Bayi Usia 0 – 6 Bulan terhadap Peningkatan Pengetahuan Ibu di Desa Manyang Cut Kecamatan Meureudu Kabupaten Pidie Jaya
Authors: Lensoni Lensoni , Raisah Putri , Diffa Farah
Published: June 2023

ABSTRACT In Indonesia from research data Basic Health conducted in 2018 showed that the rate of exclusive breastfeeding only reached 37%. The purpose of this research is to increase mother's knowledge regarding exclusive breastfeeding by conducting counseling. This study used a pre-experimental design with the type of one group pretest posttest design. The population in this study were mothers who attended the posyandu with a total of 38 people. The instrument used is a questionnaire. The results showed that there was a relationship between the level of knowledge of mother and the counseling given, namely p <0.05. From these results it can be concluded that there were positive results from the counseling process carried out. With increased maternal knowledge, it is hoped that the nation's generation will become healthy and intelligent and can reduce child and maternal mortality rates in Indonesia, especially the Aceh region. Keywords: Mother's Knowledge, Exclusive Breastfeeding, Socialization  ABSTRAK Di Indonesia dari data Riset Kesehatan Dasar yang dilakukan pada tahun 2018 menunjukkan bahwa tingkat pemberian ASI eksklusif  hanya  mencapai  37%. Tujuan penelitian ini untuk meningkatkan pengetahuan ibu terkait ASI Eksklusif dengan melakukan penyuluhan. Penelitian ini menggunakan desain pra expriemental jenis one group pretestposttest design. Populasi pada penelitian ini adalah ibu yang hadir di posyandu dengan jumlah 38 orang. Instrumen yang digunakan adalah kuesioner. Hasil penelitian menunjukkan bahwa terdapat hubungan tingkat pengetahuan ibu dengan penyuluhan yang diberikan yakni p<0,05. Dari hasil tersebut dapat disimpulkan bahwa terdapat hasil positif dari proses penyuluhan yang dilakukan. Dengan meningkatnya pengetahuan ibu maka diharapkan generasi bangsa akan menjadi sehat dan cerdas serta dapat mengurangi angka kematian anak maupun ibu di Indonesia khususnya wilayah Aceh. Kata Kunci: Pengetahuan Ibu, ASI Eksklusif, Penyuluhan
Hubungan Antara Diet Tinggi Natrium dan Kalium Terhadap Jenis Kelamin Anak Laki-Laki pada Keluarga di Wilayah Kua Rajabasa Dan Kedaton
Authors: Kusmiati Reva , Dalfian Dalfian , Hatta Muhammad , Putri Devita Febriani
Published: June 2023

ABSTRACT The desired sex of the child is influenced by diet selection and nutritional strategies.. Modifying nutritional needs and nutrient intake during pregnancy is done for 9-12 weeks before sex on the child sex pregnancy program. Determine the relationship between a diet high in sodium and potassium on the sex of the boy in families in the KUA Rajabasa and Kedaton areas in 2022. This type of research is quantitative research in the form of an analytic survey with a cross sectional approach with purposive sampling technique. In the results of the chi-square test of the relationship between high sodium and potassium diets for the sex of boys, the p-value result was 0.695 (P>0.05). It is known that there is no significant relationship between a diet high in sodium and potassium to the sex of boys in the working area of KUA Rajabasa and Kedaton. Keywords: Diet, Gender  ABSTRAK Pada diet jenis kelamin anak yang diinginkan, dipengaruhi pemilihan diet dan strategi nutrisi. Memodifikasi kebutuhan nutrisi dan asupan nutrisi selama kehamilan dilakukan selama 9-12 minggu sebelum berhubungan sex pada program kehamilan jenis kelamin anak. Mengetahui hubungan antara diet tinggi natrium dan kalium terhadap jenis kelamin anak laki-laki tersebut pada keluarga di wilayah KUA Rajabasa dan Kedaton Tahun 2022. Jenis penelitian yaitu penelitian kuantitatif berupa survei analitik dengan pendekatan cross sectional dengan teknik purposive sampling. Pada hasil uji chi-square hubungan diet tinggi natrium dan kalium untuk jenis kelamin anak laki-laki, didapatkan bahwa hasil p-value sebesar 0,695 (P>0.05). Diketahui tidak ada hubungan yang signifikan antara diet tinggi natrium dan kalium terhadap jenis kelamin anak laki-laki di wilayah kerja KUA Rajabasa dan Kedaton. Kata Kunci: Diet, Jenis Kelamin
Hubungan Kualitas Tidur dengan Subjective Well-Being pada Mahasiswa Kedokteran dalam Menghadapi Pembelajaran Tatap Muka di Bandar Lampung
Authors: Fauziah Syifa Alya , Triwahyuni Tusy , Setiawati Octa Reni
Published: June 2023

