bluuebunny/crossref_metadata_2025 huggingface dataset:
Síndrome de Wilkie como reto diagnóstico en obstrucción intestinal: reporte de caso
Authors: Rodriguez-Benites Arnold Frank , Sanchez-Landers Manuel , Deza Tarrillo Nogui Emil
Published: March 2024

El síndrome de Wilkie es una patología poco frecuente que genera un cuadro de obstrucción intestinal, debido a la disminución del ángulo aortomesentérico comprometiendo la tercera porción del duodeno. Describimos el caso de una paciente de 18 años de edad, diagnosticada con síndrome de Wilkie, con cuadro clínico de obstrucción intestinal y pérdida de peso. El diagnóstico se realizó con tomografía abdominal. El síndrome de Wilkie es una patología rara, que se vuelve un reto diagnóstico, por presentar un cuadro similar a otras patologías más comunes. Recomendamos que se sospeche ante un cuadro de obstrucción duodenal.
Abordaje de la enfermedad por reflujo gastroesofágico refractaria
Authors: Zuluaga Arbeláez Nicolás , Hani Albis , Espinoza-Ríos Jorge
Published: March 2024

Un adecuado abordaje de la enfermedad por reflujo gastroesofágico refractaria imprescindible para lograr el éxito terapéutico. Desde la definición precisa la detallada caracterización de sus fenotipos, establecerá el camino hacia la de la terapia óptima para cada paciente. En esta revisión narrativa de la literatura, proporcionar una síntesis actualizada de la utilidad de las diversas herramientas y explorar el amplio espectro de opciones terapéuticas, tanto médicas como disponibles para esta condición.
Núcleo Accumbens Septi
Authors: Piedimonte Fabián , Acosta Tania
Published: March 2024

¿Por qué el Núcleo Accumbens representa un especial interés en el campo de la Neurocirugía Funcional? ¿Integra puntualmente las bases neurobiológicas de qué patologías con potencial resolución neuroquirúrgica? ¿Qué dificultades se presentan a la hora de establecer sus límites y relaciones topográficas más relevantes cuando es seleccionado como blanco principal en la cirugía estereotáctica, ya sea ablativa o mediante técnicas de neuromodulación?
Estimulación espinal crónica (EEC) asociada a drogas intratecales en el tratamiento del dolor neuropático refractario. Mecanismos de acción implicados y experiencia clínica en Karolinska Institute (Estocolmo, Suecia)
Authors: Schechtmann Gastón , Lind Göran
Published: March 2024

La estimulación espinal crónica (EEC) es un tratamiento eficaz para el dolor neuropático, sin embargo, aproximadamente un 40% de los pacientes no obtienen un adecuado alivio del dolor y además, muchos pacientes sienten que el efecto de la EEC tiende a disminuir con el paso del tiempo. En este artículo se describe una nueva estrategia terapéutica combinando la EEC con dosis bajas de drogas administradas por vía intratecal (i.t.) con el objetivo de potenciar el efecto de la EEC en pacientes, en los cuales la EEC no ofrece un efecto terapéutico adecuado. Para tener una mejor comprensión de este abordaje terapéutico, se desarrollan en forma resumida las bases neuroquímicas de los mecanismos de acción de la EEC, en particular los mecanismos colinérgicos y GABAérgicos estudiados en modelos experimentales de dolor neuropático.Para determinar la eficacia terapéutica de la combinación de la EEC con drogas i.t. que actúan sobre el sistema colinérgico o GA BAérgicos, clonidina y baclofen, se realizó un estudio randomizado, doble ciego, placebo/control en 10 pacientes refractarios a la EEC con dolor neuropático puro o asociado a dolor nociceptivo1. Siete de los diez pacientes reportaron reducción significativa del dolor al combinar la EEC con clonidina o con baclofen. En cinco de estos pacientes, previamente tratados solamente con EEC, fue implantada una bomba para la administración crónica de clonidina (n=3) o el baclofen (n=2). La clonidina como adyuvante a la EEC mostró ser más efectiva en los pacientes que presentaron dolor mixto (neuropático y nociceptivo) mientras que baclofen en combinación con EEC demostró ser una mejor opción en pacientes con dolor neuropático puro.El abordaje terapéutico de potenciar el efecto de la EEC por medio de la combinación con drogas por vía i.t. en pacientes refractarios a la EEC constituye una nueva estrategia en el campo de la neuromodulación para tratar el dolor neuropático severo. El estudio de los mecanismos de acción de la EEC proporcionará en el futuro mejores alternativas terapéuticas para mejorar el efecto de la EEC.
Neuromodulación quirúrgica eléctrica y dolor. Estimulación del ganglio de Gasser para la neuropatía trigeminal crónica
Authors: Stella Oscar A. , Sereno César
Published: March 2024

