bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prolactin Level and Breastmilk Production among Mothers of Low-Birth-Weight Infants Admitted to Level II Neonatal Intensive Care Unit
Authors: Dumalag Jessica Anne A. , Villanueva-Uy Maria Esterlita T. , Raguindin Peter Francis 
Published: December 2021

Background. Kangaroo mother care (KMC) has been proven by several studies to promote breastfeeding, but many of the studies focus on the success of exclusive breastfeeding, and less on its galactogenic effects.
Objective. We aim to determine the maternal serum prolactin levels and breastmilk volume of mothers who rendered KMC to their infants.
Materials and Methods. This is a randomized controlled, open-labeled, interventional study in the Neonatal Intensive Care Unit of a tertiary government hospital. Infants weighing < 2000 grams admitted in NICU Level II, together with medically stable mothers and no contraindication for breastfeeding were simultaneously enrolled. Primary outcome measures were maternal serum prolactin levels and expressed milk volume on day 3 and day 7 postpartum. Two-sample t-test was used to compare groups, and paired t-test to compare within groups. Tests were two-tailed, with a p-value of < 0.05 considered statistically significant.
Trial Registration. Australia-New Zealand Clinical Trial Registry ID ACTRN12614000218695
Results. Fifty mother-infant dyads were equally allocated into KMC and control groups (p < 0.001). There was significantly larger milk volume on the third day (29.6 ± 27.8 mL vs 16.3 ± 26.1 mL; p < 0.001) and seventh post-partum day (72.4 ± 62.3 mL vs 47.3 ± 43.8 mL; p < 0.000). There were increased serum prolactin levels compatible with post-partum state. The increase was more evident in the KMC (5244 ± 2702 mIU/L, on the 3rd postpartum day versus 4969 ± 2426 mIU/L, on the 7th postpartum day, p = 0.996) compared to control group (4129 ± 2485 mIU/L on the 3rd postpartum day versus 3705 ± 2731 mIU/L on the 7th postpartum day, p = 0.301).
Conclusion. We noted a significantly larger milk volume in the KMC group. There was also a greater increase in the prolactin levels in the KMC group, but this did not reach statistical significance. Further studies should be done to determine mechanism of galactogenesis through KMC.
The Physiologic Status of Low-Birth-Weight Infants Before and After Kangaroo Mother Care Sessions: A Retrospective Study
Authors: Peredo Erika Marie C. , Villanueva-Uy Maria Esterlita T. 
Published: December 2021

Objective. To compare the physiologic status of infants before and after receiving kangaroo mother care (KMC) through assessment of their heart rate (HR), respiratory rate (RR), temperature, oxygen saturation, and pain scores.
Methods. We conducted a retrospective study by chart review of all low-birth weight (LBW) infants enrolled in the KMC program of a tertiary medical center. Significance is defined by lower HR, RR, PIPP score and FLACC scale, and significant increase in temperature and oxygen saturation (within normal range) after 4 hours after each KMC session.
Results. Out of the 46 LBW weight infants enrolled in the KMC program, only 23 infants had complete chart entries. A total of 99 KMC sessions were analyzed. There was no significant difference in the HR (p = 0.331), RR (p = 0.453), oxygen saturation (p = 0.839), and PIPP (p = 0.387)/FLACC (p = 0.13) scores among the LBW infants before and after the KMC session. However, there was a significantly higher axillary temperature (within normal range) four hours after KMC (p = 0.044).
Conclusions. KMC is associated with better thermoregulation even at four hours after the KMC session compared to four hours before. Other physiologic parameters such as heart rate, respiratory rate, oxygen saturation and pain scores were similar four hours before and after the KMC session.
Kangaroo Mother Care Implementation at the Philippine General Hospital: A Quality Assurance Initiative
Authors: Villanueva-Uy Maria Esterlita T. , Villanueva-Uy Lucille Marie , Chung Andrea Lauren Tang , De Leon-Mendoza Socorro 
Published: December 2021