ABSTRACT Subjective well-being is a person's assessment of the level of quality of life from their point of view or emotional experience. Such as satisfaction, positive affect and low negative affect. In medical faculty students, one of the factors that affect subjective well-being is the quality of sleep is a person's satisfaction with sleep, so that people do not show fatigue or drowsiness. Knowing the relationship between sleep quality and subjective well-being in medical students in facing face-to-face learning in Bandar Lampung. Quantitative research with analytic survey design and cross-sectional design. The research sample amounted to 139 medical students in Bandar Lampung. The measuring instruments used were student demographic data and Positive Affect Negative Affect Schedule (PANAS), Satisfaction With Life Scale (SWLS) and Pittsburgh Sleep Quality Index (PSQI). Most respondents had a moderate level of sleep quality (59.7%%) and subjective well-being (67,6%). The correlation analysis results obtained a p-value of 0.000 and a r-value of 0.404. There is a relationship between sleep quality and Subjective well-being in medical students in facing face-to-face learning in Bandar Lampung. Keywords: Sleep Quality, Subjective Well-Being, Medical Students.  ABSTRAK Subjective well-being merupakan penilaian seseorang terhadap tingkat kualitas hidup dari sudut pandang atau pengalaman emosionalnya. Seperti kepuasan, afek positif dan rendahnya afek negatif. Pada mahasiswa fakultas kedokteran salah satu faktor yang mempengaruhi subjective well-being adalah kualitas tidur merupakan kepuasan seseorang terhadap tidurnya, sehingga orang tidak menunjukan kelelahan atau mengantuk. Mengetahui hubungan kualitas tidur dengan subjective well-being pada mahasiswa kedokteran dalam menghadapi pembelajaran tatap muka di Bandar Lampung. jenis penelitian kuantitatif dengan desain survei analitik dan rancangan cross-sectional. Sampel penelitian berjumlah 139 mahasiswa kedokteran di Bandar Lampung. Alat ukur yang digunakan adalah data demografi mahasiswa dan Positive Affect Negative Affect Schedule (PANAS), Satisfaction With Life Scale (SWLS) dan Pittsburgh Sleep Quality Index (PSQI). sebagian besar responden memiliki tingkat kualitas tidur sedang (59,7%%) dan subjective well-being (67,6%). Hasil analisis korelasi didapatkan p-value 0,000 dan nilai r 0,404. Terdapat hubungan kualitas tidur dengan subjective well-being pada mahasiswa kedokteran dalam menghadapi pembelajaran tatap muka di Bandar Lampung. Kata Kunci: Kualitas Tidur, Subjective Well-Being, Mahasiswa Kedokteran.
Abstracts of the 19th Annual Conference of the Natural Health Products Research Society of Canada: New Frontiers in NHP Research
Authors: Haddad Pierre S. , St-Pierre David H. , Cuerrier Alain , Singh Anika , Kehler Connie , Hall Braydon
Published: June 2023

With their 19th Annual Conference, the Natural Health Products (NHP) Research Society of Canada celebrates 20 years of excellence in supporting research and evidence-based policy and product development in Canada and around the world. The general theme of the Conference is thus appropriately entitled “New Frontiers in NHP Research: Celebrating 20 Years of Innovation”. Indeed, it is in a forward-looking stance that the Conference showcases state-of-the art innovations in NHP research from the academic, industry and governmental perspectives, as is the tradition of the Society. Scientific sessions cover NHP applications in cancer, cardiometabolic disease, and aging as well as food derived NHPs and industry innovations. Panel discussions are another trademark of the Annual Conference and address inconsistencies in NHP lab testing, the role of Traditional Herbal Medicine in NHP research, and new developments in NHP analysis. Finally, government and industry representatives offer perspectives on national and international regulatory frameworks.
CHALLENGES AND OPPORTUNITIES TO TEACHING INQUIRY APPROACHES BY STE(A)M PROJECTS IN THE PRIMARY EDUCATION CLASSROOM
Authors: Lupión-Cobos Teresa , Crespo-Gómez José Ignacio , García-Ruiz Cristina
Published: June 2023

