bluuebunny/crossref_metadata_2025_split huggingface dataset:
PEMAKAIAN PEMBALUT SAAT MENSTRUASI DENGAN KEJADIAN PRURITUS VULVA
Authors: Laili Uliyatul 
Published: May 2020

Remaja putri yang mampu menjaga kebersihan vagina saat menstruasi tidak akan mengalami pruritus vulva. Namun kenyataannya, masih banyak remaja yang mengalami pruritus vulva, terutama pada remaja yang berada di lingkungan pondok pesantren. Salah satu penyebab pruritus vulva yaitu adanya dermatitits kontak iritan, rangsangan oleh ektoparasit serta faktor lingkungan yang membuat kulit lembab atau kering. Tujuan penelitian ini adalah untuk menganalisis hubungan frekuensi pemakaian pembalut saat menstruasi dengan kejadian pruritus vulva.
Jenis penelitian yaitu deskriptif analitik dengan desain cross sectional. Populasi seluruh santriwati SMA Al-Furqon pondok pesantren Al-Furqon Driyorejo Gresik, sampel sebanyak 57 orang dengan menggunakan teknik simple random sampling. Instrumen penelitian yang digunakan adalah kuesioner. Analisis data menggunakan uji statistik Chi-Square dengan hasil < ɑ 0,05.
Hasil penelitian didapatkan sebagian besar (63,2%) tidak sering mengganti pembalut, sebagian besar (56,1%) mengalami pruritus vulva kategori sedang. Berdasarkan hasil uji statistik diperoleh nilai ρ = 0,000 < ɑ 0,05 berarti H0 di tolak artinya ada hubungan frekuensi pemakaian pembalut saat menstruasi dengan kejadian pruritus vulva.
Semakin sering mengganti pembalut saat menstruasi maka akan menurunkan kejadian pruritus vulva, disarankan bagi wanita untuk sering mengganti pembalut saat menstruasi sehingga mencegah pruritus vulva.
HUBUNGAN TINGKAT PENDIDIKAN IBU HAMIL TERHADAP FREKUENSI PEMERIKSAAN KEHAMILAN BPM G. N. MAYA D. TAMBAK SAWAH
Authors: Andarwulan Setiana 
Published: May 2020

Pelayanan antenatal adalah pelayanan kesehatan yang dilaksanakan oleh tenaga kesehatan kepada ibu selama masa kehamilannya sesuai standar pelayanan antenatal yang ditetapkan. Pemanfaatan pelayanan antenatal care oleh sejumlah ibu hamil di Indonesia belum sepenuhnya sesuai dengan pedoman yang ditetapkan. Kurangnya pemanfaatan antenatal care oleh ibu hamil ini berhubungan dengan banyak faktor. Salah satu faktor diantaranya adalah pendidikan ibu hamil. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pendidikan ibu hamil dengan frekuensi pemeriksaan kehamilan di BPM G. N. Maya D Tambak Sawah. Pelaksanaan penelitian dilakukan pada bulan Mei – Juli 2019. Penelitian ini dilaksanakan dengan metode cross sectional, yang mempunyai variabel penelitian yaitu tingkat pendidikan dan frekuensi pemeriksaan kehamilan. Jumlah populasi sebanyak 36 ibu hamil sedangkan sampel sebanyak 33 ibu hamil. Pengumpulan data dilakukan dengan pengisian kuisioner yang dibuat oleh peneliti dan diisi oleh responden. Selanjutnya data yang terkumpul diolah dengan menggunakan bantuan computer program SPSS versi 20 untuk dianalisa dengan uji chisquare dengan tingkat kemaknaan (α) 0,05. Hasil penelitian menunjukkan tingkat pendidikan rendah sebanyak 54,5 % frekuensi ketidakteraturan periksa hamil sebanyak 54,5%, hubungan antara tingkat pendidikan terhadap frekuensi pemeriksaaan kehamilan adalah x2 hitung = 33> dari x2 tabel = 5,99.Kesimpulan dalam penelitian ini ada hubungan antara tingkat pendidikan ibu hamil dengan frekuensi pemeriksaan kehamilan .
Cobertura de detección de cáncer de células uterinas en una región de alta incidência.
Authors: Navarro Cibelli , Jardim da Fonseca Allex , Sibajev Alexander , Lima Rabelo Wendell 
Published: May 2020

