bluuebunny/crossref_metadata_2025_split huggingface dataset:
One Point Technique of Intracutaneous Sterile Water Injection is as Effective as Four Points Technique in the Management of Labor Pain
Authors: Ismail Taufik 
Published: April 2019

Objective: To compare the score of VAS (visual analog scale), length of labor, and APGAR score in intracutaneous sterile water injection between one point technique and four points technique at Michaelis Rhomboid area in management of labor pain.

Method: This is an experimental study, subjects were included by blinded controlled randomized study on 50 women with term pregnancy stage I active phase and were planned for spontaneous delivery. Subjects were divided into 2 groups randomly, 25 women with 0.5 ml sterile water intracutaneous injection on 4 points and 25 women with that on 1 point injection at one site at the painful area.

Result: Reduction of labor pain on 1-point technique could decrease VAS score the most, 85.4 (4.3) into 48.4 (8.5) on minute 10. Length of labor was 11.2 (1.15) on 1 point injection group compared to 11.4 (1.2) on those with 4 point injection. On the other hand, APGAR score of the baby on group having 1-point injection was 7.86 (0.5) on min 1 and 9.68 (0.5) on min 5, compared to that on 4-points injection group, 7.52 (0.7) and 9.56 (0.5), respectively. In addition, 60% felt uncomfortable with 1-point injection whereas 80% of patients felt uncomfortable in 4-points injection.

Conclusion: There is no significant difference on reduction of VAS score, duration of labor, and APGAR score of the baby between the group having 1 point injection and 4-point injection. However, injection on 1 point is more comfortable.
[Indones J Obstet Gynecol 2012; 36-4: 167-70]

Keywords: APGAR , intracutaneous sterile water injection, length of labor, VAS
Giant Condyloma Acuminatum in a Woman with AIDS
Authors: Nuranna Laila 
Published: April 2019

Objective: To describe a case of Giant Condyloma Acuminatum with aspect of HIV and some concerns about the CD4.

Result: We describe 2 cases, the first case is a giant Condyloma in HIV patient and the second case is a giant Condyloma in pregnant woman. The patient in the first case was a 40-year-old woman with AIDS (CD4 is 290) who was undergoing anti-retroviral therapy. She was found to have a giant condyloma acuminatum of the vulva. Electrocautery excision was performed, and afterwards the quality of life has improved significantly. The second case patient is a 30-year-old G4P3A0 woman with a giant condyloma acuminatum. She was 30 weeks pregnant with a single fetus. On the external genitalia there was a giant condyloma mass on the vulva extending towards the
peri-anal area, obstructing the introitus. The electrocautery excision was performed. She was discharged from the hospital on the second day in good condition. She had a spontaneous delivery after reaching
full term.

Conclusion: Although the giant Condyloma Acuminatum is combined with HIV, but it’s not as difficult as imagined because the tumor’s base is not wide, but shaped like inverted mushroom and it is not necessary to do local flap reconstruction.
[Indones J Obstet Gynecol 2012; 36-4: 206-10]

Keywords: electrocautery excision, giant condyloma acuminatum, surgery in AIDS
Implikasi Hukum Program Percepatan Pendaftaran Tanah dalam Kebijakan Reforma Agraria (Program Sertipikat Tanah Sistematis Lengkap)
Authors: Erlina Erlina , Atikarani Nurfitria 
Published: April 2019