Introducción. La lesión del nervio trigémino está asociada a la neuropatía trigeminal crónica (NTC), que es un dolor facial crónico que se manifiesta en forma de hipoestesia, disestesias, hiperalgesia y alodinia, que no responde a la carbamazepina, analgésicos y/o antidepresivos. Los procedimientos quirúrgicos ablativos habitualmente también son inefectivos. La neuromodulación eléctrica del nervio trigémino, en el ganglio de Gasser, constituye una interesante opción terapéutica para la NTC. Material y método. Nuestra población de estudio son 4 pacientes de sexo femenino operadas entre 2006 y 2011, portadoras de NTC con hipoestesia facial. Dos de las cuatro habían sido sometidas previamente a termolesión por radiofrecuencia, la tercera a descompresión neurovascular en dos oportunidades por dolor facial secundario a traumatismo maxilofacial y la cuarta tenía una historia de complicaciones iatrogénicas, pues le habían efectuado hasta nueve procedimientos para el manejo de su neuralgia trigeminal “típica”. En todos los casos se empleó un electrodo tetrapolar de electroestimulación del modelo 3389® (Medtronics©, Minneapolis, MN) que se introdujo hasta el complejo radiculoganglionar trigeminal e internalizó luego de una prueba de estimulación intraoperatoria de pocos minutos de duración (hasta lograr la aparición de parestesias en el área facial afectada y disminución en un 50% de la intensidad del dolor).Resultados y discusión: El seguimiento duró 68, 18, 24 y 3 meses, respectivamente. La intensidad del dolor disminuyó un 70% en promedio, según la escala visual analógica (EVA); la ingesta de fármacos disminuyó significativamente y se logró un impacto positivo sobre la calidad de vida (SF-36). Las complicaciones quirúrgicas fueron: migración caudal del electrodo (dos casos; los electrodos fueron reubicados) e infección posoperatoria del bolsillo o marsupia que contenía el generador (un caso; el sistema fue removido, se instauró tratamiento antibiótico y se reemplazó por un electrodo fijo de estimulación sacra).Conclusión: La estimulación crónica del ganglio de Gasser es una alternativa terapéutica sencilla, segura, reversible y efectiva para estos pacientes, especialmente si la rama trigeminal afectada es la V3. Se necesita un mayor número de casos para poder arribar a conclusiones definitivas.
Addressing Health Disparities using Social Determinants of Health: A Descriptive Analytics Approach
Authors: Srinivasaiah Bharath
Published: March 2024

Purpose: This paper explores Social Determinants of Health (SDOH) data and its implications using descriptive data analytics. The analysis aims to help healthcare organizations understand the trends and impact on the industry and develop strategies to resolve disparities and eventually reduce healthcare costs.

Methodology: This paper uses descriptive data analytics to analyze Social Determinants of Health (SDOH) data and its implications. The study focuses on the Centers for Disease Control and Prevention's (CDC) five critical areas of SDOH: healthcare quality and access, education quality and access, economic stability, social and economic context, and built and neighborhood environment.

Findings: Health equity remains a significant challenge in the world and the United States, with persistent inequalities and injustice among different populations. Failure to address health equity issues could lead to social problems, including violent crimes, alcohol, and substance abuse, and potentially a global pandemic, which could significantly impact healthcare systems and increase costs. According to a report published by Deloitte, inequities in the United States cost more than 300 billion dollars in 2022. If not addressed, they could account for more than a trillion dollars in annual spending by 2040. Social Determinants of Health (SDOH) are critical in providing health equity and reducing disparities.

Unique Contribution to Theory, Practice, and Policy: Understanding the implications and trends of SDOH data is crucial in developing targeted strategies to achieve health equity for all. Healthcare organizations can use this analysis's findings to establish policies and practices that address social determinants of health and reduce disparities. This, in turn, will help improve overall health outcomes and reduce healthcare costs.
A comprehensive survey on the significance of industrial Internet of Things, energy management and big data analytics
Authors: Arora Jyoti , Kherwa Pooja , Tushir Meena
Published: March 2024

The adaptive worldwide network architecture made up of web-enabled, objects connected through internet generally defines the concept of Internet of Things (IoT). In today’s world, IoT is contributing towards the transformation of the traditional industries to the smart industries by integrating the concept of IoT based energy management system into the analytics-based information system of the industries. Manufacturing businesses have concluded that by providing a digital identity to their tangible resources through IoT-based solutions, they can gain higher clarity into their processes and massively improve them. To estimate and analyze the developments in this field, this paper conducts an in-depth survey on the significance of big data analytics and energy management in shaping the progress of the Industrial Internet of Things (IIoT). It briefs the components related to the building blocks of the IoT, its application in various domains, benefits and the major challenges faced for building IoT technologies. This review present cutting-edge research on how IoT technology adoption might propel the transformation of industrial companies that are energy-efficient and environmentally sustainable.
Adaptive sleep scheduling in heterogeneous WSN using GWO for energy efficiency
Authors: Sharma Neha , Gupta Vishal
Published: March 2024

