bluuebunny/crossref_metadata_2025_split huggingface dataset:
Chronic Uterine Inversio due to Myoma Geburt
Authors: Utama, SpOG(K) Bobby Indra 
Published: September 2020

Background : Uterine inversion is a rare obstetric emergency but potentially serious complication of labour. This disease characterized by severe pain and can cause life threatening condition. If these not immediately identified, the massive and underestimated blood loss can lead to hypovolemic shock. There for, early diagnosis and management of this condition is desirable.Objective : Report on the management of chronic uterine inversion due to myoma geburtMethods: Case reportCase: A 46 years old patient was admitted to the gynaecology ward of Dr. M. Djamil Central General hospital with slight bleeding from vagina since 1 month ago with 2-3 pieces of underware dark-red colored, with pain. Bleeding from the vagina often recurs. There was a mass revealed from vagina with size as bigÂ as babyâ€™s head. The massÂ had pus and necrotic tissue.Conclusion: Uterine inversion is an serious obstetric complication due to life threaten of the patient. Its low incidence leads to scarce experience in solving this kind of situation. There are some risk factors or mechanism as an underlying etiology of uterine inversion. The authors concluded that the presence of myoma geburt can be assosiated with the chronic uterine inversion. Surgical approach by eksterpation of myoma geburt withÂ total hysterectomy can be the right procedure. Therefore, it is essential to keep in mind this diagnosis in all cases of vaginal bleeding.Keywords: uterine inversion; myoma geburt
G2P1A0H1 Gravid 27-28 Minggu + Janin Mati Kehamilan Abdominal
Authors: Fitriansyah Irwin , Rifendra Gerry 
Published: September 2020

Kehamilan abdominal adalah bentuk kehamilan yang jarang terjadi namun memberi risiko yang sangat tinggi baik morbiditas dan mortalitas terhadap janin maupun ibu. Keadaan ini merupakan salah satu bentuk yang paling serius dari kehamilan ektopik.Â Angka kejadian kehamilan abdominal berbeda-beda, Rahman dkk, mendapatkan angka kejadian 1 diantara 130.200 kelahiran. Di Amerika Serikat antara tahun 1970-1983 terdapat 10,9 kehamilan abdominal/100.000 kelahiran hidup dan 9,2 kehamilan abdominal /1000 kehamilan ektopik. Pada tindakan laparotomi, manajemen plasenta merupakan tantangan terberat,Â karena harus dipersiapkan dan direncanakan secara baik. Pada Laporan kasus ini wanita 36 tahun dengan diagnosis G2P1A0H1 gravid 27-28 minggu + Kehamilan Abdominal + Janin Mati + Anemia Ringan. Dilakukan Laparotomi untuk melahirkan bayi ,Â Durante operasi dilakukan eksplorasi tempat perlekatan plasenta. Di dapatkan plasenta tertanam di cavum douglas dengan melekat pada Colon Ascenden, Rectum, colon desenden, usus dan peritoneum. Tampak sebagian plasenta sudah terlepas dari penanaman nya, disertai tumpukan stout cell. Dilakukan pelepasan plasenta di seluruh tempat perlekatan. Sisa plasenta di bersihkan satu persatu dengan penjepitan dengan punster clem secara perlahanKata kunci:Kehamilan Abdominal,Â Janin Mati, Laparotomi
Hubungan Tingkat Stres dengan Gejala Vaginitis pada Mahasiswi Program Studi Kedokteran FK UNAND 2019
Authors: Megawati Melsi , Adnani Syahredi Syaiful , Rahman Sukri 
Published: September 2020

