bluuebunny/crossref_metadata_2025_split huggingface dataset:
Edith Wharton Changed My Life
Authors: Raphael Lev 
Published: October 2024

Abstract
In this personal essay, the author recounts five decades of reading, teaching, and being inspired by Edith Wharton’s life and work, highlighting meetings with many noted Wharton scholars in the United States and abroad, and recounting the genesis of three of his twenty-seven books that deal with Wharton. Those works are a study of shame in her life and fiction, Edith Wharton’s Prisoners of Shame; an acclaimed comic mystery, The Edith Wharton Murders; and a revisioning of her classic novel The House of Mirth from the point of view of Simon Rosedale and his family, Rosedale in Love.
The Apple Cart & On the Rocks: Is Bernard Shaw a Supporter of Reformative Dictatorship?
Authors: Eom Tae-Yong 
Published: October 2024

ABSTRACT
George Bernard Shaw’s political comedies, The Apple Cart and On the Rocks, explore loopholes of representative democracy and Shaw’s prospect for reformative dictatorship as an alternative. The Apple Cart reveals the political apathy of English people with all good social welfare in the late twentieth century, which naturally leads to the parliamentary politics controlled by powerful conglomerates. In On the Rocks, representative democracy fails to address extreme unemployment, and the reform plan of the prime minister, Sir Arthur, faces opposition from both the labor class and the conservative. Therefore, Shaw hints at the temporary necessity for reformative dictatorship within constitutional limits.
Pembentukan Karakter di SDN Kertaungaran Melalui Konsep Pembelajaran Ki Hajar Dewantara
Authors: Azmi Muhammad Fahmi Ulul , Nurfirdaus Nunu , Nuraeni Leni 
Published: October 2024

This research aims to find out the formation of character in SDN Kertaungaran through the learning concept of Ki Hajar Dewantara. This study uses a qualitative approach with a case study method of 13 research subjects who were selected using the purposive sampling technique. The data analysis technique uses the miles and huberman model. Data analysis is carried out with the stages of data reduction, data presentation, and conclusion drawn. Data collection is carried out through observation, interviews, and documentation. Interviews were conducted with school principals, lower grade teachers and higher-grade teachers and lower grade students and high-grade students at SD Negeri Kertaungaran. The results of the analysis show that the character at SDN Kertungaran through the learning concept of Ki Hajar Dewantara has been well embedded. Just as the teacher has set a good example for the students, it also gives encouragement to the students. The roles of family, school, and community all synergize to shape the character of students. Other activities such as religious activities, learning evaluations and integration of local culture can also shape students' character. Learning sports, sports, and sports play a role in improving the character of discipline, cooperation, and responsibility. Schools must stick to the learning concept of Ki Hajar Dewantara and practice it gradually and consistently.
KENDALIKAN TEKANAN DARAH PADA LANSIA DENGAN TERAPI KOMPLEMENTER
Authors: Purqoti Dewi Nur Sukma , Istiana Dian , Arifin Zaenal , Pramudita Eka Avina 
Published: October 2024

Non-Communicable Diseases (NCDs) often referred to as NCDs have become a considerable public health problem in Indonesia, this is marked by a shift in epidemiological disease patterns from infectious diseases to NCDs which globally continues to increase, one of which is hypertension. The purpose of this study is to determine the effect of complementary therapy on lowering blood pressure in the elderly with hypertension. This research method is pre-experimental with a one-group pre-post test design. The population in this study is 152 people with a sample of 18 respondents, Sampling with non-probability sampling techniques, The instrument that will be used in this study is a data processing questionnaire using the wilcoxon test. The results showed that the Sig (2-tailed) value for systolic blood pressure before and after the administration of complementary therapy was 0.000 < 0.05 its means that Ha is accepted and Ho is rejected. In conclusion, there is an effect of providing complementary therapy on reducing blood pressure in the elderly with hypertension
OBAT KUMUR EKSTRAK ETANOL KULIT BATANG KAYU MANIS (CINNAMOMUM VERUM J.PRESL) SEBAGAI PENGHAMBATAN PERTUMBUHAN BAKTERI STREPTOCOCCUS MUTANS
Authors: Umayah Dani Yatul , Nawangsari Desy , Fitriana Adita Silvia 
Published: October 2024

