bluuebunny/crossref_metadata_2025_split huggingface dataset:
The elderly's experiences: family support and participation in the integration of health services
Authors: Wawomeo Aris , Kurnia Theresia Avila , Cahyani Sisilia Leny , Doondori Anatolia Karmelita , Paschalia Yustina Pacifica Maria 
Published: November 2023

Background: Higher life expectancy in Indonesia alarms the government to become more serious in enhancing the implementation of community programs for elderlies. The programs are intended to improve the life quality of the elderlies. Integration of health services for the elderly program that is well-implemented will make it easier for elderlies to Purpose: To determine the relationship between family support and the active participation of elderlies in attending integration of health servicesMethod: This correlational study was performed using a cross-sectional approach on 30 elderlies as respondents who were purposively sampled. Data of this study were collected using questionnaires which were then analyzed in a univariate analysis using frequency data. Bivariate analysis was also carried out using the chi-square test. Results: Most of the respondents actively participated in the program (76.67 percent). They are aware that they are vulnerable to health problems because respondents have good family support (53.33 percent). In particular, they rated good emotional support (66.67 percent), good facility support (73.33 percent), good knowledge and information support (46.67 percent), and good appraisal support (46.67 percent).Conclusion: The data analysis indicated the presence of a correlation between family support and the active participation of elderlies in the integration of health services for the elderly program in Ende Regency.Suggestion: Public Health Center needs to raise awareness of the reluctance of elderlies in attending the integration of health services for the elderly. It is necessary that health workers visit and approach the family of elderlies in order to improve the elderly's health and quality of life.
Educational Knowledge: Games to stimulate growth in children among mothers of toddlers
Authors: Harsono Harsono , Rinayati Rinayati , Iswandari Hargianti Dini , Retnaningrum Okti Trihastuti Dyah 
Published: November 2023

Background: Factors that help achieve child growth and development are proper stimulation. The role of parents, in this case, the mother has a big enough contribution to the successful process of child development. Purpose: To find out the increase in mothers of toddler knowledge about the benefits of games that stimulate children's growthMethod: The form of this research design is a pre-experimental design (One-Group Pretest-Posttest) with a purposive sampling technique and the research population is mothers of under five children in Gondoriyo Semarang. Processing techniques and analysis of quantitative data using the analysis of the t-test (test T). Results: The normality test, shows that the Sig value in the Shapiro-Wik column for the mother’s knowledge variable before and after being given an educational game is less than 0.05 so it is declared not to have a normal distribution. So to find out whether there is a difference in the average knowledge of mothers regarding educational games, an analysis of the Wilcoxon Signed test was carried out. Based on the results of the Wilcoxon signed test, it was found that the asymp sig (2-tailed) value was 0,000 < 0.05 so it can be concluded that there is a difference in the average knowledge of toddler mothers before and after being given educational games stimulating growth and development.Conclusion: Mother's knowledge increases about the benefits of providing educational games to stimulate child growth and development
Pregnant women in the exposure to COVID-19 infection outbreak with the risk of stunting based on the growth and development of babies
Authors: Manurung Suryani 
Published: November 2023

Background: Exposure to Covid-19 that occurs in pregnancy is at risk of miscarriage, IUGR (intrauterine growth retardation) and as a predictor of detection of stunted babies associated with pregnancy and postpartum.Purpose: To analyze pregnant women in the exposure to the COVID-19 infection outbreak with the risk of stunting based on the growth and development of babiesMethod: The cross-sectional population is infants aged less than 12 months and their mothers with a history of Covid-19 infected status during pregnancy. The samples were 48 two groups of infectious and non-infectious and taken by a purposive sampling technique. Researched at the polyclinic of the Covid-19 referral hospital. The statistic analyzes mean and correlation test data with Chi-Square.Results: The age range of babies at observation was 2-12 months with a mean age of 7 months. Progression score with Pre-screening Developmental Questionnaire (PDQ) lowest 2 and highest 10. Pregnant women who are not infected are at risk of stunting with the highest indicator of baby weight is normal at 70.8 percent and normal baby height at 80 percent. Pregnant women infected with Covid-19 without symptoms to moderate symptoms risk stunting with the highest indicator of baby weight being normal ranging from 46.2 percent – 80 percent and normal infant height ranging from 80 percent - 84.6 percent. Analysis of the effect of exposure to Covid-19 during pregnancy on the risk of stunting based on the baby's weight and height had no effect (p-value > 0.05). The ratio of infant development deviations in uninfected and Covid-19 infected mothers was 16.7%. The results of the analysis of the relationship between the confirmed status of Covid-19 during pregnancy and infant development are related (P value < 0.05).Conclusion: The effect of exposure to Covid-19 during pregnancy on the risk of stunting based on the baby's weight and height has no effect. A comparison found deviations in infant development in uninfected and Covid-19-infected mothers, there was an association.
Nutritional management of diabetes mellitus: A single‐case study
Authors: Sinuraya Elida , Sitanggang Antonij Edimarta , Silitonga Erwin , Situmorang Jastro , Saragi Leo Rikki 
Published: November 2023

