bluuebunny/crossref_metadata_2025 huggingface dataset:
Brisk Walking Untuk Menurunkan Kadar Glukosa Darah Pada Pasien Diabetes Mellitus Tipe 2: A Literature Review
Authors: Magenda Bisma Yudha  , Nur Intan Kartika Sari
Published: August 2024

Background: One of the non-communicable diseases (NCDs) that has received a lot of attention is Diabetes Mellitus. Diabetes management is divided into two ways. The first way is with non-drug therapy (non-pharmacological) and second with drug therapy. Drug therapy in the form of oral hypoglycemic drugs or insulin. Non-pharmacological methods with food planning and physical exercise. The type of light physical exercise recommended for patients with type II diabetes mellitus is walking and brisk walking. Objective: To determine the effect of brisk walking to reduce blood glucose levels in patients with type 2 diabetes mellitus. Methods: This review uses the literature review method. Searches were conducted in PubMed, Garuda, and Google Scholar. The search strategy used keywords with "brisk walking", "physical exercise", "glycemic control", "diabetes mellitus, type II",. Results: Seven articles were reviewed in this literature review. Six articles discussed brisk walking, one article discussed the difference in glycemic control in low - high intensity interval training with endurance training. The overall results of this review show that doing physical activity brisk walking has an effect in reducing blood glucose levels, reducing blood glucose levels by 49.75 mg/dL. Physical activity sessions can be done for 3 - 7 sessions per week with a duration of 15 - 60 minutes. Conclusion: The effect of brisk walking is proven to reduce blood glucose levels in patients with type 2 diabetes mellitus.
Faktor Yang Mempengaruhi Keberhasilan Pemberian Asi Eksklusif di Desa Nauli Kec. Sigumpar Kab.Toba
Authors: Munarni Simatupang
Published: August 2024

Efforts to increase the provision of breast milk (ASI) play a very big role in achieving infant mortality rates and reducing the prevalence of malnutrition in children under five. This research aims to determine the factors that influence the success of exclusive breastfeeding. This research design is descriptive analytical with a sample size of 26 respondents using a total sampling method. The results of this research were that the majority of respondents aged 26-30 years were 10 people (38.5%), the majority of respondents had secondary education as many as 19 people (73.1%), the majority of respondents were housewives as many as 20 people (76.9%), the majority of respondents had income < 1,000,000 as many as 22 people (84.6%), and the majority of children are one child as many as 17 (65.4%). Data analysis using product moment. From the results of the product moment statistical test, it can be concluded that management factors in the birthing place that support breastfeeding and providing breastfeeding facilities in public places are factors that influence the success of exclusive breastfeeding. The relationship between management at the birth center that supports breastfeeding and exclusive breastfeeding obtained a value of r = 0.458, which means the relationship between the two variables has a sufficient relationship, and obtained a value of P = 0.019, meaning there is a significant influence. And for the relationship between providing breastfeeding facilities in public places and exclusive breastfeeding, the value obtained was r = 0.394, which means that the two variables have a sufficient relationship, and the value obtained was P = 0.047, which means there is a significant influence.
Pengaruh Terapi Relaksasi Otot Progresif Terhadap Insomnia Pada Lansia Posbindu Desa Patikraja
Authors: Nurita Rizkiana  , Wasis Eko Kurniawan  , Surtiningsih Surtiningsih
Published: August 2024

Insomnia is one of the main disorders in initiating and maintaining sleep among the elderly. Insomnia is defined as a complaint about a lack of quality sleep caused by one of the reasons why it is difficult to get into sleep, frequent awakenings at night and then difficulty getting back to sleep, waking up too early, and not sleeping well. The poor quality of sleep in the elderly is caused by increased sleep latency, reduced sleep efficiency and early awakening due to the aging process. The purpose of this study was to determine the effect of progressive muscle relaxation therapy on insomnia in the elderly in posbindu, patikraja village. This type of research is one group pretest-posttest with pre-experimental. The sample size used in this study was 19 respondents. The sampling technique used is purposive sampling. Methods of data collection using a questionnaire. The statistical test used in this study was the Wilcoxon Sign Rank Test with 0.05. The results of this study note that there are differences before and after being given progressive muscle relaxation therapy. The results of the analysis of the Wilcoxon Sign Rank Test obtained a p value of 0.000 <0.05, meaning that there is an effect of progressive muscle relaxation therapy on changes in insomnia in the elderly in Posbindu, Patikraja Village.
Pengaruh Psikoedukasi Terhadap Tingkat Kecemasan Pada Orang Tua Pasien Di Perina-Nicu RSUD Kabupaten Tangerang
Authors: Dewi Sumiyati  , Nurry Ayuningtyas Kusumastuti  , Ria Setia Sari
Published: August 2024