Tujuan dari penelitian ini adalah untuk mengetahui sinkronisasi Peraturan Pemerintah Nomor 24 tahun 1997 dengan Peraturan Menteri Nomor 12 tahun 2017 dan Implikasi sertifikat Hak Atas Tanah dengan adanya Peraturan Menteri Nomor 12 Tahun 2017 Terhadap Kepastian Kempemilikan Tanah tersebut Menurut hasil penelitian ini menunjukan bahwa : Pertama, Peraturan Pemerintah Nomor 24 Tahun 1997 tentang pendaftaran tanah menjelaskan tentang pembuktian hak lama dan hak baru untuk menjadi syarat pendaftaran tanah pertama kali aik untuk pendaftaran tanah secara sporadik maupun secara sistematik. Sementara itu pemerintah membuat suatu program pada tahun 2017 untuk percepatan pendaftaran tanah di Indonesia sehingga dikeluarkan Peraturan Menteri Nomor 12 tahun 2017 tentang Pendaftaran Tanah Sistematis lengkap ,namun Peraturan ini bertentangan dengan Peraturan Pemerintah Nomor 24 tahun 1997 mengenai pembuktian hak baik yang lama maupun hak baru. Peraturan Menteri ini menggantikan Surat pemilikan tanah sebagai riwayat tanah dengan surat pernyataan yang dibuat sendiri,apaila tanah tersebut bukti pemilikanya hilang atau tidak ada sama sekali. Kedua, Sertifikat hak atas tanah yang terbit berdasarkan Peraturan Menteri tersebut menimbulkan implikasi positif dan negatif. Implikasi positif berkaitan dengan kembalinya kepercayaan masyarakat terhadap BPN. Implikasi negatif berkaitan dengan produk sertifikat tanah yang dikeluarkan dengan syarat pendaftaran yang tidak lengkap maka akan memperesar kemungkinan terjadinya konflik tanah kedepannya.
De la alegoría de las aves en Tratado sobre la monarquía columbina, del padre Andrés Merino de Jesucristo
Authors: Mercier Claire 
Published: April 2019

En este estudio analizaremos la figura alegórica de las aves en el Tratado sobre la monarquía columbina (1790), del padre Andrés Merino de Jesucristo. Estableceremos, en primer lugar, el lazo entre alegoría y tradición de la emblemática, lo que permitirá abrir el campo a la figura del príncipe, a fin de establecer una relación con el género de los tratados de buen gobierno, respecto a la presentación de una forma de monarquía ideal. A continuación, estudiaremos la composición de esta sociedad utópica, es decir, la alegoría y la utilización de la figura de las aves, sobre todo, en relación con la tradición de los bestiarios cristianos de la Edad-Media. Finalmente, analizaremos la utilización satírica de esta figura, dentro de la perspectiva contra-utópica de la obra, lo que permitirá en tonces identificar una crítica de la sociedad española del siglo XVIII.
Socio-demographic Characteristics of Cataract Patients attended at a Tertiary Care Hospital in Bangladesh
Authors: Sultana Shamima , Sharif AQM Omar , Choudhury Inamur Rahman , Haque MM Ehsanul , Begum Wahida 
Published: April 2019

Background: Cataract is the leading cause for avoidable blindness in the world.
Objective: The purpose of the present study was to see the socio-demographic characteristics of cataract patients.
Methodology: This cross-sectional study was conducted at National Institute of Ophthalmology, Dhaka, Bangladesh from January 1999 to December 2000 for a period of two (02) years. Patients with senile cataract were selected for study. The details socio-demographic characteristics of the study population were collected which were age, sex, occupation. Data were collected on pre-designed data collection sheet, compiled and appropriate statistical analysis was done using computer based software.
Result: A total number of 60 cataract patients were recruited for this study. The mean age with the standard deviation was 58.8±6.055 years. The male and female ratio was 1.31:1. Majority were farmer which was 29(48.3%) cases followed by house wife, grocer and office peon which were 26(43.3%) cases, 4(6.7%) cases and 1(1.7%) case respectively. Most of the patients were from poor socio-economic condition which was 34(56.7%) cases. Majority of the patients were illiterate which was 47(78.3%) cases.
Conclusion: In conclusion old age male patients coming from poor socioeconomic condition are the most commonly affected by cataract
Journal of Science Foundation 2018;16(2):45-48
Variation of Clinical Estimation of Foetal Weight: Experience of 247 Cases in Dhaka City
Authors: Firdousi Tahmida , Begum Taslima , Akter Shimul , Mohammad Nur 
Published: April 2019