Background: An imbalance of the body's nutritional needs is a condition in which nutrient intake is insufficient to meet the metabolic needs of the body. Diabetes mellitus is a disease caused by high levels of glucose in the blood due to the body's inability to release or use insulin adequately.Purpose: to find out whether nursing interventions can meet the nutritional needs of the body in patients with diabetes mellitus.Method: This descriptive research uses a case study approach. The participant is a 68-year-old man who is 3 years old with diabetes mellitus. He felt weak, dizzy, and his legs tingled. He had no appetite and to eat, he only ate half of the plate. Their current blood sugar level is 548 mg/dl and their blood pressure is 200/94 mmHg. Intervention - within 3 days, participants were assessed on vital signs, nutritional status, and favorite foods. Participants received education about oral hygiene and important nutrition for their bodies. Participants had received insulin and a 1700-calorie diet.Results: With this intervention, participants' blood sugar levels were randomly assigned to drop from 548 mg/dl to 200 mg/dl, appetite increased, and food intake increased from half a plate to one plate. His blood pressure dropped from 200/94 mmHg to 120/80 mmHg.Conclusion: The results of these participants provide an encouraging assessment of vital signs, nutritional status, and favorite foods, education about oral hygiene and essential nutrients for the body, and collaboration of insulin diet and diabetes patients.
Knowledge, attitudes and practices on postoperative pain management among registered nurses in a private hospital in Selangor-Malaysia
Authors: Samad Norini Binti , Ahmad Aini , Yusof Puziah , Kunjukunju Annamma 
Published: November 2023

Background: Postoperative pain is an important aspect of patient care. It occurs when there is tissue injury and muscle spasms following surgery. The goal of postoperative pain management is to minimize discomfort and side effects. Poor pain management can result in patient discomfort, complications, slow recovery, and longer hospitalization. Therefore, it is crucial for registered nurses to have a good understanding of postoperative pain assessment tools in order to provide the best pain management for their patients.Purpose: To assess knowledge and attitude related to pain management practices among registered nurses (rn) in postoperative patients. Method: In this study, a descriptive quantitative cross-sectional survey design was used. A questionnaire was administered, consisting of four parts. The first part collected socio-demographic data from Registered Nurses. The second part contained 13 true and false questions to evaluate their knowledge level. The third part consisted of 14 questions to assess the attitudes of Registered Nurses, and the fourth part consisted of 18 questions using a Likert scale to evaluate their practices. The total number of respondents was 108 Registered Nurses. The data obtained were analyzed using IBM Social Packages for the Social Sciences (SPSS) software version 26.Results: The study finding shows that 58.2% of Registered Nurses possess adequate knowledge regarding postoperative pain management, while 41.8% lack sufficient knowledge. These nurses agree that effective analgesia is crucial in postoperative care, with 90.8% recognizing the importance of pain measurement instruments. Providing a clean and comfortable ward with a neatly made bed is the most commonly practiced intervention for pain relief among Registered Nurses. Additionally, the study found a positive correlation between age, years of clinical experience, and pain management practices.Conclusion: According to the findings, there is significant variation in the knowledge, attitude, and practices of registered nurses when it comes to managing postoperative pain. To ensure that patients receive helpful and effective pain management after surgery, it is important for nurses to participate in ongoing professional development activities.
Training adult laypeople in basic life support to enhance knowledge and confidence
Authors: Sasmito Priyo , Fajariyah Nur , Rasmita Dina , Hartoyo Mugi , Arifani Nisa , Koto Yeni 
Published: November 2023

