bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH SENAM YOGA TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA YANG MENGALAMI HIPERTENSI (Studi di Desa Plandi Kecamatan Jombang Kabupaten Jombang)
Authors: Sena Rofbig Adi , Suhariati Hindyah Ike , Subiono Subiono
Published: November 2021

Pendahuluan, Masalah hipertensi pada lansia dikarenakan adanya riwayat hipertensi dalam keluarga, kelebihan berat badan yang diikuti dengan kurangnya kepatuhan dalam diet, dikarenakan perubahan secara global dengan mudahnya mendapatkan makanan siap saji membuat konsumsi sayuran segar dan serat berkurang, kemudian konsumsi garam, lemak, gula dan kalori yang terus menerus meningkat. Tujuan, penelitian ini adalah Menganalisa Pengaruh senam Yoga terhadap penurunan tekanan darah pada lansia yang mengalami hipertensi. Desain, penelitian ini adalah pra eksperimen one group pre test post test desaign. Populasinya semua lansia hipertensi di Desa Plandi Kecamatan Jombang Kabupaten Jombang yang berjumlah 68 orang. Tehnik sampling menggunakan simple random samplingdengan sampelnya sejumlah 20 orang. Instrumen penelitian menggunakan lembar observasidengan pengolahan data editing, coding, scoring, tabulating dan uji statistik menggunakan Wilcoxona = 0,05. Hasil, penelitian tekanan darah pada lansia yang mengalami hipertensi sebelum senam yogaadalah termasuk dalam kategori sedang sejumlah 14 responden (70%). Tekanan darah pada lansia yang mengalami hipertensi sesudah senam yoga adalah termasuk dalam kategori normal tinggi sejumlah 11 responden (55%). Uji Wilcoxon menunjukkan bahwa nilai signifikansi p = 0,00 <a (0,05), sehingga H0 ditolak dan H1 diterima. Kesimpulan, Penelitian ini dapat disimpulkan bahwa ada Pengaruh senam Yoga terhadap penurunan tekanan darah pada lansia yang mengalami hipertensi. Kata Kunci : Hipertensi, lansia, tekanan darah, yoga.
DUKUNGAN SUAMI TERHADAP IBU HAMIL YANG MENGALAMI EMESIS (Desa Pangkalan Tiga)
Authors: Isnina Isnina
Published: November 2021

Mual dan muntah saat hamil sering dianggap sebagai hal biasa yang sering dibiarkan suami karena tidak tahu apa yang harus dilakukan ketika menghadapi emesi gravidarum. Berdasarkan studi pendahuluan di desa pangkalan tiga pada 5 November 2019 pukul 09.20 WIB kepada 15 suami yang memiliki istri hamil dimana 10 suami kurang memperhatikan keluhan istri untuk menangani emesis gravidarum. Tujuan penelitian ini untuk mengetahui dukungan suami terhadap wanita hamil yang mengalami emesis di Desa Pangkalan Tiga.Desain penelitian yang digunakan adalah deskriptif. Populasi adalah suami ibu hamil trimester I di Desa pangkalan tiga. sejumlah 27 orang dengan menggunakan total sampling. Variabel yang diteliti adalah dukungan, suami, wanita hamil, emesis. Pengumpulan data yang digunakan adalah kuesioner, dan analisis data dengan mengedit, coding, scoring dan tabulasiHasil penelitian dukungan suami terhadap wanita hamil yang emesis di Desa pangkalan tiga. diketahui bahwa 27 responden menunjukkan sebagian besar dari mereka memiliki dukungan kurang 18 responden (66,6%), sedangkan 8 responden (29,7%) menunjukkan dukungan yang cukup dan 1 responden (3,7%) menunjukkan dukungan yang baikBerdasarkan hasil penelitian dapat disimpulkan bahwa sebagian besar dukungan suami terhadap wanita hamil yang mengalami emesis menunjukkan kurang dukungan Kata Kunci: Dukungan, Suami, Wanita Hamil, Emesis
SIKAP REMAJA PUTRI TENTANG DETEKSI DINI KANKER PAYUDARA DENGAN SADARI (Studi Kasus di Kelas X dan XI SMAN 1 Pangkalan Bun Kabupaten Kotawaringin Barat Provinsi Kalimantan Tengah)
Authors: Oktarina Jenny
Published: November 2021

Masih kurangnya kesadaran wanita Indonesia dalam melakukan deteksi dini kanker payudara, bahkan masih banyak wanita Indonesia belum mengetahui cara deteksi dini kanker payudara yang menjadi salah satu penyebabkan angka kejadian kanker payudara cukup besar selain dari faktor gaya hidup yang tidak sehat. Pemeriksaan sederhana untuk mendeteksi secara dini berubahan yang terjadi pada payudara yaitu dengan memeriksa payudara sendiri atau disebut dengan istilah sadari.Tujuan penelitian mengidentifikasi sikap remaja putri tentang deteksi dini kanker payudara dengan SADARI. Studi pendahuluan yang dilakukan di SMAN 1 Pangkalan Bun.Desain penelitian adalah deskriptif. Populasi remaja putri di kelas X dan XI SMAN 1 Pangkalan Bun kabupaten kotawaringin barat provinsi kalimantan tengah berjumlah 92 orang dengan sampel 92 responden. Teknik sampling menggunakan total sampling. Variabelnya sikap remaja putri tentang deteksi dini kanker payudara dengan SADARI, instrumen yang digunakan pada penelitian ini adalah kuesioner, dengan pengolahan data melalui tahapan editing, coding, scoring, dan tabulating dan analisa data menggunakan pendekatan distribusi frekuensi dengan pendekatan logika.Berdasarkan hasil penelitian didapatkan sikap remaja putri tentang deteksi dini kanker payudara dengan SADARI adalah bersikap negatif sebanyak 49 responden (53%), dan bersikap positif sebanyak 43 responden (47%).Kesimpulan dari penelitian ini adalah sikap remaja putri tentang deteksi dini kanker payudara dengan SADARI adalah bersikap negatif.                                             Kata Kunci :Sikap, SADARI, Remaja Putri
PEMBERDAYAAN KADER KESEHATAN MELALUI PENYULUHAN DAN PELATIHAN “GOLDEN AGE PERIOD FOR GOLDEN GENERATION SEBAGAI UPAYA PENINGKATAN KUALITAS BANGSA” PADA KADER KESEHATAN DI WILAYAH PUSKESMAS PANGKALAN LADA PANGKALAN BUN
Authors: Lubis Angela Ditauli
Published: November 2021

