bluuebunny/crossref_metadata_2025_split huggingface dataset:
Complicações bucais em crianças e adolescentes hospitalizadas durante o tratamento antineoplasico
Authors: Welter Ana Paula , Cericato Graziela Oro , Paranhos Luiz Renato , Santos Tito Marcel Lima , Rigo Lilian 
Published: May 2019

Introdução: Durante o tratamento antineoplásico, células normais também são afetadas, incluindo assim, as células da mucosa oral, o que potencialmente causa complicações orais.
Objetivo: O presente trabalho teve por objetivo avaliar a prevalência das principais complicações bucais e índice de higiene oral em crianças e adolescentes submetidas à quimioterapia e/ou radioterapia.
Método: O delineamento é do tipo observacional de prevalência realizado em um Hospital do Sul do Brasil. Foram coletados dados de 21 pacientes de 5 a 12 anos de idade em tratamento, a partir de um questionário auto aplicativo para os responsáveis pelos pacientes e um exame clínico intraoral. Os indicadores utilizados foram o índice CPOD (dentes cariados, perdidos e obturados) para cárie dentária, o índice IHOS (higiene oral simplificada) para Higiene Oral e a presença de mucosite, xerostomia e candidíase.
Resultados: A maior parte da amostra era do sexo masculino (57,1%) média de 8 anos de idade (dp 2,92), diagnosticados com leucemia (47,6%). Todos os participantes receberam quimioterapia como tratamento de escolha e 38,1% receberam radioterapia como parte do tratamento. Os resultados evidenciariam presença de mucosite em 61,9% e xerostomia em 28,6% dos pacientes. Nenhum paciente apresentou candidíase durante o exame clínico. Quanto a cárie dentária, 66,7% tem um CPOD de 4 e 16, considerado alto e 38,1% dos pacientes apresentaram presença de placa bacteriana e cálculo dentário.
Conclusão: As principais complicações bucais evidenciadas durante o tratamento antineoplásico foram mucosite e xerostomia. Foi observado também um alto índice de cárie dentária, consequência de uma inadequada higiene oral.
Perfil das Tentativas de Suicídio Atendidas em um Hospital Público de Rio Branco, Acre de 2007 a 2016
Authors: Boas Andreia Cristina Vilas , Monteiro Quiria Ribeiro da Silva , Silva Romeu Paulo Martins , Meneguetti Dionatas Ulises De Oliveira 
Published: May 2019

Introdução: Estima-se que 1 milhão de mortes por suicídio ocorram anualmente no mundo, e estudos sugerem que há 10 a 40 tentativas para cada consumação de suicídio, revelando seu alto impacto (pessoal, social e econômico) e sendo considerado pela OMS como um grave problema de saúde pública.
Objetivo: Avaliar o perfil das tentativas de suicídio registradas no banco de dados de um hospital público de Rio Branco/AC, no período de 2007 a 2016.
Método: Este é um estudo retrospectivo-descritivo, com secundária. A amostra foi composta por 569 casos de tentativas de suicídio de pessoas residentes na cidade de Rio Branco. A análise foi realizada por meio de frequências simples, absolutas e relativas das variáveis, estratificadas por ano de tratamento, sexo, faixa etária, métodos utilizados e região de residência.
Resultados: Houve uma diferença significativa em relação ao gênero após uma mudança no sistema em 2014, e a frequência no gênero feminino foi maior. A intoxicação foi o método mais comumente usados, principalmente por mulheres. O grupo de maior risco foi de 10 a 29 anos, totalizando mais de 70% dos casos, revelando uma maior prevalência de tentativas de suicídio em adolescentes e adultos jovens.
Conclusão: O presente estudo aponta que as tentativas de suicídio no município de Rio Branco/AC são mais frequentes em adolescentes e jovens adultos, de ambos os sexos, na faixa etária dos 10 a 29 anos, sendo a intoxicação medicamentosa o método mais utilizado, principalmente entre as mulheres.
Prevalence of Asthma symptoms and risk factors in adolescents
Authors: Assis Elisangela Vilar de , Santana Milana D. R. , Feitosa Ankilma Do N. A. , Sousa Milena N. Alves de , Isidório Ubiraídys De A. , Valenti Vitor E. , Fonseca Fernando Luiz Affonso 
Published: May 2019

