bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERFIL DE GESTANTES COMFIRMADAS PARA ZIKA VÍRUS E ASSISTÊNCIA PRÉ-NATAL NA ATENÇÃO PRIMÁRIA À SAÚDE DE PALMAS, TOCANTINS, 2016
Authors: Vanderlei Juliana da Silva , Franchi Eliane Patricia Lino Pereira , Gomes Nábia Souza , Oliveira Alice Kelly Reis de , Monteiro Lorena dias 
Published: May 2021

RESUMO
Objetivo: descrever a assistência pré-natal e perfil das gestantes confirmadas para zika vírus na atenção primária à saúde de Palmas, Tocantins no ano de 2016. Métodos: Trata-se de um estudo descritivo, com dados obtidos do SINAN, SISPRENATAL e SINASC. Foram confirmadas 63 gestantes com a infecção por Zika vírus por exame laboratorial. Resultados: A média de idade das gestantes foi de 26 anos. Os casos confirmados foram notificados predominantemente nas unidades de pronto atendimento (41,27%) e no hospital materno de referência (47,62%). Houve predomínio de gestantes pardas (61,90%), sem ensino médio completo (73,02%), em união estável (47,62%) e jovens (58,73%), que foram atendidas em quase totalidade nos serviços públicos de atenção secundária e terciária. Conclusão: Os resultados deste estudo mostraram a necessidade de melhoria para a assistência pré-natal às gestantes positivas na atenção primária e trouxe evidências do caráter da vulnerabilidade social da infecção pelo Zika vírus na capital do Tocantins.
Palavras-chave: Cuidado Pré-Natal; Epidemiologia; Zika vírus; Atenção Primária à Saúde.
ABSTRACT
Objective: describe the prenatal care and profile of confirmed pregnant women for zika virus in the primary health care of Palmas city, Tocantins, in the year 2016. Methods: This is a descriptive study, with data obtained from SINAN, SISPRENATAL and SINASC. Sixty-three pregnant women with Zika virus infection were confirmed by laboratory examination. Results: The mean age of pregnant women was 26 years. The confirmed cases were predominantly reported in the emergency care units (41.27%) and in the maternal reference hospital (47.62%). There was a predominance of brown pregnant women (61.90%), without complete secondary education (73.02%), in a stable union (47.62%) and young women (58.73%), who were attended almost entirely in public services of secondary and tertiary care. Conclusion: The results of this study showed the need for improvement for prenatal care to positive pregnant women in primary care and brought evidence of the social vulnerability of the Zika virus infection in the capital of Tocantins.
Keywords: Prenatal care; Epidemiology; Zika virus; Primary Health Care.
AVALIAÇÃO NECROSCÓPICA DE CHOQUE SÉPTICO POR COMPLICAÇÕES DE COLECISTITE LITIÁSICA AGUDA
Authors: Lucena Larissa Cardoso , Tomazelli Ana Paula , Souto Alexandre Arguelio , Lucena Letícia Cardoso , Carvalho Arthur Alves Borges de 
Published: May 2021

RESUMO
A colecistite litiásica aguda é uma inflamação aguda da vesícula biliar, desencadeada em 90% dos casos pela obstrução do colo ou ducto cístico. Esse tipo de colecistite ocorre com frequência em pacientes diabéticos que possuem cálculos biliares assintomáticos. Em casos mais severos, a vesícula torna-se um órgão necrótico, chamada colecistite gangrenosa, com perfurações, A invasão de organismos anaeróbios, notadamente clostridia, e coliformes podem causar sérias complicações. O objetivo deste estudo foi relatar um caso de óbito natural em idosa com 99 anos de idade, sexo feminino, com complicações de colecistite que levaram ao óbito. A necropsia, associada aos informes clínicos, evidenciou choque séptico com complicações associadas de colelitíase e colecistite, exibindo necrose em vesícula, com extensão do processo inflamatório e infeccioso, através da adventícia, para peritonite aguda fibrinosa, septicemia e óbito.
Palavras-chave: Colecistite; Choque séptico; Necropsia.
ABSTRACT
Acute lithiasis cholecystitis is an acute inflammation of the gallbladder, triggered in 90% of cases due to obstruction of the cervix or cystic duct. This type of cholecystitis occurs frequently in diabetic patients who have asymptomatic gallstones. In more severe cases, the gallbladder becomes a necrotic organ, called gangrenous cholecystitis, with perforations. The invasion of anaerobic organisms, notably clostridia, and coliforms can cause serious complications. The objective of this study was to report a case of natural death in a 99-year-old female, with complications of cholecystitis leading to death. Necropsy, associated with clinical reports, evidenced septic shock with associated complications of cholelithiasis and cholecystitis, exhibiting necrosis in the gallbladder, with an extension of the inflammatory and infectious process, through the adventitia, to acute fibrinous peritonitis, septicemia and death.
Keywords: Cholecystitis; Septic Shock; Autopsy.
USO DO FÓRCEPS: UMA REVISÃO DE LITERATURA
Authors: Machado Leonardo de Oliveira , Said Neto Mamud 
Published: May 2021