Kemajuan  sebuah  bangsa  sangat  ditentukan  oleh  individu-individu  yang berada di dalamnya. Indonesia merupakan negara berkembang yang masih sangat  memerlukan  tunas-tunas  bangsa  yang  dapat  membawa  kemajuan untuk negara Indonesia ini. Tunas-tunas bangsa yang cerdas berwawasan luas  serta  mempunyai  moral  yang  baik  menjadi  harapan  bangsa.  Hal  ini sejalan juga dengan program pemerintah dalam peningkatan kualitas SDM. Untuk  mencapai tujuan program  ini perlu diupayakan  agar  segenap anak Indonesia dapat tumbuh dan berkembang secara optimal baik fisik maupun psikis. Namun, semakin berkembangnya waktu harapan belum sesuai dengan kenyataan. Golden age period adalah  masa-masa dimana otak anak berkembang sangat pesat dan paling cepat dalam menyerap informasi. Periode emas merupakan suatu periode yang sangat vital atau sesuatu yang  sangat penting dalam suatu siklus. Periode emas pada anak yaitu masa-masa penting dimana otak atau kecerdasan anak sangat berkembang pesat. Periode emas berada pada batas umur anak 0-3 tahun.  Program pengabdian masyarakat ini dilaksanakan pada hari Kamis, 8 Februari 2018 di wilayah Puskesmas Pangkalan Lada. Metode dalam pelaksanaan pengabdian masyarakat ini menggunakan metode ceramah dalam penyampaian materi kepada peserta dan diskusi. Perlu diadakannya penyuluhan kesehatan dengan topik yang berbeda untuk meningkatkan pengetahuan  kader, ibu bayi/balita dan keluarga Kata kunci       : Kader, Periode Emas, Orang Tua
PENGARUH PEMBERIAN SEDIAAN MIKROEMULSI EKSTRAK DAUN KENIKIR (Cosmos caudatus) TERHADAP PENURUNAN KADAR ASAM URAT TIKUS YANG DI INDUKSI HATI AYAM
Authors: Yusuf Muhammad , Jaluri Poppy Dwi Citra , Irawan Yogie
Published: November 2021

Hiperurisemia adalah keadaan dimana terjadi peningkatan kadar asam urat dalam darah diatas normal. Tanaman kenikir (Cosmos caudatus) merupakan tanaman yang banyak dijumpai di lingkungan sekitar, serta tanaman yang sudah tidak asing lagi dan telah banyak dikonsumsi sebagai sayuran. Salah satu kandungan dalam kenikir adalah senyawa golongan flavonoid. Pada penelitian ini mikroemulsi ekstrak kenikir digunakan untuk menurunkan kadar asam urat pada tikus yang diinduksi hati ayam. Mikroemulsi dibuat dengan menggunakan virgin coconut oil (VCO) sebagai fase minyak, Tween 80 dan Span 80 sebagai surfaktan dan gliserin sebagai kosurfaktan. Penelitian menggunakan 15 ekor tikus putih jantan galur wistar yang diinduksi jus hati ayam. Tikus dibagi menjadi 3 kelompok, yaitu kelompok kontrol negatif mikroemulsi placebo, kontrol positif mikroemulsi Allopurinol 3,6 mg/200 g BB tikus, serta kelompok perlakuan mikroemulsi daun kenikir  10 mg/200 g BB tikus yang diberikan secara peroral. Pengukuran kadar asam urat dilakukan pada hari ke-0 (kadar awal), hari ke-7 (kadar setelah induksi) dan hari ke-13(kadar setelah perlakuan). Persen penurunan kadar asam urat dalam darah dianalisis secara statistika dengan taraf kepercayaan 95%. Hasil uji statistika menyatakan ada perbedaan antara kelompok kontrol negatif dan positif dengan kelompok perlakuan mikroemulsi daun kenikir memiliki nilai signifikansi 0,000. Sehingga mikroemulsi daun kenikir dapat menurunkan kadar urisemia tikus yang diinduksi ekstrak hati ayam namun memiliki kemampuan yang tidak sebaik mikroemulsi allopurinol. Kata Kunci : Mikroemulsi, Kenikir (Cosmos Caudatus), Hiperurisemia, Ekstrak Hati Ayam, Allopurinol.
PENGARUH PEMBERIAN KOMBIASI IKAN GABUS DAN PUTIH TELUR TERHADAP KESEMBUHAN PASIEN LUKA POST OPERASI LAPARATOMI
Authors: Ningtyas Ni Wayan Rahayu , Fadillah Syahri , Syahleman Rukmini
Published: November 2021