Tujuan: untuk mengetahui hubungan antaraÂ tingkat stres dengan gejala vaginitis pada mahasisiwi program studi Fakultas Kedokteran Universitas Andalas Angkatan 2019.Metode: MetodeÂ pada penelitian ini adalah analitik observasional dengan desain cross-sectional. Pengambilan sampel dilakukan dengan non-probability sampling. Â Besar sampel adalah 140 dengan melakukan wawancara terpimpin pada 140 mahasiswi Program Studi Kedokteran Fakultas Kedokteran Universitas Andalas Angkatan 2019. Tingkat stres mahasiswi diukurÂ dengan kuesioner stres dari Depression Anxiety Stress Scale (DASS 42) dan kuesioner gejala vaginitis. Analisis data menggunakan uji Chi-Square.Hasil: lebih dari setengah responden yaitu sebanyak 71 responden (50,6%) mengalami stres. Tingkat stres sedang merupakan presentase terbesar yaitu sebanyak 31 orang Â (43,6%). Sebagian besar responden yaitu sebanyak 121 responden (86,4%) mengalami gejala vaginitis. Hasil uji statistik didapatkan p-value = 0,943.Kesimpulan: Lebih dari setengah reponden mengalami stres dan sebagian besar responden mengalami gejala vaginitis. Nilai p-value menunjukkan bahwa tidak terdapat hubungan bermakna antara tingkat stres dengan gejala vaginitisKata kunci:Stres, vaginitis, remaja
Perbandingan Cadangan Ovarium Sebelum Dan Setelah Tindakan Laparoskopi Kistektomi â€œFertility Sparingâ€ Pada Penderita Kista Endometriosis
Authors: Rizary Dwinda , Hendry Dedy 
Published: September 2020

Laparoskopi Kistektomi tetap menjadi pilihan lini pertama untuk penanganan kista endometriosis. Namun tindakan ini akan menimbulkan kerusakan terhadap ovarium. Tindakan â€œfertility sparingâ€ adalah dilakukannya manajemen terhadap pasien endometriosis dengan menghemat uterus dan ovarium sehingga tidak banyak jaringan yang terbuang. Tujuan Penelitian : Penelitian ini membandingkan nilai cadangan ovarium sebelum dan setelah tindakan laparoskopi kistektomi dengan memakai tiga marker yaitu kadar AMH (Anti Mullerian Hormon), kadar FSH dan Estradiol pada siklus haid hari kedua atau ketiga dan nilai AFC (Antral Follicle Count) dengan USG Trasnvaginal. Â Materi dan metode : Penelitian ini adalah penelitian eksperimental yang dilakukan terhadap 25 orang penderita endometrioma. Cadangan ovarium sebelum dan setelah tindakan laparoskopi dinilai dengan tiga marker yaitu AMH, FSH dan Estradiol serta AFC. Dilakukan laparoskopi kistektomi dengan teknik yaitu tanpa energi elektrik koagulasi yang berlebihan, obat vassopresin yang disuntikkan ke dinding kista, teknik â€œstripping of the membraneâ€ pada kista, tanpa suturing/ penjahitan, teknik kompresi untuk mengatasi perdarahan, menghindari pengangkatan kantong kista hingga ke daerah hilus. Analisis statistic untuk menilai kemaknaan menggunakan paired t test. Hasil : Terdapat perbedaan rerata kadar AMH dimana sebelum laparoskopi lebih tinggi yaitu 1,77 Â± 0,39 ng/ml sedangkan setelah laparoskopi 1,54 Â± 0,38 ng/ml. Rerata kadar FSH dimana setelah laparoskopi lebih tinggi yaitu 10,13 Â± 6,51 mlU/ml sedangkan sebelum laparoskopi 6,91 Â± 4,59 mlU/ml. Rerata kadar estradiol dimana sebelum laparoskopi lebih tinggi yaitu 99,65 Â± 77,18 mlU/ml sedangkan setelah laparoskopi 63,67 Â± 35,22 mlU/ml. Terdapat perbedaan AFC antara sebelum laparoskopi dan setelah laparoskopi dimana 15 orang (60%) AFC <4, 10 orang (40%) AFC 4-6,Â saat sebelum laparoskopi dan 8 orang (32%) AFC <4, 8 orang (32%) AFC 4-6, dan 9 orang (36%) AFC 7-10 saat setelah laparoskopi. Terdapat hubungan yang bermakna dari hasil analisis statistic ( terjadi penurunan cadangan ovarium sebelum dan setelah tindakan laparoskopi kistektomi â€œfertility sparingâ€) (p=0.001). Kesimpulan : Terdapat pengaruh tindakan laparoskopi kistektomi terhadap penurunan cadangan ovarium yaitu AMH mengalami 13,3% penurunan (p=0,001) , FSH mengalami 31,6% kenaikan (p=0,001), estradiol mengalami 47,8% penurunan (p=0,001), dan AFC mengalami 47,9% kenaikan (p=0,003).Kata kunci: Laparoskopi Kistektomi, Endometriosis, Anti Mullerian Hormone, Antral Follicle Count, FSH, Estradiol
MULTIGRAVIDA WITH UNCONTROLLED HYPERTHYROID AND BILATERAL PLEURAL EFFUSION
Authors: Sutrisno Muhammad Al Farisi , Herlambang Herlambang , Firmansyah Firmansyah 
Published: September 2020