OBJETIVO: Analice la cobertura de un programa de detección de cáncer uterino en una ciudad con una alta incidencia de enfermedades, además de los factores asociados con el cumplimiento del programa preventivo actual.
MÉTODOS: Se realizó un estudio transversal basado en encuestas de hogares. La muestra estaba compuesta por mujeres entre 25 y 59 años de la ciudad de Boa Vista, RR, norte de Brasil, que estaban cubiertas por el programa de detección de cáncer uterino. Se utiliza el método de movimiento por grupos. La variable dependiente fue la participación en un programa de salud de la mujer, definido como menos de una prueba de Papanicolaou en los 36 meses previos a la entrevista; Las variables explicativas se extraen de los datos individuales. Se utilizó un modelo lineal generalizado.
RESULTADOS: Se analizaron 603 mujeres, con una edad promedio de 38.2 años (DE = 10.2). Se agregaron cinco mujeres diferentes al problema de detección, y la prevalencia de adherencia en los últimos tres años fue de hasta 85.7% (IC 95%: 82.5; 88.5). Un alto ingreso por persona y una consulta médica reciente si se asocia con el menú no se probaron en análisis multivariado. La ignorancia de la enfermedad, las causas y los métodos de prevención se correlacionan con las posibilidades de incumplimiento del sistema de detección; Se informó que el 20.0% de las mujeres estaban involucradas en problemas de detección oportunistas y no rutinarios.
CONCLUSIONES: El nivel de cobertura reportado es alto, excediendo el nivel recomendado para el control del cáncer cervical. El programa preventivo parece ser de naturaleza oportunista, particularmente para las mujeres más vulnerables (con bajos ingresos y poca información sobre la enfermedad). Los estudios sobre la calidad diagnóstica de la citología cervicovaginal y los calendarios terapéuticos para casos positivos son necesarios para comprender las barreras para el control del cáncer cervical.
ASSISTÊNCIA FARMACÊUTICA AO IDOSO HIPERTENSO: UMA REVISÃO
Authors: Petito Guilherme , Matias Flaviane Daniela Araujo , Ferracine Eliene Aparecida Ferreira 
Published: May 2020

A hipertensão arterial é uma síndrome caracterizada por níveis tensionais elevados, associados a alterações metabólicas e hormonais e a fenômenos tróficos, como ipertrofias cardíacas e vasculares. Dessa forma buscou-se realizar uma pesquisa bibliográfica com o objetivo de abordar a importância da assistência farmacêutica ao idoso hipertenso. Trata-se de uma revisão da literatura, de aspecto qualitativo, relacionada à assistência farmacêutica direcionada a pacientes idosos hipertensos, realizada entre agosto e novembro de 2013. Foi constatado que a hipertensão arterial é o agravo mais comum na população adulta, é uma patologia crônica que pode ser na maioria das vezes assintomática, no entanto, os altos níveis pressóricos podem causar fadiga, palpitações, cefaleia e visão turva. Com o aumento da idade a pressão arterial também tende a aumentar, assim sendo a hipertensão arterial sistêmica pode ser considerada consequência do envelhecimento, pois com o envelhecimento acontecem diversas alterações fisiológicas como alterações cardiovasculares, metabólicas, respiratórias, sistema digestivo, ósseo, neurológico, demonstrando assim a fragilidade do idoso, uma vez que com o passar do tempo é diagnosticado cada vez mais enfermidades, sendo a maioria delas doenças crônicas, dessa forma o paciente idoso hipertenso necessita de mais atenção do que a população de hipertensos mais jovens. Assim, a assistência farmacêutica se mostra uma prática eficiente para garantir o uso racional de medicamentos, a adesão ao tratamento anti-hipertensivo e a eficácia do mesmo, visto que o profissional farmacêutico através de medidas educativas pode proporcionar diversos benefícios ao tratamento do idoso hipertenso.Palavras-Chave: Idoso, hipertensão arterial sistêmica, tratamento.
CANABIDIOL E SUAS APLICAÇÕES TERAPÊUTICAS
Authors: Gontijo Érika Cardoso , Castro Geysilla Lorrany , Petito Anamaria Donato de Castro , Petito Guilherme 
Published: May 2020

