bluuebunny/crossref_metadata_2025 huggingface dataset:
Correlation between Academic achievement, Clinical Performance and Clinical Competency in Midwifery
Authors: Blaze Asheetha Maria Rosario  , Sr. Mariam O.J (Sr. Celcy Mary)
Published: June 2022

Background: Academic achievement represents an individual’s theoretical or cognitive understanding. The practicalexamination is a systematic method of evaluating clinical performance in the clinical area. However, it has been the lasttwo decades that there has been a shift towards Competency-based education practices. Competencies are now defined asthe ability of an individual to execute a task, which can be both cognitive and practical,among the other traits.Methodology: A correlational study was undertaken among nursing students in a selected Institute. There were 45nursing students chosen using the purposive sampling method for the study. Researchers used a clinical competencybasedevaluation tool for midwives, combined with previously obtained theory and practical University marks, to collectdata. Karl Pearson’s product-moment correlation was used to compute the relationship between three variables. Tablesand figures were then used to arrange and display the resulting data.Results: The findings revealed a moderate positive correlation between academic achievement and clinical performance,a weak positive Correlation between academic achievement and Competency scores, and a weak positive correlationbetween Clinical Performance and Competency scores. With the routine assessment of theory and practical assessment,opportunities are to be created for competency assessment, for the world needs competent midwives rather than justqualified midwives.
Macrovascular and Microvascular Complications in Newly Diagnosed Type 2 Diabetes Mellitus
Authors: Nikhil Batra  , Himanshu Garg  , Gaurav Singh  , Anshaj Mujral
Published: June 2022

Background and Objectives: India is claimed to be the diabetes capital of the world. Many studies had proven thatpersistent hyperglycemia and associated metabolic syndrome features like hypertension, dyslipidemia and obesitycontribute to the development of vascular complications.The present study aims to study the prevalence and clinical profile of microvascular and macrovascular complications innewly diagnosed type 2 diabetes mellitus patients.Methods: The study is a clinical, prospective and observational study of 100 newly detected type 2 diabetics attendingmedicine department outpatient/ inpatient, MMU hospital, ambala, form the subject for the study August 2018 to July2020 (24 months) who matched the inclusion criteria.Results: In this, 62 were males and 38 were females and the mean age was 54.05±13.24 years. 44% were detected whenthey presented with multiple complications due to diabetes. Common complications which they presented werecoronary artery disease (15%), infection (12%), stroke (6%), ulcers (4%), neuropathy (4%) and diabetic ketoacidosis(1%). The prevalence of macrovascular complications CAD, CVD and PAD was 26.0%, 8.0% and 11.0% respectively andmicrovascular complications retinopathy, nephropathy and neuropathy was 20.0%, 34.0% and 16.0% respectively.Highincidence of complications especially microvascular and CAD occur with HbA1c of range >6.5. The correlation coefficientof FBS and PPBS in relation to HbA1c was 0.56 and 0.57 respectively.Conclusion: Smoking, increased BMI and waist circumference is associated with increased prevalence of diabetes.There is high prevalence of coronary artery disease, retinopathy and nephropathy at diagnosis.HbA1c levels predict theprevalence of complications.
A Cross Sectional Study on Functional and Psychological Status of Geriatric Population in Urban Areas of Perambalur
Authors: Parthasarathi Ramanathan  , Rock britto  , Ram Prabhakar  , Maniprabhhu  , Kishorekumar  , Lakshmi Naryanan  , Lakshmipriya
Published: June 2022

Background: Aging is the physiological deterioration in one’s functional & mental capacity. It has been documentedthat geriatric population are more prone to cognitive impairment & depression that leads to functional disability whichin turn makes them dependent on someone for their activities of daily living (ADL). Objective of this study is to find theprevalence of functional disability, cognitive impairment, depression and its association with sociodemographic factorsamong the geriatric population.Methods: This cross-sectional study was conducted from February to march 2020 among 150 elderly people(>60yr) inurban field practicing area of Dhanalakshmi Srinivasan medical college and hospital, Perambalur in Tamil Nadu.Results: The prevalence of functional disability was 17% (ADL scale) while cognitive impairment was seen in 22% (MMSE)and depression was observed in 35% (PHQ-9) of the study population. Sociodemographic factors such as gender, maritalstatus and type of diet were found to be statistically associated with functional disability among the elderly.Conclusion: More than one-third of the geriatric population had signs of depression while one-fifth of the studypopulation had cognitive impairment. Sociodemographic factors such as female gender and taking mixed diet werefound to be statistically associated with functional disability whereas no association was found for cognition impairmentand depression. The study also provides baseline data on co-morbid conditions in geriatric population which can be usedby the local health authorities for providing comprehensive geriatric care with special focus on depression and cognitiveimpairment.
Beyond the Pandemic: Masking-Behaviour, Practices, Skin problems and Attitude among Healthcare workers and Medical students of South India
Authors: Reshmi Subramaniam  , Kavitha K  , Neetha L  , C. Raghuveer  , Jisharaj V R
Published: June 2022

BackgroundMask-related dermatoses among health-care workers can impact their quality of life, work and the safety afforded by themask. Hence their prompt recognition and remedial measures assume importance during the pandemic.To collect data about-types of masks used, facial skin problems encountered and factors involved, skin care practicesfollowed and attitude to mask-wearing among medical students and healthcare workers of South India, a cross-sectionalsurvey was conducted using an online structured questionnaire filled by the respondents after informed consent.Datawas analysed using appropriate statistical tests.Results and ConclusionOf the 576 respondents, majority used unscientific combinations of masks. Most common mask-related dermatosis wasnew-onset acne. Female gender, younger age, oily skin and longer hours of mask-wearing were predisposing factors.Improper care of skin and mask and reluctance to seek medical advice was observed. Majority had a positive attitude towearing mask during the pandemic and found several other benefits to mask-wearing.Information about scientific mask-wearing practices and common mask-related skin problems must be disseminatedamong the medical fraternity and remedial measures offered. A general positive attitude to mask-wearing gives assuranceof adherence to mask wearing even during the trough phase of pandemic.
Does Rhino-genic Headache Improve after Endoscopic Concha Bullosa Surgery in the Adult Patients?
Authors: Ahmed Muhei Rasheed  , Ahmed Salah Ahmed  , Mustafa Salman Hamed
Published: June 2022

