bluuebunny/crossref_metadata_2025_split huggingface dataset:
Primary care clinicians’ perspectives on interacting with patients with gynaecological conditions: a systematic review
Authors: Briscoe Simon , Thompson Coon Jo , Melendez-Torres G J , Abbott Rebecca , Shaw Liz , Nunns Michael , Garside Ruth 
Published: November 2023

BackgroundStudies have found that women with gynaecological conditions and symptoms do not feel listened to by primary care clinicians (PCCs). Less understood is whether PCCs perceive that there are challenges around listening to and interacting with this patient group.AimTo understand PCCs’ perspectives on the challenges of listening to and interacting with women patients with gynaecological conditions and symptoms.Design & settingSystematic review of English-language studies.MethodWe searched ASSIA (Applied Social Sciences Index and Abstracts), CINAHL (Cumulative Index to Nursing and Allied Health Literature), Embase, HMIC (Healthcare Management Information Consortium), and MEDLINE from inception to July 2023. We also conducted forward and backward citation searches of included studies. Identified records were screened independently by two reviewers. Data extraction was undertaken by one reviewer and checked by a second. Quality appraisal used the Wallace checklist. 'Best-fit' framework synthesis was used to synthesise findings around themes that explored the challenges of patient–clinician interaction.ResultsWe identified 25 relevant articles. Perceived challenges associated with listening to and interacting with patients with gynaecological conditions and symptoms were identified at four ‘levels’: individual clinician level factors; structural and organisational factors; community and external factors; and factors related to gynaecological conditions. Interpretive analysis identified specific challenges relating to sociocultural factors affecting the consultation experience; the need for further education, training, or guidance for clinicians; factors affecting referral decisions; and factors related to service structure and organisation.ConclusionPCCs acknowledge that empathy, respect, and attentive listening are important when interacting with women patients with gynaecological conditions and symptoms. However, these ideals are impeded by several factors.
Educação pré-natal no Brasil: revisão integrativa
Authors: De Toledo Diego Aquino , Sá Luciana de Araújo , De Oliveira Márcia Farsura 
Published: November 2023

A educação pré-natal (EP) tem uma variedade de benefícios para as mulheres e seus bebês durante o período perinatal. Além disso, a aquisição de conhecimentos durante a gestação é indispensável para a melhoria da saúde materno-infantil e, portanto, deve ser preconizada. Dessa forma, objetivou-se revisar, na literatura científica, as temáticas e as metodologias exploradas nas atividades de educação em saúde sobre o pré-natal (PNA), parto e cuidados neonatais, voltadas às gestantes, no Brasil. Para isso, realizou-se revisão integrativa da literatura científica, nas bases de dados SciELO, LILACS e PubMed, no período compreendido entre 2018 e 2023, com os descritores e estratégias de busca: Educação em Saúde AND Educação Pré-Natal; Educação em Saúde AND Cuidado Pré-Natal; Health Education AND Prenatal Education e Health Education AND Prenatal Care. A análise de dez artigos identificou que a EP, com abordagem das temáticas preconizadas para esse período – alimentação e estilo de vida saudáveis, higiene, aleitamento, tratamento odontológico, IST, exames neonatais e parto – e dos assuntos demandados pelas gestantes, consiste em ferramenta viável para o melhor cuidado em saúde do binômio mãe-filho e para a alteração positiva dos indicadores de saúde. As principais metodologias utilizadas nas ações de EP são panfletagem, rodas de conversa, workshop, aplicativos móveis ou orientações realizadas durante as consultas seriadas do PNA.
Approach to synchronous liver metastases from colorectal carcinoma - results from a Portuguese reference center
Authors: Ruivo Ana Isabel da Silva , Monteiro Jéssica Alexandra Marques , Paiva Bárbara Oliveiros , Oliveira Rui Caetano , Martins Ricardo , Tralhão José Guilherme 
Published: November 2023