Introduction: Asthma is a chronic disease of the airways, which is increasing its prevalence among teenagers recently. The trigger-related factors are numerous, including environmental factors, genetic, food among others.
Objective: Investigate the prevalence of asthma symptoms and possible risk factors in adolescents.
Methods: This is a cross-sectional, descriptive and quantitative study conducted in 104 adolescents aged between 13 to 14 years old of both sexes from four educational institutions: three private and one public. Participants answered two questionnaires: one on risk factors for allergic diseases (EISL) and the other on asthma symptoms (ISAAC asthma module).
Results: 104 adolescents answered the questionnaire: 54.8% girls and 45.2% boys. Male subjects had the most active asthma (64%) than female (20%) (p = 0.01) and also had more physician-diagnosed asthma (34.4%) than girls (6.1%) (p = 0.04), more wheezing after exercise (34.4%; 12.1%) (p = 0.03). Regarding the association between the symptoms and the risk factors we observed a statistically significant relationship between the presence of wheezing and hospitalization for public schools girls (p = 0.05).
Conclusion: There is a higher prevalence of asthma symptoms in males than in females unlike other studies was observed.
Snakebites in the Municipality of Tarauacá, Acre, Western Brazilian Amazon
Authors: Saboia Clarine De Oliveira , Bernarde Paulo Sérgio 
Published: May 2019

Introduction: Snakebites are a public health problem and are considered a common clinical emergency in several tropical countries, especially in rural and forested regions where these animals are more frequent. It is estimated that approximately 28,800 cases of snakebites per year occur in Brazil, with an average of 119 deaths, in which the north region has the highest rate of incidence. However, the accuracy of these data ends up being brought into question, since there are undoubtedly many cases of under-reporting and even cases that are not reported at all, due to logistical and geographical reasons or due to a lack of preparation as to the precise identification of the problem.
Objective: This study aimed to describe the epidemiological characteristics of the reported cases of snakebites victims in the municipality of Tarauacá (Acre), comparing the morbidity coefficient with other Amazonian regions, and to observe possible factors associated with the appearance of complications in these cases.
Methods: This is a retrospective descriptive study through the analysis of the clinical-epidemiological information found on the notification sheets of the Information System of Notification Diseases of victims of snakebites that occurred during the period between 2012 and 2016 in Tarauacá.
Results: We recorded 96 snakebite cases during the study period, with the majority (95.8%) classified as botropic, followed by laquetics (3.2%) and one by a non-venomous snake (1%). No deaths were recorded. Snakebites were more frequent in rural areas (87.5%), most being an occupational accident, and affected mainly adult male individuals in their lower limbs. Most cases occurred during the rainy season and had a positive correlation with rainfall.
Conclusions: The morbidity coefficient registered in Tarauacá in 2016 (72.5 cases per 100,000 inhabitants) was higher than that recorded in the cities of Cruzeiro do Sul and Rio Branco and in the states of Acre and Amazonas. Although most patients receive antivenom within the first six hours, many victims do not receive appropriate hospital care until more than 24 hours after the envenoming, which is a factor associated with the appearance of complications.
HUBUNGAN WAKTU PENGGUNAAN SERAGAM KLINIK DENGAN PENINGKATAN JUMLAH MIKROORGANISME
Authors: Handiyani Hanny , Megapurwara Yasephin 
Published: May 2019

