bluuebunny/crossref_metadata_2025_split huggingface dataset:
MAJOR CARDIOVASCULAR RISK FACTORS IN A YOUNG WORKING POPULATION
Authors: Koryagina N. A. , Ryamzina I. N. , Shaposhnikova A. I. , Koltyrina E. N. 
Published: August 2018

Aim. To assess the prevalence of major risk factors (RFs) of cardiovascular disease (CVD) in a young working population.Material and methods. This cross-sectional study included 1832 respondents (70% men and 30% women; mean age 29,44±8,6 years). The levels of blood pressure (BP), total cholesterol (TCH), and body mass index (BMI), as well as the prevalence of smoking, were assessed.Results. Elevated office BP levels were registered in 10,5%, and isolated ambulatory arterial hypertension (AH) in 10%. Overall, AH prevalence in this young working population was 20%. Elevated BP was registered in 34,2% of individuals with hypercholesterolemia (TCH >5 mmol/l), compared to 18,2% in people with TCH <5 mmol/l (p<0,001).Conclusion. The most prevalent CVD RFs in working people under 40 were obesity and AH.
COMPARISON OF THE EFFECTS OF FOUR ANTIHYPERTENSIVE THERAPY VARIANTS ON ARTERIAL WALL ELASTICITY IN ELDERLY PATIENTS WITH NONVALVULAR ATRIAL FIBRILLATION
Authors: Shevelev V. I. , Kanorskyi S. G. 
Published: August 2018

Aim.To compare the effects of various antihypertensive therapy (AHT) variants on the ultrasound-assessed elasticity of common carotid arteries (CCA) and thoracic aorta in elderly patients with nonvalvular atrial fibrillation (AF).Material and methods.In total, 364 patients (208 men and 156 women) with nonvalvular AF, aged 65–80 years, were randomised into four groups. Group I (n=91) received perindopril (5–10 mg/d); Group II (n=92) and Group III (n=90) were administered valsartan only (80–160 mg/d) or valsartan (80–160 mg/d) plus rosuvastatin (10 mg/d), respectively; and Group IV (n=91) received lercanidipine (10–20 mg/d). Vascular ultrasound methods were used to assess the thoracic aorta and CCA elasticity and ankle-brachial index.Results.The two-year therapy with perindopril, valsartan, valsartan plus rosuvastatin, and lercanidipine was associated with the increased CCA distensibility index, reduced aortic wall stiffness, and decreased pulse wave velocity, compared to the respective baseline levels. Out of four AHT variants, the combination of valsartan (80–160 mg/d) and rosuvastatin (10 mg/d) demonstrated the largest effect on the arterial wall elasticity and the greatest reduction in the risk of ischemic stroke, myocardial infarction, and death.Conclusion.While choosing AHT in elderly patients with nonvalvular AF, the combination of valsartan and rosuvastatin could be regarded as the optimal therapeutic regimen, which improves arterial wall elasticity and reduces the risk of cardiovascular complications.
HEALTH EFFECTS OF HOT SUMMER WEATHER IN PATIENTS WITH INTERMEDIATE AND HIGH CARDIOVASCULAR RISK
Authors: Smirnova M. D. , Ageev F. T. , Svirida O. N. , Ratova L. G. , Konovalova G. G. , Tikhadze A. K. , Lankin V. Z. 
Published: August 2018