Pembedahan merupakan tindakan pengobatan invasif melalui sayatan untuk membuka atau menampilkan bagian tubuh yang akan ditangani dan diakhiri dengan penutupan dan penjahitan luka. Jenis luka yang dihasilkan dari tindakan bedah lapratomi. Tindakan pembedahan menempati urutan ke-11 dari 50 pola penyakit di Indonesia dengan presentase 12,8%. Tindakan bedah laparotomi yaitu luka operasi bersih terkontaminasi yang membutuhkan proses penyembuhan yang lebih lama. Proses penyembuhan luka ini memerlukan protein sebagai dasar  terbentuknya jaringan kolagen, sedangkan komponen penting dari protein adalah albumin. Albumin dapat digunakan sebagai prediksi terbaik penyembuhan pasien. Albumin merupakan suplemen makanan yang juga terbentuk dari Putih Telur dan Ekstra Ophicephalus Striatus (Ikan Gabus).Tujuan penelitian ini adalah mengetahui pengaruh pemberian kombinasi ikan gabus dan putih telur terhadap kesembuhan pasien luka post operasi laparatomi di Ruang Meranti RSUD Sultan Imanuddin Pangkalan Bun.Metode penelitian : merupakan penelitian experiment dengan rancangan Quasy Experiment dengan jenis rancangan Nonequivalent Control Group Design.Hasil : analisis data menggunakan uji wilcoxon signed rank test, dari 38 responden yang diberikan konsumsi kombinasi dari ikan gabus dan putih telur mulai hari ke - 1 sampai hari ke – 5 didapatkan nilai signifikan p : 0,000; yang artinya terdapat pengaruh kombinasi pemberian ikan gabus dan putih telur terhadap kesembuhan luka post operasi laparatomi. Kata Kunci:Kombinasi Ikan Gabus dan Putih Telur, kesembuhan luka Laparatomi
PENYULUHAN DEMAM BERDARAH PADA SISWA/SISWI DI SDN 2 SIDOREJO PANGKALAN BUN
Authors: Ningtyas Ni Wayan Rahayu
Published: November 2021

Demam Berdarah dengue adalah salah satu bentuk klinis dari penyakit akibat infeksi dengan virus dengue pada manusia sedangkan manifestasi klinis dan infeksi virus dengue dapat berupa demam dengue dan demam berdarah dengue. Dengue adalah penyakit daerah tropis dapat ditularkan oleh nyamuk Aedes Aegypti, nyamuk ini adalah nyamuk rumah yang menggigit pada siang hari. Penyakit demam berdarah dengue merupakan masalah kesehatan di Indonesia hal ini tampak dari kenyataan seluruh wilayah di Indonesia mempunyai resiko untuk terjangkit penyakit demam berdarah dengue. Sebab baik virus penyebab maupun nyamuk penularanya sudah tersebar luas di perumahan-perumahan penduduk.Kata Kunci : Penyuluhan, Demam Berdarah
TINGKAT KEPUASAN PASIEN TERHADAP PELAYANAN KEFARMASIAN DI PUSKESMAS MADUREJO DAN PUSKESMAS MENDAWAI KECAMATAN ARUT SELATAN KABUPATEN KOTAWARINGIN BARAT
Authors: A.P Muhammad Hafizh , Irawan Yogie , Irawan Ahmad
Published: November 2021

Kepuasan adalah perasaan seseorang yang muncul setelah membandingkan kinerja yang diperkirakan dan kinerja yang diharapkan. Maka dari itu tingkat kepuasan yang diperoleh pelanggan berkaitan pada kualitas jasa yang mereka dapat. Tujuan penelitian untuk mengetahui tingkat kepuasan pasien terhadap pelayanan kefarmasian di Puskesmas Madurejo dan Puskesmas Mendawai Kecamatan Arut Selatan Kabupaten Kotawaringin Barat. Penelitian ini menggunakan desain penelitian bersifat deskriptif, teknik pengambilan sampel teknik purposive sampling. Sampel penelitian sebanyak 186 responden dari Puskesmas Madurejo dan Puskesmas Mendawai. Pengambilan data dilakukan melalui pengisian kuesioner yang telah di uji validitas dan realibilitasnya serta waktu tunggu yang dilakukan dengan menggunakan stopwatch. Hasil penelitian menunjukan bahwa tingkat kepuasan persentase rata – rata secara keseluruhan sebesar (94,90%) pada Puskesmas Madurejo dan (95,63) Pada Puskesmas Mendawai dengan kategori kepuasan adalah sangat puas. Hasil penelitian tentang waktu tunggu pelayanan resep memiliki rata – rata waktu tunggu resep racikan 10 menit pada kedua Puskesmas, sedangkan waktu tunggu resep obat non racikan adalah 3 menit Puskesmas Madurejo dan 5 Menit Puskesmas Mendawai. berdasarkan hasil penelitian diperoleh bahwa tingkat kepuasan pasien terhadap pelayanan kefarmasian di Puskesmas Madurejo dan Puskesmas Mendawai dalam kategori sangat puas. Kata Kunci: Tingkat kepuasan, Waktu Tunggu, Kefarmasian, Deskriptif.
The Trend of Four Consultation Models in Four Specialties at Four Tertiary Care Hospitals
Authors: Abdulghani Hamza Mohammad , Sattar Kamran , Karim Syed Irfan , Ahmad Tauseef , Akram Ashfaq , Alsalem Rakan , Alruwaite Mohammed , Alkhraiji Nasser , Alghamdi Ghanem , Alkhulaifi Anas
Published: November 2021