This study analyses the teachers' perceptions of their capacity for designing and developing STE(A)M projects in a professional development programme (PD) conducted through a collaborative educational research project carried out between the University and the centres by the IndagaSTEAM Escuela project. Incorporating STEAM education in the classroom poses various challenges to teachers, among other aspects, associated with conceptualising, designing and applying the curricular integration of STE(A)M subjects, requiring training programs updates for this purpose. Hence, the design developed promotes applying an inquiry-based approach and adapting the integrative STE(A)M curriculum in the Primary Education classroom. Challenges and opportunities of the teachers' involvement have been analysed as a case study undertaken longitudinally between 2019 and 2022. Data have been compiled from a varied typology (rubrics evaluation, ad hoc interviews and questionnaires, using the Likert scale), which give an account of the global perception these educators have, on the one hand, of STE(A)M education and the inquiry approach and, on the other hand, of the collaborative learning scenario from the framework used.
Keywords: active learning, primary school teacher, teaching fundamental sciences, teacher skills
Prevalence of Corneal Astigmatism in Age Related Cataract Patient in a Tertiary Eye Hospital
Authors: Islam Mohammad Ariful , Rana Md Masud , Azam Amir Abdulla Hel , Alam Afroza  E , Hasanuzzaman Md , Rasel SM Shafiul Bari
Published: June 2023

Background: To investigate the magnitude and pattern of pre-existing corneal astigmatism in age related cataract patient.

Method: This prospective observational study was carried out in a tertiary eye hospital from January 2020 to June 2020. We examined 577 eyes of 532 patients who underwent cataract surgery. The mean age at the time of surgery was 61.2 ±7.1 (40 to 100) years. Corneal astigmatism was measured with Auto Refracto Keratometer at least two times for each patient. Astigmatism was calculated from dioptric difference of vertical reading from horizontal reading. With the rule (WTR) astigmatism was considered when steep meridian at 900±200. Against the rule (ATR) astigmatism was considered when steep meridian at 1800±200. Astigmatism is in other direction is defined as oblique.

Result: The pattern of astigmatism was ATR astigmatism in 237 eyes (41%), WTR astigmatism in 165 eyes (28.6%) and Oblique in 175 eyes (30.4%). Prevalence of ATR astigmatism was more than WTR astigmatism and prevalence of ATR astigmatism axis significantly increased with the increase in age. Average corneal power was 45.23D. Corneal astigmatism was 0.0D to 0.5D in 274 eyes (47.5%), 0.51D to 1.0D in 175 eyes (30.3%), 1.01D to 2.0D in 98 eyes (17.0%) and more than 2D in 30 eyes (5.2%) cases. Corneal astigmatism of most cataract surgery candidates fell between 0.50D to 1.50 D in 360 eyes (62.4%) cases.

Conclusion: Thirty five percent (35%) pre-operative patient had 1D or more corneal astigmatism and sixty five percent (65%) had less than 1Dcorneal astigmatism.

Central Medical College Journal Vol 6 No 2 Jauly 2022 Page: 67-70
Thoracic Segmental Spinal Anesthesia in Patient with Severe COPD in Open Cholecystectomy
Authors: Khan Md Kutub Uddin , Uddin Md Abbas , Uddin Md Aftab , Rab Wahida Rakinur
Published: June 2023

Background: Regional anesthesia is preferred in most of the chronic obstructive pulmonary disease (COPD) patients to avoid intra- and postoperative complications related to general anesthesia. Herein we reported a case of empyema gall bladder with severe COPD who went for an open cholecystectomy under thoracic segmental spinal with epidural anesthesia. He had substantial dyspnea on routine household activities (NYHA Class III). He had history of several hospital admissions with acute onset of dyspnea and was treated with bronchodilators and systemic steroids. He had no history of other comorbidity. The patient was scheduled for an emergency laparotomy followed by open cholecystectomy. Postoperative recovery was uneventful allowing the patient to be discharged on the 5th POD.