Background. The potential global warming justifies the need for further investigation of the impact of abnormally hot summer weather on health and the prevention of these negative health effects.Aim. To study the effects of extreme climatic conditions (hot weather) on hemodynamics, electrolyte metabolism, oxidative stress (OS), and quality of life (QoL) in cardiac patients.Material and methods. In total, the study included 123 patients (52 men and 76 women) with intermediate (17,3%) and high or very high (82,7%) cardiovascular risk. The following parameters were assessed: office blood pressure (BP), pulse wave velocity (PWV), plasma levels of potassium (K), sodium (Na), oxidized low-density lipoproteins (oxLDL), and malondialdehyde (MDA), erythrocyte activity of superoxide dismutase (SOD), and MDA/SOD ratio. The QoL scale, Shikhan clinical anxiety scale, and a questionnaire specifically designed for this study were also used.Results. Subjective health deterioration in hot weather was reported by 46,3% of the participants. The number of cardiovascular events (CVE) was higher during the hot weather period, compared to the following period (p=0,009). Hot weather was associated with a reduction in the levels of systolic BP (SAD; p=0,004), diastolic BP (DBP; p=0,04), PWV (p=0,05), and heart rate (HR; p=0,06). The levels of Na were elevated by the second visit (p=0,002). The number of CVE during the hot weather period negatively correlated with the dynamics of PWV (r= –0,304, p<0,001), SBP (r= –0,225, p=0,009), and DBP (r= –0,292, p=0,001) and positively correlated with the Na concentration dynamics. There was a negative correlation between QoL and age (r= –0,202, p=0,03). The hot weather period was characterised by the OS development, with the OS regression during the subsequent colder period.Conclusion. Hot summer weather, even within the climatic norm range, is associated with increased CVE risk in some cardiac patients. Negative health effects of hot weather were self-reported by 46,3% of participants. Inadequate heat adaptation was linked to OS development, lesser degree of BP and PWV reduction, more pronounced Na elevation, and older age.
CARDIOSYNCHRONOUS ELECTROMYOSTIMULATION IN PATIENTS WITH ACUTE HEART FAILURE
Authors: Ivanov G. G. , Orkvasov M. Yu. , Khalabi G. 
Published: August 2018

Aim.To study the effectiveness of the external cardiosynchronous electromyostimulation (ECSEMS) in patients with different variants of acute heart failure (AHF).Material and methods.The study included 62 AHF patients: Group I — those receiving only standard pharmacological therapy; and Group II — those in whom standard pharmacological therapy was ineffective after 12 hours, and who were also administered ECSEMS sessions for the next 7 days. The examination included multi-frequency bio-impedance measurement and dispersion mapping.Results.Clinical symptoms were less severe in Group I. In 64% of the Group II patients, the combination treatment was associated with a positive dynamics of the water balance parameters. The 7-day ECSEMS, as a part of the complex management of AHF patients, significantly reduced the one-month lethality, although did not change the one-year survival.Conclusion.The ECSEMS method could be used in order to increase the effectiveness of the conservative treatment of AHF patients.
ETHNIC FEATURES OF ARTERIAL HYPERTENSION PREVALENCE IN SMALL TOWN AND COUNTRYSIDE RESIDENTS OF THE KYRGYZ REPUBLIC: RESULTS OF THE INTERNATIONAL STUDY INTEREPID
Authors: Polupanov A. G. , Kontsevaya A. V. , Khalmatov A. N. , Altymysheva A. T. , Suvorova E. I. , Romanova T. A. , Khudyakov M. B. , Shalnova S. A. , Dzhumagulova A. S. 
Published: August 2018

Aim. To study the prevalence of arterial hypertension (AH) in the population of Kyrgyz small towns and countryside and to analyse ethnic features of AH.Material and methods. This cross-sectional epidemiologic study was performed as a part of the international study INTEREPID. A random sample of small town and countryside residents included 1774 people. The examination included a questionnaire survey, measurement of blood pressure, height, weight, and waist circumference, and laboratory tests. AH prevalence was age-standardised.Results. In Kyrgyz small town and countryside residents aged 18–65 years, the prevalence of AH was 44% (33,2% in men and 46,7% in women). Among Kyrgyz participants, AH prevalence was significantly lower than in their Russian peers (36,8% vs. 46,2%, respectively). This difference was observed in women, while men did not demonstrate any marked ethnic differences in AH prevalence.Conclusion. The results obtained suggest that AH prevalence in the Kyrgyz Republic is high (with a 40–50% increase over the past 20 years) and is characterised by marked gender and ethnic differences. Further research is required to identify whether race/ethnic group could be a risk factor for AH development.
MORTALITY AND LOST YEARS OF LIFE AS A RESULT OF CARDIOVASCULAR PREMATURE DEATHS
Authors: Boitsov S. A. , Samorodskaya I. V. 
Published: August 2018