Background: Pneumatizaton of Middle Turbinate (MT) is one of the common anatomical variations of the Nasal cavitynamed Concha Bullosa. It may be presented with facial pain or headache. There are several surgical techniques to treatConcha Bullosa.Aim of the study: This is to evaluate the improvement of Rhino-genic headache after endoscopic Concha Bullosa surgeryin adult patients.Patients and methods: A prospective comparative study was designed in the Department of Otolaryngology at Al-Jerahat Teaching Hospital in Medical City and private hospital, Baghdad, Iraq, from March 2019 to August 2020. Fortypatients suffering from headaches of Rhino-genic origin of more than six months duration were enrolled in the currentstudy. Nasal examination by zero-degree endoscope revealed unilateral or bilateral MT enlargement with mucosalcontact points to the Osteo-Meatal Complex or the Nasal Septum. All the patients had Nasal and Para-Nasal sinusesCT scan and xylocaine-xylometazoline test. The Forty patients were allocated into two groups, group A patients treatedby Partial Lateral Middle Turbinectomy (PLMT). The 20 patients in group B had been subjected to Middle TurbinateTransverse Excision (MTTE). Patients followed-up every week in the first month and then every two weeks for the nexttwo months. The headache assessment was achieved preoperatively using the Visual Analogue Scale (VAS) and at thethird postoperative month. Statistical analysis was done using the Chi-square test to compare the VAS scores in group Apatients at the third postoperative month to group B patients, and P-value was calculated.Results: Fifty percent of the patients treated by PLMT became free of headache, 35% had a mild headache, and 15%moderate. In contrast, 85%of the patients subjected to MTTE became headache-free, and 15% still with mild headache (Pvalue= 0.031).Conclusions: MTTE is a better option than PLMT in relieving headaches due to contact between Concha Bullosa andOsteo-Meatal Complex or Nasal Septum.
Evaluation of Virtual Classes Teaching among first-year MBBS students during COVID-19 era in GMC Jammu
Authors: Retash Shan  , Shomalla Jan  , Sunita Kumari  , Mrityunjay  , Sunil Sachdev  , Dev Raj
Published: June 2022

Background: The Covid-19 era has caused the shifting of medical teaching into an Online podium. This has provided uswith an excellent opportunity to recognize MBBS- students’ preferences of these Online classes which otherwise did notform a significant part of the traditional medical teaching. We have undertaken online classes for theory & practical for thefirst time in our medical college at GMC Jammu. So the current study was conducted to assess & analyze the preferenceof first-year MBBS students between online classes & traditional classroom teaching.Objectives: To evaluate the predilection/inclination of first-year MBBS students between online classes and traditionalclassroom teaching.Materials & Methods: An institution-based descriptive cross-sectional study was performed on 180 MBBS studentsof 2020-21 batch at the Department of Physiology in GMC Jammu, after receiving Institutional ethics committee (IEC)clearance who have attended online classes for a minimum of 1 hour per day or 6 hours per week for 1-month durationusing zoom or other video-based learning platforms. A pre-structured questionnaire-based feedback study was conductedafter obtaining written consent from the first-year MBBS students. We designed a total of 24 questions related to theirtheory & practical classes, for assessing their preference for Online classes in comparison to traditional classroom teachingwith multiple-choice options.Results: In our study, we found that overall, 61.11% of MBBS students prefer traditional classroom teaching over Onlineclasses and 60% of students prefer traditional teaching methods over online learning for practical classes. However, 50% ofstudents reported that accessibility to stable internet was causing difficulty in following Online classes. Moreover, 53.89%of students reported that they get distracted at home during Online classes. Further, 66.11% of students mentioned a lackof personal interaction & lonely experience on the Online platform.Conclusion: In our study, we found that medical students prefer the traditional teaching method to the Online platformfor learning as well as examination. For better understanding and learning, the first phase of MBBS students prefersthat traditional classroom teaching should be followed by Online classes that can be easily accessed by students at theirconvenient time. In this study, the majority of medical students reported limited access to stable internet, distractions &disturbances in the domestic environment, & lack of personal interaction as the barriers to Online learning.
A Cross-Sectional Study to Estimate the Proportion of Early Initiation and Exclusive Breastfeeding Practices in Rural Field Practice Area, Mysore
Authors: Roopadevi V  , Dayanand M  , Aravind K  , Sampat Kumar
Published: June 2022

Introduction: Breastfeeding is the healthiest and easily accessible nutrient to the infants Malnutrition is more prevalentin India and inappropriate feeding practices are the one of the reason. So the current study is conducted to estimate theprevalence of early initiation and exclusive beastfeeding practices and factors influencing on these practices.Methods: A cross sectional study was conducted among 198 mothers of children less than 24 months in the field practicearea of Mysore Medical College and Research Institute, Mysore by using simple random sampling method during March2015 to August 2015 by using pretested and semi-structured questionnaire. In our study we found that 70.2% mothersinitiated breastfeeding within 1 hour of delivery, the most common reason for delay was LSCS, 14.6% mothers practicethe prelacteal feed, 92.9% mothers fed colostrum, exclusive breastfeeding(EBF) was practiced in 105 (53%) mothers themost common reason for non-EBF was lack of knowledge 78 (47.6%). Gender, fathers education, socio-economic statusand number of antenatal visits had an influence on breastfeeding practices.Conclusion: Majority of the women not practiced EBF. The knowledge regarding proper breastfeeding practices should beemphasized on each antenatal and postnatal visits. Improved socio-economic status can improve breastfeeding practices.
Assessment of the prevalence of Hypertension and its association with various risk factors in the rural population of the district Muzaffarnagar
Authors: Sangeeta Jain Sharma  , Lubna Zarin  , Umer Farooq  , Dheeraj Sharma  , Santosh Raghav
Published: June 2022