Background: The lack ability of community to provide first aid to victims who experience cardiac arrest is due to their lack of knowledge and skills. Adolescent to adult age group has good potential to be involved in efforts to provide resuscitation for Out-of-Hospital cardiac arrest (OHCA) cases.Purpose: To determine the effect of training adult laypeople in basic life support to enhance knowledge and confidenceMethod: A quasi-experimental study with 1 pre and post-test group with a total sample of 30 members of youth organizations taken with total sampling technique.Results: There was an increase in respondents' knowledge by an average of 58.89 from the initial knowledge with an average score of 30 (poor) to 88.89 (good). The results of statistical calculations using the Wilcoxon Signed Rank Test with a level of significance (α) 0.05 showed that calculated W value smaller than W table and the p value 0.000 smaller than α 0.05. There was also an increase in respondents' self-confidence of performing BLS from an average of 43.67 (less confident) to an average of 88.00 (very confident) after BLS training. Calculated W value is smaller than W table and p value 0,000 smaller than α 0.05.Conclusion: BLS training has a significant effect on the knowledge and self-confidence level of respondents. There is an increase in the level of knowledge and confidence of respondents in the age group of adolescents and young adults to perform resuscitation after receiving BLS training.
Factors influencing exclusive breastfeeding duration in South Sulawesi-Indonesia: A population-based cross-sectional study
Authors: Zulkarnain Dinda Asari , Fitriani Rini , Saharuddin Saharuddin , Sakinah Andi Irhamnia , Dahlan Dahlan 
Published: November 2023

Background: Exclusive breastfeeding means that the infant receives only breast milk without any additional food or drink given which is started from the day 1 to 6 months old. Breast milk has been considered to be the greatest food source for babies as it contains various substances and antibodies that are important for baby's growth and development. Purpose: To investigate the factors influencing exclusive breast feeding on mothers at Dahlia Health Center of Mariso District, Makassar, South Sulawesi.Method: The observational study design by using cross sectional approach. The population of this study was mothers with children aged between 6- 24 months in the working area of Dahlia Health Center in 2020. The total population was 343 mothers. The sampling technique used in study was purposive sampling with a total sample of 80 people.The research data were analysed by using SPSS application with a Chi square test.Results: The findings of this study indicated various results on different variables. It was shown that p value was 0.030 (<0.05) for the variable of mothers’ age; p value was 0.009 (<0.05) for the variable of mothers’ education; p value was 1,000 (> 0.05) for the variable of mothers’ employment; p value was 0.538 (> 0.05) for the variable of family income; p value was 0.037 (<0.05) for the variable of mothers knowledge on exclusive breastfeeding; and p value was 0.000 (<0.05) for the variable of family support. Conclusion: From these results, it could be concluded that there are relationships between the variables of mothers’ age, education, work, family income, knowledge, and family support and the commitment of mother to breastfeed their children.
Prevalence of Caries with its Distribution by Age & Gender in Institutional Clinical Patients
Authors: Mahmud Abdullah Al , Shathi Ishrat Jhahan , Rabby Md Atiqul Islam , Ferdoushi Iffat Ara , Kulsum Umme 
Published: November 2023

Introduction: Consequence of dental caries is loose of healthy tooth structure which impacts negatively on aesthetics, function, self-esteem and quality of life of the patients. Different age groups and populations exhibit distinct caries prevalence rates, observations of which could provide a useful descriptive measure of caries susceptibility in tooth surfaces.
Materials and Methods: In this study, patients attending the Department of Conservative Dentistry & Endodontics of Dhaka Dental College & Hospital, located in Mirpur-14 and Department of Conservative Dentistry & Endodontics of Sapporo Dental College & Hospital, located in Abdullahpur (North Dhaka City), Bangladesh, were examined between 2017 and 2019. The location of dental caries on the teeth surfaces was recorded as following surface: Occlusal , Mesio-occlusal, Disto-occlusal, Proximal and Cervical for statistical evaluation and comparison. Furthermore, the age and gender of the patients were recorded on the chart for each caries tooth.
Result: Female had higher incidence 86 (57%) of caries than males 64 (43%). Caries distribution was common in the maxillary jaw (53.38%) than in the mandibular jaw (46.62%). Among our study patient occlusoal surface caries was most commonly observed (43.4%). Then, the proximal surface caries was seen in 28.3% cases. Overall 71.7% prevalence of caries was in occlusal and proximal area. Where, prevalence of proximal and cervical surface caries was higher in maxillary tooth (18.9% and 4.82%) than mandibular tooth (9.3% and 2.6%) respectively.
Conclusion: Female are more prevalent to dental caries than male. Occlusoal surface caries is most commonly observed, then, the proximal surface caries are commonly seen. Occlusal surface caries is more common in mandibular tooth than maxillary. Where, proximal and cervical surface caries was higher in maxillary tooth.
Medicine Today 2023 Vol.35(2): 78-82
Complications of Nd Yag Laser Capsulotomy
Authors: Abdul Matin Md , Shaheen Mahbubur Rahman , Farhana Zakia , Abdul Khaleque Sajed 
Published: November 2023