About 15%-25% of patients with colorectal cancer, have synchronous liver metastases. The best surgical approach for the patients with asymptomatic primary colorectal tumor and synchronous liver metastases is still the subject of much debate. We aimed to evaluate the perioperative and long-term results as well as to identify possible prognostic factors of the two strategies: liver- first and synchronous resection. Observational, retrospective study, which included patients with synchronous liver metastases from colorectal cancer, who underwent liver surgery between January 2016 and December 2021, in a Portuguese reference center. Patients were divided into two groups according to the therapeutic approach (synchronous resections vs Liver First) and into three groups according to the hepatic tumor burden (single liver lesion versus more than three liver lesions versus bilobar lesions). To determine the overall and disease-free survival, Kaplan-Meier curves and the log-rank test were performed and, to identify factors with an impact on the prognosis, a univariate and multivariate analysis were performed with the application of Cox regression (significance of 5%). Among the 46 patients included, 54,4% underwent the liver-first approach and 21 patients (45.7%) underwent simultaneous resection. The liver-first group had a greater number of patients with primary rectal tumor (84% vs.14.3%; p<0.001), with more than 3 hepatic lesions (56% vs.14%; p=0.004) and with more extensive hepatic resection. As for postoperative morbimortality, no statistically significant difference was observed between the two approaches (p=0.514). The median overall survival was similar even when considering the hepatic tumor burden (35.0 months (95%CI 15.91- 54.09) in the liver-first group vs. 48.0 months (95%CI 21.69-74.96) in the synchronous resection group; p=0.145). The same was observed for the median disease-free survival (16.0 months (95% CI 0-32.7) vs. 23.0 months (95% CI 16.3-29.7) p=0.651, respectively). The two strategies showed similar morbidity. No statistically significant difference was observed with regard to overall and disease-free survival even when the hepatic tumor burden was considered. One-year and three-year survival were also similar. However, it should be stressed that, the choice of the surgical approach for each group did not took into account the hepatic tumor burden, which we believe it is essential in choosing the best surgical approach.The existence of a multidisciplinary team is fundamental for the therapeutic success of these patients.
O uso de cigarros eletrônicos com o surgimento de doenças pulmonares
Authors: Dos Santos Anna Paula Lander , Fontenele Ana Carolina Santos , Silveira Yuri José Ferreira da Luz , Cintra Neto Emilton Gonçalves , Amaral Rhaygner Dhieggo , Da Silva Giovana Aparecida Alves , Elias Anna Karolina de Almeida , Lima Iasmin Souza 
Published: November 2023

O uso de cigarros eletrônicos vem se tornando uma problemática de extrema relevância para a saúde pública devido a sua alta influência no surgimento de doenças pulmonares. Adiante, os cigarros eletrônicos (CE) surgiram como uma alternativa de serem menos nocivos que cigarros convencionais, com a premissa de redução da nicotina e alcatrão, logo reduziram os riscos a saúde, mas nada se passou de uma falsa promessa que visava manter o alto comércio de cigarros em circulação. Diante do exposto, objetivou-se por meio de frequentes pesquisas identificar o perfil dos usuários desses tipo de dispositivo e chegou-se à conclusão de que as faixas etárias mais jovens são as mais afetadas, as idades entre 18 e 34 anos apresentam maior prevalência de uso, o uso diário entre essa idade chega a dez vezes mais do que a prevalência das outras faixas etárias superiores, entre homens também é o dobro do que em mulheres e os indivíduos que apresentam abuso de substância alcoólica também têm maior prevalência no consumo de cigarros eletrônicos, a maioria das pessoas que utilizam esses dispositivos não são do grupo de pessoas fumantes. Correlacionar as medidas e estratégias de conscientização de usuários dos CE sobre os iminentes riscos para saúde se torna fonte principal do sucesso sobre a redução de doenças pulmonares como dano alveolar difuso, hemorragia alveolar, pneumonia lipoide, proteinose alveolar e BOOP (bronquiolite obliterante). Para tal, realizou-se um estudo de revisão bibliográfica de literatura, com síntese de resultados obtidos através de pesquisas publicadas anteriormente, a busca ocorreu no mês de junho de 2023, cujos materiais foram obtidos por meio das plataformas Scielo e Google Scholar, através dos descritores : "cigarro eletrônico" + vape + doenças pulmonares + estudos observacionais combinados entre si pelo operador booleano AND, além de ‘vaping’ e ‘cigarro eletronico’ usados separadamente tendo como base a questão norteadora do uso de cigarros eletrônicos. Desta forma, tendo em vista as complicações clínicas e impacto na qualidade de vida dos usuários desses dispositivos é importante adotar medidas voltadas para legislação e fiscalização eficiente sobre esses aparelhos. Por outro lado, somente medidas legislativas não serão suficientes, necessita-se de campanhas preventivas, que visem alertar a população sobre os prejuízos.
Mecanismos de neuroinvasão por SARS-CoV-2 e suas manifestações e complicações neurológicas: uma revisão de literatura
Authors: Dantas Ana Beatriz Maldonado , Dos Santos Gerson Jhoseph Lima , Ranite Gabriel Gomes , Da Silva William Rodrigues , Justiniano Sergio Daniel Fanola 
Published: November 2023