Parents with neonatal babies who are being treated in the Perina-NICU have a psychological burden that causes parents to experience anxiety. To reduce the anxiety of parents of patients who are treated in the Perina-NICU, it is necessary to do psychoeducation. The aim of the study was to determine the effect of psychoeducation on the anxiety level of the patient's parents at Perina-NICU RSUD Kabupaten Tangerang. The research method used was a quasi experiment with a one group pretest-posttest design without a control group. The sample in this study were 30 parents whose children were being treated at the Perina NICU. Data were obtained by distributing the Hamilton Anxiety Rating Scale (HARS) questionnaire which was carried out before and after the anxiety management psychoeducation. Univariate and bivariate data analysis using the Wilcoxon test. The results showed that the average anxiety score before psychoeducation was 21.40 and most of the anxiety was in the moderate category, namely 12 (40%). The average anxiety score after psychoeducation was 15.50 and most of the anxiety was in the non-anxious category, namely 12 (40%). There was an effect of psychoeducation on the anxiety level of the parents of babies who are treated in the Perina-NICU with a P value (0.000) < α (0.05). Conclusions and suggestions: there was an influence of psychoeducation on the anxiety level of the parents of babies who are treated at Perina-NICU RSUD Kabupaten Tangerang. It is hoped that psychoeducation will become one of the Standard Operating Procedures (SOP) to reduce the anxiety level of parents of patients treated at the Perina-NICU because the implementation is quite easy and effective.
Hubungan Indeks Massa Tubuh (IMT) terhadap Siklus Menstruasi pada Remaja di Stikara Sintang
Authors: Dian Ika Pratiwi  , Atri Rudtitasari  , Arum Seftiani Lestari  , Yunida Haryanti  , Rizki Amartani  , Tri Endah Suryani
Published: August 2024

The aim of this research was to determine the relationship between body mass index (BMI) and the menstrual cycle in adolescents at STIKARA SINTANG. The menstrual cycle is a clinical sign of female reproductive function. Menstruation is a complex process involving several hormones, sexual organs, and the nervous system. Body mass index is very influential on menstrual disorders because if a person experiences certain hormonal changes which are marked by a marked decrease in body weight (underweight, BMI < 18.5). The test used was the Chi-square test so the results were (p=0.05, pvalue =0.015), meaning there was a significant relationship between BMI and the menstrual cycle.
Pengaruh EDO (Edukasi Media Video) Terhadap Tingkat Pengetahuan Dan Sikap Ibu Menyusui Tentang Asi Eksklusif Di Wilayah Puskesmas Gunung Pati Semarang
Authors: Mei Indah Epiphani
Published: August 2024

Background: The percentage of coverage for babies aged 0–6 months who receive exclusive breastfeeding at the Gunung Pati Health Centre in Semarang is 70.29%; this figure is still lower than the achievement of exclusive breastfeeding in Semarang City (71.9%). Providing education using the video method in the context of health education is considered more capable and effective in changing one's knowledge or attitude. The research aims to determine the effect of video media education on the knowledge and attitudes of breastfeeding mothers regarding exclusive breastfeeding at the Gunung Pati Community Health Centre, Semarang. Methodology: This quantitative study used a quasi-experimental research design using a one-group pre-test-post-test design. The research was conducted in July 2023. The study population consisted of 53 mothers breastfeeding babies aged 0–3 months, and using the Solin formula, a total sample of 37 respondents was obtained. The intervention was carried out by giving a video (5 minutes in duration) and was carried out two times, 1 week apart. Data analysis used univariate and bivariate analysis (paired sample t test). Results: The average score on knowledge before and after the intervention has increased by 12.38. While the average score on attitudes before and after being given the intervention increased by 19.46, The statistical test showed that the provision of education using video media had an effect on the level of knowledge and attitudes of mothers about exclusive breastfeeding (p-value = 0.001, namely < 0.05), so that it could be said that Ha was accepted and Ho was rejected. Conclusion: There is an influence of EDO (video media education) on mothers' knowledge and attitudes about exclusive breastfeeding. So that the provision of education using video media is important and useful for breastfeeding mothers to increase the coverage of exclusive breastfeeding.
Pengaruh Pemberian Susu Kedelai (Glycine Max) Terhadap Peningkatan Produksi ASI Pada Ibu Post Partum
Authors: Devina Devina  , Utari Christya Wardhani  , Elvi Murniasih
Published: August 2024

Unsmooth milk production is the main problem causing the failure of the breastfeeding process. One way to increase milk production for post partum mothers is to support the nutritional needs of mothers, one of which is by consuming soy milk made from soy beans. This study aims to determine the effec tof soymilk (Glycine Max) on breast milk production in post partum mothers at Bakti Timah Hospital Karimun Riau Archipelgo. This researchis a pre-experimental study with a one-group pretest-posttest design. The population in this study were post partum mothers at Bakti Timah Hospital Karimun Riau Archipelago in the last one month as many as 102 people. The sampling technique in this study used a sampling technique carried out using purposive sampling of 34 respondents. The research instrument used a breastmilk production questionnaire, namely the Lactation Assessment Tool (LATCH) which consisted of 5 points. Data analysis was performed univariately and bivariately using the Wilcoxon test. The results showed that before consuming soy milk the average milk production was 3.35 and after being given soy milk the average milk production increased to 4.03. The results of the Wilcoxon test found a p-value of 0.001 (p <0.05) so it can be concluded that there is an effect of soy milk (Glycine Max) on increasing milk production in post partum mothers. It is recommended for the community, especially post partum mothers, to be able to use soy milk as an alternative to addressing problems with increasing breast milk production.
Model Konsep Teori Keperawatan Katherine Kolcaba
Authors: Yeni Astuty  , Irna Nursanti
Published: August 2024