RESUMO
Introdução A família Chamberlen inventou o fórceps obstétrico nos anos 1600 e, desde então, tem havido várias centenas de versões. Atualmente, os dois tipos mais usados no Reino Unido são Neville Barnes '(NBF) e o fórceps de Wrigley (WF). Metodologia Foi realizada uma pesquisa nas bases Science Direct, Pub Med e Google Scholar para publicações recentes sobre o uso do fórceps utilizando a palavra chave: forceps use. A seleção de estudos potenciais a serem incluídos foi feita revisando os títulos, resumos e data de publicação, sendo selecionados apenas artigos em inglês. Finalmente, foram incluídos para a revisão 21 artigos. Não houve seleção com base na metodologia do estudo, de modo que foram incluídos vários tipos de artigos. Resultados A taxa de partos instrumentais está diminuindo, particularmente o uso de fórceps, que está mais ou menos fora de prática em alguns países europeus como a Romênia. As taxas de parto vaginal instrumental variam amplamente, de 0,5% na Romênia a 16,4% na Irlanda, com um valor mediano de 7,5% na Europa. Conclusão Há mais partos a vácuo sendo realizadas na Europa e em outros países pelos obstetras. No entanto, muitos obstetras preferem usar dispositivos de extração a vácuo do que fórceps, ou realizar cesarianas em vez de partos vaginais operatórios em geral, com medo de litígio, e a crença de que essas são opções mais seguras.
Palavras-chave: fórceps obstétrico, partos instrumentais, uso de fórceps.
ABSTRACT
Introduction The Chamberlen family invented obstetric forceps in the 1600s, and since then there have been several hundred versions. Currently, the two most commonly used types in the UK are Neville Barnes' (NBF) and Wrigley Forceps (WF). Methodology A search was made at the bases Science Direct, Pub Med and Google Scholar for recent publications on the use of forceps using the keyword: forceps use. The selection of potential studies to be included was done by reviewing the titles, abstracts and date of publication, selecting only articles in English. Finally, 21 articles were included for the review. There was no selection based on the study methodology, so several types of articles were included. Results The rate of instrumental deliveries is declining, particularly the use of forceps, which is more or less out of practice in some European countries such as Romania. Rates of instrumental vaginal delivery vary widely, from 0.5% in Romania to 16.4% in Ireland, with a median value of 7.5% in Europe. Conclusion There are more vacuum deliveries being performed in Europe and in other countries by obstetricians. However, many obstetricians prefer to use vacuum extraction devices than forceps, or perform cesarean deliveries instead of operative vaginal delivery in general, with fear of litigation, and the belief that these are safer options.
Keywords: obstetric forceps, instrumental deliveries, forceps use.
HEMORRAGIA PÓS-PARTO
Authors: Macedo Pollyana de Cássia , Lopes Hanna Helena 
Published: May 2021