Desde a pandemia da COVID-19, manifestações e complicações neurológicas foram cada vez mais descritas como importantes impactos da infecção pelo SARS-CoV-2. Decorrente deste fato, diversos estudos foram feitos visando corroborar com a elucidação dos mecanismos fisiopatológicos deste quadro neurológico. Várias manifestações neurológicas foram associadas à COVID-19, desde as mais brandas, como disfunções olfatórias e gustativas, até as mais graves, como o acidente vascular cerebral. Em vista disso, observa-se que essa problemática pode apresentar repercussões a curto, médio e longo prazo, sendo de grande relevância para estudos. Logo, esse estudo teve como objetivo apresentar as repercussões da pandemia da COVID-19 sob a óptica da fisiopatologia e, principalmente, nas manifestações e complicações neurológicas, demonstrando a importância da temática nesse cenário. O método utilizado foi a revisão literária, através das bases de dados PubMed, buscando compilar e demonstrar as informações mais relevantes até o momento. Espera-se incentivar e subsidiar estudos padronizados posteriores sobre o COVID-19 para melhor abordagem terapêutica por meio da compreensão da sua fisiopatologia.
Pembuatan Serbuk Tanaman Obat dalam Upaya Peningkatan Kesehatan bagi Ibu-Ibu PKK Desa Tumaratas, Kecamatan Langowan Barat, Kabupaten Minahasa
Authors: Kamu Vanda Selvana , Runtuwene Max Revolta John , Katja Dewa Gede 
Published: November 2023

Telah dilakukan kegiatan pengabdian Program Kemitraan Masyarakat (PKM) pembuatan serbuk tanaman obat bagi Ibu-ibu PKK Desa Tumaratas, Kecamatan Langowan Barat, Kabupaten Minahasa, Sulawesi Utara. Kegiatan pelatihan diawali dengan pengumpulan data Desa Tumaratas serta wawancara dengan perangkat desa dan dilanjutkan dengan perumusan jenis kegiatan yang akan dilakukan. Oleh karena beberapa tanaman obat merupakan juga tanaman yang dapat ditanam di pekarangan rumah dan sering digunakan sebagai bumbu dapur, maka untuk pemanfaatan lanjutan tanaman obat ini, dapaat dibuat dalam bentuk serbuk supaya mempermudah saat mengkonsumsi tanaman obat tersebut. Kegiatan pelatihan ini diberikan kepada 35 Ibu PKK Desa Tumaratas. Kegiatan diawali dengan pendahuluan mengenai pentingnya tanaman obat serta jenis-jenis tanaman obat yang mudah ditanam, diolah, dan dimanfaatkan sebagai obat herbal. Selanjutnya dilakukan asesmen awal terhadap peserta kegiatan mengenai pemahaman tentang tanaman obat, kemudian dilanjutkan dengan pelatihan kepada Ibu-ibu PKK untuk membuat tanaman obat dalam bentuk serbuk, dan diakhiri dengan asesmen akhir. Tanaman obat yang digunakan adalah jahe, kunyit, dan lengkuas. Dari kegiatan ini diperoleh bahwa sekitar 69% peserta memiliki pemahaman awal yang sudah cukup baik mengenai tanaman obat. Dan di akhir kegiatan sebanyak 94% peserta sudah memiliki pengetahuan yang sangat baik mengenai tanaman obat dan telah berhasil membuat serbuk tanaman obat.
Customer Value and Its Influence on the Success of Hotel Marketing Strategies in Jember
Authors: Faozen  , Jatmiko Hadi 
Published: November 2023