Katherine Kolcaba originally wrote comfort theory in Alzheimer's and dementia patients. However, Katherine herself has written several articles in the nursing field regarding her theory. When Kolcaba developed his theory, he used logical reasoning. He uses induction, deduction, subtraction. Kolcaba uses existing frameworks to synthesize or identify comfort types. This book has a provocative and profound effect, encouraging psychologists to study personality holistically and in depth and emphasizing the complex interactions between individual, social, and cultural characteristics. This is an excellent starting point for this theory because comfort is best achieved through holistic treatment. He also begins with the analytical concept of the term "comfort". Katherine Kolcaba collects definitions of “comfort” from various scientific disciplines. In comfort theory, the metaparadigm proposition of nursing action is used.
Pengaruh Program GRSSIA (Gerakan Rumah Sakit Sayang Ibu dan Anak) Terhadap Kejadian Stunting Balita di RSUD Sayang Cianjur Tahun 2023
Authors: Ima Agustina  , Susaldi Susaldi  , Aida Diana Astarie
Published: August 2024

Stunting is a disorder of child growth and development due to chronic malnutrition and recurrent infections, and inadequate psychosocial stimulation which is characterized by the length below based on age the standard (-2SD/Stunted). Stunting occurs with age in the first 1000 days of life (fetus up to 24 months) and children up to 60 month. The GRSSIA (movement of hospital in safe motherhood and childhood) is an innovation programme held by the public hospital in the cianjur area in an effort to reduce maternal mortality, baby and child expecially accelerate the process of preventing and reducing stunting in cianjur district. The purpose of this study was to determine the effect of the GRSSIA (gerakan rumah sakit sayang ibu dan anak /movement in hospital of safe motherhood and childhood) programme on the stunting incidents at the regional public hospital of sayang cianjur in 2023. This type of research is quantitative with a quasy experimental one group pretest-posttest design approach. The sampling technique used is non-random sampling type of total sampling are 55 childrens meet the inclusion and exclusion criteria. The instruments used were the observation sheet, microtoise, and reference of children antropometri. Statistical test using the paired t test. The result showed a p-value of 0.000 < 0.05 which means that there is influence of GRSSIA (Gerakan Rumah Sakit Sayang Ibu dan Anak/Movement of hospital in safe motherhood and childhood) programme on the stunting incidents at the regional general hospital of sayang cianjur in 2023.
Pengaruh Bermain Konstruksi (Lego) Terhadap Perkembangan Motorik Halus Pada Anak Pra Sekolah Di TK Miftahul Az-Zahra Desa Cihea Tahun 2022
Authors: Rika Nur Zaqiah  , Weslei Daeli  , Risky Kusuma
Published: August 2024

fine motoric development is the development of motion that includes small muscles with eye-hand coordination. Fine motor development in children is related to the movement of the body, namely, muscles, nerves, and the brain each have a very important role. To determine the relationship between the intensity of social media use with the tendency to nomophobia. This study is a type of quasy experiment with a pretest-postest quasy experiment research design with a sample of 16 respondents. Based on the results of research that has been done that the influence of lego game intervention on the development of fine motoric TK Miftahul Az-zahra desa cihea. In addition, how to give lego games for 4 days with a duration of 30 minutes. Statistical test results based on the results of collecting data on fine motoric development are summed into a MAP (Mean Arterial Preasure) so that it can be concluded a significant effect on the provision of intervention lego games with p-value 0.000 which means p-value <0.05, therefore Ho rejected and Ha accepted that there is an effect of giving lego games on fine motoric development of children in kindergarten Miftahul Az-zahra cihea village. From this study shows the effect of lego play treatment to increase fine motoric development in preschool children P-Value = 0.000 t test. Which means that Ho is rejected and the sample supports the existence of a meaningful influence.
Hubungan Perawatan Kaki Dengan Resiko Kajadian Ulkus Kaki Diabetik Pada Penderita Diabetes Melitus Di Wilayah Kerja Puskesmas Sukabumi
Authors: Rima Rahmanita  , Mustofa Saeful Alamsyah  , Egi Mulyadi
Published: August 2024

Background: Diabetes Mellitus (DM) is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia (high blood sugar levels). Diabetes Mellitus can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. There are several ways to prevent diabetic ulcers, several things that families and patients can do independently, checking the condition of the feet every day for Diabetes Mellitus sufferers needs to be done once a day to detect abnormalities such as redness, blisters, cracked skin, swelling and pain. Objective: To determine the relationship between foot care and the incidence of diabetic foot ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Working Area. Method: The method used in this research is the Descriptive Analytical method with a cross-sectional approach. The samples used were 69 patients suffering from diabetes who were at risk of diabetic foot ulcers in the Sukabumi Community Health Center Working Area. Results: Based on the results of statistical tests with chi-square, the resulting P value was 0.000 < 0.05, which can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Community Health Center Working Area. Conclusion: it can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Work Area. Suggestion: DM sufferers are expected to be disciplined in caring for their feet even though diabetic foot ulcers have not yet occurred and families with diabetes are able to get involved and help if the patient has a serious ulcer, without having to visit health personnel.
Analysis of Students Phonological Errors in Pronouncing Vowel Sounds A Case Study of English Learners in Indonesia
Authors: Yani Lubis  , Rahayu Wulandari  , Rana Mai Zuhra  , Hawa Alfina Salsabila  , Faris Fadillah
Published: August 2024