Background: We are living in a rapidly changing environment. One of the most striking examples of this shift is the factthat NCDs such as Hypertension, Cardiovascular diseases, Cancer, Diabetes and Chronic Lung diseases have overtakeninfectious diseases as the world’s leading cause of morbidity and mortality. Hence, it is important to know the bloodpressure status before target organ damage occurs.Aim and objectives: This study was designed to Assess the prevalence of Hypertension and its association with variousrisk factors in the rural population of the district Muzaffarnagar.Material and Methods: Community based, Cross-sectional study. Simple random Sampling was done to have the samplesize of 660.Semistuctured, pretested questionnaire and different measurement tools were used to collect the data.Result: Shows that the prevalence of Hypertension was observed to be 18.9 % (stage i+ stage ii), out of which 13.3 % werein stage i Hypertension and 5.6% were in stage ii Hypertension. Pre-hypertensive constituted 40.2% while 40.9% of studysubjects were Normotensive.Conclusion: There was a significant impact of the risk factors on the prevalence of hypertension and different preventivemeasures should be advised to prevent and control the epidemic of hypertension.
Assessment of Third Molar Impaction Pattern in the Mandible and in the Maxilla
Authors: Pratik Rupakar  , Jignesh Maheswari  , Sanjay Yadav  , Darshan Dudhat  , Krishna Shah  , Shrikant Patel
Published: June 2022

Aim: The aim of this study was to compare characteristics of erupted and impacted third molars in the mandible and themaxilla using quantitative measurements and determine any relationship between the eruption/impaction pattern ofthird molars in both jaws with available eruption space and tooth inclination.Material and Methods: Patients who visited to the Department of Oral and Maxillofacial Surgery at tertiary care instituteof India were screened for eligibility to join our study. The eruption status of the third molars in both jaws were examinedon orthopantomographs by measuring the distance from the line tangent to the highest points of occlusal cusps of thethird molar to that of the adjacent second molar. The presence of available space for the eruption was determined by theratio of the mesiodistal length of the third molar crown to the length of the alveolar arch distal to second molars.Results: There was sufficient space for the eruption of third molars in 17.6% of the cases in the mandible as opposedto 61.7% of the cases in the maxilla. In the mandible, 37.7% of third molars were in vertical position, 37.1% were inmesioangular position, and 19.9% were in distoangular position. In the maxilla, 62.5% of third molars were in verticalposition and 33.12% were in distal inclination. The presence of favorable parameters does not warrant full eruption ofthird molars in both jaws.Conclusion: Removal of impacted third molars is the most commonly employed procedure in oral surgery practice. Painand pericoronitis were the most common symptoms usually associated with level A impaction and vertical position.
Body Image Perception and Its Relationship with Adolescents Nutritional Status in Pekanbaru City during the Covid-19 Pandemic
Authors: Sofya Maya  , Yanti Ernalia  , Nofvitri Syuryadi  , Nur Pelita Sembiring  , Tahrir Aulawi
Published: June 2022

Offline learning during the Covid-19 pandemic can change adolescents’ lifestyles, including dietary patterns that havean effect on increasing body weight so that it can have an impact on negative body image perceptions. This study aimedto determine the relationship between body image perception and adolescents nutritional status in Pekanbaru Cityduring the Covid-19 pandemic. The research design was a cross sectional study. The research sample was adolescents inPekanbaru City with an age range of 12-25 years old, totaling 194 people. The data was obtained from the results of fillingout the questionnaire independently which was distributed to sample via Google Form. Data analysis used the spearmancorrelation test with p value<0,05. Total samples who were satisfied with their bodies were 33,0% and dissatisfied were67,0%. The nutritional status of sample were 4,6% very thin, 13,4% thin, 68,0% normal, 9,8% overweight, and 4,2% obesity.The results showed that there was a significant relationship between body image perception and adolescents nutritionalstatus in Pekanbaru City during the Covid-19 pandemic (p=0,000; r=0,609). The problem of dissatisfaction with bodyimage can make a adolescent have negative thoughts and have an impact on abnormal nutritional status. The need for apsychological approach to adolescents in increasing their confidence in their own body image.
Psychological Health and Its Determinants among Elderlies of Prayagraj
Authors: Sucheta Singh  , Khurshid Parveen  , Gyan Prakash  , Richa Singh
Published: June 2022

Background: The definition of health by World Health Organization acknowledges mental wellbeing as one of theimportant component of healthy life. At present around 17.13 million older adults are suffering from mental healthproblems in India. Hence, in order to determine the current scenario of psychological health issues faced by people intheir old age and the factors associated with various problems in Prayagraj, this study was taken up.Objective: To determine prevalence of psychological health Illness and their associated factors in elderly population.Material and Method: This cross-sectional community based study was done on 483 elderly population of Prayagraj.The data was collected using interview method by pretested structured questionaire. The psychological problems wereaccessed using validated GHQ-H scale. The data was analysed on epi info version 7 and chi-square test was used at pvalue < 0.05 significance.Results: The prevalence of definitive Psychiatric morbidity among the elderly population was found at 13.7%. Gender,marital status, education status and certain physical morbidities like oro-dental problems, hearing impairment andrespiratory problems were found to be significantly associated with psychological health in elderly age group.Conclusions: psychological illness among the elderly population in the community is rather prevalent which goesunnoticed and it was found to be significantly associated with Female gender, Living without spouse, and having somephysical morbidities.
Clinical and Diagnostic Profile of Interstitial Lung Disease
Authors: Syed Abdul Aleem
Published: June 2022

