bluuebunny/crossref_metadata_2025_split huggingface dataset:
Connaissance, Attitudes et pratiques des élèves sur l'hygiène alimentaire et l'alimentation de la rue
Authors: Soumahoro SI , Coulibaly M , Kouassi DP , Irika O , Goua BI , Ouaga JM , Angbo-Effi O 
Published: August 2021

Introduction : Dans les pays en développement, les risques de contamination des aliments sont à la fois présents à domicile que chez les vendeurs mais avec un risque de contamination plus élevé des aliments de la rue. Au regard des risques encourus par la transmission de maladies par les aliments, nous avons mené cette étude auprès des élèves de Bouaké afin d'apprécier leurs connaissances, attitudes et pratiques vis-à-vis de l'hygiène des aliments vendus dans les rues dans le but d'améliorer les comportements en hygiène alimentaire des élèves.
Méthode : Nous avons mené une étude transversale à visée descriptive dans quatre établissements secondaires, dont deux publics et deux privés, de la ville de Bouaké. Nous avons interviewé 448 élèves grâce à un questionnaire. Le logiciel SPSS 17.0 a été utilisé pour la saisie et l'analyse des données recueillies.
Résultats : Les élèves interrogés avaient un âge médian de 16 ±5,2 ans, étaient majoritairement de sexe masculin (60,0%) et percevaient de l'argent de poche dans 92,2% des cas. Nos enquêtés affirmaient qu'il fallait se laver les mains avec de l'eau et du savon (99,1%) et se lavaient systématiquement les mains avant chaque repas (94,9%). Ils ne faisaient pas confiance aux aliments vendus à l'école ou dans la rue (64, 1%) et certains élèves interrogés disaient être tombés malades après consommation d'aliments vendus dans la rue (53,6%).
Conclusion : Le respect des pratiques d'hygiène alimentaire est le garant de la prévention de nombreuses maladies infectieuses. Des dispositions en rapport avec un meilleur contrôle de l'alimentation de rue devraient être prises pour minimiser le risque de survenue des maladies infectieuses liées à l'Alimentation de la rue
Non-compliance aux messages de prévention de la maladie à virus Ebola en Côte d'ivoire dans un contexte de menace à l'épidémie
Authors: Soumahoro SI , Kouassi DP , Coulibaly M , Kouamé AD , Irika O , Ouaga JM , .al Et 
Published: August 2021

Introduction : La pandémie ouest-africaine de 2013-2016 de la maladie à virus Ebola a provoqué une psychose mondiale. Le gouvernement ivoirien, fort de la proximité géographique de la Côte d'Ivoire avec les pays touchés, a instauré plusieurs mesures. Il s'agissait entres autres d'un vaste programme d'éducation sanitaire de la population constitué de 20 mesures à observer par les populations. Nous avons mené cette étude pour apprécier les raisons de non compliance des populations aux mesures de prévention instituées et les déterminants sociodémographiques en rapport.
Méthode: Nous avons mené une étude transversale à visée descriptive et analytique pendant 01 mois, du 11 mars 2017 au 10 avril 2017, dans les ménages de la ville de Bouaké. Nous avons interviewé 405 personnes grâce à un questionnaire. Les logiciels Epi Info 2000 et SPSS 17.0 ont été utilisés pour la saisie et l'analyse statistique des données recueillies.
Résultats : Les adultes avaient une moyenne d'âge de 36,34±1,60 ans et les enfants de 13,1 4± 11,27 ans. Certains enfants étaient non-scolarisés (4,3%) et les adultes avaient un niveau d'instruction supérieur dans 31,3% des cas. Les mesures les moins observées étaient les mesures 3 (42,5%), 1 (8,6%), 5 (5,7%) et 7 (5,7%). Les raisons les plus évoquées étaient la courtoisie (27,4%), l'habitude (21,0%), le respect de la coutume (13,1%) et l'oubli (11,6%). Pour la mesure 1, toutes les caractéristiques sociodémographiques y étaient statistiquement associés (p<0,000).
Conclusion :Il importe de cerner tous les contours des messages de sensibilisation et de prévention afin de s'assurer d'une totale adhésion des populations.
Antibioprophylaxie pour chirurgie de médecine humanitaire en zone de conflit au Mali
Authors: Sidibé A , Diani N , Dicko H , Beye SA , Keita M , Diarra D , Coulibaly CO 
Published: August 2021