Central Medical College Journal Vol 6 No 2 Jauly 2022 Page: 97-100
Colonialism Reiterated: The Racialised Division of Labour in Higher Education and Beyond
Authors: Hamadah Faisal , Parry-Davies Ella
Published: June 2023

This article takes up the invitation to imagine a decolonised performance studies by turning its attention to the legal and material conditions, institutions, and practices on which the work of study rests. Drawing on performance studies’ theorisations of the affixive ‘re,’ we define colonialism’s “reiteration” as an unfinished modulation across time and space, rather than a linear or finite trajectory. Aligned with thinkers who address decolonisation as a specifically material project, we thus argue that any attempt to epistemologically “decolonise” performance studies must first confront the reiterations of colonialism that undergird academic labour today. Specifically, we turn to the racialised division of labour—as it is reinforced globally by migration law and border control—as a key site at which colonial histories continue to shape scholarly practice. Moving between three key sites—Kuwait, Singapore, and the United Kingdom—we argue that higher education should be seen not as a neutral register for skill and qualification, but as an industry with a vested interest in disguising racialised hierarchies of migrant labour. On this basis, we end by proposing an activism that attempts to break with the normative, racialised division of labour among university workers.
ANALISIS KOMPONEN MAKNA KATA KERJA KASAR BAHASA MELAYU BENGKULU SERTA DAMPAKNYA BAGI PEMBENTUKAN KARAKTER SISWA
Authors: Diani Irma , Fatra Qalbita , Lestari Dian Asih , Hasanah Jamiatul
Published: June 2023

Penelitian ini bertujuan untuk menjelaskan makna kata kasar bahasa Melayu Bengkulu. Metode yang digunakan pada penelitian ini yaitu metode deskriptif dengan pendekatan kualitatif. Data diperoleh dengan teknik wawancara dengan cara mewawancarai 35 informan di Kota Bengkulu. Setelah Data diperoleh, data ditranskipsi, diklasifikasi dan dianalisis menggunakan Teknik Analisis Komponensial  (Pateda, 2021) dalam menjelaskan perbedaan makna setiap kata kerja kasar yang diperoleh. Hasil penelitian ini menunjukkan bahwa terdapat perbedaan makna kata kerja kasar dalam bahasa Melayu Bengkulu sesuai dengan penggunaannya dalam kehidupan sehari-hari. Data  dideskripsikan kembali ke dalam bentuk kalimat, agar dapat dipahami letak perbedaan penggunaan setiap kata kasar yang digunakan di Pesisir Kota Bengkulu serta dampaknya bagi pembentukan karakter siswa.
Optimization of Permanent Magnet Synchronous Generator Output Power in Wind Power Plants with ANN Back Propagation
Authors: Nisworo Sapto , Pravitasari Deria , Ayub Wahab Iis Hamsir
Published: June 2023

The focus of this research is optimizing a wind power plant using a Permanent Magnet Synchronous Generator (PMSG). The backpropagation method of the artificial neural network system was chosen to optimize the output power of the wind power generator. Based on the simulation results, the backpropagation algorithm of the artificial neural network obtains the output power based on the input variable in the form of changing wind speed. The results show that the best value is learning rate = 0.5, error = 0.0001, max. epoch= 100000, neuron hidden layer = 5. The Mean Square Error (MSE) value obtained is 0.1026 reaching the goal at epoch 14845. The reverse training regretion reaches 0.99917. The optimization results are close to the specified error, which is 0.0001, while what is obtained is 0.0145. The power generated by the wind speed is 10.7 m/s before being optimized using the back propagation neural network method worth 321 watts, while the optimized power results are 409 watts. The difference in the average target power obtained is 88 watts compared to the power of the Artificial Neural Network (ANN).
Proliferative Diabetic Retinopathy Requiring Vitrectomy Over Clinic Management During COVID-19: Impact of Delayed Care
Authors: Ahearn Bennett E. , Nguyen Huy , Sohn Jeong-Hyeon
Published: June 2023