Bad breath is caused by volatile sulfur compounds (VSCs) produced by the anaerobic bacteria Streptococcus mutans through the decomposition of food waste. This problem can be overcome with antibacterial mouthwash. Cinnamon contains essential oils, phenols, flavonoids, saponins and terpenoids, which have antibacterial properties. This study aimed to formulate a mouthwash from ethanol extract of cinnamon and evaluate its physical properties, stability, and inhibitory power against Streptococcus mutans using the Kirby-Bauer method. This research was experimental by making mouthwash using cinnamon extract with concentrations of 10% (FI), 12.5% ​​(FII), and 15% (FIII). The results of the research showed that the mouthwash preparations were brick red in color with different intensities, all preparations were homogeneous, had a pH according to standards except for FII and all preparations did not meet the required viscosity values. The stability test showed that the preparation was stable in storage except for the viscosity parameter FIII. The results of the antibacterial activity test showed that the inhibitory power of FI, FII, FIII against Streptococcus mutans bacteria was 7.33 mm, 8.50 mm, 9.33 mm respectively. The inhibitory power of FII and FIII was better than the positive control, namely total care-antibacterial mouthwash (8.33 mm).
Exploration of Administrative Management and Ideological Education for College Students in the New Era
Authors: Yang Jixiong 
Published: October 2024

Currently, society is developing rapidly, the new era has put forward higher requirements for higher education and management work in university.Universities are important battlefields for cultivating national successors. Universities should not only focus on students' professional knowledge, but also guide their ideological consciousness.University administrative management is an important part in this regard.How to effectively integrate administrative management with ideological education for college students is one of the key issues in improving the quality of education.
การประเมินผลตอบแทนทางสังคมจากการลงทุนสำหรับโครงการพัฒนานวัตกรรมจากกัญชงบนฐานทุนทางวัฒนธรรมของชาติพันธุ์ม้ง อำเภอพบพระ จังหวัดตาก
Authors: พงศ์วิริทธิ์ธร ขจรอรรถพณ , พันธุรี วลัยลักษณ์ , หงส์เลิศสกุล ชวลิต , อัสสกาญจน์ ประยูร 
Published: October 2024