Wireless Sensor Networks are instrumental in various domains, including environmental monitoring, healthcare, and industrial automation. Despite their ubiquity, the energy constraints of sensor nodes remain a pivotal concern. This research delves into energy conservation in WSNs by implementing Adaptive Sleep Scheduling using the Grey Wolf Optimizer (GWO) in the context of heterogeneous networks. Heterogeneous WSNs, characterized by nodes with diverse computational capacities and energy reservoirs, pose unique challenges for optimizing energy efficiency. The conventional static sleep scheduling strategies prove inadequate in accommodating this heterogeneity, often leading to suboptimal energy consumption. In this context, the application of GWO, an optimization algorithm inspired by the social behavior of grey wolves, offers a novel and promising approach to address the energy efficiency challenge. Heterogeneous WSNs necessitate tailored energy management strategies to optimize the utilization of resources. The disparity in the capabilities of sensor nodes, in terms of processing power and energy reserves, demands an adaptive solution for sleep scheduling to minimize energy consumption while maintaining the necessary data collection and transmission capabilities. This research demonstrates the significance of integrating GWO-based adaptive sleep scheduling in heterogeneous WSNs through extensive simulations and in-depth analysis. The proposed approach is compared with the LEACH, E-LEACH, and DEEC. The results show due to the use of GWO in adaptive sleep mechanisms in Heterogenous WSNs nodes die late as compared to other algorithms and energy consumption is also slow. So, in all one can say, GWO is a better approach in terms of energy efficiency and lifetime. quantity demand and investment in research and development, while the other model focuses on a more realistic relationship between the quantity demand and the price.
Low rank sparse coefficient based nuchal translucency image de-noising
Authors: Chaudhari Kalyani , Oza Shruti , Chopade Diksha , Yawle Pranali , Gandhar Abhishek , Kute Yogesh
Published: March 2024

The process of eliminating distortion or noise from an image is known as image de-noising. Random noise is introduced to ultrasonic imaging, resulting in reduced contrast in the images. For Nuchal translucency (NT) detection, image de-noising is a crucial stage. Although deep-learning methods have been extensively studied for this problem and have shown compelling results, most networks may result in disappearing or inflating gradients and need more memory and time to attain a spectacular performance. To achieve better overall framework optimization, Novel Methodology of anisotropic filtering followed by a compressed sensing based on Low Rank Sparse Coefficient(LRSC) for ultrasound image de-noising is proposed to achieve better overall framework optimization, this article proposes anisotropic filtering followed by a compressed sensing based on Low Rank Sparse Coefficient(LRSC) for ultrasound image de-noising. This hybrid technique is quite effective at reducing noise while yet retaining fine image details. Real-time hospital images are utilized to assess the efficiency of the proposed model, taking into account clinical accessibility and imaging features.  The peak signal-to-noise ratio (PSNR), mean square error (MSE), and structural similarity index (SSIM) were used to evaluate the proposed method’s performance. Average SSIM, PSNR, MSE values are 0.98, 42.28 and 49 for HCNN[12], GAN[16] and Proposed method respectively. Proposed method have average MSE of 2.6, HCNN have 14 and GAN have 371.
SOME PROPERTIES OF THE DEGENERATE HYPERBOLIC FUNCTIONS
Authors: Akugre Thomas Awinba , Nantomah Kwara , Muniru Iddrisu Mohammed
Published: March 2024

In this paper, we establish some limit properties of the degenerate hyperbolic functions. Using analytical methods, we obtain some monotonic properties and other properties in the form of inequalities.
Preoperative embolisation of renal cell carcinoma metastases
to the spine – evaluation of procedural and clinical outcome
Authors: Szmygin Paweł , Szmygin Maciej , Pyra Krzysztof , Rogała Władysław , Andrzejewicz Paweł , Jargiełło Tomasz
Published: March 2024

Introduction

Renal cell carcinoma (RCC) is the fourth most common metastatic tumour of the spine. RCC metastases are highly vascular and might cause life-threatening intraoperative bleeding. That is why preoperative embolisation is performed to reduce intraoperative blood loss. The aim of this study was to evaluate the procedural and clinical outcomes of preoperative embolisation of RCC metastases to the vertebral column.

Material and methods

In this single-centre retrospective study, data of 59 consecutive patients undergoing endovascular treatment prior to surgical resection were collected and evaluated. In all cases superselective catheterisation and occlusion of feeding vessels was attempted and performed if deemed safe and possible. Completeness of embolisation, procedural details, and the complication rate were evaluated. Surgical procedures were carried out within 48 hours after embolisation. The surgical approach was dependent on the anatomical site and osseous destruction. Intraoperative blood loss was estimated.

Results

Fifty-nine patients with a mean age of 63 years were included. Complete embolisation was successful in 76% (45/59) and partial in 15% (9/59). Microspheres were the most commonly used embolic material. In 5 cases (8%) safe occlusion was not possible due to the radiculomedullary artery originating from the same pedicle as the tumour. Minor complications (vomiting, increased pain) occurred in 8 patients. Paraplegia (one transient and one permanent) was noted in 2 cases. Estimated intraoperative blood loss was 830 ± 410 ml.

Conclusions

The results of our study show that preoperative embolisation is a feasible and effective method with a relatively high rate of occlusion and low complication rate.
Qualitative and quantitative imaging features of solid pancreas tumours in portal venous phase CT: are they useful in determining tumour type and grade?
Authors: Gündoğdu Elif , Küçükhüseyin Abdullah
Published: March 2024

Introduction

Solid pancreatic lesions might have overlapping findings in portal venous phase computed tomography (CT). In this study, we aimed to investigate the quantitative and qualitative imaging features of solid pancreas lesions based on subtype and grade.

Material and methods

The study group consisted of 159 patients with solid pancreatic tumours detected after exclusion criteria. According to the pathology results, the patients were divided into 3 groups as PDAC (pancreatic ductal adenocarcinoma, n = 137), PNET (pancreatic neuroendocrine tumour, n = 15), and SC (sarcomatoid carcinoma, n = 7). PDAC and PNET lesions were evaluated in 3 subgroups according to grade.