Background: Interstitial lung disease are clinically challenging and diverse group of over 300 disorders. Theseheterogeneous group of disorders share few common clinical radiological and pathological profiles.Objective: To analyse these Clinical, spirometric, laboratory, radiological and bronchoscopic profile of various ILDs.Methods: It is an Institutional based prospective study of 50 cases of Interstitial Lung Disease presenting to pulmonologydepartment. After Obtaining Informed Consent patients were subjected to detailed Clinical, spirometric, laboratory,radiological and bronchoscopic examination. Initially a total of 60 patients were enrolled in the study .Out of which 4patients were excluded based on exclusion criteria and 6 patients were lost to follow up.Results: After Analysing 50 ILD patients, it showed a female preponderance, presenting mostly in 36-55 year age groupwith shortness of breath and cough as the predominant complaints. Majority of the patients showed exercise oxygendesaturation and a restrictive abnormality in spirometric evaluation. Radiologically, reticulonodular pattern was the mostcommon presentation on CXR and reticular opacities on HRCT. Most common HRCT pattern was UIP pattern with basalpredominance. The most common cause of ILD was IPF (30%) followed by LDCTD which comprised 28% of the cases.Conclusion: Patients, in their third to fifth decade, especially females, presenting with complaints of breathlessness andcough, with exercise oxygen desaturation, should be evaluated for ILD with complete profile to identify the disease at anearly stage.
Effect of Yoga and Exercises to improve Physical Function and Quality of Life in Elderly: A Systematic Review of Randomized Controlled Trials
Authors: Kumari B N P  , K.K. Shiny John  , ManikyaLatha J  , Divya P D  , A Maria Therese  , Judie Arulappan
Published: June 2022

Introduction: Aging is a natural process associated with many functional and structural changes. These changes includeimpaired self-regulation, changes in tissues organs and also affects mood,physical status and social activity. There areadverse changes in cognitive behaviour, perceived sensation and thinking process. Regular physical activity can alleviatemany health problems,yet many older adults are inactive. Yoga is one of the scientific and popular lifestyle practiceconsidered as the integration of mind, body and soul1.However, there is scarcity of scientific information where yoga’s effect is examined on overall well being and on multiplehealth outcomes simultaneously in elderly. Therefore, we conducted this systematic review of available RCT,s on thissubject.Methods:We performed a systematic search of RCT’s published between 2015-2020 in English language using databaseincluding Pubmed Medline, Google scholar studies conducted on older adults with physical ability.QOL and physicalfunction as intended outcomes have been included. Data extraction, critical appraisal was done and decisions on qualityof life were made on mental consensus.Results: Out of all identified studies, only 4 studies comprising 275 participants fulfilled the inclusion criteria and metthe quality assessment.3 month follow-up done, Yoga group had a higher score compared with the control group (meandifference 0.9, 95 % CI, 0.3 to 2.0).Yoga group also had superior health status and mental well being (Vs. Control) at3 months, with mean differences in QOL scores of 0.12(95% CI 0.03 to 0.21) and 6 (95% CI, 1 to 11) respectively. Weanticipate that practicing yoga will improve well being and mental health.Conclusion: The adapted yoga programme appeared to be feasible and potentially beneficial in terms of improvingmental and social wellbeing and health related quality of life in elderly people.
A Study on Socio-Economic Status and Consumption Pattern of Tibetan Refugee Householdsin Ladakh Settlement, India
Authors: Tenzin Namgha  , Tsering Dolkar
Published: June 2022

Background: The refugee population is deprived of nutritious food mainly due to household socioeconomic characteristicssuch as income, education, and occupation. The study highlights the socio-economic status of Tibetan refugees in Ladakhsettlement in India. It also covers their dietary pattern such as protein, carbohydrates, fibers, and fats.This study alsoexamines the association between socioeconomic status and food consumption patterns.Methodology: Tibetan refugees in the Ladakh settlement formed the participant for this study.142 household data werecollected to understand the socio-economic status and food consumption pattern among Tibetan refugees in Ladakh.A structured interview questionnaire was employed to obtain the data. The data were statistically analyzed usingdescriptive statistics.Results and Conclusion: The result indicated that the Majority of Tibetan refugees in Ladakh belongs to lower andupper-lower socioeconomic status. The food consumption pattern has changed drastically from traditional food to a morecarbohydrate-rich diet. The association between socioeconomic status and fruit consumption was found to be significant(p>0.018). Also, education affects soft drink consumption as low-educated consume more compared to educatedrespondents (p>0.034). Tibetan refugees in Ladakh lack awareness about dietary diversity. They consume a diet rich infats and carbohydrates which may have health implications in the long run.
Effect of Antihypertensive Drugs Therapy Concognitive Functions and Asymmetric Dimethylarginine (Adma) Levels In Hypertensive Patients
Authors: Yavatesh Joshi T  , Riddhi Gor
Published: June 2022

The purpose of this study is to evaluate cognitive functions and its association with Asymmetric Dimethylarginine(ADMA) levels in hypertensive patients treated with antihypertensive drugs.Methods: At least 100 subjects of hypertension were proposed for this study keeping in mind the time constraint andlimitation of resources.Results: Treatment with antihypertensive medications caused change in HMSE score from 24. 51 ± 2.27 at day 1 to 25.64 ±2.31at four weeks Treatment with antihypertensive medications caused change in ADMA levels from 15519.65 ± 7311.63ng/L at day 1 to 12314.47 ± 10696.09 ng/L at four weeks.Conclusion: Treatment with antihypertensive medications caused change in HMSE score from 24. 51 ± 2.27 at day 1 to25.64 ± 2.31at four weeks
Cervical Pap smear: A retrospective study on symptomatic women in a tertiary care hospital.
Authors: Vidhu Mahajan  , Virender Mohan Rana  , Anil Raina  , Nipun Kalsotra  , Nidhi Gupta  , Surinder K Atri
Published: June 2022