Background. The Philippine General Hospital (PGH) implemented the Kangaroo Mother Care (KMC) Program in 2014, recognizing its benefits in helping low birth weight (LBW) infants survive.
Objective. To determine the acceptability and compliance of the stakeholders to the KMC program after one year from implementation.
Method. Data were obtained from the NICU Annual statistics, KMC data forms, logbooks, and questionnaires to the stakeholders-doctors rotating at the NICU, NICU nurses, and mothers enrolled in the KMC program.
Results. One year into the KMC program implementation, the KMC enrollment increased from 57% in 2014 to 75% in 2015. All mothers enrolled in the program said that they received their KMC knowledge from the health providers and firmly believed that KMC benefited them and their infants. The mothers also became more confident in taking care of their babies after each KMC encounter. Although only 50% said they would continue KMC at home, 85% proceeded. Furthermore, both doctors and nurses believed that KMC was beneficial to both mothers and infants, decreased hospital cost and nursing workload. KMC provision was 0.5-6 hours/day. Also, less than half of the data forms were accomplished. The KMC program was acceptable to all stakeholders who believed in the benefits of KMC to preterm infants. The mothers were very receptive and continued KMC even after discharge. However, there was sub-optimal engagement provided by the health providers with the mothers. There was also low adherence to recommended duration of KMC per day provided by the mothers. KMC data records were frequently not accomplished. PGH has instituted strategies to improve the KMC implementation by providing dedicated KMC rooms and supplying meals to mothers to increase KMC duration and frequency. A computer-based program for data entry was developed for the health providers, and a dedicated encoder was assigned.
Conclusion. KMC acceptability was high among stakeholders. Compliance increased after one year, with enrolment going up to 75%. However, adherence to the recommended KMC duration per day and accomplishment of data forms were still sub-optimal.
Karakteristik dan Evaluasi Granul Ekstrak Daun Kersen (Muntingia calabura L.) dengan Metode Granulasi Basah
Authors: Syabania Muti , Pambudi Dwi Bagus , Wirasti W , Rahmatullah St 
Published: December 2021

AbstractKersen (Muntingia calabura L.) is a medicinal plant that has the effect of being a source of natural antioxidants that can counteract free radicals in the body. The purpose of this study was to determine the characteristics of Kersen leaf extract granules (Muntingia calabura L.) which can meet the physical requirements of good granules. The method of making granules is by using the wet granulation method. The evaluation of the granules carried out includes tests of moisture content, flow rate, angle of repose, and compressibility. Data analysis was carried out qualitatively by referring to the literature on the Theory and Practice of Industrial Pharmacy Editions II and III as well as Pharmaceutical Technology Textbooks. The granule characteristics of all formulas meet the requirements of a good granule evaluation test. The characteristics of the granules that are close to perfect are in formula II with 20% Avicel pH 101 and 10% Amprotab. The results of the evaluation of the granules obtained were 1.00% water content test, 19.08 gr/second flow rate test, 26.92˚ angle of repose test, 9.80% compressibility test.Keywords: Kersen Leaf Extract, Granules, Characteristics.
AbstrakKersen (Muntingia calabura L.) adalah tanaman obat yang mempunyai efek sebagai sumber antioksidan alami yang dapat menangkal radikal bebas dalam tubuh. Tujuan dari penelitian ini yaitu untuk mengetahui karakteristik granul ekstrak daun Kersen (Muntingia calabura L.) yang dapat memenuhi persyaratan fisik granul yang baik. Metode pembuatan granul yaitu dengan menggunakan metode granulasi basah. Evalusi granul yang dilakukan yaitu meliputi uji kadar air, laju aliran, sudut diam, dan kompresibilitas. Analisis data dilakukan secara kualitatif dengan mengacu pada literatur buku Teori dan Praktek Farmasi Industri Edisi II dan III serta buku Pelajaran Teknologi Farmasi. Karakteristik granul semua formula memenuhi syarat dalam uji evaluasi granul yang baik. Karakteristik granul yang mendekati sempurna yaitu pada formula II dengan kadar avicel ph 101 20% dan amprotab 10%. Hasil evaluasi granul yang didapat yaitu uji kadar air 1,00%, uji laju alir 19,08 gr/detik, uji sudut diam 26,92˚, uji kompresibilitas 9,80%. Kata kunci: Ekstrak Daun Kersen, Granul, Karakteristik.
Literature Review : Gambaran Tingkat Nyeri Pada Remaja yang Menstruasi
Authors: Ayuningtyas Nila , Ratnawati R 
Published: December 2021