Background: Hyperthyroid is a hypermetabolic condition caused by abnormal thyroid gland function resulting in overproduction and overexpression of thyroid hormone. The prevalence of hyperthyroid during pregnancy is 0.1-0.4%, where 85% of case are presented as graveâ€™s disease. Objective: To report the treatment of uncontrolled hyperthyroid during pregnancy.Method: Case Report Case:Â Ms. S, Female, 33 years old, presenting with brethlessness since 5 days before admission. Breathlessness persist and aggravated by lying down position. The patient has history of hyperthyroid since 1 years before admission. The blood pressure was 120/80 mmHg, respiration rate 28 times/min, and body temperature 36,7oC. Uterus fundal height 26 cm, cephalic presentation, fetal heart rate 130 times/min, single fetus intrauterine and alive. Laboratoric test for leukocyte: 21,300/ul, T4 level 22.8 mg/dl dan T3 level 2.9 mg/dl. The patient diagnosed with G3P2A0 31-week gestational age single alive fetus intrauterine with uncontrolled hyperthyroid and bilateral pleural effusion. Treatment consist of propylthiouracil as the drug of choice for anti-thyroidal drug, nifedipine for gestational hypertension and furosemide to treat the pleural effusion.Â Conclusion: History taking, physical examination, thyroid function test, and maintaining euthyroidism during pregnancy is a key to reduce the risk of maternal and fetal complication.Keywords: hyperthyroid, pregnancy , IUGR
Colposcopy Findings In High-Grade Cervical Precancer Lesion
Authors: Friadi Andi 
Published: September 2020

Cervical precancer lesion can generally be seen in the transformation zone. Colposcopy allows us to see an image of enlarge precancer lesion in the transformation zone. The colpocopist should consider some important things to determine the appearance of low-grade lesion or high-grade lesion. Two important things are the description of abnormal epithelium and the description of abnormal blood vessels. The description of the abnormal epithelial seen after administration of acetic acid 3-5%,Â acetowhite looks faster and disappears slower. The â€œwhiteâ€ lesion is more concentrated like the color of shells, with clear border and surface contour. To find the abnormal blood vessels more clearly, we can use the green filter. High-grade lesion shows rough mosaic and rough punctation or both. In addition, finding the cervical blood vessels can help us to determine high-grade lesion. By understanding the description of the epithelial cervix and abnormal blood vessels , we will easily distinguish high-grade lesions from low grade lesion. Â Keywords: cervical precancer, colposcopy findings
Perimortem Cesarean Section : As Resucitative Hysterotomy On Maternal Cardiac Arrest
Authors: Dewi Madona Utami , Adnani Syahredi Syaiful , Taslim Emilzon 
Published: September 2020

Maternal cardiac arrest or maternal collaps is defined as an acute event involving the cardiorespiratory systems and/or brain, resulting in a reduced or absent consciousness level (and potentially death), at any stage in pregnancy and up to six weeks after delivery. Perimortem Cesarean Section (PCS) is performed either during maternal cardiac arrest or during impending maternal cardiac arrest toresuscitate mother and fetal. Current recommendations for maternal resuscitation include performance of the procedure following five minutes of unsuccessful cardiopulmonary resuscitation. The most common aetiology of maternal collaps was know as â€œ4 H andÂ 4 Tâ€ (Hypovolemia, Hypoxia, Hypo/Hyperkalemia,Hypothermia; Tromboembolism, Toxicity, Tension pneumothorax, Tamponade). Resuscitation in maternal cardiac arrest is mostly similar with non-pregnant patient resuscitation. There are several considerations need to be addressed in primary survey such as endotracheal tube 1 size smaller, supplemental O2 regardless of peripheral saturation, aggressive volume resuscitation, and uterine displacement to relieve compression of the IVC.Keywords: Maternal cardiac arrest; non-pregnant patient resuscitation
A não realização do exame papanicolaou e comportamentos de risco em mulheres com vida sexual ativa
Authors: Oliveira Ermínia Mayra Felix de , Oliveira Silvia Ximenes , Caldas Mona Lisa Lopes dos Santos , Oliveira Moisés Barbosa , Oliveira Marisa Ximenes , Lima Thoyama Nadja Felix de Alencar 
Published: September 2020