This research will discuss the influence of customer value as a success factor in hotel marketing strategies in Jember. So that through this research can contribute thoughts to the Jember hotel and restaurant union association and more specifically to hotel service business actors as a reference in taking policies in developing marketing strategies with value. The purpose of this study is to analyze the influence of customer value in the success of hotel marketing strategies in Jember. The data were analyzed by multiple linear regression by partial and simultaneous tests. The results of this study show that partially physical value variables, emotional value variables, intellectual value variables have an influence but are not significant on the success of marketing strategies, while spiritual value variables have a significant influence on the success of marketing strategies, simultaneously or together the variables of physical value, emotional value, intellectual value, spiritual value have a significant influence on the variable success of the hotel marketing strategy in Jember.
PENINGKATAN KEMAMPUAN BERPIKIR KRITIS PADA MATA PELAJARAN IPA MATERI SIKLUS AIR MELALUI MODEL PROLEM BASED LEARNING TERHADAP SISWA KELAS V SDN MAMPANG PRAPATAN 02
Authors: Rosadi Alifia Fitri , Rianto Anita Khoerunnisa , Hadi Waluyo , Dallion Engga 
Published: November 2023

Kemampuan berpikir kritis siswa kelas V SDN Mampang Prapatan 02 belum optimal. Penelitian ini dilakukan dengan maksud agar siswa kelas V SDN Mampang Prapatan 02 Pagi kemampuan berpikir kritisnya meningkat dalam konteks ilmu pengetahuan alam tentang siklus air dengan model pembelajaran berbasis masalah. Penelitian menerpakan Penelitian Tindakan Kelas (PTK) yang dilaksanakan dalam 2 siklus, setiap siklusnya terdiri dari perencanaan, pelaksanaan, evaluasi dan refleksi. Sebanyak 20 siswa dan 1 guru kelas V SDN Mampang Prapatan 02 Pagi menjadi subjek dalam penelitian. Teknik tes dan non-tes digunakan sebagai metode pengumpulan data dalam penelitian ini. Hasil penelitian menunjukkan kemampuan berpikir kritis siswa kelas V dimulai dengan 53%. Kemudian, mengalami peningkatan menjadi 61% setelah dilakukannya tindakan pada siklus I. Pada siklus II, dilakukan perbaikan sehingga meningkat menjadi 70,5%. Oleh karena itu, dapat dikatakan bahwa kemampuan berpikir kritis siswa meningkat dengan menggunakan model pembelajaran berbasis masalah pada pembelajaran IPA siklus air kelas V SD.
مؤثّرات تواجد الأدب الإسلامي المعاصر في المشهد الأدبي
Authors: اصلاني سردارِ 
Published: November 2023

