bluuebunny/crossref_metadata_2025 huggingface dataset:
A Continuous Quality Improvement Intervention to Improve Antenatal HIV Care Testing in Rural South Africa: Evaluation of Implementation in a Real-World Setting
Authors: Yapa H. Manisha , Dhlomo-Mphatswe Wendy , Moshabela Mosa , De Neve Jan-Walter , Herbst Carina , Jiamsakul Awachana , Petoumenos Kathy , Post Frank A. , Pillay Deenan , Bärnighausen Till , Wyke Sally
Published: November 2020

Background: We evaluated continuous quality improvement (CQI) targeting antenatal HIV care quality in rural South Africa using a stepped-wedge cluster-randomised controlled trial (Management and Optimisation of Nutrition, Antenatal, Reproductive, Child health, MONARCH) and an embedded process evaluation. Here, we present results of the process evaluation examining determinants of CQI practice and ‘normalisation.’ Methods: A team of CQI mentors supported public-sector health workers in seven primary care clinics to (1) identify root causes of poor HIV viral load (VL) monitoring among pregnant women living with HIV and repeat HIV testing among pregnant women not living with HIV, and (2) design and iteratively test their own solutions. We used a mixed methods evaluation with field notes from CQI mentors (‘dose’ and ‘reach’ of CQI, causes of poor HIV care testing rates, implemented change ideas); patient medical records (HIV care testing by clinic and time step); and semi-structured interviews with available health workers. We analysed field notes andsemi-structured interviews for determinants of CQI implementation and ‘normalisation’ using Normalisation Process Theory (NPT) and Tailored Implementation of Chronic Diseases (TICD) frameworks. Results: All interviewed health workers found the CQI mentors and methodology helpful for quality improvement. Total administered ‘dose’ was higher than planned but ‘reach’ was limited by resource constraints, particularly staffing shortages. Simple workable improvements to identified root causes were implemented, such as a patient tracking notebook and results filing system. VL monitoring improved over time, but not repeat HIV testing. Besides resource constraints, gaps in knowledge of guidelines, lack of leadership, poor clinical documentation, and data quality gaps reduced CQI implementation fidelity and normalisation. Conclusion: While CQI holds promise, we identified several health system challenges. Priorities for policy makers include improving staffing and strategies to improve clinical documentation. Additional support with implementing clinical guidelines and improving routine data quality are needed. Normalising CQI may be challenging without concurrent health system improvements.
Advancing the WHO-INTEGRATE Framework as a Tool for Evidence-Informed, Deliberative Decision-Making Processes: Exploring the Views of Developers and Users of WHO Guidelines
Authors: Stratil Jan M. , Paudel Deepak , Setty Karen E. , Menezes de Rezende Carlos E. , Monroe Aline A. , Osuret Jimmy , Scheel Inger B. , Wildner Manfred , Rehfuess Eva A.
Published: November 2020

Background: Decision-making on matters of public health and health policy is a deeply value-laden process. The World Health Organization (WHO)-INTEGRATE framework was proposed as a new evidence-to-decision (EtD) framework to support guideline development from a complexity perspective, notably in relation to public health and health system interventions, and with a foundation in WHO norms and values. This study was conducted as part of the development of the framework to assess its comprehensiveness and usefulness for public health and health policy decision-making. Methods: We conducted a qualitative study comprising nine key informant interviews (KIIs) with experts involved in WHO guideline development and four focus group discussions (FGDs) with a total of forty health decision-makers from Brazil, Germany, Nepal and Uganda. Transcripts were analyzed using MAXQDA12 and qualitative content analysis. Results: Most key informants and participants in the FGDs appreciated the framework for its relevance to real-world decision-making on four widely differing health topics. They praised its broad perspective and comprehensiveness with respect to new or expanded criteria, notably regarding societal implications, equity considerations, and acceptability. Some guideline developers questioned the value of the framework beyond current practice and were concerned with the complexity of applying such a broad range of criteria in guideline development processes. Participants made concrete suggestions for improving the wording and definitions of criteria as well as their grouping, for covering missing aspects, and for addressing overlap between criteria. Conclusion: The framework was well-received by health decision-makers as well as the developers of WHO guidelines and appears to capture all relevant considerations discussed in four distinct real-world decision processes that took place on four different continents. Guidance is needed on how to apply the framework in guideline processes that are both transparent and participatory. A set of suggestions for improvement provides a valuable starting point for advancing the framework towards version 2.0.
The Role of Regulator-Imposed Post-Approval Studies in Health Technology Assessments for Conditionally Approved Drugs
Authors: Vreman Rick A. , Bloem Lourens T. , van Oirschot Stijn , Hoekman Jarno , van der Elst Menno E. , Leufkens Hubert GM , Klungel Olaf H. , Goettsch Wim G. , Mantel-Teeuwisse Aukje K.
Published: November 2020