Background: Cancer of the cervix is an increasing health problem and an important cause of mortality in womenworldwide. Cervical cancer ranks 2nd most common visceral cancer in females and stands 3rd in causing death in women inthe world. Pap smear is used as primary screening test for detection of early cervical epithelial changes, cervical epithelialneoplasia and early stage of invasive cervical cancer. Recommendations for Pap smear generally starts around 21 years ofage or within 3 years of onset of sexual activity and thereafter every 3 yearsMethods: This retrospective study was conducted on 100 patients to evaluate all previously reported cervical smearsin the Department of Pathology GMC Kathua, who came with different gynaecological complaints in GynaecologicalOPD at GMC Kathua, J&K.Smears were obtained with the help of Ayre’s spatula and cytobrush to collect specimen fromtransformation zone. The cellular material is quickly spread on 2 clean glass slides and fixed immediately by immersingthem in copulin jar containing 95% ethyl alcohol. The smears were stained with Papanicolaou stain. After mounting theslides with DPX and examined under light microscope , they are reported by pathologists according to Revised BethesdaSystem.Conclusion: Pap smear test is a simple, inexpensive, non -invasive and an OPD performed to detect various premalignantand malignant lesions of cervix. By conducting health camps, increasing awareness programmes and performing Papsmears, the incidence of cervical cancer can be greatly reduced.
A Scoping Review on Design Modifications of Lingual Holing Arch appliance
Authors: Mathias Merlyn R  , Pawar Madhura  , Lath Tripti
Published: June 2022

Background: Lingual holding arch appliance has been the most trusted space maintainer in the field of pediatric dentistry.This study put forward mapping of application of various designs of lingual holding arch appliance and to verify themain gap in the research on this field.Methods: This is a scoping review that took place in 2021 following PRISMA-ScR Guideline. Data was searched throughthe database PubMed, SCOPUS, Google scholar The search strategy included keywords’ bilateral fixed space maintainer’‘space maintainer’ ‘lower lingual holding arch’ ‘fixed lingual arch appliance’ ‘functional lingual arch holding appliance’A total of eleven studies from nine hundred and thirty original articles were identified and were included and reviewed.The study selection and tabulation of data were performed by two independent reviewers. Any disagreement in studyselection was resolved by a third reviewer.Conclusion: In the transitional phase, preventive and interceptive orthodontic plays a significant role in minimizing theinevitable developing malocclusion The mapping determined all proposed designs for the prevention of space loss. Eachdesign needs to be carefully selected based on the phase of mixed dentition. This paper provides information on variousdesigns of a lingual arch space maintainer, and it can be concluded that there is a necessity for long-term follow-up studiesfor further research in the field.
AUDIOVISUAL TRANSLATION AS A DIDACTIC RESOURCE IN FOREIGN LANGUAGE EDUCATION. A METHODOLOGICAL PROPOSAL
Authors: Talaván Noa , Lertola Jennife
Published: June 2022

This paper presents a methodological proposal designed by the TRADILEX project, which stands for Audiovisual Translation as a Didactic Resource in Foreign Language Education. The main goal of TRADILEX is to determine the degree of improvement in the foreign language learning process after including the pedagogical use of audiovisual translation (AVT) as a didactic tool. To this end, a methodological proposal has been articulated including complete lesson plans which make use of diverse AVT modes (subtitling, voice-over, dubbing, audio description and subtitles for the deaf and hard of hearing) in order to enhance communicative competence and mediation skills in an integrated and differentiated manner. The methodology designed by TRADILEX will be piloted with B1-B2-level English as a foreign language adult students in non-formal educational contexts, especially in language centres of the universities involved. Both the methodological proposal of didactic sequence, based on the pedagogical use of the main AVT modes, and a sample lesson plan on subtitling, will be described in this paper to present the basic elements that underlie this research project.
EL ENFOQUE CONTRASTIVO MEDIANTE LA LECTURA LITERARIA DIGITAL ENRIQUECIDA PARA EL APRENDIZAJE DE SEGUNDAS LENGUAS
Authors: Rodríguez Salgado Clara
Published: June 2022

El resurgir de la lengua materna en el proceso de aprendizaje de segundas lenguas abre la puerta a nuevos escenarios didácticos y contextos pedagógicos dentro de la era del post método en la que nos encontramos. Por su parte, la lectura cobra cada vez más valor en los enfoques y métodos de aprendizaje de segundas lenguas y se ha convertido en un elemento con un gran potencial didáctico y pedagógico en los contextos digitales. El estudio que aquí presentamos tiene como principal finalidad analizar la eficacia del uso de la lengua materna desde un enfoque didáctico contrastivo en el aula de segundas lenguas, todo ello utilizando como hilo conductor la lectura literaria mediante un libro digital enriquecido bilingüe que ha sido desarrollado para tal fin.
LA PLANCTOLOGÍA EN MÉXICO A TRAVÉS DE LOS ARCHIVOS HISTÓRICOS DE LA SOCIEDAD MEXICANA DE PLANCTOLOGÍA A. C. (1985–2019)
Authors: Aceves -Medina Gerardo , Esqueda-Escárcega Gabriela María , Álvarez-Ramírez Indra María
Published: June 2022

. Los archivos históricos de la Sociedad Mexicana de Planctología A.C. (SOMPAC) reflejan el desarrollo de la investigación del plancton en México a través del contenido de 2,060 resúmenes presentados en 22 reuniones desde 1985 hasta 2019. El número de contribuciones por reunión ha mostrado un considerable incremento a través del tiempo. En ecosistemas marinos resalta el enorme esfuerzo dirigido principalmente a estudios de ecología descriptiva en la región del Noroeste del Pacífico mexicano, el Golfo de California, Golfo de México y Mar Caribe. No obstante, aún existen regiones como el sur del Pacífico mexicano en las que los estudios de plancton son prácticamente nulos. El plancton en ecosistemas epicontinentales ha sido menos estudiado en comparación con ecosistemas marinos, siendo la laguna de Alchichica y otros cuerpos acuáticos del centro de México donde se concentra más del 70% de los trabajos de investigación, seguidos por los del sureste de México. No obstante, el plancton de aguas epicontinentales de los estados de la frontera norte, incluyendo la península de Baja California y en el sur los estados de Oaxaca y Chiapas, aún permanecen prácticamente inexplorados. Excepto por algunas iniciativas en el Pacífico Noroeste de México y en el Golfo de México (ecosistemas marinos), así como en la laguna de Alchichica (ecosistemas epicontinentales) aún no existen programas nacionales de monitoreo de largo plazo en escalas de grandes ecosistemas que permitan una comprensión amplia del funcionamiento del sistema pelágico a partir del estudio del plancton en México.
Implicaciones de la profundidad de la zona eufotica e irradiancia de compensación sobre la productividad primaria en Cuenca Alfonso, BCS, Mexico.
Authors: Verdugo Dí­az Gerardo , Martinez- Lopez Aida , Gómez- Ochoa Francisco Javier
Published: June 2022