من الضروريّ ابتداء، أن نقدّم تعريفا من أدقّ تعاريف الأدب الإسلامي المعاصر، "إنّه تعبير فنيّ وجميل وصادق و هادف و ملتزم عن الإنسان والحياة والكون وفق التّصور الإسلاميّ "هذا الأدب قد وُلد منذ ولادة الإسلام و القرآن العظيم.ما يظهر جليا أنّ التسمية والمصطلح والنظرية كانت غائبة؛ علي حين حضر المفهوم وأُستعملَ فعلا و كانت الرسالة السامية لهذا الأدب في المشهد الأدبيّ والنقديّ واضحة وضوح الشمس.فالسؤال الأساسيّ للبحث ما هي العلّة الرئيسة لتسمية قسم من الأدب العربي بالأدب الإسلاميّ و تواجده و تفعيله من جديد في السّاحة الأدبية المعاصرة؟
تواجدَ الأدب الإسلامي المعاصر في المشهد الأدبي الراهن، واضطلع بمهمّته في الأوساط الأدبية والنقدية والفكرية منذ أقل من قرن. هذا الحضور المثير للجدل قوبل بردّات الأفعال، منها الموافقة والمناوأة.أيد المفكرون والأدباء الإسلاميون وأصحاب الإنصاف العلمي من التيار العَلمانيّ، هذا التيارَ الفكريّ الجديد؛ من تبريراتهم الخاصة لتأييده: أنّ لكل تيار أدبيّ جديد حقا للظهور في المشهد الأدبيّ والنقديّ و إن خالفنا في مرتكزاتنا الفكرية و معاييرنا الأدبية. وخالفه التيار الفكري المعارض للإسلام بتسمياته ومصطلحاته وفروعه كافة. من المآخذ علي هذا التواجد المثير للجدل، أنّه قيل: مع وجود الأدب العربي وهو إسلاميّ بكامله! ليس لإستعمال مصطلح الأدب الإسلامي وفتح الميدان الجديد لنشاطاته و تواجده النشيط، تبرير منطقيّ ولا دليل علميّ لظهور أدب مثيل له وبديل منه. يهدف هذا البحث الدراسةَ والنقد لمؤثّرات تواجد الأدب الإسلامي المعاصر وتفعيله من جديد والأسباب المثبِتة لضرورة حضوره في الساحة الأدبية والفنية إثباتا لهويته المتميّزة وتعزيزه. ثمّة أسباب عدّة، لها دور فيما أُسمّيه بإظهار الأدب الإسلامي المعاصر وإدخاله في ميدان النشاط الأدبي العصريّ، علي حين تحقّق في غضون البحث أنّ إدخال الانحرافات العقدية علي الفكر والأدب العربي ونشرها وترويج التصورات المنحرفة و ضغوطات المذاهب الأدبية الدخيلة عليهما لحدّ الخنق، كان باعثا أساسيا للتّفعيل والتّجديد وتبريز الأدب الإسلامي من جديد.والمناهج المتّبعة في البحث هي المنهج التاريخيّ والاجتماعيّ والوصفيّ - التحليليّ مستعينا بالمنهج الإسلاميّ للأدب والنقد .
التشكيل البياني في شعر ضرغام البرقعاوي
Authors: صاحب رقية , زبيبة مصعب 
Published: November 2023

تعدّ الصورة البيانيّة تشكيلاً لأنماطٍ رمزيّة، قد أضيفت إليها أبعادها الذهنيّة، وإنّ امتزاج اللغة والخيال يعلي من جماليّة القصيدة، ويجعله متلائماً مع فكرة النصّ. وهي عنصر مهم من عناصر بناء القصيدة الشعريّة، وأداة مهمّة من أدوات الشاعر للتعبير عن المشاعر والأفكار؛ لأنّها ابداع فنيّ يخاطب الإحساس والعقل معاً، كما وأنّها الجوهر الثابت والدائم في الشعر. إذ إنّ الحكم على الكلام الذي نسمّيه شعراً يعتمد على وجود الصور البيانيّة والبلاغيّة أو غيابها.
وتأخذ الصورة الفنيّة العديد من التشكيلات البيانيّة، التي يمكن أن نجدها حاضرة بكثرة في دواوين الشاعر ضرغام البرقعاويّ، ومن هذهِ التشكيلات التي سوف نتناولها في هذا البحث، هي الصورة التشبيهيّة، والصورة المجازيّة.
ANALISIS TERJADINYA REJECT PCB LED PADA SMT LINE DENGAN MENGGUNAKAN METODE ROOT CAUSE ANALYSIS FISHBONE DAN FMEA DI PT VJB
Authors: Yasra Refdilzon 
Published: November 2023