Background: Foetal weight detection can vary by examining clinically.
Objective: The purpose of the present study was to see the variation of clinical foetal weight among the newborn infant.
Methodology: This prospective cohort study was carried out in the Department of Obstetrics & Gynaecology at Rajshahi Medical Hospital, Rajshahi, Bangladesh from July 2012 to June 2014 for a period of 2(two) years. Pregnant women with known gestational age at term (38 to 40 weeks of pregnancy), singleton pregnancy with longitudinal lie were included in this study. The clinical estimation of foetal weight was done. Actual birth weights of babies were measured soon after their birth. This weight was measured within the first hour of life. They were weighed naked.
Result: A total number of 245 pregnant women in term pregnancy were recruited as per inclusion and exclusion criteria. Majority of the women [91(37.1%)] belonged to the age group 25 to 29 years, 83 (33.9%) in the age group 19 to 24 years. Low Birth Weight was found 14(5.7%) cases in clinical examination and 15(6.0%) cases in actual cases. Normal birth weight was found 215(87.8%) cases and 221(90.3%) cases in clinical examination and actual weight respectively. The mean with SD of foetal weight among the study population were 3283.27±461.05 gm and 2936.20±456.71 gram in clinical examination and actual weight respectively (p < 0.05).
Conclusion: In conclusion there is a significant variation of clinical estimation of foetal weight
Journal of Science Foundation 2018;16(2):60-64
Obstetrics Factors Related with Pelvic Inflammatory Disease Patients
Authors: Khan Nadira , Rahman Firoza , Jahan Nilufar , Khatun Rahela , Khanam Shafeya 
Published: April 2019

Background: Pelvic Inflammatory disease is a very common gynaecological condition among the women.
Objectives: The purpose of the present study was to see the obstetrics factors related with the pelvic inflammatory disease.
Methodology: This cross-sectional study was carried out in the Department of Obstetrics and Gynaecology at Dhaka Medical College Hospital, Dhaka, Bangladesh from November 2001 to April 2002 during the period of six (06) months and December 2002 to February 2003 for three (03) months with the total duration of nine (09) months. Women in child bearing age who were suffering from chronic pelvic inflammatory disease (PID) attended at the OPD of gynecology Department at Dhaka Medical College Hospital, Dhaka, Bangladesh were selected as study population. Relevant data from each patient were recorded in a questionnaire.
Result: A total number of 150 cases were studied. Out of 146 patients 75.3% were delivered at home, 8.2% at hospital and 16.4% cases had their deliveries at home and at hospital also. Out of 146 patients 63.0% were delivered by untrained birth attendants at home and 36.99% were delivered by trained birth attendants. Out of 146 patients 54.1% had history of puerperal sepsis. However, the rest of the 67(45.9%) cases were normal puerperium. In this study 84.0% patients had history of MR, 18 percent had spontaneous abortion and 4.7 percent had induced abortion. Out of these 115 patients with history of pregnancy termination, 47.3% patients had history of pelvic infection following that event. Also, 2.7% gave history of ectopic pregnancy.
Conclusion: In conclusion most of the PID patients are delivered at home with untrained birth attendants with the history of puerperal sepsis
Journal of Science Foundation 2018;16(2):65-69
Hubungan HUBUNGAN JUMLAH CD4 DENGAN KUALITAS HIDUP PADA ORANG DENGAN HIV/AIDS (ODHA) DI JOMBANG CARE CENTER PLUS
Authors: Daramatasia Wira 
Published: April 2019