Background: The European Medicines Agency (EMA) aims to resolve uncertainties associated with conditionally approved drugs by imposing post-approval studies. Results from these studies may be relevant for health technology assessment (HTA) organizations. This study investigated the role of regulator-imposed post-approval studies within HTA. Methods: For all conditionally approved drugs up to December 2018, regulator-imposed post-approval studies were identified from EMA’s public assessment reports. The availability for and inclusion of study results in relative effectiveness (re)assessments were analyzed for 4 European HTA organizations: NICE (National Institute for Health and Care Excellence, England/Wales), HAS (Haute Autorité de Santé, France), ZIN (Zorginstituut Nederland, the Netherlands) and the European Network for Health Technology Assessment (EUnetHTA, Europe). When study results became available between an HTA organization’s initial assessment and reassessment, it was evaluated whether and how they affected the assessment and its outcome. Results: For 36 conditionally approved drugs, 98 post-approval studies were imposed. In total, 81 initial relative effectiveness assessments (REAs) and 13 reassessments were available, with numbers of drugs (re)assessed varying greatly between jurisdictions. Study results were available for 16 initial REAs (20%) and included in 14 (88%), and available for 10 reassessments (77%) and included in all (100%). Five reassessments had an outcome different from the initial REA, with 4 (2 positive and 2 negative changes) relating directly to the new study results. Reassessments often cited the inability of post-approval studies to resolve the concerns reported in the initial REA. Conclusion: Results from regulator-imposed post-approval studies for conditionally approved drugs were not often used in REAs by HTA organizations, because they were often not yet available at the time of initial assessment and because reassessments were scarce. When available, results from post-approval studies were almost always used within HTA, and they have led to changes in conclusions about drugs’ relative effectiveness. Post-approval studies can be relevant within HTA but the current lack of alignment between regulators and HTA organizations limits their potential.
International Trade and Investment and Food Systems: What We Know, What We Don’t Know, and What We Don’t Know We Don’t Know
Authors: Schram Ashley , Townsend Belinda
Published: November 2020

Background: Globalised and industrialised food systems contribute to human and planetary health challenges, such as food insecurity, malnutrition, and climate change. International trade and investment can serve as a barrier or enabler to food system transformations that would improve health and environmental outcomes. Methods: This article used health impact assessment (HIA) to analyse what we know, what we don’t know, and what we don’t know we don’t know about the role that trade and investment might play in food system transformations to improve human and planetary health. Results: Evidence exists for the link between trade and investment and the spread of unhealthy food commodities, efforts to impede nutrition labelling, and increased concentration of ultra-processed food and beverage product companies. The role of trade and investment in the reduction of animal sources in human diets is emerging and may include challenging measures that restrict the use of terms like ‘milk’ and ‘burger’ in plant-based alternatives and the promotion of plant-based foods through non-tariff barriers and targeted efforts at regulatory harmonisation. Trade disputes may serve as the forum for battles around state discrepancies in the safety and acceptability of technological innovation in the food supply, as was the case with hormone treated beef between the European Union (EU) and the United States. Corporate social responsibility (CSR) obligations are unambitious but represent welcome progress in balancing public and private interests. Finally, introducing greater policy flexibility, transparency, and participation provides opportunities to shape a modern trade and investment system that can respond to future food system challenges in a timely fashion. Conclusion: Research at the intersection of trade and investment and food systems should address emergent food systems issues, particularly those that intersect health and climate, while policy efforts should be future-proofing the flexibility of the trade and investment system to enable food system design that supports improved human and planetary health outcomes.
Song Composition Systems of Sri Lankan Tamil Rural Poets
Authors: Santhirasegaram Sinnathamby
Published: November 2020

There is a long tradition of folk song called Folk ballads (Kaddup padalkal) among the Sri Lankan Tamils. These songs, written by somewhat literate rural poets, are written on the paper or published as pamphlets, as small print copies. But, in their practical way, they are mostly handed over orally.When these Folk ballads (Kaddup padalkal) compose by the rural poets, they follow some rules and regulations. Linguistic regulations are the main one of them. These rules clearly distinguish oral literature from written literature. It has been generally followed that songs should be composed mainly on the basis of various verbal elements. Namely, different features follow the same repetitive methodology.Similarly, we can observe that there is more similarity in the rhythm of the songs. They have been singing their songs in certain rhythms. Thus, they have adopted the method of using oral song forms such as epic, ammānai, sinthu, kummi, thālāttu, oppāri, kavi according to the nature of the objects. Their form and music structures are mostly similar to folk songs.Moreover, a general structure has been followed to the theme of the songs.
Fatty acid profiles of waste fish skins and potential use for crackers
Authors: YAVUZER Emre
Published: November 2020

The aim of this study is to examine the fatty acid profiles of rainbow trout (G1), sea bream (G2) and sea bass (G3) obtained by cultivation and to measure the panelist perceptions of edible crackers obtained from these fish skins by sensory analysis. The fatty acid compositions of groups changed from 21.27- 24.59%, 41.43–45.18% and 28.06–29.48% for saturated (SFAs), monounsaturated (MUFAs) and polyunsaturated fatty acids (PUFAs), respectively. The ratio of w6/w3 PUFAs was 1.27 in G1, 1.77 in G2 and 1.71 in G3. Atherogenicity (IA) and Thrombogenicity Index (IT) values ranged from 0.33 to 0.36 and from 0.26 to 0.31, respectively.
Garantías en títulos valores
Authors: Lama More Héctor Enrique
Published: November 2020

El presente trabajo dirige su atención a las garantías en las relaciones jurídicas patrimoniales, es decir, en las relaciones jurídicas obligatorias o creditorias, en las que se identifica a dos partes o sujetos. De un lado, al sujeto activo, a quien se denomina acreedor o titular de un derecho de crédito; y, por el otro, al sujeto pasivo, denominado deudor u obligado frente al primero; por lo que ante la posibilidad de incumplimiento del deber u obligación impuesta o asumida por el sujeto pasivo —deudor—, la garantía constituye la esperanza de que tal obligación se cumpla y el acreedor vea satisfecho su crédito. En tal sentido, se analizan las garantías personales y reales que nuestro ordenamiento civil y mercantil reconoce.
Poder Judicial, justicia inclusiva y justicia intercultural
Authors: Malpartida Castillo Víctor
Published: November 2020