AbstrakPengelolaan seragam klinik perlu mendapatkan perhatian, mengingat pengelolaan seragam klinik yang tidak tepat dapat menyebabkan penyebaran infeksi nosokomial (IN). Pencegahan infeksi nosokomial dapat dilakukan melalui pengaturan penggunaan seragam klinik mahasiswa. Penelitian ini bertujuan memperoleh informasi sejauh mana hubungan waktu penggunaan seragam klinik dengan peningkatan jumlah mikroorganisme. Desain penelitian ini adalah deskriptif korelatif. Penelitian ini dilakukan selama tiga hari berturut-turut terhadap tiga sampel seragam dengan membandingkan jumlah koloni pada seragam sebelum penggunaan, penggunaan hari pertama, dan setelah penggunaan hari kedua. Berdasarkan analisis data menggunakan rumus ANOVA didapatkan data terjadi peningkatan yang bermakna terhadap jumlah koloni pada penggunaan seragam pada hari kedua dibandingkan dengan jumlah koloni sebelum penggunaan seragam (p value 0,012). Penelitian ini merekomendasikan perlunya peningkatan kesadaran mahasiswa dalam mengelola seragam kliniknya sebagai upaya mengontrol terjadinya infeksi nosokomial (IN) dengan cara mengganti seragam klinik setiap hari. AbstractThe clinical uniform management needs more attention since its’ inappropriate clinical management may increase the insident of nosocomial infection. The prevention of nosocomial infection can be done by an appropriate clinical uniform management. This study aimed to measure the correlations between the lenghts of use the uniform and the increase in the number of microorganism. This study used the decriptive correlation design. This study was done three days in rows to three uniform samples by comparing the number of microorganism before it was used, after the first day of its usage and after the second day of its usage. Based on the ANOVA analysis, the study found that there is a significant increase in the number of microorganism of the second days of its usage compared with before its usage (p value 0,012). This study recommends that the students’ awareness should be increase on clinical uniform management as a way to reduce the risk of nosocomial infection by changing the uniform everyday.
PEMANFAATAN PROSES PEMBELAJARAN BERBASIS TEKNOLOGI SEBAGAI UPAYA PENINGKATAN PENGETAHUAN TENAGA KEPERAWATAN
Authors: Hariyati Rr. Tutik Sri 
Published: May 2019

AbstrakTujuan penelitian fenomenologi ini adalah mengidentifikasi persepsi perawat dan keluarga pasien HIV/AIDS tentang pengetahuan yang diperlukan perawat dan keluarga yang merawat untuk merawat pasien HIV/AIDS di rumah sakit dan di rumah. Sejumlah 5 perawat & 5 keluarga pasien berpartisipasi dalam penelitian ini. Dari hasil analisis didapatkan 6 hal yang harus diketahui perawat. Persepsi perawat tentang pengetahuan dan keterampilan yang harus dimiliki perawat saat merawat pasien HIV/AIDS adalah: (1) pengetahuan dan keterampilan tentang konseling, (2) ARV & efek sampingnya, (3) Universal Precaution, (4) symptom management, (5) dukungan mental, dan (6) penanganan jika terpapar HIV. Sedangkan dari keluarga ada 4 hal yang harus diketahui oleh keluarga saat mereka merawat pasien di rumah, yaitu: (1) pengetahuan tentang HIV/AIDS & cara penularannya, (2) pengetahuan tentang tanda & gejala HIV/AIDS, (3) pengetahuan dan keterampilan tentang pencegahan penularan (Universal Precaution) dan (4) symptom management. Rekomendasi penelitian ini adalah perlu ada penelitian lanjut pada jumlah responden yang lebih luas. Hasil penelitian ini dapat digunakan untuk meningkatkan efektifitas asuhan keperawatan pada pasien HIV/AIDS dan juga kualitas hidup pasien saat mereka di rumah. AbstractThe purpose of this phenomenology study was to identify the nurse’s and relative’s perception on knowledge and skill needed by the nurses & relatives in caring patient in the hospital and in their house. Ten respondents (5 nurses and 5 relatives of the patients) participated the study. The findings identified knowledge & skill needed by nurses are: (1) knowledge & skill on counseling, (2) Anti Retro Viral therapy & its side effect, (3) universal precaution, (4) symptom management, (5) mental support, and (6) treatment standard on occupational exposure to HIV. The findings from the relative’s are: (1) knowledge on HIV/AIDS and how it spreads (2) knowledge on signs & symptoms of HIV/AIDS, (3) knowledge & skill on universal precaution and (4) symptom management. Some recommendations of the study were proposed that this study should be continued to have some other respondents. The result of these studies could be beneficial to improve the nursing care to the HIV/AIDS patient and their quality of life during AIDS stage, and it could be beneficial to the improvement the effectively of the nursing care of patient with HIV/AIDS.
Uji Coba Model Pendeteksian Terhadap Penganiayaan Usia Lanjut di Keluarga
Authors: Rekawati Etty , Widyatuti Widyatuti , Fitriyani Poppy 
Published: May 2019

