bluuebunny/crossref_metadata_2025_split huggingface dataset:
Obesity Factors on The Incidence of Joint Pain of Elderly
Authors: Masruroh Eny , Setyadhani Erry 
Published: August 2021

Aging is a process that will be experienced by humans according to the cycle of growth and development. Changes both physically and psychologically often cause disorders and health problems that must be resolved. Problems with the physical aspect of the elderly, one of which is a decrease in musculoskeletal function, especially in the joints, often manifest the appearance of joint pain. The presence of joint cartilage damage due to inflammation, as well as an increase in the load on the joints due to excess body weight (obesity) is other factors that often arise. The hip, lumbal, cervical and knee joints are the parts that support the body's weight, so they experience the most problems. The purpose of this study was to determine the correlation between obesity and the incidence of knee joint pain in the elderly. The design of the study was correlational analytic with a cross sectional approach. The sampling was purposive sampling with 50 respondents as the sample. The instrument used was an observation sheet to measure the respondent's obesity variable and to determine the presence of joint pain using an interview form. The measurement results were then processed and bivariate analysis was carried out using the chi square test. The results of the research analysis Showed the value of p = 0.004 and Î± = 0.05, this meant that p < 0.05, so there was a correlation between the level of obesity and the occurrence of joint pain. This was because not only age but also Â increasing body weight cause joint paint. Â The ability of the knee joint to support the body as a whole was getting heavier due to friction of the joint cartilage. From these studies, it can be concluded that in the elderly, excess body weight can affect to the ability of bones and joints and result in joint pain. The health workers should support the elderly so that the elderly avoid the stress.
The Effect of Left Lateral Position and Squatting Position on The Progress of The Active Phase of The First Stage of Labor Among Primigravida Women at Private Practice Midwife Istikomah, Amd. Keb, Sampung Subdistrict, Ponorogo District
Authors: Wahyuningsih Diyan , Andera Neta Ayu , Andika Nisa Aprilia 
Published: August 2021

Primigravida women mostly experience prolonged progress of labor due to the stiff birth canal. There are several positions of labor that may accelerate cervix dilatation process including squatting. This study aimed to determine the effect of left lateral position and squatting position on the progress of the active phase of the first stage of labor among primigravida women. This was a pre-experimental study with Pre test - post test approach. The population was all primigravida women in labor at Private Practive Midwife Istikomah, Amd.Keb., Sampung Subdistrict, Ponorogo District, takenÂ with an accidental sampling technique which obtained 9 respondents. The independent variable was labour position, while the dependent variable was duration of the active phase of the first stage of labor. The data collection instrument used here was observation sheet. The results were analyzed using Paired sample T-test (Î±=0,05). The results showed that before the application of left lateral and squatting positions in VT 1, all 9 respondents (100%) had normal labour progress and after the application of left lateral and squatting positions in VT 2, most respondents (77.8%) had labour progress in short category. The analysis obtained a p-value=0.000<Î±=0.05. Thus, there was an effect of left lateral position and squatting position on the progress of the active phase of the first stage of labor among primigravida women. The combination of squatting and left lateral positions during labour seems to accelerate the progress of the active phase of the first stage of labor with minimal side effects.
Health Policies Formulation in Pakistan: An Analysis
Authors: Nisa Zeb-un , Nadeem Muhammad Ashraf , Mustafa Ghulam 
Published: August 2021

Objective: A reviewing study of the health policy planning and formulation was initiated which explored the procedure of formulation of health policy and its implementation in Pakistan. The purpose of the study is to learn the procedure of health policy formulation and its implementation and to observe the issues in health system in Pakistan.
Methodology: This study on health policy formulation was exploratory in nature. The research design was qualitative. The data was collected through secondary sources which includes research articles published in various journals and available on online sites. Moreover, data was also collected through books written on public policy by some foreign and local authors.
Findings: The findings indicates that the planning and policy formation of the health sector in Pakistan is capable at the preparation level but not at the execution level.
Implications: This paper recommends overcoming the health-related problems in Pakistan through formulation and implementation of sound, assertive and credible policies.
Functional outcome of Subtrochanteric Fractures of femur fixed with Dynamic Condylar Screw (DCS).
Authors: Ahmed Masroor , Hussain Ghulam , Kumar Mukesh , - Nida , Hamid Rukhsana 
Published: August 2021

