bluuebunny/crossref_metadata_2025_split huggingface dataset:
Faktor yang Memengaruhi Bendungan ASI pada Ibu Nifas di Wilayah Kerja Puskesmas Rambung Merah Kabupaten Simalungun
Authors: Juliani Sri , Nurrahmaton Nurrahmaton 
Published: March 2020

Pendahuluan: Bendungan ASI yang disebabkan oleh pengeluaran air susu yang tidak lancar, karena bayi tidak cukup sering menyusu pada ibunya. Data SDKI tahun 2015 menyebutkan bahwa terdapat ibu nifas yang mengalami Bendungan ASI sebanyak 35.985 atau (15,60 %) ibu nifas. Tujuan: Tujuan penelitian ini adalah untuk mengetahui factor yang berpengaruh terhadap bendungan ASI di Wilayah Kerja Puskesmas Rambung Merah Kabupaten Simalungun. Metode: Desain penelitian survey analitik kuantitatif dengan pendekatan cross sectional dengan populasi sebanyak 122 ibu nifas dan sampel sebanyak 92 responden dengan teknik accidental sampling, analisis data menggunakan analisis univariat, bivariat dan multivariat dengan uji regresi logistik. Hasil: Diperoleh hasil penelitian bahwa seluruh variabel independen mempengaruhi bendungan ASI dengan nilai p-value < 0,05, dan berdasarkan hasil uji regresi logistik yang paling memengaruhi kejadian bendungan ASI adalah frekuensi menyusui dengan nilai sig. p = 0,000<0,25 dan nilai B (logaritma natural) terbesar yaitu 3,740. Kesimpulan: Diperoleh kesimpulan ada pengaruh frekuensi menyusui dengan kejadian bendungan ASI. Diharapkan kepada petugas puskesmas agar lebih peduli dan meningkatkan informasi manajemen laktasi dan perawatan payudara dalam mencegah kejadian bendungan ASI pada ibu nifas.
Pengaruh Teknik Marmet terhadap Kelancaran Air Susu Ibu di Desa Nag. Pematang Simalungun Kecamatan Siantar Kabupaten Simalungun
Authors: Misna Rumini , Sartika Dewi , Saragi Riheny Lia Lovely 
Published: March 2020

Pendahuluan: Beberapa upaya yang bisa dilakukan untuk membantu kelancaran pengeluaran ASI pada ibu diawal menyusui adalah breast care, pijat oksitosin, dan teknik marmet. Teknik marmet dapat digunakan untuk pengeluaran ASI yang dapat diterapkan secara praktis oleh ibu. Teknik marmet merupakan pijitan dengan menggunakan dua jari yang dapat merangsang payudara untuk memproduksi lebih banyak ASI. Tujuan: Tujuan penelitian ini untuk mengetahui pengaruh teknik marmet terhadap kelancaran Air Susu Ibu di Desa Nag. Pematang Simalungun Tahun 2019. Metode: Jenis penelitian ini adalah Quasy Eksperimen dengan Design One Group Post Test Design. Populasi dalam penelitian seluruh ibu yang tidak bekerja yang mempunyai bayi 0-6 bulan sebanyak 30 orang. Sampel sebanyak 30 orang dengan masing-masing kelompok sebanyak 15 orang di Desa Nag. Pematang Simalungun Kecamatan Siantar Kabupaten Simalungun. Dengan teknik pengambilan sampel accidental sampling. Analisa data menggunakan data univariat dan bivariat dengan uji Wilcoxon Sign Rank Test. Hasil: Dari hasil penelitian menunjukkan pada ibu kelompok intervensi dengan produksi ASI lancar sebesar 76,5% (13 orang), sedangkan pada kelompok kontrol dengan produksi ASI lancar sebesar 23,5% (4 orang). Hasil penelitian ini menggunakan Uji Wilcoxon Signed Rank Test diketahui Asymp.Sig.(2-tailed) bernilai 0,007 lebih kecil dari 0,05 (0,007<0,05) sehingga dapat disimpulkan bahwa Ha diterima. Kesimpulan: Kesimpulan Teknik marmet ada pengaruh terhadap kelancaran Air Susu Ibu di Desa Nag. Pematang Simalungun Tahun 2019. Saran diharapkan dapat menjadi masukan dan menambah wawasan tentang teknik marmet terhadap kelancaran Air Susu Ibu.
Hubungan Tingkat Kecemasan Ibu dengan Emesis Gravidarum pada Ibu Hamil Trimester I di Puskesmas Payung Sekaki
Authors: Ritawani Evis 
Published: March 2020