The purpose of this study was to find phonological errors that students make when they pronounce vowel diphthongs. Researchers also asked what type of vocal diphthong sound students most often said in tenth grade. Grade X students of the 2021/2022 school year are the subjects of this study. This study used a quantitative descriptive approach. Researchers randomly selected 60 samples from 395 individuals. The tool used is the English Vowel Diphthong word pronunciation test, which includes eight types of English vowel diphthongs with two focus words for each type. Furthermore, a voice recorder is employed to capture the students' pronunciation. Findings showed that students made 339 word mistakes. The pronunciation of X graders shows the most frequent types of vowel diphthong errors: Diphhongs [ɔʊ] with the focus word "although" experience 72% of total errors, Diphhongs [ʊə] with the focus word "during" experience 65% of total errors, and Diphhongs [aɪ] with the focus word "sacrifice" experience 61% of total errors.
Using Werewolf Game to Improve Students’ Speaking Skill at the Second Grade of SMPN 33 Padang
Authors: Rima Angelina  , Rahma Dania  , Suparmi Suparmi
Published: August 2024

The problem of this research is students’ low speaking skills; students are afraid, nervous, and less interested in learning English. The purpose of the study is to improve students' speaking skills using the Werewolf game. This research was conducted at SMP N 33 Padang. The researcher only took one class as a sample. The sample consisted of 31 students from class VIII 4 who were chosen using cluster random sampling. This study used a quantitative method with a pre-experimental approach. The experimental group was taught the Werewolf game. The data collection instrument was an oral test. The experimental group was given a pre-test and a post-test. The pre-test result showed the average experimental class score was 57.42 and the post-test was 66.06. After the data is collected, the data is analyzed using the t-test formula. The results of the analysis showed that the value of t test> t table is 3.695 > 2.0454. The last hypothesis shows that Ho is rejected and Ha is accepted. This means that there is a significant influence on improving students' speaking skills using the Werewolf game.
Pengaruh Penggunaan Permainan Edukatif dalam Pembelajaran Kosakata Bahasa Inggris pada Anak Usia Pra-Sekolah
Authors: Hanifatur Rizqi  , Eko Adi Sumitro
Published: August 2024

This research aims to analyze the effect of using educational games on learning English vocabulary in pre-school children. The background of this research is based on the importance of learning English from an early age, where vocabulary mastery is a crucial basic component. The research method used was an experiment with a pretest-posttest control group design. The research sample consisted of 60 pre-school children who were randomly divided into experimental groups and control groups. The experimental group was given vocabulary learning using various educational games, while the control group used conventional methods. Data was collected through vocabulary tests before and after treatment, as well as observations during the learning process. The results of data analysis show that there is a significant increase in mastery of English vocabulary in the experimental group compared to the control group. These findings indicate that educational games can be an effective method in improving English vocabulary learning in pre-school children. This research suggests that educators consider the integration of educational games in the English language learning curriculum for early childhood.
Pengaruh Model Pembelajaran Discovery Learning Terhadap Kemampuan Menulis Cerpen di SMA Negeri 2 Kisaran
Authors: Halimatusa’diah Daulay  , Siti Aisyah Hanim  , Masithah Mahsa
Published: August 2024

This research aims to determine the influence of the Discovery Learning Learning Model on the Ability to Write Short Stories at SMA Negeri 2 Kisaran..This type of research is all students off class XI science at SMA Negeri 2 range of 216 students. The sampling technique used in the data collection process is random sampling. Data analysis techniques using statistical analysis. Based on the results of research data analysis and hypothesis testing, it was concluded that the average result of the ability to write short stories in the XI IPA 2 experimental class taught using the discovery learning model obtained an average score of 87,88 higher tha the control class XI IPA 3 which obtained an average score of 81,88.
Analisis Nilai Religi Dalam Cerita Rakyat Tradisi Meron
Authors: Nurul Aini  , Ayunda Choirun Nisa  , Adira Thifalanajla Khairunnisa  , Elyana Rosyita  , Mohammad khanzunnudin
Published: August 2024

The aim of this research is to analyze the narrative structure and religious values ​​contained in the oral stories of the Meron Tradition. This research was designed qualitatively and used an analytical method based on Axel Olrix's theory. The results of the analysis show that the Meron Tradition oral stories prioritize narrative structure to build the storyline. The author uses literature study techniques to collect data by reading, taking notes, and processing research materials. They also use Triagulation techniques to ensure the validity of the data. Triangulation uses something other than the data for checking or comparison. The narrative structure in the Meron Tradition oral story is an interrelated and interdependent component. One of the religious values ​​in the Meron Tradition story is worship, gratitude, trust, respect and the example of the Prophet Muhammad SAW.
Problem-Based Learning (PBL) Methods Within An Independent Curriculum(A Literature Review)
Authors: Alifatun Ni’mah  , Eka Syovi Arianti  , Suyanto Suyanto  , Shidqi Hamdi Pratama Putera  , Ahmad Nashrudin
Published: August 2024