การศึกษาครั้งนี้มีวัตถุประสงค์เพื่อการประเมินผลตอบแทนทางสังคมจากการลงทุนสำหรับโครงการพัฒนานวัตกรรมจากกัญชงบนฐานทุนทางวัฒนธรรมของชาติพันธุ์ม้ง อำเภอพบพระ จังหวัดตาก ประชากรเป็นกลุ่มผู้มีส่วนได้เสียของโครงการได้แก่ ปราชญ์ชาวบ้าน กลุ่มผู้ประกอบการกัญชง กลุ่มนวัตกรชุมชนในช่วงอายุต่าง ๆ ตัวแทนองค์การบริหารส่วนตำบลคีรีราษฎร์ พัฒนาชุมชนจังหวัดตากและพัฒนาชุมชนพบพระ การกำหนดขนาดกลุ่มตัวอย่างโดยใช้วิธีการเลือกตัวอย่าง โดยเริ่มต้นด้วยเทคนิคการกำหนดระบบโควตา จำนวน 31 คน ใช้เทคนิคสุ่มเลือกกลุ่มตัวอย่างด้วยวิธีการสุ่มโดยใช้ความสะดวกและวิธีการเลือกแบบเจาะจง โดยต้องสมัครใจในการให้ข้อมูลและเข้าร่วมโครงการ โดยการวิเคราะห์แผนที่ผลลัพธ์ ประกอบด้วยการประเมินปัจจัยนำเข้า กิจกรรม ผลผลิต และหาข้อสรุปเป็นผลลัพธ์ การวิเคราะห์ข้อมูลผลลัพธ์ส่วนเกินโดยให้คำนวณค่าน้ำหนักการเปลี่ยนแปลงของกิจกรรมที่เกิดขึ้น (Deadweight) ปัจจัยสนับสนุนอื่นที่มีผลกระทบต่อผลสัมฤทธิ์(Attribution) และอัตราการลดลงหรือคงที่ของผลสัมฤทธิ์ (Drop-off) แล้วหามูลค่าตัวแทนทางการเงิน (Financial Proxy) ของผลลัพธ์ที่แท้จริงเพื่อคำนวณอัตราส่วนผลตอบแทนทางสังคมจากการลงทุน (SROI) ของโครงการฯ มูลค่าการลงทุนในการดำเนินโครงการ (Input) เท่ากับ 5,183,082.86 บาท มูลค่าผลลัพธ์การลงทุนทั้งสิ้น เท่ากับ 4,824,804.06 บาท มูลค่าผลลัพธ์สุทธิ (SROI) เท่ากับ 3.22 บาท ทั้งนี้ทุก 1 บาท ที่ลงทุนในโครงการฯสามารถสร้างประโยชน์ทางสังคมด้วยมูลค่า 3.22 บาท สรุปได้ว่า โครงการฯ สร้างคุณค่าที่เป็นประโยชน์ต่อสังคมและมีความคุ้มค่าต่อการลงทุนในงบประมาณที่ดำเนินการ
ศักยภาพและความสามารถทางการแข่งขันของมัคคุเทศก์ในจังหวัดสงขลา
Authors: จันทร์กิ่งทอง กอแก้ว , จันทร์กิ่งทอง วิวัฒน์ , รัตนวงศ์ วลัยลักษณ์ 
Published: October 2024

มัคคุเทศก์เป็นบุคคลผู้ซึ่งมีความสำคัญต่อการท่องเที่ยวซึ่งเป็นอุตสาหกรรมหลักที่ทำรายได้เป็นอันดับต้นของประเทศไทย ประกอบกับศักยภาพและความสามารถทางการแข่งขันนับเป็นปัจจัยสำคัญของการอยู่รอดในปัจจุบัน การวิจัยครั้งนี้มีวัตถุประสงค์ 1) เพื่อประเมินระดับศักยภาพและความสามารถทางการแข่งขันของมัคคุเทศก์ในจังหวัดสงขลา และ 2) เพื่อเปรียบเทียบศักยภาพและความสามารถทางการแข่งขันของมัคคุเทศก์ในจังหวัดสงขลา จำแนกตามปัจจัยส่วนบุคคล กลุ่มตัวอย่าง คือ มัคคุเทศก์ทั่วไป มัคคุเทศก์เฉพาะ และมัคคุเทศก์ชุมชน ในจังหวัดสงขลา จำนวน 400 คน โดยใช้การกำหนดตัวอย่างแบบโควตาให้มีจำนวนเท่ากันในทุกอำเภอ อำเภอละ 25 ตัวอย่าง จาก 16 อำเภอ และใช้แบบสอบถามเป็นเครื่องมือในการเก็บรวบรวมข้อมูล วิเคราะห์ข้อมูลด้วยสถิติเชิงพรรณนา คือ ความถี่ ร้อยละ ค่าเฉลี่ย และส่วนเบี่ยงเบนมาตรฐาน รวมถึงใช้สถิติเชิงอนุมานเพื่อตอบสมมติฐานด้วยการวิเคราะห์ความแปรปรวนทางเดียว (One-Way ANOVA)
ผลการวิจัย พบว่า มัคคุเทศก์มีศักยภาพในภาพรวม และมีความสามารถทางการแข่งขันในภาพรวม อยู่ในระดับมาก โดยเมื่อพิจารณาเป็นรายด้านพบว่า มัคคุเทศก์มีศักยภาพด้านจริยธรรมในวิชาชีพ และมีความสามารถทางการแข่งขันด้านการจัดการต้นทุนสูงที่สุด ในส่วนของการเปรียบเทียบศักยภาพและความสามารถทางการแข่งขันของมัคคุเทศก์ในจังหวัดสงขลา พบว่า มัคคุเทศก์ที่มีอายุ รายได้เฉลี่ยต่อเดือน และประสบการณ์การทำงานเป็นมัคคุเทศก์ต่างกัน มีศักยภาพด้านทักษะการปฏิบัติงานแตกต่างกัน ในขณะที่มัคคุเทศก์ที่มีระดับการศึกษาต่างกัน มีศักยภาพด้านความรู้แตกต่างกัน ในส่วนของผลการเปรียบเทียบความสามารถทางการแข่งขันของมัคคุเทศก์ พบว่า มัคคุเทศก์ที่มีอายุ ระดับการศึกษา และรายได้เฉลี่ยต่อเดือนต่างกัน มีความสามารถทางการแข่งขันด้านการจัดการต้นทุนแตกต่างกัน อีกทั้งพบว่า มัคคุเทศก์ที่มีประสบการณ์การทำงานเป็นมัคคุเทศก์ต่างกัน มีความสามารถทางการแข่งขันด้านการสร้างความแตกต่างแตกต่างกัน ประโยชน์ของงานวิจัย คือ สถาบันการศึกษาที่ต้องผลิตบัณฑิตเพื่อเป็นมัคคุเทศก์จะได้เห็นภาพที่ชัดเจนขึ้นในการนำข้อมูลไปใช้ประยุกต์ในการออกแบบการสอน รวมถึงผู้เกี่ยวข้องกับมัคคุเทศก์จะได้หาแนวทางในการรักษามัคคุเทศก์ให้อยู่ในอาชีพได้อย่างยาวนานขึ้น
Contraceptivos orais e efeitos adversos: uma revisão da literatura
Authors: Santos Ádria Gadelha Ferreira dos , Ramos Camila Shelly de Vasconcelos , Viana Melissa Soares , Alencar Sofia Rodrigues , Gurgel Aléssia de Alencar Araripe , Queiroz Luisa Diógenes , Correia Juliana Nunes Ferreira 
Published: October 2024