AbstractThe period of growth in adolescents is characterized by physical and psychological changes. Girls will experience menstruation and the impact that often occurs is dysmenorrhea (menstrual pain). Dysmenorrhea causes mood disorders in adolescents which will reduce learning motivation. In early adolescents who need adaption, their mental is needed to be ready for the changes which physically and psychologically related to dysmenorrhea. His study aimed to determine the level of pain in adolescents who menstruate. He method used in this research was descriptive with a litetarute review approach. The articles were published in 2011-2021 on Garba Garuda or PubMed. The result obtained according to the inclusion and exclusion criteria were then analyzed using the JBI (Joanna Briggs Institute) instrument. The result of study of the 5 articles with a total of 1,807 respondents showed that the level of menstrual pain was 27,6% mild pain, 37,2% moderate pain, and 35,2% severe pain. The number of adolescents who have moderate pain levels is more that those with mild and severe pain levelsKeywords: adolescents, dysmenorrhea, menstrual pain
AbstrakMasa pertumbuhan pada anak remaja ditandai dengan perubahan fisik dan psikologis. Pada anak perempuan akan mengalami menstruasi dan dampak yang sering terjadi yaitu dismenorea (nyeri haid). Dismenorea menyebabkan gangguan mood pada remaja yang akan menurunkan motivasi belajar. Pada remaja awal yang membutuhkan adaptasi sehingga perlu kesiapan mental mengenai perubahan yang dialami secara fisik dan psikologis terkait dismenorea. Penelitian bertujuan untuk mengetahui gambaran tingkat nyeri pada remaja yang menstruasi. Metode yang digunakan pada penelitian ini adalah deskriptif dengan pendekatan literature review, pencarian artikel pada rentang waktu 10 tahun yaitu dari 2011-2021 melalui penelusuran didapatkan 4 artikel melalui Garba Garuda dan 1 artikel melalui PubMed. Hasil pencarian sesuai dengan kriteria inklusi dan eksklusi kemudian dianalisa menggunakan instrument JBI (Joanna Briggs Institute), kemudian diolah menggunakan uji Chi-Square dan tidak memenuhi syarat sehingga dilanjutkan menggunakan uji Mann-Whitney. Hasil penelitian dari ke-5 artikel dengan total responden 1.807 menunjukkan bahwa tingkat nyeri haid yaitu 27,6% nyeri ringan, 37,2% nyeri sedang, dan 35,2% nyeri berat. Dari ke-5 artikel yang telah dianalisa menunjukkan bahwa remaja putri yang berada pada tingkat nyeri sedang lebih banyak dibanding dengan tingkat nyeri ringan dan beratKata kunci: dismenore, nyeri menstruasi, remaja
Mujeres en la arqueología de Mendoza
Authors: Puebla Lorena , Prieto-Olavarría Cristina , Frigolé Cecilia , Guevara Batlllori Daniela , Salgán María Laura , Zárate Bernardi Sol , Pompei María de la Paz , Da Peña Gabriela , Yebra Lucía , Sugrañes Nuria , Albarrán Elina Isabel 
Published: December 2021