Background and Aim: Multiple consultation models exist in medical practice. A comprehensive doctor-patient relationship serves as a foundation to bring about a positive outcome in terms of patient health. However, evidence of doctors’ impact on improving patients’ mental and physical health through a specific model is sparse. This study aimed to identify the most common consultation models adopted in four different specialties at four hospitals in Riyadh, Saudi Arabia. Methods: From four tertiary care hospitals of Riyadh, clinicians (n=263) with clinical experience >3 years from Internal Medicine, Surgery, Family Medicine, and Psychiatry departments participated in this observational study. A 27-items questionnaire describing five consultation models was carried out in hard copy and a soft copy using the Snowball sampling method to receive the responses that were analyzed by using SPSS version 23.0 in the form of descriptive results. Results: Out of 263, most clinicians (n=121, 46.0 %) were found to practice a blended consultation approach while dealing with patients. The 2nd most common adopted consultation model was the Deliberative model (n= 109, 41.4%). Other consultation (Informative and Interpretive) models were the least practiced models (1.5%). Conclusion: The blended consultation is found to be the most practiced consultation model. A clinician should adopt an attitude that is flexible and empathetic towards patients’ needs and expectations. Consideration should be given to assisting physicians in adapting their roles for interpersonal styles to the preferences of various patients. This expanded role will result in improved health outcomes for diverse populations utilizing health care. Key words: Deliberative model, Doctor Behavior, Family Medicine, Interpretive Model, Paternalistic Model, Informative Model, Psychiatry
Does test anxiety and gender have an impact on OSCE Performance among medical students?
Authors: Arain Farzana Rizwan
Published: November 2021

Objective: to determine the association of test anxiety on OSCE performance of medical students in Taif Medical College. Study Design: The survey research design was used to conduct the research. Place and Duration of study: This was a comparative cross sectional study conducted on the 3rd, 4thand 5th year medical students in Taif Medical College of Taif University KSA. Materials & Methods: A ten item questionnaire developed by Nist and Diehl (1990) for determining mild or severe levels of TA experienced by students was used in the study. Results: A total of 518 students participated in the survey. The majority of the sample population was male 319 (61%) and 199 (39%) were females. Our results showed that a greater proportion (21%) of the male students, as compared to their counterparts, were in the group having high level of anxiety during test. It was observed that the 3rd year students performed poorly on TA and scored high on the scale. The difference observed in proportions was also statistically significant (Chi square 65.97, p value 0.000001). There was a significant negative correlation between the test anxiety and students performance in oral structured examination (OSCE). Pearson correlation coefficient of -0.45 and a p value < 0.0001 was observed. Conclusion: We conclude that test anxiety is experienced by a large number of undergraduate medical students of Taif Medical University. Anxiety has a negative effect on overall academic performance; female students were also more affected compared to their male counterparts. Key Words: Test anxiety, gender, medical students, academic performance
Images beyond Representation: Evidence and Depth of Meaning
Authors: Campaner Miguel Ferrari Sonia
Published: November 2021

In this article, I consider images from a philosophical point of view, starting from its definition and its relation to thinking. Some analogies with imagetic signs and words are established. And in doing this, I try to value seeing, not to the expense of saying or thinking, but as a way of getting in touch with images that privilege a certain way of knowing.
Diabetic Retinopathy and Stem Cell Therapy
Authors: Kestane Sevil
Published: November 2021

This overview was evaluated by the development of diabetic retinopathy (DR) and the stem cell therapy approach. DR is a microvascular complication of diabetes mellitus, characterized by damage to the retinal blood vessels leading to progressive loss of vision. However, the pathophysiological mechanisms are complicated and not completely understood yet. The current treatment strategies have included medical, laser, intravitreal, and surgical approaches. It is known that the use of mesenchymal stem cells (MSC), which has a great potential, is promising for the treatment of many degenerative disorders, including the eye. In retinal degenerative diseases, MSCs were ameliorated retinal neurons and retinal pigmented epithelial cells in both in vitro and in vivo studies. Stem cell therapies show promise in neurodegenerative diseases. However, it is very important to know which type of stem cell will be used in which situations, the amount of stem cells to be applied, the method of application, and its physiological/neurophysiological effects. Therefore, it is of great importance to evaluate this subject physiologically. After stem cell application, its safety and efficacy should be followed for a long time. In the near future, widespread application of regenerative stem cell therapy may be a standard treatment in DR.
Potassium in Solid Cancers
Authors: Iorio Jessica , Lastraioli Lisa , Lastraioli Elena
Published: November 2021

Electrolyte disorders are a frequent finding in cancer patients. In the majority of cases the etiologies of such disorders are common to all cancer types (i.e. diuretic-induced hyponatremia or hypokalemia). Sometimes, electrolyte disorders are caused by paraneoplastic syndromes or are due to cancer therapy. Potassium is one of the most important electrolytes of the human body since it is involved in the regulation of muscle contraction, maintenance of the integrity of the skeleton, blood pressure and nerve transmission as well as in the normal function of cells. Potassium homeostasis is strictly regulated since the gap between the recommended daily dietary intake (120 mEq/day) and the levels stored in the extracellular fluid (around 70 mEq) is huge. Alterations of potassium homeostasis are frequent in cancer patients as well alterations in potassium channels, the transmembrane proteins that mediate potassium fluxes within the cells. The present chapter is focused on the clinical significance of potassium homeostasis and potassium channels in patients with solid tumors.
Potential Applications of Nanotechnology in Agriculture: A Smart Tool for Sustainable Agriculture
Authors: Monirul Hasan Tipu Mohammad , Baroi Artho , Rana Juwel , Islam Shariful , Jahan Raunak , Shipon Miah Md. , Asaduzzaman Md.
Published: November 2021

Most of the early uses of nanotechnology have come from material sciences, although applications in agriculture are still expanding. Due to a few comprehensive reviews, we described application of nanomaterials along with their fate in soil and interaction with soil and plant system. From synthesis to metabolism, nano-fertilizers like zinc, silver, selenium, titanium oxide have enhanced the physio-chemical characteristics of crop plants in every manner conceivable. On the other hand, it has the potential to minimize pesticide use by boosting reactivity and surface area of nanoparticles. Nanotechnology in pesticides will, without a doubt, replace the current way of pesticide application because of its efficacy. Nano-based approaches can readily overcome the constraints of conventional soil remediation technologies. While soil nanomaterials mobility has been investigated in a limited number of research studies, it’s likely the most critical gap in knowing the real risk of their transport. As well as enhancing plant nutrient absorption, nanomaterials may also be used to regulate soil microbial activity and stimulate plant defenses. When it comes to shipping food, nanotechnology has made things easier by extending the shelf life of most foods. While it offers tremendous potential for agricultural applications, the health effects of nanoparticles on plants, animals, and humans must be thoroughly investigated.
Colonoscopy after Diverticulitis
Authors: Meyer Jeremy , Ris Frédéric
Published: November 2021