In this article, the author provides an overview of the implementation of problem-based learning (PBL) methods within an independent curriculum. The introduction section introduces the topic and highlights the significance of PBL in education, while the overview of PBL methods section explains the key principles and components of this pedagogical approach. The importance of an independent curriculum is discussed in terms of empowering students to develop critical thinking, problem-solving, and self-directed learning skills. The article then outlines the benefits of implementing PBL, including enhanced critical thinking skills, improved problem-solving abilities, and increased engagement and motivation. Finally, the challenges and considerations of implementing PBL are addressed, such as the need for adequate teacher training and support, the development of new assessment strategies, and the integration of PBL with existing curricula. The article concludes by offering best practices for successful implementation, such as establishing clear learning objectives and outcomes and fostering a collaborative learning environment.
Simple Project-Based learning to Improve Grammar Element in Teaching Speaking
Authors: Muhammad Husnu  , Ahmad Yusri  , Muhamad Ridwan  , Suhaeli Robbi Awaludin
Published: August 2024

This paper aims to show the Simple project-based learning in Teaching speaking, success. English and student attention using techniques during the learning process. quantitative data Experimentally conducted and collected using pre-study, treatment, and post-study techniques Offer multiple-choice tests before and after applying the technique. Although the data are qualitative, Utilize surveys by distributing surveys to students and teacher also conducting multiple related interviews to simple project-based learning. Only test results before applying the technique 65% of the students are proficient in speaking English, but after demonstrating The technique, it improved the student's English speaking ability to 89%. On the other hand, student analysis Studies have also shown the Simple project-based learning in Teaching Speaking techniques are effective to Improve the students' English skills. Application of Simple project-based learning Techniques in Learning For this reason, improving your English, especially your speaking skills, is the right strategy to improve your students' skills. Techniques can turn abstract concepts into reality in the classroom.
„Habent sua fata...”
Authors: Kiss Norbert Péter
Published: August 2024

Jelen írás egy már évek óta folyó (s még több évre tervezett) kutatás eddigi eredményeibe nyújt rövid, nem mindenre kiterjedő betekintést. A somogyi kastélyok és kúriák története egyre népszerűbb, elég csak rápillantani az internetes közösségi oldalakra, hírportálokra, a bővülő szakirodalomról nem is beszélve. A kutatás végső célja egy somogyi kastély- és kúriakataszter összeállítása az egyes épületek sorsának bemutatásával. A nyomtatott, szakirodalmi és sajtóforrások mellett nagy hangsúlyt fektetünk az MNL Somogy Vármegyei Levéltárában fellelhető források feltárására, feldolgozására. Az alábbiakban a kutatás során eleddig feltárt és felhasznált levéltári forrástípusokat tekintjük át. A bemutatandó kútfők között számos olyan akad (főként a második világháború éveitől kezdődően), amely országos, központi rendeletre született, így minden (vár)megyét érint, s esetlegesen más levéltárakban is fellelhetőek az ottani kastélyokra és kúriákra vonatkozó dokumentumok.
Élesztőgyártól a levéltárig
Authors: Szekér Nóra
Published: August 2024

Az Eötvös utca 7. szám alatti Schneider-palota jelenleg az Állambiztonsági Szolgálatok Történeti Levéltárának ad otthont, amelynek fő feladata az 1945 és 1990 között működő politikai rendőrség különböző szervei által keletkeztetett iratanyagok őrzése és a kutatás számára hozzáférhetővé tétele, valamint ez a levéltár biztosítja az állampolgárok számára az információs önrendelkezési jog gyakorlását, vagyis megteremti annak a lehetőségét, hogy az érintettek a volt állambiztonsági szervek róluk készült dokumentumaiba betekintsenek.
CARACTERISTIQUES CLINIQUES ET ETIOLOGIES DES FRACTURES FACIALES DE L’ENFANT AU CHU SANOU SOURO, BURKINA FASO
Authors: Béogo Rasmané
Published: August 2024

Paediatric facial fractures although less common than those of adult could be severe. This retrospective aimed to report the frequency, aetiologies and associated injuries of facial in patients of 15 years or below, between 1997 and 2011, at CHU Sanou Souro, a university teaching hospital in Burkina Faso. Out of an overall 604 patients with facial fractures, 80 were children, giving a frequency of 13.2% of paediatric facial fractures. These paediatric patients age ranged between 1 and 15 years, there were 59 males and 21 females (male to female ratio 2.8:1). The facial fractures involved the mandible (81.2%), the maxilla (16.2%), the zygomatic bone (12.5%) and the nasofrontoorbital ethmoid complex (1.2%). Fractures aetiologies were road traffic accidents (50%), falls from trees height, (38.7%), interpersonal violence (6.3%) and game related accidents (5%). Extra facial associated injuries occurred in 17.5% of the patients who sustained cranioencephalic trauma (8.7%), limb fracture (8.7%), chest trauma (1.2%) or eye ball rupture (1.2%). In 2.5% of the patients, a polytrauma was noted due to a severe associated cranioencephalic trauma. The findings of thisstudy command elaboration of programs of road traffic and falls from trees accidents prevention. Key words: Facial fracture; Child; Aetiology; Associated injury
LES CANCERS DE L’ESTOMAC CHEZ LES PATIENTS DE PLUS DE 75 ANS
Authors: DIENG Mouhamadou Moustapha
Published: August 2024