Se tiene como aspecto central el recuento de cómo el Poder Judicial ha ido asumiendo la justicia intercultural, desde la valoración del peritaje antropológico hasta la realización de congresos internacionales de justicia intercultural, preocupándose constantemente por la relación entre la justicia denominada ordinaria y la justicia comunal, planteándose finalmente un Proyecto de Ley de Coordinación y Armonización Intercultural de la Justicia en 2011.
Aplicabilidad de la teoría de las cargas probatorias dinámicas al proceso civil peruano. Apuntes iniciales
Authors: Campos Murillo Walter Eduardo
Published: November 2020

El presente artículo pretende aportar algunos apuntes iniciales a fin de establecer la conveniencia de aplicar la denominada «Teoría de las Cargas Probatorias Dinámicas» en el proceso civil peruano. Esta teoría, que constituye un medio para flexibilizar, de manera excepcional, la rigidez de la regla general de distribución de la carga probatoria recogida en el artículo 196 del Código Procesal Civil, constituye un aporte de la doctrina procesal argentina a la teoría general de la prueba y que, pese a no estar regulada normativamente, ha sido acogida ya en diversos ámbitos de nuestro derecho nacional. En esta línea, luego de establecida la conveniencia de su adopción en sede nacional, se propone un texto normativo para su incorporación en el derecho procesal civil peruano
Formas de culminación del proceso penal por falta. Una propuesta de integración normativa
Authors: Abanto Quevedo Mario Lohonel
Published: November 2020

Ante la insuficiente regulación del proceso penal por falta en el Código Procesal Penal de 2004, se propone integrar los vacíos normativos a través de la actividad interpretativa del juez. Esta opción se aplica para los casos de culminación de tal clase de proceso penal y se expone cada una en este ensayo
El Poder Judicial peruano como objeto de estudio para la calidad de la democracia y administración de justicia en el Perú. Ventajas y dificultades
Authors: Salas Villalobos Sergio
Published: November 2020

El presente trabajo formula reflexiones sobre el modelo del sistema judicial peruano, como integrante de un sistema democrático de mayor espectro, el cual necesita bases sólidas para su institucionalización. Se abordan las debilidades del sistema, aún vigentes pese a los esfuerzos personales de algunos jueces conductores de la gestión a lo largo de los últimos años. Si bien en otros ensayos ya hemos desarrollado la técnica de la identificación de los sistemas judiciales, no obstante, consideramos que el propósito de este trabajo, al estar orientado a una visión política del sistema judicial en el Perú, exige ahora una definición de aquellos dentro del campo político
Alimentos probióticos: influencia de péptidos antimicrobianos en la interacción con el hospedador
Authors:   , Szymanowski Felipe
Published: November 2020

Los péptidos antimicrobianos son un componente de la inmunidad innata muy conservado a lo largo de la evolución que se encuentran ampliamente distribuidos en la naturaleza. Son pequeños péptidos catiónicos con diferentes tipos de estructura y múltiples funciones biológicas dentro de un organismo. En el ambiente intestinal los péptidos antimicrobianos cumplen un rol principal en el control de la microbiota, modificando su composición y limitando el desarrollo de microorganismos patógenos, actuando al mismo tiempo como microbicidas y como reguladores la respuesta inmune del hospedador. En este trabajo se estudió la influencia de la sensibilidad a péptidos antimicrobianos en la interacción entre lactobacilos potencialmente probióticos y el hospedador en el ámbito intestinal. Para ello se realizó un recorrido por distintos modelos biológicos y fisicoquímicos estudiando diferentes aspectos de la interacción bacteria/péptido antimicrobiano y bacteria/hospedador, buscando profundizar en el co-nocimiento de los mecanismos presentes detrás del efecto probiótico. Los estudios realizados evidencian la importancia de la composición lipídica de la membrana bacteriana sobre la sensibilidad de lactobacilos frente a péptidos antimicrobianos, y asimismo como esta composición influye en los mecanismos de acción de los diferentes péptidos. Además, se comprobó que los lactobacilos estudiados tuvieron la capacidad de modular distintos aspectos de la respuesta inmune al tanto in vitro como in vivo. En efecto se observó que estimularon la expresión de β defensinas utilizando una vía de señalización independiente de NF-kB; fueron activamente fagocitados por macrófagos e indujeron un perfil de diferenciación de tipo proinflamatorio en ellos. Un perfil proinflamatorio moderado transitorio se registró también in vivo a nivel intestinal en los ratones que ingirieron los lactobacilos. La ingesta de lactobacilos modificó a su vez la composición de la microbiota intestinal de los ratones. En conjunto estos hallazgos demuestran que la interacción de los lactobacilos con los péptidos antimicrobianos van más allá de la suceptibilidad bacteriana y que el efecto global de los probióticos se contextualiza en la suma de res-puestas complejas con el hospedador.
Behavioral Intervention Innovation on Reducing Sexual Risk Behavior among HIV-Positive Men Sex Men: A Literature Review
Authors: Rahmayani Melly , Waluyo Agung
Published: November 2020