O ciclo menstrual é um processo fisiológico complexo caracterizado por diversas variações hormonais. Os anticoncepcionais combinados orais (ACOs) interferem nesse ciclo através de hormônios exógenos, causam modificações no eixo fisiológico e, consequentemente, aliviando sintomas como menorragia e dismenorreia. Cerca de 151 milhões de mulheres em idade fértil usam ACOs. Todavia esses medicamentos também estão associados a efeitos metabólicos indesejáveis. Estudos mostram que o uso de ACOs pode influenciar o desempenho físico e aumentar o risco cardiovascular, incluindo eventos como infarto agudo do miocárdio (IAM) e trombose venosa profunda (TVP). Além disso, há evidências de que o uso de ACOs pode estar associado a um aumento do risco de desenvolvimento de transtornos psiquiátricos, como depressão, especialmente entre adolescentes. Dessa forma, embora os ACOs sejam eficazes na prevenção da concepção, estão relacionados a ações adversas significativas. Portanto, uma abordagem individualizada na escolha do método contraceptivo é imprescindível, levando em consideração os riscos específicos de cada paciente. Uma comunicação eficaz entre médicos e pacientes é fundamental para garantir escolhas apropriadas relacionadas à saúde reprodutiva, considerando não apenas a eficácia contraceptiva, mas também os possíveis impactos na saúde.
Intervenções de enfermagem para reabilitação de pessoas com lesão medular na comunidade: revisão de escopo
Authors: Xavier Amanda Sarkis Moor Santos , Machado Wiliam César Alves , Tholl Adriana Dutra , Figueiredo Nébia Maria Almeida de , Ferreira Maria Salomé Martins , Sé Aline Coutinho Sento , Cruz Vanessa Vianna 
Published: October 2024