Objectif : Identifier les antibiotiques utilisés et évaluer notre pratique en médecine humanitaire. Patients et Méthode : Etude prospective de 30 jours. La saisie et l'analyse des données ont été faites par Windows 8, Epi info 3.5.3 fr et le khi² pour le test statistique. Résultats : Soixante-trois (63) patients répondaient aux critères. L'âge moyen était de 33,3 ± 18, 5 ans. Les femmes rurales prédominaient. Les urgences représentaient 65,1% des cas. L'indication de l'antibioprophylaxie était Gynéco-obstétricale dans 63, 5% suivie de la chirurgie viscérale dans 20,6%, de l'urologie dans 11,1% et de la traumatologie dans 4,8%. Les patients étaient ASA I dans 69,8%. La classe d'Altémeier était II dans 81%. Une antibioprophylaxie a été faite dans 88,9%. Les β lactamines en monothérapie ont été les plus utilisées dans 84,1% suivies de l'association β lactamine-imidazole dans 9,5%, de l'association β lactamine-aminoside dans 1,6% et les quinolones dans 1,6%. Le délai entre l'administration de l'antibiotique et l'induction anesthésique était de : 6 ± 2,4 minutes. L'antibiotique a été administré entre 25 et 40 minutes avant l'incision chirurgicale. Une complication infectieuse a été observée dans 11, 1%. L'évolution était favorable dans 98,4%.Conclusion : Même en situation de crise sanitaire, l'utilisation de l'antibiotique au bloc opératoire doit répondre à des critères dont l'écologie microbienne et le site opératoire sont déterminants.
Update on Treatment and Prevention of Chronic Antibody Mediated Rejection in Renal Transplant Recipients
Authors: Shafi Salman Tahir 
Published: August 2021

Chronic antibody mediated rejection (AMR) is a major cause of allograft failure1,2. Chronic AMR clinically presents with proteinuria and gradual decline in renal function. The underlying mechanisms of AMR include both antibody mediated complement-dependent cytotoxicity, complement-independent cellular cytotoxicity and other mechanisms. The purpose of this review is to appraise recent literature on diagnosis, treatment and prevention of chronic AMR.
Fluid Volume Status Assessment by Lung Ultrasonography in Patients with Kidney Disease.
Authors: Saigal Navid 
Published: August 2021

Point-of-care ultrasound (POCUS) has become firmly established in acute and critical care settings and has now emerged as an important tool in the assessment of the Extra Vascular Lung Water (EVLW). Lung ultrasound (LUS) can be performed quickly and easily in critically ill patients. It has a higher diagnostic accuracy than physical examination and chest radiography combined. It enhances safety by avoiding ionizing radiation and the need for potentially dangerous transfers within the hospital. LUS can also be used to guide fluid management.
CUT OFF VALUE OF PROCALCITONIN IN END STAGE RENAL DISEASE PATIENTS WITHOUT INFECTION
Authors: Asif Naila , Shamim Samina , Khanzada Shafqat Waqar , Rizwan Muhammad 
Published: August 2021

OBJECTIVE:
To determine cut off value of procalciton (PCT) in aseptic end stage renal disease patients undergoing haemodialysis.
BACKGROUND:
Haemodialysisis considered as a proinflammatory state and therefore associated with release of inflammatory cytokines and acute phase reactant proteins. The conventional laboratory markers (C-reactive protein, erythrocyte sedimentation rate) are efficient tools for the diagnosis of infection in patients with normal kidney functions. However they can be nonspecifically elevated in patients on haemodialysis and only reflect inflammatory response not associated with infection. PCT is considered a very important biomarker in differentiating infections from inflammation. The study was undertaken to evaluate normal serum levels of PCT in patients undergoing HD.PATIENTS AND METHOD: The study included 82 end-stage renal failure patients without evidence of systemic or localized infection undergoing maintenance haemodialysis.
RESULTS: In our study, the PCT concentrations showed a mean of .622ng/ml in patients on maintenance hemodialysis without signs of infection.
CONCLUSION:The study suggests that serum PCT at a cutoff value of .62ng/ml should be considered normal in aseptic haemodialysis patients.
KEYWORDS:
Procalcitonin, haemodialysis, sepsis
Causes of End Stage Kidney Disease in Maintenance Hemodialysis Patients in District Swat, Khyber Pukhtonkhwa Pakistan
Authors: Khalid Fawad , Khan Asad ullah , Fazal Adnan 
Published: August 2021