The high degree of HIV transmission in the MSM circles resulted from the risky sexual behaviors. The study aimed to describe the behavioral intervention innovation to reduce sexual risk behavior among HIV-Positive MSM. This literature study was conducted to identify behavioral intervention innovations among HIV-Positive MSM. Articles were retrieved from Wiley Online, ProQuest, and ScienceDirect databases. The keywords used were behavioral Intervention, sexual risk behavior, and HIV-Positif MSM. The articles were limited based on inclusion criteria: English language full-text articles have been published from 2010 to 2019. Research studies also included several study design types, including a quasi-experimental study, a randomized control trial (RCT), and mixed-method design. Based on the research results on the selected journal, it is known that there is a wide range of behavioral therapy Innovations as an intervention carried out to reduce the sexual risk behavior among HIV-Positive MSM. Several interventions enhance the knowledge about HIV among HIV-Positive MSM, including integrated community and clinic-based intervention, Internet application, small group intervention, social network intervention, the treatment advocacy program, and brief Internet-based group intervention. In addition, man to man Sexual Health Seminar, Positive Sexual health  (PoSH),  Men speaking out, and community-based peer education can significantly decrease the sexual risk behavior, increase HIV tests improve attention, and search for health facilities. Behavioral intervention is an intervention that is part of nursing intervention, particularly in the hard-to-reach HIV-Positive MSM, because it is a minority group. With innovations, interventions are made more attractive and more convenient so that they are expected to change behaviors, especially sexual risk behavior that can transmit HIV and sexually transmitted diseases. This behavioral innovation tends to be more effective and can be applied in all countries, including developing countries, to reach all areas like those in Indonesia with extensive regions
Noun Adnominal Valency in Female and Male Authors Fiction
Authors: Andreyev Sergey
Published: November 2020

The article is devoted to the quantitative analysis of the literary world fictional description in the works, written by female and male authors. The study focuses on the comparison of adnominal (attributive) valency which is defined as the implementation of noun potential collocability with the syntactic position

of adnominal. The valency is measured by the number of adnominals, modifying the given noun.

The data-base of the study includes samples from 18 novels and stories, belonging to detective-story genre and written by female and male authors. The comparison of the adnominal features of two genders is carried out by counting

the frequencies of different types of adnominal valencies and analyzing their distribution in the text.

The research demonstrated that Lorentzian and power functions are a very good fit for the adnominal valencies distribution in all the texts. It has been found that female authors do not differ from male writers either in the number of adnominal

valencies or their distribution which demonstrates some hidden regularity.
Objective and Subjective Evidence for Political Reality
in Autobiographical Discourse
Authors: Belyutina Yuliya
Published: November 2020

The article surveys peculiarities of a political language personality’s autobiographical discourse. Through the analysis of the autobiographical discourse, the specific features of the genre are revealed; its peculiarities in objectifying

political reality are detected. The study material is a book of memoirs «Decision Points» by the 43d President of the USA George W. Bush, in which he describes landmark events in his personal and professional life and tries to explain what or who moved him forward in choosing complicated and provocative

routes.

In the analyses the author identifies genre-forming features of works, as well as the features in the objectification of political reality. The politician’s memoirs are distinguished not through accurate narration of factual evidence as much as through the aim to develop a certain view of the historical period in the

reader and through the desire to cultivate a certain opinion in them. For this

reason the reminiscent must strike an ideal balance in supplying objective and

subjective evidence. A combination of unprejudiced narration and personal considerations,

the author’s reflections on his reasons for decision-making, admission

of guilt and not being right in some crucial moments add to the emotional

disposition of the text and make it more convincing. Pragmatic actuality is

achieved through rendering historical and famous facts, dates, and contemporary

records.

Within this article the onomastic space of G.W. Bush’s memoirs has ben

analysed, which helps to reveal that most of the onyms (anthroponyms, zoonyms,

chrematonyms, ethnonyms, socionyms, ergonyms, toponyms) and to testify to

their credibility. The conclusion is made that the objective evidence is exposed

to careful selection and is to accord with the pragmatic intention of the subject

of reminiscence; the subjective evidence allows to fill the text with emotional

substance and to plunge the reader in the thick of things.
The King’s Mortars. Peculiarities of Development of the Siege Artillery Corpsin France within the Period of Louis XIV's Reign
Authors: Ovchinnikov Vladimir
Published: November 2020

The study is based on the works of major European researchers and artillery

practitioners like L. Saint-Rémy and Sébastien de Vauban in the second

half of the XVII century. The article deals with the main aspects of the development

of siege artillery in France during the reign of King Louis XIV as the main

factors of the military art transformation in the era of «military revolution in

Europe» in the context of the European absolutism formation, it demonstrates

the crucial role of the conflict that is manifested in the phenomenon of an arms

race.

The author primarily focuses on the problem of using high trajectory

weapons such as mortars, as well as their use and the possibilities of modernization. Attention is also paid to the organizational problems including the formation of the French corps of siege artillery with reference to the «fortification and artillery revolution» in Europe.
Sunday Schools Organization in the Territory of Smolensk Governorate on the Eve of the Great Reforms of Alexander II
Authors: Kozlov Oleg
Published: November 2020

The article deals with the activities of authorities and society in the process

of creating the first Sunday schools for the urban population (working children,

boys, adults) of the Russian Empire on the eve of the Great Reforms of Alexander

II. It is shown that in modern historiography, despite the existence of

various government decisions on the organization and management of Sunday

schools, there is no consensus on the time of their establishment, as well as the

departmental status of the Ministry of Internal Affairs (MIA of Russia), the Ministry

of National Education (MNE) and the Russian Orthodox Church (ROC).

The article stresses that the opening and successful operation of Sunday schools

required, first of all, proactive representatives of the teaching community or interested

individuals.