Summary Objective: The ageing of population is going with an increase of treatments in the elderly. Our propose was to show the epidemiological, clinical aspects and the results of surgical treatment of gastric cancer in a specialized department Method 42 patients of more than 75 years old with gastric neoplasia were operated. Results: It was about 26 men and 16 women with a mean age of 80,4 years. There was a history of gastro duodenal disease in 10 cases (23,8%), cardiovascular disease in 65,21 % prostate in 26,08%. Resectability rate is 81%, Post operative mortality was 4,76%, post operative morbidity was 52,5 % including surgical complications 10% and cardiovascular and decubitus complications 42,5%. The survival rate is 34,6 % a 2 years. Conclusion: This study shows the heavy surgical management of gastric carcinoma in people aged more than 75 years is possible Keys words: gastric carcinoma elderly, surgery, chemotherapy, radiotherapy
LES RE-INTERVENTIONS PRECOCES DES MALADES REFERES AU SERVICE DE CHIRURGIE VISCERALE DE L’HOPITAL NATIONAL DONKA CHU DE CONAKRY (GUINEE)
Authors: Diallo, et al... Amadou Diouldé
Published: August 2024

Introduction: Early re-interventions are a major concern for the surgical team and patients. They are severe with considerable morbidity and mortality in our exercise context. The objectives of this study were to determine the frequency of early re-interventions, to identify the main referral structures as well as the main pathologies leading to re-interventions and risk factors for mortality. Material and methods: This was a retrospective, descriptive, five-year, ten-month, retrospective study carried out in the Department of Visceral Surgery of the Donka National Hospital of the CHU in Conakry. It covered all patients referred in the department for a complication of a recent surgery performed in external structures, and requiring urgent re-intervention. Results: During the study period, 4374 patients were admitted and operated in the visceral surgery department of the Donka Nation hospital of the CHU in Conakry. Early re-intervention was performed in 125 patients, among whom 110 were Referred to as 88%. The average age was 30 years. Women accounted for 64.55% (n = 71). Most of the patients were working in the informal sector, 41.8% (n = 46), and most of them in Conakry were 67.3% (n = 74). The main pathologies leading to re-interventions were postoperative peritonitis 41.8%,( n = 46) , digestive fistula 24.54%,( n = 27), and postoperative intestinal occlusion 20.9%( n = 23). The majority of patients were from private clinics 47.27%, (n = 52), followed by prefectural hospitals 17.27%, (n = 19). The average hospital stay was 18.1 days. The postoperative lethality was 29.1% (n = 32). Conclusion: Improved patient management conditions and better qualification of medical and paramedical personnel would reduce the surgical complications leading to re-interventions. Key words: early re-intervention, visceral surgery, mortality, Conakry
KYSTE ARACHNOIDIEN EXTRA DURAL SPINAL DORSAL : A PROPOS D’UN CAS
Authors: NDIAYE, et al... : Papa Ibrahima
Published: August 2024

The arachnoid cyst spinal epidural is a rare desease. Its pathogenesis remains unknown. We report the case of a young boy of 14, without contributory medical history, admitted to the neurosurgery department of the Fann National University Hospital in Dakar for a dorsal spinal cord compression syndrome, stage of spastic paraplegia. MRI objectified posterior thoracic cystic lesion next to T5-T8 extradural pace. The cyst was removed piece by posterior approach. Histological examination concluded an arachnoid cyst. The postoperative course was marked by a gradual recovery of the neurological deficit. Despite its rarity, the thoracic epidural arachnoid cyst is among the etiologies of spinal cord compression syndrome which he must think his diagnosis allows for constant healing radical surgical treatment. Keywords: arachnoidcyst, extradural cyst, MRI, surgery
LES VOLVULUS INTESTINAUX CHEZ L’ENFANT : ASPECT EPIDEMIOLOGIQUES DIAGNOSTIQUES ET ETIOLOGIQUES ET THERAPEUTIQUES A PROPOS DE 09 CAS
Authors: Diouf , et al... Cheikh
Published: August 2024

Intestinal volvulus is a rotation of the intestine a round it’s axis. The purpus of this work was to study the epidemiological, clinical, paraclinical aspects and management of intestinal volvulus in children. Patients and Methods : We conducted a descriptive retrospective study in children who underwent surgery for intestinal volvulus at the University Hospital Aristide Le Dantec in the period from January 2000 to April 2010. : Results : Over a period of about 10 years nine cases of intestinal volvulus were found in children. The average age of patients was 5.01 years and a male predominance was noted. Abdominal pain and vomiting were symptoms masters. The obstructive syndrome was common event in all our patients. Anemia was present in four patients and leukocytosis in two patients. Radiography of the abdomen without preparation showed air-fluid levels in four patients like small bowel. The oeso-gastro-intestinal transit series showed a significant gastric distension with few jejunal passage in a patient. The Doppler mesenteric vessels sonography showed an appearance of “wire loop” of mesenteric vessels and mesenteric vessels malposition in another patient. Surgical exploration had found a small bowel volvulus in nine patients. Ladd intervention was mostly done. The outcome was favorable in 70% of patients. Conclusion : Volvulus of the small intestine is a rare disease in children. Its severity is mainly related to the risk of necrosis that can be extend and worsen the prognosis. Key words : volvulus, intestine, small bowel, malposition.
LES EXSTROPHIES VESICALES : ASPECTS EPIDEMIOLOGIQUES, CLINIQUES ET THERAPEUTIQUES A PROPOS DE 21 CAS
Authors: ZE ONDO, et al... Cyrille
Published: August 2024