Results

There was no difference between the groups in terms of age, gender, tumour localisation, and internal structure (p = 0.23, p = 0.81, p = 0.19, and p = 0.94, respectively). Qualitative features significantly differed in terms of tumour margin feature, visual tumour density, presence of cystic component, and presence of necrosis (p = 0.01, p = 0.0001, p = 0.002, and p = 0.004, respectively). Tumour size, Tmden, Tmden/VPden, and Tmden/PanPden showed differences between groups (p = 0.0001, p = 0.002, p = 0.0001, p = 0.0001, respectively). The presence of cystic density in PDAC patients differed according to grade (p = 0.01).

Conclusions

While ill-defined irregular margins, hypodense visual tumour density, no cystic component, low value of Tmden, and low ratios of Tmden/VPden and Tmden/PanPden indicate PDAC, regular margins, iso-or hyperdense visual tumour density, cystic component, high value of Tmden, and high ratios of Tmden/VPden and Tmden/PanPden indicate PNET. SC can be differentiated from them by containing necrosis and reaching larger sizes. The presence of a cystic component in PDAC patients indicates high grade.
The Impact of Financial Performance on Capital Structure Decisions of Selected Consumer Goods Companies Listed on the Nigerian Stock Exchange (2001-2019)
Authors: Zakariyah Mariam Adetoun , Isiaka Olawale Kabiru
Published: March 2024

The study examines the impact of financial performance on capital structure decisions of selected consumer goods companies listed on the Nigerian Stock Exchange (2000-2019), using panel data for both dependent and independent variables which were analyzed through fixed effect model and random effect model, pooled regression model, Hausman test and descriptive analysis. Pecking order theory was adopted as the bedrock of this study and the population of the study included ten consumer companies listed on the Nigeria stock exchange for nineteen years. Findings showed that financial performance has significant positive and negative effect on retaining earnings financing, but the possibility of greater ploughed back profit is higher when company’s financial performance increases. Similarly, financial performance has both significant positive and negative effect on equity finance decision of companies. The study recommended that decision on capital structure should be taken optimally by considering the cost of each capital structure since financial performance has significant effect on all the capital structure.
Can International Business and Entrepreneurship be the Catalysts for Economic Growth in Africa?
Authors: Lutta Joseph G. M.
Published: March 2024

Innovative entrepreneurs are important actors in regional economies of Africa. There are enormous entrepreneurial opportunities in the global markets. The World Bank’s Global Economic Prospects for 2023 indicates that the global growth has eased, but remains robust, and is projected to reach 3.1 percent in 2018. Overall, growth in global trade of goods and services combined is expected to moderate to 4.3 percent in 2018, down from a six-year high of 4.8 percent in 2017. This projection has been revised upwards due to stronger-than-expected intra-regional trade growth in Asia and Africa as well as import-demand from major advanced economies. Global trade in goods and services is projected to rise to $27 trillion in 2030 from $10.3 trillion in 2015. Trade as a share of the global economy will increase from 1/4 to 1/3. Roughly half of the increase is likely to come from developing countries that will supply over 65 % of manufactured imports to rich countries, compared with 40% today. Some developing countries are expected to have growth rate over 6%, much higher than developed countries. When trade expands, technologies will rapidly diffuse to developing countries. The dominance of globalization is transferring to China, India and Brazil. The challenge of entrepreneurship is immense in Africa. The entrepreneur’s needs differentiation of exporting and the continent has to create its own regional clusters so as to enhance the competitiveness of its enterprises. Africa may have all the possible comparative advantages in certain industries but what is required is entrepreneurial actions. International business and entrepreneurship appear to be the catalysts for much of the expected economic growth in Africa.
Music Therapy And Effective Communication Reduces Anxiety Levels In Welcoming Childbirth
Authors: Damanik Imelda , Tridiyawati Feva
Published: March 2024

Labor pain is a physiological condition that can hinder the delivery process. Excessive pain can disturb the body's homeostasis which can result in excessive and useless energy. Reducing the pain scale can be done by fermacological and non-fermacological measures. It's normal for pregnant women and mothers to experience pain. Measuring the pain scale using the Numerical Rating Scale (NRS) and quasi-experiments. Music therapy is a form of implementation that uses music and songs in an integrated and directed manner to guide mothers in pregnancy with the aim that pregnant women feel relaxed, early stimulation of the fetus. Effective intrapersonal communication between a midwife can help a mother overcome depression during pregnancy and childbirth. It can also help patients stay positive throughout the pregnancy and delivery process, making it fun and easy to deal with issues that arise while raising a child. The anxiety level score in the pre-test measurement is higher than the post-test measurement, indicated by the mean value in the pre-test (22.67) higher than the post-test (16.77) which means that there is a decrease in the anxiety level score in the respondents before and after intervention. The results of this study were that there was a significant effect of classical music therapy on reducing the anxiety level of third-trimester pregnant women. This was evident from the statistical test used, the Wilcoxon Match Pairs Test, with a result (p=0.000) less than (<0.05). The researcher's assumption is that music therapy can distract pregnant women so as to reduce maternal anxiety in welcoming labor and effective communication between midwives and pregnant women can motivate pregnant women to be brave in facing labor and reduce anxiety in welcoming labor.
Determinants Of Pulmonary Tuberculosis Patients' Cure In The Working Area Of Sei Agul Health Center, Medan West District, Medan City
Authors: Agnes Agnes , Sari Mutia Maya , Novalinda Ginting Chrismis
Published: March 2024

Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis, this bacterium usually attacks the lungs, but TB bacteria can attack any part of the body such as the kidneys, spine and brain. TB is one of the top 10 causes of death and the main killer of HIV sufferers worldwide. Based on WHO's 2018 Global Truberculosis Report, the incidence of tuberculosis in Indonesia in 2018 increased by 420,994 cases compared to the number of cases in 2017 of 360,565 cases and 2016 of 330,910 cases. According to gender, the number of cases in men is higher than in women, namely 1.4 times compared to women in each province throughout Indonesia.Methods: The study used a quantitative approach with an analytic observational type with a cross-sectional research design. Research results: motivation variables with significant values (0.000), medical history (0.005), knowledge (0.04), socioeconomic conditions (0.035) and education (0.022) have a relationship to the recovery of TB patients. While other variables are not related to the recovery of TB patients.
The Influence Of Czech Herbal Medicine In Increasing Appetite On Toddlers
Authors: Esti Putri Malati , Priharja Putri Dian
Published: March 2024

Difficulty eating in children is still a complaint from parents. Toddlers often experi ence a decrease in appetite which results in reduced nutritional intake resulting in decreased body weight. This can result in decreased immune system, impaired brain function which can cause disability and death. According to the World Health Or ganization, in 2013 there were 99 million children under five in the world suffering from malnutrition and 67% were in Asia. There are 17 thousand deaths every day due to nutritional problems and infectious diseases. In Indonesia, especially the Javanese, believe that herbal medicine has the property of increasing appetite in children. Research Objectives To determine the effect of herbal medicine in increas ing appetite in toddlers 12-36 months. Pre-experimental designs with one group pretest-posttest. The sampling technique was total sampling, namely 10 toddlers or all toddlers aged 12-36 months in the Panggarangan Health Center area with de creased appetite problems in November 2022. Appetite assessment results before being given herbal medicine to 10 respondents with a minimum score of 2 and a maximum of 5, and an average of 3.70 (SD 0.949). While the appetite after being given herbal medicine with a minimum value of 7 and a maximum of 10, and an average of 8.70 (SD 1.059). So, herbal medicine has the effect of increasing appetite in toddlers aged 12-36 months in the Penggarangan Health Center (p-value <0.000). Herbal medicine has an effect on increasing appetite in toddlers 12-36 months. It is hoped that the public can be more selective in choosing ingredients and herbal medicine providers to increase toddlers' appetite.
Effectiveness Of Supplementary Feeding (PMT) Against Height And Weight Gain Of Stunted Toddlers
Authors: Nurilah Endah , Sri Futriani Elfira
Published: March 2024

WHO in 2020 stated that the prevalence of stunting under five worldwide was 22 percent or as many as 149.2 million. The prevalence of stunting in Indonesia (24.4%) is better than Myanmar (35%), but still higher than Vietnam (23%), Malaysia (17%), Thailand (16%) and Singapore (4%). The prevalence of stunting in West Java in 2021 is 24.5%, while in Bekasi Regency it is 21.3%. The impact of stunting is intelligence, impaired physical growth, high risk of diabetes, obesity, cancer, stroke, and low economic productivity. Knowing the effectiveness of giving supplementary food to the increase in height and weight of stunting toddlers. Quasi experimental with one group pretest-posttest design. The sample in this study were all 18 toddlers who experienced stunting at the Setiamekar Health Center in 2021 and 2022. The sampling technique used the total sampling technique. The average height of stunted toddlers before being given the Supplementary Feeding Biscuits was 74.06 kg and afterward was 89.51 kg. The average body weight of stunted toddlers before being given the Supplementary Feeding Biscuits was 9.05 kg and after that it was 13.22 kg. There is the effectiveness of giving supplementary food to the increase in height and weight of stunted toddlers with a p value of 0.000. There is the effectiveness of giving additional food to the increase in height and weight of stunted toddlers. It is hoped that health workers will provide counseling more often about the importance of providing balanced nutrition to toddlers to avoid stunting Reading List: 39 readings (2015-2021).
Evaluation Of The Implementation Of Primary Care (P-Care) Application At Puskesmas Onolalu Nias Selatan In 2022
Authors: Laia Ohito , Lestari Nasution Sri , Ginting Johanes
Published: March 2024

Primary Care (P-Care) is a patient information service using the internet and computer-based provided by BPJS Health for primary health facilities to provide easy access to data to the BPJS server for both registration and medical services. The purpose of this study was to evaluate the implementation of the Primary Care (P-Care) application at the Onolalu Health Center UPTD South Nias Regency in 2022. This research is qualitative research with a phenomenological approach. The informants in this study were all officers holding the P-Care application, totaling 5 officers. The data analysis method used in this research is descriptive qualitative with the stages of data reduction, data display, and conclusion or verification. The results of the study show that the production implementation of the p-care application makes all processes from registration to the referral process easier, the efficiency implementation of the p-care application makes all patient handling to get health services much easier and saves time and the implementation of the satisfaction of the p-care application making officers, patients and the puskesmas itself very satisfied. Based on the research results, it is hoped that the puskesmas will always improve the quality of services related to the use of p-care applications such as strengthening the internet network, so that each patient visit data can be input on time, as well as increasing the workforce of graduates from D-III Medical Records so that the application of primary care ( p-care) to be more optimal.
The Effectiveness Of Using Corsets On Reducing Pain Scale In Post SC Patients At Eka Hospital, South Tangerang In 2022
Authors: Akiria Santi Amy , Sukarni Sukarni
Published: March 2024