RESUMO
Introdução: A hemorragia pós-parto é a principal causa de morbimortalidade materna no mundo, sendo responsável por cerca de 25% do óbitos maternos mundiais, tratando-se, pois, de uma condição potencialmente grave e importante para a saúde pública. Métodos: Foi realizada uma revisão de literatura no banco de dados MEDLINE, PUBMED e SCIELO, selecionando artigos que tratavam principalmente do manejo, da prevenção e dos fatores de risco relacionados à hemorragia pós-parto. Resultados: O conhecimento dos fatores de risco, bem como o manejo ativo no terceiro período, com o uso de uterotônicos, clampeamento do cordão em tempo oportuno e tração controlada do cordão, são eficazes na redução da hemorragia pós-parto. A identificação de sinais e sintomas da hemorragia deve ser precoce para iniciar o manejo terapêutico, o qual divide-se em manutenção da estabilidade hemodinâmica e tratamento específico segundo a etiologia. Inicialmente é preferido o tratamento clínico, com fármacos e manobras, e em caso de falha terapêutica, o tratamento cirúrgico deve ser indicado e realizado o quanto antes. Conclusão: A redução da morbimortalidade por hemorragia pós-parto baseia-se em três pilares de atendimento: assistência pré-natal e durante o trabalho de parto de qualidade, manejo ativo no terceiro período e manejo terapêutico rápido e eficaz.
Palavras-chave: Hemorragia pós-parto; Prevenção; Fatores de risco; Manejo terapêutico; Trabalho de parto; Terceiro período.
ABSTRACT
Introduction: Postpartum haemorrhage is the main cause of maternal mortality and morbidity worldwide, and its being responsible for nearly 25% of maternal deaths. Methods: The research was conducted through a literature review of MEDLINE, PUBMED and SCIELO database, and the articles were selected that discussed mainly about management, prophylaxis and risk factors related to postpartum haemorrhage. Results: The risk factors knowledge, as well as the active management in the Third Period, with uterotonics use, opportunal cord clampeament and controled cord traction are effective in reduce postpartum haemorrhage. The identification of the signs and symptons of haemorrhage is essential to iniciate the therapeutic management, which is divided in haemodynamic establizitation maintanace and especif treatment, directed towards the etiology. Inicially the clinical treatment is preferred, with the use of drugs and techiniques, and if therapeutic failure, surgical treatment must be indicated and early managed. Conclusion: Postpartum haemorrhage morbimortality reduction is based in three attendance pilars: antenatal, intrapartum and postpartum qualified assistance, active management of the third period and fast and effective therapeutic managem.
Keywords: Postpartum haemorrhage; Prevention; Risk factors; Therapeutic management; Delivery; Third period.
Design of the Maternal Website EMAeHealth That Supports Decision-Making During Pregnancy and in the Postpartum Period: Collaborative Action Research Study
Authors: Artieta-Pinedo Isabel , Paz-Pascual Carmen , Bully Paola , Espinosa Maite ,   EmaQ Group
Published: May 2021

Background
Despite the benefit maternal education has for women, it needs new tools to increase its effectiveness and scope, in tune with the needs of current users.

Objective
We attempted to develop a multifunctional personalized eHealth platform aimed at the self-management of health in relation to maternity, which can be considered a flexible and adaptable maternal education tool.

Methods
The International Patient Decision Aid Standards (IPDAS) were applied. A website prototype was developed for implementation in the public health system using a collaborative action research process, in which experts and patients participate, with qualitative research techniques, as well as focus groups, prioritization, and consensus techniques.

Results
We have proposed a website that includes (1) systematically updated information related to clinical practice guidelines, (2) interaction between peers and users/professionals, (3) instruments for self-assessment of health needs as a basis for working on counseling, agreement on actions, help in the search for resources, support in decision-making, and monitoring and evaluation of results, and (4) access for women to their clinical data and the option of sharing the data with other health agents. These components, with different access requirements, would be reviewed through iterative cycles depending on the frequency and effectiveness resulting from their use and would be accessible from any digital device.