Aim. Disability and Life-Year Loss (DALYs) is an important healthcare indicator. The first step in DALYs estimation is the measurement of lost years of life due to premature death. To explore the age-sex related statistics of cardiovascular (CV) deaths in Russian Federation (RF); lost years of life (LYL) due to premature death; and to compare those in different regions of RF with the parameter by 100 thousands of population.Material and methods. Russan Statistic Agency (RosStat) data on population and mortality by age intervals and gender for the year 2012.For each age interval the values of CVM and LYL were calculated.Results. The relative risk of cardiovascular death is much higher in men than in women at the age 30–62; maximum of additional death risk (by 100 thousands) is in age groups of 60–90 years. The portion of those who died from CVD at <60 y. o. is 30% in men and 8,4% in women; at >80 y. o. — 18,8% and 48,2%, respectively. The portion of CVM from total mortality in 2012 is 55,4%; at the same time LYL proportion from the entire premature deaths was 38% (36% for men and 42% for women). LYL due to premature CD death was 9797 by 100 thousands in RF in general (13211,9 in men and 6854,2 in women with the variety in different regions from 2058 to 10889 in women and from 3350 to 22122 in men, by 100 thousands).Conclusion. Further investigation required to clarify higher risk for men in economically active ages and significant regional variability in LYL.
Condições de saúde e trabalho entre cuidadores de idosos frágeis
Authors: Vaz Luana Catiele Silva , Oliveira Bernardes Santos Kionna , Ferraz Daniel Dominguez 
Published: August 2018

INTRODUÇÃO: A presença de problemas físicos e de saúde contribuem para que os idosos se tornem dependentes do auxílio de cuidadores para a realização das atividades básicas e instrumentais da vida diária. OBJETIVO: Avaliar as condições de saúde e de trabalho de cuidadores de idosos frágeis usuários do Centro de Referência Estadual de Atenção à Saúde do Idoso (CREASI). MÉTODOS: Estudo observacional de corte transversal realizado no CREASI. Participaram do estudo 41 cuidadores. Foram coletadas informações sobre os aspectos sociodemográficos, atividade de cuidador, saúde do cuidador, sobrecarga doméstica e foi avaliada a frequência de dores musculoesqueléticas através do questionário Nórdico dos Sintomas Musculoesqueléticos (NMQ). RESULTADOS: A maioria dos participantes eram mulheres, filhas/os, informais, com idade 48,8 (±14,5) anos, 44% dos participantes possuíam ensino médio completo, 95,1% estavam satisfeitos com a atividade de cuidar do idoso e 87,8% não possuíam curso de capacitação. A alta sobrecarga doméstica foi observada em 51,2% dos cuidadores e 50% possuíam doenças crônicas degenerativas. De acordo com o NMQ, 46,34% relataram dor lombar e 26,83% dor na coluna dorsal. CONCLUSÃO: Foi possível observar um excesso de atividades realizadas pelo cuidador que quando acumuladas causam sobrecargas físicas e sintomas dolorosos pelo corpo, o que pode comprometer a atividade do cuidado e a saúde do cuidador. Assim, a formação em cuidador de idoso pode ser uma alternativa para evitar riscos a sua saúde como a do idoso cuidado.
Factors influencing the reproductive health of women in rural areas of Ujjain, Madhya Pradesh
Authors: Srivastava Nikita , Vyas Navya , Narayanan Prakash , Rao Arathi P. 
Published: August 2018