Patients suffering from diverticulitis are at increased risk for colorectal cancer and should undergo colonoscopy to rule out colorectal cancer. The prevalence of colorectal cancer in this population was estimated to range between 1.9 and 2.3%. This prevalence is higher in patients with complicated diverticulitis (abscess, perforation) and ranges between 6.1% and 7.9%. Therefore, interval colonoscopy is strongly recommended after an episode of complicated diverticulitis. The prevalence of colorectal cancer is lower in patients with uncomplicated diverticulitis and approaches the prevalence from screened populations. In patients with uncomplicated diverticulitis, the indication for colonoscopy is still a matter of debate and should be done on a case-by-case basis.
The Effect of the Behavioral Systems Model on the Concern of Mothers of Children Admitted to the Surgical Ward
Authors: Ahmadi Mahya , Jafari Fatemeh , Ahmadinezhad Fatemeh , Khabazzadeh Fatemeh , Kabusi Malihe , Hekmati Pour Nafise
Published: November 2021

Background: The crisis caused by the child's illness and hospitalization affects all family members. Fear, worry, and anxiety are common issues of hospitalized children’s mothers. Betty Newman's system model plays a vital role in adapting to stress detection and control. Objectives: This study aimed to examine the effect of the behavioral systems model on the concerns of mothers of children admitted to the surgical ward. Methods: This quasi-experimental study was conducted on 60 mothers of children admitted to the surgical ward of the Mousavi Hospital, Gorgan, Iran, in 2020. The participants were selected using convenience sampling and then divided into test and control groups using non-probability sampling. According to Neuman's systems model, participants in the test group received nursing care in 3 - 4 sessions (each lasting 30 - 45 minutes). Participants in the control group received only routine ward care. Data were collected using the Parental Concern Scale and analyzed with IBM SPSS Statistics 21 software using statistical tests (analysis of covariance, unpaired samples t-test, and paired sample test). Results: The mean score of maternal concerns before the intervention was 42.6 ± 3.06 in the control group and 43.21 ± 2.27 in the test group. The results of the independent samples t-test did not show any significant difference between the groups in terms of maternal concerns (P = 0.11). The mean post-intervention maternal concern score was 37.6 ± 2.71 and 41.716 ± 2.55 in the test and control groups, showing a significant difference between the groups as indicated by the t-test results (P < 0.01). However, the paired t-test outcomes showed no difference in the mean maternal concern score in the control group before and after the intervention (P = 0.92). In contrast, there was a significant difference in the mean maternal concern score in the test group before and after the intervention (P < 0.01). Conclusions: Given the effectiveness of Betty Neuman’s systems model, it can be used as a low-cost, effective care method to reduce maternal stress as the model was developed for understanding clients’ and caregivers’ needs and reducing their stress.
Body Mass Index and Melanoma Prognosis
Authors: Cassano Nicoletta , Caccavale Stefano , Vena Gino A. , Argenziano Giuseppe
Published: November 2021

Introduction: Obesity has been suggested as a risk factor in the progression of malignancies, including melanoma. Most studies defined obesity using body mass index (BMI), although the index is considered an imperfect measure of body composition.

Objective: The aim of this article is to examine whether BMI can impact the prognosis of cutaneous melanoma, regardless of anti-tumor therapy. The relationship between BMI and specific prognostic factors in melanoma patients has been reviewed.

Methods: Literature search was conducted on PubMed using the terms “melanoma” and “body mass index” or “obesity”. We selected articles, published up to 30 November 2020, examining the prognostic aspects of melanoma. Articles evaluating the risk and incidence of melanoma were excluded as well as studies regarding morbidity and complications following surgical procedures, or those performed in metastatic melanoma patients treated with anti-tumor therapies.

Results: Mixed results have emerged from studies assessing the clinical outcomes in melanoma patients in relation to BMI. More consistent data seem to support the relationship between BMI and Breslow thickness.

Conclusions: Studies that focus specifically on the link between obesity and melanoma prognosis are limited; further research is needed to deepen our knowledge on this link.
Between two worlds: Cova Eirós and the Middle-Upper Palaeolithic transition in NW Iberia
Authors: LOMBERA-HERMIDA Arturo de , RODRÍGUEZ-ÁLVAREZ Xose-Pedro , IGLESIAS Alicia AMEIJENDA , RODRÍGUEZ Mikel DÍAZ , Iván REY-RODRÍGUEZ undefined , TEJEDOR Irene VALVERDE , PÉREZ-ALBERTI Augusto , CUNHA Pedro P. , GARCÍA Hugo BAL , MOREIRA Xes ALDEA , SALGUEIRO Cristian LORENZO , CASTRO Tania MOSQUERA , VALCARCE Ramón FÁBREGAS
Published: November 2021

Iberia, a natural cul-de-sac peninsula, plays a major role in the study of the Neanderthals demise and its eventual relationship with the spread of Anatomically Modern Humans (AMH) in Europe. The site of Cova Eirós (Galicia, Spain), located in NW Iberia, contains Middle and Upper Palaeolithic levels, based on the cultural remains recovered at the site. No human remains directly associated with those levels were discovered yet. The available radiocarbon dates from the levels 2 (c. 35 ka cal BP, Early Upper Paleolithic) and 3 (c. 41 ka cal BP, Late Middle Paleolithic), point to a late survival of Neanderthal groups in North Iberia and to a relative quick arrival of the AMH, c. 35-36 ka cal BP, with respect to other territories of the Iberian Peninsula. The archaeological record shows clear differences between the Middle and the Upper Palaeolithic occupations, regarding raw-material acquisition, lithic technology and subsistence strategies. The location of Cova Eirós in the westernmost margin of the Cantabrian Rim and in the Atlantic Façade, makes this site a key place to understand the spread of the first AMH and the progressive demise of Neanderthal populations.
Estudo comparativo dos sinais vitais de obesos sedentários e obesos praticantes de atividade física
Authors: De Matos Silva Alana Suzy , Ferreira Cavalcante Souza Aline , Alves da Silva Daiane , Alves da Silva Darlaine , Pereira Cardoso de Sá Diogo
Published: November 2021