Conclusions
A website that supports maternal education should contain not only information, but also resources for individual attention and social support. Its usefulness for the health and satisfaction of women should be evaluated in various different environments.
Pemanfaatan Progress Test sebagai Tolak Ukur Keberhasilan Belajar Mengajar
Authors: Mirfat Mirfat , Yuhernita Yuhernita 
Published: May 2021

Background: Faculty of Medicine, YARSI University has experienced a paradigm shift in higher education from a content-based curriculum to a competency-based curriculum that has been applied since the academic year of 2007/2008 using a problem-based learning approach. Progress test is an evaluation that is used to measure the student’s competency in the field of knowledge in its entirety. Faculty of Medicine, YARSI University has yet to apply these progress test. Thus, this research is aimed to execute a progress test trial in attempt to use it as a standard measurement to observe student capabilities in the field of knowledge, either as the individual or as a whole class.Method: This research uses a qualitative method. The research sample consists of 200 students from the faculty of medicine chosen by using a randomized approach for each class, starting from the class of 2013 (first year students) until the class of 2010 (fourth year students).Results: Based on student entrance levels in years, 4th year students had acquired a higher score on the progress test trial in comparison to the 1st, 2nd and 3rd year students. The results had also shown that the students in their first year of study had lower scores when compared to the students in their last year of study (4th year). This indicates that the longer the period of study or the more time spent in the study process, the better the scores achieved on the progress test.Conclusion : Faculty of Medicine, YARSI University has successfully executed the progress test trial in the first week of the third block in the odd semester of the academic year of 2013/2014. The progress test itself consisted of 200 questions and was taken by 200 student samples that were chosen in a randomized manner. The results of the progress test had revealed that there was an increase in the average examination grades of students in the 1st year until the 4th year, which is consistent with the level of understanding of lectures accordingly to each year. Item Analysis on the test showed a good distribution in the level of difficulty, where the majority of questions were held in the moderate level of difficulty.
Collaborative Practice Bidang Maternitas pada Tenaga Kesehatan
Authors: Fatalina Femy , Sunartini Sunartini , Widyandana Widyandana , Sedyowinarso Mariyono 
Published: May 2021

Background: World's current health systems are in a crisis, causing public health needs are not being met. Mother Mortality Rate in Indonesia was still high. It indicated that maternity care was not optimal yet. One of solution is an implementation of interprofessional collaborative practice. Currently, in Indonesian’s hospitals have not seen an equal team collaboration. The objective of this study was to explore the perceptions and acceptance of health workers maternity’s interprofessional collaborative practice in Dr. Sardjito Yogyakarta’s Hospital. Methods: This study was a qualitative with a phenomenology design. Subjects were nurses, midwives, obstetrics and gynecologist, pharmacists, and nutritionists who had collaboration experience in obstetrics gynecology department in Dr. Sardjito Yogyakarta’s Hospital, included 10 respondents. Sampling technique used a purposive sampling, while data collection used a Focus Group Discussion and in-depth interviews. Data’s credibility and reliability obtained by triangulation, debriefing, member checking and rich data. Research ethics included an informed consent and ethics committee’s approval. This study was conducted in February-July 2014. Result: Most respondents had a wrong perception of interprofessional collaboration’s definition. All of respondents accepted if interprofesional collaboration implemented properly. Data analysis resulted in six categories: perception of health workers about interprofessional collaboration, implementation of interprofessional collaboration in hospital, application of collaboration’s elements in interprofessional collaboration, health workers’s expectations for better collaboration, health workers’s motivation in doing interprofessional collaboration and variation of health workers’s acceptance of interprofessional collaboration. Conclusion: Most of health workers have not had a correct perception of interprofessional collaborative practice. All health workers accepted if interprofessional collaborative practice applied properly in maternity area in Dr. Sardjito Yogyakarta’s Hospital.
Aplikasi Metode Sequential Three-Stage Integer Goal Programming untuk Penjadwalan Kuliah
Authors: Huda Nisrina Nafi’atul , Budi Dharma I Gusti Bagus , Wasityastuti Widya 
Published: May 2021