Objectives: To determine functional outcome of Subtrochanteric femur fractures fixed with dynamic condylar screw. Study Design: Single group quasi experimental study. Setting: Orthopedic Surgery, creek general hospital, united medical and dental college and KVSS SITE hospital Karachi. Period: 15th February 2015 to 30th November 2016. Material & Methods: All the patients with Type 32A (A1, A2 and A3) subtrochanteric fractures of femur presenting within two weeks of injury were included in the study. Functional outcome was assessed by modified Schatzker and Lambert Criteria. Results: 79 patients with closed subtrochanteric fractures were included in study. The mean age of the patients was 41.2±12.98 years, mean duration of fracture was 4.58±1.25 days. Male to female ratio was 2.04 to 1, 42(53.16%) were injured in road traffic accident and 37(46.84%) were due to fall, right side were effected in 40.51% cases and left side effected in 59.49% cases. Acceptable functional outcome achieved in 82.28% (65/79) of cases. Conclusion: We conclude that open reduction and internal fixation are the best procedure to treat difficult fractures like subtrochanteric fractures and to avoid complications like implant failure, nonunion, and mal-union. In our study we attained satisfactory results by the use of dynamic condylar screw in patients with subtrochanteric fracture of femur.
Frequency of H. Pylori infection in children with recurrent abdominal pain at a Tertiary Care Hospital.
Authors: Khurshid Asim , Ishaq Shahid , Ahmad Mushtaq 
Published: August 2021

Objectives: Recurrent abdominal pain (RAP) impacts quality of life of the children. RAP also hampers education and physical activity of the children. Current study was aimed to find out the frequency of Helicobacter pylori in children with RAP in our tertiary care hospital. Study Design: Descriptive, cross-sectional study. Setting: Department of Pediatric Medicine, Nishtar Hospital, Multan, Period: From 27-12-2017 to 26-06-2018. Material & Methods: A total of 185 patients suffering from RAP, aged 2-12 years, with a disease duration > 3 months, were enrolled. Age of the children, gender, duration of illness, number of episodes of pain, maternal literacy, family income, residential status, source of drinking water and h.pylori infection were calculated in these children. Post stratification chi-square test was applied to see its effect on H. Pylori infection. Results: Of these 185 study cases, 101 (54.6 %) were male patients while 84 (45.4%) were female. Mean age of our study cases was 7.57 ± 1.93 years. Of A total of 95 (51.4%) children belonged to rural areas and 90 (48.6 %) to urban areas. Helicobacter pylori infection was noted in 103 (55.7%) of our study cases. When helicobacter pylori was stratified with regards to study variables, male gender, age < 8 years, monthly family income <Rs. 35000, source of drinking water as Hand Pump and disease duration < 6 months turned out to be statistically significant (P value < 0.05). Conclusion: Frequency of H.pylori was high in children with RAP. Helicobacter pylori was significantly associated with male gender, younger age, poor socioeconomic status, source of drinking water and disease duration.
Cursos de capacitação em feridas ministrados à equipe de enfermagem
Authors: Brito da Silva Bianca Aparecida , Moraes Camila Mendonça de , Fava Silvana Maria Coelho Leite , Sawada Namie Okino , Lima Rogério Silva , Dázio Eliza Maria Rezende 
Published: August 2021