Este trabajo, de carácter preliminar, surgió del interés de un grupo de arqueólogas de diferentes regiones de la Provincia de Mendoza (Argentina) reunidas con el objetivo de generar una nueva mirada acerca del lugar de las mujeres en la historia local de la disciplina. Esta visión basada en relatos propios permitió evidenciar, repensar y cuestionar esta historia y seguidamente exponer la situación actual. Para abordar esta problemática se trabajó en el análisis de tres ejes. El primero, se centró en reconocer las trayectorias de las pioneras y evidenciar su presencia en la historia de la arqueología en Mendoza; el segundo eje analizó la existencia de disparidad profesional entre varones y mujeres dentro de la disciplina; el tercero indagó sobre los tipos de violencia ejercida en el ámbito profesional y académico. Los resultados demuestran la invisibilización histórica que han tenido las mujeres pioneras de la disciplina en la provincia entre las décadas de 1940 y 1970. También pudo reconocerse la disparidad y segregación profesional entre mujeres y varones en el ámbito de la docencia y la investigación, en la que las mujeres logran menores avances en la carrera profesional. Por último, se pusieron de manifiesto las acciones concretas de violencia de género experimentadas por las arqueólogas en la actualidad, que dan cuenta de la interiorización de los mecanismos de coerción del patriarcado dentro del sistema académico.
Exploring Occupational Therapists' Experiences in U.S. Primary Care Settings: A Qualitative Study
Authors: Rouch Stephanie A. , Klinedinst Tara C. , White Jennifer S. , Leland Natalie E. 
Published: December 2021

Abstract
Importance: Occupational therapy's scope of practice aligns with the goals of comprehensive primary care set forth by the 2010 Patient Protection and Affordable Care Act (Pub. L. 111-148). To successfully integrate occupational therapy into primary care, we must understand occupational therapy practitioners' experiences in this setting.
Objective: To explore facilitators of, barriers to, and recommendations for integrating occupational therapy into primary care.
Design: A descriptive qualitative design that incorporated semistructured interviews, member checking sessions, and deductive thematic analysis. Interviews were structured to capture occupational therapists' experiences of and recommendations for practicing in primary care.
Setting: Primary care.
Participants: A purposive sample of licensed occupational therapists with at least 6 mo primary care experience in the United States.
Results: Seven participants reported 1 to 8 yr of experience in primary care. Four themes emerged that contextualized the experiences of occupational therapists in primary care. The first theme captured the process of gaining entry onto the primary care team. Once structurally embedded on the team, the second and third themes, respectively, captured barriers and facilitators to navigating team-based care and providing patient-centered care. The fourth theme reflected participants' vision and ideas of how to expand reach nationally to promote consistent integration of occupational therapy into primary care.
Conclusion and Relevance: Given the important role of an interprofessional primary care team in improving population health, this study is timely in that it explored occupational therapists' experiences in this emerging practice area.
What This Article Adds: Occupational therapists in this study used their skills, resources, and networks to become part of a primary care team. They indicated that they contributed to positive outcomes through working with patients on self-management, functional problem solving, and behavior change.
INTOXICAÇÃO EXÓGENA: PERFIL EPIDEMIOLÓGICO DO ESTADO DE RONDÔNIA NOS ANOS DE 2015 A 2020
Authors: Dias Adriano Braga , Guimarães Aline dos Santos , Lima Jaqueline Pereira , Morais Vitória Nathaly Espindula de , Souza Luan Felipo Botelho 
Published: December 2021