Purpose: This study aimed to investigate the impact of delayed retinal clinical care during the COVID-19 pandemic on the severity of proliferative diabetic retinopathy (PDR) and drivers of follow-up delay. We compared disease severity and follow-up rates of PDR patients requiring vitrectomy to those managed nonsurgically, and identified factors associated with need for vitrectomy.Methods: The study included 739 patients diagnosed with PDR between January 1, 2018, and March 4, 2021, categorized into two groups based on outcome: vitrectomy nonvitrectomy. Statistical methods such as t-tests and chi-square tests were used to analyze differences in disease severity and follow-up rates before and after COVID-19 shutdown. A multivariate regression evaluated factors leading to vitrectomy by comparing initial ETDRS (Early Treatment of Diabetic Retinopathy Study) DR staging, disease stability, DR progression, proliferative complications, appointment intervals, follow-up variance, rescheduling rate, and no-show rate.Results: Of the 739 patients, 202 required vitrectomy, 537 were managed nonsurgically. The vitrectomy group had more severe or unstable disease before shutdown. The interval between patient visits preshutdown was 29.76 ± 45.11 days in the vitrectomy group and 40.23 ± 56.73 days in the nonvitrectomy group (p < 0.001). Both groups experienced a significant increase in appointment intervals after shutdown, with the vitrectomy group having a greater increase. Both groups had significantly increased rescheduling rate and minimally increased no-show rate. Patient-directed rescheduling was the main driver of appointment delays. Disease factors, such as tractional retinal detachment and higher ETDRS DR staging, increased the odds of vitrectomy, while appointment burden and follow-up variability had a minimal impact.Conclusions: Patients with more severe PDR and greater delay in appointments due to the pandemic were more likely to require vitrectomy for proliferative complications. Patient-directed rescheduling was identified as the main driver of care delays, as opposed to clinic-directed rescheduling. This study highlights the importance of maintaining regular follow-up appointments for PDR patients during pandemics.
İKTİDAR DEĞİŞTİREN 14 EKİM 1979 MİLLETVEKİLİ ARA SEÇİMİ MANİSA ÖRNEĞİ
Authors: GÜLMEZ Nurettin , USLU ÖNBAY Hatice
Published: June 2023

1970’li yıllar Türkiye için her açıdan zorlu bir dönemi ifade etmektedir. Siyasal dinamiklere zarar veren sağ ve sol siyasal çekişmeleri, Alevi ve Sünni mezhep çatışmaları, fraksiyon kavgaları ile birlikte ekonomik ve siyasal bunalımları içinde barındırmaktadır. Bu dönemin sonuna denk gelen 14 Ekim 1979 milletvekili ara seçimleri çeşitli nedenlerle boşalan milletvekillerinin yerini doldurmaktan çok topluma kolektif olarak kendini ifade edebileceği bir fırsat olarak görülmüştür. Nitekim hükümet değişikliğine varan bir etki yaratmıştır.

Ülke genelinde yaşanan sorunlar, Manisa’da da sosyal, ekonomik, kültürel ve siyasi olarak kendini göstermiştir. 14 Ekim 1979 milletvekili ara seçimleriyle birlikte toplumun nabzını iyi ölçen siyasi partiler, seçim çalışmalarını bu sorunlar üzerine yoğunlaştırmıştır. Mevcut durum göz önüne alındığında siyasi partilerin yerel yöneticileri dahi ulusal siyasete dayalı söylemleriyle seçmeni yönlendirmiştir. Seçim sonuçları ise Manisa için şaşırtıcı bir etki yaratmamıştır. Çok partili hayata geçişle seçtiği siyasi duruşu bozmamış ancak hükümete tepkisini oyların daha da azalmasıyla ortaya koymuştur.

Bu çalışmada; 14 Ekim 1979 milletvekilli ara seçimlerinin gerçekleştiği beş seçim bölgesi arasında yer alan Manisa’da seçim öncesinde yaşananlar, adaylar, partilerin seçim çalışmaları ve seçimin sonuçları hakkında bilgiler verilmeye çalışılmıştır. Çalışmada amaçlanan ise, Türk siyasi tarihinde önemli yere sahip olan ve ulusal siyasete etkisinin fazla olduğu 14 Ekim 1979 ara seçim sürecini Manisa özelinde tüm boyutlarıyla ele almaktır. Sadece beş ilden beş milletvekili seçilmiş, fakat bunun sonucunda iktidar değişmiştir. Bundan dolayı 14 Ekim 1979 seçiminin, Türk siyasi tarihinde önemli bir yeri vardır. Çünkü bir daha tekrarlanmayan ve belki de tekrarlanması pek mümkün olamayan bir sonuç meydana getirmiştir.
Onaylı Veteriner Sağlık Ürünlerini, Onaylı Bitki Koruma Ürünlerini ve Ziraî Mücadele Alet ve Makinelerini Taklit Etme Suçları
Authors: BOZ Burak
Published: June 2023