AbstrakTujuan penelitian ini adalah tersusunnya model pendeteksian terhadap penganiayaan usia lanjut di keluarga. Desain yang digunakan dalam penelitian ini adalah riset operasional, yang pelaksanaannya pada tahap I desain yang digunakan adalah eksploratif, pada tahap II menggunakan desain konfirmatif dan tahap III pengambilan data untuk mengidentifikasi masalah penganiayaan usia lanjut di keluarga. Sampel yang digunakan 11 petugas kesehatan dan 44 usia lanjut yang tinggal di keluarga yang dipilih secara acak di Kecamatan X di wilayah Jakarta Timur. Berdasarkan analisis data diperoleh hasil: instrumen yang digunakan pada penelitian ini didapatkan nilai kevalidan sebesar 0,6900 – 0,7378 yang merupakan nilai lebih dari nilai r tabel (r = 0,288), ini menyatakan bahwa hubungan antar pertanyaan dengan nilai keseluruhan instrument cukup baik, dengan realibilitas (menggunakan α-cronbah) sebesar 0,7275. Masalah penganiayaan yang ditemukan adalah sebesar 18,18% usia lanjut di keluarga mengalami penganiayaan fisik, 97,73% penganiayaan emosi, 13,64% penganiayaan seksual, 31,82% penganiayaan ekonomi/finansial, 61,36% pengabaian dan 29,55% mengalami penelantaran. Usia lanjut yang sering mengalami penganiayaan yaitu yang berumur 60 – 75 tahun, berjenis kelamin perempuan, bersuku bangsa Jawa, Agama Islam, tingkat pendidikan SD dan sudah berstatus janda/duda. Model ini dapat digunakan pendeteksian terhadap penganiayaan usia lanjut secara dini sehingga bagi usia lanjut yang sudah terdeteksi dianiaya oleh keluarga dapat dilakukan penanganan secepatnya. AbstractThe purpose of the study was to arrange detection model of elderly abuse in family. This study used operational research that first stage use eksploratif, second stage use confirmative design, and third stage was data collection to identify elderly abuse in family. Sample that was taken are 11 health staff and 44 elderlies who live in family and randomly chosen. The area of this study was in X district, East Jakarta. The result of this study indicated that validity value is 0,6900-0,7378 (r table = 0,288) with reability (use -cronbah) is 0,7275. This study showed that 18,18% of elderly have physical abuse, 97,73% have emotional abuse, 13,64% have sexual abuse, 31,82% have economic/ financial abuse, 61,36% neglect and 29,55% abandon. The elderly that tend to be abused ranges about 60-75 years old, women, Javanese, Islamic, level of education background is primary school, widow/widower. This study can be used to detect elderly abuse as early as possible to improve elderly welfare in community.
Peran Perawat Dalam Menurunkan IMR dan MMR Melalui Desa Siaga
Authors: Setyowati Setyowati 
Published: May 2019