Introdução: Intoxicações exógenas são manifestações patológicas causadas pela interação do sistema biológico com substâncias nocivas às células humanas. Anualmente, 4,8 milhões de pessoas, aproximadamente, sofrem de intoxicação no Brasil. Rondônia não é exceção quando se trata desse agravo, mas apresenta peculiaridades, despertando preocupações para o sistema de saúde pública. Objetivo: Caracterizar e analisar o perfil epidemiológico da população afetada por intoxicações exógenas no estado de Rondônia entre os anos de 2015 a 2020. Material e métodos: Trata-se de uma pesquisa do tipo observacional documental que utilizou o DataSUS como plataforma de busca, através de informações colhidas pelo SINAN. As buscas se deram sobre o agravo intoxicação exógena (notificação compulsória) no estado de Rondônia nos anos de 2015 a 2020. As variáveis analisadas foram: sexo, faixa etária, raça/etnia, escolaridade, agente tóxico, circunstância da intoxicação e evolução clínicas dos casos. Os dados foram analisados sob o ponto de vista estatístico através de porcentagens, médias e do teste Qui-Quadrado. Resultados: Rondônia apresentou uma incidência crescente das notificações de intoxicação exógena entre os anos de 2016 e 2019 e uma queda em 2020. Em relação as variáveis socioeconômicas e clínicas, medicamentos foram os principais agentes intoxicantes no período analisado, com 102% notificações a mais que os agrotóxicos (segundo maior). O sexo feminino foi o mais afetado, indicando 74,4% de todas as intoxicações medicamentosas. Dentre as circunstâncias, a tentativa de suicídio foi a principal, sendo as mulheres representantes de 73,1% dos casos notificados, e a maioria através de medicamentos. A faixa etária com mais notificações foi de 20-39 anos e a escolaridade foi 5ª a 8ª série do EF. Percebe-se que a raça parda foi a mais afetada. Felizmente, de todas as notificações de intoxicação exógena, 82,3% evoluíram para cura sem sequela. Conclusão: Identificam-se sérios problemas decorrentes da intoxicação exógena, como absenteísmo, pois a maioria dos intoxicados pertencem a classe economicamente ativa, assim, geram-se perdas econômicas para o estado. Ademais, a problemática do suicídio apresenta extrema relevância, pois, supõe-se que tentativas de suicídio podem estar relacionadas a facilidade de se adquirir medicamentos no Brasil, bem como o sexo feminino mais envolvido nesta modalidade de intoxicação.
Quando a lamentação leva à adesão: o Twitter enquanto suporte para a construção do ethos discursivo
Authors: Silva Albylene Da 
Published: December 2021

Sabendo que as postagens em meio digital elaboram novas formas de comunicação, Maingueneau (2015) pontua que tais enunciados pressupõem comunidades, evidenciando um processo que ele denomina “tribalização”. A partir disso, suscitam-se imagens de si chamadas de ethos. Neste contexto, muitos dos ethé não correspondem a imagens positivas, sendo assim pouco analisados pelo aporte teórico deste trabalho - a Análise do Discurso Francesa (SILVA, 2014). Considerando essas reflexões, propomos discutir aqui a construção do ethos discursivo em postagens pessoais no Twitter. Constatamos que, mesmo deslocados de sua concepção clássica, os ethé analisados levam os leitores a aderir determinados discursos.
Thực trạng và một số yếu tố liên quan đến tăng huyết áp ở người Mông từ 30 đến 69 tuổi tại xã Đắk Drông, huyện Cưjut, tỉnh Đắk Nông 2020
Authors: Vân Ngô Thị Hải , Hạnh Hoàng Xuân , Hạnh Trần Thị Đức , Vinh Nguyễn Văn 
Published: December 2021

Nghiên cứu cắt ngang nhằm mô tả thực trạng và một số yếu tố liên quan đến tăng huyết áp đã được triển khai trên người dân tộc Mông 30 - 69 tuổi ở xã Đắk Drông, huyện Cư Jut, tỉnh Đắk Nông, năm 2020. Kết quả cho thấy tỷ lệ tăng huyết áp ở nhóm người tham gia là 19,2%; trong đó tỷ lệ tăng huyết áp ở nhóm nam giới (20,2%) cao hơn nữ giới (18,1%); trung bình huyết áp tâm thu 123 ± 16,1mmHg và trung bình huyết áp tâm trương 80,9 ± 9,3mmHg. Tỷ lệ tăng huyết áp cao nhất ở nhóm 60 - 69 tuổi (27,6%). Các yếu tố liên quan đến tăng huyết áp là thừa cân/béo phì (OR = 1,68; KTC 95%: 1,03 - 2,72), sử dụng mỡ động vật thường xuyên (OR = 3,4; KTC 95%: 1,93 - 5,8), vận động thể lực thấp (OR = 2,2; KTC 95%: 1,24 - 4,0), ăn mặn (OR = 2,4; KTC 95%: 1,46 - 3,8), hút thuốc lá (OR=2,0; KTC 95%:1,15-3,2) và ăn ít rau quả (OR = 3,2; KTC 95%: 1,87 – 5,56 ).
Experiencias de un pasante de licenciatura de enfermería en el cuidado de una persona adulto mayor con depresión
Authors: Urias-Mancilla Emmanuel , Reyes-Audiffred Virginia 
Published: December 2021