SUMMARY Aims: Report epidemiological, clinical and therapeutic aspects of bladder exstrophy. Materials and Methods: Retrospective descriptive study of 21 bladder exstrophy between january 1990 and december 2004 in the urology service of a Senegalese hospital. The following parameters were analyzed: age, sex, consanguinity, reasons for consultation, clinical and paraclinical aspects, surgical modalities and treatment outcomes. Result: Mean age of patients was 5, 4 years (1 day and 37 years). The majority of patients were male. Consanguinity was revealed in 8 patients. The reasons for consultation were dominated by congenital anomalies of the external genitalia and permanent involuntary urine loss. The complete forms of bladder exstrophy were the most frequent at physical examination (90%). Diastasis of the symphysis pubis was demonstrated in 10 patients on radiography. There was one abstention while surgical treatment was initiated in 18 patients. At least one of the following surgical procedures was performed: a bilateral iliac osteotomy, parietal closure (bladder plate and anterior abdominal wall) and the making of a neo urethra or epispadias cure. Conclusion: Bladder exstrophy has a low incidence. The surgical management was difficult but we seemed necessary to control urine leakage. Key words: bladder exstrophy, hypogastric urinary leakage, surgical treatment
PLACE DE L’IMAGERIE DANS LE DIAGNOSTIC DES DOULEURS ABDOMINALES AIGUËS DE L’ADULTE AUX URGENCES CHIRURGICALES DE L’HOPITAL ARISTIDE LE DANTEC
Authors: Guèye, et al.. Mohamadou Lamine
Published: August 2024

Aim : To report the imaging strategies in the diagnosis of acute non-traumatic acute abdominal pain in adult patient. Patients and methods: We performed aforward-looking study over a period of 12 months including 153 patients. The inclusion criteria were the presence of abdominal pain evolving for less than 7 days without abdominal trauma and an age of 16 year and over. The imaging exams, the modalities of their association, their indications as well as their results were reported. Results: One hundred and thirty-one patients (85,6%) had imaging exams. Ninety seven patients (61%) had an ultrasound done, 47 patients (29,6%) had a plain abdominal radiography, whereas computed tomography was done in 15 patients (9,4%).Ultrasound was performed alone in 73 patients (45,9%), plain abdominal radiography as well in 27 patients (17%) and computed tomography in 4 patients (2,5%). Plain abdominal radiography was associated to ultrasound in 16 patients (20,2%), and to computed tomography in 3 patients (3,8%). Ultrasound and computed tomography were associated in 7patients (8,8%) whereas the 3exams were associated in 1 patient (1,4%).The affections for which plain abdominal radiography was performed were: bowel obstruction (n=23), peritonitis(n=17), appendicitis (n=3), non-specific abdominal pain (n=3) and cholecystolithiasis(n=1). Ultrasound was realized for appendicitis (n=50), peritonitis (n=15), gynecological peritonitis, urinary lithiasis and liver steatosis (n=1) in each case. Computed tomography was performed for bowel obstruction (n=10), peritonitis, strangulated eventration, appendicitis, necrobiotic fibroma of the uterus and non-specific abdominal pain (n=1) in each case. Plain abdominal radiography found abnormal results in 38 patients (80.8%); while ultrasound and CT suggested a correct diagnosis in 72.4% and 80% of cases respectively. Conclusion: Imaging is an important diagnostic tool for acute abdominal pains. Ultrasound and plain abdominal radiography are the commonest exams. Key-words: acute abdominal pain, imaging, ultrasound, computed tomography, plain abdominal radiography.
TRAITEMENT CONSERVATEUR DES CANCERS DU SEIN: ETUDE RETROSPECTIVE DE 72 CAS A L’INSTITUT DU CANCER DE DAKAR
Authors: DIENG, et al... r Mamadou Moustapha
Published: August 2024

Introduction : Breast cancer is the most common female cancer in the world, estimated at 22% of all female cancers. Several therapeutic trials have shown that the results of conservative treatments on overall survival are equivalent to those of radical surgery in the early stages. Patients and Methods: This is a retrospective study of 72 patients who had conservative surgery associated with external Co 60 radiotherapy. Results: The mean age of our patients was 44.4 years with extremes of 19 years and 72 years. T2-sized tumors were the most common with 51 cases or 70.8%. The average pathological size was 1.95 cm. Quadrantectomy associated with axillary dissection was performed in 64 patients, or 89% of cases. Radiotherapy was performed in 53 patients, 73.6% of the cases. The boost was achieved in 16 patients or 30.2% of cases Fifty-five patients or 76.4% had chemotherapy. Overall survival was 79% at 3 years, 66% at 5 years and44% at 10 years. Conclusion: Conservative treatment of breast cancer is possible. Its implementation must take into account factors of local relapse and diagnostic, therapeutic and follow-up means to avoid the occurrence of recurrence in order to improve the survival of the patients.
LA HERNIE ETRANGLEE DU TRIANGLE DE JEAN LOUIS PETIT UNE CAUSE RARE D’OCCLUSION INTESTINALE AIGUE CHEZ LE SUJET AGE: A PROPOS D’UN CAS
Authors: Diouf , et al... Cheikh
Published: August 2024