Background: One of scheduling problems in educational sector currently was the course scheduling in college or well known as University Course Timetabling Problem (UCTP). The UCTP was comprehensive because of the policy difference among the university, faculties, and departments. The Faculty of Medicine Universitas Gadjah Mada, which organizes a block system has a different and more complex scheduling type than other faculties with non-block system. The porpose of this research was to build a mathematic model of block system UCTP in Faculty of Medicine Universitas Gadjah Mada to optimize the scheduling process time and results.Method: This research was conducted by dividing the scheduling problem into 4 sub – scheduling problems that are sequential, which are the scheduling of the 5 primary courses (lecture, panel discussion, practical sessions, tutorial, and skills laboratory), scheduling topics for each course, student’ group scheduling, and classroom scheduling. The problems are then modeled in the form of integer goal programming. Results: The block system scheduling model in Faculty of Medicine Universitas Gadjah Mada by considering topic and possibility of unavailability room using Sequential Three-Stage Integer Goal Programming has successfully developed and well verified.Conclusion: The model developed in this study is able to produce a schedule that meets all hard constraint in less than 24 hours. The result was more efficient compared to the previous trial-and-error method that consumed 30-45 days.
Among Students' Internal Factors, Should Motivation be Used as One of Recruitmen for Admission of Medical Students in Indonesia?
Authors: Nurrokhmanti Hikmawati , Claramita Mora , Utomo Prattama Santoso 
Published: May 2021

Background: Indonesia medical education recruitment system recruits students directly from high school who had been influenced by mostly teacher centered learning. As part of pedagogical approach in higher education, those students will be obligatory to learn independently and effectively. Self-directed learning (SDL) is an important aspect in latest medical educational evidence which would determine students’ successfulness in learning. Self-directed learning readiness (SDLRS) is influenced by several factors including motivation, age, culture, and previous education experience. Today, the admission process in Indonesia is based on knowledge-test based only. This study aims to reveal correlation between several factors which influence students’ Self Directed Learning Readiness (SDLRS).Methods: This study used SDLRS questionnaire as a valid and reliable toll to measure the students’ self directed learning readiness and correlate with those several factors.Result: From 540 distributed questionnaires, 412 questionnaires returned back. The Spearman correlation showed significant ratio between students SDLRS score and students’ motivation. While, the analysis on age showed that age of 20 has significant ratio with students’ SDLRS score.Conclusion: among age, previous education experience, and culture; students’ internal motivation should be considered as important factor for students’ SDLRS which will determine their successfulness in learning in medical education. These factors should be regarded as one requirement of students’ admission in medical education.
Mentoring for Senior Preclinical Medical Students in a Faculty of Medicine
Authors: Rukmini Elisabeth , Puspadewi Natalia , Hariadi Nurul 
Published: May 2021

Background: Universities’ core values need to be translated into real learning design. At the end of the preclinical phase, the curriculum turned into a more comprehensive and full of trustworthiness of knowledge and attitudes. Meanwhile, the development of attitudes requires intensive support (mentoring). The team intended to translate the core values of Atma Jaya (Christianity, Excellence, Professional, Caring, KUPP) into an instructional design. Mentoring was the selected approach to build a dialogue and work together with students. In this article we presented the implementation of mentoring on the Elective Block of Medical Education (Block IPK) for the 7th semester medical students at Atma Jaya School of Medicine (August-September 2015, 5 weeks). The Block IPK then was followed by an advanced mentoring until the end of November 2015. We intended to realise KUPP through mentorship throughout Block IPK until the end of the first semester of 2015/2016. In particular, this action research was intended to find answers to research questions: (1) What were perceived by the students throughout the mentoring in the Block IPK ?, (2) What were perceived by the students throughout the mentoring after Block IPK?, (3) What products were the students proud of after the mentoring?Method: Qualitative analysis using Delphi method were utilized to determine the main theme. Analyses were fulfilled using interpretive analysis. Data were taken from: reflective writing, FGD or interviews, email communication, and the mentors’ observation. The Delphi was performed in three rounds. Results: Findings showed positive impression on Block IPK. Students were aware of the meaning or significance of Block IPK. Field trip and working group were learning methods which considered to be important, because the methods had succeeded in generating meaningful learning for students. Approximately 40-50% of the students stated the significance of working group in Block IPK. Approximately 50-75% of students experienced personal cultivation. Approximately 67-75% of the class stated the superiority of Blok IPK and mentoring. Students appreciated the working group, which gave opportunities to have a discussion on campus with mentors. Mentoring had advantages in terms of students’ cultivation of the freedom of thought and to proceed further learning (advance learning).Conclusion: Students perceived positively to mentoring activities during and after the Block IPK. Mentoring benefited to personal cultivation, academic support, role modeling and leadership. The implication to medical education institutions was to implement a mentoring steadily.