En los ecosistemas marinos, la zona eufótica ha sido definida como la capa entre la superficie marina y la profundidad donde penetra el 1% de la irradiancia solar; sin embargo, se ha planteado la necesidad de ampliarla hasta el 0.1%, para incluir comunidades fotoautotrofas adaptadas a bajas irradiancias que aportan significativamente a la productividad. Se realizaron muestreos durante abril, mayo, septiembre y noviembre 2016 en Cuenca Alfonso, en las profundidades de 100, 33, 3 y 0.1 % de penetración de la radiación fotosintéticamente activa, así como otra profundidad estándar de 150 m. Se realizaron lances de CTD y se recolectaron muestras para estimar la concentración de clorofila a y productividad primaria. La capa de mezcla fue menor a los16 m durante abril, mayo y septiembre, incrementando a 48 m durante Noviembre. Las mayores concentraciones de clorofila a se registraron en los estratos de 33 y 3% y en un caso en el nivel de 0.1%. La oncentración de clorofila de la fracción microfitoplanctónica tuvo valores desde indetectables hasta 0.084 mg m-3, mientras que la fracción picofitoplanctónica entre 0.012–0.33 mg m-3. La productividad primaria microfitoplactónica varió entre 0.25–0.41 mg m-3 h-1 (valores puntuales) y 22.39–41.69 mg C m-2 h-1 (valores integrados), mientras que la fracción picofitoplanctónica varió entre 0.25–0.34 mg C m-3 h-1 y 19.92–34.44 mg C m-2 h-1. La concentración de clorofila a fue significativamente mayor en la fracción picofitoplactónica que en la microfitoplanctónica (p<0.05), pero no significativo en productividad primaria (p= 0.05). Concluimos que la profundidad de la zona eufótica influye directamente en la capacidad productiva del ecosistema por lo cual se propone la ampliación de su profundidad al menos al 0.1 % de la irradiancia superficial ya que esto puede significar un incremento de hasta el 30 % en la productividad total.
GAMBARAN KARAKTERISTIK IBU HAMIL DENGAN HbSAg POSITIF DI WILAYAH KERJA PUSKESMAS KRAMATWATU
Authors: LINTANG SANTI SUNDARY , NURSEHA NURSEHA
Published: June 2022

Indonesia merupakan negara dengan endemisitas tinggi hepatitis B, terbesar kedua di Negara South East Asian Region (SEAR) setelah Myanmar. Berdasarkan data Riset Kesehatan Dasar, studi dan uji saring darah donor PMI maka diperkirakan di antara 100 orang Indonesia, 10 diantaranya telah terinfeksi Hepatitis B atau C. Tujuan dari penelitian ini adalah mengetahui karakteristik ibu hamil dengan HbSAg positif di wilayah kerja Puskesmas Kramatwatu. Penelitian ini menggunakan metode deskriptif dengan menggunakan data sekunder yaitu rekam medik. Sampel yang diambil satu tahun terakhir dari Januari – Desember 2018 sebanyak 20 ibu hamil. Hasil menunjukkan bahwa ibu hamil sebagian besar usia 20 – 35 tahun yaitu 16 orang (80%), usia kehamilan sebagian besar < 37 minggu yaitu 16 orang (80%), paritas ibu hamil sebagian besar multipara yaitu 15 orang (75%), pendidikan ibu sebagian besar SMA yaitu 14 orang (70%), pekerjaan ibu hamil mayoritas tidak bekerja sebanyak 20 orang (100%).
PEMBERIAN EDUKASI DAN PENDAMPINGAN PERSIAPAN LAKTASI PADA NY “Y” G2P1A0 DI PMB SATIARMI KOTA BENGKULU
Authors: Marlinda Ega , Yusanti Linda , Purnama Yetti
Published: June 2022

Pendahuluan: Asi  ekslusif adalah impian setiap ibu, pemberian ASI juga merupakan hak anak. Banyak keuntungan yang didapat dalam pemberian ASI baik untuk ibu maupun bayi, namun banyak ibu yang gagal memberikan ASI dikarena banyak faktor, diantaranya kurangnya edukasi, nutrsi, dan perawatan yang tepat. Studi kasus ini bertujuan untuk melakukan asuhan kebidanan komprehensif pada Ny ”Y” dengan pemberian edukasi dan pendampingan perispan laktasi di PMB Satiarmi Kota Bengkulu. Metode: Penulisan studi kasus ini menggunakan metode deskriptif dengan teknik yang meliputi observasi, wawabcara, pemeriksaan fisik, studi dokumentasi kepustakaan. Hasil dan Pembahasan: Hasil asuhan kebidanan secara komprehensif pada Ny “Y” dilakukan sesuai dengan rencanan asuhan kebidanan. Proses pendampingan laktasi selama masa kehamilan berjalan baik, dilakukan dengan mengajarkan ibu melakukan perawatan payudara dan nutrisi untuk memperlancar ASI. Masa persalinan secara spontan berjalan lancar dan dilakukan IMD segera setelah bayi lahir. Pada masa nifas berjalan normal dengan memberikan makanan yang bisa meningkatkan produksi ASI, pijat oksitosin, posisi mentusui telah dilakukan dengan baik dan pemberian ASI hingga 2 minggu masa nifas berjalan lancar serta mendapatkan penyuluhan tentang persiapanpenggunaan alat kontrasepsi dan akan memilih suntik KB 3 bulan setelah masa nifas berakhir. Kesimpulan: Simpulan dari asuhan kebidanan komprehensif adalah asuhan yang diberikan sesuai dengan kebutuhan subjek yang didukung teori berdasarkan evidance based dalam kebidanan. Asuhan selama 7 minggu berjalan lancar dan normal.
KAITAN STRES DENGAN KELAHIRAN PREMATURE SAAT WABAH VIRUS CORONA 2019 (COVID-19) DI INDONESIA: LITERATURE REVIEW
Authors: Sulastri Mepi , Hilinti Yatri
Published: June 2022