Introdução: Atualmente sabe-se que a Cannabis sativa, popularmente conhecida como maconha, apresenta substâncias com promissoras propriedades farmacológicas. Dentre estas destaca-se o canabidiol (CBD), que vem mostrando potencial efeito no tratamento de diversas doenças, como: autismo, epilepsia, ansiedade e outras. Objetivo: Evidenciar a importância do estudo sobre o CBD, mostrando como essa substância apresenta efeitos promissores, para tratamento de várias doenças graves. Método: Trata-se de uma revisão da literatura, exploratória, de aspecto qualitativo, realizada por meio de busca ativa nas bases de dados do SCIELO, LILACS e da BIREME, utilizando como ferramenta de busca o site Periódicos Capes, utilizando as seguintes palavras-chave: C. sativa; Fitocanabinóides; Uso terapêutico. Resultados: Medicamentos com alto teor de CBD já vem sendo utilizado, em alguns países, inclusive no Brasil, em pacientes que sofrem severas crises convulsivas, até mesmo em pacientes infantis, apresentando bons resultados e poucos efeitos colaterais. No Brasil, com a autorização da Agência Nacional de Vigilância (ANVISA) já se pode importar extratos padronizados produzidos por indústrias farmacêuticas internacionais. Contudo, o processo ainda é burocrático. Além de ser usado no tratamento de epilepsia o CBD, se mostra promissor também no tratamento de outras doenças como ansiedade, doenças neurodegenerativas, esclerose múltipla e dor neuropática. Conclusão: As propriedades terapêuticas do CBD merecem atenção especial, devendo ser realizadas mais pesquisas para maior conhecimento dessa substância e consequentemente, conhecer melhor seu mecanismo de ação no tratamento de doenças.Palavras-Chave: Cannabis sativa; Fitocanabinóides; Uso terapêutico.
AVALIAÇÃO DAS QUALIDADES HIGIÊNICOSSANITÁRIAS DAS UNIDADES DE ALIMENTAÇÃO DAS ESCOLAS MUNICIPAIS E CEMEI DO CARMO DO RIO VERDE-GO
Authors: Silva Gilmar Aires da , Gomes Carla Cristina , Coelho Millena da Silva 
Published: May 2020

Introdução: A alimentação de qualidade é muito importante na vida do ser humano especialmente por ajudar a manter a saúde do indivíduo, portanto a alimentação escolar tendo como base o PNAE contribui significativamente nas condições nutricionais de crianças e jovens, mas para isso é preciso que os manipuladores dos alimentos e o ambiente estejam capacitados a realizar manipulação dos alimentos segundo as RDC/ANVISA n° 216/2004 e n°275/2002 que tratam das condições higiênicossanitárias e Boas Práticas de fabricação dos alimentos. Objetivos: avaliar a qualidade higiênicossanitária dos manipuladores, utensílios, ambiente e alimentos que são servidos nas escolas e CEMEI da rede municipal de ensino da cidade de Carmo do Rio Verde-GO e confrontar os dados coletados, com os dados propostos nas normas de vigilância sanitária. Metodologia: estudo de campo de caráter qualitativo e quantitativo que foi realizado em quatro escolas na área urbana de Carmo do Rio Verde-GO, com aplicação de check-list. Resultados e discussão: Os resultados indicam mais de 60% de conformidades nas unidades avaliadas. As instituições se enquadram no grupo 2 conforme padrão estabelecido pela RDC nº 275 de 21 de outubro de 2002 da ANVISA/MS na qual se tem de 50 a 75% de atendimento aos itens. Conclusão: De acordo com os resultados obtidos nesse estudo, fica claro que existem falhas na qualidade higiênicossanitária da merenda escolar das instituições pesquisadas, são necessários medidas corretivas em relação às instalações, manipuladores, equipamentos e utensílios para que se atenda as recomendações das RDC 275 E 216.
Editorial Volumen 23
Authors: Ñústez L. Carlos Eduardo; 
Published: May 2020