Objetivo: Identificar e analisar as evidências científicas acerca de cursos de capacitação em feridas ministrados para a equipe de enfermagem. Material e método: Trata-se de uma revisão integrativa da literatura cujo levantamento bibliográfico foi realizado no período de julho a novembro de 2019 nas bases de dados Scopus, PubMed/MEDLINE, LILACS, Scielo e BDENF. Os artigos incluídos foram submetidos à classificação do nível de evidência, interpretação dos resultados e síntese do conhecimento. Resultados: o corpus da revisão foi constituído por 18 artigos que atenderam aos critérios de inclusão. Ao analisá-los, percebeu-se incipiências no conhecimento da equipe de enfermagem no contexto prático do cuidado de feridas. As intervenções educativas foram as estratégias adotadas que apontaram para os melhores resultados. Conclusão: Após a realização das intervenções educativas, seja pelo ensino presencial ou online, os profissionais sentiram-se mais preparados para avaliar e realizar tratamento e acompanhamento de feridas, o que demonstra ganhos significativos após o programa educacional desenvolvido. Contudo, o investimento, por parte das instituições de saúde, em intervenções educativas ainda constitui uma barreira, para a efetivação dessas, o que pode constituir um dos empecilhos para ampliar o conhecimento da equipe de enfermagem.
FATORES DE RISCO ASSOCIADOS A LESÃO POR DISPOSITIVOS MÉDICOS EM NEONATOS:
Authors: Domingos João Emanuel Pereira , Tavares Ana Raquel Bezerra Saraiva , Santos Maria Solange Nogueira dos , Abreu Camila Cristine Tavares , Chaves Edna Maria Camelo 
Published: August 2021

Objetivo: identificar nas evidências científicas os fatores de risco e principais dispositivos que envolvem a ocorrência de lesão por pressão em neonatos em cuidados intensivos. Método: Trata-se de uma revisão integrativa da literatura, partindo da análise das publicações científicas de enfermagem indexadas nas bases de dados: MEDLINE via PubMed, CINAHL, BDEnf, LILACS e Web of Science. Resultados: Foram incluídos 16 estudos, evidenciou-se, a prematuridade, tempo internação e o uso prolongado de dispositivos médicos como os principais fatores de risco relacionados a lesão por dispositivos médicos. Dentre os dispositivos médicos responsáveis pelam ocorrência de lesões foram, os respiratórios, com enfoque na pronga nasal. Conclusão: Os fatores de risco identificados refletem a realidade da atenção neonatal e devem ser considerados para a elaboração de medidas preventivas e consequentes redução das lesões.
Desafios vivenciados pela equipe de atendimento pré-hospitalar
Authors: Costa Francisco Nalécio , Melo Krysnah Allen da Silva , Silva Talina Carla Silva , Ribeiro Jaqueline Fernandes , Andrade Josefa Mayara Figueiredo 
Published: August 2021

Introdução: O atendimento pré-hospitalar (APH), segundo o Ministério da Saúde, é definido como a assistência prestada em um primeiro nível de atenção a quadros agudos, de natureza clínica, traumática ou psiquiátrica, quando ocorrem fora do ambiente hospitalar. Porém, há entraves que dificultam a realização eficaz desse serviço como problemas relacionados ao deslocamento da ambulância, a chegada ao local da ocorrência, bem como, dificuldades durante o transporte e na chegada ao hospital. Objetivo: identificar na literatura as dificuldades vivenciadas pelos profissionais no atendimento pré-hospitalar. Método: trata-se de uma revisão integrativa, realizada em bases de dados Scielo e Lilacs, através dos descritores: assistência pré-hospitalar, ambiente de trabalho, serviços médicos de emergência, prática profissional. A busca resultou em 34 artigos, que após os critérios de inclusão: estudos científicos na íntegra, em língua portuguesa, publicados entre 2013 a 2017, de acesso livre e gratuito e que atendesse a temática, foram excluídos os que não atendiam a esses critérios, após o refinamento a pesquisa foi realizada com 03 artigos. Resultados: Fica evidente que a equipe de APH já no seu contexto laboral está exposta a riscos que favorece ao adoecimento, pois as condições de trabalho trazem locais arriscados de atuação, demandas psicológicas intensas, sobrecarga de trabalho, insatisfação e recursos insuficientes na maioria dos serviços. Conclusão: constatou-se a necessidade de buscar soluções para minimizar as dificuldades que a equipe vivência no seu cotiando, pois requer novas visões e perspectivas que possam garantir um ambiente laboral favorável e uma boa saúde do trabalhador, consequentemente uma melhor assistência.
Diagnósticos de enfermagem para pacientes com tuberculose
Authors: Silva Santos Maiana Evillyn , Santos Luana Nunes , Mesquita Danielly Cardoso , Andrade. Joseilze Santos , Lemos Lígia Mara Dulce , Pinto Silva Flávia Janólio Costacurta 
Published: August 2021