The use of a corset is something that is done by post partum mothers both in normal delivery and sectio caesarea, where the corset can help the process of uterine involution and in post SC delivery can help reduce pain when mobilizing. To determine the Effectiveness of Using Corsets on Reducing Pain Scale in Post SC Patients. Research Methods: This research was experimental (quasi-experimental) with The Nonrandomized Control Group Pretest Posttest Design with a quantitative approach. In this study, it was divided into 2 groups: the control group did not use corsets while the intervention group used corsets. After that the researchers assessed the decrease in pain scale in post SC patients. The number of samples was 20 people. It is known that the average value of the statistical test results obtained a p value = 0.000 (<α 0.05), meaning that there is an Effectiveness of Using Corsets on Reducing Pain Scale in Post SC Patients at Eka Hospital, South Tangerang in 2022. Advice to health workers to be able to provide health education or information. to patient about wearing a corset as non farmacologic methode to reduce post caecarea pain.
Analysis Of The Process Of Evaluation, Work Supervision, Policy, Supervision And Monitoring Of Puskesmas Heads Of Logistic Provision At UPTD Puskesmas Lahusa
Authors: Hati Harefa Lurusan , Wienaldi Wienaldi , Girsang Ermi
Published: March 2024

Logistics management is the science and/or art of planning and determining needs, procurement, storage, distribution, maintenance, disposal and control of medical devices. Provision of logistics at the Puskesmas is a matter that needs to be considered for its provision through a good and orderly management system. This management system can be carried out in several ways, namely through supervision, supervision, monitoring and evaluation related to the implementation of logistics provision. The purpose of this study was to analyze the evaluation process, supervision work, policies, supervision in health and health monitoring of the Head of the Puskesmas regarding the provision of logistics at the UPTD Puskesmas Lahusa. This type of research is descriptive analytic, quantitative approach with a cross sectional design. The sample in this study were all staff involved in implementing logistics provision at the Lahusa Health Center. The sampling technique is the total population, that is, the entire population is used as a research sample totaling 112 people. The results showed that all variables had a significant effect between evaluation, supervision work, policy, supervision in health and health monitoring of the Head of the Puskesmas on the provision of logistics at the UPTD Puskesmas Lahusa. The results of this study are expected to be input for the puskesmas management services to pay more attention to the implementation of logistics provision.
Differences In Lowering Blood Pressure Between Giving Infusa Of Salam Leaf (Syzyguim Polynatum) And Infusa Of Herba Celery (Apium Graviolens L) In Hypertension Patients To Pregnant Women At Puskesmas Balaraja
Authors: Setya Mustika Devi Meilda , Sri Mulyana Dede
Published: March 2024

Elevated blood pressure is a major factor for coronary and ischemic heart disease and hemorrhagic stroke, in addition to peripheral vascular disease, kidney disorders, retinal hemorrhages and visual disturbances. The aim of this study was to compare the level of effectiveness in reducing blood pressure in pregnant women who experience hypertension at the Balaraja Health Center by giving infusions of bay leaves (Syzygium polyanthum) and infusions of celery herb (Apium graveolens). This type of research is a quantitative research with the type of experimental method in this study is to compare the effectiveness of the infusion of bay leaves and celery leaves to lower blood pressure in pregnant women with hypertension. The results of this study indicate that there is a significant effect between giving bay leaf infusion to pregnant women with hypertension at Balaraja Health Center with an odds ratio of 0.667. and there is a significant effect between giving celery leaf infusion to pregnant women with hypertension at the Balaraja Health Center with an odds ratio of 1,500.
Impact Of Underage Marriage On Reproductive Health In Cileles District
Authors: Ratnawati Ratnawati , Masluroh Masluroh
Published: March 2024

Married women under the age of 16 are usually 10-12 times more likely to develop cervical cancer than those who are married over the age of 20. At that age the uterus of a young woman is very sensitive. The juvenile cervix is ​​more susceptible to carcinogenic stimuli because of the active process of metaplasia, which occurs in the transformation zone during the developmental period. Squamous epithelial metaplasia is usually a physiological process. But under the influence of carcinogens, cell changes can occur resulting in a pathological transformation zone (Melva, 2017). These atypical changes initiate a process called cervical intraepithelial neoplasm (CIN) which is the preinvasive phase of cervical cancer. Under the age of 18, a woman's reproductive organs are still very weak. If she is pregnant, then As a result, it will be easy to miscarry because the uterus is not that strong, making it difficult for the fetus to attach to the uterine wall. This type of research is descriptive research with the method used is a quantitative approach. The sample in this study was taken from the entire population, because the method used was total sampling with a total of 46 people. This study uses a cross-sectional or cross-sectional design which can show the relationship between the independent and dependent variables but cannot show a causal relationship. The results of the study that based on the results of the Paired Samples t Test correlation test obtained a p-value of 0.00. Because the p value is 0.00 (p <0.05), there is a significant impact of early marriage on reproductive health.
The Relationship Between Midwife Performance With Antenatal Care (Anc) Service Satisfaction At Telagasari Community Health Center, 2023
Authors: Iskandar Melda , Eka Sugiatini Titin
Published: March 2024