COVID-19 adalah suatu penyakit menular yang disebabkan oleh tipe baru coronavirus 2 (SARS-CoV-2) yang menyebar di antara manusia setelah interaksi fisik yang erat. Gejalanya meliputi menggigil, batuk, sakit tenggorokan, kesulitan bernapas, mialgia, muntah, dan diare, ibu hamil merupakan populasi yang rentan, wanita hamil dan janinnya dianggap berisiko tinggi tertular penyakit menular selama wabah walaupun dari beberapa penelitian ibu hamil yang menderita COVID-19 tidak terdapat penularan secara vertikal ke janinnya. Dalam waktu singkat diperkirakan secara global sekitar 10% wanita hamil menderita gangguan jiwa, terutama stres dan bahkan lebih tinggi (16%) di negara berkembang Ini dapat diperburuk selama pandemi COVID-19 ketika wanita hamil mungkin memiliki akses terbatas ke layanan kesehatan mental. Dampak kesehatan mental dari pandemi COVID-19 pada wanita melahirkan merupakan tantangan kesehatan masyarakat yang utama, yang membutuhkan dukungan perawatan kesehatan yang tepat dan tepat waktu untuk mencegah hasil kesehatan yang merugikan, oleh karena itu wanita hamil tidak hanya berisiko mengalami masalah terkait medis tetapi juga berisiko mengalami masalah psikologis karena strategi kesehatan masyarakat seperti jarak social. Selama kehamilan, wanita mungkin mengalami stres dan kecemasan yang terkait dengan hasil kebidanan yang berpotensi merugikan sebagai kematian janin atau kelainan janin. Meskipun tidak ada kematian akibat COVID-19 yang terjadi pada ibu hamil, namun COVID-19 menimbulkan efek pada kesejahteraan psikologis wanita hamil dan menunjukkan kemungkinan komplikasi mental jangka panjang dari pandemi COVID-19. Stres kehamilan merupakan tantangan yang muncul dari pandemi COVID-19 saat ini, oleh karena itu, mengatasi tekanan psikologis pandemi COVID-19 selama kehamilan harus lebih disarankan untuk mencegah efek buruk pada pertumbuhan janin dan gangguan perkembangan saraf pada keturunannya. Diharapkan pemerintah dapat memberikan dukungan psikososial kepada ibu hamil selama krisis ini. Tenaga kesehatan harus lebih memperhatikan mental ibu hamil di masa pandemi COVID-19, jika tidak di perhatikan dengan baik, maka dampak dari stres pada ibu hamil selama pandemi COVID-19 dapat meningkatkan angka kejadian kelahiran prematur.
PEMBERIAN EDUKASI DAN PENDAMPINGAN PADA Ny. “S” G4P3A0 DENGAN FAKTOR RESIKO UMUR DAN PARITAS DI PMB RISMINIANA KOTA BENGKULU
Authors: HANUN LUTFIA CAESAR , DEWIANI KURNIA , SURIYATI SURIYATI
Published: June 2022

Pendahuluan: Angka Kematian Ibu (AKI) adalah rasio kematian ibu selama masa kehamilan, persalinan dan nifas yang disebabkan oleh kehamilan, persalinan, dan nifas atau pengelolaannya disetiap 100.000 kelahiran hidup (KH). Faktor risiko ialah keadaan yang secara tidak langsung menambah risiko kesakitan dan kematian pada ibu hamil. Studi kasus ini bertujuan untuk melakukan asuhan kebidanan secara komprehensif pada Ny.”S” G4P3A0 dengan pemberian edukasi pendampingan faktor resiko usia dan paritasi di Praktik Mandiri Bidan Risminiana Kota Bengkulu. Metode : Penulisan studi kasus ini menggunakan metode deskriptif yaitu meliputi teknik observasi, wawancara, pemeriksaan fisk, studi dokumentasi dan kepustakaan. Hasil dan Pembahasan : Asuhan kebidanan secara komprehensif pada Ny.”S” dilakukan sesuai dengan rencana kebidanan. Asuhan pendampingan faktor resiko yang diberikan pada masa kehamilan yaitu edukasi dan persiapan P4K, mengajarkan perawatan payudara, senam hamil, effleurage massage, penkes nutrisi pada ibu hamil. Asuhan kebidanan persalinan dilakukan di PMB Risminiana. Selama kala I dilakukan effleurage massage dan memutar murotal Al-Quran. Persalinan berlangsung normal dan keadaan bayi sehat, pemberian ASI hingga 2 minggu pada masa nifas berjalan dengan baik, mengajarkan perawatan payudara nifas, pijat oksitosin, perawatan luka perineum menggunakan daun sirih. Ny.”S” mendapatkan penyuluhan tentang persiapan penggunaan alat kontrasepsi dan memilih jenis kontrasepsi implant setelah masa nifas berakhir. Kesimpulan:  Asuhan kebidanan komprehensif adalah asuhan yang diberikan sesuai dengan kebutuhan Ny. “S” yang didukung teori dan evidence based dalam kebidanan. Asuhan selama 9 minggu berjalan lancar dan normal.
FAKTOR-FAKTOR YANG MEMPENGARUHI PEMILIHAN ALAT KONTRASEPSI SUNTIK KB DEPO PROVERA PADA AKSEPTOR KB DI KOTA BENGKULU
Authors: ASMARIYAH  ASMARIYAH 
Published: June 2022