Objetivo: Descrever os motivos da não realização do exame Papanicolaou e o comportamento de risco em mulheres sexualmente ativas. Métodos: Trata-se de um estudo descritivo-exploratório com abordagem quantitativa, realizado com 100 mulheres assistidas pelo NASF em um município do interior da Paraíba. A coleta dos dados ocorreu entre agosto e outubro de 2019, por meio da aplicação de um questionário e analisados de acordo com a literatura pertinente associada a uma análise estatística descritiva. Resultados: A maioria das mulheres são jovens, em união estável com renda familiar abaixo de um salário mínimo. Tiveram início da atividade sexual antes dos 18 anos, com parceiro fixo. O motivo da não realização do exame citológico foi a vergonha. 84% já ouviram falar em HPV e 83% sabem a forma de transmissão. A maioria tem de 1 a dois parceiros sexuais e realizam o exame anualmente. Conclusão: Apesar das estratégias nacionais para aumentar a cobertura do exame, ainda existem dificuldades relacionadas a realização, como a vergonha e o medo, influenciando na baixa cobertura a nível nacional.
O fenômeno do suicídio indígena no Brasil: revisão integrativa da literatura
Authors: De Oliveira Anderson Gomes , Da Silva Carla Andreele Moraes Lima , Silva Ilrislanny Montenegro Costa , De Sousa Adriana Duarte , Leite Neila França , De Farias Altair Seabra , E Souza Ana Beatriz Souza , Barroso Francisco Mailon Pereira , Ferreira Kátia Cilene Rodrigues , Braga Maria de Lourdes da Cruz 
Published: September 2020

Objetivo: Descrever o fenômeno do suicídio indígena no Brasil. Métodos: Trata-se de revisão integrativa da literatura, que buscou descrever o fenômeno do suicídio de populações indígenas no Brasil, a partir de publicações científicas indexadas nas bases de dados Scientific Electronic Library Online (SCIELO); Literatura Latino-Americana em Ciências da Saúde (LILACS) e Literatura Internacional em Ciências da Saúde (MEDLINE) entre janeiro de 2010 a dezembro de 2018, cuja amostra final resultou em 6 artigos. Resultados: O perfil do indígena suicida é similar em todos os contextos estudados. A morte frequentemente ocorre nos domicílios e o método preferencial é o enforcamento seguido por envenenamento. Elementos da cosmologia indígena como o “enfeitiçamento”, “estrago” e “inveja” que, teriam como objetivo causar malefícios à pessoa a qual eles foram destinados, também figuram como causadores do suicídio. Por fim, a própria forma como é representado o post-mortem do suicida, apontam para as especificidades encontradas na significação do auto-extermínio neste contexto. Considerações finais: O suicídio entre indígenas configura-se como um grave problema de saúde pública, pois além das questões já conhecidas, necessitamos levar em consideração as caraterísticas locorregionais, de populações etnicamente diferenciadas.
Direito e Sustentabilidade: Os Acidentes Ecológicos e as Perícias Ambientais
Authors: Silva Adriano Fábio Cordeiro da 
Published: September 2020