Background: A woman’s health is an integral part of any country. There are numerous factors that influence a woman’s decision of her reproductive health. A better understanding of these factors could help address gaps and barriers influencing the reproductive health choices of women in rural areas.Methods: A community based cross-sectional study was carried out among women of ages 18-45 years in rural areas of Ujjain, Madhya Pradesh to study factors influencing the reproductive health choices of women in rural areas of Ujjain. 300 women were asked comprehensively about their reproductive health via a semi structured questionnaire which comprised of domains from their menarche history to their menopausal history. Data was analyzed and chi square test was used to find factors influencing the reproductive health choices of women.Results: The median age of the participants was 30.8 years (IQR: 25, 36). Around 61% of the participants were aware of the family planning methods but only 29% of the participants used modern contraceptive methods. Age, educational background of participants, employment, partner education were all factors significantly (p<0.05) associated with the reproductive health choices of women.Conclusions: The reproductive health of women was shown to be significantly associated with her education, her employment status, her age, and her partner’s education. Therefore, it is important to raise awareness among women, their partners and, the family members about importance of the reproductive health of a woman.
High rate of caesarean section in cases of intrauterine fetal demise in a low resource setting: Why?
Authors: Kothiyal Shivani , Agarwal Anjoo , Das Vinita , Pandey Amita , Agarwal Smriti 
Published: August 2018

Background: Stillbirth as an obstetric complication is emotionally devastating for the women as well as the clinician and having a caesarean section for stillbirth is even more catastrophic. The aim of the present research was to study the indications of caesarean section in women with intrauterine fetal demise in a low resource setting.Methods: This was an observational study for assessing the indication of caesarean section among 222/ 550 stillbirths from June 2013 to May 2014 in a tertiary care teaching hospital of North India. 7024 births occurred in the institution over a period of 1 year out of which 550 were stillbirths. Stillbirths which weighed over 500 grams were included in the study. Details of women with intrauterine fetal demise in which caesarian section was done were noted and analyzed.Results: Out of 550 stillbirths, 222 women underwent caesarean section. Rate of caesarean section among women with stillbirth was 40.36%. Placenta previa (23.87%), Rupture uterus (22.1%), obstructed labour (10.8%), transverse lie (9.45%), failed induction (7.20%), massive abruption (5.86%), non-progress of labour (5.40%), eclampsia/pre-eclampsia related causes (4.95%), acute fetal distress (4.95%), were leading indications of caesarean sections. Out of 222 women, 162 (73%) women had anaemia (Hb <11g%). Severe anaemia (haemoglobin less then 7gm/dl) was present in 51 cases (23%).Conclusions: Caesarean section done for intrauterine death in present study were mostly inevitable. Reducing intrapartum stillbirths by improving essential obstetric services will ultimately result in reducing caesarean section rates in stillbirths in developing countries. Further studies are needed both in developing and developed countries to strategize the management of intrauterine dead fetus to prevent such high rate of caesarean section.
Formulation and Evaluation of Medicated Derma Sticks of Ficus racemosa For Management of Infectious Skin Diseases
Authors: M.G.K. Murthy  , K. Purushotham Rao  
Published: August 2018

External infections involving the skin are the most frequent complications affecting humans and animals. Medicinal plants play great roles in the treatment of infectious skin diseases. The present study was aimed to formulate and evaluate medicated sticks of Ficus racemosa extract. The petroleum ether and ethanol (70%) extracts were prepared. Medicated derma sticks of Ficus racemosa extract were prepared by heating and congealing and evaluated for thickness, length and weight. The findings of weight, thickness and length of medicated derma sticks of Ficus racemosa were found to 2.3±0.18 gm, 5.9±0.32 mm and 3.8±0.11 cm, respectively. The medicated derma sticks of Ficus racemosa were evaluated for antimicrobial activity against S. aureus, E. coli and C. albicans, and further stability studies was performed. The zones of inhibition of medicated derma sticks of Ficus racemosa against S. aureus, E. coli and C. albicans were 20.17±0.31, 18.24±0.82 and 29.12±0.65 mm, respectively. The values of zones of inhibition were near to value of pure drug. The stability study of medicated derma sticks of Ficus racemosa exhibited that the formulations were safe to use.
FAKTOR-FAKTOR YANG MEMPENGARUHI KEPUASAN KERJA PERAWAT DI RUANG RAWAT INAP RSUD HAJI BOEJASIN PELAIHARI
Authors: Sirait Elfrida , Pertiwiwati Endang , Herawati Herawati 
Published: August 2018