AbstrakAngka kematian ibu dan bayi di Indonesia yang masih tinggi serta Indonesia yang berada di lingkungan yang berbahaya alamnya membuat masyarakat harus selalu sadar dan siaga untuk mempersiapkan diri dalam segala hal. Oleh sebab itu pemerintah melakukan mobilisasi massa dan pemberdayaan masyarakat serta mendorong setiap desa mengembangkan “desa siaga “ sebelum akhir 2008. Perawat yang merupakan ujung tombak pelayanan kesehatan yang bekerja selama 24 jam, merupakan tenaga yang seharusnya diperhitungkan untuk kesuksesan program ini. Maka perawat dengan mengacu dari prinsip –prinsip praktik keperawatan komunitas yaitu: kemanfaatan, prinsip otonomi, keadilan harus dapat menerapkan perannya sebagai pemberi pelayanan, pendidik, pengelola, konselor, advokat/pembela pasien, dan sebagai peneliti. AbstractThe Indonesian infant mortality rates and maternal mortality rates that still high, and also the position of Indonesia islands in a very danger area, makes the community have to be aware in every aspect and ready to for catastrophe that every time can happen. For that reason the Indonesian government starts to mobilize the community and empower them by encouraging to develop”desa siaga’ or “prepared villages” in every village before 2008. Nurses as the grass rotes in the health service that work 24 hours can utilize for successful of this program. Nurses with their principles of community intervention: benefit, autonomy, and equality have to apply their roles as care provider, educator, manager, counselor, advocate, and researcher.
Balutan Parcel Alternatif Penatalaksanaan Fistula Gastrointestinal pada Luka Dehiscence: Studi Kasus
Authors: Dahlia Debie 
Published: May 2019

AbstrakFistula merupakan saluran abnormal antara lumen organ berongga dengan organ berongga lainnya atau dengan kulit. Fistula gastrointestinal terjadi sebagai akibat dari komplikasi pascapembedahan abdomen dan manifestasi sekunder dari proses patologi intraabdomen. Fokus penatalaksanaannya pada upaya mempertahankan keseimbangan cairan dan elektrolit, mengistirahatkan intestin dan mendukung nutrisi, pengobatan medis, melindungi kulit sekitar luka, dan menampung cairan fistula. Strategi menampung cairan fistula merupakan komponen utama pada penatalaksanaan fistula non pembedahan. Studi kasus ini menggambarkan upaya\untuk menampung cairan fistula, memberikan kenyamanan, memfasilitasi penyembuhan luka, dan melindungi kulit sekitar luka seorang laki-laki berusia 66 tahun dengan luka dehiscence dan fistula di dalam luka. AbstractA fistula is an abnormal passage between the lumen of a hollow viscous organ and another hollow organ or the skin. Gastrointestinal fistula present as devastating complication following postoperative abdominal surgery and as secondary manifestation due to primary intra-abdominal pathologic processes. Management challenges focus on maintaining fluid and electrolyte balance, providing bowel rest and nutrition support, initiating medication treatment, ensuring skin protection, and containing the fistula effluent. Containing the fistula effluent is a key component of non-surgical fistula management. Following extensive abdominal surgery, the wound of a 66 years old man dehisced and a gastrointestinal fistula formed inside the wound. This case study describes efforts to contain fistula drainage, while providing comfort, facilitating wound healing, and protecting the periwound skin.
Beberapa Faktor yang Berhubungan dengan Perilaku Penggunaan NAPZA pada Remaja di Balai Pemulihan Sosial Bandung
Authors: Tambunan Roselina , Sahar Junaiti , Hastono Sutanto Priyo 
Published: May 2019