Veteriner Hizmetleri, Bitki Sağlığı, Gıda ve Yem Kanunu m. 37/1-e ve 39/1-d hükümlerinde onaylı veteriner sağlık ürünleri ve onaylı bitki koruma ürünleri ile ziraî mücadele alet ve makinelerini taklit etme suçlarına yer verilmiştir. Çalışmada bu suç tiplerinin koruduğu hukukî değer, tipikliği ve bu suça uygulanan yaptırım detaylı biçimde ele alınmıştır. Bu suçların özel görünüş biçimleri de mercek altına alınmıştır. Kanun taşıdığı amaca daha etkin bir şekilde ulaşmak ve uygulamada çıkabilecek münferit problemleri önlemek adına kanun değişikliği önerilmiştir.
Yargıtay Ceza Genel Kurulunun 2013/9-104 Esas, 2014/216 Karar ve 29.4.2014 Tarihli Kararı Çerçevesinde Türk Ceza Kanununun 85’inci Maddesinin İkinci Fıkrası Özelinde Ortaya Çıkan Hukuki Sorunların Değerlendirilmesi
Authors: TOKDEMİR Sercan
Published: June 2023

Taksirle öldürme suçunun düzenlendiği 5237 sayılı Türk Ceza Kanunu (TCK) md 85/2’de taksirli bir fiille birden fazla kişinin ölümüne ya da bir veya birden fazla kişinin ölümü ile birlikte bir veya birden fazla kişinin yaralanmasına neden olan failin birinci fıkraya nazaran daha fazla ceza ile cezalandırılacağı düzenlenmiştir. Doktrinde söz konusu hükmün hukuki niteliği tartışılmıştır. Yargıtay CGK, 2013/9-104 Esas, 2014/216 Karar ve 29.4.2014 tarihli kararda oy çokluğu ile TCK md 85/2’de bahsi geçen suçların (taksirle öldürme ve taksirle yaralama) neticelerinin ikiye bölünerek TCK md 22/6’daki şahsi cezasızlık sebebinin bunlardan yalnızca biri hakkında uygulanmasının mümkün olmadığı sonucuna ulaşmıştır. Aksi görüşte olan kurul üyeleri ise taksirli hareketi neticesinde eşinin ölümüne ve altı kişinin yaralanmasına neden olan failin taksirle öldürme suçu bakımından şahsi cezasızlık sebebinin uygulanarak cezalandırılmaması ve şikâyetin gerçekleştiği yaralama suçundan cezalandırılması gerektiğini ileri sürmüşlerdir. TCK md 85/2’de kanun koyucu bileşik suç benzeri bir duruma yer vermiştir. Hükümde bahsi geçen suçların yeniden bağımsız suç tipleri olarak değerlendirilmesi mümkün olmadığından hükmün bir bütün olarak uygulanması gerekir. Aksi yönde bir uygulama hem kanun koyucunun hükmü koyma amacına aykırı olur hem de adaletsiz sonuçların doğmasına neden olur. Bu nedenle şahsi cezasızlık sebebine ilişkin hükmün taksirle yaralama suçu bakımından şikâyet şartı gerçekleşmediğinden bahisle sadece taksirle öldürme bakımından uygulanmasının yerinde bir uygulama olmadığı düşüncesindeyiz. Çalışmada mezkûr karar tahlil edilerek karardaki ve doktrindeki tartışmalar ışığında TCK md 85/2’nin hukuki niteliğinin ortaya konulması ve bu bağlamda TCK md 85/2’nin taksirle işlenen suçlarda şahsi cezasızlık sebebi bakımından uygulanabilir olup olmadığı sorununun çözüme kavuşturulması amaçlanmıştır.
Türk Ceza Hukukunda Bilişim Sistemine Girme Suçuna İlişkin Değerlendirmeler
Authors: KARTAL Pınar , IŞIKLAR ALPTEKİN Gülfem
Published: June 2023