It is a special satisfaction for the editorial committee of the journal of the Latin American Potato Association - LAPA- to publish the second issue of the year 2019. In this issue are articles by researchers from various Latin American countries in which various topics are addressed, among them, the production of seeds under the family farming system in Uruguay, the recognition of the contribution of research institutions in Bolivia, especially for the development and impact of new potato varieties in various producing regions, in the same way, results of the evaluation of new clones with special characteristics of disease resistance and good agronomic response in the Midwest of Brazil, the response in the content of phenols and enzymatic browning in important varieties of Argentine potatoes treated with antioxidant products in storage, the benefits of the clinics of plants in Peru and finally turned out Research data from the International Potato Center -IPC- related to the quantification of potato losses in the value chain, analyzed in Ecuador and Peru.
Hematocrit Changes as Parameters for Giving Mannitol in Severe Head Injury
Authors: Susanto Donny Valensius , Permono Trijoso 
Published: May 2020

ABSTRACT
Introduction. Incidence of head injuries is also quite high in Indonesia, around 1.4 million cases per year with a mortality rate of 15-20% in the population aged 5 to 35 years. Head injuries are commonly divided into two separate time periods namely primary and secondary brain injuries. Primary brain injury is physical damage to the parenchyma (tissue and blood vessels) that occurs during a traumatic event, thus causing compression of the surrounding brain tissue. Secondary brain injury is a continuation of the results of primary brain injury with the main complications of brain injury in the following hours and days. This study was aimed to asses the benefits of administration of mannitol in cases of severe head injury in South Sumatra, Indonesia.
Methods. This research was a clinical trial without comparison by looking at hematocrit levels in patients with severe head injuries with intracranial hypertension before and after given mannitol therapy. Data analysis was performed with IBM SPSS Version 23. Data was presented in the form of narrative tables. Then the paired T test was performed. P value <0.05.
Results. From 39 research subjects, the age of the subjects ranged between 6-88 years with an average of 33 years. Based on sex there were 28 male sufferers (71.8%) and there were 11 female sufferers 28.2%. GCS varies from 3 to GCS 8 intra-cranial abnormalities. From 39 research subjects with severe head injury without surgery, a hematocrit examination was performed before, after 10 minutes and 6 hours of injection of mannitol bolus 1 g / kg body weight. It was obtained that averaged hematocrit before mannitol administration was 34, after 10 minutes was 33 and after 6 hours was 35.
Conclusion. There is a decrease in hematocrit levels after administration of bolus mannitol 1 g / kg BW at the beginning of mannitol administration and hematocrit will increase again after 6 hours of mannitol administration
Galveston Orientation & Amnesia Test (GOAT) Score to Assess Degree of Severity in Mild Brain Injury
Authors: Yohansyah Zieky , Sitorus Sahat Edison 
Published: May 2020