ABSTRAKKepuasan kerja adalah sikap umum seseorang individu terhadap pekerjaan yang dilakukannya. Seseorang dengan tingkat kepuasan kerja tinggi menunjukkan sikap yang positif terhadap pekerjaannya, sedangkan seseorang yang tidak puas dengan pekerjaannya menunjukkan sikap yang negatif terhadap pekerjaannya. Penelitian ini bertujuan untuk meneliti faktor-faktor (pembayaran, pekerjaan, kesempatan promosi, supervisi, rekan kerja, kepemimpinan, dan komunikasi) yang mempengaruhi kepuasan kerja perawat. Desain penelitian adalah deskriptif cross sectional. Instrumen penelitian berupa kuesioner. Penelitian dilakukan dari Agustus 2015 sampai November 2015 pada 83 responden perawat di RSUD Haji Boejasin Pelaihari. Analisis data menggunakan Fisher Exact. Hasil penelitian menunjukkan hanya faktor pekerjaan yang tidak berhubungan dengan kepuasan kerja (p value 0,302), sedangkan faktor lainnya berhubungan. Disarankan untuk melakukan peningkatan terhadap faktor yang mempengaruhi kepuasan kerja untuk memaksimalkan kerja perawat.Kata-kata kunci : kepuasan kerja, faktor yang mempengaruhi, perawat, rawat inap.ABSTRACTJob satisfaction is an individual person's general attitude towards the work he does. A person with a high level of job satisfaction showed a positive attitude towards work, while someone who is not satisfied with his work showed a negative attitude towards his job. This study was aimed to examine the factors (payment, employment, promotion, supervision, colleagues, leadership, and communication) that affect job satisfaction of nurses. The study design was cross-sectional descriptive. The research instrument in the form of a questionnaire. The study was conductedfrom August 2015 to November 2015 at 83 nurses respondent in Haji Boejasin Pelaihari hospitals. Data analysis used the Fisher Exact. The results showed that only occupational factors was not associated with job satisfaction (p value 0.302), while other factors related. Advised tomake improvements to the factors that affect job satisfaction of nurses to maximize employment.Keywords : job satisfaction, affecting factor, nurse, inpatient room.
PEMBERIAN ASI EKSKLUSIF DENGAN PERKEMBANGAN BAYI USIA 6 BULAN DI WILAYAH KERJA PUSKESMAS GUNTUNG PAYUNG
Authors: Rachmadani Zaid , Rusli Rusdi , Agustina Rismia 
Published: August 2018