Chronic kidney disease (CKD) affects 10–15% of the population worldwide and its prevalence is increasing.
Objective: To find the frequency of common diseases causing chronic kidney diseases (CKD) in dialysis dependent patients in District Swat, Khyber Pukhtonkhwa.
Methodology: Cross sectional study at Department of Nephrology Nawaz Sharif Kidney Hospital, District Swat, Khyber Pukhtonkhwa, Pakistan.
Results: Total of 110 patients were undergoing maintenance hemodialysis. There were 53(48.2%) male and mean age was 54.40+ 16.32 years. Among 110 patients, only 9 (8.2%) had dialysis once per week and 101(91.8%) had dialysis twice per week hemodialysis. Majority, 64(58.2%) patients were undergoing dialysis less than one year. 6(5.5 %) had hypertension, 33(30%) had diabetes and 68(61.8%) patients had both Diabetes and Hypertension. Out of 110, 39(35.5%) patients were Hepatitis B positive, and 28(25.5%) patients had Hepatitis C.
Conclusion:
Results of this study showed that the leading cause of chronic kidney disease (CKD) among dialysis patients was diabetes mellitus with or without hypertension and a high prevalence of both HBV and HCV.
Pre Eclampsia: Its contribution to Pregnancy Related Acute Kidney Injury. A tertiary care nephrology unit experience
Authors: Naqvi Rubina 
Published: August 2021

Preeclampsia, eclampsia and hemolysis, elevated liver enzymes and thrombocytopenia (HELLP) are among many other conditions of pregnancy related AKI (PR-AKI). Present study aims to report case series of patients with PR-AKI developing in association with preeclampsia, their course of illness and outcome.
Patients and Methods: Subjects for the study reported here comprise a cohort of 227 women coming to this institution with diagnosis of preeclampsia and AKI. Results: From January 1990 to December 2014, there were 1,441 women with PR-AKI brought to this institution among these 227 (15.75%) fulfilled the criteria of preeclampsia. On presentation 93.4% were oligo-anuric, thrombocytopenia was found in 48%, deranged INR in 18.9% and raised liver enzymes in 33.5%. On arrival 22% were in sepsis, mechanical ventilator support required in 11%. Impaired Glasgow coma scale noticed in 22%. Intra uterine death of fetus was reported in 75%. Antepartum hemorrhage in 38% and post partum hemorrhage in 32%. Renal replacement therapy in form of hemodialysis was conducted in 94.7%. Complete recovery seen in 25%, partial recovery in 31%, CKD developed in 4.4%, ESRF in 27.3% and 12 % died during acute phase of illness. Sepsis, multi-organ failure and requirement of mechanical ventilatory support on arrival were significant predictors of mortality with p value <0.001.
Conclusion: Preeclampsia and its progress to eclampsia can be a severe life-threatening condition especially when patients present with sepsis and multi organ failure. A significant number of women developed irreversible AKI and progessed to CKD.
Child-Rearing by Imprisoned Women: Sadness, Anxiety, and Feelings of Guilt
Authors: Hani Umi , Setiawan Agus , Fitriyani Poppy 
Published: August 2021