ABSTRACT
Introduction. Most of the minor brain injuries will heal as usual, but around 10-15% even 58% experience a continuous or chronic disorder known as post-traumatic syndrome. Post traumatic syndrome has manifested in the first 7 days where the quality of life of patients has decreased significantly. This study aimed to assess post traumatic amnesia in minor traumatic brain injuries in Emergency, Inpatient, and Outpatient RSUP. Moh. Hoesin Palembang using GOAT to determine the classification of minor brain injuries based on post traumatic amnesia and determine the prognosis of mild traumatic brain injury according to the presence or absence of post-traumatic syndrome.
Methods. This research is an analytic survey with cross sectional approach. The subjects of this study were patients who were admitted and treated at the Emergency Department, Inpatient Installation, and Outpatient Installation (Polyclinic) at the RSUP dr. Mohammad Hoesin Palembang with mild traumatic brain injury and met the inclusion criteria. Inclusion criteria were patients who present with mild brain injury (GCS EMV score 13-15), age ≥ 15 years, the time of the event lasts longer ≤ 24 hours, agreeing and signing informed consent
Results. Amnesia assessment uses the GOAT (Galveston Orientation and Amnesia Test) which is divided into three categories, namely PTA free if results> 75, and still in amnesia period if results <66 and 66-75 are doubtful. Based on GOAT assessment the number of Amnesia respondents was 23 people (42.6%) with an average GOAT score or score of 67.6.
Conclusion. There is a significant relationship between the incidence of amnesia and post-traumatic syndrome using the GOAT Score assessment.
Pediatric Logistic Organ Dysfunction 2 Scoring System in Predicting the Prognosis of Death in Pediatric Patients with Clinical Sepsis
Authors: Surya Rahwanda , Saksono Sindu 
Published: May 2020

ABSTRACT
Introduction. Sepsis is still one of the main causes of mortality and morbidity in children in industrialized and developing countries. Pediatric Logistic Organ Dysfunction 2 (PELOD 2) score aims to assess the degree of organ system disorder. In addition, PELOD score 2 also has a close relationship with death and can detect any organ dysfunction even in patients with low mortality. This study aims to determine the relationship between PELOD 2 score with the death of patients in pediatric surgical cases with clinical sepsis at Dr. Mohammad Hoesin Hospital (RSMH) Palembang.
Methods. An observational analytic study with a cohort design was conducted at the Mohammad Hoesin Hospital in Palembang from August 2017 to December 2017. There were 30 samples of pediatric patients with clinical sepsis who met the inclusion criteria. Data frequency and distribution are explained in tabular form. The relationship between PELOD 2 score (Pediatric Logistic Organ Dysfunction 2) with death was analyzed by the Fisher Exact test. Survival rates are obtained by analyzing survival using Kaplan meier. Data analysis uses SPSS version 18.0.
Results. In this study, the results showed that there were no differences in age, weight, height and sex between groups with mortality and life outcomes (p> 0.05). With the Fisher Exact test, it was found that there was a significant relationship between PELOD 2 score and mortality in pediatric patients with clinical sepsis (RR = 13; RR> 2; p = 0.000; p> 0.05). Of 30 pediatric patients with clinical sepsis, there were 13 deaths (43.3%) of pediatric patients with clinical sepsis where 13 out of 15 people (86.7%) in the risk group and the comparison group did not get any deaths.
Conclusions. It can be concluded that there is a significant relationship between PELOD 2 score (Pediatric Logistic Organ Dysfunction 2) with the death of patients in pediatric surgical cases with clinical sepsis at Dr. Mohammad Hoesin Hospital (RSMH) Palembang.
DAMAGING AND DESTRUCTION OF REDUCTION TRAINS OF MI-8 HELICPTER AND ITS MODIFICATIONS
Authors: Pilipenko O. , Kolesnik D. , Berezniak A. , Shokha V. 
Published: May 2020