Previously unused materials of the State Archive of the Smolensk Region (GASO) assist to analyze the initial stage of creating Sunday classes in the governorate and district centers of the Smolensk region. On the ground this initiative came in the form of an instruction given by MIA of Russia (in coordination

with MNE) in 1860. It was supposed that «the establishment of Sunday schools in cities should bring significant benefits to urban societies» and «these schools should be run by local school directors». Thus, the article states that in the

province it was MIA of Russia, through the institute of the governorate, which was based on private initiative and active participation of local intelligentsia and carried out the idea of creating Sunday schools for working youth for their

religious and moral education and primary education.
Industry in the Urban Space of Pre-industrial Cherepovets, 1880–1940s
Authors: Agafonova Anna
Published: November 2020

The article is devoted to the analysis of the industrial development dynamics in Cherepovets in the late imperial period, during the revolution, the establishment of Soviet power and the first Five-Year Plans of industrialization.

The purpose of the study is to reconstruct Cherepovets industrialization in the

context of the urban space development in the 1880–1940s before the construction

of a metallurgical plant and gaining the status of an industrial center.

In the 1880–1940s Cherepovets industry mainly served the needs of the

city and the governorate. Small industries dominated in the city. They were located on the city outskirts, as well as near local rivers. The present research is based on materials taken from the archives of the Cherepovets Museum Association, the Cherepovets Documentation Storage Center, the Russian State Historical

Archive, and from official state statistics and periodicals. The analysis of

these documents allowed the author to study the dynamics of Cherepovets industry

development.

The article states that developmental peaks that were associated with a

quantitative increase in factories and plants in the city and that occurred on the eve and in the first years of World War I, as well as in the second Five-Year Plan of Soviet industrialization. The decline in industrial production was influenced by political

events related to the end of World War I, the revolution, the civil war, and the outbreak of the Great Patriotic War. They had a decisive influence on the economy

of the country and the city. In the period under the study the urban space grew due

to the expansion of urban outskirts, where industrial enterprises were built, and the

inclusion of neighboring villages in the urban area.

The results obtained in the study are significant for understanding the processes of the industrial potential formation in Soviet industrial centers, as well as for the subsequent studies devoted to the development of socioenvironmental urban problems caused by industrialization.
HUBUNGAN DEPRESI DENGAN KUALITAS HIDUP WANITA MENOPAUSE DI KLINIK BANK TABUNGAN PENSIUNAN NASIONAL (BTPN) SAMARINDA TAHUN 2018
Authors: Noorma Nilam , Ratanto Ratanto , Anggraini Diesteyera Putri
Published: November 2020

Abstract

 

Depression is a serious mental condition that signified by feeling of sadness and anxiety one of which could affect the life quality of women with menopause. Out of 7 women with menopause at BTPN clinic, 5 of them are suffering with depression. This research is aimed to know the relation between depression with the life quality of women with menopause. A quantitative research with analytical study and cross sectional research design. Population of 1244 people. A sample of 62 people using Consecutive Sampling technique. The instrument that used for measure of depression is standard questionnaire of Beck Depression Inventory made by Dr. Aaron T. Beck and the instrument that used for life quality is standard questionnaire of WHOQL made by World Health Organization. Subjective data is taken during the interview, continued by filling in the questionnaire. Furthermore, the data is analyzed in univariate and bivariate fashion with Chi Square test.  The result is Scores obtained from variable of depression is p=0,004 (p < 0,05), thus, there is a relation between depression with the life quality of women with menopause. The conclusion There is a relation between depression with the life quality of women with menopause it is suggested for clinic of BTPN to do counseling about menopause with the intention of improving life quality.

 

Key Words : Depression, Life quality, Menopause

Abstrak

 

Depresi merupakan gangguan mental yang serius ditandai dengan perasaan sedih dan cemas yang salah satunya dapat mempengaruhi kualitas hidup wanita menopause. Dari 7 wanita menopause di Klinik BTPN, 5 di antaranya mengalami depresi. Penelitian ini bertujuan untuk mengetahui hubungan depresi dengan kualitas hidup wanita menopause. Jenis penelitian kuantitatif dengan studi analitik dan desain cross sectional. Populasi berjumlah 1244 orang. Sampel sebanyak 62 orang menggunakan teknik consecutive sampling. Instrumen yang digunakan untuk mengukur depresi berupa kuesioner baku Beck Depression Inventory yang dibuat oleh dr. Aaron T. Beck dan untuk kualitas hidup menggunakan kuesioner baku WHOQOL yang dibuat oleh WHO. Data subjektif diambil pada saat peneliti melakukan wawancara dilanjutkan dengan pengisian kuesioner. Kemudian data dianalisis secara univariat dan bivariat dengan uji Chi Square. Hasil  penelitian didapatkan nilai dari variable depresi p=0,004 (p < 0,05), sehingga ada hubungan antara depresi dengan kualitas hidup wanita menopause. Kesimpulan peneliian ini adalah Ada hubungan antara depresi dengan kualitas hidup wanita menopause. Disarankan untuk pihak Klinik BTPN untuk melakukan penyuluhan kesehatan tentang menopause dengan tujuan meningkatkan kualitas hidup.