Pendahuluan: Emesis gravidarum adalah gejala awal yang wajar atau sering terdapat pada kehamilan trimester I. Angka kejadian emesis gravidarum sedikitnya 14% dari semua wanita hamil. Biasanya terjadi 60-80% pada primigravida dan 40-60% pada multigravida. Penyebabnya karena peningkatan hormon HCG. Adapun faktor resiko terjadinya emesis gravidarum adalah masalah psikologi, salah satunya kecemasan. Tujuan: Penelitian ini untuk mengetahui apakah ada Hubungan Tingkat Kecemasan Ibu Dengan Emesis Gravidarum Pada Ibu Hamil Trimester I di Puskesmas Payung Sekaki Tahun 2019. Metode: Jenis penelitian ini adalah analisis kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini berdasarkan data dari Puskesmas Payung Sekaki ada 31 orang ibu hamil trimester I yang terdata bulan Januari-Maret tahun 2019. Sampel penelitian ini Total sampling. Analisa data menggunakan uji Chi-Square. Hasil: Snalisis univariat didapatkan ibu hamil yang mengalami kecemasan sedang sebanyak 24 orang (74,4%), dan ibu hamil yang mengalami emesis gravidarum sebanyak 23 orang (74,2%). Hasil analisis bivariat ibu dengan tingkat kecemasan sedang mengalami emesis gravidarum sebanyak 22 orang ( 91,7%). Kesimpulan: Analisa data menunjukkan P value = 0,000 (P = 0,05) yang artinya ada hubungan yang signifikan antara tingkat kecemasan dengan emesis gravidarum pada ibu hamil trimester I di Puskesmas Payung Sekaki. Saran kepada responden agar menemani ibu ketika pemeriksaan kehamilan, agar ibu merasa diperhatikan dan tidak stress saat hamil, terutama pada ibu primigravida. Sedangkan untuk Puskesmas agar memberikan informasi dan penanganan tentang emesis gravidarum.
Hubungan Cakupan Kepemilikan Jamban di Kelurahan Kampung Baru Kota Pekanbaru
Authors: Hayana Hayana , Raviola Raviola , Aryani Ella 
Published: March 2020