Objetivo: Conhecer a extensão da literatura em relação as intervenções de Enfermagem focado na autonomia para atividade cotidiana de pessoas com Lesão Medular inseridas na comunidade. Métodos: Revisão de escopo orientada pelas recomendações do Instituto Joanna Briggs, desenvolvida em oito bases de informações disponíveis no sistema eletrônico. A busca, síntese e análise dos resultados ocorreram em Junho de 2023. Resultados: Selecionados 16 estudos, sendo 14 produzidos no Brasil, seis do Nordeste Brasileiro. Emergiram questões relacionadas a desqualificação profissional na comunidade, necessidade de elaborar instrumentos norteadores ao Enfermeiro, promoção e prevenção da saúde e necessidades de saúde destas pessoas, famílias e cuidadores. Autocuidado apareceu em três estudos. Evidenciou-se lacuna na sistematização das intervenções de Enfermagem quanto ao cuidado/acolhimento, necessidade de fortalecimento de políticas públicas e elaboração de instrumentos que sistematizem a assistência do Enfermeiro. Conclusão: Os Resultados obtidos apontaram para a necessidade de aprimoramento das ações de enfermagem de reabilitação junto aos pacientes com lesão medular inseridos na comunidade.
THE CHILD AS A VICTIM OF THE DIGITAL ENVIRONMENT
Authors: Mokhtar Benhammouda 
Published: October 2024

Objective: The objective of this study is to investigate the issue of the child as a victim in the digital environment The primary goal of this research is to focus on the cybercrimes that target children in the digital space and discuss the concept of criminal protection for children.

Theoretical Framework: It highlights both classical and modern cybercrimes that children fall victim to, such as defamation, threats and stalking, identity theft and grooming, cyberterrorism, racial discrimination, violent games, and cyberbullying.

Method: The study adopts the descriptive method, as it is the most suitable for this type of research, by analyzing and reviewing various sources related to the subject, including previous studies, laws, and regulations, as well as international agreements such as the Convention on the Rights of the Child, the Budapest Convention, the Arab Charter on the Rights of the Child, and the European Social Charter. Additionally, it examines local legislations in countries like Algeria, Saudi Arabia, and Egypt.

Results and Discussion & Research Implications: The study concluded with several findings, including that children are easily accessible and manipulable victims.

Originality/Value: The paper also discusses the challenges of implementing mechanisms to protect children in the digital environment and concludes with recommendations to enhance the use of modern digital technologies to protect children, the victims of the digital environment, from potential risks.
A INFLUÊNCIA DO USO DE CONTRACEPTIVOS NA EVOLUÇÃO DO SARCOMA E CARCINOMA NO COLO DO ÚTERO
Authors: Calacina Flávia Amaral , Dácio João Marcelo Dias Pereira , Rezende Gabriel de Oliveira 
Published: October 2024

O estudo tem por objetivo geral investigar possibilidades de possível influência de contraceptivos no desenvolvimento do câncer cérvico uterino a partir de sua incidência e prevalência, devido ao seu crescimento nos eixos norte-nordeste do Brasil (INCA, 2022). É um problema que tem acometido mulheres do mundo inteiro, pois se trata de uma doença crônico-degenerativa altamente letal, causada predominantemente pelo HPV (Papiloma vírus), que atinge, segundo estudos, grande parte da população mundial, mesmo que em muitos não haja sintomas. Dessa forma a pesquisa tem por objetivos específicos: analisar a incidência do câncer do colo de útero; verificar a prevalência do câncer do colo de útero,.e apontar ações preventivas no combate à contaminação do HPV e na evolução de câncer do colo do útero. Os resultados da pesquisa indicam que a contaminação advém do papiloma vírus humano, contudo pretende-se mostrar se existe indícios de contribuintes, como contraceptivo, que possam fazer avançar a doença, seja de forma rápida, lenta ou moderada. A metodologia da pesquisa é bibliográfica, quanto aos objetivos, exploratório-descritiva e quanto às relações de causa e efeito dos fenômenos é explicativa, é de caráter qualitativo, utilizando a revisão da literatura bibliográfica, onde foram consultados artigos indexados em revistas científicas publicadas na SciELO (publicações médicas, Ministério da Saúde, Instituto Nacional do Câncer entre outros). Foram selecionadas publicações com ênfase nos anos de 2014 a 2023.
CORONECTOMIA: UMA ALTERNATIVA CIRÚRGICA EM CASOS COM RISCO IMINENTE DE DANOS VÁSCULO-NERVOSOS
Authors: Sousa Brenda da Silva , Santos Ana Luiza Carvalho dos , Barros Daniele Fernanda Sousa , Souza Davi de Castro Farias de , Faria Rhana Leticia de Oliveira , Muniz Joyce Maryna de Sousa , Marinho Luide Michael Rodrigues França , Santos Andressa Lima dos 
Published: October 2024