ABSTRAK
Latar Belakang: Kualitas hidup pada ODHA merupakan aspek yang sangat penting untuk diperhatikan, karena HIV/AIDS bersifat kronis dan progresif sehingga berdampak luas pada permasalahan fisik, psikologis, kemandirian, sosial, lingkungan maupun spiritual. Dengan meningkatnya kualitas hidup ODHA dapat mengurangi angka kesakitan bahkan angka kematian karena HIV/AIDS.
Tujuan penelitian: mengetahui hubungan jumlah CD4 dengan kualitas hidup ODHA pada kelompok dukungan sebaya di Jombang Care Center Plus.
Metode penelitian:menggunakan analitik observasional dengan pendekatan cross sectional. Responden berjumlah 79 orang yang diambil dari 367 ODHA yang bergabung di KDS JCC+ berdasarkan quota sampling dan memenuhi kriteria inklusi dan ekslusi. Kualitas hidup (Quality of Life/QoL) ODHA dikaji menggunakan kuisioner WHOQoLHIVBREF, Jumlah CD4 diukur dengan alat flowcytometry. Analisis data menggunakan t test untuk menguji signifikansi antara jumlah CD4 dan QoL dengan tingkat signifikansi 5%.
Hasil :kualitas hidup ODHA secara umum responden memiliki kualitas hidup baik sebesar 68%, sebesar 32% memiliki kualitas hidup cukup dan tidak terdapat responden dengan kualitas hidup kurang. Jumlah CD4 pada ODHA setelah diterapi ARV, Jumlah CD4 >350 sebanyak 70 0rang (99%) dan CD4<350 sebanyak 9 orang (11%). Adanya hubungan yang signifikan antara kualitas hidup dengan jumlah CD4, ODHA dengan jumlah CD4 yang lebih tinggi lebih baik kualitas hidupnya dibandingkan pasien dengan jumlah CD4 yang lebih rendah (P <0,05).
Saran: Diharapkan ODHA dapat proaktif untuk lebih memperhatikan kesehatannya, pada KDS, tenaga kesehatan maupun pihak terkait dapat meningkatkan pelayanan Provider Initiated Testing and Counseling (PITC) kepada seluruh lapisan kelompok sasaran penularan HIV/AIDS pada kelompok tertular kelompok beresiko, kelompok rentan dan masyarakat umum

Kata Kunci : Kualitas hidup, HIV, AIDS, WHOQoLHIV BREF, CD4.
Análisis de la situación de salud en Cerro Guayabal
Authors: Vásquez Giler Yira Annabell , González Hernández Alina , Macías Moreira Paula Salomé , Carrillo Farnés Olimpia Victoria 
Published: April 2019

El Análisis de Situación de Salud es una herramienta que busca mejorar la salud y calidad de vida de poblaciones. Se diseñó una investigación transversal, descriptiva; con doble propósito: relacio- nar condiciones de vida y comportamiento del proceso salud y enfermedad en la comunidad Cerro de Guayabal y realizar ejercicio práctico-docente con estudiantes del quinto semestre de Medicina. Se encuestaron 266 familias, 1134 personas (91%) de la población total. El 71% solo alcanza nivel de formación primaria. Más de la mitad tiene viviendas en condiciones regulares y cultura sanita- ria entre regular y mal. El 87% no tiene necesidades básicas cubiertas. Más del 50% son familias disfuncionales. El 56% se dispensarizó de riesgo y 11% enfermos. Dada las condiciones de vida y ausencia de centro de salud parece existir morbilidad oculta. Existe riesgo de accidentes de tránsito y laboral. Resultó un tema crítico la recolección de residuos, el acceso a agua potable y la conta- minación ambiental. Existe imperiosa necesidad de intervenciones de salud para mejorar el estado de salud y calidad de vida de esta comunidad.
Palabras clave: calidad de vida, estado de salud, salud pública.
Abstract:
The Health Situation Analysis is a tool that seeks to improve the health and quality of life of pop- ulations. A cross-sectional descriptive study was designed; with dual purpose: to relate living con- ditions and health behavior and disease process in the Cerro de Guayabal community and make practical-teaching practice with students of the fifth semester of Medicine. 266 families, 1134 people (91%) of the total population were surveyed. Only 71% reached primary level. More than half are in regular housing conditions and health culture fair to poor. 87% do not cover basic needs. More than 50% are dysfunctional families. 56% were risk dispensary and 11% were sick. Given the living conditions and lack of health center it seems to be hidden morbidity. There is a risk of traffic and labor accidents. Waste collection, access to drinking water and environmental pollution were critical issues. There is an urgent need for health interventions to improve the health state and quality of life of this community.
Key words: life quality, health state, public health.
Utilidad de los métodos diagnósticos en detección de cáncer tiroideo
Authors: Acosta Pérez Rasiel , Hidalgo Martínez Bárbara Dinora , Zambrano Cedeño Carlos Pomerio , Gámez Brito Deiber 
Published: April 2019