Jamban keluarga adalah suatu bangunan yang dipergunakan untuk membuang tinja atau kotoran manusia atau najis bagi suatu keluarga yang lazim disebut kakus atau WC. Bagi rumah yang belum memiliki jamban, sudah dipastikan mereka itu memanfaatkan sungai, kebun, kolam, atau tempat lainnya untuk Buang Air Besar (BAB). Perilaku hygiene dan sanitasi individu atau masyarakat atas kesadaran masyarakat akan berdampak pada sanitasi lingkungan. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan cakupan kepemilikan jamban di Kelurahan Kampung Baru Kota Pekanbaru. Desain penelitian ini adalah observasional analitik dengan desain penelitian cross sectional. Populasi dalam penelitian ini adalah wilayah yang tidak mempunyai jamban setelah dilakukan pengamatan, maka ditetapkan Kelurahan Kampung Baru yang memiliki 275 KK. Sampel penelitian ini adalah 74 KK dengan menggunakan teknik random sampling. Analisis yang digunakan adalah analisis univariat dan bivariat dengan uji chi square dan tingkat signifikan 0,05. Hasil penelitian menunjukkan ada hubungan antara pengetahuan (P value 0,001), pendapatan, (P value 0,006), ketersediaan air bersih (P value 0,004) dengan kepemilikan jamban, tidak ada hubungan antara peran petugas kesehatan dengan kepemilikan jamban (P value 1,000). Kesimpulan diperoleh ada hubungan antara pengetahuan, pendapatan, ketersediaan air bersih dengan kepemilikan jamban. Disarankan kepada masyarakat hendaknya menerapkan pola hidup sbersih dan sehat dalam kehidupan sehari-hari dengan menanamkan sikap untuk berperilaku BAB di jamban pribadi maupun jamban umum agar dapat menjaga kondisi rumah tetap selalu dalam keadaan bersih dan sehat.
Desfechos funcionais após craniectomia descompressiva secundária í acidente vascular encefálico
Authors: De Sousa Cristian Douglas Dantas , Jacinto Anna Beatriz Gonçalves , Da Silva Vicente Conrado 
Published: March 2020

Introdução: A craniectomia descompressiva (CD) é o procedimento cirúrgico capaz de reduzir a mortalidade em pacientes com edema cerebral secundário a um AVE maligno, porém não garante a recuperação funcional. Objetivo: Descrever o perfil clí­nico e funcional de pacientes submetidos a CD durante o tempo de internação hospitalar. Métodos: Estudo transversal realizado em uma Unidade de Acidente Vascular Cerebral (U-AVC) no perí­odo de setembro de 2018 a março de 2019. Coletaram-se dados sociodemográficos, estudo detalhado dos prontuários e dados referentes í funcionalidade, incapacidade e alcances funcionais por meio de questionários e avaliação fí­sica e neurológica. Resultados: A amostra foi composta por 21 participantes. A maioria do sexo masculino, idade média de 55±10 anos, casados, baixa escolaridade, exerciam algum tipo de atividade remunerada com renda de um a dois salários mí­nimos. Os fatores de risco mais prevalentes foram hipertensão arterial sistêmica, tabagismo, etilismo, sedentarismo e sobrepeso. Durante o perí­odo de internação hospitalar, a maioria dos pacientes evoluiu com altos í­ndices de incapacidade e baixos ní­veis de independência e funcionalidade cognitiva e motora. Conclusão: Além de apresentarem combinações de diferentes fatores de risco relacionados ao desenvolvimento de AVE, a maioria dos pacientes avaliados apresentaram altos í­ndices de incapacidade e baixos ní­veis de independência e funcionalidade, necessitando de assistência máxima ou total para realizar a maioria de suas atividades de vida diária.Palavras-chave: acidente vascular cerebral, craniectomia descompressiva, Fisioterapia, vida independente.
Práticas fisioterapêuticas na acuidade visual com ênfase na miopia e no astigmatismo
Authors: Tacca Jandira , Ferreira Daiane Giacomet , Fagundes Sí­lvia Lemos 
Published: March 2020