A coronectomia ou odontectomia parcial intencional é uma procedimento cirúrgico alternativo indicado para exodontia de terceiros molares inferiores que possuem íntima relação com o canal mandibular. De acordo com a impactação e a posição que o dente apresenta a exodontia total pode ser traumática e gerar sequelas, como lesão ao nervo alveolar inferior (NAI), sangramento abundante, dor intensa e infecções pós-operatória. A parestesia transitória ou permanente pode ser originada devido ao trauma no feixe vásculo-nervoso presente no canal mandibular. A perturbação ao nervo pode ocorrer durante a exodontia devido a compressão das raízes ou por ação dos instrumentos rotatórios. A técnica tem como principal finalidade prevenir lesões ao NAI, tendo como pré-requisitos para sua execução a ausência de mobilidade e infecção. Este trabalho tem como objetivo relatar um caso de coronectomia de 3° molar inferior em íntima relação com o nervo alveolar inferior com risco de dano vásculo-nervoso. A odontectomia parcial intencional é considerada uma opção viável, segura e eficaz com o objetivo de prevenir lesões nervosas nas exodontias de terceiros molares.
IDENTIFICAÇÃO GENÔMICA DE VARIANTES NÃO SINÔNIMAS DO GENE IL1A ASSOCIADAS A DOENÇAS HUMANAS POR ANÁLISE DE BIOINFORMÁTICA
Authors: de Freitas Arthur Felipe Ferreira , De Freitas Nara Suzy Aguiar , Mariano Maria Helena Queiroz de Araújo , Rushansky Eliézer , Maia Maria de Mascena Diniz 
Published: October 2024

A interleucina-1 alfa é uma citocina que se destaca por seu papel pró-inflamatório essencial que atua ativando células-chave para combate às infecções. Algumas mutações genéticas podem promover a substituição de aminoácidos nesta proteína, levando a consequências que podem estar associadas a doenças. Assim, esse trabalho buscou identificar Polimorfismos de Nucleotídeo Único (SNPs) de alto risco à saúde humana e predizer seus efeitos morfofuncionais na proteína. As variantes foram localizadas no transcrito IL1A-201, disponível no banco de dados genômico ENSEMBL. Após a seleção das variantes missense, utilizamos os programas SIFT, PolyPhen-2, MetaLR e Mutation Assessor para predizer os impactos das substituições dos aminoácidos na função e estrutura da proteína. Nossa análise revelou a presença da variante rs1190431689, que se trata da mudança de uma Alanina por uma Valina, a rs997926639, que corresponde a mudança de uma Prolina por uma Serina, e a variante rs1681201328, que representa a substituição de um Ácido Glutâmico por uma Glicina. Todos estes polimorfismos apresentaram resultado Deletério (SIFT), Provavelmente Prejudicial (PolyPhen-2) e Prejudicial (MetaLR) nos softwares de predição, o que indica que estas são variantes que podem ser de alto risco para a saúde humana e podem estar associadas ao desenvolvimento de diversas patologias.
NGHIÊN CỨU TÌNH HÌNH THỰC HIỆN ĐIỀU TRỊ, QUẢN LÝ BỆNH TĂNG HUYẾT ÁP, ĐÁI THÁO ĐƯỜNG TẠI CÁC TRẠM Y TẾ TRÊN ĐỊA BÀN TỈNH CÀ MAU NĂM 2023 – 2024
Authors: Lê Kỳ Phúc , Nguyễn Văn Dũng , Lê Minh Hữu 
Published: October 2024