The results of quantitative factographic study of the Mi-8 helicopter (its modifications) reduction trains with different types of gear coupling, the destruction of which occurred while in flight due to the presence of preliminary material damage at the stage of production of the gear wheels and during their operational employment are presented in a generalized form. Contact teeth destruction as the main cause of failures of high-speed gear wheels in well-lubricated enclosed gears are considered. The causes of the wearing and sticking of the teeth along their lateral surfaces as well as scoring and destruction depending on the origin of the cracks are revealed.
The main causes of damaging and destruction of helicopter reduction trains, locations and origination of fatigue cracks spots are identified. Different types of contact and fatigue destructions due to various reasons are considered.
Dynamic loading of gear wheels disks as a result of their rotation damages the material of the wheels in the area of multi-cycle fatigue due to the repeatability of flight load cycles.
Lamination or deep contact destruction of the material, which sometimes take place in gears with surface hardened (cemented, tempered, nitrided, etc.) teeth, are much more dangerous than surface destruction of the material since sufficiently large fractions of the hardened material layer are split away from the teeth that can quickly break down an entire gear train.
The main causes of contact teeth destruction are load concentration along the length and profile of the teeth, the presence of residual tensile stresses on the working surfaces of the teeth, adverse operational damage to the tooth profiles and negative effect of lubricating fluid on the teeth.
For a repaired gear train the cause of the uneven load distribution along the length of the teeth may be the poor assembly of the gear wheels and other transmission parts which leads to unsatisfactory contact of the gear teeth in the assembled unit.
The revealed peculiarities of the destruction process indicate regular crack proliferation from flight to flight. According to the operation conditions of the gear wheel, its regular extensive loading refers only to the full cycle of starting and stopping the reducer train or unloading the helicopter in flight, which in this case corresponds to the cycle of helicopter operation in one flight. Therefore, the number of detected fatigue lines corresponds to the number of helicopter flights.
To increase the smoothness of gear train running which affects positioning accuracy, reduce wear during running-in, decrease noise, eliminate early jamming, and ultimately, to increase the resource, it is necessary to eliminate the edge interaction of the teeth, which causes their excessive wear.
Precessing Flaring Magnetar as a Source of Repeating FRB 180916.J0158+65
Authors: Levin Yuri , Beloborodov Andrei M. , Bransgrove Ashley 
Published: May 2020

Abstract
Recently, the Canadian Hydrogen Intensity Mapping Experiment detected periodicity in the bursting rate of the repeating FRB 180916.J0158+65. In a popular class of models, the fast radio bursts (FRBs) are created by magnetic flares of a hyperactive magnetar driven by fast ambipolar diffusion in the core. We point out that in this scenario the magnetar is expected to precess freely with a period of weeks to months. The internal magnetic field B ∼ 1016 G deforms the star, and magnetic flares induce sudden changes in magnetic stresses. The resulting torques and displacements of the principal axes of inertia are capable of pumping a significant amplitude of precession. The anisotropy of the flaring FRB activity, combined with precession, implies a strong periodic modulation of the visible bursting rate. The ultrastrong field invoked in the magnetar model provides: (1) energy for the frequent giant flares, (2) the high rate of ambipolar diffusion, releasing the magnetic energy on the timescale ∼109 s, (3) the core temperature T ≈ 109 K, likely above the critical temperature for neutron superfluidity, (4) strong magnetospheric torques, which efficiently spin down the star, and (5) deformation with ellipticity ϵ ≳ 10−6, much greater than the rotational deformation. These conditions result in a precession with negligible viscous damping, and can explain the observed 16 day period in FRB 180916.J0158+65. The increase of precession period due to the magnetar spindown should become measurable in the near future.
Quand parlent les sans-voix
Authors: Ablali Driss , Wiederspiel Brigitte 
Published: May 2020

Ce travail porte sur un dispositif destiné à donner la parole aux « sans-voix » dans un espace numérique organisé par une association de prévention contre le suicide. C’est l’activité même du tchat, entre les voix des souffrant(e) s et les bénévoles de l’association, qui va conférer à cet espace d’écoute, pratiqué par un ensemble d’individus isolés, une dimension sociale et publique. Après discussion du genre textuel spécifié par l’intime, l’ ethos égalitaire et la temporalité brève du tchat, c’est la mise en discours de la souffrance relativement au genre qui est différenciée.