Objetivo: sintetizar a produção científica sobre diagnósticos de enfermagem para pacientes com tuberculose. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa da literatura, sem limite temporal, realizado por meio das bases de dados: LILACS, BDENF, IBECS, PUBMED, Portal Periódicos Capes e na Biblioteca Virtual SciELO. Utilizou-se os descritores: “tuberculosis”; “nursing diagnosis”, “nursing process” e “nursing care”. Resultados: foram identificadas 875 publicações; após o processo de seleção resultaram três artigos como amostra final. Seguida a análise dos estudos, verificou-se 60 diagnósticos de enfermagem relacionados aos pacientes com tuberculose. Em dois artigos avaliados, a Teoria das Necessidades Humanas Básicas foi o embasamento teórico do processo de enfermagem. Constatou-se que dentre as classificações de linguagens padronizadas de enfermagem, a mais utilizada foi a CIPE, seguida pela NANDA. Houve a predominância de estudos desenvolvidos em nível de assistência terciária e de estudo de caso. Considerações finais: O enfermeiro ao aplicar o seu julgamento clínico tem autonomia de levantar para os pacientes com tuberculose diversos diagnósticos de enfermagem, utilizando-se desse instrumento de trabalho para elaboração de planos de cuidados eficazes para o público-alvo em questão.
Impacts of Covid-19 Lockdown in the Academic Life of Undergraduate Students: An Online Survey
Authors: Pandey Akash , Gurung Pooja 
Published: August 2021

The impact of COVID-19 lockdown can be widely observed in all sectors of the nation including education. An online survey was conducted to identify the impacts brought by the nationwide lockdown in the academic life of undergraduate students currently studying at different bachelor's levels and the ones who have completed final exams after the ease of lockdown. Particularly, the study explored both the positive and negative impact of COVID-19 lockdown. A structural questionnaire link using ‘Google form’ was circulated using messenger and E-mail from 20 April to 27 April 2021. A total of 98 students, from Tribhuvan University (60), Kathmandu University (16), Pokhara University (11), and Purbhanchal University (11) participated in the survey. The study found that around 42.86% of the students' academic life was affected negatively whereas only 2.04% reported positively. The majority of students pointed to delay in examinations as the primary negative impact followed by difficulty in learning due to excessive use of the internet, disturbance in pass out the pattern, loss of job, and issues of dropout. On the positive side, students have experienced an improvement in reading habits, development in the skills of self-study, virtual learning, group work, and digital competencies. Thus, the study concludes that students' academic life was impacted negatively than positively. Therefore, the study suggests universities, educational institutions, and relevant stakeholders come up with a concrete plan to respond to the impacts seen in the academic career of students unless the lockdown perpetuates other consequences.
PERSEPSI SISWA SMA SEDERAJAT KOTA PADANGSIDIMPUAN TENTANG UNIVERSITAS MUHAMMADIYAH TAPANULI SELATAN
Authors: Gajah Nurhamidah , Siregar Yessi , Harahap Ummi Kalsum , Nasution Elsa Manora 
Published: August 2021

Siswa SMA terutama yang berada pada tahap akhir, tentunya dihadapkan pada bermacam pilihan, apakah melanjutkan pendidikan atau bekerja. Bagi yang melanjutkan, akan dihadapkan dengan pertanyaan kampus mana, fakultas dan jurusan apa yang diambil. Tahun ajaran 2020/2021 tercatat sebanyak 5.131 orang siswa yang duduk di kelas XII di seluruh Sekolah Menengah Atas sederajat di kota Padangsidimpuan, sekolah negeri maupun swasta. Jumlah tersebut dengan rincian SMA sebanyak 2.669 siswa, SMK sebanyak 1.981 siswa dan MA sebanyak 481 siswa. Inilah yang menjadi potensi bagi peguruan tinggi baik Perguruan Tinggi Negeri (PTN) maupun Perguruan Tinggi Swasta (PTS) di kota Padangsidimpuan untuk dapat merekrut mereka. Penelitian ini dilakukan untuk mengetahui persepsi siswa SMA sederajat di kota Padangsidimpuan terhadap UM-Tapsel. Metode penelitian yang digunakan yaitu survey dengan menggunakan instrumen angket. Hasil penelitian ini akan disajikan dalam bentuk kuantitatif. Hasil penelitian diketahui bahwa minat siswa SMA sederajat di kota Padangsidimpuan melanjutkan ke tingkat perguruan tinggi sangat besar. Dari 225 responden, hampir seluruhnya mengetahui UM-Tapsel yaitu 221 orang (90,2%), dan 63 orang (25,7%) tahu akreditasi UM-Tapsel, sebanyak 151 orang (61%) mnganggap UM-Tapsel baik/bagus dan secara keseluruhan persepsi siswa SMA sederajat di kota Padangsidimpuan terhadap UM-Tapsel adalah penilaian positif.Kata Kunci : Persepsi, Perguruan Tinggi, Siswa, UM-Tapsel
Ropivacaine as the drug of choice for regional anesthesia: why so?
Authors: Dmytriiev Dmytro , Lisak Yevhen 
Published: August 2021