Na Fisioterapia Oftálmica são realizados exercí­cios para aumentar a função ocular. A Miopia e o Astigmatismo são erros refrativos que causam alteração da visão í distância. Objetiva-se neste estudo, verificar a influência da Fisioterapia nas alterações visuais e nas dores e desconfortos musculares. Essa pesquisa qualitativa do tipo observacional descritivo foi realizada com um grupo de cinco voluntários que apresentavam Astigmatismo e/ou Miopia. Foram utilizados seis instrumentos para coleta de dados: um questionário no iní­cio e no final da intervenção, uma avaliação da Acuidade Visual pela Escala Optométrica de Snellen, um diário de campo, uma ficha individual do colaborador e laudos médicos. O protocolo consistiu em exercí­cios, baseado no método Self-Healing de Meir Schneider. Com a realização deste estudo, constatou-se um aumento da Acuidade Visual, efeitos na presbiopia, na satisfação com o corpo, na autoestima, na diminuição da fadiga ocular, no desapego do uso dos óculos, no aumento da ampliação periférica, na atenção do olhar, na memória e na aquisição do conhecimento sobre os cuidados com a visão. Considera-se que a Fisioterapia Oftálmica, por intermédio do método Self-Healing, é uma ferramenta de intervenção que pode recuperar e/ou prevenir problemas oculares e diminuir dores musculares.Palavras-chave: acuidade visual, fisioterapia, miopia, astigmatismo.
III Congresso Brasileiro de Fisioterapia Aquática
Authors: Pereira Rogério Azevedo Antunes , De Brito Rômulo Nolasco , De Oliveira Wellington Pinheiro , Martinez Flávia Gomes , Cardoso Jefferson Rosa , Vera Mariana Arias Ávila , Garcia Maurí­cio Koprowski , Shimano Suraya Gomes Novais , De Carvalho Valéria C. Passos 
Published: March 2020

É com grande satisfação que lhes apresentamos os Anais do III Congresso Brasileiro de Fisioterapia Aquática. Os trabalhos apresentados neste suplemento representam o esforço e dedicação dos profissionais, pesquisadores e acadêmicos empenhados no crescimento e desenvolvimento da Fisioterapia Aquática no Brasil. Estamos honrados em participar de mais esta etapa da construção e valorização do conhecimento produzidos sobre a Fisioterapia Aquática e compartilhados por todos, ao submeterem suas pesquisas e experiências. Agradecemos a todos pela participação como congressista, palestrante, organizador ou apresentador, pois sua contribuição foi fundamental para realização deste evento. Com o olhar na Fisioterapia Aquática baseada nas evidências cientí­ficas e vivenciada na clí­nica. Bem-vindos a Recife!Â Wellington Pinheiro de OliveiraPresidente da Comissão Cientí­fica do III CBFA
Assistência ventilatória em pacientes com esclerose lateral amiotrófica. Quando iniciar?
Authors: Orsini Marco , Azizi Marco Antonio Alves , Oliveira Acary Bulle , Oda Adriana Leico , De Sant´Anna Jr Mauricio 
Published: March 2020

A Esclerose Lateral Amiotrófica (ELA), também conhecida como doença de Lou Gehrig ou doença de Charcot, é uma enfermidade crônico-degenerativa, inexorável, idiopática, que acomete neurônios motores do neuro-eixo (córtex cerebral, tronco encefálico e medula espinal). Apresenta manifestações clí­nicas caracterí­sticas de lesões da via piramidal (hiperreflexia, espasticidade, clônus, sinal de Babinski) e da ponta anterior da medula espinhal (arreflexia \hiporreflexia, hipotonia, fasciculações, paresia, amiotrofia) [1].O comprometimento do sistema respiratório é a causa mais comum de morte em pacientes portadores de ELA. Em uma análise cronológica, todos os pacientes, num dado momento evoluirão com deterioração desse sistema. Em virtude de ainda não haver cura, a terapêutica destina-se ao suporte, visando a sobrevida e melhor qualidade de vida dos pacientes [2,3].A troca gasosa nos pacientes com ELA não é afeta por alterações de ordem pulmonar ou de vias aéreas. A disfunção ocorre na musculatura ventilatória, levando a um grande comprometimento de sua função [4,5].Quando se inicia a disfunção da musculatura inspiratória, o paciente passa a apresentar maior risco para o surgimento de colapsos alveolares e hipoventilação. Neste momento inicia-se a elevação nas taxas de CO2 acarretando dispnéia. Tais mecanismos podem desencadear o surgimento de insuficiência respiratória em virtude da hipercápnica [6].Um dos pontos de corte sugeridos para o iní­cio da ventilação não invasiva (VNI) em portadores de ELA é quando a capacidade vital forçada (CVF), evidenciada através de espirometria encontra-se abaixo de 50% do previsto, além da redução da força muscular respiratória, porém alguns centros têm sugerido a implementação da VNI mais precocemente. Os efeitos benéficos quanto í qualidade vida assim como sobrevida dos pacientes com ELA é bem descrito na literatura. Cabe ressaltar que a VNI não está indicada apenas para pacientes com bulbares e que o modo ventilatório que oferece maior conforto é o BI-level Positive Airway Pressure (Bipap) [6-8].Normalmente a VNI, inicia-se como suporte noturno, sendo estendido ao perí­odo diurno com o avançar da ELA [9,10]. Algumas caracterí­sticas como alteração do humor, cefaleia, aumento da fadiga e sonolência diurna, podem indicar alterações de oxigenação no perí­odo noturno e consequentemente a necessidade de utilização de VNI por um perí­odo mais prolongado.Com o avanço da doença, o comprometimento bulbar torna-se o grande responsável pela falha ventilatória e o paciente, mesmo na vigência de VNI por longos perí­odos, evolui com a necessidade da utilização de uma via aérea artificial, a cânula de traqueostomia. Porém esse é um assunto que merece ser discutido em outro momento. Quando sugerir a traqueostomia...?
General theoretical bases of the political decision-making process
Authors: Lysyi Andrii 
Published: March 2020