The number of imprisoned women continues to increase. Imprisonment of women affects them as perpetrators of crime and those who have relationships with and ties to them, such as children. This phenomenological study aims to explore the experience of imprisoned women in Jakarta in playing the role of mother. In-depth interviews were conducted to explore the experiences of seven imprisoned women. Through a thematic content analysis, we identified specific keywords, the results revealing the sadness, anxiety, and feelings of guilt experienced by imprisoned mothers in relation to their child-rearing. Imprisoned mothers also experience difficulties in meeting their children's needs, together with inadequate child-rearing facilities. The situation experienced by imprisoned women influences their family relationships, which can lead to family crises. The results of this study are expected to serve as a reference for professional collaboration between judicial institutions, community nurses, academics, and related parties, increasing the attention paid to imprisoned mothers and children affected by maternal incarceration.Abstrak Pengasuhan Anak oleh Wanita di Penjara: Kesedihan, Kecemasan, dan Perasaan Bersalah. Jumlah wanita yang dipenjara terus mengalami peningkatan. Pemenjaraan bagi perempuan tidak hanya memengaruhi perempuan sebagai pelaku kejahatan, tetapi juga pada subyek yang memiliki hubungan dan ikatan dengan perempuan tersebut, salah satunya adalah anak. Penelitian ini bertujuan untuk mengeksplorasi pengalaman wanita yang dipenjara di Jakarta dalam mengasuh anak. Penelitian ini menggunakan desain kualitatif dengan pendekatan fenomenologis. Pengumpulan data dilakukan dengan wawancara mendalam terhadap tujuh wanita yang dipenjara. Melalui analisis konten tematis kata kunci yang ditemukan dalam transkrip wawancara disusun dalam kategori, sub tema, dan tema. Hasil penelitian menjelaskan kesedihan, kecemasan dan perasaan bersalah yang dialami oleh ibu yang dipenjara dalam pengasuhan anak. Para ibu yang dipenjara juga mengalami kesulitan dalam memenuhi kebutuhan anak dan fasilitas pengasuhan anak yang tidak memadai. Situasi yang dialami oleh ibu yang dipenjara memengaruhi hubungan dalam keluarga sehingga menghadapi krisis keluarga. Hasil penelitian ini diharapkan dapat menjadi referensi untuk kolaborasi profesional antara lembaga peradilan, perawat komunitas, akademisi, dan elemen terkait untuk meningkatkan perhatian bagi ibu dan anak yang dipenjara yang terkena dampak hukuman penjara ibu. Kata Kunci: pemenjaraan, pengasuhan anak, perawat komunitas, perempuan narapidana
Spiritual Behavior and Stress in Adolescents: An Initial Study
Authors: Tarniyah Sumiyati , Hidayati Laili Nur 
Published: August 2021

in spirituality rather than young people. This study aimed to identify the relationship between spiritual behavior and the stress levels of 152 high school students, using a descriptive correlation research design. The data collection techniques involved a spiritual dimension scale questionnaire and the Depression Anxiety Stress Scale 42 (DASS 42). The data were analyzed using Spearman's rho correlation test. The results show that the spiritual behavior distribution was mostly in the moderate category (53.3%), and stress level distribution was primarily in the normal category (63.8%). The finding also revealed that there was no correlation between spiritual behavior and stress levels in high school students. These results may differ from the previous studies. Although stress in this group showed a normal category, their mental health needs to be considered given the amount of stressors adolescents may face.Abstrak Perilaku Spiritual dan Stres pada Remaja: Studi Awal. Spirituaitas seringkali dikaitkan dengan kesehatan mental, termasuk stres. Kelompok usia tua cenderung banyak terlibat dalam kegiatan spiritual dibanding kelompok usia muda. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara perilaku spiritual dengan tingkat stres pada 152 siswa sekolah menengah atas, dengan menggunakan desain penelitian deskriptif korelasi. Teknik pengumpulan data meng-gunakan kuesioner skala dimensi spiritual dan Depression Anxiety Stress Scale 42 (DASS 42). Analisis data meng-gunakan uji korelasi Spearman's rho. Hasil penelitian menunjukkan bahwa perilaku spiritual mereka sebagian besar dalam kategori sedang (53,3%), dan distribusi tingkat stres terutama dalam kategori normal (63,8%). Penelitian ini mengungkapkan tidak ada hubungan antara perilaku spiritual dengan tingkat stres pada remaja. Hasil ini mungkin berbeda dengan banyak penelitian sebelumnya. Meskipun stres pada kelompok ini menunjukkan kategori normal, tetapi kesehatan mental mereka perlu diperhatikan mengingat banyaknya stresor yang mungkin dihadapi remaja. Kata Kunci: perilaku spiritual, remaja, stres
Maternal Factors in Stunting Among Vulnerable Children
Authors: Kiik Stefanus Mendes , Nuwa Muhammad Saleh 
Published: August 2021