One of the midwifery services performed by midwives is antenatal examination, namely pregnancy examinations carried out to periodically check the condition of the mother and fetus, followed by efforts to correct deviations found. Antenatal care plays an important role in efforts to prevent (preventive) and reduce MMR and IMR. Midwifery services contribute to implementing quality antenatal care according to standards. So that every effort to improve quality must also be accompanied by efforts to improve the performance of each officer, especially midwives. Research Objectives: To determine the relationship between the performance of midwives and the satisfaction of ANC services at the Telagasari Health Center in 2023. Research Methods: This type of research is descriptive analytic with a cross sectional design. The sample of this research were 76 pregnant women. The sample technique uses accidental sampling technique. Data collection using a questionnaire. The data analysis used was univariate analysis and bivariate analysis using the chi square test Research Results: The results of the study show that a p-value of 0.000 is obtained, meaning that the p-value <0.05 can be concluded that Ha is accepted and Ho is rejected. This means that there is a very strong and one-way significant relationship between the performance of midwives and the satisfaction of ANC services for pregnant women at the Telagasari Health Center. Conclusion: There is a relationship between the performance of midwives and satisfaction with antenatal care (ANC) services at the Telagasari Health Center in 2023.
Evaluation of the Use of Digital Booklets on Increased Knowledge and Motivation of Pregnant Women in Exclusive Breastfeeding
Authors: Nurlia Wiganda Lia , Khairiah Rahayu
Published: March 2024

Background: The main focus of the Indonesian Ministry of Health is to reduce the stunting rate, the Maternal Mortality Rate (MMR) and the Infant Mortality Rate (IMR). Based on health profile data for 2019, there were 20,244 children aged 0-28 months who died, with the main cause of death being diarrhea. Exclusive breastfeeding has been shown to be effective in preventing stunting and reducing the risk of diarrhea. However, only 34% of babies at the Tirtamulya Health Center received breast milk, and far below the target of 48%. To increase awareness of the importance of breastfeeding, it is recommended to use a booklet containing information about the benefits of breastfeeding. The digital booklet is a version that can be accessed via mobile devices to make it easier to access information. Purpose of Writing: Describe the effect of digital booklets on the level of knowledge and motivation of third trimester pregnant women regarding exclusive breastfeeding at the Tirtamulya Health Center.Research Method : This study used a quasi-experimental design with pre-test and post-test with the control group. A total of 15 pregnant women in the third trimester were selected as samples for each group. Purposive sampling method was used for sampling. The independent variable in this study was the provision of digital booklets and videos, while the dependent variable was the level of knowledge and motivation about exclusive breastfeeding in third trimester pregnant women. Data collection is done through Google Form. Data analysis was performed using the Wilcoxon test and the Mann-Whitney test. Research results: Wilcoxon test of knowledge of the treatment group (p-value = 0.004), the control group (p-value = 0.008), the motivation of the treatment group (p-value = 0.002), the control group (p-value = 0.007). Mann Whitney test of knowledge (p-value = 0.017), motivation (p-value = 0.83). The treatment group had a mean value of knowledge and motivation that was greater than the control group. Conclusions and Suggestions: Digital booklets have a more significant effect on increasing the level of knowledge about exclusive breastfeeding among third trimester pregnant women compared to videos.
Qualitative study of knowledge and attitudes of husbands in dealing with wives who have nausea and vomiting in the first trimester at PMB D
Authors: Aritonang Dorma , Yuliwati Nanik
Published: March 2024

Background: Predisposing factors in the occurrence of emesis gravidarum are psychosocial factors. During pregnancy, attention from family members is needed by the mother, especially the attention of the husband. Small things that husbands do have significant meaning in improving psychological health in a better direction. Purpose of Writing: To obtain in-depth information about the husband's knowledge and attitudes in dealing with a wife who has nausea and vomiting in the first trimester at PMB D. Research Methods: This study used a qualitative method by conducting in-depth interviews (depth interviews) and FGD (Focus Group Discussion), namely to obtain in-depth information about the knowledge and attitudes of husbands in dealing with wives who have nausea and vomiting in the first trimester, so that it is possible to obtain implicit information (insight). Research Results: Knowledge of husbands in dealing with wives who have nausea and vomiting in the first trimester shows that there are still many informants who have poor knowledge about the causes, symptoms and complications of nausea and vomiting in pregnancy. The husband's attitude in dealing with his wife who had nausea and vomiting in the first trimester showed that most of the informants had a positive attitude as shown by paying attention, namely buying food such as fruit to relieve nausea, encouraging mothers to avoid spicy/sour foods, always accompanying mothers to check their pregnancy and being more understanding of what pregnant women feel. Conclusions and Suggestions: The results of this study are expected to provide health education about nausea and vomiting in pregnancy, especially husbands who are involved in the counseling process and outreach events for pregnant women classes.
Effectiveness Of Administering Olive Oil Against Diaper Rash In Babies Aged 0-36 Months At Pmb Cahyati Bogor, West Java, 2023
Authors: Hikmi Meilita Sari Nur , DR Tahun Omega
Published: March 2024