El cáncer de tiroides es la neoplasia endocrina más frecuente. Con el objetivo de determinar la utilidad de los métodos diagnósticos de cáncer de tiroides se realizó un estudio descriptivo trans- versal con 17 pacientes diagnosticados en el periodo septiembre 2015-2016, en la consulta externa del Hospital Humberto Pozo del cantón Guaranda, provincia de Bolívar. De las historias clínicas se extrajeron los datos: edad, sexo, diagnósticos clínicos, ecográfico, citológico e histológico. Pre- dominó el género femenino, siendo el carcinoma papilar la variante histológica más diagnosticada (70,7%). El grupo de edades más representativo, se encontró entre 51-60 años. El mayor número de cánceres (64,8 %) se diagnosticó en el estadio IV. La sensibilidad para la punción aspiración con aguja fina se ubicó en 94,1% y, las lesiones sólidas en la ecografía predominaron en el 70,6%. Estos resultados permitieron evidenciar que la punción aspiración con aguja fina y la ecografía son procedimientos útiles en la evaluación preoperatoria de la patología tiroidea.
Palabras clave: neoplasia de tiroides, nódulo tiroideo, punción aspiración con aguja fina
Abstract
Thyroid cancer is the most common endocrine neoplasia. In order to determine the usefulness of diagnostic methods for detection of thyroid cancer, a cross-sectional descriptive study was per- formed with 17 patients diagnosed in the period from September 2015 to 2016, at the outpatient clinic Humberto Pozo of canton Guaranda Hospital. Data were extracted from the following clinical records: age, gender, clinical, ultrasound, cytological and histological diagnoses. The female gen- der predominated, papillary carcinoma being the most diagnosed histological variant (70.7%). The group of 51-60 years was the most representative. The largest number of cancers (64.8%) was diagnosed in stage IV. Sensitivity for fine needle aspiration was of 94.1% and solid lesions on ul- trasound predominated in 70.6%. Fine needle aspiration and ultrasonography proved to be useful procedures in the preoperative evaluation of thyroid pathology.
Key words: Thyroid neoplasias, thyroid nodules, fine needle aspiration biopsy
Los Cuidados Paliativos, una revisión documental
Authors: Rodríguez León Amarelys , Garcés González Roberto , Paz Enrique Luis Ernesto 
Published: April 2019