 

Kata kunci : Depresi, Kualitas hidup, Menopause
HUBUNGAN OBESITAS DENGAN PREEKLAMPSIA PADA IBU HAMIL TRIMESTER II DAN III
Authors: Wahyuni Rahmawati , Azhari Azhari , Syukur Nursari Abdul
Published: November 2020

Abstract

Maternal mortality rate in Indonesia is still high enough which is dominated by three main causes of death that is bleeding, preeclampsia, and infection. Maternal Mortality in Samarinda city in 2015 increased by 76 per 100,000 live births. Maternal mortality in Samarinda city, dominated maternal death aged 20-34 years that fall into maternal and maternal death category. One of the causes of maternal death is preeclampsia and one of the causes of preeclampsia in pregnant women is obesity. The purpose of this study to determine the relationship of obesity with preeclampsia in pregnant women trimester II and III in RSUD Abdul Wahab Sjahranie Samarinda with specified α is 0,05The design of this study is cross sectional, sampling technique with purposive sampling of 39 pregnant women trimester II and III. The results of this study found there is a significant relationship between obesity with preeclampsia in pregnant women trimester II and III (p value = 0.006) with the value of α = 0.05.There is a significant relationship between obesity with preeclampsia in pregnant women trimester II and III in RSUD Abdul Wahab Sjahranie Samarinda 2018.

Keywords :  Obesity, Preeclampsia, Pregnant Women trimester II and III

 

Abstrak

Angka kematian ibu di Indonesia masih cukup tinggi yang didominasi oleh tiga penyebab utama kematian yaitu perdarahan, preeklampsia, dan infeksi. Kematian ibu  di kota Samarinda tahun 2015 meningkat menjadi 76 per 100.000 kelahiran hidup hidup. AKI di kota samarinda, didominasi kematian ibu usia 20-34 tahun yang masuk dalam kategori kematian ibu hamil dan  ibu bersalin. Salah satu penyebab kematian ibu adalah preeklampsia dan salah satu penyebab terjadinya preeklampsia pada ibu hamil yaitu obesitas. Tujuan penelitian ini untuk mengetahui hubungan obesitas dengan preeklampsia pada ibu hamil trimester II dan III di RSUD Abdul Wahab Sjahranie  Samarinda dengan α yang ditentukan adalah 0,05Desain penelitian ini adalah cross sectional, Teknik pengambilan sampel dengan purposive sampling dan responden sebanyak 39 ibu hamil trimester II dan III. Hasil penelitian ini diperoleh terdapat hubungan bermakna antara obesitas dengan preeklampsia pada ibu hamil trimester II dan III  (p value=0,006) dengan nilai α=0,05.Terdapat hubungan bermakna antara obesitas dengan preeklampsia pada ibu hamil trimester II dan III di RSUD Abdul Wahab Sjahranie Samarinda Tahun 2018.

Kata Kunci : Obesitas, preeklampsia, wanita hamil trimester II dan III
PENGARUH PIJAT BAYI TERHADAP POLA TIDUR BAYI USIA 0-6 BULAN
Authors: Simanungkalit Happy Marthalena
Published: November 2020

Based on WHO 2012 data included in the journal Pediatrics, there were around 33% of infants experiencing sleep problems. One of the causes of sleep problems is in fact a parent's mistake in putting the child to sleep. Healthy sleep habits should be implanted from infancy. Objective of this research to determine the effect of massage on the sleep patterns of infants aged 0-6 months. This study used atype study Quasi Experiment with adesign non equilaventwith control group design. The research was conducted from January to March 2018. The population of this study was balyi aged 0-6 months in the work area of ​​Terwan Health Center. The sample is 11 respondents. Data analysis using Chi Square. Based on the results of a statistical test, it was shown that 9 respondents (81.8%) had a massage, sleep patterns were not disturbed. Infants who were not massaged were 3 respondents (27.3%), sleep patterns were not disturbed. Chi square statistic test shows the value of P-Value 0.032 (P-Value<α 0.05) which means there are significant differences.

 

Keywords: massaage, sleep patterns.
PIJAT KOMBINASI ENDORFIN OKSITOSIN MEMPENGARUHI PRODUKSI ASI PADA IBU POST OPERASI SECTIO CAESAREA
Authors: Syukur Nursari Abdul , Wahyutri Endah , Putri Erma
Published: November 2020

Background: Breast milk spending is a very complex interaction between mechanics, nerves, and hormons. The decrease and production of breast milk production in the first days after delivery can be caused by a lack of stimulation of prolactin and oxytocin hormons. Caesarea section does not allow the mother to breastfeed her infant more flexibly, with adaptation to the pain, so she should be able to support the health worker thoroughly about the lactation process.

Purpose: to know the difference of endorphin, oxytocin and combination effect on breast milk production in Postoperative section of caesarea section. Research design: quasi experimental design type post test only non equivalent control group design. The population in this study were all postoperative mothers caesarea section, 10 samples for each treatment. Group 1 : endorphin massage, group 2 (control) : the oxytocin massage, and group 3 : the combine massage.

Results: Combination massage is the best method to produce the highest amount of ASI because the largest Sig p value is (1,000) where the level is significant <0.05. So H0 this study was rejected means that there is a significant difference between the production of breast milk from the combination massage compared with the two massage done separately.

Conclusion: It is expected during childbirth the midwife can develop and implement independent non-pharmacological midwife actions to help increase milk production
SENAM NIFAS DAN MOBILISASI DINI TERHADAP PENURUNAN FUNDUS UTERI PADA IBU POST PARTUM DI PUSKESMAS TEMINDUNG
Authors: Wahyuni Rahmawati , Syukur Nursari Abdul
Published: November 2020

Latar belakang: Perdarahan post partum dapat disebabkan oleh atonia uteri, robekan jalan lahir, retensio plasenta, inversio uteri dan pembekuan darah. Pada umumnya dengan melakukan senam nifas maka dapat mempercepat proses pemulihan kondisi ibu setelah melahirkan dan mencegah komplikasi yang mungkin terjadi selama masa nifas. Penelitian ini bertujuan mengetahui pengaruh senam nifas terhadap penurunan tinggi fundus uteri pada ibu post partum di Wilayah Kerja Puskesmas Temindung Samarinda.