Este trabalho aborda os esforços e reações mundiais frente aos acidentes ecológicos e o surgimento do Direito Ambiental. A metodologia desenvolvida foi a da pesquisa bibliográfica, envolvendo os diversos meios de informação. Tem por objetivo descrever os vestígios históricos e crescente complexidade das atividades periciais. Aborda as discussões sobre o conceito de Direito e o Meio Ambiente ecologicamente equilibrado como espécie dos direitos humanos, pondera sobre as influências do capitalismo, o dinamismo incontornável das forças da natureza, e os sistemas legais que reconhecem a natureza como sujeito de Direitos. Apresenta a sustentabilidade como um desafio e imperativo ético da humanidade.
A JUDICIALIZAÇÃO DA SAÚDE NO BRASIL E A REGULAÇÃO DA SAÚDE SUPLEMENTAR ATRAVÉS DA AGÊNCIA NACIONAL DE SAÚDE
Authors: Borges Sabrina , Leão Simone 
Published: September 2020

O setor de saúde no Brasil é formado por um sistema público, financiado pelo Estado por intermédio do SUS e por um sistema privado, denominado de saúde suplementar. No que tange à saúde suplementar, o Estado passou a atuar como regulador dos mercados, por intermédio da ANS. Evidencia-se que a Judicialização da Saúde, traz uma preocupação não só aos gestores do SUS, bem como aos gestores privados e operadores do Direito, especialmente no tocante à necessidade de critérios para pautar as decisões. O escopo é apresentar reflexões acerca da regulação da saúde suplementar. O trabalho explora metodologia qualitativa, do tipo exploratória, por coleta de dados, com revisão bibliográfica.
Dampak Fisiologis Post Kemoterapi Pada Anak Limfositik Leukemia Akut (LLA)
Authors: Nuraini Dwi , Mariyam Mariyam 
Published: September 2020

Leukemia merupakan kanker keganasan sel darah yang berasal dari sumsum tulang. Kemoterapi memerlukan proses yang lama, berkelanjutan dan teratur pada anak yang mengalami leukemia dan dapat menimbulkan ketidakyamanan. Tujuan studi kasus ini menggambarkan asuhan keperawatan pada anak Limfositik Leukemia Akut (LLA) post kemoterapi. Studi kasus ini merupakan studi kasus dengan metode deskriptif. Sampel studi kasus berjumlah 2 responden anak dengan limfositik leukemia akut. Pengumpulan data dilakukan dengan menggunakan metode wawancara dengan keluarga responden, observasi langsung responden dan melihat rekam medis. Pengolahan data dilakukan dengan menganalisa data yang ada untuk dapat menentukan masalah keperawatan yang muncul dan menentukan intervensi, implementasi dan evaluasi. Studi kasus didapatkan data fokus yang muncul adalah badan lemas dan tidak nafsu makan. Diagnosa keperawatan yang ditentukan adalah defisit nutrisi. Intervensi yang direncanakan adalah pengkajian nutrisi, kolaborasi dengan ahli gizi, anjurkan memberikan pasien makan sedikit tapi sering. Implementasi yang dilakukan adalah mengkaji status nutrisi, mengkolaborasi dengan ahli gizi, menganjurkan memberikan pasien makan sedikit tapi sering. Evaluasi yang didapatkan setelah dilakukan asuhan keperawatan selama 3 hari adalah responden 1 tidak mengeluh lemas dan porsi makanan habis sedangkan pada responden 2 tampak lemas dan porsi makanan habis sebagian. Masalah yang muncul pada responden post kemoterapi muncul tidak nafsu makan dan badan lemas.
Surfacing the Organisation-in-the-mind
Authors: Wilson Sandra 
Published: September 2020

The theory of the organisation-in-the-mind suggests that organisations live within us, are a part of our identity and are bound up with our inner emotional life. Connecting this theory to Berne’s thinking on the structure and dynamics of organisations and groups it is possible through interpretative phenomenological analysis to conduct research into how what we hold in the unconscious impacts on professional relationships and performance. The outcome from research in this area is intended to highlight potential areas for development of competence in professional coaches.
TA, relationship with one’s own learning process and strategic studying
Authors: Fregola Cesare 
Published: September 2020