While writing the article, we analyzed all the studies related to ropivacaine for the first half of 2021, which were published in PubMed. Previous review articles on ropivacaine were also analyzed.
Purpose: collection and analysis of the latest research results on ropivacaine. Assessment of the place of ropivacaine in modern regional anesthesia.
Anesthetic management for Placenta Accreta
Authors: En-Din Kim , Nadyrkhanova N S , Tkachenko R A , Kulichkin Yu V , Nishanova F P , Mikirtichev K D , Dzhatdaev I I 
Published: August 2021

Дослідження виконані у 82 вагітних і породіль при кесаревому розтині з приводу передлежання плаценти з вростанням на 37–38 тижні. Органозберігаюча операція була виконана за такою методикою: лапаротомія за Джоель Кохен, донний кесарів розтин з залишенням плаценти, перев’язка трьох пар магістральних маткових судин і внутрішніх клубових артерій з обох сторін (поетапна деваскуляризація матки) з подальшим видаленням стінки матки (метропластика) при вростанні плаценти. Операції виконані в умовах спінальної анестезії (Сан) 0,5 % гіпербаричним розчином бупівакаїну. Інфузійна програма будувалася відповідно до рекомендацій з обмежувальної інфузії. Преінфузію проводили збалансованим кристалоїдом Реосорбілакт (10–15 мл/кг) з подальшим введенням на етапах операції збалансованого кристалоїду і компонентів крові за необхідності. Оцінювали гемодинаміку, КОР та електроліти крові. Оцінку крововтрати проводили гравіметричним способом.
Дослідження показали, що Сан і Реосорбілакт у програмі малооб’ємної інфузійної терапії зберігають доставку кисню на фізіологічному рівні, стабілізують гемодинамічний профіль і КОР. При вростанні плаценти використання сучасних технологій в анестезіології реаніматології та акушерстві, з мультидисциплінарним підходом, дозволяють реалізувати органозберігаючу тактику у цієї категорії жінок
Use of hyaluronic acid preparations for treatment of osteoarthritis of major ligaments
Authors: Kalashnikov Oleksiy , Sulyma Oleksiy , Osadchuk Taras , Zayets Volodymyr , Nizalov Taras , Kozak Roman , Chernyak Pavlo 
Published: August 2021

The authors of the article analyzed the experience of domestic and foreign experts in the effectiveness of the use of HA preparations in the treatment of osteoarthritis of major ligaments.
Background and Objective. To analyze the literature sources in order to determine the effectiveness of the use of HA preparations in the treatment of osteoarthritis of major ligaments.
Materials and methods. Articles in specialized scientific journals and collections, Internet resource.
Results. The analysis of literature sources determined the important role of HA preparations in the supplying and functioning of the articular cartilage. Researchers are inclined to believe that the ideal HA preparation should be as close as possible to the physiological HA of the synovial fluid of the joint. The developed domestic drug Arthro-Patch fully corresponds to these parameters.
Conclusions. The use of modern injectable HA preparations is advisable at stages 1–3 of OA. Anti-inflammatory effect of HA preparations makes it possible to reduce the dose and time of administration of non-steroidal anti-inflammatory drugs and, as a consequence, reduce the risk of developing many adverse side effects of NSAIDs. The high level of safety of HA preparations, the absence of serious side effects during their long-term use determine their widespread use in the clinical practice of modern orthopedists.