Metode penelitian: Penelitian ini merupakan penelitian pre experimental dengan pre test-post test control group design. Subjek penelitian yang diambil adalah semua ibu post partum yang melahirkan di Wilayah Kerja Puskesmas Temindung pada bulan Agustus-Oktober 2019. Sampel terdiri dar 2 kelompok dengan 48  responden, yang dipilih menggunakan teknik consecutive sampling. Analisis statistik uji t independen dengan tingkat signifikansi 0,05.

Hasil: Hasil penelitian menunjukan perbedaan yang signifikan dari penurunan TFU  pada ibu post partum antara kelompok yang melakukan senam nifas dan tidak senam nifas di Wilayah Kerja Puskesmas Temindung  dibuktikan dengan p-value = 0,002.

Kesimpulan dan saran: Pada penelitian ini Ho ditolak yang menunjukan bahwa ada pengaruh senam nifas terhadap penurunan tinggi fundus uteri pada ibu post partum di Klinik Kartika Jaya. Diharapkan senam nifas di terapkan oleh Wilayah Kerja Puskesmas Temindung karena bermanfaat dalam proses pemulihan kondisi ibu pasca partus.
EVALUASI RASIONALITAS PENGGUNAAN ANTIBIOTIK DENGAN PENDEKATAN METODE GYSSENS TERHADAP LUARAN KLINIS PASIEN BALITA PENDERITA PNEUMONIA DI RSUD KOTA BOGOR
Authors: Putri Naifah Luthfiyah , Yusmaini Hany , Wiyono Sugeng
Published: November 2020

Pneumonia merupakan penyebab terbanyak kematian balita di dunia terutama di Indonesia. Insidensi penyakit pneumonia di Indonesia mengalami peningkatan dari 63,45% pada tahun 2015 menjadi 65,27% pada tahun 2016. Pada tahun 2017, pneumonia termasuk ke dalam 10 besar penyakit terbanyak di instalasi rawat inap RSUD Kota Bogor. Kejadian resistensi antibiotik pada penyakit infeksi seperti pneumonia telah menjadi masalah global. Salah satu cara untuk mengatasi kejadian resistensi antibiotik adalah dengan melakukan evaluasi rasionalitas penggunaan antibiotik. Evaluasi rasionalitas penggunaan antibiotik pada pasien pneumonia balita di RSUD Kota Bogor belum pernah dilakukan. Penelitian ini merupakan penelitian cross-sectional analitik berdasarkan data rekam medis pasien pneumonia balita yang dirawat inap di RSUD Kota Bogor Tahun 2017 dengan jumlah sampel pasien pneumonia balita yang memenuhi kriteria inklusi sebanyak 77 orang. Penelitian ini mengevaluasi rasionalitas penggunaan antibiotik dengan menggunakan metode Gyssens dan melihat luaran klinis berupa suhu tubuh pada 48-72 jam setelah penggunaan antibiotik. Hasil penelitian ini adalah 51,9% penggunaannya rasional, artinya bahwa penggunaan antibiotik pada 51,9% pasien telah memenuhi seluruh kriteria Gyssens. Penggunaan antibiotik yang rasional akan memberikan optimalisasi terapi antibiotik sehingga luaran klinis yang dihasilkan juga optimal atau baik. Terdapat hubungan antara penggunaan antibiotik dengan luaran klinis pada pasien rawat inap balita penderita pneumonia di RSUD Kota Bogor Tahun 2017.
印尼语范围副词“Hanya”与汉语“单、光、仅、只”对比分析
Authors: Chandra Mei Rianto
Published: November 2020

本文在印尼语语料库调查的基础上，以印尼语范围副词为主要研究对象，运用结构主义语法的替换分析法、对比分析法准确翻译印尼语范围副词“hanya”与汉语范围副词“单、光、仅、只”，并找出分布规律、语义指向与语义搭配。首先，从语义内涵与搭配词语角度两个方面综述前人对印尼语范围副词“hanya”与汉语范围副词“单、光、仅、只”的定义；然后，根据印尼语范围副词“hanya”的语料调查，将其精确翻译成汉语范围副词“单、光、仅、只”，以及找出两种语言的句法异同；最后，根据句法分布得出印尼语范围副词“hanya”与汉语范围副词“单、光、仅、只”语义指向以及语义搭配规律。 关键词：印尼语；汉语范围副词；定义；分布规律；语法语义
Dampak Pelaksanaan Program Pengembangan Desa Mitra Di Sentra Pembibitan Sapi Lokal Di Kabupaten Enrekang
Authors: Baco Sudirman , Malaka Ratmawati , Zulkharnaim Zulkharnaim
Published: November 2020

The aim of community service activities carried out in Pattondon Salu Village is to develop the Bali Cattle Breeding Village. This activity is expected to be a stimulus to improve the community's economy. The focus of activities include: 1) the application of farm maintenance management cows and calves, 2) improvement of supporting infrastructure in Cattle Breeding Village and 3) improving health management. The number of farmers contributing to this activity is the Sipakatuo Farmer Group and the Ternak Jaya Farmer Group, with a total of 42 farmers. Data on the progress of the implementation of activities was collected by conducting surveys and interviews using a questionnaire. The collected data is then analyzed descriptively. The results of the implementation of the activities include 1) the number of cattle raised by partners increased from 59 head in 2018 to 79 head in 2019. This increase was due to improved maintenance management; 2) pregnancy cattle increased by 24.53% from 2018 to 69.77% in 2019; and 3) health improvements carried out in the most common diseases found in livestock, namely toxocariasis.
Peningkatan Pengetahuan Ibu Hamil Tentang Skrinning HIV/AIDS Melalui Audiovisual di Wilayah Kerja Puskesmas Andalas
Authors: Muthia Gina , Primasari Eka Putri , Syofiah Putri Nelly
Published: November 2020