In the framework of reformation changes in the state and society, the issues of the political decision-making theory developing on the basis of neoclassical realism are of particular relevance and determine the directions for research of specialists of different industries.
Domestic and foreign researchers in the field of political science, who study the process of political decision-making, analyze it at three principal levels: global, state and sub-state. The global level reflects the international character of states’ activities; includes the global dependence of political decision-making, in which international organizations, institutions and norms reduce the anarchy of political decision-making in the country; is formed under the influence of the building and distribution of states and international system images. The state-level reflects the degree of unity that is achieved with the joint participation of both the state and the entire national community of people in political decision-making and in responding to the challenge posed by the international environment. Not only the state level, which considers the attributes of the state as a system of different institutions with their peculiarities of political decision-making, should be distinguished, but also the sub-state level, in which the interaction of social, including individual, and state actors in the process of political decision-making takes place.
The issues of population mobilization in the course of implementing a political decision in the Ukrainian context are determined as the presence of various domestic «obstacles» to the implementation of those initiatives that come from the state or public structures. The authors distinguish the most important of them: the bureaucratic nature and corruption of the implementation process of public initiatives in political, social or economic spheres; low political diversity, lack of political party representation in parliament and low functional «maturity» of the legislative branch; an underdeveloped political culture of participation creates burdens when making a political decision since the political system lacks information at its «entrance»; socio-economic problems of the majority of the population that prevent it from responding to political initiatives
Problems of the judicial system reforming in Ukraine in the context of the language legislation optimization
Authors: Barakatova Neonilla 
Published: March 2020

The article deals with the problem of raising the linguistic competence of civil servants, such as judges of all levels and jurisdictions. Language planning as a part of the state language policy is the subject to change in both the corpus and status, that leads to new challenges to reforming the judiciary in Ukraine.
The role of the linguistic competence of judges, acting on behalf of the State of Ukraine, who should do it as correctly as possible, not only from the point of view of jurisprudence, but also in view of the perfection of linguistic means (which generally contributes to enhancing the authority of the court and its credibility), has not been yet an object of a certain scientific investigation. This determines the relevance of the proposed research. The purpose of the article is to find out the peculiarities of the formation of the judge linguistic competence, in particular the factors influencing its level, ways of its improvement and specifics of further evaluation.
The updated language legislation stipulates that the future judge, as a public official, should have a good command of the state language, which must be confirmed by the appropriate state certificate issued by the National State Language Standards Commission. At the same time, the legal norm is to formalize court decisions in accordance with the standards of the state language, which have changed since the new version of the Spelling of the Ukrainian language came into force. The article provides the analysis of the specific cases of updated norms of modern Ukrainian literary language and the practice of their use in the work of judges, including the use of capital letters in the titles of the highest state positions and Internet terms, the variability of excellent endings of oikonyms, writing complex words with a foreign language prefix and more.
Preparing for obtaining the certificate of the international standard on the level of command of the state language by representatives of the judiciary of Ukraine, outlining ways, forms and methods of its organization are perspective issues for further research.
Protective Effect of Aloe Vera Gel Extract on Histopathologic Changes in Ovaries and Gonadotropin in MS Model of Rat
Authors: Koshkaki Elham Rahmanian , Sarcheshmeh Abolghasem Abasi , Samiei Vida , Koshkaki Farzad Rahmanian , Mohseni Fatemeh , Tajali Mina 
Published: March 2020