RESUMO:Objetivo: Comparar os sinais vitais de obesos sedentários e obesos praticantes de atividade física. Metodologia: Trata-se de um estudo do tipo quantitativo descritivo transversal, realizado na Praça Castro Alves na cidade de Barreiras-Bahia. Segundo estimativas do IBGE, 18,9% da população brasileira é constituída por obesos, sendo assim estima-se que há 30 mil obesos na cidade de Barreiras-BA. E assim, a amostra, por sua vez, foi constituída por 50 indivíduos obesos, divididos em dois grupos, sendo 25 indivíduos obesos sedentários e 25 obesos praticantes de atividade física. Sendo inclusos indivíduos do sexo masculino, com idades igual ou superior a 20 anos, moradores da cidade de Barreiras-Bahia, que apresentavam IMC acima do índice de obesidade (≥25), praticantes e não praticantes de atividade física. Foram coletados os dados para identificação do sujeito e posteriormente avaliado a frequência cardíaca, frequência respiratória, pressão arterial e temperatura, na qual foi usado um estetoscópio, esfigmomanômetro e o termômetro. Resultados: Evidenciou-se que os SSVV na maioria dos participantes obesos, tanto os ativos quanto os sedentários, encontram-se dentro dos parâmetros fisiológicos, com exceção da FR que em ambos os grupos a média apresentava-se elevada. Quando comparado os grupos, percebe-se que maior parte dos indivíduos do grupo ativo expuseram normalidade nos sinais vitais quando comparados ao grupo sedentário, com exceção também da FR. Conclusão: De acordo com os resultados exibidos neste estudo, a diferença encontrada entre os sinais vitais dos indivíduos obesos sedentários e ativos foi pequena, no qual os ativos apresentaram melhores valores na PAS, PAD, FC e TC, sendo justificado devido um mecanismo de compensação que pode ser limitado a longo prazo.
Efeito de Intervenções Focadas nas Práticas Alimentares Parentais Sobre o Comportamento Alimentar e o Status de Peso de Pré-Escolares
Authors: De Freitas Ricardo Pereira Luísa , Carlos Cândido Ana Paula
Published: November 2021

Os pais desempenham papel fundamental na instalação e manutenção dos hábitos alimentares das crianças, sendo responsáveis desde a compra até a oferta dos alimentos, contexto dentro do qual estão inseridas as práticas alimentares parentais. Utilizadas com maior frequência em crianças pré-escolares, estratégias como a pressão para comer e alimentos como recompensa podem contribuir para o desenvolvimento de sobrepeso e obesidade infantil. Diante disso, têm sido desenvolvidos diferentes programas de intervenção para modificar tal situação. Nesse sentido, o presente estudo teve como objetivo avaliar o efeito de intervenções focadas nas práticas alimentares parentais sobre o comportamento alimentar e o status de peso de pré-escolares. Foi realizada uma busca, entre março e maio de 2020, nas bases de dados Scielo, PubMed e Lilacs, utilizando o termo “parental feeding practices”. O total de artigos encontrados foi filtrado por ano de publicação (2016-2020), tipo de estudo, forma de acesso gratuita e faixa etária do público estudado, e posteriormente foram lidos os títulos, resumos e o texto completo dos estudos para finalizar a seleção. Ainda foram adicionados estudos de outras bases de dados, cujos anos foram anteriores ao intervalo considerado na pesquisa. A maioria das publicações encontradas mostraram redução no uso de práticas alimentares parentais inadequadas; redução no consumo de alimentos não saudáveis e aumento da ingestão de alimentos saudáveis no grupo intervenção; mas não mostraram mudanças significativas no IMC/Idade em qualquer grupo, nem diferenças significativas entre os grupos para os parâmetros referidos após as intervenções. As intervenções focadas nas práticas alimentares parentais podem reduzir o uso de estratégias inadequadas pelos pais e melhorar o comportamento alimentar de crianças pré-escolares, mas não foram capazes de provocar mudanças significativas no status de peso deste público, o que mostra a necessidade de realização de mais estudos para observar efeitos neste parâmetro a longo prazo.
Avaliação da cobertura vacinal e internações por condições sensíveis à atenção primária preveníveis por imunização
Authors: DURANS KEYLA CRISTINA NOGUEIRA , Fonseca Julyana Suelen Rodrigues , Brito Jundson Dias , Ferreira Adryemerson Pena Forte , Pasklan Amanda Namíbia Pereira
Published: November 2021