Los cuidados paliativos u hospice son un modelo de cuidados de salud que mejora la calidad de vida del paciente con enfermedades crónicas, debilitantes. Existe escasa literatura publicada que sistematice las características y evolución de los cuidados hospice. Se planteó como objetivo del estudio, examinar el surgimiento y desarrollo de los cuidados paliativos a partir de una revisión documental de la literatura científica publicada. Se realizó un estudio documental con el propósito de describir el desarrollo evolutivo de los Cuidados Paliativos desde su surgimiento y las tendencias que han caracterizado su desarrollo. Se recopiló gran cantidad de información acerca los orígenes de los cuidados hospice en distintos contextos tanto de salud como en el la comunidad y hogar. Se realizó un estudio de varias fuentes de información histórica. Como resultado se obtuvieron datos de gran relevancia sobre cómo se introdujeron y evolucionaron los cuidados paliativos en la atención al paciente críticamente enfermo. Igualmente, se describieron los principios sobre los que se sustentan los cuidados paliativos y las funciones del equipo de salud interdisciplinario.
Palabras clave: Cuidados paliativos, enfermedades crónicas, equipo interdisciplinario, cuidados hospice, calidad de vida.
Abstract
Palliative care or hospice is a model of health care that improves the quality of life of the patient with chronic, debilitating diseases. There is scarce published literature that systematizes the characteristics and evolution of hospice care. The objective of the study was to examine the emergence and development of palliative care based on a documentary review of published scientific literature. A documentary study was carried out with the aim of describing the evolutionary development of palliative care since its emergence and the trends that have characterized its development. A great deal of information was gathered about the origins of hospice care in different health contexts, as well as in the community and at home. A study of several sources of historical information was carried out. As a result, very relevant data were obtained on how palliative care was introduced and developed in the care of the critically ill patient. The principles on which palliative care and the functions of the interdisciplinary health team are supported were also described.
Key words: Palliative care, chronic diseases, interdisciplinary team, hospice care, quality of life.
Algunas consideraciones sobre los “Adolescentes difíciles”
Authors: Alonso Uría Rosa María , Cortés Alfaro Alba , Beatriz Rodríguez Alonso Beatriz x 
Published: April 2019

Existe la tendencia a considerar que los problemas de inadaptación social, inestabilidad emocional y comportamientos violentos, son propios de la adolescencia. El objetivo de esta investigación es reflexionar acerca de los llamados “adolescentes difíciles” y de factores que se relacionan con esta conducta. Se realizó revisión de la literatura; se consideraron las bases de datos LILACS, EBSCO, HINARI, alcanzando buena cobertura, en Cuba, Latinoamérica, Caribe y resto del mundo, a pesar de ser un tema poco abordado. La estrategia de búsqueda se realizó según los descriptores Adolescente, Conducta del adolescente y Violencia y prevención, obteniéndose 50 artículos a idioma inglés y español, trabajando definitivamente con 40 publicados entre 1981 y El término “adolescente difícil” no se encuenta dentro de los descriptores a pesar de conocerse desde la decada de los ochenta, se sugiere y recomienda tenerlo en cuenta dada la importancia que acredita su conocimiento en la labor preventiva de este grupo poblacional. Se exponen características generales de los adolescentes difíciles, factores de riesgo que los hacen vulnerables a estas conductas, que permite una reflexión para contribuir a un mejor manejo y evitar consecuencias sociales y de salud. Las relaciones armónicas del y con el adolescente en todos los contextos, formación y habilidades de la vida para alcanzar una salud positiva constituyen la base en el manejo de los llamados adolescentes difíciles.
Palabras clave: Adolescente, conducta del adolescente, violencia/prevención y control.
Abstract
There is a tendency to consider that the problems of social maladaptation, emotional uncertainty and violent behaviors are characteristic of the adolescence. Revision of the literature was carried out, considering the databases LILACS, EBSCO, HINARI, reaching good covering in Cuba, Latin America, the Caribbean and the rest of the world, in spite of being a topic not much studied. The search strategy was carried out according to the descriptors Adolescent, the adolescent’s Behavior and Violence and prevention; 50 articles in English and Spanish languages being obtained, working definitively with 40 published ones between 1981 and 2015. Though the term difficult adolescent is not within the descriptors in spite of being known since the decade of the eighties; it is suggested and recommended to take it into account given the importance of its knowledge in the preventive work of this populational group. General characteristics of the difficult adolescents and factors of risk that make them vulnerable to these behaviors are exposed, that allow a reflection to contribute to a better handling and to avoid social and health consequences. The harmonic relationships of the adolescent and with him in all contexts, formation and abilities of life to reach a positive health constitute the basis in the handling of the so called difficult adolescents.
Key words: Adolescent, Adolescent Behavior, Violence, prevention and control.