Objective: Multiple sclerosis (MS) is a self-immune demyelinating disorder of the CNS, followed by neuropathic discomfort, especially in young people in reproductive age. So, This research was conducted with the aim of assessing the protective effect of Aloe vera gel (AVG) extract on histopathologic changes of the ovary and gonadotropin in an experimental MS model of rat.
Methods: In this research, 30 pieces of rats of Wistar race were randomly divided into 6 groups of 5. 20 pieces, 14μl of ethidium bromide was injected in their lateral ventricles to induce MS. In 5 pieces as control group 2, 14μL of saline was injected into the lateral ventricles, and the remaining 5 rats were considered as control group 1. Treatment of three groups of rats with MS was performed with AVG extract at 50 mg/kg BW, 100 mg/kg BW 100 and 200 mg/ kg BW. At the end, blood sampling to measure serum FSH and LH, Their ovaries were isolated for microscopic examination.
Results: The results of counting the number of ovarian follicles showed a significant decrease in the number of primary and secondary and graafian follicles in group 3, compared to the control group. There is a significant increase in the concentration of FSH and LH in group 3 in comparison to the control group.
Conclusion: Finally, It can be said that by inducing MS, The number of ovarian follicles decreased, and the number of atretic follicles and the concentration of gonadotropin hormones increased, and treatment with AVG extract was effective in improving these factors.
Bangladesh Journal of Medical Science Vol.19(3) 2020 p.444-452
Changes of liver transaminases levels during one year follow up of Deferasirox treatment in children with β-thalassemia major
Authors: Hafidh Nashwan M Al , Younis Mozahim S 
Published: March 2020

Objectives: Abnormal liver function tests lead to interruptions of Deferasirox therapy. The aim of this study is to determine the changes in liver transaminases levels in pediatric patients with β -thalassemia major during one year follow up of Deferasirox treatment.
Material and methods: This study was conducted at Ibn Al Atheer center of thalassemia, Mosul city, Iraq during the period from 3rd of February 2013 till 2nd of February 2014. Seventy one pediatric patients with β -thalassemia major were included in the study. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were measured every 4 weeks after starting Deferasirox therapy dose of 30 mg /kg/day for one year.
Results: In comparison to mean baseline ALT values, there were significant elevations of mean ALT values in each of the subsequent 4-weekly interval readingsafter Deferasirox therapy. There was nearly eleven times relative risk of having ALT ≥ 5 upper normal level (UNL) in patient with abnormal baseline ALT (Odd ratio 10.96,95% Confidence Interval: lower 2.05, upper 58.58). During a year of study, Deferasirox therapy was associated withALT readings of ≥ 5UNL in 22(31%) of pediatric β-thalassemia patients and that elevation lasted for 4 weeks in 95.5% of patients.
Conclusions: Elevated ALT of ≥ 5UNL after Deferasirox therapy was short- lived, and lasted for 4 weeks in 95.5% of patients. It is advisable to start Deferasirox therapy at a dose of 30 mg /kg / day when baseline ALT level is normal.
Bangladesh Journal of Medical Science Vol.19(3) 2020 p.453-457