OBJETIVO: descrever o número de casos de notificações e de internações relacionadas às condições imunopreveníveis sensíveis à Atenção Primária e compará-las à cobertura vacinal do estado do Maranhão e do Brasil no período de 2010-2019. MÉTODOS: Trata-se de um estudo descritivo, transversal, de natureza quantitativa, que utilizou dados disponíveis em bases secundárias sobre a Cobertura Vacinal (CV), morbidade por Doenças Imunopreveníveis e sobre as Internações por Condições Sensíveis à Atenção Primária (ICSAP), sendo analisado mediante software Microsoft Excel. RESULTADOS: Como resultado, as CV apresentaram decréscimo no estado do Maranhão e a nível federativo, ambos a partir de 2015, com os menores valores para as vacinas BCG, Hepatite A, Tríplice viral, Tetraviral e Poliomielite, importantes ao calendário básico infantil. Em relação as notificações, as doenças Coqueluche, Hepatite B e Tuberculose apresentaram aumento em ambas localidades, e o sarampo predominantemente no Brasil a partir de 2018. A mesma tendência acompanha as ICSAP, com os maiores aumentos de internações pelas mesmas doenças supracitadas. CONSIDERAÇÕES FINAIS: Dados como esses ascendem a necessidade de observação mais cuidadosa acerca da vacinação no país, para os gastos que estão sendo despendidos a fins de internação, possam vir a ser usados em ações que contribuam ao maior crescimento e desenvolvimento da saúde no país.
Neuropatia Periférica Induzida por Quimioterapia e seus efeitos no paciente oncológico: uma revisão integrativa da literatura
Authors: Quintana castro Carolina
Published: November 2021

A quimioterapia antineoplásica representa a utilização de substâncias químicas isoladas ou combinadas no tratamento dos tumores malignos, sendo considerada uma das mais importantes formas de combater o câncer. A neuropatia periférica (NP) é uma condição clínica caracterizada pelo comprometimento de nervos sensitivos e/ou motores periféricos, que pode apresentar múltiplas causas. A neuropatia periférica induzida por quimioterapia (NPIQ) é uma síndrome neurológica que acomete principalmente pacientes que realizam tratamento com antineoplásicos como taxanos (docetaxel, paclitaxel e cabazitaxel), derivados da platina (oxaliplatina, cisplatina e carboplatina), bortezomibe e alcalóides da vinca (vimblastina, vincristina e vinorelbina). A NPIQ é a complicação neurológica mais frequente, secundária ao tratamento antineoplásico e afeta um terço dos pacientes, interferindo na funcionalidade e comprometendo a qualidade de vida. Foi realizada uma revisão integrativa sobre a neuropatia periférica induzida por quimioterapia utilizando artigos científicos publicados nas bases de dados SciELO (Scientific Electronic Library on Line), LILACS (Literatura Latino Americana e do Caribe em Ciências da Saúde), Medical Literature Analysis (PubMed/MEDLINE) e Índice Bibliográ­fico Espanhol de Ciências da Saúde (IBECS) de acordo com os seguintes critérios de elegibilidade: estudos que tratavam da NPIQ e seus efeitos nos pacientes oncológicos e possíveis estratégias e intervenções relacionadas à prevenção, mini­mização e tratamento das NPIQ, e que incluíam no tratamento os quimioterápicos potencialmente neurotóxicos no formato de artigos cien­tíficos, nacionais e internacionais, publicados nos idiomas português, inglês e espanhol e indexados nos bancos de dados nos últimos cinco anos, incluindo 2015 à 2020. A amostra final consistiu em 10 estudos publicados nos últimos 05 anos. Constatou-se um pequeno número de estudos que tratam sobre o tema, identificando-se a necessidade de realização de estudos desse tipo, devido à alta incidência da NPIQ, para que possam ser compartilhadas estratégias de prevenção, diagnóstico e tratamento com consequente melhora da qualidade da assistência. Quanto mais práticas clínicas/resultados forem comentados, maior será a quantidade de estratégias para melhorar a qualidade de vida desses pacientes.
Peculiarities of the matter of philosophy in the works of P. I. Linitsky
Authors: Klimova Oksana Mikhailovna , Lutsenko Viktoriya Evgen'evna
Published: November 2021

The subject of this research is the doctrine of the representative of Kiev Theological Academy, prominent “Orthodox rationalist” Peter Ivanovich Linitsky on the matter of philosophy. Based on the analysis of his separate work, the conclusions are made on the essence of philosophy, its matter, tasks and role in life of the society. Attention is given to determination by the Russian scholars of universality of the nature of philosophy, its special place among other sciences. The philosopher sees the central objective of science in the development of general worldview, believing that this essential task stems from the nature of human mind, which seeks uniformity in cognition, as well as incorporation of the particular with the general. The article employs the spiritual-culturological approach in combination with dialectical approach, as well as  methods of analysis, synthesis, comparison and generalization. This article is first to describe and analyze the philosophical-theistic views of the Professor of Kiev Theological Academy Peter Ivanovich Linitsky on the matter of philosophy and its specificity as a science. The author determines the attempt of incorporating the philosophy and religion into a close union, which ensures the integrity and completeness of human cognition.
Meaningless labor in the concept of David Graeber
Authors: Popov Evgeniy Aleksandrovich
Published: November 2021

David Graeber (1961–2020) is a former professor at the London School of Economics, sociologist, and social anthropologist, prominent thinker of modernity; in the decades ahead, his views and social ideas will be highly demanded in social and humanistic knowledge. Assessment is given to his social theory of labor, which Graeber dedicated multiple books and articles, viewing labor as a futile phenomenon for the society and individual. He notes that meaningless labor in just a set of actions subordinated to some social force. The analysis of his ideas reveals several important vectors of modern social mentality: 1) in reconsideration of the role of labor in life of a person and society, the social frame of references (from the perspective of total sociality) is brought to the forefront, while the economic and political vectors of the assessment of labor assessment are shifted to the background; 2) meaningless labor becomes the social norm and generates the new system of values, for example, bureaucracy, administration, office, etc.; 3) gradually and with strong consolidation in society, labor becomes part of the active symbolic struggle (for example, for power) and symbolic exchange, which entails inequality between people and social commonalities. The article substantiates the heuristic nature of application of the concept of meaningless labor in characterizing the central ideas pf David Graeber, taking into account the fact that labor is viewed as an “imitation” of social value. This thesis is fundamental in comprehension of Graeber’s theory, as all his works contain a refrain on the need to reconsider the key social values (labor, money, finance, taxes, resources, and other), the nature of which is determined by both economic and sociocultural relations.
French Musical: history and specificity of the genre
Authors: Trukhacheva Elena Andreevna , Vartanova Karina Vramovna
Published: November 2021