ABSTRAKASI (Air Susu Ibu) eksklusif merupakan salah satu faktor yang mempengaruhi perkembangan bayi usia 0-6 bulan. Perkembangan anak dapat dinilai dari aspek motorik kasar, motorik halus, bahasa, dan personal sosial. Tujuan penelitian ini untuk mengetahui hubungan pemberian ASI eksklusif dengan perkembangan bayi usia 6 bulan di wilayah kerja Puskesmas Guntung Payung. Metode penelitian ini menggunakan desain cross sectional, dilakukan pada 36 bayi berusia 6bulan di wilayah kerja Puskesmas Guntung Payung. Instrumen penelitian berupa lembar pertanyaan wawancara untuk mengetahui klasifikasi ASI eksklusif atau tidak dan lembar observasi KPSP (Kuisioner Pra Skrining Perkembangan) untuk menilai perkembangan bayi. Hasil penelitian menunjukan bahwa terdapat 41,7% bayi yang diberikan ASI eksklusif dan 58,3% yang tidak diberikan ASI eksklusif. Perkembangan sesuai sebanyak 41,7%, meragukan 33,3% ,dan penyimpangan perkembangan sebanyak 25,0%. Hasil uji Chi Square diperoleh nilai pvalue=0,02. Hasil analisis menunjukkan ada hubungan pemberian ASI eksklusif dengan perkembangan bayi usia 6 bulan di wilayah kerja puskesmas Guntung Payung.Kata-kata kunci: ASI eksklusif, perkembangan, bayi 6 bulan.ABSTRACTExclusive breasfeeding is one of several factors that influence the development of infants aged 0-6 months. Development child can be judge from the aspect of gross motor, fine motor, language and personal social. The objective of this research was to identify relationships exclusive breasfeeding with the development of infants aged 6 months in the working area of puskesmas Guntung Payung. The Methods of research used design cross sectional. The research was carried out on 36 infants aged 6 months in the working area of puskesmas Guntung Payung. Instrument of research was the form of the question an interview to know the classification of exclusive breasfeeding or not and the form of observation KPSP to assess the development of child. The result of this research indicated that there are 41,7% infants who are given exclusivebreastfeeding and 58,3% infants who not given exclusive breastfeeding . The development of infants that appropriate is 41,7%, dubious 33,3% and probably have wrong development is 25,0%. The test result of chi square get p-value = 0,02. The analysis shows that there are relationships exclusive breasfeeding with the development of infants aged 6 months in the working area of puskesmas Guntung Payung.Keywords: breastfeeding, development, infants aged 6 months.
PERAN EDUCATOR PERAWAT DENGAN PELAKSANAAN DISCHARGE PLANNING PADA PASIEN DI RUANG TULIP 1C RSUD ULIN BANJARMASIN
Authors: Pertiwiwati Endang , Rizany Ichsan 
Published: August 2018

ABSTRAKDischarge planning merupakan interaksi dan kolaborasi antara petugas kesehatan, pasien, dan keluarga untuk memberikan dan mengatur kontinuitas perawatan yang diperlukan pasien. Selama pelaksanaan discharge planning, perawat berperan melakukan pendidikan kepada pasien dan keluarga untuk mempersiapkan pemulangan dan kebutuhan untuk perawatan tindak lanjut di rumah. Penelitian ini bertujuan untuk mengetahui hubungan peran educator perawat dengan pelaksanaan discharge planning pada pasien di Ruang Tulip 1C RSUD Ulin Banjarmasin. Rancangan penelitian ini adalah observasional analitik dengan cross sectional menggunakan sampling jenuh, dan subjek penelitian sebanyak 29 responden. Peran educator yang baik sebanyak 17 orang (59%) dan pelaksanaan discharge planning baik sebanyak 18 orang (62%). Analisis data menggunakan uji Chi Square dengan hasil didapatkan nilai p=0,002 yang berarti p<0,05, sehingga dapat disimpulkan bahwa ada hubungan bermakna antara peran educator perawat dengan pelaksanaan discharge planning pada pasien di Ruang Tulip 1C RSUD Ulin Banjarmasin.Kata-kata kunci: perawat, discharge planning, peran educator.ABSTRACTDischarge planning is the interaction and collaboration among of health care workers, patients, and families together to provide and arrange the necessary continuity of patient care. During the implementation of discharge planning, nurses play a role in education to the patient and family for prepare the return and the possible need for follow-up care at home. This study aimed to determined the relationship of the educator nurse’s role with the implementation of discharge planning for patients in Tulip 1C RSUD Ulin Banjarmasin. The study design was observational analytic cross sectional using saturated sampling and the subjects were 29 respondents. The role of a good educator were 17 people (59%) and the implementation of good discharge planning were 18 people (62%). Data analysis using Chi Square test with the results obtained p = 0.002, which means p <0.05, so it can be concluded that there was a significant relationship between the nurse educator role with the implementation of discharge planning for patients in Tulip 1C RSUD Ulin Banjarmasin.Keywords: nurse, discharge planning, educator role.