Introduction: Aim and objective is to study the intra and post laser complications of Nd yag laser posterior capsulotomy and to find out the incidence of complications.
Materials and Methods: This study was conducted in the department of ophthalmology, Ad-Din Women Medical College 2, Bara moghbazar, Dhaka from July 2018 to June 2022. Our study included 206 patients of 220 eyes with significant PCO. Before laser capsulotomy all patients were assess by routine slit lamp examination, IOP measurement and posterior segment examination done for every patient for exclusion of gross posterior segment pathology. Nd yag laser capsulotomy was carried out under topical anesthesia. These patients were assessed for post laser visual acuity and complications in 1st POD after 7 day and 1 month. Every patients with post laser routine medications and as per need of other related eye problems.
Result: Total 220 eyes of 208 patients included in our study ,including 93 male (44.71%) and 115 female (55.29%).Range of age were 21yrs to 87 years. Laser capsulotomy were done one eye in 208 patients and both eyes in 14 patients. Range of energy used in our study from 1 to 4.5 mJ. Complications were noted after yag laser capsulotomy In 29 eyes (13.76%) though after taking maximum precaution for avoiding complications including pre laser slit lamp examination, assessment of IOP, proper dilatation of pupil, power setting were minimum as per as possible.
Conclusion: The Nd yag laser capsulotomy is an effective, safe procedure for the treatment of opaque posterior capsule which is unique and magical approach for improvement of vision and restoration of effective life style. Every procedure have some adverse effect, Nd yag laser capsulotomy also have some complications .but benefit are tremendous if we can go in proper way.
Medicine Today 2023 Vol.35(2): 91-94
Corneal Clarity after Phacoemulsification: Nuclear Management by Stop and Chop Method
Authors: Golam Rosul Md , Salam Siddique Md Abdus , Saleh Khan Sayed , Harun Husna 
Published: November 2023

Introduction: Restoration of effective vision is the principal aim of all modalities of cataract surgery including phacoemulsification. In this method, nuclear part of the cataractous lens is emulsified by ultrasonic power. Energy level of ultrasonic power and turbulence of fluid in the anterior chamber play an important role in corneal endothelial cell loss which inturn influences post-operative corneal clarity. Endothelial cell loss can be minimized by modification of nuclear management method. The common nuclear division techniques of phacoemulsification are stop and chop, divide and conquer and phaco chop.
Purpose: To show post-operative corneal clarity after phacoemulsification by stop and chop technique of nuclear divisions.
Materials and Methods: This prospective observational study was conducted at selected outdoor patients from January, 2023 to June, 2023 over 33 patients of age related cataract selected for phacoemulsification surgery. Patients were selected based on specific selection criteria. Selected patient underwent detail, ocular and systemic examinations as well as relevant investigations which included assessment of corneal endothelial cell count and central corneal thickness. Phacoemulsification were done in all patients by a single expert surgeon where technique of nuclear management by stop and chop were chosen randomly. Patients were followed up on 1 week, 4 weak and 12 weak after surgery. Corneal endothelial cell count and central corneal thickness were assessed in each visit. All the relevant data were presented by appropriate tables.
Results: The mean age of the study subjects were 60.96 with standard deviation 1.75 years out of which 14 were males and 17 were females. Pre-operative value of mean endothelial cell count was 2620+-70.20/mm2. Mean value of endothelial count was 2420+-68.90/ mm2, 2345+-66.64/ mm2, 2310+-66.04/ mm2 respectively after 1 week , 4 weeks and 12 weeks after surgery. Mean value of central corneal thickness was 545+-40.50 micrometer, 535+-40.02 micrometer, 532+-39.85 micrometer respectively after 1 week, 4 weeks and 12 weeks after surgery.
Conclusion: Quantitative assessment of endothelial cell count and central corneal thickness shows that at end of the study there was no significant difference in mean endothelial cell count and mean central corneal thickness .
Medicine Today 2023 Vol.35(2): 118-120
A Transdisciplinaridade imersa nos contos de fadas: A busca por uma educação infantil inovadora
Authors: Oliveira Denize Estega de , Marquezan Lorena Inês Peterini 
Published: November 2023