French Musical is “younger” than the Broadway, popular; however, there is yet no serious scientific approach towards its examination. The subject of this research is nationalization of the French Musical in historical and genre contexts. The goal is to disclose role of French Musical as a relatively young genre on the theoretical level. The article employs the interdisciplinary approach, which involves the scientific theories and concepts from other fields; historical-culturological approach, which reveals the factors contributing to assimilation of French culture with the traditions of other cultures; systemic approach aimed at examination of professional performance in French Musical as a result of development of the genre in late XX – early XXI centuries. The scientific novelty consists in introduction of the previously missing biographical materials and new information on the establishment and development of the genre of French Musical and its national specificity. The theoretical significance lies in characterization of the concepts of “French Musical”, “popular culture”, “interpretation of classical music”, “musical performance” in the context of art history knowledge, as well as methodology of science. The practical significance lies in broader understanding of the role of establishment and proliferation of French Musical, comparison of the use of chanson and jazz in the Musicals of France and the United States. The main result consists the statement that French Musical contains the key to understanding the French people, their thought pattern, and tastes. This genre allows them to express and defend their values and uniqueness.
Survival of the funded: Econometric analysis of startup longevity and success
Authors:   Data Scientist, Quantum Metric, 10807 New Allegiance Dr, Ste 155, Colorado Springs, CO 80921, USA, e-mail: dansekeogh@gmail.com, Keogh Daniel , K.N. Johnson Daniel ,   Ph.D., Professor of Economics, Colorado College, Department of Economics and Business, 14 E Cache la Poudre Street, Colorado Springs, CO 80903, USA, e-mail: djohnson@coloradocollege.edu
Published: November 2021

PURPOSE: The existing literature on the success of startup enterprises is thorough in investigating individual factors, but relatively weak in testing those factors in combination. This research tests for interactive effects, i.e., complementarities, between those factors. METHODOLOGY: We use a Cox proportional hazard model to estimate longevity in startups, supplementing it with maximum likelihood estimation of two metrics of success (employment and revenue). In each model, we explicitly test for interactions between terms, thus advancing the literature. FINDINGS: Panel data analysis shows that financing strategy matters to startup success, especially when combined with specific human and social capital attributes of the founders. For example, angel investors and venture capital investors benefit differently from founders with industry experience; founders with higher educational achievement generate more revenue than their peers specifically when their startups collaborate in university partnerships. IMPLICATIONS FOR THEORY AND PRACTICE: The paper suggests specific ways in which entrepreneurs should think about financing options that are complementary with their founder attributes. Further, it suggests that the literature must be very thoughtful, not only about the indicators of success but about advice to policymakers, financiers and entrepreneurs because of the nuanced nonlinearities and interactions we demonstrate. ORIGINALITY AND VALUE: We contribute to the literature on startup financing with a large dataset, careful modelling of interactive complementarities of between inputs, correction of the potential sample selection bias in previous studies, and a suite of modelled outcomes (survival, employment, and revenue) which allow for nuanced results.
Clinico-epidemiological and Outcome of Scrub Typhus in Paediatric Patients: An Observational Study from Odisha, India
Authors: Panda Anisha , Kishore SV , Pradhan Madhusmita , Champatiray Jyotiranjan
Published: November 2021

Introduction: Scrub typhus is re-emerging as a common prolonged febrile illness in children with serious complication involving major organ systems. It is easily treatable yet treatment is challenging with respect to early identification of predictors of serious disease that greatly affects the outcome in this vulnerable population. Aim: To study the clinical profile, analyse the complication and outcome of these patients. Materials and Methods: This was a hospital-based, prospective observational study. It was conducted in the Department of Paediatrics, SCB Medical College and Hospital, Cuttack from October 2017 to September 2019. All children with clinical features of scrub typhus were subjected to Immunoglobulin M (IgM) scrub typhus test. All observational data were analysed by IBM Statistical Package for the Social Science (SPSS) software, version 25.0 and Chi-square test was used with p<0.05 as statistically significant. Results: Out of total 196 subjects, majority 87 (44.4%) were found to be in the age group of 1-5 years of age and majority were males (55.1%). Fever was universally present (100%). Eschar, the pathognomonic lesion of scrub typhus was found only in 47.4% of the patients. Acute hepatitis was the most frequent complication encountered (33.2%). Majority (87.2%) of the patients improved and were successfully discharged. A total of 61 (31%) patients, out of the 196 included in the study, required admission to ICU. Mortality was more marked in patients suffering from shock, acute hepatitis, Acute kidney Injury, meningoencephalitis and myocarditis and Multiple Organ Dysfunction Syndrome (MODS) (p<0.05). Conclusion: Paediatric scrub typhus is quite common in the state of Odisha. Young age of presentation, presence of multi system involvement and delayed initiation of anti-rickettsial drugs due to delay in referral was also observed to be one of the poor prognostic factors.
Trigeminal Nerve Choristoma- A Rare Case Report
Authors: Garg Shibu , Prabhu CS , Kumar Lokesh
Published: November 2021

Choristomas are normal tissue in an abnormal location and are classified based on their predominant epithelial lining. They may contain fibrous tissue, skeletal muscle fibres, and nerve fibres. Neuromuscular choristoma (benign triton tumour) is a rare tumour that involves a large nerve trunk. Involvement of the cranial nerves by this lesion is exceptional; trigeminal nerve involvement is even rarer. This is a very rare case of intracranial trigeminal nerve neuromuscular choristoma which had an associated fatty component that also got ruptured, in a 30-year-old female who presented with a headache. The clinical presentation, radiological findings, pathological diagnosis for this case are discussed along with a review of the associated literature.