Children with stunting in Indonesia and other low-middle countries remains a serious problem. This study aimed to identify the association between maternal education, maternal age, maternal height, preceding birth interval, and ANC clinic visits and stunting among vulnerable children in Kupang Regency, Indonesia. A cross-sectional study was conducted of two villages in Kupang Regency. The study sample comprised female ex-refugees from Timor Leste who had children aged 24–59 months. The subjects were chosen using consecutive sampling, with a total number of 154. Data were collected from both primary and secondary sources. There was a significant relationship between maternal education (p = 0.014), maternal height (p = 0.003), preceding birth interval (p = 0.001), ANC clinic visits (p = 0.009) and stunting. In contrast, maternal age showed no significant association (p = 0.611). Further studies are needed to help eradicate stunting by intervening in the reduction of risk factors.Abstrak Faktor-faktor Ibu terkait Stunting pada Anak-Anak yang Rentan. Anak-anak yang mengalami stunting di Indonesia dan negara-negara berpenghasilan rendah masih menjadi masalah serius. Tujuan penelitian ini adalah mengidentifikasi hubungan antara pendidikan ibu, usia ibu, tinggi badan ibu, jarak melahirkan dan kunjungan antenatal care (ANC) dengan stunting pada anak rentan usia 24–59 bulan di Kabupaten Kupang, Indonesia. Metode penelitian yang digunakan adalah cross-sectional yang dilakukan di dua desa di Kabupaten Kupang. Sampel dalam penelitian ini adalah para ibu mantan pengungsi Timor Leste yang memiliki anak usia 24–59 bulan. Teknik sampling yang digunakan adalah consecutive sampling, sebanyak 154 responden. Data diperoleh dari sumber primer dan sekunder. Terdapat hubungan yang signifikan antara pendidikan ibu (p = 0,014), tinggi ibu (p = 0,003), jarak kelahiran (p = 0,001), kunjungan ANC (p = 0,009) dengan stunting. Namun tidak ada hubungan antara usia ibu dengan stunting (p = 0,611). Penelitian selanjutnya dibutuhkan untuk memberantas stunting melalui intervensi untuk menurunkan faktor risiko. Kata Kunci: anak, antenatal care, ibu, Indonesia, pengungsi, stunting, usia ibu
Hypertension Self-Care Management During COVID-19 Pandemic Crisis in the Meranao Tribe: A Phenomenological Inquiry
Authors: Sadang Jonaid Mustapha , Macaronsing Sittie Inshirah P. , Macaronsing Sittie Inshirah P. , Alawi Narima M , Alawi Narima M , Taib Normala M , Taib Normala M , Pangandaman Hamdoni K , Pangandaman Hamdoni K 
Published: August 2021