Background: In The World, It Is Estimated That Skin Irritation (Diaper Rash) Occurs In Babies In 25% Of The 6,840,507,000 Babies Born. The Prevalence Of Babies Affected By Diaper Rash In West Java In 2020 Was 52.7%. Diaper Rash Can Cause Red Spots, Itching, Skin Irritation, And Discomfort In Sensitive Areas Of Toddlers. Usually Caused By Humidity, Fungus And Bacteria That Develop In These Sensitive Areas. The Aim Of This Research Is To Find Out How Effective The Use Of Olive Oil Is In Treating Diaper Rash. Research Method: The Research Used Was Pre-Experimental Using A One Group Pretest-Posttest Design, And With A Prospective Approach. This Research Was Conducted At Pmb Cahyati Bogor, West Java. The Research Sample Was 30 Respondents Taken Using Total Sampling Technique. Research Results: Based On The Results Of Non-Parametric Statistical Tests, The Significance Value Was 0.000 < 0.005, It Can Be Concluded That There Is An Effect Of Giving Olive Oil On Diaper Rash In Toddlers At Pmb Cahyati, Bogor, West Java In 2023. Suggestion: It Is Hoped That Respondents Can Use Extra Virgin Olive Oil As A Medicine To Treat Diaper Rash In Toddlers Who Experience Diaper Rash And Can Be Used For Other Health Needs.
The Relationship Of Maternal Knowledge And Compliance With Giving Vitamin A Capsules To Toddlers At Posyandu Delima, Binuang Public Health Center, Serang Regency, 2023
Authors: Afriyanti Lisa , Rismayanti Tetin
Published: March 2024

Background The WHO has classified vitamin A deficiency as a public health problem affecting approximately one-third of children aged 6 to 59 months in 2013. According to the data from the Health Office of Banten Province, the administration of vitamin A capsules to toddlers aged 6-59 months is 81.3%. In a preliminary study conducted at the Delima Posyandu of Binuang Public Health Center, there were 220 toddlers. The interview results from 15 mothers with toddlers revealed that 6 mothers (40%) were compliant in giving vitamin A capsules to their children, while 9 mother’s (60%) were not compliant. This non-compliance is attributed to the mothers' lack of knowledge regarding the benefits of administering vitamin A for the health of their toddlers. Research Objective: The purpose of this research is to determine the relationship between maternal knowledge and compliance with giving vitamin A capsules to toddlers at  Posyandu Delima of Binuang Public Health Center Serang Regency in 2023. Research Methods: This study is a quantitative research with a cross-sectional design. The population comprises all mothers with toddlers who visit the Posyandu Delima at Binuang Public Health Center, Serang Regency. The sample size for this research was determined using the Slovin formula, resulting in a total of 69 individuals. Research Results: The results of this study indicate a significant relationship between maternal knowledge and compliance with giving vitamin A capsules to toddlers, with a regression coefficient value of 76.5%, using the binary logistic regression model equation = -4,096+0,765x. Conclusions and Suggestions: There is a significant relationship between maternal knowledge and compliance with giving vitamin A capsules to toddlers at Posyandu Delima, Binuang Public Health Center Serang Regency. It is hoped that mothers who have toddlers will always pay attention to their children's health by eating foods that contain vitamin A and consuming vitamin A capsules according to schedule to meet their vitamin A needs.
Electromobility In Poland in Terms of The Possibility of Managing the Energy Infrastructure Securing the Replenishment of Electricity in Vehicles
Authors: LIGAJ Magda , PAWLOS Waldemar , SÓJKA Wojciech , KUPCZYK Teresa , KUBICKA Joanna
Published: March 2024

Electromobility is becoming a technology of the future and an attempt to meet the greatest communication problems of modern societies in terms of reducing noise, smog and the growing amount of greenhouse gases in the atmosphere. It is an alternative to other ecological power sources for motor vehicles and a necessity aimed at eliminating traditional combustion engines. Polish plans to dynamically implement a significant number of electric vehicles for general use are in line with global trends. The relationship between the number of vehicles and the capabilities of the infrastructure securing the charging of batteries of these vehicles becomes the basic determinant of the usefulness of this type of transport solutions. The core of the problem is illustrated by the presentation of potential needs in terms of accessibility, spatial distribution and a simulated number of charging points for electric cars in Poland. It is extremely important due to the existing limitations resulting from the technical parameters of charging devices, the time needed to replenish energy and vehicle congestion in urban agglomerations. The article consists of 5 parts. The main research problem is: How will the development of electromobility in Poland affect the management of the country’s energy infrastructure? Individual detailed problems concern the following issues: What is electromobility in Poland characterized by? What are the problems with recharging energy in electric vehicles? What conditions must be met for electric vehicles to be an important element of electricity storage? The result of the analysis, which was developed on the basis of statistical data research, applicable legal regulations, literature on the subject and the simulation carried out, allows to propose an algorithm for the management of infrastructure for charging electric vehicles, which will be a recommendation for business entities dealing with logistic security in the field of energy replenishment in batteries electric cars. The result of the article is the presentation of conclusions regarding the possibilities of the existing energy logistics infrastructure for charging electric vehicle batteries and the needs in this area resulting from the dynamic development of electromobility in Poland.