In addition to preventing problems for pregnant women and their babies, the aim of quality antenatal care is to detect the emergence of these problems early and avoid negative impacts on health. This includes HIV infection. HIV prevalence in pregnant women is projected to increase from 0.38% (2012) to 0.49% (2016). Data for pregnant women infected with HIV at Puskesmas Andalas in 2017 was in the range of 1,600. It is known that data on the implementation of VCT at Puskesmas Andalas, in 2017 (January - Jun 2017) there were only 250 VCT patients, consisting of 224 pregnant women and 26 non-pregnant women, meaning that in the working area of ​​the Andalas Puskesmas only 14% of pregnant women participated to do an HIV test (VCT). Therefore, it is necessary to have community service activities to increase knowledge about HIV / AIDS screening in pregnant women. The results of the activity were counseling to 6 pregnant women from 10 target people in the Pustu Sarang Gagak Andalas Village, Padang. The output is in the form of publication of articles in public service journals that are E-ISSN and nationally accredited, social media and increasing knowledge about HIV / AIDS screening of pregnant women.
Penerapan Automatic Disinfection Chamber Untuk Pencegahan Covid19 di Pondok Pesantren Al Mujaddadiyah
Authors: Triyono Budi , Prasetyo Yuli , Ningrum Hanifah Nur Kumala , Haryo Raden Jasa Kusumo , Winarno Basuki , R. Aldanur I.
Published: November 2020

Indonesia is currently included in the covid19 virus pandemic category. Many cities have been hit by the Covid19 virus. The city of Madiun has also been confirmed positive for the Covid19 virus. Therefore, to prevent the transmission of the Covid19 virus, prevention efforts are needed. Islamic boarding schools are a gathering place for students from various cities in Indonesia. If there are no prevention efforts at the Islamic boarding school, there will be a new covid19 virus cluster. Community service activities through the partnership program for the Al Mujaddadiyah Islamic Boarding School are focused on developing technology to overcome the prevention of the Covid19 virus in the Islamic boarding school environment. The hope is that with this training, boarding school caregivers and students can better understand the health protocols applied to technology to prevent the spread of the Covid19 virus in the cottage environment.
Perancangan Indikator Sustainable MICE Sebagai Bentuk Kolaborasi Perguruan Tinggi dan Dunia Industri
Authors: Susanto Eko , Noor Any Ariani , Sanjaya Santosa , Erwin Tamara Herlinda , Hastuti Sri , Trihartanti Ratna Padmi
Published: November 2020

This article was written based on the Bandung State Polytechnic Community Service (PKM) activity associated with the Association of Indonesian Exhibition Organizers (ASPERAPI) DPD West Java to provide solutions to problems implementing the sustainable principle of MICE in Indonesia. Considering the condition of Indonesia's MICE industry which is currently in a state of slowdown due to COVID -19, ASPERAPI DPD West Java has a need for guidelines for the sustainable implementation of MICE from the results of university academic studies. Following up on this, has carried out Community Service activities by the Bandung State Polytechnic with a Continuous Assessment Guide and provided training on the use of these instruments to administrators and members of the West Java Regional Management ASPERAPI as partners. This activity has resulted in partners' understanding of the application of the sustainable principle of MICE and the adoption of the Electronic Book for Sustainable Assessment Guidelines which will be used as a sustainable measure in organizing future exhibition activities.
Pemberdayaan Nelayan Dan UMKM melalui Diversifikasi Olahan Ikan Menuju “Desa Iwak” dan Kawasan Minapolitan Di Desa Kalanganyar, Kec Sedati, Kabupaten Sidoarjo, Jawa Timur
Authors: Purwadi Purwadi , Nugrono Sigit Dwi
Published: November 2020

Kalanganyar Village is a village in Sidoarjo Regency, Sedati District, which covers an area of 2/3 consisting of a pond, which borders the villages of Buncitan, Sawohan, Cemandi, and Tambakcemandi. Kalanganyar Village is one of the areas with socio-economic conditions that need to be improved. The source of the livelihood of the local community is very dependent on the results of fishing which is very influenced by the weather. When fishermen cannot go to sea due to extreme weather, local people do not have alternative sources of income. The problems with partners and the potential to support the Sedati sub-district as a Minapolitan area are (1) limited livelihoods of the community as fishermen, (2) The skills of the Fish Cultivation Group (Pokdakan) are still weak regarding the diversification of products made from fish as raw material, (3) There is still a lack of knowledge and practice regarding fish processing which has economic value. (4) Limited knowledge about the packaging of fish-based products (5) Lack of knowledge about marketing fish products. The method used is counseling and training, among others, the socialization of the importance of diversification of processed products made from fish, training on diversification of fish product processing technology, training on packaging of processed fish products, training on online and offline marketing management. The results achieved in implementing program activities (a). The community understands the importance of product diversification from fish so that fish has a high economic value, (b) Training on product diversification from fish is successful in making soy sauce from fish and shredded fish from milkfish, (c) Success in making soy sauce product packaging from fish and labeling jerky from milkfish , (d). Online marketing through social media and websites is still in the design process.