The COVID-19 crisis has been a challenging and stressful event for individuals with known underlying health problems, not to mention their higher risk of contracting the disease. This phenomenological inquiry was conducted to explore the common self-care practices of the Meranao tribe in the Province of Lanao del Sur, Philippines, concerning their management of hypertension amidst the ongoing pandemic health crisis. This study employed a descriptive-phenomenological approach. Ten known hypertensive adults participated in the study selected using purposive sampling. Data collection employed focus group discussion (FGD) and then analyzed using Colaizzi's approach. Four themes were derived which explained the common practices of the tribe in the self-care management of hypertension amidst the crisis: 1) the use of herbal remedies; 2) compliance with prescribed medications; 3) dietary control; and 4) remaining physically active. Patients’ strict compliance with known scientific self-care practices in managing hypertension forms a multidimensional strategy in controlling, managing, and preventing hypertension and its related complications.Abstrak Studi Fenomenologi tentang Praktik Manajemen Perawatan Diri pada Pasien Hipertensi Saat Pandemi COVID-19. Krisis COVID-19 telah menjadi periode yang menantang dan menegangkan bagi individu dengan riwayat masalah kesehatan, belum lagi risiko yang lebih tinggi untuk menderita penyakit tersebut. Studi fenomenologi ini bertujuan untuk mengeksplorasi praktik perawatan diri Suku Meranao di Provinsi Lanao del Sur, Filipina yang berhubungan dengan manajemen hipertensi di tengah krisis kesehatan yang sedang berlangsung. Melalui pendekatan fenomenologi deskriptif, sebanyak 10 orang dewasa penderita hipertensi bersedia untuk menjadi partisipan penelitian ini dengan menggunakan metode purposive sampling. Data diperoleh melalui focus group discussion (FGD), dan dianalisis menggunakan pendekatan Collaizi. Empat tema diperoleh untuk menjelaskan praktik mereka dalam manajemen perawatan diri hipertensi di tengah krisis: 1) penggunaan obat herbal; 2) kepatuhan terhadap obat yang diresepkan; 3) kontrol makanan, dan 4) tetap aktif secara fisik. Kepatuhan ketat pasien pada praktik perawatan diri secara ilmiah dalam manajemen hipertensi memainkan strategi multidimensi dalam kontrol, manajemen, dan pencegahan hipertensi serta komplikasi yang terkait. Kata Kunci: Filipina, hipertensi, praktik manajemen perawatan diri, riset kualitatif, suku Meranao
The Smoking Behavior of Health Workers in Asia: A Literature Review
Authors: Rahman Arif , Huriah Titih 
Published: August 2021

Health workers are role models in preventing smoking behavior, yet many are smokers themselves. This study reviews and analyzes the smoking behavior of health workers in Asian countries, based on databases such as PubMed, EBSCO, and Google Scholar in 2013–2018. It is shown that the prevalence of smoking amongst health workers was 4.6–44%, with the nursing profession showing a higher level than other health professions and with a higher ratio of male to female smokers. Health workers are aware of the dangers of smoking, including the effects of cardiovascular disease, respiratory disease, oral cancer, atherosclerosis, hypertension, fetal disorders, and infertility. However, the factors that lead to smoking include stress, the influence of friends or family who smoke, and addiction. Health workers are responsible for providing smoking prevention education. However, there are still obstacles to its implementation due to their smoking habits and lack of expertise in educating others. Smoking prohibition policies in the workplace, the training of health workers, and smoking prevention service facilities need to be considered by Asian countries to prevent smoking. Abstrak Analisis Perilaku Merokok pada Petugas Kesehatan di Asia: Literatur Review. Petugas kesehatan merupakan role model dalam pencegahan perilaku merokok, akan tetapi masih banyak petugas kesehatan yang merokok. Studi ini meninjau dan menganalisis perilaku merokok petugas kesehatan di negara-negara Asia, bersumber pada basis data seperti PubMed, EBSCO, dan Google Scholar, tahun 2013–2018. Hasil studi menunjukkan perilaku merokok petugas kesehatan memiliki prevalensi sebesar 4,6–44% dengan profesi keperawatan menunjukkan tingkat yang lebih tinggi daripada profesi kesehatan lainnya, dan dengan rasio perokok laki-laki lebih tinggi dari perokok perempuan. Petugas kesehatan menyadari bahaya merokok dan dampak penyakitnya seperti penyakit kardiovaskuler, penyakit pernapasan, kanker mulut, aterosklerosis, hipertensi, gangguan janin, dan kemandulan. Faktor yang memengaruhi merokok adalah stres, pengaruh teman atau keluarga yang merokok, dan kecanduan. Petugas kesehatan bertanggung jawab untuk mem-berikan pendidikan pencegahan merokok. Namun, masih terdapat kendala dalam pelaksanaannya karena kebiasaan pribadi merokok mereka dan kurangnya keahlian dalam mendidik orang lain. Kebijakan larangan merokok di tempat kerja, pelatihan tenaga kesehatan, dan fasilitas layanan pencegahan merokok perlu diperhatikan oleh negara-negara Asia untuk pencegahan perilaku merokok. Kata kunci: perilaku merokok, petugas kesehatan, role model