Günümüzde bilişim sistemlerinin tanımlanması büyük önem kazanmıştır. Bunun en önemli sebebi, ortaya çıkabilecek hukuki sorunlara çözüm arayışında adil, hakkaniyete uygun bir sonuca ulaşabilmektir. Özellikle ceza hukuku yönünden yapılacak tartışmalarda bilişim sisteminin tanımlanması suçta ve cezada kanunilik bakımından büyük önem arz etmektedir. Bu nedenle bilişim sistemlerini tanımak aslen bilişim uzmanlarının görevidir ve her olayda mutlaka bu uzmanların teknik görüşüne başvurulmalıdır. Türk ceza hukukunda, Avrupa ülkelerinin çoğunda olduğu gibi bilişim sistemlerine karşı işlenen fiiller kanun içinde düzenlendikleri yerler farklı olsa da, suç olarak düzenlenmiştir. 5237 sayılı Türk Ceza Kanunu’nun 243. maddesinde düzenlenen bilişim sistemine girme, bilişim sisteminin güvenliğine ve bu sisteme duyulan güvene karşı işlenen bir suçtur. Bununla birlikte bir bilişim sisteminin tamamına ya da bir kısmına hukuka aykırı bir şekilde girilmesi durumunda veya bu ortamda kalınması halinde, bireyin özel hayatının gizliliği ve/veya haberleşme özgürlüğü de ihlal edilmektedir. Bu suçun öngörülme sebebinin, Türkiye’nin taraf olduğu Avrupa Konseyi Siber Suç Sözleşmesine taraf olmanın getirdiği yükümlülük olduğu düşünülebilir. Ancak, bu suçun Türk Ceza Kanunu’nda düzenlenmiş olmasındaki asıl amaç, günümüz teknolojilerinin kötüye kullanımı sonucu ortaya çıkabilecek ihlalleri engelleme amacıdır. Özet olarak, bu çalışmada, TCK.m.243/1 ‘de düzenlenen bilişim sistemine girme suçu incelenmiştir.
Desenvolvimento da linguagem infantil e a influência de fatores socioeconômicos e socioculturais
Authors: Souza Adriele Francisca da Silva , Leandro Gabriela da Silva , Costa Elson Ferreira , Caldas Ivete Furtado Ribeiro
Published: June 2023

O desenvolvimento da linguagem infantil é um processo dinâmico, gradativo e contínuo, determinado pela interação de fatores genéticos, sociais e ambientais. Objetivo: Avaliar a associação de fatores socioeconômicos e socioculturais sobre o desenvolvimento da linguagem de crianças em uma creche pública no município de Marabá (PA). Método: Trata-se de uma pesquisa de caráter transversal, realizada com 62 crianças entre 3 a 6 anos. Os instrumentos utilizados foram o Teste de Triagem de Desenvolvimento de Denver II, o Instrumento de Medição do Nível de Pobreza e o Questionário de Características Biopsicossociais da Criança. Para análise estatística foram utilizados os testes Qui-quadrado, Fisher, Teste G e Teste U, todos com nível de significância de 5%. Além disso, foi realizada a Análise de Cluster para criar agrupamentos na amostra. Resultados: Em relação ao nível de pobreza, 56 (90.32%) das crianças apresentavam renda baixa superior. Quanto ao Denver II, (24.20%) apresentaram desfecho linguístico com atraso e 13 (20.97%) resultado risco, assim, 28 (45.17%) foram reunidas no grupo questionável. Onze (57.90%) das crianças que foram abandonadas totalmente pelo pai, obtiveram resultado na área da linguagem questionável, juntamente com 20 (60.60%) cujos pais trabalhavam por tarefa. Através da Análise de Cluster, verificou-se a existência de três grupos diferentes de indivíduos, averiguou-se que as variáveis selecionadas são significativamente discriminantes, e, que a própria função discriminante é altamente significante. Conclusão: Fatores socioeconômicos e variáveis sociais possuem influência direta sobre o desenvolvimento da linguagem infantil.
Incidência da sífilis congênita em um município do oeste do Paraná
Authors: Dambros Valentina Fornari , Possobon Adriano Luiz , Nascimento Rodrigo Araujo , Santos Leonardo Rafael Prado dos , Silva Letícia Fernandes , Silva Gabriella Pinheiro Nicioli da , Fonseca Manuela Guedes Pereira da Costa Miranda , Hamdan Mariam Walid , Dambros Nathalia Fornari , Coelho Luiz Henrique Parizoto
Published: June 2023