PT Venturindo Jaya Batam adalah perusahaan yang bergerak dibidang jasa produksi barang elektronik yang lebih dikenal dengan sebutan Electronic Manufacturing Services (EMS) yang menyediakan solusi "One-Stop-Solution" yang komprehensif. tujuan dari penelitian ini adalah untuk mencegah terjadinya reject Circuit Board Light Emitting Diode (PCB LED) pada Surface Mount Technologi (SMT) Line agar persentase reject perusahaan menurun. Metode yang digunakan adalah root cause analysis Fishbone dan Failure Mode and Effect Analysis (FMEA). Data yang digunakan dalam penelitian ini didapatkan dari hasil observasi, wawancara dan studi literature. Proses produksi Printed Circuit Board Light Emitting Diode (PCB LED) di SMT Line melalui 3 tahapan yaitu: Printing, Mounting, dan Oven Reflow. Dari ketiga tahapan tersebut memiliki penyebab reject berbeda-beda dengan nilai RPN yang didapatkan dari nilai (severity (S) X occurance (O) X detection (D) = Risk Priority Number (RPN). Hasil dari penelitian ini adalah perbandingan antara sebelum dan sesudah upaya pencegahan dan recommended action yang diterapkan sehingga tingkat defect yang terjadi pada setiap masing-masing proses menjadi berkurang. Sehingga bisa menurunkan persensentase reject sesuai dengan yang diharapkan perusahaan
Efektivitas penyembuhan luka bakar menggunakan salep ekstrak etanol daun ciplukan (Physalis angulata L.) pada kelinci
Authors: Tambunan Cindy Marlina , Dalimunthe Gabena Indrayani , Lubis Minda Sari , Yuniarti Rafita 
Published: November 2023

Masyarakat Indonesia sudah sejak lama meggunakan tumbuhan sebagai pengobatan maupun untuk pemeliharaan kesehatan yang diwariskan secara turun-menurun. Salah satu tanaman yang dapat digunakan sebagai obat tradisional adalah tanaman ciplukan (Physalis angulata L.) yaitu tumbuhan kecil yang dapat tumbuh dimana saja ini ternyata tidak hanya mempunyai rasa yang unik tetapi juga bermanfaat bagi kesehatan, ciplukan dapat digunakan untuk mengobati flu dan sakit tenggorokan, batuk rejan, bronchitis, gondongan, bisul, borok, dan juga ayan atau epilepsi. Secara empiris, penggunaan tumbuhan ciplukan difungsikan sebagai penyembuhan cacar yang telah digunakan oleh masyarakat dengan cara dimandikan. Cacar berbentuk seperti luka bakar yang melepuh dan akan berbentuk seperti borok. Jadi peneliti tertarik mengembangkan dalam bentuk salep, karena lebih efektif untuk digunakan dan dapat dibawa kemana saja. Penelitian ini dilakukan untuk mengetahui bahwa ekstrak etanol daun ciplukan dapat diformulasikan dalam dasar salep serap dan untuk mengetahui efek penyembuhan luka bakar pada kelinci dari sediaan salep ekstrak etanol daun ciplukan (Physalis angulata L.). Ekstrak daun ciplukan dibuat dari simplisia daun ciplukan dengan metode maserasi lalu dilakukan uji efektivitas penyembuhan luka bakar pada kelinci menggunakan salep. Salep dibuat dalam 4 formulasi yaitu F0, F1 (10%), F2 (15%), dan F3 (20%) menggunakan vaselin putih sebagai basis salep. Evaluasi sediaan salep meliputi stabilitas fisik (bentuk, bau dan warna, homogenitas, pH, daya sebar, daya lekat dan viskositas. Semua formula sediaan salep baik dalam penyimpanan. Sediaan salep dalam uji homogenitas, semua formula homogen. Dalam pemeriksaan pH, daya sebar, daya lekat, dan viskositas semua memenuhi persyaratan sesuai standar yang telah ditentukan atau ditetapkan. Ekstrak daun ciplukan dapat diformulasikan ke dalam bentuk sediaan salep. Sediaan salep dengan konsentrasi yang tinggi paling efektif dalam menyembuhkan luka bakar pada kelinci.
Numerical Simulations of the Pitching Airfoil by Using Discrete Vortex Method
Authors: Ren Peng , Lin Ke , Wang Jiasong 
Published: November 2023

This paper presents a two-dimensional discrete vortex method that uses the vortex growing core model to simulate the unsteady force and the wake patterns of the pure pitching airfoil efficiently and accurately. To avoid the random fluctuation caused by the random walk method, a vortex growing core method is used to simulate the viscous diffusion motion. In addition, the vortices fall off randomly on the body surface. Referring to the experimental configurations of Mackowski and Williamson (2015), a good agreement is achieved through the comparisons between the present simulation results and the experimental results, including the mean force coefficients, oscillation amplitude and wake patterns. It shows that the two-dimensional discrete vortex method can be used to predict the mechanical behavior and wake patterns on the pitching airfoil motion.