Esse artigo é um recorte da dissertação vinculada ao Curso de Mestrado Profissional em Políticas Públicas e Gestão Educacional, da Universidade Federal de Santa Maria (UFSM/RS), da Linha de Pesquisa Gestão Pedagógica e Contextos Educativos (LP/2); como objetivo deste artigo, desejamos compartilhar as práticas de inovação na gestão da aula: interdisciplinaridade e transdisciplinaridade, especificamente sobre a prática pedagógica transdisciplinar na Educação Infantil, através dos contos de fadas. Como inquietação a pergunta, que buscamos responder: É possível, através da interdisciplinaridade e transdisciplinaridade, integrarmos as diferentes áreas do conhecimento e construirmos aprendizagens inovadoras, desenvolvendo, assim, uma educação por inteiro, a partir dos contos de fadas gauchescos? A metodologia utilizada foi a pesquisa qualitativa, realizada através de narrativas (auto)biográficas, relacionadas às práticas pedagógicas desenvolvidas com uma turma de Pré-escola B, com 19 alunos de cinco e seis anos, de uma EMEI de Santa Maria/RS. A partir dessas vivências, ressignificou-se a contação de histórias na Educação Infantil, inovando as práticas pedagógicas interdisciplinares e transdisciplinares, na busca da formação do Ser Humano por inteiro, através de atividades que despertaram a criatividade, a leveza e o encantamento das crianças, sendo uma experiência gratificante para os alunos e para mim, como educadora.
A IGREJA CATÓLICA E O DISCURSO DOS DIREITOS HUMANOS PARA A TRANSFORMAÇÃO DEMOCRÁTICA 1968-1978
Authors: Guebert Mirian Cèlia Castellain , Pilla Maria  Cecília Barreto Amorim , Ferreira Fernanda Busanello 
Published: November 2023

O artigo sobre Direitos Humanos no jornal O Estado de São Paulo, entre 1968-1978. Se justifica por serem considerados os mais severos do governo militar. Trata das relações entre a Igreja Católica e a temática dos Direitos Humanos. A metodologia documental, no acervo do jornal, disponível online, descritores de busca “direitos humanos. Dos achados a Igreja Católica, potencializou seus posicionamentos políticos para defesa dos direitos humanos, insurgiu contra situações extremas em que o Estado atentou contra a dignidade humana
O processo de inclusão do aluno surdo na escola do campo em Mari-PB
Authors: Alves Cordeiro Neto Francisco , de Pontes Matias Maria Valdinete , Gonçalves Bueno João Batista 
Published: November 2023

Este trabalho aborda o processo de inclusão do aluno surdo em salas regulares na escola do campo. Também reflete sobre a prática pedagógica do docente que não possui formação específica para lidar com discentes surdos dentro do contexto da educação inclusiva. A metodologia parte de uma abordagem qualitativa, por analisar práticas pedagógicas relacionadas à educação inclusiva. Trata-se de uma pesquisa bibliográfica que aborda a inserção do aluno surdo na sala regular na escola do campo. Para isso, utiliza como referencial teórico alguns autores que discutem as temáticas associadas à escola do campo e à educação inclusiva. Constatou-se que o processo de inclusão deve ser pensado de forma efetiva, e não apenas com a inserção dos discentes nas salas regulares, mas, sim, havendo uma relação entre formação e prática docente, para que o aluno surdo construa as habilidades necessárias à aprendizagem no âmbito escolar.