AbstrakPerilaku penggunaan NAPZA pada remaja meningkat tajam tiap tahunnya dan menimbulkan berbagai dampak kesehatan. Tujuan penelitian deskriptif korelasi dengan desain cross sectional ini adalah mengetahui hubungan faktor individu dan lingkungan dengan perilaku penggunaan NAPZA pada remaja di Balai Pemulihan Sosial Bandung. Data dikumpulkan dengan kuesioner dari 72 responden yang sedang mengikuti program rehabilitasi Therapeutic Community. Hasil penelitian menunjukkan faktor individu dengan sub variabel keingintahuan, keinginan diterima kelompok, mengikuti kecenderungan, mencari kenikmatan serta faktor lingkungan dengan sub variabel keluarga tidak harmonis dan kontrol sosial berhubungan dengan perilaku penggunaan NAPZA dengan nilai p < 0,25. Sub variabel determinan dengan perilaku NAPZA adalah keingintahuan, mencari kenikmatan, dan keluarga tidak harmonis nilai r = 0,548 yang berarti memiliki hubungan yang kuat dan koefisien determinasi (r²) sebesar 0,301 menjelaskan variasi variabel perilaku penggunaan NAPZA pada remaja sebesar 30,1% sehingga dapat dikatakan ketiga variabel memiliki hasil yang cukup baik untuk menjelaskan variasi perilaku penggunaan NAPZA pada remaja. Sub variabel paling besar hubungannya dalam menentukan perilaku penggunaan NAPZA pada remaja adalah variabel keluarga tidak harmonis dengan nilai B 1,272. Keluarga dan remaja menjadi fokus intervensi dalam pencegahan perilaku penggunaan NAPZA pada remaja melalui pemberdayaan keluarga, promosi kesehatan, dan pencegahan masalah kesehatan. AbstractDrug abuse case in adolescent is significantly increased every year. This study was aimed to find the relationship between individual and environmental factor with the drug abuse in adolescent at a Social Rehabilitation Center in Bandung. This correlative-descriptive research was conducted on a cross sectional design involving 72 responders who were joining the Therapeutic Community program. The data was collected through a questionnaire. This study indicated that the individual factors with the sub variables curiosity, group acceptance, following trend, getting pleasure and the environmental factors including non-harmonic family and social control were related to the use behavior of NAPZA with the p value < 0,25. The determinant sub variable of drug abuse which were curiosity, getting pleasure, and non-harmonic family showed strong relationship with the r-value 0,548 (r2 = 0,301). Non-harmonic family had the highest B value (1,272) which also showed the closest relationship with the drug abuse behavior in adolescent. Family and adolescent are the focus of intervention to prevent the drug abuse behavior in adolescent by a preventive and health promotive actions.
Validitas dan Reliabilitas Dalam Penelitian Kualitatif
Authors: Afiyanti Yati 
Published: May 2019

AbstrakPenilaian kualitas suatu temuan penelitian, baik kuantitatif maupun kualitatif memerlukan pembahasan tentang keabsahan data/validitas (trustworthiness) dan reliabilitasnya. Secara tradisional, penilaian validitas dan reliabilitas dalam penelitian kuantitatif telah memiliki standar baku yang mengacu pada pengujian isi dan kegunaan alat ukur yang dipakai untuk memperoleh data temuannya. Namun, pada penelitian kualitatif, kedua aspek penilaian ini masih menjadi isu yang dipertanyakan, terutama ketika mempertanyakan keilmiahan temuan-temuan metode tersebut. Sesuai pengalaman penulis, aspek validitas dan reliabilitas dapat menjelaskan berbagai teknik operasional yang mendukung rigoritas (ketepatan) data yang dihasilkan dalam penelitian kualitatif, yaitu kredibilitas, dependabilitas, konfirmabilitas, dan transferabilitas. AbstractThe quality evaluation in research findings, both of quantitative and qualitative, needs a demonstrated trustworthiness and rigorist. Traditionally, validity and reliability evaluating in quantitative research focus on standardized data collection instruments. However, the validity and reliability in qualitative research, is still a questionable issue, especially when asking about scientific findings of the work. Moreover, both of the validity and reliability describe operational techniques supporting the rigor of the work: credibility, dependability, conformability, and transferability.