Đặt vấn đề: Bệnh không lây nhiễm là nguyên nhân hàng đầu gây tử vong trên toàn cầu, Trong năm 2016, bệnh không lây nhiễm gây ra 71% tử vong trên toàn cầu Mục tiêu nghiên cứu: 1. Xác định tỷ lệ Trạm Y tế thực hiện điều trị, quản lý bệnh tăng huyết áp, đái tháo đường đạt yêu cầu. 2. Xác định một số yếu tố liên quan đến tỷ lệ Trạm Y tế thực hiện điều trị, quản lý bệnh tăng huyết áp, đái tháo đường đạt yêu cầu. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang có phân tích 94 Trạm Y tế trên địa bàn tỉnh Cà Mau năm 2023. Kết quả: Tỷ lệ trạm y tế thực hiện điều trị, quản lý bệnh tăng huyết áp đạt là 75,5%, đái tháo đường đạt là 78,7%, Tỷ lệ trạm y tế thực hiện điều trị, quản lý bệnh tăng huyết áp, đái tháo đường chung đạt là 74,5%. Một số yếu tố liên quan: tìm thấy mối liên quan giữa nhân lực y tế >5 người, được tập huấn đào tạo, có dự trù thuốc điều trị và kết quả điều trị tăng huyết áp, đái tháo đường tại trạm y tế. Kết luận: Quản lý người bệnh tăng huyết áp, đái tháo đường tại các trạm y tế đạt mức khá. Cần bổ sung thêm nguồn nhân lực, triển khai tập huấn, dự trù đầy thuốc để công tác quản lý điều trị đạt hiệu quả cao.
TỶ LỆ NHIỄM KHUẨN SINH DỤC DƯỚI VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở PHỤ NỮ ĐẾN KHÁM TẠI CÁC TRẠM Y TẾ, THÀNH PHỐ CÀ MAU NĂM 2023-2024
Authors: Trần Phương Hằng , Phạm Thị Nhã Trúc , Võ Thành Lợi 
Published: October 2024

Đặt vấn đề: Viêm nhiễm đường sinh dục dưới là bệnh phụ khoa phổ biến, không gây tử vong nhưng dễ tái phát, ảnh hưởng sức khỏe phụ nữ. Mục tiêu nghiên cứu: Xác định tỷ lệ viêm nhiễm đường sinh dục dưới của phụ nữ có chồng từ 18-49 tuổi và một số yếu tố liên quan. Đối tượng và phương pháp nghiên cứu: Nghiên cứu trên 390 phụ nữ có chồng từ 18-49 tuổi bằng phương pháp nghiên cứu mô tả cắt ngang tại các Trạm Y tế thành phố Cà Mau. Kết quả: Tỷ lệ mắc ít nhất một bệnh viêm nhiễm đường sinh dục dưới ở phụ nữ trong độ tuổi từ 18-49 tuổi là 45,9%. Tìm thấy một số yếu tố liên quan. Những đối tượng đã từng sẩy thai có tỷ lệ viêm đường sinh dục gấp 1,92 lần nhóm không có tiền sử sẩy thai (OR=1,92; KTC 95%: 0,32-11,46, p=0,038). Phụ nữ có kiến thức về phòng bệnh viêm sinh dục dưới chưa đạt thì tỷ lệ mắc bệnh cao hơn 15,04 lần nhóm có kiến thức đạt (OR=15,04; KTC 95%: 3,01-75,09, p=0,001). Thực hành không đạt thì có tỷ lệ viêm sinh dục dưới cao hơn nhóm còn lại 92,32 lần (OR=92,3; KTC 95%:19,54-436,19, p<0,001). Kết luận: Tỉ lệ mắc bệnh viêm nhiễm đường sinh dục dưới cao cần tăng cường công tác giáo dục sức khoẻ để nâng cao kiến thức và thực hành phòng bệnh.