Lumbar hernias are due to a parietal defect at the posterior abdominal wall through the triangle of Jean-Louis Petit or the Grynfeltquadrilateral. Often unrecognized clinical complications may be their circumstance of discovery. We report a case of acute intestinal obstruction by strangulation of a lombarhernia in à 60 years’women and emphasize the importance of palpation hernia holes in every patient with intestinal obstruction. Key words: hernia; lumbar, obstruction, complication.
L’HyDROCEPHALIE POST HEMORRAGIE SOUS ARACHNOÏDIENNE PAR RUPTURE D’ANEVRySME : INCIDENCE, PRISE EN CHARGE ET RESULTATS THERAPEUTIQUES A PARTIR D’UNE SERIE RETROSPECTIVE DE 51 PATIENTS
Authors: Thioub, et al.. Mbaye
Published: August 2024

SHA by ruptured aneurysm is a serious condition, burdened with a significant morbidity and mortality. Hydrocephalus is a common complication of SAH. The indication of the external ventricular draining for acute hydrocephalus is well codified. On the other hand, that of chronic ventricular dilatations is still controversial despite the large number of series seeking to identify modifiable predictive factors for shunt dependency. We conducted a 12-month retrospective study to assess the incidence, profile and therapeutic outcomes of hydrocephalus following SAH. Patients and Methods: This was a retrospective study based on the use of records of patients hospitalized in the Clermont-Ferrand Hospital and having had SAH by ruptured intracranial arterial aneurysm during the period from 1 January 2012 to 31 December 2012 .We excluded SAH from other origins and patients who died before the 48th hour. General datas such as age, sex, duration of hospitalization were evaluated. The WFNS, Fisher and Rankin classifications were used to assess respectively clinical status, CT scan results and patients outcomes. Results: We collected 51 cases of sub-arachnoid haemorrhage by rupture of aneurysm, 21 patients developed acute hydrocephalus, treated with EVD . Of these patients, 7 developed a chronic hydrocephalus treated by permanent shunt (overall incidence of 13.72%). There were 39 women and 12 men. The mean age of the series was 54.4 years ranging from 27 to 81 years. The mean age of patients needing permanent shunt was 68.85 years. The WFNS classification found 20 cases of grade 1 and 15 cases grade 2 . Twenty-four patients were Fisher 2 and 20 Fisher 4. The mean caudate index measured in patients treated for chronic hydrocephalus was 0.43 ranging between 0.40 and 0.47. Twenty-one patients underwent an external ventricular draining, 15 on the day of bleeding, 5 patients had drain after 24 hours. One patient had his EVD on day 6. The treatment of ruptured aneurysm was endovascular in 44 patients and surgical in 6 patients. One patient had no treatment for his aneurysm. A permanent internal CSF derivation was performed in 7 patients and was a ventriculo-peritoneal shunt in all cases. The outcomes of the survivors by the modified Rankin scale found 72% of good outcomes and 28 % of patients had poor outcomes. Conclusion: The incidence of hydrocephalus after SAH is broadly comparable with the results of the literature. External ventricular drainage is well codified with few complications. A series with a larger size could make it possible to look for predictive factors of shunt dependency. Key words: subarachnoid haemorrhage, hydrocephalus, ventriculoperitoneal shunt
LE LAPAROSCHISIS A PROPOS D’UN CAS PRIS EN CHARGE EN ZONE RURALE
Authors: NIASSE, et al... Abdou
Published: August 2024

The laparoschisis or gastroschisis is a right para-umbilical congenital defect of the anterior wall of the abdomen with evisceration of the primitive intestinal loop. It is a rare malformation constituting a neonatal and surgical emergency, the prognosis of which depends mainly on the associated malformations and the initial management. The latter involves a multidisciplinary team with the surgeon, reanimator and pediatrist. We report a case of laparoschisis which required a primitive closure with simple sequences, carried out in a tropical environment with very limited means. Keywords: gastroschisis, abdominal malformations, eventration, discharge incision
MIGRATION D’UN GUIDE DE SONDE DE PACE MAKER REVELANT UN ANEVRISME DE L’AORTE ABDOMINALE SOUS RENALE : à propos d’un cas.
Authors: SOW, et al... Ndéye Fatou
Published: August 2024

We present the case of a 63-years-old-man. He had as a cardiovascular risk factors, hypertension and active smoking at 80 packsyear, not weaned. He was sent to us for an an extraction of a guide from a temporary pacemaker probe. During the assessment for localize the guide, the thoraco-abdominal CT-scan revealed an infrarenal aorta aneurysm, uncomplicated which maximal antero- posterior diameter was measured to 42mm. Concomitantly we extracted the guide and cured the aneurysm grafting of a Dacron tube. The suites were unremarkable. The patient left hospital on D12 postoperatively. He had been followed regurlarly since then. He remains asymptomatic. For small (40- 49mm) asymptomatic aneurysms , the approach is not codified. However, their natural leads toward low-noise growth and significant risk of rupture. The therapeutic decision-making (open surgery, EVAR) in infrarenal aorta aneurysms, must be discussed in such small diameter cases. KEYWORDS: Aneurysm; Infrarenal Aorta; Rupture; Surgery; Endovascular treatment.