Introducción: El trastorno depresivo forma parte de las enfermedades que se presentan en el adulto mayor y lo llevan a la necesidad de una atención especializada en la que puede colaborar un principiante avanzado de enfermería. Objetivo: Describir las experiencias de un principiante avanzado de enfermería en el cuidado de una adulta mayor con depresión hospitalizada dentro de una institución de salud de tercer nivel de atención de la Cuidad de México. Metodología: Investigación cualitativa por medio de una autoetnografía. Los datos se recolectaron agosto de 2019 a marzo de 2020. A través de entrevistas, observación y notas de campo en el servicio de hospitalización de una institución psiquiátrica de tercer nivel ubicada en la ciudad de México. Participaron: el investigador como principiante avanzado, una adulta mayor con diagnóstico de trastorno de depresión mayor e ideas de muerte, una cuidadora familiar y equipo de salud. Resultados: Categoría “Dirección y desenvolvimiento con el adulto mayor” con subcategorías: preparación y encuentro con la adulta mayor con depresión, desarrollo en la valoración, diagnóstico y planeación, implementación de las actividades, confianza y replanteamiento de las actividades y alta y cierre. Limitaciones: Periodo de tiempo reducido de hospitalización de la adulta mayor. Valor: Las experiencias del principiante avanzado serviran de referencia a pasantes que inicien servicio social. Conclusiones: Durante la prestación del servicio social un principiante avanzado relaciona la teoría y la práctica en un escenario real para la adquisición de habilidades y competencias, pero es de suma importancia contar con la tutoría de enfermeras.
Recalculation of data from 1990 to 2010 on the effects of highly diluted thyroxine on the metamorphosis of highland amphibians
Authors: Lingg Gerhard , Endler Peter Christian 
Published: December 2021

Experiments on amphibian metamorphosis can vary considerably in duration. The authors had set themselves the task of defining a generally applicable pooling method for metamorphosis experiments [1]. Normalization with respect to time was done on the assumption that differences in speed of metamorphosis attributable to treatment would override differences in duration between experiments. The problem of artificial differences in variability when comparing and pooling data from several experiments was approached by normalization with respect to time based on the development of both the test and the control animals. The range from 0% to 100% over which the fraction of four-legged animals progresses in the course of an experiment is divided into 10%-intervals and mapped onto a corresponding relative scale. Each measurement is then assigned to the point on the 10%-scale to which it is closest. In this way each reference point is assigned a value giving the number or percentage of four-legged animals at that point. These values are aggregated over all experiments within the test- and control-group.
The results of experiments performed over the course of two decades (1990 - 2010) on highland Rana temporaria treated with a homeopathically prepared high dilution of thyroxine (ÃƒÂ¢Ã¢â€šÂ¬Ã…â€œ30xÃƒÂ¢Ã¢â€šÂ¬Ã‚Â) are presented in full detail based on this normalization method[1]. It was found that differences between treatment groups thus calculated were in line with those obtained with other pooling methods [2]. Thyroxine 30x does slow down metamorphosis in inert highland amphibians. This was observed by 5 researchers in 20 sub-experiments, and it seems to be the most reliable bio-assay found in amphibian research on homeopathy so far2. When experiments were performed with highland animals pretreated by hyperstimulation with molecular thyroxine, slowing down of metamorphosis was again observed (by 3 of 4 researchers) in most of 10 sub-experiments.