Life-long learning is an increasingly relevant need of our time. Educational perspectives currently tend to focus - beside the single subjects (Foreign Languages, Maths, History) - on how, while learning, you can learn to learn. Considering this perspective, we have been integrating Transactional Analysis in the training for future Primary School Teachers. Our objectives are both more traditional applications intended to improve the relationship between teachers and teachers, teachers and families, and to observe, study and intervene in the relationship which children create with their learning process. The writing on emotional drivers, which we presented on IJTAR – International Journal of TA Research - for didactics of Mathematics, has proved very helpful for other subjects and in learning how to learn.
Our experimentation involved 10 classes of a primary school, and enabled us to create several tools (interviews to identify drivers, egogram interview, check lists for the observation of transactions during the lessons). The learning outcomes have been analysed by the teachers according to some against indicators of learning and didactic objectives established within a systematic frame of reference. This model for didactics in TA clearly contributes to the construction of a learning environment, enhancing both the expression of the Free Child and Self-efficacy.
EFFECT OF GLYCAEMIC CONTROL ON PITUITARY GONADOTROPHINS OF TYPE 2 DIABETIC SUBJECTS IN ENUGU, NIGERIA
Authors: Ignatius C Maduka , Ngozika A Nnamdi 
Published: September 2020

Glycation is considered to be the main molecular basis of several diabetic complications. Association between chronic hyperglycaemia and the development of long-term diabetic-specific complications have been reported but are yet to be completely understood. In this study, the effect of glycaemic control on pituitary gonadotrophins (FSH and LH) was evaluated in male and female diabetics in Enugu, Nigeria. Two hundred and twenty four (240) diabetic patients (92 males and 148 females) within the age range of 31 – 73 years, who were receiving treatment, were randomly recruited for the study. One hundred and thirty four (134) age- and sex-matched apparently healthy volunteers (44 males and 90 females) were recruited as the control subjects. The study subjects were grouped into three categories: Male population (40-72 years), Group A Female population (<50 years) and Group B Female population (≥50 years). The impact of glycaemic control on various parameters was evaluated by classifying the diabetic patients into 3 subgroups on the basis of their HbA1c levels: Good (HbA1c < 7%), Fair (HbA1c 7 to 8%) and (Poor HbA1c > 8 %) glycaemic status. Fasting blood sugar, HbA1c, FSH and LH were determined for all the subjects. The results obtained revealed that the male diabetics had significantly lower (p<0.05) FSH levels when compared with the control subjects. In the two groups of female diabetic subjects, the FSH levels were significantly lower (p<0.05) when compared with their respective control subjects. The glycaemic control evaluation and correlation of HbA1c with the gonadotrophins in the male diabetic population show no statistically significant results. However, in the female diabetic population, subjects with poor glycaemic status show significantly increased (p<0.001) LH levels compared to those with good glycaemic control. In addition, in group B female diabetic population, HbA1c gave significant positive correlation with both FSH (r=0.261, p=0.014) and LH (r = 0.338, p<0.001). This suggests that there is a direct relationship between HbA1c and the gonadotrophic hormones. As glycaemic control is compromised, these hormones tend to increase. This study generally reveals increasing trend in the levels of the gonadotrophins across the different glycaemic status. It can be concluded that good glycaemic control of diabetes can exert better influences on pituitary gonadotrophins.
ROLE OF JALUKAVACHARAN AND MAHAMANJISHTADI KWATH IN THE MANAGEMENT OF MUKHADUSHIKA W.S.R TO ACNE VULGARIS- A CASE STUDY
Authors: Jayant Dhalpe Suchita , Chandurkar Vivek S. 
Published: September 2020

Acne vulgaris is a disease of the pilosebaceous follicle characterized by noninflammatory (open and closed comedowns) and inflammatory lesions (papules, pustules, and nodules). There are four major factors involved in the disease production viz. increased sebum production, cornification of pilosebaceous ducts, microbial involvement and inflammation. This condition is found commonly in puberty.
In Ayurveda, it is termed as Mukhadushika In Ayurveda Mukhadushika is described under the heading of Kshudrarogas. The Shalmali thorn like eruption on the face due to vitiation of Kapha, Vata and Rakta which are found on the face of adolescent are called as Mukhadushika or YuvanPidika. Although vata, kapha and rakta are mentioned as dosha-duṣya involved in the pathogenesis of the disease, pittaja symptoms are also found in the disease like daha and paka. Patient was suffering from Acne over face (Pidika), Burning sensation over face (Daha), Itching over face (Kandu), and Discolouration of skin (Vaivarnya) since 6 months. Patient was treated with jalukavacharan and mahamanjishtadi kwath.