A sífilis é uma doença infectocontagiosa que consiste em uma infecção sistêmica, ocorre pela disseminação do Treponema pallidum e apresenta altas taxas de transmissão vertical, podendo chegar a 100%. O diagnóstico da sífilis gestacional é simples e o seu rastreamento é obrigatório durante o pré-natal. Ainda assim, essa doença apresenta elevada prevalência no mundo todo. Vários fatorem implicam sobre o aumento do número de casos de sífilis, sendo o principal o pré-natal ineficaz. Objetivos: estudar a prevalência de sífilis congênita (SC) em um município oeste do Paraná, destacando seu papel como indicador de qualidade da assistência pré-natal e avaliar impacto da pandemia de COVID-19 neste período. Método: estudo quantitativo dos casos de SC ocorridos no município de Cascavel-PR, no período de um de agosto de 2018 a um de agosto de 2021. Resultados: Foram notificados 55 casos de sífilis congênita, sendo a maioria no ano de 2021 com 34,5% do total de casos. Excluindo-se aqueles preenchidos como ignorado ou com dados ausentes, das 7 gestantes que realizaram o tratamento de com Penicilina, 100% tiveram recém nascidos vivos, sendo este um achado estatisticamente relevante (p<0,001). Entretanto as 39 mães dos recém nascidos vivos que realizaram o tratamento de forma inadequada, ou não realizaram tratamento observou-se aumento na porcentagem de natimortos. Conclusão: O estudo realizou um diagnóstico dinâmico sobre a ocorrência de casos de sífilis. Esses dados contribuirão para a identificação epidemiológica do município em relação ao diagnostico, tratamento e prevenção da SC.
Alimentação rica em melatonina e triptofano no combate a insônia: uma revisão
Authors: Araújo Amanda Silva , Soares Hugo Miguel Borba , Lopes Jéssica dos Anjos Rodrigues , Silva Neto Luiz Mezencio da , Oliveira Maria Fernanda Ferreira Alvarenga
Published: June 2023

A população mundial cresce a cada dia e dados da OMS revelam que cerca de 45% da população sofre com insônia e segundo a Fiocruz cerca de 45% população brasileira também sofre com esse mal. A insônia pode variar de acordo com severidade, frequência e duração, interferindo diretamente na qualidade do sono. A melatonina é um hormônio produzido na glândula pineal, tendo sua biossíntese o aminoácido triptofano. A melatonina vem sendo muito usada no combate a insônia, juntamente com seu percursor, o triptofano. Comumente, são usados medicamentos ansiolíticos para o combate a insônia, como Alprazolan, Diazepam, Clonazepam e Bromazepam. Porém seu uso indevido pode trazer várias complicações e prejuízos para a saúde. Atualmente, vem se buscando estudar se caso seja praticada uma alimentação rica em melatonina e triptofano, ela possa ajudar a melhorar a qualidade de sono. Alguns alimentos tem boas quantidades de triptofano em sua composição, como Salmão (3,7 ng/g), nozes (3,5 ng/g) e suco de laranja (3,15 ng/g). O objetivo deste trabalho foi realizar uma revisão bibliográfica, reunindo trabalhos que abordam os temas de insônia, qualidade do sono, melatonina, triptofano, o uso de medicamentos ansiolíticos e a relação do consumo de alimentos com ricos em melatonina e triptofano, visando melhorar a qualidade do sono. Os bancos de dados da internet como Google Acadêmico, Scielo, Periódicos CAPES e Pubmed e foram analisadas publicações durante 23 anos. Diante do exposto, sugere-se a possibilidade de se utilizar no dia-a-dia alimentos ricos em melatonina e triptofano, para que com sua liberação o corpo possa sofrer os devidos benefícios destes compostos, principalmente na depressão, humor, ansiedade, qualidade do sono, controle da insônia, entre outros. Porém alguns estudos entram em contradição, desta forma sendo recomendado a realização de novas pesquisas, com várias fatias da população, seja de faixa etária, ideologia de gênero, classes sociais, classes de trabalho, para os resultados serem o mais contundentes e representativos possíveis.