Pendahuluan: Alat kontrasepsi suntik merupakan KB yang paling banyak digunakan oleh Wanita Usia Subur (WUS). Berdasarkan data SDKI 2017 suntik KB (29%) merupakan alat/cara KB yang paling banyak digunakan oleh wanita kawin, diikuti oleh pil (12%), susuk KB dan IUD (masing-masing 5%), dan MOW (4%). Penggunaan alat kontasepsi dalam program KKBPK yang dianjurkan adalah penggunaan metode kontrsepsi jangka panjang (MKJP) yaitu MOP, susuk KB, IUD dan MOW. Dengan demikian, terdapat 14 persen wanita yang menggunakan MKJP. Tingginya akseptor KB suntik 3 bulan ini dipengaruhi oleh beberapa faktor yaitu usia, pendidikan, pekerjaan, pendapatan, dan parietas. Tujuan penelitian untuk mengetahui faktor faktor yang memengaruhi pemilihan alat kotrasepsi suntik KB Depo provera pada akseptor KB di kota Bengkulu. Metode: Metode Penelitian crossectional, pengambilan sampel secara sistematic r andom sampling. Penelitian dilakukan pada 20 puskesmas di kota Bengkulu. Sampel berjumlah 240 akseptor KB. Data yang terkumpul melalui kuesioner dianalisis dengan chi square. Hasil dan Pembahasan: faktor yang memengaruhi pemilihan alat kontrasepsi suntik depo provera yaitu usia p=0,011, jumlah anak yang diinginkan lagi p=0,001, dukungan suami p=0,006 dan ketersediaan alat kontrasepsi p=0,019 sedangkan pendidikan, paritas, pekerjaan dan ekonomi tidak memengaruhi pemilihan alat kontrasepsi suntik depo. Kesimpulan: faktor yang memengaruhi pemilihan alat kontrasepsi suntik depo provera adalah usia, jumlah anak yag diinginkan lagi, dukungan suami, dan ketersediaan alat kontrasepsi. Perlu adanya pemberian informasi oleh tenaga kesehatan pada calon akseptor dengan melibatkan suami.
EVALUASI PENYELENGGARAAN PENANGANAN LIMBAH B3 DI RSUD LAGITA BENGKULU UTARA
Authors: SALIM AHMAD , RAMON AGUS , HUSIN HASAN , OKTARIANITA OKTARIANITA
Published: June 2022

Pendahuluan: Berdasarkan Peraturan Menteri Kesehatan Nomor 07 Tahun 2019 tentang Kesehatan Lingkungan Rumah Sakit, setiap fasilitas pelayanan kesehatan harus mengelola lingkungannya sesuai dengan peraturan yang berlaku. Penanganan limbah di RSUD Lagita tidak adanya proses identifikasi dan pemilahan kembali limbah. Sumber limbah dihasilkan dari ruangan poli, IGD, laboratorium dan poli gigi. Penelitian ini bertujuan untuk melihat sistem penyelenggaraan penanganan limbah B3 di RSUD Lagita Bengkulu Utara. Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan deskriptif yaitu menggambarkan keadaan dari objek yang diteliti. Pengumpulan data yang digunakan adalah dengan wawancara dan observasi dengan pedoman wawancara serta lembar observasi. Informan dalam penelitian ini yaitu petugas sanitarian, perawat poli, perawat igd, cleaning service, kepala ruangan igd RSUD Lagita Bengkulu Utara. Penelitian ini dilaksanakan pada tanggal 16 Maret s.d. 26 Maret 2021 di RSUD Lagita Bengkulu Utara. Hasil dan Pembahasan: Hasil penelitian di RSUD Lagita Bengkulu Utara menunjukkan ada 2 tahapan di RSUD Lagita yang belum sesuai dengan Permenkes RI No 07 Tahun 2019 yaitu tidak dilakukan identifikasi limbah dan pemilahan kembali limbah di TPS dan ada 7 tahapan yang telah sesuai dengan Permenkes RI No 07 Tahun 2019 yaitu pewadahan limbah, pengurangan dan pemilahan limbah di ruangan sumber, bangunan penyimpanan sementara limbah (TPS), penyimpanan sementara limbah, lama penyimpanan limbah, pengangkutan limbah dan pengolahan limbah. Kesimpulan: Untuk itu diharapkan RSUD Lagita Bengkulu Utara bisa memperbaiki SOP sesuai dengan Permenkes RI No 07 Tahun 2019 tentang Kesehatan Lingkungan Rumah Sakit untuk meningkatkan kinerja dan kesehatan lingkungan di RSUD Lagita Bengkulu Utara.
FAKTOR YANG BERHUBUNGAN DENGAN BURNOUT PERAWAT DALAM MERAWAT PASIEN COVID-19 DI RSUD DR. M YUNUS BENGKULU
Authors: HERIYANTO HENDRI , MARDIANI MARDIANI , SAHRAN SAHRAN
Published: June 2022

Pendahuluan: Virus Corona merupakan keluarga Corona viridae, virus dengan untaian tunggal, positive-sense RNA genome sekitar 26-32 kb dan merupakan genom terbesar untuk virus RNA. Istilah coronavirus berdasarkan penampakan virion pada membran virus berbentuk taji-taji menyerupai mahProvinsi atau dalam Bahasa latinnya adalah Corona Metode: . Tujuan penelitian ini adalah mengetahui faktor yang berhubungan dengan burnout perawat dalam merawat pasien Covid 19 di Ruangan Fatmawati RSUD Dr. M.Yunus Bengkulu. Desain penelitian ini menggunakan deskriptif analitik, dengan jumlah responden yang terlibat dalam penelitian sebanyak 35 responden menggunakan perhitungan rumus cross sectional Uji yang digunakan dalam penelitian menggunakan uji chi square dengan tingkat kepercayaan 95% (< 0,05). Hasil dan Pembahasan. Hasil analisis didapatkan P value usia 0,024, jenis kelamin 0,009, dan lama bekerja 0,024. Penelitian ini menunjukkan bahwa ada hubungan antara usia, jenis kelamin, dan lama bekerja terhadap burnout perawat dalam merawat pasien covid-19.